NATIONAL MEDICAL ENTERPRISES INC /NV/
S-4, 1995-01-30
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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<PAGE>
    AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON JANUARY 30, 1995

                                                      REGISTRATION NO. 33-
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                         ------------------------------
                                    FORM S-4
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                            ------------------------
                       NATIONAL MEDICAL ENTERPRISES, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)

         NEVADA                      8062                    95-2557091
     (State or other           (Primary standard          (I.R.S. Employer
     jurisdiction of              industrial             Identification No.)
    incorporation or          classification code
      organization)                 number)

                              2700 COLORADO AVENUE
                         SANTA MONICA, CALIFORNIA 90404
                                 (310) 998-8000
              (Address, including zip code, and telephone number,
       including area code, of Registrant's Principal Executive Offices)

                              SCOTT M. BROWN, ESQ.
                             SENIOR VICE PRESIDENT,
                         GENERAL COUNSEL AND SECRETARY
                       NATIONAL MEDICAL ENTERPRISES, INC.
                              2700 COLORADO AVENUE
                         SANTA MONICA, CALIFORNIA 90404
                                 (310) 998-8000
           (Name, address, including zip code, and telephone number,
                   including area code, of agent for service)
                         ------------------------------

                        COPIES OF ALL COMMUNICATIONS TO:

  THOMAS C. JANSON, JR.    STEPHEN D. SILBERT, ESQ.    CHARLES E. GERBER, ESQ.
     SKADDEN, ARPS,           CHRISTENSEN, WHITE,      NEAL GERBER & EISENBERG
  SLATE, MEAGHER & FLOM             MILLER,           TWO NORTH LA SALLE STREET
 300 SOUTH GRAND AVENUE          FINK & JACOBS         CHICAGO, ILLINOIS 60602
 LOS ANGELES, CALIFORNIA   2121 AVENUE OF THE STARS        (312) 269-8000
          90071             LOS ANGELES, CALIFORNIA
     (213) 687-5000                  90067
                                (310) 553-3000

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

    APPROXIMATE  DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: As soon as
practicable after this  Registration Statement becomes  effective and all  other
conditions   under   the  Merger   Agreement   (described  in   the  Information
Statement/Prospectus herein) are satisfied or waived.
                         ------------------------------

    If the  securities  being registered  on  this  Form are  being  offered  in
connection  with the formation of a holding company and there is compliance with
General Instruction G, check the following box. / /
                         ------------------------------

                        CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
                                                                              PROPOSED            PROPOSED
                                                           AMOUNT             MAXIMUM             MAXIMUM            AMOUNT OF
              TITLE OF EACH CLASS OF                       TO BE           OFFERING PRICE        AGGREGATE          REGISTRATION
            SECURITIES TO BE REGISTERED                REGISTERED (1)      PER SHARE (2)     OFFERING PRICE (2)       FEE (3)
<S>                                                  <C>                 <C>                 <C>                 <C>
Common Stock, par value $0.075 per share...........      13,342,156            $24.44         $776,386,384.28        $59,590.88
<FN>
(1)   The number of shares of common stock, par value $0.075 per share (the "NME
      Common Stock"), of National  Medical Enterprises, Inc. (the  "Registrant")
      to  be  registered  has  been  determined based  on  (a)  the  sum  of (i)
      29,999,383 shares of  common stock,  par value  $.01 per  share (the  "AMH
      Common Stock"), of American Medical Holdings. Inc. ("AMH") outstanding and
      not  held by the Registrant  or its subsidiaries or  any of the parties to
      the   Stockholder   Agreements    (as   defined    in   the    Information
      Statement/Prospectus), (ii) 186,054 shares of AMH Common Stock issuable to
      holders   of  AMI  9  1/2%  Convertible  Debentures  (as  defined  in  the
      Information Statement/Prospectus),  (iii)  361,400 shares  of  AMH  Common
      Stock issuable to holders of AMI 8 1/4% Convertible Debentures (as defined
      in   the  Information  Statement/Prospectus)  and  (iv)  1,220,200  shares
      issuable to certain holders of AMH stock options and (b) an exchange ratio
      of 0.42 shares of NME Common Stock for each share of AMH Common Stock,  as
      provided in the Merger Agreement.
(2)   Estimated solely for purposes of calculating the registration fee pursuant
      to  Rule  457(f)(1)  of  the  Securities  Act  of  1933,  as  amended (the
      "Securities Act"). Pursuant to Rule 457, with respect to the shares of NME
      Common Stock being exchanged pursuant to the Merger Agreement, the maximum
      offering price per share is $24.44, the average of the high and low  sales
      price  of  a share  of AMH  Common Stock  reported on  the New  York Stock
      Exchange on January 25, 1995, and the maximum aggregate offering price  is
      the  product of $24.44 and 31,767,037, the maximum number of shares of AMH
      Common Stock to be acquired by the Registrant or cancelled pursuant to the
      Merger Agreement.
(3)   The registration  fee  for  the  securities  registered  hereby  has  been
      calculated  pursuant to Section 6(b) of the Securities Act and Rule 457(f)
      promulgated thereunder  as follows:  the sum  of one  twenty-ninth of  one
      percent  of the product of  $24.44 (the average of  the high and low sales
      price of a share  of AMH Common  Stock on the New  York Stock Exchange  on
      January 25, 1995) and 31,767,037, the total number of shares of AMH Common
      Stock to be acquired by the Registrant or cancelled pursuant to the Merger
      Agreement  (other than shares of NME Common Stock held by persons who have
      previously  consented   to  the   Merger  ("Consenting   Holders"))   less
      $603,573,703,  the amount of cash to be paid by the Registrant (other than
      the Consenting  Holders), in  accordance  with Rule  457(f)(3). A  fee  of
      $131,660.54  was paid on November 17, 1994 pursuant to Section 6(b) of the
      Securities Act, and  Rules 457(f)(1)  and (3)  promulgated thereunder,  in
      respect  of  the transaction  contemplated  by the  Merger  Agreement upon
      filing by AMH  of a  preliminary information  statement relating  thereto.
      Pursuant  to Rule 457(b) promulgated under  the Securities Act and Section
      14(g)(2) of the  Exchange Act  and Rule 0-11  promulgated thereunder,  the
      amount  of  such  previously  paid  fee  has  been  credited  against  the
      registration fee payable in connection with this filing.
</TABLE>

    THE REGISTRANT HEREBY  AMENDS THIS  REGISTRATION STATEMENT ON  SUCH DATE  OR
DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL
FILE  A  FURTHER  AMENDMENT  WHICH SPECIFICALLY  STATES  THAT  THIS REGISTRATION
STATEMENT WILL THEREAFTER BECOME  EFFECTIVE IN ACCORDANCE  WITH SECTION 8(A)  OF
THE  SECURITIES ACT  OF 1933 OR  UNTIL THIS REGISTRATION  STATEMENT SHALL BECOME
EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION  8(A),
MAY DETERMINE.

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
  Cross Reference Sheet pursuant to Rule 404(a) of the Securities Act of 1933,
   as amended, and Item 501(b) of Regulation S-K showing the location in the
 Information Statement/Prospectus of the information required by Part I of Form
                                      S-4

<TABLE>
<CAPTION>
                                                                                            LOCATION OR
                                                                                      CAPTION IN INFORMATION
ITEM OF FORM S-4                                                                       STATEMENT/PROSPECTUS
- ----------------------------------------------------------------------  ---------------------------------------------------
<S>        <C>        <C>                                               <C>
A.         INFORMATION ABOUT THE TRANSACTION

                  1.  Forepart of Registration Statement
                      and Outside Front Cover Page
                      of Prospectus...................................  Facing Page of the Registration Statement; Outside
                                                                        Front Cover of Information Statement/Prospectus
                  2.  Inside Front and Outside Back Cover Pages of
                      Prospectus......................................  Available Information; Incorporation of Documents
                                                                        by Reference; Table of Contents
                  3.  Risk Factors, Ratio of Earnings to Fixed Charges
                      and Other Information...........................  Available Information; Incorporation of Documents
                                                                        by Reference; Summary; Risk Factors; The Merger --
                                                                        Regulatory Approval; Pro Forma Financial
                                                                        Information
                  4.  Terms of the Transaction........................  The Merger -- Background of the Merger, -- Approval
                                                                        of NME Board of Directors; Reasons for the Merger,
                                                                        -- Approval of AMH Board of Directors; Reasons for
                                                                        the Merger, -- Opinion of Salomon Brothers Inc, --
                                                                        Stockholder Consent, -- Terms of the Merger, --
                                                                        Certain Federal Income Tax Consequences of the
                                                                        Merger, -- Accounting Treatment of the Merger, --
                                                                        Appraisal Rights in the Merger, -- Comparative
                                                                        Rights of Stockholders
                  5.  Pro Forma Financial Information.................  Pro Forma Financial Information
                  6.  Material Contracts with the Company Being
                      Acquired........................................  The Merger -- Background of the Merger
                  7.  Additional Information Required for Reoffering
                      by Persons and Parties Deemed to be
                      Underwriters....................................  Not Applicable
                  8.  Interests of Named Experts
                      and Counsel.....................................  Not Applicable
                  9.  Disclosure of Commission Position
                      on Indemnification for Securities Act
                      Liabilities.....................................  Not Applicable
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
                                                                                            LOCATION OR
                                                                                      CAPTION IN INFORMATION
ITEM OF FORM S-4                                                                       STATEMENT/PROSPECTUS
- ----------------------------------------------------------------------  ---------------------------------------------------
<S>        <C>        <C>                                               <C>
B.         INFORMATION ABOUT THE REGISTRANT

                 10.  Information with Respect to
                      S-3 Registrants.................................  Available Information; Incorporation of Documents
                                                                        by Reference; Summary; Selected Information
                                                                        Concerning NME and AMH
                 11.  Incorporation of Certain Information by
                      Reference.......................................  Available Information; Incorporation of Documents
                                                                        by Reference
                 12.  Information with Respect to S-2 or
                      S-3 Registrants.................................  Not Applicable
                 13.  Incorporation of Certain Information by
                      Reference.......................................  Not Applicable
                 14.  Information with Respect to Registrants Other
                      Than S-2 or S-3 Registrants.....................  Not Applicable

C.         INFORMATION ABOUT THE COMPANY
           BEING ACQUIRED

                 15.  Information with Respect to
                      S-3 Companies...................................  Available Information; Incorporation of Documents
                                                                        by Reference; Summary
                 16.  Information with Respect to S-2 or
                      S-3 Companies...................................  Not Applicable
                 17.  Information with Respect to Companies Other Than
                      S-2 or S-3 Companies............................  Not Applicable

D.         VOTING AND MANAGEMENT INFORMATION

                 18.  Information if Proxies, Consents or
                      Authorizations Are to be Solicited..............  Not Applicable
                 19.  Information if Proxies, Consents or
                      Authorizations Are Not to be Solicited, or in an
                      Exchange Offer..................................  Cover Page; Incorporation of Documents by
                                                                        Reference; The Merger -- Appraisal Rights in the
                                                                        Merger, -- Interests of Certain Persons in the
                                                                        Merger
</TABLE>
<PAGE>

<TABLE>
<S>                                          <C>
      AMERICAN MEDICAL HOLDINGS, INC.              NATIONAL MEDICAL ENTERPRISES, INC.
           14001 Dallas Parkway                           2700 Colorado Avenue
            Dallas, Texas 75240                      Santa Monica, California 90404
</TABLE>

               --------------------------------------------------
                        INFORMATION STATEMENT/PROSPECTUS
               --------------------------------------------------

    This  Information Statement/Prospectus constitutes the Information Statement
of American Medical Holdings, Inc., a  Delaware corporation ("AMH"), to be  used
in  connection with  the dissemination of  information to  its stockholders with
respect to the proposed merger (the "Merger") of AMH Acquisition Co., a Delaware
corporation ("Merger Sub") that  is a newly formed,  wholly owned subsidiary  of
National  Medical Enterprises, Inc., a Nevada corporation ("NME"), with and into
AMH. Pursuant  to Section  251  of the  Delaware  General Corporation  Law,  the
affirmative  vote of  at least  a majority of  the outstanding  shares of common
stock, par value $0.01 per share, of AMH (the "AMH Common Stock") is required to
approve and adopt the Merger and the Merger Agreement (as defined below). As  of
the  date  of this  Information  Statement/Prospectus, holders  of approximately
61.4% of the outstanding shares of AMH  Common Stock have voted in favor of  the
approval  and adoption of  the Merger and the  Merger Agreement. Accordingly, no
further stockholder action is required by stockholders of AMH. AMH IS NOT ASKING
YOU FOR A PROXY AND YOU ARE REQUESTED  NOT TO SEND AMH A PROXY. See "The  Merger
- --  Background  of  the Merger"  and  "--  Terms of  the  Merger  -- Stockholder
Approval; Stockholder Agreements."

    As a result of the Merger, AMH will become a wholly owned subsidiary of NME.
The Merger will be effected pursuant to the Agreement and Plan of Merger,  dated
as  of October 10, 1994  (the "Merger Agreement"), by  and among NME, Merger Sub
and AMH, a copy of which is attached hereto as Annex A. See "The Merger." At the
effective time of the Merger, each outstanding share of AMH Common Stock  (other
than  shares  held by  AMH stockholders  who have  elected appraisal  rights and
shares held by NME  and its subsidiaries)  will be converted  into the right  to
receive (i) 0.42 of a share of NME common stock, par value $0.075 per share (the
"NME Common Stock") and (ii) $19.00 in cash ($19.25 if the Merger is consummated
after  March 31, 1995) (collectively, the "Merger Consideration"). Under certain
limited circumstances, AMH stockholders will, at the option of AMH, be  entitled
to  receive $6.88 in cash in lieu of the fraction of a share of NME Common Stock
constituting part of the Merger Consideration.  See "The Merger -- Terms of  the
Merger."

    AMH  intends to declare a  special dividend of $.10  per share of AMH Common
Stock payable on  February 28, 1995  to stockholders of  record on February  10,
1995. See "The Merger -- Terms of the Merger -- Special Dividend."

    This Information Statement/Prospectus also constitutes the Prospectus of NME
with  respect to the shares of NME Common  Stock to be issued in connection with
the Merger, other than the  shares to be received  by the AMH stockholders  that
previously  have voted in favor  of the approval and  adoption of the Merger and
the Merger Agreement. NME has filed  a Registration Statement on Form S-4  under
the  Securities  Act  of  1933,  as amended  (the  "Securities  Act"),  with the
Securities and Exchange Commission (the "Commission") covering the shares of NME
Common Stock  to be  issued in  connection with  the Merger  and to  which  this
Information Statement/Prospectus relates.

    This   Information  Statement/Prospectus  is  first   being  mailed  to  AMH
stockholders on or about January 31, 1995.

    NO  PERSON  HAS  BEEN  AUTHORIZED  TO  GIVE  ANY  INFORMATION  OR  MAKE  ANY
REPRESENTATION  NOT CONTAINED OR  INCORPORATED BY REFERENCE  IN THIS INFORMATION
STATEMENT/PROSPECTUS  AND,   IF  SO   GIVEN  OR   MADE,  SUCH   INFORMATION   OR
REPRESENTATION  MUST NOT BE RELIED UPON AS  HAVING BEEN AUTHORIZED BY EITHER NME
OR AMH. THIS INFORMATION  STATEMENT/PROSPECTUS DOES NOT  CONSTITUTE AN OFFER  TO
SELL  OR A SOLICITATION  OF AN OFFER TO  BUY ANY SECURITIES  OTHER THAN THOSE TO
WHICH IT RELATES OR AN OFFER  TO SELL OR A SOLICITATION  OF AN OFFER TO BUY  ANY
SECURITIES  IN  ANY JURISDICTION  IN  WHICH, OR  TO ANY  PERSON  TO WHOM,  IT IS
UNLAWFUL TO  MAKE SUCH  OFFER  OR SOLICITATION.  NEITHER  THE DELIVERY  OF  THIS
INFORMATION STATEMENT/PROSPECTUS NOR THE SALE OF ANY SECURITIES HEREUNDER SHALL,
UNDER ANY CIRCUMSTANCES, CREATE ANY IMPLICATION THAT THERE HAS BEEN NO CHANGE IN
THE  AFFAIRS  OF  NME OR  AMH  SINCE THE  DATE  HEREOF OR  THAT  THE INFORMATION
CONTAINED HEREIN OR IN THE DOCUMENTS INCORPORATED HEREIN BY REFERENCE IS CORRECT
AT ANY TIME SUBSEQUENT TO THE DATE HEREOF OR THEREOF.

    SEE "RISK  FACTORS" FOR  A DISCUSSION  OF CERTAIN  MATTERS WHICH  SHOULD  BE
CONSIDERED BY THE STOCKHOLDERS OF AMH WITH RESPECT TO THE MERGER.

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

    THE  SHARES OF NME COMMON  STOCK TO BE ISSUED  IN CONNECTION WITH THE MERGER
HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND EXCHANGE  COMMISSION
OR  ANY  STATE  SECURITIES  COMMISSION  NOR  HAS  THE  SECURITIES  AND  EXCHANGE
COMMISSION OR  ANY  STATE SECURITIES  COMMISSION  PASSED UPON  THE  ACCURACY  OR
ADEQUACY  OF THIS  INFORMATION STATEMENT/PROSPECTUS.  ANY REPRESENTATION  TO THE
CONTRARY IS A CRIMINAL OFFENSE.

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

AMH IS NOT ASKING YOU FOR A PROXY AND YOU ARE REQUESTED NOT TO SEND AMH A PROXY.

     THE DATE OF THIS INFORMATION STATEMENT/PROSPECTUS IS JANUARY 30, 1995.
<PAGE>
                             AVAILABLE INFORMATION

    NME has  filed  a Registration  Statement  on Form  S-4  (the  "Registration
Statement")  with  the Commission  under  the Securities  Act.  This Information
Statement/Prospectus does not contain  all of the information  set forth in  the
Registration Statement, certain portions of which are omitted in accordance with
the  rules and regulations of the Commission. For further information pertaining
to NME and the shares of NME  Common Stock offered hereby, reference is made  to
the  Registration Statement  and the  exhibits thereto,  which may  be inspected
without charge  at the  office of  the  Commission at  450 Fifth  Street,  N.W.,
Washington,  D.C. 20549, and copies of which may be obtained from the Commission
at prescribed rates.

    In  addition,  each  of  NME  and  AMH  is  subject  to  the   informational
requirements  of the Securities Exchange Act  of 1934, as amended (the "Exchange
Act"), and, in accordance  therewith, file reports,  proxy statements and  other
information  with  the  Commission.  Such reports,  proxy  statements  and other
information can be inspected  and copied at the  public reference facilities  of
the  Commission, Room 1024, 450 Fifth  Street, N.W., Washington, D.C. 20549, and
at its regional offices located at 7  World Trade Center, Suite 1300, New  York,
New York 10048 and 500 West Madison Street, Suite 1400, Chicago, Illinois 60661;
and  copies of such materials can be  obtained from the public reference section
of the  Commission  at  450  Fifth Street,  N.W.,  Washington,  D.C.  20549,  at
prescribed rates. In addition, material filed by NME and AMH can be inspected at
the offices of the New York Stock Exchange, Inc., 20 Broad Street, New York, New
York  10005, and material filed  by NME can also be  inspected at the offices of
the Pacific Stock Exchange, 301 Pine Street, San Francisco, California 94104.

                    INCORPORATION OF DOCUMENTS BY REFERENCE

    THIS INFORMATION  STATEMENT/PROSPECTUS  INCORPORATES  BY  REFERENCE  CERTAIN
DOCUMENTS  RELATING TO NME AND  AMH WHICH ARE NOT  PRESENTED HEREIN OR DELIVERED
HEREWITH. THESE DOCUMENTS  (OTHER THAN  THE EXHIBITS TO  SUCH DOCUMENTS,  UNLESS
SUCH  EXHIBITS ARE SPECIFICALLY  INCORPORATED BY REFERENCE  INTO SUCH DOCUMENTS)
ARE AVAILABLE WITHOUT CHARGE, ON REQUEST BY ANY PERSON TO WHOM THIS  INFORMATION
STATEMENT/PROSPECTUS IS DELIVERED, FROM NME, 2700 COLORADO AVENUE, SANTA MONICA,
CALIFORNIA  90404,  ATTENTION:  SCOTT  M. BROWN,  ESQ.,  SENIOR  VICE PRESIDENT,
SECRETARY AND GENERAL COUNSEL,  TELEPHONE NUMBER (310)  998-8000; OR AMH,  14001
DALLAS  PARKWAY, DALLAS, TEXAS 75240, ATTENTION:  THOMAS J. SABATINO, JR., ESQ.,
VICE PRESIDENT AND GENERAL COUNSEL, TELEPHONE NUMBER (214) 789-2200. IN ORDER TO
ENSURE TIMELY DELIVERY OF THE DOCUMENTS, ANY REQUEST SHOULD BE MADE BY  FEBRUARY
22, 1995.

    The following NME documents are incorporated by reference herein:

    1.   Annual Report on Form  10-K for the fiscal year  ended May 31, 1994 (as
amended, the "NME 10-K");

    2.  Form 10-K/A filed with the Commission on January 18, 1995, which  amends
the aforesaid Annual Report on Form 10-K;

    3.   Quarterly Reports on  Form 10-Q for the  quarterly periods ended August
31, 1994 and November 30, 1994;

    4.   The  portions  of NME's  Proxy  Statement  for the  Annual  Meeting  of
Shareholders  held on September  28, 1994 (the "NME  Proxy Statement") that have
been incorporated by reference into the NME 10-K;

    5.  The portions of NME's 1994 Annual Report to Shareholders for the  fiscal
year ended May 31, 1994 (the "NME Annual Report") that have been incorporated by
reference into the NME 10-K;

    6.   The  description of the  NME Common  Stock which is  contained in NME's
Registration Statement on Form 8-A filed  with the Commission on April 8,  1971,
pursuant  to Section 12 of the Exchange Act, including any amendments or reports
filed for the purpose of updating such description; and

                                       2
<PAGE>
    7.  The description of certain  preferred stock purchase rights attached  to
the  NME Common Stock which is contained in NME's Registration Statement on Form
8-A filed with the Commission on December 9, 1988, pursuant to Section 12 of the
Exchange Act,  including any  amendments or  reports filed  for the  purpose  of
updating such description.

    The following AMH documents are incorporated by reference herein:

    1.  Annual Report on Form 10-K for the fiscal year ended August 31, 1994 (as
amended, the "AMH 10-K");

    2.  Form 10-K/A filed with the Commission on December 19, 1994, which amends
the aforesaid Annual Report on Form 10-K;

    3.   Form 10-K/A filed with the  Commission on January 4, 1995, which amends
the aforesaid Annual Report on Form 10-K; and

    4.  Quarterly Report  on Form 10-Q for  the quarterly period ended  November
30, 1994.

    All  documents  and reports  subsequently filed  by NME  or AMH  pursuant to
Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act after the date hereof and
prior to the effective time of the Merger shall be deemed to be incorporated  by
reference  herein and  shall be a  part hereof from  the date of  filing of such
documents. Any statement contained  in a document incorporated  or deemed to  be
incorporated   by   reference   herein,  or   contained   in   this  Information
Statement/Prospectus, shall be deemed to be modified or superseded for  purposes
of  this  Information  Statement/Prospectus  to  the  extent  that  a  statement
contained herein or in any subsequently  filed document which also is deemed  to
be  incorporated herein modifies or supersedes  such statement. Any statement so
modified or  superseded  shall  not be  deemed  to  constitute a  part  of  this
Information Statement/Prospectus, except as so modified or superseded.

                                       3
<PAGE>
                       NATIONAL MEDICAL ENTERPRISES, INC.
                        AMERICAN MEDICAL HOLDINGS, INC.
                        INFORMATION STATEMENT/PROSPECTUS
                               TABLE OF CONTENTS
<TABLE>
<CAPTION>
                                                      PAGE
                                                      -----
<S>                                                <C>
Available Information............................           2
Incorporation of Documents by Reference..........           2
Summary
  General........................................           5
  The Companies..................................           5
  The Merger.....................................           6
  Comparative Stock Prices and Dividends.........          10
  Risk Factors...................................          10
  Selected Historical Financial Information......          11
    National Medical Enterprises, Inc.
     and Subsidiaries Selected Historical
     Financial Data..............................          11
    American Medical Holdings, Inc.
     and Subsidiaries Selected Historical
     Financial Data..............................          13
  Summary Pro Forma Financial Information........          15
Introduction.....................................          17
Risk Factors
  Competition....................................          18
  Limits on Reimbursement........................          18
  Extensive Regulation...........................          18
  Healthcare Reform Legislation..................          19
  Certain Legal Proceedings......................          20
  Income Tax Examinations........................          20
  Dependence on Key Personnel
   and Physicians................................          20
  Professional Liability Insurance...............          21
  Certain Financing Considerations; Leverage.....          21
  Potential Conflicts of Interest................          22
  Factors Affecting Market Price of
   NME Common Stock..............................          22
  Shares Eligible for Future Issuance
   and Sale......................................          22
  Certain Anti-Takeover Provisions...............          23
The Merger
  Background of the Merger.......................          23
  Approval of NME Board of Directors;
   Reasons for the Merger........................          29
  Approval of AMH Board of Directors;
   Reasons for the Merger........................          30
  Opinion of Salomon Brothers Inc................          31
  Stockholder Consent............................          35
  Terms of the Merger............................          36
    Closing; Effective Time......................          37
    AMH Stock Options............................          37
    Directors and Officers of the Surviving
     Corporation.................................          37
    Directors and Principal Officers of NME......          38
    Exchange of Certificates.....................          38
    Fractional Shares............................          38
    Representations and Warranties...............          39
    Registration Rights..........................          39
    Special Dividend.............................          39
    Conditions...................................          39
    Business of AMH and NME Pending
     the Merger..................................          40
    Certain Employee Benefits....................          41
    Termination..................................          41
    Acquisition Proposals........................          42
    Liquidated Damages...........................          42
    Indemnification and Insurance................          43
    Amendment and Waiver.........................          43
    Expenses.....................................          43
    Stockholder Approval; Stockholder
     Agreements..................................          43
  Certain Federal Income Tax Consequences........          46
  Accounting Treatment of the Merger.............          46

<CAPTION>
                                                      PAGE
                                                      -----
<S>                                                <C>
  Interests of Certain Persons in the Merger.....          47
    AMH Stockholders Agreement...................          47
    Stock Option Plans...........................          47
    NME Stock Option Grants......................          48
    Severance Pay................................          48
    1990 Supplemental Benefit Plan...............          48
    Tax Gross-Up.................................          49
    Medical Benefits Continuation................          49
    Incentive Compensation Plans.................          49
    Directors' Retirement Plan...................          50
    Loan to Mr. Casey............................          50
    Directors and Officers of NME and the
     Surviving Corporation.......................          50
    Casey Letter of Understanding................          50
    Financial Advisor Fees.......................          50
    Indemnification and Insurance................          51
    Waiver of Vesting Provisions in NME Director
     Stock Option Plan...........................          51
  Appraisal Rights in the Merger.................          51
  Regulatory Approval............................          53
  Litigation Relating to the Merger..............          53
  Comparative Stock Prices and Dividends.........          54
  Comparative Rights of Stockholders.............          55
    Directors....................................          56
    Removal of Directors; Filling Vacancies on
     the
     Board of Directors..........................          56
    Limitation on Directors' Liability...........          57
    Indemnification..............................          57
    Restrictions on Business Combinations/
     Corporate Control...........................          57
    Stockholder Action by Written Consent;
     Special Meetings............................          57
    Amendment or Repeal of the Certificate of
     Incorporation and Bylaws....................          58
    Cumulative Voting............................          58
    Stockholder Vote for Merger..................          58
    Appraisal Rights in Mergers..................          59
    Dividends....................................          59
    Rights Plan..................................          59
    AMH Stockholders Agreement...................          59
Financing for the Merger and the Related
 Transactions
  Merger Financing...............................          60
  Related Transactions...........................          60
    The AMI Tender Offers........................          60
    The AMI Redemptions..........................          61
    The NME Tender Offers........................          62
    The Refinancing of the NME and AMI Credit
     Facilities and Other Indebtedness...........          62
  Sources and Uses of Funds......................          62
  The New Credit Facility........................          64
  The Public Offering............................          64
    The New Senior Notes.........................          64
    The New Subordinated Notes...................          64
Pro Forma Financial Information..................          65
Notes to Unaudited Pro Forma Condensed Combined
 Financial Statements............................          70
Selected Information Concerning NME and AMH
  National Medical Enterprises, Inc..............          73
    Certain Legal Proceedings....................          74
  American Medical Holdings, Inc.................          74
    AMI Convertible Debentures...................          75
  Additional Information.........................          75
Legal Matters....................................          75
Experts..........................................          75
</TABLE>

<TABLE>
<S>        <C>        <C>
Annex A       --      Agreement and Plan of Merger, dated as of October 10, 1994, by and among National Medical
                      Enterprises, Inc., AMH Acquisition Co. and American Medical Holdings, Inc.
Annex B       --      Delaware General Corporation Law -- Section 262 -- Appraisal Rights
Annex C       --      Opinion of Salomon Brothers Inc
</TABLE>

                                       4
<PAGE>
                                    SUMMARY

    THE  FOLLOWING  IS  A BRIEF  SUMMARY  OF CERTAIN  INFORMATION  CONTAINED, OR
INCORPORATED BY REFERENCE, ELSEWHERE  IN THIS INFORMATION  STATEMENT/PROSPECTUS.
THIS  SUMMARY IS NOT INTENDED TO BE COMPLETE AND IS QUALIFIED IN ITS ENTIRETY BY
REFERENCE TO  THE  MORE  DETAILED  INFORMATION  APPEARING,  OR  INCORPORATED  BY
REFERENCE, ELSEWHERE HEREIN. STOCKHOLDERS OF AMERICAN MEDICAL HOLDINGS, INC. ARE
URGED  TO REVIEW THE ENTIRE INFORMATION STATEMENT/PROSPECTUS, THE ANNEXES HERETO
AND THE DOCUMENTS INCORPORATED HEREIN BY REFERENCE.

GENERAL

    This Information Statement/Prospectus is  being provided to stockholders  of
American  Medical Holdings, Inc., a  Delaware corporation ("AMH"), in connection
with the  proposed merger  (the "Merger")  of AMH  Acquisition Co.,  a  Delaware
corporation  ("Merger Sub") that  is a newly formed,  wholly owned subsidiary of
National Medical Enterprises, Inc., a Nevada corporation ("NME"), with and  into
AMH.  The Merger will be effected pursuant  to the Agreement and Plan of Merger,
dated as of October 10, 1994 (the "Merger Agreement"), by and among NME,  Merger
Sub and AMH, a copy of which is attached hereto as Annex A. See "The Merger."

THE COMPANIES

    NME.    NME is  a leading  investor-owned  healthcare company  that operates
general hospitals and related healthcare facilities serving primarily urban  and
regional  areas in the  United States and  abroad and that  holds investments in
other healthcare  companies. At  November  30, 1994,  NME operated  33  domestic
general  hospitals, with a total of  6,622 licensed beds, located in California,
Florida,  Louisiana,   Missouri,  Tennessee   and   Texas.  NME   operates   six
rehabilitation  hospitals, seven long-term care  facilities and four psychiatric
facilities located on the same campus as, or nearby, NME's general hospitals. In
addition,  NME  operates  ancillary  facilities,  including  outpatient  surgery
centers,  home  healthcare  programs  and  ambulatory,  occupational  and  rural
healthcare clinics.  Through  its  international  hospital  division,  NME  also
operated 13 general hospitals in Australia, Singapore, Spain and Malaysia with a
total of 1,693 licensed beds at November 30, 1994.

    NME's   investments   in  other   healthcare   companies  include:   (i)  an
approximately 27% voting interest in The Hillhaven Corporation ("Hillhaven"),  a
publicly  traded company listed on the New York Stock Exchange (the "NYSE") that
operated 287 long-term care facilities, 57 pharmacies and 19 retirement  housing
communities in the United States at November 30, 1994; (ii) an approximately 42%
interest  in Westminster  Health Care  Holdings PLC  ("Westminster"), a publicly
traded company listed on  the London Stock Exchange  that operated 65  long-term
care   facilities  in  the  United  Kingdom  at  November  30,  1994;  (iii)  an
approximately 23% interest in Total Renal Care, Inc. ("TRC"), which operated  42
freestanding kidney dialysis units in nine states at November 30, 1994; and (iv)
an  approximately 23% interest  in Health Care  Property Partners, a partnership
that leases 21 long-term care facilities to Hillhaven and two general  hospitals
to  NME. NME's principal executive offices  are located at 2700 Colorado Avenue,
Santa Monica, California 90404, telephone  number (310) 998-8000. See  "Selected
Information Concerning NME and AMH -- National Medical Enterprises, Inc."

    AMH.    AMH is  a leading  investor-owned  healthcare company  that operates
general hospitals and related healthcare facilities serving primarily urban  and
regional  areas in  13 states.  At November  30, 1994,  AMH operated  37 general
hospitals with a total of 8,831 licensed beds and one psychiatric facility  with
171  licensed beds. The AMH hospitals are located in Texas, Florida, California,
Louisiana,  Missouri,  Tennessee,  Arkansas,  North  Carolina,  South  Carolina,
Georgia,  Alabama, Indiana and Nebraska.  AMH also operates ancillary facilities
located on  the same  campus as,  or nearby,  many of  its hospitals,  including
outpatient  surgery  centers, rehabilitation  units, long-term  care facilities,
home healthcare  programs  and  ambulatory, occupational  and  rural  healthcare
clinics.  AMH's principal executive offices are located at 14001 Dallas Parkway,
Dallas, Texas 75240, telephone number (214) 789-2200. See "Selected  Information
Concerning NME and AMH -- American Medical Holdings, Inc."

                                       5
<PAGE>
THE MERGER

    GENERAL.   Pursuant to the Merger Agreement,  Merger Sub will be merged with
and into  AMH. As  a  result of  the  Merger, AMH  will  become a  wholly  owned
subsidiary  of NME and each  outstanding share of common  stock, par value $0.01
per share,  of AMH  (the "AMH  Common Stock"),  other than  shares held  by  AMH
stockholders  who have elected appraisal  rights and shares held  by NME and its
subsidiaries, will be converted into the right to receive (i) 0.42 of a share of
common stock, par value $0.075  per share, of NME  (the "NME Common Stock")  and
(ii)  $19.00 in cash ($19.25 if the  Merger is consummated after March 31, 1995)
(collectively, the "Merger Consideration"). Under certain limited circumstances,
AMH stockholders will, at  the option of  AMH, be entitled  to receive $6.88  in
cash  per  share  in  lieu of  the  fraction  of  a share  of  NME  Common Stock
constituting part of the Merger Consideration. The terms of the Merger Agreement
are more fully described under "The Merger -- Terms of the Merger."

    THE AMH SPECIAL DIVIDEND.   AMH intends to  declare a special dividend  (the
"AMH  Special Dividend")  with respect  to AMH  Common Stock  of $.10  per share
payable on February 28, 1995 to stockholders of record on February 10, 1995. See
"The Merger -- Terms of the Merger -- Special Dividend."

    AMH STOCK OPTIONS.   As of January 10,  1995, options to purchase  3,280,567
shares  of AMH Common  Stock (the "AMH  Options") had been  granted and remained
outstanding and unexercised.  At the  Effective Time  (as hereinafter  defined),
except  as described below, each AMH  Option that is outstanding and unexercised
(other than certain AMH  Options held by members  of AMH's management),  whether
vested  or  unvested, will  be cancelled  in consideration  for payments  by AMH
promptly after the Effective Time to holders of AMH Options of cash in an amount
equal to (i) the product of (A) the  sum of (x) $19.00 ($19.25 if the Merger  is
consummated after March 31, 1995), plus (y) 0.42 times the average closing sales
price  of a  share of  NME Common  Stock on  the NYSE  over the  ten consecutive
trading days immediately preceding  the consummation of the  Merger and (B)  the
number  of shares  of AMH  Common Stock  subject to  AMH Options,  less (ii) the
exercise price  of such  AMH Options.  The foregoing  notwithstanding,  selected
executive  employees of  AMH who hold  approximately 1,220,200  AMH Options have
agreed with AMH  to cancel  their AMH Options  in exchange,  promptly after  the
Effective  Time, for an amount in cash and  NME Common Stock equal to the Merger
Consideration less an  amount equal to  the exercise price  per share that  such
employees  would have paid to AMH had  they exercised their AMH Options prior to
the Effective Time. See "The Merger -- Terms of the Merger -- AMH Stock Options"
and "-- Interests of Certain Persons in the Merger."

    EFFECTIVE TIME OF THE MERGER.  The Merger will become effective at the  time
and  on  the  date that  a  certificate of  merger  is filed  with  the Delaware
Secretary of State or at such later  time as is specified in the certificate  of
merger  (the "Effective Time"). It is  presently contemplated that the Effective
Time will occur  as soon as  practicable after the  conditions specified in  the
Merger Agreement are satisfied or waived. See "The Merger -- Terms of the Merger
- -- Closing; Effective Time."

    EXCHANGE  OF AMH  STOCK CERTIFICATES.   Promptly  after the  Effective Time,
instructions with regard to the surrender of stock certificates, together with a
letter of transmittal to be used for this purpose, will be furnished by mail, or
made available  for delivery  at  the principal  office  of the  exchange  agent
appointed  therefor, to all  AMH stockholders for use  in exchanging their stock
certificates for the Merger Consideration they will be entitled to receive as  a
result  of  the  Merger.  STOCKHOLDERS  OF AMH  SHOULD  NOT  SUBMIT  THEIR STOCK
CERTIFICATES FOR EXCHANGE UNTIL SUCH INSTRUCTIONS AND LETTER OF TRANSMITTAL  ARE
RECEIVED  OR ARE AVAILABLE FOR DELIVERY. See  "The Merger -- Terms of the Merger
- -- Exchange of Certificates."

    APPROVAL BY AMH STOCKHOLDERS.  AMH has received written consents executed by
the holders of record  of approximately 61.4% of  the outstanding shares of  AMH
Common Stock approving and adopting the Merger and the Merger Agreement pursuant
to  the terms of  Stockholder Voting and Profit  Sharing Agreements between such
stockholders   and    NME,    dated    as   of    October    10,    1994    (the

                                       6
<PAGE>
"Stockholder   Agreements").  The  terms  of  the  Stockholder  Agreements  were
negotiated between NME  and representatives  of the AMH  stockholders which  are
parties  thereto. In addition,  certain terms included  in the Merger Agreement,
including (i)  undertakings  with  regard  to  reimbursement  by  AMH  to  those
stockholders  of any Alternate Transaction  Payments (as hereinafter defined) to
NME in specified circumstances and (ii) a continuing covenant by NME to file and
maintain the effectiveness of a registration statement under the Securities  Act
to  permit resales by affiliates of AMH  (including the AMH stockholders who are
parties to the Stockholder Agreements) of  NME Common Stock received by them  in
the   Merger,  were  incorporated  as  a  result  of  negotiations  between  the
stockholders' representatives and NME. The form of the Stockholder Agreements is
attached as Exhibit A to Annex A hereto. Accordingly, no further action by other
stockholders of AMH is  required to approve the  Merger. In accordance with  the
rules  and regulations of the Commission under  the Exchange Act, the Merger may
not be consummated prior to March 1,  1995, the 20th business day following  the
date  this Information Statement/Prospectus is given or sent to the stockholders
of AMH.  See  "The  Merger --  Terms  of  the Merger  --  Stockholder  Approval;
Stockholder Agreements" and "-- Interests of Certain Persons in the Merger."

    CONDITIONS  TO THE MERGER.  The obligations of the parties to consummate the
Merger are subject to the  satisfaction of certain conditions, including,  among
other  things, the expiration or termination of any waiting period applicable to
the consummation of the Merger under the HSR Act (as defined below). The HSR Act
waiting period has expired with respect to the Merger. See "The Merger --  Terms
of the Merger -- Conditions."

    ANTITRUST  MATTERS.    The Merger  is  subject  to the  requirements  of the
Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, and the  rules
and  regulations  promulgated thereunder  (the "HSR  Act"), which  provides that
certain acquisition transactions (including the  Merger) may not be  consummated
until  certain information has  been furnished to the  Antitrust Division of the
Department of  Justice  and the  Federal  Trade Commission  and  unless  certain
waiting  period requirements are met. On  October 28, 1994, the Notification and
Report Forms for the Merger required pursuant to the HSR Act were filed by  both
NME  and AMH. The HSR Act waiting period has expired with respect to the Merger.
See "The Merger -- Regulatory Approval."

    MANAGEMENT OF NME AFTER  THE MERGER.   NME will take such  action as may  be
necessary to increase the size of the Board of Directors of NME from ten members
to  13 members, and it is currently anticipated that Robert W. O'Leary, Chairman
of  the  Board  and  Chief  Executive  Officer  of  AMH  and  American   Medical
International,  Inc.,  a Delaware  corporation ("AMI")  that  is a  wholly owned
subsidiary of AMH, and John T.  Casey, President and Chief Operating Officer  of
AMH  and  AMI, each  of  whom is  currently  a director  of  AMH, and  Thomas J.
Pritzker, a director of the general partner of a limited partnership which is  a
general partner of GKH (as hereinafter defined), will be nominated and appointed
as  of the date  following the Effective  Time to fill  the vacancies created by
such increase in the size of the Board  of Directors of NME. See "The Merger  --
Terms  of  the  Merger --  Directors  and  Principal Officers  of  NME"  and "--
Interests of Certain Persons in the  Merger." It also is anticipated that  after
consummation  of  the Merger,  Jeffrey  C. Barbakow  will  continue to  serve as
Chairman of the Board and Chief Executive Officer of NME and Messrs. O'Leary and
Casey will serve as Co-Vice Chairmen of  the Board of Directors of NME.  Michael
H.  Focht, Sr. will continue  to serve as a director  and as President and Chief
Operating Officer of NME. See  "The Merger -- Terms  of the Merger --  Directors
and Principal Officers of NME."

    INTERESTS  OF CERTAIN PERSONS IN THE MERGER.  In reviewing the actions taken
by the Board of Directors  and certain stockholders of  AMH with respect to  the
Merger  Agreement and  the transactions  contemplated thereby,  AMH stockholders
should be  aware  that  certain members  of  the  management and  the  Board  of
Directors of AMH, as well as certain stockholders of AMH, have certain interests
in  the Merger  that are  in addition  to the  interests of  stockholders of AMH
generally  (including  acceleration  of  stock  options,  certain  tax  gross-up
payments  relating  to "excess  parachute payments,"  vesting under  certain AMH
benefit plans, certain severance agreements  and medical and retirement  benefit
programs  for the benefit of certain members  of the management and directors of

                                       7
<PAGE>
AMH and the payment of financial advisory fees to certain of the parties to  the
Stockholder  Agreements  or their  affiliates). The  AMH stockholders  that have
executed the Stockholder Agreements and which in the aggregate own approximately
61.4% of the outstanding  AMH Common Stock, namely:  GKH Investments, L.P.  (the
"Fund");  GKH Private Limited  ("GKHPL"), a corporation the  assets of which are
managed by GKH Partners, L.P. ("GKH"),  the general partner of the Fund;  Mellon
Bank,  N.A., as trustee of  First Plaza Group Trust ("First  Plaza"); MB L.P.  I
("MBLP") and 1987 Merchant Investment Partnership ("1987 MIP"); also are parties
with certain other stockholders of AMH  to an Amended and Restated  Stockholders
Agreement  dated as of  July 30, 1991 (the  "AMH Stockholders Agreement"). Under
the terms of the AMH Stockholders Agreement, the Fund, GKHPL, First Plaza,  MBLP
and  1987 MIP (MBLP and  1987 MIP are affiliates  of CS First Boston Corporation
("CS First Boston"), financial  advisor to AMH in  connection with the  Merger),
together  with the other parties thereto, have  the right to designate, and have
designated, a majority of the nominees who  have been elected to AMH's Board  of
Directors  and,  accordingly,  effectively control  the  selection  of executive
officers and  other  key employees  and  the establishment  of  AMH's  operating
policies.  AMH has also  retained and agreed  to pay financial  advisory fees in
connection with services  performed by CS  First Boston and  GKH in  conjunction
with  the  Merger  Agreement  in  the  aggregate  amount  of  $10,000,000,  plus
reimbursement of up to $100,000 of  expenses, pursuant to the recommendation  of
an  independent committee of the Board of  Directors of AMH and upon approval of
retention of such persons to act as financial advisors by the Board of Directors
of AMH (with the interested directors abstaining with respect thereto). See "The
Merger -- Interests of Certain Persons in the Merger."

    STOCKHOLDER AGREEMENTS.    In  connection  with,  and  as  a  condition  and
inducement  to, NME's execution of the Merger Agreement, certain stockholders of
AMH agreed to enter into the  Stockholder Agreements with NME. Pursuant to  such
agreements,  which  were delivered  subsequent to  the  execution of  the Merger
Agreement, such stockholders  have (i)  voted all of  the shares  of AMH  Common
Stock  owned by them to  approve and adopt the  Merger and the Merger Agreement,
(ii) granted certain irrevocable  proxies to NME with  respect to the voting  of
such  shares in specified circumstances  for a limited term  and (iii) agreed to
pay to NME  any amounts  received by them  from the  sale of any  shares of  AMH
Common  Stock under certain  circumstances to the extent  the sale price exceeds
certain  amounts,  which   payments  are  subject   to  reimbursement  to   such
stockholders of up to $75 million by AMH. See "The Merger -- Terms of the Merger
- -- Stockholder Approval; Stockholder Agreements."

