FIRST MEDICAL GROUP INC
10-Q, 1999-08-16
ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES
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                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                    Form 10-Q

                   Quarterly Report Under Section 13 or 15(d)
                     of the Securities Exchange Act of 1934

       For Quarter Ended June 30, 1999     Commission File Number 1-155

                            FIRST MEDICAL GROUP, INC.

             (Exact name of Registrant as specified in its charter)


         Delaware                                           13-1920670
- --------------------------------------------------------------------------------
(State or other jurisdiction of                          (I.R.S. Employer
Incorporation or Organization)                          Identification No.)

  1055 Washington Boulevard, Stamford, CT                      06901
- --------------------------------------------------------------------------------
(Address of principal executive offices)                    (Zip Code)

Registrant's telephone number, including area code        (203) 327-0900
- --------------------------------------------------------------------------------

- --------------------------------------------------------------------------------
               Former name, former address and former fiscal year,
                 if changed since last report

Indicate by check mark whether the Registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the  Securities  and  Exchange Act of 1934
during the preceding 12 months (or for such shorter  period that the  Registrant
was  required  to file such  reports)  and (2) has been  subject to such  filing
requirements for the past 90 days.

                                                           YES X     NO
                                                              -----    -----

Indicate the number of shares  outstanding  of each of the  issuer's  classes of
common stock, as of the latest practicable date.

         Class                                  Outstanding at August 13, 1999
- -----------------------                         ------------------------------
Common Stock, par value                                    9,567,292
    $.001 per share


<PAGE>



                   FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES

                                      INDEX

                                                                        Page
                                                                       Number
                                                                       ------

Part I.       FINANCIAL INFORMATION

  Item 1.     Financial Statements

              Consolidated Statements of Operations -
              Six Months Ended June 30, 1999 and 1998....................3

              Consolidated Balance Sheets -
              June 30, 1999 and December 31, 1998........................4

              Consolidated Statements of Changes in
              Shareholders' Equity (Deficit) -
              Six Months Ended June 30, 1999 and 1998....................5

              Condensed Consolidated Statements of Cash Flows -
              Six Months Ended June 30, 1999 and 1998....................6

              Notes to Consolidated Financial Statements.................7

  Item 2.     Management's Discussion and Analysis of
              Financial Condition and Results of Operations...........8-12

  Item 3.     Quantitative and Qualitative Disclosures about
              Market Risk............................................12-13

Part II.      OTHER INFORMATION

   Item 1.    Legal Proceedings.........................................13

   Item 3.    Defaults upon Senior Securities........................13-14

   Item 6.    Exhibits and Reports on Form 8-K.......................12-13




                                      -2-
<PAGE>





                         PART I - FINANCIAL INFORMATION

FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)
<TABLE>
<CAPTION>
                                                    THREE MONTHS ENDED                   SIX MONTHS ENDED
                                                         JUNE 30,                            JUNE 30,
                                                         --------                            --------

                                                    1999          1998                 1999            1998
                                                    ----          ----                 ----            ----


<S>                                           <C>             <C>                <C>              <C>
Revenue                                       $    2,871      $    2,701         $    5,697       $    5,465

Cost of revenue                                    2,179           2,509              4,406            4,646
                                                  ------          ------             ------           ------

         Income from clinic operations               692             192              1,291              819

Operating expenses:
Salaries and benefits                                235              74                401              406
General and administrative                           324             284                421              517
Depreciation and amortization                         97              33                191               65
                                                  ------          ------             ------           ------
     Total operating expenses                        656             391              1,013              988

Income (loss)  from operations                        36            (199)               278             (169)
Interest income (expense),  net                       18             (28)                20              (97)
                                                  ------          ------             ------           ------

Income (loss) before income tax provision             54            (227)               298             (266)
Income tax provision (credit)                        (43)            165                139              327
                                                  ------          ------             ------           ------
Income (loss)  from continuing operations
before discontinued operations                        97            (392)               159             (593)

Discontinued operations:
Income (loss) from operations of
 discontinued physician management
 and electrical supply division                      225            (980)               450           (1,982)
Income on disposal of physician management
 and electrical supply division                       --           4,260                 --            3,669
                                                  ------          ------             ------           ------
Income from discontinued operations                  225           3,280                450            1,687
Cumulative effect of change in
 accounting principle                                 --              --                 --              970
                                                  ------          ------             ------           ------
Net income                                    $      322      $    2,888         $      609       $      124

Income per share - basic and diluted:
Income (loss) from continuing operations      $      .01      $     (.04)        $      .02       $     (.06)
Income from discontinued operations                  .02             .35                .04              .18
Cumulative effect of change in
 accounting principle                                 --              --                 --             (.10)
                                                  ------          ------             ------           ------
Income  per share                             $      .03      $      .31         $      .06       $      .02

Weighted average number of common
 shares outstanding-basic and diluted          9,567,292       9,448,292          9,567,292        9,422,651
</TABLE>


See accompanying notes to the consolidated financial statements.



                                      -3-
<PAGE>







FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
(IN THOUSANDS OF DOLLARS)
<TABLE>
<CAPTION>

                                                              June 30, 1999             December 31, 1998
                                                              -------------             -----------------

                           ASSETS

<S>                                                             <C>                         <C>
Current assets:
  Cash and cash equivalents                                     $    520                    $    909
  Accounts receivable, net of allowance
    for doubtful accounts of $80,000
    and $54,000 at June 30, 1999
    and December 31, 1998, respectively                              453                         471
  Inventories                                                        103                         117
  Prepaid expenses and other current assets                          540                         164
                                                                --------                    --------

         Total current assets                                      1,616                       1,661

Property and equipment, net                                          660                         603
Deferred tax asset                                                   658                         577
Intangible assets, net                                             2,244                       2,079
Other assets                                                          77                          72
                                                                --------                    --------

         TOTAL                                                  $  5,255                    $  4,992

         LIABILITIES AND SHAREHOLDERS' EQUITY

Current liabilities:
  Accounts payable                                              $    781                    $    852
  Accrued expenses                                                 1,340                       1,085
  Deferred revenue                                                   521                         689
  Notes payable and accrued interest payable                       1,359                       1,359
  Net liabilities of discontinued operations                         620                         981
                                                                --------                    --------

         Total current liabilities                                 4,620                       4,966

Commitments and contingencies

Shareholders' equity:
  Common stock, par value $.001; authorized
     shares 100,000,000; shares issued and
     outstanding 9,567,292 at June 30, 1999
     and December 31, 1998                                            10                          10
  Additional paid-in-capital                                       8,253                       8,253
  Accumulated deficit                                             (7,628)                     (8,237)
                                                                --------                    --------
         Total shareholders' equity                                  635                          26
                                                                --------                    --------

         TOTAL                                                  $  5,255                    $  4,992
</TABLE>


See accompanying notes to the consolidated financial statements.



