AMERICAN MEDICAL INTERNATIONAL INC /DE/
10-K, 1994-11-22
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------

                                   FORM 10-K

(MARK ONE)

/X/              ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D)
             OF THE SECURITIES EXCHANGE ACT OF 1934 (FEE REQUIRED)
                   FOR THE FISCAL YEAR ENDED AUGUST 31, 1994

                                       OR

/ /            TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D)
            OF THE SECURITIES EXCHANGE ACT OF 1934 (NO FEE REQUIRED)
               FOR THE TRANSITION PERIOD FROM         TO

                            (COMMISSION FILE NUMBER)
                                    1-10511
                           --------------------------

                        AMERICAN MEDICAL HOLDINGS, INC.
             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                       <C>
                DELAWARE                                13-3527632
    (State or other jurisdiction of        (I.R.S. Employer Identification No.)
     incorporation or organization)
</TABLE>

                             COMMISSION FILE NUMBER
                                     1-7612
                           --------------------------

                      AMERICAN MEDICAL INTERNATIONAL, INC.
             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                                       <C>
                DELAWARE                                95-2111054
    (State or other jurisdiction of                  (I.R.S. Employer
     incorporation or organization)                Identification No.)

 14001 N. DALLAS PARKWAY, DALLAS, TEXAS                   75240
(Address of principal executive offices)                (Zip Code)
</TABLE>

      (Registrants' telephone number, including area code) (214) 789-2200
                           --------------------------

          SECURITIES REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT:
                        AMERICAN MEDICAL HOLDINGS, INC.:

<TABLE>
<CAPTION>
(TITLE OF EACH CLASS)             (NAME OF EACH EXCHANGE ON WHICH REGISTERED)
- ------------------------------  ------------------------------------------------
<S>                             <C>
Common Stock                                New York Stock Exchange
</TABLE>

          SECURITIES REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT:
                     AMERICAN MEDICAL INTERNATIONAL, INC.:

              8 1/4% Convertible Subordinated Debentures due 2008
              9 1/2% Convertible Subordinated Debentures due 2001
                                (TITLE OF CLASS)

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

    Indicate  by check mark  whether the Registrants (1)  have filed all reports
required to be filed by  Section 13 or 15(d) of  the Securities Exchange Act  of
1934  during  the preceding  12  months (or  for  such shorter  period  that the
Registrants were required to  file such reports), and  (2) have been subject  to
such  filing requirements for the past  90 days. American Medical Holdings, Inc.
Yes X No __. American Medical International, Inc. Yes X No __.
    Indicate by check mark if disclosure  of delinquent filers pursuant to  Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best  of registrant's knowledge,  in definitive proxy  or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. Yes X No __.
    As of November  9, 1994  there were  77,594,649 shares  of American  Medical
Holdings,  Inc. Common Stock, $.01 par  value, outstanding. The aggregate market
value of Common  Stock held by  non-affiliates of the  registrant, based on  the
closing price of these shares at November 9, 1994, was approximately $1,108,064.
For  the purposes of the foregoing calculation only, all directors and executive
officers  and  principal  stockholders  of  the  registrant  have  been   deemed
affiliates.

    All   shares  of  Common   Stock,  $.01  par   value,  of  American  Medical
International, Inc. are held by American Medical Holdings, Inc.

                      DOCUMENTS INCORPORATED BY REFERENCE
                                      None

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<PAGE>
                                     INDEX

<TABLE>
<CAPTION>
                                                                                                            PAGE
                                                                                                          REFERENCE
                                                                                                        -------------

<S>         <C>                                                                                         <C>
                                                      PART I

Item  1.    Business..................................................................................            1
Item  2.    Properties................................................................................           13
Item  3.    Legal Proceedings.........................................................................           13
Item  4.    Submission of Matters to a Vote of Security Holders.......................................           13

                                                     PART II

            Market for the Registrant's Common Stock and Related
             Stockholder Matters......................................................................           14
Item  5.
Item  6.    Selected Financial Data...................................................................           15
Item  7.    Management's Discussion and Analysis of Financial Condition and Results of Operations.....           16
Item  8.    Financial Statements and Supplementary Data...............................................           21
Item  9.    Changes in and Disagreements with Accountants on Accounting and Financial Disclosure......           21

                                                     PART III

Item 10.    Directors and Executive Officers of the Registrants.......................................           22
Item 11.    Executive Compensation....................................................................           27
Item 12.    Security Ownership of Certain Beneficial Owners and Management............................           34
Item 13.    Certain Relationships and Related Transactions............................................           36

                                                     PART IV

Item 14.    Exhibits, Financial Statement Schedules and Reports on Form 8-K...........................           39
</TABLE>
<PAGE>
                                     PART I

ITEM 1.  BUSINESS

    American  Medical Holdings, Inc. ("Holdings") was organized in July, 1989 to
acquire American Medical International, Inc. ("AMI" and, together with Holdings,
the "Company"). As a result of this acquisition, Holdings is the owner of all of
the outstanding shares of common stock of AMI.

    AMI was incorporated  in 1957 and  in 1960 became  the first  investor-owned
hospital  company. Today, the Company is  one of the leading hospital management
companies in the United States. As of August 31, 1994 AMI operated 36 acute care
and one  psychiatric  hospital  containing  a  total  of  9,021  licensed  beds.
Subsequent  to  August 31,  1994, AMI,  in  partnership with  unaffiliated third
parties, acquired an additional acute care hospital, increasing the total  acute
care  hospitals operated by  AMI to 37.  AMI focuses on  delivering value to its
patients and  its  communities  with  a full  range  of  quality  inpatient  and
outpatient   services  including   medical,  surgical,   obstetric,  diagnostic,
specialty and home health care.  The Company also operates ancillary  facilities
at  each of its hospitals, such as ambulatory, occupational and rural healthcare
clinics. The Company's hospitals are principally located in the suburbs of major
metropolitan areas in 13 states including Texas, Florida and California.

    Holdings and AMI are Delaware corporations with principal executive  offices
located  at  14001 Dallas  Parkway, Suite  200, P.O.  Box 809088,  Dallas, Texas
75380-9088. The telephone number for Holdings  and AMI at such address is  (214)
789-2200.

RECENT DEVELOPMENTS

    On  October 10, 1994, Holdings, National  Medical Enterprises, Inc, a Nevada
corporation ("NME")  and  a  wholly-owned  subsidiary  of  NME  ("Merger  Sub"),
executed  an Agreement and Plan of  Merger (the "Merger Agreement"). Pursuant to
the Merger  Agreement,  Merger  Sub  will merge  with  and  into  Holdings  (the
"Merger").  As  a result  of  the Merger,  Holdings  will become  a wholly-owned
subsidiary of NME and the combined company will be the second-largest healthcare
services company in the nation. Under  terms of the Merger Agreement each  share
of  common stock of Holdings  will be converted into (i)  $19.00 in cash, if the
closing occurs on or before March 31, 1995, and $19.25 thereafter and (ii)  0.42
of  a  newly issued  share  of NME  common  stock. Under  the  Merger Agreement,
Holdings will pay  a special dividend  of $0.10 per  share before the  effective
date  of  the Merger.  Following the  Merger,  Holdings will  have the  right to
nominate three  members to  the 13  member board  of directors  of the  combined
company.  The  transaction has  been approved  by shareholders  of approximately
61.4% of Holdings' outstanding  shares of common  stock and, therefore,  further
action  by Holdings'  shareholders is  not required.  The transaction,  which is
currently anticipated to close in the first quarter of calendar 1995, is subject
to  certain  conditions  including,  among  other  things,  expiration  of   any
applicable waiting period under the Hart-Scott-Rodino Antitrust Improvements Act
of 1976, as amended.

    Management  believes that the position of the Company's hospitals in each of
their markets,  the  established  physician networks  and  the  alliances  being
developed  with  other  healthcare providers  will  be further  enhanced  by the
Merger. Holdings  and NME  each have  a portfolio  of hospitals  in Florida  and
California  which will  strengthen the  combined company's  presence in  each of
these markets. The combined company will be strategically positioned to  develop
new   comprehensive  healthcare  delivery  systems  with  physicians  and  other
healthcare providers in targeted  communities and to deal  with the current  and
future changes in the healthcare industry.

    On  September 1, 1994,  a limited partnership,  of which AMI  is the general
partner, acquired Hilton Head Hospital in Hilton Head, South Carolina containing
68 beds. In connection with the Company's efforts to re-establish a presence  in
Europe,  the Company has entered into a joint venture agreement with a community
organization (the "Burgergemeinde")  located in Cham,  Canton Zug,  Switzerland.
The   joint  venture  will  be  owned  90%   by  the  Company  and  10%  by  the
Burgergemeinde. Under the  terms of  the proposed transaction,  the Company  has
entered  into a  long term  lease for  the land  where the  existing hospital is
located and  will then  construct  a new  56 bed  acute  care wing,  convert  an
existing  structure into a medical office  building and renovate and remodel the
existing
<PAGE>
acute care  facility. In  addition, the  Company plans  to contract  to  provide
management,  food, physical therapy and rehabilitation services to the hospital,
an on-site nursing home and an affiliated retirement community.

PROPERTIES

    As of  August  31,  1994, the  Company  owned  or leased  and  operated  the
following 36 acute care hospitals and one psychiatric hospital. The Company also
owned  and managed  medical office  buildings and  related healthcare facilities
associated with its hospitals, as well as certain undeveloped properties.

<TABLE>
<CAPTION>
                                                                                      YEAR OF
                                                                                    CONSTRUCTION
                                                                                         OR            NUMBER OF
                  NAME OF FACILITY                    LOCATION                     RENOVATION (A)    LICENSED BEDS
- ----------------------------------------------------  ---------------------------  --------------  -----------------
<S>                                                   <C>                          <C>             <C>
TEXAS
  Brownsville Medical Center                          Brownsville                        R 1984              168
  Mid-Jefferson Hospital                              Nederland                          R 1981              128
  Nacogdoches Medical Center                          Nacogdoches                        C 1975              150
  Odessa Regional Hospital (b)                        Odessa                             C 1975              100
  Park Place Hospital                                 Port Arthur                        R 1992              223
  Park Plaza Hospital                                 Houston                            R 1992              508
  Twelve Oaks Hospital                                Houston                            R 1992              336

CALIFORNIA
  Encino Hospital (c)                                 Encino                             C 1954              194
  Garden Grove Hospital and                           Garden Grove                       R 1983              175
   Medical Center
  Medical Center of Irvine (d)                        Irvine                             C 1990              177
  Medical Center of North Hollywood                   North Hollywood                    R 1972              163
  San Dimas Community Hospital                        San Dimas                          C 1972               99
  Sierra Vista Regional Medical Center                San Luis Obispo                    C 1959              178
  South Bay Hospital (d)                              Redondo Beach                      R 1986              203
  Tarzana Regional Medical Center (c)(d)              Tarzana                            R 1992              220

FLORIDA
  Memorial Hospital of Tampa (b)                      Tampa                              R 1985              174
  North Ridge Medical Center                          Ft. Lauderdale                     C 1975              395
  Palm Beach Gardens Medical Center (d)               Palm Beach Gardens                 R 1988              204
  Palmetto General Hospital                           Hialeah                            R 1989              360
  Town and Country Hospital                           Tampa                              C 1981              201

ARKANSAS
  Central Arkansas Hospital                           Searcy                             R 1983              169
  National Park Medical Center                        Hot Springs                        C 1985              166
  St. Mary's Regional Medical Center                  Russellville                       R 1992              170

NORTH CAROLINA
  Central Carolina Hospital                           Sanford                            C 1981              137
  Frye Regional Medical Center (d)                    Hickory                            R 1982              355

SOUTH CAROLINA
  East Cooper Community Hospital                      Mount Pleasant                     C 1986              100
  Piedmont Medical Center                             Rock Hill                          C 1983              268

MISSOURI
  Columbia Regional Hospital                          Columbia                           R 1987              301
  Lucy Lee Hospital (d)                               Poplar Bluff                       C 1980              201
</TABLE>

                                       2
<PAGE>
<TABLE>
<CAPTION>
                                                                                      YEAR OF
                                                                                    CONSTRUCTION
                                                                                         OR            NUMBER OF
                  NAME OF FACILITY                    LOCATION                     RENOVATION (A)    LICENSED BEDS
- ----------------------------------------------------  ---------------------------  --------------  -----------------
<S>                                                   <C>                          <C>             <C>
GEORGIA
  North Fulton Regional Hospital (d)                  Roswell                            R 1990              167
  Spalding Regional Hospital                          Griffin                            C 1989              160

NEBRASKA
  Saint Joseph Hospital                               Omaha                              R 1990              404
  Saint Joseph Center for Mental Health (e)           Omaha                              R 1992              171

OTHER
  Brookwood Medical Center                            Birmingham, Alabama                R 1991              586
  St. Jude Medical Center (f)                         Kenner, Louisiana                  C 1985              300
  Culver Union Hospital                               Crawfordsville, Indiana            C 1984              120
  St. Francis Hospital                                Memphis, Tennessee                 R 1986              890
<FN>
- ------------------------
(a)  The Company  incurs  capital expenditures  to  renovate and/or  expand  the
     properties  to  accommodate  new  programs  and  to  enhance  the  services
     provided. C=Year of Construction, R=Year of Renovation

(b)  The Company owns a majority interest in this hospital.

(c)  Hospital is operated pursuant to a joint venture organized as of January 1,
     1993 with HealthTrust  Inc. -- The  Hospital Company. AMI  is the  managing
     partner for the joint venture and has a 75% ownership interest therein.

(d)  Property held under lease.

(e)  Psychiatric hospital.

(f)  As  of August 31, 1994  this property was held  under lease. On October 28,
     1994, the Company acquired  the property of  this hospital previously  held
     under a capital lease.
</TABLE>

EMPLOYEES

    As  of August 31,  1994, the Company had  approximately 30,200 employees, of
which approximately 68% were full time employees. Two of the Company's hospitals
had labor  contracts  covering  approximately 5%  of  the  Company's  employees.
Management believes that its relations with its employees are satisfactory.

MEDICAL STAFFS

    The  medical  staff  at  each hospital  generally  consists  of non-employee
physicians. In certain markets, the Company's hospitals have employed physicians
to further strengthen and expand the Company's managed care contracting ability.
Medical staff members of the Company-owned hospitals who are not employees often
serve on  the medical  staffs of  hospitals not  owned by  the Company  and  may
terminate their relationships with the Company-owned hospitals at any time.

    Rules  and  regulations concerning  the medical  aspects of  each hospital's
operations are  adopted  and enforced  by  its  medical staff.  Such  rules  and
regulations  provide that the members of  the staff elect officers who, together
with additional physicians selected by them, supervise all medical and  surgical
procedures  and services. Their supervision is  subject to the general oversight
of the hospital's Governing Board.

QUALITY OF SERVICES

    Management believes the quality of healthcare services is critical in  order
to  attract  and retain  top physicians  and  increase the  market share  of the
Company's hospitals. One of  the key mechanisms used  to monitor the quality  of
care  at  the Company's  hospitals is  a quality  assurance program  designed to
measure  patient  satisfaction,  the  Patient  Satisfaction  Monitoring   System
("PSMS").

                                       3
<PAGE>
PSMS  utilizes the  results of interviews  performed by  an independent research
company of a  statistically determined  sample group of  discharged patients  at
each  hospital  to  gather  patient responses  regarding  the  hospital services
provided. Management  uses the  results as  a  tool to  improve the  quality  of
patient  services and satisfaction and believes PSMS has assisted the Company in
successfully maintaining and improving the quality of healthcare as perceived by
patients and their physicians and thereby contributing to improved net revenues.
PSMS is  also used  by the  Company  as one  of the  bases upon  which  hospital
executive  directors  and other  employees are  compensated under  the Company's
incentive compensation program.  Management believes  that the  Company was  the
first  in  the  industry  to  directly tie  compensation  to  the  attainment of
qualitative performance targets.

    The Company has also developed and  implemented at several of the  Company's
hospitals   systems  similar   to  PSMS   designed  to   (i)  measure  physician
satisfaction, the  MD  Satisfaction Survey  and  (ii) emergency  room  services,
Emergency Room PSMS.

COMPETITION

    The  Company  operates  its  hospitals in  competitive  markets  where other
investor-owned and non-profit  hospitals operate and  provide services that  are
similar  to  those offered  by the  Company's  hospitals. Competition  among the
Company's hospitals  and other  healthcare providers  in the  United States  has
increased  in recent years  due to a  decline in occupancy  rates resulting from
among other things,  changes in government  regulation and reimbursement,  other
cost  containment pressures,  technology, and most  recently, various healthcare
reform plans pending  in Congress. Additionally,  hospitals owned by  government
agencies or other tax-exempt entities benefit from advantages (e.g., endowments,
charitable  contributions and tax-exempt  financing) which are  not available to
the Company's hospitals.

    Management believes  that a  hospital's  competitive position  within  local
markets  is  affected by  various factors  including  the quality  of healthcare
services provided, pricing of healthcare  services, the hospital's location  and
the types of services offered. The Company expects to improve the performance of
its   hospitals  by  (i)  expanding  physician  network  relationships,  thereby
attracting  and  retaining  quality   physician  and  medical  personnel,   (ii)
increasing  its  emphasis  on  managed care  contracting,  (iii)  developing and
marketing new  healthcare  services targeted  to  the particular  needs  of  the
communities  served  by  its  hospitals,  (iv)  expanding  profitable outpatient
services, and (v) expanding geographic  coverage by developing affiliations  and
alliances  with  other  providers  of service.  In  addition,  the  Company will
continue to pursue opportunities for growth through acquisitions.

    The competitive position of a hospital is also increasingly affected by  its
ability  to  negotiate  contracts  for  healthcare  services  with  managed care
organizations, including  health maintenance  organizations ("HMOs"),  preferred
provider  organizations  ("PPOs")  and  other  purchasers  of  group  healthcare
services. HMOs and PPOs attempt to  direct and control use of hospital  services
through  strict  utilization  management programs  and  by  negotiating provider
contracts with only one or  a limited number of  hospitals in each market  area.
The importance of negotiating with managed care organizations varies from market
to  market  depending on  the  market strength  of  such organizations.  In some
situations, hospitals  have agreed  to fixed  payments based  on the  number  of
managed  care  enrollees, resulting  in  the hospital  and,  in some  cases, the
physician assuming utilization risk (such contracts are referred to as capitated
contracts). Managed care organizations are generally able to obtain, through the
use of various contracting mechanisms including capitated contracts, significant
discounts from  hospital  established  charges.  Management  believes  that  the
Company is able to compete effectively for managed care business in part because
of  its relationships with local physicians,  its hospital management teams, its
attention to  cost  controls  and  quality of  service  and  its  strategies  to
establish service niches in markets served by other hospitals.

SOURCES OF REVENUE

    The  primary sources of  the Company's hospital revenues  are room and board
and the provision of ancillary medical  services. Room and board represents  the
basic  charges  for the  hospital  room and  related  services, such  as general
nursing   care   and   meals.   Ancillary   medical   services   represent   the

                                       4
<PAGE>
charges  related to  the medical support  activities performed  by the hospital,
such as X-rays, physical therapy and laboratory procedures. The Company receives
payments for services  rendered to  patients from the  federal government  under
Medicare  programs  and the  Civilian Health  and  Medical Program  of Uniformed
Services  ("CHAMPUS"),  state  governments   under  their  respective   Medicaid
programs,  managed care organizations ("contracted services"), private insurers,
self-insured employers  and  directly from  patients.  In addition  to  revenues
received from such programs and patients, the Company receives other non-patient
revenues (e.g. cafeteria and gift shop revenues).

    The following table presents the percentage of net revenues for fiscal 1994,
1993 and 1992 under each of the following programs:

<TABLE>
<CAPTION>
                                                                           1994       1993       1992
                                                                         ---------  ---------  ---------
<S>                                                                      <C>        <C>        <C>
Medicare/Medicaid......................................................         43%        38%        37%
Contracted Services....................................................         25         26         24
Non-contracted Services................................................         29         33         37
Other Sources..........................................................          3          3          2
</TABLE>

    The  Company's hospital revenues received under Medicare, Medicaid, CHAMPUS,
Blue Cross  and from  payers  of contracted  services  are generally  less  than
customary  charges  for  the  services  covered.  The  increased  percentage  of
government paid care subjects providers to greater risk associated with  reduced
government   reimbursement.  Managed  care  programs  which  offer  prepaid  and
discounted medical  service packages  account  for a  significant share  of  the
market and have reduced the historical rate of growth of hospital revenues. As a
result, new kinds of healthcare strategies and provider networks (e.g. physician
networks) are continuing to emerge.

    Patients  are generally not responsible for any difference between customary
hospital charges and  amounts reimbursed under  Medicare, Medicaid, CHAMPUS  and
some  Blue Cross plans  or by payers  of contracted services  for such services,
except to the extent of any exclusions, deductibles or co-insurance features  of
their  coverage. In  recent years insurers  and other payers  have increased the
amount of such exclusions, deductibles and co-insurance generally increasing the
patient's financial  responsibility  to  directly pay  for  some  services.  The
increase  in the  self-pay portion of  a patient's  financial responsibility may
also increase the amount of the Company's uncollectible accounts.

MEDICARE PROGRAM

    Under the  Medicare  program  the Company  receives  reimbursement  under  a
prospective payment system ("PPS") for the routine and ancillary operating costs
of  most  Medicare  inpatient hospital  services.  Psychiatric,  long-term care,
rehabilitation, pediatric and certain  designated cancer research hospitals,  as
well  as  psychiatric  or rehabilitation  units  that  are distinct  parts  of a
hospital, are  currently exempt  from PPS  and are  reimbursed on  a cost  based
system,  subject to certain cost caps. It  is uncertain what impact, if any, the
federal efforts to reform the healthcare system will have on the current  method
of Medicare reimbursement.

    Under  PPS, fixed payment  amounts per inpatient  discharge were established
based on the patient's assigned diagnosis related group ("DRG"). DRG's  classify
patients'  treatments  for illnesses  according  to the  estimated  intensity of
hospital resources necessary to furnish  care for each principal diagnosis.  DRG
rates  have been established  for each individual  hospital participating in the
Medicare program  and are  based  upon a  statistically normal  distribution  of
severity.  Patients falling  well outside  the normal  distribution are afforded
additional payments and defined as  "outliers". Under PPS, hospitals may  retain
payments  in excess of costs  but must absorb costs  in excess of such payments;
therefore hospitals are encouraged to operate at greater efficiency.

    DRG rates are updated and  recalibrated periodically and have been  affected
by  several  recent  federal  enactments.  The index  used  by  the  Health Care
Financing Administration ("HCFA") to adjust the DRG rates gives consideration to
the inflation experienced by hospitals in purchasing goods and services ("market
basket"). However, for several years the  percentage increases to the DRG  rates

                                       5
<PAGE>
have been lower than the percentage increases in the costs of goods and services
purchased  by hospitals. The market basket  is adjusted each federal fiscal year
("FY") which begins on  October 1. The  market basket for FY  1993 was 4.1%,  FY
1994 was 4.3% and for FY 1995 is 3.6%.

    The  Omnibus  Budget Reconciliation  Act  of 1993  ("OBRA-93")  extended the
reduction enacted by the Omnibus  Budget Reconciliation Act of 1990  ("OBRA-90")
in the Medicare DRG payments to healthcare providers through 1997. A substantial
number  of AMI's hospitals  are classified as  urban hospitals for reimbursement
purposes. The net updates of DRG rates for large urban and other urban hospitals
are established as follows: FY  1994 and FY 1995  market basket, minus 2.5%;  FY
1996  market basket, minus 2%; and FY 1997 market basket, minus 0.5%. Management
cannot predict  how future  adjustments by  Congress and  HCFA will  affect  the
profitability of its healthcare facilities.

    The  Omnibus Budget Reconciliation Act of 1990 required the Secretary of the
Department of Health and Human Services ("HHS") to develop a proposal for a  PPS
for  all hospital-based outpatient services  and inpatient psychiatric care. The
Secretary of HHS'  report, which  was due  on September  1, 1991,  has not  been
submitted.  Until such time as the Secretary of  HHS has developed a PPS for all
hospital-based outpatient  services,  OBRA-90  directs  that  payments  for  the
reasonable  cost of outpatient hospital services (other than for capital related
costs) be  reimbursed at  94.2%  of such  reasonable  costs for  cost  reporting
periods  falling within FY 1991 through FY 1995. OBRA-93 extended this reduction
from FY 1995 through FY 1998.

MEDICARE REIMBURSEMENT FOR CAPITAL COSTS

    Subsequent to  September  30, 1991  and  through FY  1995,  capital  related
payments  for  inpatient  hospital services  are  made  at the  rate  of  90% of
reasonable capital costs until capital  PPS becomes applicable at the  hospital.
The  PPS capital costs reimbursement applies an estimated national average of FY
1989 Medicare capital  costs per  patient discharge updated  to FY  1992 by  the
estimated increase in Medicare capital costs per discharge (the "Federal Rate").
Capital PPS is applicable to cost reports beginning on or after October 1, 1991.
Under   capital  PPS  reimbursement  a  10   year  transition  period  has  been
established. A hospital is paid under one of the following two different payment
methodologies   during   this   transition   period:   (i)   hospital   with   a
hospital-specific  rate (the rate  established for a hospital  based on the cost
report ending on or before  December 31, 1990) below  the Federal Rate would  be
paid  on  a fully  prospective  payment methodology  and  (ii) hospitals  with a
hospital-specific rate  above  the  Federal  Rate  would  be  paid  based  on  a
hold-harmless  payment methodology or 100% of the Federal Rate whichever results
in a higher  payment. A hospital  is paid under  one methodology throughout  the
entire  transition. After the transition period, all hospitals would be paid the
Federal Rate.

    The impact of PPS capital reimbursement in the first two years has not  been
material  to Medicare capital reimbursement.  The hospital-specific rates for FY
1994 decreased 2.16%. The  established Federal Rate for  FY 1994 was reduced  by
9.33%  to $378.34 per patient  discharge and for FY 1995  was reduced by 0.4% to
$376.83 per patient discharge. Management believes that the decrease in the rate
of reimbursement for capital  costs will not have  a material adverse effect  on
the Company's results of operations.

MEDICAID PROGRAM

    The  Medicaid program,  created by the  Social Security Act,  is designed to
provide medical assistance to individuals unable  to afford care. Medicaid is  a
joint  federal  and  state  program  in  which  states  voluntarily participate.
Reimbursement rates under  the Medicaid  program are set  by each  participating
state, and rates and covered services may vary from state to state. Depending on
the average income per person in a state, at least 50% of Medicaid funding comes
from  the federal  government, with  the balance shared  by the  state and local
governments. The  amount  of  the  federal share  is  called  Federal  Financial
Participation ("FFP"). Each of the Company's facilities is currently an eligible
Medicaid  provider, although certain of the Company's hospitals do not currently
participate  as  providers  of  services  in  their  respective  state  Medicaid
programs.

                                       6
<PAGE>
    The Omnibus Reconciliation Act of 1981 permitted each state to determine new
reimbursement rates for Medicaid inpatient hospital services that are reasonable
and  adequate  to meet  the  costs which  must  be incurred  by  efficiently and
economically operated  facilities and  to assure  access to  inpatient  hospital
services  by  Medicaid recipients.  Providers  must accept  Medicaid  payment as
payment in full for  healthcare services provided  to Medicaid patients.  Actual
payment  rates and the methodologies for  determining such rates vary from state
to state. For example, in Texas, Medicaid inpatient services are reimbursed on a
DRG based system, while in  Florida, Medicaid inpatient services are  reimbursed
on   a  per  diem  prospective  payment  system.  In  many  instances,  Medicaid
reimbursement does  not  cover  a  hospital's costs  in  providing  services  to
Medicaid recipients.

    The  Company operates hospitals in some  states that currently levy taxes on
healthcare providers or use  healthcare provider donations  to meet the  state's
share  of medical assistance expenditures. HCFA issued a final rule on September
13, 1993 whereby funds donated from Medicaid providers and expenditures that are
attributable  to  provider-specific   state  taxes  be   offset  from   Medicaid
expenditures incurred on or after January 1, 1992, before calculating the amount
of  the federal share of FFP. The  Company has historically participated in such
programs and  has received  reimbursement to  offset a  portion of  the cost  of
services  provided to indigent patients. Although  management believes that as a
result of the  final rule such  reimbursement will be  reduced, steps have  been
taken to offset the anticipated reduction in reimbursement.

    The   Medicare  and  Medicaid  programs   have  been  subject  to  continual
modification through legislative acts and both federal and state  administrative
initiatives.  The federal  or state governments  might in the  future reduce the
funds available  under  these programs  or  require more  stringent  utilization
review of hospital facilities. Such actions could have a material adverse impact
on the Company's financial condition and results of operations.

CHAMPUS

    The  Company's hospitals are reimbursed  by the federal government's CHAMPUS
program for care  provided to  United States military  retirees and  dependents.
CHAMPUS  pays for inpatient acute hospital care  on the basis of a prospectively
determined rate  applied on  a per  discharge basis  using DRGs  similar to  the
Medicare  system.  At this  time,  inpatient psychiatric  hospital  services are
reimbursed on an individual hospital's per  diem rate calculated based upon  the
hospital's  prior cost  experience. There can  be no assurance  that the CHAMPUS
program will continue per diem  reimbursement for psychiatric hospital  services
in the future.

CONTRACTED BUSINESS

    Managed  care arrangements  have typically  reimbursed providers  based on a
percent of charges or  on a per  diem basis with  stop-loss provisions for  high
severity  cases. In more  developed markets such as  California and Florida, the
Company's  hospitals  are  now  entering   into  risk  sharing,  or   capitated,
arrangements. These arrangements reimburse the hospital based on a fixed fee per
participant  in  a managed  care plan  with  the hospital  assuming the  cost of
services provided, regardless  of the  level of utilization.  If utilization  is
higher  than  anticipated  and/or  costs are  not  effectively  controlled, such
arrangements could produce low or negative operating margins.

COMMERCIAL INSURANCE

    The Company's hospitals provide services  to individuals covered by  private
healthcare  insurance. Private insurance carriers  either reimburse their policy
holders or  make  direct payment  to  the  Company's hospitals  based  upon  the
particular  hospital's established charges and  the particular coverage provided
in the  insurance policy.  Blue Cross  is a  healthcare financing  program  that
provides   its   subscribers   with   hospital   benefits   through  independent
organizations that vary from  state to state. The  Company's hospitals are  paid
directly  by  local Blue  Cross organizations  on  the basis  agreed to  by each
hospital and Blue Cross by  a written contract. In  some states, the local  Blue
Cross  affiliate is believed  to be experiencing  financial difficulty; however,
management  does  not  believe  that  such  difficulties  represent  a  material
financial exposure to the Company.

                                       7
<PAGE>
    Recently,  several commercial insurers have  undertaken efforts to limit the
costs of hospital services by adopting PPS  or DRG based systems. To the  extent
such  efforts are successful, and to the  extent that the insurers' systems fail
to  reimburse  hospitals  for   the  costs  of   providing  services  to   their
beneficiaries,  such efforts  may have a  negative impact on  the hospitals' net
revenue.

REGULATION

LICENSURE, CERTIFICATION AND ACCREDITATION

    Healthcare facility construction and operation is subject to federal,  state
and  local  regulation  relating to  the  adequacy of  medical  care, equipment,
personnel, operating policies and procedures, fire prevention, rate-setting  and
compliance with building codes and environmental protection laws. Facilities are
subject  to periodic inspection by governmental  and other authorities to assure
continued compliance  with the  various standards  necessary for  licensing  and
accreditation.   Management  believes  that  all  of  the  Company's  healthcare
facilities are properly licensed under appropriate state laws and are  certified
under  the  Medicare  program  or  are accredited  by  the  Joint  Commission on
Accreditation of Health Care Organizations  ("Joint Commission"), the effect  of
which  is to permit the  facilities to participate in  the Medicare and Medicaid
programs. Should  any  facility  lose its  Joint  Commission  accreditation,  or
otherwise  lose its certification under the Medicare program, the facility would
be unable  to receive  reimbursement from  the Medicare  and Medicaid  programs.
Management  believes that the Company's facilities are in substantial compliance
with applicable federal,  state, local and  independent review body  regulations
and  standards. The requirements for  licensure, certification and accreditation
are subject to change and, in order to remain qualified, it may be necessary for
the Company  to  effect changes  in  its facilities,  equipment,  personnel  and
services.  Although the Company intends to  continue its qualification, there is
no assurance that its hospitals will be able to comply in the future.

CERTIFICATES OF NEED

    The construction of new facilities, the acquisition of existing  facilities,
and  the addition of new beds or  services may be reviewable by state regulatory
agencies under a program  frequently referred to as  a Certificate of Need.  The
Company  operates hospitals in nine states that require state approval under the
Certificate of  Need  program. Such  laws  generally require  appropriate  state
agency determination of public need and approval prior to beds or services being
added,  or a  related capital  amount being  spent. Failure  to obtain necessary
state approval can result in the inability to complete an acquisition or  change
of ownership, the imposition of civil or, in some cases, criminal sanctions, the
inability to receive Medicare or Medicaid reimbursement and/or the revocation of
a facility's license.

UTILIZATION REVIEW

    In order to ensure efficient utilization of facilities and services, federal
regulations  require that  admissions to  and the  utilization of  facilities by
Medicare and Medicaid patients  be reviewed periodically  by a federally  funded
Peer  Review Organization ("PRO"). Pursuant to  federal law, the PRO must review
the need for  hospitalization and the  utilization of services,  and may,  where
appropriate,   deny  payment  for  services  provided.  Each  of  the  Company's
facilities has contracted with a PRO and  has had in effect a quality  assurance
program  that provides for retrospective patient care evaluation and utilization
review. While  no PRO  has taken  adverse action  against any  of the  Company's
hospitals  to date,  PRO review  can result in  denial of  payment for services,
recoupment of monies paid to the hospital, assessment of fines or exclusion from
the Medicare and Medicaid programs.

STATE RATE-SETTING ACTIVITY

    The Company currently operates five facilities in Florida wherein the  state
has  mandated  hospital  rate-setting.  Under Florida  law,  the  maximum annual
percentage any hospital may increase its revenue per admission is limited to the
hospital's prior year actual revenue per adjusted admission inflated forward  by
the  hospital's  applicable current  year's maximum  allowable rate  of increase
("MARI") or the Health Care Cost Containment Board-approved budgeted revenue per
adjusted admission. The MARI is the maximum rate at which a hospital is expected
to increase its average revenue per  adjusted admission for a given period.  The
Health Care Cost Containment Board, using

                                       8
<PAGE>
the most recent audited actual experience for each hospital, calculates the MARI
for  each hospital based on the projected  rate of increase in the market basket
index, adjusted by the hospital's  percentage of Medicare, Medicaid and  charity
care  days plus two  percentage points. As  a result, in  Florida, the Company's
ability to increase its rates to compensate for increased costs per admission is
limited, and  the  Company's  operating  margin at  Florida  facilities  may  be
adversely  affected. There can  be no assurance  that other states  in which the
Company operates hospitals will not enact rate-setting provisions as well.

FEDERAL LEGISLATION AND RULE-MAKING

    The Medicare and Medicaid Antifraud and Abuse Amendments (the  "Amendments")
are  codified under  Section 1128B  of the  Social Security  Act. The Amendments
provide criminal  penalties  for  individuals or  entities  that  knowingly  and
willfully  offer, pay, solicit or  receive remuneration of any  kind in order to
induce referrals for goods  or services reimbursed under  the Medicare or  state
Medicaid  programs. The  statute on  its face  is very  broad with  the types of
remuneration covered including  kickbacks, bribes and  rebates made directly  or
indirectly,  overtly or otherwise,  in cash or in  kind. In addition, prohibited
conduct includes  remuneration  intended  to  induce  the  purchasing,  leasing,
ordering  or arranging for any good, facility or service paid for by Medicare or
state Medicaid  programs. In  addition to  criminal penalties  (fines of  up  to
$25,000 and imprisonment for up to five years per referral), the Amendments also
establish  civil monetary  penalties and  sanctions of  excluding violators from
Medicare and Medicaid participation. The Office of the Inspector General ("OIG")
has taken the position that where physicians hold other than bona fide ownership
interests in healthcare  providers (e.g.,  where such ownership  is intended  to
encourage  the physicians to  utilize the services  of the entity  in which they
have invested) such ownership arrangements violate the Amendments.

    In recent  years, the  courts have  suggested that  any direct  or  indirect
payment  or other financial benefit conferred upon a physician or other referral
source may violate the statute if one  purpose of any portion of the payment  is
to  induce the physician to refer patients  to the entity providing the benefit.
Healthcare providers  are  concerned that  many  relatively innocuous,  or  even
beneficial,  commercial arrangements  are technically covered  by the Amendments
and are, therefore, subject to potential criminal prosecution. The Medicare  and
Medicaid  Patient and  Program Protection Act  of 1987 added  two new provisions
specifically addressing the anti-kickback statute. They first authorized the OIG
to exclude  an individual  or  entity from  participation  in the  Medicare  and
Medicaid programs if it is determined through an administrative process that the
party  has engaged  in a prohibited  remuneration scheme.  In addition, Congress
directed the HHS to develop regulations specifying those payment practices  that
will  not  be  subject to  criminal  prosecution  and not  provide  a  basis for
exclusion from  the  Medicare  and Medicaid  programs  ("safe  harbors").  Final
regulations  were published on July 29, 1991 in the Federal Register. Additional
safe harbors were proposed,  with a 60 day  public comment period, on  September
21,  1993. The proposed rule offers protection for investment interests in rural
areas, ambulatory surgical centers, and group practices composed exclusively  of
active   investors;  practitioner   recruitment  in   rural  areas;  obstetrical
malpractice insurance subsidies; referral  arrangements for specialty  services;
and cooperative hospital service organizations.

    Among  the  criteria contained  in the  final  regulations are  criteria for
investments, leasing, purchasing and ordering arrangements which would apply  to
the  Company's facilities. The additional proposed regulations will also provide
a safe harbor for physician recruitment by facilities in certain rural areas. If
adopted, such a safe  harbor provision would apply  to certain of the  Company's
facilities.   Arrangements   with   referring   physicians   involving  leasing,
purchasing, ordering and recruitment  would not constitute illegal  remuneration
so  long as all of the criteria set  forth in the safe harbors are met. However,
the fact that each provision  of such arrangements does  not fall within one  of
the  applicable  safe  harbor  criteria  does  not  necessarily  mean  that  the
arrangement is illegal.

    In  order  to  prevent  hospitals  from  entering  into  arrangements   with
physicians  that increase  the physician payment  from Medicare  or Medicaid, in
January 1991, the OIG issued a management advisory report identifying  potential
violations    of   the   antifraud   and   abuse   statute   with   respect   to

                                       9
<PAGE>
certain financial arrangements between hospitals and hospital-based  physicians.
Specifically,   the  report  stated  that   financial  agreements  that  require
physicians to pay more than the fair  market value for services provided by  the
hospital  or that compensate physicians  for less than the  fair market value of
goods and services that they provide to hospitals create potential liability for
physicians and hospitals engaged in these actions.

    In May  1992,  the OIG  issued  a  special fraud  alert  regarding  hospital
incentives   to  physicians.  The  alert   identified  the  following  incentive
arrangements  which,  if  present,  are  indications  of  potentially   unlawful
activity:  (a) payment  of any  sort of  incentive by  the hospital  each time a
physician refers a patient to the hospital, (b) the use of free or significantly
discounted office space or equipment (in facilities usually located close to the
hospital), (c) provision of free or significantly discounted billing, nursing or
other staff services, (d) free training for a physician's office staff in  areas
such  as  management  techniques,  CPT  coding  and  laboratory  techniques, (e)
guarantees which  provide that,  if  the physician's  income  fails to  reach  a
predetermined  level, the hospital will supplement the remainder up to a certain
amount,  (f)  low-interest  or  interest-free  loans,  or  loans  which  may  be
"forgiven"  if a physician refers  patients (or some number  of patients) to the
hospital, (g) payment  of the  costs of a  physician's travel  and expenses  for
conferences,  (h)  coverage on  hospital's group  health  insurance plans  at an
inappropriately low cost to  the physician and (i)  payment for services  (which
may   include  consultations  at  the  hospital)  which  require  few,  if  any,
substantive duties by the  physician, or payment for  services in excess of  the
fair market value of services rendered.

    Certain  of the  Company's current  financial arrangements  with physicians,
including joint ventures, may not qualify for the current safe harbor exemptions
and, as a result, such arrangements risk scrutiny by the OIG and may be  subject
to  enforcement action. As indicated above, the failure of these arrangements to
satisfy all of the  conditions of the applicable  safe harbor criteria does  not
mean  that the arrangements are illegal.  Nevertheless, certain of the Company's
current financial arrangements  with physicians, including  joint ventures,  and
the   Company's  future  development  of  joint  ventures  and  other  financial
arrangements with physicians, could be adversely affected by the failure of such
arrangements to comply with the safe harbor regulations, or the future  adoption
of other legislation or regulation in these areas.

    Under  provisions  of  the Omnibus  Budget  Reconciliation Act  of  1989 and
OBRA-90, referrals of  Medicare and Medicaid  patients to clinical  laboratories
with  which a  referring physician has  a financial  relationship are prohibited
effective January  1,  1991.  As of  January  1,  1992, any  claim  for  payment
submitted  to Medicare by a provider must  identify the name and provider number
of the  referring physician  and  must indicate  whether  the physician  has  an
ownership or other financial arrangement with the provider. Under the provisions
of  OBRA-93, referrals of Medicare and  Medicaid patients to certain "designated
health services" with which a  referring physician has a financial  relationship
will  be  prohibited as  of January  1, 1995.  These designated  health services
include the following:  clinical laboratory; physical  and occupational  therapy
services;  radiology or  other diagnostic services;  radiation therapy services;
durable medical  equipment;  parenteral  and enteral  nutrients,  equipment  and
supplies;  prosthetics, orthotics and prosthetic  devices; home health services;
outpatient prescription drugs; and  inpatient and outpatient hospital  services.
There are a number of exceptions that may apply to the compensation arrangements
under  which the  Company's facility  contracts with  certain of  its physicians
including exceptions for  bona fide employment  relationships, personal  service
arrangements, and physician recruitment arrangements.

    The Social Security Act also imposes criminal and civil penalties for making
false  claims  to  Medicare  and  Medicaid  for  services  not  rendered  or for
misrepresenting  actual   services   rendered   in  order   to   obtain   higher
reimbursement. Like the antifraud and abuse statute, this statute is very broad.
Careful  and accurate  coding of claims  for reimbursement must  be performed to
avoid liability under the false claims statutes.

    Management exercises care in  an effort to  structure its arrangements  with
physicians  to comply in  all material respects with  these laws, and management
believes that the Company is in compliance

                                       10
<PAGE>
with the Amendments,  however, there  can be  no assurance  that (i)  government
officials  charged  with responsibility  for enforcing  the prohibitions  of the
Amendments will not assert that the Company or certain transactions in which  it
is  involved are in violation  of the Amendments, or  (ii) courts will interpret
the Amendments in a manner consistent with the practices of the Company.

STATE LEGISLATION

    Certain states  in which  the  Company's facilities  are located  also  have
enacted statutes which prohibit the payment of kickbacks, bribes and rebates for
the  referral of patients.  Many of these statutes  have provisions that closely
follow the federal statutes described above, and there have been few actions  or
interpretations made under such provisions. Management believes that the Company
is  in substantial compliance with such laws; however, there can be no assurance
that government officials who  have the responsibility  for enforcing such  laws
will not assert that the Company or certain transactions in which the Company is
involved  are in violation  of such laws,  or that such  laws will ultimately be
interpreted by  the  government  officials  in  a  manner  consistent  with  the
practices of the Company.

GENERAL REGULATION

    The   Company  is  committed  to  providing  its  employees  with  an  equal
opportunity work environment that is  free from discrimination. In keeping  with
this  commitment,  the  Company ensures  that  all human  resource  programs are
administered without regard to  race, religion, color,  national origin, sex  or
age.   Furthermore,  the  Company  embraces   and  complies  with  the  American
Disabilities Act of 1990 (ADA) and the  1993 Family and Medical Leave Act.  Such
human resource programs include, but are not limited to, compensation, benefits,
application of Company policies, company-sponsored training, educational, social
and recreational programs.

    The  Company is  subject to  various federal,  state and  local statutes and
ordinances  regulating  the  discharge   of  materials  into  the   environment,
including,  without  limitation,  the  disposal  of  certain  medical  waste and
by-products. Management does not  believe that the Company  will be required  to
expend  any material amounts in order to  comply with these laws and regulations
or that compliance will materially affect its capital expenditures, earnings  or
competitive position.

PROFESSIONAL LIABILITY

    As  is typical in the healthcare industry,  the Company is subject to claims
and legal actions by  patients in the ordinary  course of business. The  Company
self-insures  the  professional and  general liability  claims  for nine  of its
hospitals up to $500,000  per occurrence and  for 26 of its  hospitals up to  $3
million  per occurrence. Prior  to June, 1993 the  self-insured retention was $5
million per occurrence. Coverage for  professional and general liability  claims
for  the Company's two remaining hospitals  is maintained with outside insurance
carriers.

    The Company owns a 35% equity interest in an insurance company which insures
the excess professional and  general liability risks  for those hospitals  which
are  self-insured. The  excess coverage  provided by  this insurance  company is
limited to  $25  million per  claim.  The Company  purchases  additional  excess
insurance  from  a  commercial carrier.  For  the  period from  January  1986 to
February 1991,  the Company  had no  excess  coverage for  the majority  of  its
hospitals.  However, in  March 1991, the  Company purchased  prior acts coverage
which substantially  reduces  the  uninsured liability  for  risks  during  this
period.

    The  Company maintains  an unfunded  reserve for  its professional liability
risks which is based, in part,  on actuarial estimates calculated and  evaluated
by  an independent actuary.  Actual hospital professional  and general liability
costs for a particular period are not normally known for several years after the
period has ended.  The delay in  determining the actual  cost associated with  a
particular  period is due to the time between the occurrence of an incident, the
reporting thereof and the  settlement of related claims.  As a result,  reserves
for  losses and  related expenses  are estimated  using expected  loss reporting
patterns determined in conjunction with the  actuary and are discounted using  a
rate  of  9% to  their  present value.  Adjustments  to the  total  reserves are
determined in conjunction

                                       11
<PAGE>
with the  actuary and  on an  annual basis  are recorded  by the  Company as  an
increase  or decrease in the current  year's earnings. Management considers such
reserves to be adequate for professional liability risks. Any losses incurred in
excess of the established reserves will be recorded as a charge to the  earnings
of  the Company.  Any losses incurred  within the  Company's self-insured limits
will be paid out of the Company's cash from operations. While the Company's cash
from operations  has  been  adequate  to  provide  for  alleged  and  unforeseen
liability  claims in the past, there can be no assurance that the Company's cash
flow will continue to be adequate to cover such claims.

                                       12
<PAGE>
                         SEGMENT OPERATING INFORMATION

    Holdings'  only material business segment is "healthcare," which contributed
substantially all of  its revenues  and operating  profits in  fiscal 1994.  The
Company's healthcare business is conducted in the United States.

ITEM 2.  PROPERTIES

    See "ITEM 1. BUSINESS."

ITEM 3.  LEGAL PROCEEDINGS

    LITIGATION RELATING TO THE MERGER.

    To  date, a total of nine purported class action suits (the "Class Actions")
have been filed against Holdings and the directors of Holdings (and in two cases
against NME). Seven of such Class Actions have been filed in the Delaware  Court
of  Chancery and are  entitled (i) JEFFREY  STARK AND GARY  PLOTKIN V. ROBERT W.
O'LEARY, ROBERT J. BUCHANAN,  JOHN T. CASEY, ROBERT  B. CALHOUN, HARRY J.  GRAY,
HAROLD  J. [SIC] HANDELSMAN,  SHELDON S. KING,  MELVYN N. KLEIN,  DAN W. LUFKIN,
WILLIAM E. MAYER AND HAROLD S. WILLIAMS (THE "HOLDINGS DIRECTORS") AND HOLDINGS,
C.A. NO. 13792, (ii) 7457 Partners v. the Holdings Directors and Holdings,  C.A.
No.  13793, (iii) MOISE  KATZ V. THE  HOLDINGS DIRECTORS AND  HOLDINGS, C.A. NO.
13794, (iv) CONSTANTINOS KAFALAS  V. THE HOLDINGS  DIRECTORS AND HOLDINGS,  C.A.
NO.  13795, (v) F. RICHARD  MANSON V. THE HOLDINGS  DIRECTORS, NME AND HOLDINGS,
C.A. NO. 13797, (vi) LISBETH GREENFELD  V. THE HOLDINGS DIRECTORS AND  HOLDINGS,
C.A.  NO. 13799 and (vii) JOSEPH FRANKEL V. THE HOLDINGS DIRECTORS AND HOLDINGS,
C.A. NO. 13800 and two purported Class  Actions have been filed in the  Superior
Court  of the State of California, County of Los Angeles, entitled RUTH LEWINTER
AND RAYMOND CAYUSO V.  THE HOLDINGS DIRECTORS (WITH  THE EXCEPTION OF HAROLD  S.
WILLIAMS), NME AND HOLDINGS, CASE NO. BC115206 AND DAVID F. AND SYLVIA GOLDSTEIN
V.  O'LEARY, NME, AMI, ET AL., CASE  NO. BC116104. The seven Class Actions filed
in the Delaware Court of Chancery have been consolidated The complaints filed in
each of the Class  Actions are substantially similar,  are brought by  purported
stockholders  of Holdings and,  in general, allege  that the defendants breached
their fiduciary duties  to the  plaintiffs and  other members  of the  purported
class.  One of the Class  Actions alleges that the  defendants have committed or
aided and abetted a gross abuse of trust. The complaints further allege that the
directors of Holdings wrongfully  failed to hold an  open auction and  encourage
bona  fide bids  for Holdings and  failed to  take action to  maximize value for
Holdings stockholders. The complaints seek preliminary and permanent injunctions
against the proposed transaction until such time as a transaction to be  entered
into  between Holdings and  NME results from bona  fide arms' length negotiation
and/or requiring a  fair auction  for Holdings. In  addition, if  the Merger  is
consummated, the complaints seek recision or recessionary damages and two of the
Class  Actions seek an accounting of all  profits realized and to be realized by
the  defendants  in  connection  with  the  Merger  and  the  imposition  of   a
constructive  trust for the benefit  of the plaintiffs and  other members of the
purported classes pending such an accounting. The complaints also seek  monetary
damages  of  an  unspecified  amount  together  with  prejudgment  interest  and
attorneys' and experts' fees. Holdings and  NME believe that the complaints  are
without merit and intend to defend them vigorously.

    In addition, Holdings and AMI are subject to claims and suits arising in the
ordinary  course  of  business.  In  the  opinion  of  management,  the ultimate
resolution of all  pending legal proceedings  will not have  a material  adverse
effect on the business, results of operations or financial condition of Holdings
or AMI.

ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

    None.

                                       13
<PAGE>
                                    PART II

ITEM 5.  MARKET FOR THE REGISTRANT'S COMMON STOCK AND RELATED STOCKHOLDER
MATTERS.

    Holdings'  common stock is  traded on the New  York Stock Exchange. Holdings
owns all of AMI's  issued and outstanding  common stock and  such shares are  no
longer publicly traded. The following table indicates the quarterly high and low
sales  prices of Holdings'  common stock for  the period from  September 1, 1992
through August 31,  1994. Certain  covenants in  the Company's  bank credit  and
other  financing agreements restrict the payment  of cash dividends on Holdings'
common stock (See Item 14(a), Note 5 to the Financial Statements). No  dividends
were  paid on Holdings'  common stock for  the periods presented.  (See "Item 7.
Management's Discussion  and  Analysis of  Financial  Condition and  Results  of
Operations -- Liquidity and Capital Resources").

<TABLE>
<CAPTION>
                                                                          SALES PRICE
                                                                       ------------------
                                                                        HIGH        LOW
                                                                       -------    -------
<S>                                                                    <C>        <C>
1994
  First Quarter....................................................... $18 1/4    $11 7/8
  Second Quarter......................................................  21 1/4     16 3/4
  Third Quarter.......................................................  25 1/2     18
  Fourth Quarter......................................................  26 5/8     21 3/4

1993
  First Quarter....................................................... $10 7/8    $ 8
  Second Quarter......................................................  13 3/4     10 5/8
  Third Quarter.......................................................  11 5/8      9 7/8
  Fourth Quarter......................................................  14         10 1/4
</TABLE>

    There  were 9,134 holders  of record of  Holdings' shares as  of November 9,
1994.

                                       14
<PAGE>
ITEM 6.  SELECTED FINANCIAL DATA

                          FIVE YEAR FINANCIAL SUMMARY
                    (IN MILLIONS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
                                                                  FOR THE YEAR ENDED AUGUST 31,
                                --------------------------------------------------------------------------------------------------
                                         1994                     1993                     1992
                                -----------------------  -----------------------  -----------------------           1991
                                  HOLDINGS       AMI       HOLDINGS       AMI       HOLDINGS       AMI     -----------------------
                                    (1)          (2)         (3)          (4)         (5)          (6)       HOLDINGS       AMI
                                ------------   --------  ------------   --------  ------------   --------  ------------   --------
<S>                             <C>            <C>       <C>            <C>       <C>            <C>       <C>            <C>
Operating Results:
  Net Revenues................   $  2,381.7    $2,381.7   $  2,238.5    $2,238.5   $  2,237.9    $2,237.9   $  2,545.9    $2,288.6
  Net Income (loss)...........   $    137.1    $  137.1   $     41.5    $   41.5   $     99.6    $   99.6   $    (19.0)   $   (1.8)
  Net Income (loss) per
   share......................   $     1.78         N/A   $      .54         N/A   $     1.30         N/A   $     (.38)        N/A
  Shares of stock used to
   calculate earnings (loss)
   per common and common
   equivalent share...........   77,143,000         N/A   76,760,000         N/A   76,645,000         N/A   50,698,000         N/A
Other Data:
  Working Capital.............   $   (187.7)   $ (187.7)  $   (140.0)   $ (140.0)  $   (222.2)   $ (222.2)  $   (263.4)   $ (243.0)
  Net book value of property
   and equipment..............   $  1,463.7    $1,463.7   $  1,404.2    $1,404.2   $  1,394.3    $1,394.3   $  1,454.6    $1,413.8
  Total assets................   $  2,976.5    $2,976.5   $  2,868.4    $2,868.4   $  2,963.3    $2,963.3   $  3,153.5    $3,199.6
  Long-term debt and
   convertible subordinated
   debt.......................   $  1,141.7    $1,141.7   $  1,294.2    $1,294.2   $  1,343.7    $1,343.7   $  1,613.3    $1,564.6
  Common stock subject to
   repurchase obligations.....          N/A         N/A   $      6.1         N/A   $      4.3         N/A   $      7.4         N/A
  Shareholders' equity........   $    848.7    $  848.7   $    697.8    $  703.9   $    663.7    $  668.0   $    552.2    $  551.1
  Book value per share........   $    10.95    $  11.71   $     9.08    $   9.71   $     8.66    $   9.22   $     7.30    $   7.60

<CAPTION>
                                        FOR THE            FOR THE
                                      TEN MONTHS          TWO MONTHS
                                         ENDED              ENDED
                                      AUGUST 31,         OCTOBER 31,
                                         1990                1989
                                -----------------------  ------------
                                  HOLDINGS       AMI         AMI
                                    (7)          (8)         (9)
                                ------------   --------  ------------
<S>                             <C>            <C>       <C>
Operating Results:
  Net Revenues................   $  2,052.4    $1,902.6  $     480.9
  Net Income (loss)...........   $    (13.7)   $  (15.3) $     (68.6 )
  Net Income (loss) per
   share......................   $     (.27)        N/A  $      (.98 )
  Shares of stock used to
   calculate earnings (loss)
   per common and common
   equivalent share...........   50,080,000         N/A   70,153,000
Other Data:
  Working Capital.............   $   (313.4)   $ (289.6)         N/A
  Net book value of property
   and equipment..............   $  1,697.0    $1,531.9          N/A
  Total assets................   $  3,595.7    $3,382.3          N/A
  Long-term debt and
   convertible subordinated
   debt.......................   $  2,246.4    $2,066.8          N/A
  Common stock subject to
   repurchase obligations.....   $      6.6         N/A          N/A
  Shareholders' equity........   $    332.0    $  312.0          N/A
  Book value per share........   $     6.63    $   4.30          N/A
<FN>
- ------------------------------
(1)  Operating results for fiscal 1994 reflect  the impact of the $69.3  million
     gain  ($43.4  million  net  of tax  or  $0.56  per share)  on  the  sale of
     securities of EPIC Holdings,  Inc. and the impact  of $1.9 million or  $.02
     per  share  for an  extraordinary charge  for the  repurchase of  debt. The
     Company's obligation to repurchase shares of Holdings' common stock held by
     certain executive  officers no  longer  exists. Accordingly,  common  stock
     subject to repurchase obligations was recognized as shareholders' equity as
     of August 31, 1994.
(2)  Operating  result for fiscal  1994 reflect the impact  of the $69.3 million
     gain ($43.4 million net of tax) on the sale of securities of EPIC Holdings,
     Inc. and the  impact of $1.9  million for an  extraordinary charge for  the
     repurchase of debt.
(3)  Operating  results for fiscal  1993 reflect the impact  of $25.4 million or
     $.33 per share for an extraordinary charge for the repurchase of debt.
(4)  Operating results for fiscal 1993 reflect  the impact of $25.4 million  for
     an extraordinary charge for the repurchase of debt.
(5)  Operating  results for fiscal 1992 reflect the impact of the $119.8 million
     gain ($80.7 million net of tax or  $1.05 per share) on the sale of  certain
     securities  of EPIC Healthcare Group, Inc.  and EPIC Holdings, Inc. and the
     impact of $10 million or $.13 per share for an extraordinary charge for the
     repurchase of debt has been reflected in operating results for fiscal 1992.
(6)  Operating results for fiscal 1992 reflect the impact of the $119.8  million
     gain  ($80.7 million net of tax) on  the sale of certain securities of EPIC
     Healthcare Group,  Inc. and  EPIC  Holdings, Inc.  and  the impact  of  $10
     million for an extraordinary charge for the repurchase of debt.
(7)  Operating  results for  Holdings for the  ten months ended  August 31, 1990
     reflect the elimination of net revenues, loss before taxes and net loss  of
     $320.9  million, $35.1 million and  $23.1 million, respectively, for assets
     sold or under binding agreement to sell as of August 31, 1990.
(8)  Operating results for AMI for the ten months ended August 31, 1990  reflect
     the  elimination of net revenues, loss before  taxes and net loss of $257.5
     million, $26.7 million, and $17.6 million, respectively, for assets sold or
     under binding agreement to sell as of August 31, 1990.
(9)  Operating results for  the two months  ended October 31,  1989 reflect  the
     impact  of $128.2 million ($83.3 million net  of tax or $1.19 per share) in
     merger costs.
</TABLE>

                 SEE NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                                       15
<PAGE>
ITEM 7.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
AND RESULTS OF OPERATIONS

    LIQUIDITY AND CAPITAL RESOURCES

    The Company's cash  and cash equivalents  were $31.9 million  at August  31,
1994  compared  to  $44.3 million  at  August  31, 1993.  Net  cash  provided by
operating activities  increased $12.4  million to  $269.6 million  for the  year
ended August 31, 1994 when compared to the same period in the prior year. In May
1994,  the Company  received $72.4 million  related to the  disposition of AMI's
interest in EPIC Holdings, Inc. as a result of the merger of EPIC Holdings, Inc.
with HealthTrust, Inc. -- the Hospital Company. The Company paid income taxes of
$86.0 million for the year ended August 31, 1994 of which $25.9 million  related
to  the disposition of AMI's interest in  EPIC Holdings, Inc. The long-term debt
balance (including current maturities) at  August 31, 1994 was $1,297.7  million
compared to $1,335.0 million at August 31, 1993.

    In  fiscal 1994, the Company invested $112.2 million in capital expenditures
(excluding acquisitions)  and as  of August  31, 1994,  had approximately  $19.5
million  of  capital expenditure  commitments outstanding.  Capital expenditures
made by the Company are for  new construction and renovations to facilitate  and
accommodate new inpatient and outpatient programs and to develop and acquire new
or  additional lines  of business,  including home  health, surgery  centers and
physician practices. In May  1994, the Company completed  the purchase of  Saint
Francis  Hospital  located  in  Memphis,  Tennessee  for  a  purchase  price  of
approximately $92.0 million. In conjunction with this purchase, in June 1994 the
Company completed the acquisition of  a management services organization in  the
Memphis area.

    The  Company intends  to continue to  invest in new  and existing operations
within the healthcare industry. On September 1, 1994, a limited partnership,  of
which  a wholly-owned  subsidiary of AMI  is the general  partner, completed the
purchase of Hilton Head Hospital, located  in Hilton Head, South Carolina for  a
purchase  price of approximately $23.6 million.  Through its subsidiary AMI owns
70% of the  limited partnership.  In connection  with the  Company's efforts  to
re-establish  a presence in Europe, the Company has entered into a joint venture
agreement with a community organization (the "Burgergemeinde") located in  Cham,
Canton  Zug, Switzerland. The joint venture will be owned 90% by the Company and
10% by the  Burgergemeinde. Under  the terms  of the  proposed transaction,  the
Company  will  enter into  a long  term lease  for the  land where  the existing
hospital is  located and  will then  construct a  new 56  bed acute  care  wing,
convert  an existing structure  into a medical office  building and renovate and
remodel the existing  acute care  facility. In  addition, the  Company plans  to
contract  to  provide  management,  food,  physical  therapy  and rehabilitation
services to the hospital, an on-site  nursing home and an affiliated  retirement
community.

    In  June 1994, the Company amended  its credit facility ("Reducing Revolving
Credit Facility") extending the  term of the  bank commitments thereunder  until
September  1999  and  reducing  the  rate  of  interest  applicable  to  amounts
outstanding thereunder to, at the option  of AMI, (i) adjusted LIBOR plus  .875%
(subject  to reduction upon the satisfaction  of certain conditions) or (ii) the
alternative base rate specified for the Reducing Revolving Credit Facility. Upon
completion of the fiscal 1994 loan compliance report, anticipated to be prior to
the end of the first quarter of fiscal 1995, the rate at which interest  accrues
based on LIBOR will be reduced to LIBOR plus .75%.

    The  Company repaid (excluding  repayments on the  Reducing Revolving Credit
Facility) $62.2 million of long-term debt during the year ended August 31,  1994
from  cash provided by operating activities. During fiscal 1994, the Company (i)
made repayments of $28.0 million for  the redemption of the remaining  principal
amount  of the 6  3/4% Swiss franc/dollar  dual currency senior  notes due 1997,
(ii) repurchased $15.4 million principal  amount of the 15% Junior  Subordinated
Discount  Debentures, Due 2005 and (iii)  made repayments of approximately $18.8
million on certain other indebtedness. The amount outstanding under the Reducing
Revolving Credit Facility  decreased to $266.0  million as of  August 31,  1994,
from  $287.0  million outstanding  as  of August  31,  1993. Under  the Reducing
Revolving Credit Facility, $31.3 million  in letters of credit were  outstanding
as of August 31, 1994.

                                       16
<PAGE>
    Management believes that sufficient funds will be generated from operations,
augmented by borrowings under the Reducing Revolving Credit Facility, to finance
operations, capital expenditures and service debt. Scheduled principal payments,
excluding amounts that may become due on the Reducing Revolving Credit Facility,
are  $156.0 million in fiscal 1995, $57.0 million in fiscal 1996, $182.1 million
in fiscal 1997, $2.3 million in fiscal 1998, and $2.3 million in fiscal 1999.

    The terms  of  certain indebtedness  of  the Company  impose  operating  and
financial  restrictions  requiring  the Company  to  maintain  certain financial
ratios and restrict the Company's  ability to incur additional indebtedness  and
enter  into leases and guarantees of debt; to make capital expenditures; to make
loans and  investments; to  pay  dividends or  repurchase  shares of  stock;  to
repurchase,  retire or refinance indebtedness prior to maturity; and to purchase
or sell assets.  The Company  has pledged the  capital stock  of certain  direct
(first  tier) subsidiaries  as security for  its obligations  under the Reducing
Revolving Credit Facility  and certain other  senior indebtedness. In  addition,
the  Company  has granted  a  security interest  in  its accounts  receivable as
security for  its  obligations under  the  Reducing Revolving  Credit  Facility.
Management  believes  that  the  Company is  currently  in  compliance  with all
covenants and restrictions contained in all financing agreements.

    Upon completion  of  the  acquisition  of  the  Company  by  a  wholly-owned
subsidiary  of National Medical Enterprises,  Inc., management believes that the
combined company's liquidity will be adequate to finance the Company's  hospital
operations, capital expenditures and future developments.

RESULTS OF OPERATIONS

    GENERAL TRENDS

    The  Company's net revenues have increased  as compared with the same period
of the  prior  year  as a  result  of  the continued  increase  in  volume  from
outpatient  and inpatient services,  the expansion of  patient care services and
general price increases. The Company  has experienced an increase in  outpatient
volume  as  compared to  the  prior year  as a  result  of (i)  advanced medical
technology and  (ii)  cost containment  pressures  from payers  to  direct  more
patients  from  inpatient facilities  to  less expensive  outpatient facilities.
Accordingly, several of the Company's  hospitals continue to expand or  redesign
their   outpatient  facilities   and  services  to   accommodate  the  increased
utilization of  such facilities.  The growth  rate of  the Company's  outpatient
revenue  realized from the  shift of inpatient care  services to outpatient care
services is expected  to occur  at a  slower pace in  the future  from the  rate
experienced  in the past,  as the use of  such services matures.  As a result of
increased demand for  specialized healthcare for  both inpatient and  outpatient
care,  the Company  has established  specialized programs  (e.g. long-term care,
rehabilitation units,  home  health)  within separate  units  in  the  Company's
existing  hospitals. Regulations are currently being proposed by the Health Care
Financing Administration that, if enacted, would limit the opportunity  provided
by the development of these specialized programs.

    Medicare  and Medicaid revenues are expected  to continue to increase in the
future as a larger portion of the general population qualifies for coverage as a
result of the aging of the population and expanded state Medicaid programs. This
in turn may decrease the Company's overall rate of revenue growth as a result of
(i) a corresponding change in payer mix and (ii) the disparity between the  rate
of  increase in  the Company's  established billing  rates and  the government's
reimbursement rate.  The Medicare  program  reimburses the  Company's  hospitals
primarily based on established rates by a diagnosis related group for acute care
hospitals.  While Medicare payment rates are indexed for inflation annually, the
increases have historically lagged behind actual inflation.

    In addition to the Medicare program, states and insurance companies continue
to actively negotiate the amounts they  will pay for services performed,  rather
than  simply paying  healthcare providers  their established  billing rates. The
maturity of managed care environments varies in the markets in which the Company
operates. The Company's hospitals  that operate in  mature managed care  markets
typically  have contributed  smaller profit margins  than some  of the Company's
hospitals which operate in less mature markets. Management believes that through
cost-containment efforts, the Company is  positioned to have a competitive  edge
in pursuing market share in the managed care environment.

                                       17
<PAGE>
    Competition  among hospitals  and other  healthcare providers  in the United
States has increased over  the past several years  due to changes in  government
regulation  and reimbursement, various other  third party payer cost containment
pressures and medical technology. As these factors continue to affect healthcare
providers,  along  with  the  pending  proposals  for  healthcare  reform,   the
healthcare industry continues to experience a significant increase in the number
of mergers and acquisitions occurring between both investor-owned and non-profit
hospitals  in an effort  to further reduce  the cost of  delivering high quality
care.

    To offset these  factors which  may limit  net revenue  growth, the  Company
continues  to look  at providing an  increasing array of  healthcare services by
expanding the Company's operations and by integrating broad healthcare networks.
As a result,  the Company is  developing physician networks  and alliances  with
other  healthcare  providers  to  create  fully  integrated  healthcare delivery
systems. In addition to  expanding services, management  believes that its  cost
containment  efforts have been  critical in improving  and maintaining operating
margins while providing a high level of patient care.

    A significant  portion of  the Company's  operating costs  and expenses  are
subject  to  inflationary  increases.  Since the  healthcare  industry  is labor
intensive, salaries  and  benefits are  continually  affected by  inflation.  To
control  labor  costs, the  Company has  and  will continue  to monitor,  at the
hospital level, the daily staff coverage. To control increases in supply  costs,
management  continues  to focus  on  managing such  utilization  through various
mechanisms including  (i)  improved  contract compliance,  (ii)  development  of
pharmaceutical  formularies  to  control  the  usage  of  new  drugs  and  (iii)
aggressive negotiation of supply purchase  contracts. To further control  costs,
the  Company continues to expand its  case management (i.e. review of associated
costs for patient care for specific  treatment) in its hospitals. The  Company's
ability  to pass  on a  certain portion of  the increased  costs associated with
providing healthcare to  Medicare/Medicaid patients may  be limited by  existing
government reimbursement programs for healthcare services unless the federal and
state  governments correspondingly  increase the  rates of  payments under these
programs. Although the Company cannot predict  its ability to continue to  cover
future  cost increases, management believes that through the continued adherence
to  the  cost  containment  programs,  labor  management  and  reasonable  price
increases,  inflation  is not  expected  to have  a  material adverse  effect on
operating margins.

HEALTHCARE REFORM

    Although substantive federal healthcare reform has not been legislated,  the
healthcare  industry will continue to be faced with federal and state efforts to
reform the  delivery  system. Any  substantive  reform is  likely  to  encompass
healthcare  coverage for  an increasing  percentage of  the U.S.  population and
could contain provisions which would impose among other things, cost controls on
healthcare providers, insurance market reforms  to increase the availability  of
group  health insurance  to small  businesses, requirements  that all businesses
offer health insurance coverage to their employees, and the creation of a single
government health insurance  plan (to  reduce administrative  costs) that  would
cover  all citizens. Reform proposals may also contain significant reductions in
the amount of  reimbursement received under  the Medicare/Medicaid programs.  In
addition to the proposed healthcare reform, some states, including Florida, have
already  enacted reforms and  continue to consider  additional reforms. The type
and impact of such reform continues to be debated at both the federal and  state
levels.

    Management  believes that some form of  federal healthcare reform may occur;
however, until  such  reform  is  finalized,  management  cannot  predict  which
proposals  will be  adopted, if any,  and until  adopted the impact  of any such
proposals  on  the  Company's  business,  results  of  operations  or  financial
condition.

                                       18
<PAGE>
    YEARS ENDED AUGUST 31, 1994, 1993 AND 1992

    The  following table summarizes certain consolidated results of the Company.
AMI's results of operations  are the same as  that of the Company's;  therefore,
separate  results of operations  and a discussion  and analysis for  AMI are not
presented.

<TABLE>
<CAPTION>
                                                                FOR THE YEAR ENDED AUGUST 31,
                                                    ------------------------------------------------------
                                                          1994               1993               1992
                                                    ----------------   ----------------   ----------------
                                                            % OF NET           % OF NET           % OF NET
                                                            REVENUE            REVENUE            REVENUE
                                                            --------           --------           --------
<S>                                                 <C>     <C>        <C>     <C>        <C>     <C>
Net Revenues
  Medicare/Medicaid...............................  $1,021    42.9%    $  857    38.3%    $  819    36.6%
  Contracted services.............................     597    25.1        577    25.8        533    23.8
  Non-contracted services.........................     679    28.5        732    32.7        823    36.8
  Other sources...................................      85     3.5         72     3.2         63     2.8
                                                    ------  --------   ------  --------   ------  --------
    Total Net Revenues............................   2,382   100.0      2,238   100.0      2,238   100.0
                                                    ------  --------   ------  --------   ------  --------
Operating Costs and Expenses:
  Salaries and benefits...........................     869    36.5        815    36.4        839    37.5
  Supplies........................................     340    14.3        316    14.1        317    14.2
  Provision for uncollectible accounts............     166     6.9        148     6.6        164     7.3
  Depreciation and amortization...................     157     6.6        147     6.6        149     6.7
  Other operating costs...........................     524    22.0        506    22.6        496    22.2
                                                    ------  --------   ------  --------   ------  --------
    Total Operating Costs and Expenses............   2,056    86.3      1,932    86.3      1,965    87.9
                                                    ------  --------   ------  --------   ------  --------
Operating Income..................................     326    13.7        306    13.7        273    12.1
  Gains on sales of securities....................      69     2.9       --      --          120     5.4
  Interest expense, net...........................    (154)   (6.5)      (166)   (7.4)      (204)   (9.1)
                                                    ------  --------   ------  --------   ------  --------
Income Before Taxes, Minority Equity Interest and
 Extraordinary Loss...............................     241    10.1        140     6.3        189     8.4
  Provision for income taxes......................     (98)   (4.1)       (69)   (3.1)       (78)   (3.5)
                                                    ------  --------   ------  --------   ------  --------
Income Before Minority Equity Interest and
 Extraordinary Loss...............................     143     6.0         71     3.2        111     4.9
  Minority equity interest........................      (4)   (0.2)        (4)   (0.2)        (1)   --
                                                    ------  --------   ------  --------   ------  --------
Net Income Before Extraordinary Loss..............     139     5.8         67     3.0        110     4.9
  Extraordinary loss on early extinguishment of
   debt...........................................      (2)   --          (25)   (1.1)       (10)   (0.4)
                                                    ------  --------   ------  --------   ------  --------
Net Income........................................  $  137     5.8%    $   42     1.9%    $  100     4.5%
                                                    ------  --------   ------  --------   ------  --------
                                                    ------  --------   ------  --------   ------  --------
</TABLE>

                                       19
<PAGE>
    The following table sets forth certain operating statistics of the Company's
hospitals for the three years ended August 31, 1994.

<TABLE>
<CAPTION>
                                                                              FOR THE YEAR ENDED AUGUUST 31,
                                                                           -------------------------------------
                                                                              1994         1993         1992
                                                                           -----------  -----------  -----------
<S>                                                                        <C>          <C>          <C>
HISTORICAL OPERATING DATA (1):
Number of Hospitals (at year end)........................................           37           36           35
Admissions
  Medicare/Medicaid......................................................      131,216      117,570      113,070
  Contracted.............................................................       62,527       56,269       52,812
  Non-contracted.........................................................       45,645       52,839       63,947
  Other..................................................................        2,831        2,918        3,261
                                                                           -----------  -----------  -----------
    Total................................................................      242,219      229,596      233,090
                                                                           -----------  -----------  -----------
                                                                           -----------  -----------  -----------
Equivalent Admissions (2)................................................      333,071      309,972      308,722
Outpatient
  Visits.................................................................    2,255,498    1,660,015    1,618,068
  Surgeries..............................................................      123,867      120,854      120,008
Patient Days.............................................................    1,435,487    1,372,232    1,456,542
Equivalent Patient Days (2)..............................................    1,943,842    1,830,169    1,906,304
Licensed Beds Occupancy Rate.............................................         46.6%        46.8%        47.9%
Licensed Beds (at year end)..............................................        9,021        8,003        7,822
<FN>
- ------------------------
(1)  Represents statistics  for hospitals  only  and has  not been  adjusted  to
     include statistics for related healthcare entities.

(2)  Represents actual admissions/patient days as adjusted to include outpatient
     and  emergency room services by adding to actual admissions/patient days an
     amount derived  by  dividing  outpatient  and  emergency  room  revenue  by
     inpatient revenue per admission/patient days.
</TABLE>

    Net  revenues for the  year ended August  31, 1994 increased  6.4% to $2,382
million from $2,238 million for  the year ended August 31,  1993 as a result  of
new  patient  care  services,  higher utilization  of  outpatient  and ancillary
services and higher third party reimbursement  rates. Net revenues for the  year
ended  August 31, 1992 of $2,238 million included a benefit of approximately $10
million relating to a Medicare settlement and $69 million relating to facilities
sold during fiscal 1992.

    A shift in volume  from inpatient services to  outpatient services over  the
past  three years, the development  of home health services  and the addition of
ancillary facilities at certain of  the Company's hospitals have contributed  to
net  revenues from outpatient services accounting  for a larger percent of total
net patient  revenues in  recent years.  Net revenues  from outpatient  services
accounted for 29.6%, 29.4% and 27.6% of total net patient revenues for the years
ended  August 31, 1994, 1993  and 1992, respectively. For  the year ended August
31, 1994, the  Company experienced  a greater  increase in  admissions (5.5%  as
compared  to  the year  ended August  31, 1993)  than seen  in prior  years, due
primarily to  the addition  of Saint  Francis Hospital.  Admissions, which  were
impacted  by the addition of Encino Hospital  in fiscal 1993 and the disposition
of hospitals during fiscal  1992, decreased 1.5% for  the year ended August  31,
1993  when  compared  to the  year  ended  August 31,  1992.  Net  revenues from
inpatient services accounted  for 70.4%, 70.6%  and 72.4% of  total net  patient
revenues for the years ended August 31, 1994, 1993, and 1992, respectively.

    Net  revenues  derived from  Medicare/Medicaid programs  for the  year ended
August 31, 1994, increased 19.1% as compared  to the year ended August 31,  1993
as  a greater portion of the population  continues to qualify for such coverage.
Saint Francis  Hospital, which  derives a  large portion  of its  business  from
Medicare  patients, contributed  to the  increase in  net revenues  derived from
Medicare/ Medicaid programs. An increasing number of various third party payers,
including states, insurance

                                       20
<PAGE>
companies and employers' networks, are  negotiating contracted amounts paid  for
services  rendered, accounting  for the  increase in  contracted business  and a
corresponding decline in non-contracted business.

