SIERRA HEALTH SERVICES INC
DEF 14A, 1995-03-27
HOSPITAL & MEDICAL SERVICE PLANS
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<PAGE>
                            SCHEDULE 14A INFORMATION

                  Proxy Statement Pursuant to Section 14(a) of
            the Securities Exchange Act of 1934 (Amendment No.    )

    Filed by the Registrant /X/
    Filed by a Party other than the Registrant / /

    Check the appropriate box:
    / /  Preliminary Proxy Statement
    / /  Confidential, for Use of the Commission Only (as permitted by Rule
         14a-6(e)(2))
    /X/  Definitive Proxy Statement
    / /  Definitive Additional Materials
    / /  Soliciting Material Pursuant to Rule 14a-11(c) or
         Rule 14a-12

                                 SIERRA HEALTH SERVICES, INC.
- --------------------------------------------------------------------------------
                (Name of Registrant as Specified In Its Charter)

- --------------------------------------------------------------------------------
    (Name of Person(s) Filing Proxy Statement, if other than the Registrant)

Payment of Filing Fee (Check the appropriate box):

/X/  $125  per Exchange  Act Rules  0-11(c)(1)(ii), 14a-6(i)(1),  14a-6(i)(2) or
     Item 22(a)(2) of Schedule 14A.
/ /  $500 per  each party  to  the controversy  pursuant  to Exchange  Act  Rule
     14a-6(i)(3).
/ /  Fee   computed  on   table  below   per  Exchange   Act  Rules  14a-6(i)(4)
     and 0-11.
     1) Title of each class of securities to which transaction applies:
        ------------------------------------------------------------------------
     2) Aggregate number of securities to which transaction applies:
        ------------------------------------------------------------------------
     3) Per unit price or other underlying value of transaction computed
        pursuant to Exchange Act Rule 0-11 (Set forth the amount on which the
        filing fee is calculated and state how it was determined):
        ------------------------------------------------------------------------
     4) Proposed maximum aggregate value of transaction:
        ------------------------------------------------------------------------
     5) Total fee paid:
        ------------------------------------------------------------------------
/ /  Fee paid previously with preliminary materials.
/ /  Check box if any part of the fee is offset as provided by Exchange Act Rule
     0-11(a)(2) and identify the  filing for which the  offsetting fee was  paid
     previously.  Identify the previous filing by registration statement number,
     or the Form or Schedule and the date of its filing.
     1) Amount Previously Paid:
        ------------------------------------------------------------------------
     2) Form, Schedule or Registration Statement No.:
        ------------------------------------------------------------------------
     3) Filing Party:
        ------------------------------------------------------------------------
     4) Date Filed:
        ------------------------------------------------------------------------
<PAGE>
                          SIERRA HEALTH SERVICES, INC.
                                 P.O. Box 15645
                          Las Vegas, Nevada 89114-5645

                                                                  March 31, 1995

Dear Stockholder:

    You  are cordially invited  to attend the Annual  Meeting of Stockholders of
Sierra Health Services, Inc., which  will be held on  Tuesday, May 16, 1995,  at
10:00  a.m., local time,  at the Sierra Health  Services corporate complex, 2720
North Tenaya Way, Las Vegas, Nevada.

    The following Notice of Annual  Meeting of Stockholders and Proxy  Statement
describes  the items to  be considered by the  stockholders and contains certain
information about the Company's officers and directors.

    Please sign and return the  enclosed proxy card as  soon as possible in  the
envelope  provided so that your shares can be voted at the Meeting in accordance
with your instructions. Even if you plan  to attend the Meeting, we urge you  to
sign  and promptly return  the enclosed proxy.  You can revoke  the proxy at any
time prior to voting, or vote your shares personally if you attend the  Meeting.
We look forward to seeing you.

                                          Sincerely,

                                          [SIG]

                                          Anthony M. Marlon, M.D.
                                          CHIEF EXECUTIVE OFFICER
<PAGE>
                          SIERRA HEALTH SERVICES, INC.
                                 P.O. Box 15645
                          Las Vegas, Nevada 89114-5645

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

                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                        TO BE HELD TUESDAY, MAY 16, 1995

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

    NOTICE  IS HEREBY  GIVEN that the  Annual Meeting of  Stockholders of Sierra
Health Services, Inc.,  a Nevada corporation  (the "Company"), will  be held  at
10:00  a.m., local time,  Tuesday, May 16,  1995, at the  Sierra Health Services
corporate complex, 2720 North  Tenaya Way, Las Vegas,  Nevada for the  following
purposes:

        1.  To  elect  two  directors  for  a  two-year  term  and  until  their
            successors are duly elected and qualified.

        2.  To approve  the adoption of the  Company's 1995 Long-Term  Incentive
    Plan.

        3.    To  approve  the  adoption  of  the  Company's  1995  Non-Employee
    Directors' Stock Plan.

        4.  To  ratify the  appointment of Deloitte  & Touche  as the  Company's
    auditors for 1995.

        5.  To  transact such  other business  as may  properly come  before the
            Meeting or any adjournments thereof.

    Only holders  of  record of  the  Company's Common  Stock  at the  close  of
business  on March 17,  1995 will be  entitled to notice  of and to  vote at the
Annual Meeting and  at any adjournments  thereof. As described  in the  attached
Proxy  Statement, the  Board of Directors'  nominees for election  at the Annual
Meeting as directors of the Company are:  Anthony M. Marlon, M.D. and Thomas  Y.
Hartley.

    You  are cordially invited to attend the  Annual Meeting. Whether or not you
expect to attend the Annual Meeting in  person, please fill out, sign, date  and
return  at your  earliest convenience,  in the  envelope provided,  the enclosed
proxy card  which  is  being solicited  on  behalf  of the  Company's  Board  of
Directors.  The proxy card shows  the form in which  your shares of Common Stock
are registered. Your signature must be in the same form. The return of the proxy
card does not affect your  right to vote in person  should you decide to  attend
the Annual Meeting. We look forward to seeing you.

                                          By Order of the Board of Directors,
                                          [SIG]
                                          Frank E. Collins
                                          SECRETARY

Las Vegas, Nevada
March 31, 1995

                                   IMPORTANT

    IN  ORDER TO ENSURE THAT A QUORUM WILL BE REPRESENTED AT THE ANNUAL MEETING,
STOCKHOLDERS ARE URGED  TO SEND  IN THEIR  PROXY CARDS  AS SOON  AS POSSIBLE.  A
PROMPT  RESPONSE IS HELPFUL AND YOUR COOPERATION WILL BE APPRECIATED. THE GIVING
OF THIS PROXY WILL NOT AFFECT YOUR RIGHT TO VOTE IN PERSON SHOULD YOU DECIDE  TO
ATTEND THE ANNUAL MEETING.
<PAGE>
                          SIERRA HEALTH SERVICES, INC.
                                 P.O. Box 15645
                          Las Vegas, Nevada 89114-5645

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

                                PROXY STATEMENT
                                    FOR THE
                         ANNUAL MEETING OF STOCKHOLDERS
                            ON TUESDAY, MAY 16, 1995

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

    This  Proxy Statement  is furnished in  connection with  the solicitation of
proxies by the  Board of  Directors of Sierra  Health Services,  Inc., a  Nevada
corporation  (hereinafter referred  to as  the "Company"),  for use  at the 1995
Annual Meeting of Stockholders of  the Company to be  held at 10:00 a.m.,  local
time, on Tuesday, May 16, 1995, at the Sierra Health Services corporate complex,
2720  North Tenaya Way, Las Vegas, Nevada,  and at any adjournments thereof. The
approximate date on which this Proxy  Statement and the accompanying proxy  card
will first be sent to the Company's stockholders is March 31, 1995.

                          VOTING OF PROXY; REVOCATION

    Any  stockholder who signs and  returns the proxy may  revoke it at any time
before it has been voted  by (i) delivering written  notice to the Secretary  of
the Company of its revocation, (ii) executing and delivering to the Secretary of
the  Company a proxy  bearing a later  date, or (iii)  attending the Meeting and
voting in person. All properly executed proxies, if received in time for  voting
and  not revoked, will  be voted in accordance  with the instructions specified,
or, if no instructions are specified, will be voted (i) for the election of  the
two  nominees described  herein, (ii)  for the approval  of the  adoption of the
Company's 1995 Long-Term Incentive Plan, (iii) for the approval of the  adoption
of  the Company's 1995 Non-Employee Directors'  Stock Plan, (iv) ratification of
the appointment of auditors, and (v) as to other matters which may properly come
before the Meeting, in  accordance with the best  judgment of the proxy  holders
named on the accompanying proxy card.

                            EXPENSES OF SOLICITATION

    All  expenses incurred in  connection with this  solicitation, including the
costs of preparing, assembling and mailing the proxy soliciting materials,  will
be  borne by the  Company. Although there is  no formal agreement  to do so, the
Company will reimburse banks, brokerage firms and other custodians, nominees and
fiduciaries for reasonable  expenses incurred  by them in  forwarding the  proxy
soliciting  materials to the beneficial owners of the Company's Common Stock (as
defined below). In addition to solicitation by mail, proxies may be solicited in
person, by telephone, or telecopy, by directors, officers and regular  employees
of   the  Company  who  will  not   receive  additional  compensation  for  such
solicitations.

                               VOTING SECURITIES

    The Board of Directors has fixed the close of business on March 17, 1995  as
the  record date for  the determination of  holders of Common  Stock entitled to
notice of and to vote at the Meeting or any adjournments thereof. On the  record
date  there were  outstanding and entitled  to vote 14,714,004  shares of Common
Stock, par  value $.005  per share,  of the  Company (the  "Common Stock").  The
presence in person or by proxy of the holders of record of shares representing a
majority  of the  total issued  and outstanding  Common Stock  will constitute a
quorum at the Meeting.

                                       1
<PAGE>
    Stockholders are entitled to vote cumulatively for the election of directors
if any stockholder gives notice to the President or Secretary of the Company not
less than 48  hours before  the Meeting that  the stockholder  desires that  the
voting  for the election of directors be  cumulative. If cumulative voting is so
invoked, each stockholder  is entitled to  a number of  votes for such  election
equal  to the number of shares held by such stockholder multiplied by the number
of directors to  be elected (two),  and may cast  all votes for  one nominee  or
distribute  them among the nominees. Discretionary  authority is being sought by
the proxyholders to cumulate votes and  distribute such votes among some or  all
of  the  nominees  in  the  event  that  cumulative  voting  is  invoked  by any
stockholder. On all other matters, each stockholder is entitled to one vote  per
share of Common Stock held of record by such holder.