                                      -4-
<PAGE>





FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN
   SHAREHOLDERS' EQUITY (DEFICIT)
(IN THOUSANDS OF DOLLARS)
(UNAUDITED)

<TABLE>
<CAPTION>
                                                                              Total
                                Number of      Common      Additional      Accumulated     Shareholders'
                                 Shares        Stock    Paid-in Capital     (Deficit)     Equity (Deficit)

<S>                             <C>             <C>         <C>             <C>               <C>
Balance, December 31, 1997      9,397,292       $  9        $ 8,084         $ (9,147)         $ (1,054)

Issuance of common stock          170,000          1            169               --               170

Net income                             --         --             --              124               124
                                ---------       ----        -------         --------          --------

Balance, June 30, 1998          9,567,292       $ 10        $ 8,253         $ (9,023)         $   (760)
                                =========       ====        =======         ========          ========



Balance, December 31, 1998      9,567,292       $ 10        $ 8,253         $ (8,237)         $     26

Net income                             --         --             --              609
                                ---------       ----        -------         --------

Balance, June 30, 1999          9,567,292       $ 10        $ 8,253         $ (7,628)         $    635
                                =========       ====        =======         ========          ========
</TABLE>


See accompanying notes to the consolidated financial statements.



                                      -5-
<PAGE>





FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS OF DOLLARS)
(UNAUDITED)
<TABLE>
<CAPTION>

                                                            Six Months Ended June 30,

                                                            1999                1998
                                                       ----------------------------------


Cash flows from operating activities:

<S>                                                       <C>                 <C>
Net income                                                $   609             $   124

Adjustments to  reconcile  net income to
  net cash used in continuing operating
  activities:
Depreciation and amortization                                 191                  65
Cumulative effect of change in accounting
  principle                                                    --                 970
Noncash compensation                                           --                 170
Increase in deferred tax asset                               ( 81)                 --
Increase in intangibles and other assets                     (263)                (56)
(Decrease) increase  in net liabilities
  of discontinued operations                                 (361)              1,179
Other changes, net                                           (330)                853
                                                          -------             -------

Net cash provide by (used in)  continuing operating
  activities                                                 (235)              3,305


Capital expenditures                                         (154)               (  9)

Repayment of loan payables and others                          --              (2,735)
                                                          -------             -------

(Decrease) increase in cash and cash equivalents             (389)                561

Cash and cash equivalents, beginning of year                  909               1,421
                                                          -------             -------
Cash and cash equivalents, end of the period              $   520             $ 1,982

                                                          =======             =======
</TABLE>


See accompanying notes to the consolidated financial statements.



                                      -6-
<PAGE>





FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
Notes to Consolidated Financial Statements

1.   BASIS OF PRESENTATION

The  financial  information  for the three  months and six months ended June 30,
1999 and 1998 is unaudited.  However,  the information  reflects all adjustments
(consisting solely of normal recurring adjustments) which are, in the opinion of
management, necessary for the fair statement of results for the interim periods.

Certain  information  and footnote  disclosures  normally  included in financial
statements prepared in accordance with generally accepted accounting  principles
have been condensed or omitted.  These consolidated  financial statements should
be read in conjunction  with the consolidated  financial  statements and related
notes included in First Medical Group,  Inc.'s (the "Company") December 31, 1998
Report on Form-10-K.

The results of  operations  for the three month and six month  period ended June
30, 1999 are not  necessarily  indicative  of the results to be expected for the
full year.

2.   EARNINGS PER SHARE

Earnings  (loss) per common share is calculated by dividing net income (loss) by
weighted average number of common shares for the period.  Dilutive  earnings per
share reflect,  in periods in which they have a dilutive  effect,  the effect of
common  shares   issuable  upon  exercise  of  stock  options  and  other  stock
equivalents.  For the periods presented,  there were no common stock equivalents
included in the calculation, since they would be anti-dilutive.

3.   SUPPLEMENTARY SCHEDULE

                                         1999           1998
                                           (in thousands)
                                           --------------

Cash paid during the six months
ended June 30, for:
Interest                                 $  --          $  52
Income taxes                               100            327






                                      -7-
<PAGE>





  Item 2.     Management's Discussion and Analysis of Financial
              Condition and Results of Operation

GENERAL

     Statements  made in  this  filing  about  management's  intentions,  hopes,
beliefs,   expectations  or  predictions  of  the  future  are   forward-looking
statements.  It is important to note that actual results could differ materially
from those  projected  in such  forward-looking  statements.  Factors that could
cause future results to vary materially from current  expectations  include, but
are not limited to  competition  in the health care  industry,  legislation  and
regulatory  changes,  changes in the economy and stability in the  international
markets in which the Company operates.

Financial Condition

CASH AND CASH  EQUIVALENTS.  At June 30, 1999, the Company had cash of $ 520,000
as compared to $ 909,000 at December  31,  1998.  The  decrease in cash and cash
equivalents  relates  primarily  to  $320,000  of  payments  made by the Company
relating to prepaid rent on the new Moscow clinic facility . The new facility is
scheduled to open in the fourth quarter of 1999.

PREPAID  EXPENSES AND OTHER CURRENT ASSETS.  Prepaid  expenses and other current
assets at June 30, 1999 was  $525,000  as  compared to $164,000 at December  31,
1998.  The  increase in prepaid  expenses and other  current  assets of $361,000
relates  mainly to prepaid  rent  deposits  of  $320,000  made by the Company in
connection with the construction of the new Moscow facility.

INTANGIBLE  ASSETS.  Intangible  assets  at June 30,  1999 was $2.2  million  as
compared to $2.1 million at December 31, 1998. The increase relates primarily to
a  non-compete  agreement  entered  into with a former  employee  of the Company
amounting  to  approximately  $258,000.  This amount is being  amortized  over a
period of five (5) years.

NET  LIABILITIES OF  DISCONTINUED  OPERATIONS.  Net  liabilities of discontinued
operations at June 30, 1999 was $620,000 as compared to $981,000 at December 31,
1998. The decrease in net liabilities is due to the settlement of certain claims
relating to discontinued  operations  which occurred during the first six months
of 1999.