    Expense management continues to be  a significant factor in maintaining  the
operating  margin experienced by  the Company (13.7% for  the years ended August
31, 1994 and 1993  and 12.1% for the  year ended August 31,  1992). The sale  of
facilities  during fiscal 1992, which operated  at a slightly lower margin, also
contributed to the increase in the Company's operating margin for the year ended
August 31, 1993. The Company's adherence to the cost control program implemented
by management in  fiscal 1992  has continued  to stabilize  operating costs  and
expenses  as a percent of net revenues. Labor management (i.e. hospital staffing
monitored with volume) and the decline in  benefit costs as a result of  changes
implemented  in the employee benefits program  has decreased labor costs for the
years ended August 31, 1994  and 1993 as a percent  of net revenues compared  to
the year ended August 31, 1992.

    For   the  year  ended   August  31,  1994   operating  expenses  (excluding
depreciation and amortization)  increased 6.4%  over the year  ended August  31,
1993.  Approximately  one-third  of the  overall  increase is  due  to operating
expenses associated with Saint Francis Hospital.  As a percent of net  revenues,
operating  expenses for the year ended August 31, 1994 remained flat as compared
to the year ended  August 31, 1993.  The decrease in  total operating costs  and
expenses for the year ended August 31, 1993 as compared to the year ended August
31, 1992 was primarily due to the following adjustments recognized during fiscal
1992: (i) the disposition of hospitals during fiscal 1992, (ii) an $11.0 million
adjustment  to  salaries  and  benefits  to  increase  reserves  associated with
workers' compensation liabilities as a  result of adverse development on  claims
arising  from prior periods,  (iii) the impact  of an adverse  adjustment to the
provision for uncollectible accounts  for the refinement  in procedures used  to
estimate bad debts and (iv) a foreign currency translation loss of $7.8 million.
Foreign  currency translation was immaterial for the years ended August 31, 1994
and 1993.

    The gains on the sales of securities for the years ended August 31, 1994 and
1992 are the result of the sale of various securities of EPIC Holdings, Inc. and
EPIC Healthcare Group, Inc.

    Interest expense, net decreased  to $154 million for  the year ended  August
31,  1994 from $166 million for the year  ended August 31, 1993 and $204 million
for the year ended August  31, 1992 as a result  of debt refinancings in  fiscal
1994 and 1993 and the use of cash from operations and the proceeds from the sale
of  facilities in fiscal 1992 to reduce outstanding indebtedness. The year ended
August 31, 1993 includes a  refund of $8.6 million  for excess interest paid  to
the Internal Revenue Service in prior periods.

    The tax provision for each of the years ended August 31, 1994, 1993 and 1992
is  greater than that  which would occur  using the Company's  marginal tax rate
against its  income before  taxes, minority  equity interest  and  extraordinary
loss,  due in  large part to  the amortization of  cost in excess  of net assets
acquired not being deductible  for tax provision purposes.  In August 1993,  the
Revenue  Reconciliation Act of 1993 was  enacted increasing the corporate income
tax rate to 35% from 34% effective January 1, 1993.

    The extraordinary loss on  early extinguishment of debt  is a result of  the
redemption or repurchase of debt prior to its stated maturity.

ITEM 8.  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

    The  financial statements and  supplementary data set forth  in the Index to
Financial Statements and Financial Statement Schedules on page F-1 are filed  as
part of this Annual Report on Form 10-K.

ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE

    None.

                                       21
<PAGE>
                                    PART III

ITEM 10.  DIRECTORS AND EXECUTIVE OFFICERS OF HOLDINGS AND AMI

                         DIRECTORS OF HOLDINGS AND AMI

    Certain information concerning each director of Holdings and AMI is set
forth below:

<TABLE>
<CAPTION>
                                                                            YEAR
                                                                           FIRST
     NAME, AGE, PRINCIPAL OCCUPATION AND OTHER DIRECTORSHIPS (1)          ELECTED
- ----------------------------------------------------------------------   ----------
<S>                                                                      <C>
J. Robert Buchanan, M.D., 66                                                   1991
  Director  of  European  Operations  of  Holdings  since  July  1994;
   Chairman of the Board and Chief Executive Officer of RSTAR, Inc.  a
   subsidiary  of  Massachusetts  General Hospital,  since  July 1994;
   General Director and Chief Executive Officer, Massachusetts General
   Hospital from prior to  1988 to July  1994; Professor of  Medicine,
   Harvard  Medical  School;  President, Chief  Executive  Officer and
   General Director of The General Hospital Corporation from prior  to
   1988 to the present.
Robert B. Calhoun, Jr., 52                                                     1991
  President since March 1991 of, and the major stockholder in, Clipper
   Asset  Management  Corporation,  the sole  general  partner  of The
   Clipper Group  L.P.,  a Delaware  limited  partnership  ("Clipper")
   which,  pursuant to an asset  management agreement, manages certain
   investments for CS  First Boston Corporation  ("First Boston")  and
   certain  of its  affiliates, including  the shares  of common stock
   owned by 1987 Merchant Investment  Partnership, a New York  limited
   partnership  ("MIP") and MB L.P.  I, a Delaware limited partnership
   ("MBLP"); Managing  Director of  CS First  Boston Corporation  from
   prior to 1988 to 1991; Director of Interstate Bakeries Corporation,
   a baker and distributor of fresh bakery products.
John T. Casey, 49                                                              1992
  President  and Chief Operating  Officer of each  of Holdings and AMI
   since November 1991; President and  Chief Executive Officer of  The
   Samaritan  Foundation,  the then  ninth largest  private healthcare
   system in  the United  States  from March  1990 to  November  1991;
   President  and Chief Executive Officer, Methodist Health Systems, a
   regional healthcare system from 1987 to 1990.
Harry J. Gray, 75                                                              1989
  Chairman  and  Chief   Executive  Officer   of  Mott   Metallurgical
   Corporation,  a  manufacturer  of  high  technology  filters  since
   November 1993;  Chairman, PDS  Worldwide Inc.,  a distribution  and
   fulfillment  company  since  September  1992;  Chairman  and  Chief
   Executive Officer of Holdings from July 1989 to July 1991; Chairman
   and Chief Executive Officer of AMI from November 1989 to July 1991;
   General Partner of GKH Partners, L.P. ("GKH") from January 1988  to
   December  1989 and  sole stockholder of  a corporation  which was a
   general partner of GKH from December 1989 to September 1991.
Harold S. Handelsman, 48                                                       1989
  Vice President and Secretary of HGM Corporation, the general partner
   of a limited partnership  which is a general  partner of GKH,  from
   prior to 1988; Senior Vice President, Secretary and General Counsel
   since  1983  of Hyatt  Corporation,  a diversified  company engaged
   primarily in real estate and hotel management activities.
</TABLE>

                                       22
<PAGE>
<TABLE>
<CAPTION>
                                                                            YEAR
                                                                           FIRST
     NAME, AGE, PRINCIPAL OCCUPATION AND OTHER DIRECTORSHIPS (1)          ELECTED
- ----------------------------------------------------------------------   ----------
<S>                                                                      <C>
Sheldon S. King, 63                                                            1992
  Executive Vice President of Salick Health Care, Inc. since  February
   1994; President and Chief Executive Officer of Cedars Sinai Medical
   Center from May 1989 to January 1994; President and Chief Executive
   Officer of Stanford University Hospital from prior to 1988 to April
   1989;  Director  of  American  Health  Properties,  a  real  estate
   investment trust.
Melvyn N. Klein, 52                                                            1989
  General Partner of GKH from February 1988 to December 1989 and  sole
   stockholder  of a  corporation which  is a  general partner  of GKH
   since that date; prior thereto, attorney and private investor since
   1968; Director of Bayou Steel  Corporation, the owner and  operator
   of a steel minimill, Itel Corporation, a supplier of wiring systems
   for  data, voice,  video and energy,  Savoy Pictures Entertainment,
   Inc., a major motion picture financing, marketing and  distribution
   company,  and  Santa  Fe Energy  Resources,  Inc., an  oil  and gas
   exploration and production company.
Dan W. Lufkin, 63                                                              1991
  Co-founder of  Donaldson, Lufkin,  Jenrette Securities  Corporation;
   private  investor prior to 1988;  sole shareholder of a corporation
   which is a general partner of GKH since September 1991; Director of
   Culbro, Inc., a distributor  of consumer products,  Allen & Co.,  a
   registered broker-dealer, and Savoy Pictures Entertainment, Inc., a
   major motion picture financing, marketing and distribution company.
William E. Mayer, 54                                                           1989
  Dean  of  the  College  of Business  and  Management,  University of
   Maryland, since October 1992; Dean of the William E. Simon Graduate
   School of  Business Administration,  University of  Rochester  from
   September  1991 to July 1992;  Chairman and Chief Executive Officer
   of CS First Boston Merchant Bank from January 1990 to January 1991;
   President  and  Chief  Executive   Officer  of  First  Boston,   an
   investment  banking  firm,  from  December  1988  to  January 1990;
   Managing Director of First Boston from June 1977 to December  1988;
   Director  of Chart  House Enterprises, Inc.,  a restaurant company,
   Riverwood  International  Corporation,  a  manufacturer  of  paper,
   paperboard  and  plywood products  and Hambrecht  & Quist,  Inc., a
   registered broker-dealer.
Robert W. O'Leary, 50                                                          1991
  Chairman of the Board and  Chief Executive Officer of each  Holdings
   and  AMI since July 1991; President  and Chief Executive Officer of
   Voluntary  Hospitals  of   America,  Inc.,   a  hospital   alliance
   representing approximately 850 domestic hospitals from 1989 to June
   1991;  President and Chief  Executive Officer of  St. Joseph Health
   System,   a   multi-hospital,    multi-purpose   health    services
   organization from 1983 to 1989.
Harold M. Williams, 66                                                       1989(2)
  President  and Chief Executive Officer of the J. Paul Getty Trust, a
   charitable trust in the Arts & Humanities, since May 1981; Director
   of  Times  Mirror  Corporation,  a  publishing  and  communications
   company, and Sunamerica Inc., a life insurance company.
<FN>
- --------------------------
(1)  Only  directorships  of  issuers  with  a  class  of  securities registered
     pursuant to Section 12 of the Exchange Act, or subject to the  requirements
     of  Section 15(d)  of that  Act or  directorships of  issuers registered as
     investment companies under the Investment Company Act of 1940, as  amended,
     are listed in the above table.
(2)  Mr.  Williams has been a  director of AMI since  1985 and of Holdings since
     1989.
</TABLE>

                                       23
<PAGE>
ARRANGEMENTS WITH RESPECT TO THE ELECTION OF DIRECTORS

    Pursuant  to   the  amended   and  restated   stockholders  agreement   (the
"Stockholders Agreement") as currently in effect, by and among Holdings, the GKH
Investments,  L.P.,  a Delaware  limited partnership  (the "Fund"),  GKH Private
Limited ("GKHPL"), Mellon Bank, N.A., as  trustee of First Plaza Group Trust,  a
trust  organized  under  New  York  law  ("First  Plaza"),  MBLP,  MIP,  certain
management investors as defined in  the Stockholders Agreement the  ("Management
Investors")  and  others,  the  Fund,  together with  GKHPL,  has  the  power to
designate a  majority of  the nominees  for Holdings'  board of  directors  (the
"Board") and thereby effectively control the selection of executive officers and
other  key  employees and  the establishment  of  Holdings' and  AMI's operating
policies. MBLP  and  MIP  are entitled  to  designate  up to  two  nominees  for
Holdings'  Board and the Management Investors are entitled to designate at least
one  (but  not  more  than  two)  of  the  nominees  for  Holdings'  Board.  The
Stockholders  Agreement also requires each of the  parties to vote all shares of
common stock  held thereby  for all  of the  persons nominated  pursuant to  the
Stockholders  Agreement. The rights and obligations  of the parties to designate
and vote for nominees for Holdings' Board terminate as to a party under  certain
circumstances,  including  the failure  to maintain  its ownership  of Holdings'
common stock at specified levels.

ARRANGEMENTS WITH RESPECT TO OTHER MATTERS

    In addition to  the provisions  with respect  to the  election of  directors
discussed  above,  the  Stockholders  Agreement also  restricts  the  ability of
Holdings and AMI  to take  certain corporate actions,  including amending  their
respective  charter  documents without  the consent  of  certain of  the parties
thereto.   The    Stockholders    Agreement   also    provides    for    certain
rights-of-first-refusal,  contains restrictions on  dispositions of common stock
and requires the parties thereto to sell their shares of common stock in certain
circumstances if the Fund proposes to sell all of its shares of common stock  by
way  of merger or similar transaction. By maintaining their percentage ownership
of common  stock, the  Fund and  its  permitted transferees  as defined  in  the
Stockholders  Agreement  ("Permitted Transferees")  and  MBLP and  its Permitted
Transferees may effectively have the power to determine the policies of Holdings
and AMI, the persons constituting their management and the outcome of  corporate
actions  requiring stockholder approval by  majority action. Certain benefits to
each party under the  Stockholders Agreement terminate if  such party no  longer
owns specified minimum amounts of common stock.

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

    The  compensation  and  stock option  committee  of the  Board  currently is
comprised of Messrs. Williams, King and Mayer. None of the individuals who  were
members  of the  compensation and  stock option  committees of  the Board during
fiscal 1994 are present or former officers or employees of Holdings or AMI.  See
"Directors  and  Executive Officers  of Holdings  and AMI."  Corporations wholly
owned by two  members of the  compensation and stock  option committee,  Messrs.
Klein  and Lufkin, serve as general partners  of GKH. A corporation wholly owned
by another member of the compensation and stock option committee, Mr. Gray, is a
limited partner of GKH.

    GKH rendered certain consulting services  to Holdings during fiscal 1994  in
connection  with the sale of AMI's interest in EPIC Holdings, Inc. for which GKH
received compensation of approximately $2.3  million. The Company believes  that
the  amount of fees it paid to GKH  is equivalent to or less than customary fees
paid or that would have  been by the Company  to unaffiliated third parties  for
comparable services. See "Certain Relationships and Related Transactions -- Sale
of  a Business." In years prior to  fiscal 1993, GKH rendered certain management
and financial services to Holdings for  which it received compensation on  terms
customary  in the investment  banking business. Holdings  is not presently under
any obligation to retain GKH  in the future although it  may choose to do so  at
any time and from time to time. As of November 9, 1994, the Fund and GKHPL owned
an  aggregate of 25,653,764 shares of common stock, or approximately 32%, of the
outstanding common stock. See "Security  Ownership of Certain Beneficial  Owners
and  Management;" "Arrangements with Respect to  the Election of Directors;" and
"Arrangements with Respect to Other Matters."

                                       24
<PAGE>
    Holdings, the Fund, GKHPL, MBLP, MIP and First Plaza, among others,  entered
into  a  registration rights  agreement  dated as  of  October 26,  1989  and as
subsequently amended (the  "Registration Rights Agreement"),  pursuant to  which
the Fund, together with GKHPL, MBLP, MIP and/or First Plaza and their respective
Permitted  Transferees, have, at specified times,  certain rights to demand that
Holdings register  all  or  part of  their  shares  of common  stock  under  the
Securities  Act of  1933, as  amended (the  "Securities Act").  Upon exercise of
these rights, Holdings will  generally be obligated to  register such shares  at
its own expense. In addition, if Holdings proposes to register any of its equity
securities  under the  Securities Act  (except for,  among other  things, equity
securities registered  for issuance  pursuant to  employee benefit  plans),  the
parties  to the Registration Rights Agreement may include shares of common stock
in such registration,  subject, however,  to pro  rata reduction  to the  extent
Holdings determines it is necessary.

                     EXECUTIVE OFFICERS OF HOLDINGS AND AMI

    Certain information concerning the executive officers of Holdings and AMI is
set forth below:

<TABLE>
<CAPTION>
                                                                                                                YEAR FIRST
NAME                             AGE                PRINCIPAL OCCUPATION DURING THE PAST FIVE YEARS               ELECTED
- ----------------------------     ---     ---------------------------------------------------------------------  -----------
<S>                           <C>        <C>                                                                    <C>
Robert W. O'Leary                50      Chairman  and Chief Executive Officer  since July 1991; President and        1991
                                         Chief Executive  Officer  of  Voluntary Hospitals  of  America,  Inc.
                                         ("VHA"),  a hospital alliance representing approximately 850 domestic
                                         hospitals from  1989  to June  1991;  President and  Chief  Executive
                                         Officer  of  St.  Joseph Health  System  ("SJHS"),  a multi-hospital,
                                         multi-purpose health services organization from 1983 to 1989.
John T. Casey                    49      President and Chief Operating Officer since November 1991;  President        1991
                                         and   Chief   Executive   Officer   of   The   Samaritan   Foundation
                                         ("Samaritan"), the then  ninth largest private  healthcare system  in
                                         the  United States  from March 1990  to November  1991; President and
                                         Chief Executive Officer, Methodist Health Systems ("MHS"), a regional
                                         healthcare system from 1985 to 1990.
Alan J. Chamison                 54      Executive Vice  President since  September 1991  and Chief  Financial        1991
                                         Officer since February 1992; Chief Administrative Officer of VHA from
                                         January  1990  to  September  1991 and  a  Director  and  the Interim
                                         President and Chief  Executive Officer of  VHA Enterprises, Inc.,  an
                                         affiliate  of VHA, from September 1989 to September 1991; Senior Vice
                                         President of SJHS from May 1983 to September 1989.
</TABLE>

                                       25
<PAGE>
<TABLE>
<CAPTION>
                                                                                                                YEAR FIRST
NAME                             AGE                PRINCIPAL OCCUPATION DURING THE PAST FIVE YEARS               ELECTED
- ----------------------------     ---     ---------------------------------------------------------------------  -----------
<S>                           <C>        <C>                                                                    <C>
O. Edwin French                  48      Senior Vice President since January 1992; Executive Vice President of        1992
                                         Samaritan from March 1991 to December 1991; Senior Vice President  of
                                         MHS from July 1985 to March 1991.
W. Randolph Smith                46      Executive  Vice  President, Operations  since September  1990; Senior        1990
                                         Vice President, Chief  Administrative Officer from  February 1990  to
                                         August 1990; Senior Vice President and Acting Chief Financial Officer
                                         from  November  1989 to  January 1990;  Corporate Vice  President and
                                         Acting Chief  Financial  Officer from  July  1989 to  November  1989;
                                         Corporate  Vice President and Director, Operations from 1987 to 1989;
                                         Vice President and Assistant Regional Director, Southern Region  from
                                         1986  to  1987; Vice  President  and Regional  Director, Mid-Atlantic
                                         Region from  1985  to  1986; Executive  Director,  Brookwood  Medical
                                         Center from 1983 to 1985.
Lawrence N. Kugelman             52      Executive  Vice  President  and  California  Regional  Director since        1993
                                         January 1993; Executive Director of Sisters of St. Joseph  Foundation
                                         from July 1992 to December 1992; President and CEO of The Health Plan
                                         of America from September 1986 to June 1992.
Terry H. Linn                    46      Vice President, Development since June 1993; Partner of Ernst & Young        1993
                                         (previously  Ernst &  Ernst) a public  accounting firm,  from 1980 to
                                         1993.
Thomas J. Sabatino, Jr.          35      Vice President  and  General  Counsel  since  April  1994;  Associate        1994
                                         General Counsel from November 1992 to April 1994; President and Chief
                                         Executive   Officer  of  Secure  Medical,   Inc.,  a  medical  device
                                         manufacturer from December 1990  to November 1992; Corporate  Counsel
                                         for  Baxter Healthcare Corporation, a medical supply manufacturer and
                                         distributor from August 1986 to December 1990.
Michael N. Murdock               40      Treasurer and  Vice President  since 1990;  Assistant Treasurer  from        1990
                                         1988  to 1990; Vice President,  Corporate Controller and Treasurer at
                                         TPA  of  America,  Inc.  from  1986  to  1988;  Assistant   Corporate
                                         Controller of AMI from 1982 to 1986.
Bary G. Bailey                   36      Controller   and  Vice  President  since  1990;  Assistant  Corporate        1991
                                         Controller from 1987 to 1990.
</TABLE>

COMPLIANCE WITH SECTION 16(A) OF THE SECURITIES ACT OF 1934

    Section 16(a)  of the  Securities  Exchange Act  of  1934, as  amended  (the
"Exchange Act"), requires Holdings' executive officers and directors and persons
who  beneficially  own more  than 10%  of the  common stock  to file  reports of
initial ownership and changes in ownership of common stock with the  Commission.
Based  solely  on  a review  of  such  reports furnished  to  Holdings, Holdings
believes  that  during  fiscal  1994,  its  executive  officers,  directors  and
beneficial owners of more than 10% of the common stock complied with all Section
16(a) filing requirements.

                                       26
<PAGE>
ITEM 11.  EXECUTIVE COMPENSATION

    Holdings  is  a  holding  company,  all  of  whose  business  activities are
conducted by  its operating  subsidiaries.  Accordingly, executive  officers  of
Holdings hold identical positions with AMI.

    The  following  table sets  forth certain  information  with respect  to the
compensation paid by Holdings  during the last three  fiscal years ended  August
31,  1994 to  its Chief  Executive Officer and  to each  of its  four other most
highly compensated  executive officers  (collectively with  the Chief  Executive
Officer, the "named executive officers"):

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                                                      LONG TERM
                                                                                                    COMPENSATION
                                                                                                 -------------------
                                                                 ANNUAL COMPENSATION                        PAYOUTS
                                                        --------------------------------------    AWARDS    --------
                                                                                  OTHER ANNUAL   --------     LTIP      ALL OTHER
                   NAME AND                              SALARY     BONUS         COMPENSATION   OPTIONS    PAYOUTS    COMPENSATION
              PRINCIPAL POSITION                 YEAR    ($)(1)     ($)(2)         ($)(3)(4)       #(5)      ($)(6)     ($)(3)(7)
- ----------------------------------------------   ----   --------   --------       ------------   --------   --------   ------------
<S>                                              <C>    <C>        <C>            <C>            <C>        <C>        <C>
Robert W. O'Leary ............................   1994   $777,836   $503,155       $  207,608        --      $286,391   $   45,947
  Chairman of the Board and                      1993    750,000    685,146(8)       218,362        --       155,850       16,454
   Chief Executive Officer                       1992    750,000    873,494           --          200,000      --          --
John T. Casey ................................   1994   $414,846   $357,534(9)    $  156,850        --      $144,770   $   23,261
  President and Chief                            1993    390,354    243,894           34,930          200     73,657        7,806
   Operating Officer                             1992    285,423    492,004(10)       --          200,000      --          --
Alan J. Chamison .............................   1994   $414,846   $277,534       $  141,392        --      $161,295   $   25,740
  Executive Vice President and                   1993    390,354    243,894          146,087        --        88,027        9,047
   Chief Financial Officer (11)                  1992    341,115    352,160           --          200,000      --          --
O. Edwin French ..............................   1994   $285,392   $241,679(9)    $   13,200       40,000   $ 71,572   $   11,768
  Senior Vice President (12)                     1993    262,308    130,840            5,886        --        34,217        3,853
                                                 1992    148,846    254,639(10)       --           60,000      --          --
W. Randolph Smith ............................   1994   $304,846   $130,027       $   13,200        --      $116,746   $   18,651
  Executive Vice President                       1993    289,945    157,627           --            --        67,257        6,911
                                                 1992    275,625    269,025           --            --         --          --
<FN>
- ------------------------------
 (1) Includes  amounts deferred at the election  of each named executive officer
     pursuant to AMI's Tax Deferred Savings Plan.
 (2) The amounts shown in  this column include bonuses  paid pursuant to  either
     AMI's  Executive Incentive Compensation Plan  (the "Incentive Plan") or, in
     the case of Mr. Smith, AMI's Regional Director Incentive Compensation  Plan
     (the  "Directors  Plan,"  and  collectively with  the  Incentive  Plan, the
     "Incentive Plans") for services rendered during the fiscal year by each  of
     the  named executive officers. See Note 6 below and the table of "Long-Term
     Incentive Plan  -- Awards  in Last  Fiscal  Year" on  page 29  for  amounts
     awarded  during  fiscal  1994  but  mandatorily  deferred  pursuant  to the
     Incentive Plans.
 (3) Pursuant to the rules promulgated by the Securities and Exchange Commission
     (the "Commission"), no disclosure  is required for  these items for  fiscal
     1992.
 (4) In prior fiscal years the Company has made interest-free loans of $600,000,
     $375,000 and $375,000 to Messrs. O'Leary, Casey and Chamison, respectively,
     which  loans  are forgiven  in  equal monthly  increments.  See "Employment
     Agreements". With  respect  to fiscal  1994  includes loan  forgiveness  of
     $199,992,  $125,004 and $125,004  for Messrs. O'Leary,  Casey and Chamison,
     respectively, and compensation  of $4,366, $13,437  and $3,188 for  imputed
     interest  on interest-free loans  for Messrs. O'Leary,  Casey and Chamison,
     respectively, calculated  using the  monthly applicable  federal  long-term
     rate.  Also includes tax payment reimbursements  and car allowances. To the
     extent the  cost  of  personal  benefits furnished  to  any  of  the  named
     executive officers is less than the required reporting level established by
     the  Commission, such benefits are not included in the Summary Compensation
     Table.
 (5) Mr. French was the  only named executive officer  to be granted options  in
     fiscal 1994.
</TABLE>

                                       27
<PAGE>
<TABLE>
<S>  <C>
 (6) The  amounts shown  in the  table consist of  bonuses paid  pursuant to the
     Incentive Plans for services rendered in prior fiscal years, which  bonuses
     had  been deferred  in accordance  with, and  were payable  subject to, the
     terms of the Incentive  Plans. See "Long-Term Incentive  Plan -- Awards  in
     Last Fiscal Year."
 (7) The  amounts  shown in  the table  include insurance  premiums paid  by the
     Company with respect to term life insurance and amounts earned on  deferred
     compensation  paid pursuant  to the  Incentive Plans  to each  of the named
     executive officers during the fiscal year. With respect to fiscal 1994  the
     insurance  premiums paid by the Company with respect to term life insurance
     were $2,988, $1,546, $1,546, $1,032 and  $1,139 for the benefit of each  of
     Messrs.  O'Leary, Casey, Chamison, French  and Smith, respectively. Amounts
     earned on deferred compensation were $42,959, $21,715, $24,194, $10,736 and
     $17,512  for   Messrs.  O'Leary,   Casey,  Chamison,   French  and   Smith,
     respectively.  All deferred  funds accrue  interest at  the greater  of two
     rates: 1)  the  Company's  average short-term  borrowing  rate  during  the
     deferral  period, or  2) 50%  of the  percentage increase  in the  price of
     Holdings' common stock,  up to an  annual maximum of  15%. (The  percentage
     increase  in  the  price  of  Holdings' common  stock  is  measured  as the
     difference between its 90 day trading  average (closing prices) at the  end
     of  the  fiscal year  in which  the deferral  occurred against  its average
     closing price  for the  last 90  days of  the current  award fiscal  year.)
     However, if an executive reaches the "maximum" goals for both his operating
     expense  and operating income goals in  two consecutive years, all deferred
     funds pursuant to the Incentive Plans  will be adjusted to accrue  interest
     at  100% of the percentage increase in the price of Holdings' common stock,
     or the  average  short term  borrowing  rate during  the  deferral  period,
     whichever is greater. For any deferred funds which carry forward beyond the
     intended  earning  period  (i.e.,  the  first  or  the  second  of  the two
     subsequent years), the interest  rate from that point  forward will be  the
     Company's  short-term  borrowing rate  irrespective of  future performance.
 (8) For fiscal  1993, includes  a  special bonus  of  $250,000 awarded  by  the
     Compensation Committee and Stock Option Committee of the Board.
 (9) For fiscal 1994, includes a bonus of $80,000 and $100,000 for Messrs. Casey
     and  French, respectively awarded  by the Compensation  Committee and Stock
     Option Committee  of  the  Board  for their  respective  roles  in  certain
     acquisitions.
(10) The  amounts  shown in  the  table include  $197,332  and $117,750  paid to
     Messrs. Casey and French, respectively, during fiscal 1992 as reimbursement
     for certain relocation  and related expenses  pursuant to their  respective
     employment agreements with Holdings and AMI.
(11) Mr. Chamison became Chief Financial Officer of Holdings and AMI in February
     1992.
(12) Mr.  French became a Senior  Vice President of Holdings  and AMI in January
     1992.
</TABLE>

                       OPTIONS GRANTS IN LAST FISCAL YEAR

<TABLE>
<CAPTION>
                                 INDIVIDUAL GRANTS (1)                                                 POTENTIAL REALIZABLE
- ---------------------------------------------------------------------------------------                  VALUE AT ASSUMED
                                                % OF TOTAL                                               ANNUAL RATES OF
                                   NUMBER        OPTIONS                                                   STOCK PRICE
                                OF SECURITIES   GRANTED TO   EXERCISE                                    APPRECIATION FOR
                                 UNDERLYING     EMPLOYEES    OR BASE        MARKET                       OPTION TERM (2)
                                   OPTIONS      IN FISCAL     PRICE        PRICE ON       EXPIRATION   --------------------
NAME                               GRANTED         YEAR       ($/SH)      GRANT DATE         DATE         5%        10%
- ------------------------------  -------------   ----------   --------   ---------------   ----------   --------  ----------
<S>                             <C>             <C>          <C>        <C>               <C>          <C>       <C>
Robert W. O'Leary.............      --              --          --            --              --          --         --
John T. Casey.................      --              --          --            --              --          --         --
Alan J. Chamison..............      --              --          --            --              --          --         --
O. Edwin French...............      40,000           9%       $19.21      $19.38           June 2004   $499,135  $1,257,988
W. Randolph Smith.............      --              --          --            --              --          --         --
<FN>
- ------------------------
(1)  Grant vests and becomes exercisable in installments of 20% per year on each
     of the first five anniversaries of the grant date.
</TABLE>

                                       28
<PAGE>
<TABLE>
<S>  <C>
(2)  The dollar amounts  under these columns  assume that the  market price  per
     share of Holdings' common stock appreciates in value from the date of grant
     to  the expiration  date of the  option at the  annualized rates indicated.
     These rates are  set by  the Commission and  are not  intended to  forecast
     possible  future appreciation,  if any, of  the price of  the common stock.
     Holdings did not use an alternative formula for a grant date valuation,  as
     Holdings  is not aware of any  formula which will determine with reasonable
     accuracy a present value based on future unknown or volatile factors.
</TABLE>

                AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR
                       AND FISCAL YEAR END OPTION VALUES

    The following table provides information on the value of unexercised options
held by each of  the named executive  officers at August 31,  1994. None of  the
named executive officers exercised any options during fiscal 1994.

<TABLE>
<CAPTION>
                                                             NUMBER OF SECURITIES
                                                            UNDERLYING UNEXERCISED        VALUE OF UNEXERCISED
                                                                  OPTIONS AT              IN-THE-MONEY OPTIONS
                                                             FISCAL YEAR END (1)         AT FISCAL YEAR END (2)
                                                          --------------------------  ----------------------------
NAME                                                      EXERCISABLE  UNEXERCISABLE   EXERCISABLE   UNEXERCISABLE
- --------------------------------------------------------  -----------  -------------  -------------  -------------
<S>                                                       <C>          <C>            <C>            <C>
Robert W. O'Leary (3)...................................     206,600        193,400   $   2,995,700  $   2,804,300
John T. Casey (3).......................................      80,040        120,160   $   1,160,580  $   1,742,320
Alan J. Chamison (3)....................................      80,000        120,000   $   1,160,000  $   1,740,000
O. Edwin French (3).....................................      22,500         77,500   $     326,250  $     745,250
W. Randolph Smith.......................................      68,254         17,064   $   1,175,112  $     293,787
<FN>
- ------------------------
(1)  Pursuant  to  the terms  and conditions  of the  Option Plans,  all options
     granted thereunder will become fully  exercisable upon the occurrence of  a
     "Change of Control," as defined therein, regardless of whether such options
     otherwise would be exercisable. Consummation of the Merger would constitute
     a "Change in Control."

(2)  The  value  of  unexercised  in-the-money  options  is  calculated  as  the
     difference between  the closing  sale  price on  August  31, 1994  and  the
     applicable  exercise price. The  closing sale price of  the common stock on
     August 31, 1994  as reported  by the New  York Stock  Exchange was  $24.25.
     Actual  values realized on  stock options are  dependent upon actual future
     performance of Holdings'  common stock, among  other factors.  Accordingly,
     the amounts shown may not necessarily be realized.

(3)  Each  of  Messrs.  O'Leary,  Casey,  Chamison  and  French  have  agreed to
     exchange, at the  effective time  of the  Merger, each  of his  outstanding
     options  (whether or not otherwise then exercisable) for (a) .42 of a share
     of NME common  stock plus (b)  an amount  of cash equal  to the  difference
     between  $19.00 ($19.25 if the Merger  is consummated after March 31, 1995)
     less the  exercise price  of such  option. See  "Certain Relationships  and
     Related Transactions -- Actions Taken in Connection with the Merger."
</TABLE>

                                       29
<PAGE>
             LONG-TERM INCENTIVE PLAN -- AWARDS IN LAST FISCAL YEAR

    The  following table provides information on long-term incentive plan awards
to each of the named executive officers in fiscal 1994.

<TABLE>
<CAPTION>
                                                                       NUMBER OF     PERFORMANCE OR    ESTIMATED FUTURE
                                                                     SHARES, UNITS    OTHER PERIOD      PAYOUTS UNDER
                                                                       OR OTHER     UNTIL MATURATION   NON-STOCK PRICE-
NAME                                                                  RIGHTS (1)      OR PAYOUT (2)    BASED PLANS (3)
- -------------------------------------------------------------------  -------------  -----------------  ----------------
<S>                                                                  <C>            <C>                <C>
Robert W. O'Leary (4)..............................................          N/A              N/A        $    251,577
John T. Casey (4)..................................................          N/A              N/A        $    138,767
Alan J. Chamison (4)...............................................          N/A              N/A        $    138,767
O. Edwin French (4)................................................          N/A              N/A        $     70,839
W. Randolph Smith..................................................          N/A              N/A        $     65,154
<FN>
- ------------------------
(1)  The Company does not have a long-term incentive stock award plan.

(2)  Pursuant to the  Incentive Plans,  two-thirds of an  individual's award  is
     paid  in the November following the fiscal year in which the award is made.
     The remaining one-third of the award  is subject to mandatory deferral  and
     is  generally earned  in two equal  portions over the  two succeeding years
     following the year  of the award  only if the  specified performance  goals
     pursuant  to  the Incentive  Plans  are achieved  during  each of  the such
     subsequent years.  If such  award is  not  so earned  during each  of  such
     subsequent years, the award will remain subject to deferral until such time
     as  the established performance  goals pursuant to  the Incentive Plans are
     met or at  the time of  retirement from Holdings  or upon the  individual's
     death. Forfeiture of the remaining one-third will occur upon termination of
     employment.

(3)  Awards  made pursuant to  the Incentive Plans are  dollar amounts which are
     based upon  (i) the  extent to  which predetermined  financial  performance
     objectives  during the year are  achieved and (ii) the  extent to which the
     individual  executive  officer   meets  personal  performance   objectives.
     One-third  of a named  executive officer's award  pursuant to the Incentive
     Plans is  determined by  whether  income as  defined  for the  fiscal  year
     achieves  the threshold, target  or maximum amounts  therefore specified by
     the Compensation Committee of the Company's Board. Another third of a named
     executive officer's award pursuant to the Incentive Plans is determined  by
     cost  containment.  This component  generally reflects  the ability  of the
     Company's 37 hospitals to control their costs and the Company's ability  to
     contain costs at the corporate office level. The remaining third of a named
     executive  officer's  award pursuant  to the  Incentive  Plans is  based on
     certain subjective factors established  by the Compensation Committee,  and
     is  earned only  if the  threshold income  level is  achieved and specified
     costs are kept within  budget. Aggregate awards  pursuant to the  Incentive
     Plans  are expressed as  a percentage of  an individual's salary. Different
     bonus levels are established by category of employee, and range from 60% to
     90% of salary for the named executive officers. These amounts are  included
     in  this table solely in accordance with the requirements of the Commission
     and should not be deemed, in  any manner, to be indicative of  management's
     projection of future performance.

(4)  Holdings has entered into an agreement with each of Messrs. O'Leary, Casey,
     Chamison  and French pursuant to which  each such individual, upon a change
     in control (which term is defined  to include consummation of the  Merger),
     will  be fully  vested in  all amounts  payable under  the Incentive Plans,
     including all  deferred amounts.  Additionally, these  individuals will  be
     deemed  to have satisfied the fiscal  1995 maximum target performance goals
     pursuant to the  Incentive Plans entitling  each of them  to 100% of  their
     respective  fiscal 1995 awards. The maximum award for which each of Messrs.
     O'Leary, Casey, Chamison  and French  may be entitled  under the  Incentive
     Plans  for  fiscal  1995  is  $479,115,  $227,136,  $227,136  and $117,219,
     respectively, and the amount
</TABLE>

                                       30
<PAGE>
<TABLE>
<S>  <C>
     currently deferred  for each  of such  individuals is  $374,815,  $207,840,
     $207,840  and $107,894. See "Certain Relationships and Related Transactions
     -- Actions Taken in Connection with the Merger."
</TABLE>

PENSION PLAN

    The following table shows the estimated annual benefits payable upon  normal
retirement  to participating employees, including, without limitation, the named
executive officers, pursuant to AMI's basic Pension Plan (the "Pension Plan") as
augmented by either the Supplemental Executive Retirement Plan, with respect  to
employees  who become eligible collectively to participate prior to July 1989 or
the Supplemental Benefit Plan, which is substantially identical with respect  to
employees who become eligible to participate in or after July 1989 (collectively
"SERP")  and Social Security for persons  in specified remuneration and years of
service classifications.

                 ANNUAL BENEFITS FOR YEARS OF SERVICE INDICATED

<TABLE>
<CAPTION>
   FINAL
  AVERAGE
 EARNINGS     10 YEARS     15 YEARS     20 YEARS     25 YEARS     30 YEARS     35 YEARS
- -----------  -----------  -----------  -----------  -----------  -----------  -----------
<S>          <C>          <C>          <C>          <C>          <C>          <C>
   $200,000  $    50,000  $    75,000  $   100,000  $   100,000  $   100,000  $   100,000
    300,000       75,000      112,000      150,000      150,000      150,000      150,000
    400,000      100,000      150,000      200,000      200,000      200,000      200,000
    500,000      125,000      187,500      250,000      250,000      250,000      250,000
    600,000      150,000      225,000      300,000      300,000      300,000      300,000
    700,000      175,000      262,500      350,000      350,000      350,000      350,000
    800,000      200,000      300,000      400,000      400,000      400,000      400,000
</TABLE>

    Under the Pension Plan, a retiring participant receives a percentage of  his
"earnings"  (as defined under the  Pension Plan) at the time  of his last day of
active employment with  Holdings and  AMI which, if  calculated as  of the  date
hereof  for the named executive officers, would equal the rate used to determine
the amount shown for each  such person in the  1994 "Salary" column of  Holdings
Summary  Compensation Table. Benefits  are computed on  a straight life annuity,
contingent annuitant basis  or years  certain in life,  at the  election of  the
named  executive  officer,  and are  not  subject  to any  deduction  for Social
Security amounts.

    Certain key  executives  of  AMI,  including  all  of  the  named  executive
officers,  are eligible under  SERP for supplemental  annual retirement benefits
upon retirement at  age 65 generally  after at  least 10 years  of service.  The
amount of a covered executive's benefit is computed in accordance with a formula
based on such individual's final average earnings and his years of service up to
20  years. The  benefits are subject  to deduction for  estimated primary Social
Security benefits payable at  age 65 and further  reduction for benefits  vested
under the AMI Pension Plan.

    Participants  are generally 100% vested after  they have reached 10 years of
service. SERP provides for early retirement for terminated participants with  10
to  15 years of service at  age 55 with reduced benefits.  Those with 16 or more
years of service retire at age 55 with unreduced benefits.

    As of August 31, 1994, Messrs.  O'Leary, Casey, Chamison, French and  Smith,
have  4, 3, 3,  2, 16 credited  years, respectively, of  service under the basic
Pension Plan, and 8,8,8,3 and 20 credited years, respectively, of service  under
SERP. In connection with the Merger, Holdings has entered into an agreement with
each  of  the named  executive  officers that  provides  each of  such executive
officers, full vesting in and 20 years  of service under the SERP upon a  change
of control (which term would include consummation of the Merger). As a result of
the  Merger, each of such individuals will be entitled to maximum benefits under
the SERP. See "Certain Relationships  and Related Transactions -- Actions  Taken
in Connection with the Merger."

                                       31
<PAGE>
DIRECTORS' COMPENSATION

    During  fiscal 1994,  all directors  of Holdings  who were  not employees of
Holdings or any  of its subsidiaries  received compensation for  serving on  the
Board  or on a committee thereof. Such directors received $25,000 for serving on
the Board. In  addition, such directors  received $1,000 for  each meeting  they
attended  and $500 for  each telephonic meeting in  which they participated. Mr.
Williams received  $10,000  for  his  services as  the  Chairman  of  the  Audit
Committee.

    Under  Holdings'  Directors' Retirement  Plan, an  outside director  who has
served on  the Board  for at  least five  full years,  or an  employee  director
(regardless  of whether he later becomes an  outside director) who has served on
the Board for at least ten full years is entitled, after reaching the age of  65
and  upon retirement from the Board, to  receive an annual retirement benefit in
an amount  equal  to  the  annual  director's fee  in  effect  at  the  time  of
retirement. For purposes of this plan, an outside director is one who is not, at
the time of his retirement from the Board, an employee of Holdings or any of its
subsidiaries  or affiliates. In fiscal 1994,  the Directors' Retirement Plan was
amended to provide that all individuals who were outside directors on  September
1, 1994 (specifically, Messrs. Buchanan, Calhoun, Gray, Handelsman, King, Klein,
Lufkin,  Mayer  and Williams)  were eligible  to  participate in  the Directors'
Retirement Plan regardless of their respective  years of service as a member  of
the  Board of Directors. Outside directors,  including retired directors, may be
covered by AMI's basic  health insurance plan. AMI  also maintains a  Directors'
Deferred  Compensation Plan pursuant to which directors are permitted to defer a
portion of their directors' fees. Amounts deferred accrue interest at stipulated
rates and are payable upon retirement from the Board.

EMPLOYMENT AGREEMENTS

    Holdings has entered  into a letter  of understanding, as  amended to  date,
with  Robert W. O'Leary pursuant  to which Mr. O'Leary  serves as a director and
Chairman of the Board and Chief Executive  Officer of each of Holdings and  AMI.
Under  this agreement, Mr.  O'Leary receives an annual  base salary of $750,000,
which may be  increased from  time to time,  and participates  in the  Incentive
Plan. Pursuant to this agreement, Holdings made a $600,000 interest-free loan to
Mr.  O'Leary during  fiscal 1992.  The loan is  forgiven by  Holdings in monthly
increments of $16,667 commencing  September 30, 1991 and  as of August 31,  1994
the  total amount of  the loan was forgiven.  Holdings has agreed  to pay to Mr.
O'Leary, in the event his employment as Chairman and Chief Executive Officer  is
terminated  for any reason other than "cause," an amount equal to 15 months base
compensation (excluding bonus) determined on the basis of his annual salary  for
the  fiscal year  then most  recently commenced.  Additionally, pursuant  to his
agreement with Holdings, Mr. O'Leary is entitled  to receive, in the event of  a
"Change  of  Control"  (as  defined  therein),  the  above-referenced  severance
payment, acceleration of all benefits payable  to him pursuant to the  Incentive
Plan  and certain specified payments in  respect of all unexercised options then
held by him.  Consummation of  the Merger will  constitute a  Change of  Control
under this Agreement.

    Holdings  has entered  into a letter  of understanding, as  amended to date,
with John T. Casey pursuant to which Mr. Casey serves as the President and Chief
Operating Officer of each of Holdings  and AMI. Under this agreement, Mr.  Casey
receives  an annual base salary of $362,000, which may be increased from time to
time, and participates in the Incentive Plan. During fiscal 1993, Holdings  made
a  $375,000 interest-free loan to Mr. Casey.  The loan, which is due and payable
10 days after  the termination  of Mr. Casey's  employment, is  forgiven by  the
Company  in  monthly  increments  of  $10,417  commencing  August  31,  1993 and
continuing for so  long as  Mr. Casey serves  as President  and Chief  Operating
Officer  of Holdings.  See the  Summary Compensation  Table on  page 27  for the
amount forgiven during fiscal 1994. Holdings has agreed to pay to Mr. Casey,  in
the  event his employment  as the President  and Chief Operating  Officer of the
Company is terminated for any reason other  than "cause," an amount equal to  12
months base compensation (excluding bonus) determined on the basis of his annual
salary  for the fiscal year then most recently commenced. Additionally, pursuant
to his agreement with Holdings, Mr. Casey  is entitled to receive, in the  event
of  a "Change of  Control" (as defined  therein), the above-referenced severance
payment, acceleration of all benefits payable  to him pursuant to the  Incentive
Plan  and  certain  specified payments  in  respect of  all  unexercised options

                                       32
<PAGE>
then held  by him  and forgiveness  of any  then outstanding  balance under  the
above-referenced  loan. Consummation of  the Merger will  constitute a Change of
Control under this Agreement. Mr.  Casey's Management Stock Agreement  generally
provides certain "Put" and "Call" rights to him and Holdings, respectively, with
respect to certain shares of his common stock upon termination of his employment
with  Holdings. See "Certain Relationships  and Other Transactions -- Management
Investors."

    Holdings has entered  into a letter  of understanding, as  amended to  date,
with Alan J. Chamison pursuant to which Mr. Chamison serves as an Executive Vice
President  of  each of  Holdings  and AMI.  Under  this agreement,  Mr. Chamison
receives an annual base salary of $362,000, which may be increased from time  to
time,  and  participates  in the  Incentive  Plan. Pursuant  to  this agreement,
Holdings made a $375,000  interest-free loan to Mr.  Chamison during 1991.  This
loan,  which is due and payable 10  days after the termination of Mr. Chamison's
employment, is forgiven by Holdings in monthly increments of $10,417  commencing
October  31, 1991, and as of  August 31, 1994, the total  amount of the loan was
forgiven. Holdings  has  agreed  to  pay  to Mr.  Chamison,  in  the  event  his
employment  as an Executive Vice President of  the Company is terminated for any
reason other  than "cause,"  an  amount equal  to  12 months  base  compensation
(excluding  bonus) determined on the  basis of his annual  salary for the fiscal
year then most recently commenced. Additionally, pursuant to his agreement  with
Holdings,  Mr. Chamison  is entitled to  receive, in  the event of  a "Change of
Control"  (as  defined   therein),  the   above-referenced  severance   payment,
acceleration  of all benefits payable to him  pursuant to the Incentive Plan and
certain specified payments in  respect of all unexercised  options then held  by
him.  Consummation of the Merger will constitute  a Change of Control under this
Agreement.

    Holdings has entered  into a letter  of understanding, as  amended, with  O.
Edwin  French pursuant to which Mr. French  serves as a Senior Vice President of
each of Holdings and  AMI. Under this Agreement,  Mr. French receives an  annual
base  salary  of  $225,000,  which  may be  increased  from  time  to  time, and
participates in the Incentive Plan. Holdings has agreed to pay to Mr. French, in
the event his employment as Senior Vice President of Holdings is terminated  for
any  reason other than "cause,"  an amount equal to  12 months base compensation
(excluding bonus) determined on  the basis of his  annual salary for the  fiscal
year  then most recently commenced. Additionally, pursuant to his agreement with
Holdings, Mr. French is entitled to receive, in the event of the occurrence of a
"Change  of  Control"  (as  defined  therein),  the  above-referenced  severance
payment,  acceleration of all benefits payable  to him pursuant to the Incentive
Plan and certain specified payments in  respect of all unexercised options  then
held  by him.  Consummation of  the Merger will  constitute a  Change of Control
under this Agreement.

    AMI has also entered into an agreement with Mr. W. Randolph Smith. The terms
of such agreement  provide that under  certain circumstances, upon  termination,
Mr.  Smith  will be  entitled to  receive  one year's  salary and  benefits. Mr.
Smith's agreement  does not  provide for  any change  of control  payments.  Mr.
Smith's  Management Stock Agreement generally  provides certain "Put" and "Call"
rights to him and Holdings, respectively, with respect to certain shares of  his
common  stock upon  termination of  his employment  with Holdings.  See "Certain
Relationships and Other Transactions -- Management Investors."

                                       33
<PAGE>
CHANGE OF CONTROL ARRANGEMENTS

    On October 10,  1994, Holdings and  NME jointly announced  the signing of  a
definitive  merger agreement pursuant to which  a wholly-owned subsidiary of NME
will be merged with and into Holdings, with Holdings continuing as the surviving
corporation. As a result of the Merger,  each share of common stock of  Holdings
will  be converted into the right to receive $19.00 (if the closing occurs on or
before March 31, 1995, otherwise $19.25) and 0.42 of a share of common stock  of
NME.  Under the terms of  the merger agreement, Holdings  will pay a dividend of
$0.10 per  share  prior to  consummation  of the  Merger  and Holdings  will  be
entitled  to nominate three individuals to be  elected to the 13 member board of
directors of  the surviving  corporation.  In connection  with the  Merger,  the
Company  has  entered  into certain  agreements  with members  of  the Company's
management. In addition,  certain existing arrangements  and agreements  between
the  Company  and members  of  its management  and  Board of  Directors  will be
affected by the Merger. See  "Certain Relationships and Related Transactions  --
Actions Taken in Connection with the Merger."

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

    The  following table sets forth certain information, as of November 9, 1994,
regarding the beneficial ownership of Common Stock by (i) each stockholder known
by the Company to be the beneficial owner  of more than 5% of the Common  Stock,
(ii)  all directors,  (iii) each  of the named  executive officers  and (iv) all
directors and executive officers as a group. Unless otherwise noted, the persons
named in the table  have sole voting  and investment power  with respect to  all
shares shown as beneficially owned by them.

<TABLE>
<CAPTION>
                                                                                         APPROXIMATE
                                                                NUMBER OF SHARES       PERCENT OF CLASS
NAME AND ADDRESS                                               BENEFICIALLY OWNED     (IF MORE THAN 1%)
- ------------------------------------------------------------   -------------------    ------------------
<S>                                                            <C>                    <C>
GKH Investments, L.P. ......................................   24,719,168(1)(2)              32%
  Suite 2710
  200 West Madison Street
  Chicago, IL 60606
Mellon Bank, N.A., as trustee of ...........................   10,663,636                    14%
  First Plaza Group Trust
  One Mellon Bank Center
  Pittsburgh, PA 15258
MB L.P. I ..................................................   10,595,282(3)                 14%
  c/o of The Clipper Group, L.P.
  Park Avenue Plaza
  55 East 52nd Street,
  27th Floor
  New York, New York 10055
J. Robert Buchanan, M.D.....................................        8,400(4)                  *
Robert B. Calhoun, Jr.......................................      -0-    (3)
John T. Casey...............................................      132,680(5)(6)               *
Harry J. Gray...............................................      -0-    (7)
Harold S. Handelsman........................................      -0-    (1)(2)
Sheldon S. King.............................................        1,000                     *
Melvyn N. Klein.............................................        1,000(1)(2)(8)            *
Dan W. Lufkin...............................................      -0-    (1)(2)
William E. Mayer............................................       25,000                     *
Robert W. O'Leary...........................................      287,943(6)(9)               *
Harold M. Williams..........................................        2,057                     *
</TABLE>

                                       34
<PAGE>
<TABLE>
<CAPTION>
                                                                                         APPROXIMATE
                                                                NUMBER OF SHARES       PERCENT OF CLASS
NAME AND ADDRESS                                               BENEFICIALLY OWNED     (IF MORE THAN 1%)
- ------------------------------------------------------------   -------------------    ------------------
<S>                                                            <C>                    <C>
Alan J. Chamison............................................      152,499(6)(10)              *
O. Edwin French.............................................       37,710(6)(11)              *
W. Randolph Smith...........................................      128,236(12)                 *
All Directors and Executive Officers as a group
  (19 persons)..............................................      935,747(13)                 1%
<FN>
- ------------------------
 *   Less than 1% beneficially owned.
 (1) Does  not  include  934,596  shares  of  Common  Stock  owned  by  GKHPL, a
     corporation the assets of which are managed by GKH.
 (2) A corporation wholly owned by Melvyn  N. Klein, a director of the  Company,
     serves  as a general partner  of GKH. A corporation  wholly owned by Dan W.
     Lufkin, a director of Holdings, serves as a general partner of GKH.  Harold
     S. Handelsman, a director of Holdings, is an officer of a corporation which
     is  the general partner of a limited partnership which is a general partner
     of GKH. By virtue of their relationships to the Fund and GKH's relationship
     to GKHPL,  Messrs. Klein,  Lufkin and  Handelsman may  be deemed  to  share
     beneficial  ownership of the  shares of common  stock beneficially owned by
     the  Fund  and  GKHPL.  Messrs.  Klein,  Lufkin  and  Handelsman   disclaim
     beneficial  ownership of  such shares.  See footnote  6 and  "Directors and
     Executive Officers of Holdings and AMI" for information regarding Harry  J.
     Gray's former and existing relationships with GKH.
 (3) Robert  B. Calhoun, Jr., a director of  Holdings, is a major stockholder in
     and President of  Clipper Asset  Management Corporation,  the sole  general
     partner  of Clipper. Pursuant  to an Asset  Management Agreement with First
     Boston and certain of its  affiliates, Clipper manages certain  investments
     for such persons, including the 10,595,282 shares of common stock indicated
     in  the above table  which are held in  the name of  MBLP and an additional
     710,168 shares of  common stock  held in  the name  of MIP,  which are  not
     included  in the above table. Under the Asset Management Agreement, Clipper
     has sole power to vote the shares  of Holdings' common stock, but does  not
     have  the power (sole or shared) to  dispose of any such shares. Clipper is
     not  an  affiliate  of  First  Boston.  Mr.  Calhoun  disclaims  beneficial
     ownership of such shares. See "Directors and Executive Officers of Holdings
     and  AMI" for information regarding  William E. Mayer's former relationship
     with First Boston and one of its affiliates.
 (4) Includes an aggregate of 8,400 shares subject to options granted under  the
     Nonqualified  Employee  Stock Option  Plan  (the "Option  Plan")  which are
     exercisable as of August 31, 1994 or within 60 days thereof.
 (5) Includes an aggregate of  100,080 shares subject  to options granted  under
     the  Option Plan and the Nonqualified Performance Stock Option Plan for Key
     Employees (the  "Key  Plan" and  collectively  with the  Option  Plan,  the
     "Option  Plans") which are exercisable  as of August 31,  1994 or within 60
     days thereof.
 (6) At the  effective time  of  the Merger,  each  of Messrs.  O'Leary,  Casey,
     Chamison and French have agreed to exchange each of his outstanding options
     granted  under the Option Plans for (a) .42  of a share of NME common stock
     and (b) cash  equal to $19.00  ($19.25 if the  Merger is consummated  after
     March 31, 1995) less the exercise price of such option.
 (7) Harry  J.  Gray, a  director of  Holdings, previously  served as  a general
     partner of GKH.  On September 30,  1991, Mr. Gray's  interest as a  general
     partner  of GKH was converted into a limited partnership interest. Mr. Gray
     disclaims beneficial ownership of the  shares of common stock  beneficially
     owned  by  the Fund  and GKHPL.  See "Directors  and Executive  Officers of
     Holdings and AMI" for information regarding Mr. Gray's former  relationship
     with GKH.
</TABLE>

                                       35
<PAGE>
<TABLE>
<S>  <C>
 (8) Mr.  Klein is a co-trustee  of two trusts, each  of which beneficially owns
     500 shares of Common Stock.
 (9) Includes an aggregate of  206,600 shares subject  to options granted  under
     the  Option Plans which are exercisable as  of August 31, 1994 or within 60
     days thereof.
(10) Includes an aggregate of 80,000 shares subject to options granted under the
     Option Plans which are exercisable as of August 31, 1994 or within 60  days
     thereof.
(11) Includes an aggregate of 22,500 shares subject to options granted under the
     Option  Plans which are exercisable as of August 31, 1994 or within 60 days
     thereof.
(12) Includes an aggregate of 68,254 shares subject to options granted under the
     Option Plans which are exercisable as of August 31, 1994 or within 60  days
     thereof.
(13) See  notes (1), (2)  and (3) above.  Also includes an  aggregate of 744,498
     shares subject  to  options  granted  under  the  Option  Plans  which  are
     exercisable as of August 31, 1994 or within 60 days thereof.
</TABLE>

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

                  ACTIONS TAKEN IN CONNECTION WITH THE MERGER

    Upon  the occurrence of the Merger,  certain executive officers of Holdings,
including  the  named  executive  officers  may  be  subject  to  the  potential
imposition  of excise  tax under  Section 4999  of the  Code to  the extent that
payments received by  such executive officers  as the result  of the Merger  are
deemed  to constitute excess parachute payments  under Section 280G of the Code.
Holdings has agreed to make payments  to such affected executive officers in  an
amount  equal to all excise taxes payable by each such executive officer on such
deemed excess parachute payments (the "Gross-Up Payment"), including any  excise
tax  payable  by reason  of the  Gross  Up Payment;  provided however,  that the
maximum aggregate Gross-Up Payments which Holdings may be obligated to pay shall
in no event exceed  $8 million, which,  if necessary, will  be divided pro  rata
among  the affected executive officers. In order  for an executive officer to be
eligible to  receive Gross-Up  Payments, such  affected executive  officer  must
agree  in writing to accept the merger  consideration (including the mix of cash
and securities, if applicable) payable to Holdings' stockholders in general upon
consummation of the  Merger, with respect  to any Holdings'  stock options  then
held  by the affected  executive officer, nothwithstanding  any provision in the
executive's employment or stock  option agreement or  the Holdings Stock  Option
Plans to the contrary regarding payment in cash.

    Holdings has agreed that if, in connection with or subsequent to a change of
control  (which  term  would  include  the  consummation  of  the  Merger),  the
employment of  certain executive  officers  of Holdings  is terminated  for  any
reason,  or  the membership  of a  current  director on  the Company's  Board of
Directors is terminated for any reason,  then such affected individual shall  be
entitled  to  continue  coverage  under  the  terms  of  Holdings'  group health
insurance plan  until the  earlier  of the  date  such affected  individual  (a)
becomes  eligible for  Medicare, or  (b) otherwise  fails to  pay any applicable
premium. This coverage  is in  addition to  any continuation  coverage that  may
otherwise be required by law.

    Holdings  has entered into an agreement with each of Messrs. O'Leary, Casey,
Chamison, French, Kugelman, Sabatino, Bailey and Murdock pursuant to which  such
individuals,  upon a change in  control (which term has  been defined to include
consummation of the Merger), will be  fully vested in all amounts payable  under
the Incentive Plans, including all deferred amounts. Additionally, each of these
individuals  will be  deemed to have  satisfied their  respective maximum fiscal
1995 target performance goals under the  Incentive Plans entitling each of  them
to 100% of their fiscal 1995 awards. The maximum award for which each of Messrs.
O'Leary,  Casey, Chamison, French, Kugelman, Sabatino, Bailey and Murdock may be
entitled under  the  Incentive Plans  for  fiscal 1995  is  $479,115,  $227,136,
$227,136,  $117,219, $219,625,  $81,120, $65,572 and  $65,572, respectively, and
the amount

                                       36
<PAGE>
currently deferred for each of such individuals is $374,815, $207,840, $207,840,
$107,894, $35,607, $56,390, $57,832,  and $57,832, respectively. See  "Executive
Compensation -- Long-Term Incentive Plan -- Awards in Last Fiscal Year."

    First Boston and GKH rendered consulting services to Holdings in relation to
the Merger for which First Boston and GKH each will receive compensation of $5.0
million  plus  reasonable out-of-pocket  costs.  The Company  believes  that the
amount of fees to be paid to First Boston and GKH is equivalent to or less  than
customary  fees that would be paid by  the Company to unaffiliated third parties
for comparable services.

                                SALE OF BUSINESS

    In May 1994, the Company sold AMI's interest in EPIC Holdings, Inc. pursuant
to a  merger  of EPIC  Holdings,  Inc. with  HealthTrust,  Inc --  the  Hospital
Company. As a result of this disposition, the Company received $72.4 million and
paid  $2.3  million in  compensation  to GKH,  for  representing the  Company in
connection with the transaction. See  "Security Ownership of Certain  Beneficial
Owners and Management."

                               LETTERS OF CREDIT

    Dalfort  Corporation,  an entity  associated with  HGM Associates,  a Nevada
limited partnership and a general partner of GKH ("Dalfort"), agreed to  provide
credit  support (the "L/C Commitment") to  domestic hospital subsidiaries of AMI
in the form of guaranties  by Dalfort to issuers  of standby letters of  credit,
bonds and other surety type instruments for the account of any domestic hospital
subsidiary  of AMI (the  "L/C Guarantees"). The L/C  Commitment extended only to
L/C Guarantees with a term not exceeding twelve months and in an aggregate  face
amount  not  exceeding $30  million outstanding  at any  time. Holdings  and its
subsidiaries were  jointly and  severally liable  to reimburse  Dalfort for  any
amounts  paid pursuant to the L/C Commitment. The L/C Commitment was replaced on
August 18, 1993 with  other financing extended by  an unaffiliated third  party.
AMI paid Dalfort a fee of $750,000 during fiscal 1993.

                          FIRST BOSTON AND AFFILIATES

    The Company is not presently under any obligation to retain First Boston for
advisory  or other services although it may choose to do so at any time and from
time to time. As of November 9,  1994, certain affiliates of First Boston  owned
an  aggregate of 11,305,450 shares of Common Stock, or approximately 15%, of the
outstanding Common Stock. See "Security  Ownership of Certain Beneficial  Owners
and  Management;" "Arrangements with Respect to  the Election of Directors;" and
"Arrangements with Respect to Other Matters."

                              MANAGEMENT INVESTORS

    Pursuant  to   certain  Management   Stock  Subscription   Agreements   (the
"Management Stock Agreements") entered into in connection with and subsequent to
the  acquisition of  AMI by  Holdings (the  "Acquisition"), certain  current and
former officers and key employees of AMI and its subsidiaries (collectively, the
"Management Investors") purchased  shares of  common stock and,  in most  cases,
were  granted options pursuant to the Key Plan. The Management Investors, except
for John T. Casey  and a former  officer of Holdings,  used, among other  funds,
amounts  received in  consideration of the  cancellation of  options to purchase
shares of AMI common stock ("AMI Shares") in connection with the Acquisition, to
purchase the shares of common stock.

    Pursuant  to  the  Management  Stock  Agreements,  upon  termination  of   a
Management Investor's employment with AMI or its subsidiaries prior to the fifth
anniversary  of  the  Acquisition,  Holdings  had  the  right  to  require  such
Management Investor to sell his shares of common stock to Holdings (the "Call"),
and, upon certain events resulting in the termination of a Management Investor's
employment with Holdings or  its subsidiaries, the  Management Investor had  the
right to require Holdings to

                                       37
<PAGE>
repurchase  his shares  of Common  Stock (the  "Put"), in  each case  at a price
determined  by  a  formula  generally  based  on  fair  value  and  the  factual
circumstances  giving rise to the exercise of  either the Put or Call. The fifth
anniversary of the Acquisition was October 26,  1994. The Put right will not  be
available  to any Management Investor whose employment is terminated for "cause"
(as defined in the Management Stock Agreements). In addition, Holdings may defer
its obligation to purchase Common Stock pursuant to the exercise of a Call or  a
Put  if the consummation of such purchase would violate any law or regulation or
would  cause  Holdings  to  be  in  default  under  the  terms  of  any  of  its
indebtedness.  Upon exercise of a  Call or Put, any  unexercised options held by
the Management  Investor will  be terminated  upon payment  by Holdings  to  the
Management  Investor  of  the  price  specified  in  such  Management Investor's
Management Stock Agreement.

    Pursuant to the Management Stock  Agreements, the Management Investors  have
agreed  not  to  transfer  their  common  stock,  except  for  certain permitted
transfers, for five years after their  purchase thereof, and, in addition,  have
granted  Holdings, first, and  the other parties  to the Stockholders Agreement,
second, a right of first  refusal in respect of  third party offers to  purchase
the  common stock received  by the Management Investors  after the expiration of
such five year period.

    During fiscal 1994, Holdings paid an aggregate of $19,996 to one  Management
Investor  in satisfaction of  its obligations upon exercise  of Put rights under
such person's Management Stock Agreement.

                          LOANS TO EXECUTIVE OFFICERS

    In prior  fiscal  years,  Holdings made  interest-free  loans  of  $600,000,
$375,000  and  $375,000 to  Messrs. O'Leary,  Casey and  Chamison, respectively,
which loans are forgiven  in equal monthly increments.  As of November 9,  1994,
the  remaining balances of $199,992 and  $135,409 on interest-free loans made by
Holdings to Messrs. O'Leary and Chamison, respectively, where forgiven in  full.
As  of November 9, 1994, the interest-free  loan to Mr. Casey had an outstanding
principal balance of $213,536 and is being forgiven by Holdings in equal monthly
increments of $10,417. In the event of  the occurrence of a "Change of  Control"
(as  defined in  the letter  of understanding  between Holdings  and Mr. Casey),
which includes consummation  of the Merger,  the remaining balance  of the  loan
will be forgiven. The largest aggregate amount outstanding during fiscal 1994 to
each  of  Messrs.  O'Leary,  Casey  and Chamison  pursuant  to  such  loans were
$199,992, $135,409 and  $364,583, respectively. See  "Executive Compensation  --
Employment Agreements."

                                       38
<PAGE>
                                    PART IV

ITEM 14.  EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K

    (a)  1 and 2  Financial Statements and Financial Statement Schedules.

    The  financial statements and financial statement schedules set forth in the
Index to Financial Statements and Financial Statement Schedules on page F-1  are
filed as part of this Annual Report on Form 10-K.

    (b)  Reports on Form 8-K.

    No  reports on Form  8-K have been  filed during the  last quarter of fiscal
1994.

    (c)  List of Exhibits.

<TABLE>
<CAPTION>
EXHIBIT NO.                                                   DESCRIPTION OF EXHIBIT
- -----------             --------------------------------------------------------------------------------------------------
<C>          <C>        <S>
     2.1        --      Agreement and Plan of  Merger dated as of  July 6, 1989, among  AMI, Holdings and IMA  Acquisition
                        Corp.,  a Delaware corporation and a wholly owned subsidiary of Holdings ("Acquisition"), filed as
                        Exhibit 2(a) to Holdings' Registration Statement on Form S-4, Registration No. 33-33674, filed  on
                        March 6, 1990 (the "1990 Form S-4") and incorporated herein by reference.
     2.2        --      Amendment  No. 1 to Agreement and Plan of Merger  dated as of October 7, 1989, among AMI, Holdings
                        and Acquisition, filed as Exhibit 18 to the 1990 Form S-4 and incorporated herein by reference.
     2.3        --      Amendment No. 2 to Agreement and Plan of Merger dated as of December 1, 1989, among AMI,  Holdings
                        and Acquisition, filed as Exhibit 2(c) to the 1990 Form S-4 and incorporated herein by reference.
     2.4        --      Agreement  and Plan of Merger  dated as of April  23, 1990 among AMI,  Holdings and Amigo Holdings
                        Corp. ("Amigo"), filed as Exhibit 3 to AMI's  Quarterly Report on Form 10-Q for the quarter  ended
                        May 31, 1990 and incorporated herein by reference.
     2.5        --      Agreement  and Plan of Merger, dated as of October 10, 1994, by and among NME, AMH Acquisition Co.
                        and Holdings.
     3.1        --      Restated Certificate of Incorporation of  Holdings as amended to date,  filed as Exhibit 3 (a)  to
                        the 1990 Form S-4 and incorporated herein by reference.
     3.2        --      Bylaws  of Holdings as amended to date filed as Exhibit 3.2 to Holdings' Registration Statement on
                        Form S-1 filed on June 17, 1991 and incorporated herein by reference.
     3.3        --      Restated Certificate of  Incorporation of  AMI as amended  to date,  filed as Exhibit  3 to  AMI's
                        Quarterly  Report on  Form 10-Q  for the  quarter ended  May 31,  1990 and  incorporated herein by
                        reference.
     3.4        --      Bylaws of AMI as amended to date, filed as Exhibit 3.2 to AMI's Registration Statement on Form S-1
                        filed on August 14, 1991 (the "AMI Form S-1") and incorporated herein by reference.
     4.1        --      Amended and  Restated  Note Purchase  Agreement  dated as  of  June 11,  1993  among AMI  and  the
                        purchasers  listed  therein, filed  as Exhibit  4.1 to  AMI's Registration  Statement on  Form S-4
                        Registration No. 33-50239  filed on  September 20,  1993 (the  "1993 Form  S-4") and  incorporated
                        herein by reference.
     4.2        --      Indenture  dated as of April 21, 1993 between AMI  and NationsBank of Texas, N.A., as trustee (the
                        "Trustee"), filed as Exhibit 4.2 to the 1993 Form S-4 and incorporated herein by reference.
     4.3        --      Supplemental Indenture dated as of October 25, 1993 between AMI and the Trustee, filed as  Exhibit
                        4.3 to Amendment No. 1 to the 1993 Form S-4 and incorporated herein by reference.
</TABLE>

                                       39
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT NO.                                                   DESCRIPTION OF EXHIBIT
- -----------             --------------------------------------------------------------------------------------------------
<C>          <C>        <S>
     4.6        --      Indenture  dated as  of October  1, 1991  between AMI,  as issuer,  and The  Citizens and Southern
                        National Bank, as trustee, relating to the 11% Senior Notes Due October 2001, filed as Exhibit 4.1
                        to AMI's Registration Statement on  Form S-1 filed on October  8, 1991 and incorporated herein  by
                        reference.
     4.7        --      Indenture  between AMI, as issuer, and The Connecticut  National Bank, as trustee, relating to the
                        13 1/2% Senior  Subordinated Notes  Due August  2001 filed as  Exhibit 4.1  to AMI's  Registration
                        Statement  on Form  S-1, Registration  No. 33-41416,  filed on  January 24,  1992 and incorporated
                        herein by reference.
     4.8        --      Indenture dated as of August 1,  1991 between AMI, as issuer,  and United States Trust Company  of
                        New  York, as trustee, relating to the 15%  Junior Discount Debentures Due November 2005, filed as
                        Exhibit 4.1 to  AMI's Registration  Statement on  Form S-2,  Registration No.  33-45292, filed  on
                        January 24, 1992 and incorporated herein by reference.
     4.9        --      First  Supplemental Indenture  dated as of  February 15, 1992  between AMI, as  issuer, and United
                        States Trust Company of New York, as  trustee, relating to AMI's 15% Junior Subordinated  Discount
                        Debentures  Due November  2005, filed  as Exhibit  4.1 to  Amendment No.  2 to  AMI's registration
                        Statement, Registration No. 33-45292, on Form S-2, filed on March 4, 1992 and incorporated  herein
                        by reference.
     4.10       --      Amendment  No. 1  dated as  of April  25, 1994 to  the Credit  Agreement among  AMI, Holdings, the
                        Lenders, the Agent  and the Bank  of Nova Scotia,  as Co-Agent and  the Long Term  Credit Bank  of
                        Japan, Ltd., Los Angeles Agency, as Co-Agent (collectively, the "Co-Agents").
     4.11       --      Amendment  No. 2  dated as  of June  20, 1994  to the  Credit Agreement  among AMI,  Holdings, the
                        Lenders, the Agent and the Co-Agents.
     4.12       --      Amendment No.  3 dated  as of  June 20,  1994 to  the Credit  Agreement among  AMI, Holdings,  the
                        Lenders, the Agent and the Co-Agents.
                        Instruments  with respect to certain long-term debt of AMI have not been filed since the amount of
                        securities authorized  thereunder  does  not exceed  10%  of  the  total assets  of  AMI  and  its
                        subsidiaries  on a consolidated basis. AMI hereby agrees  to furnish copies of such instruments to
                        the Securities and Exchange Commission upon request.
    10.1        --      Credit and Guaranty  Agreement dated as  of August 18,  1993 (the "Credit  Agreement") among  AMI,
                        American  Medical Holdings,  Inc., a  Delaware corporation, the  lenders referred  to therein (the
                        "Lenders"), Chemical Bank, as Agent (the "Agent"), The  Bank of Nova Scotia, as Co-Agent, and  The
                        Long Term Credit Bank of Japan, Ltd., Los Angeles Agency, as Co-Agent filed as Exhibit 10.1 to the
                        1993 Form S-4 and incorporated herein by reference.
    10.2        --      Holdings  Pledge Agreement dated as of August 18, 1993  between AMI and the Agent on behalf of the
                        Lenders filed as Exhibit 10.2 to the 1993 Form S-4 and incorporated herein by reference.
    10.3        --      Collateral Trust Agreement dated as of August 18,  1993 between AMI and IBJ Schroder Bank &  Trust
                        Company, a New York banking corporation, as trustee ("IBJ") filed as Exhibit 10.3 to the 1993 Form
                        S-4 and incorporated herein by reference.
    10.4        --      Collateral Trust Pledge Agreement dated as of August 18, 1993 between AMI and IBJ filed as Exhibit
                        10.4 to the 1993 Form S-4 and incorporated herein by reference.
    10.5        --      Pledge  and Security Agreement dated as of August 18,  1993 between AMI and the Agent on behalf of
                        the Lenders filed as Exhibit 10.5 to the 1993 Form S-4 and incorporated herein by reference.
    10.6        --      Guaranty and Security  Agreement dated  as of  August 18,  1993 between  American Medical  Finance
                        Company,  a Delaware corporation, and the Agent on behalf  of the Lenders filed as Exhibit 10.6 to
                        the 1993 Form S-4 and incorporated herein by reference.
</TABLE>

                                       40
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT NO.                                                   DESCRIPTION OF EXHIBIT
- -----------             --------------------------------------------------------------------------------------------------
<C>          <C>        <S>
    10.7        --      Agreement for Purchase of Stock dated as of September 26, 1988 by and among AMI, EPIC and  various
                        subsidiaries  of AMI, filed as Exhibit 2(a) to AMI's  Current Report on Form 8-K dated October 14,
                        1988 and incorporated herein by reference.
    10.8        --      Amended and Restated  Stockholders' Agreement dated  as of July  30, 1991 by  and among the  Fund,
                        GKHPL,  First Plaza, MBLP, MIP and the other  parties thereto, filed as Exhibit 10.39 to Amendment
                        No. 3 to Holdings' Registration Statement on Form S-1, Registration No. 33-41206, on July 26, 1991
                        and incorporated herein by reference.
    10.9        --      Amended and  Restated Registration  Rights  Agreement dated  as  of July  30,  1991 by  and  among
                        Holdings,  the Fund, GKHPL, MBLP,  MIP, the Bank Investor and  the Management Purchasers, filed as
                        Exhibit 10.40 to Amendment No. 3 to Holdings' Registration Statement on Form S-1, Registration No.
                        33-41206, on July 26, 1991 and incorporated herein by reference.
    10.10       --      American Medical Holdings, Inc. 1993 Employee Stock Purchase Plan, filed as Exhibit A to Holdings'
                        Proxy Statement dated January 13, 1993 (the "1993 Proxy") and incorporated herein by reference.
    10.11       --      Amendments to Each of the Nonqualified Employee Stock Option Plan and the Nonqualified Performance
                        Stock Option Plan for Key Employees (Exhibits 10.12  and 10.13 below) filed as Exhibit D to  AMI's
                        1993 Proxy and incorporated herein by reference.
    10.12       --      Nonqualified  Employee Stock Option Plan, filed as Exhibit A to Holdings' Proxy Statement dated as
                        of January 8, 1991 and incorporated herein by reference.
    10.13       --      Nonqualified Performance Stock  Option Plan for  Key Employees,  filed as Exhibit  B to  Holdings'
                        Proxy Statement dated as of January 8, 1991 and incorporated herein by reference.
    10.14       --      Executive Deferred Compensation Plan filed as Exhibit 10.27 to Holdings' Registration Statement on
                        Form S-1 filed on June 17, 1991, Registration No. 33-41206, and incorporated herein by reference.
    10.15       --      Supplemental  Executive Retirement Plan filed as Exhibit 10.28 to Holdings' Registration Statement
                        on Form  S-1 filed  on  June 17,  1991,  Registration No.  33-41206,  and incorporated  herein  by
                        reference.
    10.16       --      Senior  Executive  Deferred Compensation  Plan filed  as Exhibit  10.29 to  Holdings' Registration
                        Statement on Form S-1 filed on June  17, 1991, Registration No. 33-41206, and incorporated  herein
                        by reference.
    10.17       --      Letter  of  Understanding, between  Holdings  and Robert  W. O'Leary,  filed  as Exhibit  10.30 to
                        Amendment No.  3  to Holdings'  Registration  Statement  on Form  S-1,  filed on  July  26,  1991,
                        Registration No. 33-41206, and incorporated herein by reference.
    10.18       --      Letter  of Understanding  dated as of  August 4, 1991  between AMI  and Alan J.  Chamison filed as
                        Exhibit 10.36  to AMI's  Registration Statement  on  Form S-1,  Registration No.  33-41206,  filed
                        September 25, 1991 and incorporated herein by reference.
    10.19       --      Agreement,  dated  as of  March 7,  1990,  among American  Medical International,  Inc. Healthcare
                        Holding Company and Generale De Sante International PLC, filed as Exhibit 10.36 to Amendment No. 3
                        to Holdings' Registration Statement on Form S-1, Registration No. 33-41206, filed on July 26, 1991
                        and incorporated herein by reference.
    10.20       --      Acquisition Agreement, among AMI  Information Systems Group, Inc.,  A.M. International and  Klinik
                        Hirslanden  AG, filed as Exhibit  10.37 to Amendment No. 3  to Holdings' Registration Statement on
                        Form S-1, Registration No. 33-41206, filed on July 26, 1991 and incorporated herein by reference.
</TABLE>

                                       41
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT NO.                                                   DESCRIPTION OF EXHIBIT
- -----------             --------------------------------------------------------------------------------------------------
<C>          <C>        <S>
    10.21       --      Asset Purchase and Sale Agreement,  by and among Holdings, AMI,  AMISUB (PSL), Inc., New H  Acute,
                        Inc.  New H PSL, Inc. and PSL HealthCare System,  dated as of November 15, 1990, as amended, filed
                        as Exhibit 10.38 to Amendment No. 3 to Holdings' Registration Statement on Form S-1 filed on  July
                        26, 1991 and incorporated herein by reference.
    10.22       --      Exchange  Agreement dated as  of January 27, 1992  by and among EPIC  Healthcare Group, Inc., EPIC
                        Holdings, Inc.,  EPIC Transaction  Co.,  American Medical  International, Inc.,  American  Medical
                        (Central),  Inc., American Information  Systems Group, Inc., Brookwood  Health Services, Inc., and
                        Lifemark Hospitals,  Inc.  filed  as  Exhibit 10.1  to  Form  8-K  filed on  March  25,  1992  and
                        incorporated herein by reference.
    10.23       --      Letter  of Understanding between the Company  and AMI and John T.  Casey filed as Exhibit 10.31 to
                        Holdings' and AMI's Annual  Report on Form  10-K for the  fiscal year ended  August 31, 1992  (the
                        "Annual Report") and incorporated herein by reference.
    10.24       --      Letter  of Understanding between the Company and AMI and O. Edwin French filed as Exhibit 10.32 to
                        the Annual Report and incorporated herein by reference.
    10.25       --      Amendment to Letters of Understanding between the Company  and AMI and each of Robert W.  O'Leary,
                        Alan  J. Chamison, John T. Casey, and O. Edwin French, filed as Exhibit 10.34 to the Annual Report
                        and incorporated herein by reference.
    10.26       --      Letter of Understanding dated as of August 19, 1994, from Holdings to Terry Linn.
    10.27       --      Letter of Understanding dated as of October 30, 1992 from AMI to Lawrence N. Kugelman.
    10.28       --      Letter of Understanding dated as of June 1, 1990 from AMI to W. Randolph Smith.
    10.29       --      Employment Agreement dated as of November 1, 1992 between AMI and Thomas J. Sabatino, Jr.
    10.30       --      Amendment dated as  of October  10, 1994  to Employment  Agreement dated  as of  November 1,  1992
                        between AMI and Thomas J. Sabatino, Jr.
    10.31       --      Letter of Understanding dated as of June 1, 1990 from Holdings to Michael N. Murdock.
    10.32       --      Amendment  dated as  of October 10,  1994 to Employment  Agreement dated  as of June  1, 1990 from
                        Holdings' to Michael N. Murdock.
    10.33       --      Letter of Understanding dated as of June 1, 1990 from Holdings to Bary G. Bailey.
    10.34       --      Amendment dated October 10, 1994 to Employment Agreement  dated as of June 1, 1990 from  Holdings'
                        to Bary G. Bailey.
    10.35       --      Loan Agreement dated as of July 14, 1993 between Holdings and John T. Casey.
    10.36       --      Directors Retirement Plan.
    10.37       --      Amendment dated as of October 10, 1994 to Directors Retirement Plan.
    10.38       --      Supplemental Benefit Plan.
    10.39       --      1990 Supplemental Benefit Plan Amended and Restated Effective January 1, 1992.
    10.40       --      Amendment  dated as of December, 1992 to Employment Agreement dated as of October 30, 1992 between
                        Holdings and Lawrence N. Kugelman.
    11          --      Statement re computations of per share earnings for the period ended August 31, 1994.
    21.1        --      List of subsidiaries of Holdings filed as  Exhibit 22 to Holdings' Registration Statement on  Form
                        S-1 filed on June 17, 1991 and incorporated herein by reference.
    21.2        --      List  of subsidiaries of AMI  filed as Exhibit 22  to the AMI Form  S-1 and incorporated herein by
                        reference.
    24          --      Powers of Attorney.
</TABLE>

                                       42
<PAGE>
                                   SIGNATURES

    Pursuant  to  the requirements  of  Section 13  or  15(d) of  the Securities
Exchange Act of 1934 the registrants have  duly caused this report to be  signed
on  their behalf by the  undersigned, thereunto duly authorized,  in the City of
Dallas, State of Texas, on the day of November, 1994. The following officers and
directors have executed this report as of November 16, 1994.