    Assuming  that a quorum is present at the Meeting, directors will be elected
by a plurality of the votes cast at the Meeting by holders of shares present  in
person  or represented by  proxy, while approval  of other items  at the Meeting
requires the affirmative vote  of stockholders who hold  at least a majority  of
the  voting power  present in  person or  represented by  proxy and  entitled to
voting power at the  Meeting. Abstentions and broker  non-votes will not  affect
the  election of directors. Abstentions will have  the same effect as votes cast
against each of the other proposals, but broker non-votes will not be counted as
votes cast on such proposals.

         SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

    The following table sets forth certain information regarding the  beneficial
ownership  of the Common  Stock of the Company  as of March  17, 1995 (except as
otherwise noted in the footnotes below) by (1) each of the "named executives" in
the Summary  Compensation  Table  set forth  under  "Compensation  of  Executive
Officers,"  (2) each  director of the  Company, (3) all  directors and executive
officers as  a group,  and  (4) each  person  known by  the  Company to  be  the
beneficial  owner of more than 5% of the Common Stock of the Company. Subject to
applicable community property and similar statutes and except as otherwise noted
in the  footnotes below,  each of  the  following persons  has sole  voting  and
dispositive  power with respect to the shares  that he or she beneficially owns.
Except as noted  below, the  address of all  stockholders, Directors,  executive
officers  and nominees identified in the  table and accompanying footnotes below
is in care of the Company's principal executive offices.

<TABLE>
<CAPTION>
                                             AMOUNT AND NATURE OF     PERCENTAGE OF
                                                  BENEFICIAL           OUTSTANDING
         NAME OF BENEFICIAL OWNER               OWNERSHIP (1)         COMMON STOCK
- ------------------------------------------  ----------------------  -----------------
<S>                                         <C>                     <C>
Anthony M. Marlon, M.D.                           2,505,484(2)              17.0%
Erin E. MacDonald                                    29,878(3)              *
Jerry D. Reeves, M.D.                                14,724(4)              *
Michael Montalvo                                      4,336(5)              *
Robert A. Mayer                                      13,200(6)              *
Frank E. Collins                                     15,051(7)              *
Thomas Y. Hartley                                     4,000(8)              *
Charles L. Ruthe                                      5,300(9)              *
William J. Raggio                                    20,400(10)             *
All Directors and Executive Officers as a         2,694,603(11)             18.3%
 Group (12 persons)
Putnam Investments, Inc.                          1,942,675(12)             13.2%
Waddell & Reed Investment Management                726,300(13)              5.0%
 Company and Waddell & Reed Asset
 Management Company
<FN>
- ------------------------

 *   Less than one percent

 (1) All share amounts on this table have been adjusted to reflect a two-for-one
     split of the  Company's Common Stock  distributed on or  about January  11,
     1993 to stockholders of record as of November 13, 1992.
</TABLE>

                                       2
<PAGE>
<TABLE>
<S>  <C>
 (2) Includes  30,000 shares that  can be acquired  within 60 days  of March 17,
     1995 upon the  exercise of  stock options, 825,484  shares held  indirectly
     through  the Marlon  Family Trust  ("Family Trust"),  1,649,000 shares held
     indirectly through a total of eight other trusts (the "Eight Trusts"),  and
     1,000  shares held indirectly through  a limited partnership (the "Partner-
     ship") in which Dr. Marlon and his  wife are the only limited partners  and
     general   partners.  Dr.  Marlon   as  managing  general   partner  of  the
     Partnership, has sole voting and dispositive power over the shares held  by
     the  Partnership. Dr.  Marlon and  his wife  are co-trustees  of the Family
     Trust, and Dr. Marlon  may be deemed to  have voting and dispositive  power
     over the shares held by the Family Trust and, therefore, to have beneficial
     ownership  with respect to such shares. Erin E. MacDonald, President, Chief
     Operating Officer and a director of the Company is the trustee or, together
     with Dr. Marlon,  a co-trustee of  each of the  Eight Trusts. Although  the
     trustee/co-trustees  of each of the Eight Trusts have express power to vote
     and dispose of  the shares  held in the  respective trusts,  either of  Dr.
     Marlon  or Ms. MacDonald may be deemed to have or share voting power and/or
     dispositive power over the shares held by the Eight Trusts and,  therefore,
     to  have  beneficial  ownership with  respect  to such  shares.  Dr. Marlon
     disclaims beneficial ownership as  to the shares held  by the Eight  Trusts
     and 500 of the shares held by the Partnership.
 (3) Includes  23,800 shares that  can be acquired  within 60 days  of March 17,
     1995 upon the exercise of stock options.
 (4) Includes 5,000 shares that can be acquired within 60 days of March 17, 1995
     upon the exercise of stock options.
 (5) Includes 4,000 shares that can be acquired within 60 days of March 17, 1995
     upon the exercise of stock options.
 (6) Includes 13,200 shares  that can be  acquired within 60  days of March  17,
     1995 upon the exercise of stock options.
 (7) Includes 7,400 shares that can be acquired within 60 days of March 17, 1995
     upon the exercise of stock options.

 (8) Includes 2,000 shares that can be acquired within 60 days of March 17, 1995
     upon the exercise of stock options.

 (9) Includes 4,400 shares that can be acquired within 60 days of March 17, 1995
     upon the exercise of stock options.

(10) Includes  11,200 shares that  can be acquired  within 60 days  of March 17,
     1995 upon the exercise of stock options.

(11) Includes 124,440 shares that  can be acquired within  60 days of March  17,
     1995 upon the exercise of stock options.

(12) The business address of this stockholder is One Post Office Square, Boston,
     Massachusetts  02109.  Putnam  Investments,  Inc.  ("PI"),  a  wholly-owned
     subsidiary of  Marsh  & McLennan  Companies,  Inc., beneficially  owns  (a)
     1,518,575  shares of  Common Stock  beneficially owned  by its wholly-owned
     subsidiary, Putnam  Investment Management,  Inc. ("PIM"),  and (b)  424,100
     shares  of Common Stock beneficially  owned by its wholly-owned subsidiary,
     The Putnam  Advisory Company,  Inc.  ("PAC"). PIM  and PAC  are  registered
     investment  advisers  whose  securities holdings  set  forth  above include
     securities  beneficially  owned  by   their  clients,  which  may   include
     investment  companies registered  under the  Investment Company  Act and/or
     employee  benefit   plans,  pension   funds,  endowment   funds  or   other
     institutional  clients.  PIM  has no  voting  power, but  does  have shared
     dispositive power with respect to the shares beneficially owned by it.  PAC
     has  shared voting power with respect to 309,800 of the shares beneficially
     owned by it and shared dispositive power with respect to all of the  shares
     beneficially  owned  by it.  PI  has shared  voting  power with  respect to
     309,800 of the shares beneficially owned by it and shared dispositive power
     with respect to all of the shares beneficially owned by it.

     All of the foregoing information is based on the number of shares  reported
     as  beneficially owned  by this stockholder  at December 31,  1994 and upon
     information contained in this stockholder's Schedule 13G dated February  8,
     1995.

(13) The  business address of these stockholders  is 6300 Lamar Avenue, Overland
     Park, Kansas  66202-4200.  Waddell  & Reed  Investment  Management  Company
     ("WRIMC")  and Waddell  & Reed  Asset Management  Company ("WRAMC") benefi-
     cially  owned  726,300  shares  of   Common  Stock  and  are   wholly-owned
     subsidiaries of Waddell & Reed, Inc. WRIMC beneficially owns 715,200 shares
     of  Common Stock and WRAMC beneficially owns 11,100 shares of Common Stock.
     Both WRIMC and  WRAMC are registered  investment advisers whose  securities
     holdings  set forth  above include  securities beneficially  owned by their
     clients. WRIMC  has  sole voting  power  and sole  dispositive  power  with
     respect  to all of the shares beneficially owned by it and WRAMC has shared
     voting power and shares dispositive power with respect to all of the shares
     beneficially owned by it.
     All of the foregoing information is based on the number of shares  reported
     as  beneficially owned by these stockholders  at December 31, 1994 and upon
     information provided  by them,  including  information contained  in  their
     Schedule 13G's dated February 14, 1995.
</TABLE>

ITEM NO. 1 -- ELECTION OF DIRECTORS

    The  Bylaws of the Company provide that the Board of Directors shall consist
of not less than three nor more  than seven directors, with the exact number  to
be  fixed by the  Board. At a  meeting held on  December 13, 1994,  the Board of
Directors of the Company fixed  the number of directors  at five. The Bylaws  of
the Company also provide for two classes of directors, as nearly equal in number
as possible, with each class serving for a term of two years. At the 1995 Annual
Meeting  of Stockholders,  the terms  of Anthony  M. Marlon,  M.D and  Thomas Y.
Hartley will expire and two  directors shall be elected to  serve for a term  of
two  years expiring at the  1997 Annual Meeting of  Stockholders and until their

                                       3
<PAGE>
successors are duly elected and qualified. The three remaining directors'  terms
will  continue until  the 1996  Annual Meeting  of Stockholders  and until their
successors are  duly elected  and  qualified. The  proxy  holders named  on  the
accompanying  proxy card  intend to  vote the  shares represented  by each proxy
authorizing votes  for  the  two nominees  listed  below  in favor  of  the  two
nominees, and if cumulative voting is invoked, to distribute, in such proportion
as  they see  fit, the two  votes represented by  each such share  among the two
nominees named below. Proxies  cannot be voted for  a greater number of  persons
than the number of nominees named.

    The  Company's Board of  Directors has nominated Dr.  Marlon and Mr. Hartley
for reelection to the Board. Both nominees are presently members of the Board of
Directors and have consented to being named herein and to serve if elected.  The
Company  does not know of anything that  would preclude any nominee from serving
if elected. If any nominee for any  reason should become unable or unwilling  to
stand for election as a director, the proxies authorizing votes for such nominee
will  be voted for  the election of such  nominee as the  Board of Directors may
nominate. The identity of each nominee for Director and each continuing Director
of the Company, and  certain information with  respect to each  of them, is  set
forth below.