    TERMINATION.   The Merger Agreement may be  terminated and the Merger may be
abandoned at any time prior to  the Effective Time under certain  circumstances,
which  include, among others, by: (a) the mutual written consent of AMH and NME;
(b) action of  the Board of  Directors of either  AMH or NME  (i) if the  Merger
shall  not  have been  consummated  by May  31,  1995 or  (ii)  if any  court of
competent jurisdiction or Federal  or state agency shall  have issued an  order,
decree  or ruling enjoining or prohibiting the  Merger that has become final and
nonappealable; (c)  action of  the Board  of Directors  of AMH,  if (i)  in  the
exercise  of  its  good  faith  judgment  as  to  its  fiduciary  duties  to its
stockholders, the Board of Directors of AMH determines that such termination  is
required  by  reason  of  an  Acquisition Proposal  (as  defined  in  the Merger
Agreement) having been  made to  AMH, (ii)  there has been  a breach  by NME  or
Merger  Sub of any representation or  warranty contained in the Merger Agreement
which would have or would  be likely to have a  material adverse effect on  NME,
(iii)  there has  been a  material breach  by NME  of any  covenant or agreement
contained in the Merger Agreement  which is not curable  or, if curable, is  not
cured within 30 days after written notice of such breach, or (iv) on or prior to
the earlier of May 31, 1995 or the Effective Time, NME has been unable to secure
the  requisite financing to consummate the Merger; or (d) action of the Board of
Directors of NME, if (i) there has been a breach by AMH of any representation or
warranty contained  in  the  Merger  Agreement which  would  have  or  would  be
reasonably  likely to have  a material adverse  effect on AMH  or (ii) there has
been a material  breach by AMH  of any  covenant or agreement  contained in  the
Merger  Agreement which is  not curable or,  if curable, is  not cured within 30
days after written notice of such

                                       8
<PAGE>
breach. The  termination of  the Merger  Agreement under  certain  circumstances
obligates  either NME or AMH, as required by the Merger Agreement, to pay to the
other party certain liquidated damage payments. See "The Merger -- Terms of  the
Merger -- Termination" and "-- Liquidated Damages."

    LIQUIDATED  DAMAGES.   If the  Merger Agreement  is terminated  prior to the
Effective Time by  the Board of  Directors of AMH  in the exercise  of its  good
faith judgment as to its fiduciary duties to its stockholders after receiving an
Acquisition  Proposal,  as set  forth above,  NME shall  be entitled  to receive
liquidated damages in an amount equal to $75 million. If the Merger Agreement is
terminated pursuant to  certain other  provisions in the  Merger Agreement,  the
terminating  party shall be entitled to  receive liquidated damages in an amount
equal to $150 million. If the liquidated damage payment is made, in the  absence
of  fraud or  a willful breach  of the  Merger Agreement, the  party making such
payment shall have no further obligation with respect to the payment of  damages
under  the  Merger  Agreement.  See  "The  Merger  --  Terms  of  the  Merger --
Stockholder Approval; Stockholder Agreements" and "-- Liquidated Damages."

    CERTAIN FEDERAL INCOME TAX  CONSEQUENCES OF THE MERGER.   The receipt by  an
AMH stockholder of cash and NME Common Stock in exchange for AMH Common Stock in
the  Merger (or the receipt of cash upon  the exercise of appraisal rights or in
certain specified  circumstances)  will be  a  taxable transaction  for  Federal
income tax purposes and may be taxable under state, local or foreign tax laws as
well.  Stockholders of AMH will  recognize gain or loss  equal to the difference
between the tax basis for the AMH Common Stock surrendered in the Merger and the
sum of the (i) cash and (ii) fair market value of the NME Common Stock  received
in  the Merger. Such gain or loss will be capital gain or loss if the AMH Common
Stock exchanged in the Merger has been held as a capital asset by the exchanging
AMH stockholder and will be long-term if the AMH Common Stock has been held  for
more than one year. See "The Merger -- Certain Federal Income Tax Consequences."

    RESALE  RESTRICTIONS.    All shares  of  NME  Common Stock  received  by AMH
stockholders in  the  Merger  will  be  freely  transferable,  except  that  the
20,001,739  shares of NME Common  Stock received by persons  that are parties to
the Stockholder Agreements and/or may be  deemed to be "affiliates" (as  defined
under  the Securities Act)  of AMH at the  Effective Time may  be resold by them
only in  certain permitted  circumstances; provided,  however, pursuant  to  the
Merger  Agreement, NME has agreed to file  and have declared effective under the
Securities Act, no later  than the Effective Time,  a registration statement  to
permit  resales of shares of  NME Common Stock received  by such "affiliates" as
part of the Merger Consideration.  Effectiveness of such registration  statement
is  a condition to AMH's obligation to consummate the Merger. See "The Merger --
Terms of the Merger -- Registration Rights."

    STOCK EXCHANGE LISTING.  The NME Common Stock is listed on the NYSE and  the
Pacific  Stock Exchange. NME  has agreed to  use its reasonable  best efforts to
obtain, prior to the Effective  Time, approval for the  listing on the NYSE  and
PSE  of the  shares of  NME Common  Stock to  be issued  in connection  with the
Merger. The listing of the NME Common Stock on the NYSE is a condition to  AMH's
obligation  to consummate the Merger. See "The  Merger -- Terms of the Merger --
Conditions."

    APPRAISAL  RIGHTS.    Holders  of  AMH  Common  Stock,  subject  to  certain
conditions,  have the right to  demand appraisal of, and  to obtain payment for,
the "fair  value" of  their shares  by following  the procedures  prescribed  in
Section 262 of the Delaware General Corporation Law, a copy of which is attached
hereto  as Annex B. Holders  of AMH Common Stock  that elect to demand appraisal
should read carefully the information on the required steps set forth under "The
Merger -- Appraisal  Rights in the  Merger." FAILURE  TO TAKE ANY  OF THE  STEPS
REQUIRED UNDER SECTION 262 ON A TIMELY BASIS MAY RESULT IN THE LOSS OF APPRAISAL
RIGHTS. See "The Merger -- Appraisal Rights in the Merger" and Annex B.

    ACCOUNTING  TREATMENT.   The  Merger  will be  accounted  for as  a purchase
transaction. See "The Merger -- Accounting Treatment of the Merger."

    COMPARATIVE RIGHTS OF STOCKHOLDERS OF AMH AND NME.  The rights of holders of
AMH Common  Stock  are currently  governed  by  Delaware law  and  the  Restated
Certificate of Incorporation and

                                       9
<PAGE>
Amended  Bylaws of AMH. Upon  consummation of the Merger,  holders of AMH Common
Stock will become holders of  NME Common Stock, and  their rights as holders  of
NME  Common Stock will  be governed by  Nevada law and  the Restated Articles of
Incorporation, as  amended  (the  "NME  Articles  of  Incorporation"),  and  the
Restated  Bylaws,  as amended  (the  "NME Bylaws"),  of  NME. There  are various
differences between  the  rights of  AMH  stockholders  and the  rights  of  NME
shareholders, including, among others, certain provisions of the NME Articles of
Incorporation, that may have the effect of deterring or making it more difficult
for  a third  party to acquire  control of  NME. See "The  Merger -- Comparative
Rights of Stockholders."

    APPROVALS OF THE BOARDS  OF DIRECTORS.   The Board of  Directors of NME  has
unanimously  approved (with one director absent) the Merger Agreement. The Board
of Directors  of  AMH has  unanimously  approved  the Merger  Agreement.  For  a
discussion  of the factors  considered by the respective  Boards of Directors in
reaching their decisions, see "The Merger -- Approval of NME Board of Directors;
Reasons for the Merger" and "-- Approval of AMH Board of Directors; Reasons  for
the Merger."

    OPINION  OF FINANCIAL  ADVISOR.  On  October 10, 1994,  Salomon Brothers Inc
("Salomon") delivered its opinion to the Board of Directors of AMH to the effect
that, as of the date of such opinion, the Merger Consideration was fair, from  a
financial  point of view, to the holders of  AMH Common Stock (other than NME or
any of its affiliates). See "The Merger -- Opinion of Salomon Brothers Inc".

    Copies of the full text of the  written opinion of Salomon which sets  forth
the  assumptions made, procedures followed, matters considered and limits of its
review is  attached to  this  Information Statement/Prospectus  as Annex  C  and
should  be read in its entirety. See  "The Merger -- Opinion of Salomon Brothers
Inc".

    EFFECT OF THE MERGER  ON CERTAIN AMI INDEBTEDNESS.   At the Effective  Time,
the  holders of approximately $550 million  principal amount of outstanding debt
securities of AMI  may have the  right to  require AMI to  repurchase such  debt
securities  at  101%  of the  principal  amount thereof,  plus  accrued interest
through the  repurchase  date.  NME  currently  intends  to  (i)  cause  AMI  to
repurchase  any such debt  securities properly tendered  for repurchase and (ii)
transfer to AMI, from borrowings under  the New Credit Facility (as  hereinafter
defined),  the amount  of funds  necessary to  consummate such  repurchases. See
"Risk Factors -- Certain Financing Considerations; Leverage" and "Financing  for
the   Merger  and  the  Related  Transactions   --  The  New  Credit  Facility."
Consummation of the Merger would also constitute an event of default in  respect
of  AMI's credit facility. Accordingly,  NME anticipates that indebtedness under
such AMI credit  facility will be  repaid or otherwise  refinanced. AMH has  the
right  to terminate the  Merger Agreement and receive  liquidated damages if NME
has not obtained sufficient financing for the  Merger by the earlier of May  31,
1995  or  the  Effective  Time.  See  "The Merger  --  Terms  of  the  Merger --
Termination" and "-- Liquidated Damages." In  addition, as of January 10,  1995,
there  was  outstanding  approximately  $19.0 million  principal  amount  of AMI
convertible debentures which are convertible into shares of AMH Common Stock. At
and  after  the  Effective  Time,   such  convertible  debentures  will   become
convertible  into the Merger Consideration payable with respect to the number of
shares  of  AMH  Common  Stock  into  which  such  convertible  debentures  were
convertible  immediately prior to the  Effective Time. See "Selected Information
Concerning NME and  AMH -- American  Medical Holdings, Inc.  -- AMI  Convertible
Debentures."

COMPARATIVE STOCK PRICES AND DIVIDENDS
    For  information with respect to  market prices of and  dividends on the NME
Common Stock and  the AMH  Common Stock, see  "The Merger  -- Comparative  Stock
Prices and Dividends."

RISK FACTORS

    The  information  set  forth under  "Risk  Factors" should  be  reviewed and
carefully considered  in evaluating  the Merger  and the  ownership of  the  NME
Common Stock to be issued in the Merger.

                                       10
<PAGE>
                   SELECTED HISTORICAL FINANCIAL INFORMATION
              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
                       SELECTED HISTORICAL FINANCIAL DATA

    The  following tables set forth selected historical financial data and other
operating information for  NME for  each of the  fiscal years  in the  five-year
period  ended May 31,  1994 and for the  six months ended  November 30, 1993 and
1994. The selected financial information for each of the five annual periods has
been derived from the Consolidated Financial Statements of NME, which have  been
audited  by KPMG Peat  Marwick LLP, independent  auditors for NME,  and from the
underlying accounting  records of  NME.  The report  of  KPMG Peat  Marwick  LLP
covering  the May 31, 1994 Consolidated Financial  Statements of NME refers to a
change in the  method of  accounting for  income taxes.  The selected  financial
information  for the six-month periods has been derived from unaudited condensed
consolidated  financial  statements   of  NME  and   reflects  all   adjustments
(consisting  of  normal  recurring  adjustments) that,  in  the  opinion  of the
management of NME, are  necessary for a fair  presentation of such  information.
Operating results for the six months ended November 30, 1994 are not necessarily
indicative of the results that may be expected for fiscal 1995.

    All  information  contained  in  the  following  tables  should  be  read in
conjunction with "Management's  Discussion and Analysis  of Financial  Condition
and  Results  of Operations,"  "Pro Forma  Financial  Information" and  with the
Consolidated  Financial  Statements  and  related  notes  of  NME  included   or
incorporated  by reference herein. Certain amounts derived from the consolidated
statements of operations have been reclassified to conform with the presentation
below.

<TABLE>
<CAPTION>
                                                                                                 SIX MONTHS
                                                        YEARS ENDED MAY 31,                  ENDED NOVEMBER 30,
                                          ------------------------------------------------  ---------------------
                                          1990 (2)    1991      1992    1993 (3)  1994 (4)  1993 (4)    1994 (4)
                                          --------  --------  --------  --------  --------  ---------   ---------
                                                      (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS)
<S>                                       <C>       <C>       <C>       <C>       <C>       <C>         <C>
STATEMENT OF OPERATIONS DATA (1):
Net operating revenues..................  $2,914.0  $2,604.6  $2,934.3  $3,178.2  $2,943.2  $ 1,530.3   $ 1,301.6
Operating expenses:
  Salaries and benefits.................   1,373.0   1,157.7   1,328.1   1,464.8   1,293.4      698.1       556.2
  Supplies..............................     211.6     252.8     318.9     349.2     339.4      167.9       159.1
  Provision for doubtful accounts.......     114.7     133.7     123.1     114.6     107.0       58.5        46.8
  Other operating expenses..............     785.1     596.2     616.5     689.1     666.5      342.5       294.7
  Depreciation..........................     113.6     108.9     122.4     141.8     142.7       75.0        67.4
  Amortization..........................      16.5      16.2      18.4      18.6      18.1        9.5         7.7
  Restructuring charges (5).............        --        --      17.9      51.6      77.0         --          --
                                          --------  --------  --------  --------  --------  ---------   ---------
Operating income........................     299.5     339.1     389.0     348.5     299.1      178.8       169.7
Interest, net of capitalized portion....    (130.9)   (123.9)    (89.4)    (75.3)    (70.0)     (37.7)      (35.0)
Investment earnings.....................      29.5      29.1      28.7      21.1      27.7       14.1        10.4
Equity in earnings of unconsolidated
 affiliates.............................       2.9       5.3       6.7      12.5      23.8       14.7        12.4
Minority interest expense...............      (0.2)     (4.4)     (6.8)    (10.0)     (8.2)      (5.0)       (3.8)
Net gain/(loss) on disposals of
 facilities and long-term investments...      (0.3)     (0.1)     31.0     121.8      87.5       29.0        29.5
                                          --------  --------  --------  --------  --------  ---------   ---------
Income from continuing operations before
 income taxes...........................     200.5     245.1     359.2     418.6     359.9      193.9       183.2
Taxes on income.........................     (77.0)   (100.0)   (141.0)   (155.0)   (144.0)     (80.0)      (73.0)
                                          --------  --------  --------  --------  --------  ---------   ---------
Income from continuing operations.......  $  123.5  $  145.1  $  218.2  $  263.6  $  215.9  $   113.9   $   110.2
                                          --------  --------  --------  --------  --------  ---------   ---------
                                          --------  --------  --------  --------  --------  ---------   ---------
Earnings per common share from
 continuing operations, fully-diluted...  $   0.76  $   0.87  $   1.19  $   1.49  $   1.23  $    0.65   $    0.63
                                          --------  --------  --------  --------  --------  ---------   ---------
                                          --------  --------  --------  --------  --------  ---------   ---------
Cash dividends per common share.........  $   0.36  $   0.40  $   0.46  $   0.48  $   0.12  $    0.12          --
Ratio of earnings to fixed
 charges (6)............................       2.0x      2.3x      3.5x      4.3x      4.2x       4.2x        4.4x
</TABLE>

                                       11
<PAGE>

<TABLE>
<CAPTION>
                                                                                                     AS OF
                                                    AS OF MAY 31,                                 NOVEMBER 30,
                            -------------------------------------------------------------    ----------------------
                              1990         1991         1992         1993         1994         1993         1994
                            ---------    ---------    ---------    ---------    ---------    ---------    ---------
                                                             (DOLLARS IN MILLIONS)
<S>                         <C>          <C>          <C>          <C>          <C>          <C>          <C>
BALANCE SHEET DATA:
Working capital
 (deficit)...............   $   249.0    $   346.0    $   223.9    $   155.9    $  (196.3)   $   466.8    $   (96.0)
Total assets.............     3,806.7      4,060.2      4,236.4      4,173.4      3,697.0      3,724.6      3,303.4
Long-term debt, excluding
 current
 portion.................     1,361.2      1,140.4      1,066.2        892.4        223.1        756.7        236.3
Shareholders' equity.....     1,257.9      1,762.3      1,674.0      1,752.1      1,319.9      1,475.7      1,434.6
<FN>
- ------------------------------
(1)  Results of operations for all  periods presented exclude NME's  psychiatric
     division  which was discontinued as of November 30, 1993, but include other
     divested businesses through  the date  of their divestiture  that were  not
     classified as discontinued operations.

(2)  Results  of operations for the  fiscal year ended May  31, 1990 include the
     operations of Hillhaven  for the eight  months ended January  31, 1990,  on
     which  date 85%  of the  common stock of  Hillhaven was  distributed to NME
     shareholders.

(3)  Results of  operations  for periods  prior  to  April 1993  include,  on  a
     consolidated  basis, the results of Westminster, the ownership of which was
     reduced from  approximately 90%  to  42% at  April  1993 through  a  public
     offering of Westminster common stock.

(4)  Results  of  operations  for  the periods  presented  include  the results,
     through the  respective  dates  of sale,  of  28  inpatient  rehabilitation
     hospitals  and 45 related satellite outpatient clinics sold in fiscal 1994,
     23 long-term care facilities sold to  Hillhaven in fiscal 1994 and TRC,  in
     which  NME sold an approximately 75% interest in August 1994. See Notes (l)
     and (v) of Notes  to the Unaudited Pro  Forma Condensed Combined  Financial
     Statements.

(5)  The  restructuring charges for  1994 relate to  a plan initiated  by NME in
     April 1994 to significantly decrease  overhead costs by reducing  corporate
     and  division  staffing  levels  and  selling  the  corporate  headquarters
     building. In fiscal 1992 and fiscal 1993, the restructuring charges related
     to the  combination  of NME's  rehabilitation  hospital division  into  its
     general  hospital division, a corporate overhead reduction program begun in
     April 1993, and  severance costs incurred  in connection with  a change  in
     senior executive management.

(6)  The  ratio of  earnings to fixed  charges is calculated  by dividing income
     from continuing operations before income taxes plus fixed charges by  fixed
     charges.  Fixed charges consist of interest expense, including amortization
     of financing  costs,  and that  portion  of  rental expense  deemed  to  be
     representative of the interest component of rental expense.
</TABLE>

                                       12
<PAGE>
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
                       SELECTED HISTORICAL FINANCIAL DATA

    The  following tables set forth selected historical financial data and other
operating information  for AMI,  the predecessor  company to  AMH, for  the  two
months  ended October 31, 1989  and for AMH for the  ten months ended August 31,
1990, for AMH for each of the fiscal years in the four-year period ended  August
31,  1994 and for AMH for the three months ended November 30, 1993 and 1994. The
selected information for the two months ended October 31, 1989 has been  derived
from  the Consolidated  Financial Statements of  AMI which have  been audited by
Price Waterhouse LLP, independent accountants  for AMI, and from the  underlying
accounting  records of  AMI. The selected  information for the  ten months ended
August 31, 1990 and for  the fiscal years in  the four-year period ended  August
31,  1994 has  been derived  from the  Consolidated Financial  Statements of AMH
which have been  audited by  Price Waterhouse LLP,  independent accountants  for
AMH,  and from the underlying accounting  records of AMH. The selected financial
information  for  the  three-month  periods  has  been  derived  from  unaudited
condensed  financial statements of AMH  and reflects all adjustments (consisting
of only normal recurring adjustments) that, in the opinion of the management  of
AMH, are necessary for a fair presentation of such information.

    All  information  contained  in  the  following  tables  should  be  read in
conjunction with "Management's  Discussion and Analysis  of Financial  Condition
and  Results  of Operations,"  "Pro Forma  Financial  Information" and  with the
Consolidated  Financial  Statements  and  related  notes  of  AMH  included   or
incorporated   by  reference  herein.  Certain  amounts  from  the  consolidated
statements of income of AMI and AMH  have been reclassified to conform with  the
presentation below.
<TABLE>
<CAPTION>
                                    AMI FOR THE
                                     TWO MONTHS              TEN MONTHS                 YEARS ENDED AUGUST 31,
                                       ENDED                   ENDED            --------------------------------------
                                OCTOBER 31, 1989 (1)   AUGUST 31, 1990 (1)(2)   1991 (3)  1992 (4)    1993      1994
                                --------------------   ----------------------   --------  --------  --------  --------
                                                   (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS)
<S>                             <C>                    <C>                      <C>       <C>       <C>       <C>
STATEMENT OF OPERATIONS DATA:
Net operating revenues........         $480.9                 $2,052.4          $2,545.9  $2,237.9  $2,238.5  $2,381.7
Operating expenses:
  Salaries and benefits.......          176.9                    715.9             916.4     838.7     815.3     869.0
  Supplies....................           61.0                    254.4             318.7     316.5     315.9     340.0
  Provision for doubtful
   accounts...................           28.7                    119.8             162.8     163.8     148.1     165.5
  Other operating expenses....          132.0                    570.1             687.8     496.3     505.7     524.3
  Depreciation................           27.9                     98.8             126.3     109.6     110.3     118.1
  Amortization................            4.9                     28.6              39.1      39.4      37.1      38.6
  Merger costs................          128.2                       --                --        --        --        --
                                      -------               ----------          --------  --------  --------  --------
Operating income (loss).......          (78.7)                   264.8             294.8     273.6     306.1     326.2
Interest expense..............          (28.3)                  (298.1)           (330.4)   (214.5)   (180.5)   (157.2)
Investment earnings...........            3.9                     27.6              20.2       9.9      13.9       2.7
Minority interest expense.....           (2.5)                    (0.8)             (2.3)     (2.1)     (6.1)     (5.9)
Gain on disposals of
 facilities and long-term
 investments..................             --                       --              18.6     119.8        --      69.3
                                      -------               ----------          --------  --------  --------  --------
Income (loss) before income
 taxes........................         (105.6)                    (6.5)              0.9     186.7     133.4     235.1
Taxes on income...............           37.0                     (7.2)            (19.9)    (77.1)    (66.5)    (96.1)
                                      -------               ----------          --------  --------  --------  --------
Income (loss) before
 extraordinary losses.........         $(68.6)                $  (13.7)         $  (19.0) $  109.6  $   66.9  $  139.0
                                      -------               ----------          --------  --------  --------  --------
                                      -------               ----------          --------  --------  --------  --------
Earnings (loss) per common
 share before extraordinary
 losses.......................         $(0.98)                $  (0.27)         $  (0.38) $   1.43  $   0.87  $   1.80
Cash dividends per common
 share........................             --                       --                --        --        --        --
Ratio of earnings to fixed
 charges (5)..................             --                       --                --       1.8x      1.8x      2.4x

<CAPTION>

                                 THREE MONTHS
                                ENDED NOVEMBER
                                     30,
                                --------------
                                 1993    1994
                                ------  ------

<S>                             <C>     <C>
STATEMENT OF OPERATIONS DATA:
Net operating revenues........  $558.2  $632.2
Operating expenses:
  Salaries and benefits.......   205.4   236.9
  Supplies....................    79.5    91.8
  Provision for doubtful
   accounts...................    39.0    42.1
  Other operating expenses....   126.7   140.2
  Depreciation................    29.1    31.5
  Amortization................     9.2     9.6
  Merger costs................      --      --
                                ------  ------
Operating income (loss).......    69.3    80.1
Interest expense..............   (39.4)  (39.7)
Investment earnings...........     0.6     0.4
Minority interest expense.....    (1.8)   (1.1)
Gain on disposals of
 facilities and long-term
 investments..................      --      --
                                ------  ------
Income (loss) before income
 taxes........................    28.7    39.7
Taxes on income...............   (12.2)  (16.7)
                                ------  ------
Income (loss) before
 extraordinary losses.........  $ 16.5  $ 23.0
                                ------  ------
                                ------  ------
Earnings (loss) per common
 share before extraordinary
 losses.......................  $ 0.21  $ 0.30
Cash dividends per common
 share........................      --      --
Ratio of earnings to fixed
 charges (5)..................     1.7x    1.9x
</TABLE>

                                       13
<PAGE>

<TABLE>
<CAPTION>
                                                              AS OF AUGUST 31,                      AS OF NOVEMBER 30,
                                            -----------------------------------------------------  --------------------
                                              1990       1991       1992       1993       1994       1993       1994
                                            ---------  ---------  ---------  ---------  ---------  ---------  ---------
                                                            (DOLLARS IN MILLIONS)
<S>                                         <C>        <C>        <C>        <C>        <C>        <C>        <C>
BALANCE SHEET DATA:
Working capital (deficit).................  $  (313.4) $  (263.4) $  (222.2) $  (140.0) $  (187.7) $  (137.9) $  (191.7)
Total assets..............................    3,595.7    3,153.5    2,963.3    2,868.4    2,976.5    2,828.8    3,024.8
Long-term debt, excluding current
 portion..................................    2,246.4    1,613.3    1,343.7    1,294.2    1,141.7    1,274.2    1,146.9
Stockholders' equity......................      332.0      552.2      663.7      697.8      848.7      714.2      873.6
<FN>
- ----------------------------------
(1)  AMH  acquired AMI on  October 26, 1989.  The period from  September 1, 1989
     through October 31,  1989 includes the  historical results of  AMI and  the
     periods  after October 31, 1989 reflect the consolidated results of AMH and
     AMI.

(2)  Operating results  relating  to nine  domestic  general hospitals  and  two
     psychiatric  hospitals sold or under binding agreement to sell as of August
     31, 1990 have been  excluded from AMH's results  of operations for the  ten
     months  ended August 31, 1990. Accordingly, AMH's results of operations for
     the ten months  ended August  31, 1990  exclude net  revenues, loss  before
     taxes  and net  loss of  $320.9 million,  $35.1 million  and $23.1 million,
     respectively, relating to assets sold or under binding agreement to sell as
     of August 31, 1990.

(3)  Results of operations for  fiscal 1991 include  results from four  domestic
     general  hospitals, one psychiatric hospital, and certain other assets sold
     during that fiscal year.

(4)  Results of operations for  fiscal 1992 include  results from four  domestic
     general hospitals sold during that fiscal year.

(5)  The  ratio of  earnings to fixed  charges is calculated  by dividing income
     before income  taxes plus  fixed charges  by fixed  charges. Fixed  charges
     consist  of  interest expense,  including amortization  of costs,  and that
     portion of  rental expense  deemed  to be  representative of  the  interest
     component of rental expense. For the fiscal year ended August 31, 1991, the
     ten months ended August 31, 1990 and the two months ended October 31, 1989,
     earnings  were  inadequate to  cover  fixed charges  by  approximately $3.7
     million, $20.6 million and $108.5 million, respectively.
</TABLE>

                                       14
<PAGE>
                    SUMMARY PRO FORMA FINANCIAL INFORMATION

    The following table presents summary pro forma financial information derived
from the Unaudited  Pro Forma Condensed  Combined Financial Statements  included
elsewhere  in  this  Information  Statement/Prospectus.  The  summary  pro forma
financial information gives effect to  the following transactions and events  as
if  they had occurred at the beginning  of each period presented for purposes of
the pro forma statements  of operations and other  operating information and  on
November  30, 1994  for purposes of  the pro  forma balance sheet  data: (i) the
August 1994 sale of approximately 75% of the common stock of TRC; (ii) the March
1994 sale of one inpatient rehabilitation hospital and the January 1994 sale  of
28  inpatient  rehabilitation  hospitals  and  45  related  satellite outpatient
clinics; (iii) the February 1994 sale of four long-term care facilities and  the
September  1993 sale of 19 long-term care  facilities to Hillhaven (all of which
properties previously had  been leased  to Hillhaven); (iv)  the elimination  of
restructuring  charges recorded by NME of $77.0  million in fiscal 1994; (v) the
elimination of certain  non-recurring gains recorded  by NME and  AMH; (vi)  the
Merger,  applying the purchase method of  accounting; and (vii) the consummation
of the public offering of approximately $1.0 billion aggregate principal  amount
of  Senior Notes of NME and Senior Subordinated Notes of NME and the refinancing
of certain indebtedness of NME and AMI.

    The Unaudited  Pro  Forma Condensed  Combined  Financial Statements  do  not
purport  to present the financial  position or results of  operations of NME had
the transactions and events assumed therein occurred on the dates specified, nor
are they  necessarily  indicative of  the  results  of operations  that  may  be
achieved  in the future.  The following Summary  Pro Forma Financial Information
does not reflect certain cost savings  that management believes may be  realized
following  the  Merger, currently  estimated to  be approximately  $60.0 million
annually beginning  in fiscal  1996  (before any  severance  or other  costs  of
implementing  certain efficiencies). No assurances can  be made as to the amount
of cost savings, if any, that actually will be realized. The Unaudited Pro Forma
Condensed Combined Financial  Statements are  based on  certain assumptions  and
adjustments  described in  the Notes to  Unaudited Pro  Forma Condensed Combined
Financial  Statements  and  should  be   read  in  conjunction  therewith.   See
"Management's  Discussion  and Analysis  of Financial  Condition and  Results of
Operations" contained  in the  NME  10-K and  the AMH  10-K,  each of  which  is
incorporated   by  reference  herein,  "Pro  Forma  Financial  Information"  and
"Financing for the Merger and the Related Transactions."

    NME reports its financial information on the basis of a May 31 fiscal  year.
AMH  reports its financial information on the basis of an August 31 fiscal year.
The Unaudited Pro Forma Condensed Combined Statement of Operations for the  year
ended  May 31, 1994 combines NME's  Consolidated Statement of Operations for the
fiscal year ended May 31, 1994  with AMH's Consolidated Statement of  Operations
for  the fiscal  year ended  August 31, 1994.  The Unaudited  Pro Forma Combined
Statements of Operations  for the six  months ended November  30, 1993 and  1994
combine  the Consolidated Statements of  Operations of NME and  AMH for the same
six-month periods.

                                       15
<PAGE>
                    SUMMARY PRO FORMA FINANCIAL INFORMATION
           (DOLLARS IN MILLIONS, EXCEPT PER SHARE AMOUNTS AND RATIOS)

<TABLE>
<CAPTION>
                                                                                         SIX MONTHS ENDED
                                                                                           NOVEMBER 30,
                                                                         YEAR ENDED   ----------------------
                                                                        MAY 31, 1994     1993        1994
                                                                        ------------  ----------  ----------
<S>                                                                     <C>           <C>         <C>
STATEMENT OF OPERATIONS DATA:
Net operating revenues................................................   $  4,965.7   $  2,374.9  $  2,555.4
Operating expenses:
  Salaries and benefits...............................................      1,986.4        962.1     1,021.2
  Supplies............................................................        664.6        311.1       343.0
  Provision for doubtful accounts.....................................        267.3        129.0       135.9
  Other operating expenses............................................      1,077.0        534.3       565.9
  Depreciation........................................................        238.3        118.2       123.9
  Amortization........................................................         71.4         35.3        35.3
                                                                        ------------  ----------  ----------
Operating income......................................................        660.7        284.9       330.2
Interest expense, net of capitalized portion..........................       (324.4)      (167.8)     (165.8)
Investment earnings...................................................         28.0         24.1         9.4
Equity in earnings of unconsolidated affiliates.......................         24.3         14.7        12.3
Minority interest expense.............................................        (11.1)        (6.5)       (5.4)
                                                                        ------------  ----------  ----------
Income from continuing operations before income taxes.................        377.5        149.4       180.7
Taxes on income.......................................................       (163.0)       (74.4)      (77.6)
                                                                        ------------  ----------  ----------
Income from continuing operations.....................................   $    214.5   $     75.0  $    103.1
                                                                        ------------  ----------  ----------
                                                                        ------------  ----------  ----------
Earnings per common share from continuing operations,
 fully diluted........................................................   $     1.03   $     0.36  $     0.50
Weighted average number of shares outstanding (in 000's)..............      214,277      213,305     214,657
Ratio of earnings to fixed charges (1)................................          1.9 x                    1.9x
</TABLE>

<TABLE>
<CAPTION>
                                                                                                                         AS OF
                                                                                                                     NOVEMBER 30,
                                                                                                                         1994
                                                                                                                    ---------------
<S>                                                                                                                 <C>
BALANCE SHEET DATA:
Working capital...................................................................................................     $  242.1
Total assets......................................................................................................      7,700.1
Long-term debt, net of current portion............................................................................      3,581.8
Shareholders' equity..............................................................................................      1,924.1
<FN>
- ------------------------------
(1)  The ratio of  earnings to fixed  charges is calculated  by dividing  income
     from  continuing operations before income taxes plus fixed charges by fixed
     charges. Fixed charges consist of interest expense, including  amortization
     of  financing  costs,  and that  portion  of  rental expense  deemed  to be
     representative of the interest component of rental expense.
</TABLE>

                                       16
<PAGE>
                                  INTRODUCTION

    This Information Statement/Prospectus is being furnished to the stockholders
of   American  Medical  Holdings,  Inc.,  a  Delaware  corporation  ("AMH"),  in
connection with the  proposed merger (the  "Merger") of AMH  Acquisition Co.,  a
Delaware  corporation ("Merger Sub") and a newly formed, wholly owned subsidiary
of National Medical Enterprises,  Inc., a Nevada  corporation ("NME"), with  and
into  AMH. The  Merger will  be effected on  the terms  and conditions described
elsewhere in this Information Statement/Prospectus pursuant to the Agreement and
Plan of Merger, dated as  of October 10, 1994  (the "Merger Agreement"), by  and
among NME, Merger Sub and AMH, a copy of which is attached hereto as Annex A and
incorporated herein by reference. See "The Merger."

    The  information  herein  concerning  NME  has  been  supplied  by  NME. The
information herein concerning  AMH has  been supplied by  AMH. This  Information
Statement/Prospectus  will be mailed to stockholders  of AMH on or about January
31, 1995. This Information Statement/Prospectus also constitutes the  Prospectus
of  NME with respect to the shares of  common stock, par value $0.075 per share,
of NME (the "NME Common Stock") to be issued in the Merger, other than shares to
be received by the AMH stockholders that  previously have voted in favor of  the
approval and adoption of the Merger and the Merger Agreement.

    The  Board  of Directors  of AMH  has unanimously  approved and  adopted the
Merger Agreement and has recommended approval  of the Merger to stockholders  of
AMH.  Stockholders of  AMH holding an  aggregate of 47,622,850  shares of common
stock, par value $.01 per share,  of AMH (the "AMH Common Stock")  (representing
approximately  61.4% of  the AMH  Common Stock  outstanding as  of September 30,
1994) have entered into Stockholder Voting and Profit Sharing Agreements,  dated
as  of October  10, 1994, with  NME (the "Stockholder  Agreements"), pursuant to
which they have voted such shares of stock in favor of the approval and adoption
of the Merger and the Merger Agreement. See "The Merger -- Interests of  Certain
Persons  in the Merger." ACCORDINGLY, NO  FURTHER STOCKHOLDER ACTION IS REQUIRED
BY OTHER STOCKHOLDERS  OF AMH. AMH  IS NOT ASKING  YOU FOR A  PROXY AND YOU  ARE
REQUESTED  NOT TO SEND AMH A PROXY. See "The Merger -- Background of the Merger"
and "-- Terms of the Merger -- Stockholder Approval; Stockholder Agreements."

                                       17
<PAGE>
                                  RISK FACTORS

    The  following  are  certain  factors  that  should  be  considered  by  the
stockholders  of AMH in  evaluating the Merger  as well as  an investment in NME
Common Stock after the Merger. References  herein to NME after the Merger  shall
be deemed to include NME and AMH.

COMPETITION

    The  healthcare industry has been characterized in recent years by increased
competition for  patients  and  staff physicians,  excess  capacity  at  general
hospitals,   a  shift  from  inpatient  to  outpatient  settings  and  increased
consolidation. The principal factors contributing  to these trends are  advances
in   medical  technology,  cost-containment  efforts  by  managed  care  payors,
employers  and  traditional   health  insurers,  changes   in  regulations   and
reimbursement policies, increases in the number and type of competing healthcare
providers  and changes in physician practice patterns. NME's future success will
depend, in part, on the ability of NME's hospitals to continue to attract  staff
physicians,  to enter into managed care  contracts and to organize and structure
integrated healthcare  delivery  systems  with other  healthcare  providers  and
physician  practice groups. There can be  no assurance that NME's hospitals will
continue to be able, on terms favorable  to NME, to attract physicians to  their
staffs,  to  enter into  managed  care contracts  or  to organize  and structure
integrated healthcare  delivery systems,  for which  other healthcare  companies
with greater financial resources or a wider range of services may be competing.

    NME's  ability to continue to compete  successfully for such contracts or to
form or participate in  such systems also may  depend upon, among other  things,
NME's  ability to  increase the  number of  its facilities  and services offered
through the  acquisition of  hospitals, groups  of hospitals,  other  healthcare
businesses,  ancillary healthcare  providers, physician  practices and physician
practice assets and NME's ability to finance such acquisitions. There can be  no
assurance  that suitable acquisitions, for which other healthcare companies with
greater financial resources than  NME may be competing,  can be accomplished  on
terms favorable to NME or that financing, if necessary, can be obtained for such
acquisitions.  See "-- Certain Financing Considerations; Leverage." There can be
no assurance  that  NME  will  be able  to  operate  profitably  any  hospitals,
facilities, businesses or other assets it may acquire, effectively integrate the
operations  of such acquisitions  or otherwise achieve  the intended benefits of
such acquisitions.

LIMITS ON REIMBURSEMENT

    NME derives  a  substantial  portion  of its  net  operating  revenues  from
third-party  payors, including  the Medicare  and Medicaid  programs. Changes in
government reimbursement programs have resulted in limitations on increases  in,
and  in some cases in reduced  levels of, reimbursement for healthcare services,
and additional changes  are anticipated. Such  changes are likely  to result  in
further  limitations  on  reimbursement  levels.  In  addition,  private payors,
including  managed  care  payors,  increasingly  are  demanding  discounted  fee
structures  or the assumption by healthcare providers of all or a portion of the
financial risk through prepaid  capitation arrangements. Inpatient  utilization,
average  lengths of stay and occupancy  rates continue to be negatively affected
by payor-required  pre-admission authorization  and  utilization review  and  by
payor  pressure  to  maximize  outpatient  and  alternative  healthcare delivery
services for less acutely ill patients.  In addition, efforts to impose  reduced
allowances, greater discounts and more stringent cost controls by government and
other  payors are expected  to continue. Although  NME is unable  to predict the
effect these changes  will have  on its operations,  as the  number of  patients
covered  by managed  care payors increases,  significant limits on  the scope of
services reimbursed and on  reimbursement rates and fees  could have a  material
adverse effect on the financial results of such operations.

EXTENSIVE REGULATION

    The  healthcare industry  is subject to  extensive Federal,  state and local
regulation  relating  to   licensure,  conduct  of   operations,  ownership   of
facilities,  addition of  facilities and  services and  prices for  services. In
particular, Medicare and Medicaid antifraud and abuse amendments codified  under
Section  1128B(b)  of  the  Social  Security  Act  (the  "Antifraud Amendments")
prohibit certain business

                                       18
<PAGE>
practices and  relationships  that  might  affect  the  provision  and  cost  of
healthcare  services  reimbursable under  Medicare  and Medicaid.  Sanctions for
violating  the  Antifraud  Amendments  include  criminal  penalties  and   civil
sanctions, including fines and possible exclusion from the Medicare and Medicaid
programs.  Pursuant to the Medicare and  Medicaid Patient and Program Protection
Act of 1987,  the Department  of Health and  Human Services  ("HHS") has  issued
regulations  that  describe  some  of  the  conduct  and  business relationships
permissible under the  Antifraud Amendments ("Safe  Harbors"). NME believes  its
business  arrangements comply in  all material respects  with applicable law and
satisfy the Safe Harbors. The fact that a given business does not fall within  a
Safe   Harbor  does  not  render  the   arrangement  PER  SE  illegal.  Business
arrangements of healthcare service providers that fail to satisfy the applicable
Safe  Harbor  criteria,   however,  risk  increased   scrutiny  by   enforcement
authorities.  Because NME may  be less willing  than some of  its competitors to
enter into business arrangements that do  not clearly satisfy the Safe  Harbors,
it  could be at a competitive disadvantage in entering into certain transactions
and arrangements with physicians and other healthcare providers. See "-- Certain
Legal Proceedings."

    In addition,  Section 1877  of the  Social Security  Act recently  has  been
amended,  effective  January  1, 1995,  to  significantly broaden  the  scope of
prohibited physician  referrals  under the  Medicare  and Medicaid  programs  to
providers  with which they have financial arrangements. Many states have adopted
or are considering similar  legislative proposals, some  of which extend  beyond
the  Medicaid program  to all  healthcare services.  NME's participation  in and
development of joint ventures and  other financial arrangements with  physicians
could be adversely affected by these amendments and similar state enactments.

    Certificates  of  Need,  which  are  issued  by  certain  state governmental
agencies with jurisdiction over healthcare facilities, are at times required for
capital expenditures exceeding a prescribed  amount, changes in bed capacity  or
services  and certain other matters. After  consummation of the Merger, NME will
operate hospitals in eight states that require state approval under  Certificate
of Need programs. NME is unable to predict whether it will be able to obtain any
Certificates  of Need  in any jurisdiction  where such Certificates  of Need are
required.

    NME is  unable to  predict the  future course  of Federal,  state and  local
regulation   or  legislation,  including  Medicare  and  Medicaid  statutes  and
regulations. Further changes in the  regulatory framework could have a  material
adverse effect on the financial results of NME's operations.

HEALTHCARE REFORM LEGISLATION

    In  recent years, an increasing number  of legislative initiatives have been
introduced or proposed in Congress and  in state legislatures that would  effect
major changes in the healthcare system, either nationally or at the state level.
Among  the  proposals  under  consideration  are  price  controls  on hospitals,
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 government health  insurance
plan  or  plans  that  would  cover all  citizens.  In  1993,  President Clinton
introduced a healthcare reform bill that included a number of measures that were
broadly  viewed  as  increasing  the  scope  of  government  regulation  of  the
healthcare  industry.  Key  elements  in  the  President's  proposal  and  other
healthcare reform  proposals  included  various insurance  market  reforms,  the
requirement   that  businesses  provide  health  insurance  coverage  for  their
employees, reductions  or  lesser  increases in  future  Medicare  and  Medicaid
reimbursement  to providers and more stringent government cost controls. None of
these proposals has been  adopted. There continue to  be efforts at the  Federal
level  to introduce various  insurance market reforms,  expanded fraud and abuse
and anti-referral legislation  and further reductions  in Medicare and  Medicaid
reimbursement.  A broad range of both  similar and more comprehensive healthcare
reform initiatives is  likely to be  considered at the  state level. NME  cannot
predict  whether  any of  the above  proposals  or any  other proposals  will be
adopted, and, if adopted, no assurance  can be given that the implementation  of
such reforms will not have a material adverse effect on NME's business.

                                       19
<PAGE>
CERTAIN LEGAL PROCEEDINGS

    NME   has  been  involved  in  certain  significant  legal  proceedings  and
investigations related  principally to  its discontinued  psychiatric  business.
These   proceedings  and  investigations  include  class-action  and  derivative
lawsuits by certain stockholders, psychiatric patient litigation alleging  fraud
and  conspiracy, certain  lawsuits filed by  third-party private-payor insurance
companies and investigations by various state and Federal agencies. NME (i)  has
reached agreements with the United States Department of Justice (the "DOJ"), HHS
and  the  Securities and  Exchange Commission  (the "Commission")  resolving all
Federal healthcare and  related disclosure  investigations of  NME (but  various
government  agencies  are continuing  to  pursue investigations  against certain
individuals), (ii) has reached  an agreement with the  District of Columbia  and
all  states  where  NME's  psychiatric  facilities  received  Medicaid payments,
settling all potential state claims related to the matters that were the subject
of the Federal investigations, (iii) has resolved the litigation between NME and
the  insurers,  (iv)  has  reached  agreements  in  principle  to  resolve   the
shareholder  derivative lawsuit  and one of  the class action  lawsuits, and (v)
continues to resolve the cases  brought by individual psychiatric patients.  NME
has  disposed of substantially all of  its psychiatric facilities, but continues
to operate  the remainder  as a  discontinued operation,  pending their  planned
closure,  sale or  conversion to  another use.  NME has  received inquiries from
various other insurance  companies and  health benefit  providers regarding  the
possible  filing  of claims.  Additional  lawsuits alleging  malpractice  at its
psychiatric facilities  and  the existence  of  a corporate-wide  conspiracy  to
commit  wrongful acts have been filed, and NME expects that similar lawsuits may
be filed  from  time to  time  against NME,  its  officers or  directors.  NME's
reserves  for unusual litigation costs represent management's estimate, based on
the information currently  available to it,  of the net  costs (including  legal
expenses)  of the ultimate  disposition of these matters.  NME believes that its
remaining reserves  established for  these  matters are  adequate to  cover  its
ultimate  liability. In the  event such reserves are  not adequate, however, the
adverse determination of these matters could  have a material adverse effect  on
NME's  financial condition and results  of operations. See "Selected Information
Concerning NME and AMH  -- National Medical Enterprises,  Inc. -- Certain  Legal
Proceedings."