                                        AMERICAN MEDICAL HOLDINGS, INC.
                                        AMERICAN MEDICAL INTERNATIONAL, INC.

                                        By          /s/ ALAN J. CHAMISON

                                          --------------------------------------
                                                     Alan J. Chamison
                                               Executive Vice President and
                                                 Chief Financial Officer

    Pursuant to the requirements  of the Securities Exchange  Act of 1934,  this
report  has  been  signed below,  by  the  following persons  in  the capacities
indicated:

             SIGNATURE                                 TITLE
- -----------------------------------  -----------------------------------------

      /s/ ROBERT W. O'LEARY*
- -----------------------------------    Chairman and Chief Executive Officer
         Robert W. O'Leary                 (Principal Executive Officer)

       /s/ ALAN J. CHAMISON                Executive Vice President and
- -----------------------------------           Chief Financial Officer
         Alan J. Chamison                  (Principal Financial Officer)

        /s/ BARY G. BAILEY
- -----------------------------------         Vice President, Controller
          Bary G. Bailey                  (Principal Accounting Officer)

   /s/ J. ROBERT BUCHANAN, M.D.*
- -----------------------------------                  Director
     J. Robert Buchanan, M.D.

    /s/ ROBERT B. CALHOUN, JR.*
- -----------------------------------                  Director
      Robert B. Calhoun, Jr.

        /s/ JOHN T. CASEY*
- -----------------------------------                  Director
           John T. Casey

        /s/ HARRY J. GRAY*
- -----------------------------------                  Director
           Harry J. Gray

                                       43
<PAGE>

             SIGNATURE                                 TITLE
- -----------------------------------  -----------------------------------------

     /s/ HAROLD S. HANDELSMAN*
- -----------------------------------                  Director
       Harold S. Handelsman

       /s/ SHELDON S. KING*
- -----------------------------------                  Director
          Sheldon S. King

       /s/ MELVYN N. KLEIN*
- -----------------------------------                  Director
          Melvyn N. Klein

        /s/ DAN W. LUFKIN*
- -----------------------------------                  Director
           Dan W. Lufkin

       /s/ WILLIAM E. MAYER*
- -----------------------------------                  Director
         William E. Mayer

      /s/ ROBERT W. O'LEARY*
- -----------------------------------                  Director
         Robert W. O'Leary

      /s/ HAROLD M. WILLIAMS*
- -----------------------------------                  Director
        Harold M. Williams

     *By:   /s/ BARY G. BAILEY
- -----------------------------------
             Bary G. Bailey
          As Attorney-In-Fact

                                       44
<PAGE>
                         INDEX TO FINANCIAL STATEMENTS
                       AND FINANCIAL STATEMENT SCHEDULES

ITEM 14(A).

<TABLE>
<CAPTION>
                                                                                                            PAGE
                                                                                                          REFERENCE
                                                                                                        -------------
<S>                                                                                                     <C>
Financial Statements:
    Report of Independent Accountants.................................................................          F-2
    Consolidated Balance Sheets as of August 31, 1994 and 1993........................................          F-4
    Consolidated Statements of Income
     for the Years Ended August 31, 1994, 1993 and 1992...............................................          F-6
    Consolidated Statements of Cash Flows
     for the Years Ended August 31, 1994, 1993 and 1992...............................................          F-7
    Consolidated Statements of Shareholders' Equity
     for the Years Ended August 31, 1994, 1993 and 1992...............................................          F-8
    Notes to Consolidated Financial Statements........................................................          F-9

Financial Statement Schedules:
    Report of Independent Accountants on Financial Statement Schedules................................          S-1
    Schedule II -- Amounts Receivable from Directors, Officers and Employees..........................          S-2
    Schedule V -- Property and Equipment..............................................................          S-3
    Schedule VI -- Accumulated Depreciation of Property and Equipment.................................          S-4
    Schedule VIII -- Reserves for Uncollectible Accounts..............................................          S-5
    Schedule X -- Supplementary Income Statement Information..........................................          S-6
</TABLE>

    All  other schedules are not submitted  because they are not applicable, not
required,  or  the  information  is  included  in  the  consolidated   financial
statements or notes thereto.

    Separate  financial statements of the parent company have been omitted since
restricted net  assets  of  consolidated  subsidiaries  are  less  than  25%  of
consolidated net assets.

                                      F-1
<PAGE>
                       REPORT OF INDEPENDENT ACCOUNTANTS

To The Boards of Directors and
 Shareholders of American Medical Holdings, Inc.
 and American Medical International, Inc.

    In our opinion, the accompanying consolidated balance sheets and the related
consolidated  statements of  income, of cash  flows and  of shareholders' equity
present fairly, in  all material  respects, the financial  position of  American
Medical Holdings, Inc. and subsidiaries and American Medical International, Inc.
and  subsidiaries  at  August  31,  1994 and  1993,  and  the  results  of their
operations and their cash flows for each of the three years in the period  ended
August  31, 1994, in  conformity with generally  accepted accounting principles.
These financial statements are the responsibility of the Companies'  management;
our  responsibility is to express an opinion on these financial statements based
on our audits. We  conducted our audits of  these statements in accordance  with
generally accepted auditing standards which 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,
assessing the  accounting  principles used  and  significant estimates  made  by
management,  and  evaluating the  overall  financial statement  presentation. We
believe that our  audits provide a  reasonable basis for  the opinion  expressed
above.

PRICE WATERHOUSE LLP

Dallas, Texas
October 20, 1994

                                      F-2
<PAGE>
                 [This page has been intentionally left blank]

                                      F-3
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
                                     ASSETS

<TABLE>
<CAPTION>
                                                                            AS OF AUGUST 31,
                                                       ----------------------------------------------------------
                                                                   1994                          1993
                                                       ----------------------------  ----------------------------
                                                         HOLDINGS          AMI         HOLDINGS          AMI
                                                       -------------  -------------  -------------  -------------
<S>                                                    <C>            <C>            <C>            <C>
CURRENT ASSETS:
Cash and cash equivalents............................  $      31,941  $      31,941  $      44,335  $      44,335
Accounts receivable, less reserves for uncollectible
 accounts of $98,622 in 1994 and $98,143 in 1993.....        147,415        147,415         90,596         90,596
Inventory of supplies................................         63,444         63,444         59,516         59,516
Income taxes, net (including current portion of
 deferred income taxes)..............................         30,876         30,876         24,641         24,641
Prepaid expenses.....................................         15,133         15,133         11,617         11,617
                                                       -------------  -------------  -------------  -------------
                                                             288,809        288,809        230,705        230,705
                                                       -------------  -------------  -------------  -------------
PROPERTY AND EQUIPMENT:
Land.................................................        117,841        117,841        104,723        104,723
Buildings and improvements...........................      1,253,411      1,253,411      1,151,890      1,151,890
Equipment............................................        577,687        577,687        507,505        507,505
Construction in progress.............................         22,457         22,457         35,827         35,827
                                                       -------------  -------------  -------------  -------------
                                                           1,971,396      1,971,396      1,799,945      1,799,945
Less -- Accumulated depreciation.....................        507,653        507,653        395,736        395,736
                                                       -------------  -------------  -------------  -------------
                                                           1,463,743      1,463,743      1,404,209      1,404,209
                                                       -------------  -------------  -------------  -------------
OTHER ASSETS:
Notes receivable.....................................         15,559         15,559         10,791         10,791
Investments..........................................         24,523         24,523         27,982         27,982
Cost in excess of net assets acquired, net...........      1,153,887      1,153,887      1,165,435      1,165,435
Deferred costs.......................................         30,026         30,026         29,248         29,248
                                                       -------------  -------------  -------------  -------------
                                                           1,223,995      1,223,995      1,233,456      1,233,456
                                                       -------------  -------------  -------------  -------------
                                                       $   2,976,547  $   2,976,547  $   2,868,370  $   2,868,370
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
</TABLE>

                See Notes to Consolidated Financial Statements.

                                      F-4
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
                          CONSOLIDATED BALANCE SHEETS
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
                      LIABILITIES AND SHAREHOLDERS' EQUITY

<TABLE>
<CAPTION>
                                                                            AS OF AUGUST 31,
                                                       ----------------------------------------------------------
                                                                   1994                          1993
                                                       ----------------------------  ----------------------------
                                                         HOLDINGS          AMI         HOLDINGS          AMI
                                                       -------------  -------------  -------------  -------------
<S>                                                    <C>            <C>            <C>            <C>
CURRENT LIABILITIES:
Current maturities of long-term debt.................  $     156,028  $     156,028  $      40,831  $      40,831
Accounts payable.....................................         86,898         86,898         84,513         84,513
Accrued liabilities:
  Payroll and benefits...............................        116,961        116,961        131,170        131,170
  Interest...........................................         20,563         20,563         20,641         20,641
  Taxes, other than income...........................         26,322         26,322         26,353         26,353
  Other..............................................         69,692         69,692         67,147         67,147
                                                       -------------  -------------  -------------  -------------
                                                             476,464        476,464        370,655        370,655
                                                       -------------  -------------  -------------  -------------
LONG-TERM DEBT.......................................      1,130,967      1,130,967      1,283,665      1,283,665
                                                       -------------  -------------  -------------  -------------
CONVERTIBLE SUBORDINATED DEBT........................         10,707         10,707         10,487         10,487
                                                       -------------  -------------  -------------  -------------
DEFERRED CREDITS AND OTHER LIABILITIES:
Deferred income taxes................................        218,651        218,651        211,451        211,451
Reserve for professional liability risks.............        103,099        103,099        100,496        100,496
Other deferred credits and liabilities...............        187,941        187,941        187,743        187,743
                                                       -------------  -------------  -------------  -------------
                                                             509,691        509,691        499,690        499,690
                                                       -------------  -------------  -------------  -------------
COMMITMENTS AND CONTINGENCIES
COMMON STOCK SUBJECT TO REPURCHASE OBLIGATIONS.......       --             --                6,046       --
                                                       -------------  -------------  -------------  -------------
SHAREHOLDERS' EQUITY:
AMI common stock, $0.01 par value -- 200,000 shares
 authorized 72,481 shares issued and outstanding in
 1994 and 1993.......................................       --                  725       --                  725
Holdings preferred stock, $0.01 par value --
 5,000 shares authorized No shares outstanding.......       --             --             --             --
Holdings common stock, $0.01 par value -- 200,000
 shares authorized 77,491 shares issued and
 outstanding in 1994 and 76,873 in 1993..............            775       --                  768       --
Additional paid-in capital...........................        608,096        592,494        596,623        587,060
Retained earnings....................................        245,547        261,199        108,436        124,088
Adjustment for minimum pension liability.............         (5,700)        (5,700)        (8,000)        (8,000)
                                                       -------------  -------------  -------------  -------------
                                                             848,718        848,718        697,827        703,873
                                                       -------------  -------------  -------------  -------------
                                                       $   2,976,547  $   2,976,547  $   2,868,370  $   2,868,370
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
</TABLE>

                See Notes to Consolidated Financial Statements.

                                      F-5
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

                       CONSOLIDATED STATEMENTS OF INCOME

                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                        FOR THE YEAR ENDED AUGUST 31,
                                           ----------------------------------------------------------------------------------------
                                                       1994                          1993                          1992
                                           ----------------------------  ----------------------------  ----------------------------
                                             HOLDINGS          AMI         HOLDINGS          AMI         HOLDINGS          AMI
                                           -------------  -------------  -------------  -------------  -------------  -------------
<S>                                        <C>            <C>            <C>            <C>            <C>            <C>
NET REVENUES.............................  $   2,381,689  $   2,381,689  $   2,238,525  $   2,238,525  $   2,237,912  $   2,237,912
OPERATING COSTS AND EXPENSES:
  Salaries and benefits..................        869,020        869,020        815,323        815,323        838,727        838,727
  Supplies...............................        339,985        339,985        315,935        315,935        316,541        316,541
  Provision for uncollectible accounts...        165,539        165,539        148,135        148,135        163,824        163,824
  Depreciation and amortization..........        156,718        156,718        147,397        147,397        149,051        149,051
  Other operating costs..................        524,221        524,221        505,614        505,614        496,180        496,180
                                           -------------  -------------  -------------  -------------  -------------  -------------
    Total operating costs and expenses...      2,055,483      2,055,483      1,932,404      1,932,404      1,964,323      1,964,323
                                           -------------  -------------  -------------  -------------  -------------  -------------
OPERATING INCOME.........................        326,206        326,206        306,121        306,121        273,589        273,589
  Gains on sales of securities...........         69,328         69,328       --             --              119,803        119,803
  Interest expense, net..................       (154,507)      (154,507)      (166,582)      (166,582)      (204,556)      (204,556)
                                           -------------  -------------  -------------  -------------  -------------  -------------
INCOME BEFORE TAXES, MINORITY EQUITY
 INTEREST AND EXTRAORDINARY LOSS.........        241,027        241,027        139,539        139,539        188,836        188,836
  Provision for income taxes.............        (98,300)       (98,300)       (68,800)       (68,800)       (77,900)       (77,900)
                                           -------------  -------------  -------------  -------------  -------------  -------------
NET INCOME BEFORE MINORITY EQUITY
 INTEREST AND EXTRAORDINARY LOSS.........        142,727        142,727         70,739         70,739        110,936        110,936
  Minority equity interest...............         (3,707)        (3,707)        (3,770)        (3,770)        (1,318)        (1,318)
                                           -------------  -------------  -------------  -------------  -------------  -------------
NET INCOME BEFORE EXTRAORDINARY LOSS.....        139,020        139,020         66,969         66,969        109,618        109,618
  Extraordinary loss on early
   extinguishment of debt................         (1,909)        (1,909)       (25,431)       (25,431)        (9,997)        (9,997)
                                           -------------  -------------  -------------  -------------  -------------  -------------
NET INCOME...............................  $     137,111  $     137,111  $      41,538  $      41,538  $      99,621  $      99,621
                                           -------------  -------------  -------------  -------------  -------------  -------------
                                           -------------  -------------  -------------  -------------  -------------  -------------
PER SHARE DATA:
Net income before extraordinary loss.....      $1.80           N/A           $0.87           N/A           $1.43           N/A
  Extraordinary loss on early
   extinguishment of debt................     (0.02)           N/A          (0.33)           N/A          (0.13)           N/A
                                               ----                          ----                          ----
NET INCOME PER COMMON AND COMMON
 EQUIVALENT SHARE........................      $1.78           N/A           $0.54           N/A           $1.30           N/A
                                               ----                          ----                          ----
                                               ----                          ----                          ----
SHARES USED FOR COMPUTATION OF NET INCOME
 PER SHARE...............................     77,143           N/A          76,760           N/A          76,645           N/A
</TABLE>

                See Notes to Consolidated Financial Statements.

                                      F-6
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

                     CONSOLIDATED STATEMENTS OF CASH FLOWS

                                 (IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                               FOR THE YEAR ENDED AUGUST 31,
                                                              ----------------------------------------------------------------
                                                                      1994                  1993                  1992
                                                              --------------------  --------------------  --------------------
                                                              HOLDINGS      AMI     HOLDINGS      AMI     HOLDINGS      AMI
                                                              ---------  ---------  ---------  ---------  ---------  ---------
<S>                                                           <C>        <C>        <C>        <C>        <C>        <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
  Income before extraordinary loss..........................  $ 139,020  $ 139,020  $  66,969  $  66,969  $ 109,618  $ 109,618
  Adjustments to reconcile to net cash provided by operating
   activities:
    Depreciation and amortization...........................    156,718    156,718    147,397    147,397    149,051    149,051
    Deferred income taxes...................................     (8,100)    (8,100)       300        300     19,600     19,600
    Amortization of debt discount, deferred financing costs
     and non-cash interest..................................     49,021     49,021     60,617     60,617     62,396     62,396
    Gains on sales of securities............................    (43,428)   (43,428)    --         --       (119,803)  (119,803)
    Financing fees paid.....................................     (1,630)    (1,630)    (5,515)    (5,515)    (3,297)    (3,297)
    Foreign exchange translation (income) loss..............        215        215       (613)      (613)     7,761      7,761
    Decrease (increase) in accounts receivable, net.........    (18,745)   (18,745)    25,512     25,512     36,859     36,859
    Increase in inventory of supplies and prepaid
     expenses...............................................     (1,206)    (1,206)      (515)      (515)    (4,980)    (4,980)
    Decrease in accounts payable and accrued liabilities....    (10,086)   (10,086)    (9,671)    (9,671)   (54,064)   (54,064)
    Decrease in accrued interest............................       (664)      (664)    (1,409)    (1,409)    (1,553)    (1,553)
    Income taxes, net.......................................     18,283     18,283    (17,983)   (17,983)    81,687     81,687
    Decrease in other liabilities...........................    (14,273)   (14,273)    (6,751)    (6,751)   (27,527)   (27,527)
    Other non-cash items, net...............................      4,506      4,506     (1,058)    (1,058)      (301)      (301)
                                                              ---------  ---------  ---------  ---------  ---------  ---------
NET CASH PROVIDED BY OPERATING ACTIVITIES...................    269,631    269,631    257,280    257,280    255,447    255,447
                                                              ---------  ---------  ---------  ---------  ---------  ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
  Payments on debt..........................................    (62,169)   (62,169)  (653,884)  (653,884)  (506,406)  (506,406)
  Reducing Revolving Credit Facility........................    (21,000)   (21,000)   287,000    287,000     --         --
  Borrowing Base Facility...................................     --         --         --         --        (39,495)   (39,495)
  Borrowings................................................        890        890    152,047    152,047    185,794    185,794
  Contribution to AMI by Holdings...........................     --          5,434     --          2,381     --          9,988
  Stock repurchases.........................................        (20)    --           (118)    --         (3,170)    --
  Issuance of Holdings common stock.........................      5,454     --          2,499     --         11,927     --
                                                              ---------  ---------  ---------  ---------  ---------  ---------
NET CASH USED IN FINANCING ACTIVITIES.......................    (76,845)   (76,845)  (212,456)  (212,456)  (351,350)  (350,119)
                                                              ---------  ---------  ---------  ---------  ---------  ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
  Property and equipment additions..........................   (112,214)  (112,214)  (116,322)  (116,322)   (96,816)   (96,816)
  Acquisitions..............................................   (111,606)  (111,606)    --         --         --         --
  Disposition of assets.....................................     --         --         --         --        100,089    100,089
  Sales of securities.......................................     46,537     46,537     --         --        153,371    153,371
  Decrease (increase) in deferred costs.....................     (7,279)    (7,279)    (3,956)    (3,956)     4,107      4,107
  Additions to notes receivable and investments.............    (15,536)   (15,536)    (4,969)    (4,969)   (43,531)   (43,531)
  Decrease in notes receivable and investments..............      7,270      7,270     63,758     63,758     33,204     33,204
  Other, net................................................    (12,352)   (12,352)    (9,536)    (9,536)   (14,848)   (14,848)
                                                              ---------  ---------  ---------  ---------  ---------  ---------
NET CASH PROVIDED BY (USED IN) INVESTING
 ACTIVITIES.................................................   (205,180)  (205,180)   (71,025)   (71,025)   135,576    135,576
                                                              ---------  ---------  ---------  ---------  ---------  ---------
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS............    (12,394)   (12,394)   (26,201)   (26,201)    39,673     40,904
Cash and cash equivalents, beginning of period..............     44,335     44,335     70,536     70,536     30,863     29,632
                                                              ---------  ---------  ---------  ---------  ---------  ---------
CASH AND CASH EQUIVALENTS, END OF PERIOD....................  $  31,941  $  31,941  $  44,335  $  44,335  $  70,536  $  70,536
                                                              ---------  ---------  ---------  ---------  ---------  ---------
                                                              ---------  ---------  ---------  ---------  ---------  ---------
</TABLE>

                See Notes to Consolidated Financial Statements.

                                      F-7
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

                CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY

                                 (IN THOUSANDS)

                   FOR THE THREE YEARS ENDED AUGUST 31, 1994

<TABLE>
<CAPTION>
                                                                                                                  ADJUSTMENT FOR
                                                                                        ADDITIONAL    RETAINED        MINIMUM
                                                                                          PAID-IN     EARNINGS        PENSION
                                                                 SHARES      AMOUNT       CAPITAL     (DEFICIT)      LIABILITY
                                                                ---------  -----------  -----------  -----------  ---------------
<S>                                                             <C>        <C>          <C>          <C>          <C>
HOLDINGS
Balance, August 31, 1991......................................     75,615   $     756   $   584,145  $   (32,723)    $  --
                                                                ---------       -----   -----------  -----------       -------
  Issuance of stock...........................................      1,315          13        11,914      --             --
  Stock repurchases...........................................       (290)         (3)       (3,167)     --             --
  Common Stock Subject to Repurchase
   Obligations................................................     --          --             3,105      --             --
  Net income..................................................     --          --           --            99,621        --
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1992......................................     76,640         766       595,997       66,898        --
                                                                ---------       -----   -----------  -----------       -------
  Issuance of stock...........................................        247           2         2,497      --             --
  Stock repurchases...........................................        (14)     --              (118)     --             --
  Common Stock Subject to Repurchase
   Obligations................................................     --          --            (1,753)     --             --
  Net income..................................................     --          --           --            41,538        --
  Adjustment for minimum pension liability....................     --          --           --           --             (8,000)
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1993......................................     76,873         768       596,623      108,436        (8,000)
                                                                ---------       -----   -----------  -----------       -------
  Issuance of stock...........................................        621           7         5,447      --             --
  Stock repurchases...........................................         (3)     --               (20)     --             --
  Common Stock Subject to Repurchase
   Obligations................................................     --          --             6,046      --             --
  Net income..................................................     --          --           --           137,111        --
  Adjustment for minimum pension liability....................     --          --           --           --              2,300
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1994......................................     77,491   $     775   $   608,096  $   245,547     $  (5,700)
                                                                ---------       -----   -----------  -----------       -------
                                                                ---------       -----   -----------  -----------       -------
AMI
Balance, August 31, 1991......................................     72,481   $     725   $   567,444  $   (17,071)    $  --
                                                                ---------       -----   -----------  -----------       -------
  Contributions from Holdings.................................     --          --            17,235      --             --
  Net income..................................................     --          --           --            99,621        --
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1992......................................     72,481         725       584,679       82,550        --
                                                                ---------       -----   -----------  -----------       -------
  Contributions from Holdings.................................     --          --             2,381      --             --
  Net income..................................................     --          --           --            41,538        --
  Adjustment for minimum pension liability....................     --          --           --           --             (8,000)
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1993......................................     72,481         725       587,060      124,088        (8,000)
                                                                ---------       -----   -----------  -----------       -------
  Contributions from Holdings.................................     --          --             5,434      --             --
  Net income..................................................     --          --           --           137,111        --
  Adjustment for minimum pension liability....................     --          --           --           --              2,300
                                                                ---------       -----   -----------  -----------       -------
Balance, August 31, 1994......................................     72,481   $     725   $   592,494  $   261,199     $  (5,700)
                                                                ---------       -----   -----------  -----------       -------
                                                                ---------       -----   -----------  -----------       -------
</TABLE>

                 See Notes to Consolidated Financial Statements

                                      F-8
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    BASIS OF PRESENTATION

    American  Medical Holdings, Inc. ("Holdings") was  organized in July 1989 to
acquire American Medical International, Inc. ("AMI" and, together with Holdings,
the "Company"). As a result of this transaction, Holdings is the owner of all of
the outstanding shares of common stock of AMI.

    The accompanying consolidated financial  statements include the accounts  of
Holdings, AMI and all majority owned subsidiary companies and have been prepared
in  accordance with  generally accepted  accounting principles.  All significant
intercompany  accounts   and   transactions  have   been   eliminated.   Certain
reclassifications  have been  made to  prior years'  financial statements  to be
consistent with the fiscal 1994 presentation.

    AMI's financial statements are the  same as Holdings' financial  statements,
except  for  the components  of shareholders'  equity, and  for the  years ended
August 31,  1993  and 1992  the  impact of  Holdings'  common stock  subject  to
repurchase obligations (See Note 9 Capital Stock).

    CASH AND CASH EQUIVALENTS

    All  highly liquid debt  instruments purchased with  an original maturity of
three months or less are considered to be cash equivalents.

    ACCOUNTS RECEIVABLE

    The Company receives payment for services rendered to patients from (i)  the
federal and state governments under the Medicare, Medicaid and CHAMPUS programs,
(ii)  privately sponsored managed care programs  for which payment is made based
on terms defined under contracts and (iii)  other payers. As of August 31,  1994
and  1993, government patient receivables represented approximately 37% and 30%,
respectively, contracted patient receivables  represented approximately 32%  and
35%,   respectively,  and  other  third   party  payer  receivables  represented
approximately 31% and 35%, respectively of net patient receivables.

    Receivables from  government  agencies  represent a  concentrated  group  of
credit  for the Company; however, management does not believe that there are any
credit risks  associated  with  these  governmental  agencies.  The  only  other
significant  credit  concentration is  with various  Blue Cross  affiliates. The
remaining balance  of  payers including  entities  and individuals  involved  in
diverse  activities,  and  subject  to  differing  economic  conditions,  do not
represent any  known  concentrated credit  risks  to the  Company.  Furthermore,
management   continually  monitors  and  adjusts  its  reserves  and  allowances
associated with these receivables.

    INVENTORY OF SUPPLIES

    Inventories are stated at the lower of cost (first-in, first-out) or market.

    PROPERTY AND EQUIPMENT

    Amounts capitalized as part of  property and equipment, including  additions
and  improvements  to  existing  facilities,  are  recorded  at  cost, including
interest capitalized during construction which is computed at the cost of  funds
borrowed.  Maintenance costs and repairs are expensed as incurred. Buildings and
improvements and equipment  are depreciated  using the  straight-line method  of
depreciation over their estimated useful lives. The estimated lives of buildings
and improvements are generally 20 to 25 years and equipment is 3 to 15 years.

                                      F-9
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
    INVESTMENTS

    Investments  are accounted  for under either  the equity method  or the cost
method. Investments accounted for under the cost method are stated at the  lower
of cost or market in the accompanying financial statements.

    COST IN EXCESS OF NET ASSETS ACQUIRED

    Cost  in excess of net assets acquired is being amortized over 40 years from
the original acquisition  date of  AMI resulting  in an  annual amortization  of
approximately  $32.0 million. The  cumulative amortization of  cost in excess of
net assets acquired as of August 31, 1994 and 1993 is $157.2 million and  $125.2
million, respectively.

    DEFERRED COSTS

    Deferred  financing costs are  amortized under the  interest method over the
term of the expected life  of the debt. Costs incurred  prior to the opening  of
new  facilities and costs incurred in the development of data processing systems
are deferred and  amortized on  a straight-line basis  over a  two to  five-year
period.

    INCOME TAXES

    Income  taxes  are  computed  in  accordance  with  Statement  of  Financial
Accounting Standards  ("SFAS") No.  109, "Accounting  for Income  Taxes,"  which
requires  deferred tax liabilities  or assets be  recognized for the anticipated
tax effects of temporary  differences that arise as  a result of differences  in
the book basis and tax basis of assets and liabilities.

    NET REVENUES

    The  Company's  sources  of  revenues are  primarily  provided  from patient
services and are presented net of  reserves to recognize the difference  between
the  hospitals' established billing  rates for covered  services and the amounts
paid  by  third  party  or  private  payers.  Patient  revenues  received  under
government  and  privately sponsored  insurance programs  are  based on  cost as
defined under the programs or at  predetermined rates based upon the  diagnosis,
plus capital costs, return on equity and other adjustments rather than customary
charges.  Adjustments are recorded in the period the services are rendered based
on estimated amounts  to be  reimbursed and  contract interpretations,  however,
such  adjustments  are  generally subject  to  final audit  and  settlement. Net
revenues include adjustments for the years ended August 31, 1994, 1993 and  1992
of  $2.1 billion, $1.9  billion and $1.8  billion, respectively. In management's
opinion, the reserves established are adequate to cover the ultimate liabilities
that may result from final settlements.

    The Company provides healthcare services  free of charge to individuals  who
meet  certain financial or  economic criteria (i.e.  charity care). The billings
for such services  have not been  recognized as receivables  or revenues in  the
financial statements since they are not expected to result in cash flows.

    TRANSLATION OF FOREIGN CURRENCIES

    Revaluation  gains  or  losses  on  assets  and  liabilities  denominated in
currencies other than the functional currency are included in the  determination
of  income.  Revaluation  gains  or  losses  for  debt  denominated  in  foreign
currencies for  the  years ended  August  31,  1994 and  1993  were  immaterial.
Revaluation losses for debt denominated in foreign currencies for the year ended
August 31, 1992 totaled $7.8 million. As of September 1, 1992, substantially all
of  the Company's foreign denominated debt obligations have been redeemed or the
Company has entered into swap agreements that hedge

                                      F-10
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
against any future fluctuations and,  therefore, eliminated any future  material
revaluation gains or losses associated with the applicable debt obligations (See
Note 5 Long Term Debt -- Swap Agreements).

2.  FAIR VALUE OF FINANCIAL INSTRUMENTS
    The  Company uses the following methods and assumptions to estimate the fair
value of its financial instruments at August 31, 1994:

    CASH AND CASH EQUIVALENTS

    The carrying value of cash and cash equivalents approximates fair value  due
to the short-term nature of these instruments.

    INVESTMENTS

    The  Company has various investments for which the determination of the fair
value is not practicable.

    LONG-TERM DEBT

    Fair values of publicly traded notes  have been determined using the  quoted
market  prices at August 31, 1994. The fair value of certain non-publicly traded
notes is based on cash flows discounted using interest rates found on comparable
traded securities. The aggregate carrying value of long-term debt at August  31,
1994, of $1,297.7 million had an estimated fair value of $1,392.3 million.

3.  ACQUISITIONS
    Effective  May 1, 1994, the Company  completed the purchase of Saint Francis
Hospital located in Memphis,  Tennessee. In conjunction  with this purchase,  in
June  1994  the  Company  completed the  acquisition  of  a  management services
organization in the Memphis area. During fiscal 1994, the Company also  acquired
additional  outpatient businesses, including home health, diagnostic centers and
physician practices.

    During fiscal  1993, the  Company  merged the  operations of  AMI's  Tarzana
Regional Medical Center with the operations of HealthTrust, Inc. -- The Hospital
Company's ("HealthTrust") Encino Hospital. AMI owns 75% of the combined hospital
operations  and therefore the results of  operations for the hospitals are fully
consolidated  with  the  results  of  operations  of  the  Company  for  periods
subsequent to January 1, 1993.

4.  DISPOSITIONS
    During  1994, AMI recognized a $69.3 million pre-tax gain ($43.4 million net
of tax), related to the  sale of the Company's  interest in EPIC Holdings,  Inc.
During  fiscal 1992, the  Company completed the sale  of $89.3 million principal
amount of Zero Coupon Notes Due 2001,  issued by EPIC Healthcare Group, Inc.  in
September 1988 as partial consideration for AMI's sale of certain hospitals. AMI
also  completed the sale  of its investment  in EPIC Holdings,  Inc. Class A and
Class B Preferred Stock for aggregate  cash proceeds of $130 million. The  total
pre-tax  gain recorded in fiscal 1992 from these transactions was $119.8 million
($80.7 million, net of  tax). The gains  on the sale of  the EPIC securities  in
fiscal  1994 and 1992  is presented in the  accompanying financial statements as
"Gains on sales of securities."

    During fiscal 1992, the Company sold four domestic acute care hospitals  for
aggregate  cash  proceeds of  approximately  $100.1 million.  These  assets were
valued at their respective sales prices, and therefore, no gains or losses  were
recognized from these sales in fiscal 1992.

                                      F-11
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

5.  LONG-TERM DEBT
    The  components of Holding's and AMI's long-term debt at August 31, 1994 and
1993 are summarized as follows (in thousands):

<TABLE>
<CAPTION>
                                                                                          1994           1993
                                                                                      -------------  -------------
<S>                                                                                   <C>            <C>
Reducing Revolving Credit Facility, 5.7% at August 31, 1994.........................  $     266,000  $     287,000
Senior debt, 11 1/4% to 11 3/8% at August 31, 1994, net of unamortized discount at
 August 31, 1994 of $9.4 million and due from 1995 through 2015.....................        127,179        125,854
11% Senior Notes, due 2000..........................................................        100,000        100,000
6 1/2% Swiss franc/dollar dual currency senior notes due 1997, $74.9 million face
 value, net of $11.2 million unamortized discount at August 31, 1994................         63,760         60,526
11 1/4% Senior notes due 1995, L37 million face value, net of $0.9 million
 unamortized discount at August 31, 1994............................................         61,793         60,084
5% Swiss franc bonds due 1996, SFr.78 million face value, net of $5.1 million
 unamortized discount at August 31, 1994............................................         47,379         44,537
Zero Coupon Guaranteed Bonds due 1997 and 2002, $179.3 million face value, net of
 $83.6 million unamortized discount at August 31, 1994..............................         95,714         84,577
9 1/2% Senior Subordinated Notes, due 2006..........................................        150,000        150,000
13 1/2% Senior Subordinated Notes, due 2001.........................................        193,790        193,790
15% Junior Subordinated Discount Debentures, due 2005...............................        104,473        104,485
Notes, and capital lease obligations (notes secured by trust deeds on real property
 with an aggregate net book value of approximately $96.8 million at August 31, 1994)
 with varying maturities through 2014 with interest at an average rate of 9.6%......         76,907        113,643
                                                                                      -------------  -------------
                                                                                          1,286,995      1,324,496
Less -- current maturities..........................................................        156,028         40,831
                                                                                      -------------  -------------
                                                                                      $   1,130,967  $   1,283,665
                                                                                      -------------  -------------
                                                                                      -------------  -------------
</TABLE>

    REVOLVING CREDIT FACILITY

    The Company's $600  million revolving credit  facility ("Reducing  Revolving
Credit  Facility") was amended in June 1994 extending the term to September 1999
and reducing the rate at which  interest accrues. Amounts outstanding under  the
Reducing  Revolving Credit Facility will accrue  interest, at the option of AMI,
at (i) adjusted LIBOR plus .875% (subject to reduction upon the satisfaction  of
certain  conditions)  or (ii)  at the  alternative base  rate specified  for the
Reducing Revolving  Credit Facility.  Upon completion  of the  fiscal 1994  loan
compliance  report, anticipated to be  prior to the end  of the first quarter of
fiscal 1995, the rate at which interest  accrues based on LIBOR will be  reduced
to  LIBOR plus .75%. Under the Reducing Revolving Credit Facility, $31.3 million
in letters of credit were outstanding as of August 31, 1994.

    SWAP AGREEMENTS

    AMI has entered into swap agreements which hedge any foreign currency  gains
or  losses on the L37  million senior notes, face  amount $62.7 million, and the
SFr.78 million bonds,  face amount  $52.4 million. At  August 31,  1994 no  loss
would  be recognized if the  counter parties to these  swap agreements failed to
perform their obligations.

                                      F-12
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

5.  LONG-TERM DEBT (CONTINUED)
    DEBT COVENANTS

    The terms  of certain  of the  Company's indebtedness  impose operating  and
financial  restrictions  requiring  the Company  to  maintain  certain financial
ratios and restrict the Company's  ability to incur additional indebtedness  and
enter  into leases and guarantees of debt; to make capital expenditures; to make
loans and  investments; to  pay  dividends or  repurchase  shares of  stock;  to
repurchase,  retire or refinance indebtedness prior to maturity, and to purchase
or sell assets.  The Company  has pledged the  capital stock  of certain  direct
(first  tier)  subsidiaries  as  security  its  obligations  under  the Reducing
Revolving Credit Facility  and certain other  senior indebtedness. In  addition,
the  Company  has granted  a  security interest  in  its accounts  receivable as
security for  its  obligations under  the  Reducing Revolving  Credit  Facility.
Management  believes  that  the  Company is  currently  in  compliance  with all
covenants and restrictions contained in all financing agreements.

    MATURITIES OF LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS

    As of August 31,  1994 the maturities of  long-term debt, including  capital
lease  obligations, for the five years ending August 31, 1999 are $156.0 million
in fiscal 1995,  $57.0 million in  fiscal 1996, $182.1  million in fiscal  1997,
$2.3 million in fiscal 1998 and $2.3 million in fiscal 1999.

    CONVERTIBLE SUBORDINATED DEBT

    Convertible subordinated debentures are unsecured obligations of the Company
and  are  redeemable at  declining premiums  prior  to their  respective payment
dates. The 9 1/2%  Convertible Subordinated Debentures Due  2001, of which  $3.4
million  and  $3.3  million  was  outstanding  at  August  31,  1994  and  1993,
respectively, are  convertible  at  $24.38  per share  into  209,639  shares  of
Holdings'  common stock at August 31, 1994,  net of unamortized discount of $1.7
million. The 8 1/4% Convertible Subordinated  Debentures Due 2008 of which  $7.3
million  and  $7.2  million  was  outstanding  at  August  31,  1994  and  1993,
respectively, are  convertible  at  $40.00  per share  into  361,400  shares  of
Holdings'  common stock at August  31, 1994 net of  unamortized discount of $7.1
million.

6.  BENEFIT PLANS

    PENSION PLANS

    The Company  has  defined  benefit  pension  plans  (the  "Plans")  covering
substantially all of the Company's employees. The benefits are based on years of
service  and  the employee's  base  compensation as  defined  in the  Plans. The
Company's policy is  to fund  pension costs  accrued within  the limits  allowed
under  federal income tax regulations. Contributions are intended to provide not
only for benefits  attributed to credited  service to date,  but also for  those
expected to be earned in the future.

                                      F-13
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

6.  BENEFIT PLANS (CONTINUED)
    In  accordance with SFAS No. 87 Holdings and AMI have recorded an adjustment
to recognize a  minimum pension liability.  The following table  sets forth  the
funded  status of the Plans and amounts recognized in the consolidated financial
statements as of August 31, 1994 and 1993 (in thousands):

<TABLE>
<CAPTION>
                                                                                            1994          1993
                                                                                        ------------  ------------
<S>                                                                                     <C>           <C>
Actuarial present value of accumulated benefit obligation:
  Vested..............................................................................  $    182,600  $    147,600
                                                                                        ------------  ------------
                                                                                        ------------  ------------
  Accumulated.........................................................................  $    167,900  $    155,100
                                                                                        ------------  ------------
                                                                                        ------------  ------------
Projected benefit obligation..........................................................  $    209,600  $    170,500
Plan assets at fair value, primarily listed stock and corporate bonds.................      (204,600)     (133,000)
                                                                                        ------------  ------------
Projected benefit obligation in excess of plan assets.................................         5,000        37,500
Unrecognized net loss.................................................................       (24,700)      (25,900)
Adjustment for minimum pension liability..............................................         6,500        10,500
                                                                                        ------------  ------------
Pension liability.....................................................................  $    (13,200) $     22,100
                                                                                        ------------  ------------
                                                                                        ------------  ------------
</TABLE>

    Holdings' and AMI's net  pension cost for the  years ended August 31,  1994,
1993 and 1992 includes the following components (in thousands):

<TABLE>
<CAPTION>
                                                                                 1994        1993        1992
                                                                              ----------  ----------  ----------
<S>                                                                           <C>         <C>         <C>
Service cost -- benefits earned during the period...........................  $    8,300  $    6,800  $    7,600
Interest cost on projected benefit obligation...............................      14,200      12,200      10,000
Actual return on plan assets................................................     (14,400)    (18,500)     (4,500)
Net amortization and deferral...............................................       1,100       7,000      (7,100)
                                                                              ----------  ----------  ----------
Net periodic pension cost...................................................  $    9,200  $    7,500  $    6,000
                                                                              ----------  ----------  ----------
                                                                              ----------  ----------  ----------
</TABLE>

    In  addition, Holdings and AMI have  a unfunded supplemental defined benefit
retirement plan for Company executives ("SERP"). The following table sets  forth
the  amounts  recognized for  the unfunded  SERP  in the  consolidated financial
statements as of August 31, 1994 and 1993 (in thousands):

<TABLE>
<CAPTION>
                                                                                               1994       1993
                                                                                             ---------  ---------
<S>                                                                                          <C>        <C>
Actuarial present value of accumulated benefit obligation:
  Vested...................................................................................  $  43,500  $  43,000
                                                                                             ---------  ---------
                                                                                             ---------  ---------
  Accumulated..............................................................................  $  45,100  $  43,900
                                                                                             ---------  ---------
                                                                                             ---------  ---------
Projected benefit obligation (unfunded)....................................................  $  52,200  $  49,700
Unrecognized net gain (loss)...............................................................        700       (900)
Unrecognized transition costs..............................................................       (200)      (300)
Unrecognized prior service costs...........................................................        200        200
Adjustment for minimum pension liability...................................................      3,100      2,900
                                                                                             ---------  ---------
SERP liability.............................................................................  $  56,000  $  51,600
                                                                                             ---------  ---------
                                                                                             ---------  ---------
</TABLE>

                                      F-14
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

6.  BENEFIT PLANS (CONTINUED)
    Holdings' and AMI's net cost of the SERP plan for the years ended August 31,
1994, 1993 and 1992 includes the following components (in thousands):

<TABLE>
<CAPTION>
                                                                                       1994       1993       1992
                                                                                     ---------  ---------  ---------
<S>                                                                                  <C>        <C>        <C>
Service cost -- benefits earned during the period..................................  $   1,400  $     900  $     100
Interest cost on projected benefit obligation......................................      3,800      3,600      3,700
Net amortization and deferral......................................................        600       (300)      (100)
                                                                                     ---------  ---------  ---------
Net periodic SERP cost.............................................................  $   5,800  $   4,200  $   3,700
                                                                                     ---------  ---------  ---------
                                                                                     ---------  ---------  ---------
</TABLE>

    The weighted-average discount rate used in determining the actuarial present
value of the  projected benefit  obligation for the  SERP and  the pension  plan
approximated  8.75% and 7.5% as  of August 31, 1994  and 1993, respectively. The
rate of increase in  future compensation levels for  the pension plan was  5.0%,
3.5%  and 5.0% for the years ended August 31, 1994, 1993 and 1992, respectively.
The rate of increase in future compensation  levels for the SERP was 6.0%,  5.0%
and  8.0% for the years ended August  31, 1994, 1993 and 1992, respectively. The
expected long-term rate of return on assets was 10.0% for the years ended August
31, 1994 and 1993, for the pension plan.

    DEFERRED SAVINGS PLAN

    The Company also has a tax deferred savings plan. Expenses relating to  this
plan were $8.8 million, $7.3 million and $5.6 million for the years ended August
31, 1994, 1993 and 1992, respectively, for Holdings and AMI.

    OTHER

    The   Company  does  not  provide  any  post-retirement  or  post-employment
healthcare or life insurance benefits to retired or former employees.

    Disclosures for the Company's Options Plans and the Employee Stock  Purchase
Plan are included in Note 9 Capital Stock.

7.  PROFESSIONAL LIABILITY RISKS
    As  is typical in the healthcare industry,  the Company is subject to claims
and legal actions by  patients in the ordinary  course of business. The  Company
self-insures  the  professional and  general liability  claims  for nine  of its
hospitals up to $500,000  per occurrence and  for 26 of its  hospitals up to  $3
million  per occurrence. Prior  to June 1993, the  self-insured retention was $5
million per occurrence. Coverage for  professional and general liability  claims
for  the Company's two remaining hospitals  is maintained with outside insurance
carriers.

    The Company owns a 35% equity interest in an insurance company which insures
excess professional and general  liability risks for  those hospitals which  are
self-insured.  The excess coverage provided by this insurance company is limited
to $25 million per claim. The Company purchases additional excess insurance from
a commercial carrier.  For the period  from January 1986  to February 1991,  the
Company  had no excess coverage  for the majority of  its hospitals. However, in
March 1991 the Company purchased prior acts coverage which substantially reduces
the uninsured  liability for  claims during  this period.  For the  years  ended
August  31, 1994, 1993 and 1992, the Company paid $4.3 million, $5.0 million and
$4.6 million, respectively,  in premiums  to this insurance  company. In  fiscal
1993 and 1992, the Company received distributions of prior year premiums of $2.4
million  and $3.8 million, respectively, from  this insurance company. In fiscal
1994, the Company received no distributions of prior years premiums. The Company
also received dividends of $3.5 million, $2.7 million and $4.7 million from this
insurance company in fiscal 1994, 1993 and 1992, respectively.

                                      F-15
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

7.  PROFESSIONAL LIABILITY RISKS (CONTINUED)
    The Company maintains  an unfunded  reserve for  its professional  liability
risks  which is based, in part,  on actuarial estimates calculated and evaluated
by an independent  actuary. Actual hospital  professional and general  liability
costs for a particular period are not normally known for several years after the
period  has ended. The  delay in determining  the actual cost  associated with a
particular period is due to the amount of lapsed time between the occurrence  of
an  incident, the reporting thereof  and the settlement of  related claims. As a
result, reserves for losses  and related expenses  are estimated using  expected
loss  reporting  patterns determined  in conjunction  with  the actuary  and are
discounted using a rate of 9% to  their present value. Adjustments to the  total
reserves  are determined in conjunction with the  actuary and on an annual basis
are recorded by the  Company as an  increase or decrease  in the current  year's
earnings.

    As  of August 31, 1994 and 1993, the unfunded reserve for self insurance was
$118.8 million  and  $117.6 million,  respectively,  of which  $15.7  and  $17.0
million   in  fiscal  1994  and  1993,   respectively  is  included  in  current
liabilities. For the fiscal years ended August 31, 1994, 1993 and 1992, payments
for claims and expenses totaled $15.7 million, $19.3 million and $17.1  million,
respectively.  For the fiscal  years ended August  31, 1994, 1993  and 1992, the
Company recorded  self insurance  expense of  $16.9 million,  $19.7 million  and
$13.5 million, respectively.

8.  COMMITMENTS AND CONTINGENCIES

    LEASES

    The  Company  leases  certain  office space,  office  equipment  and medical
equipment. Future minimum payments under these operating leases for fiscal 1995,
1996, 1997, 1998, 1999  and thereafter are $35.3  million, $22.2 million,  $17.4
million,  $13.9 million, $10.0  million and $38.2  million, respectively. Future
minimum payments for six acute care hospitals leased under a REIT agreement  are
$36.9  million for each  of the years  ended fiscal 1995,  1996, 1997, and 1998,
$23.3 million  for  fiscal  1999  and $43.5  million  for  the  remaining  years
thereafter.   In  addition,   the  Company   incurs  certain   additional  rents
(contingency rents), in relation to the  REIT agreements, based on a  percentage
of  the increase in net revenues. These additional rents were $6.7 million, $6.4
million and $5.7 million  for the years  ended August 31,  1994, 1993 and  1992,
respectively.

    CONSTRUCTION COMMITMENTS

    The  Company  has approximately  $19.5  million of  construction commitments
outstanding for new construction and renovations as of August 31, 1994.

    GUARANTEES

    The  Company  has  guaranteed  long-term  debt  and  lease  obligations   of
unconsolidated  subsidiaries and affiliates aggregating  $30.8 million at August
31, 1994.

    LEGAL PROCEEDINGS

    LITIGATION RELATING TO THE MERGER (SEE NOTE 17 SUBSEQUENT EVENTS).  To date,
a total of  nine purported class  action suits (the  "Class Actions") have  been
filed  against Holdings and the directors of  Holdings (and in two cases against
NME). Seven of  such Class  Actions have  been filed  in the  Delaware Court  of
Chancery  and  are entitled  (i) JEFFREY  STARK  AND GARY  PLOTKIN V.  ROBERT W.
O'LEARY, ROBERT J. BUCHANAN,  JOHN T. CASEY, ROBERT  B. CALHOUN, HARRY J.  GRAY,
HAROLD  J. [SIC] HANDELSMAN,  SHELDON S. KING,  MELVYN N. KLEIN,  DAN W. LUFKIN,
WILLIAM E. MAYER AND HAROLD S. WILLIAMS (THE "HOLDINGS DIRECTORS") AND HOLDINGS,
C.A. NO. 13792, (ii)7457 Partners v.  the Holdings Directors and Holdings,  C.A.
No.  13793, (iii) MOISE  KATZ V. THE  HOLDINGS DIRECTORS AND  HOLDINGS, C.A. NO.
13794, (iv) CONSTANTINOS KAFALAS  V. THE HOLDINGS  DIRECTORS AND HOLDINGS,  C.A.
NO.  13795, (v) F. RICHARD  MANSON V. THE HOLDINGS  DIRECTORS, NME AND HOLDINGS,
C.A. NO. 13797, (vi) LISBETH GREENFELD V. THE

                                      F-16
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

8.  COMMITMENTS AND CONTINGENCIES (CONTINUED)
HOLDINGS DIRECTORS AND HOLDINGS, C.A. NO. 13799 and (vii) JOSEPH FRANKEL V.  THE
HOLDINGS  DIRECTORS AND HOLDINGS, C.A. NO. 13800 and two purported Class Actions
have been filed in the Superior Court of the State of California, County of  Los
Angeles,  entitled RUTH  LEWINTER AND RAYMOND  CAYUSO V.  THE HOLDINGS DIRECTORS
(WITH THE EXCEPTION OF HAROLD S. WILLIAMS), NME AND HOLDINGS, CASE NO.  BC115206
AND  DAVID  F. AND  SYLVIA  GOLDSTEIN V.  O'LEARY, NME,  AMI,  ET AL.,  CASE NO.
BC116104. The complaints filed  in each of the  Class Actions are  substantially
similar,  are brought  by purported  stockholders of  Holdings and,  in general,
allege that the defendants breached their fiduciary duties to the plaintiffs and
other members of the purported class. One of the Class Actions alleges that  the
defendants  have committed  or aided  and abetted  a gross  abuse of  trust. The
complaints further allege that  the directors of  Holdings wrongfully failed  to
hold  an open auction  and encourage bona  fide bids for  Holdings and failed to
take action to  maximize value  for Holdings stockholders.  The complaints  seek
preliminary  and permanent  injunctions against  the proposed  transaction until
such time as a transaction to be  entered into between Holdings and NME  results
from  bona fide  arms' length  negotiation and/or  requiring a  fair auction for
Holdings. In  addition,  if  the  Merger is  consummated,  the  complaints  seek
recision or recessionary damages and two of the Class Actions seek an accounting
of  all profits realized and to be realized by the defendants in connection with
the Merger and the  imposition of a  constructive trust for  the benefit of  the
plaintiffs   and  other  members  of  the  purported  classes  pending  such  an
accounting. The complaints also seek  monetary damages of an unspecified  amount
together  with prejudgment interest  and attorneys' and  experts' fees. Holdings
and NME believe that the complaints are without merit and intend to defend  them
vigorously.

    In addition, Holdings and AMI are subject to claims and suits arising in the
ordinary  course  of  business.  In  the  opinion  of  management,  the ultimate
resolution of all  pending legal proceedings  will not have  a material  adverse
effect on the business, results of operations or financial condition of Holdings
and AMI.

9.  CAPITAL STOCK

    OPTION PLANS

    The  Company  maintains two  stock option  plans, the  Nonqualified Employee
Stock Option Plan  (the "Option  Plan") and the  Nonqualified Performance  Stock
Option  Plan for  Key Employees  (the "Key  Employees Plan"),  pursuant to which
employees of Holdings and its subsidiaries are eligible to receive stock options
to purchase shares of common stock.

    The table below summarizes  the transactions in  the Company's stock  option
plans  for the  years ended  August 31,  1994, 1993  and 1992  (shares of common
stock):

<TABLE>
<CAPTION>
                                                          1994         1993         1992
                                                       -----------  -----------  -----------
<S>                                                    <C>          <C>          <C>
Outstanding at beginning of period...................    3,342,683    3,179,317    3,450,246
Granted..............................................      437,862      525,696      565,000
Exercised............................................     (471,549)    (192,548)    (114,849)
Cancelled or expired.................................     (175,311)    (169,782)    (721,080)
                                                       -----------  -----------  -----------
Outstanding at end of period.........................    3,133,685    3,342,683    3,179,317
                                                       -----------  -----------  -----------
                                                       -----------  -----------  -----------
Exercisable at end of period.........................    1,402,780    1,280,513      908,999
                                                       -----------  -----------  -----------
                                                       -----------  -----------  -----------
</TABLE>

    The Option Plan generally  provides options that  are exercisable at  prices
ranging  from $7.03 to  $19.21 per share, vest  over a period  of five years and
expire ten years from the date of grant. The Key

                                      F-17
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

9.  CAPITAL STOCK (CONTINUED)
Employees Plan generally provides options that are exercisable at prices ranging
from $7.03 to $22.17 per share, vest over a period of five to ten years based on
the attainment of specified performance goals and expire ten years from the date
of grant.

    EMPLOYEE STOCK PURCHASE PLAN

    In January 1993  the Company adopted  an Employee Stock  Purchase Plan  (the
"Plan"). The purpose of the Plan is to provide an incentive for employees of the
Company  to own  Holdings' common stock.  The plan allows  eligible employees to
contribute up to 10% of their  base earnings to purchase Holdings' common  stock
quarterly,  through payroll deductions, at 85% of the lower of the closing price
on the first or last day of the Plan quarter. The Company has reserved 2,300,000
shares of Holdings' common stock for the Plan.

    COMMON STOCK SUBJECT TO REPURCHASE OBLIGATIONS

    The Company's obligation to repurchase shares of Holdings' common stock held
by certain executive officers no longer exists. Accordingly, the amount  related
to   common  stock   subject  to   repurchase  obligations   was  recognized  as
shareholders' equity as  of August 31,  1994. As  of August 31,  1993 and  1992,
shares  of Holdings' common stock subject to repurchase obligations were 431,858
and 445,976, respectively.

10. RELATED PARTY TRANSACTIONS
    In connection with  the sale  of the  Company's interest  in EPIC  Holdings,
Inc.,  during  fiscal 1994  the Company  was represented  by and  paid a  fee of
approximately $2.3 million to a major shareholder.

    In fiscal  1992, an  affiliate of  a major  shareholder served  as the  lead
managing  underwriter of the public offering  of 16.2 million shares of Holdings
common stock, the issuance of the 13 1/2% Senior Subordinated Notes Due 2001 and
the 11% Senior Notes Due 2000. This related party received underwriting fees  of
$.9 million and in addition received advisory fees of $1.3 million in connection
with divestitures during fiscal 1992.

    An entity associated with a general partner of a major shareholder agreed to
provide  credit support to domestic hospital  subsidiaries of AMI for which such
entity received an annual fee  in fiscal 1993 and  1992 of $750,000. The  credit
support  commitment was  replaced with the  fiscal 1993 refinancing  of the bank
credit facility.

11. EARNINGS PER SHARE
    Holdings' earnings per share for the  years ended August 31, 1994, 1993  and
1992  is based upon  the weighted average  number of shares  of Holdings' common
stock outstanding.  The impact  of common  stock equivalents  is not  considered
since they either have an anti-dilutive effect or the effect on dilution is less
than three percent.

                                      F-18
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

12. INCOME TAXES
    (Provision)  benefit for income taxes, excluding  the tax effect of minority
equity interest and the extraordinary loss, for the years ended August 31, 1994,
1993 and 1992 for Holdings and AMI consists of the following (in thousands):

<TABLE>
<CAPTION>
                                                             1994         1993        1992
                                                         ------------  ----------  ----------
<S>                                                      <C>           <C>         <C>
Current (including current portion of deferred)
  Federal..............................................  $    (95,500) $  (58,600) $  (50,100)
  State................................................       (10,900)     (9,900)     (8,200)
                                                         ------------  ----------  ----------
                                                             (106,400)    (68,500)    (58,300)
                                                         ------------  ----------  ----------
Deferred
  Federal..............................................        10,400        (400)    (18,700)
  State................................................        (2,300)        100        (900)
                                                         ------------  ----------  ----------
                                                                8,100        (300)    (19,600)
                                                         ------------  ----------  ----------
    Total provision for income taxes...................  $    (98,300) $  (68,800) $  (77,900)
                                                         ------------  ----------  ----------
                                                         ------------  ----------  ----------
</TABLE>

    The net tax  effects of  temporary differences and  carryforwards that  give
rise  to deferred tax assets and liabilities as  of August 31, 1994 and 1993 are
as follows (in thousands):

<TABLE>
<CAPTION>
                                                                         1994         1993
                                                                      -----------  -----------
<S>                                                                   <C>          <C>
Deferred tax liabilities:
  Property and equipment............................................  $   294,000  $   278,700
  Change in accounting method.......................................       18,800       20,000
  Debt discounts and deferred loan costs............................        9,900       10,400
  Other, net........................................................       45,169       59,951
                                                                      -----------  -----------
      Total deferred tax liabilities................................      367,869      369,051
                                                                      -----------  -----------
Deferred tax assets:
  Self-insurance reserves...........................................       55,700       54,300
  Other deferred expenses...........................................       20,100       20,900
  Deferred gains and losses.........................................       16,000       26,400
  Bad debt reserves.................................................        5,400        4,600
  Deferred compensation.............................................       36,300       46,800
  Other, net........................................................       76,100       43,000
                                                                      -----------  -----------
      Total deferred tax assets.....................................      209,600      196,000
                                                                      -----------  -----------
Net deferred tax lability...........................................  $   158,269  $   173,051
                                                                      -----------  -----------
                                                                      -----------  -----------
</TABLE>

    The net deferred tax  liability of $158.3 million  and $173.1 million as  of
August  31,  1994 and  1993,  respectively, includes  a  current asset  of $60.3
million and $38.4 million,  respectively, and a  noncurrent liability of  $218.6
million  and  $211.5  million,  respectively. No  valuation  allowance  has been
recorded against any deferred tax asset.

    In August 1993, the  Revenue Reconciliation Act of  1993 was enacted.  Among
other tax law changes, such law increased the corporate income tax rate from 34%
to  35% effective for the period beginning on  or after January 1, 1993. For the
year ended August 31, 1994, the U.S. statutory tax rate for the Company is 35%.

                                      F-19
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

12. INCOME TAXES (CONTINUED)
    Holdings' and AMI's income tax  provision differed from the amount  computed
using the U.S. statutory rate for the years ended August 31, 1994, 1993 and 1992
for the following reasons (in thousands):

<TABLE>
<CAPTION>
                                                             1994        1993        1992
                                                          ----------  ----------  ----------
<S>                                                       <C>         <C>         <C>
Tax at U.S. statutory rate..............................  $  (84,400) $  (48,400) $  (64,200)
Amortization of goodwill................................     (11,200)    (11,100)    (11,000)
State income tax, net of federal benefit................      (8,600)     (5,500)     (6,000)
Impact on deferred taxes of change in federal tax
 rate...................................................      --          (4,000)     --
Other, net..............................................       5,900         200       3,300
                                                          ----------  ----------  ----------
Provision for income taxes..............................  $  (98,300) $  (68,800) $  (77,900)
                                                          ----------  ----------  ----------
                                                          ----------  ----------  ----------
</TABLE>

    Prior  to  fiscal  1992,  Holdings  had  operating  loss  and  capital  loss
carryforwards for  tax purposes  of $42  million and  $9 million,  respectively,
which were fully utilized against net income and capital gains arising in fiscal
1992 and against capital gains on assets sold prior to the acquisition of AMI.

13. EXTRAORDINARY LOSSES ON EARLY EXTINGUISHMENT OF DEBT
    The  Company has recognized extraordinary  losses on early extinguishment of
debt in fiscal 1994, 1993, and 1992. Fiscal 1994 includes an extraordinary  loss
of  $1.9 million  ($3.0 million  pre-tax) from  the repurchase  of $15.4 million
principal amount of the  15% Junior Subordinated  Discount Debentures Due  2005.
Fiscal  1993 includes an extraordinary loss of $25.4 million ($41.0 million pre-
tax) from the  repurchase or redemption  of $146.8 million  principal amount  of
outstanding  indebtedness. Fiscal 1992  includes an extraordinary  loss of $10.0
million ($15.6  million pre-tax)  from the  repurchase or  redemption of  $159.0
million  of senior indebtedness and  $55.4 million of the  9 7/8% unsecured loan
stock due 2011.

14. SUPPLEMENTAL CASH FLOW INFORMATION
    The Company paid income  taxes (net of refunds)  of $86.0 million and  $83.6
million for the years ended August 31, 1994 and 1993, respectively, and received
income  tax refunds (net of payments) of $22.5 million for the year ended August
31, 1992. The  Company paid interest  (net of capitalized  costs) for the  years
ended  August 31,  1994, 1993  and 1992  of $108.3  million, $120.5  million and
$154.1 million, respectively. Capitalized interest costs were $3.5 million, $1.4
million and $2.6 million for August 31, 1994, 1993 and 1992. Interest income was
$2.7 million, $13.9  million and $10.0  million for the  years ended August  31,
1994, 1993 and 1992.

    NON-CASH TRANSACTIONS

    During  fiscal 1994, the  Company assumed net  assets of approximately $92.0
million related to  the purchase  of Saint  Francis Hospital  and during  fiscal
1993,  the Company assumed net assets of  approximately $8.0 million as a result
of the merger of AMI's Tarzana Regional Medical Center and HealthTrust's  Encino
Hospital.

    For  the  years ended  August 31,  1993 and  1992 an  $8.2 million  and $9.3
million loss,  net of  tax, respectively,  was  recognized as  a result  of  the
write-off  of the  discounts and  deferred financing  costs associated  with the
early extinguishment of debt.

    For the year ended August 31, 1994 approximately $6.0 million was recognized
as an increase  in shareholders' equity  of Holdings due  to the elimination  of
common stock subject to repurchase

                                      F-20
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

14. SUPPLEMENTAL CASH FLOW INFORMATION (CONTINUED)
obligations. For the year ended August 31, 1993 $1.8 million was recognized as a
decrease  in shareholders'  equity of Holdings  for the common  stock subject to
repurchase obligations due to  market price changes. For  the year ended  August
31,  1992, there  was no market  price change  and, therefore, no  effect on the
value of the common stock subject to repurchase obligations.

    In fiscal 1992, the Company recognized $27.1 million of debt as a result  of
the  acquisition  of the  remaining interest  in an  entity that  was previously
unconsolidated.

15. SELECTED QUARTERLY FINANCIAL DATA (UNAUDITED)
    Quarterly financial information for Holdings and AMI for the two years ended
August 31, 1994 is summarized below (in millions, except per share amounts):

<TABLE>
<CAPTION>
                                                       FISCAL 1994                                   FISCAL 1993
                                       --------------------------------------------  --------------------------------------------
                                         FIRST      SECOND       THIRD     FOURTH      FIRST      SECOND       THIRD     FOURTH
                                       ---------  -----------  ---------  ---------  ---------  -----------  ---------  ---------
<S>                                    <C>        <C>          <C>        <C>        <C>        <C>          <C>        <C>
Net revenues.........................  $     558   $     583   $     602  $     638  $     542   $     566   $     565  $     565
Income before extraordinary loss.....         17          24          71         27         11          18          22         16
Extraordinary loss...................     --          --              (2)    --         --          --              (7)       (18)
Net income (loss)....................  $      17   $      24   $      69  $      27  $      11   $      18   $      15  $      (2)

Holdings' income (loss) per share:
  Income before extraordinary loss...  $    0.21   $    0.32   $    0.92  $    0.35  $    0.14   $    0.24   $    0.28  $    0.21
  Extraordinary loss.................     --          --           (0.02)    --         --          --           (0.09)     (0.24)
  Net income (loss)..................  $    0.21   $    0.32   $    0.90  $    0.35  $    0.14   $    0.24   $    0.19  $   (0.03)
</TABLE>

    The third quarter of fiscal 1994 includes the gain on sale of securities  of
$43.4  million, net of tax, (See Note 4 Dispositions). The results of operations
of Saint  Francis  Hospital were  consolidated  with the  Company's  results  of
operations effective May 1, 1994.

    The  fourth quarter  of fiscal  1993 reflects a  charge of  $3.5 million for
costs incurred related to the relocation  of the Houston regional office to  the
Dallas headquarters. Additional charges totaling $3.0 million were recognized in
previous  quarters offset by benefits. Income before extraordinary loss includes
an $8.6 million refund of interest paid to the Internal Revenue Service in prior
periods. Additionally in the  fourth quarter of fiscal  1993, the provision  for
income taxes includes the impact of a $5.1 million increase in the provision for
income  taxes due  to the  enactment of the  Revenue Reconciliation  Act of 1993
which increased the corporate income tax rate.

16. BUSINESS SEGMENT
    The Company's only material business segment is "healthcare" which accounted
for substantially all  of its  revenues and operating  results for  each of  the
periods presented.

17. SUBSEQUENT EVENTS
    On  October 10, 1994, Holdings, National  Medical Enterprises, Inc, a Nevada
corporation ("NME")  and  a  wholly-owned  subsidiary  of  NME  ("Merger  Sub"),
executed  an Agreement and Plan of  Merger (the "Merger Agreement"). Pursuant to
the Merger  Agreement,  Merger  Sub  will merge  with  and  into  Holdings  (the
"Merger").  As  a result  of  the Merger,  Holdings  will become  a wholly-owned
subsidiary  of  NME  and  the  resulting  company  will  be  the  second-largest
healthcare  services company in the nation.  Under terms of the Merger Agreement
each share of  common stock of  Holdings will  be converted into  (i) $19.00  in
cash,    if   the    closing   occurs   on    or   before    March   31,   1995,

                                      F-21
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

17. SUBSEQUENT EVENTS (CONTINUED)
and $19.25 thereafter and (ii) 0.42 of a newly issued share of NME common stock.
Under the Merger Agreement,  Holdings will pay a  special dividend of $0.10  per
share  before the effective  date of the Merger.  Following the Merger, Holdings
will have the  right to nominate  three members to  the 13 member  board of  the
combined  company. Approximately 50% of  the Company's indebtedness contains put
provisions whereby the holders of such debt have the right to require  repayment
following  a change of control of the Company. The transaction has been approved
by shareholders of approximately 61.4% of Holdings' outstanding shares of common
stock and, therefore, further action by Holdings' shareholders is not  required.
The transaction, which is currently anticipated to close in the first quarter of
calendar  1995, is subject to certain  conditions including, among other things,
expiration  of  any  applicable  waiting  period  under  the   Hart-Scott-Rodino
Antitrust Improvements Act of 1976, as amended.

    On  September 1, 1994,  a limited partnership,  of which AMI  is the general
partner, acquired Hilton Head Hospital in Hilton Head, South Carolina containing
68 beds. In connection with the Company's efforts to re-establish a presence  in
Europe,  the Company has entered into a joint venture agreement with a community
organization (the "Burgergemeinde")  located in Cham,  Canton Zug,  Switzerland.
The   joint  venture  will  be  owned  90%   by  the  Company  and  10%  by  the
Burgergemeinde. Under the  terms of  the proposed transaction,  the Company  has
entered  into a  long term  lease for  the land  where the  existing hospital is
located and  will then  construct  a new  56 bed  acute  care wing,  convert  an
existing  structure into a medical office  building and renovate and remodel the
existing acute care  facility. In  addition, the  Company plans  to contract  to
provide  management, food, physical  therapy and rehabilitation  services to the
hospital, an on-site nursing home and an affiliated retirement community.

                                      F-22
<PAGE>
                      REPORT OF INDEPENDENT ACCOUNTANTS ON
                         FINANCIAL STATEMENT SCHEDULES

To the Board of Directors
of American Medical Holdings, Inc. and
American Medical International, Inc.

    Our  audits  of the  consolidated financial  statements  referred to  in our
report dated October 20,  1994 appearing on  page F-2 of  this Annual Report  on
Form  10-K  also  included an  audit  of  the Financial  Statement  Schedules of
American Medical Holdings, Inc.  (Holdings) and American Medical  International,
Inc.  (AMI) as of and for  the years ended August 31,  1994, August 31, 1993 and
August 31, 1992 as listed in Item 14(a) of the Form 10-K. In our opinion,  these
Financial  Statement  Schedules present  fairly, in  all material  respects, the
information set  forth  therein  when  read  in  conjunction  with  the  related
consolidated financial statements.

PRICE WATERHOUSE LLP

Dallas, Texas
October 20, 1994

                                      S-1
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES
               SCHEDULE II -- AMOUNTS RECEIVABLE FROM DIRECTORS,
                             OFFICERS AND EMPLOYEES

                   FOR THE THREE YEARS ENDED AUGUST 31, 1994
<TABLE>
<CAPTION>
                                 BALANCE AT                 COLLEC-   BALANCE AT                 COLLEC-   BALANCE AT    COLLEC-
                                 AUGUST 31,                 TIONS/    AUGUST 31,                 TIONS/    AUGUST 31,    TIONS/
NAME OF DEBTOR                    1991 (1)     ADVANCES      OTHER     1992 (1)     ADVANCES      OTHER     1993 (1)      OTHER
- -------------------------------  -----------  -----------  ---------  -----------  -----------  ---------  -----------  ---------
<S>                              <C>          <C>          <C>        <C>          <C>          <C>        <C>          <C>
Robert W. O'Leary..............  $ 600,000(2) $   --       $(200,000)  $ 400,000   $   --       $(200,000)  $ 200,000   $(200,000)
John T. Casey..................      --         150,000(3)  (150,000)     --         375,000(2)   (15,626)    359,374    (125,000)
Alan J. Chamison...............      --         375,000(2)  (115,000)    260,000       --        (125,000)    135,000    (125,000)
Marshall I. Smith..............      --         150,000(4)    --         150,000       --          --         150,000    (150,000)
                                 -----------  -----------  ---------  -----------  -----------  ---------  -----------  ---------
                                 $ 600,000    $ 675,000    $(465,000)  $ 810,000   $ 375,000    $(340,626)  $ 844,374   $(600,000)
                                 -----------  -----------  ---------  -----------  -----------  ---------  -----------  ---------
                                 -----------  -----------  ---------  -----------  -----------  ---------  -----------  ---------

<CAPTION>
                                 BALANCE AT
                                 AUGUST 31,
NAME OF DEBTOR                    1994 (1)
- -------------------------------  -----------
<S>                              <C>
Robert W. O'Leary..............   $  --
John T. Casey..................     234,374
Alan J. Chamison...............      10,000
Marshall I. Smith..............      --
                                 -----------
                                  $ 244,374
                                 -----------
                                 -----------
<FN>
- ------------------------------
(1)  The  balances  outstanding  for  each  of  the  years  presented  have been
     reflected  as  long   term  receivables  in   the  consolidated   financial
     statements.

(2)  These  interest free loans were  made to the borrowers  for the purchase of
     common stock. These loans are due and payable 10 days after the termination
     of the borrower's employment. The loans will be forgiven by the Company  in
     equal monthly increments for 36 months continuing from the original date of
     grant  until  fully amortized  for so  long  as the  borrower serves  as an
     officer of the Company. In the event  of termination prior to 36 months  of
     service,  these loans become due and  payable 10 days after the termination
     date.

(3)  This interest free loan was  made to the borrower  for the purchase of  his
     principal  place of residence and  is repaid upon the  sale of his previous
     residence.