                                      -8-
<PAGE>






Results of Operations
Second Quarter of 1999 in Comparison
with Second Quarter of 1998

     REVENUE.  Total  revenue of the Company for the three months ended June 30,
1999 and 1998 was $2.9 million and $2.7  million,  respectively,  an increase of
6%.  Patient  and dental  visits for the three  months  ended June 30, 1999 were
4,932  and  1,112  respectively,  as  compared  to 5,614 and 1,154 for the three
months ended June 30, 1998.  This represents a decrease of 682 patient visits or
12.2% and 32 dental visits or 2.8%,  for the second  quarter of 1999 as compared
to the second quarter of 1998.  This decrease is primarily  attributable  to the
Company's  outdated facility in Moscow,  Russia. As a result,  the Company is in
the process of constructing a new inpatient/outpatient facility in Moscow. These
decreases were offset by an increase of  approximately 3% in average patient per
diem charged for medical and dental  services in 1999.  Included in revenues for
the three months ended June 30, 1999 was $254,000  relating to  reimbursement of
legal  fees and  other  expenses  paid on  behalf  of the  Hospital  Corporation
International, Ltd. and American Medical Centers, Inc. litigation.

     COST OF REVENUES. Cost of revenues for the three months ended June 30, 1999
and 1998 was $2.2  million  and $ 2.5  million,  a decrease  of $330,000 or 13%,
respectively.  Cost of revenues as a percentage of revenue,  was 76% and 93% for
the three  months  ended  June 30,  1998 and 1997,  respectively.  The  decrease
relates to a reduction of staffing levels as a result of the decrease in visits.

     OPERATING EXPENSES. Operating expenses for the Company were $656,000 during
the three  months  ended June 30,  1999 as  compared  to $ 391,000  in 1998,  an
increase of $265,000 or 68%.  Operating  expenses as a percentage of revenue was
23% in 1999 as compared to 14% in 1997.  Included in operating  expenses for the
three months ended June 30, 1999 was approximately  $43,000 of additional salary
expense  incurred in connection  with the  construction  of the new facility and
$26,000 of additional  amortization  expense relating to the amortization of the
non-compete agreement.

     INCOME FROM DISCONTINUED  OPERATIONS.  Income from discontinued  operations
for the three  months  ended June 30, 1999 was $225,000 as compared to income of
$3.3 million for the three  months ended June 30, 1998.  Included in income from
discontinued  operations  for the three months ended June 30, 1998 was a gain of
$4.3  million  resulting  from  the  sale  of  the  Florida  physician  practice
management operations.

     NET  INCOME.  Net  income  for the three  months  ended  June 30,  1999 was
$322,000  as  compared  to $ 2.9  million  in the  second  quarter  of 1998  due
primarily  to the gain on sale of the Florida  managed care  operations  of $4.3
million  offset by the  losses of $ 1.0  million  incurred  in  connection  with
discontinued operations during the second quarter of 1998.



                                      -9-
<PAGE>







Results of Operations
First Half of 1999 in Comparision
with First Half of 1998

     REVENUE.  Total  revenue of the Company  for the six months  ended June 30,
1999 and 1998 was $5.7 million and $5.5  million,  respectively,  an increase of
4%.  Patient and dental visits for the six months ended June 30, 1999 were 9,993
and 2,132 respectively, as compared to 11,017 and 2,244 for the six months ended
June 30, 1998.  This  represents a decrease of 1,024 patient  visits or 9.3% and
112 dental  visits or 5%, for the first  half of 1999 as  compared  to the first
half of 1998. This decrease is primarily  attributable to the Company's outdated
facility  in Moscow,  Russia.  As a result,  the  Company  is in the  process of
constructing a new inpatient/outpatient facility in Moscow. These decreases were
offset by an increase of  approximately  3% in average  patient per diem charged
for medical and dental services in 1999. Included in revenues for the six months
ended June 30, 1999 was  $254,000  relating to  reimbursement  of legal fees and
other expenses paid on behalf of the Hospital  Corporation  International,  Ltd.
and American Medical Centers, Inc. litigation.

     COST OF  REVENUES.  Cost of revenues for the six months ended June 30, 1999
and 1998 was $4.4  million  and $4.6  million,  a decrease  of  $240,000  or 5%,
respectively.  Cost of revenues as a percentage of revenue,  was 77% and 85% for
the six months ended June 30, 1999 and 1998, respectively.

     OPERATING  EXPENSES.  Operating  expenses for the Company  were  $1,013,000
during the six months  ended June 30, 1999 as compared to $ 988,000 in 1998,  an
increase of $25,000 or 3%. Operating expenses as a percentage of revenue was 18%
in 1999 and 1998.

     INCOME FROM DISCONTINUED  OPERATIONS.  Income from discontinued  operations
for the six months  ended  June 30,  1999 was  $450,000  as  compared  to a $1.7
million for the six months  ended June 30,  1998.  The income form  discontinued
operations  for the six months  ended June 30,  1999  relates  primarily  to the
settlement of certain claims  relating to discontinued  operations.  Included in
income from discontinued operations for the six months ended June 30, 1998 was a
net  gain of $3.7  million  resulting  from the  sale of the  Florida  physician
practice management and electrical supply business.

     CUMULATIVE  EFFECT  OF A CHANGE IN  ACCOUNTING  PRINCIPLE.  The  cumulative
effect  of a change  in  accounting  principle  of $  970,000  reflected  in the
consolidated  statement of operations  during the six months ended June 30, 1998
relates to the  write-off of start-up  costs of certain  operations  pursuant to
Statement of Position 98-5.

     NET INCOME. Net income for the six months ended June 30, 1999 was $ 609,000
as compared to $124,000 for the six months ended June 30, 1998 due  primarily to
the factors noted above.





                                      -10-
<PAGE>







Liquidity and Capital Resources

     The  working  capital of the Company as of June 30, 1999 is at a deficit of
$3.0 million as compared to $3.3  million as of December 31, 1998.  The decrease
in the deficit of $301,000 relates  primarily to the obligation  incurred by the
Company in the amount of  $258,000  relating  to the  non-compete  offset by the
reduction of net  liabilities  of  discontinued  operations  resulting  from the
settlement of cetain claims.  Included in the working capital deficit as of June
30,  1999 are the notes  payable  and accrued  interest  of  approximately  $1.3
million of which the Company is unable to locate the note  holders.  The Company
intends  to reduce  such  deficit  by  raising  additional  funds  from  current
stockholders and other related parties.