    In  its  agreements  with  the  DOJ and  HHS,  NME  agreed  to  maintain its
previously established  ethics program  and ethics  hotline and  also agreed  to
implement certain additional compliance-related oversight procedures. Should the
hotline  or oversight  procedures reveal,  after investigation  by NME, credible
evidence of violations of criminal, or material violations of civil, laws, rules
or regulations governing Federally  funded programs, NME  is required to  report
any  such violation to the  DOJ and HHS. As a  result of the existing agreements
with the DOJ  and HHS  and the recent  legal proceedings  and investigations  in
which  NME has  been involved,  NME is  subject to  increased Federal  and state
regulatory scrutiny and, in the event that NME violates such decrees or  engages
in conduct that violates Federal or state laws, rules or regulations, NME may be
subject  to  a risk  of  increased sanctions  or  penalties, including,  but not
limited to, partial or  complete disqualification as a  provider of Medicare  or
Medicaid services.

INCOME TAX EXAMINATIONS

    The  Internal  Revenue  Service  (the "IRS")  currently  is  examining NME's
Federal income tax returns for  fiscal years 1986 through  1990 and has not  yet
begun  examining  any  returns  for subsequent  years  (collectively,  the "Open
Years.") Although the IRS has not challenged any of NME's positions in the  Open
Years,  there can be  no assurance that  significant issues will  not be raised.
While NME has no reason to believe that the tax reserves it has established will
be inadequate, if audits of the Open Years or fiscal 1994, for which NME has not
yet filed a tax return, result in determinations significantly in excess of such
reserves, NME's financial condition could be materially adversely affected.

DEPENDENCE ON KEY PERSONNEL AND PHYSICIANS

    NME's operations are dependent on the efforts, ability and experience of its
key executive officers. NME's continued growth depends on its ability to attract
and retain skilled employees, on the  ability of its officers and key  employees
to    manage   growth   successfully   and   on   NME's   ability   to   attract

                                       20
<PAGE>
and retain physicians at its hospitals. In  addition, the success of NME is,  in
part,  dependent upon the  number, specialties and quality  of physicians on its
hospitals'  medical  staffs,  most  of   whom  have  no  long-term   contractual
relationship  with NME and may terminate  their association with NME's hospitals
at any time.  The loss  of some or  all of  these key executive  officers or  an
inability  to attract or retain sufficient numbers of qualified physicians could
have a material adverse impact on NME's future results of operations.

PROFESSIONAL LIABILITY INSURANCE

    As is typical in the healthcare industry, each of NME and AMH is subject  to
claims  and  legal actions  by patients  and  others in  the ordinary  course of
business. Prior  to  the consummation  of  the Merger,  NME  and AMH  have  been
partially self-insured for professional and general liability risks. NME and AMH
each  own a  minority interest  in HUG Services  Inc. ("HUG"),  which, through a
wholly owned subsidiary, insures the  excess professional and general  liability
risks for all NME hospitals and 35 AMH hospitals above the self-insured amounts,
up to $25 million per occurrence and $30 million in the aggregate. HUG reinsures
a  substantial  portion of  the foregoing  amounts. Both  NME and  AMH currently
account for  their interests  in  HUG using  the  equity method.  Following  the
Merger,  NME  will own  an approximately  81%  equity interest  in HUG,  and the
assets, liabilities and results of operations  of HUG will be consolidated  with
those of NME. See "Pro Forma Financial Information."

    NME, AMH and HUG maintain unfunded reserves for their professional liability
risks  which  are  based  on actuarial  estimates  calculated  and  evaluated by
independent actuaries. While cash from  operations has been adequate to  provide
for  unforeseen liability  claims in  the past, there  can be  no assurance that
NME's cash flow  will continue  to be adequate  to cover  such claims  following
consummation  of the Merger. If actual payments  of claims with respect to NME's
and HUG's  self-insured liabilities  exceed projected  payments of  claims,  the
financial results of NME's operations could be materially adversely affected.

CERTAIN FINANCING CONSIDERATIONS; LEVERAGE

    NME  intends to enter into a new credit facility (the "New Credit Facility")
with Morgan Guaranty  Trust Company of  New York, as  administrative agent,  and
certain  other lenders, that will provide for  borrowings of up to $2.5 billion,
of which approximately $2.0 billion will be term loans and approximately  $500.0
million  will be available as revolving credit  loans and letters of credit. See
"Financing for  the  Merger and  the  Related  Transactions --  The  New  Credit
Facility."  NME also  intends to issue  through an  underwritten public offering
approximately $1  billion  aggregate  principal  amount  of  senior  and  senior
subordinated debt securities (the "New Debt Securities"). See "Financing for the
Merger  and the  Related Transactions  -- The New  Credit Facility"  and "-- The
Public Offering."  The New  Debt Securities  and  a portion  of the  New  Credit
Facility  will be used to  pay the cash portion  of the Merger Consideration (as
hereinafter defined). The remainder of the  New Credit Facility will be used  to
refinance   certain   existing  indebtedness   of   NME  and   American  Medical
International, Inc., a Delaware corporation that is a wholly owned subsidiary of
AMH ("AMI"), and for working capital purposes.

    As of November  30, 1994, NME's  total indebtedness was  37.0% of its  total
capitalization  including short-term debt.  As adjusted on a  pro forma basis to
give effect  to  the  Merger  and  certain  related  transactions,  NME's  total
indebtedness  would  have  been  66.0%  of  its  total  capitalization including
short-term debt. See "Pro Forma Financial Information."

    The New  Credit Facility  will include  covenants prohibiting  or  limiting,
among  other things, the  sale of assets,  the making of  acquisitions and other
investments, capital expenditures, the incurrence  of additional debt and  liens
and  the payment of dividends,  in addition to a  minimum consolidated net worth
requirement and certain ratio coverage tests. See "Financing for the Merger  and
the  Related  Transactions  --  The  New  Credit  Facility."  In  addition,  the
indentures governing the New Debt  Securities will include, among other  things,
covenants  limiting the incurrence of additional  debt and liens and the payment
of dividends. NME's failure to comply  with any of these covenants could  result
in an event of default under its indebtedness including the New Debt Securities,
which in turn could have a material adverse effect on NME.

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<PAGE>
    The  degree to which NME is leveraged  and the covenants described above may
adversely affect NME's ability to finance its future operations and could  limit
its ability to pursue business opportunities that may be in the interests of NME
and its securityholders. In particular, changes in medical technology, existing,
proposed and future legislation, regulations and the interpretation thereof, and
the  increasing importance of  managed care contracts  and integrated healthcare
delivery systems may  require significant investment  in facilities,  equipment,
personnel or services. Although NME believes that cash generated from operations
and  amounts  available under  the revolving  credit portion  of the  New Credit
Facility will be sufficient to allow it  to make such investments, there can  be
no  assurance that NME will  be able to obtain the  funds necessary to make such
investments.  Furthermore,  tax-exempt  or  government-owned  competitors   have
certain  financial  advantages  such  as  endowments,  charitable contributions,
tax-exempt financing and  exemption from  sales, property and  income taxes  not
available  to  NME, providing  them with  a  potential competitive  advantage in
making  such  investments.  See  "Financing  for  the  Merger  and  the  Related
Transactions."

POTENTIAL CONFLICTS OF INTEREST

    Salomon  Brothers Inc ("Salomon") has delivered  its opinion to the Board of
Directors of AMH to the  effect that, based upon  the matters presented to  such
Board,  as of October 10, 1994, the  consideration to be received by the holders
of AMH Common Stock (other than NME or any of its affiliates) in connection with
the Merger was fair to such holders from a financial point of view. On or  about
December  5,  1994, Salomon  was engaged  by  NME to  serve as  co-manager, with
Donaldson, Lufkin & Jenrette Securities Corporation ("DLJ") as lead underwriter,
for NME in the Public Offering (as hereinafter defined). On or about January  5,
1995,  Salomon was engaged to serve as a dealer manager, with DLJ, to NME in the
NME Tender Offers  and AMI  Tender Offers  (each as  hereinafter defined).  Such
engagements  could give rise to a potential conflict of interest if Salomon were
asked to confirm  its opinion  to the  Board of  Directors of  AMH. Salomon  has
advised  AMH, however, that Salomon does not believe that such engagements would
interfere with its ability, if requested  by AMH, to render confirmation of  its
opinion. See "The Merger -- Opinion of Salomon Brothers Inc".

FACTORS AFFECTING MARKET PRICE OF NME COMMON STOCK

    Because  the Merger Consideration  is fixed and because  the market price of
NME Common Stock is subject  to fluctuation, the market  value of the shares  of
NME Common Stock that holders of AMH Common Stock will receive in the Merger may
increase  or  decrease  prior to  and  following  the Merger.  There  can  be no
assurance that at or  after the Effective Time  (as hereinafter defined) of  the
Merger  such shares  of NME Common  Stock will  maintain or equal  the prices at
which such shares have traded in the past. The prices at which NME Common  Stock
trades  after the  Merger may  be influenced  by many  factors, including, among
others, the liquidity of the market  for NME Common Stock, investor  perceptions
of  NME  and the  healthcare  industry, the  operating  results of  NME  and its
subsidiaries, NME's  dividend  policy, restrictions  on  change of  control  and
general  economic and  market conditions. Similar  factors affect  the prices at
which AMH Common Stock  currently trades. See "The  Merger -- Comparative  Stock
Prices and Dividends."

SHARES ELIGIBLE FOR FUTURE ISSUANCE AND SALE

    As  of  December  30, 1994,  166,379,049  shares  of NME  Common  Stock were
outstanding, and  28,757,977  shares  of  NME Common  Stock  were  reserved  for
issuance  in connection with  the exercise of  outstanding options, warrants and
conversion rights. In  addition to  the 32,601,338  shares of  NME Common  Stock
proposed to be issued in the Merger, up to 229,931 shares issuable to holders of
AMI  Convertible Debentures  (as hereinafter defined)  and 512,484  shares to be
issued to  AMH which  will  concurrently transfer  such  shares to  certain  AMH
optionees,  NME may issue shares of NME  Common Stock and preferred stock in the
future  in  connection  with  acquisitions,  corporate  combinations,  financing
activities  or employee compensation plans. Sales  of substantial amounts of NME
Common Stock in  the open market  or the  availability of such  shares for  sale
could  have an  adverse short-term  effect on  the market  price for  NME Common
Stock. See "The Merger -- Terms of the Merger -- Registration Rights."

                                       22
<PAGE>
CERTAIN ANTI-TAKEOVER PROVISIONS

    Certain provisions of  the Restated  Articles of  Incorporation, as  amended
(the "NME Articles of Incorporation"), and Restated Bylaws, as amended (the "NME
Bylaws"),  of NME  may make  an unsolicited acquisition  of control  of NME more
difficult or expensive. Furthermore, NME has adopted a stockholder rights  plan,
which also will be applicable to NME Common Stock to be issued in the Merger and
which  will  make  an unsolicited  acquisition  of  NME more  difficult  or more
expensive. See "The Merger -- Comparative Rights of Stockholders."

                                   THE MERGER

BACKGROUND OF THE MERGER

    The  terms  of  the  Merger  Agreement  are  the  result  of  arm's   length
negotiations  between representatives of  NME and AMH. The  following is a brief
discussion of  the background  of  these negotiations,  the Merger  and  related
transactions.

    Over  the  past several  years, the  United  States healthcare  industry has
undergone  a  period  of  great  uncertainty.  Competition  from  a  variety  of
healthcare providers has intensified, and the Clinton Administration and various
states  have set reform of the healthcare system as a primary policy goal. These
factors, among others, have resulted in a significant trend toward consolidation
of healthcare  providers  and payors  through  acquisitions, mergers  and  other
strategic  alliances.  Each  of AMH  and  NME  has been  aware  that  many other
healthcare providers were considering or had entered into a variety of strategic
transactions to  strengthen  their positions  for  the future,  recognizing  the
uncertainties  surrounding the future  of the healthcare  industry and the rapid
pace of change in the  industry. As a result, each  of AMH and NME has  actively
reviewed the dynamic healthcare business environment.

    Commencing  in the winter of  1992, the Board of  Directors of AMH, together
with senior management, embarked on a program to evaluate various strategic  and
financial  alternatives  which  could  optimize  AMH's  business  and  financial
prospects in  response  to  the  rapidly  evolving  and  competitive  healthcare
environment  and to reform-oriented changes in  the healthcare industry. In this
regard, AMH adopted  a policy to  actively pursue selected  acquisitions of,  or
investments  in, not for profit  hospitals, resulting in the  purchase by AMH of
St. Francis Hospital in  Memphis, Tennessee ("St. Francis  Hospital") on May  1,
1994  and the acquisition  of a 70%  interest in Hilton  Head Hospital in Hilton
Head, South Carolina ("Hilton Head Hospital")  on September 1, 1994. As part  of
related  strategies,  members  of  AMH's development  team  also  targeted other
independent not for  profit as well  as for profit  hospitals for  participation
with  each other  and AMH  hospitals in  healthcare networks  and also evaluated
asset swaps with  both for  profit and not  for profit  entities to  rationalize
hospital  portfolios and  improve market penetration.  Finally, in  an effort to
provide AMH and its  stockholders with a  full range of  options and to  augment
internally generated strategic responses, the Board of Directors of AMH directed
senior  management  and AMH's  legal and  financial representatives  to evaluate
business combinations  involving compatible  healthcare companies  to  determine
whether  a consolidation of AMH and  such companies could enhance AMH's presence
in the industry.

    As a result of the  initiatives adopted by the  AMH Board of Directors,  AMH
management  and  certain of  its financial  and legal  representatives conducted
preliminary evaluations with respect to  ten different publicly held  healthcare
providers  between  December  1992  and the  date  that  definitive negotiations
regarding the  Merger were  concluded  between AMH  and NME.  These  evaluations
consisted  in each instance of  a review and assessment  of the periodic reports
filed  by  such  companies  with  the  Commission,  internal  consideration   of
historical  operating results and future  prospects, including certain pro forma
combined effects  of any  such  combination, and  other relevant  financial  and
operational  considerations.  These  preliminary  investigations  were,  in many
cases, also accompanied by informal  discussions between representatives of  AMH
and  such other companies  to identify whether  further evaluation or discussion
between the parties  could be productive.  Subject to this  initial review,  AMH
also entered into confidentiality agreements and exchanged certain due diligence

                                       23
<PAGE>
information  with each of  HealthTrust, Inc. -- The  Hospital Company ("HTI") in
July 1993, OrNda HealthCorp. ("OrNda")  in September 1993, MedicalCare  America,
Inc.  ("MCA") in December 1993, Columbia/HCA Healthcare Corporation ("Columbia")
in February  1994,  and NME  in  June 1994.  Notwithstanding  these  preliminary
investigations,  discussions and exchanges  of information, AMH  did not receive
any additional  contacts or  responses indicative  of further  interest by  such
persons  (other than NME) in pursuing  a potential combination involving AMH. In
January 1994, AMH also submitted  a proposal respecting a potential  combination
with,  or alternatively  a strategic  investment in,  MCA, which  was ultimately
acquired by Columbia.

    During the  summer of  1993,  DLJ approached  senior  management of  NME  to
discuss  the  possibility  of some  form  of business  combination  or strategic
alliance between NME and  other healthcare providers,  including AMH. NME's  new
senior  management engaged in general introductory  discussions with a number of
other healthcare providers, but elected not to pursue any discussions concerning
a business combination or other strategic  alliance at that time because of  the
unusual legal proceedings and the DOJ investigation related principally to NME's
discontinued  psychiatric business. See "Selected  Information Regarding NME and
AMH -- National Medical Enterprises, Inc. -- Certain Legal Proceedings."

    Although NME  recognized  the  need to  continually  evaluate  the  changing
healthcare  industry  to  determine  whether a  strategic  alliance  or business
combination with  another  healthcare  provider  would  be  beneficial  from  an
economic  and operational standpoint, NME also recognized that an important step
in accomplishing any business combination transaction on terms acceptable to NME
would be  a  satisfactory  resolution  of  the  DOJ  investigation  and  certain
insurance  litigation. As  a result, although  senior management at  NME did not
pursue any specific strategic alliances or business combination analyses at that
time, they  actively monitored  the industry  environment for  opportunities  to
benefit NME shareholders.

    In  connection  with NME's  goal of  concentrating on  its core  business of
operating general hospitals, on  July 28, 1993, NME  entered into an  engagement
letter  with DLJ  pursuant to  which NME  retained DLJ  to act  as its financial
advisor for a period  of 12 months  with respect to the  review and analysis  of
NME's  financial and structural  alternatives. Pursuant to  this engagement, DLJ
advised NME  with respect  to  the divestiture  of its  psychiatric  facilities,
rehabilitation  hospitals and certain other non-core businesses. Pursuant to the
terms of that engagement letter,  as amended by a July  5, 1994 letter, NME  has
paid  DLJ an initial retainer of  $250,000. Such letter agreement provides that,
in the event NME determines to commence certain specified types of  transactions
proposed  by  DLJ  for  which  NME determines  to  retain  a  financial advisor,
placement agent or underwriter, as the case may be, DLJ shall have the right  to
act  as  such  financial advisor,  placement  agent or  underwriter  pursuant to
further agreements appropriate to  the circumstances containing provisions  for,
among  other things,  compensation and indemnification.  NME also  has agreed to
reimburse DLJ promptly for all  reasonable and necessary out-of-pocket  expenses
(including  the  reasonable  fees and  expenses  of legal  counsel)  incurred in
connection with  the  foregoing engagement  and  to indemnify  DLJ  and  certain
related  persons against certain liabilities in connection with such engagement.
Insofar as indemnification of DLJ  for liabilities arising under the  Securities
Act of 1933, as amended (the "Securities Act"), may be permitted pursuant to the
foregoing  provisions,  NME  has  been  informed  that  in  the  opinion  of the
Commission such indemnification  is against  public policy as  expressed in  the
Securities Act and is, therefore, unenforceable.

    Throughout  the  second half  of 1993  and  the first  half of  1994, senior
management of NME focused its efforts on resolving the unusual legal proceedings
and disposing of substantially all of its rehabilitation hospitals,  psychiatric
facilities  and  kidney  dialysis  operations. In  April  1994,  NME  reached an
agreement in principle with the DOJ, and on June 29, 1994, NME executed a  final
agreement  with the DOJ that concluded the Federal investigations. See "Selected
Information Concerning  NME and  AMH --  National Medical  Enterprises, Inc.  --
Certain Legal Proceedings."

                                       24
<PAGE>
    During  May  and June  1994, senior  management of  NME began  a preliminary
analysis with its financial and legal advisors of the options and  opportunities
available  to NME. During this time  period, representatives of NME began having
preliminary discussions with representatives of AMH regarding the possibility of
a business combination or strategic alliance.

    Based upon AMH's ongoing effort to evaluate business combinations  involving
publicly  held healthcare providers compatible  with the business activities and
strategic objectives  of AMH,  the  Board of  Directors  of AMH  concluded  that
participation  in one or more business  combination transactions, whether as the
surviving corporation  in  such  transaction or  otherwise,  would  enhance  the
prospects  of AMH for  future growth and  operating performance. Accordingly, in
early 1994, the  Board of  Directors of  AMH directed  senior management,  AMH's
legal  advisors, and each of CS First Boston Corporation ("CS First Boston") and
GKH Partners, L.P. ("GKH"), who were  advising AMH on general financial  matters
related  to the  evaluation of  strategic and  financial alternatives,  to fully
assess the  potential  benefits to  AMH  and its  stockholders  of one  or  more
business  combinations involving AMH and those companies who were the subject of
AMH's prior initial  evaluation, to the  extent such companies  had not  already
entered   into  alternative  combination  transactions.   In  response  to  this
directive, in early June 1994 representatives of the AMH Financial Advisors  (as
hereinafter  defined), on  behalf of  AMH, reinitiated  prior contacts  with NME
(which had  been preliminarily  evaluated  by AMH  in  July 1993).  All  actions
undertaken  by CS First Boston and GKH on  behalf of AMH, whether in relation to
the discussions with NME or with regard to AMH strategic alternatives generally,
were taken in their capacity  as advisors to AMH and  not in the capacity  which
they (or their affiliates) hold as stockholders of AMH.

    On  June 2, 1994, NME and  AMH executed a confidentiality agreement pursuant
to which  they agreed,  among other  things, that  any confidential  information
disclosed  by the other party would be treated as confidential and would be used
solely for the  purpose of  evaluating a proposed  transaction. Thereafter,  the
senior  managements  of NME  and AMH,  together with  their financial  and legal
advisors, periodically discussed the businesses of the two companies in  general
and   continued  preliminary  discussions  concerning   the  possibility  of  an
acquisition, merger or other form of business combination between NME and AMH.

    In July 1994,  in light  of the  fact that  NME had  resolved a  significant
portion  of its  legal difficulties,  senior management  of NME  began to devote
substantially more time and attention to  evaluating NME's role in the  evolving
healthcare  industry.  The resolution  of the  most  significant of  NME's legal
difficulties and the disposition of  certain properties, together with the  cost
control  measures implemented during  the second calendar  quarter of 1994, left
NME positioned  to  expand  its  operations through  some  form  of  a  business
combination  or strategic  alliance with  one or  more healthcare  providers and
thereby to compete more effectively in the rapidly changing healthcare industry.
In late July  1994, representatives of  NME continued their  discussions with  a
number   of  healthcare  providers  regarding  the  possibility  of  a  business
combination or other strategic alliance.

    In early August 1994, senior management of NME and AMH and their  respective
financial  advisors met  and had telephone  conferences on  several occasions to
discuss due diligence  matters and various  business opportunities, including  a
possible  business combination  involving both entities.  During these meetings,
various forms of a possible transaction  were discussed, and NME and AMH  agreed
to  further  discussions  regarding  business  terms  for  a  possible  business
combination.

    On August 8, 1994, NME entered into an additional engagement letter with DLJ
pursuant to which NME engaged DLJ on an exclusive basis to act as its  financial
advisor  in connection with a possible  sale, merger, consolidation or any other
business combination involving NME and  AMH. Pursuant to the engagement  letter,
NME  has paid DLJ $2,500,000 for acting  as financial advisor in connection with
the Merger and has agreed to pay DLJ $7,500,000 upon consummation of the Merger.
NME also has agreed,  upon request by  DLJ from time to  time, to reimburse  DLJ
promptly  for up  to $100,000 of  reasonable expenses  (including the reasonable
fees and expenses of counsel) incurred by DLJ in connection with its engagement,
whether or not a transaction is consummated. NME also

                                       25
<PAGE>
agreed to indemnify DLJ and certain related persons against certain  liabilities
in  connection  with its  engagement,  including liabilities  under  the Federal
securities laws. Insofar as indemnification of DLJ for liabilities arising under
the Securities Act may  be permitted pursuant to  the foregoing provisions,  NME
has  been informed that in the opinion of the Commission such indemnification is
against public policy  as expressed  in the  Securities Act  and is,  therefore,
unenforceable.

    On   August   24  and   25,   1994,  senior   and   operational  management,
representatives and advisors of both companies  met in Dallas, Texas to  discuss
various  strategic and operational issues, including the need of both parties to
conduct extensive due diligence investigations. As a result, the parties  agreed
in  principle  to exchange  certain further  confidential information  to better
facilitate discussions regarding a business combination.

    In connection  with  the  possible  investigation by  NME  of  two  separate
transactions,  one with AMH and  the other with HTI, AMH  and HTI entered into a
confidentiality  agreement  on  August  26,  1994  to  facilitate  the  flow  of
information  between AMH and HTI.  In addition, on August  25, 1994, AMH and NME
amended the June 2, 1994 Confidentiality  Agreement between NME and AMH to  take
into account the existence of the confidentiality agreement between AMH and HTI.
On  September  1, 1994,  representatives of  AMH,  NME and  HTI met  in Atlanta,
Georgia to  discuss  due diligence  issues.  That  meeting was  followed  up  by
telephone  conferences and meetings among representatives of AMH, NME and HTI. A
meeting  was  held  on  September  30,  1994  in  Nashville,  Tennessee  between
representatives  of  AMH  and  HTI  to  discuss  due  diligence  related issues.
Discussions among AMH, NME and HTI concerning any transaction involving HTI were
terminated on  October 4,  1994 with  the announcement  of the  proposed  merger
between HTI and Columbia.

    Throughout September 1994, NME and AMH exchanged confidential information as
part  of their  due diligence  efforts, and  senior and  operational management,
representatives and financial  and legal  advisors of  the respective  companies
continued  to discuss various structural,  procedural and operational matters as
they related to the proposed transaction  with AMH. During this period, DLJ,  on
behalf  of NME,  and CS First  Boston and GKH,  on behalf of  AMH, were actively
involved in direct negotiations. Persons designated by each of affiliates of  CS
First  Boston  and  GKH  are members  of  the  Board of  Directors  of  AMH, and
affiliates of CS First Boston and  GKH are also significant stockholders of  AMH
and  parties to  the Stockholder  Agreements. See  "The Merger  -- Terms  of the
Merger -- Stockholder  Approval; Stockholder  Agreements" and  "-- Interests  of
Certain Persons in the Merger."

    On September 28, 1994, the Board of Directors of NME held a meeting at which
members  of NME's senior management  and DLJ made presentations  to the Board of
Directors of NME regarding  the proposed transaction  with AMH. After  reviewing
the  terms then being  discussed regarding a  proposed transaction together with
their financial and legal advisors, the  Board of Directors of NME directed  its
advisors  and representatives to proceed  with negotiations to ascertain whether
an agreement could be reached with respect to a proposed transaction. After this
meeting the discussions between AMH and NME and their respective representatives
and advisors intensified.

    Following announcement of  the proposed  HTI/Columbia merger,  at a  regular
meeting  of the Board of Directors of AMH on October 4 and 5, 1994, the Board of
Directors of AMH  reviewed the  competitive impact of  the HTI/Columbia  merger,
including  the possible effect  of such transaction  upon the ability  of AMH to
combine with one or  more significant healthcare  management companies on  terms
favorable  to AMH and its stockholders. At  that time, the Board of Directors of
AMH discussed the results of the due diligence investigation with respect to NME
and reviewed the history and status of various discussions regarding a potential
business combination involving AMH and NME. Following a review and discussion of
the terms generally proposed  by NME, the Board  of Directors of AMH  determined
that  the  value  of  NME's  proposal,  which  was  predicated  upon  components
consisting of a cash payment and a mix of NME securities, was not acceptable. In
view of  the  AMH  Board's overall  evaluation  of  the status  of  the  AMH/NME
negotiations,  however, the Board of Directors of AMH concluded that it would be
advisable and in the best interests of  AMH that discussions with NME should  be
expeditiously   pursued   and   either   concluded   on   terms   favorable   to

                                       26
<PAGE>
AMH's stockholders or abandoned, with AMH continuing as an independent  company.
Accordingly,  the Board  of Directors  of AMH  directed the  advisors of  AMH to
promptly continue further negotiation of acceptable terms and documentation with
respect to a merger with NME.  Concurrently, Salomon was notified that it  would
be  engaged by AMH to  render a fairness opinion  should a mutually satisfactory
agreement be negotiated.

    During the period  from October 7  through October 9,  1994, the  respective
members  of senior  management of  NME and AMH,  and representatives  of DLJ, CS
First Boston,  GKH  and the  companies'  respective legal  advisors  engaged  in
extensive  meetings and negotiations in Los  Angeles, California in an effort to
resolve various open issues and to establish terms of a transaction which  could
be submitted for consideration to the Boards of Directors of AMH and NME. At the
conclusion  of these meetings, the companies  and their respective financial and
legal advisors resolved  the terms  of a tentative  agreement on  the Merger  as
described  herein, including the Merger  Consideration, subject to consideration
and approval by the Boards of Directors of NME and AMH. In addition, NME reached
a tentative agreement with CS First Boston, GKH and certain of their  respective
affiliates  and another substantial stockholder of AMH with respect to the terms
of the Stockholder Agreements to be  entered into between such persons and  NME.
See  "The Merger  -- Terms  of the  Merger --  Stockholder Approval; Stockholder
Agreements."

    On October 8, 1994, AMH formally engaged Salomon and thereafter entered into
an engagement letter pursuant to which Salomon agreed, on a non-exclusive basis,
to render financial and advisory services to AMH in connection with the proposed
Merger. The terms of  Salomon's engagement letter required  Salomon to render  a
fairness  opinion with respect to the Merger. Pursuant to the engagement letter,
AMH agreed to pay Salomon $1,000,000  for its services. AMH agreed to  reimburse
Salomon  for the reasonable  fees and disbursements  of its counsel  and for its
reasonable travel and other out-of-pocket expenses. AMH also agreed to indemnify
Salomon and  certain  related  persons against  certain  liabilities,  including
liabilities  under the  Federal securities  laws. Insofar  as indemnification of
Salomon for  liabilities  arising under  the  Securities Act  may  be  permitted
pursuant  to the foregoing provisions, AMH has been informed that in the opinion
of the Commission such indemnification is against public policy as expressed  in
the Securities Act and is, therefore, unenforceable.

    On October 10, 1994, the Board of Directors of NME held a special meeting to
consider  the terms of  the proposed Merger. Members  of NME's senior management
and their legal counsel and financial  advisors made presentations to the  Board
and  discussed with the Board their views and analyses of various aspects of the
proposed Merger  and  certain  strategic benefits  and  post-merger  operational
efficiencies.  At the meeting, DLJ made a financial presentation to the Board of
Directors of NME and delivered a letter indicating that DLJ was highly confident
of its ability to sell approximately  $910 million principal amount of New  Debt
Securities  to enable NME  to consummate the  Merger. (DLJ subsequently provided
NME with a letter  indicating that DLJ  was highly confident  of its ability  to
sell  approximately $1 billion  principal amount of  New Debt Securities.) DLJ's
confidence in its  ability to complete  such sale was  conditioned upon  certain
factors,  including, among  other matters, the  terms and conditions  of the New
Debt Securities  and  all  other  debt  and  equity  financing  for  the  Merger
(including any debt to be assumed) being satisfactory to DLJ, the absence of any
material  adverse  change in  the  business, condition,  results  of operations,
assets, liabilities  or prospects  of NME,  AMH or  NME and  AMH as  a  combined
entity,  satisfactory  market conditions  and  DLJ's having  reasonable  time to
market the New Debt Securities with the assistance of management of NME and AMH.
During the  course  of such  meeting,  the  Board of  Directors  raised  certain
questions regarding the terms of the Stockholder Agreements. Subsequently, NME's
legal  advisors negotiated with  representatives of certain  AMH stockholders to
effect certain modifications to  the terms of such  agreements requested by  the
Board of Directors of NME.

    Following   such  presentations   and  negotiations,   and  after  extensive
consideration, the Board of Directors of  NME determined by a unanimous vote  of
those  members  who  were  present  (one  director  was  absent)  (i)  that  the
transactions  contemplated   by  the   Merger  Agreement   were  in   the   best

                                       27
<PAGE>
interests of NME, (ii) that the Merger Consideration to be paid by NME was fair,
from  a financial  point of  view, to NME,  and (iii)  to adopt  and approve the
Merger Agreement and the transactions contemplated thereby.

    On October  10, 1994,  the  Financial Advisory  Committee  of the  Board  of
Directors  of AMH, consisting of disinterested members of the Board of Directors
of AMH, reviewed the terms of the engagement of and fees proposed to be paid  by
AMH  to  each of  AMH's financial  advisors,  GKH, CS  First Boston  and Salomon
(collectively, the "AMH Financial Advisors"), in connection with the Merger  and
the  transactions contemplated  thereby. Pursuant to  engagement agreements with
AMH, the AMH Financial  Advisors are to receive  an aggregate of $11,150,000  as
follows: $1,000,000 to Salomon and up to $50,000 as reimbursement of expenses of
Salomon,  $5,000,000 to each  of GKH and CS  First Boston and  up to $100,000 as
reimbursement of expenses  of GKH and  CS First Boston,  collectively. AMH  also
agreed  to indemnify the AMH Financial  Advisors and certain related persons and
entities against certain  liabilities, including liabilities  under the  Federal
securities  laws. Insofar as indemnification  of Salomon for liabilities arising
under the Securities Act may be  permitted pursuant to the foregoing  provision,
AMH has been informed that in the opinion of the Commission such indemnification
is  against public policy as expressed in  the Securities Act and is, therefore,
unenforceable. The Financial Advisory Committee considered the scope of services
provided by, and range of fees  paid to, financial advisors in prior  comparable
transactions  and  determined  that the  scope  of  services and  range  of fees
proposed with respect to the AMH Financial Advisors' participation in the Merger
were within the range of those performed and paid to financial advisors in prior
comparable  transactions.   In   connection   with   this   consideration,   the
representatives  of the Financial Advisory Committee  noted that CS First Boston
and GKH had  provided significant  assistance to  AMH senior  management in  the
evaluation  and negotiation of various substantive issues relating to the Merger
Agreement, including  the final  resolution  of issues  relating to  the  Merger
Consideration on terms acceptable to AMH. In this regard, the financial advisory
services  provided by GKH  and CS First  Boston primarily related  to the advice
generally provided with respect to AMH's evaluations of strategies and to  their
assistance in the negotiation of substantive provisions of the Merger Agreement,
while  the  financial  advisory  services provided  by  Salomon  related  to the
financial presentation provided  to the AMH  Board of Directors  on October  10,
1994  and the opinion delivered in conjunction therewith. Based on the Financial
Advisory Committee's report and recommendation, the AMH Board of Directors (with
the interested directors abstaining) approved  the engagement of and payment  of
related  fees to  the AMH  Financial Advisors  at the  Board's October  10, 1994
meeting. Five of AMH's nine non-management directors have relationships with the
AMH Financial Advisors. Robert B. Calhoun,  Jr. controls the general partner  of
The Clipper Group, L.P., which acts as the manager of certain investments for CS
First  Boston and certain of its affiliates,  including the shares of AMH Common
Stock owned  by MB  L.P. I  ("MBLP") and  1987 Merchant  Investment  Partnership
("1987  MIP") (see "The Merger  -- Terms of the  Merger -- Stockholder Approval;
Stockholder Agreements"), Dan W. Lufkin is the sole stockholder of a corporation
which is a General Partner  of GKH, Harold S.  Handelsman is Vice President  and
Secretary  of the general  partner of a  limited partnership which  is a General
Partner of GKH, Melvyn N. Klein is  the sole stockholder of a corporation  which
is  a General Partner of GKH and Harry J.  Gray is a limited partner of GKH. GKH
previously provided financial advisory  services to AMH  in connection with  the
sale  of AMH's interest  in EPIC Holdings  Inc. ("EPIC") in  connection with the
merger between EPIC and HTI which was consummated in May 1994. In  consideration
for  AMH's then equity interest in EPIC, AMH received $72.4 million and paid GKH
an advisory  fee of  $2.3 million.  The  payment of  such fee  to GKH  also  was
recommended  and approved by the disinterested members of the Board of Directors
of AMH.

    On October 10, 1994, the Board of Directors of AMH held a special meeting to
consider the  terms of  the proposed  Merger and  the transactions  contemplated
thereby,  including the Merger  Consideration. At the  Board meeting, members of
AMH's senior  management,  certain  of  AMH's  directors  and  AMH's  legal  and
financial  advisors reviewed  with the  Board of  Directors of  AMH, among other
matters, the  background  of the  proposed  Merger, AMH's  alternatives  to  the
Merger,  the strategic  rationale for  and potential  risks and  benefits of the
Merger, a summary of due diligence findings and

                                       28
<PAGE>
financial and valuation analyses  of the proposed transaction  and the terms  of
the Merger Agreement. In addition, Salomon delivered its opinion to the Board of
Directors  of AMH to  the effect that,  based upon the  matters presented to the
Board of Directors of  AMH, as of  such date, the  proposed consideration to  be
received  by the  holders of  AMH Common  Stock (other  than NME  or any  of its
affiliates) in  connection with  the Merger  was fair  to such  holders, from  a
financial point of view. See "The Merger -- Opinion of Salomon Brothers Inc".

    Following  such presentations, and after  extensive consideration, the Board
of Directors of  AMH determined by  a unanimous vote  (i) that the  transactions
contemplated  by the Merger  Agreement were in  the best interests  of AMH, (ii)
that the  Merger Consideration  was fair,  from a  financial point  of view,  to
holders of AMH Common Stock, and (iii) to adopt and approve the Merger Agreement
and  the transactions  contemplated thereby  and to  recommend the  foregoing to
AMH's stockholders for their approval.

    On the evening  of October 10,  1994, the Merger  Agreement was executed  by
NME,  Merger  Sub  and  AMH.  Immediately thereafter,  NME  and  the  holders of
approximately 61.4%  of  the outstanding  AMH  Common Stock  (including  certain
affiliates  of  GKH and  CS  First Boston)  entered  into the  three Stockholder
Agreements pursuant  to which  each  of such  stockholders  agreed to  vote  (or
consent  with regard to) all shares of AMH Common Stock beneficially owned by it
in favor of  the transactions  contemplated by  the Merger  Agreement. See  "The
Merger -- Stockholder Consent," "-- Terms of the Merger -- Stockholder Approval;
Stockholder  Agreements" and  "-- Interests of  Certain Persons  in the Merger."
Pursuant to such agreements, on October 19, 1994, such stockholders executed and
delivered to AMH a written consent approving the Merger and adopting the  Merger
Agreement.   There  are  no  conditions  to  the  effectiveness  of  Stockholder
Agreements, although the Stockholder Agreements will expire upon the earlier  to
occur  of (i) June 30, 1995, provided that if the Merger Agreement is terminated
by AMH as a result of there having  been a material breach by NME in respect  of
any  representation and warranty, covenant or agreement set forth therein, which
has not been cured or,  if curable, was not cured  within 30 days after  written
notice  of such breach was given by AMH, or NME shall have been unable to obtain
financing to  provide for  consummation of  the Merger  prior to  May 31,  1995,
termination  of the Stockholder  Agreements will occur on  the effective date of
the termination of the  Merger Agreement. The  Stockholder Agreements will  also
terminate  at  the Effective  Time of  the Merger  or immediately  following the
making of an Alternate  Transaction Payment (as  hereinafter defined). Upon  any
termination,  the Stockholder Agreements  will have no  further force or effect,
except for  certain  rights  in  regard  to  actions  taken  to  enforce  rights
thereunder which accrue prior to termination.

    On the morning of October 11, 1994, NME and AMH issued a joint press release
announcing the execution of the definitive Merger Agreement.

APPROVAL OF NME BOARD OF DIRECTORS; REASONS FOR THE MERGER

    The Board of Directors of NME believes the terms of the Merger Agreement and
the  transactions contemplated thereby are fair to  and in the best interests of
NME. Accordingly, the  Board of Directors  of NME has  unanimously approved  the
Merger  (with one director absent). The Board  of Directors of NME believes that
the Merger will result in an organization with the competitive strength required
by the increasing consolidation affecting the healthcare industry.

    In reaching its determination, the Board of Directors of NME consulted  with
NME  management, as well as  its financial and legal  advisors, and considered a
number of factors, including, without limitation, the following:

    (i) that by  providing NME with  the opportunity to  combine with a  company
having  a substantial  portfolio of  hospitals known  for high  quality care and
strong financial  performance,  the  Merger  would  support  a  major  strategic
objective  of NME  to become  a significant  provider of  healthcare services in
certain geographic areas throughout the United States;

                                       29
<PAGE>
     (ii)  the potential efficiencies and synergies expected to be realized as a
result  of the combination of the operations  of NME and AMH, the integration of
office facilities and support  functions, improved bad  debt collection and  the
increased purchasing power of the combined companies;

     (iii)  that based on the relative earnings of both companies and the Merger
Consideration, the Merger should be accretive  to NME's earnings in fiscal  year
1996  and  thereafter,  assuming  certain  expected  savings  and  synergies are
achieved;

     (iv) that the Merger would diversify NME's hospital portfolio, making NME's
overall results of  operations less  affected by fluctuations  in the  operating
performance  of individual hospitals and less dependent on particular geographic
areas;

     (v)   that the  addition of  AMH's facilities  in complementary  geographic
areas  would improve NME's ability to develop and offer more attractive networks
and provide more comprehensive  coverage to Group Purchasers  and to enter  into
comprehensive healthcare delivery networks;

     (vi)  the improved ability of NME to  pursue acquisitions where there is an
opportunity to enhance NME's network of hospitals;

     (vii) information  with  respect  to  the  financial  condition,  business,
operations  and prospects of  both NME and  AMH on a  historical and prospective
basis, including certain information reflecting the two companies on a pro forma
combined basis;

     (viii) the financial presentation of DLJ;

     (ix) the terms of the Merger Agreement and the Stockholder Agreements; and

     (x)  the opportunity  to create a combined  company with greater  financial
resources and flexibility, competitive strengths and business opportunities than
would be possible for NME alone.

    These factors were considered collectively by the Board of Directors of NME,
without giving specific weight to any particular factor.

APPROVAL OF AMH BOARD OF DIRECTORS; REASONS FOR THE MERGER

    The  Board  of  Directors of  AMH  believes  that the  terms  of  the Merger
Agreement and the transactions contemplated thereby are fair to and in the  best
interests  of AMH and  its stockholders. Accordingly, the  Board of Directors of
AMH has  approved  the Merger  Agreement  and unanimously  recommended  approval
thereof  by the stockholders of AMH. In reaching its determination, the Board of
Directors of AMH consulted with AMH management, as well as its legal counsel and
the AMH  Financial Advisors,  and  considered a  number of  factors,  including,
without limitation, the following:

     (i)   AMH's strategic alternatives, including remaining a separate company,
acquisitions, asset swaps, divesting certain  assets and selling AMH to  another
party;

     (ii)   AMH's  financial alternatives, including  recapitalization and other
releveraging transactions;

     (iii)  information   concerning   the  financial   performance,   financial
condition, business operations and prospects of NME and AMH;

     (iv)  the opportunities for  economies of scale  and operating efficiencies
that are anticipated  to result from  the Merger, particularly  in terms of  the
integration of office facilities, information systems, support functions and the
combined purchasing power of the combined corporations;

     (v)   the  Merger will  better position the  combined company  to deal with
uncertainties which may face the industry due to healthcare reform;

     (vi) as a combined entity AMH would  be better positioned to develop a  new
comprehensive  integrated healthcare delivery network  with physicians and other
healthcare providers in certain of AMH's markets;

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<PAGE>
     (vii) the Merger would improve the combined company's ability to access the
capital markets and otherwise increase its financial flexibility;

     (viii) the lack of  any substantial impediments on  the ability of the  AMH
Board  to  entertain alternative  proposals, negotiate  and give  information to
third parties and terminate the Merger Agreement in the event of an  alternative
proposal if required by the Board's fiduciary duties to AMH's stockholders;

     (ix) the management strengths of AMH and NME;

     (x)   the  Merger Consideration  and recent  trading prices  for AMH Common
Stock and NME Common Stock;

     (xi) the financial presentation  and the opinion of  Salomon to the  effect
that the Merger Consideration was fair to the holders of AMH Common Stock (other
than NME or any of its affiliates) from a financial point of view; and

     (xii) the terms of the Merger Agreement.

    The  Board  of  Directors  of  AMH  believes  that  the  Merger  offers  the
opportunity to create a  combined company with  greater financial resources  and
flexibility,  competitive  strengths and  business  opportunities than  would be
possible for AMH alone.

    In view of  the wide variety  of factors considered  in connection with  its
evaluation of the proposed Merger, the Board of Directors of AMH did not find it
practicable  to, and did  not, quantify or otherwise  attempt to assign relative
weight to the specific factors considered in reaching its determination.

OPINION OF SALOMON BROTHERS INC

    At the meeting  of the Board  of Directors of  AMH on October  10, 1994,  at
which  the  Board of  Directors of  AMH approved  the Merger  Agreement, Salomon
delivered its opinion to  the effect that, based  upon the matters presented  to
such  Board, as of such date, the consideration to be received by the holders of
AMH Common Stock (other than  NME or any of  its affiliates) in connection  with
the  Merger  was  fair  to such  holders  from  a financial  point  of  view. No
limitations were imposed  by the  Board of Directors  of AMH  upon Salomon  with
respect  to the  investigations made  or the  procedures followed  by Salomon in
rendering its opinion. Salomon  was not requested by  the Board of Directors  of
AMH  to make any recommendation as to the  form or amount of consideration to be
paid by NME  pursuant to  the Merger Agreement,  which issues  were resolved  in
arm's length negotiations between NME and AMH.

    The  full text  of the opinion  of Salomon,  dated October 10,  1994, is set
forth as Annex  C to this  Information Statement/Prospectus and  sets forth  the
assumptions  made, matters considered  and limits on  the review undertaken. AMH
STOCKHOLDERS ARE URGED TO READ THE OPINION IN ITS ENTIRETY. Salomon's opinion is
directed only  to  the  fairness,  from  a  financial  point  of  view,  of  the
consideration  which the holders of AMH Common Stock would receive in the Merger
and does not constitute a recommendation  concerning the Merger. The summary  of
the  opinion of  Salomon set forth  in this  Information Statement/Prospectus is
qualified in its entirety by reference to the full text of such opinion.