(4)  This interest free loan was  made to the borrower  for the purchase of  his
     principal  place of  residence and was  to be  repaid upon the  sale of his
     previous residence. As of August 31, 1993, such employee was terminated and
     based on the terms of the  severance agreement set therewith, the loan  was
     repaid during fiscal 1994.
</TABLE>

                                      S-2
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

                      SCHEDULE V -- PROPERTY AND EQUIPMENT

               FOR THE YEARS ENDED AUGUST 31, 1994, 1993 AND 1992
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                           ADDITIONS
                                            BALANCE AT        AT
                                             BEGINNING     COST AND     SALES AND                    BALANCE AT
                                             OF PERIOD     TRANSFERS   RETIREMENTS       OTHER      END OF PERIOD
                                           -------------  -----------  ------------  -------------  -------------
<S>                                        <C>            <C>          <C>           <C>            <C>
HOLDINGS AND AMI:
YEAR ENDED AUGUST 31, 1994
Land.....................................  $     104,723   $  13,088   $       (139) $      169(1)  $     117,841
Buildings and improvements...............      1,151,890     103,900         (2,736)        357(1)      1,253,411
Equipment................................        507,505      76,718         (8,166)      1,630(1)        577,687
Construction in progress.................         35,827     (13,293)           (77)      --               22,457
                                           -------------  -----------  ------------  -------------  -------------
                                           $   1,799,945   $ 180,413   $    (11,118) $    2,156     $   1,971,396
                                           -------------  -----------  ------------  -------------  -------------
                                           -------------  -----------  ------------  -------------  -------------
YEAR ENDED AUGUST 31, 1993
Land.....................................  $     105,241   $  --       $       (518) $    --        $     104,723
Buildings and improvements...............      1,111,163      39,547        --            1,180(2)      1,151,890
Equipment................................        443,561      63,667         (6,464)      6,741(2)        507,505
Construction in progress.................         24,419       9,470           (162)      2,100(2)         35,827
                                           -------------  -----------  ------------  -------------  -------------
                                           $   1,684,384   $ 112,684   $     (7,144) $   10,021     $   1,799,945
                                           -------------  -----------  ------------  -------------  -------------
                                           -------------  -----------  ------------  -------------  -------------
HOLDINGS:
YEAR ENDED AUGUST 31, 1992
Land.....................................  $     113,417   $     490   $     (9,677) $    1,011(3)  $     105,241
Buildings and improvements...............      1,099,312      51,546        (65,743)     26,048(3)      1,111,163
Equipment................................        415,747      55,251        (27,437)      --              443,561
Construction in progress.................         28,507      (3,951)          (137)      --               24,419
                                           -------------  -----------  ------------  -------------  -------------
                                           $   1,656,983   $ 103,336   $   (102,994) $   27,059     $   1,684,384
                                           -------------  -----------  ------------  -------------  -------------
                                           -------------  -----------  ------------  -------------  -------------
AMI:
YEAR ENDED AUGUST 31, 1992
Land.....................................  $     112,632   $     490   $     (9,677) $    1,796(4)  $     105,241
Buildings and improvements...............      1,064,919      51,546        (65,743)     60,441(4)      1,111,163
Equipment................................        402,831      55,251        (27,437)     12,916(4)        443,561
Construction in progress.................         26,607      (3,951)          (137)      1,900(4)         24,419
                                           -------------  -----------  ------------  -------------  -------------
                                           $   1,606,989   $ 103,336   $   (102,994) $   77,053(4)  $   1,684,384
                                           -------------  -----------  ------------  -------------  -------------
                                           -------------  -----------  ------------  -------------  -------------
<FN>
- ------------------------
(1)  Recognition  of the consolidation of investments previously recorded on the
     equity method.

(2)  Represents the assumption of net  assets as a result  of (a) the merger  of
     AMI's Tarzana Regional Medical Center and HealthTrust's Encino Hospital and
     (b) the recognition of the consolidation of investments previously recorded
     on the equity method.

(3)  Recognition  of the consolidation of a joint venture previously recorded on
     the equity method.

(4)  Reflects the effect of  Holdings' contribution of all  the common stock  of
     New  H,  a wholly  owned  subsidiary of  Holdings, to  AMI  as well  as the
     recognition of the consolidation of a joint venture previously recorded  on
     the equity method.
</TABLE>

                                      S-3
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

       SCHEDULE VI -- ACCUMULATED DEPRECIATION OF PROPERTY AND EQUIPMENT

               FOR THE YEARS ENDED AUGUST 31, 1994, 1993 AND 1992
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                BALANCE AT
                                                 BEGINNING                 SALES AND                  BALANCE AT
                                                 OF PERIOD    PROVISION   RETIREMENTS     OTHER      END OF PERIOD
                                                -----------  -----------  -----------  ------------  -------------
<S>                                             <C>          <C>          <C>          <C>           <C>
HOLDINGS AND AMI:
YEAR ENDED AUGUST 31, 1994
Buildings and improvements....................  $   176,317  $    55,025   $    (645)  $    --        $   230,697
Equipment.....................................      219,419       63,107      (6,346)        776(1)       276,956
                                                -----------  -----------  -----------  ------------  -------------
                                                $   395,736  $   118,132   $  (6,991)  $     776      $   507,653
                                                -----------  -----------  -----------  ------------  -------------
                                                -----------  -----------  -----------  ------------  -------------
YEAR ENDED AUGUST 31, 1993
Buildings and improvements....................  $   125,551  $    50,787   $     (21)  $    --        $   176,317
Equipment.....................................      164,485       59,481      (4,547)       --            219,419
                                                -----------  -----------  -----------  ------------  -------------
                                                $   290,036  $   110,268   $  (4,568)  $    --        $   395,736
                                                -----------  -----------  -----------  ------------  -------------
                                                -----------  -----------  -----------  ------------  -------------
HOLDINGS:
YEAR ENDED AUGUST 31, 1992
Buildings and improvements....................  $    85,416  $    50,497   $ (10,362)  $    --        $   125,551
Equipment.....................................      116,981       59,120     (11,616)       --            164,485
                                                -----------  -----------  -----------  ------------  -------------
                                                $   202,397  $   109,617   $ (21,978)  $    --        $   290,036
                                                -----------  -----------  -----------  ------------  -------------
                                                -----------  -----------  -----------  ------------  -------------
AMI:
YEAR ENDED AUGUST 31, 1992
Buildings and improvements....................  $    80,067  $    50,497   $ (10,362)  $   5,349(2)   $   125,551
Equipment.....................................      113,121       59,120     (11,616)      3,860(2)       164,485
                                                -----------  -----------  -----------  ------------  -------------
                                                $   193,188  $   109,617   $ (21,978)  $   9,209      $   290,036
                                                -----------  -----------  -----------  ------------  -------------
                                                -----------  -----------  -----------  ------------  -------------
<FN>
- ------------------------
(1)  Recognition  of the consolidation of investments previously recorded on the
     equity method.

(2)  Reflects the effect of  Holdings' contribution of all  the common stock  of
     New H, a wholly owned subsidiary of Holdings, to AMI.
</TABLE>

                                      S-4
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

              SCHEDULE VIII -- RESERVES FOR UNCOLLECTIBLE ACCOUNTS

               FOR THE YEARS ENDED AUGUST 31, 1994, 1993 AND 1992
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                              BALANCE AT
                                               BEGINNING                REDUCTIONS NET                 BALANCE AT
                                               OF PERIOD   PROVISIONS   OF RECOVERIES      OTHER      END OF PERIOD
                                              -----------  -----------  --------------  ------------  -------------
<S>                                           <C>          <C>          <C>             <C>           <C>
HOLDINGS AND AMI:
YEAR ENDED AUGUST 31, 1994
Reserves for Uncollectible Accounts.........   $  98,143   $   165,539   $   (165,060)  $    --        $    98,622
                                              -----------  -----------  --------------  ------------  -------------
                                              -----------  -----------  --------------  ------------  -------------
YEAR ENDED AUGUST 31, 1993
Reserves for Uncollectible Accounts.........   $  86,744   $   148,135   $   (136,736)  $    --        $    98,143
                                              -----------  -----------  --------------  ------------  -------------
                                              -----------  -----------  --------------  ------------  -------------
HOLDINGS:
YEAR ENDED AUGUST 31, 1992
Reserves for Uncollectible Accounts.........   $  68,326   $   163,824   $   (145,406)  $    --        $    86,744
                                              -----------  -----------  --------------  ------------  -------------
                                              -----------  -----------  --------------  ------------  -------------
AMI:
YEAR ENDED AUGUST 31, 1992
Reserves for Uncollectible Accounts.........   $  62,570   $   163,824   $   (145,406)  $   5,756(1)   $    86,744
                                              -----------  -----------  --------------  ------------  -------------
                                              -----------  -----------  --------------  ------------  -------------
<FN>
- ------------------------
(1)  Reflects  the effect of  Holdings' contribution of all  the common stock of
     New H, a wholly owned subsidiary of Holdings to AMI.
</TABLE>

                                      S-5
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
             AMERICAN MEDICAL INTERNATIONAL, INC. AND SUBSIDIARIES

            SCHEDULE X -- SUPPLEMENTARY INCOME STATEMENT INFORMATION

               FOR THE YEARS ENDED AUGUST 31, 1994, 1993 AND 1992
                             (DOLLARS IN THOUSANDS)

<TABLE>
<CAPTION>
                                                                    YEAR ENDED      YEAR ENDED      YEAR ENDED
                                                                    AUGUST 31,      AUGUST 31,      AUGUST 31,
                                                                       1994            1993            1992
                                                                  --------------  --------------  --------------
<S>                                                               <C>             <C>             <C>
ITEM
HOLDINGS AND AMI:
Maintenance and repairs.........................................    $   37,168      $   33,294      $   30,716
Depreciation and amortization of intangibles and other assets...    $   38,586      $   37,129      $   39,434
Taxes, other than payroll and income taxes......................    $   31,476      $   29,677      $   27,370
</TABLE>

                                      S-6

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

                                                                         ANNEX A

                          AGREEMENT AND PLAN OF MERGER
                                  BY AND AMONG
                      NATIONAL MEDICAL ENTERPRISES, INC.,
                              AMH ACQUISITION CO.
                                      AND
                        AMERICAN MEDICAL HOLDINGS, INC.

                          DATED AS OF OCTOBER 10, 1994

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                               TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                                                               PAGE
                                                                                                             ---------
<S>               <C>                                                                                        <C>

                                                      ARTICLE I
                                                      THE MERGER

Section 1.1       The Merger...............................................................................         00
Section 1.2       Effective Time of the Merger.............................................................         00

                                                      ARTICLE II
                                              THE SURVIVING CORPORATION

Section 2.1       Certificate of Incorporation.............................................................         00
Section 2.2       By-Laws..................................................................................         00
Section 2.3       Directors and Officers of Surviving Corporation..........................................         00

                                                     ARTICLE III
                                                 CONVERSION OF SHARES

Section 3.1       Merger Consideration.....................................................................         00
Section 3.2       Exchange of Certificates Representing Shares.............................................         00
Section 3.3       Dividends................................................................................         00
Section 3.4       No Fractional Securities.................................................................         00
Section 3.5       Closing of Company Transfer Books........................................................         00
Section 3.6       Unclaimed Amounts........................................................................         00
Section 3.7       Lost Certificates........................................................................         00
Section 3.8       Dissenting Shares........................................................................         00
Section 3.9       Closing..................................................................................         00

                                                      ARTICLE IV
                                       REPRESENTATIONS AND WARRANTIES OF PARENT

Section 4.1       Organization.............................................................................         00
Section 4.2       Capitalization; Registration Rights......................................................         00
Section 4.3       Subsidiaries.............................................................................         00
Section 4.4       Material Investments.....................................................................         00
Section 4.5       Authority Relative to this Agreement.....................................................         00
Section 4.6       Consents and Approvals; No Violations....................................................         00
Section 4.7       Parent SEC Reports.......................................................................         00
Section 4.8       Absence of Certain Changes or Events.....................................................         00
Section 4.9       Litigation...............................................................................         00
Section 4.10      Absence of Undisclosed Liabilities.......................................................         00
Section 4.11      No Default...............................................................................         00
Section 4.12      Taxes....................................................................................         00
Section 4.13      Title to Certain Properties; Encumbrances................................................         00
Section 4.14      Medicare Participation/Accreditation and Recapture.......................................         00
Section 4.15      Labor Matters............................................................................         00
Section 4.16      Employee Benefit Plans; ERISA............................................................         00
Section 4.17      Patents, Licenses, Franchises and Formulas...............................................         00
Section 4.18      Insurance................................................................................         00
Section 4.19      Board Approvals; Opinion of Financial Advisor............................................         00
Section 4.20      Brokers..................................................................................         00
</TABLE>

                                      A-i
<PAGE>

<TABLE>
<CAPTION>
                                                                                                               PAGE
                                                                                                             ---------
<S>               <C>                                                                                        <C>

                                                      ARTICLE V
                                    REPRESENTATIONS AND WARRANTIES OF THE COMPANY

Section 5.1       Organization.............................................................................         00
Section 5.2       Capitalization...........................................................................         00
Section 5.3       Subsidiaries.............................................................................         00
Section 5.4       Material Investments.....................................................................         00
Section 5.5       Authority Relative to this Agreement.....................................................         00
Section 5.6       Consents and Approvals; No Violations....................................................         00
Section 5.7       Company SEC Reports......................................................................         00
Section 5.8       Absence of Certain Changes or Events.....................................................         00
Section 5.9       Litigation...............................................................................         00
Section 5.10      Absence of Undisclosed Liabilities.......................................................         00
Section 5.11      No Default...............................................................................         00
Section 5.12      Taxes....................................................................................         00
Section 5.13      Title to Certain Properties; Encumbrances................................................         00
Section 5.14      Compliance with Applicable Law...........................................................         00
Section 5.15      Medicare Participation/Accreditation and Recapture.......................................         00
Section 5.16      Labor Matters............................................................................         00
Section 5.17      Employee Benefit Plans; ERISA............................................................         00
Section 5.18      Patents, Licenses, Franchises and Formulas...............................................         00
Section 5.19      Insurance................................................................................         00
Section 5.20      Board Approval; Opinion of Financial Advisor.............................................         00
Section 5.21      Brokers..................................................................................         00

                                                      ARTICLE VI
                                        CONDUCT OF BUSINESS PENDING THE MERGER

Section 6.1       Conduct of Business by the Company Pending the Merger....................................         00
Section 6.2       Conduct of Business by Parent Pending the Merger.........................................         00
Section 6.3       Conduct of Business of SUB...............................................................         00

                                                     ARTICLE VII
                                                ADDITIONAL AGREEMENTS

Section 7.1       Access and Information...................................................................         00
Section 7.2       Acquisition Proposals....................................................................         00
Section 7.3       Registration Statement...................................................................         00
Section 7.4       Listing Application......................................................................         00
Section 7.5       Information Statement and Stockholder Approval...........................................         00
Section 7.6       Filings; Other Action....................................................................         00
Section 7.7       Public Announcements.....................................................................         00
Section 7.8       Company Indemnification Provision........................................................         00
Section 7.9       Registration Statement for Securities Act Affiliates.....................................         00
Section 7.10      Certain Benefits.........................................................................         00
Section 7.11      Directors of Parent......................................................................         00
Section 7.12      Special Dividend.........................................................................         00
Section 7.13      Additional Agreements....................................................................         00
</TABLE>

                                      A-ii
<PAGE>

<TABLE>
<CAPTION>
                                                                                                               PAGE
                                                                                                             ---------
<S>               <C>                                                                                        <C>

                                                     ARTICLE VIII
                                       CONDITIONS TO CONSUMMATION OF THE MERGER

Section 8.1       Conditions to Each Party's Obligation to Effect the Merger...............................         00
Section 8.2       Conditions to Obligation of the Company to Effect the Merger.............................         00
Section 8.3       Conditions to Obligations of Parent and SUB to Effect the Merger.........................         00

                                                      ARTICLE IX
                                          TERMINATION, AMENDMENT AND WAIVER

Section 9.1       Termination by Mutual Consent............................................................         00
Section 9.2       Termination by Either Parent or the Company..............................................         00
Section 9.3       Termination by the Company...............................................................         00
Section 9.4       Termination by Parent....................................................................         00
Section 9.5       Effect of Termination and Abandonment....................................................         00

                                                      ARTICLE X
                                                  GENERAL PROVISIONS

Section 10.1      Survival of Representations, Warranties and Agreements...................................         00
Section 10.2      Notices..................................................................................         00
Section 10.3      Descriptive Headings.....................................................................         00
Section 10.4      Entire Agreement: Assignment.............................................................         00
Section 10.5      Governing Law............................................................................         00
Section 10.6      Expenses.................................................................................         00
Section 10.7      Amendment................................................................................         00
Section 10.8      Waiver...................................................................................         00
Section 10.9      Counterparts; Effectiveness..............................................................         00
Section 10.10     Severability; Validity; Parties in Interest..............................................         00
Section 10.11     Enforcement of Agreement.................................................................         00
</TABLE>

                                     A-iii
<PAGE>
                          AGREEMENT AND PLAN OF MERGER

    AGREEMENT  AND PLAN OF  MERGER, dated as  of October 10,  1994, by and among
National  Medical  Enterprises,  Inc.,  a  Nevada  corporation  ("Parent"),  AMH
Acquisition  Co., a Delaware corporation and a wholly owned subsidiary of Parent
("Sub"), and  American  Medical  Holdings, Inc.,  a  Delaware  corporation  (the
"Company").

    WHEREAS,  the Boards  of Directors  of Parent and  Sub and  the Company have
approved the  merger upon  the terms  and subject  to the  conditions set  forth
herein (the "Merger").

    WHEREAS,  in conjunction with  the execution and  delivery of this Agreement
and as  an inducement  to Parent's  and  Sub's willingness  to enter  into  this
Agreement,  certain holders of  shares of the Company's  common stock, par value
$.01 per  share  (the  "Common Stock"),  have  agreed  to and  will  enter  into
Stockholder  Voting  and  Profit Sharing  Agreements  with Parent,  in  the form
attached hereto  as  Exhibit  A  (the "Stockholder  Voting  and  Profit  Sharing
Agreements").

    NOW,  THEREFORE,  in  consideration  of  the  foregoing  and  the respective
representations, warranties,  covenants and  agreements  set forth  herein,  the
parties hereto agree as follows:

                                   ARTICLE I
                                   THE MERGER

    Section  1.1   THE MERGER.   Upon  the terms  and subject  to the conditions
hereof, at the Effective Time (as defined  in Section 1.2 hereof), Sub shall  be
merged  with and into  the Company and  the separate corporate  existence of Sub
shall thereupon cease, and the Company shall be the surviving corporation in the
Merger (the "Surviving Corporation") and all of its rights, privileges,  powers,
immunities, purposes and franchises shall continue unaffected by the Merger. The
Merger  shall  have  the  effects  set  forth  in  Section  259  of  the General
Corporation Law of the State of Delaware (the "DGCL").

    Section 1.2    EFFECTIVE  TIME OF  THE  MERGER.   The  Merger  shall  become
effective   when  a  properly   executed  Certificate  of   Merger  meeting  the
requirements of Section  251 of the  DGCL is  duly filed with  the Secretary  of
State of the State of Delaware or at such later time as the parties hereto shall
have  designated  in  such filing  as  the  Effective Time  of  the  Merger (the
"Effective Time"), which filing shall be  made as soon as practicable after  the
closing  of the transactions  contemplated by this  Agreement in accordance with
Section 3.9 hereof.

                                   ARTICLE II
                           THE SURVIVING CORPORATION

    Section 2.1  CERTIFICATE OF INCORPORATION.  The Certificate of Incorporation
of the Surviving Corporation shall be the Certificate of Incorporation of Sub in
effect immediately prior to the Effective Time.

    Section 2.2  BY-LAWS.  The By-Laws of Sub as in effect immediately prior  to
the Effective Time shall be the By-Laws of the Surviving Corporation.

    Section 2.3  DIRECTORS AND OFFICERS OF SURVIVING CORPORATION.

    (a)  The directors of Sub  immediately prior to the  Effective Time shall be
the directors of the Surviving Corporation as of the Effective Time.

    (b) The officers  of the  Company immediately  prior to  the Effective  Time
shall  be the officers  of the Surviving  Corporation at the  Effective Time and
shall hold office from the Effective Time until

                                      A-2
<PAGE>
their respective successors  are duly elected  or appointed and  qualify in  the
manner provided in the Certificate of Incorporation and By-Laws of the Surviving
Corporation, or as otherwise provided by law.

                                  ARTICLE III
                              CONVERSION OF SHARES

    Section  3.1  MERGER CONSIDERATION.  At the Effective Time, by virtue of the
Merger and without any action on the part of the holder thereof:

        (a) Each share of  Common Stock (the  "Shares"), issued and  outstanding
    immediately  prior to the  Effective Time (other  than Dissenting Shares (as
    hereinafter defined) and Shares held in the treasury of the Company or owned
    by Parent or any subsidiary of the Company or the Parent) shall be converted
    into the right to  receive (i) 0.42  of a share of  Common Stock, par  value
    $.075  per  share  ("Parent  Shares"), of  Parent  (holders  of  which shall
    thereafter be entitled to issuance of Parent's Series A Junior Participating
    Preferred  Stock  issuable  in  connection  with  Parent's  Preferred  Stock
    Purchase  Rights (as hereinafter defined)  in the circumstances specified in
    Parent's Certificate of Designation relating thereto), subject to the  right
    of  holders of  Shares pursuant  to Section  6.2(c) to  elect, under certain
    circumstances, to receive cash in lieu of such fraction of a Parent Share as
    set forth in such Section 6.2(c); and (ii) $19.00 in cash or, if the Closing
    shall not have been consummated on or before March 31, 1995, $19.25 in cash,
    all of  which shall  be payable  upon the  surrender of  the  certificate(s)
    formerly  representing  such  Shares (the  Parent  Shares (or  cash  in lieu
    thereof as  aforesaid) and  cash  so deliverable  being herein  referred  to
    collectively  as the "Merger Consideration"). As  of the Effective Time, all
    such Shares  shall  no longer  be  outstanding and  shall  automatically  be
    cancelled  and  retired and  shall  cease to  exist,  and each  holder  of a
    certificate representing any such Shares shall cease to have any rights with
    respect  thereto,  except  to  receive  the  Merger  Consideration,  without
    interest.

        (b) At the Effective Time, all options (individually, a "Company Option"
    or collectively, the "Company Options") then outstanding under the Company's
    Nonqualified  Employee  Stock  Option Plan  and  the  Company's Nonqualified
    Performance  Stock  Option   Plan  for  Key   Employees,  each  as   amended
    (collectively,  the "Company Stock  Option Plans"), shall,  by virtue of the
    Merger and without  any further action  on the  part of the  Company or  any
    holder of such Company Options, unless otherwise agreed to in writing by the
    holder of a Company Option, be cancelled in consideration for payment by the
    Surviving  Corporation to  holders of Company  Options of cash  in an amount
    equal  to  (i)(A)  the  sum  of  (x)  the  cash  component  of  the   Merger
    Consideration,  plus  (y)  0.42  times  the  Average  Price  (as hereinafter
    defined) of a Parent Share, multiplied by (B) the Shares subject to  Company
    Options, less (ii) the exercise price of such Company Options.

        (c)  Each Share issued and held in  the treasury of the Company or owned
    by any  subsidiary of  the Company  and each  Share held  by Parent  or  any
    subsidiary  of  Parent  immediately prior  to  the Effective  Time  shall be
    cancelled and retired and cease to exist  and no payment shall be made  with
    respect thereto.

        (d)  Each share of common stock, par value $.01 per share, of Sub issued
    and outstanding immediately prior to  the Effective Time shall be  converted
    into and become a fully paid and non-assessable share of Common Stock of the
    Surviving Corporation.

    Section 3.2  EXCHANGE OF CERTIFICATES REPRESENTING SHARES.

    (a)  As of the  Effective Time, Parent  shall deposit, or  shall cause to be
deposited, with an exchange agent selected by Parent and reasonably satisfactory
to the Company (the "Exchange Agent"), for the benefit of the holders of Shares,
for  exchange  in  accordance  with   this  Article  III,  (i)(x)   certificates
representing  the  number  of  Parent  Shares issuable  as  part  of  the Merger
Consideration

                                      A-3
<PAGE>
(subject to the election contained in Section 6.2(c)) and (y) cash in an  amount
equal  to the aggregate cash component of the Merger Consideration, in each case
to be  paid  in respect  of  all Shares  outstanding  immediately prior  to  the
Effective  Time and which are to be  exchanged pursuant to the Merger (exclusive
of shares to be cancelled pursuant to Section 3.1(c)), and (ii) cash to be  paid
in  lieu of the issuance of fractional  shares as provided in Section 3.4 hereof
(such cash and certificates for Parent  Shares, if any, together with  dividends
or distributions with respect thereto being hereinafter referred to collectively
as the "Exchange Fund").

    (b) Promptly after the Effective Time, Parent shall cause the Exchange Agent
to  mail (or  deliver at  its principal office)  to each  holder of  record of a
certificate or  certificates representing  Shares (i)  a letter  of  transmittal
which  shall specify that delivery shall be effected, and risk of loss and title
to  the  certificates  for  Shares  shall  pass,  only  upon  delivery  of   the
certificates for Shares to the Exchange Agent and shall be in such form and have
such  other provisions, including appropriate provisions with respect to back-up
withholding, as Parent may reasonably specify, and (ii) instructions for use  in
effecting  the surrender  of the  certificates for  Shares. Upon  surrender of a
certificate for Shares  for cancellation  to the Exchange  Agent, together  with
such  letter of transmittal, duly executed  and completed in accordance with the
instructions thereto,  the  holder  thereof  shall be  entitled  to  receive  in
exchange  therefor that portion of  the Exchange Fund which  such holder has the
right to receive pursuant  to the provisions of  this Article III, after  giving
effect  to  any required  withholding  tax, and  the  certificate for  Shares so
surrendered shall forthwith be cancelled. No interest will be paid or accrued on
the cash to be  paid as part of  the Merger Consideration. In  the event of  any
transfer  of ownership of Shares  which has not been  registered in the transfer
records of the Company,  certificates representing the  proper number of  Parent
Shares,  if any, together with a check in  an amount equal to the cash component
of the  Exchange Fund,  will be  issued  to the  transferee of  the  certificate
representing the transferred Shares presented to the Exchange Agent, accompanied
by  all documents required to evidence and effect the prior transfer thereof and
to evidence  that  any applicable  stock  transfer taxes  associated  with  such
transfer were paid.

    Section 3.3  DIVIDENDS.  No dividends or other distributions with respect to
securities of Parent constituting part of the Merger Consideration shall be paid
to  the holder of any unsurrendered  certificates representing Shares until such
certificates are surrendered as  provided in Section  3.1. Upon such  surrender,
all dividends and other distributions payable in respect of such securities on a
date  subsequent to, and in  respect of a record  date after the Effective Time,
shall be paid, without  interest, to the person  in whose name the  certificates
representing  the securities of Parent into which such Shares were converted are
registered or as otherwise directed by that person. In no event shall the person
entitled to  receive such  dividends  or distributions  be entitled  to  receive
interest on any such dividends or distributions.

    Section   3.4    NO  FRACTIONAL  SECURITIES.     No  certificates  or  scrip
representing fractional Parent  Shares shall  be issued upon  the surrender  for
exchange of certificates representing Shares pursuant to this Article III and no
dividend,  stock split or other  change in the capital  structure of the Company
shall relate to any fractional interest, and such fractional interests shall not
entitle the owner thereof to vote or to any rights of a security holder. In lieu
of any such fractional interest, each holder of Shares who would otherwise  have
been  entitled  to  a  fraction  of  a  Parent  Share  upon  surrender  of stock
certificates for exchange pursuant  to this Article III  will be paid cash  upon
such  surrender in an amount equal to the product of such fraction multiplied by
the average closing sale price of Parent  Shares on the New York Stock  Exchange
over  the ten  (10) consecutive trading  days immediately  preceding the Closing
Date, as such closing sale  price shall be reported  in THE WALL STREET  JOURNAL
or,  if not available, such other authoritative publication as may be reasonably
selected by Parent (such average over such period being the "Average Price").

    Section 3.5  CLOSING OF COMPANY TRANSFER BOOKS.  At the Effective Time,  the
stock  transfer books of the  Company shall be closed  and no transfer of Shares
shall  thereafter  be   made.  If,  after   the  Effective  Time,   certificates
representing  Shares are presented  to the Surviving  Corporation, they shall be
cancelled and exchanged for the Merger Consideration.

                                      A-4
<PAGE>
    Section 3.6  UNCLAIMED AMOUNTS.  Any  portion of the Exchange Fund which  is
attributable  to  Dissenting Shares  or which  remains  unclaimed by  the former
stockholders of the Company one year after the Effective Time shall be delivered
by the Exchange Agent to the Parent. Any former stockholders of the Company  who
have  not theretofore complied with this  Article III shall thereafter look only
to the  Parent  for  payment  of  the Merger  Consideration,  cash  in  lieu  of
fractional  shares, and unpaid dividends and  distributions in respect of Parent
Shares deliverable as part of the Merger Consideration as determined pursuant to
this Agreement, in all cases without  any interest thereon. None of Parent,  the
Surviving  Corporation, the Exchange Agent or any other person will be liable to
any former  holder of  Shares for  any  amount properly  delivered to  a  public
official pursuant to applicable abandoned property, escheat or similar laws.

    Section  3.7   LOST CERTIFICATES.   In the event  any certificate evidencing
Shares shall have been lost, stolen  or destroyed, upon the making and  delivery
of  an affidavit of  that fact by  the person claiming  such certificate to have
been lost, stolen or destroyed and, if  required by Parent, the posting by  such
person  of a bond  in such reasonable  amount as Parent  may direct as indemnity
against any claim that would be made against the Company or Parent with  respect
to  such certificate, the Exchange  Agent will issue in  exchange for such lost,
stolen or destroyed certificate the portion of the Exchange Fund deliverable  in
respect thereof pursuant to this Agreement.

    Section  3.8  DISSENTING SHARES.  Notwithstanding anything in this Agreement
to the contrary,  any issued  and outstanding Shares  held by  a stockholder  (a
"Dissenting  Stockholder") who objects  to the Merger and  complies with all the
provisions of the DGCL concerning the right of holders of Shares to dissent from
the Merger and require appraisal of  the Shares ("Dissenting Shares") shall  not
be  converted as described in Section 3.1  but shall become the right to receive
such consideration as may be determined to be due to such Dissenting Stockholder
pursuant to the DGCL. If, after the Effective Time, such Dissenting  Stockholder
withdraws  his demand for appraisal  or fails to perfect  or otherwise loses his
right of appraisal, in any case pursuant to the DGCL, or if the Parent otherwise
consents thereto, his Shares shall be deemed to be converted as of the Effective
Time into the right to receive  the Merger Consideration, without interest.  The
Company  shall give  Parent (a)  prompt notice of  any demands  for appraisal of
Shares received by  the Company and  (b) the opportunity  to participate in  and
direct  all negotiations and  proceedings with respect to  any such demands. The
Company shall not, without the prior written consent of Parent, make any payment
with respect to,  or settle, offer  to settle or  otherwise negotiate, any  such
demands.

    Section  3.9  CLOSING.  The closing of the transactions contemplated by this
Agreement (the "Closing")  shall take  place at the  offices of  Neal, Gerber  &
Eisenberg, 2 North LaSalle Street, Chicago, Illinois, at 10:00 a.m., local time,
on  the  later  of  (a) twenty  (20)  business  days after  the  mailing  of the
Information Statement/Prospectus (as  defined in  Section 7.3  hereof), (b)  the
third  business day  following notice  from Parent  to the  Company that  it has
obtained the proceeds from the  financing necessary to provide for  consummation
of  the Merger (except that the foregoing  shall not prejudice the rights of the
Company under  Section 9.3(d)  hereof)  and (c)  the day  on  which all  of  the
conditions  set forth in Article VIII hereof are satisfied or waived, or at such
other date, time and place as Parent  and the Company shall agree (the  "Closing
Date").

                                   ARTICLE IV
                    REPRESENTATIONS AND WARRANTIES OF PARENT

    Except  as otherwise disclosed  to the Company  in a letter  delivered to it
prior to the execution hereof (which letter shall contain appropriate references
to identify the representations and  warranties herein to which the  information
in  such letter relates) (the "Parent Disclosure Letter"), the Parent represents
and warrants to the Company as follows:

    Section 4.1  ORGANIZATION.  Parent is a corporation duly organized,  validly
existing  and in good standing under the laws of the State of Nevada and has the
corporate power  to carry  on  its business  as it  is  now being  conducted  or
presently  proposed  to be  conducted.  Parent is  duly  qualified as  a foreign

                                      A-5
<PAGE>
corporation to do business, and is in good standing, in each jurisdiction  where
the  character of its properties owned or held  under lease or the nature of its
activities make such qualification necessary, except where the failure to be  so
qualified  would not  individually or in  the aggregate have  a material adverse
effect on the business, assets, liabilities, results of operations or  financial
condition  of Parent and the Parent Subsidiaries  (as defined below), taken as a
whole (a "Parent Material Adverse Effect"). Sub is a corporation duly organized,
validly existing and in good standing under  the laws of the State of  Delaware.
Sub  has not engaged in  any business since the  date of its incorporation other
than in connection with this Agreement.

    Section 4.2   CAPITALIZATION; REGISTRATION RIGHTS.   The authorized  capital
stock  of Parent consists  of 450,000,000 Parent Shares  and 2,500,000 shares of
preferred stock, par  value $.15  per share  ("Parent Preferred  Stock"). As  of
September  30, 1994, (i) 166,324,747 Parent  Shares were issued and outstanding,
19,262,919 Parent  Shares were  issued and  held in  treasury and  no shares  of
Parent  Preferred Stock were outstanding, (ii) employee stock options to acquire
15,107,151 Parent Shares (the "Parent Employee Stock Options") were  outstanding
under  all employee  stock option plans  of Parent,  (iii) non-employee director
stock options  to acquire  248,740  Parent Shares  (the "Parent  Director  Stock
Options")  were  issued and  outstanding under  all non-employee  director stock
option plans of  Parent, (iv)  2,102 shares  of Series  B Convertible  Preferred
Stock  were  reserved  for  issuance  upon  conversion  of  Parent's Convertible
Floating Rate Debentures due  1996, (v) 13,977,549  Parent Shares were  reserved
for  issuance upon conversion of Parent's  Series B Convertible Preferred Stock,
(vi) 500,000  Parent  Shares  were  reserved for  issuance  in  connection  with
Parent's  Deferred Compensation Plan  Trust, (vii) 1,000,000  Parent Shares were
reserved for issuance in  connection with Parent's 1994  SERP Trust, and  (viii)
225,000  shares of  Parent Series  A Junior  Participating Preferred  Stock were
reserved for issuance  upon the  exercise of Parent's  Preferred Stock  Purchase
Rights.  All of  the issued  and outstanding  Parent Shares  are validly issued,
fully paid and nonassessable and free  of pre-emptive rights. All of the  Parent
Shares  reserved for issuance  in exchange for  Shares at the  Effective Time in
accordance with this Agreement will be, when so issued, duly authorized, validly
issued, fully  paid  and  nonassessable  and free  of  pre-emptive  rights.  The
authorized  capital stock of Sub  consists of 1,000 shares  of common stock, par
value $.01 per share,  all of which shares  are validly issued and  outstanding,
fully  paid and nonassessable and are owned by Parent. Except as set forth above
or as specified in Section 4.2 of  the Parent Disclosure Letter, as of the  date
of  this Agreement  there are  no shares  of capital  stock of  Parent issued or
outstanding or any options, warrants, subscriptions, calls, rights,  convertible
securities  or  other  agreements  or commitments  obligating  Parent  to issue,
transfer, sell,  redeem,  repurchase or  otherwise  acquire any  shares  of  its
capital  stock or securities, or the capital  stock or securities of Sub. Except
as provided in  this Agreement  or as  disclosed in  Section 4.2  of the  Parent
Disclosure  Letter, after the  Effective Time Parent will  have no obligation to
issue, transfer or sell any shares of its capital stock pursuant to any employee
benefit plan or otherwise.

    Section 4.3  SUBSIDIARIES.

    (a) The subsidiaries of Parent that (i) directly or indirectly own or  lease
any  interest  in  any  hospitals,  health  care  facilities  or  medical office
buildings, (ii) directly or indirectly conduct any insurance activities or (iii)
are otherwise material to Parent  (collectively, the "Parent Subsidiaries")  are
listed in Section 4.3(a) of the Parent Disclosure Letter. Each Parent Subsidiary
is a corporation duly organized, validly existing and in good standing under the
laws  of the jurisdiction  of its incorporation and  has all requisite corporate
power and authority to own, lease and operate its properties and to carry on its
business as now being  conducted, except where the  failure to be so  organized,
existing  and in  good standing or  to have  such power and  authority would not
individually or in  the aggregate have  a Parent Material  Adverse Effect.  Each
Parent  Subsidiary is  duly qualified  or licensed  and in  good standing  to do
business in each jurisdiction in which the property owned, leased or operated by
it or the nature  of the business  conducted by it  makes such qualification  or
licensing  necessary, except  in such jurisdictions  where the failure  to be so
duly qualified or licensed and in good standing would not individually or in the
aggregate have a Parent Material Adverse Effect.

                                      A-6
<PAGE>
    (b) Except as set forth in  Section 4.3(b) of the Parent Disclosure  Letter,
Parent is, directly or indirectly, the record and beneficial owner of all of the
outstanding  shares of capital  stock of each of  the Parent Subsidiaries, there
are no proxies with respect to any such shares, and no equity securities of  any
Parent  Subsidiary are  or may  become required  to be  issued by  reason of any
options, warrants, rights to subscribe to, calls or commitments of any character
whatsoever relating to, or securities or rights convertible into or exchangeable
or exercisable for, shares  of any capital stock  of any Parent Subsidiary,  and
there  are no  contracts, commitments,  understandings or  arrangements by which
Parent or any Parent Subsidiary is or may be bound to issue, redeem, purchase or
sell additional shares of  its capital stock or  securities convertible into  or
exchangeable  or exercisable for any such shares. All of such shares so owned by
Parent are validly issued, fully paid and nonassessable and are owned by it free
and clear  of  any  claim,  mortgage, deed  of  trust,  pledge,  lien,  security
interest,  charge,  encumbrance  or  similar agreement  of  any  kind  or nature
whatsoever ("Lien"),  restraint on  alienation, or  any other  restriction  with
respect to the transferability or assignability thereof (other than restrictions
on transfer imposed by federal or state securities laws).

    Section  4.4  MATERIAL INVESTMENTS.   Except as set  forth in Section 4.4 of
the Parent Disclosure  Letter, Parent does  not directly or  indirectly own  any
equity  or similar interest in, or any interest convertible into or exchangeable
or exercisable for  any equity or  similar interest in,  any corporation  (other
than  a subsidiary), partnership, joint venture or other business association or
entity that directly or indirectly owns  or leases any interest in any  hospital
or health care facility, directly or indirectly conducts any insurance activity,
or  which  is  otherwise material  to  Parent.  With respect  to  those entities
indicated on Section 4.4 of the Parent Disclosure Letter, Parent has  heretofore
delivered  to the Company financial statements (audited to the extent available)
and interim unaudited financial statements of each of such entities (through the
most recently concluded  fiscal quarter for  each of such  persons) and, to  the
best   knowledge  of  Parent,  such  financial  statements  fairly  present,  in
conformity with generally accepted accounting  principles ("GAAP") applied on  a
consistent  basis (except as may be indicated in the notes thereto or in Section
4.4 of the Parent Disclosure Letter), the financial condition of each thereof as
at and the results of operations for the periods so indicated (subject to normal
year-end adjustments in the case of the interim unaudited financial statements),
and Parent's disclosures with  respect to its investment  in each such  entities
otherwise  included in the Parent SEC Reports  (as defined below) do not contain
any untrue  statements of  material fact  or  omit to  state any  material  fact
required  to  be stated  therein or  which are  necessary in  order to  make the
statements therein, in light  of the circumstances under  which they were  made,
not  misleading. Except  as set  forth in Section  4.4 of  the Parent Disclosure
Letter, Parent (or,  as indicated  thereon, a  Parent Subsidiary)  has good  and
marketable  title to  the securities evidencing  its investment  in the entities
indicated in  Section 4.4  of  the Parent  Disclosure  Letter, which  have  been
validly issued and are fully paid and non-assessable and are held by Parent or a
Parent  Subsidiary free and clear  of any Lien, restraint  on alienation, or any
other restriction with respect of  the transferability or assignability  thereof
(other  than restrictions  on transfer  imposed by  federal or  state securities
laws).

    Section 4.5  AUTHORITY RELATIVE TO THIS  AGREEMENT.  Each of Parent and  Sub
has  the power  to enter into  this Agreement  and to carry  out its obligations
hereunder. The execution, delivery and  performance of this Agreement by  Parent
and  Sub and the consummation by Parent and Sub of the transactions contemplated
hereby have been duly authorized by the  Boards of Directors of Parent and  Sub,
and by Parent as the sole shareholder of Sub, and no other corporate proceedings
on  the part of Parent  or Sub are necessary to  authorize this Agreement or the
transactions contemplated  hereby.  This Agreement  has  been duly  and  validly
executed  and delivered by  each of Parent  and Sub and  constitutes a valid and
binding agreement of each of Parent and Sub, enforceable against Parent and  Sub
in accordance with its terms.

    Section  4.6  CONSENTS AND APPROVALS;  NO VIOLATIONS.  Except for applicable
requirements of the  Hart-Scott-Rodino Antitrust  Improvements Act  of 1976,  as
amended (the "HSR Act"), the Securities Act of 1933, as amended (the "Securities
Act"), the Securities Exchange Act of 1934, as amended (the "Exchange Act") (the
HSR  Act,  Securities  Act  and Exchange  Act,  collectively,  the "Governmental

                                      A-7
<PAGE>
Requirements"), state  or foreign  laws relating  to takeovers,  if  applicable,
state securities or blue sky laws, state and local laws and regulations relating
to  the  licensing and  transfer  of hospitals  and  health care  facilities and
similar matters and the filing of the  Certificate of Merger as required by  the
DGCL,  no filing with, and no permit, authorization, consent or approval of, any
court or tribunal or administrative, governmental or regulatory body, agency  or
authority  is  necessary for  the execution,  delivery  and performance  of this
Agreement by Parent and Sub of the transactions contemplated by this  Agreement.
Neither  the execution, delivery nor performance  of this Agreement by Parent or
Sub, nor the  consummation by  Parent or  Sub of  the transactions  contemplated
hereby,  nor compliance by Parent or Sub with any of the provisions hereof, will
(i) conflict with or result in any  breach of any provisions of the Articles  of
Incorporation  or By-Laws of  Parent and Sub  or the Articles  or Certificate of
Incorporation, as the case may be, or By-Laws of any of the Parent Subsidiaries,
(ii) except as  set forth in  Section 4.6(ii) of  the Parent Disclosure  Letter,
result in a violation or breach of, or constitute (with or without due notice or
lapse  of time  or both) a  default (or give  rise to any  right of termination,
cancellation,  acceleration,   vesting,   payment,   exercise,   suspension   or
revocation) under, any of the terms, conditions or provisions of any note, bond,
mortgage,  deed  of  trust,  security  interest,  indenture,  license, contract,
agreement, plan or other instrument or obligation to which Parent or any of  the
Parent  Subsidiaries  is  a party  or  by which  any  of  them or  any  of their
properties or assets  may be bound  or affected,  (iii) except as  set forth  in
Section  4.6(iii)  of the  Parent Disclosure  Letter,  violate any  order, writ,
injunction, decree, statute, rule or regulation applicable to Parent, any Parent
Subsidiary or any of  their properties or  assets, (iv) except  as set forth  in
Schedule  4.6(iv) of  the Parent  Disclosure Letter,  result in  the creation or
imposition of any Lien on any asset  of Parent or any Parent Subsidiary, or  (v)
except as set forth in Section 4.6(v) of the Parent Disclosure Letter, cause the
suspension   or  revocation   of  any   certificates  of   need,  accreditation,
registrations, licenses, permits and other consents or approvals of governmental
agencies or accreditation  organizations, except  in the case  of clauses  (ii),
(iii),   (iv)  and   (v)  for  violations,   breaches,  defaults,  terminations,
cancellations, accelerations, creations, impositions, suspensions or revocations
which would not individually or in the aggregate have a Parent Material  Adverse
Effect.

    Section  4.7  PARENT SEC REPORTS.   Parent has delivered to the Company true
and complete  copies  of  each  registration  statement,  report  and  proxy  or
information  statement,  including, without  limitation,  its Annual  Reports to
Shareholders incorporated  in material  part  by reference  in certain  of  such
reports, in the form (including exhibits and any amendments thereto) required to
be  filed with the Securities and Exchange Commission ("SEC") since June 1, 1992
(collectively, the "Parent SEC Reports"). Except as set forth in Section 4.7  of
the Parent Disclosure Letter, as of the respective dates such Parent SEC Reports
were  filed or, if any such Parent SEC Reports were amended, as of the date such
amendment was filed, each of the Parent SEC Reports (i) complied in all material
respects with all applicable requirements of the Securities Act and the Exchange
Act, and the  rules and  regulations promulgated  thereunder, and  (ii) did  not
contain any untrue statement of a material fact or omit to state a material fact
required  to be  stated therein  or necessary  in order  to make  the statements
therein, in  light  of  the  circumstances  under  which  they  were  made,  not
misleading.  Each of the audited consolidated financial statements and unaudited
consolidated interim financial statements of Parent (including any related notes
and schedules) included (or incorporated by reference) in its Annual Reports  on
Form  10-K for each of the three fiscal  years ended May 31, 1992, 1993 and 1994
and Quarterly Reports on  Form 10-Q for all  interim periods subsequent  thereto
fairly present, in conformity with GAAP applied on a consistent basis (except as
may  be indicated in the notes  thereto), the consolidated financial position of
the Parent  and the  Parent Subsidiaries  as of  its date  and the  consolidated
results  of operations  and changes  in financial  position for  the period then
ended (subject  to normal  year-end adjustments  in the  case of  any  unaudited
interim financial statements).

    Section  4.8   ABSENCE OF CERTAIN  CHANGES OR  EVENTS.  Since  May 31, 1994,
except as set forth  in Section 4.8  of the Parent Disclosure  Letter or in  the
Parent  SEC Reports or as otherwise permitted  in Section 6.2 hereof, Parent and
the Parent Subsidiaries have in  all material respects conducted their  business
in the ordinary course consistent with past practices.

                                      A-8
<PAGE>
    Section  4.9  LITIGATION.   Except for litigation disclosed  in the notes to
the financial statements included in the Parent  SEC Reports or as set forth  in
Section  4.9  of the  Parent  Disclosure Letter,  there  is no  suit,  action or
proceeding (whether at law or equity, before or by any federal, state or foreign
court, tribunal, commission,  board, agency  or instrumentality,  or before  any
arbitrator)  pending or, to the best  knowledge of Parent, threatened against or
affecting Parent or any of the Parent Subsidiaries, the outcome of which, in the
reasonably judgment of  Parent, is likely  individually or in  the aggregate  to
have  a  Parent Material  Adverse  Effect, nor  is  there any  judgment, decree,
injunction, rule or  order of  any court,  governmental department,  commission,
agency,  instrumentality or arbitrator outstanding against  Parent or any of the
Parent Subsidiaries having, or which, insofar as can reasonably be foreseen,  in
the future may have, any such effect.

    Section 4.10  ABSENCE OF UNDISCLOSED LIABILITIES.  Except for liabilities or
obligations  which  are  accrued  or  reserved  against  in  Parent's  financial
statements (or  reflected in  the  notes thereto)  included  in the  Parent  SEC
Reports  or which  were incurred after  May 31,  1994 in the  ordinary course of
business  and  consistent  with  past  practices  or  in  connection  with   the
transactions  contemplated by this Agreement, Parent and the Parent Subsidiaries
do  not  have  any  liabilities  or  obligations  (whether  absolute,   accrued,
contingent  or otherwise)  of a  nature required  by GAAP  to be  reflected in a
consolidated balance sheet (or reflected in the notes thereto).

    Section 4.11  NO DEFAULT.  Except as set forth in Section 4.11 of the Parent
Disclosure Schedule, neither Parent, Sub nor  any of the Parent Subsidiaries  is
in  violation or breach  of, or default  under (and no  event has occurred which
with notice or the lapse of time or both would constitute a violation or  breach
of,  or default under) any  term, condition or provision  of (a) its Articles or
Certificate of Incorporation,  as the  case may be,  or By-Laws,  (b) any  note,
bond, mortgage, deed of trust, security interest, indenture, license, agreement,
plan,  contract, lease,  commitment or other  instrument or  obligation to which
Parent or any of the Parent Subsidiaries is  a party or by which they or any  of
their  properties  or assets  may be  bound  or affected,  (c) any  order, writ,
injunction, decree, statute, rule or regulation  applicable to Parent or any  of
the  Parent  Subsidiaries or  any  of their  properties  or assets,  or  (d) any
certificate of  need, accreditation,  registration,  license, permit  and  other
consent  or  approval of  governmental  agencies or  accreditation organization,
except in the case of clauses (b), (c) and (d) above for violations, breaches or
defaults which would not individually or in the aggregate have a Parent Material
Adverse Affect.

    Section 4.12   TAXES.  Except  as set forth  in Section 4.12  of the  Parent
Disclosure Letter:

        (a)  Parent and each of the Parent Subsidiaries has (i) timely filed (or
    has had timely filed  on its behalf)  or will cause to  be timely filed  all
    material  Tax Returns  (as defined below)  required by applicable  law to be
    filed by any of them for tax years ended prior to the date of this Agreement
    and all  such  Tax Returns  and  amendments thereto  are  or will  be  true,
    complete,  and correct in all  material respects, (ii) has  paid (or has had
    paid on its behalf) all  Taxes due or has  properly accrued or reserved  for
    all  such Taxes  for such periods  and (iii)  has accrued for  all Taxes for
    periods subsequent to the periods covered by such Tax Returns.

        (b) There are no material liens for  Taxes upon the assets of Parent  or
    any of the Parent Subsidiaries, except liens for Taxes not yet due.

        (c)  There are  no material deficiencies  or adjustments  for Taxes that
    have been  proposed or  assessed by  any Tax  Authority (as  defined  below)
    against Parent or any of the Parent Subsidiaries and which remain unpaid.

        (d)  The Federal  income tax  returns of Parent  and each  of the Parent
    Subsidiaries have been examined by the Internal Revenue Service for all past
    taxable years and periods to and including the year ended May 31, 1985,  and
    all  material deficiencies finally assessed as a result of such examinations
    have been paid. Section 4.12 of the Parent Disclosure Letter sets forth  (i)
    all taxable years and periods of Parent and the Parent Subsidiaries that are
    presently  under Audit (as defined  below) or in respect  of which Parent or
    any of the Parent Subsidiaries has been notified in

                                      A-9
<PAGE>
    writing by the  relevant Tax  Authority that it  will be  Audited, (ii)  the
    taxable  years of Parent and the Parent Subsidiaries in respect of which the
    statutory period of  limitations for  the assessment of  Federal, state  and
    local income or franchise Taxes has expired, and (iii) all waivers extending
    the  statutory period  of limitation applicable  to any  material Tax Return
    filed by Parent  or any of  the Parent Subsidiaries  for any taxable  period
    ending prior to the date of this Agreement.

        (e)  Prior to the  date hereof, Parent and  the Parent Subsidiaries have
    disclosed all material Tax sharing, Tax indemnity, or similar agreements  to
    which  Parent or any of the Parent Subsidiaries  is a party to, is bound by,
    or has any obligation or liability for Taxes.

        (f) Parent and the Parent Subsidiaries have not paid, and do not  expect
    to  pay,  in  any taxable  year  commencing  on or  after  January  1, 1994,
    remuneration that would result in a  disallowance of any material amount  of
    tax deductions under section 162(m) of the Internal Revenue Code of 1986, as
    amended  (the "Code").  There are no  changes in the  tax accounting methods
    subject to section 481(a) of the Code which have an ongoing material  effect
    on Parent or any of the Parent Subsidiaries. No "consent" within the meaning
    of  section 341(f) of the Code has been  filed with respect to Parent or any
    of the Parent Subsidiaries.

        (g) As  used  in this  Agreement,  (i)  "Audit" shall  mean  any  audit,
    assessment  of Taxes, other examination by  any Tax Authority, proceeding or
    appeal of such  proceeding relating to  Taxes, (ii) "Taxes"  shall mean  all
    Federal,  state, local and foreign taxes, and other assessments of a similar
    nature (whether  imposed directly  or  through withholding),  including  any
    interest,  additions  to tax,  or penalties  applicable thereto,  (iii) "Tax
    Authority" shall mean the Internal Revenue Service and any other domestic or
    foreign governmental  authority responsible  for the  administration of  any
    Taxes,  and  (iv) "Tax  Returns" shall  mean all  Federal, state,  local and
    foreign tax returns, declarations, statements, reports, schedules, forms and
    information returns and any amended Tax Return relating to Taxes.

    Section 4.13   TITLE TO  CERTAIN PROPERTIES;  ENCUMBRANCES.   Except as  set
forth  in  Section 4.13  of  the Parent  Disclosure  Letter, no  person  has any
contractual right or option to purchase or acquire, directly or indirectly,  any
interest  in, and  there are no  contracts pursuant  to which the  Parent or any
Parent Subsidiary  is or  may be  bound to  sell, lease,  transfer or  otherwise
dispose of, any of the hospitals owned by the Parent or any Parent Subsidiary.

    Section 4.14  MEDICARE PARTICIPATION/ACCREDITATION AND RECAPTURE.

    (a) All hospitals or significant health care facilities owned or operated as
continuing  operations by  the Parent  or the  Parent Subsidiaries  (the "Parent
Facilities") are  certified for  participation or  enrollment in  the  Medicare,
Medicaid  and  Civilian Health  and Medical  Program  of the  Uniformed Services
("CHAMPUS") programs,  have  a current  and  valid provider  contract  with  the
Medicare,  Medicaid and CHAMPUS programs, are in substantial compliance with the
terms and conditions  of participation of  such programs and  have received  all
approvals  or  qualifications necessary  for  capital reimbursement  of Parent's
assets except where the failure to be  so certified, to have such contracts,  to
be  in such  compliance or  to have such  approvals or  qualifications would not
individually or in the aggregate have  a Parent Material Adverse Effect. To  the
knowledge  of  Parent,  the  amounts  established  as  provisions  for Medicare,
Medicaid, or CHAMPUS adjustments and adjustments by any other third party payors
on the financial statements of Parent and the Parent Subsidiaries are sufficient
in all material  respects to  pay any  amounts for which  Parent or  any of  the
Parent  Subsidiaries  may  be  liable.  Neither Parent  nor  any  of  the Parent
Subsidiaries has received notice from  the regulatory authorities which  enforce
the  statutory or regulatory provisions in  respect of the Medicare, Medicaid or
CHAMPUS programs of  any pending  or threatened  investigations, surveys  (other
than    routine   surveys   conducted   by   accreditation   organizations)   or
decertification  proceedings,  and  neither  Parent   nor  any  of  the   Parent
Subsidiaries  has any reason to believe that any such investigations, surveys or
proceedings are pending, threatened or imminent which may individually or in the
aggregate have a Parent Material Adverse Effect. All Parent Facilities  eligible
for such accreditation are accredited by

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<PAGE>
the   Joint  Commission  on  Accreditation   on  Healthcare  Organizations,  the
Commission on Accreditation of Rehabilitation or other appropriate accreditation
agency. Section 4.14(a) of  the Parent Disclosure Letter  sets forth a  complete
and  correct list  of all hospitals  and significant  separately licensed health
care facilities owned  or operated  by Parent  and the  Parent Subsidiaries  and
their respective accreditation.

    (b)  Each such Parent Facility is licensed by the proper state department of
health to conduct  its business in  substantially the manner  conducted by  such
Parent  Facility  and  is authorized  to  operate  the number  of  beds utilized
therein. The Parent Facilities are presently in substantial compliance with  all
of  the terms, conditions and provisions of such licenses. Parent has heretofore
made available to the Company correct and complete copies of all such  licenses.
The  facilities,  equipment, staffing  and operations  of the  Parent Facilities
satisfy the applicable  state hospital  licensing requirements  in all  material
respects.

    (c)  No funds  were received on  behalf of the  Parent or any  of the Parent
Subsidiaries to construct, improve  or acquire any of  its facilities under  the
"Hill-Burton"  Act as a result of which Parent or any of the Parent Subsidiaries
are currently or will  in the future  be required to pay  any amounts for  which
there  shall  be  any  "recapture"  as  a  result  of  the  consummation  of the
transactions contemplated by this Agreement.

    Section 4.15  LABOR  MATTERS.  Except  as set forth in  Section 4.15 of  the
Parent Disclosure Letter, neither Parent nor any of the Parent Subsidiaries is a
party  to, or bound  by, any collective bargaining  agreement, contract or other
agreement or understanding with a labor union or labor organization. There is no
unfair labor  practice  or  labor  arbitration proceeding  pending  or,  to  the
knowledge  of  Parent,  threatened  against Parent  or  the  Parent Subsidiaries
relating to  their business,  except for  any such  proceeding which  would  not
individually  or in the aggregate have a  Parent Material Adverse Effect. To the
knowledge of Parent,  there are no  organizational efforts with  respect to  the
formation  of a  collective bargaining unit  presently being  made or threatened
involving employees of  Parent or any  of the Parent  Subsidiaries. There is  no
labor strike, dispute, slow down, work stoppage, or lockout actually pending or,
to   the  knowledge  of   Parent,  threatened  against   Parent  or  the  Parent
Subsidiaries.  To  the  knowledge  of  Parent,  there  are  no  labor  union  or
organization  claims to represent the  employees of Parent or  any of the Parent
Subsidiaries, nor  does  any  question concerning  the  representation  of  such
employees by any labor union or organization exist.

    Section 4.16  EMPLOYEE BENEFIT PLANS; ERISA.

    (a)  Section 4.16(a)  of the  Parent Disclosure  Letter contains  a true and
complete list  of each  bonus,  deferred compensation,  incentive  compensation,
stock  purchase, stock option, severance  or termination pay, hospitalization or
other medical,  life or  other  insurance, supplemental  unemployment  benefits,
profit-sharing,  pension, or retirement plan, program, agreement or arrangement,
and each other  employee benefit  plan, program, agreement  or arrangement  (the
"Parent  Plans"), maintained or contributed to  or required to be contributed to
by (i)  Parent, (ii)  any Parent  Subsidiary  or (iii)  any trade  or  business,
whether or not incorporated, that together with Parent would be deemed a "single
employer"  within the meaning of Section  4001 of the Employee Retirement Income
Security Act of  1974, as  amended, and  the rules  and regulations  promulgated
thereunder  ("ERISA")  (a  "Parent ERISA  Affiliate"),  for the  benefit  of any
employee or former employee of Parent, any Parent Subsidiary or any Parent ERISA
Affiliate. Section 4.16(a) of  the Parent Disclosure  Letter identifies each  of
the  Parent Plans that is an "employee benefit plan," as that term is defined in
Section 3(3) of ERISA (such plans being hereinafter referred to collectively  as
the "Parent ERISA Plans").

    (b)  With  respect  to  each  of the  Parent  Plans,  Parent  has heretofore
delivered to  the Company  true and  complete copies  of each  of the  following
documents:  (i) a  copy of the  Parent Plan (including  all amendments thereto),
(ii) a copy of the annual report and actuarial report, if required under  ERISA,
with  respect to the Parent ERISA  Plan for the last two  years, (iii) a copy of
the most recent Summary Plan Description, together with each Summary of Material
Modification, required under ERISA with respect  to the Parent ERISA Plan,  (iv)
if   the  Parent   Plan  is   funded  through  a   trust  or   any  third  party

                                      A-11
<PAGE>
funding vehicle, a copy of the  trust or other funding agreement (including  all
amendments  thereto) and  the latest financial  statements thereof,  and (v) the
most recent determination letter received from the Internal Revenue Service with
respect to each Parent ERISA Plan intended  to qualify under Section 401 of  the
Code.

    (c)  No liability under Title  IV of ERISA has  been incurred by Parent, any
Parent Subsidiary or  any Parent  ERISA Affiliate  since the  effective date  of
ERISA  that has not been satisfied in full,  and, except as set forth in Section
4.16(c) of the  Parent Disclosure Letter,  no condition exists  that presents  a
material  risk to Parent, any Parent Subsidiary or any Parent ERISA Affiliate of
incurring any liability under such Title (other than liability for premiums  due
to  the Pension  Benefit Guaranty Corporation  (the "PBGC"). To  the extent this
representation applies to Sections 4064, 4069 or  4204 of Title IV of ERISA,  it
is made not only with respect to the Parent ERISA Plans but also with respect to
any employee benefit plan, program, agreement or arrangement subject to Title IV
of  ERISA to which Parent, a Parent Subsidiary or a Parent ERISA Affiliate made,
or was required to make, contributions during the five-year period ending on the
date of this Agreement.

    (d) With respect to each Parent ERISA  Plan which is subject to Title IV  of
ERISA,  except as set forth in Section  4.16(d) of the Parent Disclosure Letter,
the present value of accrued benefits under such plan, based upon the  actuarial
assumptions  used for financial reporting purposes  in the most recent actuarial
report prepared  by such  plan's actuary  with  respect to  such plan,  did  not
exceed, as of its latest valuation date, the then current value of the assets of
such plan allocable to such accrued benefits.

    (e)  No Parent ERISA  Plan or any trust  established thereunder has incurred
any "accumulated funding  deficiency" (as defined  in Section 302  of ERISA  and
Section  412 of the Code), whether or not waived, as of the last day of the most
recent fiscal year of  each Parent ERISA  Plan ended prior to  the date of  this
Agreement,  and  all  contributions required  to  be made  with  respect thereto
(whether pursuant to  the terms of  any Parent  ERISA Plan or  otherwise) on  or
prior  to the date  of this Agreement have  been timely made.  (f) Except as set
forth in Section 4.16(f) of the  Parent Disclosure Letter, no Parent ERISA  Plan
is a "multi-employer pension plan," as defined in Section 3(37) of ERISA, nor is
any Parent ERISA Plan a plan described in Section 4063(a) of ERISA.

    (g)  Except as set forth in Section 4.16(g) of the Parent Disclosure Letter,
each Parent ERISA Plan intended to be "qualified" within the meaning of  Section
401(a)  of the Code has been determined by the Internal Revenue Service to be so
qualified and the trusts maintained thereunder have been determined to be exempt
from taxation under Section  501(a) of the  Code and, to  the best knowledge  of
Parent, no event has occurred nor does any condition exist which would adversely
affect such qualification and exemption.

    (h)  Except as set forth in Section 4.16(h) of the Parent Disclosure Letter,
each of the  Parent Plans  has been operated  and administered  in all  material
respects  in accordance  with applicable  laws, including,  but not  limited to,
ERISA and the Code.

    (i) Except as set forth in Section 4.16(i) of the Parent Disclosure  Letter,
no  amounts payable under the Parent Plans or any other contract, arrangement or
agreement will fail to be deductible  for federal income tax purposes by  virtue
of Section 280G of the Code.

    (j)  Except as set forth in Section 4.16(j) of the Parent Disclosure Letter,
no  Parent Plan provides benefits, including without limitation death or medical
benefits (whether or not insured), with  respect to current or former  employees
of  Parent,  any Parent  Subsidiary or  any Parent  ERISA Affiliate  beyond such
employees' retirement or other termination  of service, other than (i)  coverage
mandated by applicable law, (ii) death benefits or retirement benefits under any
"employee pension plan," as that term is defined in Section 3(2) of ERISA, (iii)
deferred  compensation benefits accrued  as liabilities on  the books of Parent,
any Parent Subsidiary or  any Parent ERISA Affiliate  or (iv) benefits the  full
cost of which is borne by such employees or their beneficiaries.

                                      A-12
<PAGE>
    (k)  Except as set forth in Section 4.16(k) of the Parent Disclosure Letter,
the consummation of the transactions contemplated by this Agreement will not (i)
entitle any  current  or  former  employee or  officer  of  Parent,  any  Parent
Subsidiary  or  any  Parent  ERISA  Affiliate  to  severance  pay,  unemployment
compensation or  any  other  payment,  except  as  expressly  provided  by  this
Agreement,  (ii)  accelerate the  time of  payment or  vesting, or  increase the
amount, of any compensation due any such employee or officer, or (iii) result in
any prohibited transaction described in Section 406 of ERISA or Section 4975  of
the Code for which an exemption is not available.

    (l)  With respect  to each  Parent Plan that  is funded  wholly or partially
through an insurance policy,  there will be no  liability of Parent, any  Parent
Subsidiary  or any Parent ERISA  Affiliate, as of the  Effective Time, under any
such insurance  policy or  ancillary agreement  with respect  to such  insurance
policy  in the nature of a retroactive rate adjustment, loss sharing arrangement
or other  actual or  contingent liability  arising wholly  or partially  out  of
events occurring prior to the closing.

    (m)  There are no pending, threatened or  anticipated claims by or on behalf
of any of the  Parent Plans, by  any employee or  beneficiary covered under  any
such  Parent  Plan, or  otherwise  involving any  such  Parent Plan  (other than
routine claims for benefits).

    (n) None of Parent, any Parent  Subsidiary, any Parent ERISA Affiliate,  any
of  the  Parent ERISA  Plans, any  trust  created thereunder  or any  trustee or
administrator thereof  has engaged  in a  transaction in  connection with  which
Parent,  any Parent Subsidiary or any Parent  ERISA Affiliate, any of the Parent
ERISA Plans, any  such trust, or  any trustee or  administrator thereof, or  any
party  dealing with the Parent ERISA Plans or any such trust could be subject to
either a material civil liability under Section 409 of ERISA, Section 502(i)  of
ERISA,  or Section 502(l) of ERISA or a material tax imposed pursuant to Section
4975 or 4976 of the Code.

    Section 4.17  PATENTS,  LICENSES, FRANCHISES AND FORMULAS.   Each of  Parent
and  the Parent Subsidiaries owns all of the patents, trademarks, service marks,
copyrights, permits, trade names, licenses,  franchises and formulas, or  rights
with  respect to the foregoing, and has  obtained assignments of all such rights
and other rights of  whatever nature, necessary for  the present conduct of  its
business, in each case except as would not individually or in the aggregate have
a Parent Material Adverse Effect.

    Section  4.18  INSURANCE.  Section 4.18 of the Parent Disclosure Letter sets
forth a complete and correct list  of all material insurance policies  currently
in  force insuring against  risks of Parent and  the Parent Subsidiaries. Parent
previously has delivered to the Company  true and correct schedules listing  the
name  of carrier, policy coverage, policy limits and deductibles with respect to
the policies listed in Section 4.18 of the Parent Disclosure Letter. Parent  and
the  Parent Subsidiaries are in  compliance with the terms  of such policies and
except as set forth in Section 4.18  of the Parent Disclosure Letter, there  are
no  claims by Parent or any of the  Parent Subsidiaries under any such policy as
to which  any  insurance company  is  denying  liability or  defending  under  a
reservation  of rights clause, in each case  except as would not individually or
in the aggregate result in a Parent Material Adverse Effect.

    Section 4.19  BOARD  APPROVALS; OPINION OF FINANCIAL  ADVISOR.  Each of  the
Board  of Directors  of Parent and  Sub (at  meetings duly called  and held) has
unanimously determined that the transactions contemplated hereby are fair to and
in the best  interests of Parent  and Sub.  Parent has received  the opinion  of
Donaldson,  Lufkin & Jenrette Securities Corporation ("DLJ"), Parent's financial
advisor, substantially to the effect that the Merger Consideration to be paid by
Parent in the Merger is fair to Parent from a financial point of view.

    Section 4.20  BROKERS.  No  broker, finder or investment banker (other  than
DLJ)  is entitled  to any  brokerage, finder's  fee or  other fee  or commission
payable by  Parent in  connection  with the  transactions contemplated  by  this
Agreement based upon arrangements made by and on behalf of Parent.

                                      A-13
<PAGE>
                                   ARTICLE V
                 REPRESENTATIONS AND WARRANTIES OF THE COMPANY

    Except  as otherwise disclosed  to Parent and  Sub in a  letter delivered to
them prior  to the  execution  hereof (which  letter shall  contain  appropriate
references  to identify the  representations and warranties  herein to which the
information in  such  letter relates)  (the  "Company Disclosure  Letter"),  the
Company represents and warrants to Parent and Sub as follows:

    Section  5.1   ORGANIZATION.  The  Company is a  corporation duly organized,
validly existing and in good  standing under the laws  of the State of  Delaware
and  has  the corporate  power  to carry  on  its business  as  it is  now being
conducted or presently proposed to be  conducted. The Company is duly  qualified
as  a  foreign corporation  to do  business, and  is in  good standing,  in each
jurisdiction where the character of its properties owned or held under lease  or
the  nature of its  activities makes such  qualification necessary, except where
the failure to be so qualified would not individually or in the aggregate have a
material adverse  effect  on  the  business,  assets,  liabilities,  results  of
operations  or financial condition  of the Company  and the Company Subsidiaries
(as defined below), taken as a whole (a "Company Material Adverse Effect").

    Section 5.2  CAPITALIZATION.   The authorized capital  stock of the  Company
consists  of 200,000,000  Shares and  5,000,000 shares  of preferred  stock, par
value $.01  per share  (the "Preferred  Stock"). As  of September  30, 1994  (i)
77,563,054  Shares were issued and outstanding,  (ii) Company Options to acquire
3,081,005 Shares were outstanding under all stock option plans and agreements of
the Company, (iii) 6,306,601 Shares (including Shares issuable upon exercise  of
the options identified in clause (ii) above) were reserved for issuance pursuant
to all employee plans of the Company, and (iv) there were no shares of Preferred
Stock  outstanding. All of the issued and outstanding Shares are validly issued,
fully paid and nonassessable and free of preemptive rights. Except as set  forth
above or as specified in Section 5.2 of the Company Disclosure Letter, as of the
date  of this  Agreement there  are no  shares of  capital stock  of the Company
issued or outstanding  or any options,  warrants, subscriptions, calls,  rights,
convertible securities or other agreements or commitments obligating the Company
to  issue, transfer, sell, redeem, repurchase or otherwise acquire any shares of
its capital stock or securities. Except as provided in this Agreement or as  set
forth  in Section 5.2 of the Company Disclosure Letter, after the Effective Time
the Company will have no obligation to issue, transfer or sell any shares of its
capital stock pursuant to any employee benefit plan or otherwise.

    Section 5.3  SUBSIDIARIES.

    (a) The subsidiaries of the Company  that (i) directly or indirectly own  or
lease  any interest in  any hospitals, health care  facilities or medical office
buildings, (ii)  directly or  indirectly conduct  any insurance  activities,  or
(iii)  are  otherwise  material  to  the  Company  (collectively,  the  "Company
Subsidiaries") are listed in  Section 5.3(a) of  the Company Disclosure  Letter.
Each Company Subsidiary is a corporation duly organized, validly existing and in
good  standing under the laws  of the jurisdiction of  its incorporation and has
all requisite  corporate power  and  authority to  own,  lease and  operate  its
properties and to carry on its business as now being conducted, except where the
failure  to be so organized, existing and in good standing or to have such power
and authority would not individually or in the aggregate have a Company Material
Adverse Effect. Each  Company Subsidiary is  duly qualified or  licensed and  in
good  standing to do business in each  jurisdiction in which the property owned,
leased or operated by  it or the  nature of the business  conducted by it  makes
such  qualification or licensing  necessary, except in  such jurisdictions where
the failure to be so duly qualified  or licensed and in good standing would  not
individually or in the aggregate have a Company Material Adverse Effect.

    (b)  Except as set forth in Section 5.3(b) of the Company Disclosure Letter,
the Company is, directly or indirectly,  the record and beneficial owner of  all
of  the outstanding shares of capital stock of each of the Company Subsidiaries,
there are no proxies with respect to  any such shares, and no equity  securities
of  any Company Subsidiary are or may become  required to be issued by reason of
any

                                      A-14
<PAGE>
options, warrants, rights to subscribe to, calls or commitments of any character
whatsoever relating to, or securities or rights convertible into or exchangeable
or exercisable for, shares of any  capital stock of any Company Subsidiary,  and
there are no contracts, commitments, understandings or arrangements by which the
Company  or any Company Subsidiary is or may be bound to issue, redeem, purchase
or sell additional  shares of  its capital stock  or any  Company Subsidiary  or
securities  convertible into or exchangeable or exercisable for any such shares.
Except as set forth in Section 5.3(b)  of the Company Disclosure Letter, all  of
such  shares  so  owned  by  the Company  are  validly  issued,  fully  paid and
nonassessable and are  owned by  it free  and clear  of any  Lien, restraint  on
alienation,  or any  other restriction  with respect  to the  transferability or
assignability thereof (other than restrictions on transfer imposed by federal or
state securities laws).

    Section 5.4  MATERIAL INVESTMENTS.   Except as set  forth in Section 5.4  of
the  Company Disclosure Letter, the Company  does not directly or indirectly own
any equity  or  similar  interest  in,  or  any  interest  convertible  into  or
exchangeable  or  exercisable  for  any  equity  or  similar  interest  in,  any
corporation (other  than  a subsidiary),  partnership,  joint venture  or  other
business  association or entity  that directly or indirectly  owns or leases any
interest in  any  hospital  or  health care  facility,  directly  or  indirectly
conducts  any insurance activity, or which is otherwise material to the Company.
With respect to those entities listed  on Section 5.4 of the Company  Disclosure
Letter,  the  Company has  heretofore delivered  to Parent  financial statements
(audited to the extent available) and interim unaudited financial statements  of
each  of such entities  (through the most recently  concluded fiscal quarter for
each of such persons) and, to the best knowledge of the Company, such  financial
statements fairly present, in conformity with GAAP applied on a consistent basis
(except  as may  be indicated  in the  notes thereto  or in  Section 5.4  of the
Company Disclosure Letter), the  financial condition of each  thereof as at  and
the  results  of operations  for  the periods  so  indicated (subject  to normal
year-end adjustments in the case of the interim unaudited financial statements),
and the Company's  disclosures with respect  to its investment  in each of  such
entities otherwise included in the Company SEC Reports (as defined below) do not
contain  any untrue statements  of material fact  or omit to  state any material
fact required to be stated therein or  which are necessary in order to make  the
statements  therein, in light  of the circumstances under  which they were made,
not misleading. Except as  set forth in Schedule  5.4 of the Company  Disclosure
Letter,  the Company (or,  as indicated thereon, a  Company Subsidiary) has good
and marketable title to the securities evidencing its investment in the entities
listed on Section 5.4 of the Company Disclosure Letter, which have been  validly
issued and are fully paid and non-assessable and are held by the Company (or, as
indicated  thereon, a Company Subsidiary) free  and clear of any Lien, restraint
on alienation, or any other restriction  with respect of the transferability  or
assignability thereof (other than restrictions on transfer imposed by federal or
state securities laws).

    Section  5.5   AUTHORITY RELATIVE  TO THIS AGREEMENT.   The  Company has the
power to enter into this Agreement  and to carry out its obligations  hereunder.
The execution, delivery and performance of this Agreement by the Company and the
consummation  by the Company  of the transactions  contemplated hereby have been
duly authorized by the Company's Board of Directors and, except for the approval
of its stockholders to  be provided by written  consent pursuant to Section  7.5
hereof  promptly but in  any event within  ten (10) days  after the execution of
this Agreement and notification to all stockholders of such action in accordance
with the  DGCL  and Regulation  14C  of the  Exchange  Act, no  other  corporate
proceedings on the part of the Company are necessary to authorize this Agreement
or  the  transactions  contemplated  hereby.  Subject  to  the  foregoing,  this
Agreement has been duly  and validly executed and  delivered by the Company  and
constitutes  a valid and  binding agreement of  the Company, enforceable against
the Company in accordance with its terms.

    Section 5.6  CONSENTS AND APPROVALS;  NO VIOLATIONS.  Except for  applicable
requirements of the Governmental Requirements, state or foreign laws relating to
takeovers,  if applicable,  state securities or  blue sky laws,  state and local
laws and regulations  relating to the  licensing and transfer  of hospitals  and
health  care facilities and similar  matters and the filing  of a Certificate of
Merger as required by  the DGCL, no filing  with, and no permit,  authorization,
consent or approval of, any court or tribunal

                                      A-15
<PAGE>
or  administrative,  governmental or  regulatory  body, agency,  public  body or
authority is  necessary for  the  execution, delivery  and performance  of  this
Agreement  by the  Company of the  transactions contemplated  by this Agreement.
Neither the  execution,  delivery  and  performance of  this  Agreement  by  the
Company,  nor the consummation  by the Company  of the transactions contemplated
hereby, nor compliance by  the Company with any  of the provisions hereof,  will
(i)  conflict with or result in any  breach of any provisions of the Certificate
of Incorporation or  By-Laws of the  Company or the  Certificate or Articles  of
Incorporation,   as  the  case  may  be,  or  By-Laws  of  any  of  the  Company
Subsidiaries, (ii) except  as set  forth in  Section 5.6(a)(ii)  of the  Company
Disclosure  Letter, result in a  violation or breach of,  or constitute (with or
without due notice  or lapse of  time or both)  a default (or  give rise to  any
right  of termination,  cancellation, vesting,  payment, exercise, acceleration,
suspension or revocation) under, any of  the terms, conditions or provisions  of
any  note, bond, mortgage, deed of trust, security interest, indenture, license,
contract, agreement, plan or other instrument or obligation to which the Company
or any of the Company Subsidiaries is a party or by which any of them or any  of
their  properties or assets may be bound  or affected, (iii) except as set forth
in Section  5.6(a)(iii) of  the Company  Disclosure Letter,  violate any  order,
writ, injunction, decree, statute, rule or regulation applicable to the Company,
any  of the  Company Subsidiaries  or any  of their  properties or  assets, (iv)
except as set  forth in  Section 5.6(a)(iv)  of the  Company Disclosure  Letter,
result  in the creation or imposition of any Lien on any asset of the Company or
any Company Subsidiary or (v)  except as set forth  in Section 5.6(a)(v) of  the
Company   Disclosure  Letter,  cause   the  suspension  or   revocation  of  any
certificates of need, accreditation, registrations, licenses, permits and  other
consents  or approvals of governmental  agencies or accreditation organizations,
except in  the  case  of clauses  (ii),  (iii),  (iv) and  (v)  for  violations,
breaches,   defaults,  terminations,  cancellations,  accelerations,  creations,
impositions, suspensions or revocations which  would not individually or in  the
aggregate have a Company Material Adverse Effect.