     The  Company  is in  default  on the  payment  of  interest  (approximately
$969,000  interest was past due as of June 30,  1999) on the $390,000  aggregate
principal amount of its 13 1/2 % Senior Subordinated Notes due May 15, 1998 ("13
1/2 % Notes") and 14 7/8%  Subordinated  Debentures  due October 15, 1995,  ("14
7/8%  Debentures")  that  remain  outstanding  and were not  surrendered  to the
Company in connection with its financial restructuring  consummated in 1991. The
Company  has been  unable to locate the holders of the 13 1/2% Notes and 14 7/8%
Debentures (with the exception of certain of the 14 7/8% Debentures,  which were
retired  during  1996).  The  Company  believes  that any claim for  payment  of
interest  on  these  securities  is  precluded  by  the  applicable  statute  of
limitations.  The Company is currently  reviewing the legal status of the matter
to determine  its  obligations,  if any,  given that the note holders  cannot be
located.

     Subsequent to June 30, 1999, the Company  intends to enter into  agreements
to raise $1 million to $1.5 million from current  stockholders and other related
parties,  of which  $500,000  was advanced to the Company  August 12, 1999.  The
funds raised will be used to complete the American Hospital of Moscow Annex, the
Company's  new medical  facility in Moscow,  Russia.  In  addition,  the Company
intends to engage an investment  bank to assist it in raising an additional  $10
million to facilitate the Company's business plan.


Year 2000

     The Company is aware of the issues  related with the computer  systems that
could be  affected  by the "Year  2000." The Year 2000  problem is the result of
computer  programs being written using two digits rather than four to define the
applicable   year.  This  could  cause  those  systems  to  process  and  record
information incorrectly or possibly fail to function in the year 2000.

     The Company  primarily  uses general  business  applications  on a PC-based
system that are licensed by the same vendor.  These  applications  are Year 2000
compliant.  Should such systems not be fully  functional,  the Company  believes
that  reasonable  manual  alternatives  are available to produce such data.  The
Company  believes that such cost to perform these tasks are not considered to be
material.  The Company is in the process of testing a new billing and scheduling
system for its  clinic  operations.  The  Company  expects  to install  this new
program during the fourth quarter of 1999. Such system is Year 2000 compliant.



                                      -11-
<PAGE>




     The Company is in the process of  identifying  those vendors that it relies
on to supply  diagnostic test results relating to patient testing and to a small
group of third-party  payors.  The Company is in the process of sending inquires
to these vendors and third-party payors to ascertain compliance. If such vendors
do not reply or cannot  provide Year 2000  compliant  services,  the Company may
need to locate alternative sources for goods and services.

     The Company  believes that the most  reasonably  likely worse case scenario
with respect to the Year 2000 issues is the possibility  that medical  equipment
and systems used to diagnosis  patients will result in the Company  experiencing
difficulty in providing proper treatment to patients.  In addition,  the Company
also deals with numerous client customers and insurance  companies and such Year
2000 issues may result in delays in payment to the Company for services rendered
which could adversely affect the Company's results of operations and liquidity.

     The Company believes that it is taking  reasonable and adequate measures to
address Year 2000 issues.  However, there can be no assurance that the Company's
information  systems,  medical  equipment  and other  systems  will be Year 2000
compliant by December 31, 1999,  or that  suppliers  and  third-party  insurance
payors are, or will be Year 2000 compliant, or that the cost required to address
the Year 2000  issue will not have a material  adverse  effect on the  Company's
business,  financial  condition or results of  operations.The  Company's  clinic
operations  are located in Eastern  European  countries.  To the extent that the
Year 2000 problems  affect the  Company's  ability to provide  adequate  patient
care, the Company may cease  providing  such services to patients.  In addition,
failures of the  banking  system,  basic  utility  providers,  telecommunication
providers  and other  services as a result of Year 2000  problems,  could have a
material adverse effect on the ability of the Company to conduct its business.

  ITEM 3.     QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     There has been no  material  change  in the  quantitative  and  qualitative
disclosures about market risk since December 31, 1998.



                                      -12-
<PAGE>







                           PART II - OTHER INFORMATION

Item 1. Legal Proceedings

1.     On September 16, 1998, The Lehigh Group, Inc., now known as First Medical
       Group,  Inc. was sued along with other  defendants  in the United  States
       District  Court  of  Northern  Ohio  Western  Division  pursuant  to  the
       Comprehensive Environmental Response, Compensation and Liability Act. The
       plaintiffs have alleged that the Company is the  successor-in-interest to
       the Hilfinger Corporation (a defunct subsidiary of the Company) and claim
       that the Hilfinger  Corporation arranged for the disposal or treatment of
       waste  chemicals at one or more sites.  The Company  disputes  that it is
       such  successor-in-interest.  The plaintiffs are seeking damages, jointly
       and  severally,  against the  defendants  in excess of $25  million.  The
       occurrence  was  alleged  to have taken  place  during the period of 1950
       through 1972. The Company has put several insurance carriers on notice of
       this matter,  however no  determination  has been made regarding  whether
       there is insurance coverage.  The Company has retained counsel in Ohio to
       defend this claim.

       On or about January 7, 1999, the United States  Environmental  Protection
       Agency  ("USEPA")  forwarded  a  demand  to the  Company  and  the  other
       defendants for payment of USEPA'S response costs at the various landfills
       in an aggregate amount of approximately $792,000. A tolling agreement was
       entered  between  USEPA and the  Company,  and other  parties to toll the
       statute  of  limitations  until  August 1, 1999 to allow the  parties  to
       negotiate a  settlement.  The demand  asserts  that the  liability of the
       Company is joint and several.  To date, to the knowledge of the Company's
       counsel  handling  this matter,  no court action has been  instituted  by
       USEPA  against  the  Company  with  respect to this  matter.  The Company
       believes that it has no liability  with respect to this matter.  However,
       if this matter is adversely determined,  it could have a material adverse
       effect on the Company's financial condition.

2.     On or about June 26,  1998,  the  Company  was sued in the United  States
       District  Court for the Southern  District of Florida by  plaintiffs  who
       seek damages in connection with the sale of stock in Dominion  Healthnet,
       Inc. The  plaintiffs  claim they are entitled to this amount based upon a
       buy-out  agreement  the  plaintiffs   entered  into  with  First  Medical
       Corporation (a subsidiary of the Company) when the plaintiffs  sold their
       interest in  Dominion  Healthnet,  Inc.,  to First  Medical  Corporation.
       Subsequent  to June 30, 1999,  the Company has reached an agreement  with
       the plaintiffs to settle this claim for $165,000.