    Salomon is  an  internationally  recognized investment  banking  firm  which
provides  financial  services  in  connection  with  a  wide  range  of business
transactions. As  part  of  its  business,  Salomon  regularly  engages  in  the
valuation  of  companies and  their securities  in  connection with  mergers and
acquisitions,  negotiated   underwritings,   competitive   biddings,   secondary
distributions  of  listed and  unlisted securities,  private placements  and for
other purposes.  The  Board  of  Directors of  AMH  retained  Salomon  based  on
Salomon's  expertise in  the valuation of  companies as well  as its familiarity
with AMH and the hospital management industry in general.

    Salomon is not affiliated with AMH  or NME. Salomon has previously  rendered
certain  financial advisory  and investment banking  services to  AMH, for which
Salomon received customary compensation. In the ordinary course of its business,
Salomon   actively    trades    the    debt    and    equity    securities    of

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<PAGE>
AMH  and  NME  for  its own  account  and  the accounts  of  its  customers and,
accordingly, may at any time hold a  long or short position in such  securities.
Pursuant  to  an  engagement letter  dated  October  8, 1994,  AMH  paid Salomon
$1,000,000 for its services. AMH agreed to reimburse Salomon for the  reasonable
fees  and disbursements of its  counsel and for its  reasonable travel and other
out-of-pocket expenses. AMH also agreed to indemnify Salomon and certain related
persons against  certain liabilities,  including liabilities  under the  Federal
securities  laws,  relating to  or  arising out  of  its engagement.  Insofar as
indemnification of Salomon for liabilities arising under the Securities Act  may
be  permitted pursuant to the foregoing provision, AMH has been informed that in
the opinion of the Commission such  indemnification is against public policy  as
expressed in the Securities Act and is, therefore, unenforceable.

    In  arriving  at  its opinion,  Salomon  reviewed the  Merger  Agreement and
related exhibits.  It  also reviewed  certain  publicly available  business  and
financial  information relating  to AMH, as  well as  certain other information,
including financial projections, provided to  Salomon by AMH. Salomon  discussed
the  past and  current operations and  financial condition and  prospects of AMH
with AMH's senior  management. With  respect to NME,  Salomon reviewed  publicly
available  business, financial and trading information and financial projections
provided to  it  by  NME and  discussed  the  past and  current  operations  and
financial  condition and prospects of NME  with NME's senior management. Salomon
also  considered   such   other  information,   financial   studies,   analyses,
investigations  and financial,  economic, market  and trading  criteria which it
deemed relevant.

    In connection with its  review, Salomon assumed and  relied on the  accuracy
and  completeness of the information it reviewed  for the purpose of its opinion
and has  not assumed  any responsibility  for independent  verification of  such
information  or for any independent evaluation or appraisal of the assets of AMH
or NME. With respect to AMH's  and NME's financial projections, Salomon  assumed
that  they had been  reasonably prepared on bases  reflecting the best currently
available estimates and judgments of the management  of AMH or NME, as the  case
may  be, as to the future  financial performance of AMH or  NME, as the case may
be, and  Salomon expressed  no opinion  with respect  to such  forecasts or  the
assumptions  on which they  were based. Salomon's  opinion was necessarily based
upon business, market,  economic and other  conditions as they  existed on,  and
could be evaluated as of, October 10, 1994 (the date of its opinion) and did not
address  AMH's underlying business decision to effect the Merger or constitute a
recommendation to any holder of AMH Common Stock concerning the Merger.  Salomon
was  not requested to, and did not, solicit third-party offers to acquire all or
any part of AMH. Salomon's opinion did not imply any conclusion as to the likely
trading range for  NME Common Stock  following the consummation  of the  Merger,
which  may vary  depending on, among  other factors, changes  in interest rates,
dividend rates, market conditions, general economic conditions and other factors
that generally influence the price of securities.

    The following is a summary of the report (the "Salomon Report") presented by
Salomon to  the AMH  Board of  Directors  in connection  with the  rendering  of
Salomon's opinion:

        (i)  STOCK  TRADING HISTORY.  Salomon  examined the  history  of trading
    prices and volume for AMH Common Stock, NME Common Stock, a composite  index
    of  certain  companies similar  to  AMH and  NME  and the  Standard  & Poors
    Composite Average of 500 industrial companies in relation to each other  and
    the  relationship between  price movements  thereof. The  composite index of
    similar companies  consisted  of the  common  stock of  Columbia,  Community
    Health  Systems, Inc.,  Health Management  Associates, Inc.,  HTI, OrNda and
    Universal Health Services, Inc.  Salomon noted, in  its presentation to  the
    AMH  Board of Directors, that there had  been a significant amount of merger
    activity in the  hospital industry and  that the common  stock price of  the
    comparable  companies, as well  as AMH and NME,  had appreciated, to various
    extents, to reflect takeover speculation. Since its initial public  offering
    in 1991, AMH Common Stock has traded as high as $26.625 per share and as low
    as  $7 per share. Over the 52 weeks prior to the announcement of the Merger,
    AMH Common Stock traded between $26.625 and $15.25 per share and had a price
    immediately prior to announcement of the  Merger of $22.375 per share.  Over
    the

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<PAGE>
    52  weeks prior to the  announcement of the Merger,  NME Common Stock traded
    between $11  and $19.50  per share  and  had a  price immediately  prior  to
    announcement of the Merger of $16.25 per share.

        (ii)  CERTAIN  FINANCIAL DATA.  Salomon  reviewed data  relating  to the
    financial performance  and  characteristics  of  AMH and  NME,  each  on  an
    independent  basis. This data  included five-year historical  and latest 12-
    and nine-month income statement, cash flow statement and balance sheet  data
    for  AMH and five-year historical income  statement, cash flow statement and
    balance sheet data for NME.

       (iii) DISCOUNTED CASH FLOW ANALYSIS. Using a discounted cash flow ("DCF")
    methodology, Salomon valued each of AMH and NME estimating the present value
    of future free  cash flows  available to  their respective  debt and  equity
    holders  if  each of  AMH and  NME were  to perform  on a  stand-alone basis
    (without  giving  effect  to  the  Merger)  in  accordance  with  management
    forecasts and certain variants thereof. Free cash flow represents the amount
    of  cash  generated  and  available  for  principal,  interest  and dividend
    payments after providing for ongoing business operations. For each  company,
    Salomon  aggregated (x)  the present  value of the  free cash  flow over the
    five-year period from 1995 to 1999 with  (y) the present value of the  range
    of  terminal  values  described  below. The  range  of  terminal  values was
    calculated by applying multiples of 7.0x to 9.0x to each of AMH's and  NME's
    earnings  before depreciation, interest,  amortization and taxes ("EBDIAT").
    This range of terminal  values represented, for each  of AMH and NME,  their
    respective  value beyond  1999. As  part of  the DCF  analysis, Salomon used
    discount rates of  13% to  17% for  AMH and  10% to  14% for  NME. This  DCF
    analysis  resulted in a present value of the  AMH Common Stock of $22 to $29
    per share and  a present value  of the NME  Common Stock of  $15 to $19  per
    share. Salomon also performed a DCF analysis on the combined AMH/NME entity,
    giving  effect to the Merger and various assumptions provided by AMH and NME
    management, including  certain synergies  and cost  savings expected  to  be
    realized  by the Merger. Applying an 11% to  15% discount rate and a 7.5x to
    9.5x multiple to the combined company's estimated 1999 EBDIAT, the  analysis
    resulted  in a present value  for the common stock  of the combined AMH/ NME
    entity of $19 to $24 per share.

        The discount rates  described above  as part  of the  DCF analysis  were
    calculated  using  the capital  asset  pricing model,  which  calculates the
    expected rate of return  offered in the  capital markets by  equivalent-risk
    assets.  This financial analysis takes into  account the level of systematic
    risk associated with  a company's stock  price (the beta)  and the ratio  of
    debt  to equity on such  a company's balance sheet.  These two factors, when
    taken into account by  the capital asset pricing  model, contributed to  the
    difference in ranges of discount rates for AMH, NME and the combined AMH/NME
    entity.  The terminal  values described above,  which are used  to imply the
    value of a company at some point  in the future, were selected because  they
    represented  the current trading range of selected comparable companies. The
    range of terminal values  was slightly higher for  the combined entity  than
    those  used for AMH  and NME as  stand-alone entities in  order to take into
    account potential  operating synergies  estimated  by AMH  and NME  for  the
    combined company.

       (iv)  COMPARABLE  COMPANY ANALYSIS.  Salomon  compared the  financial and
    market performance  of AMH  and NME  with  that of  the following  group  of
    selected  publicly  traded  hospital companies:  Columbia;  Community Health
    Systems, Inc.; Health Management Associates, Inc.; HTI; OrNda; and Universal
    Health Services, Inc. Salomon selected the foregoing companies on the  basis
    of  various factors, including size, as measured by the number of hospitals,
    revenue and geographic market conditions. Salomon examined certain  publicly
    available  financial data of the comparable companies, including: the equity
    market capitalization;  the equity  market capitalization  plus total  debt,
    preferred  stock and minority  interests but less  cash (collectively, "Firm
    Value"); the ratio  of Firm Value  to latest 12-month  net revenues,  latest
    12-month  EBDIAT  and latest  12-month  earnings before  interest  and taxes
    ("EBIT"); and the ratio of current stock prices to latest 12-month  earnings
    per   share,  current   fiscal  year   estimated  earnings   per  share  (as

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<PAGE>
    estimated by  Institutional Brokerage  Estimate Systems  Inc. ("IBES"))  and
    next  fiscal year estimated  earnings per share (as  estimated by IBES). The
    data reviewed also included selected operating expense ratios. This analysis
    resulted in an equity value reference range  for AMH Common Stock of $21  to
    $27  per share and of  NME Common Stock of $16  to $21.50 per share. Salomon
    also valued AMH by adding a takeover premium of 20% to 40% to the comparable
    company analysis  of  AMH  Common  Stock,  recognizing,  however,  that,  as
    discussed  above, the public market price of AMH Common Stock, among others,
    had already  appreciated  to include  some  takeover premium.  A  comparable
    company analysis on the combined AMH/NME entity, giving effect to the Merger
    and  various  assumptions  provided  by AMH  and  NME  management, including
    synergies and cost savings, resulted in an equity value reference range  for
    the common stock of the combined entity of $18 to $21 per share.

        (v)   COMPARABLE  TRANSACTION   ANALYSIS.  Salomon   also  reviewed  the
    consideration paid or proposed to be paid in other acquisitions of  hospital
    companies.  Specifically,  Salomon  reviewed  the  following acquiror/target
    transactions: Columbia/HTI (1994);  Community Health Systems,  Inc./Hallmark
    Healthcare  Corp. (1994);  HTI/Nashville Memorial  Hospital (1994); HTI/Epic
    (1994);  OrNda/Summit   Health   Ltd.  (1994);   OrNda/American   Healthcare
    Management   Inc.  (1994);  Columbia   Healthcare  Corporation/HCA  Hospital
    Corporation  of  America  (1994);  Quorum  Health  Group,  Inc./Acute   Care
    Hospitals  (1994);  Columbia  Hospital Corporation/Galan  Health  Care, Inc.
    (1993);  OrNda/Florida  Medical  Center   (1993);  and  HTI/Medical   Center
    Hospitals  (1993). The  analysis considered  the multiple  of Firm  Value to
    latest  12-month  revenue,   EBDIAT  and  EBIT;   the  multiple  of   market
    capitalization  to latest 12-month net income, current fiscal year projected
    net income (as estimated by IBES)  and current tangible book value; and  the
    multiple  of  premium to  the target's  stock  price 30  days prior  to each
    transaction's announcement.  This  analysis  resulted  in  an  equity  value
    reference  range for AMH  Common Stock of $22  to $29 per  share and for NME
    Common Stock of $16 to $24 per share.

        No company or  transaction used in the comparable company or  comparable
    transaction analyses summarized above is identical to AMH, NME, the combined
    entity  or the Merger itself. Accordingly, any such analysis of the value of
    the  Merger  involves  complex   considerations  and  judgments   concerning
    differences  in the potential financial and operating characteristics of the
    comparable companies  and  other factors  in  relation to  the  trading  and
    acquisition  values  of  the  comparable  companies  and  publicly announced
    transactions.

       (vi) CONTRIBUTION ANALYSIS. Salomon analyzed the balance sheet and income
    statement contribution of AMH and NME to the combined entity on a pro  forma
    basis,  including the  respective contribution  of AMH  and NME  to revenue,
    gross margin, EBDIAT, EBIT, net income, debt, cash and stockholders' equity,
    as well as certain other combined pro forma operating ratios for the  latest
    12  months ended May 31, 1994 and,  based on projections provided by AMH and
    NME management, for each of the  projected fiscal years ending May 31,  1995
    through May 31, 1999. No pro forma adjustments were made for the Merger, and
    Salomon assumed that the AMH and NME projections were accurate. The analysis
    showed,  among other things, that AMH's income statement contribution to the
    combined entity  ranged from  a low  of 30%  of net  income for  the  latest
    12-month  period ended  May 31,  1994 to  a high  of 49%  of EBDIAT  for the
    projected fiscal year ended May 31, 1995.

       (vii) PRO  FORMA  MERGER ANALYSIS.  Salomon  reviewed certain  pro  forma
    financial  effects on NME resulting from the  Merger for the 12 months ended
    May 31, 1994 and the projected 12-month periods thereafter for 1995  through
    1999.  This analysis was based upon  certain assumptions, including that the
    projections provided to  Salomon by  AMH and NME  management were  accurate.
    Based  on  advice  from  AMH and  NME  management,  Salomon  assumed pre-tax
    synergies from the Merger  of $45 million  in 1995, growing  at 5% per  year
    thereafter.  The  financial  analysis  indicated  that  the  1995  projected
    earnings  were  approximately  8.9%  higher  than  the  earnings  per  share
    projected for NME as a stand-alone entity, although approximately 4.5% lower
    for  the 12 months ended  May 31, 1994. Based  on certain publicly available
    data, Salomon also

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<PAGE>
    compared Firm Value and certain income and balance sheet items (such as debt
    and EBDIAT) for the  combined AMH/NME entity with  those for the  comparable
    companies described above under "-- Comparable Company Analysis."

      (viii)  OTHER  CONSIDERATIONS.  Salomon also  considered  in  its analyses
    certain qualitative  factors  and  industry trends.  These  included,  among
    others, operations, services and markets of AMH, NME and the combined entity
    after  giving effect  for the  Merger. Salomon  also conducted  an ownership
    profile for  AMH and  NME Common  Stock and  reviewed the  liquidity of  the
    trading in each such Common Stock.

    The preparation of a fairness opinion is not susceptible to partial analysis
or  summary descriptions. Salomon believes that its analyses and the summary set
forth above must be  considered as a  whole and that  selecting portions of  its
analyses  and the factors considered by it, without considering all analyses and
factors, could  create  an  incomplete  view of  the  processes  underlying  the
analysis  set  forth in  its opinion  and  the Salomon  Report. Salomon  has not
indicated that any of the analyses which it performed had a greater significance
than any other. The ranges of valuations resulting from any particular  analysis
described  above should  not be taken  to be the  view of Salomon  of the actual
value of AMH or NME.

    In performing its analyses, Salomon  made numerous assumptions with  respect
to  industry  performance,  general  business,  financial,  market  and economic
conditions and other matters,  many of which  are beyond the  control of AMH  or
NME.  The analyses  which Salomon  performed are  not necessarily  indicative of
actual values or actual future results, which may be significantly more or  less
favorable than suggested by such analyses. Such analyses were prepared solely as
part  of Salomon's analysis of the fairness,  from a financial point of view, of
the consideration which  the holders of  AMH Common Stock  would receive in  the
Merger. The analyses do not purport to be appraisals or to reflect the prices at
which a company might actually be sold or the prices at which any securities may
trade at the present time or at any time in the future.

    As  described above, the  opinion of Salomon  was one of  many factors taken
into consideration by the Board of Directors of AMH in making its  determination
to  approve the  Merger. The  opinion of Salomon  does not  address the relative
merits of the  Merger as compared  to any alternative  business strategies  that
might exist for AMH or the effect of any other business combination in which AMH
might have engaged.

    On  or  about December  5,  1994, Salomon  was engaged  by  NME to  serve as
co-manager, with DLJ as lead underwriter, for NME in the Public Offering. On  or
about  January 5, 1995, Salomon  was engaged to serve  as a dealer manager, with
DLJ, to  NME in  the NME  Tender Offers  (as hereinafter  defined). Salomon  has
advised  AMH that Salomon does not believe that such engagements would interfere
with its ability, if requested by AMH, to render confirmation of its opinion. In
connection with  such  engagements, NME  has  agreed to  indemnify  Salomon  and
certain related persons against certain liabilities, including liabilities under
the  Federal securities  laws, relating to  or arising out  of such engagements.
Insofar  as  indemnification  of  Salomon  for  liabilities  arising  under  the
Securities  Act may  be permitted pursuant  to the foregoing  provision, NME has
been informed that  in the  opinion of  the Commission  such indemnification  is
against  public policy  as expressed  in the  Securities Act  and is, therefore,
unenforceable.

STOCKHOLDER CONSENT

    Section 228 of the  Delaware General Corporation  Law (the "DGCL")  provides
that action on a matter required or permitted under such law to be voted upon at
a  meeting of stockholders may be taken  without a meeting, without prior notice
and without  a vote,  by the  written consent  of holders  of outstanding  stock
having  not less  than the minimum  number of  votes that would  be necessary to
authorize or take such action  if a meeting of  stockholders were held at  which
all shares entitled to vote thereon were present and voted.

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<PAGE>
    Pursuant to Section 251 of the DGCL, the affirmative vote or written consent
of  the holders of at  least a majority of the  outstanding shares of AMH Common
Stock is required to approve and adopt  the Merger and the Merger Agreement.  As
provided   by  the   Stockholder  Agreements,   written  consents,  representing
approximately 61.4% of the outstanding AMH Common Stock, approving and  adopting
the  Merger  and the  Merger  Agreement have  been  executed in  accordance with
Section 228 of the DGCL. See "The  Merger -- Terms of the Merger --  Stockholder
Approval; Stockholder Agreements."

    In  accordance with  the rules and  regulations of the  Commission under the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), the Merger may
not be consummated prior to March 1,  1995, the 20th business day following  the
mailing of this Information Statement/Prospectus to the stockholders of AMH.

    The  Amended Bylaws of AMH incorporate by reference certain provisions of an
Amended and Restated Stockholders Agreement (the "AMH Stockholders  Agreement"),
by  and among GKH Investments, L.P. (the "Fund"), GKH Private Limited ("GKHPL"),
First Plaza Group Trust ("First Plaza"), MBLP,  1987 MIP (1987 MIP and MBLP  are
affiliates of CS First Boston) and certain other AMH stockholders and AMH, dated
as  of July  30, 1991.  The AMH Stockholders  Agreement requires  the consent of
holders of 66  2/3% of  the AMH  Common Stock  held by  the parties  to the  AMH
Stockholders  Agreement or  their permitted  transferees (the  "AMH Stockholders
Agreement Shares") for  approval of  the Merger. The  holders of  more than  the
required  66 2/3% of the AMH Stockholders Agreement Shares have executed written
consents to the Merger and the Merger Agreement. See "The Merger -- Interests of
Certain Persons in the Merger."

TERMS OF THE MERGER

    Set forth  below is  a brief  description  of certain  terms of  the  Merger
Agreement.  This description does not purport to be complete and is qualified in
its entirety by reference  to the Merger Agreement  which is attached hereto  as
Annex A and is incorporated herein by reference.

    At  the Effective Time, Merger Sub will be merged with and into AMH, and the
separate existence  of  Merger  Sub  will  cease.  AMH  will  be  the  surviving
corporation  (the "Surviving  Corporation") in the  Merger and  will continue to
exist as a wholly owned subsidiary of NME.

    At the  Effective Time,  each share  of  AMH Common  Stock then  issued  and
outstanding  (other than shares held by persons seeking appraisal rights, shares
held by NME and its  subsidiaries) will be converted  into the right to  receive
(i)  0.42 of a fully  paid and nonassessable share of  NME Common Stock and (ii)
$19.00 in  cash ($19.25  if the  Merger  is consummated  after March  31,  1995)
(collectively,  the "Merger Consideration").  Notwithstanding the foregoing, all
shares of AMH Common  Stock owned by  NME or a direct  or indirect wholly  owned
subsidiary  of  NME  will be  cancelled  pursuant  to the  Merger  Agreement. No
fractional shares of NME Common Stock will be issued in the Merger, and  holders
of AMH Common Stock whose shares are converted in the Merger will be entitled to
a  cash payment in  lieu of fractional  shares of NME  Common Stock as described
under "The Merger -- Terms of the Merger -- Fractional Shares" and "--  Exchange
of  Certificates." Prior to the  Effective Time, NME or  any of its subsidiaries
may  not  engage  in  a  business  combination  or  material  acquisition  as  a
consequence  of which Salomon  advises AMH that Salomon  is required to withdraw
its fairness opinion,  unless NME permits  AMH stockholders to  receive, at  the
election  of AMH, $6.88  in cash in lieu  of 0.42 shares of  NME Common Stock as
part of the Merger Consideration.

    AMH may elect to require NME to pay $6.88 in cash in lieu of 0.42 shares  of
NME  Common Stock as part of the  Merger Consideration if the Board of Directors
of AMH determines that the transaction(s)  giving rise to the withdrawal of  the
Salomon  fairness opinion would  be dilutive to  the equity value  of NME Common
Stock or could  otherwise create uncertainties  in value on  a short-term  basis
which would not permit former stockholders of AMH to otherwise make a timely and
informed  decision with regard to the retention  or disposition of the shares of
NME Common  Stock otherwise  receivable  as part  of the  Merger  Consideration.
Since,  however, the election of AMH will be dictated by facts and circumstances
related to  the  specific  business combination  or  material  acquisition  then

                                       36
<PAGE>
involving NME, the ultimate determination will be dependent upon those facts and
circumstances,  and  AMH  cannot currently  predict  whether it  would  elect to
receive cash in lieu of shares of NME Common Stock. If NME is unable to  provide
sufficient cash to complete payment of the Merger Consideration upon an election
of  AMH  to receive  an  all cash  payment  of the  Merger  Consideration, NME's
inability to obtain financing  sufficient to provide such  cash by May 31,  1995
would entitle AMH to terminate the Merger Agreement and to receive a termination
fee from NME in the amount of $150,000,000.

    At the Effective Time, each issued and outstanding share of the common stock
of  Merger Sub will be converted into one share of common stock of the Surviving
Corporation, all of which will be held by NME.

    A description  of the  relative rights,  privileges and  preferences of  NME
Common  Stock  and  AMH  Common Stock,  including  certain  material differences
between the rights of holders of NME  Common Stock and AMH Common Stock, is  set
forth under "The Merger -- Comparative Rights of Stockholders."

    CLOSING;  EFFECTIVE TIME.   The closing  of the Merger  (the "Closing") will
take place on the later of (i) 20 business days after the date this  Information
Statement/Prospectus  is first given or sent to AMH stockholders, (ii) the third
business day following notice from NME to AMH that it has obtained the  proceeds
from  the financing  necessary to  provide for  consummation of  the Merger, and
(iii) the day  on which all  conditions set  forth in the  Merger Agreement  are
satisfied  or waived,  or at  such other date  as NME  and AMH  shall agree. The
Merger will become effective upon the  filing of a duly executed certificate  of
merger  with  the  Delaware Secretary  of  State or  at  such later  time  as is
specified in the certificate of merger (the "Effective Time").

    AMH STOCK OPTIONS.   As of January 10,  1995, options to purchase  3,280,567
shares  of AMH Common  Stock (the "AMH  Options") had been  granted and remained
outstanding and unexercised. The exercise prices of each of the foregoing grants
was equal to  the fair market  value of AMH  Common Stock on  the date that  the
grant  or the date on which commitment to make the grant was made and range from
$7.03 to $24.54  per share. At  the Effective Time,  except as described  below,
each AMH option that is outstanding and unexercised, whether vested or unvested,
will  be cancelled (such cancellation, together with the cancellation of the AMH
Options held by  members of AMH's  management described below,  the "AMH  Option
Cancellation")  in consideration for payment by AMH promptly after the Effective
Time to holders of AMH Options of cash in an amount equal to (i) the product  of
(A)  the sum of (x) $19.00 ($19.25 if  the Merger is consummated after March 31,
1995), plus (y) 0.42  times the average  closing sales price of  a share of  NME
Common  Stock  on  the  New  York  Stock  Exchange  (the  "NYSE")  over  the ten
consecutive trading days immediately preceding  the consummation of the  Merger,
and  (B) the number of  shares of AMH Common Stock  subject to AMH Options, less
(ii) the  exercise price  of such  AMH Options.  The foregoing  notwithstanding,
selected  executive  employees  of  AMH  who  hold  approximately  1,220,200 AMH
Options, including Robert W. O'Leary and John T. Casey, have agreed with AMH  to
cancel  their AMH Options in exchange for an amount of cash and NME Common Stock
equal to the Merger Consideration less an amount equal to the exercise price per
share that such employees would  have paid to AMH  had they exercised their  AMH
Options prior to the Effective Time. Payment of the AMH Option Cancellation will
be  funded from  AMH's available  cash balances  or from  borrowings under AMI's
revolving credit facility and using shares of NME Common Stock issued to AMI, in
exchange for a  note. See "The  Merger --  Interests of Certain  Persons in  the
Merger -- Stock Option Plans."

    DIRECTORS  AND OFFICERS OF THE SURVIVING  CORPORATION.  The Merger Agreement
provides that the  directors of Merger  Sub immediately prior  to the  Effective
Time  will be  the initial  directors of  the Surviving  Corporation. It further
provides that the officers of AMH  immediately prior to the Effective Time  will
be  the initial officers of the Surviving  Corporation and will hold office from
the Effective

                                       37
<PAGE>
Time until their respective successors are duly elected or appointed and qualify
in the manner provided  by the Certificate of  Incorporation and By-Laws of  the
Surviving Corporation, or as otherwise provided by law.

    DIRECTORS  AND PRINCIPAL OFFICERS OF NME.  It is anticipated that, as of the
date following  the  Effective Time,  the  Board of  Directors  of NME  will  be
increased  from ten members to 13 members. Pursuant to the Merger Agreement, the
three additional directors  created by the  increase in the  Board of  Directors
will be nominated by AMH, subject to approval by NME, and appointed by the Board
of  Directors of NME to fill such  vacancies. It is currently expected that such
AMH nominees will  be Robert  W. O'Leary, currently  Chairman of  the Board  and
Chief  Executive Officer  of AMH, John  T. Casey, currently  President and Chief
Operating Officer of AMH,  and Thomas J. Pritzker,  President and a director  of
Hyatt  Corporation, a diversified  company primarily engaged  in real estate and
hotel management activities, President and a director of the general partner  of
a  limited partnership which  is a general  partner of GKH,  and Chairman of the
Board of  Healthcare Compare  Corp., a  public company  engaged in  the  managed
healthcare  business. Each of Messrs. O'Leary  and Casey are currently directors
of AMH and, if nominated, they, as well as Mr. Pritzker, have consented to serve
as directors of  NME. See "The  Merger --  Interests of Certain  Persons in  the
Merger  --  Directors and  Officers  of NME  and  Surviving Corporation."  It is
anticipated that  after consummation  of  the Merger  Jeffrey C.  Barbakow  will
continue  to serve as Chairman of the  Board and Chief Executive Officer of NME,
Messrs. O'Leary  and  Casey will  serve  as Co-Vice  Chairmen  of the  Board  of
Directors  of NME and Michael H. Focht, Sr. will continue to serve as a director
and as President and Chief Operating Officer of NME.

    EXCHANGE OF CERTIFICATES.   AMH STOCKHOLDERS SHOULD  NOT SUBMIT THEIR  STOCK
CERTIFICATES EVIDENCING SHARES OF AMH COMMON STOCK FOR EXCHANGE UNLESS AND UNTIL
THE TRANSMITTAL INSTRUCTIONS AND A FORM OF LETTER OF TRANSMITTAL ARE RECEIVED OR
OBTAINED FROM THE EXCHANGE AGENT (AS DEFINED BELOW).

    At or before the Effective Time, NME shall deposit in trust with The Bank of
New  York, as exchange agent (the "Exchange  Agent"), for the benefit of holders
of AMH Common  Stock, (i)  certificates representing  the shares  of NME  Common
Stock  issuable as part of the Merger  Consideration and cash in an amount equal
to the aggregate cash component  of the Merger Consideration  to be paid to  the
holders  of AMH Common Stock and (ii) cash to be paid in lieu of the issuance of
fractional shares (as  described below),  as provided by  the Merger  Agreement.
Promptly  after  the  Effective  Time,  the Exchange  Agent  will  mail  or make
available for delivery  at its principal  office letters of  transmittal to  the
former   AMH  stockholders,  to   be  used  in   forwarding  their  certificates
representing shares  of AMH  Common Stock  for surrender  and exchange  for  the
Merger  Consideration, as well as cash for any fractional share interests in NME
Common Stock  to which  such holders  otherwise would  be entitled.  Until  such
surrender,  certificates  representing shares  of AMH  Common Stock  (other than
shares held by  AMH stockholders who  have elected appraisal  rights and  shares
held  by NME  and its subsidiaries)  will be  deemed to represent  the number of
shares of NME Common  Stock and the  amount of cash into  which such AMH  shares
were  converted  in  the  Merger,  except  that  holders  of  AMH  Common  Stock
certificates  will  not  be   entitled  to  receive   dividends  or  any   other
distributions  from NME  until such certificates  are so  surrendered. When such
certificates are  surrendered, the  holders of  the NME  certificates issued  in
exchange  therefor  will  be  paid, without  interest,  any  dividends  or other
distributions which may have become payable  with respect to such shares of  NME
Common Stock after the Effective Time.

    FRACTIONAL SHARES.  No certificates or scrip representing a fractional share
interest  in NME  Common Stock will  be issued.  In lieu of  any such fractional
share interest, each holder of AMH Common Stock who otherwise would be  entitled
to receive a fractional share interest in NME Common Stock in the Merger will be
paid cash upon surrender of shares of AMH Common Stock in an amount equal to the
product  of such fraction multiplied by  the average reported closing sale price
of NME  Common  Stock  on  the  NYSE  over  the  ten  consecutive  trading  days
immediately  preceding  the date  of consummation  of  the Merger  (the "Average
Price").

                                       38
<PAGE>
    REPRESENTATIONS  AND  WARRANTIES.   The  Merger  Agreement  contains various
customary representations and  warranties relating to,  among other things,  (a)
each   of  AMH's  and  NME's  and  certain  of  their  respective  subsidiaries'
organization and similar corporate matters; (b) each of AMH's and NME's  capital
structure  and the ownership of Merger Sub by NME; (c) authorization, execution,
delivery, performance and  enforceability of  the Merger  Agreement and  related
matters;  (d)  absence  of  conflicts  under  certificates  of  incorporation or
by-laws, required  consents  or  approvals  and absence  of  violations  of  any
instruments  or  law;  (e) documents  filed  by each  of  NME and  AMH  with the
Commission and  the  accuracy of  the  information contained  therein;  (f)  the
accuracy  of information supplied by each of  NME and AMH in connection with the
Registration Statement and this Information Statement/Prospectus; (g) subject to
certain exceptions, absence of certain specified material changes or events; (h)
litigation; (i)  absence of  undisclosed liabilities;  (j) taxes;  (k) title  to
certain  properties; (l) medicare participation/accreditation and recapture; (m)
labor matters;  (n)  employee benefits  and  matters relating  to  the  Employee
Retirement  Income  Security Act  of 1974,  as  amended; (o)  patents, licenses,
franchises and formulas; (p) insurance; (q) approval by the respective Board  of
Directors; and (r) the hiring of brokers and finders.

    REGISTRATION  RIGHTS.    In  satisfaction  of  a  condition  to  the  Merger
Agreement, prior to the Effective Time NME will enter into a registration rights
agreement  (the  "Registration  Rights  Agreement")  with  persons  who  may  be
considered  to be "affiliates"  of AMH for  the purposes of  the Securities Act,
including without limitation  the directors  and executive officers  of AMH  and
those  persons (including Distributees,  as therein defined)  other than NME who
are  parties  to  Stockholder  Agreements.  The  Registration  Rights  Agreement
provides  for registration  under the Securities  Act, at NME's  expense, of the
shares of NME Common Stock that such  holders will receive in the Merger,  which
will  permit such holders to sell such  shares of NME Common Stock. Such holders
have agreed  not  to effect  a  public sale  or  distribution of  any  of  NME's
securities  under  certain circumstances,  including  during the  ten-day period
prior to, and  during the 80-day  period beginning  on, the closing  date of  an
underwritten  offering if  so requested  by the  underwriter; provided, however,
that no such request  may be made by  NME or any such  underwriter prior to  the
90th  day  following  the Effective  Time.  A  form of  the  Registration Rights
Agreement is an  exhibit to  the Merger Agreement  which is  attached hereto  as
Annex A.

    SPECIAL  DIVIDEND.  Pursuant  to the terms  of the Merger  Agreement, AMH is
permitted and intends to declare a special dividend (the "AMH Special Dividend")
payable on February  28, 1995 to  stockholders of record  on February 10,  1995.
Payment  of the AMH Special Dividend will be funded from AMH's available cash or
from borrowings under AMH's revolving credit facility.

    CONDITIONS.  The respective obligations of AMH and NME to effect the  Merger
are  subject to the  following conditions: (a) the  expiration or termination of
any waiting  period applicable  to  the consummation  of  the Merger  under  the
Hart-Scott-Rodino  Antitrust Improvements Act of 1976, as amended, and the rules
and regulations promulgated thereunder (the "HSR Act") and no action shall  have
been  instituted  by the  DOJ  or the  Federal  Trade Commission  challenging or
seeking to  enjoin  the  Merger;  (b)  the  effectiveness  of  the  Registration
Statement  of  which this  Information Statement/Prospectus  is  a part  and the
absence of a stop order at the Effective Time; (c) the approval and adoption  of
the  Merger Agreement and the transactions contemplated thereby by the requisite
vote of AMH stockholders (such approval,  if not withdrawn, is assured  pursuant
to  the written consents received by AMH  from holders of approximately 61.4% of
the outstanding AMH Common Stock) and  20 business days having passed after  the
mailing   of  this  Information  Statement/Prospectus;  (d)  the  absence  of  a
preliminary or permanent injunction or other order by any Federal or state court
or governmental authority in the  United States prohibiting consummation of  the
Merger;  and  (e)  the  receipt  by  NME  and  AMH  of  the  requisite  permits,
authorizations, consents or approvals from governmental entities.

    In addition, the obligations of AMH to effect the Merger are subject to  the
satisfaction  at  or prior  to the  Effective Time  of the  following additional
conditions: (a) NME  and Merger Sub  each shall have  performed in all  material
respects  their obligations under the Merger  Agreement required to be performed
by it at or prior to the  Effective Time and the representations and  warranties
of NME and

                                       39
<PAGE>
Merger  Sub contained in the  Merger Agreement shall be  true and correct in all
material respects at and as of the Effective  Time as if made at and as of  such
time,  except as contemplated by the Merger Agreement; (b) the receipt by AMH of
certain opinions of counsel; (c) the receipt of a comfort letter from KPMG  Peat
Marwick  LLP  with  respect to  financial  statements  of NME  included  in this
Information Statement/Prospectus and other matters customarily addressed by such
letters; (d) that there has been no change in the financial condition, business,
operations or prospects of NME and its subsidiaries, taken as a whole, that have
had or would  be reasonably likely  to have  a material adverse  effect on  NME,
other  than any  such change that  affects both  NME and AMH  in a substantially
similar manner; (e) the  NME Common Stock  to be issued  in connection with  the
Merger  shall  have  been  approved  for  listing  on  the  NYSE;  and  (f)  the
registration statement relating to the Registration Rights Agreement shall  have
been  declared effective  and no  stop order shall  have been  issued in respect
thereof.

    The obligations of NME and  Merger Sub to effect  the Merger are subject  to
the  satisfaction at or prior to the  Effective Time of the following additional
conditions:  (a)  AMH  shall  have  performed  in  all  material  respects   its
obligations  under the  Merger Agreement  required to be  performed by  it at or
prior to  the Effective  Time  and the  representations  and warranties  of  AMH
contained  in the  Merger Agreement  shall be true  and correct  in all material
respects at and as  of the Effective  Time as if  made at and  as of such  time,
except  as  contemplated by  the Merger  Agreement;  (b) the  receipt by  NME of
certain opinions of  counsel; (c)  the receipt of  a comfort  letter from  Price
Waterhouse  LLP with  respect to  financial statements  of AMH  included in this
Information Statement/Prospectus and other matters customarily addressed by such
letters; and  (d) that  there has  been no  change in  the financial  condition,
business, operations or prospects of AMH and its subsidiaries, taken as a whole,
that  would have had  or would be  reasonably likely to  have a material adverse
effect, other  than  any  such  change  that affects  both  AMH  and  NME  in  a
substantially similar manner.

    BUSINESS  OF AMH  AND NME PENDING  THE MERGER.   AMH has  agreed that, among
other things, prior to  consummation of the Merger,  unless NME otherwise  shall
agree  in writing or unless otherwise  contemplated by the Merger Agreement, AMH
will conduct its business and the businesses of its subsidiaries in the ordinary
course consistent  with past  practice and  it  will not,  and will  not  permit
without  NME's prior  written consent, which  consent shall  not be unreasonably
withheld, any  of  its subsidiaries  to:  adopt or  propose  any change  to  the
Restated  Certificate of  Incorporation or Amended  Bylaws of  AMH; declare, set
aside or pay any dividends or other distributions with respect to the AMH Common
Stock, except for the AMH Special  Dividend; or redeem or otherwise acquire  any
shares  of  its capital  stock or  shares of  the  capital stock  of any  of its
subsidiaries. AMH has further agreed that neither it nor any of its subsidiaries
shall issue any additional securities, except pursuant to existing  obligations;
merge  or consolidate  with any  other person  or acquire  a material  amount of
assets of any other person;  dispose of any fixed  assets or any other  material
assets  other  than pursuant  to  existing contracts  or  commitments or  in the
ordinary  course  of  business  consistent   with  past  practices;  incur   any
indebtedness,  except pursuant  to existing  credit facilities  or arrangements;
change any method of accounting or  accounting practice, except for such  change
required by generally accepted accounting practices; or enter into any contract,
agreement,  commitment or arrangement with respect  to any of the foregoing. AMH
has further agreed that neither  it nor any of  its subsidiaries will grant  any
increases  in the compensation of their  respective officers and employees other
than increases  in the  ordinary course  of business  and consistent  with  past
practice.

    NME has agreed that, among other things, prior to the Effective Time, unless
AMH  shall otherwise  agree in writing  or unless otherwise  contemplated by the
Merger Agreement, NME  will conduct  its businesses  and the  businesses of  its
subsidiaries  in the ordinary course consistent  with past practice and will not
and will not permit without AMH's prior written consent, which consent shall not
be unreasonably  withheld, any  of its  subsidiaries to:  adopt or  propose  any
change  to the NME Articles of Incorporation or the NME Bylaws if such amendment
would have an adverse effect on the Merger Consideration; declare, set aside  or
pay  any dividend or other distribution with respect to the NME Common Stock; or
redeem or otherwise acquire  any shares of  its capital stock  or shares of  the

                                       40
<PAGE>
capital stock of any of its subsidiaries. NME has further agreed that neither it
nor  any  of its  subsidiaries will,  subject to  certain exceptions,  issue any
additional securities, except  pursuant to  existing obligations  or the  Merger
Agreement,  other than in  the ordinary course of  business consistent with past
practice; dispose of any  fixed assets or any  other material assets other  than
pursuant  to  existing contracts  or commitments  or in  the ordinary  course of
business consistent with past practices; incur any indebtedness, except pursuant
to existing credit  facilities or  arrangements; incur  any indebtedness,  other
than  in the ordinary course of  business consistent with past practices; change
any method of accounting or accounting practice, except for such change required
by generally  accepted  accounting  principles;  or  enter  into  any  contract,
agreement,  commitment or arrangement  with respect to any  of the foregoing. In
addition, NME has agreed that it will not, and will not permit its  subsidiaries
to,  merge or consolidate with any other  person or acquire a material amount of
assets from any other person if, prior to the consummation of such  transaction,
AMH  is advised by Salomon that, as a result of such transaction, it is required
to withdraw its fairness opinion unless NME permits the AMH stockholders, at the
election of AMH, to receive $6.88 in cash per share of AMH Common Stock in  lieu
of  the fraction of a  share of NME Common  Stock to be received  as part of the
Merger Consideration, together with the balance of the Merger Consideration.  In
such  event, the Merger  Consideration must be received  by the AMH stockholders
prior to or simultaneously with the consummation of such other transaction.  See
"The Merger -- Terms of the Merger."

    Pursuant  to the Merger Agreement, from the  date of the Merger Agreement to
the Effective Time, Merger Sub will not  engage in any activities of any  nature
except as provided in or contemplated by the Merger Agreement.

    CERTAIN  EMPLOYEE BENEFITS.   From and after the  Effective Time, subject to
applicable law  and except  as contemplated  by the  Merger Agreement,  NME  has
agreed  to honor, in accordance with their terms, all AMH employee benefit plans
(as set forth in the Merger  Agreement); provided, however, that nothing in  the
Merger  Agreement precludes  any change effected  on a prospective  basis in any
such plan  from and  after the  Effective  Time. NME  will provide  benefits  to
employees  of AMH who  become employees of  NME or continue  after the Effective
Time as employees of AMH which will, in the aggregate, be no less favorable than
those provided to other similarly situated  employees of NME from time to  time.
With  respect  to NME's  employee  benefit plans  (as  set forth  in  the Merger
Agreement), NME has  agreed to grant  all employees  of AMH from  and after  the
Effective  Time credit for all service with AMH, its affiliates and predecessors
prior to  the  Effective  Time for  all  purposes  for which  such  service  was
recognized  by  AMH. To  the extent  such  NME 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.
Certain AMH employees  have agreed to  make their services  available to NME  as
consultants  during the period  preceeding the Effective  Time. In consideration
for these services (and in anticipation of services to be rendered following the
Effective Time),  and in  connection with  a  grant of  options to  certain  NME
employees,   the  Compensation  Committee  of  the  Board  of  Directors,  which
administers the  NME option  plan, has  granted such  AMH employees  options  to
purchase  NME Common Stock, which options shall  have an exercise price equal to
the fair market value of NME Common Stock on the date of grant and shall not  be
exercisable  until after the Effective Time of the Merger and shall be forfeited
if the Merger does not occur.

    TERMINATION.  The Merger Agreement may  be terminated and the Merger may  be
abandoned  at any time prior to the Effective Time, before or after the approval
by the stockholders of AMH, in  a number of circumstances, which include,  among
others  by: (a)  the mutual written  consent of AMH  and NME; (b)  action of the
Board of Directors of either  AMH or NME (i) if  the Merger shall not have  been
consummated  by May 31, 1995  or (ii) if any  court of competent jurisdiction or
federal or state governmental, regulatory or administrative agency or commission
shall have  issued  an  order,  decree,  ruling  or  other  action  restraining,
enjoining  or otherwise prohibiting the Merger and such order, decree, ruling or
other action shall have become final and nonappealable; (c) action of the  Board
of

                                       41
<PAGE>
Directors  of AMH, if (i) in  the exercise of its good  faith judgment as to its
fiduciary duties to its stockholders imposed  by law, the Board of Directors  of
AMH  determines that  such termination  is required  by reason  of any  offer or
proposal for,  or any  indication of  interest in,  a merger  or other  business
combination  involving AMH or any of the Company Subsidiaries (as defined in the
Merger Agreement) 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 the Merger  Agreement (an "Acquisition  Proposal"), being made,
(ii) there has  been a  breach by  NME or Merger  Sub of  any representation  or
warranty  contained in the Merger Agreement which  would have or would be likely
to have a material adverse effect on NME, (iii) there has been a material breach
by NME of any covenant or agreement  contained in the Merger Agreement which  is
not  curable or, if curable, is not cured within 30 days after written notice of
such breach, or (iv) prior to the earlier of May 31, 1995 or the Effective  Time
NME  has been unable to secure the requisite financing for the Merger other than
as a result of a  material breach by AMH of  any of the covenants or  agreements
set  forth in the Merger  Agreement; or (d) action of  the Board of Directors of
NME, if (i) there  has been a  breach by AMH of  any representation or  warranty
contained in the Merger Agreement which would have or would be reasonably likely
to  have a  material adverse effect  on AMH, or  (ii) there has  been a material
breach by AMH  of any covenant  or agreement contained  in the Merger  Agreement
which  is not curable or, if curable, is  not cured within 30 days after written
notice of such breach.

    In the event of any such  termination, the Merger Agreement shall  forthwith
become  void and, except for a termination  resulting from a willful breach by a
party to the Merger Agreement,  there shall be no liability  on the part of  any
party  or their  respective officers  or directors,  except with  respect to the
payment of  liquidated  damages  as  specified  below  and  sharing  of  certain
expenses.