           NOMINEES FOR ELECTION AS DIRECTORS FOR A TERM OF TWO YEARS

    ANTHONY  M. MARLON,  M.D., 52,  has been the  Chief Executive  Officer and a
Director of the Company since its inception in June 1984. Dr. Marlon also served
as President until August 10, 1994. Dr. Marlon held similar executive  positions
with  several of  the Company's  predecessors dating back  to 1972,  the year of
inception of the Company's predecessor physician group. In those capacities,  he
organized  and  managed the  Company's  predecessor physician  group, ambulatory
surgical facility,  management  company  and  HMO.  Dr.  Marlon  has  served  as
Associate  Professor of Medicine  at the University of  Nevada School of Medical
Sciences since  1975.  Dr. Marlon  has  held  positions as  Chief,  Division  of
Cardiology,  and Medical Director, Cardiac Rehabilitation, of University Medical
Center of  Southern  Nevada  from  1972  to  1985,  Clinical  Associate  of  the
Department  of  Medicine at  the University  of  Arizona from  1973 to  1979 and
Clinical Associate  Professor, Department  of Medicine,  Tulane University,  New
Orleans  from  1973  to 1977.  Dr.  Marlon  is a  board-certified  specialist in
internal medicine and cardiovascular diseases. In 1967, Dr. Marlon received  his
M.D.  from State University of New  York and completed his internship, residency
and cardiology  fellowship  at Stanford  University.  In 1986,  Dr.  Marlon  was
appointed  to the Federal  Task Force on  Long Term Health  Care Policies by Dr.
Otis R. Bowen, then Secretary  of Health and Human  Services. In July 1988,  Dr.
Marlon  was  appointed  to  the  Board of  Trustees  of  the  Nevada Development
Authority,  a   non-profit  organization   dedicated   to  the   expansion   and
diversification  of the southern Nevada business community. On February 7, 1991,
in connection with  the resolution of  an investigation by  the U.S.  Attorney's
Office,  Las Vegas, Nevada  into allegations that officers  and employees of the
Company provided false  and misleading  information to the  Office of  Personnel
Management  ("OPM"),  Dr.  Marlon  pled  guilty  to  a  misdemeanor  offense for
knowingly providing  to  OPM  a  false certificate  that  the  Company's  health
maintenance  organization ("HMO") was utilizing  community rating in setting the
rates of the 1988 contract between the HMO and OPM. On May 24, 1991, Dr.  Marlon
was  sentenced to 24 months probation and  was fined $25,000. In connection with
the OPM matter, Dr.  Marlon also relinquished compensation  for a period of  six
months,  and another  officer of the  Company relinquished  compensation for two
months. As part of  the resolution, the Company  agreed to provide free  medical
services  having a value of $500,000 to  indigent and uninsured residents in the
Las Vegas area. As a  result of Dr. Marlon's guilty  plea to a misdemeanor,  Dr.
Marlon  received  a  written  letter  of reprimand  from  the  Board  of Medical
Examiners of the State of Nevada which had no impact on the Company's operations
or Dr. Marlon's medical license.

    THOMAS Y. HARTLEY, 61, has been a  Director of the Company since June  1992.
He  is  President  and  Chief  Operating  Officer  of  Colbert  Golf  Design and
Development, Inc. in Las Vegas, Nevada, a position he has held since 1991. Prior
to that,  from 1988  until 1991,  Mr. Hartley  held similar  positions with  Jim
Colbert  Golf, Inc. in  Las Vegas. From  1959 until his  retirement in 1988, Mr.
Hartley worked in various

                                       4
<PAGE>
capacities for Deloitte Haskins & Sells (currently Deloitte & Touche),  retiring
as  area managing partner in charge of Las Vegas, Reno, Phoenix, and Tucson. Mr.
Hartley, who obtained his degree in business from Ohio University in 1955, is  a
Certified Public Accountant. He is active in many Las Vegas civic and charitable
organizations.  Mr. Hartley has  served on the  Board of Directors  of Rio Suite
Hotel & Casino, Inc.  since 1990. He  has served on the  Boards of Directors  of
Southwest  Gas Corporation and  Primerit Bank (the latter  being a subsidiary of
Southwest Gas Corporation) since 1991.

    THE BOARD OF DIRECTORS RECOMMENDS  THAT THE COMPANY'S STOCKHOLDERS VOTE  FOR
THE  ELECTION OF ANTHONY M.  MARLON, M.D. AND THOMAS  Y. HARTLEY AS DIRECTORS OF
THE COMPANY.

                CONTINUING DIRECTORS WHOSE TERMS EXPIRE IN 1996

    CHARLES L. RUTHE,  60, has been  a Director of  the Company since  September
1984,  and Chairman of the  Board of Directors of  the Company's HMO subsidiary,
Health Plan of Nevada, Inc.,  since 1984. He was also  a member of the Board  of
Directors  of one of the Company's predecessors. Mr. Ruthe has been the owner of
Charles L.  Ruthe and  Associates, Inc.,  a real  estate brokerage  firm in  Las
Vegas,  Nevada since  1975. From  1975 to  September 1988,  Mr. Ruthe  served as
President of  the real  estate  brokerage firm.  In  September 1988,  Mr.  Ruthe
relinquished  that position to assume  the position of Chairman  of the Board of
the real estate brokerage firm.  Mr. Ruthe is the  President of The Boyd  Gaming
Corporation,  which operates several Nevada hotel/casinos.  He has been with The
Boyd Gaming Corporation since 1983. He  was a director of First Interstate  Bank
of Nevada from 1979 to 1983 and Vice Chairman of the Board of Directors of First
Western Financial Corporation, the parent company of a savings and loan company,
from  1985  to 1991.  Mr. Ruthe  was President  of the  Nevada State  Chamber of
Commerce in 1977.

    WILLIAM J. RAGGIO, 68,  has been a Director  of the Company since  September
1984.  He has been a  State Senator of Nevada since  1972 and was Washoe County,
Nevada District Attorney from 1958 to 1970.  He was a senior partner in the  law
firm  of Raggio, Wooster &  Lindell, Ltd. from 1970  until June 1991. Since July
1991, he has been  a senior partner in  the law firm of  Vargas & Bartlett.  Mr.
Raggio  is currently  Vice President, General  Counsel and a  director of Sahara
Gaming Corporation, a corporation which operates several Nevada hotel/casinos.

    ERIN E. MACDONALD, 47, has been a Director of the Company since December 14,
1992. She was appointed President  and Chief Operating Officer effective  August
10,  1994 and had previously served as Senior Vice President of Operations since
December 31, 1992. From October 1984  until March 1990, Ms. MacDonald served  as
Vice  President of HMO Operations. On March  12, 1990, Ms. MacDonald's title was
changed to Vice President of HMO and Insurance Operations, which title she  held
until  December 31, 1992. She also served as President of the Company's HMO from
December 1985 to December 1992, as well  as President of Sierra Health and  Life
Insurance  Company, Inc.,  the Company's  insurance subsidiary,  from April 1990
until December 1992. From 1983  to 1984, she was  the Director of the  Company's
northern Nevada HMO. From 1980 to 1983, Ms. MacDonald was the Operations Manager
of  the Company's  predecessor physician group.  During 1980,  Ms. MacDonald was
employed by Pfizer,  Inc., a  pharmaceutical company,  monitoring drug  research
projects at major medical centers.

MEETINGS OF THE BOARD OF DIRECTORS AND COMMITTEES

    During  the fiscal year ended  December 31, 1994, the  Board of Directors of
the Company held 11 meetings and acted by unanimous written consent 6 times.

    The Company's  Audit Committee  held four  meetings during  the fiscal  year
ended  December 31, 1994, two of which were held contemporaneously with meetings
of the  Board of  Directors. The  current  members of  the Audit  Committee  are
Messrs.    Hartley,   Raggio    and   Ruthe.   The    principal   functions   of

                                       5
<PAGE>
the Audit Committee are to review with management and the Company's  independent
public  accountants the scope and results of the various audits conducted during
the year,  to  discuss with  management  and the  Company's  independent  public
accountants  the Company's annual financial statements,  and to review fees paid
to, and the  scope of  services provided  by, the  Company's independent  public
accountants.  In addition,  the Audit  Committee reviews  the scope  of work and
findings of the Company's internal audit department.

    The Company's Compensation  Committee held  two meetings  during the  fiscal
year  ended December 31,  1994, contemporaneously with meetings  of the Board of
Directors. The  members  of the  Company's  Compensation Committee  are  Messrs.
Hartley,  Raggio and Ruthe. The principal function of the Compensation Committee
is to  make  recommendations  concerning the  Company's  compensation  programs,
including  the Company's  1986 Stock Option  Plan and other  bonus and incentive
plans.

    The Company's Stock  Plan Committee  held three meetings  during the  fiscal
year  ended December 31,  1994, contemporaneously with meetings  of the Board of
Directors. The  members  of  the  Company's Stock  Plan  Committee  are  Messrs.
Hartley,  Raggio  and Ruthe.  The function  of  the Stock  Plan Committee  is to
administer the Company's stock-based incentive programs in its capacities as the
"Stock  Option  Plan  Committee,"   "the  Committee"  and  the   "Administrative
Committee"  under the 1986 Stock Option Plan, the Capital Accumulation Plan, and
the 1985 Employee Stock Purchase Plan, respectively.

    The Board of Directors does not have a Nominating Committee. The Board  will
consider  nominees for  election to  the Board  of Directors  recommended by the
Company's stockholders. All such recommendations, which must include appropriate
biographical information, for the Company's next annual stockholders meeting  in
May  1996  should be  submitted in  writing  to the  Secretary at  the Company's
principal executive offices no later than December 2, 1995.

                       EXECUTIVE OFFICERS OF THE COMPANY

    The executive officers of the Company are appointed annually by the Board of
Directors of the Company and serve at the discretion of the Board. The executive
officers of  the Company,  other than  Dr.  Marlon and  Ms. MacDonald,  who  are
described   above,  their  respective  ages  and  positions  and  certain  other
information with respect to each of them are set forth below:

<TABLE>
<CAPTION>
           NAME                 AGE                                   POSITION
- --------------------------      ---      ------------------------------------------------------------------
<S>                         <C>          <C>
Frank E. Collins                    41   Secretary and General Counsel
William R. Godfrey                  50   Vice President, Administrative Services
Larry S. Howard                     39   Vice President, HMO and Insurance Operations
Michael A. Montalvo                 50   Vice President, Marketing, Sales and Underwriting Operations
Jerry D. Reeves, M.D.               50   Vice President, Health Care Operations
Marie H. Soldo                      54   Vice President, Government Affairs and Special Projects
James L. Starr                      31   Vice President, Chief Financial Officer and Treasurer
</TABLE>

    Frank E. Collins  joined the  Company in June  1986 as  General Counsel  and
Secretary. He received his Juris Doctorate in May of 1979 from the University of
Missouri  at Kansas  City School  of Law.  He is  a member  of the  Missouri Bar
Association. From 1981 to 1986, Mr. Collins was employed by Blue Cross and  Blue
Shield  of Kansas  City. He  originally served as  Staff Legal  Counsel until he
assumed  the  position  of  Associate   General  Counsel  in  early  1986.   His
responsibilities  included assisting in the  development and implementation of a
federally qualified HMO and a preferred provider organization ("PPO"). From 1979
to 1981, he served as counsel for  the Missouri Division of Insurance, where  he
was  responsible  for  providing  legal  advice  on  insurance-  and HMO-related
regulatory issues.