    Section  5.7  COMPANY SEC REPORTS.  The Company has delivered to Parent true
and complete  copies  of  each  registration  statement,  report  and  proxy  or
information  statement,  including, without  limitation,  its Annual  Reports to
Stockholders incorporated  in material  part  by reference  in certain  of  such
reports, in the form (including exhibits and any amendments thereto) required to
be  filed with the SEC  since September 1, 1992  (collectively, the "Company SEC
Reports"). As of the respective dates the Company SEC Reports were filed or,  if
any  such Company SEC  Reports were amended,  as of the  date such amendment was
filed, each of  the Company SEC  Reports (i) complied  in all material  respects
with all applicable requirements of the Securities Act and Exchange Act, and the
rules  and  regulations promulgated  thereunder, and  (ii)  did not  contain any
untrue statement of a material fact or omit to state a material fact required to
be stated therein or necessary in order to make the statements therein, in light
of the circumstances  under which they  were made, not  misleading. Each of  the
audited  consolidated  financial statements  and unaudited  consolidated interim
financial statements of the Company (including any related notes and  schedules)
included  (or incorporated by reference) in its  Annual Reports on Form 10-K for
each of the  three fiscal years  ended August 31,  1991, 1992 and  1993 and  its
Quarterly Reports on Form 10-Q for all interim periods subsequent thereto fairly
present, in conformity with GAAP applied on a consistent basis (except as may be
indicated  in the  notes thereto),  the consolidated  financial position  of the
Company and the Company Subsidiaries as of its date and the consolidated results
of operations  and changes  in  financial position  for  the period  then  ended
(subject  to normal  year-end adjustments in  the case of  any unaudited interim
financial statements).

    Section 5.8   ABSENCE OF CERTAIN  CHANGES OR  EVENTS.  Since  May 31,  1994,
except  as set forth in  Section 5.8 of the Company  Disclosure Letter or in the
Company SEC Reports or as otherwise permitted in Section 6.1 hereof, the Company
and the  Company Subsidiaries  have  in all  material respects  conducted  their
business in the ordinary course consistent with past practices.

    Section  5.9  LITIGATION.   Except for litigation disclosed  in the notes to
the financial statements included in the Company SEC Reports or as set forth  in
Section  5.9  of the  Company Disclosure  Letter,  there is  no suit,  action or
proceeding (whether  at  law or  equity,  before or  by  any federal,  state  or

                                      A-16
<PAGE>
foreign commission, court, tribunal, board, agency or instrumentality, or before
any  arbitrator) pending  or, to the  best knowledge of  the Company, threatened
against or affecting the Company or any of the Company Subsidiaries, the outcome
of which, in the reasonable judgment  of the Company, is likely individually  or
in  the aggregate to  have a Company  Material Adverse Effect,  nor is there any
judgment,  decree,  injunction,  rule  or  order  of  any  court,   governmental
department,   commission,  agency,  instrumentality  or  arbitrator  outstanding
against the Company or any of the Company Subsidiaries having, or which, insofar
as can reasonably be foreseen, in the future many have, any such effect.

    Section 5.10  ABSENCE OF UNDISCLOSED LIABILITIES.  Except for liabilities or
obligations which are  accrued or  reserved against in  the Company's  financial
statements  (or reflected  in the notes  thereto) included in  the Company's SEC
Reports or which were incurred after August  31, 1993 in the ordinary course  of
business  and  consistent  with  past practices,  the  Company  and  the Company
Subsidiaries do  not  have  any material  liabilities  or  obligations  (whether
absolute,  accrued, contingent or otherwise) of a  nature required by GAAP to be
reflected in a consolidated balance sheet (or reflected in the notes thereto).

    Section 5.11   NO  DEFAULT.   Neither the  Company nor  any of  the  Company
Subsidiaries  is in violation or  breach of, or default  under (and no event has
occurred which with  notice or  the lapse  of time  or both  would constitute  a
violation  or breach of, or a default under) any term, condition or provision of
(a) its  Articles  or Certificate  of  Incorporation, as  the  case may  be,  or
By-Laws,  (b)  any  note,  bond, mortgage,  deed  of  trust,  security interest,
indenture, license,  agreement,  plan,  contract,  lease,  commitment  or  other
instrument or obligation to which the Company or any of the Company Subsidiaries
is a party or by which they or any of their properties or assets may be bound or
affected,  (c) any order, writ, injunction,  decree, statute, rule or regulation
applicable to the Company  or any of  the Company Subsidiaries  or any of  their
properties   or  assets,  or   (d)  any  certificate   of  need,  accreditation,
registration, license,  permit and  other consent  or approval  of  governmental
agencies  or accreditation organizations, except in the case of clauses (b), (c)
and (d) above for breaches, defaults or violations which would not  individually
or in the aggregate have a Company Material Adverse Effect.

    Section  5.12  TAXES.   Except as set  forth in Section  5.12 of the Company
Disclosure Letter,

    (a) The Company and  each of the Company  Subsidiaries has (i) timely  filed
(or  has had timely  filed on its behalf)  or will cause to  be timely filed all
material Tax Returns required by applicable law  to be filed by any of them  for
tax years ended prior to the date of this Agreement and all such Tax Returns and
amendments  thereto are or will  be true, complete, and  correct in all material
respects, (ii) has paid  (or has had paid  on its behalf) all  Taxes due or  has
properly  accrued or reserved for all such  Taxes for such periods and (iii) has
accrued for all Taxes for periods  commencing after the periods covered by  such
Tax Returns and ending prior to the date hereof.

    (b)  There are no material liens for Taxes upon the assets of the Company or
any of the Company Subsidiaries, except liens for taxes not yet due.

    (c) There are no  material deficiencies or adjustments  for Taxes that  have
been  proposed  or  assessed  and  which  remain  unpaid  (except  as heretofore
disclosed by the Company to Parent) by any Tax Authority against the Company  or
any of the Company Subsidiaries.

    (d)  Set  forth in  Section 5.12  of  the Company  Disclosure Schedule  is a
listing of the Federal income tax returns of the Company and each of the Company
Subsidiaries which are currently being examined by the Internal Revenue  Service
or  which are the subject of litigation.  Section 5.12 of the Company Disclosure
Letter sets forth  (i) all  taxable years  and periods  of the  Company and  the
Company  Subsidiaries that are presently under Audit  or in respect of which the
Company or any of the Company Subsidiaries  has been notified in writing by  the
relevant  Tax Authority that it  will be Audited, (ii)  the taxable years of the
Company and the Company Subsidiaries in respect of which the statutory period of
limitations for the assessment  of material Federal, state  and local income  or

                                      A-17
<PAGE>
franchise  Taxes  has expired,  and (iii)  all  waivers extending  the statutory
period of limitation applicable to any material Tax Return filed by the  Company
or  any of the Company  Subsidiaries for any taxable  period ending prior to the
date of this Agreement.

    (e) Prior to the date hereof, the Company and the Company Subsidiaries  have
disclosed  all material  Tax sharing,  Tax indemnity,  or similar  agreements to
which the Company or any of the Company Subsidiaries is a party to, is bound by,
or has any obligation or liability for Taxes.

    (f) The  Company and  the Company  Subsidiaries have  not paid,  and do  not
expect  to pay,  in any  taxable year  commencing on  or after  January 1, 1994,
remuneration that would result in a  disallowance of any material amount of  tax
deductions  under section 162(m) of the  Code, PROVIDED, that certain plans must
be submitted to the Company's stockholders for approval by written consent or at
the next meeting of stockholders of the Company. There are no changes in the tax
accounting methods subject to section 481(a)  of the Code which have an  ongoing
material  effect on the Company or any of the Company Subsidiaries. No "consent"
within the meaning of section 341(f) of the Code has been filed with respect  to
the Company or any of the Company Subsidiaries.

    Section  5.13   TITLE TO  CERTAIN PROPERTIES;  ENCUMBRANCES.   Except as set
forth in  Section 5.13  of the  Company  Disclosure Letter,  no person  has  any
contractual  right or option to purchase or acquire, directly or indirectly, any
interest in, and there  are no contracts  pursuant to which  the Company or  any
Company  Subsidiary is  or may  be bound to  sell, lease,  transfer or otherwise
dispose of, any hospital owned by the Company or any Company Subsidiary.

    Section 5.14  COMPLIANCE  WITH APPLICABLE LAW.   Except as disclosed in  the
Company  SEC Reports,  each of  the Company and  the Company  Subsidiaries is in
compliance with all  applicable Laws,  except where the  failure to  be in  such
compliance  would not individually  or in the aggregate  have a Company Material
Adverse Effect.

    Section 5.15  MEDICARE PARTICIPATION/ACCREDITATION AND RECAPTURE.

    (a) All hospitals and significant  health care facilities owned or  operated
by  the  Company and  the Company  Subsidiaries  (the "Company  Facilities") are
certified for participation or enrollment in the Medicare, Medicaid and  CHAMPUS
programs, have a current and valid provider contract with the Medicare, Medicaid
and  CHAMPUS  programs,  are  in  substantial  compliance  with  the  terms  and
conditions of participation of such programs and have received all approvals  or
qualifications  necessary  for  capital reimbursement  of  the  Company's assets
except where the failure to  be so certified, to have  such contracts, to be  in
such   compliance  or  to  have  such  approvals  or  qualifications  would  not
individually or in the aggregate have a Company Material Adverse Effect. To  the
knowledge  of the  Company, the amount  established as  provisions for Medicare,
Medicaid or CHAMPUS adjustments and adjustments by any other third party  payors
on  the financial  statements of  the Company  and the  Company Subsidiaries are
sufficient in all material respects to pay any amounts for which the Company  or
any  of the Company Subsidiaries  may be liable. Neither  the Company nor any of
the Company Subsidiaries  has received  notice from  the regulatory  authorities
which enforce the statutory or regulatory provisions in respect of the Medicare,
Medicaid  or  CHAMPUS  programs  of any  pending  or  threatened investigations,
surveys or  decertification proceedings,  and  neither Company  nor any  of  the
Company  Subsidiaries has  any reason to  believe that  any such investigations,
surveys (other than routine surveys conducted by accreditation organizations) or
proceedings are pending, threatened or imminent which may individually or in the
aggregate have a Company Material Adverse Effect. Except as set forth in Section
5.15(a) of the Company Disclosure letter, all of the Company Facilities eligible
for such accreditation are accredited  by the Joint Commission on  Accreditation
of  Healthcare Organizations, the Commission  on Accreditation of Rehabilitation
or other  appropriate  accreditation  agency. Section  5.15(a)  of  the  Company
Disclosure  Letter sets forth a  complete and correct list  of all hospitals and
significant separately licensed health care facilities owned and operated by the
Company and the Company Subsidiaries and their respective accreditation.

                                      A-18
<PAGE>
    (b) Each Company  Facility is  licensed by  the proper  state department  of
health  to conduct  its business in  substantially the manner  conducted by such
Company Facility  and is  authorized  to operate  the  number of  beds  utilized
therein. The Company Facilities are presently in substantial compliance with all
of  the  terms, conditions  and  provisions of  such  licenses. The  Company has
heretofore made available  to Parent  correct and  complete copies  of all  such
licenses.  The facilities,  equipment, staffing  and operations  of such Company
Facilities satisfy the applicable state  hospital licensing requirements in  all
material respects.

    (c)  No funds were received  on behalf of the Company  or any of the Company
Subsidiaries to construct, improve  or acquire any of  its facilities under  the
"Hill-Burton"  Act  as a  result  of which  the Company  or  any of  the Company
Subsidiaries are currently or will in the future be required to pay any  amounts
for  which there shall be any "recapture" as a result of the consummation of the
transactions contemplated by this Agreement.

    Section 5.16  LABOR  MATTERS.  Except  as set forth in  Section 5.16 of  the
Company   Disclosure  Letter,  neither  the  Company  nor  any  of  the  Company
Subsidiaries is a party  to, or bound by,  any collective bargaining  agreement,
contract  or  other  agreement or  understanding  with  a labor  union  or labor
organization. There is no unfair labor practice or labor arbitration  proceeding
pending  or, to the knowledge of the  Company, threatened against the Company or
the Company  Subsidiaries  relating  to  their business,  except  for  any  such
proceeding  which would not have individually or in the aggregate have a Company
Material Adverse  Effect.  To  the  knowledge  of  the  Company,  there  are  no
organizational  efforts with respect to the formation of a collective bargaining
unit presently being made  or threatened involving employees  of the Company  or
any  of the Company Subsidiaries. There is  no labor strike, dispute, slow down,
work stoppage, or lockout actually pending or, to the knowledge of the  Company,
threatened  against the Company or the Company Subsidiaries. To the knowledge of
the Company, there are  no labor union or  organization claims to represent  the
employees  of  the Company  or any  of  the Company  Subsidiaries, nor  does any
question concerning the representation of such  employees by any labor union  or
organization exist.

    Section 5.17  EMPLOYEE BENEFIT PLANS; ERISA.

    (a)  Section 5.17(a)  of the Company  Disclosure Letter contains  a true and
complete list  of each  bonus,  deferred compensation,  incentive  compensation,
stock  purchase, stock option, severance  or termination pay, hospitalization or
other medical,  life or  other  insurance, supplemental  unemployment  benefits,
profit-sharing,  pension, or retirement plan, program, agreement or arrangement,
and each other  employee benefit  plan, program, agreement  or arrangement  (the
"Company  Plans"), maintained or contributed to or required to be contributed to
by (i) the Company, (ii) any Company Subsidiary or (iii) any trade or  business,
whether  or not incorporated, that  together with the Company  would be deemed a
"single employer" within the meaning of ERISA (a "Company ERISA Affiliate"), for
the benefit  of any  employee or  former employee  of the  Company, any  Company
Subsidiary  or  any  Company ERISA  Affiliate.  Section 5.17(a)  of  the Company
Disclosure Letter identifies  each of  the Company  Plans that  is an  "employee
benefit  plan," as  that term is  defined in  Section 3(3) of  ERISA (such plans
being hereinafter referred to collectively as the "Company ERISA Plans").

    (b) With respect to  each of the Company  Plans, the Company has  heretofore
delivered to Parent true and complete copies of each of the following documents:
(i)  a copy of the Company Plan  (including all amendments thereto), (ii) a copy
of the annual report and actuarial report, if required under ERISA, with respect
to the Company  ERISA Plan  for the last  two years,  (iii) a copy  of the  most
recent  Summary  Plan  Description,  together  with  each  Summary  of  Material
Modifications, required under ERISA with respect to the Company ERISA Plan, (iv)
if the  Company Plan  is  funded through  a trust  or  any third  party  funding
vehicle,  a  copy  of  the  trust  or  other  funding  agreement  (including all
amendments thereto) and  the latest  financial statements thereof,  and (v)  the
most recent determination letter received from the Internal Revenue Service with
respect  to each Company ERISA Plan intended to qualify under Section 401 of the
Code.

                                      A-19
<PAGE>
    (c) No liability under Title IV of  ERISA has been incurred by the  Company,
any  Company Subsidiary or any Company  ERISA Affiliate since the effective date
of ERISA that has not been satisfied in full, and except as disclosed in Section
5.17(c) of the Company  Disclosure Letter, no condition  exists that presents  a
material  risk  to the  Company,  any Company  Subsidiary  or any  Company ERISA
Affiliate of incurring any liability under such Title (other than liability  for
premiums  due to  PBGC). To the  extent this representation  applies to Sections
4064, 4069 or 4204 of Title IV of ERISA, it is made not only with respect to the
Company ERISA Plans but also with respect to any employee benefit plan, program,
agreement or arrangement subject to  Title IV of ERISA  to which the Company,  a
Company  Subsidiary or a Company ERISA Affiliate  made, or was required to make,
contributions during the five-year period ending on the date of this Agreement.

    (d) With respect to each Company ERISA Plan which is subject to Title IV  of
ERISA,  except as set forth in Section 5.17(d) of the Company Disclosure Letter,
the present value of accrued benefits under such plan, based upon the  actuarial
assumptions  used for financial reporting purposes  in the most recent actuarial
report prepared  by such  plan's actuary  with  respect to  such plan,  did  not
exceed, as of its latest valuation date, the then current value of the assets of
such plan allocable to such accrued benefits.

    (e)  No Company ERISA Plan or  any trust established thereunder has incurred
any "accumulated funding  deficiency" (as defined  in Section 302  of ERISA  and
Section  412 of the Code), whether or not waived, as of the last day of the most
recent fiscal year of each  Company ERISA Plan ended prior  to the date of  this
Agreement,  and  all  contributions required  to  be made  with  respect thereto
(whether pursuant to the  terms of any  Company ERISA Plan  or otherwise) on  or
prior to the date of this Agreement have been timely made.

    (f) Except as set forth in Section 5.17(f) of the Company Disclosure Letter,
no  Company ERISA Plan is a "multi-employer pension plan," as defined in section
3(37) of  Company ERISA,  nor is  any ERISA  Plan a  plan described  in  Section
4063(a) of ERISA.

    (g) Except as set forth in Section 5.17(g) of the Company Disclosure Letter,
each Company ERISA Plan intended to be "qualified" within the meaning of Section
401(a)  of the Code has been determined by the Internal Revenue Service to be so
qualified and the trusts maintained thereunder have been determined to be exempt
from taxation under Section 501(a) of the Code and, to the best knowledge of the
Company, no  event  has  occurred  nor does  any  condition  exist  which  would
adversely affect such qualification and exemption.

    (h) Except as set forth in Section 5.17(h) of the Company Disclosure Letter,
each  of the Company  Plans has been  operated and administered  in all material
respects in  accordance with  applicable laws,  including, but  not limited  to,
ERISA and the Code.

    (i) Except as set forth in Section 5.17(i) of the Company Disclosure Letter,
no amounts payable under the Company Plans or any other contract, arrangement or
agreement  will fail to be deductible for  federal income tax purposes by virtue
of Section 280G of the Code.

    (j)   Except as  set forth  in  Section 5.17(j)  of the  Company  Disclosure
Letter, no Company Plan provides benefits, including without limitation death or
medical  benefits (whether  or not insured),  with respect to  current or former
employees of the Company, any Company Subsidiary or any Company ERISA  Affiliate
beyond  such employees' retirement  or other termination  of service, other than
(i) coverage  mandated by  applicable  law, (ii)  death benefits  or  retirement
benefits  under any "employee pension plan," as  that term is defined in Section
3(2) of ERISA, (iii)  deferred compensation benefits  accrued as liabilities  on
the  books of the Company, any Company Subsidiary or any Company ERISA Affiliate
or (iv) benefits  the full cost  of which is  borne by such  employees or  their
beneficiaries.

    (k) Except as set forth in Section 5.17(k) of the Company Disclosure Letter,
the consummation of the transactions contemplated by this Agreement will not (i)
entitle  any current or former  employee or officer of  the Company, any Company
Subsidiary or  any  Company  ERISA  Affiliate  to  severance  pay,  unemployment
compensation  or  any  other  payment,  except  as  expressly  provided  in this
Agreement,

                                      A-20
<PAGE>
(ii) accelerate the time of payment or  vesting, or increase the amount, of  any
compensation due any such employee or officer, or (iii) result in any prohibited
transaction  described in Section 406  of ERISA or Section  4975 of the Code for
which an exemption is not available.

    (l) With respect  to each Company  Plan that is  funded wholly or  partially
through  an insurance  policy, there  will be no  liability of  the Company, any
Company Subsidiary or  any Company ERISA  Affiliate, as of  the Effective  Time,
under  any such  insurance policy  or ancillary  agreement with  respect to such
insurance policy in the  nature of a retroactive  rate adjustment, loss  sharing
arrangement  or other actual or contingent liability arising wholly or partially
out of events occurring prior to the closing.

    (m) There are no pending, threatened  or anticipated claims by or on  behalf
of  any of the Company  Plans, by any employee  or beneficiary covered under any
such Company Plan,  or otherwise  involving any  such Company  Plan (other  than
routine claims for benefits).

    (n)  None  of  the  Company,  any  Company  Subsidiary,  any  Company  ERISA
Affiliate, any of the Company ERISA  Plans, any trust created thereunder or  any
trustee or administrator thereof has engaged in a transaction in connection with
which the Company, any Company Subsidiary or any Company ERISA Affiliate, any of
the  Company  ERISA  Plans, any  such  trust,  or any  trustee  or administrator
thereof, or any party  dealing with the  Company ERISA Plans  or any such  trust
could  be subject  to either  a material  civil liability  under Section  409 of
ERISA, Section 502(i) of  ERISA, or Section  502(l) of ERISA  or a material  tax
imposed pursuant to Section 4975 or 4976 of the Code.

    Section  5.18   PATENTS,  LICENSES, FRANCHISES  AND FORMULAS.   Each  of the
Company and  the  Company Subsidiaries  owns  all of  the  patents,  trademarks,
service  marks,  copyrights,  permits,  trade  names,  licenses,  franchises and
formulas, or rights with respect to the foregoing, and has obtained  assignments
of  all  such rights  and other  rights  of whatever  nature, necessary  for the
present conduct of its business, in  each case except as would not  individually
or in the aggregate have a Company Material Adverse Effect.

    Section 5.19  INSURANCE.  Section 5.19 of the Company Disclosure Letter sets
forth  a complete and correct list  of all material insurance policies currently
in force insuring against risks of the Company and the Company Subsidiaries. The
Company previously has delivered  to Parent true  and correct schedules  listing
the name of carrier, policy coverage, policy limits and deductibles with respect
to  the policies listed  in Section 5.19  of the Company  Disclosure Letter. The
Company and the Company  Subsidiaries are in compliance  with the terms of  such
policies  and except  as set  forth in  Section 5.19  of the  Company Disclosure
Letter, there are no claims  by the Company or  any of the Company  Subsidiaries
under  any such policy as to which any insurance company is denying liability or
defending under a reservation of rights clause, in each case except as would not
individually or in the aggregate result in a Company Material Adverse Effect.

    Section 5.20  BOARD  APPROVAL; OPINION OF FINANCIAL  ADVISOR.  The Board  of
Directors  of the Company  (at a meeting  duly called and  held) has unanimously
approved this Agreement and the  transactions contemplated hereby. The Board  of
Directors  of  the Company  has  received the  opinion  of Salomon  Brothers Inc
("SBI"), one of the  Company's financial advisors,  substantially to the  effect
that the Merger Consideration to be received in the Merger by the holders of the
Shares  is  fair  to such  stockholders  from  a financial  point  of  view (the
"Fairness Opinion").

    Section 5.21  BROKERS.  No  broker, finder or investment banker (other  than
SBI,  CS First  Boston and  GKH Partners,  L.P.) is  entitled to  any brokerage,
finder's fee or  other fee or  commission payable by  the Company in  connection
with  the transactions  contemplated by  this Agreement  based upon arrangements
made by and on behalf of the Company.

                                      A-21
<PAGE>
                                   ARTICLE VI
                     CONDUCT OF BUSINESS PENDING THE MERGER

    Section 6.1  CONDUCT OF  BUSINESS BY THE COMPANY  PENDING THE MERGER.   From
the date hereof until the Effective Time, unless Parent shall otherwise agree in
writing, or except as set forth in the Company Disclosure Letter or as otherwise
contemplated  by this Agreement, the Company  and the Company Subsidiaries shall
conduct their business in the ordinary course consistent with past practice  and
shall  use  their  reasonable best  efforts  to preserve  intact  their business
organizations and relationships  with third  parties and to  keep available  the
services  of their present officers  and key employees, subject  to the terms of
this Agreement.  Except as  set forth  in the  Company Disclosure  Letter or  as
otherwise  provided in this Agreement, from  the date hereof until the Effective
Time, without the prior  written consent of Parent,  which consent shall not  be
unreasonably withheld:

    (a)  the Company will not adopt or  propose any change in its Certificate of
Incorporation or By-Laws;

    (b) the Company  will not, and  will not permit  any Company Subsidiary  to,
declare, set aside or pay any dividend or other distribution with respect to any
shares  of capital  stock of  the Company (except  as permitted  by Section 7.12
hereof), or any repurchase, redemption or other acquisition or investment by the
Company or any Company Subsidiary of any outstanding shares of capital stock  or
other securities of, or other ownership interests in, the Company or any Company
Subsidiary;

    (c)  the Company will  not, and will  not permit any  Company Subsidiary to,
merge or  consolidate with  any other  person or  acquire a  material amount  of
assets of any other person;

    (d)  the Company will  not, and will  not permit any  Company Subsidiary to,
sell, lease, license or  otherwise surrender, relinquish or  dispose of (i)  any
Company  Facility  or (ii)  any assets  or  property which  are material  to the
Company and the Company Subsidiaries, taken  as a whole, except (i) pursuant  to
existing  contracts or  commitments (the terms  of which have  been disclosed to
Parent prior to the  date hereof), or  (ii) in the  ordinary course of  business
consistent with past practice;

    (e)  the Company  will not  settle any  material Audit,  make or  change any
material Tax election or file amended Tax Returns;

    (f) the Company will not issue  any securities (except pursuant to  existing
obligations),  enter into any amendment of  any material term of any outstanding
security of the  Company or of  any Company Subsidiary,  incur any  indebtedness
except  pursuant to existing credit facilities or arrangements, fail to make any
required contribution to any Company ERISA Plan, increase compensation, bonus or
other benefits payable  to any  employee or former  employee or  enter into  any
settlement  or consent  with respect  to any  pending litigation,  except in the
ordinary course  of  business consistent  with  past practice  or  as  otherwise
permitted by this Agreement;

    (g)  the  Company will  not change  any method  of accounting  or accounting
practice by the Company or any Company Subsidiary, except for any such  required
change in GAAP;

    (h)  the Company will  not, and will  not permit any  Company Subsidiary to,
agree or commit to do any of the foregoing; and

    (i) except  to the  extent  necessary to  comply  with the  requirements  of
applicable  laws and regulations, the Company will  not, and will not permit any
Company Subsidiary to  (i) take, or  agree or  commit to take,  any action  that
would  make any representation and warranty  of the Company hereunder inaccurate
in any respect at, or as of any time prior to, the Effective Time or (ii)  omit,
or  agree or commit  to omit, to take  any action necessary  to prevent any such
representation or warranty  from being  inaccurate in  any respect  at any  such
time,  provided however that the  Company shall be permitted  to take or omit to
take such action which can (without any uncertainty) be cured at or prior to the
Effective Time.

                                      A-22
<PAGE>
    Section 6.2  CONDUCT  OF BUSINESS BY  PARENT PENDING THE  MERGER.  From  the
date  hereof until the Effective Time,  unless the Company shall otherwise agree
in writing,  or except  as  set forth  in the  Parent  Disclosure Letter  or  as
otherwise  contemplated by this Agreement or previously disclosed to the Company
in writing, Parent and the Parent  Subsidiaries shall conduct their business  in
the  ordinary  course consistent  with past  practice and  shall use  their best
efforts to preserve intact their  business organizations and relationships  with
third  parties and to keep available the  services of their present officers and
key employees, subject to the  terms of this Agreement.  Except as set forth  in
the  Parent Disclosure Letter  or as otherwise provided  in this Agreement, from
the date hereof until the Effective  Time, without the prior written consent  of
the Company, which consent shall not be unreasonably withheld:

    (a)  Parent  will  not  adopt  or propose  any  change  in  its  Articles of
Incorporation or  By-Laws which  would  have an  adverse  effect on  the  Merger
Consideration;

    (b)  Parent will not, and will not permit any Parent Subsidiary to, declare,
set aside or pay any dividend or  other distribution with respect to any  shares
of  capital stock of Parent, or  any repurchase, redemption or other acquisition
or investment by Parent  or any Parent Subsidiary  of any outstanding shares  of
capital stock or other securities of, or other ownership interests in, Parent or
any Parent Subsidiary;

    (c)  Parent will not, and will not permit any Parent Subsidiary to, merge or
consolidate with any other person or acquire a material amount of assets of  any
other  person if, prior to the consummation  of such transaction, the Company is
advised by  SBI that,  as  a result  of such  transaction,  SBI is  required  to
withdraw  the Fairness Opinion unless  Parent permits the Company's stockholders
to receive, at the election of the Company, $6.88 in cash in lieu of the 0.42 of
a Parent Share to  be received as  part of the Merger  Consideration and, if  so
elected,  such  cash  consideration  together with  the  balance  of  the Merger
Consideration is received prior  to or simultaneously  with the consummation  of
such other transaction. The Company shall promptly notify Parent of its election
after receiving notice of any such transaction by Parent.

    (d)  Parent will not,  and will not  permit any Parent  Subsidiary to, sell,
lease, license or otherwise surrender, relinquish  or dispose of (i) any  Parent
Facility  or (ii) any  assets or property  which are material  to Parent and the
Parent Subsidiaries, taken as a whole, except (x) pursuant to existing contracts
or commitments (the terms of which have heretofore been disclosed to the Company
prior to the date hereof), or (y) in the ordinary course of business  consistent
with past practice;

    (e)  Parent will not, and  will not permit any  Parent Subsidiary to, settle
any material Audit, make or change any material Tax election or file amended tax
returns;

    (f) the  Parent  will  not  issue any  securities  or  indebtedness  (except
pursuant  to existing obligations or in transactions permitted by Section 6.2(c)
hereof), enter  into any  amendment  of any  material  term of  any  outstanding
security  or indebtedness of Parent or of any Parent Subsidiary which would have
an adverse effect on the Merger Consideration (or the ability of Parent to incur
indebtedness necessary to pay the Merger Consideration), incur any  indebtedness
except  pursuant to existing credit facilities or arrangements, fail to make any
required  contribution  to  any  Parent  ERISA  Plan,  materially  increase  any
compensation  or benefits  payable to any  employee or former  employee or enter
into any settlement or consent with respect to any pending litigation, except in
the ordinary course of  business consistent with past  practice or as  otherwise
contemplated or permitted by this Agreement;

    (g)  Parent will not change any  method of accounting or accounting practice
by Parent or any Parent Subsidiary, except for any such required change in GAAP;

    (h) Parent will not, and will not permit any Parent Subsidiary to, agree  or
commit to do any of the foregoing; and

    (i)  except  to the  extent  necessary to  comply  with the  requirements of
applicable laws and regulations, Parent will not, and will not permit any Parent
Subsidiary to (i) take, or agree or commit

                                      A-23
<PAGE>
to take, any action  that would make any  representation and warranty of  Parent
hereunder  inaccurate  in  any respect  at,  or as  of  any time  prior  to, the
Effective Time or  (ii) omit, or  agree or commit  to omit, to  take any  action
necessary  to prevent any such representation  or warranty from being inaccurate
in any respect at any such time, provided however that Parent shall be permitted
to take or omit to take such action which can (without any uncertainty) be cured
at or prior to the Effective Time.

    Section 6.3   CONDUCT  OF BUSINESS  OF SUB.   From  the date  hereof to  the
Effective  Time, Sub shall not engage in  any activities of any nature except as
provided in or contemplated by this Agreement.

                                  ARTICLE VII
                             ADDITIONAL AGREEMENTS

    Section 7.1   ACCESS AND  INFORMATION.  The  Company and  Parent shall  each
afford  to  the other  and  to the  other's  financial advisors,  legal counsel,
accountants,   consultants,    financing   sources,    and   other    authorized
representatives  access during normal business hours throughout the period prior
to the  Effective Time  to all  of its  books, records,  properties, plants  and
personnel  and, during such period, each shall furnish promptly to the other (a)
a copy of  each report,  schedule and  other document  filed or  received by  it
pursuant  to the requirements of  federal or state securities  laws, and (b) all
other information as such other party  reasonably may request, provided that  no
investigation  pursuant to this Section 7.1  shall affect any representations or
warranties made herein or  the conditions to the  obligations of the  respective
parties  to  consummate the  Merger.  Each party  shall  hold in  confidence all
nonpublic information until such time as such information is otherwise  publicly
available  and, if this Agreement is terminated,  each party will deliver to the
other all documents, work papers and other materials (including copies) obtained
by such  party or  on  its behalf  from the  other  party as  a result  of  this
Agreement  or in  connection herewith, whether  so obtained before  or after the
execution hereof.

    Section 7.2  ACQUISITION PROPOSALS.

    (a) From the date hereof until  the termination hereof, the Company and  the
Company  Subsidiaries  will  not,  and  will  cause  their  respective officers,
directors, employees or other  agents not to, directly  or indirectly, (i)  take
any  action  to  solicit, initiate  or  encourage any  Acquisition  Proposal (as
hereinafter defined),  (ii) waive  any provision  of any  standstill or  similar
agreements  entered into  by the Company  or the Company  Subsidiaries, or (iii)
engage in negotiations with, or  disclose any nonpublic information relating  to
the  Company or  Company Subsidiaries, respectively,  or afford  access to their
respective properties, books or  records to any person  that may be  considering
making,  or has made, an Acquisition Proposal. Nothing contained in this Section
7.2 shall prohibit the Company  and its Board of  Directors from (i) taking  and
disclosing  a position with respect to a  tender offer by a third party pursuant
to Rules 14d-9 and 14e-2(a)  promulgated by the SEC  under the Exchange Act,  or
(ii)  furnishing information to, or entering  into negotiations with, any person
or entity that makes  an unsolicited bona fide  proposal to acquire the  Company
pursuant  to a merger, consolidation, share  exchange, purchase of a substantial
portion of the assets,  business combination or  other similar transaction,  if,
and  only to  the extent that,  (A) such  Board of Directors  determines in good
faith that such action is required for the Board of Directors to comply with its
fiduciary duties to stockholders  imposed by law, (B)  prior to furnishing  such
information  to, or entering into discussions  or negotiations with, such person
or entity,  the Company  provides written  notice  to the  other party  to  this
Agreement  to the effect that it is  furnishing information to, or entering into
discussions or negotiations with, such person or entity, and (C) subject to  any
confidentiality   agreement  with  such  person  or  entity  (which  such  party
determined in good faith was required to  be executed in order for the Board  of
Directors  to comply with  its fiduciary duties  to shareholders or stockholders
imposed by law), the Company  keeps Parent informed of  the status (but not  the
terms) of any such negotiations or discussions.

                                      A-24
<PAGE>
    (b)  The  term "Acquisition  Proposal"  as used  herein  means any  offer or
proposal for,  or any  indication of  interest in,  a merger  or other  business
combination  involving the Company or any  Company Subsidiary or the acquisition
of any equity interest in, or a  substantial portion of the assets of, any  such
party, other than the transactions contemplated by this Agreement.

    Section 7.3  REGISTRATION STATEMENT.  As promptly as practicable, Parent and
the  Company shall  cooperate and  promptly prepare  and file  with the  SEC the
Information Statement  and  Parent shall  prepare  and  file with  the  SEC  the
Registration   Statement   (collectively,   such   Information   Statement   and
Registration Statement,  being the  "Information Statement/Prospectus").  Parent
shall  use  its reasonable  best efforts,  and the  Company will  cooperate with
Parent, to have  the Registration  Statement declared  effective by  the SEC  as
promptly  as practicable. Parent  shall also use its  reasonable best efforts to
take any action required to be taken under state securities or blue sky laws  in
connection  with the issuance of the  Parent Shares pursuant hereto. The Company
shall furnish Parent with all information concerning the Company and the holders
of its capital stock and shall take  such other action as Parent reasonably  may
request  in connection with such  Information Statement/ Prospectus and issuance
of  the   Parent  Shares   hereunder.  Parent   agrees  that   the   Information
Statement/Prospectus  and each  amendment or supplement  thereto at  the time of
mailing thereof through twenty (20) business days thereafter, or, in the case of
the Registration Statement and each amendment or supplement thereto, at the time
it is filed  or becomes effective,  will not  include an untrue  statement of  a
material  fact or omit to state a material fact required to be stated therein or
necessary to make the  statements therein, in light  of the circumstances  under
which  they were  made, not  misleading; provided,  however, that  the foregoing
shall not apply to the extent that any such untrue statement of a material  fact
or  omission to state a material fact was made by Parent in reliance upon and in
conformity with written information concerning  the Company furnished to  Parent
by the Company specifically for use in the Information Statement/Prospectus. The
Company  agrees  that  the  information  provided by  it  for  inclusion  in the
Information Statement/Prospectus and  each amendment or  supplement thereto,  at
the time of mailing thereof through twenty (20) business days thereafter, or, in
the   case  of  information  provided  by  the  Company  for  inclusion  in  the
Registration Statement or any amendment or supplement thereto, at the time it is
filed or becomes effective, will not  include an untrue statement of a  material
fact or omit to state a material fact required to be stated therein or necessary
to  make the statements therein, in light  of the circumstances under which they
were made, not misleading. Except as otherwise required by law, no amendment  or
supplement to the Information Statement/Prospectus will be made by Parent or the
Company  without the  approval of  the other party,  which approval  will not be
unreasonably withheld.  Parent  will  advise  the  Company,  promptly  after  it
receives  notice thereof, of the time when the Registration Statement has become
effective or any  supplement or amendment  has been filed,  the issuance of  any
stop  order, the  suspension of the  qualification of Parent  Shares issuable in
connection with the  Merger for  offering or sale  in any  jurisdiction, or  any
request  by the SEC for amendment of the Information Statement/Prospectus or the
Registration Statement or comments thereon and responses thereto or requests  by
the SEC for additional information.

    Section  7.4  LISTING APPLICATION.  Parent shall promptly prepare and submit
to each of  the New York  Stock Exchange  and Pacific Stock  Exchange a  listing
application  covering  the Parent  Shares to  be issued  in connection  with the
Merger and this Agreement, and shall use its reasonable best efforts to  obtain,
prior  to the Effective  Time, approval for  the listing of  such Parent Shares,
subject to official notice of issuance.

    Section 7.5  INFORMATION STATEMENT AND STOCKHOLDER APPROVAL.

    (a) The Company, acting through its Board of Directors, shall, in accordance
with applicable  law  and  its  Certificate of  Incorporation  and  By-Laws  (i)
promptly  and duly, give  notice of, as  soon as practicable  following the date
upon   which   the   Registration   Statement   becomes   effective,   mail   to

                                      A-25
<PAGE>
stockholders  of the Company the  Information Statement/Prospectus in accordance
with the requirements of  the DGCL and  Regulation 14C of  the Exchange Act  and
take  all lawful action necessary to provide notification of the written consent
of stockholders of the Company of the approval of the Merger as contemplated  by
Section 7.1(b) hereof.

    (b)  Promptly hereafter, but in no event  later than ten (10) days after the
execution of this Agreement by the parties hereto, stockholders representing the
requisite number of Shares necessary to approve the Merger will deliver  written
consents in accordance with Section 228 of the DGCL.

    Section  7.6  FILINGS;  OTHER ACTION.   Subject to the  terms and conditions
herein provided, as promptly as practicable, the Company, Parent and Sub  shall:
(i)  promptly make all filings  and submissions under the  HSR Act as reasonably
may  be  required  to  be  made  in  connection  with  this  Agreement  and  the
transactions  contemplated hereby, (ii) use  all reasonable efforts to cooperate
with each other in (A) determining which  filings are required to be made  prior
to  the Effective Time with, and  which material consents, approvals, permits or
authorizations are required  to be obtained  prior to the  Effective Time  from,
governmental  or regulatory authorities of the United States, the several states
or District  of  Columbia, and  foreign  jurisdictions in  connection  with  the
execution   and  delivery  of  this  Agreement   and  the  consummation  of  the
transactions contemplated  hereby and  (B) timely  making all  such filings  and
timely  seeking  all such  consents, approvals,  permits or  authorizations, and
(iii) use all reasonable efforts to take, or cause to be taken, all other action
and do,  or cause  to be  done, all  other things  necessary or  appropriate  to
consummate  the transactions contemplated by  this Agreement. In connection with
the foregoing, the Company will provide Parent and Sub, and Parent and Sub  will
provide  the Company, with  copies of correspondence,  filings or communications
(or memoranda setting forth the substance thereof) between such party or any  of
its  representatives, on the one hand,  and any governmental agency or authority
or members of their respective staffs, on  the other hand, with respect to  this
Agreement  and  the transactions  contemplated hereby.  Each  of Parent  and the
Company acknowledge that certain  actions may be necessary  with respect to  the
foregoing in making notifications and obtaining clearances, consents, approvals,
waivers or similar third party actions which are material to the consummation of
the  transactions contemplated hereby, and each  of Parent and the Company agree
to take such action  as is necessary to  complete such notifications and  obtain
such  clearances, approvals, waivers  or third party  actions, except where such
consequence, event or occurrence would have a Parent Material Adverse Effect  or
Company Material Adverse Effect, as the case may be.

    Section 7.7  PUBLIC ANNOUNCEMENTS.  Parent and Sub, on the one hand, and the
Company,  on the other hand, agree that they will not issue any press release or
otherwise make any public statement or respond to any press inquiry with respect
to this  Agreement or  the transactions  contemplated hereby  without the  prior
approval  of the other party (which approval will not be unreasonably withheld),
except as may be required by applicable law.

    Section 7.8   COMPANY  INDEMNIFICATION PROVISION.   Parent  agrees that  all
rights  to indemnification existing in favor of the present or former directors,
officers, employees, fiduciaries and agents of the Company or any of the Company
Subsidiaries (collectively,  the  "Indemnified  Parties")  as  provided  in  the
Company's Certificate of Incorporation or By-Laws or the certificate or articles
of  incorporation, by-laws  or similar  organizational documents  of any  of the
Company Subsidiaries as in effect as of the date hereof or pursuant to the terms
of any indemnification agreements  entered into between the  Company and any  of
the Indemnified Parties with respect to matters occurring prior to the Effective
Time  shall  survive the  Merger and  shall  continue in  full force  and effect
(without modification  or amendment,  except as  required by  applicable law  or
except  to  make changes  permitted by  law that  would enlarge  the Indemnified
Parties' right of indemnification),  to the fullest extent  and for the  maximum
term permitted by law, and shall be enforceable by the Indemnified Party against
both  the Company and Parent (which  shall also directly assume such obligations
at the Effective Time). Parent  shall cause to be  maintained in effect for  not
less  than  six  years from  the  Effective  Time the  current  policies  of the
directors' and officers' liability insurance maintained by the Company (provided
that

                                      A-26
<PAGE>
Parent  may  substitute  therefor  policies  of  at  least  equivalent  coverage
containing  terms and conditions which are no less advantageous) with respect to
matters occurring prior to the Effective  Time, provided that in no event  shall
Parent or the Surviving Corporation be required to expend to maintain or procure
insurance  coverage pursuant to this Section 7.8  any amount per annum in excess
of 200% of the aggregate premiums paid  in 1994 on an annualized basis for  such
purpose. In the event the payment of such amount for any year is insufficient to
maintain such insurance or equivalent coverage cannot otherwise be obtained, the
Surviving  Corporation shall purchase as much  insurance as may be purchased for
the amount  indicated. The  provisions of  this Section  7.8 shall  survive  the
consummation  of the Merger  and expressly are  intended to benefit  each of the
Indemnified Parties.

    Section 7.9  REGISTRATION STATEMENT  FOR SECURITIES ACT AFFILIATES.   Parent
shall  enter  into a  Registration Rights  Agreement  substantially in  the form
attached as Exhibit B, providing for  the registration under the Securities  Act
covering  the Parent Shares receivable by  Securities Act Affiliates (as therein
defined),  which  registration  statement   will  permit  such  Securities   Act
Affiliates  and  their partners,  shareholders,  beneficiaries or  other similar
persons  to  whom  they  may  distribute  Parent  Shares  through  a   dividend,
partnership  distribution  or  other  similar  distribution  (collectively,  the
"Distributees") to sell such Parent Shares.

    Section 7.10  CERTAIN BENEFITS.

    (a) From and after the Effective Time, subject to applicable law and  except
as  contemplated  hereby,  Parent and  the  Parent Subsidiaries  will  honor, in
accordance with their terms, all Company Plans; provided, however, that  nothing
herein  shall preclude any change effected on a prospective basis in any Company
Plan from and after the Effective Time. Parent and the Parent Subsidiaries  will
provide  benefits to employees  of the Company and  the Company Subsidiaries who
become employees of  Parent and the  Parent Subsidiaries or  continue after  the
Effective  Time as  employees of the  Company or the  Company Subsidiaries which
will, in  the aggregate,  be no  less  favorable than  those provided  to  other
similarly  situated employees of Parent and the Parent Subsidiaries from time to
time. With respect  to the Parent  Plans, Parent and  the Surviving  Corporation
shall  grant all employees of the Company  and the Company Subsidiaries from and
after the Effective Time credit for all service with the Company and the Company
Subsidiaries, their affiliates and predecessors prior to the Effective Time  for
all  purposes  for which  such service  was  recognized by  the Company  and the
Company Subsidiaries. To the extent the  Parent Plans provide medical or  dental
welfare   benefits  after  the  Effective  Time,  such  plans  shall  waive  any
pre-existing conditions and actively-at-work  exclusions and shall provide  that
any  expenses  incurred on  or before  the  Effective Time  shall be  taken into
account under deductible, coinsurance and maximum out-of-pocket provisions.

    (b) Parent agrees that  it will cause  the Company to  comply with the  WARN
Act, to the extent applicable to the Company and its subsidiaries, in connection
with actions taken after the Effective Time.

    (c)  The provisions of  this Section 7.10 shall  survive the consummation of
the Merger.

    Section 7.11  DIRECTORS OF PARENT.  Prior to the date of the mailing of  the
Information  Statement/ Prospectus, the Company shall nominate three persons who
are acceptable to  Parent in its  reasonable judgment to  serve as directors  of
Parent  in accordance with the policies for directors of Parent and Parent shall
take such action as is  necessary to cause such  persons to become directors  of
Parent effective as of the Effective Time.

    Section  7.12  SPECIAL DIVIDEND.  Notwithstanding anything contained in this
Merger Agreement to the contrary,  the Board of Directors  of the Company on  or
prior  to Closing shall declare a special  dividend of $.10 per share payable to
holders of Shares on or prior to  the Effective Time. Payment of such  dividend,
which  shall be  made by  the Company's  transfer agent  in accordance  with the
requirements of applicable law and  subject to the rules  of the New York  Stock
Exchange  and  the SEC,  may  be funded  from  the Company's  available  cash or
borrowings under the Company's Revolving Credit Agreement.

                                      A-27
<PAGE>
    Section  7.13  ADDITIONAL  AGREEMENTS.  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,
including using all reasonable efforts to obtain all necessary waivers, consents
and  approvals in connection  with the Governmental  Requirements, to effect all
necessary registrations and filings  and to obtain  all necessary financing.  In
case  at any time  after the Effective  Time any further  action is necessary or
desirable to  carry out  the purposes  of this  Agreement, the  proper  officers
and/or  directors of Parent, Sub  and the Company shall  take all such necessary
action.

                                  ARTICLE VIII
                    CONDITIONS TO CONSUMMATION OF THE MERGER

    Section  8.1    CONDITIONS  TO   EACH  PARTY'S  OBLIGATION  TO  EFFECT   THE
MERGER.   The respective obligations of each party to effect the Merger shall be
subject to the satisfaction at or prior  to the Effective Time of the  following
conditions:

        (a)  Any waiting  period applicable  to the  consummation of  the Merger
    under the HSR Act shall have expired or been terminated, and no action shall
    have  been  instituted  by  the  Department  of  Justice  or  Federal  Trade
    Commission  challenging  or  seeking  to  enjoin  the  consummation  of this
    transaction, which action shall have not been withdrawn or terminated.

        (b) The Registration Statement shall have become effective in accordance
    with the provisions of the Securities  Act and no stop order suspending  the
    effectiveness  of  the  Registration Statement  shall  be in  effect  and no
    proceeding for such  purpose shall be  pending before or  threatened by  the
    SEC.

        (c)  This Agreement and the  transactions contemplated hereby shall have
    been approved and adopted by the  requisite vote of the stockholders of  the
    Company  respectively in accordance  with and subject  to applicable law and
    twenty (20)  business  days shall  have  passed  since the  mailing  of  the
    Information Statement/Prospectus to the Company's stockholders.

        (d)  No statute,  rule, regulation,  executive order,  decree, ruling or
    preliminary or  permanent  injunction  shall  have  been  enacted,  entered,
    promulgated  or  enforced  by any  federal  or state  court  or governmental
    authority which prohibits, restrains, enjoins or restricts the  consummation
    of the Merger.

        (e)  Each of  the Company and  Parent shall have  obtained such permits,
    authorizations,  consents,  or  approvals,  required  by  the   Governmental
    Requirements to consummate the transactions contemplated hereby.

    Section  8.2    CONDITIONS  TO  OBLIGATION  OF  THE  COMPANY  TO  EFFECT THE
MERGER.  The obligation of the Company to effect the Merger shall be subject  to
the  satisfaction at or prior to the  Effective Time of the following additional
conditions:

        (a) Each of Parent and Sub shall have performed in all material respects
    its obligations under this  Agreement required to be  performed by it at  or
    prior to the Effective Time and the representations and warranties of Parent
    and  Sub contained  in this  Agreement which  are qualified  with respect to
    materiality  shall  be  true   and  correct  in   all  respects,  and   such
    representations  and warranties that are not  so qualified shall be true and
    correct in  all material  respects, in  each case  as of  the date  of  this
    Agreement  and at and as of the Effective Time  as if made at and as of such
    time, except  as  contemplated  by  the Parent  Disclosure  Letter  or  this
    Agreement, and the Company shall have received a certificate of the Chairman
    of  the Board,  the President,  an Executive  Vice President,  a Senior Vice
    President or the Chief Financial Officer of Parent as to the satisfaction of
    this condition.

                                      A-28
<PAGE>
        (b) The Company shall  have received a "comfort"  letter from KPMG  Peat
    Marwick,  L.L.P., Parent's independent accountants, dated the Effective Time
    and addressed to the Company, of  the kind contemplated by the Statement  on
    Auditing  Standards with respect  to Letters to  Underwriters promulgated by
    the  American  Institute  of   Certified  Public  Accountants  (the   "AICPA
    Statement"),  in form  reasonably acceptable  to the  Company, in connection
    with the procedures undertaken by KPMG Peat Marwick, L.L.P., with respect to
    the financial statements  of Parent included  in the Registration  Statement
    and  the other matters  contemplated by the  AICPA Statement and customarily
    included in comfort letters relating to transactions similar to the Merger.

        (c) From the date  of this Agreement through  the Effective Time,  there
    shall  not have  occurred any change  in the  financial condition, business,
    operations or prospects of  Parent and the Parent  Subsidiaries, taken as  a
    whole,  that  would have  or would  be  reasonably likely  to have  a Parent
    Material Adverse Effect, other than any such change that affects both Parent
    and the Company in a substantially similar manner.

        (d) The Company  shall have  received an  opinion from  Scott M.  Brown,
    Senior  Vice President,  Secretary and  General Counsel  of Parent,  or from
    Skadden, Arps, Slate, Meagher & Flom,  special counsel to Parent, dated  the
    Effective  Time, in substantially the form set forth as Exhibit C hereto. As
    to any matter  in such  opinion which involves  matters of  fact or  matters
    relating  to laws other  than federal securities  or Delaware corporate law,
    such counsel may  rely upon the  certificates of officers  and directors  of
    Parent  and  Sub and  of  public officials  and  opinions of  local counsel,
    reasonably acceptable to the Company.

        (e) The listing application referred to  in Section 7.4 shall have  been
    approved  by  the New  York Stock  Exchange  and the  registration statement
    referred to in Section 7.9 hereof shall have been declared effective and  no
    stop order shall have been issued with respect thereto.

    Section  8.3   CONDITIONS TO  OBLIGATIONS OF  PARENT AND  SUB TO  EFFECT THE
MERGER.  The obligations of Parent and Sub to effect the Merger shall be subject
to the  satisfaction  at  or  prior  to the  Effective  Time  of  the  following
additional conditions:

        (a)  The  Company  shall have  performed  in all  material  respects its
    obligations under this Agreement required to be performed by it at or  prior
    to  the Effective Time and the representations and warranties of the Company
    contained in this Agreement which are qualified with respect to  materiality
    shall  be true  and correct  in all  respects, and  such representations and
    warranties that  are not  so qualified  shall  be true  and correct  in  all
    material  respects, in each case as of the date of this Agreement and at and
    as of the  Effective Time  as if  made at  and as  of such  time, except  as
    contemplated  by the Company Disclosure Letter or this Agreement, and Parent
    and Sub shall have received a Certificate of the Chairman of the Board,  the
    President,  an Executive Vice President, Senior  Vice President or the Chief
    Financial Officer of the Company as to the satisfaction of this condition.

        (b) Parent and Sub shall have received a letter from Price Waterhouse  &
    Co.,  the Company's  independent accountants,  dated the  Effective Time and
    addressed to Parent and Sub,  in form and substance reasonably  satisfactory
    to  Parent in connection with the procedures undertaken by them with respect
    to the financial statements and  other financial information of the  Company
    and the Company Subsidiaries contained in the Registration Statement and the
    other  matters contemplated  by the AICPA  Statement No.  72 and customarily
    included in comfort letters relating to transactions similar to the Merger.

        (c) Parent  and  Sub shall  have  received  an opinion  from  Thomas  J.
    Sabatino,  Jr.,  General  Counsel of  the  Company,  or from  Neal  Gerber &
    Eisenberg, special  counsel to  the Company,  dated the  Effective Time,  in
    substantially  the form set forth  as Exhibit D hereto.  As to any matter in
    such opinion which  involves matters  of fact  or matters  relating to  laws
    other than federal

                                      A-29
<PAGE>
    securities  or  Delaware  corporate  law, such  counsel  may  rely  upon the
    certificates of  officers  and  directors  of  the  Company  and  of  public
    officials and opinions of local counsel, reasonably acceptable to Parent and
    Sub.

        (d)  From the  date of the  Agreement through the  Effective Time, there
    should not have occurred  any change in  the financial condition,  business,
    operations or prospects of the Company and the Company's Subsidiaries, taken
    as  a whole, that would have or would be reasonably likely to have a Company
    Material Adverse Effect, other  than any such change  that affects both  the
    Company and Parent in a substantially similar manner.

                                   ARTICLE IX
                       TERMINATION, AMENDMENT AND WAIVER

    Section  9.1    TERMINATION  BY  MUTUAL  CONSENT.    This  Agreement  may be
terminated at any  time prior  to the Effective  Time, whether  before or  after
approval  by the stockholders of the Company by mutual written consent of Parent
and the Company.

    Section 9.2  TERMINATION  BY EITHER PARENT OR  THE COMPANY.  This  Agreement
may  be terminated  and the Merger  may be abandoned  by action of  the Board of
Directors of either Parent or the Company if (a) the Merger shall not have  been
consummated  on or before May 31, 1995, or  (b) a United States federal or state
court of competent jurisdiction or United States federal or state  governmental,
regulatory  or administrative agency  or commission shall  have issued an order,
decree or ruling or taken any other action permanently restraining, enjoining or
otherwise prohibiting the transactions contemplated  by this Agreement and  such
order,   decree,  ruling   or  other   action  shall   have  become   final  and
non-appealable; provided, that  the party  seeking to  terminate this  Agreement
pursuant  to this clause  (b) shall have  used all reasonable  efforts to remove
such injunction, order or decree.

    Section 9.3  TERMINATION BY THE  COMPANY.  This Agreement may be  terminated
and  the Merger may be abandoned at any time prior to the Effective Time, before
or after the adoption and approval  by the stockholders of the Company  referred
to in Section 7.5(b), by action of the Board of Directors of the Company, if (a)
in  the exercise of  its good faith judgment  as to its  fiduciary duties to its
stockholders imposed by law,  the Board of Directors  of the Company  determines
that  such termination is  required by reason of  an Acquisition Proposal having
been made  to it,  or (b)  there has  been  a breach  by Parent  or Sub  of  any
representation or warranty contained in this Agreement which would have or would
be  likely to  have a Parent  Material Adverse Effect,  or (c) there  has been a
material breach  of  any  of the  covenants  or  agreements set  forth  in  this
Agreement  on the part of Parent, which breach is not curable or, if curable, is
not cured within thirty (30) days after  written notice of such breach is  given
by the Company to Parent or (d) Parent shall have been unable to obtain prior to
the  Effective Time  financing to provide  for consummation of  the Merger other
than as a result of  a material breach by the  Company of any representation  or
warranty  contained  in this  Agreement,  the nonsatisfaction  of  the condition
contained in Section  8.3(d) or a  material breach  of any of  the covenants  or
agreements set forth in this Agreement on the part of the Company.

    Section  9.4  TERMINATION BY  PARENT.  This Agreement  may be terminated and
the Merger may be abandoned at any time prior to the Effective Time by action of
the Board of Directors of Parent, if (a) there has been a breach by the  Company
of  any representation or warranty contained  in this Agreement which would have
or would be reasonably likely to have a Company Material Adverse Effect, or  (b)
there has been a material breach of any of the covenants or agreements set forth
in this Agreement on the part of the Company, which breach is not curable or, if
curable,  is not  cured within  thirty (30)  days after  written notice  of such
breach is given by Parent to the Company.

    Section 9.5  EFFECT OF TERMINATION AND ABANDONMENT.

    (a) (i)  If this  Agreement is  terminated by  (A) the  Company pursuant  to
Sections  9.3(b) through  9.3(d), then  in any such  event the  Company shall be
entitled to receive from Parent the Termination Fee, and (ii) if this  Agreement
is  terminated  by  (A)  Parent  pursuant  to  Sections  9.4(a)  and  9.4(b), or

                                      A-30
<PAGE>
(B) by the Company  pursuant to Section  9.3(a), then in  any such event  Parent
shall  be entitled to receive from the  Company the Termination Fee, provided in
the case of a termination by the Company pursuant to Section 9.3(a) hereof,  the
Termination  Fee shall  be reduced  by the  amount of  any payments  received by
Parent under the Stockholder Voting and Profit Sharing Agreements. If Parent has
received payment under the Stockholder Voting and Profit Sharing Agreement,  the
Company agrees to promptly reimburse in full the persons making such payments to
Parent, but in any event such reimbursement shall not exceed $75,000,000.

    (b)  Within three business days following any termination event described in
Section 9.5(a)  above,  the  party entitled  to  compensation  thereunder  shall
receive  a payment  in the  amount of $75,000,000  (less any  amount received by
Parent under the  Stockholder Voting  and Profit  Sharing Agreement  as of  such
date)  in the event this  Agreement is terminated pursuant  to Section 9.3(a) or
$150,000,000 in the  event this Agreement  is terminated pursuant  to any  other
termination event described in Section 9.5(a) above (the "Termination Fee") from
the  party whose action or  failure to take action shall  have given rise to the
right to such payment, it being understood and agreed by the parties hereto that
the Termination Fee is intended to constitute liquidated damages, except in  the
case  of fraud or  a deliberate and wilful  breach by a  party hereto, since the
actual amount  of damages  which would  be sustained  by a  non-breaching  party
hereunder  as a result of  such termination is difficult,  if not impossible, of
ascertainment and that the agreement of  the parties with regard to the  payment
of  the foregoing sum  as liquidated damages  represents a good  faith effort by
each of the parties to establish the reasonable amount of restitution  necessary
to  provide for recovery  of all costs  and expenses associated  with efforts to
consummate the Merger, including, without limitation, opportunity costs.

    (c) In the event of termination of the Agreement and the abandonment of  the
Merger  pursuant  to  this Article  IX,  all  obligations of  the  parties shall
terminate, except the obligations  of the parties pursuant  to this Section  9.5
and  except for the  provisions of Sections  4.20, 5.21, 10.4  and 10.6, and the
last sentence of Section 7.1 hereof.

                                   ARTICLE X
                               GENERAL PROVISIONS

    Section 10.1  SURVIVAL  OF REPRESENTATIONS, WARRANTIES  AND AGREEMENTS.   No
representations  or warranties in this Agreement  or in any instrument delivered
pursuant to this Agreement shall survive beyond the Effective Time. This Section
10.1 shall not limit any covenant or agreement after the Effective Time.

    Section  10.2     NOTICES.     All  notices,  claims,   demands  and   other
communications  hereunder shall be in writing and shall be deemed given upon (a)
confirmation of receipt of a facsimile transmission, (b) confirmed delivery by a
standard overnight carrier or  when delivered by hand  or (c) the expiration  of
five  business days after  the day when  mailed by registered  or certified mail
(postage prepaid, return receipt requested), addressed to the respective parties
at the  following addresses  (or such  other address  for a  party as  shall  be
specified by like notice):

    (a) If to Parent or Sub, to:
      National Medical Enterprises, Inc.
      2700 Colorado Boulevard
      Santa Monica, California 90404
      Attention: General Counsel
      with a copy to:
      Skadden, Arps, Slate, Meagher & Flom
      300 South Grand Avenue, Suite 3400
      Los Angeles, California 90071
      Attention: Brian J. McCarthy

                                      A-31
<PAGE>
    (b) if to the Company, to:
American Medical Holdings, Inc.
      14001 Dallas Parkway
      Dallas, Texas 75240
      Attention: General Counsel
      with a copy to:
      Neal, Gerber & Eisenberg
      Two LaSalle Street
      Chicago, Illinois 60602
      Attention: Charles Gerber

    Section  10.3    DESCRIPTIVE  HEADINGS.    The  headings  contained  in this
Agreement are for reference purposes  only and shall not  affect in any way  the
meaning or interpretation of this Agreement.

    Section  10.4  ENTIRE AGREEMENT; ASSIGNMENT.   This Agreement (including the
Exhibits,  Parent  Disclosure  Letter,  Company  Disclosure  Letter  and   other
documents  and  instruments  referred  to  herein)  (a)  constitutes  the entire
agreement and supersedes  all other prior  agreements and understandings  (other
than  that certain  confidentiality letter  agreement between  the parties dated
June 2, 1994, as thereafter supplemented by letter dated August 25, 1994,  which
are  hereby incorporated by  reference herein), both written  and oral among the
parties or any of  them, with respect to  the subject matter hereof,  including,
without  limitation, any transaction between or among the parties hereto; (b) is
not intended to confer upon any  other person any rights or remedies  hereunder;
and  (c) shall not be  assigned by operation of  law or otherwise, provided that
Parent or Sub may  assign its rights  and obligations hereunder  to a direct  or
indirect  subsidiary of Parent,  but no such assignment  shall relieve Parent or
Sub, as the case may be, of its obligations hereunder.

    Section 10.5   GOVERNING  LAW.   This  Agreement shall  be governed  by  and
construed  in accordance with the  laws of the State  of Delaware without giving
effect to the provisions thereof relating to conflicts of law.

    Section 10.6  EXPENSES.  Whether or not the Merger is consummated, all costs
and expenses incurred  in connection  with this Agreement  and the  transactions
contemplated  hereby  and thereby  shall  be paid  by  the party  incurring such
expenses, except that those  expenses incurred in  connection with printing  the
Information  Statement/Prospectus, as  well as  the filing  fee relating  to the
Registration Statement, will be shared equally by Parent and the Company.

    Section 10.7  AMENDMENT.  This Agreement  may be amended by action taken  by
Parent,  Sub and the Company at any time  before or after approval hereof by the
stockholders of the Company, but, after any such approval, no amendment shall be
made which  alters the  Merger  Consideration or  which  in any  way  materially
adversely  affects the rights of such stockholders, without the further approval
of such stockholders. This Agreement may not be amended except by an  instrument
in writing signed on behalf of each of the parties hereto.

    Section  10.8  WAIVER.  At any time prior to the Effective Time, the parties
hereto may (a) extend the time for the performance of any of the obligations  or
other  acts  of the  other parties  hereto,  (b) waive  any inaccuracies  in the
representations and warranties  contained herein  or in  any document  delivered
pursuant  hereto  and  (c)  waive  compliance  with  any  of  the  agreements or
conditions contained herein. Any agreement on the part of a party hereto to  any
such  extension or waiver shall  be valid only if set  forth in an instrument in
writing signed on behalf of such party.

    Section 10.9  COUNTERPARTS; EFFECTIVENESS.   This Agreement may be  executed
in two or more counterparts, each of which shall be deemed to be an original but
all  of which shall constitute one and  the same agreement. This Agreement shall
become effective with each party hereto shall have received counterparts thereof
signed by all of the other parties hereto.

    Section 10.10    SEVERABILITY;  VALIDITY;  PARTIES  IN  INTEREST.    If  any
provision  of  this  Agreement, or  the  application  thereof to  any  person or
circumstance   is   held   invalid   or   unenforceable,   the   remainder    of

                                      A-32
<PAGE>
this  Agreement,  and the  application  of such  provision  to other  persons or
circumstances, shall not be affected thereby, and to such end, the provisions of
this Agreement are agreed to be severable. Except as provided in Section 7.8 and
the last sentence of Section 9.5(a)  hereof, nothing in this Agreement,  express
or  implied, is intended to confer upon  any other person any rights or remedies
of any nature whatsoever under or by reason of this Agreement.

    Section 10.11   ENFORCEMENT OF  AGREEMENT.   The parties  hereto agree  that
irreparable  damage would occur in the event  that any of the provisions of this
Agreement was  not  performed in  accordance  with  its specific  terms  or  was
otherwise  breached. It is accordingly agreed that the parties shall be entitled
to an injunction  or injunctions to  prevent breaches of  this Agreement and  to
enforce specifically the terms and provisions hereof in any Delaware Court, this
being  in addition to any other  remedy to which they are  entitled at law or in
equity.

    IN WITNESS WHEREFORE, each  of Parent, Sub and  the Company has caused  this
Agreement  to  be executed  on its  behalf  by its  officers thereunder  to duly
authorized, all as of the date first above written.

                                          NATIONAL MEDICAL ENTERPRISES, INC.

                                          By: /s/ JEFFREY BARBAKOW

                                             -----------------------------------
                                              Name: Jeffrey Barbakow
                                             Title: Chairman and Chief Executive
                                              Officer

                                          AMH ACQUISITION CO.

                                          By: /s/ JEFFREY BARBAKOW

                                             -----------------------------------
                                              Name: Jeffrey Barbakow
                                             Title: Chairman and Chief Executive
                                              Officer

                                          AMERICAN MEDICAL HOLDINGS, INC.

                                          By: /s/ ROBERT W. O'LEARY

                                             -----------------------------------
                                              Name: Robert W. O'Leary
                                             Title: Chairman and Chief Executive
                                              Officer

                                      A-33
<PAGE>
                                                                       EXHIBIT A

                STOCKHOLDER VOTING AND PROFIT SHARING AGREEMENT

    THIS  STOCKHOLDER VOTING AND PROFIT  SHARING AGREEMENT (this "Agreement") is
made and  entered into  as of  this  10th day  of October,  1994, by  and  among
National  Medical Enterprises, Inc.  a Nevada corporation  ("Acquiror"), and the
stockholder named  on the  signature page  hereto ("Stockholder").  On the  date
hereof  the Stockholder Beneficially  Owns (as defined  in Section 13(a) hereof)
the shares of common stock, par value $.01 per share (the "Company Shares"),  of
American  Medical Holdings, Inc., a  Delaware corporation ("Company"), set forth
next to the Stockholder's name on the signature page hereto.

    WHEREAS, Acquiror and the Company concurrently herewith are entering into an
Agreement and  Plan  of  Merger,  dated  as of  the  date  hereof  (the  "Merger
Agreement"),  providing for, among other things,  the merger (the "Merger") of a
wholly owned subsidiary of Acquiror with  and into the Company with the  Company
as the surviving corporation; and

    WHEREAS,  as an inducement to Acquiror's  execution of the Merger Agreement,
Acquiror has  requested that  the  Stockholder agree,  and the  Stockholder  has
agreed,  to grant  to Acquiror  certain rights (i)  to receive  payment from the
Stockholder in the event  that an Alternate Transaction  (as defined in  Section
1(a)  hereof) is consummated; and  (ii) to vote (or  consent with regard to) all
Company Shares as to which the Stockholder has voting power as provided herein.

    NOW, THEREFORE, in  consideration of the  premises and the  representations,
warranties,  covenants  and  agreements  contained  herein  and  in  the  Merger
Agreement, and  for  other good  and  valuable consideration,  the  receipt  and
sufficiency of which is hereby acknowledged, the parties hereto, intending to be
legally bound hereby, agree as follows:

    1.  PAYMENTS TO ACQUIROR UPON CERTAIN EVENTS.

    (a)  ALTERNATE TRANSACTION PAYMENT.

        (i)  If a person  other than Acquiror  or its Affiliates  (as defined in
    Section 13(c) hereof) (an "Acquiring Person"):

           (A) acquires Beneficial Ownership  of any or  all of the  Stockholder
       Shares (as hereinafter defined); or

           (B) consummates a merger, consolidation or other business combination
       with, or purchases all or substantially all of the assets of, the Company
       (each transaction specified in the foregoing clause (A) or in this clause
       (B),  an "Alternate Transaction"), the  Stockholder shall pay to Acquiror
       an amount (the "Alternate Transaction  Payment") equal to the product  of
       (x)  the  excess  of  the  Alternate  Transaction  Price  (as hereinafter
       defined), over $25.88,  or, if the  Alternate Transaction is  consummated
       after  March 31, 1995, $26.13 (the "Base  Price") times (y) the number of
       Stockholder Shares, if any, sold or transferred by the Stockholder to  an
       Acquiring  Person or received by a  Stockholder by virtue of an Alternate
       Transaction which is consummated, or  with respect to which an  agreement
       is  entered into, on or prior to June 30, 1995 (the "Outside Date"). Such
       payment shall  be made  promptly following  the transfer  of  Stockholder
       Shares  to an Acquiring  Person. In the event  that the consideration for
       the Stockholder Shares  consists in whole  or in part  of property  other
       than  cash, the Alternate Transaction Payment shall be made by delivering
       to the Acquiror a percentage of each type of property received determined
       by dividing the amount of the Alternate Transaction Payment (expressed on
       a per share basis) by the Alternate Transaction Price.

        (ii) "Alternate  Transaction  Price" shall  mean,  with respect  to  any
    Stockholder  Shares, the price per share  paid by any Acquiring Person after
    the date  hereof  for  such  Stockholder  Shares  which  shall  include,  if
    applicable, the fair market value of securities or other property other than

                                      A-34
<PAGE>
    cash  exchanged for Stockholder Shares or received for the Company's assets,
    calculated as a  per share price,  as determined by  the investment  banking
    firm retained by the Company to evaluate such proposal.

       (iii) "Stockholder Shares" shall mean the Shares of Company capital stock
    (including without limitation the Company Shares) Beneficially Owned by such
    Stockholder as of the date hereof.

       (iv) For purposes of determining whether an Alternate Transaction exists,
    an  Acquiring Person shall be deemed to have acquired "Beneficial Ownership"
    of any Stockholder Shares (x) which such person or any of its Affiliates  or
    Associates  (as defined in Section 13(c) hereof) Beneficially Owns, directly
    or indirectly; (y) which such person or any of its Affiliates or  Associates
    has,  directly or indirectly (A) the right to acquire (whether such right is
    exercisable immediately or subject only to the passage of time), pursuant to
    any agreement,  arrangement,  or  understanding  or  upon  the  exercise  of
    conversion  rights, exchange rights,  warrants or options,  or otherwise, or
    (B)  the  right  to   vote  pursuant  to   any  agreement,  arrangement   or
    understanding;  or (z) which are Beneficially Owned, directly or indirectly,
    by any other  person with  which such  person or  any of  its Affiliates  or
    Associates  has any agreement, arrangement  or understanding for the purpose
    of acquiring, holding, voting or disposing of any Company Shares (other than
    the Company Shares owned  by other persons that  are parties to the  Amended
    and  Restated Stockholder  Agreement, dated as  of July 30,  1991, among the
    Stockholder, the Company  and certain other  stockholders (the  "Stockholder
    Agreement").

    (b)  ADJUSTMENT UPON CERTAIN CHANGES IN CAPITALIZATION.  In the event of any
change  in  the Company  Shares  by reason  of  a stock  dividend,  stock split,
split-up,  recapitalization,  combination,   exchange  of   shares  or   similar
transaction,  the  type  and  number of  shares  or  securities  that constitute
Stockholder Shares hereunder,  and the  Base Price therefor,  shall be  adjusted
appropriately.

    2.  VOTING RIGHTS.

    (a)    VOTING AGREEMENT.   The  Stockholder agrees  to vote  all Stockholder
Shares on matters as to which the  Stockholder is entitled to vote at a  meeting
of the Stockholders of the Company, or by written consent without a meeting with
respect  to all  Stockholder Shares  as follows:  (i) in  favor of  approval and
adoption of  the Merger  Agreement and  all related  matters; (ii)  against  any
action or agreement that would result in a breach in any material respect of any
covenant, representation or warranty or any other obligation or agreement of the
Company  under the Merger  Agreement; and (iii) against  any action or agreement
(other than the Merger Agreement or the transactions contemplated thereby)  that
would  impede,  interfere with,  delay, postpone  or  attempt to  discourage the
Merger.

    (b)  GRANT OF  PROXY.  The Stockholder  hereby appoints Acquiror, with  full
power  of substitution (Acquiror and its substitutes being referred to herein as
the "Proxy"), as attorneys and proxies to vote all Stockholder Shares on matters
as to which Stockholder is entitled to vote at a meeting of the stockholders  of
the  Company or  to which  they are  entitled to  express consent  or dissent to
corporate action in writing without a meeting, in the Proxy's absolute, sole and
binding  discretion  on  the  matters  specified  in  Section  2(a)  above.  The
Stockholder agrees that the Proxy may, in such Stockholder's name and stead, (i)
attend any annual or special meeting of the stockholders of the Company and vote
all  Stockholder Shares at any such annual  or special meeting as to the matters
specified  in  Section  2(a)  above,  and  (ii)  execute  with  respect  to  all
Stockholder  Shares any  written consent to,  or dissent  from, corporate action
respecting any matter specified in Section 2(a) above. The Stockholder agrees to
refrain from (A) voting at any annual or special meeting of the stockholders  of
the  Company, (B)  executing any  written consent  in lieu  of a  meeting of the
stockholders of the Company, (C) exercising  any rights of dissent with  respect
to  the Stockholder Shares, and  (D) granting any proxy  or authorization to any
person with respect to the voting of the Stockholder Shares, except pursuant  to
this  Agreement, or taking any action contrary  to or in any manner inconsistent
with the terms  of this  Agreement. The Stockholder  agrees that  this grant  of
proxy is irrevocable and coupled with an

                                      A-35
<PAGE>
interest  and agrees that the person designated  as Proxy pursuant hereto may at
any time name any other person as its substituted Proxy to act pursuant  hereto,
either  as to  a specific matter  or as  to all matters.  The Stockholder hereby
revokes any  proxy previously  granted by  it with  respect to  its  Stockholder
Shares  as to the  matters specified in  Section 2(a) above.  In discharging its
powers under  this Agreement,  the Proxy  may  rely upon  advice of  counsel  to
Acquiror,  and any vote made or action taken  by the Proxy in reliance upon such
advice of counsel shall be deemed to have been made in good faith by the Proxy.

    3.   DIVIDENDS.   The  Stockholder agrees  that if  a  record date  for  any
dividend  or distribution  to be  paid (whether  in cash  or property, including
without limitation securities) on the Stockholder Shares occurs during the  term
hereof (other than the cash dividend of $.10 per share permitted by Section 7.12
of  the  Merger Agreement),  Acquiror and  the Stockholder  shall enter  into an
escrow arrangement  pursuant  to which  any  payment  of any  such  dividend  or
distribution  shall  be  held  in escrow.  Upon  consummation  of  any Alternate
Transaction, such dividend or distribution made on such Stockholder Shares shall
be delivered to Acquiror together with the Alternate Transaction Payment.

    4.  TERMINATION.

    (a) This Agreement  shall terminate  upon the earlier  to occur  of (i)  the
Outside  Date,  PROVIDED, that,  if the  Merger Agreement  is terminated  by the
Company in accordance with  Section 9.3(b), (c) or  (d) thereof, this  Agreement
shall  terminate  on  the  effective  date of  such  termination  of  the Merger
Agreement; (ii)  the  Effective  Time  of  the  Merger;  and  (iii)  immediately
following  the  making  of  an  Alternate Transaction  Payment  for  all  of the
Stockholder Shares; PROVIDED, that, in the  case of any termination pursuant  to
clause (i), this Agreement shall continue with respect to all Stockholder Shares
with  respect to which  an agreement is  entered into prior  to such termination
until payment of the  Alternate Transaction Payment for  such shares is made  or
such agreement is terminated.

    (b)  Upon termination, this Agreement shall have no further force or effect,
except for  Section 9  which shall  continue to  apply to  any case,  action  or
proceeding relating to the enforcement of this Agreement.

    5.   REPRESENTATIONS AND WARRANTIES OF  STOCKHOLDER.  The Stockholder hereby
represents and warrants to Acquiror as follows:

    (a)  DUE  AUTHORIZATION.   The Stockholder has  the legal  capacity and  all
necessary  corporate, partnership and  trust power and  authority to execute and
deliver this Agreement and to  consummate the transactions contemplated  hereby.
The  Stockholder Beneficially Owns  all of the Stockholder  Shares listed on the
signature page hereof  and specified  as so owned  with no  restrictions on  the
voting  rights or rights of disposition  pertaining thereto, except as set forth
in the Stockholder Agreement, which  constitute all Company Shares  Beneficially
Owned  by such  Stockholder. Assuming this  Agreement has been  duly and validly
authorized, executed and  delivered by  Acquiror, this  Agreement constitutes  a
valid  and binding agreement of the  Stockholder, enforceable in accordance with
its terms, except as  enforceability may be  limited by bankruptcy,  insolvency,
moratorium or other similar laws affecting creditors' rights generally or by the
principles governing the availability of equitable remedies.

    (b)  NO CONFLICTS.  Neither the execution and delivery of this Agreement nor
the consummation by the Stockholder of the transactions contemplated hereby will
conflict  with  or constitute  a  violation of  or  default under  any contract,
commitment, agreement,  arrangement or  restriction  of any  kind to  which  the
Stockholder is a party or by which the Stockholder is bound.

    6.   REPRESENTATIONS AND WARRANTIES OF ACQUIROR.  Acquiror hereby represents
and warrants to the Stockholder as follows:

    (a)  DUE  AUTHORIZATION.   Acquiror has  the requisite  corporate power  and
authority to enter into and perform this Agreement. This Agreement has been duly
authorized  by all necessary  corporate action on  the part of  Acquiror and has
been   duly   executed   by   a    duly   authorized   officer   of    Acquiror.