    ACQUISITION  PROPOSALS.  AMH has agreed  that, until the Merger Agreement is
terminated, it will not, 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  AMH
or  its  subsidiaries, or  (iii) engage  in negotiations  with, or  disclose any
nonpublic information  relating to  AMH or  its 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.  However,
the  Merger Agreement does not prohibit AMH  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  Commission 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  AMH 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) the Board of Directors of AMH
determines in good faith that such action is required for the Board of Directors
of AMH 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,  AMH provides written  notice to  the
other  party  to  the Merger  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 of  AMH to comply with its fiduciary duties  to
stockholders  imposed by law), AMH keeps NME informed of the status (but not the
terms) of any such negotiations or discussions.

    LIQUIDATED DAMAGES.   If,  prior  to the  earlier of  May  31, 1995  or  the
Effective  Time, the Merger Agreement is terminated by the Board of Directors of
AMH, (a) in the exercise of its  good faith judgment as to its fiduciary  duties
to  its  stockholders  after receiving  an  Acquisition Proposal,  NME  shall be
entitled to liquidated  damages in  cash equal to  $75 million  (reduced by  any
payment  made  to NME  pursuant to  the Stockholder  Agreements, but  subject to
reimbursement of such amounts by AMH  to such stockholders); or (b) because  (i)
there  has been a breach by NME or  Merger Sub of any representation or warranty
contained in the Merger Agreement which would have or would be reasonably likely
to have a material adverse effect on NME, (ii) there has been a material  breach
by

                                       42
<PAGE>
NME  of any covenant or agreement contained in the Merger Agreement which is not
curable or, if curable, is not cured within 30 days after written notice of such
breach, or (iii) NME has been unable  to secure the requisite financing for  the
Merger,  then AMH shall be entitled to  liquidated damages in cash equal to $150
million.

    If, prior to the earlier of May  31, 1995 or the Effective Time, the  Merger
Agreement  is terminated by the Board of  Directors of NME because (i) there has
been a breach by AMH of any  representation or warranty contained in the  Merger
Agreement  which would  have or  would be reasonably  likely to  have a material
adverse effect on AMH, or  (ii) there has been a  material breach by AMH of  any
covenant or agreement contained in the Merger Agreement which is not curable or,
if  curable, is not  cured within 30  days after written  notice of such breach,
then NME shall be entitled to liquidated damages in cash equal to $150  million.
If  the liquidated  damages payment  is made and  in the  absence of termination
resulting from fraud or a willful breach by a party to the Merger Agreement, the
party making such payment shall have  no further obligations to the  terminating
party.

    INDEMNIFICATION   AND  INSURANCE.    NME  has  agreed  that  all  rights  to
indemnification existing in favor of the present or former directors,  officers,
employees,  fiduciaries  and  agents  of AMH  and  certain  of  its subsidiaries
(collectively, the "Indemnified Parties") as provided by AMH or its subsidiaries
in effect as of the date of the Merger Agreement or pursuant to the terms of any
indemnification agreements entered into between  AMH 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 to the  fullest
extent and for the maximum term permitted by law and shall be enforceable by the
Indemnified  Party against both  AMH and NME.  At the Effective  Time, NME shall
also directly assume AMH's indemnification obligations.

    The Merger Agreement also provides that  NME will cause to be maintained  in
effect,  for  a period  ending  not sooner  than  the sixth  anniversary  of the
Effective Time,  the  current policies  of  directors' and  officers'  liability
insurance maintained by AMH or substitute policies providing at least equivalent
coverage with respect to AMH's officers and directors as the policies maintained
by  AMH on behalf of such  directors and officers of AMH  as of the date hereof,
and 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 NME or  the Surviving Corporation  be required to  expend, to maintain  or
procure  such insurance coverage, any amount per  annum in excess of 200% of the
aggregate premiums paid in 1994 on an annualized basis for such purpose.

    AMENDMENT AND WAIVER.  Any of the provisions of the Merger Agreement may  be
amended by or pursuant to written action by all of the respective parties at any
time  before or after the approval of  the Merger Agreement by AMH stockholders;
provided however, that 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  AMH stockholders  without their  further approval.  Prior to  the
earlier  of May 31, 1995 or the Effective  Time, the parties may extend the time
for performance of the obligations of the other parties to the Merger Agreement,
may waive any inaccuracies  in the representations  and warranties contained  in
the  Merger  Agreement  or in  any  document  delivered pursuant  to  the Merger
Agreement or  may waive  compliance with  any of  the agreements  or  conditions
contained  in the Merger Agreement for their respective benefit contained in the
Merger Agreement.

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

    STOCKHOLDER  APPROVAL; STOCKHOLDER AGREEMENTS.  In connection with, and as a
condition and  inducement  to, NME's  execution  of the  Merger  Agreement,  NME
entered into three Stockholder Agreements, one with the Fund and GKHPL, one with
1987 MIP and MBLP (1987 MIP and MBLP are affiliates of CS First Boston), and one
with    Mellon   Bank   N.A.,    as   trustee   of    First   Plaza   (each,   a

                                       43
<PAGE>
"Stockholder"). Such agreements, which were exchanged following execution of the
Merger Agreement, were negotiated commencing  on October 5, 1994 and  thereafter
were  part of the  negotiations with respect  to the Merger  Agreement. See "The
Merger -- Background of the Merger" and "-- Interests of Certain Persons in  the
Merger."  The  summary  set  forth  below includes  the  material  terms  of the
Stockholder Agreements. However, such  summary is subject  to, and qualified  in
its entirety by reference to, the terms of the Stockholder Agreements. A form of
the  Stockholder  Agreements is  an  exhibit to  the  Merger Agreement  which is
annexed hereto as Annex A.

    Pursuant to the Stockholder Agreements, the Stockholders have agreed to vote
all of their Stockholder Shares (as defined  below) on matters as to which  each
such Stockholder is entitled to vote at a meeting of the stockholders of AMH, or
by  written consent without a meeting, 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 AMH
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. In
connection with  the  voting  provisions of  the  Stockholder  Agreements,  each
Stockholder  appointed NME,  with full  power of  substitution, as  attorney and
proxy to vote all Stockholder Shares with respect to those matters described  in
clauses (i), (ii) and (iii) above. NME does not have the right, ability or power
to  vote  any of  the  Stockholder Shares  in  connection with  the  election of
directors of AMH. In addition, in the  event that the Board of Directors of  AMH
elects  to terminate the Merger Agreement in  the exercise of its fiduciary duty
to pursue an Acquisition Proposal, voting  rights in respect of the  Stockholder
Agreements  which could impact the Acquisition Proposal would expire on June 30,
1995,  after  which  the  Stockholders  would  be  free  to  consider  any  such
Acquisition Proposal.

    The "Stockholder Shares" covered by each Stockholder Agreement are shares of
AMH Common Stock beneficially owned by the respective Stockholder on October 10,
1994  (including without limitation any  such shares acquired by  way of a stock
dividend, stock  split,  split-up, recapitalization,  combination,  exchange  of
shares or similar transaction). As of October 10, 1994, each of the Stockholders
beneficially owned the following Stockholder Shares, each of which is subject to
the  provisions of  their respective  Stockholder Agreements:  (i) the  Fund and
GKHPL, 24,719,168 and  934,596 shares  of AMH Common  Stock, respectively;  (ii)
MBLP  and  1987  MIP,  10,595,282  and  710,168  shares  of  AMH  Common  Stock,
respectively (MBLP and  1987 MIP are  controlled by CS  First Boston, Inc.,  the
sole  stockholder of CS First Boston, and,  therefore, CS First Boston, Inc. may
be considered to  be the  beneficial owner of  11,305,450 shares  of AMH  Common
Stock);  and  (iii) Mellon  Bank, N.A.,  as trustee  of First  Plaza, 10,663,636
shares of AMH Common  Stock. As of September  30, 1994, such Stockholder  Shares
constituted approximately 61.4% of the outstanding shares of AMH Common Stock.

    Each Stockholder has agreed pursuant to the Stockholder Agreements to pay to
NME   an  Alternate   Transaction  Payment   (as  defined   below),  subject  to
reimbursement of such amount by AMH not to exceed $75,000,000 in the  aggregate,
with  respect to any Stockholder Shares  sold, transferred or otherwise disposed
of by the respective Stockholder, promptly following the transfer of Stockholder
Shares to any  person other  than NME  or its  affiliates (any  such person,  an
"Acquiring Person") if, pursuant to any transaction which is consummated or with
respect  to which an agreement is entered into  on or prior to June 30, 1995, an
Acquiring  Person  (i)  acquires  beneficial  ownership  of  any  or  all  of  a
Stockholder's  Stockholder Shares or (ii) consummates a merger, consolidation or
other business combination with,  or purchases all or  substantially all of  the
assets  of, AMH (each such transaction described  in the foregoing clause (i) or
(ii), an "Alternate Transaction").

    An "Alternate Transaction Payment" is an amount equal to the product of  (i)
the  excess of the  Alternate Transaction Price (as  defined below) over $25.88,
or, if the transaction is consummated  after March 31, 1995, $26.13, times  (ii)
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. 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   delivery    to   NME   of    a

                                       44
<PAGE>
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
Alternative Transaction Price. "Alternate Transaction Price" means the price per
share  paid by any Acquiring  Person after October 10,  1994 for any Stockholder
Shares, which includes, if  applicable, the fair market  value of securities  or
other  property other than cash exchanged for Stockholder Shares or received for
AMH's assets, calculated as a per  share price, as determined by the  investment
banking firm retained by AMH to evaluate such proposal.

    For  purposes  of determining  whether an  Alternate Transaction  exists, an
Acquiring Person will  be deemed to  have acquired beneficial  ownership of  any
Stockholder  Shares which (i) such person or any of its Affiliates or Associates
(as such terms are  defined in Rule 12b-2  under the Exchange Act)  beneficially
owns,  directly or  indirectly; (ii)  such person  or any  of its  Affiliates or
Associates has, directly or indirectly, (x)  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  (y)
the  right to vote  pursuant to any agreement,  arrangement or understanding; or
(iii) 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 shares  of AMH Common  Stock (other than  shares of AMH Common
Stock  owned  by  other  persons  that  are  parties  to  the  AMH  Stockholders
Agreement).

    Pursuant  to the Stockholder Agreements each Stockholder also has agreed not
to, and  will  cause its  officers,  directors,  employees and  agents  not  to,
directly or indirectly (i) take any action to initiate, solicit or encourage any
Acquisition  Proposal,  or (ii)  engage in  negotiations  with, or  disclose any
nonpublic information relating to AMH or  its subsidiaries, or afford access  to
their respective books or records to, any person that may be considering making,
or has made any Acquisition Proposal.

    Each  Stockholder has further agreed 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 of the
Stockholder Agreement  (other  than the  AMH  Special Dividend  intended  to  be
declared  by  the  Board  of  Directors  of  AMH,  as  permitted  by  the Merger
Agreement), NME  and such  Stockholder  will enter  into an  escrow  arrangement
pursuant  to which any payment of any such dividend or distribution will be held
in escrow.  Upon consummation  of any  Alternate Transaction,  such dividend  or
distribution  made on such Stockholder Shares  will be delivered to NME together
with the Alternate Transaction Payment.

    Finally, under the Stockholder Agreements each Stockholder has agreed  that,
without  the prior written consent  of NME, such Stockholder  will not (i) sell,
transfer, assign, pledge  or otherwise  dispose of  or hypothecate  any of  such
Stockholder's   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 relating to the consummation
of the Merger; or (iii)  take any action that  would make any representation  or
warranty  of such Stockholder contained  in the respective Stockholder Agreement
untrue or incorrect in any material respect or have the effect of preventing  or
disabling  such Stockholder from performing such Stockholder's obligations under
such Stockholder Agreement.

    The Stockholder Agreements terminate upon the  earlier to occur of (i)  June
30,  1995, provided, that, if the Merger Agreement is terminated by AMH due to a
material breach  by  NME,  the  Stockholder Agreements  will  terminate  on  the
effective  date of such termination of  the Merger Agreement; (ii) the Effective
Time of  the Merger;  or (iii)  with respect  to each  Stockholder,  immediately
following  the  making  of  an  Alternate Transaction  Payment  for  all  of the
Stockholder Shares owned by such Stockholder; provided, that, in the case of any
termination pursuant to  clause (i),  the Stockholder  Agreements will  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

                                       45
<PAGE>
shares   is  made  or  such  agreement  is  terminated.  Upon  termination,  the
Stockholder Agreements will  have no  further force  or effect  except that  the
remedies  of  specific  performance  and  injunctive  relief  afforded  by  such
agreements shall continue to apply.

CERTAIN FEDERAL INCOME TAX CONSEQUENCES

    The following discussion is for general information only and is based on the
Federal income  tax law  now in  effect, which  is subject  to change,  possibly
retroactively.  This  summary does  not discuss  all  aspects of  Federal income
taxation which may be important to particular AMH stockholders or holders of AMI
9 1/2%  Convertible  Debentures  (as  hereinafter defined)  in  light  of  their
individual  investment circumstances or to certain types of stockholders subject
to special tax  rules (E.G., financial  institutions, broker-dealers,  insurance
companies,  and tax-exempt  organizations). In  addition, there  may be possible
state, local or  foreign tax consequences,  none of which  are discussed  below.
This summary assumes that AMH stockholders and holders of AMI 9 1/2% Convertible
Debentures  have  held  their shares  of  AMH  Common Stock  or  AMI Convertible
Debentures as "capital assets" (generally,  property held for investment)  under
the Internal Revenue Code of 1986, as amended (the "Code"). Each AMH stockholder
and each holder of AMI 9 1/2% Convertible Debentures is urged to consult his tax
advisor  regarding the  specific Federal, state,  local, and  foreign income and
other tax  consequences of  the Merger  and the  conversion of  the AMI  9  1/2%
Convertible Debentures.

    THE  MERGER.  The receipt by an AMH stockholder of cash and NME Common Stock
in exchange for AMH Common Stock in the Merger (or the receipt of cash upon  the
exercise  of appraisal rights  or in certain specified  circumstances) will be a
taxable transaction for  Federal income tax  purposes and may  be taxable  under
state,  local or  foreign tax  laws as well.  An AMH  stockholder will recognize
capital gain or loss equal to the  difference between the tax basis for the  AMH
Common Stock surrendered in the Merger and the sum of the (i) cash and (ii) fair
market  value  of the  NME  Common Stock  received in  the  Merger (or  the cash
received in lieu of such stock) as  determined at the Effective Time. Such  gain
or  loss will be  long-term gain or  loss if the  exchanging AMH stockholder has
held his AMH Common Stock for more  than one year. AMH stockholders will have  a
tax  basis in  the NME  Common Stock received  in the  Merger equal  to its fair
market value as determined at the Effective Time.

    AMH SPECIAL DIVIDEND.  AMH intends to treat the AMH Special Dividend as  the
payment of a dividend for Federal income tax purposes includible in the ordinary
income of AMH stockholders upon receipt.

    CONVERSION OF THE AMI 9 1/2% CONVERTIBLE DEBENTURES.  Upon conversion of the
AMI  9 1/2% Convertible Debentures into (i)  shares of AMH Common Stock prior to
the Effective  Time or  (ii)  cash and  shares of  NME  Common Stock  after  the
Effective  Time (or the  receipt of cash in  certain specified circumstances), a
holder of AMI 9 1/2% Convertible Debentures will recognize capital gain or  loss
in  an amount  equal to  the difference  between his  adjusted tax  basis in the
converted debentures and the sum of any cash received and the fair market  value
of  the shares received determined as of  the conversion date. Such gain or loss
will be long term if  the AMI 9 1/2% Convertible  Debentures have been held  for
more  than one  year. A  holder will  have a  tax basis  in the  shares received
pursuant to  the  conversion in  an  amount equal  to  their fair  market  value
determined  as of  the conversion  date and  his holding  period for  the shares
received will  commence with  the  day following  the  date of  conversion.  The
Federal  income  tax consequences  of exchanging,  pursuant  to the  Merger, any
shares of  AMH  Common  Stock  received  upon  conversion  of  the  AMI  9  1/2%
Convertible  Debentures will  be as described  above under "--  The Merger." See
"Financing for the Merger and the  Related Transactions -- The AMI  Redemptions"
and  "Selected Information Concerning NME and  AMH -- American Medical Holdings,
Inc. -- AMI Convertible Debentures."

ACCOUNTING TREATMENT OF THE MERGER

    The Merger will  be accounted for  by the purchase  method of accounting  in
accordance  with  generally accepted  accounting  principles for  accounting and
financial reporting purposes.

                                       46
<PAGE>
INTERESTS OF CERTAIN PERSONS IN THE MERGER

    In reviewing the actions of the Board of Directors and certain  stockholders
of  AMH with respect  to the Merger Agreement  and the transactions contemplated
thereby, stockholders  of  AMH should  be  aware  that certain  members  of  the
management  of AMH  and the Board  of Directors of  AMH, as well  as certain AMH
stockholders, have interests in the Merger that are in addition to the interests
of stockholders of AMH generally.

    AMH STOCKHOLDERS AGREEMENT.  The  AMH stockholders which have delivered  the
Stockholder  Agreements and who in the  aggregate own approximately 61.4% of the
outstanding AMH Common  Stock, namely  the Fund,  GKHPL, Mellon  Bank, N.A.,  as
trustee  of First Plaza, MBLP and 1987  MIP, also are parties with certain other
stockholders of AMH to  the AMH Stockholders Agreement.  Under the terms of  the
AMH  Stockholders Agreement,  the Fund,  GKHPL, First  Plaza, MBLP  and 1987 MIP
(MBLP and 1987 MIP are affiliates of  CS First Boston), together with the  other
parties thereto, have the right to designate, and have designated, a majority of
the nominees who have been elected to AMH's Board of Directors and, accordingly,
effectively  control the selection of executive officers and other key employees
and the establishment  of AMH's operating  policies. AMH also  has retained  and
agreed  to pay financial advisory fees  in connection with services performed by
CS First  Boston  and  GKH in  conjunction  with  the Merger  Agreement  in  the
aggregate  amount  of  $10,000,000,  plus reimbursement  of  up  to  $100,000 of
expenses, pursuant  to the  recommendation of  an independent  committee of  the
Board  of Directors of AMH and upon approval of retention of such persons to act
as financial advisors  by the  Board of Directors  of AMH  (with the  interested
directors abstaining with respect thereto).

    STOCK OPTION PLANS.  The following table sets forth information with respect
to  the  number of  vested AMH  Options,  and the  acceleration of  unvested AMH
Options, held by  the persons  named below, assuming  the Effective  Time is  on
March 1, 1995.

<TABLE>
<CAPTION>
                                                                 NUMBER OF UNVESTED                 NET PROCEEDS
                                                                  AMH STOCK OPTIONS                   FROM AMH
                                             NUMBER OF VESTED      AT FEBRUARY 28,      AVERAGE     STOCK OPTIONS
                                             AMH STOCK OPTIONS       1995 TO BE         EXERCISE      UNDER THE
                                              AT FEBRUARY 28,      ACCELERATED AT      PRICE PER       MERGER
NAME AND TITLE                                     1995            EFFECTIVE TIME        SHARE      AGREEMENT(1)
- ------------------------------------------  -------------------  -------------------  ------------  -------------
<S>                                         <C>                  <C>                  <C>           <C>
Robert O'Leary
 Chairman and Chief Executive Officer               246,600              153,400      $       9.75   $ 6,178,000
John T. Casey
 President and Chief Operating Officer              120,080               80,120              9.75     3,092,089
Alan Chamison
 Executive Vice President and Chief
 Financial Officer                                  120,000               80,000              9.75     3,089,000
O. Edwin French
 Senior Vice President                               36,500               63,500            13.535     1,166,000
W. Randolph Smith
 Executive Vice President                            85,318              --                7.03325     1,549,524
Terry Linn
 Vice President -- Development                       24,000               76,000          10.85625     1,433,875
Lawrence N. Kugelman
 Executive Vice President                            75,000              125,000              9.75     3,089,000
Thomas J. Sabatino, Jr.
 Vice President and General Counsel                  14,600               45,400          12.53125       759,825
</TABLE>

                                       47
<PAGE>
<TABLE>
<CAPTION>
                                                                 NUMBER OF UNVESTED                 NET PROCEEDS
                                                                  AMH STOCK OPTIONS                   FROM AMH
                                             NUMBER OF VESTED      AT FEBRUARY 28,      AVERAGE     STOCK OPTIONS
                                             AMH STOCK OPTIONS       1995 TO BE         EXERCISE      UNDER THE
                                              AT FEBRUARY 28,      ACCELERATED AT      PRICE PER       MERGER
NAME AND TITLE                                     1995            EFFECTIVE TIME        SHARE      AGREEMENT(1)
- ------------------------------------------  -------------------  -------------------  ------------  -------------
<S>                                         <C>                  <C>                  <C>           <C>
Bary G. Bailey
 Vice President and Controller                       30,000              --                7.03325       544,852
Michael N. Murdock
 Vice President and Treasurer                        30,000              --                7.03325       544,852
<FN>
- ------------------------
(1)  Based  upon an assumed value  of a share of NME  Common Stock of $14.75 and
     consummation of the Merger prior to April 1, 1995. See "The Merger -- Terms
     of the Merger -- AMH Stock Options" and "-- Interests of Certain Persons in
     the Merger -- Tax Gross-Up."
</TABLE>

    NME STOCK OPTION  GRANTS.  The  Compensation and Stock  Option Committee  of
NME's  Board of Directors (the "NME  Compensation Committee") met on January 23,
1995 to  consider granting  stock option  awards to  various NME  employees  and
consultants  under  NME's 1991  Stock  Option Plan  (the  "1991 Plan").  The NME
Compensation Committee considered  that Messrs.  Casey and Smith  (a) have  made
themselves  available to  serve as  consultants and  advisers to  NME during the
transition period prior to the closing of the Merger, (b) are expected to assist
in the integration of  the businesses of  NME and AMH, and  (c) are expected  to
make  significant  contributions to  NME's  business following  the  Merger, and
resolved to grant  Mr. Casey  options to purchase  33,000 shares  of NME  Common
Stock and Mr. Smith options to purchase 100,000 shares of NME Common Stock. Such
options  have an exercise price  equal to $13.875 (the  fair market value of the
NME Common Stock at the close of business on the date of the grant), have a term
of ten years and will vest one-third  per year over three years, subject to  the
terms  and conditions set forth in the 1991 Plan and Mr. Casey's and Mr. Smith's
individual agreements  evidencing  such option  awards.  Such options  also  are
subject  to forfeiture (a) in the event the Merger is not consummated by May 31,
1995 and (b) if Mr. Casey and/or Mr. Smith, as the case may be, does not  become
an employee of NME or one of its subsidiaries immediately upon the effectiveness
of the Merger.

    SEVERANCE PAY.  AMH has entered into agreements with Messrs. O'Leary, Casey,
Chamison,  French, Kugelman, Sabatino, Bailey and Murdock, which provide that if
the employee's employment is terminated either voluntarily within 120 days after
a change in  control (which term  would include consummation  of the Merger)  or
involuntarily  within 12 months after a change in control, such employee will be
entitled to receive severance pay based  upon the employee's annual base  salary
for  the fiscal year then most  recently commenced. Agreements were entered into
with Messrs. O'Leary (as of June 12, 1991, as amended as of November 17,  1992),
Casey  (as of October 1, 1991, as amended  as of December 7, 1992), Chamison (as
of August 4, 1991, as amended as  of November 17, 1992), French (as of  November
15,  1991, as amended as of December 8, 1992), Kugelman (as of October 30, 1992,
as amended as of  December 10, 1992)  and Sabatino (as of  November 1, 1992,  as
amended  as of October 10,  1994) and Messrs. Bailey  and Murdock (each of which
was entered into as of October 10, 1994). Except for Mr. O'Leary, the amount  of
severance  pay is equal to  12 months base salary.  Mr. O'Leary would receive 15
months base  salary. Mr.  Casey,  however, has  waived  his entitlement  to  the
severance  payment described above pursuant to a letter of understanding entered
into with NME. See "Casey Letter of Understanding" below.

    1990 SUPPLEMENTAL BENEFIT PLAN.  The AMH 1990 Supplemental Benefit Plan (the
"SERP") is  a  nonqualified supplemental  retirement  plan. The  amount  of  the
benefit  payable under  the SERP  is based upon  a percentage  of average annual
compensation multiplied by years  of service with  AMH up to  20 years less  any
other  AMH  retirement  benefits and  social  security benefits  payable  to the
executive. Normally participants vest in their benefits under the SERP after ten
years. AMH has

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agreed to provide Messrs. O'Leary, Casey, Chamison, French, Kugelman,  Sabatino,
Bailey  and Murdock with full  vesting in and 20  years of assumed service under
the SERP upon a change of control (which term would include consummation of  the
Merger).

    The  present value of the additional benefits provided under such agreements
in relation to change  of control vesting to  Messrs. O'Leary, Casey,  Chamison,
French,  Kugelman, Sabatino, Bailey and Murdock, respectively, assuming an 8.75%
discount rate and using the 1984 Unisex Pension Mortality Table Set forward  One
Year  for  Males (PBGC),  and  based on  retirement at  age  55, is  as follows:
$2,113,507, $732,899, $1,408,219, $548,126, $1,132,027, $157,646, $126,275,  and
$119,666,  respectively. The AMH Compensation  Committee determined to take such
action with respect to Messrs. O'Leary, Casey, Chamison, French, and Kugelman on
January 13, 1993, and, with respect to Messrs. Sabatino, Bailey and Murdock,  on
October 10, 1994.

    TAX GROSS-UP.  Upon the occurrence of the Merger, certain executive officers
of  AMH may be subject  to the potential imposition  of excise tax under Section
4999 of the  Code, to the  extent that  payments resulting from  the Merger  are
deemed to constitute "excess parachute payments" under Section 280G of the Code.
In  addition, AMH would not be permitted to claim a deduction for Federal income
tax purposes to the extent of any such excess parachute payments. On October 10,
1994, AMH agreed to make payment to affected executives in the group  consisting
of  Messrs.  O'Leary, Casey,  Chamison, French,  Kugelman, Sabatino,  Bailey and
Murdock in an amount  equal to all  excise taxes payable  by such executives  on
such  excess parachute payments  (the "Gross-Up Payment"),  including any excise
and income tax payable by reason of the Gross Up Payment; provided, however, the
maximum aggregate Gross-Up Payments which AMH  may be obligated to pay shall  in
no  event exceed $8 million. In the event  that the amount of such taxes exceeds
$8 million,  the  Gross-Up Payments  would  be apportioned  among  the  affected
executives  on a  pro rata basis.  In order for  an executive to  be eligible to
receive Gross-Up  Payments, such  affected executive  must agree  in writing  to
accept  the  consideration  (including  the  mix  of  cash  and  securities,  if
applicable) payable upon the Merger to AMH stockholders in general with  respect
to  any AMH  Options then  held by  the affected  executive, notwithstanding any
provision in the  executive's employment or  stock option agreement  or the  AMH
stock  option  plans  under which  such  options  were granted  to  the contrary
regarding payment in  cash. Each  of Messrs. O'Leary,  Casey, Chamison,  French,
Kugelman,  Sabatino,  Bailey and  Murdock have  so agreed  in writing.  See "The
Merger -- Terms of the Merger -- AMH Stock Options."

    MEDICAL BENEFITS CONTINUATION.  On October 10, 1994, AMH agreed that, if  in
connection  with or subsequent to a change  of control (which term would include
the consummation  of the  Merger), any  director's membership  on the  Board  of
Directors  is  terminated  for  any  reason,  or  Mr.  Chamison's  employment is
terminated for any reason,  then such affected individual  shall be entitled  to
continue  coverage under the  terms of the  AMH group health  insurance plan (or
similar coverage) until the earlier of the date the affected individual  becomes
eligible  for Medicare  or otherwise fails  to pay any  applicable premium. This
coverage is  in addition  to any  continuation coverage  that may  otherwise  be
required by law. The estimated cost of providing such benefits if the employment
and directorships of all such individuals were terminated following consummation
of the Merger is approximately $436,000 based upon certain actuarial assumptions
(i.e.  medical cost increases of 5% per annum, annual employee premium increases
of 3%, discount rate of 9%, initial  annual cost per participant of $7,215,  and
initial annual premium charge per participant of $2,400).

    INCENTIVE  COMPENSATION PLANS.  Under  the AMH Annual Incentive Compensation
Plan and  the  AMH  Long-Term Incentive  Compensation  Plan  (collectively,  the
"Incentive  Compensation  Plans") bonus  compensation  is payable  by  reason of
attainment  of  performance  goals  in  two  categories,  operating  income  and
operating expense. If the threshold level is attained, then 25% of the potential
incentive  opportunity  is awarded,  60% is  awarded  upon attainment  of target
goals, and 100% is awarded upon  attainment of maximum goals. One-third of  each
year's  award is subject to mandatory deferral,  and is payable ratably over two
years, if the performance goals for  such subsequent years are met. Pursuant  to
the  agreements  described in  "-- Severance  Pay"  above with  Messrs. O'Leary,
Casey, Chamison, French, Kugelman, Sabatino,  Bailey and Murdock, upon a  change
in control (which term

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<PAGE>
includes  the consummation of the Merger)  such individuals will be fully vested
in all amounts  payable under  the Incentive Compensation  Plans, including  all
deferred  amounts.  Additionally,  these  individuals  will  be  deemed  to have
satisfied the target performance goals for  the 1995 fiscal year entitling  them
to 100% of their awards. The target awards for Messrs. O'Leary, Casey, Chamison,
French,  Kugelman,  Sabatino,  Bailey  and Murdock  for  fiscal  1995  under the
Incentive  Compensation  Plans  are  $479,115,  $227,136,  $227,136,   $117,219,
$219,625,  $81,120, $65,572 and $65,572, respectively, and the amounts currently
deferred are $374,815, $207,840, $207,840, $107,894, $35,607, $56,390,  $57,832,
and $57,832, respectively.

    DIRECTORS'  RETIREMENT  PLAN.    The  AMH  Directors'  Retirement  Plan (the
"Directors' Retirement Plan") is a  nonqualified retirement plan which  provides
retirement  benefits to directors of AMH upon the later of their retirement from
the Board or age 65.  The amount of yearly retirement  payments is equal to  the
base  annual retainer paid  by AMH to  independent directors in  the year of the
payment, but in no event less than the annual retainer in effect at the time the
recipients became members of the  Board, or ceased to  be members of the  Board,
whichever  is  greater. Payments  are  made for  a period  of  ten years  or, if
greater, the number of the years the individuals were members of the Board,  but
in  no  event later  than the  month in  which the  member's death  occurs. Both
independent and employee directors are eligible to participate in the Directors'
Retirement Plan. On October 10, 1994, the Directors' Retirement Plan was amended
to provide  that previously  unvested  independent directors  (specifically,  J.
Robert  Buchanan, Robert  B. Calhoun,  Jr., Sheldon S.  King, Dan  W. Lufkin and
Harold M. Williams) were  eligible to participate  in the Directors'  Retirement
Plan  regardless of their years of service as members of the Board of Directors.
Previously, the Directors'  Retirement Plan required  independent directors  who
did  not serve previously  as employee directors  to be members  of the Board of
Directors for a period of five years prior to being eligible to participate.

    LOAN TO MR.  CASEY.  In  July 1993, AMH  made an interest  free loan to  Mr.
Casey  in the  amount of  $375,000. Under  the terms  of his  loan agreement AMH
agreed to forgive $10,417 of Mr. Casey's loan each month if he remained employed
by AMH on the last day  of such month. On October  10, 1994, AMH agreed that  in
the  event of a change of control  (which term would include consummation of the
Merger) all amounts due and owing on Mr. Casey's loan will be cancelled, and Mr.
Casey will not be required to repay any outstanding balance on such loan. As  of
September 30, 1994 the outstanding balance on Mr. Casey's loan was $223,953.

    DIRECTORS  AND  OFFICERS  OF  NME  AND THE  SURVIVING  CORPORATION.    It is
currently anticipated that Messrs.  O'Leary and Casey  will become directors  of
NME  immediately following  the Effective  Time. In  addition, the  directors of
Merger Sub at the Effective Time will be the initial directors of the  Surviving
Corporation,  and the officers of AMH at  the Effective Time will be the initial
officers of the Surviving Corporation. See  "The Merger -- Terms of the  Merger"
"--  Directors and Officers of the  Surviving Corporation" and "-- Directors and
Principal Officers of NME."

    CASEY LETTER OF UNDERSTANDING.  NME and Mr. Casey have entered into a letter
of understanding pursuant to which (i)  effective April 1, 1995, Mr. Casey  will
assume part-time at-will, rather than full-time, employee status, at a salary of
$12,500  per month (assuming a  one-third time commitment), (ii)  in lieu of any
entitlement to the severance payment described in "Interests of Certain  Persons
- --  Severance Pay" above, which  Mr. Casey has waived,  Mr. Casey will receive a
one-time bonus equal to twelve times his current monthly base salary, (iii)  Mr.
Casey will be granted non-qualified employee stock options to purchase NME stock
in an amount equal to one-third the number of options to be granted to employees
at  the  executive vice  president level,  (iv)  Mr. Casey  will be  eligible to
receive an annual bonus (with a target of  50% of his base salary and a  maximum
of 75% of his base salary) and other executive benefits (except participation in
certain  retirement plans),  and (v)  if Mr.  Casey is  involuntarily terminated
prior to April 1, 1996, he will receive a severance benefit equal to six  months
base salary at the rate of $12,500 per month.

    FINANCIAL ADVISOR FEES.  For information with respect to fees payable to the
AMH Financial Advisors, see "The Merger -- Background of the Merger."

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<PAGE>
    INDEMNIFICATION   AND  INSURANCE.     The  Merger   Agreement  provides  for
indemnification of, and  maintenance of  liability insurance  for, officers  and
directors of AMH and its subsidiaries. See "The Merger -- Terms of the Merger --
Indemnification and Insurance."

    WAIVER  OF VESTING PROVISIONS IN NME DIRECTOR STOCK OPTION PLAN.  On October
10, 1994, the NME  Board of Directors adopted  a resolution waiving the  vesting
acceleration  provisions  of the  NME  Director Stock  Option  Plan and  the NME
Director Restricted Share Plan. In the absence of such a waiver, all outstanding
director options, i.e., options for a total of 40,000 shares as of March 1, 1995
of NME Common Stock, would have vested upon effectiveness of the Merger and  the
acquisition  by parties to the Stockholder Agreements  of greater than 5% of the
NME Common Stock,  and all  conditions associated with  any unvested  restricted
shares,  a total of 18,000 shares of restricted stock, would have been deemed to
be met, and each such award would have become fully vested.

APPRAISAL RIGHTS IN THE MERGER

    Holders of AMH Common Stock are  entitled to appraisal rights under  Section
262  of the DGCL. A person having a  beneficial interest in shares of AMH Common
Stock held of record in the name of another person, such as a broker or nominee,
must act  promptly to  cause the  record  holder to  follow properly  the  steps
summarized below and in a timely manner to perfect whatever appraisal rights the
beneficial owner may have.

    The  following discussion is not a  complete statement of the law pertaining
to appraisal rights under the DGCL and is qualified in its entirety by the  full
text  of Section  262 which  is reprinted  in its  entirety as  Annex B  to this
Information Statement/Prospectus.  All references  in Section  262 and  in  this
summary  to a "stockholder" are to the record holder of the shares of AMH Common
Stock as to which appraisal rights are asserted.

    Under the  DGCL,  holders of  shares  of AMH  Common  Stock who  follow  the
procedures set forth in Section 262 will be entitled to have their shares of AMH
Common  Stock appraised by the Delaware Court of Chancery and to receive payment
of the "fair value" of  such shares, exclusive of  any element of value  arising
from  the accomplishment or expectation of the Merger, together with a fair rate
of interest, if any, as determined by such court.

    Under Section 262, where a merger is approved pursuant to a written  consent
of stockholders in lieu of a meeting thereof, as in the case of the Merger, AMH,
either  before the Effective Date  of the Merger or  within ten days thereafter,
must notify  each  of its  stockholders  entitled  to appraisal  rights  of  the
Effective  Date of the Merger  and that such appraisal  rights are available and
include  in   such   notice   a   copy  of   Section   262.   This   Information
Statement/Prospectus  shall constitute such  notice to the  holders of shares of
AMH Common Stock,  and a copy  of Section  262 is attached  to this  Prospectus/
Information  Statement as Annex  B. Any AMH  stockholder who or  which wishes to
exercise such appraisal rights  or who or  which wishes to  preserve his or  its
right  to do  so should  review the following  discussion and  Annex B carefully
because failure to comply timely and properly with the procedures specified will
result in the loss of appraisal rights under the DGCL.

    A HOLDER  OF SHARES  OF AMH  COMMON STOCK  WISHING TO  EXERCISE HIS  OR  ITS
APPRAISAL  RIGHTS  MUST DELIVER  TO  AMH, AS  THE  SURVIVING CORPORATION  IN THE
MERGER, PRIOR TO FEBRUARY 20, 1995 (BEING 20 DAYS AFTER THE DATE OF THE  MAILING
OF THIS INFORMATION STATEMENT/PROSPECTUS), A WRITTEN DEMAND FOR APPRAISAL OF HIS
OR ITS SHARES OF AMH COMMON STOCK. IN ADDITION, A HOLDER OF SHARES OF AMH COMMON
STOCK  WISHING TO EXERCISE HIS OR ITS  APPRAISAL RIGHTS MUST HOLD OF RECORD SUCH
SHARES ON THE DATE THE WRITTEN DEMAND FOR APPRAISAL IS MADE AND MUST CONTINUE TO
HOLD SUCH SHARES UNTIL THE EFFECTIVE TIME OF THE MERGER.

    Only a  stockholder of  record of  AMH Common  Stock is  entitled to  assert
appraisal  rights for the shares of AMH Common Stock registered in that holder's
name. A demand for appraisal should be executed by or on behalf of the holder of
record, fully and  correctly, as his  or its name  appears on his  or its  stock
certificates.  If  the shares  of  AMH Common  Stock are  owned  of record  in a
fiduciary capacity, such as  by a trustee, guardian  or custodian, execution  of
the  demand should  be made in  that capacity, and  if the shares  of AMH Common
Stock  are  owned  of  record   by  more  than  one   person,  as  in  a   joint

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<PAGE>
tenancy  and tenancy in common, the demand should be executed by or on behalf of
all joint owners. An authorized agent,  including one or more joint owners,  may
execute  a demand for  appraisal on behalf  of a holder  of record; however, the
agent must identify the record owner  or owners and expressly disclose the  fact
that,  in executing the demand,  the agent is agent for  such owner or owners. A
record holder, such as a broker, who  or which holds shares of AMH Common  Stock
as  nominee for  several beneficial  owners may  exercise appraisal  rights with
respect to the shares of AMH Common Stock held for one or more beneficial owners
while not exercising such rights with respect to the shares of AMH Common  Stock
held  for other beneficial owners;  in such case, the  written demand should set
forth the number of shares of AMH Common Stock as to which appraisal is  sought,
and  where no number of  shares of AMH Common  Stock is expressly mentioned, the
demand will be presumed to cover all shares of AMH Common Stock held in the name
of the record owner. Stockholders who hold  their shares of AMH Common Stock  in
brokerage  accounts or  other nominee forms  and who wish  to exercise appraisal
rights are urged  to consult  with their  brokers to  determine the  appropriate
procedures  for the  making of  a demand  for appraisal  by such  a nominee. All
written demands for appraisal should be sent or delivered to AMH at 14001 Dallas
Parkway, Dallas, Texas 75240, Attention: Chief Financial Officer.

    Within 120 days after the Effective Time of the Merger, but not  thereafter,
AMH or any stockholder entitled to appraisal rights under Section 262 may file a
petition in the Delaware Court of Chancery demanding a determination of the fair
value  of the shares  of AMH Common Stock  held by any  such stockholder. AMH is
under no obligation and has no present intention to file a petition with respect
to the  appraisal  of  the  fair  value of  the  shares  of  AMH  Common  Stock.
Accordingly,  if  no stockholder  who or  which  has complied  with each  of the
requirements set forth  above files such  a petition within  120 days after  the
Effective  Time of the Merger, the rights  of all such stockholders to appraisal
will cease.

    Within 120 days after the Effective  Time of the Merger, any stockholder  of
AMH who has complied with the requirements for exercise of appraisal rights will
be entitled, upon written request, to receive from AMH a statement setting forth
the aggregate number of shares of AMH Common Stock not voted in favor of (by way
of  any written consent) the  approval and adoption of  the Merger Agreement and
the Merger and with  respect to which demands  for appraisal have been  received
and  the aggregate number of such stockholders. Such statement must be mailed to
such stockholder  within ten  days after  a written  request therefor  has  been
received by AMH or within ten days after the expiration of the 20-day period for
delivery  of demands for appraisal by  stockholders outlined above, whichever is
later.

    If a petition  for an appraisal  is timely  filed, after a  hearing on  such
petition,  the  Delaware  Court  of  Chancery  will  determine  the stockholders
entitled to appraisal  rights. The Delaware  Court of Chancery  may require  the
stockholders  who have demanded an appraisal for their shares and who hold stock
represented by  certificates  to  submit  their certificates  of  stock  to  the
Register  in  Chancery for  notation thereon  of the  pendency of  the appraisal
proceedings; and if  any stockholder fails  to comply with  such direction,  the
Delaware  Court of Chancery may dismiss  the proceedings as to such stockholder.
After determining the stockholders entitled to an appraisal, the Delaware  Court
of  Chancery will appraise the  fair value of their  shares of AMH Common Stock,
exclusive of any element of value arising from the accomplishment or expectation
of the Merger, together with  a fair rate of interest,  if any, to be paid  upon
the  amount determined  to be the  fair value.  Stockholders considering seeking
appraisal should be  aware that the  fair value  of their shares  of AMH  Common
Stock  as determined under Section  262 could be more than,  the same as or less
than the consideration they  would receive pursuant to  the Merger Agreement  if
they  did not seek appraisal  of their shares of  AMH Common Stock. The Delaware
Supreme Court has stated that "proof of value by any techniques or methods which
are generally considered  acceptable in  the financial  community and  otherwise
admissible  in  court" should  be considered  in  the appraisal  proceedings. In
addition, Delaware  courts have  decided that  the statutory  appraisal  remedy,
depending  on factual circumstances,  may or may not  be a dissenter's exclusive
remedy. The costs of the  action may be determined by  the court and taxed  upon
the parties as the court deems equitable. The court also may order that all or a
portion of the expenses

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<PAGE>
incurred  by any stockholder in connection with an appraisal, including, without
limitation, reasonable  attorneys' fees  and the  fees and  expenses of  experts
utilized  in the appraisal proceeding, be charged  pro rata against the value of
all of the shares of AMH Common Stock entitled to appraisal.

    Any holder of shares of AMH Common Stock who has duly demanded an  appraisal
in compliance with Section 262 will not, after the Effective Time of the Merger,
be  entitled to vote the  shares of AMH Common Stock  subject to such demand for
any purpose or be entitled to the payment of dividends or other distributions on
those shares (except dividends or other distributions payable to stockholders of
record of AMH  Common Stock  as of a  date prior  to the Effective  Time of  the
Merger).

    If  any stockholder who demands appraisal of his or its shares of AMH Common
Stock under Section 262 fails to perfect, or effectively withdraws or loses, his
or its right to appraisal, as provided in Section 262, the shares of AMH  Common
Stock of such stockholder will be converted into the right to receive the Merger
Consideration  in accordance with the Merger  Agreement. A stockholder will fail
to perfect his or its right to  appraisal by not making a timely written  demand
as  set forth above. A stockholder can  effectively withdraw his or its right to
appraisal if the stockholder delivers to AMH a written withdrawal of his or  its
demand  for appraisal and acceptance of the Merger, except that any such attempt
to withdraw made more than 60 days  after the Effective Time of the Merger  will
require  the written approval of AMH. A stockholder can lose his or its right to
appraisal if  no petition  for appraisal  is  filed within  120 days  after  the
Effective  Time of  the Merger or  in the  event the Delaware  Court of Chancery
requires submission of the  stock certificates to the  Register in Chancery,  if
the stockholder fails to comply with such direction.

    The  foregoing is a brief summary  of the rights of dissenting stockholders,
does not purport  to be a  complete statement  thereof and is  qualified in  its
entirety  by reference to the applicable  statutory provisions of the DGCL which
are set forth in Annex B hereto.

REGULATORY APPROVAL

    Under the HSR Act, and the rules promulgated thereunder by the Federal Trade
Commission (the "FTC"), the Merger could not be consummated until  notifications
have  been given and certain  information has been furnished  to the FTC and the
Antitrust Division of the Department  of Justice (the "Antitrust Division")  and
specified waiting period requirements have been satisfied.

    NME  and AMH each filed notification and report forms under the HSR Act with
the FTC and  the Antitrust  Division on  October 28,  1994 with  respect to  the
Merger.  The  required waiting  period  with respect  to  the Merger  expired on
November 27, 1994. At any time before  or after consummation of the Merger,  the
Antitrust Division or the FTC could take such action under the antitrust laws as
it  deems necessary  or desirable in  the public interest,  including seeking to
enjoin the  consummation of  the Merger  or seeking  divestiture of  substantial
assets  of NME  or AMH.  At any  time before  or after  the Effective  Time, and
notwithstanding that the  HSR Act waiting  period has expired,  any state  could
take  such action under its  antitrust laws as it  deems necessary or desirable.
Such action could include  seeking to enjoin the  consummation of the Merger  or
seeking  divestiture of substantial  assets of NME or  AMH. Private parties also
may  seek  to  take  legal  action  under  the  antitrust  laws  under   certain
circumstances.