    William R. Godfrey was appointed Vice President, Health Delivery Finance  in
October  1984. In September 1985, Mr. Godfrey's duties and title were changed to
Vice President of Administrative

                                       6
<PAGE>
Services with responsibilities for directing the Company's facilities, personnel
management, purchasing,  and  print shop  activities.  From 1974  to  1984,  Mr.
Godfrey was the Controller of the Company's predecessor physician group.

    Larry S. Howard was appointed Vice President of HMO and Insurance Operations
on  December 31, 1992. On that date, he  also assumed the titles of President of
the Company's HMO, Health Plan of Nevada, Inc., and insurance subsidiary, Sierra
Health and Life Insurance  Company, Inc. From February  1990 until December  31,
1992,  he served as  Assistant Vice President, HMO  and Insurance Operations for
the Company.  Prior to  this promotion,  he  was the  Vice President  and  Chief
Operating  Officer of  both the  Company's HMO  and insurance  subsidiaries. Mr.
Howard served as Vice  President/ Chief Operating Officer  of the Company's  HMO
from  December 1987 to February  1990. From September 1986  to December 1987, he
was the Director of Operations for  the Company's Las Vegas HMO operation.  From
March 1986 to September 1986, he was an HMO Project Manager for the Company.

    Michael  A. Montalvo was appointed Vice  President of Marketing and Sales in
April 1993. In  August 1994, he  also assumed responsibility  for the  Company's
underwriting  department.  Prior  to joining  the  Company, he  served  as Sales
Director for The Travelers,  an insurance company  in southern California,  from
November  1991 to April 1993.  From 1990 to 1991,  Mr. Montalvo served as Senior
Vice President for Managed  Health Network, an  employee assistance program  and
managed care mental health company located in Los Angeles, California. From 1986
to  1990, he was  in charge of  the California sales  and marketing efforts with
respect to managed care  indemnity, PPO and HMO  products for Equicor, Inc.,  an
employee  benefits  company.  From  1963  to  1986,  Mr.  Montalvo  held various
positions with The  Equitable Life  Insurance Company,  ultimately becoming  the
financial   officer  responsible  for  underwriting,  contracts,  proposals  and
management information systems for the western and west-central regions.

    Jerry D. Reeves, M.D. joined the Company as a pediatrician at the  Company's
multi-specialty  medical group  subsidiary in  September 1988.  He was appointed
President of the multi-specialty medical group, Southwest Medical Associates, on
April 3, 1989. In January 1993, he  also assumed the title of Vice President  of
Medical  Affairs of  the Company;  this title was  changed to  Vice President of
Health Care Operations in August 1994. Prior to his employment with the Company,
from  1986  to  1988,  he  was  Chief  of  the  Clinical  Medicine  Division  at
Headquarters  United States Air  Forces in Europe  with responsibilities for the
organization  and  quality  of  Medical  Care  Services  in  Air  Force  Medical
Facilities  in Europe.  From 1984 to  1986, Dr.  Reeves was the  Chairman of the
Department of  Pediatrics, United  States Air  Forces Regional  Medical  Center,
Wiesbaden,  Germany.  Dr.  Reeves  received his  medical  doctorate  from Baylor
College of  Medicine  in  1971. He  is  board  certified in  pediatrics  and  in
pediatric hematology/oncology and has held teaching positions with University of
California  School  of  Medicine  and Uniformed  Services  University  of Health
Sciences. In addition to his twenty years of clinical practice, he has published
results of his clinical research in medical journals and has directed  residency
training programs.

    Marie  H. Soldo joined  the Company in  September 1984 as  Vice President of
Planning and Development. She was appointed Vice President of Government Affairs
and Special Projects  on January 1,  1988. From 1981  to 1984, Ms.  Soldo was  a
Branch  Chief in  the Division  of Qualification,  Office of  Health Maintenance
Organizations, U.S.  Department  of  Health and  Human  Services  in  Rockville,
Maryland.   Her  responsibilities  included   evaluating  applications  for  HMO
qualification and directing the development  of qualification standards for  HMO
and  other  health  plans  seeking  contracts  with  the  Health  Care Financing
Administration. From  1978  to  1981,  Ms. Soldo  was  a  Regional  HMO  Program
Consultant  for  the  U.S.  Department  of  Health  and  Human  Services  in San
Francisco, California where she was  responsible for promoting HMO  development,
monitoring operations and funding developing HMOs in the region.

    James  L. Starr  was appointed  Vice President  of Finance,  Chief Financial
Officer and Treasurer of the Company effective August 31, 1994. Prior to that he
had served as Assistant  Vice President-Controller since  November 1993, and  as
Director    of   Finance    and   Corporate    Controller   since    he   joined

                                       7
<PAGE>
the Company  in 1989.  Prior to  joining the  Company, Mr.  Starr was  a  Senior
Accountant at Deloitte & Touche (formerly Deloitte Haskins & Sells) in Las Vegas
from  1987 to 1989.  Prior to that Mr.  Starr was employed  by Arthur Andersen &
Company in Los Angeles. Mr. Starr is a Certified Public Accountant and a  member
of  the American Institute of Certified  Public Accountants and the Nevada State
Society of Certified Public Accountants.

    Notwithstanding anything to the  contrary in any  of the Company's  previous
filings under the Securities Act of 1933, as amended, or the Securities Exchange
Act  of 1934, as amended,  (the "1934 Act") that  might have incorporated future
filings, including this  Proxy Statement,  in whole  or in  part, the  following
report  and the  Comparative Stock  Performance Graph  on page  13 shall  not be
incorporated by reference into any such filings.

COMPENSATION COMMITTEE REPORT ON EXECUTIVE COMPENSATION

    The Compensation Committee of  the Board of  Directors (the "Committee")  is
composed  entirely of  outside directors and  is responsible  for developing and
making recommendations to the Board  with respect to the Company's  compensation
policies.  In addition, the Committee has  the authority to determine the annual
compensation to be paid to the Chief Executive Officer ("CEO") and the Company's
other executive officers.  The same three  outside directors also  serve as  the
Company's  Stock Plan  Committee, the  committee that  administers the Company's
stock-based incentive compensation plans.

    During 1991, 1992 and 1994 the Committee used the services of a compensation
consultant  from  Deloitte  &  Touche  to  help  develop  internal  compensation
guidelines  and objectives  and to  survey, for  comparative purposes, industry,
peer group, and  national companies  for director and  officer compensation  and
stock  ownership data.  The data  substantiates that  the Company's compensation
package is competitive with employers of comparable size in its industry.

    The fundamental objectives of the Company's executive compensation  programs
are:

        1.    To  support  the achievement  of  Company  annual  and longer-term
    strategic goals;

        2.  To attract and retain superior individuals critical to the long-term
            success of the Company;

        3.  To reward performance; and

        4.  To tie the executives' interests to  the success of the Company  and
            thus to an increase in stockholder value.

    As  part of its desire to strengthen the last objective mentioned above, the
Company retained a compensation consultant during 1994 to survey stock ownership
requirements that  have  been  adopted  by  other  companies  and  to  recommend
appropriate  ownership requirements for  the executive officers  of the Company.
Based on  these  recommendations during  1994,  the Committee  approved  a  plan
requiring that certain stock ownership levels be reached and maintained by these
executive  officers within  designated time  periods. Such  ownership levels are
determined according to base salary.

    The Company's compensation policies, plans  and programs for 1994  generally
were  unaffected by the adoption  of new Section 162(m)  of the Internal Revenue
Code, contained in the Omnibus Budget Reconciliation Act of 1993. Section 162(m)
generally disallows a  public company's  tax deduction for  compensation to  the
chief  executive officer  and the four  other most  highly compensated executive
officers in excess of $1,000,000 in any  tax year beginning on or after  January
1, 1994. Under Section 162(m), compensation that qualifies as "performance-based
compensation"  is excluded from the  $1,000,000 deductibility cap, and therefore
remains fully deductible even though such compensation may (together with  other
compensation) exceed $1,000,000 in a given year. The Company has in the past and
intends  in the future  to grant stock  options with an  exercise price at least
equal to 100% of fair market value of the underlying stock at the date of grant.
Such options should qualify as

                                       8
<PAGE>
"performance-based compensation." There  can be no  assurance, however, that  in
the   future  all  compensation   in  excess  of   $1,000,000  will  qualify  as
"performance-based compensation" that is fully  deductible by the Company  under
Section  162(m).  In addition,  the Committee  (or the  Board of  Directors) may
conclude that compliance with Section 162(m) would impose burdens or costs  that
outweigh the benefits to the Company of preserving such deductions.

    The  Company's executive compensation  program is comprised  of base salary,
annual bonus, long-term  incentive compensation in  the form of  a stock  option
plan  and  a capital  accumulation or  "phantom stock"  plan, and  various other
benefits that are generally available to all employees of the Company, including
medical, pension, and employee stock purchase plans.

    Base salaries for the executive officers are, as a rule, set somewhat  below
the  industry average. This is done in order to link a greater percentage of the
officer's pay to long-term incentives which increase in value based on corporate
performance.

    Once each year, in December, the Committee reviews the CEO's base salary and
sets its amount for the following  year based on competitive compensation  data,
such  as  the data  included in  the surveys  referenced above,  the Committee's
assessment of  the  CEO's past  performance,  based  on factors  such  as  those
considered   by  the  Committee  when  determining  the  CEO's  bonus,  and  the
Committee's expectation regarding the CEO's future contributions to the Company.
For the other  executive officers,  the Committee  sets a  permissible range  of
increase  in salary  from the  previous year  and allows  the CEO  to set actual
salaries for  the  officers within  those  parameters based  on  each  officer's
individual performance and achievement of goals.