                                      A-36
<PAGE>
Assuming  this Agreement has been duly and validly executed and delivered by the
Stockholder, this  Agreement  constitutes  a  valid  and  binding  agreement  of
Acquiror,  enforceable  against  it  in accordance  with  its  terms,  except as
enforceability may be  limited by  bankruptcy, insolvency,  moratorium or  other
similar  laws  affecting  creditors'  rights  generally  or  by  the  principles
governing the availability of equitable remedies.

    7.  NO TRANSFER.

    (a) The  Stockholder hereby  agrees, without  the prior  written consent  of
Acquiror,  except  pursuant to  the  terms hereof,  not  to (i)  sell, transfer,
assign, pledge or  otherwise dispose of  or hypothecate any  of its  Stockholder
Shares;  (ii) grant  any proxies, deposit  any Stockholder Shares  into a voting
trust or enter into a voting agreement with respect to any Stockholder Shares as
to any matter specified  in Section 2(a);  or (iii) take  any action that  would
make  any representation or warranty of  the Stockholder contained herein untrue
or incorrect  in  any material  respect  or have  the  effect of  preventing  or
disabling  the Stockholder from performing its obligations under this Agreement.
Any permitted  transferee of  Stockholder Shares  must become  a party  to  this
Agreement and any purported transfer of Stockholder Shares to a person or entity
that has not become a party hereto shall be null and void.

    (b)  Until the earlier of the Outside Date and the termination of the Merger
Agreement in accordance with its terms, the Stockholder will not, and will cause
its officers, directors, employees  and agents not  to, directly or  indirectly,
(i)  take any action to solicit,  initiate or encourage any Acquisition Proposal
(as defined in the  Merger Agreement), or (ii)  engage in negotiations with,  or
disclose  any nonpublic information relating to the Company or its subsidiaries,
or afford access to their respective properties, books or records to, any person
that may  be considering  making,  or has  made,  an Acquisition  Proposal  (but
nothing  in this Section  7(b) shall prohibit  any such person,  solely in their
capacity as a director of the Company, from participating in deliberations at  a
meeting  of the board of directors of the  Company or voting with respect to any
Acquisition Proposal, provided,  that no  representatives of  any person  making
such Acquisition Proposal are present).

    8.    ENTIRE  AGREEMENT.    This  Agreement  (including  the  documents  and
instruments referred to herein) (a)  constitutes the entire agreement among  the
parties  hereto with  respect to  the subject  matter hereof  and supersedes all
other prior  agreements and  understandings, both  written and  oral, among  the
parties,  or any of them,  with respect to the  subject matter hereof; (b) shall
not be  assigned by  operation of  law or  otherwise without  the prior  written
consent  of the other  parties hereto, except  that Acquiror may  assign, in its
sole discretion, all or any of  its rights, interests and obligations  hereunder
to  any direct or indirect wholly owned subsidiary of Acquiror; (c) shall not be
amended, altered  or modified  in any  manner whatsoever,  except by  a  written
instrument  executed by  the parties  hereto; and (d)  shall be  governed in all
respects, including  validity, interpretation  and effect,  by the  laws of  the
State  of Delaware (without giving effect  to the provisions thereof relating to
conflicts of law).

    9.  REMEDIES.  The  parties acknowledge that it  would be impossible to  fix
money  damages for  violations of this  Agreement and that  such violations will
cause irreparable injury for which adequate remedy at law is not available  and,
therefore, this Agreement must be enforced by specific performance or injunctive
relief.  The parties hereto  agree that any  party may, in  its sole discretion,
apply to  any  court  of  competent jurisdiction  for  specific  performance  or
injunctive  or such other relief as such court may deem just and proper in order
to enforce this  Agreement or prevent  any violation hereof  and, to the  extent
permitted  by applicable law, each party waives  any objection or defense to the
imposition of such  relief. Nothing herein  shall be construed  to prohibit  any
party from bringing any action for damages in addition to an action for specific
performance or an injunction for a breach of this Agreement.

                                      A-37
<PAGE>
    10.   LEGENDS  ON CERTIFICATES.   Until  such time  as this  Agreement shall
terminate  pursuant  to   Section  4  hereof,   all  certificates   representing
Stockholder Shares shall bear the following legend:

        THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO THE TERMS OF A
    STOCKHOLDER  VOTING AND  PROFIT SHARING AGREEMENT,  DATED AS  OF OCTOBER 10,
    1994, BY AND BETWEEN NATIONAL MEDICAL ENTERPRISES, INC. AND THE STOCKHOLDER.
    ANY TRANSFEREE OF THESE SHARES TAKES SUBJECT TO THE TERMS OF SUCH AGREEMENT,
    COPIES OF WHICH  ARE ON FILE  AT THE OFFICES  OF AMERICAN MEDICAL  HOLDINGS,
    INC., 14001 DALLAS PARKWAY, SUITE 200, DALLAS, TEXAS 76380.

    11.  PARTIES IN INTEREST.  Subject to the provisions of Section 8(b) hereof,
this  Agreement  shall  be binding  upon  and inure  to  the benefit  of  and be
enforceable by the  parties hereto  and their  respective successors,  permitted
assigns,  heirs, executors, administrators and  other legal representatives, and
nothing in this Agreement,  express or implied, is  intended to confer upon  any
other  person any rights or remedies of any nature whatsoever under or by reason
of this Agreement.

    12.   COUNTERPARTS.    This  Agreement  may  be  executed  in  two  or  more
counterparts,  each of which shall be deemed to be an original, but all of which
shall constitute one and the same agreement.

    13.   DEFINITIONS.   Unless the  context otherwise  requires, the  following
terms shall have the following respective meanings:

    (a)  "Beneficial Owner" has the meaning set forth in Rule 13d-3 of the Rules
and Regulations to the Exchange Act, and "Beneficially Owned" and  "Beneficially
Owns"  shall have correlative meanings; PROVIDED,  HOWEVER, that for purposes of
this Agreement a person shall  be deemed to be  the Beneficial Owner of  Company
Shares that may be acquired pursuant to the exercise of an option or other right
regardless of when such option is exercisable.

    (b)  "person" means a corporation,  association, partnership, joint venture,
organization, business, individual, trust, estate  or any other entity or  group
(within the meaning of Section 13(d)(3) of the Exchange Act).

    (c)  The  terms  "Affiliates"  and  "Associate"  shall  have  the respective
meanings ascribed to  such terms in  Rule 12b-2  under the Exchange  Act, as  in
effect  on the date hereof (the term  "registrant" in said Rule 12b-2 meaning in
this case the Company).

    14.  NOTICES.   All notices and other  communications hereunder shall be  in
writing  and shall be deemed given if delivered personally, telecopied (which is
confirmed) or mailed by registered or certified mail (return receipt  requested)
to  the parties at the following addresses (or at such other address for a party
as shall be specified by like notice):

    (a) If to Acquiror to:
    National Medical Enterprises, Inc.
    2700 Colorado Boulevard
    Santa Monica, California 90404
    Attention: General Counsel
    with a copy to:
    Skadden, Arps, Slate, Meagher & Flom
    300 South Grand Avenue, Suite 3400
    Los Angeles, California 90071
    Telecopy No. (213) 687-5600
    Attention: Thomas C. Janson, Jr.

    (b) If to the Stockholder, to the  address set forth on the signature  page,
hereto.

                                      A-38
<PAGE>
    15.    INTERPRETATION.   The headings  contained in  this Agreement  are for
reference purposes  only  and  shall  not  affect in  any  way  the  meaning  or
interpretation  of this Agreement.  Whenever the words  "include," "includes" or
"including" are used in this Agreement, they  shall be deemed to be followed  by
the words "without limitation."

    16.  SEVERABILITY.  Any term or provision of this Agreement which is invalid
or  unenforceable  in  any  jurisdiction  shall,  as  to  that  jurisdiction, be
ineffective to  the  extent  of  such  invalidity  or  unenforceability  without
rendering  invalid or unenforceable  the remaining terms  and provisions of this
Agreement or affecting  the validity or  enforceability of any  of the terms  or
provisions of this Agreement in any other jurisdiction. If any provision of this
Agreement is so broad as to be unenforceable, the provision shall be interpreted
to be only so broad as is enforceable.

    17.   FURTHER  ASSURANCES.   The Stockholder  further agrees  to execute all
additional writings, consents and authorizations as may be reasonably  requested
by Acquiror to evidence the agreements herein or the powers granted to the Proxy
hereby or to enable the Proxy to exercise those powers.

    18.   GOVERNING LAW.   This Agreement shall be  governed by and construed in
accordance with  the  laws  of the  State  of  Delaware without  regard  to  the
principles of conflicts of laws thereof.

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

                                          NATIONAL MEDICAL ENTERPRISES, INC.
                                          By

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

                                          STOCKHOLDER:

                                          By

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

                                          No. of Shares Beneficially Owned:

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

                                          Address for Notices:

                                          [                                    ]

                                      A-39
<PAGE>
                                                                       EXHIBIT B

                         REGISTRATION RIGHTS AGREEMENT

    This  REGISTRATION RIGHTS  AGREEMENT (the  "Agreement") is  made and entered
into as of October   , 1994, by and among National Medical Enterprises, Inc.,  a
Nevada  corporation  (together with  its permitted  successors and  assigns, the
"Company"), and the persons  whose signatures appear on  the execution pages  of
this Agreement (the "Stockholders").

    This  Agreement is made pursuant to the  Agreement and Plan of Merger by and
among the Company, AMH Acquisition Co. and American Medical Holdings, Inc. dated
as of  October  10,  1994  (the  "Merger  Agreement"),  pursuant  to  which  the
Stockholders  will  receive shares  of Common  Stock (as  defined below)  of the
Company.

    The parties hereto,  for good  and valuable consideration,  the receipt  and
sufficiency of which is hereby acknowledged, intending to be bound hereby, agree
as follows:

    1.  DEFINITIONS.

    As  used in  this Agreement,  the following  terms shall  have the following
meanings:

    ADVICE: See Section 4 hereof.

    AFFILIATE means,  with respect  to any  specified person,  any other  person
directly  or indirectly controlling or controlled by or under direct or indirect
common control with such specified person. For the purposes of this  definition,
"control"  when used  with respect  to any specified  person means  the power to
direct the  management and  policies  of such  person, directly  or  indirectly,
whether  through the ownership  of voting securities,  by contract or otherwise;
and the terms "CONTROLLING"  and "CONTROLLED" have  meanings correlative to  the
foregoing.

    BUSINESS  DAY means  any day  that is not  a Saturday,  a Sunday  or a legal
holiday on which banking institutions in the State of New York are not  required
to be open.

    COMMON  STOCK means  the Common  Stock, par  value $.075  per share,  of the
Company, or any other  shares of capital  stock of the  Company into which  such
stock  shall be reclassified or  changed (by operation of  law or otherwise). If
the Common Stock has been so reclassified  or changed, or if the Company pays  a
dividend or makes a distribution on its Common Stock in shares of capital stock,
or  subdivides  (or combines)  its  outstanding shares  of  Common Stock  into a
greater (or smaller) number of shares of  Common Stock, a share of Common  Stock
shall be deemed to be such number of shares of capital stock and amount of other
securities  to which a holder of a share of Common Stock outstanding immediately
prior to such reclassification, exchange, dividend, distribution, subdivision or
combination would be entitled.

    DELAY PERIOD: See Section 2(b) hereof.

    DISTRIBUTEE: See Section 6.4 hereof.

    EFFECTIVENESS PERIOD: See Section 2(b) hereof.

    EXCHANGE ACT means the Securities Exchange Act of 1934, as amended.

    PERSON  means  any  individual,  corporation,  partnership,  joint  venture,
association,   joint-stock  company,   trust,  unincorporated   organization  or
government or any agency or political subdivision thereof.

    PROSPECTUS means  the  prospectus  included in  any  Registration  Statement
(including,   without  limitation,  a   prospectus  that  discloses  information
previously omitted from a prospectus filed as part of an effective  registration
statement  in  reliance  upon Rule  430A),  as  amended or  supplemented  by any
prospectus supplement, with respect to the terms of the offering of any  portion
of the Registrable

                                      A-40
<PAGE>
Shares  covered  by such  Registration Statement  and  all other  amendments and
supplements to  the prospectus,  including  post-effective amendments,  and  all
material  incorporated by reference or deemed to be incorporated by reference in
such Prospectus.

    REGISTRABLE  SHARES  means  the  shares  of  Common  Stock  issued  to   the
Stockholders  pursuant to the Merger Agreement  or thereafter distributed by the
Stockholder to a Distributee,  until in the  case of any such  share (i) it  has
been  effectively registered under Section 5  of the Securities Act and disposed
of pursuant to  an effective  registration statement under  the Securities  Act,
(ii)  it has  been transferred other  than pursuant  to Rule "4(1  1/2)" (or any
similar private transfer exemption) under the Securities Act or (iii) it may  be
transferred  by a  holder without  registration pursuant  to Rule  144 under the
Securities Act or  any successor rule  without regard to  the volume  limitation
contained in such rule.

    REGISTRATION  STATEMENT means any registration statement of the Company that
covers any  of  the  Registrable  Shares pursuant  to  the  provisions  of  this
Agreement,   including  the  Prospectus,  amendments  and  supplements  to  such
registration statement, including post-effective  amendments, all exhibits,  and
all material incorporated by reference or deemed to be incorporated by reference
in such registration statement.

    SEC means the Securities and Exchange Commission.

    SECURITIES ACT means the Securities Act of 1933, as amended.

    SHELF REGISTRATION: See Section 2(a) hereof.

    STOCKHOLDERS: See the introductory clauses hereof.

    UNDERWRITTEN  REGISTRATION OR UNDERWRITTEN OFFERING  means a registration in
which securities of the Company are sold to or through one or more  underwriters
for reoffering or sale to the public.

    2.  SHELF REGISTRATION.

    (a)  The Company shall file  with, and shall cause  to be declared effective
by, the SEC prior to the Effective Time (as defined in the Merger Agreement),  a
Registration  Statement  under the  Securities Act  relating to  the Registrable
Shares, which Registration Statement shall provide  for the sale by the  holders
thereof  of the Registrable Shares from time  to time on a delayed or continuous
basis pursuant to Rule 415 under the Securities Act (a "Shelf Registration").

    (b) The Company  agrees to  use its best  efforts to  keep the  Registration
Statement filed pursuant to this Section 2 continuously effective and usable for
the  resale of Registrable Shares for a period  ending on the earlier of (i) two
years from the Effective Time (as defined in the Merger Agreement) and (ii)  the
first   date  on  which  all  the  Registrable  Shares  covered  by  such  Shelf
Registration have  been  sold  pursuant  to  such  Registration  Statement.  The
foregoing  notwithstanding,  the  Company  shall  have  the  right  in  its sole
discretion, based on any valid business purpose (including without limitation to
avoid the  disclosure of  any  corporate development  that  the Company  is  not
otherwise  obligated to disclose  or to coordinate  such distribution with other
shareholders that have registration rights with respect to any securities of the
Company or with other distributions of  the Company (whether for the account  of
the Company or otherwise)), to suspend the use of the Registration Statement for
a  reasonable length of time (a "Delay Period") and from time to time; PROVIDED,
that (i) the  aggregate number of  days in  all Delay Periods  occurring in  any
period  of twelve consecutive  months shall not  exceed 90 and  (ii) the Company
shall not have  the right to  commence any Delay  Period prior to  the 90th  day
after  the  Effective Time.  The Company  shall provide  written notice  to each
holder of Registrable Shares covered by each Shelf Registration of the beginning
and end  of each  Delay Period  and  such holders  shall cease  all  disposition
efforts with respect to Registrable Shares held by them immediately upon receipt
of  notice of the  beginning of any Delay  Period. The two  year time period for
which the Company is required to maintain the effectiveness of the  Registration
Statement shall be extended by the aggregate number of days of all Delay Periods
and  such two  year period  or the extension  thereof required  by the preceding
sentence is hereafter referred to as the "Effectiveness Period."

                                      A-41
<PAGE>
    (c) The Company  may, in its  sole discretion, include  other securities  in
such  Shelf Registration (whether  for the account of  the Company or otherwise,
including without  limitation any  securities of  the Company  held by  security
holders, if any, who have piggyback registration rights with respect thereto) or
otherwise  combine the offering  of the Registrable Shares  with any offering of
other securities  of the  Company (whether  for the  account of  the Company  or
otherwise).

    3.  HOLD-BACK AGREEMENT.

    Each  holder of Registrable Shares agrees, if such holder is requested by an
underwriter in an underwritten offering for the Company (whether for the account
of the Company or otherwise), not to  effect any public sale or distribution  of
any  of the Company's equity  securities, including a sale  pursuant to Rule 144
(except as part  of such  underwritten registration), during  the 10-day  period
prior  to, and during the  80-day period beginning on,  the closing date of such
underwritten offering; PROVIDED,  that neither the  Company nor any  underwriter
may  request a holder not to effect any such sales or distributions prior to the
90th day after the Effective Time.

    4.  REGISTRATION PROCEDURES.

    In connection with the registration  obligations of the Company pursuant  to
and  in accordance with  Section 2 hereof  (and subject to  the Company's rights
under Section  2),  the  Company  will  use its  best  efforts  to  effect  such
registration  to permit the  sale of such Registrable  Shares in accordance with
the intended method or  methods of disposition thereof  (other than pursuant  to
any  underwritten registration  or underwritten offering),  and pursuant thereto
the Company shall as expeditiously as possible:

    (a) prepare and file with the SEC such amendments (including  post-effective
amendments)   to  the  Registration  Statement,  and  such  supplements  to  the
Prospectus, as  may  be  required  by the  rules,  regulations  or  instructions
applicable  to the Securities Act or the rules and regulations thereunder during
the applicable period in accordance with the intended methods of disposition  by
the  sellers thereof  (other than pursuant  to any  underwritten registration or
underwritten offering) and cause the Prospectus  as so supplemented to be  filed
pursuant to Rule 424 under the Securities Act;

    (b)  notify  the  selling holders  of  Registrable Shares  promptly  and (if
requested by  any  such person)  confirm  such notice  in  writing, (i)  when  a
Prospectus  or any  Prospectus supplement  or post-effective  amendment has been
filed, and,  with respect  to  a Registration  Statement or  any  post-effective
amendment,  when the same has  become effective, (ii) of  any request by the SEC
for amendments or supplements to a Registration Statement or related  Prospectus
or  for additional information  regarding such holder, (iii)  of the issuance by
the SEC  of  any stop  order  suspending  the effectiveness  of  a  Registration
Statement  or the initiation  of any proceedings  for that purpose,  (iv) of the
receipt by the Company of any notification with respect to the suspension of the
qualification or exemption from qualification  of any of the Registrable  Shares
for  sale in any jurisdiction or the initiation or threatening of any proceeding
for such purpose, and (v) of the happening of any event that requires the making
of any changes in such Registration  Statement, Prospectus or documents so  that
they  will not contain any untrue statement of  a material fact or omit to state
any material  fact  required to  be  stated therein  or  necessary to  make  the
statements therein not misleading;

    (c)  use commercially  reasonable efforts  to obtain  the withdrawal  of any
order suspending the effectiveness of  a Registration Statement, or the  lifting
of any suspension of the qualification or exemption from qualification of any of
the Registrable Shares for sale in any jurisdiction in the United States;

    (d)  if requested by the selling holders, furnish to counsel for the selling
holders of  Registrable  Shares, without  charge,  one conformed  copy  of  each
Registration   Statement  as  declared   effective  by  the   SEC  and  of  each
post-effective amendment thereto,  in each case  including financial  statements
and  schedules  and  all  exhibits  and reports  incorporated  or  deemed  to be
incorporated therein by reference; and such number of copies of the  preliminary
prospectus, each amended preliminary

                                      A-42
<PAGE>
prospectus,   each  final  Prospectus  and   each  post-effective  amendment  or
supplement thereto, as the  selling holders may reasonably  request in order  to
facilitate   the  disposition  of   the  Registrable  Shares   covered  by  each
Registration Statement in  conformity with  the requirements  of the  Securities
Act;

    (e)  prior to any public offering  of Registrable Shares register or qualify
such Registrable Shares for offer and sale under the securities or Blue Sky laws
of such  jurisdictions  in  the  United  States  as  any  selling  holder  shall
reasonably  request in  writing; and  do any  and all  other reasonable  acts or
things  necessary  or  advisable  to  enable  such  holders  to  consummate  the
disposition  in such  jurisdictions of  such Registrable  Shares covered  by the
Registration Statement; PROVIDED, HOWEVER, that the Company shall in no event be
required to qualify generally to  do business as a  foreign corporation or as  a
dealer  in any  jurisdiction where  it is  not at  the time  so qualified  or to
execute or file a general consent to service of process in any such jurisdiction
where it has not theretofore done so or to take any action that would subject it
to general service of process or taxation  in any such jurisdiction where it  is
not then subject;

    (f)  except  during  any Delay  Period,  upon  the occurrence  of  any event
contemplated by paragraph  4(b)(ii) or  4(b)(v) above, prepare  a supplement  or
post-effective amendment to each Registration Statement or related Prospectus or
any  document incorporated or deemed to  be incorporated therein by reference or
file any  other  required document  so  that,  as thereafter  delivered  to  the
purchasers of the Registrable Shares being sold thereunder, such Prospectus will
not contain an untrue statement of a material fact or omit to state any material
fact  required to be stated therein or necessary to make the statements therein,
in light of the circumstances under which they were made, not misleading; and

    (g) cause all Registrable Shares covered by the Registration Statement to be
listed on each securities exchange, if  any, on which similar securities  issued
by the Company are then listed.

    The  Company may require each  seller of Registrable Shares  as to which any
registration is  being  effected  to  furnish  such  information  regarding  the
distribution  of such Registrable  Shares and as  to such seller  as it may from
time to time  reasonably request. If  any such information  with respect to  any
seller  is not furnished prior to the  filing of the Registration Statement, the
Company may  exclude such  seller's Registrable  Shares from  such  Registration
Statement.

    Each  holder  of  Registrable  Shares  (including,  without  limitation, any
Distributee) agrees by acquisition of such Registrable Shares that, upon receipt
of any  notice from  the Company  of  the happening  of any  event of  the  kind
described  in Section  4(b)(ii), 4(b)(iii), 4(b)(iv)  or 4(b)(v)  hereof or upon
notice of the  commencement of  any Delay  Period, such  holder shall  forthwith
discontinue  disposition of such Registrable Shares covered by such Registration
Statement or  Prospectus  until such  holder's  receipt  of the  copies  of  the
supplemented or amended Prospectus contemplated by Section 4(f) hereof, or until
it  is advised  in writing  (the "Advice") by  the Company  that the  use of the
applicable Prospectus may be resumed, and has received copies of any amended  or
supplemented  Prospectus  or any  additional or  supplemental filings  which are
incorporated, or deemed to be incorporated, by reference in such Prospectus and,
if requested by the Company,  such holder shall deliver  to the Company (at  the
expense  of the Company)  all copies, other  than permanent file  copies then in
such holder's possession, of the Prospectus covering such Registrable Shares  at
the time of receipt of such request.

    Each holder of Registrable Shares further agrees not to utilize any material
other  than the applicable current Prospectus in connection with the offering of
Registrable Shares pursuant to the Shelf Registration.

    5.  REGISTRATION EXPENSES.

    Whether or not  any Registration  Statement becomes  effective, the  Company
shall  pay all costs, fees and expenses incident to the Company's performance of
or compliance  with  this  Agreement  including,  without  limitation,  (i)  all
registration  and  filing  fees,  (ii)  fees  and  expenses  of  compliance with
securities or  Blue  Sky  laws,  (iii)  printing  expenses  (including,  without
limitation, expenses of

                                      A-43
<PAGE>
printing  of prospectuses  if the printing  of prospectuses is  requested by the
holders of a  majority of the  Registrable Shares included  in any  Registration
Statement), (iv) fees and disbursements of counsel for the Company, (v) fees and
disbursements of all independent certified public accountants of the Company and
all  other Persons retained  by the Company in  connection with the Registration
Statement and (vi) the fees and expenses (not to exceed $50,000) for one counsel
on behalf  of all  of the  holders of  Registrable Shares.  Notwithstanding  the
foregoing,  the fees and expenses  of counsel to, or  any other Persons retained
by,  any  holder  of  Registrable   Shares,  and  any  discounts,   commissions,
underwriting  or  advisory fees,  brokers' fees  or  fees of  similar securities
industry  professional  (including   any  "qualified  independent   underwriter"
retained  for the  purpose of  Section 3  of Schedule  E of  the By-laws  of the
National Association of Securities Dealers,  Inc.) relating to the  distribution
of  the Registrable Shares, will be payable  by such holder and the Company will
have no obligation to pay any such amounts.

    6.  MISCELLANEOUS.

    6.1   TERMINATION.   This  Agreement  and  the obligations  of  the  Company
hereunder  shall terminate  on the earliest  of (i)  the first date  on which no
Registrable Shares remain  outstanding, and (ii)  the close of  business on  the
last day of the Effectiveness Period.

    6.2   AMENDMENTS AND  WAIVERS.  The provisions  of this Agreement, including
the provisions of this sentence, may  not be amended, modified or  supplemented,
and  waivers or  consents to  departures from the  provisions hereof  may not be
given,  unless  the  Company  has  obtained  the  written  consent  of   holders
representing   a  majority  of  the   Registrable  Shares.  Notwithstanding  the
foregoing, a waiver or consent to depart from the provisions hereof with respect
to a matter which  relates exclusively to the  rights of holders of  Registrable
Shares  whose securities are being sold pursuant to a Registration Statement and
that does  not  directly or  indirectly  affect the  rights  of a  holder  whose
securities  are not  being sold pursuant  to such Registration  Statement may be
given by holders  of a majority  of the  Registrable Shares being  sold by  such
holders;  PROVIDED,  HOWEVER, that  the provision  of this  sentence may  not be
amended, modified, or supplemented except  in accordance with the provisions  of
the immediately preceding sentence.

    6.3    NOTICES.   All notices,  requests,  demands and  other communications
required or permitted hereunder shall be  in writing and shall be deemed  given:
when  delivered  personally;  one  Business Day  after  being  deposited  with a
next-day air courier;  five Business  Days after  being deposited  in the  mail,
postage  prepaid, if mailed; when  answered back if telexed  and when receipt is
acknowledged, if  telecopied, in  each  case to  the  parties at  the  following
addresses  (or at such other  address for a party as  shall be specified by like
notice; PROVIDED that  notices of a  change of address  shall be effective  only
upon receipt thereof):

        (i)  if to a holder, at the most current address given by such holder to
    the Company in  accordance with the  provisions of this  Section 6.3,  which
    address  initially is with respect to each  holder, the address set forth on
    the signature pages hereto; and

        (ii) if  to the  Company, initially  at 2700  Colorado Boulevard,  Santa
    Monica,  California  90404, Attention:  Scott Brown,  Esq.,  with a  copy to
    Skadden, Arps, Slate, Meagher & Flom,  300 South Grand Avenue, Los  Angeles,
    California 90071, Attention: Thomas C. Janson, Jr.

    6.4   SUCCESSORS AND ASSIGNS.  This  Agreement shall inure to the benefit of
and be binding upon the successors and assigns of each of the parties;  PROVIDED
that the holders may not assign their rights hereunder except to an Affiliate of
such  holder or a Distributee  (as defined below) and  no person (other than any
such Affiliate or  Distributee) who  acquires Registrable Shares  from a  holder
shall  have  any rights  hereunder.  For purposes  of  this Agreement,  the term
"Distributee" shall  mean any  person that  is  a stockholder  or partner  of  a
Stockholder, or any person that is a stockholder or partner of a Distributee, to
which  Registrable Shares are transferred or  distributed by such Stockholder or
Distributee. This Agreement shall survive any transfer of Registrable Shares  to
a Distributee and shall inure to the benefit of such Distributee.

                                      A-44
<PAGE>
    6.5    COUNTERPARTS.   This  Agreement  may  be executed  in  any  number of
counterparts and by the parties hereto  in separate counterparts, each of  which
when  so executed  shall be  deemed to  be an  original and  all of  which taken
together shall constitute one and the same agreement.

    6.6   HEADINGS.   The headings  in  this Agreement  are for  convenience  of
reference only and shall not limit or otherwise affect the meaning hereof.

    6.7   GOVERNING LAW.   THIS AGREEMENT SHALL BE  GOVERNED BY AND CONSTRUED IN
ACCORDANCE WITH THE INTERNAL LAWS OF THE STATE OF DELAWARE WITHOUT GIVING EFFECT
TO THE PROVISIONS THEREOF GOVERNING CONFLICT OF LAWS PRINCIPLES.

    6.8  SEVERABILITY.  If any term, provision, covenant or restriction of  this
Agreement  is held by a court of  competent jurisdiction to be invalid, illegal,
void or unenforceable,  the remainder  of the terms,  provisions, covenants  and
restrictions set forth herein shall remain in full force and effect and shall in
no  way be affected, impaired  or invalidated, and the  parties hereto shall use
their best efforts to find and employ  an alternative means to achieve the  same
or  substantially the same result as  that contemplated by such term, provision,
covenant or  restriction.  It  is  hereby stipulated  and  declared  to  be  the
intention  of the  parties that  they would  have executed  the remaining terms,
provisions, covenants and restrictions without including any of such that may be
hereafter declared invalid, illegal, void or unenforceable.

    6.9  ENTIRE AGREEMENT.  This Agreement is intended by the parties as a final
expression of their  agreement and  a complete  and exclusive  statement of  the
agreement  and understanding  of the  parties hereto  in respect  of the subject
matter contained  herein. There  are no  restrictions, promises,  warranties  or
undertakings,  other than those set forth or referred to herein, with respect to
the registration rights granted by the  Company with respect to the  Registrable
Shares  issued pursuant to  the Merger Agreement.  This Agreement supersedes all
prior agreements and  understandings between  the parties with  respect to  such
subject matter.

    6.10    CALCULATION OF  TIME PERIODS.   Except  as otherwise  indicated, all
periods of time  referred to  herein shall  include all  Saturdays, Sundays  and
holidays;  PROVIDED, that if the date to perform the act or give any notice with
respect to this Agreement shall  fall on a day other  than a Business Day,  such
act or notice may be timely performed or given if performed or given on the next
succeeding Business Day.

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

                                          NATIONAL MEDICAL ENTERPRISES, INC.
                                          By ___________________________________
                                          Name:
                                          Title:

                                          STOCKHOLDER:
                                          ______________________________________
                                          Name:
                                          Address for Notice:

                                          Number of Shares:

                                      A-45
<PAGE>
                                                                       EXHIBIT C

                            FORM OF LEGAL OPINION OF
                     SKADDEN, ARPS, SLATE, MEAGHER & FLOM,

COUNSEL FOR PARENT

    1.    Parent and  each of  the  Parent Subsidiaries  that is  a "significant
subsidiary" within the meaning of Rule 1-01 of Regulation S-X under the Exchange
Act is a corporation validly existing and in good standing under the laws of its
respective jurisdiction of incorporation.

    2.  The shares of Parent common stock to be issued in the Merger will,  upon
the  issuance thereof in accordance  with the terms of  the Merger Agreement, be
validly issued, fully paid and nonassessable and free of preemptive rights.

    3.   Each of  the  Parent and  Sub has  the  corporate power  and  corporate
authority  to enter into the Merger Agreement and to consummate the transactions
contemplated thereby. The execution and delivery of the Merger Agreement by each
of Parent and Sub and the consummation of the transactions contemplated  thereby
have  been duly authorized by the requisite corporate action on the part of each
of Parent and Sub. The Merger Agreement has been executed and delivered by  each
of  Parent  and Sub  and (assuming  it  has been  duly authorized,  executed and
delivered by the Company) is  a valid and binding  obligation of each of  Parent
and Sub, enforceable against Parent and Sub in accordance with its terms, except
(i)  to the extent  that enforcement thereof  may be limited  by (a) bankruptcy,
insolvency, reorganization, moratorium or other similar laws not or hereafter in
effect relating to  creditors' rights  generally and (b)  general principles  of
equity  (regardless of whether  enforceability is considered  in a proceeding at
law or  in  equity)  and  (ii)  we  express  no  opinion  with  respect  to  the
enforceability of Section 9.5 of the Merger Agreement.

    4.   The execution, delivery and performance of the Merger Agreement by each
of Parent and Sub will not result in  a breach or violation of any provision  of
the charter or by-laws of either Parent or Sub.

    5.   The Registration Statement  as of the effective  date thereof and as of
the date  hereof appeared  on its  face to  be appropriately  responsive in  all
material  respects to the applicable requirements  of the Securities Act and the
rules and  regulations thereunder,  except that,  in each  case, we  express  no
opinion  or belief as to the financial statements, schedules and other financial
and statistical data included or incorporated, or deemed to be incorporated,  by
reference  therein or excluded  therefrom, any information to  the extent it was
furnished by  or relates  to the  Company or  the exhibits  to the  Registration
Statement,   and  we  do  not  assume   any  responsibility  for  the  accuracy,
completeness or  fairness  of  the  statements  contained  in  the  Registration
Statement.

    In  addition, we  have participated in  conferences with  officers and other
representatives of Parent, representatives of the independent public accountants
of Parent, officers and  other representatives of the  Company, counsel for  the
Company  and  representatives  of  the  independent  public  accountants  of the
Company, at  which the  contents of  the Registration  Statement, including  the
Prospectus included therein, and related matters were discussed and, although we
are  not passing upon, and  do not assume any  responsibility for, the accuracy,
completeness or  fairness  of  the  statements  contained  in  the  Registration
Statement  or the Prospectus and have  made no independent check or verification
thereof, on the basis of the foregoing, no facts have come to our attention that
have led us to believe that, insofar  as it relates to Parent, the  Registration
Statement,  at the time it became effective,  contained an untrue statement of a
material fact  or omitted  to state  any  material fact  required to  be  stated
therein  or necessary  to make  the statements  therein not  misleading or that,
insofar as it relates  to Parent, the  Prospectus, as of its  date and the  date
hereof, contained an untrue statement of a material fact or omitted to state any
material  fact required to be stated therein or necessary to make the statements
therein, in  light  of  the  circumstances  under  which  they  were  made,  not
misleading,

                                      A-46
<PAGE>
except  that we express no  opinion or belief with  respect to (a) the financial
statements, schedules and other financial and statistical data incorporated,  or
deemed  to be  incorporated, by reference  in the Registration  Statement or the
Prospectus, (b) statements in or omissions from any documents or the information
incorporated, or deemed  to be  incorporated, by reference  in the  Registration
Statement  or the  Prospectus or  (c) information  contained or  incorporated by
reference in the  Registration Statement or  the Prospectus to  the extent  such
information was furnished by or relates to the Company.

                                      A-47
<PAGE>
                                                                       EXHIBIT D

                            FORM OF LEGAL OPINION OF
                            NEAL, GERBER & EISENBERG

COUNSEL FOR THE COMPANY

    1.   The Company and each of the Company Subsidiaries that is a "significant
subsidiary" within the meaning of Rule 1-01 of Regulation S-X under the Exchange
Act is a corporation validly existing and in good standing under the laws of its
respective jurisdiction of incorporation.

    2.  The  Company has the  corporate power and  corporate authority to  enter
into  the  Merger  Agreement  and to  consummate  the  transactions contemplated
thereby. The execution and delivery of  the Merger Agreement by the Company  and
the  consummation  of  the  transactions  contemplated  thereby  have  been duly
authorized by all  requisite corporate action  on the part  of the Company.  The
Merger Agreement has been executed and delivered by the Company and (assuming it
has  been duly authorized, executed and delivered  by Parent and Sub) is a valid
and binding  obligation  of the  Company,  enforceable against  the  Company  in
accordance with its terms, except (i) to the extent that enforcement thereof may
be  limited by (a)  bankruptcy, insolvency, reorganization,  moratorium or other
similar laws not or hereafter in effect relating to creditors' rights  generally
and  (b) general principles  of equity (regardless  of whether enforceability is
considered in a proceeding at law or in equity), and (ii) we express no  opinion
with respect to the enforceability of Section 9.5 of the Merger Agreement.

    3.   The execution, delivery and performance  of the Merger Agreement by the
Company will not result in a breach or violation of any provision of the charter
or by-laws of the Company.

    4.  The Information Statement of the Company as of the date it was mailed to
stockholders of the Company and as of the date hereof appeared on its face to be
appropriately responsive in all material respects to the applicable requirements
of the Exchange Act  and the rules and  regulations thereunder, except that,  in
each  case, we  express no  opinion or  belief as  to the  financial statements,
schedules and other financial and statistical data included or incorporated,  or
deemed  to be  incorporated, by reference  therein or excluded  therefrom or any
information to the extent it was furnished  by or relates to the Parent, and  we
do  not assume any responsibility for  the accuracy, completeness or fairness of
the statements contained in the Information Statement.

    In addition, we  have participated  in conferences with  officers and  other
representatives  of  the  Company,  representatives  of  the  independent public
accountants of the Company,  officers and other  representatives of the  Parent,
counsel for the Parent and representatives of the independent public accountants
of  the Parent, at which  the contents of the  Information Statement and related
matters were discussed and, although we are not passing upon, and do not  assume
any responsibility for, the accuracy, completeness or fairness of the statements
contained  in the  Information Statement and  have made no  independent check or
verification thereof, on the basis of the  foregoing, no facts have come to  our
attention  that  have led  us  to believe  that, insofar  as  it relates  to the
Company, the  Information  Statement,  as  of its  date  and  the  date  hereof,
contained  an  untrue statement  of  a material  fact  or omitted  to  state any
material fact required to be stated therein or necessary to make the  statements
therein,  in  light  of  the  circumstances  under  which  they  were  made, not
misleading, except that we express no opinion or belief with respect to (a)  the
financial  statements,  schedules  and  other  financial  and  statistical  data
included or incorporated,  or deemed  to be  incorporated, by  reference in  the
Information  Statement, (b)  statements in  or omissions  from any  documents or
information incorporated,  or deemed  to be  incorporated, by  reference in  the
Information  Statement or (c) information included or incorporated, or deemed to
be incorporated, by reference  in the Information Statement  to the extent  such
information was furnished by or relates to the Parent.

                                      A-48

<PAGE>

                                             COMPOSITE COPY


                              AMENDMENT NO. 1 (the "Amendment") dated as of
                           April 25, 1994 to the Credit and Guaranty Agreement
                           dated as of August 18, 1993 (the "Agreement"), among
                           AMERICAN MEDICAL INTERNATIONAL, INC., a Delaware
                           corporation (the "Borrower"), AMERICAN MEDICAL
                           HOLDINGS, INC., a Delaware corporation ("Holdings"),
                           THE LENDERS REFERRED TO THEREIN, (the "Lenders"),
                           CHEMICAL BANK, a New York banking corporation, as
                           agent for the Lenders (the "Agent"), THE BANK OF
                           NOVA SCOTIA, as Co-Agent and THE LONG TERM CREDIT
                           BANK OF JAPAN, LTD., LOS ANGELES AGENCY, as Co-Agent.


                           INTRODUCTORY STATEMENT

          All capitalized terms not otherwise defined in this Amendment are used
herein as defined in the Agreement.

          The Lenders have made available to the Borrower a revolving credit
facility in the amount of $600,000,000.  Holdings and the Borrower have
requested that the Agreement be amended to modify certain provisions thereof as
hereinafter set forth.  In consideration of the mutual agreements contained
herein and other good and valuable consideration, the parties hereto hereby
agree as follows:

          SECTION 1. AMENDMENT TO THE AGREEMENT.  Subject to the provisions of
Section 2 hereof, the Agreement is hereby amended as follows:

          (A)   The definition of "Pledged Borrower Subsidiary" appearing in
Article 1 of the Agreement is hereby amended by inserting the words ", Section
5.13(c) or Section 5.13(d)" after the words "pursuant to Section 5.13(a)(i)"
appearing therein.

          (B)   The definition of "Pledged Securities" appearing in Article 1 of
the Agreement is hereby amended by deleting the word "and" immediately after the
word "Finco" appearing therein, by inserting a comma in lieu thereof and by
inserting the following words at the end of the existing text:

          ", Trademark Subsidiary and each Subsidiary of the
          Borrower whose Capital Stock is hereafter required


<PAGE>

          to be pledged to the Agent (for the benefit of the Lenders)
          pursuant to Section 5.13(c) hereof."

          (C)   The following definitions are hereby inserted in Article 1 of
the Agreement in the correct alphabetical sequence:

          "'NATIONAL PARK SUBSIDIARY' shall mean the direct, wholly owned
          Subsidiary of the Borrower which shall be formed for the purpose of
          conducting the operating business of AMI National Park Medical Center.

          'INTERMEDIATE NOTE SUBSIDIARY' shall mean any direct, wholly owned
          Subsidiary of the Borrower which shall be formed for the purpose of
          conducting the business contemplated by Section 6.03(d) hereof.

          'INTERMEDIATE TRADEMARK SUBSIDIARY' shall mean any direct, wholly
          owned Subsidiary of the Borrower which shall be formed for the purpose
          of conducting the business contemplated by Section 6.03(e) hereof.

          'NOTE SUBSIDIARY' shall mean the direct or indirect, wholly owned
          Subsidiary of the Borrower which shall hereafter be formed and to
          which the Borrower will be contributing certain notes currently held
          by the Borrower as contemplated by Section 6.04(q) hereof.

          'TRADEMARK SUBSIDIARY' shall mean the direct or indirect, wholly owned
          Subsidiary of the Borrower which shall hereafter be formed and to
          which the Borrower will be contributing certain trademarks currently
          held by the Borrower as contemplated by Section 6.04(r) hereof."

          (D)   Section 5.13 of the Agreement is hereby amended by adding the
following additional paragraphs (c), (d) and (e):

          "(c) If any Subsidiary of the Borrower acquires assets (whether
     resulting from a transfer by the Borrower or one of its Subsidiaries or
     otherwise, and whether resulting from one transaction or over time) with a
     fair market value of $10,000,000 or more, and a security interest in the
     Capital Stock of that direct Subsidiary of the


                                      -2-


<PAGE>

     Borrower which is either such Subsidiary which has acquired assets valued
     at $10,000,000 or more (the "Subject Subsidiary") or the direct or indirect
     corporate parent thereof, has not been granted to the Agent (on behalf of
     the Lenders) or the Collateral Trustee (for the equal and ratable benefit
     of the Lenders and the holders of the Public Debt Obligations (such term
     being used in this Section 5.13(c) as defined in the Collateral Trust
     Agreement)), as appropriate, then the Borrower (i) shall promptly notify
     the Agent in writing of the acquisition of such assets by the Subject
     Subsidiary and (ii) if requested by the Agent, shall promptly grant to the
     Agent for the benefit of the Lenders (or, to the Collateral Trustee for the
     equal and ratable benefit of the Lenders and the holders of the Public Debt
     Obligations), a security interest in the Capital Stock of that direct
     Subsidiary of the Borrower (to the extent such Capital Stock is not already
     so pledged) which is either such Subject Subsidiary or the direct or
     indirect corporate parent thereof.

           (d)  Promptly upon the creation (if ever) of each of Intermediate
     Note Subsidiary and Note Subsidiary, the Borrower shall notify the Agent in
     writing thereof and shall grant to the Collateral Trustee for the equal and
     ratable benefit of the Lenders and the holders of the Public Debt
     Obligations (as such term is defined in the Collateral Trust Agreement), a
     security interest in all of the Capital Stock of Intermediate Note
     Subsidiary and any of the Capital Stock of Note Subsidiary which is owned
     directly by the Borrower.

           (e)  Promptly upon the creation (if ever) of each of Intermediate
     Trademark Subsidiary and Trademark Subsidiary, the Borrower shall notify
     the Agent in writing thereof and shall execute and deliver an amendment
     (in form and substance satisfactory to the Agent) to the Borrower Pledge
     and Security Agreement in order to provide the Agent for the benefit of
     the Lenders, with a security interest in all of the Capital Stock of
     Intermediate Trademark Subsidiary and any of the Capital Stock of
     Trademark Subsidiary which is owned directly by the Borrower."


                                      -3-


<PAGE>

          (E)   Section 6.03 of the Agreement is hereby amended by adding the
following additional paragraphs (d) and (e):

          "(d) With respect to Intermediate Note Subsidiary, (i) conduct any
     business other than the ownership of Capital Stock of Note Subsidiary
     nor (ii) hold any asset other than such Capital Stock.

          (e)  With respect to Intermediate Trademark Subsidiary, (i) conduct
     any business other than the ownership of Capital Stock of Trademark
     Subsidiary nor (ii) hold any asset other than such Capital Stock."

          (F)   Section 6.04(f) of the Agreement is hereby amended by adding the
following parenthetical phrase after the words "pursuant to this Section 6.04(f)
during the term of this Agreement" appearing in clause (i) of Section 6.04(f):

     "(other than the Acquisition by Amisub (SFH), Inc., a Tennessee
     corporation, of substantially all of the assets (and the assumption of the
     liabilities) of Saint Francis Hospital, Inc., a Tennessee not-for-profit
     corporation, for a purchase price of $96,700,000 (subject, however, to a
     working capital adjustment), PROVIDED that the Net Cash Proceeds received
     by the Borrower from the sale or other disposition of the equity securities
     of EPIC Holdings, Inc., equals or exceeds $40,000,000)".

          (G)  Section 6.04 of the Agreement is hereby amended by deleting the
word "and" appearing at the end of paragraph (n) thereof and adding the
following additional paragraphs (p), (q), (r) and (s):

          "(p) the Borrower may make a transfer to one of its wholly owned
     Subsidiaries and any wholly owned Subsidiary of the Borrower may make a
     transfer to the Borrower or another wholly owned Subsidiary of the
     Borrower, PROVIDED, HOWEVER, that if any such transfer to a wholly owned
     Subsidiary involves asset(s) with a fair market value of $10,000,000 or
     more, then at least five (5) Business Days prior to such transfer,
     the Borrower shall provide written notice of the proposed transfer to the
     Agent and, if applicable, shall comply with any requests made by the Agent
     pursuant to Section 5.13(c) hereof;


                                      -4-


<PAGE>

          (q)  the contribution by the Borrower (whether directly or through
     Intermediate Note Subsidiary) to Note Subsidiary of certain notes currently
     held by the Borrower representing intercompany Indebtedness owed by
     Subsidiaries of the Borrower (other than Finco) to the Borrower, in
     exchange for shares of the Capital Stock of Note Subsidiary;

          (r)  the contribution by the Borrower (whether directly or through
     Intermediate Trademark Subsidiary) to Trademark Subsidiary of certain
     trademarks currently held by the Borrower in exchange for shares of the
     Capital Stock of Trademark Subsidiary, and the licensing of such trademarks
     by Trademark Subsidiary to the Borrower and/or Subsidiaries of the Borrower
     in the ordinary course of business of the Borrower and its Subsidiaries;
     and

          (s)   the contribution by the Borrower to National Park Subsidiary of
     all or substantially all of the assets (including Patient Receivables)
     which are associated with or employed in the operation of AMI National
     Park Medical Center, in exchange for shares of the Capital Stock of
     National Park Subsidiary."

          (H)   Section 6.05(k) of the Agreement is hereby amended in its
entirety to read as follows:

          "(k) Investments in Joint Venture Subsidiaries and Joint Ventures,
          which Joint Venture Subsidiaries or Joint Ventures were in existence
          on the date hereof, PROVIDED any such Investment shall be made in the
          ordinary course of business consistent with past practices;"

          (I)  Section 6.05 of the Agreement is hereby amended by deleting the
word "and" appearing at the end of paragraph (p) thereof and adding the
following additional paragraphs (r) and (s) immediately after paragraph (q)
appearing therein:

          "(r) Investments in direct and indirect wholly owned Subsidiaries of
     the Borrower (other than Joint Venture Subsidiaries); and


                                      -5-


<PAGE>

          (s)   Investments which are permitted by Sections 6.04(p), 6.04(q),
     6.04(r) and 6.04(s) hereof."

          (J)  Section 6.11 of the Agreement is hereby amended by deleting the
word "and" immediately preceding clause (ii) of such section and inserting a
comma in lieu thereof and by adding the following clause (iii) to the end of
the existing text:

     "and (iii) in connection with the contribution by the Borrower to National
     Park Subsidiary of all or substantially all of the assets which are
     associated with or employed in the operation of AMI National Park Medical
     Center, in exchange for shares of the Capital Stock of National Park
     Subsidiary."

          (K)  Section 6.20 of the Agreement is hereby amended by adding the
following parenthetical phrase after the first place the word "Acquisition"
appears in the first proviso of such section:

     "(other than the Acquisition by Amisub (SFH), Inc., a Tennessee
     corporation, of substantially all of the assets (and the assumption of the
     liabilities) of Saint Francis Hospital, Inc., a Tennessee not-for-profit
     corporation, for a purchase price of $96,700,000 (subject, however, to a
     working capital adjustment), PROVIDED that the Net Cash Proceeds received
     by the Borrower from the sale or other disposition of the equity securities
     of EPIC Holdings, Inc., equals or exceeds $40,000,000)"


          SECTION 2. CONDITIONS TO EFFECTIVENESS.  This Amendment is subject to
the satisfaction in full of the following conditions precedent:

          (A)   the Agent shall have received executed counterparts of this
Amendment, which, when taken together, bear the signatures of the Borrower,
Holdings and those Lenders required by Section 10.09 of the Agreement; and

          (B)  all legal matters in connection with this Amendment shall be
reasonably satisfactory to Lord Day & Lord, Barrett Smith, counsel for the
Agent.


                                      -6-


<PAGE>

           SECTION 3. REPRESENTATIONS AND WARRANTIES.  Each of Holdings and the
Borrower represent and warrant to the Lenders that:

          (A)  with respect to Amisub (SFH), Inc., its legal name is Amisub
(SFH), Inc., the jurisdiction of its incorporation is the State of Tennessee
and its authorized capitalization is 1,000 shares of common stock, of which
1,000 shares are issued and outstanding and are owned by the Borrower;

          (B)  the representations and warranties contained in the Agreement
and in the other Fundamental Documents are true and correct on and as of the
date hereof as if such representations and warranties had been made on and as
of the date hereof (except to the extent such representations and warranties
expressly relate to an earlier date); and

          (C)  no Default or Event of Default has occurred or is continuing
under the Agreement.

          SECTION 4. FULL FORCE AND EFFECT.  Except as expressly set forth
herein, this Amendment does not constitute a waiver or modification of any
provision of the Agreement or a waiver of any Default or Event of Default under
the Agreement, in either case whether or not known to the Agent.  Except as
expressly amended hereby, the Agreement shall continue in full force and effect
in accordance with the provisions thereof on the date hereof.  As used in the
Agreement, the terms "Credit Agreement", "this Agreement", "herein",
"hereafter", "hereto", "hereof", and words of similar import, shall, unless
the context otherwise requires, mean the Agreement as amended by this
Amendment.  References to the terms "Agreement" or "Credit Agreement" appearing
in the Exhibits or Schedules to the Agreement, shall, unless the context
otherwise requires, mean the Agreement as amended by this Amendment.

          SECTION 5. APPLICABLE LAW.  THIS AMENDMENT SHALL BE GOVERNED BY, AND
CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

          SECTION 6. COUNTERPARTS.  This Amendment may be executed in two or
more counterparts, each of which shall constitute an original, but all of which
when taken together shall constitute but one instrument.

          SECTION 7. EXPENSES.  The Borrower agrees to pay all reasonable
out-of-pocket expenses incurred by the Agent in connection with the
preparation, execution and delivery of


                                    -7-

<PAGE>



this Amendment and any other documentation contemplated hereby, including, but
not limited to, the reasonable fees and disbursements of Lord Day & Lord,
Barrett Smith, counsel for the Agent.

          SECTION 8. HEADINGS.  The headings of this,Amendment are for the
purposes of reference only and shall not affect the construction of this
Amendment.

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



                                 AMERICAN MEDICAL INTERNATIONAL, INC.

                                 By   /s/ MICHAEL N. MURDOCK
                                    ---------------------------------
                                 Name: Michael N. Murdock
                                 Title: Vice President


                                  AMERICAN MEDICAL HOLDINGS, INC.

                                  By   /s/ MICHAEL N. MURDOCK
                                     ---------------------------------
                                  Name: Michael N. Murdock
                                  Title: Vice President


                                  CHEMICAL BANK, INDIVIDUAllY AND
                                    AS AGENT

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


                                  THE BANK OF NOVA SCOTIA, INDIVIDUALLY
                                    AND AS CO-AGENT

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


                                     -8-

<PAGE>

this Amendment and any other documentation contemplated hereby, including, but
not limited to, the reasonable fees and disbursements of Lord Day & Lord,
Barrett Smith, counsel for the Agent.

          SECTION 8. HEADINGS.  The headings of this Amendment are for the
purposes of reference only and shall not affect the construction of this
Amendment.

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



                                  AMERICAN MEDICAL INTERNATIONAL, INC.


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


                                  AMERICAN MEDICAL HOLDINGS,, INC.


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


                                  CHEMICAL BANK, INDIVIDUALLY AND
                                    AS AGENT


                                  By  /s/ COLLEEN M. ROUX
                                      ---------------------------------
                                  Name: Colleen M. Roux
                                  Title: Vice President



                                  THE BANK OF NOVA SCOTIA, INDIVIDUALLY
                                    AND AS CO-AGENT


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


                                      -8-
<PAGE>

this Amendment and any other documentation contemplated hereby, including, but
not limited to, the reasonable fees and disbursements of Lord Day & Lord,
Barrett Smith, counsel for the Agent.

          SECTION 8. HEADINGS.  The headings of this-Amendment are for the
purposes of reference only and shall not affect the construction of this
Amendment.

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



                                  AMERICAN MEDICAL INTERNATIONAL, INC.


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


                                  AMERICAN MEDICAL HOLDINGS, INC.


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


                                  CHEMICAL BANK, INDIVIDUALLY AND
                                    AS AGENT


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


                                  THE BANK OF NOVA SCOTIA, INDIVIDUALLY
                                    AND AS CO-AGENT


                                  By  /s/ MARY K. MUNOZ
                                      ---------------------------------
                                  Name: Mary K. Munoz
                                  Title: Representative


                                      -8-

<PAGE>


                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


                                  By  /s/ Y. KAMISAWA
                                      ---------------------------------
                                  Name: Yutaka Kamisawa
                                  Title: Deputy General Manager

                                  ARAB BANK PLC


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


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


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


                                  BANK OF HAWAII


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

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


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


                                     -9-


<PAGE>



                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


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

                                  ARAB BANK PLC


                                  By  /s/ PETER BOYADJI
                                      ---------------------------------
                                  Name: Peter Boyadji
                                  Title: V. P.


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


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


                                  BANK OF HAWAII


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

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


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


                                     -9-


<PAGE>


                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


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

                                  ARAB BANK PLC


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


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


                                  By  /s/ BRAD W. DeSPAIN
                                      ---------------------------------
                                  Name: Brad W. DeSpain
                                  Title: Vice President


                                  BANK OF HAWAII


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

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


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


                                     -9-


<PAGE>


                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


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

                                  ARAB BANK PLC


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


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


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


                                  BANK OF HAWAII


                                  By  /s/ JOSEPH T. DONALSON
                                      ---------------------------------
                                  Name: Joseph T. Donalson
                                  Title: Vice President

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


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


                                     -9-


<PAGE>


                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


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

                                  ARAB BANK PLC


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


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


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


                                  BANK OF HAWAII


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

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


                                  By  /s/ ROGER M. BURNS
                                      ---------------------------------
                                  Name: Roger M. Burns
                                  Title: Vice President


                                     -9-

<PAGE>
                                  BANQUE FRANCAISE DU COMMERCE EXTERIEUR

                                  By /s/ KENNETH C. COULTER
                                    ------------------------------------
                                    Name: Kenneth C. Coulter
                                    Title: Assistant Vice President


                                  By /s/ MARK A. HARRINGTON
                                    ------------------------------------
                                    Name: Mark A. Harrington
                                    Title: Vice President &
                                           Regional Manager


                                  BANQUE PARIBAS

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

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


                                  CITICORP USA, INC.

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


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

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

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



                                    - 10 -

<PAGE>
                                  BANQUE FRANCAISE DU COMMERCE EXTERIEUR

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

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


                                  BANQUE PARIBAS

                                  By /s/ JEFFREY J. YUSAL
                                    -----------------------------------
                                    Name: Jeffrey J. Yusal
                                    Title:

                                  By /s/ ERIC GREEN
                                    -----------------------------------
                                    Name: Eric Green
                                    Title: VP


                                  CITICORP USA, INC.

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


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

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

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


                                    - 10 -

<PAGE>
                                   BANQUE FRANCAISE DU COMMERCE EXTERIEUR

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

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


                                   BANQUE PARIBAS

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

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


                                  CITICORP USA, INC.

                                  By /s/ BARBARA A. COHEN
                                    -----------------------------------
                                    Name: Barbara A. Cohen
                                    Title: Vice President


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

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

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


                                    - 10 -

<PAGE>
                                  BANQUE FRANCAISE DU COMMERCE EXTERIEUR

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

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


                                  BANQUE PARIBAS

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

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


                                  CITICORP USA, INC.

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


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

                                  By /s/ ADAM BROUGH
                                    -----------------------------------
                                    Name: Adam Brough
                                    Title: Assistant Vice President

                                  By /s/ ERIC MALLARONI
                                    -----------------------------------
                                    Name: Eric Mallaroni
                                    Title: Senior Vice President

                                    - 10 -

<PAGE>
                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK

                                  By /s/ NORAH McCANN
                                    -----------------------------------
                                    Name: Norah McCann
                                    Title: Senior Vice President

                                  By /s/ WOLFGANG BOLLMANN
                                    -----------------------------------
                                    Name: Wolfgang Bollmann
                                    Title: Senior Vice President


                                  DRESDNER BANK AG, NEW YORK BRANCH AND
                                    GRAND CAYMAN BRANCH

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

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


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.

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


                                  FIRST UNION NATIONAL BANK OF NORTH
                                    CAROLINA

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


                                    - 11 -

<PAGE>
                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK

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

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


                                  DRESDNER BANK AG, NEW YORK BRANCH AND
                                    GRAND CAYMAN BRANCH

                                  By /s/ TERENCE L. DARBY
                                    -----------------------------------
                                    Name: Terence L. Darby
                                    Title: Vice President

                                  By /s/ LEO WOLF
                                    -----------------------------------
                                    Name: Leo Wolf
                                    Title: Senior Vice President &
                                           General Manager


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.

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


                                  FIRST UNION NATIONAL BANK OF NORTH
                                    CAROLINA

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


                                    - 11 -

<PAGE>
                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK

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

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


                                  DRESDNER BANK AG, NEW YORK BRANCH AND
                                    GRAND CAYMAN BRANCH

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

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


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.

                                  By /s/ SCOTT B WALKER
                                    -----------------------------------
                                    Name: Scott B Walker
                                    Title: Vice President


                                  FIRST UNION NATIONAL BANK OF NORTH
                                    CAROLINA

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


                                    - 11 -

<PAGE>
                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK

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

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


                                  DRESDNER BANK AG, NEW YORK BRANCH AND
                                    GRAND CAYMAN BRANCH

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

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


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.

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


                                  FIRST UNION NATIONAL BANK OF NORTH
                                    CAROLINA

                                  By /s/ JOHN W. RANSON
                                    -----------------------------------
                                    Name: John W. Ranson
                                    Title: VP


                                    - 11 -

<PAGE>
                                  GIROCREDIT BANK, NEW YORK BRANCH

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

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


                                  MITSUI LEASING (U.S.A.) INC.

                                  By /s/ SEIJI SANO
                                    -----------------------------------
                                    Name: Seiji Sano
                                    Title: President


                                  NATIONAL CITY BANK

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


                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH

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


                                  THE MITSUBISHI BANK, LTD

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



                                    - 12 -

<PAGE>
                                  GIROCREDIT BANK, NEW YORK BRANCH

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

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


                                  MITSUI LEASING (U.S.A.) INC.

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


                                  NATIONAL CITY BANK

                                  By /s/ CHRISTOPHER M. KARR
                                    -----------------------------------
                                    Name: Christopher M. Karr
                                    Title: Assistant Vice President


                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH

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


                                  THE MITSUBISHI BANK, LTD

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



                                    - 12 -

<PAGE>
                                  GIROCREDIT BANK, NEW YORK BRANCH

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

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


                                  MITSUI LEASING (U.S.A.) INC.

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


                                  NATIONAL CITY BANK

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


                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH

                                  By /s/ JUNRI ODA
                                    -----------------------------------
                                    Name: Junri Oda
                                    Title: Senior Vice President and
                                           Senior Manager


                                  THE MITSUBISHI BANK, LTD

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



                                    - 12 -

<PAGE>
                                  GIROCREDIT BANK, NEW YORK BRANCH

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

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


                                  MITSUI LEASING (U.S.A.) INC.

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


                                  NATIONAL CITY BANK

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


                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH

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


                                  THE MITSUBISHI BANK, LTD

                                  By /s/ HIROAKI FUCHIDA
                                    -----------------------------------
                                    Name: Hiroaki Fuchida
                                    Title: Vice President, Manager



                                    - 12 -

<PAGE>
                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY

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


                                  NATIONAL WESTMINSTER BANK USA

                                  By /s/ W WAKEFIELD SMITH
                                    -----------------------------------
                                    Name: W Wakefield Smith
                                    Title: Vice President


                                  NATIONSBANK OF TEXAS, N.A.

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


                                  COOPERATIEVE CENTRALE RAIFFEISEN-
                                  BOERENLEENBANK B.A., "RABOBANK
                                  NEDERLAND", NEW YORK BRANCH

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

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


                                  SHAWMUT BANK CONNECTICUT, N.A.

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


                                    - 13 -

<PAGE>
                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY

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


                                  NATIONAL WESTMINSTER BANK USA

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


                                  NATIONSBANK OF TEXAS, N.A.

                                  By /s/ JOHN KAHN
                                    -----------------------------------
                                    Name: John Kahn
                                    Title:


                                  COOPERATIEVE CENTRALE RAIFFEISEN-
                                  BOERENLEENBANK B.A., "RABOBANK
                                  NEDERLAND", NEW YORK BRANCH

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

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


                                  SHAWMUT BANK CONNECTICUT, N.A.

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


                                    - 13 -

<PAGE>
                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY

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


                                  NATIONAL WESTMINSTER BANK USA

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


                                  NATIONSBANK OF TEXAS, N.A.

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


                                  COOPERATIEVE CENTRALE RAIFFEISEN-
                                  BOERENLEENBANK B.A., "RABOBANK
                                  NEDERLAND", NEW YORK BRANCH

                                  By /s/ ANITA VOGEL
                                    -----------------------------------
                                    Name: Anita Vogel
                                    Title: Vice President

                                  By /s/ IAN REECE
                                    -----------------------------------
                                    Name: Ian Reece
                                    Title: Vice President & Manager


                                  SHAWMUT BANK CONNECTICUT, N.A.

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


                                    - 13 -

<PAGE>
                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY

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


                                  NATIONAL WESTMINSTER BANK USA

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


                                  NATIONSBANK OF TEXAS, N.A.

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


                                  COOPERATIEVE CENTRALE RAIFFEISEN-
                                  BOERENLEENBANK B.A., "RABOBANK
                                  NEDERLAND", NEW YORK BRANCH

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

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


                                  SHAWMUT BANK CONNECTICUT, N.A.

                                  By /s/ MANFRED O. EIGENBROD
                                    -----------------------------------
                                    Name: Manfred O. Eigenbrod
                                    Title: Vice President


                                    - 13 -

<PAGE>
                                  THE SUMITOMO TRUST & BANKING CO.,
                                    LTD., NEW YORK BRANCH

                                  By /s/ SURAJ P. BHATIA
                                    -----------------------------------
                                     Name: Suraj P. Bhatia
                                     Title: Senior Vice President
                                            Manager, Corporate Finance II Dept.


                                  THE DAI-ICHI KANGYO BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                  THE FUJI BANK, LIMITED, HOUSTON AGENCY

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


                                  THE TOKAI BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                    - 14 -

<PAGE>
                                  THE SUMITOMO TRUST & BANKING CO.,
                                    LTD., NEW YORK BRANCH

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


                                  THE DAI-ICHI KANGYO BANK, LTD.
                                    LOS ANGELES AGENCY

                                  By /s/ TOMOHIRO NOZAKI
                                    -----------------------------------
                                    Name: Tomohiro Nozaki
                                    Title: Senior Vice President and
                                           Joint General Manager


                                  THE FUJI BANK, LIMITED, HOUSTON AGENCY

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


                                  THE TOKAI BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                    - 14 -

<PAGE>
                                  THE SUMITOMO TRUST & BANKING CO.,
                                    LTD., NEW YORK BRANCH

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


                                  THE DAI-ICHI KANGYO BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                  THE FUJI BANK, LIMITED, HOUSTON AGENCY

                                  By /s/ T. NAKAMURA
                                    -----------------------------------
                                    Name: T. Nakamura
                                    Title: Joint General Manager


                                  THE TOKAI BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                    - 14 -




<PAGE>
                                                                  EXHIBIT 4.11


                                        AMENDMENT NO. 2 (the "Amendment")
                                   dated as of June 20, 1994 to the Credit
                                   and Guaranty Agreement dated as of
                                   August 18, 1993 (the "Agreement"), among
                                   AMERICAN MEDICAL INTERNATIONAL, INC., a
                                   Delaware corporation (the "Borrower"),
                                   AMERICAN MEDICAL HOLDINGS, INC., a
                                   Delaware corporation ("Holdings"), THE
                                   LENDERS REFERRED TO THEREIN, (the
                                   "Lenders"), CHEMICAL BANK, a New York
                                   banking corporation, as agent for the
                                   Lenders (the "Agent"), THE BANK OF NOVA
                                   SCOTIA, as Co-Agent and THE LONG TERM
                                   CREDIT BANK OF JAPAN, LTD., LOS ANGELES
                                   AGENCY, as Co-Agent.

                   INTRODUCTORY STATEMENT

     All capitalized terms not otherwise defined in this
Amendment are used herein as defined in the Agreement.

     The Lenders have made available to the Borrower a
revolving credit facility in the amount of $600,000,000.

     The Borrower, Holdings, the Lenders and the Agent
have agreed (i) to reconstitute the group of syndicate banks
which are party to the Agreement by (A) adding each of the
banks listed on Annex A hereto (the "Additional Lenders") as
a party to the Agreement if it is not already a party and (B)
deleting each of the banks listed on Annex B hereto (the
"Withdrawing Lenders") as a party thereto, (ii) to change the
Commitments of the Lenders, and (iii) to effect the purchase
by the Purchasing Lenders of a portion of the outstanding
Loans and rights with regard to outstanding Letters of
Credit, all on the terms and subject to the conditions
hereinafter set forth.

     In consideration of the mutual agreements contained
herein and other good and valuable consideration, the parties
hereto hereby agree as follows:

     SECTION 1. CERTAIN DEFINITIONS. Solely for
purposes of this Amendment, the following terms shall have
the meanings indicated:

     "PURCHASING LENDERS" shall mean the Additional
Lenders together with each other Lender whose "Commitment" as
shown on Schedule 1 (Revised June 20, 1994) which is attached


<PAGE>


hereto is greater than the amount of its Commitment as in
effect immediately prior to the effectiveness of this
Amendment.

     "SELLING LENDERS" shall mean the Withdrawing
Lenders together with each other Lender whose "Commitment" as
shown on Schedule 1 (Revised June 20, 1994) which is,attached
hereto is less than the amount of its Commitment as in effect
immediately prior to the effectiveness of this Amendment.

     SECTION 2. AMENDMENT TO THE AGREEMENT. Subject to
the provisions of Section 4 hereof, the Agreement is hereby
amended effective as of the Effective Date (such term being
used herein as defined in Section 4 hereof) as follows:

     (A)  each of the Additional Lenders is hereby added
as a party to the Agreement and as a "Lender" thereunder;

     (B)  each of the Withdrawing Lenders is hereby
deleted as a party to the Agreement and as a "Lender"
thereunder; and

     (C)  Schedule 1 to the Agreement (the Table of
Commitments) is hereby amended in its entirety by replacing
it with Schedule 1 (Revised June 20, 1994) which is annexed
hereto.

     SECTION 3. Purchase of a Portion of the
Commitments, Loans and Rights With Regard to Letters of
CREDIT.

     (A)  Effective on the Effective Date, each of the
Selling Lenders hereby irrevocably sells and assigns to the
Purchasing Lenders without recourse, and each Purchasing
Lender hereby irrevocably purchases and assumes from each
Selling Lender without recourse to such Selling Lender, that
portion of each Selling Lender's Commitment under the
Agreement, such that after giving effect to such sale and
assignment and purchase and assumption, each Withdrawing
Lender's Commitment will be reduced to zero and each other
Lender (including each Additional Lender) will have the
Commitment set forth opposite its name in the Table of
Commitments which appears in Schedule 1 (Revised
June 20, 1994) which is attached hereto.

     (B) Effective on the Effective Date, each of the
Selling Lenders hereby irrevocably sells and assigns to the
Purchasing Lenders without recourse, and each Purchasing
Lender hereby irrevocably purchases and assumes from each
Selling Lender to whom outstanding Alternate Base Rate Loans


                           -2-
<PAGE>

are owed and who have participated in the outstanding Letters
of Credit, without recourse to such Selling Lender, that
portion of their outstanding Alternate Base Rate Loans and
their rights to outstanding Letters of Credit, such that
after giving effect to such sale and assignment and purchase
and assumption, each Lender (including each Purchasing
Lender) will hold a share of all then outstanding Alternate
Base Rate Loans and all rights to then outstanding Letters of
Credit which share is in accordance with such Lender's
Percentage after giving effect to this Amendment.  Such
purchase shall be made by each Purchasing Lender for a
purchase price equal to the difference between (i) the
aggregate principal amount of outstanding Alternate Base Rate
Loans that are owed to such Purchasing Lender on the
Effective Date, after giving effect to the foregoing
provisions of this Section 3(B), MINUS (ii) the aggregate
principal amount of outstanding Alternate Base Loans that
were owed to such Purchasing Lender immediately prior to the
Effective Date, before giving effect to the foregoing
provisions of this Section 3(B).

     (C)  The Borrower hereby agrees to prepay all
outstanding Eurodollar Loans together with all accrued but
unpaid interest thereon to but excluding the Effective Date
and any other amounts required by Section 2.10 of the
Agreement to be paid by the Borrower to a Lender by reason of
the transactions contemplated hereby; PROVIDED, HOWEVER, that
an amount not in excess of the aggregate amount of such
Eurodollar Loans which have been prepaid, may be immediately
re-borrowed on the Effective Date as either Alternate Base
Rate Loans or Eurodollar Loans and with such Interest Period
or Interest Periods as the Borrower shall request in writing.
Any Loans made by the Lenders (including the Purchasing
Lenders), pursuant to this Section 3(C), shall be made by
each Lender (including each Purchasing Lender) in accordance
with such Lender's Percentage on the Effective Date after
giving effect to this Amendment.

     (D)   None of the Lenders (i) makes any
representation or warranty or assumes any responsibility with
respect to any statements, warranties or representations made
in or in connection with the Agreement or the execution,
legality, validity, enforceability, genuineness, sufficiency
or value of any of the Fundamental Documents or any other
instrument or document furnished pursuant thereto, other than
that it is the legal and beneficial owner of the interests
being sold and assigned by it hereunder and that such
interests are free and clear of any adverse claim; and
(ii) makes any representation or warranty or assumes any
responsibility with respect to the financial condition of the


                           -3-
<PAGE>


Credit Parties or the performance or observance by any Credit
Party of any of its obligations under any of the Fundamental
Documents or any other instrument or document furnished
pursuant thereto.

     (E)  Each Purchasing Lender hereby (i) represents
and warrants that it is legally authorized to enter into this
Amendment, (ii) confirms that it has received a copy of the
Agreement, together with copies of the most recent financial
statements delivered pursuant to Sections 5.01(a) and 5.01(b)
of the Agreement and such other documents and information as
it has deemed appropriate to make its own credit analysis and
decision to enter into this Amendment; (iii) agrees that it
will, independently and without reliance upon the Agent or
any Lender and based on such documents and information as it
shall deem appropriate at the time, continue to make its own
credit decisions in taking or not taking action under the
Agreement; (iv) appoints and authorizes the Agent to take
such action as agent on its behalf and to exercise such
powers under the Fundamental Documents as are delegated to
the Agent by the terms thereof, together with such powers as
are reasonably incidental thereto; (v) agrees that it will be
bound by the provisions of the Agreement and will perform in
accordance with its terms all the obligations which by the
terms of the Agreement are required to be performed by it as
a Lender; (vi) if such Purchasing Lender is organized under
the laws of a jurisdiction outside the United States,
confirms that it has delivered to the Agent the forms
prescribed by the Internal Revenue Service of the United
States certifying as to such Purchasing Lender's exemption
from United States withholding taxes with respect to all
payments to be made to such Purchasing Lender under the
Agreement, or such other documents as are necessary to
indicate that all such payments are subject to such tax at a
rate reduced by any applicable tax treaty and (vii) confirms
that it has completed and returned to the Agent its
administrative questionnaire.

     (F) From and after the effectiveness of this Amendment,
(i) each Purchasing Lender shall be a party to the Agreement and,
to the extent provided in this Amendment, the rights and obligations
of a Lender thereunder and under the other Fundamental Documents
and shall be bound by the provisions thereof and (ii) each of the
Withdrawing Lenders shall cease to be a party to the Agreement, shall
be released from its obligations thereunder and, except to the extent
expressly set forth in the following sentence, shall automatically
release the Borrower and Holdings from any further obligations to
such Withdrawing Lender under or in connection with the Agreement.
It is expressly understood


                           -4-
<PAGE>


and agreed that (a) none of the Selling Lenders is assigning
to any Purchasing Lender, and each Selling Lender shall
retain, (1) all of such Selling Lender's rights under
Sections 2.03(f) and 2.11 of the Agreement with respect to
any cost, reduction or payment incurred or made on or prior
to the Effective Date, including, without limitation, the
rights to indemnification and to reimbursement for taxes,
costs and expenses and (2) any and all amounts paid to such
Selling Lender on or prior to the Effective Date and (b) both
the Selling Lenders and the Purchasing Lenders shall be.
entitled to the benefits of Sections 10.04 and 10.05 of the
Agreement.

     (G)  On or before the Effective Date, the Borrower,
at its own expense, shall execute and deliver to the Agent,
for the account of each Purchasing Lender, a promissory note
identical to the Note held by each Lender, but payable to
each Purchasing Lender and in the amount of its Commitment
after giving effect to this Amendment (each a "New Note"). Each
Purchasing Lender hereby acknowledges and agrees that
payments of principal and interest made on or prior to the
Effective Date by the Borrower in respect of the Alternate
Base Rate Loans purchased by each Purchasing Lender pursuant
to this Amendment and evidenced by such Purchasing Lender's
New Note have satisfied the obligation of the Borrower to
make such payments in respect.of such Loans under such New
Note prior to the Effective Date.  In addition, on or before
the Effective Date, the Borrower, at its own expense, shall
execute and deliver to the Agent, for the account of each of
the Lenders (other than the Purchasing Lenders and any Lender
whose Commitment will not change upon the effectiveness of
this Amendment) that will have a commitment under the
Agreement after giving effect to this Amendment, a promissory
note identical to the Note currently held by such Lender and
previously executed by the Borrower in connection with
Agreement, but in the amount of such Lender's Commitment
after giving effect to this Amendment (each a "Replacement
Note").  Each of the Replacement Notes and the New Notes
shall for all purposes be a "Note" under the Agreement.  On
the Effective Date, the Notes of the Lenders that will be
receiving Replacement Notes shall be deemed cancelled and
each such Lender shall promptly deliver its Note to the Agent
for redelivery to the Borrower, in each case with an
appropriate notation as to the cancellation of such Note. For
purposes of the foregoing, each such Lender hereby
authorizes the Agent to make notations on its behalf on such
Lender's Note as to the cancellation thereof.

     (H)  On the Effective Date, each Purchasing Lender
shall pay to the Agent (for the benefit of the Selling


                           -5-
<PAGE>


Lenders) an amount equal to the purchase price (as set forth
in Section 3(B) hereof) of the outstanding Alternate Base
Rate Loans and rights to outstanding Letters of Credit being
purchased and assumed by it pursuant to this Amendment, by
wire transfer of immediately available funds.  Promptly
following its receipt thereof, the Agent will distribute such
amounts to the Selling Lenders pro rata in accordance with
the outstanding Alternate Base Rate Loans and rights to
outstanding Letters of Credit sold by each of them.

     (I)  On the Effective Date, the Borrower hereby
agrees to pay to the Agent (for the benefit of the Lenders)
(i) the interest on the outstanding Alternate Base Rate Loans
accrued and unpaid to but excluding the Effective Date,
(ii) the aggregate amount required to be paid or prepaid by
it pursuant to Section 3(C) hereof, (iii) the accrued and
unpaid amount, to but excluding the Effective Date, of the
commission payable pursuant to Section 2.03(e)(ii) of the
Agreement with respect to outstanding Letters of Credit and
(iv) all accrued and unpaid Commitment Fees to but excluding
the Effective Date.  Promptly following its receipt thereof,
the Agent will distribute the foregoing amounts as follows:
(a) the amounts described in clause (i), (iii) and (iv) shall
be distributed to the Lenders pro rata in accordance with the
outstanding Alternate Base Rate Loans and rights to
outstanding Letters of Credit held by each of them
immediately prior to the effectiveness of this Amendment; (b)
the aggregate amount of outstanding Eurodollar Loans and the
accrued and unpaid interest thereon shall be distributed to
the Lenders pro rata in accordance with the outstanding
Eurodollar Loans held by each of them immediately prior to
the effectiveness of this Amendment; and (c) any amount
required by Section 2.10 of the Agreement to be paid by the
Borrower to a Lender in connection with the transactions
contemplated hereby, shall be distributed to such Lender for
its own account.