LITIGATION RELATING TO THE MERGER

    To  date, a total of nine purported class actions (the "Class Actions") have
been filed challenging the Merger. Seven of the 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 "AMH
Directors") AND AMH, C.A. NO. 13792, (ii) 7457 PARTNERS V. THE AMH DIRECTORS AND
AMH, C.A. NO. 13793,  (iii) MOISE KATZ  V. THE AMH DIRECTORS  AND AMH, C.A.  NO.
13794,  (iv) CONSTANTINOS KAFALAS V. THE AMH  DIRECTORS AND AMH, C.A. NO. 13795,
(v) F. RICHARD MANSON V.  THE AMH DIRECTORS, NME AND  AMH, C.A. NO. 13797,  (vi)
LISBETH  GREENFELD V. THE AMH DIRECTORS AND AMH, C.A. NO. 13799 and (vii) JOSEPH
FRANKEL V. THE

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<PAGE>
AMH DIRECTORS AND  AMH, C.A. NO.  13800. The  seven Class Actions  filed in  the
Delaware  Court  of Chancery  have been  consolidated under  the caption,  IN RE
AMERICAN MEDICAL HOLDINGS,  INC., SHAREHOLDERS  LITIGATION, C.A.  No. 13797.  In
addition,  two purported class actions entitled RUTH LEWINTER AND RAYMOND CAYUSO
V. THE AMH DIRECTORS (with  the exception of Harold  S. Williams), NME AND  AMH,
CASE  NO. BC 115206 and DAVID F. AND SYLVIA GOLDSTEIN V. THE AMH DIRECTORS (with
the exception of Harold S. Williams), NME AND AMH, CASE NO. BC 116104, have been
filed in the Superior Court of the  State of California, County of Los  Angeles.
The  California actions have been stayed  pending the resolution of the Delaware
actions. The complaints  filed in each  of the Class  Actions are  substantially
similar,  are brought by  purported stockholders of AMH  and, in general, allege
that the directors of AMH breached their fiduciary duties to the plaintiffs  and
other  members of the purported class. Plaintiffs  allege that NME has aided and
abetted the AMH directors' alleged breach of their fiduciary duties.  Plaintiffs
further  allege that  the directors  of AMH  wrongfully failed  to hold  an open
auction and  encourage bona  fide bids  for AMH  and failed  to take  action  to
maximize  value for AMH stockholders.  Plaintiffs seek preliminary and permanent
injunctions against the proposed transaction until such time as a transaction to
be entered  into  between  AMH  and NME  results  from  bona  fide  arm's-length
negotiation  and/or requiring a fair auction for AMH. In addition, if the Merger
is consummated,  the  plaintiffs  seek  rescission  or  rescissory  damages,  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. Plaintiffs  also seek  monetary damages  of an  unspecified
amount  together with prejudgment interest and attorneys' and experts' fees. AMH
and NME believe that the complaints are without merit.

COMPARATIVE STOCK PRICES AND DIVIDENDS

    NME Common  Stock is  traded on  the  NYSE and  the Pacific  Stock  Exchange
("PSE")  under the symbol NME. AMH Common Stock  is traded on the NYSE under the
symbol AMI.

    The following table sets forth, for the calendar periods indicated, the high
and low closing prices  per share of  NME Common Stock and  AMH Common Stock  as
reported by the NYSE.

<TABLE>
<CAPTION>
                                                                             NME                   AMH
                                                                         COMMON STOCK          COMMON STOCK
                                                                     --------------------  --------------------
                                                                       HIGH        LOW       HIGH        LOW
                                                                     ---------  ---------  ---------  ---------
<S>                                                                  <C>        <C>        <C>        <C>
1992
  First Quarter....................................................  $  18.125  $  13.125  $  11.625  $   8.75
  Second Quarter...................................................     15.875     12.50      10.00       7.00
  Third Quarter....................................................     16.75      11.125     10.375      8.00
  Fourth Quarter...................................................     13.25       9.625     13.00       8.00
1993
  First Quarter....................................................  $  12.625  $   8.625  $  13.75   $  10.25
  Second Quarter...................................................     10.75       6.50      12.50       9.75
  Third Quarter....................................................     12.25       7.00      15.50      10.25
  Fourth Quarter...................................................     14.375      9.50      19.50      15.125
1994
  First Quarter....................................................  $  17.625  $  13.625  $  24.00   $  18.125
  Second Quarter...................................................     18.125     14.75      26.625     18.00
  Third Quarter....................................................     19.50      15.75      26.00      21.50
  Fourth Quarter...................................................     18.00      12.50      24.50      21.375
1995
  First Quarter (through January 27, 1995).........................  $  14.875  $  13.75   $  24.75   $  24.375
</TABLE>

    NME  paid cash dividends on NME Common Stock of $0.48 and $0.12 per share in
fiscal years 1993  and 1994,  respectively. On October  27, 1993,  the Board  of
Directors suspended payments of

                                       54
<PAGE>
dividends on NME's Common Stock, effective following the first quarter of fiscal
year  1994. The Board of  Directors of NME currently  intends to retain earnings
for further development of NME's business and, therefore, does not intend to pay
cash dividends on its Common Stock in the foreseeable future.

    Holders of AMH Common  Stock are entitled to  receive dividends when and  as
declared by the Board of Directors. AMH has not paid dividends on the AMH Common
Stock  in the past three  years. Pursuant to the  terms of the Merger Agreement,
AMH will declare the AMH Special Dividend  with respect to the AMH Common  Stock
of  $.10 per  share payable on  February 28,  1995 to stockholders  of record on
February 10, 1995. Payment of this dividend will be funded from AMH's  available
cash  or from borrowings under AMH's  revolving credit facility. See "The Merger
- -- Terms of the Merger -- AMH Special Dividend."

    The reported closing sale  price of NME Common  Stock on the NYSE  Composite
Tape  on October  10, 1994, the  last full day  of trading for  NME Common Stock
prior to  the  announcement by  NME  and AMH  of  the execution  of  the  Merger
Agreement,  was $16.25 per share. The closing  sale price of AMH Common Stock on
the NYSE Composite Tape on such date was $22.375 per share. On an equivalent per
share basis calculated by multiplying the closing sale price of NME Common Stock
on that day by 0.42 and adding $19.00 ($19.25 if the Merger is consummated after
March 31, 1995), the value of the Merger Consideration to be received by holders
of AMH Common  Stock was  $25.825 ($26.075 if  the Merger  is consummated  after
March 31, 1995) per share of AMH Common Stock.

    On  January 27, 1995, the last full day of trading prior to the date of this
Information Statement/  Prospectus,  the reported  closing  sale prices  of  NME
Common  Stock and AMH  Common Stock on  the NYSE Composite  Tape were $14.00 per
share and $24.50 per share, respectively.

    Because the Merger Consideration  is fixed and because  the market price  of
NME  Common Stock is subject  to fluctuation, the market  value of the shares of
NME Common Stock that holders of AMH Common Stock will receive in the Merger may
increase or decrease prior to and  following the Merger. STOCKHOLDERS ARE  URGED
TO  OBTAIN CURRENT MARKET QUOTATIONS  FOR BOTH THE NME  COMMON STOCK AND THE AMH
COMMON STOCK.

    Following the Merger,  NME Common Stock  will continue to  be traded on  the
NYSE  and the PSE. After such time, AMH  Common Stock will cease to be quoted on
the NYSE, and there will be no further market for such stock.

COMPARATIVE RIGHTS OF STOCKHOLDERS

    Upon consummation  of  the  Merger,  the stockholders  of  AMH  will  become
shareholders  of NME and  their rights will  be governed by  the NME Articles of
Incorporation and the NME Bylaws, which differ in certain material respects from
AMH's   Restated   Certificate   of   Incorporation   ("AMH's   Certificate   of
Incorporation")  and Amended Bylaws (the "AMH  Bylaws"). As shareholders of NME,
the rights of  former AMH stockholders  will be governed  by the Nevada  General
Corporation  Law (the "NGCL") instead of by the DGCL. Nevada is the jurisdiction
of incorporation of NME.

    The following comparison of the DGCL and AMH's Certificate of  Incorporation
and  the  AMH Bylaws,  on  the one  hand,  and the  NGCL  and NME's  Articles of
Incorporation and the NME Bylaws, on the  other, is not intended to be  complete
and  is  qualified  in  its  entirety  by  reference  to  AMH's  Certificate  of
Incorporation and the AMH Bylaws and NME's Articles of Incorporation and the NME
Bylaws. Copies  of  NME's Articles  of  Incorporation  and the  NME  Bylaws  are
available  for inspection at the offices of NME,  and copies will be sent to the
holders of  AMH  Common Stock  upon  request.  Copies of  AMH's  Certificate  of
Incorporation  and the AMH Bylaws are  available for inspection at the principal
executive offices of AMH, and copies will be sent to holders of AMH Common Stock
upon request.  Reference is  also directed  to the  discussion below  respecting
certain contractual arrangements affecting AMH's Board of Directors, stockholder
action  and  certain  related matters  under  the heading  "--  AMH Stockholders
Agreement."

                                       55
<PAGE>
    DIRECTORS.  Both the DGCL and the NGCL provide that a corporation's board of
directors shall consist of at least one member and that the authorized number of
directors may be fixed in either the corporation's certificate of  incorporation
or  articles of  incorporation, as the  case may be,  or in the  bylaws. The NME
Bylaws provide  that the  authorized number  of directors  constituting the  NME
Board  shall be ten directors.  The AMH Bylaws provide  that the AMH Board shall
consist of not more than eleven nor  less than three directors. Pursuant to  the
Merger  Agreement, NME will take such action  as may be required to increase the
authorized number of NME directors from ten to 13.

    The number of directors of NME may  be changed by the affirmative vote of  a
majority  of the NME Board of Directors entitled to vote at a meeting of the NME
Board; provided however,  that neither  the Board of  Directors of  NME nor  the
shareholders  may increase the  number of directorships by  more than one during
any 12-month period, without the affirmative vote of two-thirds of the directors
of each class or the affirmative vote of two-thirds of all outstanding shares of
NME Common Stock voting together. Notwithstanding the ability of NME's directors
to amend, alter or  repeal the NME  Bylaws, the stockholders  of NME, under  the
NGCL, also retain the right to make, alter or repeal the NME Bylaws.

    The NME Articles of Incorporation provide that the Board of Directors of NME
will  be divided into three  classes, and each class  will generally serve for a
term of three years. The term of one class of directors expires annually, so  it
is  only possible to elect one class of the Board of Directors (or approximately
one-third) in any one year. AMH does  not have a classified board of  directors.
One  of the three directors to be added to  the Board of Directors of NME at the
Effective Time will be added to each class of the NME Board of Directors.

    The classification provisions could have the effect of discouraging a  third
party  from  initiating a  proxy  contest, making  a  tender offer  or otherwise
attempting to  obtain control  of NME,  even  though such  an attempt  might  be
beneficial  to  NME and  its shareholders.  The classification  of the  Board of
Directors of NME  could thus  increase the likelihood  that incumbent  directors
will  retain their positions. In addition, because the classification provisions
may discourage accumulations of large blocks of NME's stock by purchasers  whose
objective  is to  take control  of NME  and remove  a majority  of the  Board of
Directors of NME,  the classification of  the Board of  Directors could tend  to
reduce  the likelihood  of fluctuations  in the market  price of  the NME Common
Stock  that  might  result  from   accumulations  of  large  blocks  of   stock.
Accordingly,  shareholders could  be deprived  of certain  opportunities to sell
their shares of NME Common Stock at  a higher market price than otherwise  might
be the case.

    REMOVAL  OF DIRECTORS; FILLING  VACANCIES ON THE BOARD  OF DIRECTORS.  Under
the NGCL, any director may be removed from office upon the vote of  shareholders
representing  not less  than two-thirds of  the outstanding voting  stock of the
corporation. Although the NME Articles of Incorporation are silent as to removal
of directors from the NME Board, the NME Bylaws provide that any director or the
entire NME Board  of Directors may  be removed,  with or without  cause, by  the
holders  of  two-thirds  of  the  shares entitled  to  vote  at  an  election of
directors. Under  the  DGCL, any  director  or  the entire  board  of  directors
generally may be removed, with or without cause, by the holders of a majority of
the  shares entitled to  vote at an  election of directors.  As permitted by the
DGCL, the  AMH  Bylaws  provide  that  any  director,  whether  elected  by  the
stockholders  or appointed by the  directors, may be removed  from office by the
vote of stockholders representing a majority of the shares then entitled to vote
at an election of directors.

    Both the DGCL and the NGCL generally provide that all vacancies on the board
of directors,  including  vacancies caused  by  an  increase in  the  number  of
authorized  directors, may  be filled by  a majority of  the remaining directors
even if they are less than a quorum. NME's Articles of Incorporation permit  the
Board  of Directors  to fill  vacancies, however  created, except  for vacancies
first filled by the shareholders. The  NME Articles of Incorporation are  silent
as  to the number  of directors whose  affirmative vote is  required to fill any
vacancy in the NME Board of Directors. However, the NME Bylaws provide that  the
affirmative  vote  of two-thirds  of the  remaining directors  of each  class is

                                       56
<PAGE>
required to fill such vacancies. AMH's Certificate of Incorporation is silent as
to the filling  of vacancies on  the AMH  Board of Directors.  However, the  AMH
Bylaws provide that all vacancies on the Board of Directors, including vacancies
caused  by an increase in the number of authorized directors, may be filled by a
majority of the  remaining directors even  if they  are less than  a quorum  and
further  provide that any such elected  director shall serve until his successor
is duly elected and qualified, unless sooner replaced.

    LIMITATION ON  DIRECTORS' LIABILITY.   As  permitted under  the DGCL,  AMH's
Certificate  of Incorporation  provides that a  director will  not be personally
liable to AMH or its stockholders  for monetary damages for breach of  fiduciary
duty  as  a  director,  although AMH's  Certificate  of  Incorporation  does not
eliminate the liability  of the director  for breaches of  the duty of  loyalty,
acts  or  omissions not  in good  faith or  involving intentional  misconduct or
knowing violations of  law, the unlawful  repurchase or redemption  of stock  or
payment  of unlawful dividends or any  transaction from which a director derives
an improper personal benefit. As permitted  under the NGCL, the NME Articles  of
Incorporation  provide that no director or officer shall be personally liable to
NME or its shareholders for damages for  breach of fiduciary duty as a  director
or officer, except for liability for acts or omissions which involve intentional
misconduct, fraud, or a knowing violation of the law or for the unlawful payment
of dividends.

    INDEMNIFICATION.       AMH's    Certificate   of    Incorporation   requires
indemnification of directors and  officers to the full  extent permitted by  the
DGCL.  The NGCL  is similar to  the DGCL  except that it  permits more extensive
indemnification with respect to shareholder  derivative claims. The language  in
the   NME  Articles   of  Incorporation   and  the   NME  Bylaws   provides  for
indemnification to the full extent permitted by the NGCL.

    RESTRICTIONS ON BUSINESS COMBINATIONS/CORPORATE CONTROL.  The DGCL  contains
provisions  restricting  the  ability of  a  corporation to  engage  in business
combinations with  an  interested  stockholder. Under  the  DGCL,  except  under
certain  circumstances, a corporation  is not permitted to  engage in a business
combination with any  interested stockholder for  a three-year period  following
the  date such stockholder became an interested stockholder. The DGCL defines an
interested stockholder  generally  as a  person  who owns  15%  or more  of  the
outstanding shares of such corporation's voting stock.

    Certain  provisions of the NGCL disallow  the exercise of voting rights with
respect to "control shares"  of an "issuing corporation"  held by an  "acquiring
person,"  unless such  voting rights  are conferred  by a  majority vote  of the
disinterested shareholders or if,  within 10 days  after the acquiring  person's
acquisition  of the control  shares, the articles of  incorporation or bylaws of
the issuing corporation state that such provisions of the the NGCL do not  apply
to  the issuing corporation. NME's Articles  of Incorporation and the NME Bylaws
do not contain such a statement.

    The NGCL also contains provisions  restricting the ability of a  corporation
to  engage  in  any  combination  with  an  interested  shareholder  unless  the
combination complies with certain fair price  provisions or unless the board  of
directors   of  the   corporation  approved  of   the  interested  shareholder's
acquisition of shares. The NGCL defines an interested shareholder generally as a
person who owns  10% or  more of the  outstanding shares  of such  corporation's
voting stock.

    STOCKHOLDER ACTION BY WRITTEN CONSENT; SPECIAL MEETINGS.  Under the DGCL and
the  NGCL,  unless otherwise  provided in  the  certificate of  incorporation or
articles of incorporation,  as the  case may  be, stockholders  may take  action
without  a meeting, without  prior notice and  without a vote,  upon the written
consent of stockholders having  not less than the  minimum number of votes  that
would  be necessary to authorize  the proposed action at  a meeting at which all
shares entitled to vote were present and voted. The AMH Bylaws provide that  any
action  that may be  taken or is required  to be taken at  any annual or special
meeting of stockholders may be taken without a meeting, without prior notice and
without a vote, if a consent in  writing, setting forth the action so taken,  is
signed  by the  holders of  outstanding stock having  not less  than the minimum
number of votes that would  be necessary to authorize or  take such action at  a
meeting  at which  all shares  entitled to  vote thereon  were present.  The AMH
Bylaws further  provide  that prompt  notice  of  the taking  of  the  corporate

                                       57
<PAGE>
action without a meeting by less than unanimous written consent must be given to
those  stockholders who  have not  consented in writing.  The NME  Bylaws have a
similar provision, except that directors must be elected at an annual or special
meeting of shareholders and not by written consent of the shareholders.

    The NME Bylaws provide that special  meetings of shareholders may be  called
by  the Chief  Executive Officer or  by the  Board of Directors.  The AMH Bylaws
provide that special meetings of the stockholders may be called by the Board  of
Directors,  the President and/or a  Vice President of AMH  and must be called by
the Secretary at  the request,  in writing, of  stockholders owning  at least  a
majority  of the shares of AMH Common  Stock issued and outstanding and entitled
to vote.

    AMENDMENT OR REPEAL OF THE CERTIFICATE  OF INCORPORATION AND BYLAWS.   Under
the  DGCL and the NGCL,  unless the certificate of  incorporation or articles of
incorporation, as the case  may be, or bylaws  otherwise provide, amendments  to
the  certificate of incorporation or articles of incorporation generally require
the approval of the holders of a  majority of the outstanding stock entitled  to
vote  thereon, and if such  amendments would increase or  decrease the number of
authorized shares of  any class or  series or the  par value of  such shares  or
would  adversely affect the  shares of such  class or series,  a majority of the
outstanding stock of such class or  series would have to approve the  amendment.
NME's  Articles  of  Incorporation and  the  NME  Bylaws are  silent  as  to the
amendment and repeal of  the articles of  incorporation, except that  amendments
relating  to increasing the number of directors on the Board of Directors of NME
and the approval  of a merger  or consolidation of  NME require the  affirmative
vote  of two-thirds of all of the outstanding shares voting together, or, in the
case of an amendment relating to expansion of the Board of Directors, two-thirds
of the directors  of each class.  The NME  Bylaws provide that  new or  restated
bylaws  may be  adopted or  existing bylaws repealed  or amended,  at the annual
meeting of shareholders or at  any other meeting called  for that purpose, by  a
vote of shareholders entitled to exercise a majority of the voting power of NME.
Subject  to the shareholders' rights described  above, the Board of Directors of
NME may adopt, amend or repeal bylaws  by the affirmative vote of two-thirds  of
the directors of each class of the Board of Directors of NME.

    AMH's  Certificate of Incorporation provides that  AMH reserves the right to
amend, alter, change  or repeal any  provision contained in  its Certificate  of
Incorporation  in the  manner now  or hereafter  prescribed by  statute, and all
rights conferred upon  stockholders in  AMH's Certificate  of Incorporation  are
subject  to such reservation.  AMH's Certificate of  Incorporation provides that
the Board of Directors acting by a  majority vote may alter, amend, change,  add
to  or repeal the AMH  Bylaws. The AMH Bylaws provide  that they may be altered,
amended or repealed or  new bylaws adopted  by the stockholders by  a vote at  a
meeting or by written consent without a meeting and, subject to the power of the
stockholders as aforesaid, by the Board of Directors of AMH.

    CUMULATIVE  VOTING.  Under both the DGCL  and the NGCL, cumulative voting of
stock applies only when so provided  in the certificate of incorporation or  the
articles  of incorporation, as the case may  be, of a corporation. Neither AMH's
Certificate of Incorporation  nor NME's  Articles of  Incorporation provide  for
cumulative voting.

    STOCKHOLDER VOTE FOR MERGER.  Except with respect to certain mergers between
parent and subsidiary corporations, both the DGCL and the NGCL generally require
the  affirmative vote of a majority of the outstanding shares of the constituent
corporations in a merger. The affirmative  vote of the holders of two-thirds  of
all outstanding shares of NME Common Stock, voting together and not by class, is
required  to approve any merger or consolidation or sale of substantially all of
the assets of NME. Under the DGCL and the NGCL, holders of stock which is not by
its terms entitled to vote on such  a transaction are entitled to notice of  the
meeting  at which the  proposed transaction is considered.  Neither the DGCL nor
the NGCL requires a stockholder vote  of the surviving corporation in a  merger,
however,  if (a) the merger agreement does not amend the existing certificate of
incorporation, (b) each

                                       58
<PAGE>
outstanding or treasury share of the surviving corporation before the merger  is
unchanged  after the merger,  and (c) the number  of shares to  be issued by the
surviving corporation in a merger does not exceed 20% of the shares  outstanding
immediately prior to such issuance.

    APPRAISAL  RIGHTS  IN MERGERS.   Both  the  DGCL and  the NGCL  provide that
stockholders have  the right,  in some  circumstances, to  dissent from  certain
corporate  reorganizations and to instead demand  payment of the fair cash value
of their shares.  Unless a corporation's  certificate of incorporation  provides
otherwise,  the DGCL does not provide for  such rights of appraisal with respect
to (a)  a sale-of-assets  reorganization, (b)  a merger  or consolidation  by  a
corporation,  the shares  of which  are either  listed on  a national securities
exchange or  widely held  (by  more than  2,000 stockholders),  if  stockholders
receive  shares of the surviving corporation or  of such a listed or widely-held
corporation, or (c) stockholders  of a corporation surviving  in a merger if  no
vote of the stockholders of the surviving corporation is required to approve the
merger.  Like the DGCL, the NGCL generally does not provide for appraisal rights
if no  vote  of the  shareholders  of  the surviving  corporation  is  required.
Further, appraisal rights are not available under the NGCL for shares registered
on  a  securities exchange  on  the record  date for  the  meeting at  which the
reorganization is considered by the shareholders.

    DIVIDENDS.  Under the DGCL, corporations  may pay dividends out of  surplus,
or  if no surplus  exists, out of net  profits for the fiscal  year in which the
dividend  is  declared  and/or  the  preceding  fiscal  year.  Under  the  NGCL,
corporations  may only pay dividends if  after such distribution the corporation
would be able  to pay its  debts as they  become due in  the ordinary course  of
business.

    RIGHTS  PLAN.  On December 7, 1988,  NME declared a dividend distribution of
one right  (the "Rights")  for each  share of  NME Common  Stock outstanding  on
December  22, 1988 and  authorized the issuance of  additional Rights for common
stock issued after that date.  NME may redeem the Rights  at $.025 per right  at
any  time until  they become  exercisable. With  certain exceptions,  the Rights
become exercisable ten business days after an investor (an "Acquiring Investor")
has (i) commenced a tender or exchange offer for 30% or more of the  outstanding
shares  of  NME  Common  Stock or  (ii)  made  or  is the  subject  of  a public
announcement that an investor has acquired 20% or more of the outstanding shares
of NME Common Stock  (a "Stock Acquisition Date").  Upon the occurrence of  such
events and the expiration of NME's right to redeem the Rights, the Rights may be
exchanged  for one two-thousandth  (.0005) of a  share of NME's  Series A Junior
Participating Preferred  Stock  at  an  exercise price  of  $40.61,  subject  to
adjustment.  The Rights are redeemable  by NME in whole, but  not in part, up to
and including the 20th business day after a Stock Acquisition Date at a price of
$.05 per Right, subject to adjustment.

    In the event that, on or after  the date the Rights become exercisable,  NME
is  acquired or merged and the Rights  have not been redeemed, each Right holder
will be entitled to purchase, for the then-current exercise price of each Right,
common stock of the surviving company having  a market value equal to two  times
the  exercise  price of  each Right.  However,  no such  right shall  apply with
respect to Rights beneficially owned by an Acquiring Investor. The Rights expire
in December 1998  unless exercised  or redeemed and  do not  entitle the  holder
thereof to vote as shareholders or receive dividends.

    The Rights could have the effect of discouraging a third party from making a
tender  offer or otherwise attempting to obtain control of NME, even though such
an attempt might be beneficial to NME and its shareholders. In addition, because
the Rights may discourage accumulations of  large blocks of NME Common Stock  by
purchasers  whose objective is to take control  of NME, the Rights could tend to
reduce the likelihood  of fluctuations  in the market  price of  the NME  Common
Stock   that  might  result  from  accumulations   of  large  blocks  of  stock.
Accordingly, shareholders could  be deprived  of certain  opportunities to  sell
their  shares of NME Common Stock at  a higher market price than otherwise might
be the case. AMH does not have a stockholder rights plan.

    AMH STOCKHOLDERS  AGREEMENT.    Under  the terms  of  the  AMH  Stockholders
Agreement  by and among  AMH, the Fund,  GKHPL, First Plaza,  MBLP, MIP, certain
specified investors and others, the Fund, together with GKHPL, has the power  to
designate a majority of the nominees for AMH's Board

                                       59
<PAGE>
of  Directors  and  thereby  effectively  controls  the  selection  of executive
officers and  other  key employees  and  the establishment  of  AMH's  operating
policies.  MBLP and MIP  are entitled to  designate up to  two nominees to AMH's
Board of  Directors,  and the  designated  other stockholders  are  entitled  to
designate  at least one (but not more than  two) of the nominees for AMH's Board
of Directors. The AMH Stockholders Agreement  also requires each of the  parties
to  vote all shares of  AMH Common Stock held  thereby for all persons nominated
pursuant to the AMH  Stockholders Agreement. The rights  and obligations of  the
parties  to  designate  and  vote  for nominees  for  AMH's  Board  of Directors
terminate as to a  party under certain circumstances,  including the failure  to
maintain  the ownership of AMH Common Stock at specified levels. Pursuant to the
AMH Stockholders Agreement,  the Fund  and GKHPL have  designated Messrs.  Gray,
Handelsman,  Klein, Lufkin, Mayer  and O'Leary as  their nominees for directors,
MBLP and MIP have designated  Mr. Calhoun as its  nominee for director, and  Mr.
Casey  has been designated as the  nominee for the other specified stockholders.
In addition to  the provisions  respecting the  election of  directors, the  AMH
Stockholders  Agreement  also  restricts  the ability  of  AMH  to  take certain
corporate actions, including amending  its charter documents  and to enter  into
any  merger or other business combination, or otherwise sell or acquire material
assets  without  the  consent  of  certain  of  the  parties  thereto.  The  AMH
Stockholders   Agreement  also  provides  for  certain  rights-of-first-refusal,
restrictions on  dispositions  of AMH  Common  Stock and  requires  the  parties
thereto to sell all of their shares of AMH Common Stock in certain circumstances
if the Fund and GKHPL propose to sell all of their shares of AMH Common Stock by
way  of merger or similar  transaction. Thus, by virtue  of the AMH Stockholders
Agreement the parties thereto  may effectively have the  power to determine  the
policies  of AMH,  the persons  constituting its  management and  the outcome of
certain corporate actions requiring stockholder approval by majority action.  As
a result, the overall rights of stockholders under the DGCL may be significantly
impacted  by the contractual provisions of  the AMH Stockholders Agreement. Upon
consummation of the Merger, the AMH Stockholders Agreement will terminate and be
of no further force and effect with respect to NME after the Effective Time.

             FINANCING FOR THE MERGER AND THE RELATED TRANSACTIONS

MERGER FINANCING

    NME intends to finance the cash portion of the Merger Consideration and  the
related transactions, together with the fees and expenses incurred in connection
with the Merger and such related transactions, with the proceeds from the public
offering  (the "Public Offering") of $300  million in aggregate principal amount
of Senior Notes (the "New Senior Notes") and $700 million in aggregate principal
amount of Senior Subordinated Notes (the "New Subordinated Notes" and,  together
with  the New Senior Notes, the "New  Debt Securities") of NME, borrowings under
the New Credit Facility and the available cash balances of NME and AMH. See  "--
The  New Credit Facility" and "-- The  Public Offering" for a description of the
anticipated terms  of the  New  Credit Facility  and  the New  Debt  Securities,
respectively.

RELATED TRANSACTIONS

    THE  AMI TENDER OFFERS.   NME has  commenced tender offers  (the "AMI Tender
Offers") to purchase for cash any and all of AMI's outstanding 11% Senior  Notes
due 2000, 9 1/2% Senior Subordinated Notes due 2006, 13 1/2% Senior Subordinated
Notes  due  2001  and  15%  Junior  Subordinated  Discount  Debentures  due 2005
(collectively, the "AMI  Post 1991 Debt  Securities") and 6  1/2% Dual  Currency
Bonds due 1997 (the "AMI Dual Currency Bonds") and 5% Swiss Franc Bonds due 1996
(the  "AMI 5% Bonds"  and, together with  the AMI Dual  Currency Bonds, the "AMI
Swiss Bonds"). The AMI Swiss Bonds had an aggregate principal amount outstanding
of approximately $127.3  million at November  30, 1994. The  AMI Post 1991  Debt
Securities  had an  aggregate outstanding  principal amount  (accreted principal
amount in  the case  of  the 15%  Junior  Subordinated Discount  Debentures)  of
approximately $553.8 million at January 10, 1995.

                                       60
<PAGE>
    In  connection  with  the AMI  Tender  Offers  for the  AMI  Post  1991 Debt
Securities, NME is  soliciting consents (the  "Consent Solicitations") from  the
holders  of  the AMI  Post  1991 Debt  Securities  to eliminate  certain  of the
restrictive covenants in the indentures  relating to such securities,  including
restricted  payment covenants that would limit NME's  access to the cash flow of
AMI following  the Merger.  Each  of such  indentures requires  the  affirmative
consent  of  holders of  record  of not  less than  66  2/3% of  the outstanding
principal amount  or accreted  principal amount,  as  the case  may be,  of  the
securities  issued thereunder  in order to  effect the  proposed amendments. The
obligation pursuant to  the AMI  Tender Offers  to purchase  securities of  each
issue  properly  tendered and  not withdrawn  is  conditioned upon,  among other
things, (i)  the execution  of  a supplemental  indenture  with respect  to  the
applicable indenture providing for the proposed amendments, (ii) satisfaction or
waiver  of all of the conditions to the Merger set forth in the Merger Agreement
and (iii) NME having entered into  arrangements satisfactory to it with  respect
to  financing necessary to complete  the Merger, the AMI  Tender Offers, the NME
Tender Offers  (as hereinafter  defined) and  certain related  transactions.  In
addition,  NME's obligation to make consent  payments with respect to each issue
of the AMI  Post 1991 Debt  Securities is conditioned  upon NME's acceptance  of
securities  of such  issue for  purchase pursuant  to the  applicable AMI Tender
Offer. The AMI Tender Offers and  Consent Solicitations are subject to a  number
of  additional  conditions.  The  AMI  Tender  Offers  are  expected  to  expire
approximately five business days prior to the Effective Time. Immediately  after
the  Effective Time, NME intends to assign  its right and obligation to purchase
(and make consent payments  with respect to) the  AMI Post 1991 Debt  Securities
and  the AMI Swiss Bonds under the AMI Tender Offers to AMI and transfer to AMI,
from borrowings under the New Credit Facility, the amount of funds necessary  to
consummate   such  tender  offers  and  make  such  payments.  It  is  currently
anticipated  that  AMI  will  consummate  the  AMI  Tender  Offers   immediately
thereafter.  NME currently estimates that substantially all of the AMI Post 1991
Debt Securities  and  the AMI  Swiss  Bonds  will be  tendered  and  repurchased
pursuant to the AMI Tender Offers. If a lesser aggregate principal amount of AMI
Post  1991 Debt Securities  or AMI Swiss  Bonds is tendered  pursuant to the AMI
Tender Offers,  NME currently  intends to  permit the  untendered securities  to
remain   outstanding  and  reduce  borrowings  under  the  New  Credit  Facility
accordingly. Changes in the  assumptions regarding the  aggregate amount of  AMI
Post  1991 Debt  Securities or  AMI Swiss  Bonds purchased  pursuant to  the AMI
Tender Offers are not expected to have  a significant impact on NME's pro  forma
interest  expense or consolidated indebtedness following the Merger although the
New Debt Securities will be effectively subordinated to any untendered AMI  Post
1991  Debt Securities  and AMI Swiss  Bonds with  respect to the  assets of AMI.
Consummation of the  AMI Tender Offers  and adoption of  the proposed  indenture
amendments  are conditions of  the Public Offering. In  addition, the New Credit
Facility is conditioned  upon the adoption  of the proposed  amendments and  the
reduction  of  outstanding  indebtedness of  subsidiaries  of NME  to  an amount
acceptable to the banks that are parties to the New Credit Facility.

    THE AMI  REDEMPTIONS.    AMI  intends  to  call  for  redemption  (the  "AMI
Redemptions")  all of its outstanding 9 1/2% Convertible Subordinated Debentures
due 2001 (the  "AMI 9  1/2% Convertible Debentures")  and 11  1/4% Sinking  Fund
Debentures  due 2015 (the  "AMI 11 1/4%  Debentures" and, together  with the AMI
Post 1991 Debt Securities, the  AMI Swiss Bonds and  the AMI 9 1/2%  Convertible
Debentures,  the  "AMI Debt  Securities").  As of  January  10, 1995  there were
outstanding approximately $47.8  million in  aggregate principal  amount of  AMI
11  1/4% Debentures, which are  redeemable at a redemption  price of 106.195% of
the principal amount thereof  for redemptions occurring prior  to June 1,  1995,
and  105.632% of  the principal  amount for  a 12-month  period thereafter, plus
accrued interest to  the redemption  date. As of  January 10,  1995, there  were
outstanding  approximately $4.5 million in aggregate principal amount of the AMI
9 1/2% Convertible  Debentures, which are  redeemable at a  redemption price  of
100%  of  the  principal  amount  thereof,  plus  accrued  interest  through the
redemption date. The AMI 9 1/2% Convertible Debentures currently are convertible
into an aggregate of 186,054 shares of AMH Common Stock at a conversion price of
$24.38 per share. Because the conversion price  is below the per share value  of
the Merger Consideration, based on the closing

                                       61
<PAGE>
market price of NME Common Stock at January 27, 1995, NME currently expects that
all  of the outstanding AMI  9 1/2% Convertible Debentures  will be converted by
the holders thereof into shares of AMI Common Stock prior to the Effective Time.

    NME  currently  expects  that  the  redemption  date  for  the  AMI  9  1/2%
Convertible  Debentures will be as soon  as practicable after the Effective Time
and that notices of  redemption will be  given with respect to  the AMI 11  1/4%
Debentures as soon as practicable following the Effective Time. Amounts required
for the redemption of the AMI 9 1/2% Convertible Debentures, if any, and the AMI
11  1/4% Debentures will  be transferred to  AMI by NME.  The Public Offering is
conditioned upon the  concurrent redemption or  call for redemption  of the  AMI
11 1/4% Debentures and the AMI 9 1/2% Convertible Debentures pursuant to the AMI
Redemptions.  See  "Selected  Information  Concerning NME  and  AMH  -- American
Medical Holdings, Inc. -- AMI Convertible Debentures."

    THE NME TENDER  OFFERS.  NME  has commenced tender  offers (the "NME  Tender
Offers")  to purchase  for cash  any and  all of  an aggregate  of approximately
$169.5 million  principal  amount of  NME's  outstanding unsecured  medium  term
notes, with maturities through 1997, and the 7 3/8% Notes due 1997 (collectively
the  "NME Medium Term Notes"). The NME Tender  Offers are subject to a number of
conditions but are not conditioned on any minimum principal amount of NME Medium
Term Notes of any series being properly tendered and not withdrawn prior to  the
expiration  of the  NME Tender  Offers. The  NME Tender  Offers are  expected to
expire approximately  five  business  days  prior to  the  Effective  Time,  and
payments  for any NME Medium Term Notes  accepted for payment are expected to be
made immediately after  the Effective Time.  If less than  all of the  currently
outstanding  NME  Medium Term  Notes  are tendered  pursuant  to the  NME Tender
Offers, NME currently  intends to  permit the  untendered Medium  Term Notes  to
remain   outstanding  and  reduce  borrowings  under  the  New  Credit  Facility
accordingly. Any change in the assumptions regarding the aggregate amount of NME
Medium Term Notes purchased pursuant  to the NME Tender  Offers will not have  a
significant   impact  on  NME's  pro  forma  interest  expense  or  consolidated
indebtedness following the Merger.

    THE  REFINANCING  OF   THE  NME   AND  AMI  CREDIT   FACILITIES  AND   OTHER
INDEBTEDNESS.  NME intends to refinance the outstanding credit facilities of NME
and  AMI with borrowings  under the New  Credit Facility (together  with the AMI
Tender  Offers,   the  AMI   Redemptions  and   the  NME   Tender  Offers,   the
"Refinancing").  At November 30, 1994, the balance outstanding under each of the
NME credit facility and  the AMI credit facility  was $364.6 million and  $262.0
million,   respectively.   In  addition,   NME   and  AMI   anticipate  repaying
approximately $92.9 million and  $151.5 million principal amount,  respectively,
of  indebtedness that matures prior to or  shortly after the consummation of the
Merger.

SOURCES AND USES OF FUNDS

    NME intends to finance the cash paid  in connection with the Merger and  the
related transactions, together with the fees and expenses incurred in connection
therewith,  with the proceeds from the Public Offering, borrowings under the New
Credit Facility and the available cash balances of NME and AMH.

                                       62
<PAGE>
    The following table sets forth the sources  and uses of funds to be used  to
consummate  the  Merger and  the  Refinancing assuming  (i)  that the  Merger is
consummated on or prior to March 31, 1995, (ii) that the New Debt Securities are
sold at a price  to the public  equal to 100% of  the principal amount  thereof,
(iii)  that substantially all of the NME Medium Term Notes and the AMI Post 1991
Debt Securities and the AMI Swiss Bonds are properly tendered and not  withdrawn
pursuant  to the NME Tender Offers and  the AMI Tender Offers, respectively, and
(iv) that all of the  AMI 9 1/2% Convertible  Debentures are converted prior  to
the Effective Time. The sources and uses of funds set forth below are based upon
NME's  best estimate of the results of the  NME Tender Offers and the AMI Tender
Offers  and  the  other  assumptions   described  above,  which  estimates   and
assumptions are subject to change.

<TABLE>
<CAPTION>
                                                                                                        (DOLLARS
                                                                                                           IN
                                                                                                        MILLIONS)
<S>                                                                                                    <C>
SOURCES
New Credit Facility:
  Term Loan..........................................................................................   $ 2,000.0
  Revolver...........................................................................................       265.4
New Senior Notes.....................................................................................       300.0
New Subordinated Notes...............................................................................       700.0
Cash of NME and AMH..................................................................................       129.5
                                                                                                       -----------
                                                                                                        $ 3,394.9
                                                                                                       -----------
                                                                                                       -----------
USES
Cash portion of the Merger Consideration.............................................................   $ 1,478.3
Repayment of certain AMI debt (1)....................................................................     1,090.5
Cash portion of the AMH Option Cancellation (2)......................................................        41.3
AMH Special Dividend.................................................................................         7.8
Repayment of certain NME debt (3)....................................................................       611.4
Estimated fees and expenses (4)......................................................................       165.6
                                                                                                       -----------
                                                                                                        $ 3,394.9
                                                                                                       -----------
                                                                                                       -----------
<FN>
- ------------------------
(1)  Includes  repayment of the balance of  $262.0 million outstanding under the
     existing AMI credit facility  as of November 30,  1994, the balance of  the
     AMI  Debt Securities that  are being called for  redemption (other than the
     AMI 9 1/2% Convertible Debentures that are assumed to be converted prior to
     the Effective Time), the balance (or the accreted value, as applicable)  of
     the  AMI Debt Securities that are  expected to be repurchased and cancelled
     pursuant to the AMI Tender Offers, and  the balance of AMI's 11 3/8%  Notes
     due 1995 and 11 1/4% Pound Notes due 1995.

(2)  Assumes  a per share price for the NME Common Stock of $14.75 (representing
     the average closing price per share of NME Common Stock, as reported on the
     NYSE over  the  ten  consecutive trading  days  immediately  following  the
     announcement of the Merger).

(3)  Includes  repayment of the balance of  $364.6 million outstanding under the
     existing NME credit facility as of November 30, 1994, the principal  amount
     of NME's 12 1/8% unsecured notes due April 1, 1995 and the principal amount
     of  the  NME Medium  Term Notes  that  are expected  to be  repurchased and
     cancelled pursuant to the NME Tender Offers.

(4)  To reflect  estimated  fees, costs  and  expenses of  NME  and AMH  in  the
     aggregate  amount  of approximately  $165.6 million,  including transaction
     fees, costs and expenses, deferred financing costs and an amount equivalent
     to the write-up of the debt to be refinanced to its fair value at  November
     30,  1994, which amounts are based on actual agreements, estimates provided
     by  outside  advisors  and  estimated  payments  in  connection  with   the
     Refinancing, as determined by NME's financial advisors.
</TABLE>

                                       63
<PAGE>
THE NEW CREDIT FACILITY

    In  connection with  the Merger and  the Refinancing,  Morgan Guaranty Trust
Company of New York,  Bank of America  NT&SA, The Bank of  New York and  Bankers
Trust  Company (collectively, the  "Arranging Agents") and  a syndicate of other
lenders (the  "Lenders") have  committed  to provide  NME  with the  New  Credit
Facility  consisting of (i)  a six and a  half year amortizing  term loan in the
aggregate principal amount of $2.0 billion (the "Term Loan") and (ii) a six  and
a  half year $500.0 million  revolving credit facility, with  a letter of credit
option not to exceed $100.0 million. The Arranging Agents have also committed to
provide a separate letter  of credit facility to  NME in an aggregate  principal
amount  of approximately $91.0 million, upon  terms substantially similar to the
New Credit Facility (the "Metrocrest Letter of Credit Facility"). The Metrocrest
Letter of Credit Facility  is intended to replace  an existing letter of  credit
facility  established in connection with the issuance of certain bonds issued by
Metrocrest Hospital Authority as part of the financing of two hospitals operated
by subsidiaries of NME. NME's obligations under the New Credit Facility and  the
Metrocrest  Letter of Credit Facility  will rank PARI PASSU  with the New Senior
Notes and will constitute senior debt with respect to the New Subordinated Notes
and any  other  subordinated debt  of  NME outstanding  at  any time  after  the
Effective  Time. In addition,  borrowings under the New  Credit Facility will be
secured by  a  first  priority  lien  on  the  capital  stock  of  NME's  direct
subsidiaries, all intercompany indebtedness owed to NME and NME's and certain of
its subsidiaries' equity investments in Westminster (as hereinafter defined) and
Hillhaven  and  will have  priority  as to  such  collateral over  the  New Debt
Securities.

THE PUBLIC OFFERING

    THE NEW SENIOR NOTES.   The New Senior Notes are  expected to be limited  to
$300  million principal amount and  to mature in September  2002. The New Senior
Notes will rank  PARI PASSU with  borrowings under the  New Credit Facility  and
senior in right of payment to the New Subordinated Notes.

    THE  NEW SUBORDINATED NOTES.  The New  Subordinated Notes are expected to be
limited to $700 million principal  amount and to mature  in March 2005. The  New
Subordinated  Notes will rank junior  in right of payment  to all senior debt of
NME, including  borrowings under  the New  Credit Facility  and the  New  Senior
Notes. The terms of the Notes to be issued in the Public Offering are subject to
change.

                                       64
<PAGE>
                        PRO FORMA FINANCIAL INFORMATION

    The  Unaudited Pro Forma Condensed Combined Financial Statements give effect
to the  following  transactions  and events  as  if  they had  occurred  at  the
beginning  of each period presented for purposes  of the pro forma statements of
operations and other operating information and on November 30, 1994 for purposes
of the pro forma balance sheet data:  (i) the August 1994 sale of  approximately
75%  of the common stock of Total Renal  Care, Inc. ("TRC"); (ii) the March 1994
sale of one inpatient  rehabilitation hospital and the  January 1994 sale of  28
inpatient  rehabilitation hospitals and 45 related satellite outpatient clinics;
(iii) the February 1994 sale of four long-term care facilities and the September
1993  sale  of  19  long-term  care  facilities  to  The  Hillhaven  Corporation
("Hillhaven") (all of which properties previously had been leased to Hillhaven);
(iv)  the elimination of restructuring charges  recorded by NME of $77.0 million
in fiscal 1994; (v) the elimination  of certain non-recurring gains recorded  by
NME  and AMH; (vi) the  Merger, applying the purchase  method of accounting; and
(vii) consummation of the Public Offering and the Refinancing.