3.     In 1998 a claim was asserted against the Company by former consultants to
       the  Company  alleging  the  Company's  obligation  to pay  approximately
       $50,000 and provide further  consulting  contracts to the  complaintants.
       The Company does not believe that the final resolution of this claim will
       have any material adverse effect on the Company's financial condition.



                                      -13-
<PAGE>





4.     In 1998, a number of former  employees of the Company and its  affiliates
       presented  claims  against the Company in State  Court,  Miami,  Florida,
       claiming in excess of $300,000 for vacation and sick pay,  together  with
       benefits and  attorneys'  fees. The Company has settled with the majority
       of the plaintiffs for approximately $30,000.



Item 3. Defaults Upon Senior Securities

The Company continues to be in default in the payment of interest (approximately
$969,000  interest is past due as of June 30,  1999) on the  $390,000  principal
amount of 131/2% Notes and 14 7/8% Debentures.

Item 6. Exhibits and Reports on Form 8-K.

No reports on Form 8-K were filed during the quarter ended June 30, 1999.

EXHIBITS
- --------
3.1    Restated    Certificate   of   Incorporation   and   Amendments   thereto
       (incorporated by reference to the Registrant's Annual Report on Form 10-K
       filed on April 16, 1998).

3.2    Certificate of Amendment to Restated  Certificate of Incorporation  dated
       November 12, 1997  (incorporated by reference to the  Registrant's  Proxy
       Statement dated October 29, 1997).

3.3    Form of Certificate of Designation of the Series A Convertible  Preferred
       Stock  (incorporated by reference to Appendix B of the Registrant's Proxy
       Statement  contained in  Pre-Effective  Amendment No. 5 to the Registrant
       Registration  Statement on Form S-1 (previously  Form S-4) dated June 26,
       1997).

3.4    Amended  and  Restated  By-Laws  of the  Registrant,  as  amended to date
       (incorporated by reference to Exhibit 3 (ii) to the Registrant's  Current
       Report on Form 8-K dated July 17, 1996).

4.1    Form of Indenture, dated as of October 15, 1985, among Registrant,  NICO,
       Inc.  and J. Henry  Schroder  Bank & Trust the  Registrant,  as  Trustee,
       including  therein the form of the subordinated  debentures to which such
       Indenture  relates  (incorporated  by  reference  to Exhibit 4 (a) to the
       Registrant's Current Report on Form 8-K dated November 7, 1985).




                                      -14-
<PAGE>





4.2    Amendment  to  Indenture  dated as of March  14,  1991  (incorporated  by
       reference to Exhibit (b) (2) to  Registrant's  Annual Report on Form 10-K
       for the year ended December 31, 1990).

4.3    Indenture dated as of March 15, 1991 (the "Class B Note Indenture") among
       the Registrant,  NICO, the guarantors  signatory thereto, and Continental
       Stock  Transfer  and Trust the  Registrant,  as Trustee,  to which the 8%
       Class B Senior Secured  Redeemable  Notes due March 15, 1999 of NICO were
       issued together with the form of such Notes (incorporated by reference to
       Exhibit 4 (i) to the Registrant's Annual Report on Form 10-K for the year
       ended December 31, 1990).

4.4    First  Supplemental  Indenture  dated as of May 5, 1993  between NICO and
       Continental  Stock Transfer & Trust the Registrant,  as trustee under the
       Class B Note Indenture (incorporated by reference to Exhibit 4 (h) to the
       Registrant's  Annual Report on Form 10-K for the year ended  December 31,
       1993).

4.5    Form of indenture between the Registrant, NICO and Shawmut Bank, N.A., as
       Trustee, including therein the form of Senior Subordinated Note due April
       15, 1998  (incorporated  by reference to Exhibit 4 (b) to Amendment No. 2
       to the  Registrant's  Registration  Statement  on Form S-2  dated May 13,
       1988).

10.0   Employment Agreement,  dated as of April 1, 1999, by and between American
       Medical Centers Management Company, Ltd. and George D. Rountree.

11.0   Statement re: computation of per share earnings  (incorporated  herein by
       reference to the notes to consolidated financial statements).

27.0   Financial Data Schedule






                                      -15-
<PAGE>




                                   SIGNATURES
                                   ----------



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



                                           FIRST MEDICAL GROUP, INC.



                                           By: /s/ Elias M. Nemnom
                                               ------------------------------
                                               Elias M. Nemnom
                                               Senior Vice President and
                                               Chief Financial Officer



Dated:  August 13, 1999








                                      -16-
<PAGE>








                              EMPLOYMENT AGREEMENT

         This  EMPLOYMENT  AGREEMENT  (this  "Agreement"),  dated as of April 1,
1999,  is  made  and  entered  into  by and  between  AMERICAN  MEDICAL  CENTERS
MANAGEMENT COMPANY, LTD. ("AMCMC"),  an international business company organized
under the laws of the British  Virgin  Islands  (AMCMC shall also be referred to
from  time to time  herein  as the  "Employer"),  and  George  D.  Rountree,  an
individual residing at Siraci Sok, Istanbul Turkey (the "Executive").

         WHEREAS,  the  Employer  desires  to  employ  the  Executive,  and  the
Executive  desires to accept such  employment,  in the capacity and on the terms
and conditions hereinafter set forth.

         NOW,  THEREFORE,  in  consideration  of the  premises  and  the  mutual
covenants  and  agreements  contained  herein,  and for other good and  valuable
consideration, the receipt and sufficiency of which hereby are acknowledged, the
parties agree as follows:

         1.  EMPLOYMENT.  The  Employer  shall  employ  the  Executive,  and the
Executive  hereby  accepts such  employment  as the Chief  Executive  Officer of
AMCMC.  In addition,  the Employer shall serve,  effective April 1, 1999, as the
President and Chief Operating  Officer of AMCMC's  parent,  First Medical Group,
Inc., a Delaware corporation ("FMG"). Except as otherwise provided in Section 7,
the Executive is employed with the Employer and FMG "at will," which means that,
subject  to said  Section  7,  the  Employer  or FMG is free  to  terminate  the
Executive's  employment  with cause and the Executive is free to resign from the
Employer  or FMG at any time,  in each case with  written  notice as provided in
Section 7 hereof.