     SECTION 4. CONDITIONS TO EFFECTIVENESS.  The
effectiveness of this Amendment and the obligations of the
Purchasing Lenders and Lenders hereunder are subject to the
satisfaction in full on or prior to June 30, 1994 of the
following conditions precedent (the first date on which all
such conditions have been satisfied being herein referred to
as the "Effective Date"):

     (A)   the Agent shall have received executed
counterparts of this Amendment, which, when taken together,
bear the signatures of the Agent, the Borrower, Holdings and
all of the Lenders (including all Withdrawing Lenders and all
Additional Lenders);


                           -6-
<PAGE>

     (B)  the Agent shall have received the original New
Notes and Replacement Notes contemplated by Section 3(G)
hereof, each duly executed by the Borrower;

     (C)   the Agent shall have received executed
counterparts of Amendment No. 3 to the Agreement, which when
taken together, bear the signatures of the Agent, the
Borrower, Holdings and such of the Lenders as are sufficient,
and all other actions shall have been taken, such that,
Amendment No. 3 to the Agreement will become effective
immediately following the effectiveness of this Amendment;

     (D)  the Agent shall have received all amounts
required by the terms of this Amendment to be paid by any
party hereto; and

     (E)  all legal matters in connection with this
Amendment shall be reasonably satisfactory to Lord Day &
Lord, Barrett Smith, counsel for the Agent.

     SECTION 5. REPRESENTATIONS AND WARRANTIES.  Each
of Holdings and the Borrower represents and warrants to the
Lenders that:

     (A)  the representations and warranties contained
in the Agreement and in the other Fundamental Documents are
true and correct on and as of the date hereof as if such
representations and warranties had been made on and as of the
date hereof (except to the extent such representations and
warranties expressly relate to an earlier date); and

     (B)  no Default or Event of Default has occurred or
is continuing under the Agreement.

     SECTION 6. FULL FORCE AND EFFECT.

     (A)   Except as expressly set forth herein, this
Amendment does not constitute a waiver or modification of any
provision of the Agreement or a waiver of any Default or
Event of Default under the Agreement, in either case whether
or not known to the Agent.  Except as expressly amended
hereby, the Agreement shall continue in full force and effect
in accordance with the provisions thereof on the date hereof.
As used in the Agreement, the terms "Credit Agreement", "this
Agreement", "herein", "hereafter", "hereto", "hereof", and
words of similar import, shall, unless the context otherwise
requires, mean the Agreement as amended by this Amendment.
References to the terms "Agreement" or "Credit Agreement"
appearing in the Exhibits or Schedules to the Agreement,


                           -7-
<PAGE>


shall, unless the context otherwise requires, mean the
Agreement as amended by this Amendment.

     (B)  References to the term "Schedule 1" appearing
in the Agreement or in the Exhibits or Schedules to the
Agreement, shall, unless the context otherwise requires, mean
Schedule 1 (Revised June 20, 1994) which is attached to this
Amendment.

     (C)  References to the terms "Note" or "Notes"
appearing in the Agreement or in the Exhibits or Schedules to
the Agreement, shall, unless the context otherwise requires,
include the New Notes and the Replacement Notes.

     SECTION 7. APPLICABLE LAW.  THIS AMENDMENT SHALL
BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF
THE STATE OF NEW YORK.

     SECTION 8. COUNTERPARTS.  This Amendment may be
executed in two or more counterparts, each of which shall
constitute an original, but all of which when taken together
shall constitute but one instrument.

     SECTION 9. EXPENSES.  The Borrower agrees to pay
all reasonable out-of-pocket expenses incurred by the Agent
in connection with the preparation, execution and delivery of
this Amendment and any other documentation contemplated
hereby, including, but not limited to, the reasonable fees
and disbursements of Lord Day & Lord, Barrett Smith, counsel
for the Agent.

     SECTION 10.  HEADINGS.  The headings of this Amend-
ment are for the purposes of reference only and shall not
affect the construction of this Amendment.

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


                                  AMERICAN MEDICAL INTERNATIONAL,  INC.


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



                           -8-
<PAGE>



                                  AMERICAN MEDICAL HOLDINGS, INC.

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


                                  CHEMICAL BANK, INDIVIDUALLY AND
                                    AS AGENT

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


                                  THE BANK OF NOVA SCOTIA, INDIVIDUALLY
                                    AND AS CO-AGENT

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


                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT

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


                                  ARAB BANK PLC

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


                           -9-

 <PAGE>


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION

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


                                  BANK OF HAWAII

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


                                  BANK OF IRELAND, GRAND CAYMAN BRANCH

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


                                  BANQUE FRANCAISE DU COMMERCE EXTERIEUR

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

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


                                  BANQUE PARIBAS

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

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


                           -10-
<PAGE>

                                  CITICORP USA, INC.

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


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

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

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


                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK

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

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


                                 DRESDNER BANK AG, NEW YORK BRANCH AND
                                   GRAND CAYMAN BRANCH

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

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

                            -11-
<PAGE>


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.

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


                                   FIRST UNION NATIONAL BANK OF NORTH
                                     CAROLINA

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


                                  GIROCREDIT BANK, NEW YORK BRANCH

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

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


                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH

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


                                  THE MITSUBISHI BANK, LTD

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


                           -12-
<PAGE>


                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY

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


                                  NATIONAL WESTMINSTER BANK USA

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


                                  NATIONSBANK OF TEXAS, N.A.

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


                                 COOPERATIEVE CENTRALE RAIFFEISEN-
                                   BOERENLEENBANK B.A., "RABOBANK
                                   NEDERLAND", NEW YORK BRANCH

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

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


                                  SHAWMUT BANK CONNECTICUT, N.A.

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


                           -13-
<PAGE>


                                  THE SUMITOMO TRUST & BANKING CO.,
                                    LTD., NEW YORK BRANCH

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


                                  THE DAI-ICHI KANGYO BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                  THE FUJI BANK, LIMITED, HOUSTON AGENCY

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


                                  THE TOKAI BANK, LTD.
                                     LOS ANGELES AGENCY

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


                                  WITHDRAWING LENDERS:



                                  MITSUI LEASING (U.S.A.) INC.

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


                           -14-
<PAGE>


                                  NATIONAL CITY BANK

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


                                  ADDITIONAL LENDERS:


                                  THE BANK OF TOKYO, LTD., DALLAS AGENCY

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


                                  CREDIT LYONNAIS CAYMAN ISLAND BRANCH

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


                                  DEUTSCHE BANK AG NEW YORK AND/OR
                                    CAYMAN ISLANDS BRANCHES

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

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


                                  PNC BANK, N.A.

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


                           -15-
<PAGE>


                                  TORONTO DOMINION (TEXAS), INC.

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


                           -16-
<PAGE>


                                                                        ANNEX A

                        LIST OF ADDITIONAL LENDERS



     The Bank of Tokyo, Ltd., Dallas Agency

     Credit Lyonnais Cayman Island Branch

     Deutsche Bank AG New York and/or Cayman Islands Branches

     PNC Bank, N.A.

     Toronto Dominion (Texas), Inc.


<PAGE>

                                                                        ANNEX B
                        LIST OF WITHDRAWING LENDERS



     Mitsui Leasing (U.S.A.) Inc.

     National City Bank


<PAGE>


                                                        Schedule 1
                                                        (Revised June 20, 1994)


                        TABLE OF COMMITMENTS

<TABLE>

LENDER                                                  COMMITMENT
- ------                                                  ----------

<S>                                                     <C>
Chemical Bank                                           $37,000,000.00
The Bank of Nova Scotia                                  37,000,000.00
The Long Term Credit Bank of Japan,                      37,000,000.00
  Ltd., Los Angeles Agency
Bank of America National Trust                           29,000,000.00
  and Savings Association
Citicorp USA, Inc.                                       29,000,000.00
NationsBank of Texas, N.A.                               29,000,000.00
The Dai-Ichi Kangyo Bank, Ltd.,                          29,000,000.00
  Los Angeles Agency
The Industrial Bank of Japan,                            29,000,000.00
  Limited, New York Branch
Shawmut Bank Connecticut, N.A.                           23,000,000.00
The Fuji Bank, Limited, Houston Agency                   23,000,000.00
The Sakura Bank, Limited                                 23,000,000.00
  Los Angeles Agency
Banque Paribas                                           l8,OOO,OOO.OO
Dresdner Bank AG, New York Branch                        18,000,000.00
  and Grand Cayman Branch
First Union National Bank                                18,000,000.00
  of North Carolina
National Westminster Bank USA                            18,000,000.00
Cooperatieve Centrale                                    l8,OOO,OOO.OO
  Raiffeisen-Boerenleenbank B.A.,
  "Rabobank Nederland",
  New York Branch
First Interstate Bank of                                 18,000,000.00
  Texas, N.A.
The Mitsubishi Bank, LTD                                 18,000,000.00
The Tokai Bank, Ltd.                                     18,000,000.00
  Los Angeles Agency
Compagnie Financiere de Cic                              14,000,000.00
  et de L'Union Europeene
The Sumitomo Trust & Banking Co., Ltd.,                  14,000,000.00
  New York Branch
Credit Lyonnais Cayman Island Branch                     11,000,000.00
Toronto Dominion (Texas), Inc.                           11,000,000.00
Arab Bank PLC                                             9,000,000.00
Bank of Hawaii                                            9,000,000.00
Bank of Ireland, Grand Cayman Branch                      9,000,000.00
The Bank of Tokyo, Ltd., Dallas Agency                    9,000,000.00
Banque Francais du Commerce Exterieur                     9,000,000.00
DG Bank Deutsche Genossenschaftsbank                      9,000,000.00
Deutsche Bank AG New York and/or
  Cayman Islands Branches                                 9,000,000.00
GiroCredit Bank, New York Branch                          9,000,000.00
PNC Bank, N.A.                                            9,000,000.00
                                                        --------------

    TOTAL                                              $600,OOO,OOO.00
</TABLE>


<PAGE>


                                  AMENDMENT NO. 3 (the "Amendment")
                                  dated as of June 20, 1994 to the Credit
                                  and Guaranty Agreement dated as of
                                  August 18, 1993, as amended (the
                                  "Agreement"), among AMERICAN MEDICAL
                                  INTERNATIONAL, INC., a Delaware
                                  corporation (the "Borrower"), AMERICAN
                                  MEDICAL HOLDINGS, INC., a Delaware
                                  corporation ("Holdings"), THE LENDERS
                                  REFERRED TO THEREIN, (the "Lenders"),
                                  CHEMICAL BANK, a New York banking
                                  corporation, as agent for the Lenders
                                  (the "Agent"), THE BANK OF NOVA SCOTIA,
                                  as Co-Agent and THE LONG TERM CREDIT BANK
                                  OF JAPAN, LTD., LOS ANGELES AGENCY, as
                                  Co-Agent.

                            INTRODUCTORY STATEMENT

     All capitalized terms not otherwise defined in this Amendment are used
herein as defined in the Agreement.

     The Lenders have made available to the Borrower a revolving credit
facility in the amount of $600,000,000. Holdings and the Borrower have
requested that the Agreement be amended to modify certain provisions thereof
as hereinafter set forth. In consideration of the mutual agreements contained
herein and other good and valuable consideration, the parties hereto hereby
agree as follows:

     SECTION 1. AMENDMENT TO THE AGREEMENT.  Subject to the provisions of
Section 2 hereof, the Agreement is hereby amended as follows:

     (A)  Article 1 of the Agreement is hereby amended to add the following
additional definitions in the appropriate alphabetical location:

          "'BASIS POINT' shall mean 1/100th of 1%.

          'MOODY'S' shall mean Moody's Investors  Service Inc.

          'S&P' shall mean Standard & Poor's Ratings Group, a division of
     McGraw-Hill.

          'UTILIZED PERCENTAGE' shall mean, for any period for which it is to
     be determined, the


<PAGE>


     quotient (expressed as a decimal and rounded to the nearer 0.1%) obtained
     by dividing (a) the sum of outstanding Loans plus L/C Exposure by (b) the
     Total Commitment on the date hereof."

     (B)  The definition of "Commitment Termination Date, appearing in Article
1 of the Agreement is hereby amended by deleting the date "September 1, 1998"
appearing therein and inserting the date "September 1, 1999" in lieu thereof.

     (C)  The definition of "Interest Margin" appearing in Article 1 of the
Agreement is hereby amended in its entirety to read as follows:

          "'INTEREST MARGIN' shall mean with respect to any Alternate Base Rate
     Loan or any Eurodollar Loan, the Interest Margin in effect from time
     to time as determined pursuant to Section 2.16(a) hereof."

     (D)  Section 2.03(e)(i)(A) of the Agreement is hereby amended by deleting
the words "1/2 of 1% per annum in excess of" from clause (1) appearing in such
Section and inserting the phrase "the applicable Interest Margin for Alternate
Base Rate Loans, plus" in lieu thereof.

     (E)  The second sentence of Section 2.04 of the Agreement is hereby
amended by deleting the date "September 1, 1998" appearing therein and
inserting the date "September 1, 1999" in lieu thereof.

     (F)  Section 2.05(c) of the Agreement is hereby amended in its entirety to
read as follows:

          "(c)  Not used."

     (G)   Section 2.06 of the Agreement is hereby amended by deleting the
phrase "of 1/2 of 1% per annum" appearing in the first sentence of such Section
and inserting "at the rate per annum from time to time in effect in accordance
with Section 2.16(a) hereof" in lieu thereof.

     (H)  Section 2.07(b) of the Agreement is hereby amended in its entirety to
read as follows:

          "(b)  The Total Commitment shall be automatically and permanently
     reduced as of each of the dates set forth in column (a) below, by the

                                      -2-

<PAGE>

     amount set forth opposite such date in column (b) below:


<TABLE>
<CAPTION>


                (a)                                     (b)
                                                 REDUCTION OF THE
               DATE                              TOTAL COMMITMENT
               ----                              -----------------

<S>                                                  <C>
December 1, 1996                                     $31,250,000
March 1, 1997                                        $31,250,000
June 1, 1997                                         $31,250,000
September 1,  1997                                   $31,250,000
December 1, 1997                                     $43,750,000
March 1, 1998                                        $43,750,000
June 1,  1998                                        $43,750,000
September 1,  1998                                   $43,750,000
September 1,  1999                                  $300,000,000"

</TABLE>


     (I)  Article 2 of the Agreement is hereby amended to add the following new
Section 2.16 immediately following the existing Section 2.15:

          "Section 2.16. CERTAIN PRICING ADJUSTMENTS"

              (a)   The applicable Interest Margin and Commitment Fee
          (expressed in Basis Points) in effect from time to time shall be
          determined in accordance with the following table based upon the
          lowest Pricing Level for which the Borrower qualifies based upon the
          criteria set forth below:

<TABLE>
<CAPTION>
                        INTEREST         INTEREST
                        MARGIN FOR       MARGIN FOR
PRICING                 EURODOLLAR       ALTERNATE BASE          COMMITMENT
 LEVEL                  LOANS            RATE LOANS                  FEE
- -------                 ----------       --------------          ----------

<S>                     <C>              <C>                     <C>

LEVEL I                    50.0               0.0                  22.50

LEVEL II                   62.5               0.0                  25.00

LEVEL III                  75.0               0.0                  25.00

LEVEL IV                   87.5               0.0                  31.25

LEVEL V                   112.5              12.5                  37.50

</TABLE>


          'Level I' shall apply only if the Borrower's senior secured long-term
     debt is rated at least BBB- by S&P and at least Baa3 by Moody's.


                                      -3-
 <PAGE>

          'Level II' shall apply if the Borrower's senior secured long-term
     debt is rated either (i) at least BB+ by S&P and at least Ba1 by
     Moody's or (ii) at least BBB-/Baa3 by one of either S&P or Moody's
     and at least BB/Ba2 by the other rating agency.

         'Level III' shall apply if (i) for the most recent Rolling Period for
     which the Borrower has delivered the certificate contemplated by
     Section 5.01(c) hereof, the ratio of Consolidated EBITDA to
     Consolidated Interest Expense is equal to or greater than 3.00:1 and
     (ii) the ratio of Total Debt outstanding on the last day of such
     Rolling Period to the then current Consolidated Capital Base is equal
     to or less than 0.62:1.

         'Level IV' shall apply if (i) for the most recent Rolling Period for
     which the Borrower has delivered the certificate contemplated by
     Section 5.01(c) hereof, the ratio of Consolidated EBITDA to Consolidated
     Interest Expense is equal to or greater than 2.75:1 and (ii) the ratio of
     Total Debt outstanding on the last day of such Rolling Period to the then
     current Consolidated Capital Base is equal to or less than O.65:1.

         'Level VI' shall apply if either (i) a Default or Event of Default
     shall have occurred and be continuing or (ii) the Borrower does not
     otherwise qualify for any lower Pricing Level.

          Any change in the applicable Interest Margin and Commitment Fee
     determined in accordance with the foregoing table shall become effective
     (i) if based on a change in debt rating, on the date of announcement or
     publication by the Borrower or the applicable rating agency of such rating
     change or, in the absence of such announcement or publication, on the
     effective date of such rating change, or an the date of any request by the
     Borrower to either of such rating agencies not to rate its debt or on
     the date either of such rating agencies announces it shall no longer rate
     the Borrower's debt, or (ii) if for any other reason, on the fifth
     Business Day after the Borrower delivers (or should have delivered) the
     certificate contemplated by Section 5.01(c) which evidences that such
     changed Interest Margin and Commitment Fee should apply.

                                      -4-

<PAGE>


          Notwithstanding the foregoing, the Borrower shall not be entitled to
     any Pricing Level lower than Level IV prior to the receipt by the Lenders
     of the certificate contemplated by Section 5.01(c) hereof with respect to
     the fiscal 1994 year end.

          (b)  For each day, if any, that the Utilized Percentage is 75% or
     more, the Borrower will pay in arrears to the Agent for the account of
     each Lender a utilization fee of 1/8 of 1% per annum (computed on the
     basis of the actual number of days elapsed over a year of 365/366 days, as
     the case may be, during the preceding period or quarter), on the entire
     aggregate principal amount of such Lender's Loans outstanding plus its
     share of L/C Exposure. Such utilization fee shall be payable on the last
     Business Day of each March, June, September and December in each year and
     on the Commitment Termination Date."

     (J)  Sections 6.01(g), 6.01(h), 6.01(k) and 6.01(l) are hereby amended by
deleting the date "September 1, 1998" appearing in each such Section and
inserting the date "September 1, 1999" in lieu thereof.

     (K) Section 6.04(f) of the Agreement is hereby amended in its entirety
to read as follows:

    "(f) Acquisitions, PROVIDED that:

          (i)  the aggregate consideration given (whether in one transaction or
     a series of transactions) for all Acquisitions made pursuant to this
     Section 6.04(f) (A) during any year shall not exceed the sum of
     $200,000,000 PLUS, the amount permitted to be expended for Capital
     Expenditures during such year pursuant to Section 6.20, but not used for
     such permitted Capital Expenditures, and (B) during the term of this
     Agreement shall not exceed the sum of $500,000,000 plus, any amount
     permitted to be expended for Capital Expenditures during any year pursuant
     to Section 6.20, but not used for such permitted Capital Expenditures,
     PROVIDED, HOWEVER, that in connection with an Acquisition made by a non
     wholly owned Subsidiary, the consideration given for such Acquisition
     shall be included in any determination of the aggregate consideration
     given for Acquisitions pursuant to this clause (i) only to the
     extent that the amount of such consideration exceeds the


                                      -5-

<PAGE>


     aggregate amount of Investments in such non wholly owned Subsidiary, which
     Investments were made in cash or with Cash Equivalents and were
     Acquisitions made pursuant to this Section 6.04(f),

          (ii)  after any such Acquisition, the unused Total Commitment
     hereunder shall equal or exceed  $75,000,000 (without altering or
     otherwise changing the Borrower's historical business practices in
     managing its working capital accounts),

          (iii)  on a Pro Forma Basis, no Default or Event of Default shall
     occur or then be continuing, and

          (iv)  at least five (5) Business Days prior to the consummation of
     any such Acquisition involving total consideration of $15,000,000 or more,
     the Agent shall have received a certificate of an Authorized Officer of
     the Borrower outlining the terms of the proposed transaction and
     confirming the Borrower's compliance with this Section; and

     PROVIDED, FURTHER, that for purposes of this Section 6.04(f), the amount
     of any Indebtedness described in, and permitted by, Section 6.01(n) hereof
     involved in any Acquisition permitted by this Section shall be considered
     as part of the total consideration given for such Acquisition; and
     PROVIDED, FURTHER, that the Acquisition by Amisub (SFH), Inc., a Tennessee
     corporation, of substantially all of the assets (and the assumption of
     certain liabilities) of Saint Francis Hospital, Inc., a Tennessee
     not-for-profit corporation, for a purchase price of $96,700,000 (subject,
     however, to a working capital adjustment), shall be excluded from any
     determination of the aggregate consideration given for Acquisitions
     pursuant to clause (i) above."

     (L)  Section 6.05(m) of the Agreement is hereby amended to add the
following phrase at the end of the existing text: "of the types contemplated
by clauses (i), (ii) and (iii) of the definition of Restricted Payments".

     (M)   Section 6.07(d) of the Agreement is hereby amended in its entirety
to read as follows:

         "(d) Restricted Payments of the types contemplated by clauses (i),
     (ii), (iii) and (iv) of the definition of Restricted Payment, in an
     aggregate amount

                                     -6-

<PAGE>

     in any year (without any double counting), which when added to the
     aggregate amount of Investments in Unrestricted Subsidiaries made by
     Holdings, the Borrower and/or any of its Subsidiaries in such year
     (without any double counting), is not in excess of 50% of Consolidated Net
     Income for the immediately preceding fiscal year; PROVIDED, HOWEVER, that
     the aggregate amount of Restricted Payments of the types contemplated
     by clauses (i), (ii) and (iii) of the definition of Restricted Payments,
     in any year, shall not exceed 25% of Consolidated Net Income for the
     immediately preceding fiscal year; and PROVIDED, that after any Restricted
     Payment is made pursuant to this Section 6.07(d), on a Pro Forma Basis, no
     Default or Event of Default will have occurred or be continuing and the
     unused Total Commitment hereunder shall equal or exceed $100,000,000
     (without altering or otherwise changing the Borrower's business practices
     in managing working capital accounts); and PROVIDED, FURTHER, that to the
     extent the amount of Restricted Payments permitted by this Section 6.07(d)
     for any year (without regard to any permitted carry-over from a prior year
     pursuant to this proviso) is in excess of the actual amount of Restricted
     Payments made pursuant to this Section 6.07(d) in such year (such excess
     in any year being referred to in this Section 6.07(d) as an "Unused
     Restricted Payment"), an amount equal to the Unused Restricted Payment in
     any year may be used by the Borrower during any succeeding fiscal year, to
     redeem, repurchase, retire, defease or make any similar payment with
     respect to, the Borrower's 15% Junior Subordinated Discount Debentures Due
     2005 issued pursuant to the Indenture dated as of August 1, 1991 between
     the Borrower and United States Trust Company of New York, as trustee."

     (N)  The first proviso appearing in Section 6.20(a) of the Agreement is
hereby amended in its entirety to read as follows:

          "PROVIDED, HOWEVER, if Acquisitions have been made pursuant to
     Section 6.04(f) hereof, in any year, the aggregate fair market value
     of which equals or exceeds $200,000,000, then the amount set forth
     above for such fiscal year shall be reduced by the amount by which the
     aggregate amount expended in such year for such Acquisitions exceeds
     $200,000,000;"

                                      -7-
 <PAGE>

     (0)  Section 6.20(a) of the Agreement is hereby amended by adding the
following sentence at the end of the existing text:

     "It is hereby agreed that the Acquisition by Amisub (SFH), Inc., a
     Tennessee corporation, of substantially all of the assets (and the
     assumption of certain liabilities) of Saint Francis Hospital, Inc., a
     Tennessee not-for-profit corporation, for a purchase price of $96,700,000
     (subject, however, to a working capital adjustment) shall be excluded
     from any determination being made under the first proviso of this Section
     6.20(a) for the fiscal year ending August 31, 1994."

     (P)  The table appearing in Section 6.21 of the Agreement is hereby
amended by adding the year "1999" at the end of column entitled "For Quarters
in the Fiscal Year Ended" and adding the ratio "4.00:1" at the end of the
column entitled "Interest Coverage Ratio".

     (Q)  The table appearing in Section 6.22 of the Agreement is hereby
amended by adding the year "1999" at the end of the column entitled "Fiscal
Year Ended" and adding the ratio "0.64:1" at the end of the column entitled
"Debt Ratio".

     SECTION 2.  CONDITIONS TO EFFECTIVENESS.  This Amendment is subject to the
satisfaction in full of the following conditions precedent:

     (A) the Agent shall have received executed counterparts of this Amendment,
which, when taken together, bear the signatures of the Borrower, Holdings and
all of the Lenders;

     (B)  the Agent shall have received an amendment to the Finco Receivables
Agreement, duly executed on behalf of Finco and the Finco Sellers, in form and
substance satisfactory to the Agent; which amendment will extend the term of
the Finco Receivables Agreement to match that of the Agreement;

     (C)  the Agent shall have received for its own account or for the benefit
of the Lenders, as applicable, the amendment fees and all other fees and
amounts that are due and payable pursuant to the terms and provisions of that
certain letter agreement dated May 25, 1994 between the Borrower and Chemical
Securities Inc., the Agreement or otherwise in connection with this Amendment;
and

                                      -8-
<PAGE>

     (D)  all legal matters in connection with this Amendment shall be
reasonably satisfactory to Lord Day & Lord, Barrett Smith, counsel for the
Agent.

     Section 3. APPROVAL BY THE LENDERS. Each of the Lenders hereby approves
the amendment to the Finco Receivables Agreement which amendment is
contemplated by Section 2(B) hereof and a copy of which is attached hereto as
Annex A, and hereby agrees that the Agent is authorized to consent to such
amendment.

     SECTION 4. REPRESENTATIONS AND WARRANTIES.  Each of Holdings and the
Borrower represent and warrant to the Lenders that:

     (A)  the representations and warranties contained in the Agreement and in
the other Fundamental Documents are true and correct on and as of the date
hereof as if such representations and warranties had been made on and as of the
date hereof (except to the extent such representations and warranties expressly
relate to an earlier date); and

     (B)  no Default or Event of Default has occurred or is continuing under
the Agreement.

     SECTION 5. FULL FORCE AND EFFECT.  Except as expressly set forth herein,
this Amendment does not constitute a waiver or modification of any provision of
the Agreement or a waiver of any Default or Event of Default under the
Agreement, in either case whether or not known to the Agent. Except as
expressly amended hereby, the Agreement shall continue in full force and effect
in accordance with the provisions thereof on the date hereof.  As used in the
Agreement, the terms "Credit Agreement", "this Agreement", "herein",
"hereafter", "hereto", "hereof", and words of similar import, shall, unless the
context otherwise requires, mean the Agreement as amended by this Amendment.
References to the terms "Agreement" or "Credit Agreement" appearing in
the Exhibits or Schedules to the Agreement, shall, unless the context otherwise
requires, mean the Agreement as amended by this Amendment.

     SECTION 6. APPLICABLE LAW. THIS AMENDMENT SHALL BE GOVERNED BY, AND
CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

     SECTION 7. COUNTERPARTS.  This Amendment may be executed in two or more
counterparts, each of which shall


                                      -9-
 <PAGE>

constitute an original, but all of which when taken together
shall constitute but one instrument.

     SECTION 8. EXPENSES.  The Borrower agrees to pay all reasonable
out-of-pocket expenses incurred by the Agent in connection with the
preparation, execution and delivery of this Amendment and any other
documentation contemplated hereby, including, but not limited to, the
reasonable fees and disbursements of Lord Day & Lord, Barrett Smith, counsel
for the Agent.

     SECTION 9. HEADINGS.  The headings of this Amendment are for the purposes
of reference only and shall not affect the construction of this Amendment.

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

                                  AMERICAN MEDICAL INTERNATIONAL, INC.

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

                                  AMERICAN MEDICAL HOLDINGS, INC.

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

                                  CHEMICAL BANK, INDIVIDUALLY AND
                                    AS AGENT

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

                                      -10-

<PAGE>

                                  THE BANK OF NOVA SCOTIA, INDIVIDUALLY
                                    AND AS CO-AGENT


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

                                  THE LONG TERM CREDIT BANK OF JAPAN,
                                    LTD., LOS ANGELES AGENCY,
                                    INDIVIDUALLY AND AS CO-AGENT


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

                                  ARAB BANK PLC


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


                                  BANK OF AMERICA NATIONAL TRUST
                                    AND SAVINGS ASSOCIATION


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

                                  BANK OF HAWAII

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

                                  BANK OF IRELAND, GRAND CAYMAN BRANCH


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


                                     -11-
<PAGE>

                                  BANQUE FRANCAISE DU COMMERCE EXTERIEUR


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


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


                                  BANQUE PARIBAS

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


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

                                  CITICORP USA, INC.

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


                                  COMPAGNIE FINANCIERE DE CIC ET DE
                                    L'UNION EUROPEENNE

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

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


                                      -12-

<PAGE>

                                  DG BANK DEUTSCHE GENOSSENSCHAFTSBANK


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


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




                                  DRESDNER BANK AG, NEW YORK BRANCH AND
                                    GRAND CAYMAN BRANCH


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

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


                                  FIRST INTERSTATE BANK OF TEXAS, N.A.


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


                                  FIRST UNION NATIONAL BANK OF NORTH
                                    CAROLINA


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


                                       -13-
<PAGE>

                                  GIROCREDIT BANK, NEW YORK BRANCH


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


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

                                  THE INDUSTRIAL BANK OF JAPAN, LIMITED,
                                    NEW YORK BRANCH



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

                                  THE MITSUBISHI BANK, LTD


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


                                  THE SAKURA BANK, LIMITED
                                    LOS ANGELES AGENCY


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


                                  NATIONAL WESTMINSTER BANK USA


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

                                    -14-
 <PAGE>

                                  NATIONSBANK OF TEXAS, N.A.

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


                                  COOPERATIEVE CENTRALE RAIFFEISEN-
                                    BOERENLEENBANK B.A., "RABOBANK
                                    NEDERLAND", NEW YORK BRANCH


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


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

                                  SHAWMUT BANK CONNECTICUT, N.A.

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


                                  THE SUMITOMO TRUST & BANKING CO.,
                                    LTD., NEW YORK BRANCH

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


                                  THE DAI-ICHI KANGYO BANK, LTD.
                                    LOS ANGELES AGENCY


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

                                      -15-
 <PAGE>

                                  THE FUJI BANK, LIMITED, HOUSTON AGENCY


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

                                  THE TOKAI BANK, LTD.
                                    LOS ANGELES AGENCY

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


                                  THE BANK OF TOKYO, LTD., DALLAS AGENCY

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


                                  CREDIT LYONNAIS CAYMAN ISLAND BRANCH

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


                                  DEUTSCHE BANK AG NEW YORK AND/OR
                                    CAYMAN ISLANDS BRANCHES


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


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

                                     -16-
 <PAGE>

                                  PNC BANK, N. A.

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

                                  TORONTO DOMINION (TEXAS), INC.


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


                                     -17-



<PAGE>

                                                                   EXHIBIT 10.26



August 19, 1994



Mr. Terry H. Linn
3130 Shillington Place
Charlotte, NC 28210


     RE:  Letter of Understanding
     ----------------------------

Dear Terry:

     The purpose of this letter is to set forth the understanding of American
Medical Holdings, Inc. ("AMH") and Terry H. Linn ("Linn") regarding AMH's
employment of Linn as Vice President Development of AMH.  This letter supersedes
and replaces the Letter of Understanding dated 4/5/93.

     1.   DUTIES.  Commencing no later than June 1, 1993, Linn shall become the
Vice President Development (level 4 officer) of AMH, and shall play a leadership
role with subsidiaries of AMH to the extent directed by the AMH Chairman and
CEO, and shall perform such duties as are commensurate with a Vice President
Development of similarly situated companies.  It should be noted, however, that
in the initial years, pursuant to discussions between Linn and the Chairman of
the company, the activities shall be heavily weighted toward acquisitions.

     2.   ANNUAL SALARY AND BONUS.  Commencing June 1, 1993 or sooner depending
on Linn's availability, Linn's annual base salary shall be $275,000 which may in
the discretion of AMH's Chairman and CEO, be increased from time to time.  In
addition, for the year ending August 30, 1994, and subsequent years, Linn shall
participate in the Incentive Compensation Program for senior executives as a
Level 4 Executive.

     3.   OPTIONS.  Upon approval of the AMH Compensation Committee and
execution of the appropriate option agreement by Linn, Linn shall be entitled to
options to purchase 50,000 common shares of AMH common stock pursuant to the
Non-Qualified Performance Stock Option Plan for Key Employees of American
Medical Holdings, Inc. and Subsidiaries, and 50,000 common shares of AMH common
stock pursuant to the Non-Qualified Employee Stock Option Plan of AMH and
Subsidiaries.  Such options shall vest at 20% per year on the same terms as the
options granted to other AMH executives participating in these programs.  The
exercise price for such options shall be the average closing price for the
common shares of AMH during the 20 trading days immediately following Linn's
first day of employment with the company.

<PAGE>

Terry H. Linn
Letter of Understanding
Page 2


     4.   PARTICIPATION IN OTHER PLANS.  Subject to Paragraphs 2 and 3 hereof,
Linn shall have the right to participate in all other employee plans and
benefits currently existing or hereafter granted by AMH to its employees.
Subject to Paragraph 3 hereof all waiting periods will be waived to the full
extent possible unless such waiver would require AMH to waive waiting periods of
other employees.  Linn shall be eligible to participate in all employee
compensation and benefit plans customarily available to vice presidents.

     5.   SEVERANCE.  In the event of the termination of Linn's employment as
Vice President Development of AMH for any reason other than "cause" (as defined
below), Linn shall be entitled to receive one year's compensation payable in
biweekly installments (excluding incentive payment) determined on the basis of
his annual salary for AMH's fiscal year then most recently commenced.  In the
event such termination is a result of Linn's death or mental incapacity, the
severance payment shall be made to Linn's estate or personal representative.
The obligation of AMH under this Paragraph 8 shall be the only obligation of AMH
and its subsidiaries for the payment of compensation (except as otherwise
provided under applicable law) to Linn in the event of the termination of his
employment.

     For purposes of this Letter of Understanding, Linn shall be deemed to be
terminated for cause if his employment is terminated due to (i) the commission
by Linn of an act of fraud or embezzlement (including the unauthorized
disclosure of confidential or proprietary information of AMH or its
subsidiaries), (ii) a conviction of Linn (including a NOLO CONTENDERE plea)
involving in the good faith judgment of the Board of Directors of AMH, fraud,
dishonesty or moral turpitude, (iii) willful misconduct as an employee of AMH or
a subsidiary or (iv) the willful failure of Linn to render services to AMH or a
subsidiary in accordance with his employment.

     Following termination of employment, either voluntarily or involuntarily,
Linn will cooperate fully with AMH, upon request, in relation to AMH's defense,
prosecution or other involvement in any continuing or future claims, lawsuits,
charges, and internal or external investigations which arise out of events or
business matters which occurred during Linn's prior employment by AMH.  Such
continuing duty of cooperation shall include making himself available to AMH,
upon reasonable notice, for depositions, interviews, and appearances as a
witness, and furnishing information to AMH and its legal counsel upon request.
Linn's compliance with the provisions of this paragraph beyond one year from his
last day of employment at AMH will not be unreasonably burdensome on him.  AMH
will reimburse actual documented reasonable out-of-pocket expenses necessarily
incurred such as travel, lodging, meals.  Severance payments, if otherwise
payable to Linn, shall terminate in the event of a failure of cooperation.

<PAGE>

Terry H. Linn
Letter of Understanding
Page 3


     6.   NON-COMPETITION/NON-INTERFERENCE.  During (a) the period of Linn's
employment, (b) the period, if any, for which Linn receives severance payments
from AMH or for which Linn claims entitlement to receive severance payments, AND
(c) the additional period of twelve (12) months after the last date of (a) and
(b), Linn will not compete, directly or indirectly, with AMH within a twenty-
five (25) mile radius of any facility acquired by AMH during Linn's employment
unless 18 months have elapsed since that acquisition.  "Compete" means and
includes rendering services, accepting employment, consultation, or any other
business relationship with any company, association, affiliation, consortium, or
other for-profit or not-for-profit organization that provides or offers health
care services or contracts or agreements for health care services similar to
those provided or offered by AMH.  Linn also agrees that during the periods
stated in (a), (b), and (c) above, Linn will not (i) directly or indirectly
solicit or encourage in any manner the resignation or re-affiliation of any
employee, physician, contractor, or professional health care provider or
provider organization that is employed by, affiliated or associated with AMH;
(ii) directly or indirectly solicit or divert customers, patients, or business
of AMH; or (iii) attempt to influence, directly or indirectly, any person or
entity to cease, reduce, alter or rearrange any business relationship with AMH.
Furthermore, Linn agrees to protect AMH's confidential information.  All
provisions of this paragraph 9 shall apply irrespective of the type or reason
for termination of employment.

     7.   INDEMNIFICATION.  Linn shall be indemnified by AMH with respect to his
service as Vice President Development of AMH to the full extent permitted under
applicable law.

     8.   RELOCATION.  AMH will provide relocation benefits to Linn consistent
with Appendix A attached hereto and incorporated by reference to this Letter of
Understanding.

     9.   REPRESENTATION.  Linn represents and warrants to AMH that he is not
bound by any contract, agreement, judgment or court order restricting his
ability to serve and perform as Vice President Development of AMH.

<PAGE>

Terry H. Linn
Letter of Understanding
Page 4


     If the foregoing sets forth your understanding, please execute in the space
provided at the bottom of this page.

                                             AMERICAN MEDICAL HOLDINGS, INC.



                                             By: /s/ Robert W. O'Leary
                                                 -------------------------------
                                                 Robert W. O'Leary



/s/ Terry H. Linn
- -----------------------------------
Terry H. Linn

<PAGE>

Terry H. Linn
Letter of Understanding
Page 5


                                   APPENDIX A

                               RELOCATION BENEFITS

The following enumerates the benefits to be provided in connection with the
relocation of the Linn family from Charlotte, North Carolina to the metropolitan
Dallas area.

1.   All reasonable moving costs for household goods.

2.   Transportation for family members.

3.   House hunting trips as necessary.

4.   Reasonable temporary housing for Mr. Linn for up to one year in the Dallas
     area.

5.   Move-in and fix-up allowance of $35,000 to be paid to Mrs. Linn.

6.   Real estate commissions on the sale of the Charlotte property.

7.   All standard non-equity closing costs in both Charlotte and Dallas.



<PAGE>


[LOGO]                                                        EXHIBIT 10.27


October 30, 1992


Mr. Lawrence N. Kugelman
10872 Furlong Drive
Santa Ana, CA 92705

   RE: LETTER OF UNDERSTANDING

Dear Larry:

    The purpose of this letter is to set forth the understanding of American
Medical Holdings, Inc. ("AMH") and Lawrence N. Kugelman ("Kugelman") regarding
AMH's employment of Kugelman as Executive Vice President of AMH.

    1. DUTIES.  Commencing January 4,1993, Kugelman shall become the Executive
Vice President (level 3 officer) of AMH, and shall have responsibility for the
western operations of AMH.  In addition, he shall play a leadership role with
subsidiaries of AMH with respect to managed care and the evolution of the
Company's reactions to national health care policy to the extent directed by
the AMH Chairman and President and shall perform such other duties as are
commensurate with an Executive Vice President of similarly situated companies.

    2. ANNUAL SALARY AND BONUS.  Commencing January 4,1993, Kugelman's annual
base salary shall be $300,000 which may in the discretion of AMH's President
and COO, be increased from time to time.  In addition for the year ending
January 4,1994, Kugelman shall be guaranteed a bonus of $200,000.  This amount
will be offset against the amounts otherwise due Kugelman under AMH's Incentive
Compensation Program for leveled employees as Kugelman's fiscal 1993 and 1994
bonuses based on the number of months in his first full year of employment
falling in each of those fiscal periods.  If Kugelman's performance is at a
level above the guaranteed amount, he will be credited with the higher
amount.  Subsequent bonuses shall be at the discretion of AMH.

    3. OPTIONS.  Upon approval of the AMH Compensation Committee and execution
of the appropriate  option agreement by Kugelman, Kugelman shall be entitled
to options to purchase (a) 100,000 common shares of AMH common stock pursuant
to the Non-Qualified Performance Stock Option Plan for Key Employees of
American Medical Holdings, Inc. and Subsidiaries, and (b) 100,000 common shares
of AMH common stock pursuant to the Non-Qualified Employee Stock Option Plan
of AMH and Subsidiaries.  Such options shall vest at 20% per year on the same
terms as the options granted to other AMH executives participating in these
programs.  The exercise price for such options shall be the price at which the
common shares of AMH were offered in the Public Offering of August 15, 1991.




<PAGE>



Page 2

    4. SEVERANCE.  In the event of the termination of Kugelman's employment as
Executive Vice President of AMH for any reason other than "cause" (as defined
below), Kugelman shall be entitled to receive a one-time lump sum payment in
an amount equal to 12 months base compensation (excluding bonus) determined on
the basis of his annual salary for AMH's fiscal year then most recently
commenced.  In the event such termination is a result of Kugelman's death or
mental incapacity, the severance payment shall be made to Kugelman's estate or
personal representative.  The obligation of AMH under this Paragraph 4 shall
be the only obligation of AMH and its subsidiaries for the payment of
compensation (except as otherwise provided under applicable law) to Kugelman
in the event of the termination of his employment.

    For purposes of this Letter of Understanding, Kugelman shall be deemed to
be terminated for cause if his employment is terminated due to (i) the
commission by Kugelman of an act of fraud or embezzlement (including the
unauthorized disclosure of confidential or proprietary information of AMH or
its subsidiaries), (ii) a conviction of Kugelman (including a NOLO CONTENDERE
plea) involving in the good faith judgment of the Board of Directors of AMH,
fraud, dishonesty or moral turpitude, (iii) willful misconduct as an employee
of AMH or a subsidiary or (iv) the willful failure of Kugelman to render
services to AMH or a subsidiary in accordance with his employment.

    5. INDEMNIFICATION.  Kugelman shall be indemnified by AMH with respect to
his service as Executive Vice President of AMH to the full extent permitted
under applicable law.

    6. PARTICIPATION IN OTHER PLANS.  Subject to Paragraphs 2 and 3 hereof,
Kugelman shall have the right to participate in all other employee plans and
benefits currently existing or hereafter granted by AMH to its employees.
Subject to Paragraph 3 hereof all waiting periods will be waived to the full
extent possible unless such waiver would require AMH to waive waiting
periods of other employees.  Kugelman shall be eligible to participate in all
employee compensation and benefit plans customarily available to executive vice
presidents.

    7. REPRESENTATION.  Kugelman represents and warrants to AMH that he is not
bound by any contract, agreement, judgment or court order restricting his
ability to serve and perform as Executive Vice President of AMH.

    If the foregoing sets forth your understanding, please execute in the
space provided at the bottom of this page and return one of the originals.



                                            AMERICAN MEDICAL  HOLDINGS,  INC.


                                            By:   John T. Casey
                                                _______________________________
                                                   John T. Casey



___________________________
Lawrence N. Kugelman






<PAGE>

                                                             EXHIBIT 10.28



                                                                    [LOGO]




CONFIDENTIAL

June 1, 1990

Mr. W. Randolph Smith
American Medical International, Inc.
433 North Camden Drive
Beverly Hills, California 90210

Dear Randy:

Attached is your new employment agreement which is effective
June 1, 1990. Although your existing Employment Agreement
dated September 1, 1988, does not expire until September 1,
1990, it will be replaced by this agreement.

The terms of your Dallas move bonus were set forth in a separate
agreement dated February 20, 1990.  The terms of that agreement
remain in place and are unaffected by your new employment agreement.

Please sign both copies of the enclosed letter where indicated,
and return a fully executed copy to Kirk Miller in the Legal
Department.

It goes without saying that I look forward to working with you in Dallas.

Very truly yours,





James F. Lyons

JFL:lls



<PAGE>




                                                                    [LOGO]




CONFIDENTIAL

June 1, 1990




Mr. W. Randolph Smith
American Medical International, Inc.
433 North Camden Drive
Beverly Hills, California 90210

Re: Terms of Employment

Dear Randy:

I am very pleased that you are continuing as part of the
management team.   The purpose of this letter is to memorialize
the terms of your employment with American Medical International,
Inc. ("AMI").


1. COMPENSATION AND BENEFITS.


   (a)   BASE COMPENSATION.  Your base compensation will be
         Two Hundred Thousand Dollars ($200,000.00) per year.
         This amount will be reviewed annually at the close of
         each fiscal year and may be increased, but once
         increased will not be decreased.  You will also receive a
         car allowance and all employee fringe benefits that may
         be offered from time to time to employees at your level,
         including paid vacation.


   (b)   ANNUAL BONUS.  You will be eligible to receive an
         annual bonus based upon criteria determined by the
         Board of Directors prior to the beginning of each fiscal
         year.  If the criteria are satisfied, the bonus will be
         paid within ninety (90) days following the end of the
         fiscal year.


2. TERMINATION AND RESIGNATION.



  (a)    TERMINATION.  AMI may terminate your employment for any reason
         deemed sufficient by AMI. Upon termination, except under
         circumstances described




<PAGE>





Page No. 2                                                          [LOGO]



         below, you will be entitled to receive termination
         benefits consisting of base compensation, car allowance
         and fringe benefits for one (1) year following the date
         of termination.  You may elect to receive your base
         compensation and car allowance in a lump sum, but in
         that case you will not be eligible to receive fringe
         benefits following the date the lump sum payment is
         made. In the case of termination, your stock options
         shall be treated as provided in the AMI Stock Option Plan.


  (b)    RESIGNATION.  You may resign from AMI at any time,
         but it is not intended that you will receive severance
         pay if you do.  However, should you resign because
         of a material breach by AMI of any of its obligations
         as described in this letter; or (ii) of a substantial
         adverse alteration in the nature of your employment
         responsibilities; or (iii) you are required to change the
         city in which your employment is based after August 1,
         1990, then you will be entitled to the termination
         benefits described above.


  (c)    DEATH OR DISABILITY.  In the event of your death, your
         estate shall be entitled to receive the base compensation
         in effect on the date of your death for one (1) year.
         Should you become disabled, you may, subject to AMI's
         reasonable approval, terminate for disability and receive
         the termination benefits described above.


  (d)    MISCONDUCT.  AMI is not obligated to pay termination
         benefits in the event you should be terminated for
         misconduct.  Misconduct means an act or acts of
         dishonesty that are intended to result in personal
         enrichment to you at the expense of AMI, and not
         merely poor performance.


3. TERM.  This letter shall be effective June 1, 1990, and shall continue to
   govern the terms of your employment with AMI until termination or
   resignation of your employment.  It may be amended only by an express
   written agreement between you and AMI.

The terms described in this letter represent the complete
agreement between you and AMI regarding your terms of
employment and supersede any prior employment agreement.

I am very pleased that  you have decided to continue your
employment with AMI.   This letter reflects the confidence Harry






<PAGE>


Page No. 3                                                               [LOGO]



Gray and I have in your past performance and our expectation
for future achievement.

Very truly yours,


James F. Lyons

JFL:lls



Accepted and Agreed:


By: /s/     W. RANDOLPH SMITH
    -------------------------------
            W. Randolph Smith







<PAGE>

                                                                  EXHIBIT 10.29

                             EMPLOYMENT AGREEMENT
   American Medical International, Inc. ("AMI"), and Thomas J. Sabatino, Jr.,
Esq. ("Executive") enter into this Employment Agreement effective as of
November 1, 1992.


   1. DUTIES -- Executive is employed by AMI as the Associate General Counsel
of American Medical International, Inc. located in Dallas, Texas. Executive
will diligently and conscientiously devote his full and exclusive business
time, attention, and best efforts in discharging his duties and
responsibilities as Executive subject to governance of the Senior Executive
management of AMI.  Executive will scrupulously comply with all provisions of
the AMI Code of Ethics and Conflicts of Interest Policy.

   2. COMPENSATION AND BENEFITS -- In consideration for his services and the
other undertakings and obligations agreed to herein, Executive will be
compensated as follows:

    (a) BASE SALARY: Executive will receive a base salary of One Hundred
Seventy-Five Thousand Dollars ($175,000) per year, payable as it is earned on
a bi-weekly basis.

    (b) ANNUAL BONUS: Executive will be eligible to receive an annual bonus
based upon criteria determined by AMI's Board of Directors prior to the
beginning of each fiscal year, to be paid, if otherwise payable, only for
employment during the entirety of the fiscal year; there shall be no pro rata
vesting or credit for partial years (other than the first year of employment,
which bonus shall be prorated), unless provided for in the incentive
compensation plan document. AMI's Board of Directors and management shall be
the sole judge of whether the criteria are satisfied. The targeted bonus for
Executive shall initially be 30%, with payout of any or all of the target
subject to Executive's performance as measured by AMI Senior Management.

    (c) BENEFITS: Executive is eligible to receive all standard employment
benefits and participate in all standard benefits plans that inure to AMI
employees in a similar capacity, including health, disability, time off with
pay, and retirement, subject to the express plan documents, or where no plan
document exists, to the written policies adopted by AMI.  Executive will
receive a car allowance of $900.00 per month.

    (d) STOCK OPTIONS: Upon execution of the appropriate option agreements by
Executive, he/she shall be entitled to options to purchase 10,000 shares of
AMI's common stock in accordance with and governed by the Non-Qualified
Performance Stock Option Plan.  Such options shall vest at 20% per year based
on performance requirements and conditions provided by the above-referenced
plan.

   3. RELOCATION -- All relocation amounts paid by AMI are subject to the AMI
Relocation Guidelines, and Executive agrees that


<PAGE>


if he voluntarily terminates his employment within twenty-four (24) months of
the effective date of this Agreement, Executive will reimburse AMI on a
pro-rata basis (for example, 50% in the case of a voluntary termination at the
end of one year).

   4. ACKNOWLEGEMENT OF PROTECTABLE INTERESTS -- Executive acknowledges and
agrees that his employment involves building and maintaining business
relationships and good will on behalf of AMI with customers, patients,
physicians and other professional contractors, employees and staff, and
various providers and users of health care services; that he is entrusted with
proprietary, strategic and other confidential information which is of special
value to AMI; and that the foregoing matters are significant interests which
AMI is entitled to protect.

   5. CONFIDENTIAL INFORMATION -- Executive agrees that all confidential
information that comes or has come into his possession by reason of this
employment is the property of AMI and shall not be used except in the course
of employment by AMI and and for AMI's exclusive benefit.  Further, Executive
shall not, during his employment or thereafter, disclose or acknowledge the
content of any confidential information to any person who is not an employee
of AMI authorized to possess such confidential information.  "Confidential
information" means all proprietary and other information relating to the
business and operations of AMI which has not been specifically designated for
release to the public by an authorized representative of AMI at the level of
Chief Operating officer or above. Confidential information includes, by way of
illustration and without limitation, trade secrets, future business plans,
marketing plans and strategies, pricing information, financial data, customer,
patient and supplier information, regulatory approval strategies, new service
line and contract products, and other information that was developed,
assembled, gathered by, or originated with AMI for its own private use.  Upon
termination of employment, all documents, writings, electronic storage
devices, and other tangible things containing any confidential information
shall be delivered to AMI without making or retaining copies, excerpts, or
notes of such information.

   6. NON-COMPETITIVE/NON-INTERFERENCE-- During (a) the period of his
employment, (b) the period, if any, for which he receives severance payments
from AMI or for which he claims entitlement to receive severance payments, AND
(c) the additional period of twelve (12) months after the last date of (a) and
(b), Executive will not compete, directly or indirectly, with AMI within a
fifty (50) mile radius of the AMI facility for which he last performed
services or within a fifty (50) mile radius of any other AMI facility for which
he performed services as an Executive during the last two (2) years of his
employment unless such facility is California or Florida in which instance
Executive will agree the radius under (c) shall be


                                       2




<PAGE>

fifteen (15) miles of any other AMI facility in such state. "Compete" means
and includes rendering services, accepting employment, consultation, or any
other business relationship with any company, association, affiliation,
consortium, or other for-profit or not-for-profit organization that provides
or offers health care services or contracts or agreements for health care
services similar to those provided or offered by AMI. Executive also agrees
that during the periods stated in (a), (b), and (c) above, he will not (i)
directly or indirectly solicit or encourage in any manner the resignation or
re-affiliation of any employee, physician, contractor, or professional health
care provider or provider organization that is employed by, affiliated or
associated with any facility for which Executive rendered services as an
Executive during his employment by AMI; (ii) directly or indirectly solicit
or divert customers, patients, or business of any such AMI facility; or (iii)
attempt to influence, directly or indirectly, any person or entity to cease,
reduce, alter or rearrange any business relationship with any such AMI
facility. All provisions of this paragraph 6 shall apply irrespective of the
type or reason for termination of employment.

   7. ENFORCEMENT/SEVERABILITY/REFORMATION -- (a) The parties agree that a
breach or threatened breach of any protective or restrictive provisions
contained in paragraph 5 and 6 above will cause immediate irreparable harm to
AMI for which legal remedies alone are inadequate to compensate. Therefore,
Executive agrees that these provisions shall be enforceable by equitable
process of injunction in addition to, but without limitation of, any monetary
damages, sanctions or other legal remedies available, plus recovery by AMI of
its reasonable attorney's fees and expense incurred in enforcing these
provisions.

    (b) In the event that any provision of this Amendment is declared invalid
or unenforceable, as written, the remaining provisions shall not be abridged or
affected. Further, in the event that any specific restrictive or protective
provisions contained in paragraphs 5 and 6 above cannot be given full effect,
as written, Executive and AMI empower a court or arbitrator hereunder of
competent jurisdiction, to modify, reduce or otherwise reform such
provisions(s) in such fashion as to carry out the parties' intent to grant AMI
the maximum allowable protection consistent with the applicable law and facts.

    8. TERMINATION AND SEVERANCE -- (a) AMI and Executive each may terminate
this employment at any time for any reason deemed sufficient in the sole
discretion of either of them in which event all compensation shall cease. Upon
involuntary termination of Executive's employment by AMI without cause, AMI
will pay Executive severance pay at Executive's base salary level in effect at
the time of his termination, exclusive of bonuses, incentive




                                       3


<PAGE>

compensation, employment benfits, stock options, or any other benefits except
those required to be made available by applicable federal or state law
notwithstanding this Agreement. Severance will be paid in the manner of salary
continuation on a bi-weekly basis, but without benefits or accruals based on
salary, and shall cease upon Executive's obtaining of substantially equivalent
employment but in no event later than one (1) year after the date of
termination of employment.  No severance is due in the event of a voluntary
termination by Executive.  Executive acknowledges that this agreement by AMI
to pay certain severance hereunder, except in the case of a voluntary quit or
involuntary termination for cause, alone constitutes a sufficient agreement
and consideration for his post-termination obligations, and that in the event
those obligations are not honored by Executive or enforced by a court or
arbitration, no severance payments will be made and any such payments already
made may be recovered.

    (b) Following termination of employment, either voluntarily or
involuntarily, Executive will cooperate fully with AMI, upon request, in
relation to AMI's defense, prosecution or other involvement in any continuing
or future claims, lawsuits, charges, and internal or external investigations
which arise out of events or business matters which occurred during
Executive's prior employment by AMI.  Such continuing duty of cooperation shall
include making himself available to AMI, upon reasonable notice, for
depositions, interviews, and appearances as a witness, and furnishing
information to AMI and its legal counsel upon request. AMI will reimburse
actual documented reasonable out-of-pocket expenses necessarily incurred such
as travel, lodging, meals. Severance payments, if otherwise payable to
Executive, shall terminate in the event of a failure of cooperation.

   9. ARBITRATION OF ALL DISPUTES -- Executive and AMI agree that any dispute,
controversy or claim arising from the employment relationship, including but
not limited to any claim based on the employment agreement and any claim
arising under any federal, state, or other governmental unit's statutes,
regulations or codes (including specifically, without limitation, the Age
Discrimination in Employment Act and other anti-discrimination laws), shall be
submitted to final and binding arbitration in accordance with the Federal
Arbitration Act (FAA), Title 9 of the U.S. Code, or if the FAA is deemed
inapplicable, then, and only then, in accordance with the arbitration laws of
the state in which Executive last performed services for AMI.  The parties
agree that such arbitration shall be governed by the employment arbitration
procedures and rules for non-union employees administered by the Houston,
Texas office of AAA, except as specifically otherwise provided or modified by
Exhibit A to this Agreement which is made a part hereof. A judgment upon the
award rendered by the arbitrator may be entered in any court having
jurisdiction thereof. The parties further



                                       4


<PAGE>


agree that this provision for final and binding arbitration shall not preclude
AMI from obtaining preliminary or other injunctive relief in court to enforce
the provisions of paragraphs 4 through 6 above, without regard to whether any
such claim has been or can be referred to arbitration.


   10. ENTIRE AGREEMENT/MODIFICATION -- The parties agree that this Employment
Agreement constitutes the complete and entire agreement between the parties,
and that no previous agreement, either oral or written, shall have any
effect.  All previous agreements, either oral or written, are expressly
superseded, canceled and revoked by this Employment Agreement.  The parties
further agree that the terms, conditions, and provisions of this Employment
Agreement may not be modified by any subsequent agreement, unless the
modifying agreement: (i) is in writing; (ii) expressly refers to this
Employment Agreement; (iii) is signed and executed by the President of AMI as
representative of AMI; and (iv) is signed by Executive.

   Executed this 25th day of November, 1992 at Dallas, Texas.


                                             Thomas J. Sabatino, Jr.
                                       ----------------------------------------
                                       THOMAS J. SABATINO, JR.


                                       AMERICAN MEDICAL INTERNATIONAL,  INC.

                                       BY:   O. Edwin French
                                           ------------------------------------
                                           O. EDWIN FRENCH
                                           Senior Vice President




                                       5


<PAGE>



              EXHIBIT A TO AMENDMENT TO EMPLOYMENT AGREEMENT

                 ADDITIONAL AGREED ARBITRATION PROVISIONS

   1.  Arbitration may be initiated by joint submission in writing or by a
written demand by either party filed with the Houston, Texas office of AAA
containing a brief description of the dispute or controversy and a statement
of issues to be submitted to the arbitrator.  Any party asserting a claim for
relief shall be obligated to state such claim in its demand for arbitration or
response thereto.

   2.  The party asserting a claim for relief is responsible for payment in
advance of any administrative fee required by AAA, except that in the event
both parties assert claims for relief, each shall be responsible for one-half
of such administrative fee.

   3.  A demand for arbitration shall request the Houston, Texas of AAA to
furnish a list of five (5) arbitrators who, in the judgment of such AAA
office, are qualified and experienced to hear and determine the
executive-level employment dispute.  None of the arbitrators shall have served
in any labor-management arbitration under the auspices of AAA or the Federal
Mediation and Conciliation Service (FMCS). In the event claims are asserted
under statutes or laws, the arbitrators shall also be attorneys licensed to
practice law in at least one state of the United States.

   4.  The arbitrator selection procedure shall be as follows: the parties or
their counsel shall confer, and Executive shall first remove two names from
the list; AMI shall then remove two names; and the name remaining shall be the
arbitrator.

   5.  The hearing shall be conducted within ninety (90) days of the
appointment of the arbitrator at a time and place within one hundred (100)
miles of the location at which Executive last performed services for AMI, to
be designated by the AAA office administering the case, unless the parties
otherwise agree.

   6.  Any discovery or exchange of information shall be within the
arbitrator's discretion but shall not delay the hearing.  Allowance of a
stenographic record of the hearing shall be in the discretion of the
arbitrator.

   7.  The arbitrator shall render his award within thirty days of the closing
of the hearing by the arbitrator.

   8.  All expenses of the arbitration, including the arbitrator's fees, shall
be borne by the parties equally.  However, each party shall always bear the
expense of its own counsel, experts, witnesses, and preparation and
presentation of proofs, irrespective of the outcome.







<PAGE>

                                                                   EXHIBIT 10.30



                                    AMENDMENT
                                       TO
                              EMPLOYMENT AGREEMENT


     THIS AMENDMENT is made and entered into as of this 10th day of October,
1994, by and between American Medical International, Inc., a Delaware
corporation ("AMI"), and Thomas J. Sabatino, Jr., Esq. ("Sabatino") and amends
that certain Employment Agreement made and entered into as of November 1, 1992
by and between Sabatino and AMI (the "Employment Agreement").


                              W I T N E S S E T H:


     WHEREAS, AMI and Sabatino desire to amend the Employment Agreement as
hereinafter provided.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the parties agree as follows:

     1.   The Employment Agreement shall remain in full force and effect except
to the extent specifically amended hereby.  Terms defined in the Employment
Agreement shall have like meanings when used herein, unless the context
otherwise requires.

     2.   Paragraph 2(d) of the Employment Agreement is hereby amended in its
entirety as follows:

          "(d)  OPTIONS.  All options granted to Executive by AMI shall vest at
     20% per year based on performance requirements and conditions provided by
     the Option Plan.  Notwithstanding anything to the contrary set forth in the
     foregoing Executive's option agreements or the Option Plan, in the event of
     the occurrence of any "Change of Control" (as defined in Paragraph 3
     hereof), Executive shall vest in and be entitled to acquire 100% of the
     shares of Common Stock subject to any options theretofore granted to him
     but which have not been

<PAGE>

     fully exercised, and all such options shall become fully exercisable prior
     to (but conditional upon the occurrence of) any Change of Control.
     Furthermore, upon the occurrence of a Change of Control, Executive shall be
     entitled to receive as full consideration for, and in cancellation of, any
     such options, an amount not less than the excess, if any, of (i) the per
     share consideration payable pursuant to the terms of such Change of Control
     in respect of the Common Stock over (ii) the exercise price per share for
     all shares of Common Stock subject to such option, times the number of
     shares of Common Stock then remaining, subject to such option."

     3.   A new Paragraph 3 is hereby added to the Employment Agreement as
follows:

          "3.  CHANGE OF CONTROL.  Immediately upon the occurrence of any
     "Change of Control" (as defined below), Executive shall be entitled to and
     shall fully vest in 100% of any and all amounts payable to him pursuant to
     AMI's Executive Incentive Compensation Plan (formerly known as the Short-
     Term Cash Incentive Plan) for services rendered by Executive through the
     date and for the fiscal year in which such Change of Control occurs, which
     amounts shall be calculated (with interest) as if any and all individual
     and AMI performance goals applicable to any such payments (whether to be
     made currently or on a deferred basis) had been achieved immediately prior
     to such "Change of Control."  AMI shall be obligated to pay and hereby
     agrees to pay Executive any and all amounts due him pursuant hereto within
     7 calendar days after the occurrence of any Change of Control.  For
     purposes of this Employment Agreement, a "Change of Control" shall be
     deemed to have occurred if GKH Investments, L. P. shall sell, transfer,
     assign or otherwise dispose of its direct ownership in all or a substantial
     percentage of the equity securities of American Medical Holdings, Inc. held
     thereby as of August 22, 1991 or shall fail to either designate a majority
     of nominees or maintain a majority of directors to serve on American
     Medical Holdings, Inc.'s Board of Directors."

     4.   RENUMBERING.  Paragraphs 3 through 10 of the Employment Agreement are
hereby renumbered as Paragraphs 4 through 11 of the Employment Agreement.

     5.   Paragraph 9 of the Employment Agreement is hereby amended in its
entirety as follows:


                                       -2-
<PAGE>

          "9.  SEVERANCE.

          (a)  In the event of the involuntary termination of Executive's
     employment as General Counsel of AMI without "cause" (as defined in
     subparagraph (c) below), Executive shall be entitled to receive a payment
     in an amount equal to 12 months base compensation (excluding bonuses,
     incentive compensation, employment benefits, stock options or any other
     benefits except those required to be made available by applicable state or
     federal law, notwithstanding this Agreement) determined on the basis of his
     annual salary for AMI's fiscal year then most recently commenced (the
     "Severance Payment").  The Severance Payment shall be made in biweekly
     installments, and shall cease upon Executive's obtaining substantially
     equivalent employment, but in no event later than one (1) year after the
     date of termination of employment.  No Severance Payment is due under this
     subparagraph 9(a) in the event of a voluntary termination of employment by
     Executive.  Executive acknowledges that this Agreement by AMI to pay
     certain severance hereunder ,except in the case of a voluntary quit or
     involuntary termination for cause, alone constitutes a sufficient agreement
     and consideration for his post-termination obligations, and that in the
     event those obligations are not honored by Executive or enforced by a court
     or arbitration, no severance payments will be made and any such payment
     already made may be recovered.  The obligations of AMI under this
     subparagraph 9(a) shall be the only obligations of AMI and its subsidiaries
     for the payment of compensation (except as otherwise provided under
     applicable law) to Executive in the event of the termination of his
     employment as described in this subparagraph 9(a).

          (b)  In the event Executive voluntarily terminates his employment with
     AMI within 120 days after the occurrence of a Change of Control or in the
     event of his "Involuntary Termination" (as defined in subparagraph 9(d)
     hereof) within 12 months after the occurrence of a Change of Control,
     Executive shall be entitled to receive and AMI shall be obligated to pay to
     Executive, his estate or personal representative, the Severance Payment (in
     addition to any and all amounts due him pursuant to paragraphs 2 and 3
     hereof and any and all amounts due him under applicable law).  Any and all
     payments to be made to Executive pursuant to this subparagraph 9(b) shall
     be made in a lump sum within 14 calendar days after the effective date of
     Executive's voluntary termination or his Involuntary Termination.  The
     obligations of AMI referenced in this subparagraph 9(b) shall be the only
     obligations of AMI and its subsidiaries for the payment of compensation to
     Executive in the event of the termination of his employment as described in
     this subparagraph 9(b).


                                       -3-
<PAGE>

          (c)  For purposes of this Employment Agreement, Executive shall be
     deemed to be terminated for cause if his employment is terminated due to
     (i) the commission by Executive of an act of fraud or embezzlement
     (including the unauthorized disclosure of confidential or proprietary
     information of AMI or its subsidiaries), (ii) a conviction of Executive
     (including a nolo contendere plea) involving in the good faith judgment of
     the Board of Directors of AMI, fraud, dishonesty or moral turpitude, (iii)
     willful misconduct of an employee of AMI or a subsidiary or (iv) the
     willful failure of Executive to render services to AMI or a subsidiary in
     accordance with his employment.

          (d)  For purposes of this Employment Agreement, an "Involuntary
     Termination" of Executive's employment with AMI shall be deemed to have
     occurred if:  (i) Executive's employment with AMI or its successor is
     terminated for any reason other than "cause"; (ii) Executive's total
     compensation, including benefits, is substantially reduced other than in
     connection with an across-the-board reduction similarly affecting all
     executives of AMI; (iii) the title, functions, duties, authority or
     responsibilities of Executive's present position are materially reduced or
     diminished; (iv) Executive is reassigned to another geographic location
     more than 50 miles from his current place of employment; or (v) AMI is
     liquidated, dissolved, consolidated or merged, or all or substantially all
     of its assets are transferred, assigned or sold, unless a successor assumes
     all of AMI's obligations under this Employment Agreement."

          (e)  Following termination of employment, either voluntarily or
     involuntarily, Executive will cooperate fully with AMI, upon request, in
     relation to AMI's defense, prosecution or other involvement in any
     continuing or future claims, lawsuits, charges, and internal or external
     investigations which arise out of events or business matters which occurred
     during Executive's prior employment by AMI.  Such continuing duty of
     cooperation shall include making himself available to AMI, upon reasonable
     notice, for depositions, interviews, and appearances as a witness, and
     furnishing information to AMI and its legal counsel upon request.  AMI will
     reimburse actual documented reasonable out-of-pocket expenses necessarily
     incurred such as travel, lodging and meals.  Severance payments, if
     otherwise payable to Executive, shall terminate in the event of a failure
     of cooperation."

     6.   REFERENCES.  For purposes of the Employment Agreement, all references
to AMI shall be deemed to include American Medical Holdings, Inc. and its
subsidiaries.


                                       -4-
<PAGE>

     7.   INTEGRATION.  The Employment Agreement constitutes the entire
agreement of the parties hereto with respect to Executive's employment, and no
modification, amendment or waiver of any of the provisions of the Employment
Agreement shall be effective unless in writing and signed by both parties
hereto.

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


                                   AMERICAN MEDICAL INTERNATIONAL, INC.


                                   By: /s/ Alan J. Chamison
                                       -----------------------------------------
                                        Its: EVP & CFO
                                             -----------------------------------
Accepted and Agreed this 10th
day of October, 1994.

By: /s/ Thomas J. Sabatino, Jr.
    -------------------------------
    Thomas J. Sabatino, Jr.


                                       -5-



<PAGE>

                                                                  EXHIBIT 10.31

                                                                         [LOGO]

CONFIDENTIAL

June 1, 1990

Mr. Michael Murdock
American Medical International, Inc.
433 North Camden Drive
Beverly Hills, California 90210

Re: Terms of Employment

Dear Mike:

I am very pleased that you are continuing as part of the
management team.  The purpose of this letter is to memorialize
the terms of your employment with American Medical International,
Inc. ("AMI").

1.  COMPENSATION AND BENEFITS.

    (a)  BASE COMPENSATION.  Your base compensation will be
         One Hundred Fifty Thousand Dollars ($150,000.00) per
         year.  This amount will be reviewed annually at the
         close of each fiscal year and may be increased, but
         once increased will not be decreased.  You will also
         receive a car allowance and all employee fringe benefits
         that may be offered from time to time to employees at
         your level, including paid vacation.

    (b)  ANNUAL BONUS.  You will be eligible to receive an
         annual bonus based upon criteria determined by the
         Board of Directors prior to the beginning of each fiscal
         year.  If the criteria are satisfied, the bonus will be
         paid within ninety (90) days following the end of the
         fiscal year.

2.  TERMINATION AND RESIGNATION.

    (a)  TERMINATION.  AMI may terminate your employment for
         any reason deemed sufficient by AMI.  Upon
         termination, except under circumstances described


<PAGE>


Page No. 2


                                                                         [LOGO]


         below, you will be entitled to receive termination
         benefits consisting of base compensation, car allowance
         and fringe benefits for one (1) year following the date
         of termination.  You may elect to receive your base
         compensation and car allowance in a lump sum, but in
         that case you will not be eligible to receive fringe
         benefits following the date the lump sum payment is
         made.  In the case of termination, your stock options
         shall be treated as provided in the AMI Stock Option
         Plan.

    (b)  RESIGNATION.  You may resign from AMI at any time,
         but it is not intended that you will receive severance
         pay if you do.  However, should you resign because
         (i) of a material breach by AMI of any of its obligations
         as described in this letter; or (ii) of a substantial
         adverse alteration in the nature of your employment
         responsibilities; or (iii) you are required to change the
         city in which your employment is based after August 1,
         1990, then you will be entitled to the termination
         benefits described above.

    (c)  DEATH OR DISABILITY.  In the event of your death, your
         estate shall be entitled to receive the base compensation
         in effect on the date of your death for one (1) year.
         Should you become disabled, you may, subject to AMI's
         reasonable approval, terminate for disability and receive
         the termination benefits described above.

    (d)  MISCONDUCT.  AMI is not obligated to pay termination
         benefits in the event you should be terminated for
         misconduct.  Misconduct means an act or acts of
         dishonesty that are intended to result in personal
         enrichment to you at the expense of AMI, and not
         merely poor performance.

3.  TERM.  This letter shall be effective June 1, 1990, and shall
    continue to govern the terms of your employment with AMI
    until termination or resignation of your employment.  It may
    be amended only by an express written agreement between
    you and AMI.

The terms described in this letter represent the complete
agreement between you and AMI regarding your terms of
employment and supersede any prior employment agreement.

I am very pleased that  you have decided to continue your
employment with AMI.  This letter reflects the confidence Harry

<PAGE>


Page No. 3

                                                                         [LOGO]

Gray and I have in your past performance and our expectation
for future achievement.

Very truly yours,


James F. Lyons

JFL:lls

Accepted and Agreed:


By:   Michael Murdock
    -----------------------
        Michael Murdock


<PAGE>

                                                                   EXHIBIT 10.32



                               SEVERANCE AGREEMENT


     THIS AMENDMENT is made and entered into as of this 10th day of October,
1994, by and between American Medical International, Inc., a Delaware
corporation ("AMI"), and Bary G. Bailey ("Executive").


                              W I T N E S S E T H:


     WHEREAS, in recognition of the substantial contribution that Executive has
made to the Company, the Company desires to provide for certain severance and
other bonus payments in the event of his termination of employment upon or as a
result of a change of control of the Company.

     WHEREAS, AMI and Executive desire to enter into this Severance Agreement as
hereinafter provided.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the parties agree as follows:

     1.   EXECUTIVE INCENTIVE COMPENSATION PLAN.  Immediately upon the
occurrence of any "Change of Control" (as defined in paragraph 3 below),
Executive shall be entitled to and shall fully vest in 100% of any and all
amounts payable to him pursuant to AMI's Executive Incentive Compensation Plan
(formerly known as the Short-Term Cash Incentive Plan) for services rendered by
Executive through the date and for the fiscal year in which such Change of
Control occurs, which amounts shall be calculated (with interest) as if any and
all individual and AMI performance goals applicable
<PAGE>

to any such payments (whether to be made currently or on a deferred basis) had
been achieved immediately prior to such "Change of Control."  AMI shall be
obligated to pay and hereby agrees to pay Executive any and all amounts due him
pursuant hereto within 7 calendar days after the occurrence of any Change of
Control.

     2.   SEVERANCE.

          (a)  In the event Executive voluntarily terminates his employment with
     AMI within 120 days after the occurrence of a Change of Control or in the
     event of his "Involuntary Termination" (as defined in paragraph 2(b)
     hereof) within 12 months after the occurrence of a Change of Control,
     Executive shall be entitled to receive and AMI shall be obligated to pay to
     Executive, his estate or personal representative, a payment in an amount
     equal to 12 months base compensation (excluding bonuses, incentive
     compensation, employment benefits, stock options or any other benefits
     except those required to be made available by applicable state or federal
     law, notwithstanding this Agreement) determined on the basis of his annual
     salary for AMI's fiscal year then most recently commenced (the "Severance
     Payment").  Any and all payments to be made to Executive pursuant to this
     paragraph 2(a) shall be made in a lump sum within 14 calendar days after
     the effective date of Executive's voluntary termination or his Involuntary
     Termination.  The obligations of AMI referenced in this paragraph 2(a)
     shall be the only obligations of AMI and its subsidiaries for the payment
     of compensation to Executive in


                                       -2-
<PAGE>

     the event of the termination of his employment as described in this
     paragraph 2(a).

          (b)  For purposes of this Employment Agreement, an "Involuntary
     Termination" of Executive's employment with AMI shall be deemed to have
     occurred if:  (i) Executive's employment with AMI or its successor is
     terminated for any reason other than "cause"; (ii) Executive's total
     compensation, including benefits, is substantially reduced other than in
     connection with an across-the-board reduction similarly affecting all
     executives of AMI; (iii) the title, functions, duties, authority or
     responsibilities of Executive's present position are materially reduced or
     diminished; (iv) Executive is reassigned to another geographic location
     more than 50 miles from his current place of employment; or (v) AMI is
     liquidated, dissolved, consolidated or merged, or all or substantially all
     of its assets are transferred, assigned or sold.

     3.   CHANGE OF CONTROL.  For purposes of this Employment Agreement, a
"Change of Control" shall be deemed to have occurred if GKH Investments, L.P.
shall sell, transfer, assign or otherwise dispose of its direct ownership in all
or a substantial percentage of the equity securities of American Medical
Holdings, Inc. held thereby as of August 22, 1991 or shall fail to either
designate a majority of nominees or maintain a majority of directors to serve on
American Medical Holdings, Inc.'s Board of Directors.


                                       -3-
<PAGE>

     4.   REFERENCES.  For purposes of this Severance Agreement, all references
to AMI shall be deemed to include American Medical Holdings, Inc. and its
subsidiaries.

     5.   NO CONTRACT OF EMPLOYMENT.  Except as otherwise provided for by the
terms of this Agreement, this Agreement shall not constitute a contract of
employment between the Company and the Executive.

     6.   GOVERNING LAW.  The terms of this Severance Agreement shall be subject
to and governed by the laws of the State of Texas, without regard to any
conflict of laws provision.

     7.   AMENDMENT.  This Severance Agreement may not be amended except by the
written consent of both parties hereto.

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


                                   AMERICAN MEDICAL INTERNATIONAL, INC.