    The Unaudited  Pro  Forma Condensed  Combined  Financial Statements  do  not
purport  to present the financial  position or results of  operations of NME had
the transactions and events assumed therein occurred on the dates specified, nor
are they  necessarily  indicative of  the  results  of operations  that  may  be
achieved  in the  future. The Unaudited  Pro Forma  Condensed Combined Financial
Statements do not reflect certain cost  savings that management believes may  be
realized  following the  Merger, currently  estimated to  be approximately $60.0
million annually beginning in fiscal 1996  (before any severance or other  costs
of implementing certain efficiencies). These savings are expected to be realized
primarily  through the  elimination of  duplicative corporate  overhead, reduced
supplies expense through the  incorporation of AMH  into NME's group  purchasing
program  and improved collection of AMH accounts receivable by Syndicated Office
Systems, Inc., NME's wholly owned debt collection business. No assurances can be
made as to the amount of cost  savings, if any, that actually will be  realized.
The  Unaudited Pro  Forma Condensed Combined  Financial Statements  are based on
certain assumptions  and adjustments  described in  the Notes  to Unaudited  Pro
Forma  Condensed Combined Financial Statements and should be read in conjunction
therewith and  with "The  Merger," "Financing  for the  Merger and  the  Related
Transactions,"  "Management's Discussion and Analysis of Financial Condition and
Results of Operations"  and the  consolidated financial  statements and  related
notes  of NME and AMH included or  incorporated by reference in this Information
Statement/ Prospectus.

    NME reports its financial information on the basis of a May 31 fiscal  year.
AMH  reports its financial information on the basis of an August 31 fiscal year.
The Unaudited  Pro Forma  Condensed Combined  Statement of  Operations  combines
NME's  Consolidated Statements of  Operations for the fiscal  year ended May 31,
1994 with AMH's Consolidated Statements of Operations for the fiscal year  ended
August  31, 1994. The Unaudited Pro  Forma Combined Statements of Operations for
the six  months  ended November  30,  1993  and 1994  combine  the  Consolidated
Statements of Operations of NME and AMH for these same six-month periods.

                                       65
<PAGE>
              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
              UNAUDITED PRO FORMA CONDENSED COMBINED BALANCE SHEET
                             (DOLLARS IN MILLIONS)

<TABLE>
<CAPTION>
                                                                  AS OF NOVEMBER 30, 1994
                                                    ---------------------------------------------------
                                                    HISTORICAL   HISTORICAL     PRO FORMA     PRO FORMA
                                                       NME          AMH        ADJUSTMENTS    COMBINED
                                                    ----------   ----------   -------------   ---------
<S>                                                 <C>          <C>          <C>             <C>
                      ASSETS
Current assets:
  Cash and cash equivalents.......................   $   131.8    $    21.3   $(1,527.4)(a)   $    38.5
                                                                                1,563.5(b)
                                                                                 (165.6)(c)
                                                                                   14.9(d)
  Short-term investments, at cost which
   approximates market............................        51.4                                     51.4
  Accounts and notes receivable, less allowance
   for doubtful accounts..........................       411.4        167.5        19.5(d)        598.4
  Inventories of supplies, at cost................        54.8         64.2                       119.0
  Deferred income taxes...........................       304.0         15.5        21.9(e)        341.4
  Assets held for sale............................        26.5                                     26.5
  Prepaid expenses and other current assets.......        56.5         19.2                        75.7
                                                    ----------   ----------   -------------   ---------
      Total current assets........................     1,036.4        287.7       (73.2)        1,250.9
Long-term receivables.............................        67.7         16.3                        84.0
Investments and other assets......................       306.2         84.7        60.2(d)        451.1
Property, plant and equipment, net................     1,780.9      1,482.2       275.0(f)      3,538.1
Intangible assets, at cost less accumulated
 amortization.....................................       112.2      1,153.9     1,109.9(g)      2,376.0
                                                    ----------   ----------   -------------   ---------
                                                     $ 3,303.4    $ 3,024.8   $ 1,371.9       $ 7,700.1
                                                    ----------   ----------   -------------   ---------
                                                    ----------   ----------   -------------   ---------
       LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
  Short-term borrowings and notes.................   $   112.9    $           $               $   112.9
  Accounts payable................................       139.0         98.2         1.8(d)        239.0
  Employee compensation and benefits..............        82.5        106.2                       188.7
  Reserve related to discontinued operations......        76.5                                     76.5
  Income taxes payable............................        22.5                      1.6(d)       --
                                                                                  (24.1)(e)
Other current liabilities.........................       203.9        118.8        25.8(d)        348.5
Current portion of long-term debt.................       495.1        156.2      (608.1)(b)        43.2
                                                    ----------   ----------   -------------   ---------
      Total current liabilities...................     1,132.4        479.4      (603.0)        1,008.8
                                                    ----------   ----------   -------------   ---------
Long-term debt, net of current portion............       236.3      1,146.9     2,171.6(b)      3,581.8
                                                                                   (3.0)(h)
                                                                                   30.0(f)
Other long-term liabilities and minority
 interests........................................       374.1        306.2        65.4(d)        745.7
Deferred income taxes.............................       126.0        218.7        95.0(e)        439.7
Shareholders' equity:
  Common stock....................................        13.9          0.8         2.4(i)         16.3
                                                                                   (0.8)(j)
  Other shareholders' equity......................     1,698.8        872.8       478.5(i)      2,184.8
                                                                                  (41.3)(k)
                                                                                   (7.8)(k)
                                                                                    3.0(h)
                                                                                 (819.2)(j)
  Less: Common stock in treasury, at cost.........      (278.1)                     1.1(i)       (277.0)
                                                    ----------   ----------   -------------   ---------
      Total shareholders' equity..................     1,434.6        873.6      (384.1)        1,924.1
                                                    ----------   ----------   -------------   ---------
                                                     $ 3,303.4    $ 3,024.8   $ 1,371.9       $ 7,700.1
                                                    ----------   ----------   -------------   ---------
                                                    ----------   ----------   -------------   ---------
</TABLE>

   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.

                                       66
<PAGE>
              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                 (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                                     HISTORICAL
                                HISTORICAL                            AMH YEAR
                                 NME YEAR        NME                   ENDED          AMH                                 PRO
                                ENDED MAY    ADJUSTMENTS    NME AS   AUGUST 31,   ADJUSTMENTS    AMH AS    PRO FORMA     FORMA
                                 31, 1994        (L)       ADJUSTED     1994          (M)       ADJUSTED  ADJUSTMENTS   COMBINED
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
<S>                             <C>          <C>           <C>       <C>          <C>           <C>       <C>           <C>
Net operating
 revenues.....................   $2,943.2      $(359.2)    $2,584.0   $2,381.7      $--         $2,381.7  $ --          $4,965.7
Operating expenses:
  Salaries and benefits.......    1,293.4       (176.0)     1,117.4      869.0                     869.0                 1,986.4
  Supplies....................      339.4        (14.8)       324.6      340.0                     340.0                   664.6
  Provision for doubtful
   accounts...................      107.0         (5.2)       101.8      165.5                     165.5                   267.3
  Other operating expenses....      666.5       (113.8)       552.7      524.3                     524.3                 1,077.0
  Depreciation................      142.7        (11.9)       130.8      118.1                     118.1    (10.6)(n)      238.3
  Amortization................       18.1         (2.3)        15.8       38.6                      38.6     17.0(o)        71.4
  Restructuring charges.......       77.0        (77.0)       --        --                         --                      --
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
Operating income..............      299.1         41.8        340.9      326.2                     326.2     (6.4)         660.7
Interest expense, net of
 capitalized portion..........      (70.0)         5.0        (65.0)    (157.2)                   (157.2)  (102.2)(p)     (324.4)
Investment earnings...........       27.7          1.9         29.6        2.7                       2.7     (4.3)(q)       28.0
Equity in earnings of
 unconsolidated affiliates....       23.8          0.5         24.3     --                         --                       24.3
Minority interest expense.....       (8.2)         3.0         (5.2)      (5.9)                     (5.9)                  (11.1)
Net gain on disposals of
 facilities and long-term
 investments..................       87.5        (87.5)       --          69.3       (69.3)        --                      --
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
Income from continuing
 operations before income
 taxes........................      359.9        (35.3)       324.6      235.1       (69.3)        165.8   (112.9)         377.5
Taxes on income...............     (144.0)        13.8       (130.2)     (96.1)       25.9         (70.2)    37.4(r)      (163.0)
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
Income from continuing
 operations...................   $  215.9(s)   $ (21.5)    $  194.4   $  139.0(t)   $(43.4)     $   95.6  $ (75.5)      $  214.5
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
                                ----------   -----------   --------  ----------   -----------   --------  -----------   --------
Earnings per common share from
 continuing operations,
 fully-diluted................      $1.23                     $1.11      $1.73                     $1.19                   $1.03
                                ----------                 --------  ----------                 --------                --------
                                ----------                 --------  ----------                 --------                --------
Weighted average number of
 shares outstanding,
 fully-diluted
 (in 000's)...................    181,087                   181,087                                        33,190(u)     214,277
                                ----------                 --------                                       -----------   --------
                                ----------                 --------                                       -----------   --------
Ratio of earnings to fixed
 charges......................        4.2x                      4.2x       2.4x                      1.9x                    1.9x
                                ----------                 --------  ----------                 --------                --------
                                ----------                 --------  ----------                 --------                --------
</TABLE>

   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.

                                       67
<PAGE>
              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                   FOR THE SIX MONTHS ENDED NOVEMBER 30, 1994
                 (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                 NME                                                    PRO
                                HISTORICAL   ADJUSTMENTS     NME AS       HISTORICAL     PRO FORMA     FORMA
                                   NME           (V)        ADJUSTED         AMH        ADJUSTMENTS   COMBINED
                                ----------   -----------   -----------   ------------   -----------   --------
<S>                             <C>          <C>           <C>           <C>            <C>           <C>
Net operating revenues........   $ 1,301.6    $    (16.6)   $1,285.0     $1,270.4       $ --          $2,555.4
Operating expenses:
  Salaries and benefits.......       556.2          (5.9)      550.3        470.9                      1,021.2
  Supplies....................       159.1       --            159.1        183.9                        343.0
  Provision for doubtful
   accounts...................        46.8          (0.4)       46.4         89.5                        135.9
  Other operating expenses....       294.7          (6.8)      287.9        278.0                        565.9
  Depreciation................        67.4          (0.6)       66.8         62.4         (5.3)(n)       123.9
  Amortization                         7.7          (0.2)        7.5         19.6          8.2(o)         35.3
                                ----------   -----------   -----------   ------------   -----------   --------
Operating income..............       169.7          (2.7)      167.0        166.1         (2.9)          330.2
Interest expense, net of
 capitalized portion..........       (35.0)      --            (35.0)       (79.7)       (51.1)(p)      (165.8)
Investment earnings...........        10.4       --             10.4          1.2         (2.2)(q)         9.4
Equity in earnings of
 unconsolidated affiliates....        12.4          (0.1)       12.3                                      12.3
Minority interest expense.....        (3.8)          0.4        (3.4)        (2.0)                        (5.4)
Net gain on disposals of
 facilities and long-term
 investments..................        29.5         (29.5)     --            --            --             --
                                ----------   -----------   -----------   ------------   -----------   --------
Income from continuing
 operations before income
 taxes........................       183.2         (31.9)      151.3         85.6        (56.2)          180.7
Taxes on income...............       (73.0)         12.4       (60.6)       (35.7)        18.7(r)        (77.6)
                                ----------   -----------   -----------   ------------   -----------   --------
Income from continuing
 operations...................   $   110.2    $    (19.5)   $   90.7     $   49.9(t)    $(37.5)       $  103.1
                                ----------   -----------   -----------   ------------   -----------   --------
                                ----------   -----------   -----------   ------------   -----------   --------
Earnings per common share from
 continuing operations,
 fully-diluted................   $    0.63                  $   0.52     $   0.63                     $   0.50
                                ----------                 -----------   ------------                 --------
                                ----------                 -----------   ------------                 --------
Weighted average number of
 shares outstanding,
 fully-diluted (in 000's).....     181,467                   181,467                    33,190(u)      214,657
                                ----------                 -----------                  -----------   --------
                                ----------                 -----------                  -----------   --------
Ratio of earnings to fixed
 charges......................         4.4x                      3.8x         1.9x                         1.9x
                                ----------                 -----------   ------------                 --------
                                ----------                 -----------   ------------                 --------
</TABLE>

   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.

                                       68
<PAGE>
              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
                AMERICAN MEDICAL HOLDINGS, INC. AND SUBSIDIARIES
         UNAUDITED PRO FORMA CONDENSED COMBINED STATEMENT OF OPERATIONS
                   FOR THE SIX MONTHS ENDED NOVEMBER 30, 1993
                 (DOLLARS IN MILLIONS EXCEPT PER SHARE AMOUNTS)

<TABLE>
<CAPTION>
                                                       NME                                                  PRO
                                     HISTORICAL    ADJUSTMENTS     NME AS      HISTORICAL    PRO FORMA     FORMA
                                         NME           (L)        ADJUSTED        AMH       ADJUSTMENTS   COMBINED
                                     -----------   -----------   -----------   ----------   -----------   --------
<S>                                  <C>           <C>           <C>           <C>          <C>           <C>
Net operating revenues.............   $1,530.3       $(278.6)     $1,251.7      $ 1,123.2     $--         $2,374.9
Operating expenses:
  Salaries and benefits............      698.1        (141.5)        556.6          405.5                    962.1
  Supplies.........................      167.9         (12.5)        155.4          155.7                    311.1
  Provision for doubtful
   accounts........................       58.5          (5.6)         52.9           76.1                    129.0
  Other operating expenses.........      342.5         (74.2)        268.3          266.0                    534.3
  Depreciation.....................       75.0          (9.3)         65.7           57.8        (5.3)(n)    118.2
  Amortization.....................        9.5          (2.0)          7.5           18.5         9.3(o)      35.3
                                     -----------   -----------   -----------   ----------   -----------   --------
Operating income...................      178.8         (33.5)        145.3          143.6        (4.0)       284.9
Interest, net of capitalized
 portion...........................      (37.7)          3.9         (33.8)         (82.9)      (51.1)(p)   (167.8)
Investment earnings................       14.1           1.9          16.0           10.3        (2.2)(q)     24.1
Equity in earnings of
 unconsolidated affiliates.........       14.7        --              14.7         --                         14.7
Minority interest expense..........       (5.0)          2.3          (2.7)          (3.8)                    (6.5)
Net gain on disposals of facilities
 and long-term investments.........       29.0         (29.0)       --             --                        --
                                     -----------   -----------   -----------   ----------   -----------   --------
Income from continuing
 operations before income taxes....      193.9         (54.4)        139.5           67.2       (57.3)       149.4
Taxes on income....................      (80.0)         21.2         (58.8)         (34.3)       18.7(r)     (74.4)
                                     -----------   -----------   -----------   ----------   -----------   --------
Income from continuing
 operations........................   $  113.9(s)    $  33.2      $   80.7      $    32.9(t)   $ (38.6)   $   75.0
                                     -----------   -----------   -----------   ----------   -----------   --------
                                     -----------   -----------   -----------   ----------   -----------   --------
Earnings per common share from
 continuing operations,
 fully-diluted.....................   $   0.65                    $   0.46      $    0.42                 $   0.36
                                     -----------                 -----------   ----------                 --------
                                     -----------                 -----------   ----------                 --------
Weighted average number of shares
 outstanding, fully-diluted (in
 000's)............................    180,115                     180,115                     33,190(u)   213,305
                                     -----------                 -----------                -----------   --------
                                     -----------                 -----------                -----------   --------
</TABLE>

   See Notes to Unaudited Pro Forma Condensed Combined Financial Statements.

                                       69
<PAGE>
                          NOTES TO UNAUDITED PRO FORMA
                    CONDENSED COMBINED FINANCIAL STATEMENTS

    The  Unaudited Pro Forma Condensed Combined  Statements of Operations do not
give effect to any cost savings which may be realized after the consummation  of
the Merger, estimated by NME management to be approximately $60 million annually
beginning  in fiscal 1996  (before any severance or  other costs of implementing
such  efficiencies).  The  anticipated  savings  are  based  on  estimates   and
assumptions  made  by  NME  that  are  inherently  uncertain,  though considered
reasonable by  NME,  and  are  subject to  significant  business,  economic  and
competitive  uncertainties  and contingencies,  all  of which  are  difficult to
predict and many of which are beyond the control of management. There can be  no
assurance that such savings, if any, will be achieved.

    The  adjustments to  arrive at  the Unaudited  Pro Forma  Condensed Combined
Financial Statements are as follows:

        (a) To record cash paid in connection with the Merger (in millions):

<TABLE>
<S>                                                                 <C>
Cash portion of the Merger Consideration..........................  $ 1,478.3
Cash portion of the AMH Option Cancellation (representing
 3,280,567 options cancelled).....................................       41.3
AMH Special Dividend..............................................        7.8
                                                                    ---------
  Total cash paid in connection with the Merger...................  $ 1,527.4
                                                                    ---------
                                                                    ---------
</TABLE>

        (b) To reflect borrowings under the New Credit Facility and the proceeds
    from the Public Offering and the application of such amounts as follows  (in
    millions):

<TABLE>
<S>                                                                <C>
New Credit Facility
  Term loan......................................................  $ 2,000.0
  Revolver.......................................................      265.4
New Senior Notes.................................................      300.0
New Subordinated Notes...........................................      700.0
                                                                   ---------
    Total sources................................................    3,265.4
Repayment of certain AMI debt (including current portion
 with a carrying value of $150.5)................................   (1,090.5)
Repayment of certain NME debt (including current portion
 with a carrying value of $457.6)................................     (611.4)
                                                                   ---------
    Net increase in cash.........................................  $ 1,563.5
                                                                   ---------
                                                                   ---------
</TABLE>

        (c)  To reflect  estimated fees,  costs and expenses  of NME  and AMH of
    approximately $165.6 million in the  aggregate. The $165.6 million  estimate
    includes  the following: (i) an estimated $28.4 million of transaction fees,
    costs and  expenses; (ii)  $64.7 million  of deferred  financing costs;  and
    (iii)  an estimated $72.5 million, substantially all of which represents the
    write-up of the  debt to be  refinanced to  its fair value  at November  30,
    1994.  See Note  (g) below.  These amounts  are based  on actual agreements,
    estimates provided by outside advisors and estimated payments in  connection
    with the Refinancing, as determined by NME's financial advisors.

        (d)  To consolidate the assets,  liabilities and stockholders' equity of
    HUG, currently accounted for  as investments by both  NME and AMH under  the
    equity method. Upon completion of the Merger, NME will own approximately 81%
    of HUG.

        (e)  To record deferred income taxes  in connection with the increase in
    the carrying values of  AMH buildings and equipment  and the balance of  AMH
    indebtedness not expected to be refinanced in connection with the Merger and
    to  reduce  income  taxes  payable  related  to  the  redemption  of certain
    indebtedness of AMI and the AMH Option Cancellation.

        (f) To increase by $275.0 million the carrying value of AMH's  buildings
    and  equipment to the estimated fair values thereof and to increase by $30.0
    million the carrying value of the balance

                                       70
<PAGE>
                          NOTES TO UNAUDITED PRO FORMA
             CONDENSED COMBINED FINANCIAL STATEMENTS -- (CONTINUED)
    of AMH's  indebtedness not  expected  to be  refinanced to  the  preliminary
    estimate  of  the  fair value  thereof,  both  as required  by  the purchase
    accounting treatment of the Merger. NME  expects to obtain and record  final
    valuations  based upon independent appraisals  following the consummation of
    the Merger. It is not expected that the final valuations will result in  any
    significant reclassification between goodwill and buildings and equipment or
    long-term debt. For purposes of these Unaudited Pro Forma Condensed Combined
    Financial  Statements, NME has assumed that  the fair value of the remaining
    net assets of AMH approximates the existing net book value of such assets.

        (g) To record  the increase in  intangible assets representing  deferred
    financing costs and the excess of the purchase price of the AMH Common Stock
    over the fair value of the net assets acquired (in millions):

<TABLE>
<S>                                                         <C>        <C>
Cash portion of the Merger Consideration..................             $ 1,478.3
Value of stock portion of the Merger Consideration........                 482.0
Stockholders' equity of AMH at November 30, 1994..........     (873.6)
Conversion of AMI 9 1/2% Convertible Debentures...........       (3.0)
Cash portion of AMH Option Cancellation...................       41.3
Value of stock portion of AMH Option Cancellation.........        7.5
AMH Special Dividend......................................        7.8
                                                            ---------
  Adjusted AMH stockholders' equity.......................                (820.0)
Adjustment to fair value of AMH buildings and equipment...                (275.0)
Adjustment to fair value of AMH indebtedness not
 refinanced...............................................                  30.0
Estimated fees and expenses ($64.7 million of which
 represent deferred financing costs)......................                 165.6
Net adjustment to income taxes payable and deferred income
 taxes....................................................                  49.0
                                                                       ---------
  Net increase in intangible assets.......................             $ 1,109.9
                                                                       ---------
                                                                       ---------
</TABLE>

        (h)  To  give  effect  to  the assumed  conversion  of  the  AMI  9 1/2%
    Convertible Debentures  which  had  a  carrying value  of  $3.0  million  at
    November 30, 1994.

        (i)  To record the issuance of (i) 32,601,338 shares of NME Common Stock
    (which reflects 0.42 shares of NME Common Stock to be exchanged per share of
    AMH Common Stock) to be issued in connection with the Merger for all of  the
    outstanding AMH Common Stock; (ii) 78,143 shares of NME Common Stock held in
    treasury  in exchange for  AMH Common Stock issuable  upon conversion of the
    AMI 9 1/2% Convertible  Debentures; and (iii) 512,484  shares of NME  Common
    Stock  issuable to AMH in  exchange for a note,  with an estimated principal
    amount of $7.6 million,  which shares will constitute  the stock portion  of
    the  AMH Option Cancellation,  assuming in each  case a value  of $14.75 per
    share of  NME  Common  Stock  (representing the  average  closing  price  as
    reported  on  the NYSE  on  the 10  trading  days immediately  following the
    announcement of the  Merger). AMH  will transfer  the shares  of NME  Common
    Stock  received from NME in exchange for  the note to cancel 1,220,200 stock
    options held by certain executives of AMH. See "Financing for the Merger and
    the Related Transactions."

        (j)  To give effect to the elimination of the AMH Common Stock and other
    stockholders' equity, as adjusted in note (g) above.

        (k) To give effect to the AMH Option Cancellation and to the AMH Special
    Dividend. See "Financing for the Merger and the Related Transactions."

        (l) To adjust the results of operations of NME to reflect (i) the August
    1994 sale of approximately 75%  of the common stock  of TRC; (ii) the  March
    1994 sale of one inpatient rehabilitation

                                       71
<PAGE>
                          NOTES TO UNAUDITED PRO FORMA
             CONDENSED COMBINED FINANCIAL STATEMENTS -- (CONTINUED)
    hospital; (iii) the February 1994 sale of four long-term care facilities and
    the September 1993 sale of 19 long-term care facilities to Hillhaven (all of
    which  properties previously had been leased to Hillhaven); (iv) the January
    1994 sale of 28 inpatient rehabilitation hospitals and 45 related  satellite
    outpatient clinics; (v) the elimination of restructuring charges recorded by
    NME  of $77.0 million  in fiscal 1994;  and (vi) the  elimination of certain
    non-recurring gains  on disposals  of facilities  and long-term  investments
    recorded by NME.

        (m)  To  eliminate non-recurring  gains on  disposals of  facilities and
    long-term investments  relating  to  the  sale of  AMH's  interest  in  EPIC
    Healthcare  Group, Inc. and to  reflect the effect on  income taxes of these
    adjustments.

        (n) To adjust depreciation  expense for the year  ended May 31, 1994  as
    follows (in millions):

<TABLE>
<S>                                                                   <C>
To reflect additional depreciation on the stepped-up values of AMH's
 buildings and equipment............................................  $     9.0
To conform the estimated useful lives of the acquired buildings and
 equipment to those used by NME.....................................      (19.6)
                                                                      ---------
  Net decrease in depreciation expense..............................  $   (10.6)
                                                                      ---------
                                                                      ---------
</TABLE>

    The adjustments made for the six months ended November 30, 1993 and 1994 are
    equal to one half of the amount above.

        (o)  To reflect amortization of the excess  of the purchase price of AMH
    over the preliminary estimate of the  fair value of the net assets  acquired
    using the straight-line method over 40 years.

        (p)  To adjust interest expense,  including the amortization of deferred
    financing costs over  the term  of the  related indebtedness,  for the  year
    ended May 31, 1994 as follows (in millions):

<TABLE>
<S>                                                                  <C>
To reflect pro forma interest expense related to the New Credit
 Facility and the New Debt Securities..............................  $   270.8
To reduce interest expense to give effect to the Refinancing and
 the repayment of certain indebtedness.............................     (165.8)
To reduce interest expense to reflect the amortization of the
 adjustment to fair value of AMH indebtedness not refinanced.......       (2.8)
                                                                     ---------
  Net increase in interest expense.................................  $   102.2
                                                                     ---------
                                                                     ---------
</TABLE>

    The adjustments made for the six months ended November 30, 1993 and 1994 are
    equal to one half of the amount above.

        (q)  To reflect an  estimated reduction of interest  income related to a
    lower balance of cash and cash equivalents available for investment.

        (r) To reflect income taxes  at an assumed marginal  rate of 39% on  the
    pro  forma adjustments described in (n),  (p) and (q) above. Amortization of
    goodwill is not deductible for tax purposes.

        (s) Does not reflect the cumulative effect of NME's change in the method
    of accounting for income taxes.

        (t) Does not reflect the  extraordinary loss on early extinguishment  of
    AMH debt.

        (u)  Represents the additional weighted average common shares that would
    have been outstanding upon consummation of the Merger.

        (v) To reflect the August 1994  sale of approximately 75% of the  common
    stock  of TRC; to  eliminate non-recurring gains  on disposals of facilities
    and long-term investments; and to reflect income taxes on these adjustments.

                                       72
<PAGE>
                  SELECTED INFORMATION CONCERNING NME AND AMH

NATIONAL MEDICAL ENTERPRISES, INC.

    NME is a  leading investor-owned  healthcare company  that operates  general
hospitals and related healthcare facilities serving primarily urban and regional
areas  in  the United  States and  abroad  and that  holds investments  in other
healthcare companies. At  November 30,  1994, NME operated  33 domestic  general
hospitals,  with a total of 6,622 licensed beds, located in California, Florida,
Louisiana, Missouri,  Tennessee  and  Texas.  NME  operates  six  rehabilitation
hospitals,  seven  long-term care  facilities  and four  psychiatric facilities,
located on the same campus as, or nearby, NME's general hospitals. In  addition,
NME  operates ancillary  facilities, including outpatient  surgery centers, home
healthcare programs and ambulatory,  occupational and rural healthcare  clinics.
Through  its  international  hospital  division, NME  also  operated  13 general
hospitals in Australia,  Singapore, Spain and  Malaysia, with a  total of  1,693
licensed beds at November 30, 1994.

    NME's   investments   in  other   healthcare   companies  include:   (i)  an
approximately 27% voting interest in Hillhaven, a publicly traded company listed
on the NYSE that  operated 287 long-term care  facilities, 57 pharmacies and  19
retirement  housing communities in the United  States at November 30, 1994; (ii)
an  approximately  42%  interest  in  Westminster  Health  Care  Holdings,   PLC
("Westminster"),  a publicly traded company listed  on the London Stock Exchange
that operated 65 long-term care facilities in the United Kingdom at November 30,
1994; (iii) an approximately 23% interest in TRC, which operated 42 freestanding
kidney dialysis  units  in  nine  states  at November  30,  1994;  and  (iv)  an
approximately  23% interest in Health Care Property Partners, a partnership that
leases 21 long-term care  facilities to Hillhaven and  two general hospitals  to
NME.

    In  the course of reviewing its  alternatives with respect to its investment
in  Hillhaven,  NME  has  had  discussions  with  Hillhaven  and  third  parties
concerning  possible courses of action. On January 25, 1995, after entering into
the letter agreement  with NME described  below, Horizon Healthcare  Corporation
("Horizon") submitted to Hillhaven a written proposal for a business combination
(the "Transaction"). In the Transaction, shareholders of Hillhaven would receive
$28  in  value of  shares  of common  stock of  a  newly formed  holding company
("Newco") for each outstanding  share of common  stock of Hillhaven  ("Hillhaven
Common  Stock") and  shareholders of  Horizon would  receive one  share of Newco
common stock for each outstanding share of Horizon common stock. In addition, as
part of the  Transaction, each  outstanding share  of Hillhaven's  Series C  and
Series D preferred stock would be redeemed at $1,000 per share in cash, plus any
accrued  and  unpaid  dividends,  whether  or  not  declared,  to  the  date  of
redemption.

    In consideration of the mutual covenants  contained therein and in order  to
provide the opportunity presented by the Transaction to Hillhaven and all of its
shareholders,  NME has entered into a letter agreement with Horizon (the "Letter
Agreement"). If prior to  consummating the Transaction but  within 12 months  of
the  date of  the Letter  Agreement there  is a  merger, consolidation  or other
transaction with any party other than Horizon (an "Other Transaction") in  which
NME receives consideration for any of its shares of Hillhaven Common Stock equal
to  or greater than $27.50 per share,  then Horizon shall be entitled to receive
upon consummation of an Other Transaction an amount equal to the greater of  (i)
$5,000,000 or (ii) 50% of the consideration received by NME in excess of $29 per
share  of  Hillhaven Common  Stock. Horizon  agreed in  the Letter  Agreement to
actively pursue  the  Transaction  in  good faith.  The  letter  agreement  also
provides  that nothing therein  shall be construed to  impose any requirement or
restriction on NME with respect to its right to acquire or dispose of any shares
of Hillhaven  Common Stock  from or  to  any party,  or to  vote any  shares  of
Hillhaven  Common Stock, and all decisions with respect thereto shall be made by
NME in its sole discretion.

    NME believes that  a business  combination transaction will  provide all  of
Hillhaven's  shareholders with the  best alternative to  achieve maximum values.
NME believes that the Transaction provides

                                       73
<PAGE>
an attractive opportunity for Hillhaven  and its shareholders and believes  that
the  Transaction requires  the serious  review and  consideration of Hillhaven's
Board of Directors. NME understands that the Board of Directors of Hillhaven has
established a  committee to  review, among  other things,  business  combination
proposals involving Hillhaven.

    CERTAIN  LEGAL PROCEEDINGS.   NME has  been involved  in certain significant
legal proceedings  and investigations  related principally  to its  discontinued
psychiatric  business. These proceedings and investigations include class-action
and derivative lawsuits by certain stockholders, psychiatric patient  litigation
alleging   fraud  and   conspiracy,  certain   lawsuits  filed   by  third-party
private-payor insurance  companies  and  investigations  by  various  state  and
Federal agencies. NME has resolved its litigation with the insurers, has entered
into  agreements in principle to resolve  the shareholder derivative lawsuit and
certain of the class action lawsuits and continues to resolve the cases  brought
by  psychiatric patients. As a result of  negotiations between NME and the Civil
and Criminal Divisions  of the  DOJ and HHS,  subsidiaries of  NME entered  into
various   agreements  on  June  29,   1994,  resolving  all  Federal  healthcare
investigations of NME (but various government agencies are continuing to  pursue
investigations against certain individuals). As a result of those agreements, on
July  12, 1994, the  United States District  Court for the  District of Columbia
accepted a  plea  by a  subsidiary  operating NME's  psychiatric  hospitals  for
violations  relating to  the payment of  remuneration to induce  referrals and a
conspiracy to make such payments. In addition, NME agreed to pay $362.7  million
to  the Federal government. The court also accepted a plea agreement relating to
a single  general hospital  and  activities that  occurred while  an  individual
convicted  of defrauding the hospital was its chief executive, pursuant to which
another subsidiary pled  guilty to making  illegal payments concerning  programs
receiving  Federal funds.  On July 12,  1994, NME, without  admitting or denying
liability, consented to the entry, by  the United States District Court for  the
District  of Columbia, of a civil injunctive order in response to a complaint by
the Commission. The complaint alleged that NME failed to comply with  anti-fraud
and  recordkeeping requirements  of the  Federal securities  laws concerning the
manner in which  NME recorded  the revenues from  the activities  that were  the
subject  of  the  Federal  government  settlement  relating  to  the psychiatric
operations referred to above. In the order, NME is directed to comply with  such
requirements  of  the Federal  securities laws.  On October  17, 1994,  NME also
signed  final  agreements  with  26   states  and  the  District  of   Columbia,
representing  all of the jurisdictions from which NME's psychiatric subsidiaries
received Medicaid  payments  during the  time  frame  at issue  in  the  Federal
investigations.  These agreements settle  all potential state  claims related to
the matters  that  were the  subject  of  the Federal  investigations.  NME  has
received  inquiries from  various other  insurance companies  and health benefit
providers regarding the possible filing of claims. Additional lawsuits  alleging
malpractice  at its psychiatric facilities and the existence of a corporate-wide
conspiracy to commit wrongful acts have been filed, and NME expects that similar
lawsuits may be filed from time to time against NME, its officers and directors.

    In its  agreements  with  the  DOJ  and HHS,  NME  agreed  to  maintain  its
previously  established ethics  program and  ethics hotline  and also  agreed to
implement certain additional compliance-related oversight procedures. Should the
hotline or oversight  procedures reveal,  after investigation  by NME,  credible
evidence of violations of criminal, or material violations of civil, laws, rules
or  regulations governing Federally  funded programs, NME  is required to report
any such violation to the DOJ and HHS.

AMERICAN MEDICAL HOLDINGS, INC.

    AMH is a  leading invester-owned  healthcare company  that operates  general
hospitals and related healthcare facilities serving primarily urban and regional
areas in 13 states. At November 30, 1994, AMH operated 37 general hospitals with
a  total of 8,831 licensed  beds and one psychiatric  facility with 171 licensed
beds. The AMH hospitals  are located in  Texas, Florida, California,  Louisiana,
Missouri, Tennessee, Arkansas, North Carolina, South Carolina, Georgia, Alabama,
Indiana and Nebraska. AMH also operates ancillary facilities located on the same
campus as, or nearby, many of its hospitals,

                                       74
<PAGE>
including  outpatient  surgery  centers,  rehabilitation  units,  long-term care
facilities, home  healthcare programs  and  ambulatory, occupational  and  rural
healthcare clinics ambulatory, occupational and rural healthcare clinics.

    AMI  CONVERTIBLE  DEBENTURES.   The holders  of the  AMI 9  1/2% Convertible
Debentures and the 8  1/4% Convertible Subordinated Debentures  due 2008 of  AMI
(the  "AMI 8  1/4% Convertible  Debentures" and,  together with  the AMI  9 1/2%
Convertible Debentures,  the  "AMI  Convertible  Debentures")  are  entitled  to
convert  the AMI Convertible Debentures into shares  of AMH Common Stock. In the
event holders of the AMI Convertible Debentures elect to convert such debentures
into AMH Common Stock prior to the Effective Time, such holders will be entitled
to receive the Merger Consideration in  accordance with the terms of the  Merger
Agreement.  Following the Effective Time, the  AMI Convertible Debentures can be
converted into the right to receive the Merger Consideration, without  interest,
multiplied  by the number  of shares of  AMH Common Stock  which would have been
issued upon conversion immediately  prior to the Effective  Time. As of  January
10, 1995, there were $14.5 million and $4.5 million outstanding principal amount
of  the  AMI  8 1/4%  Convertible  Debentures  and the  AMI  9  1/2% Convertible
Debentures, respectively. The AMI 8 1/4% Convertible Debentures are  convertible
into  25 shares  of AMH  Common Stock  (subject to  adjustment) for  each $1,000
principal amount, and the AMI 9 1/2% Convertible Debentures are convertible into
41.017 shares  of AMH  Common  Stock (subject  to  adjustment) for  each  $1,000
principal  amount. AMI  intends to  call for  redemption all  of its  AMI 9 1/2%
Convertible  Debentures.  See  "Financing  for   the  Merger  and  the   Related
Transactions -- The AMI Redemptions"

ADDITIONAL INFORMATION

    Certain   information  relating   to  the   executive  compensation,  voting
securities and the principal holders thereof, certain relationships and  related
transactions,  and other related  matters concerning NME and  AMH is included or
incorporated by  reference in  the NME  10-K, the  NME Proxy  Statement and  NME
Annual  Report  and  the  AMH  10-K,  respectively,  which  are  incorporated by
reference  in  this  Information  Statement/Prospectus.  See  "Incorporation  of
Documents  by Reference." Stockholders of AMH  desiring copies of such documents
may contact  NME  or AMH  at  the addresses  or  phone numbers  indicated  under
"Available Information" above.

                                 LEGAL MATTERS

    The validity of the issuance of the shares of NME Common Stock being offered
hereby  will  be  passed upon  for  NME by  Scott  M. Brown,  Esq.,  Senior Vice
President, Secretary and General Counsel of NME.

                                    EXPERTS

    The consolidated  financial statements  of American  Medical Holdings,  Inc.
incorporated in this Information Statement/Prospectus by reference to the Annual
Report  on  Form  10-K  for  the  year  ended  August  31,  1994,  have  been so
incorporated in  reliance on  the report  of Price  Waterhouse LLP,  independent
accountants,  given on  the authority  of said firm  as experts  in auditing and
accounting.

    The consolidated  financial statements  and  schedules of  National  Medical
Enterprises,  Inc. as of May 31, 1994 and 1993, and for each of the years in the
three-year period ended May 31, 1994, have been incorporated by reference herein
and in the  registration statement  in reliance upon  the reports  of KPMG  Peat
Marwick LLP, independent certified public accountants, incorporated by reference
herein,  and  upon the  authority  of said  firm  as experts  in  accounting and
auditing. The  report  of  KPMG Peat  Marwick  LLP  covering the  May  31,  1994
consolidated financial statements refers to a change in the method of accounting
for income taxes.

                                       75
<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..............................................................................        A-2
Section 1.2       Effective Time of the Merger............................................................        A-2

                                                     ARTICLE II
                                              THE SURVIVING CORPORATION

Section 2.1       Certificate of Incorporation............................................................        A-2
Section 2.2       By-Laws.................................................................................        A-2
Section 2.3       Directors and Officers of Surviving Corporation.........................................        A-2

                                                     ARTICLE III
                                                CONVERSION OF SHARES

Section 3.1       Merger Consideration....................................................................        A-3
Section 3.2       Exchange of Certificates Representing Shares............................................        A-3
Section 3.3       Dividends...............................................................................        A-4
Section 3.4       No Fractional Securities................................................................        A-4
Section 3.5       Closing of Company Transfer Books.......................................................        A-4
Section 3.6       Unclaimed Amounts.......................................................................        A-5
Section 3.7       Lost Certificates.......................................................................        A-5
Section 3.8       Dissenting Shares.......................................................................        A-5
Section 3.9       Closing.................................................................................        A-5

                                                     ARTICLE IV
                                      REPRESENTATIONS AND WARRANTIES OF PARENT

Section 4.1       Organization............................................................................        A-5
Section 4.2       Capitalization; Registration Rights.....................................................        A-6
Section 4.3       Subsidiaries............................................................................        A-6
Section 4.4       Material Investments....................................................................        A-7
Section 4.5       Authority Relative to this Agreement....................................................        A-7
Section 4.6       Consents and Approvals; No Violations...................................................        A-7
Section 4.7       Parent SEC Reports......................................................................        A-8
Section 4.8       Absence of Certain Changes or Events....................................................        A-8
Section 4.9       Litigation..............................................................................        A-9
Section 4.10      Absence of Undisclosed Liabilities......................................................        A-9
Section 4.11      No Default..............................................................................        A-9
Section 4.12      Taxes...................................................................................        A-9
Section 4.13      Title to Certain Properties; Encumbrances...............................................       A-10
Section 4.14      Medicare Participation/Accreditation and Recapture......................................       A-10
Section 4.15      Labor Matters...........................................................................       A-11
Section 4.16      Employee Benefit Plans; ERISA...........................................................       A-11
Section 4.17      Patents, Licenses, Franchises and Formulas..............................................       A-13
Section 4.18      Insurance...............................................................................       A-13
Section 4.19      Board Approvals; Opinion of Financial Advisor...........................................       A-13
Section 4.20      Brokers.................................................................................       A-13
</TABLE>

                                      A-i
<PAGE>

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

                                                      ARTICLE V
                                    REPRESENTATIONS AND WARRANTIES OF THE COMPANY

Section 5.1       Organization............................................................................       A-14
Section 5.2       Capitalization..........................................................................       A-14
Section 5.3       Subsidiaries............................................................................       A-14
Section 5.4       Material Investments....................................................................       A-15
Section 5.5       Authority Relative to this Agreement....................................................       A-15
Section 5.6       Consents and Approvals; No Violations...................................................       A-15
Section 5.7       Company SEC Reports.....................................................................       A-16
Section 5.8       Absence of Certain Changes or Events....................................................       A-16
Section 5.9       Litigation..............................................................................       A-16
Section 5.10      Absence of Undisclosed Liabilities......................................................       A-17
Section 5.11      No Default..............................................................................       A-17
Section 5.12      Taxes...................................................................................       A-17
Section 5.13      Title to Certain Properties; Encumbrances...............................................       A-18
Section 5.14      Compliance with Applicable Law..........................................................       A-18
Section 5.15      Medicare Participation/Accreditation and Recapture......................................       A-18
Section 5.16      Labor Matters...........................................................................       A-19
Section 5.17      Employee Benefit Plans; ERISA...........................................................       A-19
Section 5.18      Patents, Licenses, Franchises and Formulas..............................................       A-21
Section 5.19      Insurance...............................................................................       A-21
Section 5.20      Board Approval; Opinion of Financial Advisor............................................       A-21
Section 5.21      Brokers.................................................................................       A-21

                                                     ARTICLE VI
                                       CONDUCT OF BUSINESS PENDING THE MERGER

Section 6.1       Conduct of Business by the Company Pending the Merger...................................       A-22
Section 6.2       Conduct of Business by Parent Pending the Merger........................................       A-23
Section 6.3       Conduct of Business of SUB..............................................................       A-24

                                                     ARTICLE VII
                                                ADDITIONAL AGREEMENTS

Section 7.1       Access and Information..................................................................       A-24
Section 7.2       Acquisition Proposals...................................................................       A-24
Section 7.3       Registration Statement..................................................................       A-25
Section 7.4       Listing Application.....................................................................       A-25
Section 7.5       Information Statement and Stockholder Approval..........................................       A-25
Section 7.6       Filings; Other Action...................................................................       A-26
Section 7.7       Public Announcements....................................................................       A-26
Section 7.8       Company Indemnification Provision.......................................................       A-26
Section 7.9       Registration Statement for Securities Act Affiliates....................................       A-27
Section 7.10      Certain Benefits........................................................................       A-27
Section 7.11      Directors of Parent.....................................................................       A-27
Section 7.12      Special Dividend........................................................................       A-27
Section 7.13      Additional Agreements...................................................................       A-28
</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..............................       A-28
Section 8.2       Conditions to Obligation of the Company to Effect the Merger............................       A-28
Section 8.3       Conditions to Obligations of Parent and SUB to Effect the Merger........................       A-29

                                                     ARTICLE IX
                                          TERMINATION, AMENDMENT AND WAIVER

Section 9.1       Termination by Mutual Consent...........................................................       A-30
Section 9.2       Termination by Either Parent or the Company.............................................       A-30
Section 9.3       Termination by the Company..............................................................       A-30
Section 9.4       Termination by Parent...................................................................       A-30
Section 9.5       Effect of Termination and Abandonment...................................................       A-30

                                                      ARTICLE X
                                                 GENERAL PROVISIONS

Section 10.1      Survival of Representations, Warranties and Agreements..................................       A-31
Section 10.2      Notices.................................................................................       A-31
Section 10.3      Descriptive Headings....................................................................       A-32
Section 10.4      Entire Agreement: Assignment............................................................       A-32
Section 10.5      Governing Law...........................................................................       A-32
Section 10.6      Expenses................................................................................       A-32
Section 10.7      Amendment...............................................................................       A-32
Section 10.8      Waiver..................................................................................       A-32
Section 10.9      Counterparts; Effectiveness.............................................................       A-32
Section 10.10     Severability; Validity; Parties in Interest.............................................       A-32
Section 10.11     Enforcement of Agreement................................................................       A-33
</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

                                      A-10
<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>
                                                                         ANNEX B

    262   APPRAISAL RIGHTS.   --  (a)  Any stockholder of  a corporation of this
State who holds shares of stock on the  date of the making of a demand  pursuant
to  subsection (d) of this section with respect to such shares, who continuously
holds such shares through the effective date of the merger or consolidation, who
has otherwise complied with subsection (d)  of this section and who has  neither
voted  in favor of the merger or  consolidation nor consented thereto in writing
pursuant to Section 228 of this title  shall be entitled to an appraisal by  the
Court  of  Chancery  of  the  fair  value  of  his  shares  of  stock  under the
circumstances described in subsections (b) and  (c) of this section. As used  in
this  section, the  word "stockholder" means  a holder  of record of  stock in a
stock corporation and  also a member  of record of  a nonstock corporation;  the
words  "stock" and "share"  mean and include  what is ordinarily  meant by those
words and  also membership  or membership  interest of  a member  of a  nonstock
corporation;  AND  THE  WORDS  "DEPOSITORY  RECEIPT"  MEAN  A  RECEIPT  OR OTHER
INSTRUMENT ISSUED  BY A  DEPOSITORY  REPRESENTING AN  INTEREST  IN ONE  OR  MORE
SHARES,  OR FRACTIONS THEREOF SOLELY  OF STOCK OF A  CORPORATION, WHICH STOCK IS
DEPOSITED WITH THE DEPOSITORY.