         2.  TERM  OF  EMPLOYMENT  AND  RENEWALS.   The  Executive's  employment
hereunder shall become  effective as of April 15, 1999 (the  "Effective  Date"),
and shall  continue  until the three (3) year  anniversary of the Effective Date
(the "Term"),  subject to the  provisions  for earlier  termination  provided in
Section  7  herein.  Notwithstanding  the  foregoing,  effective  on  the  third
anniversary  of  the  Effective   Date  (and  each   anniversary  of  such  date
thereafter), the term of this Agreement as then in effect shall be automatically
extended for an additional one (1) year unless,  at least three (3) months prior
to such date,  the Employer or the  Executive  shall give written  notice to the
other  party  that it or he, as the case may be, in its or his sole  discretion,
does not wish to so extend the term of this Agreement.

         3.  DUTIES OF THE EXECUTIVE.  During the Term, the Executive shall have
all duties and  responsibilities  customarily  associated  with the positions of
Chief Executive  Officer of AMCMC and President and Chief  Operating  Officer of
FMG, subject to the


<PAGE>


other  sections  of this  Agreement.  The  Executive  will work in an  executive
capacity  and  will  report  to  the  Board  of  Directors  of  AMCMC  and  FMG,
respectively,  (collectively the "Boards") and/or to any other individual member
or  members  of the  Boards  designated  from time to time by such  Boards.  The
Executive  will assist the Boards in charting the  strategic  goals of AMCMC and
FMG. The Executive  shall be vested with such powers as the Boards may assign to
him from time to time. The Executive  agrees that he shall at all times,  during
business  hours,  faithfully,  industriously,  and to the  best of his  ability,
experience  and talents,  perform all duties as may be lawfully,  reasonably and
ethically  assigned to him from time to time by the Boards under this Agreement,
including by illustration and not limitation,  being Chief Executive  Officer of
all FMG operations in Europe and Middle Asia and being Chief  Operating  Officer
of FMG.

         Furthermore, the Executive agrees that he shall at all time observe all
rules and  policies  as the  Employer  or FMG may from  time to time  reasonably
establish. The Executive shall devote substantially all of his business time and
attention to the business  affairs of AMCMC and FMG and shall use his reasonable
best  efforts  to  perform  such  duties  and  responsibilities  faithfully  and
efficiently.  The Executive  shall travel as the Employer or FMG  reasonably may
require;  provided,  however,  that, in general,  the Executive will perform his
services hereunder in the Employer's offices in Istanbul, Turkey.

         4.  COMPENSATION.  The  Employer  shall  compensate  the  Executive  as
follows:

         (A)  COMPENSATION.  For the  duration of this  Agreement,  the Employer
shall pay to the Executive a base salary ("Base  Compensation")  of $175,000 per
year. In 1999,  Base  Compensation  shall be payable (I) during the period April
15,1999 through June 30, 1999, at the rate of $4,000 per month (prorated for any
portion  of a  calendar  month)  and (ii) for the  period  July 1, 1999  through
December 31, 1999, at the rate of $14,583.33 per calendar month. Thereafter, the
Base Compensation  shall be payable in equal amounts each month on an annualized
basis in accordance with the Employer's customary practices for its employees.

         (B) START-UP BONUS. The Executive shall be entitled to a start-up bonus
not to exceed  $100,000.  The first $10,000 shall be payable to the Executive on
April 15,  1999.  Payment of the  remaining  $90,000 to the  Executive  shall be
contingent on the Executive's  continued  employment with the Employer and there
existing  no event of Cause (as  defined in Section 7 below) for the  removal of
the Executive.  Subject to the foregoing, the remaining $90,000 shall be payable
as follows:  $40,000  payable on July 1, 1999 and $25,000  payable on October 1,
1999 and $25,000 payable on January 1, 2000.




                                       2
<PAGE>





         (C) STOCK  OPTIONS.  Promptly  after the Effective  Date, the Executive
will be granted  25,000  options for the  purchase of FMG Common  Stock with the
opportunity to earn (and/or  purchase) more as the company expands and increases
it financial position.  These stock options shall be granted to the Executive in
lieu of paying matching funds for a  retirement/pension  plan of the Employer or
FMG.

         5.  EXECUTIVE  BENEFITS.  The  Executive  shall  receive the  following
benefits:

         (A) IN GENERAL.  During the Term,  the  Executive  shall be eligible to
receive such  perquisites and to participate in such employee benefit plans that
the Employer or FMG may provide to the Executive,  including but not limited to,
the  Employer's  life,  short-term and long-term  disability,  health and dental
insurance  plans;  subject in each case to the  generally  applicable  terms and
conditions of the plan or program in question and to the  determinations  of any
person or committee administering such plan or program.

         (B) BUSINESS EXPENSES.  The Executive is authorized to incur reasonable
expenses in order to promote the  business  of the  Employer or FMG,  including,
without limitation,  for travel, lodging and entertainment.  The Executive shall
maintain  adequate records of such expenses (to the extent in excess of $75.00).
The Employer or FMG shall  reimburse the  Executive,  upon  presentation  by the
Executive of an itemized account of such expenditures,  to the extent consistent
with the Employer's or FMG's policies.  The Executive will repay to the Employer
or FMG the amount of any  expenses,  if any,  for which he has been  reimbursed,
which are personal in nature and not for business purposes.

         (C) PAID HOLIDAYS AND VACATION. The Executive shall be entitled to take
paid  holidays as  specified  by the  Employer  from time to time for all of the
Employer's  employees and twenty (20) working days of vacation time during which
time the Executive's Base Compensation shall be paid to him. The Executive shall
determine his vacation periods consistent with the Employer's needs.

         (D)  AUTOMOBILE.  To  facilitate  the  performance  of the  Executive's
responsibilities   hereunder,  the  Employer  shall,  during  the  term  of  the
Executive's  employment,  pay to  employee  $200.00 a month to be applied by the
Executive toward the cost of operating,  maintaining and garaging his automobile
and other such related costs.




                                       3
<PAGE>





         (E) HOUSING.  At an agreed time during the Term, the Executive shall be
entitled to a housing  allowance as may be mutually  agreed to be applied to the
cost of maintaining a domicile for the Executive.