    The annual incentive bonus payment for the CEO and the other senior officers
is  intended to  reward key  employee performance  for assisting  the Company in
achieving financial  success  and maximizing  stockholder  value. Based  on  the
Company's financial results for any given year, the Committee determines whether
or not to fund the bonus pool and at what level. Based on job position, eligible
employees are placed into specific categories. The Committee decided during 1994
that  the incentive target for the CEO should be set at a higher percentage than
for the other senior  officers because it was  deemed appropriate that a  higher
percentage  of his compensation should be based upon his individual performance.
As a result, at its December 13,  1994 meeting, the Committee set the  following
bonus categories: Category I, for the CEO, has a maximum bonus potential of 100%
of  base  salary;  Category  II,  for Senior  Management,  has  a  maximum bonus
potential of 50% of base salary; Category III, for corporate vice presidents and
subsidiary presidents, has a maximum bonus potential of 30% of base salary;  and
Category  IV, for all other eligible employees  in the bonus pool, has a maximum
bonus potential of 20% of base salary. Other than the CEO who is in Category  I,
all  the named executives  are in Category  II. For 1994,  an individual's bonus
amount, including the CEO's, was determined  by the following formula which  was
established by the Committee:

    50%  of  the  bonus potential  is  based on  Company  performance units,
    including the meeting of budgetary goals, departmental goals, management
    practices goals, and productivity goals.

    40% of the bonus potential  is based on individual employee  performance
    based  on an annual  merit review conducted  by the CEO  relating to the
    achievement of certain goals established by the CEO.

    10% of the bonus is based on length of service, broken down as  follows:
    three  to  five  years  of  service entitles  the  employee  to  a bonus
    potential of  up  to 5%,  six  or more  years  of service  entitles  the
    employee to the full 10% in this category.

    The  Compensation Committee determines the bonus  amount granted to the CEO.
The CEO is, in  turn, responsible for recommending  the amounts to be  allocated
from  the  bonus  pool to  all  other  eligible employees,  including  the named
executives, based  on  the foregoing  formula  established by  the  Compensation
Committee.

    In  December 1993, the Compensation Committee voted to set Dr. Marlon's 1994
base salary at  $412,000. In December  1994, they  set his 1995  base salary  at
$425,000,  a  3% increase.  This percentage  of  increase was  in line  with the
increase granted  to the  rest of  the  executive officers  of the  Company.  In

                                       9
<PAGE>
December  1994, Dr. Marlon was also granted a  1994 bonus of $300,000, or 73% of
his 1994 base salary. Dr. Marlon received another $12,360 during 1994 as part of
a Company-wide bonus program available to all employees. The Committee felt this
bonus amount was justified, based, in  part, because of the Company's  financial
performance  in 1994 when earnings per share  increased by 20% over the previous
year and net income increased by 27%. In addition, the return on average assets,
excluding the offering  proceeds, was 13.8%  and the return  on average  equity,
excluding  the  offering proceeds,  was 29.4%.  The  Committee also  weighed Dr.
Marlon's pivotal  role  in the  Company's  successful 1994  expansion  into  the
Houston  marketplace. It  was further  noted that  the Company's  success in its
recent public offering of stock was largely attributable to Dr. Marlon's overall
guidance of the  Company and  to his  successful presentation  of the  Company's
current  performance  and  future  opportunities  to  the  financial  community.
Finally, the Committee subjectively assessed  Dr. Marlon's contributions to  the
Company's  accomplishments,  both  past  and present,  and  discussed  how these
accomplishments were  in large  measure  due to  the  vision and  leadership  he
provided.  Based on these and other  subjective factors, the Committee concluded
that Dr. Marlon's contributions to the Company's successful performance  merited
the  incentive payment he was  being awarded which, the  Committee noted, was in
line with like payments by other comparable companies.

    The long-term  stock-based  incentive  plans  offered  by  the  Company  are
designed  to tie the officers' interests  directly to those of the shareholders.
The following types of awards have been granted to executive officers and  other
key employees:

    1986  Stock Option Plan  -- a right  to purchase shares  of common stock
    over a stated period at the fair  market value per share as of the  date
    the option is granted. Stock options customarily vest 20% per year after
    the first anniversary of the date of grant. During 1994, five of the six
    named  executives, with the  exception of Mr.  Mayer, were granted stock
    options by the Stock Plan Committee at its December meeting (see  Table,
    Option  Grants  in  Fiscal Year  1994).  The number  of  options granted
    reflects competitive  industry  practices  as well  as  the  Committee's
    assessment  of the individual's relative value  to the Company based, in
    part, upon each individual's evaluation by his or her supervisor; and

    Capital Accumulation Plan  -- a  right to  receive share  units under  a
    phantom  stock plan that entitles the  recipients to benefits based upon
    the increase, if any, in the fair market value of the Common Stock  from
    the  date of  the share unit  award to  the date of  payout of benefits.
    Effective March  19,  1991, the  recipients  of outstanding  share  unit
    awards,  which recipients include five of the six named executives, with
    the exception of Mr. Montalvo, agreed to an amendment to such share unit
    awards to  provide that,  for  purposes of  calculating the  amount  the
    recipient  is  entitled to  upon payout,  the fair  market value  of the
    Company's Common  Stock on  the  date of  the  payout shall  not  exceed
    $11.9375  per share (adjusted to reflect the Company's two-for-one stock
    split.) The share unit  awards, which vest 20%  per year for five  years
    after  the  first  anniversary  of  the  grant,  were  awarded  to  such
    recipients in 1990 at  a grant price of  $3.375 per share. (as  adjusted
    for the Company's two-for-one stock split.)

    To  continue the focus  on compensation tied  to enhanced stockholder value,
the Compensation  Committee has  proposed a  1995 Long-Term  Incentive Plan  for
stockholder  approval. A copy of  the plan document is  attached as Exhibit A to
this Proxy Statement. The  proposed plan provides authority  for the Stock  Plan
Committee to use a range of long-term incentive devices to motivate, attract and
retain  high quality executive talent. In  addition, the plan is flexible enough
to allow the Stock Plan Committee to  make long-term incentive awards in a  form
responsive  to changes in legislation and regulations affecting taxation for the
Company. Upon  approval of  the  plan by  the  stockholders, authority  to  make
further  grants  under the  Company's  1986 Stock  Option  Plan and  the Capital
Accumulation Plan will be terminated.

    The tables  which  follow, and  the  accompanying narrative  and  footnotes,
reflect the decisions covered by the above discussion.

        CHARLES L. RUTHE        WILLIAM J. RAGGIO       THOMAS Y. HARTLEY

                                       10
<PAGE>
COMPARATIVE STOCK PERFORMANCE

    The  graph below  compares the  cumulative total  stockholder return  on the
Common Stock of the Company for the  last five fiscal years with the  cumulative
total  return on the S&P Composite Index and  a group of peer companies over the
same period (assuming the investment of $100 in the Company's Common Stock,  the
S&P  Composite  Index, and  the peer  company  index on  December 31,  1989, and
reinvestment of all dividends).

<TABLE>
<CAPTION>
                                                  CUMULATIVE TOTAL RETURN
                                          ---------------------------------------
                                          1989   1990   1991   1992   1993   1994
                                          ----   ----   ----   ----   ----   ----
<S>                                       <C>    <C>    <C>    <C>    <C>    <C>
SIERRA HEALTH SVCS INC..................   100    159    214    501    513    733
PEER GROUP..............................   100    155    353    582    716    869
S & P 500...............................   100     97    126    136    150    152
</TABLE>

- ------------------------
The peer  group  is comprised  of  the following  companies:  Foundation  Health
Corporation,   HMO   America,  Coventry,   FHP  International   Corporation,  US
Healthcare, Inc.,  United Healthcare,  Oxford  Health Plans,  Inc.,  Pacificare,
Ramsay-HMO, Inc., Healthsource, and Intergroup Healthcare Corporation.

                                       11
<PAGE>
COMPENSATION OF EXECUTIVE OFFICERS

    The  following table sets  forth information concerning  the annual and long
term compensation for services in all  capacities to the Company for the  fiscal
years ended December 31, 1994, 1993 and 1992, of (a) the Chief Executive Officer
during  the  1994 fiscal  year, (b)  each  of the  four most  highly compensated
executive officers, other than the Chief Executive Officer, for the 1994  fiscal
year,  and (c)  one former  executive officer  of the  Company who  resigned his
position as  an  executive officer  in  August 1994,  (hereinafter  collectively
referred to as the "named executives"):