    (b)  Appraisal  rights shall be  available for  the shares of  any class  or
series  of stock of a constituent corporation in a merger or consolidation to be
effected pursuant to Section 251, 252, 254, 257, 258, 263 or 264 of this title:

        (1) Provided, however, that no appraisal rights under this section shall
    be available for the shares of any class or series of stock, WHICH STOCK, OR
    DEPOSITORY RECEIPTS  IN  RESPECT  THEREOF,  at  the  record  date  fixed  to
    determine  the stockholders entitled to receive notice of and to vote at the
    meeting  of  stockholders   to  act   upon  the  agreement   of  merger   or
    consolidation,  were either (i) listed on  a national securities exchange or
    designated as a national market system security on an interdealer  quotation
    system  by the National Association of Securities Dealers, Inc. or (ii) held
    of record by more than 2,000 HOLDERS; and further provided that no appraisal
    rights shall  be  available for  any  shares  of stock  of  the  constituent
    corporation  surviving  a  merger if  the  merger  did not  require  for its
    approval the vote of the holders of the surviving corporation as provided in
    subsection (f) of Section 251 of this title.

        (2) Notwithstanding paragraph (1)  of this subsection, appraisal  rights
    under  this section shall be available for the shares of any class or series
    of stock of a constituent corporation if the holders thereof are required by
    the  terms  of  an  agreement   of  merger  or  consolidation  pursuant   to
    SectionSection  251, 252, 254, 257, 258, 263 and 264 of this title to accept
    for such stock anything except:

           a.  Shares of  stock of the corporation  surviving or resulting  from
       such merger or consolidation, OR DEPOSITORY RECEIPTS IN RESPECT THEREOF;

           b.   Shares of stock of any other corporation, OR DEPOSITORY RECEIPTS
       IN RESPECT THEREOF, WHICH SHARES OF  STOCK OR DEPOSITORY RECEIPTS at  the
       effective  date of the merger or consolidation will be either listed on a
       national securities exchange  or designated as  a national market  system
       security  on an interdealer quotation  system by the National Association
       of Securities Dealers, Inc. or held of record by more than 2,000 HOLDERS;

           c.   Cash  in lieu  of  fractional shares  OR  FRACTIONAL  DEPOSITORY
       RECEIPTS  described  in the  foregoing subparagraphs  a.  and b.  of this
       paragraph; or

           d.  Any combination of the  shares of stock, DEPOSITORY RECEIPTS  and
       cash  in  lieu of  fractional  shares OR  FRACTIONAL  DEPOSITORY RECEIPTS
       described in the foregoing subparagraphs a., b. and c. of this paragraph.

        (3) In the event all of  the stock of a subsidiary Delaware  corporation
    party  to a merger effected under Section 253  of this title is not owned by
    the parent corporation  immediately prior  to the  merger, appraisal  rights
    shall be available for the shares of the subsidiary Delaware corporation.

                                      B-1
<PAGE>
        (c) Any corporation may provide in its certificate of incorporation that
    appraisal rights under this section shall be available for the shares of any
    class  or series of its stock as a result of an amendment to its certificate
    of incorporation, any merger or consolidation in which the corporation is  a
    constituent  corporation  or the  sale of  all or  substantially all  of the
    assets of the corporation. If the certificate of incorporation contains such
    a provision, the procedures  of this section, including  those set forth  in
    subsections  (d)  and (e)  of  this section,  shall  apply as  nearly  as is
    practicable.

        (d) Appraisal rights shall be perfected as follows:

           (1) If a proposed merger or consolidation for which appraisal  rights
       are  provided under  this section  is to be  submitted for  approval at a
       meeting of stockholders, the corporation, not less than 20 days prior  to
       the  meeting, shall notify each  of its stockholders who  was such on the
       record date for such meeting with  respect to shares for which  appraisal
       rights  are  available pursuant  to subsections  (b)  or (c)  hereof that
       appraisal rights  are available  for any  or  all of  the shares  of  the
       constituent corporations, and shall include in such notice a copy of this
       section.  Each stockholder electing to demand the appraisal of his shares
       shall deliver to the  corporation, before the taking  of the vote on  the
       merger  or consolidation, a  written demand for  appraisal of his shares.
       Such demand will be sufficient  if it reasonably informs the  corporation
       of  the  identity of  the stockholder  and  that the  stockholder intends
       thereby to demand the  appraisal of his shares.  A proxy or vote  against
       the  merger  or  consolidation  shall not  constitute  such  a  demand. A
       stockholder electing to take such action must do so by a separate written
       demand as herein  provided. Within 10  days after the  effective date  of
       such  merger  or consolidation,  the  surviving or  resulting corporation
       shall notify each  stockholder of  each constituent  corporation who  has
       complied  with this subsection and has not voted in favor of or consented
       to  the  merger  or  consolidation  of  the  date  that  the  merger   or
       consolidation has become effective; or

           (2)  If the merger or consolidation  was approved pursuant to Section
       228 or 253 of this title, the surviving or resulting corporation,  either
       before  the effective  date of the  merger or consolidation  or within 10
       days thereafter,  shall  notify  each of  the  stockholders  entitled  to
       appraisal rights of the effective date of the merger or consolidation and
       that  appraisal rights are available for any  or all of the shares of the
       constituent corporation, and shall include in such notice a copy of  this
       section. The notice shall be sent by certified or registered mail, return
       receipt  requested, addressed  to the  stockholder at  his address  as it
       appears on the records  of the corporation.  Any stockholder entitled  to
       appraisal  rights may, within  20 days after  the date of  mailing of the
       notice, demand in writing from the surviving or resulting corporation the
       appraisal of his shares. Such demand will be sufficient if it  reasonably
       informs  the corporation of the identity  of the stockholder and that the
       stockholder intends thereby to demand the appraisal of his shares.

        (e)  Within  120  days  after  the  effective  date  of  the  merger  or
    consolidation, the surviving or resulting corporation or any stockholder who
    has  complied  with subsections  (a)  and (d)  hereof  and who  is otherwise
    entitled to appraisal rights, may file  a petition in the Court of  Chancery
    demanding   a  determination  of  the  value   of  the  stock  of  all  such
    stockholders. Notwithstanding  the foregoing,  at any  time within  60  days
    after  the effective  date of the  merger or  consolidation, any stockholder
    shall have the right to withdraw his demand for appraisal and to accept  the
    terms  offered upon the  merger or consolidation. Within  120 days after the
    effective date  of the  merger  or consolidation,  any stockholder  who  has
    complied  with  the requirements  of subsections  (a)  and (d)  hereof, upon
    written request, shall be entitled to receive from the corporation surviving
    the merger or resulting from the consolidation a statement setting forth the
    aggregate number of shares not voted in favor of the merger or consolidation
    and with respect to which demands  for appraisal have been received and  the
    aggregate    number   of    holders   of    such   shares.    Such   written

                                      B-2
<PAGE>
    statement shall  be mailed  to  the stockholder  within  10 days  after  his
    written  request  for  such a  statement  is  received by  the  surviving or
    resulting corporation or within 10 days  after expiration of the period  for
    delivery  of demands for appraisal under subsection (d) hereof, whichever is
    later.

        (f) Upon the filing of any such petition by a stockholder, service of  a
    copy  thereof shall  be made  upon the  surviving or  resulting corporation,
    which shall within  20 days after  such service  file in the  office of  the
    Register  in Chancery in which  the petition was filed  a duly verified list
    containing the names  and addresses  of all stockholders  who have  demanded
    payment  for their shares and with whom  agreements as to the value of their
    shares have not been reached by  the surviving or resulting corporation.  If
    the  petition shall be filed by  the surviving or resulting corporation, the
    petition shall be accompanied by such a duly verified list. The Register  in
    Chancery,  if so  ordered by the  Court, shall  give notice of  the time and
    place fixed for the hearing of such petition by registered or certified mail
    to the surviving or resulting corporation  and to the stockholders shown  on
    the list at the addresses therein stated. Such notice shall also be given by
    1  or more publications at least 1 week  before the day of the hearing, in a
    newspaper of  general  circulation  published in  the  City  of  Wilmington,
    Delaware  or such publication as the Court deems advisable. The forms of the
    notices by mail and by publication shall  be approved by the Court, and  the
    costs thereof shall be borne by the surviving or resulting corporation.

        (g)  At  the hearing  on such  petition, the  Court shall  determine the
    stockholders who  have  complied  with  this section  and  who  have  become
    entitled  to appraisal  rights. The Court  may require  the stockholders who
    have demanded an appraisal for their  shares and who hold stock  represented
    by  certificates to  submit their certificates  of stock to  the Register in
    Chancery for notation thereon of the pendency of the appraisal  proceedings;
    and  if any stockholder fails  to comply with such  direction, the Court may
    dismiss the proceedings as to such stockholder.

        (h) After determining  the stockholders  entitled to  an appraisal,  the
    Court  shall appraise the shares, determining  their fair value exclusive of
    any element of value arising from  the accomplishment or expectation of  the
    merger  or consolidation, together with a fair  rate of interest, if any, to
    be paid upon the amount determined to be the fair value. In determining such
    fair value,  the Court  shall take  into account  all relevant  factors.  In
    determining  the fair rate of interest,  the Court may consider all relevant
    factors, including the  rate of  interest which the  surviving or  resulting
    corporation would have had to pay to borrow money during the pendency of the
    proceeding. Upon application by the surviving or resulting corporation or by
    any  stockholder entitled  to participate  in the  appraisal proceeding, the
    Court may, in its discretion, permit discovery or other pretrial proceedings
    and may proceed to trial upon the appraisal prior to the final determination
    of the  stockholder entitled  to an  appraisal. Any  stockholder whose  name
    appears on the list filed by the surviving or resulting corporation pursuant
    to  subsection (f) of this section and who has submitted his certificates of
    stock to the  Register in  Chancery, if  such is  required, may  participate
    fully  in all  proceedings until  it is  finally determined  that he  is not
    entitled to appraisal rights under this section.

        (i) The Court shall direct the payment of the fair value of the  shares,
    together with interest, if any, by the surviving or resulting corporation to
    the  stockholders entitled thereto.  Interest may be  simple or compound, as
    the Court may direct. Payment shall be so made to each such stockholder,  in
    the  case  of holders  of uncertificated  stock forthwith,  and the  case of
    holders of  shares represented  by certificates  upon the  surrender to  the
    corporation  of the certificates representing such stock. The Court's decree
    may be enforced as other decrees in  the Court of Chancery may be  enforced,
    whether  such surviving  or resulting corporation  be a  corporation of this
    State or of any state.

        (j)  The  costs of the  proceeding may  be determined by  the Court  and
    taxed  upon the parties  as the Court deems  equitable in the circumstances.
    Upon application of a stockholder, the Court  may order all or a portion  of
    the   expenses  incurred   by  any   stockholder  in   connection  with  the

                                      B-3
<PAGE>
    appraisal proceeding, including,  without limitation, reasonable  attorney's
    fees  and the fees and  expenses of experts, to  be charged pro rata against
    the value of all the shares entitled to an appraisal.

        (k) From and after the effective date of the merger or consolidation, no
    stockholder who has demanded his appraisal rights as provided in  subsection
    (d)  of this section shall be entitled to vote such stock for any purpose or
    to receive payment of dividends or other distributions on the stock  (except
    dividends or other distributions payable to stockholders of record at a date
    which  is  prior to  the  effective date  of  the merger  or consolidation);
    provided, however,  that if  no petition  for an  appraisal shall  be  filed
    within  the time  provided in  subsection (e)  of this  section, or  if such
    stockholder shall  deliver  to  the surviving  or  resulting  corporation  a
    written  withdrawal of his demand for an  appraisal and an acceptance of the
    merger or consolidation, either within 60  days after the effective date  of
    the merger or consolidation as provided in subsection (e) of this section or
    thereafter  with the written approval of  the corporation, then the right of
    such stockholder to an appraisal shall cease. Notwithstanding the foregoing,
    no appraisal proceeding in  the Court of Chancery  shall be dismissed as  to
    any  stockholder without the approval of the Court, and such approval may be
    conditioned upon such terms as the Court deems just.

        (l) The shares of  the surviving or resulting  corporation to which  the
    shares  of such  objecting stockholders would  have been  converted had they
    assented to the merger or consolidation shall have the status of  authorized
    and unissued shares of the surviving or resulting corporation. (Last amended
    by Ch. 262, L. '94, eff. 7-1-94.)

                                      B-4
<PAGE>
                                                                         ANNEX C

October 10, 1994

Board of Directors
American Medical Holdings, Inc.
14001 Dallas Parkway, Suite 200
Dallas, Texas 75380-9088

Dear Sirs:

    You have requested our opinion as to the fairness, from a financial point of
view,  to  the holders  of  common stock,  par  value $0.01  per  share ("Common
Stock"), of American Medical Holdings, Inc. (the "Company"), other than National
Medical Enterprises, Inc. ("NME") or any of its affiliates, of the consideration
to be  received by  such holders  in connection  with the  proposed merger  (the
"Merger")  of  the  Company with  a  subsidiary  of NME  (the  "NME Subsidiary")
pursuant to  the Merger  Agreement dated  as of  October 10,  1994 (the  "Merger
Agreement"),  among NME, the NME Subsidiary and the Company. In the Merger, each
issued and outstanding  share of  Common Stock (subject  to certain  exceptions)
will  be converted into the  right to receive (subject  to adjustment in certain
circumstances) $19.00 per share in cash, or $19.25 in the event that the  Merger
is  not consummated on or prior to March 31, 1995, and 0.42 of a share of common
stock, par  value $0.075  per share  ("NME  common stock"),  of NME  (or,  under
certain  circumstances,  at the  option of  the  Company, cash  in lieu  of such
fraction of a  share of NME  common stock in  accordance with the  terms of  the
Merger Agreement). In addition, pursuant to the Merger Agreement, on or prior to
the  consummation of  the Merger,  the Board  of Directors  of the  Company will
declare a special dividend of $0.10 per  share payable to the holders of  Common
Stock on or prior to such consummation.

    In  arriving at our opinion,  we have reviewed the  Merger Agreement and its
related exhibits. We have also reviewed certain publicly available business  and
financial  information  relating  to  the  Company,  as  well  as  certain other
information, including financial projections, provided to us by the Company.  We
have  discussed  the past  and current  operations  and financial  condition and
prospects of the  Company with its  senior management. With  respect to NME,  we
have reviewed publicly available business, financial and trading information and
financial  projections provided  to us  by NME and  have discussed  the past and
current operations and financial condition and prospects of NME with its  senior
management.  We have also considered  such other information, financial studies,
analyses, investigations and  financial, economic, market  and trading  criteria
which we deemed relevant.

    We  have  assumed  and  relied  on  the  accuracy  and  completeness  of the
information reviewed by  us for  the purpose  of this  opinion and  we have  not
assumed  any responsibility for independent  verification of such information or
for any independent evaluation or appraisal of the assets of the Company or NME.
With respect to the Company's and  NME's financial projections, we have  assumed
that  they have been reasonably prepared  on bases reflecting the best currently
available estimates and judgments of the Company's or NME's, as the case may be,
management as to the future financial performance of the Company or NME, as  the
case  may be, and  we express no opinion  with respect to  such forecasts or the
assumptions on  which they  are based.  Our opinion  is necessarily  based  upon
business,  market, economic and  other conditions as  they exist on,  and can be
evaluated as of,  the date of  this letter  and does not  address the  Company's
underlying business decision to effect the Merger or constitute a recommendation
to  any holder of Common Stock as to how such holder should vote with respect to
the Merger. We were not requested to, and did not, solicit third party offers to
acquire all or any part of the Company. Our opinion as expressed below does  not
imply  any  conclusion as  to  the likely  trading  range for  NME  common stock
following the consummation  of the Merger,  which may vary  depending on,  among
other  factors, changes  in interest  rates, dividend  rates, market conditions,
general economic conditions and other factors that generally influence the price
of securities.

                                      C-1
<PAGE>
    We have acted as financial advisor to the Board of Directors of the  Company
in  connection with the Merger and will receive  a fee for our services which is
payable upon the initial submission of  this opinion. In the ordinary course  of
our  business, we actively trade  the debt and equity  securities of the Company
and NME for our own account and for the accounts of customers and,  accordingly,
may at any time hold a long or short position in such securities.

    Based  upon and subject to the foregoing, it  is our opinion that, as of the
date hereof, the  consideration to be  received by the  holders of Common  Stock
(other  than NME or any of its affiliates) in connection with the Merger is fair
to such holders from a financial point of view.

                                          Very truly yours,

                                          Salomon Brothers Inc

                                          By: _______/s/_LOUIS B. SUSMAN________
                                                     Louis B. Susman
                                                    MANAGING DIRECTOR

                                      C-2
<PAGE>
                                    PART II
                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 20.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.

    Section 78.751 of the Nevada General Corporation Law ("Nevada Law") provides
generally  and in  pertinent part  that a  Nevada corporation  may indemnify its
directors and  officers  against  expenses, judgments,  fines,  and  settlements
actually  and reasonably incurred by  them in connection with  any civil suit or
action,  except  actions  by  or  in  the  right  of  the  corporation,  or  any
administrative or investigative proceeding if, in connection with the matters in
issue,  they acted in good faith and in  a manner they reasonably believed to be
in, or not opposed to, the best interests of the corporation, and in  connection
with  any criminal  suit or  proceeding, if  in connection  with the  matters in
issue, they  had no  reasonable cause  to believe  their conduct  was  unlawful.
Section  78.751  further  provides  that,  in  connection  with  the  defense or
settlement of  any action  by  or in  the right  of  the corporation,  a  Nevada
corporation  may indemnify its directors  and officers against expenses actually
and reasonably incurred  by them if,  in connection with  the matters in  issue,
they  acted in good faith, in a manner they reasonably believed to be in, or not
opposed to, the best interest of the corporation. Section 78.751 further permits
a Nevada corporation to  grant its directors and  officers additional rights  of
indemnification through by-law provisions and otherwise.

    Article  X of the  Restated Articles of Incorporation  of the Registrant and
Article IX of the Restated By-Laws of the Registrant provide that the Registrant
shall indemnify its directors  and officers to the  fullest extent permitted  by
Nevada Law. The Registrant has entered into indemnification agreements with each
of  its directors  and executive  officers. Such  indemnification agreements are
intended to  provide a  contractual  right to  indemnification, to  the  maximum
extent  permitted by law,  for expenses (including  attorneys' fees), judgments,
penalties, fines,  and  amounts  paid  in  settlement  actually  and  reasonably
incurred  by  the person  to be  indemnified in  connection with  any proceeding
(including, to the extent permitted by applicable law, any derivative action) to
which they are, or are threatened to be made, a party by reason of their  status
in such positions. Such indemnification agreements do not change the basic legal
standards  for  indemnification  set  forth under  Nevada  Law  or  the Restated
Articles of Incorporation of the Registrant. Such agreements are intended to  be
in  furtherance, and not in limitation  of, the general right to indemnification
provided in the Registrant's Restated Articles of Incorporation.

    Section 78.037 of the Nevada Law provides that the articles of incorporation
may contain a  provision eliminating  or limiting  the personal  liability of  a
director  to the corporation or its stockholders for monetary damages for breach
of fiduciary  duty  as  a  director, provided  that  such  provision  shall  not
eliminate  or  limit the  liability of  a director  or officer  (i) for  acts or
omissions which involve intentional misconduct or a knowing violation of law, or
(ii) under  Section  78.300  of  the  Nevada  Law  (relating  to  liability  for
unauthorized  acquisitions or redemptions  of, or dividends  on, capital stock).
Article X of the Restated Articles  of Incorporation of the Registrant  contains
such a provision.

    Insofar  as indemnification for liabilities arising under the Securities Act
may be permitted to  directors, officers or  persons controlling the  Registrant
pursuant  to the foregoing provisions, the  Registrant has been informed that in
the opinion of the  Securities and Exchange  Commission such indemnification  is
against  public  policy as  expressed  in the  Securities  Act and  is therefore
unenforceable.

                                      II-1
<PAGE>
ITEM 21. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES

<TABLE>
<CAPTION>
EXHIBIT
 NO.                                    DESCRIPTION
- ------    -----------------------------------------------------------------------
<C>       <S>
 2.1      Agreement and Plan of Merger, dated as of October 10, 1994, by and
           among the Registrant, American Medical Holdings, Inc. and AMH
           Acquisition Co., Inc. (attached as Annex A to the Information
           Statement/Prospectus included in this Registration Statement)*
 3.1      Restated Articles of Incorporation of Registrant, as amended October
           13, 1987 (Incorporated by reference to Exhibit 3(a) to Registrant's
           Annual Report on Form 10-K dated August 30, 1993)
 3.2      Restated Bylaws of Registrant, as amended September 28, 1994
           (Incorporated by reference to Exhibit 3.1 to Registrant's Registration
           Statement on Form S-3 dated October 23, 1994)
 4.1      Form of Indenture for the Registrant's Convertible Floating Rate
           Debentures, dated as of February 1, 1992, among NME PIP Funding I,
           Inc., the Registrant and Bankers Trust Company, as Trustee
           (Incorporated by reference to Exhibit 4(a) to Registration Statement
           on Form S-3, Registration No. 33-45689, dated February 14, 1992)
 4.2      Form of Convertible Floating Rate Debenture due April 3, 1996
           (Incorporated by reference to Exhibit 4(e) to Registrant's
           Registration Statement on Form S-3, Registration No. 33-45689, dated
           February 14, 1992)
 4.3      Agreement Providing for First Amendment to Convertible Floating Rate
           Debentures due April 3, 1996, dated as of December 11, 1991, between
           the Registrant and NME PIP Funding I, Inc. (Incorporated by reference
           to Exhibit 4(f) to Registrant's Registration Statement on Form S-3,
           Registration No. 33-45689, dated February 14, 1992)
 4.4      Certificate of Designation, Preferences and Rights of Series B
           Convertible Preferred Stock (Incorporated by reference to Exhibit 4(d)
           to Registrant's Annual Report on Form 10-K dated August 23, 1991)
 4.5      Form of Investment Option Agreement (Incorporated by reference to
           Exhibit 10(e) to Registrant's Annual Report on Form 10-K dated August
           28, 1989)
 4.6      Indenture, dated as of March 1, 1991, between the Registrant and The
           Bank of New York, as Trustee (Incorporated by reference to Exhibit
           4(a) to Registrant's Annual Report on Form 10-K dated August 23, 1991)
 4.7      Indenture, dated as of April 1, 1985, between the Registrant and The
           Bank of New York, as Trustee (Incorporated by reference to Exhibit 4.1
           to Amendment No. 1 to the Registrant's Registration Statement on Form
           S-3, File No. 2-96780, filed with the Securities and Exchange
           Commission on April 3, 1985)
 4.8      Certificate of Designation, Preferences and Rights of Series A Junior
           Participating Preferred Stock (Incorporated by reference to Exhibit
           4(h) to Registrant's Annual Report on Form 10-K dated August 30, 1993)
 5        Opinion of Scott M. Brown, Esq., Senior Vice President, General Counsel
           and Secretary of Registrant*
11        Statement Re: Computation of Pro Forma Per Share Earnings*
12        Statement Re: Computation of Ratio of Earnings to Fixed Charges*
23.1      Accountants' Consent (KPMG Peat Marwick LLP)*
23.2      Consent of Scott M. Brown, Esq. (included as part of Exhibit 5)
23.3      Accountants' Consent (Price Waterhouse LLP)*
</TABLE>

                                      II-2
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT
 NO.                                    DESCRIPTION
- ------    -----------------------------------------------------------------------
23.4      Consent of Robert O'Leary*
<C>       <S>
23.5      Consent of John Casey*
23.6      Consent of Thomas J. Pritzker*
24        Power of Attorney (included on page II-4 hereof)
<FN>
- ------------------------
*    Filed herewith
</TABLE>

    All other schedules for which provision is made in the applicable accounting
regulation of the  Securities and Exchange  Commission are not  required or  are
inapplicable,  and therefore have been omitted,  or the required information has
been disclosed in the Consolidated Financial Statements.

ITEM 22. UNDERTAKINGS

    (a) The undersigned Registrant hereby  undertakes as follows: that prior  to
any  public reoffering of  the securities registered hereunder  through use of a
prospectus which is  a part  of this Registration  Statement, by  any person  or
party  who is deemed to be an underwriter within the meaning of Rule 145(c), the
issuer undertakes that such reoffering  prospectus will contain the  information
called  for by the  applicable registration form with  respect to reofferings by
persons who may be  deemed underwriters, in addition  to the information  called
for by the other items of the applicable form.

    (b)  The  Registrant  undertakes that  every  prospectus (i)  that  is filed
pursuant to paragraph (a) immediately preceding,  or (ii) that purports to  meet
the  requirements of Section 10(a)(3) of the  Act and is used in connection with
an offering of securities  subject to Rule 415,  will be filed as  a part of  an
amendment  to  the  Registration  Statement  and will  not  be  used  until such
amendment is  effective, and  that, for  purposes of  determining any  liability
under  the Securities Act  of 1933, each such  post-effective amendment shall be
deemed to be  a new registration  statement relating to  the securities  offered
therein,  and the offering of such securities at that time shall be deemed to be
the initial bona fide offering thereof.

    (c) Insofar as indemnification for liabilities arising under the  Securities
Act  of 1933 may be permitted to  directors, officers and controlling persons of
the  Registrant  pursuant  to  the  foregoing  provisions,  or  otherwise,   the
Registrant  has been advised that in the  opinion of the Securities and Exchange
Commission such indemnification is against public policy as expressed in the Act
and is, therefore, unenforceable. In the event that a claim for  indemnification
against  such liabilities (other than the  payment by the Registrant of expenses
incurred or paid by a director, officer or controlling person of the  Registrant
in the successful defense of any action, suit or proceeding) is asserted by such
director,  officer or controlling person in connection with the securities being
registered, the Registrant will, unless in the opinion of its counsel the matter
has been settled  by controlling  precedent, submit  to a  court of  appropriate
jurisdiction  the question whether such indemnification  by it is against public
policy as expressed in the Act and will be governed by the final adjudication of
such issue.

    (d) The undersigned Registrant hereby undertakes to respond to requests  for
information  that is incorporated  by reference into  the prospectus pursuant to
Item 4, 10(b), 11,  or 13 of this  form, within one business  day of receipt  of
such  request, and  to send  the incorporated documents  by first  class mail or
other equally prompt  means. This  includes information  contained in  documents
filed subsequent to the effective date of the registration statement through the
date of responding to the request.

    (e)  The undersigned  Registrant hereby undertakes  to supply by  means of a
post-effective amendment  all  information  concerning a  transaction,  and  the
company  being  acquired  involved therein,  that  was  not the  subject  of and
included in the registration statement when it became effective.

                                      II-3
<PAGE>
                                   SIGNATURES

    Pursuant  to the requirement  of the Securities Act  of 1933, the Registrant
has duly caused this Registration  Statement to be signed  on its behalf by  the
undersigned,  thereunto duly authorized,  in the City of  Santa Monica, State of
California on January 27, 1995.

                                          NATIONAL MEDICAL ENTERPRISES, INC.

                                          By:      /s/ JEFFREY C. BARBAKOW

                                             -----------------------------------
                                                     Jeffrey C. Barbakow
                                             CHAIRMAN OF THE BOARD OF DIRECTORS
                                                 AND CHIEF EXECUTIVE OFFICER

                               POWER OF ATTORNEY

    KNOW ALL MEN  BY THESE PRESENTS,  that each person  whose signature  appears
below  constitutes and  appoints Jeffrey C.  Barbakow, Raymond  L. Mathiasen and
Scott M.  Brown and  each of  them, his  true and  lawful attorneys-in-fact  and
agents,  with full power of substitution and  resubstitution, for him and in his
name, place and stead, in any and all capacities, to sign any and all amendments
(including post-effective amendments) to this Registration Statement and to file
the same with all exhibits thereto, and other documents in connection therewith,
with   the   Securities   and   Exchange   Commission,   granting   unto    said
attorneys-in-fact  and agents, and each of them,  full power and authority to do
and perform each and every act and  thing requisite and necessary to be done  in
and about the premises as fully to all intents and purposes as he might or could
do  in person, hereby  ratifying and confirming  all that said attorneys-in-fact
and agents, or  any of  them, or  their or  his substitutes  or substitute,  may
lawfully do or cause to be done by virtue hereof.

    Pursuant   to  the  requirements  of  the   Securities  Act  of  1933,  this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities and on the dates indicated:

             SIGNATURE                         TITLE                  DATE
- -----------------------------------  -------------------------  ----------------

                                     Chairman of the Board of
      /s/ JEFFREY C. BARBAKOW         Directors and Chief
- -----------------------------------   Executive Officer         January 27, 1995
        Jeffrey C. Barbakow           (Principal Executive
         ATTORNEY-IN-FACT             Officer)

     /s/ MICHAEL H. FOCHT, SR.       President, Chief
- -----------------------------------   Operating Officer and     January 27, 1995
       Michael H. Focht, Sr.          Director

     /s/ RAYMOND L. MATHIASEN        Senior Vice President and
- -----------------------------------   Chief Financial Officer
       Raymond L. Mathiasen           (Principal Financial and  January 27, 1995
         ATTORNEY-IN-FACT             Accounting Officer)

      /s/ BERNICE B. BRATTER
- -----------------------------------  Director                   January 27, 1995
        Bernice B. Bratter

                                      II-4
<PAGE>

             SIGNATURE                         TITLE                  DATE
- -----------------------------------  -------------------------  ----------------

       /s/ MAURICE J. DEWALD
- -----------------------------------          Director           January 27, 1995
         Maurice J. DeWald

        /s/ PETER DE WETTER
- -----------------------------------          Director           January 27, 1995
          Peter de Wetter

- -----------------------------------          Director
        Edward Egbert, M.D.

        /s/ RAYMOND A. HAY
- -----------------------------------          Director           January 27, 1995
          Raymond A. Hay

        /s/ LESTER B. KORN
- -----------------------------------          Director           January 27, 1995
          Lester B. Korn

      /s/ JAMES P. LIVINGSTON
- -----------------------------------          Director           January 27, 1995
        James P. Livingston

     /s/ RICHARD S. SCHWEIKER
- -----------------------------------          Director           January 27, 1995
       Richard S. Schweiker

                                      II-5

<PAGE>
                                                                       EXHIBIT 5

                                January 30, 1995

National Medical Enterprises, Inc.
2700 Colorado Avenue
Santa Monica, California 90404

Ladies and Gentlemen:

    I  am the  General Counsel of  National Medical Enterprises,  Inc., a Nevada
corporation (the "Company"),  and in  such capacity  I am  charged with  general
supervisory  responsibilities  for  the legal  affairs  of the  Company  and its
subsidiaries. This opinion is furnished in connection with the preparation of  a
Registration Statement on Form S-4 (the "Registration Statement") to be filed by
the  Company with the  Securities and Exchange  Commission (the "Commission") on
January 30, 1995. The Registration  Statement relates to the registration  under
the  Securities Act of 1933,  as amended (the "Act"),  of 13,342,156 shares (the
"Shares") of the common stock of the Company, par value $0.075 (the "NME  Common
Stock"),  to be issued  in connection with  the Merger (as  defined below). This
opinion is delivered in  connection with the requirements  of Item 601(b)(5)  of
Regulation S-K under the Act.

    The  Shares are  to be issued  in connection  with an Agreement  and Plan of
Merger, dated as of October 10, 1994, by and among the Company, AMH  Acquisition
Co.,  a Delaware corporation  that is a  wholly owned subsidiary  of the Company
("Merger  Subsidiary"),  and  American   Medical  Holdings,  Inc.,  a   Delaware
corporation   ("AMH"),  pursuant  to  which,  among  other  things,  (i)  Merger
Subsidiary will be  merged with and  into AMH  (the "Merger"), with  AMH as  the
surviving  corporation and (ii) each share of  common stock, par value $0.01 per
share, of AMH outstanding at the effective time of the Merger will be  converted
into  the right  to receive (x)  0.42 of  a share of  NME Common  Stock, and (y)
$19.00 in cash  ($19.25 in cash  if the  Merger is consummated  after March  31,
1995).

    In  connection  with this  opinion,  I have  examined  and am  familiar with
originals or copies, certified  or otherwise identified  to my satisfaction,  of
(i)  the  Restated Articles  of  Incorporation and  the  Restated Bylaws  of the
Company, each as amended to date; (ii) copies of certain resolutions adopted  by
the  Company's  Board of  Directors relating  to  the Merger,  including without
limitation, the authorization and issuance of the Shares; (iii) the Registration
Statement (together with the Information Statement and Prospectus forming a part
thereof); and (iv) such  other documents, instruments and  agreements as I  have
deemed necessary or appropriate as a basis for the opinion set forth below.

    In  rendering the opinion set forth  herein, I have assumed the satisfaction
of the following conditions: the issuance by appropriate regulatory agencies  of
all  necessary permits, consents, approvals,  authorizations and orders relating
to the issuance and  sale of the Shares  in their respective jurisdictions;  the
Registration   Statement  being  declared  effective   by  the  Commission;  the
consummation of the Merger and the offering and sale of the Shares in the manner
set forth in the Registration Statement, in accordance with the Merger Agreement
and pursuant to  said permits, consents,  approvals, authorizations and  orders;
the  genuineness  and  authenticity  of  all  signatures  on  original documents
submitted to me; the legal capacity of all natural persons; the authenticity  of
all  documents  submitted to  me as  originals; and  the conformity  to original
documents  of  all  documents  submitted  to  me  as  certified,  conformed   or
photostatic copies.

    Based  on and subject to the foregoing, I  am of the opinion that the Shares
are duly authorized and when the  certificates representing the Shares are  duly
executed,  countersigned, registered and delivered  by the Company in accordance
with the terms  of the  Merger Agreement, such  Shares will  be legally  issued,
fully paid and nonassessable.

    This  opinion is furnished to you solely for your benefit in connection with
the filing of  the Registration  Statement and is  not to  be used,  circulated,
quoted  or otherwise referred to for any  other purpose without my prior written
consent. Notwithstanding the foregoing, I hereby  consent to the filing of  this
opinion  with the Commission as  Exhibit 5 to the  Registration Statement and to
the
<PAGE>
reference to  my name  under the  caption "Legal  Matters" in  the  Registration
Statement. In giving such consent, I do not thereby admit that I come within the
category  of persons whose  consent is required  under Section 7  of the Act, as
amended, or the rules and regulations of the Commission thereunder.

                                          Very truly yours,

                                          Scott M. Brown

<PAGE>
                                                                      EXHIBIT 11

              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
           STATEMENT RE: COMPUTATION OF PRO FORMA PER SHARE EARNINGS*

<TABLE>
<CAPTION>
                                                                               SIX MONTHS ENDED
                                                                                 NOVEMBER 30,
                                                                           ------------------------   YEAR ENDED
                                                                              1994         1993      MAY 31, 1994
                                                                           -----------  -----------  ------------
                                                                                   (AMOUNTS IN THOUSANDS,
                                                                                 EXCEPT PER SHARE AMOUNTS)
<S>                                                                        <C>          <C>          <C>
FOR PRIMARY EARNINGS PER SHARE
Shares outstanding at beginning of period................................      166,081      165,898      165,898
Shares issued upon exercise of stock options.............................          171            8           60
Dilutive effect of outstanding stock options.............................        2,138          198        1,114
Shares issued as grants of restricted stock, net of
 cancellations...........................................................      --               (11)         (48)
Shares assumed issued in the Merger......................................       33,190       33,190       33,190
                                                                           -----------  -----------  ------------
Weighted average number of shares and share equivalents outstanding......      201,580      199,283      200,214
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------
Income from continuing operations before cumulative effect of a change in
 accounting principle....................................................  $   103,146  $    75,008   $  214,521
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------
Earnings per share from continuing operations before cumulative effect of
 a change in accounting principle........................................  $      0.51  $      0.38  $      1.07
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------

FOR FULLY DILUTED EARNINGS PER SHARE
Weighted average number of shares used in primary calculation............      201,580      199,283      200,214
Additional dilutive effect of stock options..............................          168           44           97
Assumed conversion of dilutive convertible debentures....................       12,909       13,978       13,966
                                                                           -----------  -----------  ------------
Fully diluted weighted average number of shares..........................      214,657      213,305      214,277
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------
Income from continuing operations used in primary calculation............  $   103,146  $    75,008  $   214,521
Adjustments for interest expense, contractual allowances and income
 taxes...................................................................        3,728        2,491        5,981
                                                                           -----------  -----------  ------------
Adjusted income from continuing operations used in fully diluted
 calculation.............................................................  $   106,874  $    77,499  $   220,502
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------
Earnings per share from continuing operations before cumulative effect of
 a change in accounting principle........................................  $      0.50  $      0.36  $      1.03
                                                                           -----------  -----------  ------------
                                                                           -----------  -----------  ------------
<FN>
- ------------------------
 *   All  shares in these tables are weighted on the basis of the number of days
     the shares  were  outstanding or  assumed  to be  outstanding  during  each
     period.
</TABLE>

<PAGE>
                                                                      EXHIBIT 12

              NATIONAL MEDICAL ENTERPRISES, INC. AND SUBSIDIARIES
        STATEMENT RE: COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES
<TABLE>
<CAPTION>
                                                 PRO FORMA                       AS REPORTED FOR THE
                                             SIX MONTHS ENDED       PRO FORMA      SIX MONTHS ENDED
                                          -----------------------   YEAR ENDED       NOVEMBER 30,
                                           NOVEMBER     NOVEMBER     MAY 31,     --------------------
                                           30, 1994     30, 1993       1994         1994       1993
                                          ----------   ----------   ----------   ----------   -------
<S>                                       <C>          <C>          <C>          <C>          <C>
EARNINGS FROM
 CONTINUING OPERATIONS
Income before income taxes..............   $180,746     $149,408     $ 377,501    $183,246    $193,908
Less:
  Equity in earnings of unconsolidated
   affiliates...........................     12,362       14,707        24,300      12,462     14,707
Add:
  Cash dividends received...............        894          178           178         894        178
  Portion of rents representative
   of interest..........................     21,726       18,921        40,528      13,014     16,582
  Interest, net of capitalized
   portion..............................    165,806      167,859       324,437      35,006     37,759
  Amortization of previously capitalized
   interest.............................      1,939        1,892         3,784       1,939      1,892
                                          ----------   ----------   ----------   ----------   -------
Earnings, as adjusted...................   $358,749     $323,551     $ 722,128    $221,637    $235,612
                                          ----------   ----------   ----------   ----------   -------
                                          ----------   ----------   ----------   ----------   -------
FIXED CHARGES:
Interest, net of capitalized portion....   $165,806     $167,859     $ 324,437    $ 35,006    $37,759
Capitalized interest....................      3,725        2,776         7,249       2,225      1,676
Portion of rents representative
 of interest............................     21,726       18,921        40,528      13,014     16,582
                                          ----------   ----------   ----------   ----------   -------
    Total fixed charges.................   $191,257     $189,556     $ 372,214    $ 50,245    $56,017
                                          ----------   ----------   ----------   ----------   -------
                                          ----------   ----------   ----------   ----------   -------
RATIO OF EARNINGS TO
 FIXED CHARGES..........................        1.9x         1.7x          1.9x        4.4x       4.2x

<CAPTION>

                                              AS REPORTED FOR THE YEARS ENDED MAY 31,
                                          ------------------------------------------------
                                            1994      1993      1992      1991      1990
                                          --------  --------  --------  --------  --------
<S>                                       <C>       <C>       <C>       <C>       <C>
EARNINGS FROM
 CONTINUING OPERATIONS
Income before income taxes..............  $359,901  $418,644  $359,199  $245,142  $200,486
Less:
  Equity in earnings of unconsolidated
   affiliates...........................    23,846    12,489     6,673     5,338     2,902
Add:
  Cash dividends received...............       178
  Portion of rents representative
   of interest..........................    30,728    35,822    35,477    31,803    38,257
  Interest, net of capitalized
   portion..............................    70,037    75,343    89,376   123,852   130,882
  Amortization of previously capitalized
   interest.............................     3,784     3,595     3,368     2,967     2,538
                                          --------  --------  --------  --------  --------
Earnings, as adjusted...................  $440,782  $520,915  $480,747  $398,426  $369,261
                                          --------  --------  --------  --------  --------
                                          --------  --------  --------  --------  --------
FIXED CHARGES:
Interest, net of capitalized portion....  $ 70,037  $ 75,343  $ 89,376  $123,852  $130,882
Capitalized interest....................     3,749     9,028    11,021    16,890    19,492
Portion of rents representative
 of interest............................    30,728    35,822    35,477    31,803    38,257
                                          --------  --------  --------  --------  --------
    Total fixed charges.................  $104,514  $120,193  $135,874  $172,545  $188,631
                                          --------  --------  --------  --------  --------
                                          --------  --------  --------  --------  --------
RATIO OF EARNINGS TO
 FIXED CHARGES..........................       4.2x      4.3x      3.5x      2.3x      2.0x
</TABLE>

<PAGE>
                                                                    EXHIBIT 23.1

                              ACCOUNTANTS' CONSENT

The Board of Directors
National Medical Enterprises, Inc.

    We  consent to the  use of our  reports dated July  27, 1994 incorporated by
reference in  the  registration  statement  on  Form  S-4  of  National  Medical
Enterprises,  Inc.,  relating to  the  consolidated balance  sheets  of National
Medical Enterprises, Inc. and subsidiaries as of May 31, 1994 and 1993, and  the
related  consolidated statements  of operations,  shareholders' equity  and cash
flows for each of the years in the three-year period ended May 31, 1994, and all
related schedules, and to the reference to our firm under the headings "Selected
Historical Financial Information of  NME" and "Experts"  in the prospectus.  Our
report  on the 1994 consolidated financial statements  refers to a change in the
method of accounting for income taxes.

                                          KPMG Peat Marwick LLP
Los Angeles, California
January 27, 1995

<PAGE>
                                                                EXHIBIT NO. 23.3

                       CONSENT OF INDEPENDENT ACCOUNTANTS

We  hereby  consent  to  the  incorporation  by  reference  in  the  Information
Statement/Prospectus constituting part  of this Registration  Statement on  Form
S-4  of National Medical Enterprises, Inc. of our reports dated October 20, 1994
appearing on  pages F-2  and S-1  of American  Medical Holdings,  Inc.'s  Annual
Report  on Form 10-K for the year ended  August 31, 1994. We also consent to the
references to us under the headings "Experts" and "Selected Historical Financial
Information" in  such Information  Statement/Prospectus. However,  it should  be
noted  that Price  Waterhouse LLP has  not prepared or  certified such "Selected
Historical Financial Data."

Price Waterhouse LLP
Dallas, Texas
January 30, 1995

<PAGE>
                                                                    EXHIBIT 23.4

                                    CONSENT

    I  hereby consent to  the reference to  me under the  caption "The Merger --
Terms of  the  Merger  --  Directors  and Principal  Officers  of  NME"  in  the
Information Statement on Schedule 14C of American Medical Holdings, Inc. ("AMH")
and  in the Prospectus forming a part  of the Registration Statement on Form S-4
of National Medical Enterprises, Inc. ("NME") relating to the merger of AMH with
and into NME.

Date: January 27, 1995
                                                   /s/ ROBERT O' LEARY

                                          --------------------------------------
                                                     Robert O' Leary

<PAGE>
                                                                    EXHIBIT 23.5

                                    CONSENT

    I  hereby consent to  the reference to  me under the  caption "The Merger --
Terms of  the  Merger  --  Directors  and Principal  Officers  of  NME"  in  the
Information Statement on Schedule 14C of American Medical Holdings, Inc. ("AMH")
and  in the Prospectus forming a part  of the Registration Statement on Form S-4
of National Medical Enterprises, Inc. ("NME") relating to the merger of AMH with
and into NME.

Date: January 27, 1995

                                                      /s/ JOHN CASEY

                                          --------------------------------------
                                                        John Casey

<PAGE>
                                                                    EXHIBIT 23.6

                                    CONSENT

    I  hereby consent to  the reference to  me under the  caption "The Merger --
Terms of  the  Merger  --  Directors  and Principal  Officers  of  NME"  in  the
Information Statement on Schedule 14C of American Medical Holdings, Inc. ("AMH")
and  in the Prospectus forming a part  of the Registration Statement on Form S-4
of National Medical Enterprises, Inc. ("NME") relating to the merger of AMH with
and into NME.

Date: January 27, 1995
                                                  /s/ THOMAS J. PRITZKER

                                          --------------------------------------
                                                    Thomas J. Pritzker


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