         6.  EXECUTIVE'S COVENANTS.

         (A) NON-COMPETE. During the term of the Executive's employment, and for
a period of one (1) year thereafter, the Executive shall not, either directly or
indirectly,  for his own  account  or as agent,  servant  or  employee,  or as a
controlling  shareholder,  general  partner,  or  director  of any  corporation,
compete  with  the  business  of  the  Employer  or  FMG  in  the   acquisition,
organization,  management  and/or  provision  of medical or dental  health  care
services  ("Competitive  Activity").  This  covenant  does not have a geographic
restriction  because the  Executive,  the Employer and FMG agree that due to the
nature of the Employer's and FMG's business throughout Europe, the United States
and Middle Asia, the location of any person engaging in a Competing  Activity is
irrelevant to the Executive's  ability to injure the Employer or FMG through his
association with such entity.

         (B) TRADE SECRETS.  The Executive  recognizes  that the Employer and/or
FMG have  acquired  and  developed  and will  continue  to acquire  and  develop
confidential  information and trade secrets which are and will continue to be of
great and unique value to the  Employer  and/or FMG and which are now or will be
used in the Employer's  and/or FMG's  business  including,  without  limitation,
information  and data regarding the Employer's  and/or FMG's pricing,  products,
vendors, customers, patients and employees,  marketing strategies, and financial
information (hereinafter singly or collectively referred to as "Trade Secrets").
The Trade Secrets  heretofore and hereafter learned or received by the Executive
shall be kept and maintained by him as confidential and in complete secrecy, and
for the sole use and benefit of the Employer and/or FMG, as the case may be, and
the Executive shall not disclose to any third party any of such Trade Secrets at
any time during or after his employment hereunder;  provided,  however, that any
such  Trade  Secrets  may be  disclosed  by the  Executive  (a) if they cease to
qualify  as trade  secrets  under  applicable  law or have  become  known by the
public,  or (b) as  required  by law.  The  Executive  will  use all  reasonable
measures to prevent  the  unauthorized  use or  disclosure  of Trade  Secrets by
others.  These measures include strict compliance with all procedures  developed
by the Employer and/or FMG to protect such information.

         (C) OUTSIDE  ACTIVITIES.  The  Executive  shall use his best efforts to
apprise  and  review  with  the  Boards,  within  a  reasonable  time  prior  to
dissemination,  the text of any speech,  professional paper,  article or similar
formal  communication  created by the Executive  which relates to the Employer's
and/or FMG's present or future




                                       4
<PAGE>




business,  development or marketing endeavors.  The Executive shall use his best
efforts not to make public  statements  regarding  issues of corporate policy or
public policy inconsistent with positions of the Employer and/or FMG. The Boards
will determine whether any Trade Secrets are contained in the communication, and
will  notify  the  Executive  if  the  dissemination  of  the  communication  is
prohibited under the terms of this Agreement.

         (D) OWNERSHIP OF TRADE  SECRETS;  RETURN OF MATERIALS.  Trade  Secrets,
including  those which are  produced by the Employer  and/or FMG, all  materials
embodying Trade Secrets, and all copies thereof, will remain the property of the
Employer  and/or FMG, as the case may be. At the  termination of the Executive's
employment  with the  Employer  and/or  FMG,  or at the  written  request of the
Employer and/or FMG, at any time, the Executive will immediately  deliver to the
Employer  and/or FMG,  as the case may be, all  materials,  and copies  thereof,
which are in the  Executive's  possession  or control  and which  contain or are
related in any way to any Trade Secrets.

         (E)  NON-SOLICITATION.  During the term of the Executive's  employment,
and for period of one (1) year thereafter,  the Executive will not,  directly or
indirectly,  solicit or contact  any  employee  of the  Employer  and/or FMG who
remains  employed by the Employer and/or FMG, as the case may be, at the time of
the Executive's  termination of employment with the Employer (or any employee of
the Employer at an equivalent  level of seniority who is employed at the time of
the  Executive's  termination  of employment  with the Employer)  with a view to
inducing or encouraging such employee to leave the employ of the Employer or FMG
for the purpose of being hired by the Executive, an employer affiliated with the
Executive or any person engaged in a Competitive Activity.

         (F) PRE-EXISTING OBLIGATIONS.  The Executive hereby represents that the
Executive  is not  bound by any  prior  agreements  or  obligations  that  would
restrict in any way the  Executive's  entitlement  to enter into this  Agreement
with the Employer  and/or FMG. The Executive  represents  that the Executive has
disclosed to the Employer and FMG the  existence  and contents of all  covenants
not to compete that the Executive  has entered into with any other  entity.  The
Executive's  continuing  active  role as Advisor  to the  American  Hospital  of
Istanbul and as a member of the  American  Hospital  Executive  Committee of the
Vehbi Koc Foundation has been fully  disclosed to the Employer and to FMG and it
is agreed by Employer and FMG that these  activities are  complementary  and not
competing with the functions and activities of FMG and the Employer.

         (G) ASSIGNMENT OF PROPRIETARY RIGHTS. The Executive agrees that any and
all proprietary rights and intellectual property,  including without limitation,
trade




                                       5
<PAGE>




names,  trademarks,  service  marks and brand names,  conceived,  discovered  or
created by him during the Term,  directly or indirectly  related to any business
or activity in which the  Executive  is engaged at the time of such  conception,
discovery or creation,  shall belong to the Employer and/or FMG, as the case may
be. The Executive shall, upon request while employed or after termination of his
employment,  without cost to himself execute any and all copyright and trademark
applications  and/or assignments  transferring any rights the Executive may have
in such intellectual property to the Employer and/or FMG, as the case may be. At
the Employer's expense, the Executive shall do all other things requested by the
Employer to perfect the  Employer's  and/or FMG's right in all such  proprietary
rights and/or intellectual property.

         7. TERMINATION OF EMPLOYMENT. Termination of the Executive's employment
may occur under any of the following circumstances:

         (A) Expiration of Term. The  Executive's  employment  will terminate if
the Term  provided for under Section 2 expires upon the election of either party
not to renew the term.

         (B) The Employer's or FMG's Termination of Employment.  The Employer or
FMG has the right to terminate  the  Executive's  employment  at any time,  with
Cause.  In the case of termination of the Executive with Cause,  the Employer or
FMG, as the case may be, shall provide the Executive  with sixty (60) days prior
written notice. For all purposes under this Agreement, "Cause" shall mean:

                  (i) a material  and  willful  breach by the  Executive  of his
         obligations  under this  Agreement,  and,  if such breach is capable of
         being cured,  the failure of the  Executive to cure such breach  within
         ten  (10)  days of  notice  thereof  from  the  Employer  or FMG to the
         Executive;

                  (ii) a willful misconduct by the Executive with respect to the
         business or affairs of the Employer or FMG which has a material adverse
         effect on the Employer, FMG or their respective businesses;

                  (iii)  the  conviction  of the  Executive  of,  or a  plea  of
         "guilty" or "no  contest" to, a felony or other crime  involving  moral
         turpitude; or

                  (iv) a  material  breach of any duty owed to the  Employer  or
         FMG,  including  the duty of loyalty and the  provisions  contained  in
         Section 6 hereof.