                                   By: /s/ Alan J. Chamison
                                       -----------------------------------------
                                        Its: EVP & CFO
                                             -----------------------------------


                                   EXECUTIVE


                                   By: /s/ Bary G. Bailey
                                       -----------------------------------------
                                       Bary G. Bailey


                                       -4-



<PAGE>

                                                             EXHIBIT 10.33

                                                                    [LOGO]

CONFIDENTIAL

June 1, 1990


Mr. Bary Bailey
American Medical International, Inc.
433 North Camden Drive
Beverly Hills, California 90210

Re: Terms of Employment

Dear Bary:

I am very pleased that you are continuing as part of the management team.
The purpose of this letter is to memorialize the terms of your employment
with American Medical International, Inc. ("AMI").

1.   COMPENSATION AND BENEFITS.

  (a)    BASE COMPENSATION.  Your base compensation will be One Hundred Thirty
         Thousand Dollars ($130,000.00) per year. This amount will be reviewed
         annually at the close of each fiscal year and may be increased, but
         once increased will not be decreased. You will also receive a car
         allowance and all employee fringe benefits that may be offered from
         time to time to employees at your level, including paid vacation.

  (b)    ANNUAL BONUS.  You will be eligible to receive an
         annual bonus based upon criteria determined by the
         Board of Directors prior to the beginning of each fiscal
         year.  If the criteria are satisfied, the bonus will be
         paid within ninety (90) days following the end of the fiscal year.

2. TERMINATION AND RESIGNATION.

  (a)    TERMINATION.  AMI may terminate your employment for any reason
         deemed sufficient by AMI. Upon termination, except under
         circumstances described
<PAGE>



Page No. 2                                                           [LOGO]

         below, you will be entitled to receive termination
         benefits consisting of base compensation, car allowance
         and fringe benefits for one (1) year following the date
         of termination. You may elect to receive your base
         compensation and car allowance in a lump sum, but in
         that case you will not be eligible to receive fringe
         benefits following the date the lump sum payment is
         made. In the case of termination, your stock options
         shall be treated as provided in the AMI Stock Option Plan.

  (b)    RESIGNATION.  You may resign from AMI at any time,
         but it is not intended that you will receive severance
         pay if you do.  However, should you resign because
         of a material breach by AMI of any of its obligations
         as described in this letter; or (ii) of a substantial
         adverse alteration in the nature of your employment
         responsibilities; or (iii) you are required to change the
         city in which your employment is based after August 1,
         1990, then you will be entitled to the termination
         benefits described above.

  (c)    DEATH OR DISABILITY.  In the event of your death, your
         estate shall be entitled to receive the base compensation
         in effect on the date of your death for one (1) year.
         Should you become disabled, you may, subject to AMI's
         reasonable approval, terminate for disability and receive
         the termination benefits described above.

  (d)    MISCONDUCT.  AMI is not obligated to pay termination
         benefits in the event you should be terminated for
         misconduct.  Misconduct means an act or acts of
         dishonesty that are intended to result in personal
         enrichment to you at the expense of AMI, and not
         merely poor performance.

3. TERM. This letter shall be effective June 1, 1990, and shall
   continue to govern the terms of your employment with AMI
   until termination or resignation of your employment.  It may
   be amended only by an express written agreement between you and AMI.

The terms described in this letter represent the complete
agreement between you and AMI regarding your terms of
employment and supersede any prior employment agreement.

I am very pleased that  you have decided to continue your
employment with AMI.   This letter reflects the confidence Harry
<PAGE>

Page No. 3                                                           [LOGO]


Gray and I have in your past performance and our expectation for future
achievement.

Very truly yours,



James F. Lyons

JFL:lls



Accepted and Agreed:



By: /s/      BARY BAILEY
    ----------------------------
             Bary Bailey



<PAGE>

                                                                   EXHIBIT 10.34



                               SEVERANCE AGREEMENT

     THIS AMENDMENT is made and entered into as of this 10th day of October,
1994, by and between American Medical International, Inc., a Delaware
corporation ("AMI"), and Michael N. Murdock ("Executive").

                              W I T N E S S E T H:

     WHEREAS, in recognition of the substantial contribution that Executive has
made to the Company, the Company desires to provide for certain severance and
other bonus payments in the event of his termination of employment upon or as a
result of a change of control of the Company.

     WHEREAS, AMI and Executive desire to enter into this Severance Agreement as
hereinafter provided.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the parties agree as follows:

     1.   EXECUTIVE INCENTIVE COMPENSATION PLAN.  Immediately upon the
occurrence of any "Change of Control" (as defined in paragraph 3 below),
Executive shall be entitled to and shall fully vest in 100% of any and all
amounts payable to him pursuant to AMI's Executive Incentive Compensation Plan
(formerly known as the Short-Term Cash Incentive Plan) for services rendered by
Executive through the date and for the fiscal year in which such Change of
Control occurs, which amounts shall be calculated (with interest) as if any and
all individual and AMI performance goals applicable
<PAGE>

to any such payments (whether to be made currently or on a deferred basis) had
been achieved immediately prior to such "Change of Control."  AMI shall be
obligated to pay and hereby agrees to pay Executive any and all amounts due him
pursuant hereto within 7 calendar days after the occurrence of any Change of
Control.

     2.   SEVERANCE.

          (a)  In the event Executive voluntarily terminates his employment with
     AMI within 120 days after the occurrence of a Change of Control or in the
     event of his "Involuntary Termination" (as defined in paragraph 2(b)
     hereof) within 12 months after the occurrence of a Change of Control,
     Executive shall be entitled to receive and AMI shall be obligated to pay to
     Executive, his estate or personal representative, a payment in an amount
     equal to 12 months base compensation (excluding bonuses, incentive
     compensation, employment benefits, stock options or any other benefits
     except those required to be made available by applicable state or federal
     law, notwithstanding this Agreement) determined on the basis of his annual
     salary for AMI's fiscal year then most recently commenced (the "Severance
     Payment").  Any and all payments to be made to Executive pursuant to this
     paragraph 2(a) shall be made in a lump sum within 14 calendar days after
     the effective date of Executive's voluntary termination or his Involuntary
     Termination.  The obligations of AMI referenced in this paragraph 2(a)
     shall be the only obligations of AMI and its subsidiaries for the payment
     of compensation to Executive in


                                       -2-
<PAGE>

     the event of the termination of his employment as described in this
     paragraph 2(a).

          (b)  For purposes of this Employment Agreement, an "Involuntary
     Termination" of Executive's employment with AMI shall be deemed to have
     occurred if:  (i) Executive's employment with AMI or its successor is
     terminated for any reason other than "cause"; (ii) Executive's total
     compensation, including benefits, is substantially reduced other than in
     connection with an across-the-board reduction similarly affecting all
     executives of AMI; (iii) the title, functions, duties, authority or
     responsibilities of Executive's present position are materially reduced or
     diminished; (iv) Executive is reassigned to another geographic location
     more than 50 miles from his current place of employment; or (v) AMI is
     liquidated, dissolved, consolidated or merged, or all or substantially all
     of its assets are transferred, assigned or sold.

     3.   CHANGE OF CONTROL.  For purposes of this Employment Agreement, a
"Change of Control" shall be deemed to have occurred if GKH Investments, L.P.
shall sell, transfer, assign or otherwise dispose of its direct ownership in all
or a substantial percentage of the equity securities of American Medical
Holdings, Inc. held thereby as of August 22, 1991 or shall fail to either
designate a majority of nominees or maintain a majority of directors to serve on
American Medical Holdings, Inc.'s Board of Directors.


                                       -3-
<PAGE>

     4.   REFERENCES.  For purposes of this Severance Agreement, all references
to AMI shall be deemed to include American Medical Holdings, Inc. and its
subsidiaries.

     5.   NO CONTRACT OF EMPLOYMENT.  Except as otherwise provided for by the
terms of this Agreement, this Agreement shall not constitute a contract of
employment between the Company and the Executive.

     6.   GOVERNING LAW.  The terms of this Severance Agreement shall be subject
to and governed by the laws of the State of Texas, without regard to any
conflict of laws provision.

     7.   AMENDMENT.  This Severance Agreement may not be amended except by the
written consent of both parties hereto.

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


                                   AMERICAN MEDICAL INTERNATIONAL, INC.

                                   By: /s/ Alan J. Chamison
                                       -----------------------------------------
                                        Its: EVP & CFO
                                             -----------------------------------


                                   EXECUTIVE


                                   By: /s/ Michael N. Murdock
                                       -----------------------------------------
                                        Michael N. Murdock


                                       -4-



<PAGE>

                                                                   EXHIBIT 10.35



                                 LOAN AGREEMENT


     LOAN AGREEMENT made as of this 14th day of July, 1993, between AMERICAN
MEDICAL HOLDINGS, INC. ("Holdings") and JOHN T. CASEY ("Employee").

     A.   Holdings has agreed to lend Employee Three Hundred Seventy Five
Thousand and No/100 Dollars ($375,000)(the "Loan Amount") on the terms and
conditions set forth in this Loan Agreement, as an inducement for Employee to
become an employee of Holdings.

     B.   Employee has agreed to become an employee of Holdings and to use a
portion of the Loan Amount to purchase Holdings' Common Stock.

     THEREFORE, the parties agree as follows:

     1.   LOAN AMOUNT.  Holdings shall loan to Employee the Loan Amount, without
interest, for the term and on the conditions set forth below.

     2.   STOCK PURCHASE.  Employee shall utilize $200,000 of the Loan Amount
for the purchase of Holdings' Common Stock.

     3.   REPAYMENT.  The loan shall be due within 10 days after the termination
of Employee's employment as President/Chief Operating Officer for any reason;
PROVIDED, HOWEVER, that the loan shall be forgiven in increments of $10,417 per
month on the last day of each month commencing August 31, 1993 if Employee is
still the President/Chief Operating Officer of Holdings at those dates and shall
be forgiven in its entirety in the event Employee's employment as
President/Chief Operating Officer of Holdings is terminated as a result of his
death or disability.

     4.   PROMISSORY NOTE.  Employee agrees to execute that certain Promissory
Note dated July 14, 1993 in the amount of $375,000, a copy of which is attached
(the "Note")

     5.   DEED OF TRUST.  Employee agrees to execute and deliver to Holdings a
Deed of Trust, a copy of which is attached, against his Dallas, Texas residence
which Deed of Trust shall secure $100,000 of the Loan Amount.

     6.   ASSIGNMENT.  The obligations of Employee hereunder and in the Note are
personal and may not be assigned or delegated or transferred in any manner
whatsoever.

<PAGE>

     7.   GOVERNING LAW.  This Agreement shall be governed by and construed and
enforced in accordance with the laws of the State of Texas.

     8.   HEADINGS.  The section headings contained herein are for purposes of
reference and convenience only and shall not be deemed to constitute a portion
of the Loan Agreement or to affect the meaning or interpretation of this Loan
Agreement in any way.

     9.   NOTICES.  Notices or items required or permitted to be given under
this Loan Agreement shall be delivered or given to the respective parties by
personal delivery to the person intended to receive it or by mailing it by
registered or certified mail, return receipt requested, at the addresses for the
parties set forth below:

          IF TO EMPLOYEE:

          John T. Casey
          4808 Bobbitt Drive
          Dallas, Texas  75229

          IF TO HOLDINGS:

          American Medical Holdings, Inc.
          8201 Preston Road
          Suite 300
          Dallas, Texas  75225
          Attention:  General Counsel

     10.  AMENDMENTS.  This Loan Agreement may be amended or modified only by a
written instrument executed by Employee and Holdings.

     IN WITNESS WHEREOF, the parties have executed this Agreement this _____ day
of July, 1993.

                                   EMPLOYEE



                                   BY: /s/ JOHN T. CASEY
                                       -------------------------------------
                                       JOHN T. CASEY


                                   AMERICAN MEDICAL HOLDINGS



                                   BY: /s/ ROBERT W. O'LEARY
                                       -------------------------------------


LOAN AGREEMENT - PAGE 2

<PAGE>



                                 PROMISSORY NOTE


$375,000.00                                                        July 14, 1993


     FOR VALUE RECEIVED, the undersigned, JOHN T. CASEY (hereinafter referred to
as "Borrower"), promises to pay to the order of AMERICAN MEDICAL HOLDINGS, INC.
(hereinafter referred to as "Holdings"), at its office at 8201 Preston Road,
Suite 300, Dallas, Texas 75225 (or at such other address as Holdings may
designate in writing), in lawful money of the United States of America, the
principal sum of Three Hundred Seventy Five Thousand Dollars ($375,000.00). Such
payment obligation shall be without interest.

     The loan shall be due within ten (10) days after the termination of
Borrower's employment as President/Chief Operating Officer of Holdings for any
reason; PROVIDED, HOWEVER, that the loan shall be forgiven in increments of
$10,417.00 per month on the last day of each month commencing August 31, 1993 if
Borrower is still the President/Chief Operating Officer of Holdings on those
dates and shall be forgiven in its entirety in the event Borrower's employment
as President/Chief Operating Officer of Holdings is terminated as a result of
his death or disability.

     One Hundred Thousand Dollars ($100,000.00) of this Note shall be secured
by a Deed of Trust, a copy of which is attached hereto.


                                        BORROWER



                                        BY:  /s/ JOHN T. CASEY
                                             ----------------------------------
                                             JOHN T. CASEY


<PAGE>

                                                                   EXHIBIT 10.36






                      AMERICAN MEDICAL INTERNATIONAL, INC.

                           DIRECTORS' RETIREMENT PLAN

<PAGE>

                                TABLE OF CONTENTS

                                                                            PAGE
                                                                            ----

Article I      Title, Purpose and Definitions. . . . . . . . . . . . . . .    1

     1.1       Title . . . . . . . . . . . . . . . . . . . . . . . . . . .    1
     1.2       Purpose . . . . . . . . . . . . . . . . . . . . . . . . . .    1
     1.3       Definitions . . . . . . . . . . . . . . . . . . . . . . . .    2

Article II     Participation . . . . . . . . . . . . . . . . . . . . . . .    4

     2.1       Eligibility Requirements. . . . . . . . . . . . . . . . . .    4

Article III    Payment of Benefits . . . . . . . . . . . . . . . . . . . .    4

     3.1       Payment . . . . . . . . . . . . . . . . . . . . . . . . . .    4

Article IV     Retirement Benefits . . . . . . . . . . . . . . . . . . . .    5

     4.1       Retirement Benefits . . . . . . . . . . . . . . . . . . . .    5
     4.2       Death . . . . . . . . . . . . . . . . . . . . . . . . . . .    5
     4.3       Performance of Services after Retirement. . . . . . . . . .    6

Article V      Committee . . . . . . . . . . . . . . . . . . . . . . . . .    6

     5.1       Members . . . . . . . . . . . . . . . . . . . . . . . . . .    6
     5.2       Information . . . . . . . . . . . . . . . . . . . . . . . .    6
     5.3       Manner of Administering . . . . . . . . . . . . . . . . . .    7

Article VI     Amendments and Termination. . . . . . . . . . . . . . . . .    7

     6.1       Amendments. . . . . . . . . . . . . . . . . . . . . . . . .    7
     6.2       Amendment Limitation. . . . . . . . . . . . . . . . . . . .    7
     6.3       Termination of Plan . . . . . . . . . . . . . . . . . . . .    8

Article VII    Miscellaneous . . . . . . . . . . . . . . . . . . . . . . .    8

     7.1       Nonassignability. . . . . . . . . . . . . . . . . . . . . .    8
     7.2       Limitation on Participants Rights . . . . . . . . . . . . .    9
     7.3       Participants Bound. . . . . . . . . . . . . . . . . . . . .    9
     7.4       Receipt and Release . . . . . . . . . . . . . . . . . . . .    9
     7.5       California Law Governs. . . . . . . . . . . . . . . . . . .    9
     7.6       Headings and Subheadings. . . . . . . . . . . . . . . . . .   10
     7.7       Gender. . . . . . . . . . . . . . . . . . . . . . . . . . .   10
     7.8       Successor and Assigns . . . . . . . . . . . . . . . . . . .   10
     7.9       No Offset of Benefits . . . . . . . . . . . . . . . . . . .   10

<PAGE>

                      AMERICAN MEDICAL INTERNATIONAL, INC.

                           DIRECTORS' RETIREMENT PLAN


     On August 15, 1980, the Board of Directors of American Medical
International, Inc. ("AMI") adopted a retirement plan for the independent
directors of AMI. This document sets forth the terms of that plan and is
effective as of the date set forth above.


                                    ARTICLE I

                         TITLE, PURPOSE AND DEFINITIONS


1.1  -    TITLE.

          This Plan shall be known as the "American Medical International, Inc.
Directors' Retirement Plan."

1.2  -    PURPOSE.

          The purpose of this Plan is to provide retirement benefits to the
independent Directors of American Medical International, Inc. in order to
provide the kind of benefits necessary to attract and retain directors of
outstanding merit and ability to oversee the conduct of AMI's business.

<PAGE>

1.3  -    DEFINITIONS.

          Whenever the following terms are used in this Plan with the first
letter capitalized, they shall have the meanings specified below.

          "Annual Retainer" shall mean the base annual retainer paid by the
Company to active Independent Directors, as adjusted from time to time.

          "Board of Directors" means the Board of Directors of the Company.

          "Committee" means the Management Continuity and Compensation Committee
of the Board of Directors.

          "Company" means American Medical International, Inc. or any successor
corporation resulting from a merger, consolidation, or transfer of assets
substantially as a whole.

          "Director" means a member of the Board of Directors of the Company.

          "Employee-Director" means a member of the Board of Directors who is
also an employee of the Company.


                                        2

<PAGE>

          "Independent Director" means each member of the Board of Directors who
is not an employee of the Company.

          "Participant" means any Independent Director who is or becomes
eligible for participation in this Plan by serving the minimum number of years
required to receive benefits.

          "Plan" means the American Medical International, Inc. Directors'
Retirement Plan as set forth herein and as amended from time to time.

          "Plan Year" means the twelve-month period beginning on September 1
each year and ending on the following August 31.

          "Years of Service" means each 12 consecutive month period, commencing
on the date an individual becomes a Director and on each anniversary thereof and
continuing until the individual ceases to be a director. If a former Director is
reelected or reappointed as a Director, service during both periods of service
as a Director shall be aggregated. Any period of disability of up to 180 days or
any partial year of service of not less than 180 days shall be included as a
full year in determining Years of Service.

          Any word, phrase or term used herein and not defined shall have the
meaning commonly recognized for such words, phrases or terms when used in
retirement benefit plans.


                                        3

<PAGE>

                                   ARTICLE II

                                  PARTICIPATION


2.1  -    ELIGIBILITY REQUIREMENTS.

          Each Independent Director shall become a Participant upon completing
five Years of Service. Each Employee Director shall become a Participant upon
completing 10 years of service. In the event an Employee Director becomes an
Independent Director, he must complete 10 total years of service to become a
Participant.


                                   ARTICLE III

                               PAYMENT OF BENEFITS


3.1  -    PAYMENT.

          Benefits under this Plan shall constitute unfunded general obligations
of AMI. To the extent that any person acquires a right to receive payments from
AMI under this Plan, such right shall be no greater than that of any unsecured
general creditor of AMI.


                                        4

<PAGE>

                                   ARTICLE IV

                               RETIREMENT BENEFITS


4.1  -    RETIREMENT BENEFIT.

          The amount of the monthly retirement benefit payable to a Participant
will be equal to one-twelfth of the Annual Retainer in effect at the time of
each payment, but in no event less than one-twelfth of the Annual Retainer in
effect at the time the Participant (i) became a member of the Board of Directors
or (ii) ceases to be a Director, whichever is greater. Such amounts shall be
payable beginning on the first day of the month coinciding with or next
following the later of his retirement from the Board of Directors or his 65th
birthday and continuing for a period equal to the greater of 10 years or the
number of the Participant's Years of Service; provided, however, that all
payments shall cease with the payment for the month in which the Participant's
death occurs.

4.2  -    DEATH.

          In the event that a Participant dies prior to retirement from the
Board of Directors or prior to age 65, no benefit shall be payable under this
Plan as a result of his prior participation in the Plan.


                                        5

<PAGE>

4.3  -    PERFORMANCE OF SERVICES AFTER RETIREMENT.

          A retired Independent Director receiving benefits under this Plan
shall hold himself available to render reasonable services to the Board or to
its various committees at the request of the Board.


                                    ARTICLE V

                                    COMMITTEE


5.1  -    MEMBERS.

          The Committee shall be appointed by, and shall serve at the pleasure
of, the Board of Directors. The Committee may delegate to agents such duties as
it deems appropriate and to the extent such duties have been delegated, such
agents shall be exclusively responsible for the discharge of such duties.

5.2  -    INFORMATION.

          To enable the Committee to perform its functions, the Company shall
supply full and timely information to the Committee on all matters relating to
Participants' Years of Service, retirement, and death and such other pertinent
facts as the Committee may require.


                                        6

<PAGE>

5.3  -    MANNER OF ADMINISTERING.

          The Committee shall interpret the provisions of this Plan and shall
administer such provisions in a uniform and nondiscriminatory manner.


                                   ARTICLE VI

                           AMENDMENTS AND TERMINATION


6.1  -    AMENDMENTS.

          Except as provided in paragraph 6.2 hereof, the Company shall have the
right to amend this Plan from time to time by resolution of the Board of
Directors and to amend or cancel any amendments. Such amendment shall be stated
in an instrument in writing, executed by the Company in the same manner as this
Plan.

6.2  -    AMENDMENT LIMITATION.

          Notwithstanding any provision to the contrary contained in paragraph
6.1 above, the Plan may not be amended to (i) reduce the payment to which a
Director is entitled to receive upon retirement or (ii) increase the number of
Years of Service required before a Director becomes a Participant. The
prohibition contained in this paragraph 6.2 shall apply to Directors whether or
not they have completed the requisite number of Years of Service required to


                                        7
<PAGE>

receive payments pursuant to the Plan at the time such amendments are made.

6.3  -    TERMINATION OF PLAN.

          The Company reserves the right to terminate this Plan at any time;
provided, however, no such termination shall reduce benefits in any manner to
any Participant or to any Director serving on the Board of Directors at the time
of such termination, regardless of the number of Years of Service completed by
the Director at the time of such termination.


                                   ARTICLE VII

                                  MISCELLANEOUS


7.1  -    NONASSIGNABILITY.

          None of the benefits, payments, proceeds or claims of any Participant
shall be subject to any claim of any creditor and, in particular, the same shall
not be subject to attachment or garnishment or other legal process by any
creditor, nor shall any Participant have the right to alienate, anticipate,
commute, pledge, encumber or assign any of the benefits or payments or proceeds
which he may expect to receive, contingently or otherwise, under this agreement.


                                        8

<PAGE>

7.2  -    LIMITATION ON PARTICIPANTS' RIGHTS.

          Participation in this Plan shall not give any Director any right or
interest in the Plan other than as herein provided.

7.3  -    PARTICIPANTS BOUND.

          Any action with respect to this Plan taken by the Committee or by the
Company, or any action authorized by or taken at the direction of the Committee
or the Company, shall be conclusive upon all Participants entitled to benefits
under the Plan.

7.4  -    RECEIPT AND RELEASE.

          In the event a Participant or surviving spouse is adjudicated
incompetent by a court having jurisdiction to make such determination, payments
which become due, in accordance with this Plan, shall be made to the appointed
guardian or conservator of such Participant or beneficiary. Any such payments
shall be a complete discharge of the liabilities of AMI under the Plan.

7.5  -    CALIFORNIA LAW GOVERNS.

          This Plan shall be construed, administered, and governed in all
respects under and by the laws of the State of California. If any provision
shall be held by a court of competent jurisdiction to be


                                        9

<PAGE>

invalid or unenforceable, the remaining provisions thereof shall continue to be
fully effective.

7.6  -    HEADINGS AND SUBHEADINGS.

          Headings and subheadings in this agreement are inserted for
convenience only and are not to be considered in the construction of the
provisions hereof.

7.7  -    GENDER.

          The masculine gender as used herein includes the feminine and neuter
genders.

7.8  -    SUCCESSOR AND ASSIGNS.

          This agreement shall inure to the benefit of, and be binding upon, the
Company and its successors and assigns.

7.9  -    NO OFFSET OF BENEFITS.

          The benefits under this Plan are payable in addition to benefits under
other Company retirement plans and shall not reduce


                                       10

<PAGE>

any benefit under any other Company retirement plan, including without
limitation the Supplemental Executive Retirement Plan.

          IN WITNESS WHEREOF, the Company has caused these presents to be
executed by its duly authorized officers and the corporate seal to be hereunto
affixed this 28th day of February, 1989.


                                   AMERICAN MEDICAL INTERNATIONAL, INC.


                                   By:  /s/ Richard A. Gilleland
                                      -----------------------------------------
                                         Richard A. Gilleland, Chairman and
                                               Chief Executive Officer


                                   By:  /s/ James B. Jacobson
                                      -----------------------------------------
                                             James B. Jacobson, Chairman,
                                             Management Compensation and
                                                Continuity Committee





[SEAL]


                                       11




<PAGE>

                                                                  EXHIBIT 10.37



                             FIRST AMENDMENT TO THE
                      AMERICAN MEDICAL INTERNATIONAL, INC.
                           DIRECTORS' RETIREMENT PLAN


     This First Amendment to the American Medical International, Inc. Directors'
Retirement Plan (the "Plan") is hereby executed this 10th day of October, 1994,
on behalf of American Medical International, Inc.

     Pursuant to Section 6.1 of the Plan and as approved by the Compensation
Committee of the Board of Directors of AMI, the Plan is hereby amended effective
September 1, 1994 in the following manner:

1.   By substituting the following for the definition of "Annual Retainer" under
Section 1.3:

     ""Annual Retainer" shall mean the base annual retainer payable by the
Company for services performed by Independent Directors, as adjusted from time
to time, specifically including annual retainers paid to persons or entities
other than the Independent Director, if such Independent Director is serving on
behalf or as the nominee of such person or entity."

2.   By substituting the following for the definition of "Independent Director"
under Section 1.3:

     ""Independent Director" means each member of the Board of Directors who is
not an employee of the Company, regardless of whether such director is serving
on behalf of or as the nominee of any other person or entity."

3.   By substituting the following for the definition of "Participant" under
Section 1.3:

     "Participant" means any Director who is eligible to participate in
accordance with the provisions of Section 2.1."

4.   By substituting the following for Section 2.1:

     "Each Independent Director shall become a Participant upon election to the
Board of Directors. Each Independent Director on September 1, 1994
(specifically, J. Robert Buchanan, M.D., Robert B. Calhoun, Harry T. Gray,
Harold S. Handelsman, Sheldon S. King, Melvyn N. Klein, Dan W. Lufkin, William
E. Mayer, and Harold M. Williams) shall become a Participant on September 1,
1994

<PAGE>

regardless of his Years of Service. Each Employee Director shall become a
Participant upon completing 10 Years of Service. In the event an Employee
Director becomes an Independent Director, he must complete 10 Years of Service
to become a Participant."


AMERICAN MEDICAL INTERNATIONAL, INC.



By: /s/ Alan J. Chamison
   ---------------------------------
Its: /s/ EVP & CFO
    --------------------------------



<PAGE>

                                                                   EXHIBIT 10.38



                      AMERICAN MEDICAL INTERNATIONAL, INC.

                         1990 SUPPLEMENTAL BENEFIT PLAN


                                    ARTICLE I

                                     PURPOSE


          The purpose of this Plan is to provide to selected executives a
retirement benefit which, when added to other retirement income provided by
American Medical International, Inc., and Social Security, will be competitive
with retirement benefits provided to executives of comparable companies.  The
Plan is intended to constitute (1) an "excess benefit plan" within the meaning
of Section 3(36) of the Employee Retirement Income Security Act of 1974
("ERISA") and (2) a plan which is unfunded and maintained primarily for the
purpose of providing deferred compensation for a select group of management and
highly compensated employees as described in Section 201(a)(2) of ERISA.


                                   ARTICLE II

                                   DEFINITIONS


          When words and phrases appear in this Plan, they shall have the
respective meanings set forth below, unless their context clearly indicates to
the contrary:

<PAGE>

          "AMI" or the "Company" means American Medical International, Inc.

          "Board of Directors" means the Board of Directors of AMI.

          "Disability" means the incapacity as determined by the Management
Continuity and Compensation Committee of any Participant to render services to
AMI by reason of mental or physical disability.

          "Final Average Pay" means the average annual Pay during the three (3)
consecutive years in which a Participant received the highest Pay.

          "Management Continuity and Compensation Committee" means the
Management Continuity and Compensation Committee of the Board of Directors.

          "Participant" or "Participants" means such executives as are selected
by the Board of Directors or the Management Continuity and Compensation
Committee to receive benefits under the terms of this Plan.

          "Pay" means base compensation, exclusive of bonus, car allowance or
other fringe benefits.


                                        2

<PAGE>

          "Plan" or "SERP" means the American Medical International, Inc. 1990
Supplemental Benefit Plan, a nonqualified and unfunded pension plan providing
supplemental retirement benefits to selected executives.

          "Service" means the aggregate of the years of employment from date of
hire to date of death, disability, termination or retirement, including
employment by a Participant with a predecessor of AMI or any business entity
acquired by AMI or membership as an Independent Director on the AMI Board of
Directors immediately prior to the date of hire as an employee.

          "Social Security Benefit" means the annual amount of the old age
benefits available for the Participant (excluding amounts available for wives
and dependents) under Title II of the Federal Social Security Act at his Social
Security Retirement Age (as defined in Section 415(b)(8) of the Internal Revenue
Code).  In cases where a Participant terminates employment for any reason prior
to attaining his Social Security Retirement Age, the Social Security benefit
shall be the benefit to which the participant would be entitled at Social
Security Retirement Age, based upon the Federal Social Security Act as in effect
on the date of his termination of employment and based on the assumption that he
will not receive any future wages that will be counted for purposes of the
Federal Social Security Act.  Once such


                                        3

<PAGE>

Social Security benefit shall have been determined, it shall not be redetermined
even though there may be changes in Social Security benefits thereafter because
of changes in the cost of living or because of changes in the Federal Social
Security Act.

          "Vested Benefit" means the accrued benefit to which a Participant is
entitled based on his Pay and a minimum of ten (10) years of Service.

          "Year" means the fiscal year of AMI.


                                   ARTICLE III

                                  PARTICIPATION


          An executive shall become a Participant as of the date he is
individually selected by, and specifically named in the resolutions of, the
Management Continuity and Compensation Committee.  A Participant's participation
shall cease upon his termination of employment with AMI.


                                   ARTICLE IV

                             PROVISIONS FOR BENEFITS


          Benefits under this Plan shall constitute unfunded general obligations
of AMI.  To the extent any person


                                        4

<PAGE>

acquires a right to receive payments from AMI under this Plan, such right shall
be no greater than that of any unsecured general creditor of AMI.


                                    ARTICLE V

                                AMOUNT OF BENEFIT


          Section 5.1    NORMAL RETIREMENT DATE.  A Participant's Normal
Retirement Date shall be the first day of the month coinciding with or next
following his 65th birthday.

          Section 5.2    NORMAL RETIREMENT BENEFITS.

          (a)  Upon retirement at or after his Normal Retirement Date, a
Participant who has completed at least ten (10) years of Service shall be
entitled to an annual Normal Retirement Benefit hereunder, payable for life, in
an amount determined under the following formula:

               (i)  2.5% of his Final Average Pay multiplied by his years
     (including fractional years) of Service up to a maximum of twenty (20);
     minus

              (ii)  100% of his Social Security Benefit; minus


                                        5

<PAGE>

             (iii)  (A)  100% of that portion of the annual benefit payable as
     a single life annuity, or, in the case of a Participant who is married at
     the time of his retirement, payable as a qualified joint and 50% survivor
     annuity, at the time of his retirement under the American Medical
     International, Inc. Pension Plan (the "AMI Pension Plan") which is in
     excess of any benefit accruing from either the Participant's contributions
     or any Company contributions made as a result of the Participant's
     contributions to the AMI Pension Plan, or

                    (B)  if the Participant has elected not to participate in
     the AMI Pension Plan, the amount of the annual benefit payable as a single
     life annuity, or, in the case of a Participant who is married at the time
     of his retirement hereunder, payable as a qualified joint and 50% survivor
     annuity the Participant would have received under the AMI Pension Plan
     absent such election; minus

              (iv)  100% of the specific retirement benefit under any AMI
     management contract, limited to the year(s) in which such contract benefits
     are paid; and minus


                                        6

<PAGE>

               (v)  100% of the benefit payable, if any, under the American
     Medical International, Inc. Supplemental Executive Retirement Plan.

          (b)  Notwithstanding anything to the contrary contained herein, any
Participant who on March 26, 1987, was an employee of AMI and had attained age
fifty (50) shall be entitled to a benefit hereunder equal to the greater of the
benefit provided in subsection (a) above or the following benefit:

               (i)  40% of Final Average Pay, plus 1% of Final Average Pay
     times years of Service in excess of ten (10), with a minimum of ten (10)
     additional years allowable; minus

              (ii)  the amounts described in paragraphs (iii), (iv) and (v) of
     subsection (a) above; and minus

             (iii)  100% of the amount of the old age benefits available for
     the Participant (excluding amounts available for wives and dependents)
     under Title II of the Federal Social Security Act at his Social Security
     Retirement Age (as defined in Section 415(b)(8) of the Internal Revenue
     Code), based on his wage history and the Federal Social Security Act in
     effect on the date he attains Social Security


                                        7

<PAGE>

     Retirement Age.  Such reduction shall be made as of the first day of the
     month following the date of his Social Security Retirement Age (or, in the
     case of surviving spouse benefits, the date he would have reached his
     Social Security Retirement Age) notwithstanding anything to the contrary
     contained herein.

          (c)  If, after the date of retirement, the benefits received in any
year under an AMI management contract exceed the benefits which would otherwise
be payable in that year under SERP, the excess amount paid in that year shall
not be carried forward or deducted from SERP benefits payable in any year after
management contract benefits have expired.  (For example, assume an executive
retires on December 31, 1979, and under a management contract is entitled to
benefits in the amount of $100,000.00 per year for three (3) years from the date
of retirement.  Further, assume that the executive has been selected by the
Management Continuity and Compensation Committee to participate in this SERP,
and but for the benefits received under his management agreement, would be
entitled to SERP benefits of $50,000.00 per year.  Even though the total
benefits paid under the management contract in 1980, 1981, 1982 exceed his SERP
benefits by an aggregate of $150,000.00, this amount is not subtracted from
vested SERP benefits to be received after benefits are terminated under the
management agreement.  Beginning in 1983, he will


                                        8

<PAGE>

receive the full amount of his SERP benefit, that is $50,000.00, payable in that
year.)

          Section 5.3    EARLY RETIREMENT DATE.  A Participant's Early
Retirement Date is the first day of any month between his 55th birthday and his
65th birthday.

          Section 5.4    EARLY RETIREMENT BENEFIT.

          (a)  Upon retirement on an Early Retirement Date, a Participant who
has completed at least ten (10) years of Service shall be entitled to an annual
Early Retirement Benefit, payable for life, determined under the following
formula:

               (i)  2.5% of his Final Average Pay multiplied by his years
     (including fractional years) of Service up to a maximum of twenty (20),
     reduced by the percentage shown below for each year by which the
     Participant's retirement precedes his Normal Retirement Date, based on his
     years of Service:

          Years of Service                    Reduction Percentage
          ----------------                    --------------------

          10 years                                     6%
          11 years                                     5%
          12 years                                     4%
          13 years                                     3%
          14 years                                     2%
          15 years                                     1%
          16 years or more                             0


                                        9

<PAGE>

     provided that in the case of partial years of Service, the reduction
     percentage shall be prorated; minus

              (ii)  100% of his Social Security Benefit; minus

             (iii)  (A)  100% of that portion of the annual benefit payable as
     a single life annuity, or in the case of a Participant married at the time
     of his retirement hereunder, payable as a qualified joint and 50% survivor
     annuity, under the AMI Pension Plan which is in excess of any benefit
     accruing from either the Participant's contribution or any Company
     contributions made as a result of the Participant's contributions to the
     AMI Pension Plan [except that if the Participant elects to defer
     commencement of benefits under the AMI Pension Plan, no offset shall be
     made to the benefit under this Plan until such benefits commence and the
     amount of such offset shall be based on the single life annuity, or, in the
     case of a Participant married at the time of his retirement under the AMI
     Pension Plan, based on the qualified joint and 50% survivor annuity,
     payable at the time such benefits commence]; or

                    (B)  if the Participant has elected not to participate in
     the AMI Pension Plan, the amount of the annual benefit payable as a single
     life annuity,


                                       10

<PAGE>

     or, in the case of a Participant who is married at the time of his
     retirement hereunder, payable as a qualified joint and 50% survivor
     annuity, the Participant would have received at his Early Retirement Date
     under the AMI Pension Plan absent such election; minus

              (iv)  100% of the specific retirement benefit under any AMI
     management contract, limited to the year(s) in which such contract benefits
     are paid; and minus

               (v)  100% of the benefit payable, if any, under the American
     Medical International, Inc. Supplemental Executive Retirement Plan.

          (b)  Notwithstanding anything to the contrary contained herein, any
Participant who on March 26, 1987, was an employee of AMI and had attained age
fifty (50) shall, upon retirement on an Early Retirement Date with ten (10)
years of Service, be entitled to a benefit hereunder equal to the greater of the
benefit provided in subsection (a) above or the following benefit:

               (i)  40% of Final Average Pay, plus 1% of Final Average Pay
     times years of Service in excess of ten (10), with a maximum of ten (10)
     additional years


                                       11

<PAGE>

     allowable, reduced by the percentage shown below for each year by which
     Participant's retirement precedes his Normal Retirement Date, based on his
     years of Service:

          Years of Service                    Reduction Percentage
          ----------------                    --------------------

          10 years                                     6%
          11 years                                     5%
          12 years                                     4%
          13 years                                     3%
          14 years                                     2%
          15 years                                     1%
          16 years or more                             0

     provided that in the case of partial years of Service, the reduction
     percentage shall be prorated; minus

              (ii)  The amounts described in paragraphs (iii), (iv) and (v) of
     subsection (a) above; and

             (iii)  100% of the amount of the old age benefits available for
     the Participant (excluding amounts available for wives and dependents)
     under Title II of the Federal Social Security Act at his Social Security
     Retirement Age (as defined in Section 415(b)(8) of the Internal Revenue
     Code), based on his wage history and the Federal Social Security Act in
     effect on the date he attains his Social Security Retirement Age.  Such
     reduction shall be made as of the first day of the month following the date
     of his Social


                                       12

<PAGE>

     Security Retirement Age (or, in the case of surviving spouse benefits, the
     date he would have reached his Social Security Retirement Age)
     notwithstanding anything to the contrary contained herein.

          (c)  A Participant may not elect to defer commencement of his Early
Retirement Benefit hereunder.

          Section 5.5    DEATH BENEFITS.

          (a)  POST-RETIREMENT.  If a Participant dies after benefits hereunder
have commenced and had a surviving spouse to whom he had been married at least
one (1) year prior to retirement or commencement of benefits, whichever is
applicable, such spouse shall receive 50% of the benefit payable to Participant
at time of death, reduced by 1% for each year in excess of five (5) by which the
Participant's age exceeds the spouse's age.  This benefit shall be payable for
the spouse's life but shall begin no earlier than the spouse's attainment of age
fifty (50).

          (b)  PRE-RETIREMENT.  If Participant dies before age fifty (50), no
benefit is paid, irrespective of years of Service.  If Participant dies after
age fifty (50) and after completing ten (10) years of Service, and the
Participant leaves a surviving spouse to whom he had been married at least one
(1) year prior to his death, such spouse shall


                                       13

<PAGE>

receive 50% of the Participant's accrued Normal Retirement Benefit for life
reduced by 1% for each year in excess of five (5) by which the Participant's age
exceeded the spouse's age, but with no reduction for early commencement. This
benefit shall be payable for the spouse's life but shall begin no earlier than
the spouse's attainment of age fifty (50).

          Section 5.6    DISABILITY BENEFIT.  If a Participant incurs a
Disability after ten (10) years of Service and fails to qualify for a disability
benefit under the AMI Executive Long-Term Disability Program, the Participant
shall receive an annual Disability Benefit, payable for life, in an amount equal
to the accrued Normal Retirement Benefit hereunder without reduction for early
commencement of payments.

          Section 5.7    VESTED BENEFIT.

          (a)  A participant is fully vested in his benefit hereunder upon
completion of ten (10) years of Service.  A vested Participant who terminates
employment with AMI for a reason other than death, disability or retirement is
eligible for a Vested Benefit, payable for life, at age 65 equal to his accrued
benefit hereunder based on his Pay and years of Service as of his termination of
employment.


                                       14

<PAGE>

          (b)  Benefits for a Participant who is entitled to a Vested Benefit
under this Section 5.7 may commence on the beginning of the first month
following his 55th birthday and shall be payable in a reduced amount as provided
in Section 5.4(a).

          (c)  A Participant who terminates employment with AMI prior to
completing ten (10) years of Service shall not be entitled to any benefit under
this Plan.

          Section 5.8    FORM OF BENEFITS.  The annual benefit payable to a
Participant or his surviving spouse shall be paid in equal monthly installments
on the first day of each month commencing on his Normal Retirement Date, Early
Retirement Date, the date he incurs a Disability, or the date his surviving
spouse attains age fifty (50), whichever is applicable.


                                   ARTICLE VI

                                 ADMINISTRATION


          The Plan shall be administered by the Management Continuity and
Compensation Committee. The duties of the Management Continuity and Compensation
Committee will be determined by the Board of Directors. The Management
Continuity and Compensation Committee shall have such powers as may be necessary
to discharge its duties hereunder.


                                       15

<PAGE>

                                   ARTICLE VII

                            MISCELLANEOUS PROVISIONS


          Section 7.1    AMENDMENT AND TERMINATION.  The Board of Directors may,
by resolution, in its absolute discretion, from time to time, amend, suspend, or
terminate in whole or in part, and if terminated reinstate, any or all of the
provisions of the Plan, except that no amendment, suspension, or termination may
apply so as to decrease Vested Benefits under the Plan which accrued prior to
the effective date of such amendment, suspension or termination. Any such
amendment, suspension or termination shall become effective on such date as
shall be specified in such resolution and, except as expressly limited in this
Section 7.1, include such provisions and have such effect as the Board of
Directors, in its absolute discretion, deems desirable.

          Section 7.2    NO GUARANTEE OF EMPLOYMENT.  Nothing contained in this
Plan shall be construed as a contract of employment between AMI and any
employee, or as a right of any employee to be continued in the employment of
AMI, or as a limitation of the right of AMI to discharge any of its employees,
with or without cause.

          Section 7.3    NON-ALIENATION OF BENEFITS.  Benefits payable under
this Plan shall not be subject in any manner


                                       16

<PAGE>

to anticipation, alienation, sale, transfer, assignment, pledge, encumbrance,
charge, garnishment, execution or levy of any kind, either voluntary or
involuntary. Any unauthorized attempt to anticipate, alienate, sell, transfer,
assign, pledge, encumber, charge or otherwise dispose of any right to benefits
payable hereunder shall be void. No part of the assets of AMI shall be subject
to seizure by legal process resulting from any attempt by creditors of or
claimants against any Participant (or surviving spouse), or any person claiming
under or through the foregoing, to attach his interest under the Plan.

          Section 7.4    LIABILITY.  No member of the Board of Directors or the
Management Continuity and Compensation Committee shall be liable to any
Participant, surviving spouse or third party for any act or omission in
exercising responsibilities pursuant to this Plan.

          Section 7.5    INCAPACITY OF RECIPIENT.  In the event a Participant or
surviving spouse is adjudicated incompetent by a court having jurisdiction to
make such determination, payments which become due, in accordance with this
Plan, shall be made to the appointed guardian or conservator of such Participant
or beneficiary.  Any such payments shall be a complete discharge of the
liabilities of AMI under the Plan.


                                       17

<PAGE>

          Section 7.6    CONSTRUCTION.  The masculine gender, where appearing in
the Plan, shall be deemed to include the feminine gender; the singular may
include the plural; and vice versa, unless the context clearly indicates to the
contrary.

          Section 7.7    GOVERNING LAW.  The Plan shall be construed in
accordance with and governed by the laws of the State of California.

          Executed this 24th day of September, 1991, effective as of January 1,
1990.


                                   AMERICAN MEDICAL INTERNATIONAL, INC.



                                   By: /s/ James T. Lyons
                                      ---------------------------------------
                                           James T. Lyons


                                   By:
                                      ---------------------------------------


                                       18



<PAGE>

                                                                   EXHIBIT 10.39



                     AMERICAN MEDICAL INTERNATIONAL, INC.
                        1990 SUPPLEMENTAL BENEFIT PLAN
              AS AMENDED AND RESTATED EFFECTIVE JANUARY 1, 1992


                                  ARTICLE I

                                   PURPOSE


     Effective as of January 1, 1990, American Medical International, Inc.
adopted the American Medical International, Inc. 1990 Supplemental Benefit Plan
in order to provide selected executives with a retirement benefit which, when
added to other retirement income provided by American Medical International,
Inc., and Social Security, will be competitive with retirement benefits
provided to executives of comparable companies.

     Effective as of January 1, 1992, American Medical International, Inc. is
amending and restating the said American Medical International, Inc. 1990
Supplemental Benefit Plan as set forth in this document. This plan is intended
to constitute a plan which is unfunded and maintained primarily for the purpose
of providing deferred compensation for a select group of management and highly
compensated employees as described in Section 201(a)(2) of the Employee
Retirement Income Security Act of 1974, as amended.
<PAGE>
                                      -2-


                                  ARTICLE II

                                 DEFINITIONS


     When words and phrases appear in this Plan, they shall have the respective
meanings set forth below, unless their context clearly indicates to the
contrary:

     "AMI" or the "COMPANY" means American Medical International, Inc.

     "BOARD OF DIRECTORS" means the Board of Directors of AMI.

     "DISABILITY" means the incapacity, as determined by the Compensation
Committee, of any Participant to render services to AMI by reason of mental or
physical disability.

     "FINAL AVERAGE PAY" means the average annual Pay during the three (3)
consecutive calendar years in which a Participant received the highest Pay.

     "COMPENSATION COMMITTEE" means the Compensation Committee of the Board
of Directors.

     "PARTICIPANT" or "PARTICIPANTS" means such executives as are selected by
the Board of Directors or the Compensation Committee to receive benefits under
the terms of this Plan.

     "PAY" means base compensation, exclusive of bonus, car allowance or other
fringe benefits, payable to a Participant by the Company. Pay for those
participants receiving a lump sum severance payment shall be credited as if base
compensation was received in equal installments over the period to time provided
for in their severance agreement.


<PAGE>

                                      -3-


     "PLAN" or "SERP" means the American Medical International, Inc. 1990
Supplemental Benefit Plan, as amended and restated effective January 1, 1992,
a nonqualified and unfunded pension plan providing supplemental retirement
benefits to selected executives, as set forth herein and as it may be
subsequently amended.

     "PLAN YEAR" means the fiscal year of the Company.

     "SERVICE" means all years and fractional years computed from a
Participant's original date of hire with AMI to date of death, disability,
termination or retirement, including employment by a Participant with a
predecessor of AMI or any business entity acquired by AMI or membership as an
Independent Director on the AMI Board of Directors immediately prior to the date
of hire as an employee.

     "SOCIAL SECURITY BENEFIT OFFSET FOR FORMULA A" means 100% of the annual
amount of the old age benefits available for the Participant (excluding amounts
available for spouses and dependents) under Title II of the Federal Social
Security Act at his Social Security Retirement Age (as defined in Section
415(b)(8) of the Internal Revenue Code) or similar benefits from any country
other than the United States of America. In cases where a Participant terminates
employment for any reason prior to attaining his Social Security Retirement Age,
the Social Security benefit shall be the benefit to which the Participant would
be entitled at Social Security Retirement Age, based upon the Federal Social
Security Act as in effect on the date of his termination of employment and based
on the assumption that he will not receive any future wages that will be counted
for purposes of the Federal Social Security Act. Once such Social Security
benefit shall have been determined, it shall not be redetermined even though
there may be changes in Social Security benefits

<PAGE>

                                      -4-


thereafter because of changes in the cost of living or because of changes in
the Federal Social Security Act.

     "SOCIAL SECURITY BENEFIT OFFSET FOR FORMULA B" means 100% of the amount of
the old age benefits available for the Participant (excluding amounts available
for spouses and dependent) under Title II of the Federal Social Security Act at
his Social Security Retirement Age (as defined in Section 415(b)(8) of the
Internal Revenue Code), based on his wage history and the Federal Social
Security Act in effect on the date he attains Social Security Retirement Age,
or similar benefits from any country other than the United States of America.
Such reduction shall be made as of the first day of the month following the date
of his Social Security Retirement Age (or, in the case of surviving spouse
benefits, the date he would have reached his Social Security Retirement Age)
notwithstanding anything to the contrary contained herein.

     "SUPERSEDED PLAN" means the provisions of the Plan as it existed prior to
the amendment and restatement as set forth herein.

     "VESTED BENEFIT" means the accrued benefit to which a Participant is
entitled based on his Pay and a minimum of ten (10) years of Service.


<PAGE>

                                      -5-


                                  ARTICLE III

                                 PARTICIPATION


     Each person who was a participant in the Superseded Plan on December 31,
1991 shall automatically become a Participant in the Plan on January 1, 1992;
however, any such person whose employment with the Company terminated prior to
January 1, 1992 shall be entitled to only those benefits, if any, to which he
is entitled on and after January 1, 1992 under the provisions of the Superseded
Plan as in effect on his date of termination of employment and he shall not be
entitled to any additional benefits hereunder unless he is subsequently
reemployed by the Company and selected as a Participant in accordance with the
following paragraph of this Article III.

     Any other executive who is in the service of the Company on or after
January 1, 1992 shall become a Participant as of the date he is individually
selected by, and specifically named in the resolutions of, the Compensation
Committee. A Participant's active participation shall cease upon his termination
of employment with AMI.


                                    ARTICLE IV

                              PROVISIONS FOR BENEFITS


     Benefits under this Plan shall constitute unfunded general obligations of
AMI. To the extent any person acquires a right to receive payments from AMI
under this Plan, such right shall be no greater than that of any unsecured
general creditor of AMI.

<PAGE>

                                  -6-


                              ARTICLE V

                          AMOUNT OF BENEFIT


     Section 5.1  NORMAL RETIREMENT DATE.  A Participant's Normal Retirement
Date shall be the first day of the month coinciding with or next following
his 65th birthday.

     Section 5.2  NORMAL RETIREMENT BENEFITS.

                  (a)  Upon retirement at or after his Normal Retirement Date,
a Participant who has completed at least ten (10) years of Service shall be
entitled to an annual Normal Retirement Benefit hereunder, payable for life,
in an amount determined under Formula A as follows:

                        (i)  2.5% of his Final Average Pay multiplied by his
                             years (including fractional years) of Service up
                             to a maximum of twenty (20);

                       (ii)  his Social Security Benefit Offset for Formula A;

                             minus

                      (iii)  (A)  100% of that portion of the annual benefit
                                  payable as a single life annuity, or, in the
                                  case of a Participant who is married at the
                                  time of his retirement, payable as a
                                  qualified joint and 50% survivor annuity,
                                  at the time of his retirement under the
                                  American Medical International, Inc. Pension
                                  Plan (the "AMI Pension Plan") which is in
                                  excess of any benefit accruing from either the
                                  Participant's contributions or any Company
                                  contributions made as a result of the
                                  Participant's contributions to the AMI
                                  Pension Plan, or


<PAGE>

                                   -7-


                             (B)  if the Participant has elected not to
                                  participate in the AMI Pension Plan, the
                                  amount of the annual benefit payable as a
                                  single life annuity, or, in the case of a
                                  Participant who is married at the time of
                                  his retirement hereunder, payable as a
                                  qualified joint and 50% survivor annuity,
                                  the Participant would have received under
                                  the AMI Pension Plan absent such election;

                             minus

                       (iv)  100% of the specific retirement benefit under any
                             AMI management contract, limited to the year(s)
                             in which such contract benefits are paid;

                             minus

                        (v)  100% of the benefit payable, if any, under the
                             American Medical International, Inc. Supplemental
                             Executive Retirement Plan.

                  (b)  Notwithstanding anything to the contrary contained
herein, any Participant who is eligible for a Normal Retirement Benefit and
who on March 26, 1987 was an employee of AMI and had attained age fifty
(50) shall be entitled to an annual Normal Retirement Benefit hereunder,
payable for life, in an amount equal to the greater of the amount determined
under Formula A above or the amount determined under Formula B as follows:

                        (i)  40% of Final Average Pay, plus 1% of Final Average
                             Pay times years of Service in excess of ten (10),
                             with a maximum of ten (10) additional years
                             allowable;

                             minus

                       (ii)  his Social Security Benefit Offset for Formula B;

                             minus

                      (iii)  the amounts described under Formula A in
                             paragraphs (iii), (iv) and (v) of subsection (a)
                             above.


<PAGE>

                                   -8-


                  (c)  If, after the date of retirement, the benefits received
in any year under an AMI management contract exceed the benefits which would
otherwise be payable in that year under SERP, the excess amount paid in that
year shall not be carried forward or deducted from SERP benefits payable in
any year after management contract benefits have expired. (For example, assume
an executive retires on December 31, 1993, and under a management contract is
entitled to benefits in the amount of $100,000.00 per year for three (3) years
from the date of retirement. Further, assume that the executive has been
selected by the Compensation Committee to participate in this SERP, and but
for the benefits received under his management agreement, would be entitled
to SERP benefits of $50,000.00 per year. Even though the total benefits paid
under the management contract in 1994, 1995, 1996 exceed his SERP benefits
by an aggregate of $150,000.00, this amount is not subtracted from vested SERP
benefits to be received after benefits are terminated under the management
agreement. Beginning in 1997, he will receive the full amount of his SERP
benefit, that is $50,000.00, payable in that year.)

     Section 5.3  EARLY RETIREMENT DATE.  A Participant's Early Retirement Date
is the first day of any month between his 55th birthday and his 65th birthday.

     Section 5.4  EARLY RETIREMENT BENEFIT.

                  (a)  Upon retirement on an Early Retirement Date, a
Participant who has completed at least ten (10) years of Service shall be
entitled to an annual Early Retirement Benefit, payable for life, determined
under Formula A, as follows:

<PAGE>

                                 -9-


                        (i)  2.5% of his Final Average Pay multiplied by his
                             years (including fractional years) of Service up
                             to a maximum of twenty (20), reduced by the
                             percentage shown below for each year by which the
                             Participant's retirement precedes his Normal
                             Retirement Date, based on his years of Service:

                                   Years of Service      Reduction Percentage
                                   ----------------      --------------------

                                       10 years                    6%
                                       11 years                    5%
                                       12 years                    4%
                                       13 years                    3%
                                       14 years                    2%
                                       15 years                    1%
                                   16 years or more                0%


                             provided, however, in the case of partial years
                             of Service, the reduction percentage shall be
                             prorated;

                             minus

                       (ii)  his Social Security Benefit Offset for Formula A;

                             minus

                      (iii)  (A)  100% of that portion of the annual benefit
                                  payable as a single life annuity, or in the
                                  case of a Participant married at the time of
                                  his retirement hereunder, payable as a
                                  qualified joint and 50% survivor annuity,
                                  under the AMI Pension Plan which is in
                                  excess of any benefit accruing from either
                                  the Participant's contribution or any
                                  Company contributions made as a result of
                                  the Participant's contributions to the AMI
                                  Pension Plan (except that if the Participant
                                  elects to defer commencement of benefits
                                  under the AMI Pension Plan, no offset shall
                                  be made to the benefit under this Plan until
                                  such benefits commence and the amount of
                                  such offset shall be based on the single
                                  life annuity, or, in the case of a Participant
                                  married at the time of his retirement under
                                  the AMI Pension Plan, based on the qualified
                                  joint and 50% survivor annuity, payable at
                                  the time such benefits commence); or


<PAGE>

                                -10-


                             (B)  if the Participant has elected not to
                                  participate in the AMI Pension Plan, the
                                  amount of the annual benefit payable as a
                                  single life annuity, or, in the case of a
                                  Participant who is married at the time of
                                  his retirement hereunder, payable as a
                                  qualified joint and 50% survivor annuity,
                                  the Participant would have received at his
                                  Early Retirement Date under the AMI Pension
                                  Plan absent such election;

                             minus

                       (iv)  100% of the specific retirement benefit under any
                             AMI management contract, limited to the year(s)
                             in which such contract benefits are paid;

                             minus

                        (v)  100% of the benefit payable, if any, under the
                             American Medical International, Inc. Supplemental
                             Executive Retirement Plan.

                  (b)  Notwithstanding anything to the contrary contained
herein, any Participant who on March 26, 1987 was an employee of AMI and had
attained age fifty (50) shall, upon retirement on an Early Retirement Date
with ten (10) years of Service, be entitled to an annual benefit hereunder,
payable for life, in an amount equal to the greater of the amount determined
under Formula A above or the amount determined under Formula B as follows:

                        (i)  40% of Final Average Pay, plus 1% of Final Average
                             Pay times years of Service in excess of ten (10),
                             with a maximum of ten (10) additional years
                             allowable, reduced by the percentage shown below
                             for each year by which Participant's retirement
                             precedes his Normal Retirement Date, based on his
                             years of Service:

<PAGE>

                                     -11-


                                 Years of Service    Reduction Percentage
                                 ----------------    --------------------

                                      10 years                6%
                                      11 years                5%
                                      12 years                4%
                                      13 years                3%
                                      14 years                2%
                                      15 years                1%
                                 16 years or more             0%


                             provided, however, in the case of partial years of
                             Service, the reduction percentage shall be
                             prorated;

                             minus

                       (ii)  his Social Security Benefit Offset for Formula B;

                             minus

                      (iii)  the amounts described under Formula A in
                             paragraphs (iii), (iv) and (v) of subsection (a)
                             above.

                  (c)  A Participant may not elect to defer commencement of his
Early Retirement Benefit hereunder.

     Section 5.5  DEATH BENEFITS.

                  (a)  POST RETIREMENT. If a Participant dies after benefits
hereunder have commenced and he had a surviving spouse to whom he had been
married at least one (1) year prior to retirement or commencement of benefits,
whichever is applicable, such spouse shall receive 50% of the benefit payable
to the Participant at time of death, reduced by 1% for each year in excess of
five (5) by which the Participant's age exceeds the spouse's age. This benefit
shall be payable for the spouse's life but begin no earlier than the spouse's
attainment of age fifty (50).


<PAGE>

                                     -12-


                  (b)  PRE-RETIREMENT.  If a Participant dies before age fifty
(50), no benefit is paid, irrespective of year of Service. If a Participant
dies after age fifty (50) and after completing ten (10) years of Service, and
the Participant leaves a surviving spouse whom he had been married at least one
(1) year prior to his death, such spouse shall receive 50% of the Participant's
accrued Normal Retirement Benefit for life reduced by 1% for each year in
excess of five (5) by which the Participant's age exceeded the spouse's age,
but with no reduction for early commencement. This benefit shall be payable for
the spouse's life but shall begin no earlier than the spouse's attainment of
fifty (50).

     Section 5.6  DISABILITY BENEFIT.  If a Participant incurs a Disability
after ten (10) years of Service and fails to qualify for a disability under the
AMI Executive Long-Term Disability Program, the Participant shall receive an
annual Disability Benefit, payable for life, in an amount equal to the accrued
Normal Retirement Benefit hereunder without reduction for early commencement of
payments.

     Section 5.7  VESTED BENEFIT.

                  (a)  A Participant is fully vested in his benefit hereunder
upon completion of ten (10) years of Service. A vested Participant who
terminates employment with AMI for a reason other than death, disability or
retirement is eligible for a Vested Benefit, payable for life, at age 65
equal to his accrued benefit hereunder based on his Pay and years of Service as
his termination of employment.

                  (b)  Benefits for a Participant who is entitled to a Vested
Benefit under this Section 5.7 shall commence on the beginning of the first
month following his 55th birthday, and shall be payable in a reduced amount as
provided in Section 5.4(a).

<PAGE>

                                     -13-


                  (c)  A Participant who terminates employment with AMI prior
to completing ten (10) years of Service shall not be entitled to any benefits
under this Plan.

     Section 5.8  FORM OF BENEFITS.  The annual benefit payable to a Participant
or his surviving spouse shall be paid in equal monthly installments on the
first day of each month commencing on his Normal Retirement Date, Early
Retirement Date, the date he incurs a Disability, or the date his surviving
spouse attains age fifty (50), whichever is applicable.


                                  ARTICLE VI

                                ADMINISTRATION


     The Plan shall be administered by the Compensation Committee. The duties of
the Compensation Committee will be determined by the Board of Directors. The
Compensation Committee shall have such powers as may be necessary to discharge
its duties hereunder.


                                  ARTICLE VII

                           MISCELLANEOUS PROVISIONS


     Section 7.1  AMENDMENT AND TERMINATION.  The Board of Directors may, by
resolution, in its absolute discretion, from time to time, amend, suspend, or
terminate in whole or in part, and if terminated reinstate, any or all of the
provisions of the Plan, except that no amendment, suspension, or termination
may apply so as to decrease Vested Benefits under the Plan which accrued prior
to the effective date of


<PAGE>

                                     -14-


such amendment, suspension or termination.  Any such amendment, suspension or
termination shall become effective on such date as shall be specified in such
resolution and, except as expressly limited in this Section 7.1, include such
provisions and have such effect as the Board of Directors, in its absolute
discretion, deems desirable.

     Section 7.2  NO GUARANTEE OF EMPLOYMENT.  Nothing contained in this Plan
shall be construed as a contract of employment between AMI and any employee, or
as a right of any employee to be continued in the employment of AMI, or as a
limitation of the right of AMI to discharge any of its employees, with or
without cause.

     Section 7.3  NON-ALIENATION OF BENEFITS.  Benefits payable under this Plan
shall not be subject in any manner to anticipation, alienation, sale, transfer,
assignment, pledge, encumbrance, charge, garnishment, execution or levy of any
kind, either voluntary or involuntary. Any unauthorized attempt to anticipate,
alienate, sell, transfer, assign, pledge, encumber, charge or otherwise dispose
of any right to benefits payable hereunder shall be void. No part of the assets
of AMI shall be subject to seizure by legal process resulting from any attempt
by creditors of or claimants against any Participant (or surviving spouse), or
any person claiming under or through the foregoing, to attach his interest
under the Plan.

     Section 7.4  LIABILITY.  No member of the Board of Directors or the
Compensation Committee shall be liable to any Participant, surviving spouse or
third party for any act or omission in exercising responsibilities pursuant to
this Plan.

<PAGE>

                                     -15-


     Section 7.5  INCAPACITY OF RECIPIENT.  In the event a Participant or
surviving spouse is adjudicated incompetent by a court having jurisdiction to
make such determination, payments which become due, in accordance with this
Plan, shall be made to the appointed guardian or conservator of such
Participant or surviving spouse. Any such payments shall be a complete
discharge of the liabilities of AMI under the Plan.

     Section 7.6  CONSTRUCTION.  The masculine gender, where appearing in the
Plan, shall be deemed to include the feminine gender; the singular may include
the plural; and vice versa, unless the context clearly indicates to the
contrary.

     Section 7.7  GOVERNING LAW.  The Plan shall be construed in accordance with
and governed by the laws of the State of California.

     Executed this 30th day of December, 1992, effective as of January 1, 1992.


                                       AMERICAN MEDICAL INTERNATIONAL, INC.

                                       By /s/ O.E. French
                                         --------------------------------------
                                              O.E. French

SWORN TO AND SUBSCRIBED BEFORE ME ON THIS THE 30th DAY OF DECEMBER, 1992.

                                       /s/ Phyllis Ballew Winters

                                       [SEAL]





<PAGE>



                                    AMENDMENT
                                       TO
                              EMPLOYMENT AGREEMENT


     THIS AMENDMENT is made and entered into as of this 10th day of December,
1992, by and between American Medical Holdings, Inc., a Delaware corporation
("AMH"), and Lawrence N. Kugelman ("Kugelman") and amends that certain Letter
of Understanding made and entered into as of October 30, 1992 by and between
Kugelman and AMH (the "Letter of Understanding").


                              W I T N E S S E T H:


     WHEREAS, AMH and Kugelman desire to amend the Letter of Understanding as
hereinafter provided.

     NOW, THEREFORE, in consideration of the mutual covenants contained herein,
the parties agree as follows:

     1.   The Letter of Understanding shall remain in full force and effect
except to the extent specifically amended hereby.  The Letter of Understanding
as amended hereby is hereinafter referred to as the "Employment Agreement."
Terms defined in the Letter of Understanding shall have like meanings when
used herein, unless the context otherwise requires.

     2.   A new Paragraph 3 is hereby added to the Employment Agreement as
follows:

          "3  CHANGE OF CONTROL.  Immediately upon the occurrence of any "Change
     of Control" (as defined below), Kugelman shall

<PAGE>

     be entitled to and shall fully vest in 100% of any and all amounts payable
     to his pursuant to AMI's Executive Incentive Compensation Plan (formerly
     known as the Short-Term Cash Incentive Plan) for services rendered by
     Kugelman through the date and for the fiscal year in which such Change of
     Control occurs, which amounts shall be calculated (with interest) as if
     any and all individual and AMH performance goals applicable to any such
     payments (whether to be made currently or on a deferred basis) had been
     achieved immediately prior to such "Change of Control." AMH shall be
     obligated to pay and hereby agrees to pay Kugelman any and all amounts
     due him pursuant hereto within 7 calendar days after the occurrence of
     any Change of Control.

For purposes of this Employment Agreement, a "Change of Control" shall be
deemed to have occurred if GKH Investments, L.P. shall sell, transfer, assign
or otherwise dispose of its direct ownership in all or a substantial
percentage of the equity securities of AMH held thereby as of August 22, 1991
or shall fail to either designate a majority of nominees or maintain a majority
of directors to serve on AMH's Board of Directors."

     3.   RENUMBERING.  Paragraphs 3 through 7 of the Letter of Understanding
are hereby renumbered as Paragraphs 4 through 8 of the Employment Agreement.

     4.   Paragraph 4 of the Employment Agreement is hereby amended in its
entirety as follows:

          "4.  OPTIONS.

          (a)  Upon execution of the appropriate option agreements by
     Kugelman, Kugelman shall be entitled to options to purchase (a) 100,000
     common shares of AMH common stock pursuant to the Non-Qualified
     Performance Stock Option Plan for Key Employees of American Medical
     Holdings, Inc. and Subsidiaries (the "Key Employees Plan") and (b)
     100,000 shares of common stock of AMH pursuant to the Non-Qualified
     Employees Stock Option Plan of American Medical Holdings, Inc. and
     Subsidiaries (the "Option Plan" and together with the Key

                                       -2-
<PAGE>

     Employees Plan, the "Option Plans"). Such options shall vest at 20% per
     year on the same terms as the options granted to other AMH executives.
     The exercise price for such options shall be the price at which the common
     shares of AMH were offered in the Public Offering of August 15, 1991.

          (b)  Notwithstanding anything to the contrary set forth in the
     foregoing subparagraph 4(a), Kugelman's option agreements or the Option
     Plans, in the event of the occurrence of any "Change of Control" (as
     defined in Paragraph 3 hereof), Kugelman shall vest in and be entitled
     to acquire 100% of the shares of Common Stock subject to any options
     theretofore granted to him but which have not been fully exercised,
     and all such options shall become fully exercisable immediately prior to
     (but conditional upon the occurrence of) any Change of Control.
     Furthermore, upon the occurrence of a Change of Control, Kugelman shall
     be entitled to receive as full consideration for, and in cancellation of,
     any such options, an amount not less than the excess, if any, of (i) the
     per share consideration payable pursuant to the terms of such Change of
     Control in respect of the Common Stock over (ii) the exercise price per
     share for all shares of Common Stock subject to such option, times the
     number of shares of Common Stock then remaining, subject to such option.

     5.   Paragraph 5 of the Employment Agreement is hereby amended in its
entirety as follows:

          "5.  SEVERANCE.

          (a)  In the event of the termination of Kugelman's employment as
     Executive Vice President of AMH for any reason other than "cause" (as
     defined in subparagraph (c) below), Kugelman shall be entitled to receive
     a one time lump sum payment in an amount equal to 12 months base
     compensation (excluding bonus) determined on the basis of his
     annual salary for AMH's fiscal year then most recently commenced (the
     "Severance Payment"). In the event such termination is a result of
     Kugelman's death or mental incapacity, the Severance Payment shall be
     made to Kugelman's estate or personal representative. The obligations of
     AMH under this subparagraph 5(a) shall be the only obligations of AMH and
     its subsidiaries for the payment of compensation (except as otherwise
     provided under applicable law) to Kugelman in the event of the termination
     of his employment as described in this subparagraph 5(a).

                                       -3-
<PAGE>

          (b)  In the event Kugelman voluntarily terminates his employment with
     AMH within 120 days after the occurrence of a Change of Control or in the
     event of his "Involuntary Termination" (as defined in subparagraph 5(d)
     hereof) within 12 months after the occurrence of a Change of Control,
     Kugelman shall be entitled to receive and AMH shall be obligated to pay to
     Kugelman, his estate or personal representative, the Severance Payment (in
     addition to any and all amounts due him pursuant to paragraphs 3 and 4
     hereof and any and all amounts due him under applicable law).  Any and all
     payments to be made to Kugelman pursuant to this subparagraph 5(b) shall
     be made within 14 calendar days after the effective date of Kugelman's
     voluntary termination or his Involuntary Termination.  The obligations of
     AMH referenced in this subparagraph 5(b) shall be the only obligations of
     AMH and its subsidiaries for the payment of compensation to Kugelman
     in the event of the termination of his employment as described in this
     subparagraph 5(b).

          (c)  For purposes of this Employment Agreement, Kugelman shall be
     deemed to be terminated for cause if his employment is terminated due to
     (i) the commission by Kugelman of an act of fraud or embezzlement
     (including the unauthorized disclosure of confidential or proprietary
     information of AMH or its subsidiaries), (ii) a conviction of Kugelman
     (including a NOLO CONTENDERE plea) involving in the good faith judgment of
     the Board of Directors of AMH, fraud, dishonesty or moral turpitude, (iii)
     willful misconduct as an employee of AMH or a subsidiary or (iv) the
     willful failure of Kugelman to render services to AMH or a subsidiary in
     accordance with his employment.

          (d)  For purposes of this Employment Agreement, an "Involuntary
     Termination" of Kugelman's employment with AMH shall be deemed to have
     occurred if:  (i) Kugelman's employment with AMH or its successor is
     terminated for any reason other than "cause"; (ii) Kugelman's total
     compensation, including benefits, is substantially reduced other than in
     connection with an across-the-board reduction similarly affecting all
     executives of AMH; (iii) the title, functions, duties, authority or
     responsibilities of Kugelman's present position are materially reduced or
     diminished; (iv) Kugelman is reassigned to another geographic location
     more than 50 miles from his current place of employment; or (v) AMH is
     liquidated, dissolved, consolidated or merged, or all or substantially all
     of its assets are transferred, assigned or sold, unless a successor
     assumes all of AMH's obligations under this Employment Agreement."

                                       -4-
<PAGE>


     6.   Paragraph 7 of the Employment Agreement is hereby amended in its
entirety as follows:

          "Subject to the terms of this Employment Agreement, Kugelman
     shall have the right to participate in all other employee plans and
     benefits currently existing or hereafter granted by AMH to its employees
     and, except for the AMH Supplemental Executive Retirement Plan (the
     "SERP"), all waiting periods will be waived to the full extent possible
     unless such waiver would require AMH to waive waiting periods for other
     employees. Kugelman shall be eligible to participate in all employee
     compensation and benefit plans customarily available to executive vice
     presidents."

     7.   INTEGRATION.  The Employment Agreement constitutes the entire
agreement of the parties hereto with respect to Kugelman's employment, and no
modification, amendment or waiver of any of the provisions of the Employment
Agreement shall be effective unless in writing and signed by both parties
hereto.

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


                                   AMERICAN MEDICAL HOLDINGS, INC.


                                   By: /s/ Robert W. O'Leary
                                       -----------------------------------------
                                        Its: Chairman and CEO
                                             -----------------------------------
Accepted and Agreed this 10th
day of December, 1992.

By: /s/ Lawrence N. Kugelman
    -------------------------------
    Lawrence N. Kugelman


                                       -5-



<PAGE>
                                                                      EXHIBIT 11

                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
                       COMPUTATION OF EARNINGS PER SHARE
                    (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                                   YEAR ENDED AUGUST 31,
                                                                            -----------------------------------
                                                                              1994         1993          1992
                                                                            --------      -------      --------
<S>                                                                         <C>           <C>          <C>
SIMPLE:
  Net income before extraordinary loss................................      $139,020      $66,969      $109,618
  Extraordinary loss on early extinguishment of debt..................        (1,909)     (25,431)       (9,997)
                                                                            --------      -------      --------
  Net income..........................................................      $137,111      $41,538      $ 99,621
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Average outstanding shares..........................................        77,143       76,760        76,645
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Simple earnings per share before extraordinary loss.................      $   1.80      $  0.87      $   1.43
  Extraordinary loss on early extinguishment of debt..................         (0.02)       (0.33)        (0.13)
                                                                            --------      -------      --------
  Simple earnings per share...........................................      $   1.78      $  0.54      $   1.30
                                                                            --------      -------      --------
                                                                            --------      -------      --------
PRIMARY:
  Net income..........................................................      $137,111      $41,538      $ 99,621
  Adjustment for interest on debentures, net of tax...................           297          280           254
                                                                            --------      -------      --------
    Net income for primary............................................      $137,408      $41,818      $ 99,875
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Average outstanding shares..........................................        77,143       76,760        76,645
  Common stock equivalents assuming exercise of stock options.........         1,914          819           564
  Common stock equivalents assuming conversion of debentures..........           210          210           210
                                                                            --------      -------      --------
  Shares for primary..................................................        79,267       77,789        77,419
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Primary earnings per share..........................................      $   1.73(1)   $  0.54(1)   $   1.29(1)
                                                                            --------      -------      --------
                                                                            --------      -------      --------
FULLY-DILUTED:
  Net income for primary..............................................      $137,408      $41,818      $ 99,875
  Adjustment for interest on debentures, net of tax...................           607          527           494
                                                                            --------      -------      --------
    Net income for fully-diluted......................................      $138,015      $42,345      $100,369
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Shares for primary..................................................        79,267       77,789        77,419
  Common stock equivalents assuming additional conversions of
   debentures and exercise of stock options...........................           623          902           369
                                                                            --------      -------      --------
  Shares for fully-diluted............................................        79,890       78,691        77,788
                                                                            --------      -------      --------
                                                                            --------      -------      --------
  Fully-diluted earnings per share....................................      $   1.73(1)   $  0.54(1)   $   1.29(1)
                                                                            --------      -------      --------
                                                                            --------      -------      --------
<FN>
- ------------------------
(1)  The  calculations for primary earnings per share and fully-diluted earnings
     per share are submitted in accordance with Regulation S-K Item 601 (b) (11)
     although it is  contrary to paragraph  40 of APB  Opinion No.15 because  it
     produces no material effect on dilution.
</TABLE>

<PAGE>

                                                                      EXHIBIT 24



                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 15, 1994

                                                  /s/ Robert W. O'Leary
                                                  ------------------------------
                                                  Robert W. O'Leary
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 17, 1994

                                                  /s/ Robert B. Calhoun
                                                  ------------------------------
                                                  Robert B. Calhoun
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 17, 1994

                                                  /s/ J. Robert Buchanan, M.D.
                                                  ------------------------------
                                                  J. Robert Buchanan, M.D.
                                                  Director
<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 15, 1994

                                                  /s/ John T. Casey
                                                  ------------------------------
                                                  John T. Casey
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 16, 1994

                                                  /s/ Harold S. Handelsman
                                                  ------------------------------
                                                  Harold S. Handelsman
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 15, 1994

                                                  /s/ Melvyn N. Klein
                                                  ------------------------------
                                                  Melvyn N. Klein
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 11, 1994

                                                  /s/ Harry J. Gray
                                                  ------------------------------
                                                  Harry J. Gray
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 11, 1994

                                                  /s/ Sheldon S. King
                                                  ------------------------------
                                                  Sheldon S. King
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 14, 1994

                                                  /s/ Dan W. Lufkin
                                                  ------------------------------
                                                  Dan W. Lufkin
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 11, 1994

                                                  /s/ William E. Mayer
                                                  ------------------------------
                                                  William E. Mayer
                                                  Director

<PAGE>

                                POWER OF ATTORNEY

     KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned Director of
American Medical Holdings, Inc., a Delaware corporation and American Medical
International, Inc., a Delaware corporation (collectively, the "Companies"),
hereby constitutes and appoints Alan J. Chamison, Michael N. Murdock, and Bary
G. Bailey, and each of them (with full power to each of them to act alone), his
true and lawful attorneys-in-fact and agents for him and on his behalf and in
his name, place, and stead, in any and all capacities, to sign the Annual Report
on Form 10-K to be filed by the Companies with the Securities and Exchange
Commission with respect to the Companies' fiscal year ended August 31, 1994, and
any and all amendments thereto, and any other documents in connection therewith
granting authority to do and perform each and every act and thing requisite and
necessary to be done in and about the premises in order to effectuate the same
as fully to all intents and purposes as he himself might or could do if
personally present, hereby ratifying and confirming all that said attorneys-in-
fact and agents, or either of them, or their substitute or substitutes, may
lawfully do or cause to be done by virtue hereof.  This power of attorney shall
terminate one year from the date hereof.

DATED:  November 11, 1994

                                                  /s/ Harold M. Williams
                                                  ------------------------------
                                                  Harold M. Williams
                                                  Director




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