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                                          LONG TERM COMPENSATION
                                                                                       -----------------------------
                                                                                          AWARDS
                                                                                       ------------
                                                    ANNUAL COMPENSATION                 SECURITIES       PAYOUTS
                                        --------------------------------------------    UNDERLYING    --------------    ALL OTHER
            NAME AND                                                  OTHER ANNUAL     OPTIONS/SARS        LTIP        COMPENSATION
       PRINCIPAL POSITION         YEAR  SALARY ($)(1)   BONUS ($)   COMPENSATION ($)    (#)(6)(7)     PAYOUTS ($)(8)      ($)(9)
- --------------------------------  ----  -------------   ---------   ----------------   ------------   --------------   ------------
<S>                               <C>   <C>             <C>         <C>                <C>            <C>              <C>
Anthony M. Marlon, M.D.           1994     412,000       312,360                           5,000         171,250          7,620
 Chief Executive Officer          1993     400,000       200,000                          50,000         171,250          9,214
                                  1992     377,576       165,000                          20,000         171,250          8,941
Erin E. MacDonald                 1994     275,000       145,750               (5)        55,000         171,250          7,620
 President,                       1993     198,269        68,000          1,958           50,000         171,250          9,214
 Chief Operating Officer          1992     156,153        66,000         10,022(5)        10,000         171,250          8,941
Jerry D. Reeves, M.D.             1994     203,700        93,761                           6,000          34,250          7,620
 Vice President,                  1993     179,611        63,000                          25,000          34,250          9,214
 Health Care Operations           1992     169,533        42,000                           4,500          34,250          8,941
Michael A. Montalvo(2)            1994     136,750        72,453                          10,000                          6,498
 Vice President Marketing, Sales  1993      94,289        58,195(3)                       10,000
 and Underwriting Operations      1992
Robert A. Mayer(4)                1994     216,069                       64,598(5)        50,000         171,250          7,620
 Employee                         1993     197,500        64,000         72,737(5)        10,000         171,250          9,214
                                  1992     172,500        68,000                                         171,250          8,941
Frank E. Collins                  1994     136,475        65,062                           5,000          85,625          7,620
 Secretary and                    1993     134,306        39,000                          25,000          85,625          9,214
 General Counsel                  1992     122,692        42,000                           7,500          85,625          8,941
<FN>
- ------------------------------
(1)  Amounts  shown include cash  compensation earned and  received by the named
     executives as well as amounts earned but deferred at the election of  those
     officers.
(2)  Mr. Montalvo joined the Company in April 1993.
(3)  The  1993 bonus  amount for Mr.  Montalvo includes a  $33,195 sign-on bonus
     granted at hire.
(4)  Mr. Mayer was  a member  of the  Board of  Directors from  June 1990  until
     August  31, 1994. He was an executive  officer of the Company from February
     1989 until August 31, 1994, holding  the offices of Senior Vice  President,
     Chief  Financial Officer and Treasurer. On August 15, 1994 he resigned each
     of these positions, as  well as his positions  on the boards of  subsidiary
     companies,  effective  August  31,  1994. Mr.  Mayer  will  continue  to be
     employed by the Company through June 1995, but he is no longer an executive
     officer of the Company.
(5)  Money received  from  the  exercise of  tax  equalization  payments  (TEPs)
     granted in tandem with certain stock option awards under the Company's 1986
     Stock Option Plan.
(6)  In  1991, in order to limit the impact on earnings of charges for incentive
     compensation, the  Board  of  Directors eliminated  all  outstanding  stock
     appreciation  rights  (SARs). Such  SARs had  been  granted in  tandem with
     certain option awards under the Company's 1986 Stock Option Plan.
(7)  All numbers in this table relating to the number of option awards have been
     adjusted to  reflect a  two-for-one  split of  the Company's  Common  Stock
     distributed  on or about January  11, 1993 to stockholders  of record as of
     November 13, 1992.
(8)  "LTIP" means long-term incentive plan. The numbers reflect satisfaction  of
     the  Company's payment obligation with respect  to vested share units under
     the Company's Capital Accumulation Plan.
(9)  Represents contributions  made  by  the Company  to  the  Company's  Profit
     Sharing/401(k)  Plan and Trust on behalf of the named executives. This plan
     is the  major  retirement vehicle  available  to the  Company's  employees,
     including the named executives.
</TABLE>

                                       12
<PAGE>
STOCK OPTIONS

    The  following  table contains  information concerning  the grants  of stock
options to the named executives during fiscal year 1994:

                       OPTION GRANTS IN FISCAL YEAR 1994

<TABLE>
<CAPTION>
                                                                                                       POTENTIAL
                                                         INDIVIDUAL GRANTS                         RELIABLE VALUE AT
                                     ----------------------------------------------------------     ASSUMED ANNUAL
                                        NUMBER OF       % OF TOTAL                               RATES OF STOCK PRICE
                                       SECURITIES         OPTIONS                                  APPRECIATION FOR
                                       UNDERLYING       GRANTED TO     EXERCISE OR                    OPTION TERM
                                         OPTIONS       EMPLOYEES IN    BASE PRICE   EXPIRATION   ---------------------
               NAME                  GRANTED (#)(1)        1994         ($/SH)(4)      DATE       5% ($)     10% ($)
- -----------------------------------  ---------------  ---------------  -----------  -----------  ---------  ----------
<S>                                  <C>              <C>              <C>          <C>          <C>        <C>
Anthony M. Marlon, M.D.                     5,000(3)          3.23%     $  28.625     12/12/00   $  48,676  $  110,430
 Chief Executive Officer
Erin E. MacDonald                          50,000(2)         32.32%     $  26.375     08/09/00   $ 448,501  $1,017,496
 President,                                 5,000(3)          3.23%     $  28.625     12/12/00   $  48,676  $  110,430
 Chief Operating Officer
Jerry D. Reeves, M.D.                       6,000(3)          3.88%     $  28.625     12/12/00   $  58,411  $  132,515
 Vice President,
 Health Care Operations
Michael A. Montalvo                        10,000(3)          6.46%     $  28.625     12/12/00   $  97,352  $  220,859
 Vice President, Marketing, Sales
 and Underwriting Operations
Robert A. Mayer(5)                              0                0              0                        0           0
 Employee
Frank Collins                               5,000(3)          3.23%     $  28.625     12/12/00   $  48,676  $  110,430
 Secretary and General Counsel
<FN>
- ------------------------------
(1)  All grants were made pursuant to the Company's 1986 Stock Option Plan  (the
     "1986  Plan"). The 1986 Plan  provides for the granting  of (a) options for
     the purchase of Common Stock of the Company, which may be "incentive  stock
     options"  under  Section  422  of  the Internal  Revenue  Code  of  1986 or
     nonqualified stock options, (b) tandem stock appreciation rights  ("SARs"),
     and  (c) tandem tax  equalization payment rights ("TEPs").  No SARs or TEPs
     were granted with the  above awards. The options  expire not more than  ten
     years  from the date of grant,  except that incentive stock options granted
     to an optionee who owns  more than 10% of the  voting stock of the  Company
     expire  five years from the date of grant. The options shown above vest and
     are exercisable  at  the rate  of  20% per  year  starting with  the  first
     anniversary  date of the grant. Upon a change of control of the Company, as
     described  in  the  1986  Plan,  the  vesting  of  the  options  shall   be
     automatically  accelerated, so that the options  outstanding at the time of
     such change  of  control  will  be exercisable  immediately  prior  to  the
     effective date of such change of control; provided, however, that the Stock
     Plan  Committee administering the 1986 Plan may exclude a change of control
     transaction from the foregoing provisions and permit the option to continue
     to vest in  accordance with its  original terms. In  addition, the  options
     shown  above  shall  terminate  and  may  no  longer  be  exercised  if the
     respective optionee ceases to  be an employee or  director of the  Company,
     except   for  certain  post-termination  exercise  terms  in  the  case  of
     involuntary termination for any reason other  than death, the death of  the
     optionee,  and an  optionee's leave  of absence.  In addition,  the options
     shown above will be deemed to have been terminated on the date on which the
     optionee's employment  or  tenure  as  a director  is  terminated  if  such
     termination  is for "cause." All numbers and prices in this table have been
     adjusted to  reflect a  two-for-one  split of  the Company's  Common  Stock
     distributed  on or about January  11, 1993 to stockholders  of record as of
     November 13, 1992.

(2)  Options granted on August 10, 1994.

(3)  Options granted on December 13, 1994.

(4)  All options were  granted at  an exercise price  equal to  the fair  market
     value  of the Company's Common Stock on the option grant date. The exercise
     price may be  paid by the  optionee in cash  or by check,  except that  the
     Stock  Plan Committee may, in  its discretion, allow such  payment to be by
     surrender of unrestricted shares  of the Company's  Common Stock (at  their
     then  fair market value  on the date  of exercise), or  by a combination of
     cash, check and unrestricted shares.

(5)  Mr. Mayer was  a member  of the  Board of  Directors from  June 1990  until
     August  31, 1994. He was an executive  officer of the Company from February
     1989 until August 31, 1994, holding  the offices of Senior Vice  President,
     Chief  Financial Officer and Treasurer. On August 15, 1994 he resigned each
     of these positions, as  well as his positions  on the boards of  subsidiary
     companies,  effective  August  31,  1994. Mr.  Mayer  will  continue  to be
     employed by the Company through June 1995, but he is no longer an executive
     officer of the Company.
</TABLE>

                                       13
<PAGE>
OPTION EXERCISES AND HOLDINGS

    The  following  table  provides  information,  with  respect  to  the  named
executives,   concerning  the  exercise  of   options  during  fiscal  1994  and
unexercised options held as of the end of such fiscal year.

     AGGREGATED OPTION EXERCISES IN FISCAL 1994 AND YEAR-END OPTION VALUES

<TABLE>
<CAPTION>
                                                                                 NUMBER OF
                                                                                 SECURITIES         VALUE OF
                                                                                 UNDERLYING        UNEXERCISED
                                                                                UNEXERCISED       IN-THE-MONEY
                                                                                 OPTIONS AT        OPTIONS AT
                                                                                 FY-END (#)        FY-END ($)
                                        SHARES ACQUIRED          VALUE          EXERCISABLE/      EXERCISABLE/
                NAME                    ON EXERCISE (#)     REALIZED ($)(1)    UNEXERCISABLE    UNEXERCISABLE (2)
- -------------------------------------  -----------------  -------------------  --------------  -------------------
<S>                                    <C>                <C>                  <C>             <C>
Anthony M. Marlon, M.D.                            0                    0      118,000/57,000  $2,247,500/$814,375
 Chief Executive Officer
Erin E. MacDonald                             71,268          $ 1,086,640      12,000/101,800  $173,750/$1,004,088(3)
 President, Chief Operating Officer
Jerry D. Reeves, M.D.                         12,967      $       171,663        1,300/29,500     $28,288/$386,313
 Vice President, Health Care
 Operations
Michael A. Montalvo                                0                    0        2,000/18,000     $30,500/$152,000
 Vice President, Marketing,
 Sales and Underwriting Operations
Robert A. Mayer(4)                            89,668      $     1,377,726        1,400/46,800     $22,300/$726,588(3)
 Employee
Frank Collins                                 38,167      $       593,740        2,000/29,900     $39,813/$409,700
 Secretary and General Counsel
<FN>
- ------------------------------
(1)  Represents market price at  exercise date less  exercise price. The  amount
     does  not include  payments received from  the exercise of  TEPs granted in
     tandem with certain options.

(2)  Based on the closing price of the  Common Stock of the Company on  December
     31,  1994, which was $31.625, minus the exercise price of the option. There
     is no guarantee that if and when these options are exercised they will have
     this value.

(3)  Does not include amounts realizable through the exercise of TEPs granted in
     tandem with certain options.