                                       6
<PAGE>





         No act, or failure to act, by the  Executive or the  Employer  shall be
considered   "willful"  unless  committed  without  good  faith  and  without  a
reasonable belief that the act or omission was lawful and in the Employer's best
interest.

         (C) THE  EXECUTIVE'S  TERMINATION OF EMPLOYMENT.  The Executive has the
right to terminate  the  Executive's  employment  with the Employer at any time,
with or without  cause.  The Executive  agrees to provide sixty (60) days' prior
written  notice of  termination  to the  Employer.  The Employer may in its sole
discretion select any date prior to the end of such sixty (60) day notice period
as the date the Executive's employment will terminate.

         (D) DEATH OR DISABILITY.  The Executive's employment shall be deemed to
have been terminated by the Executive upon the Executive's death or inability to
perform the  Executive's  duties under this Agreement for more than fifteen (15)
weeks, whether or not consecutive,  in any twelve-month period. Termination will
be effective upon the occurrence of such event.

         (E) ACCRUED  COMPENSATION.  Upon the effective date of the  Executive's
voluntary termination of employment or the termination by the Employer for cause
of  Executive's  employment  with the Employer  (the  "Termination  Date"),  the
Executive will not be eligible for further compensation, benefits or perquisites
under  Sections 4 and 5 of this  Agreement,  other than those that have  already
accrued,  such accrued  compensation to be delivered to the Executive within ten
(10)  business  days  of the  Termination  Date.  Upon  the  effective  date  of
termination of the Executive's employment for any other reason (the "Termination
Date"),  the Executive  shall be eligible to receive  severance pay in an amount
not less than an amount  equivalent to one (1) month's  salary for every one (1)
year of service,  such lump sum to be paid to the Executive within ten (10) days
of Termination Date.

         8. GOVERNING  LAW. This  Agreement  shall be governed by, and construed
and enforced in  accordance  with,  the laws of the State of  Delaware,  without
regard to its principles of conflicts of law or choice of law.

         9. NO ASSIGNMENT.  This Agreement  shall inure to the benefit of and be
binding upon the parties  hereto and their  respective  heirs,  representatives,
successors  and assigns.  The Employer shall use its best efforts to assign this
Agreement  to,  and  to  cause  its  assumption  by,  any  successor  to  all or
substantially  all of the assets of the  Employer.  The Executive may not assign
this Agreement, either voluntarily or involuntarily.




                                       7
<PAGE>





         10.  CHANGES AND  MODIFICATIONS.  This  Agreement  cannot be changed or
modified except in writing duly signed by the Executive and the Employer.

         11. NOTICES. Any and all notices and other communications  provided for
herein shall be given in writing and either  mailed by certified  mail,  postage
prepaid,  return receipt requested,  or by overnight delivery service, and shall
be addressed:

                  (i) in the case of the Executive,  to him at his  above-stated
         address.

                  (ii) in the case of the  Employer,  to Stamford,  Connecticut,
         Attention:  Dennis A. Sokol,  with a copy  thereof to Patton Boggs LLP,
         2550 M Street, N.W., Washington, DC 20037, Attn: John H. Vogel, Esq.

         12. ENTIRE AGREEMENT.  This Agreement contains the entire understanding
and accord between the parties relating to the subject hereof.

         13. SEVERABILITY.  If any provision of this Agreement or any portion of
such provision,  or the application thereof to any of the parties hereto,  shall
to any extent be held invalid or unenforceable,  the remainder of this Agreement
or the remainder of such  provision and the  application  thereof to such party,
other than those as to which it is held invalid or  unenforceable,  shall not be
affected  thereby,  and each term and provision of this Agreement shall be valid
and enforceable to the fullest extent permitted by law.

         14. WAIVER.  The failure of a party to insist upon strict  adherence to
any term of this  Agreement  on any  occasion  shall not be  considered a waiver
thereof or deprive  that party of the right  thereafter  to insist  upon  strict
adherence to that term or any other term of this Agreement.

         15.  COUNTERPARTS.  This  Agreement  may be  executed  in any number of
counterparts,  each of which is  deemed  to be an  original,  and all of  which,
together, will constitute one and the same instrument.

         16.  CAPTIONS.  The  captions  of the  Sections of this  Agreement  are
inserted for convenience only and shall not constitute a part of this Agreement.



                                       8
<PAGE>





         IN WITNESS  WHEREOF,  the  Employer  has caused  this  Agreement  to be
executed and the Executive has signed and dated this Agreement.


                                             AMERICAN MEDICAL CENTERS
                                             MANAGEMENT COMPANY, LTD.

  Date:                                      By: /s/ Dennis A. Sokol
        ---------------                         ----------------------------
                                             Name:    Dennis A. Sokol
                                               Title: Chairman

  Date:                                          /s/ George D. Rountree
        ---------------                         ----------------------------
                                               George D. Rountree


      ACKNOWLEDGED  and  Accepted  with  respect  solely  to the  provisions  of
      sections 1, 2, 3, 4(C), 5, 6, 7 and 8 of the foregoing Agreement.


                                             FIRST MEDICAL GROUP, INC.

                                             By:  /s/ Dennis A. Sokol
                                                ----------------------------
                                             Name:    Dennis A. Sokol
                                               Title: Chairman


                                       9


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE COMPANY'S
FINANCIAL  STATEMENTS  CONTAINED IN THE COMPANY'S  10-Q FOR THE SIX MONTHS ENDED
JUNE 30, 1999 AND IS QUALIFIED  IN ITS  ENTIRETY BY REFERENCE TO SUCH  FINANCIAL
STATEMENTS.
</LEGEND>
<CIK>                         0000058526
<NAME>                        First Medical Group, Inc.
<MULTIPLIER>                                   1,000

<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                              DEC-31-1999
<PERIOD-START>                                 JAN-01-1999
<PERIOD-END>                                   JUN-30-1999
<CASH>                                                 520
<SECURITIES>                                             0
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