(4)  Mr. Mayer was  a member  of the  Board of  Directors from  June 1990  until
     August  31, 1994. He was an executive  officer of the Company from February
     1989 until August 31, 1994, holding  the offices of Senior Vice  President,
     Chief  Financial Officer and Treasurer. On August 15, 1994 he resigned each
     of these positions, as  well as his positions  on the boards of  subsidiary
     companies,  effective  August  31,  1994. Mr.  Mayer  will  continue  to be
     employed by the Company through June 1995, but he is no longer an executive
     officer of the Company.
</TABLE>

EMPLOYMENT CONTRACTS AND TERMINATION OF EMPLOYMENT AND CHANGE OF CONTROL
ARRANGEMENTS

    In August 1994, the Company entered into new five year employment agreements
with its Chief Executive Office, President, and Vice President of Administrative
Services and two or  three year employment agreements  with its other  executive
officers,   including  the  other  named  executives,  except  Mr.  Mayer  whose
employment contract  was not  renewed. These  agreements are  terminable by  the
executive  officers upon  60 days notice.  These agreements provide  that in the
event of (i) termination without cause, (ii) a change of control not approved by
the Board of Directors  or (iii) a  change of control approved  by the Board  of
Directors  and a subsequent termination without cause or diminution of duties or
compensation, the Company will be obligated to provide scheduled payments to the
affected executive officer  equivalent to  salary for  two years  for the  Chief
Executive  Officer, eighteen months for the President and six months to one year
for  the  other  executives.   The  employment  agreements  contemplate   annual
adjustments  in compensation based on performance, responsibilities, and changes
in the cost of  living. Under these agreements,  these named executives may  not
engage in any business in the State of Nevada that is in direct competition with
the Company during a period of one year following termination of employment.

                                       14
<PAGE>
    As  described in footnote  1 to the  table entitled Option  Grants in Fiscal
Year 1994, under certain circumstances the exercisability of options granted  to
named executives is accelerated in the event of certain changes of control.

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

    The  members  of  the  Compensation  Committee  are  the  three non-employee
directors, Messrs. Hartley, Raggio and Ruthe.

    Mr. Raggio is a senior partner of Vargas & Bartlett, a Nevada law firm which
during 1994 rendered legal services to the Company.

    Mr. Ruthe is the Chairman of the Board, owner and former president of a real
estate brokerage firm. During 1994, the Company exercised an option to  purchase
a  parcel  of  property  adjacent  to its  home  office  building  and corporate
administrative headquarters, subject to  receiving the approval  of the City  of
Las  Vegas. If  the sale is  completed, a brokerage  commission of approximately
$96,000 will be payable by the City of Las Vegas to Mr. Ruthe's firm.

DIRECTOR COMPENSATION

    During 1994, directors who are not officers of the Company were paid $10,000
per annum, plus a $1,000 meeting fee for meetings attended, including  committee
meetings  of the Board. Mr. Raggio, Mr. Ruthe, and Mr. Hartley were paid, in the
aggregate, $31,000, $33,000, and $35,000,  respectively. During 1994, Mr.  Ruthe
received  $6,900 as director's fees for his position as Chairman of the Board of
Health Plan of Nevada, Inc., the HMO subsidiary of the Company.

    Effective March 16, 1992, the 1986 Stock Option Plan was amended to  provide
for automatic annual grants to outside directors of six-year options, vesting at
20%  per  year starting  with the  first anniversary  of the  date of  grant, to
purchase 1,000  shares (adjusted  to 2,000  shares post-stock  split) of  Common
Stock at a per share exercise price equal to the fair market value of the Common
Stock  on the  date of  grant. On January  20, 1994,  options representing 2,000
shares  of  Common  Stock  at  a  per  share  exercise  price  of  $27.00   were
automatically  granted to Messrs. Raggio, Ruthe,  and Hartley under the terms of
the 1986  Stock Option  Plan. On  January 20,  1995, Messrs.  Raggio, Ruthe  and
Hartley were each granted options representing 2,000 shares of Common Stock at a
per share exercise price of $30.875.

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

    For  information  concerning Certain  Related  Transactions with  respect to
Messrs.  Raggio  and  Ruthe,   Directors  of  the   Company,  please  refer   to
"Compensation Committee Interlocks and Insider Participation."

    In  March 1994, the  Company purchased all  of the outstanding  stock of two
companies, North Medical  Building, Inc.  ("NMBI") and  South Medical  Building,
Inc.  ("SMBI"), from  which the  Company's multi-specialty  medical group leased
medical facilities. The two companies and their predecessor limited partnerships
were partially  owned  by affiliates  and  other stockholders  of  the  Company,
including Dr. Marlon and Mr. Godfrey.

    The  purchase price for  all of the  outstanding stock of  NMBI and SMBI was
approximately $11.4 million in  the aggregate in  cash and assumed  liabilities.
The  purchase price  for each of  the two  companies was based  on the appraised
value of  the  companies'  land  and medical  facilities.  The  appraisals  were
prepared  by Shelli Lowe  & Associates, Real  Estate Appraisers and Consultants.
The purchase price for NMBI consisted of approximately $2.4 million in cash  and
approximately  $4.9 million in assumed liabilities.  The purchase price for SMBI
consisted of approximately $1.6 million  in cash and approximately $2.5  million
in  assumed  liabilities.  The amounts  paid  to  Dr. Marlon  for  his aggregate
interests in NMBI and SMBI were $737,739 and $262,763, respectively. Mr. Godfrey
received $104,834  for  his interest  in  NMBI. Dr.  Marlon's  parents  received
$246,555  for their interest in SMBI.  Lease payments to the predecessor limited
partnerships of NMBI and SMBI were approximately $1.5 million, $1.6 million  and
$1.7 million in 1991, 1992 and 1993, respectively.

                                       15
<PAGE>
    Dr.   Marlon  and  Mr.   Godfrey  had  direct   interests  in  the  purchase
transactions, as they had financial interests in both the Company and NMBI, and,
in the case of  Dr. Marlon, also  in SMBI. The transactions  were approved by  a
majority of disinterested directors of the Company.

ITEM NO. 2 -- APPROVAL OF THE 1995 LONG-TERM INCENTIVE PLAN

    The  Company's  Board of  Directors believes  that attracting  and retaining
executives and other key employees of high quality is essential to the Company's
growth and success.  The Board also  believes that important  advantages to  the
Company  are gained  by a comprehensive  compensation program  which may include
different types  of  incentives for  motivating  employees of  the  Company  and
rewards  for  outstanding  service.  In this  regard,  stock  options  and other
stock-related awards have been and will  continue to be an important element  of
compensation  for  executives and  other employees,  because such  awards enable
employees to  acquire or  increase their  proprietary interest  in the  Company,
thereby  promoting  a closer  identity of  interests  between employees  and the
Company's stockholders.  Such  awards also  provide  to employees  an  increased
incentive  to  expend their  maximum efforts  for the  success of  the Company's
business.

    Accordingly, on February 14,  1995 the Company's  Stock Plan Committee  (the
"Committee"),  recommended  and  the  Board  of  Directors  adopted,  subject to
stockholder approval, the 1995 Long-Term  Incentive Plan (the "1995 Plan").  The
terms  of the 1995 Plan  will give the Committee  which will administer the 1995
Plan, great  flexibility and  broad discretion  to design  awards to  executives
involving  stock, including  options, stock  appreciation rights  ("SARs") and a
variety of other stock-related awards (collectively, "Awards"). This flexibility
will permit the Company to meet the rapidly changing requirements under the  tax
laws,  securities  laws, and  corporate  law, provide  for  positive stockholder
relations, and most importantly achieve the  purposes of such Awards to  provide
substantial  incentives to  executives for  excellent performance. Additionally,
the Committee may require achievement of pre-established performance targets  as
a  condition of Awards being granted, exercised  or settled under the 1995 Plan,
or as a condition to accelerating the timing of such events.

    At the Annual Meeting, the Company's  stockholders will be asked to  approve
the  1995 Plan, including the material terms  of its performance goals for those
Awards that are  intended to  be performance-based. This  approval is  required,
among  other reasons, to ensure that compensation  earned by and paid to certain
executive officers of the  Company pursuant to fair  market value stock  options
and  SARs  and performance-based  awards  granted under  the  1995 Plan  will be
deductible by the Company for federal  income tax purposes. Since 1994,  Section
162(m)  of  the Internal  Revenue Code  of  1986, as  amended (the  "Code"), has
limited deductions for publicly held  companies with respect to compensation  in
excess  of $1,000,000 paid to certain  of their executive officers. Assuming the
stockholders' approval is  obtained, compensation  payable under  the 1995  Plan
attributable   to  fair  market  value  stock   options  and  SARs  and  certain
performance-based awards, which is otherwise  deductible, should not be  subject
to   this  limitation.   (See  "Compensation   Committee  Report   on  Executive
Compensation")

    It is intended that the 1995 Plan will replace the Company's Second  Amended
and  Restated 1986 Stock Option Plan (the  "1986 Plan") and the Company's Second
Restated Capital Accumulation  Plan (the  "CAP Plan"). Therefore,  the Board  of
Directors has determined to terminate authority to make further awards under the
1986  Plan  and  the  CAP  Plan upon  stockholder  approval  of  the  1995 Plan.
Outstanding awards under the 1986 Plan and the CAP Plan will remain in effect.

    The following is a  brief description of the  material features of the  1995
Plan.  Such description is  qualified in its  entirety by reference  to the full
text of the 1995 Plan,  a copy of which is  attached to this Proxy Statement  as
Exhibit A.

    SHARES  AVAILABLE AND AWARD LIMITATIONS.  Under the 1995 Plan, the number of
shares of Common Stock reserved and  available for Awards is 1,200,000 plus  the
number  of shares reserved for  the grant of awards under  the 1986 Plan and the
CAP  Plan   but  which   have  not   been   and  will   not  be   issued   under

                                       16
<PAGE>
those  Plans  (approximately 15,000  shares  and 400,000  shares, respectively).
Shares subject to forfeited or expired Awards or to an Award that is settled  in
cash  or is otherwise  terminated without issuance of  shares to the participant
and shares withheld by or surrendered to the Company to satisfy withholding  tax
obligations  or in payment of  the exercise price of an  Award will be deemed to
remain available for Awards under the 1995 Plan. Shares delivered under the 1995
Plan may be either newly issued or treasury shares.

    In addition, the  1995 Plan includes  a limitation on  the amount of  Awards
that  may be granted to any one participant in a given calendar year in order to
qualify Awards as "performance-based compensation" not subject to the limitation
of Section  162(m) of  the Code.  Under this  annual per-person  limitation,  no
participant  may in any year be granted  awards under the 1995 Plan with respect
to more than 200,000 shares of Common Stock.

    Adjustments  to  the  number  and  kind  of  shares  subject  to  the  share
limitations and annual per-person limitations under the 1995 Plan are authorized
in  the event that a dividend or other distribution (whether in cash, shares, or
other property), recapitalization, reclassification, stock split,
reorganization, business combination, or other similar corporate transaction  or
event  affects  the Common  Stock. The  Committee is  also authorized  to adjust
performance conditions and other terms of  Awards in response to these kinds  of
events or to changes in applicable laws, regulations, or accounting principles.

    On  March 14,  1995, the  last reported sale  price of  the Company's Common
Stock on the composite  tape for New York  Stock Exchange-listed securities  was
$30.375 per share.

    ELIGIBILITY.   Executive officers and other key employees of the Company and
its subsidiaries, including  any director who  is also an  executive officer  or
employee  of the Company, are eligible to be granted awards under the 1995 Plan.
No member of the Committee will be eligible to be granted awards under the  1995
Plan.  At present, approximately  90 persons would be  eligible for Awards under
the 1995 Plan.

    ADMINISTRATION.  The 1995 Plan is administered by the Committee, the members
of which must each be a "disinterested person" as defined under Rule 16b-3 under
the Exchange Act.  Subject to the  terms and  conditions of the  1995 Plan,  the
Committee is authorized to designate participants, determine the type and number
of  Awards to be granted  and the number of shares  to which Awards will relate,
specify times  at  which  awards  will  be  exercisable  or  settled  (including
performance  conditions that may be required  as a condition thereof), set other
terms and  conditions  of such  Awards,  prescribe forms  of  Award  agreements,
interpret  and specify the 1995  Plan and the rules  and regulations relating to
the 1995  Plan, and  make all  other determinations  which may  be necessary  or
advisable  for the administration of the 1995  Plan. The 1995 Plan provides that
Committee  members  shall  not  be   personally  liable,  and  shall  be   fully
indemnified,  in connection  with any  action, determination,  or interpretation
taken or made in good faith under the 1995 Plan.

    STOCK OPTIONS AND SARS.  The Committee is authorized to grant stock options,
including both incentive stock options ("ISOs"), which can result in potentially
favorable tax treatment to the participant, and non-qualified stock options, and
SARs entitling the participant to receive the excess of the fair market value of
a share on the date of exercise or other specified date over the grant price  of
the  SAR. The  exercise price  of an  option and  the grant  price of  an SAR is
determined by the Committee, but generally may not be less than the fair  market
value of the stock on the date of grant (except as described below). The maximum
term  of each  option or  SAR, the  times at  which each  option or  SAR will be
exercisable, and provisions  requiring forfeiture of  unexercised options at  or
following  termination  of employment,  generally  are fixed  by  the Committee,
subject to a restriction  that no ISO,  or SAR in tandem  therewith, may have  a
term  exceeding ten years. Options  may be exercised by  payment of the exercise
price in cash, stock or other property (possibly including notes or  obligations
to  make  payment on  a deferred  basis)  or by  surrender of  other outstanding
awards, having a  fair market value  equal to the  exercise price. Reload  stock
options,  which automatically  replace a portion  of exercised  options with new
options,  are  permitted  to  be  granted  under  the  1995  Plan.  Methods   of

                                       17
<PAGE>
exercise  and  settlement and  other terms  of  SARs will  be determined  by the
Committee.  SARs  granted  under  the  1995  Plan  may  include  "limited  SARs"
exercisable  for a stated period of time  following a "change in control" of the
Company, as discussed below.

    RESTRICTED AND DEFERRED STOCK.  The  Committee is authorized to make  Awards
of  restricted stock  and deferred  stock. Prior  to the  end of  the restricted
period, shares received as restricted  stock may not be  sold or disposed of  by
participants,  and may be  forfeited in the event  of termination of employment.
The restricted period generally is established by the Committee, but  Restricted
Stock  must  be  forfeitable  for at  least  three  years in  the  event  of the
termination of the participant's employment  under certain circumstances if  the
grant  or  lapse  of  restrictions  is not  conditioned  upon  achievement  of a
performance objective. Such an Award would entitle the participant to all of the
rights of a stockholder of the Company,  including the right to vote the  shares
and  the right to receive any  dividends thereon, unless otherwise determined by
the Committee. Deferred stock gives participants the right to receive shares  at
the  end of a specified  deferral period, subject to  forfeiture of the Award in
the event of termination of employment under certain circumstances prior to  the
end of a specified restricted period (which need not be the same as the deferral
period).  Prior to settlement, deferred stock Awards carry no voting or dividend
rights or other rights associated with stock ownership, but dividend equivalents
may be paid on such deferred stock.

    OTHER  STOCK-BASED  AWARDS,  BONUS  STOCK,  AND  AWARDS  IN  LIEU  OF   CASH
OBLIGATIONS.   The 1995 Plan  authorizes the Committee to  grant Awards that are
denominated or  payable in,  valued in  whole or  in part  by reference  to,  or
otherwise  based on or related to Common Stock. The Committee will determine the
terms and conditions of such Awards,  including the consideration to be paid  to
exercise  Awards  in the  nature of  purchase rights,  the periods  during which
Awards will be outstanding,  and any forfeiture  conditions and restrictions  on
Awards. In addition, the Committee is authorized to grant shares as a bonus free
of  restrictions, or to  grant shares or  other Awards in  lieu of the Company's
obligations under  other plans  or compensatory  arrangements, subject  to  such
terms as the Committee may specify.

    PERFORMANCE-BASED  AWARDS.    The  Committee  may  require  satisfaction  of
pre-established performance goals, consisting of  one or more business  criteria
and  a targeted performance level with respect  to such criteria, as a condition
of Awards being  granted or becoming  exercisable or settleable  under the  1995
Plan,  or  as a  condition  to accelerating  the timing  of  such events.  If so
determined by the Committee, in order to avoid the limitations of Section 162(m)
under the Code,  the business  criteria used  by the  Committee in  establishing
performance  goals applicable to  awards to the chief  executive officer and the
four  other  most  highly  compensated  executive  officers  will  be   selected
exclusively from among the following: (i) the Company's annual return on equity,
(ii)  its annual earnings per share, (iii) changes in its annual revenues and/or
(iv) strategic business criteria, consisting of one or more objectives based  on
specified  revenue, market  penetration, geographic business  expansion and cost
targets, and goals relating to acquisitions or divestitures as specified by  the
Committee.

    OTHER  TERMS OF AWARDS.  Awards may  be settled in cash, stock, other Awards
or other property, in the discretion of the Committee. The Committee may require
or permit participants to  defer the settlement  of all or part  of an Award  in
accordance  with  such  terms and  conditions  as the  Committee  may establish,
including payment  or  crediting of  interest  or dividend  equivalents  on  any
deferred  amounts. The  Committee is authorized  to place cash,  shares or other
property in trusts  or make  other arrangements to  provide for  payment of  the
Company's obligations under the 1995 Plan. The Committee may condition Awards on
the  payment of  taxes such as  by withholding a  portion of the  stock or other
property to  be distributed  (or  previously acquired  stock or  other  property
surrendered  by the  participant) in  order to  satisfy tax  obligations. Awards
granted under the 1995 Plan generally may not be pledged or otherwise encumbered
and are  not  transferable  except  by  will or  by  the  laws  of  descent  and
distribution,  or  to a  designated  beneficiary upon  the  participant's death,
except that the  Committee may  in the  future permit  transfers if  and to  the
extent  that  the  regulations of  the  Securities and  Exchange  Commission are
modified to allow transfers for estate planning purposes.

                                       18
<PAGE>
    Awards under the 1995 Plan will generally be granted in consideration solely
of  services. The Committee may, however, grant  awards alone or in addition to,
in tandem with or in substitution for any other Award under the 1995 Plan, other
awards under other Company plans, or  other rights to payment from the  Company.
Awards  granted in  addition to or  in tandem  with other awards  may be granted
either at  the same  time or  at  different times.  If an  Award is  granted  in
substitution  for another award, the participant must surrender such other award
in consideration for the grant of the  new Award, and the exercise price,  grant
price,  or purchase price of  the new Award may  be adjusted downward to reflect
the "in-the-money" value of the surrendered award.

    VESTING, FORFEITURES, AND ACCELERATION THEREOF.   The Committee may, in  its
discretion  determine  the vesting  schedule of  options  and other  Awards, the
circumstances that will result in forfeiture of the Awards, the post-termination
exercise periods of options and similar Awards, and the events that will  result
in acceleration of the ability to exercise and the lapse of restrictions, or the
expiration  of any  deferral period,  on any Award.  In addition,  the 1995 Plan
provides that in the event  of a Change of  Control of the Company,  outstanding
Awards  granted  six  months  or  more prior  to  such  Change  of  Control will
immediately vest  and be  fully exercisable  and any  restrictions, deferral  of
settlement  and forfeiture  conditions of  such Awards  will lapse.  A Change of
Control means an event in which (i) the Company shall merge or consolidate  with
any  other  corporation and  shall not  be the  surviving corporation;  (ii) the
Company shall  transfer all  or substantially  all of  its assets  to any  other
person;  or (iii) any person shall have become the beneficial owner of more than
50% of the voting securities of the Company.

    AMENDMENT AND TERMINATION  OF THE  1995 PLAN.   The Board  of Directors  may
amend,   alter,  suspend,  discontinue,  or  terminate  the  1995  Plan  or  the
Committee's authority to  grant awards thereunder  without stockholder  approval
unless  required  by  law,  regulation,  or  stock  exchange  rules,  or  deemed
advisable. Thus,  stockholder  approval will  not  necessarily be  required  for
amendments  which might  increase the cost  of the plan  or broaden eligibility.
Unless earlier terminated,  the 1995 Plan  will terminate at  such time that  no
shares  reserved under  the 1995  Plan remain available  and the  Company has no
further obligation with respect to any outstanding award.

    FEDERAL INCOME TAX IMPLICATIONS OF THE 1995 PLAN.  The following is a  brief
description  of  the  federal  income tax  consequences  generally  arising with
respect to Awards  that may  be granted  under the 1995  Plan. The  grant of  an
option  or SAR (including a stock-based award in the nature of a purchase right)
will create  no federal  income  tax consequences  for  the participant  or  the
Company.  A  participant will  not have  taxable income  upon exercising  an ISO
(unless the alternative minimum tax  applies to the recipient). Upon  exercising
an  option other than an  ISO (including a stock-based Award  in the nature of a
purchase right), the participant must generally recognize ordinary income  equal
to  the difference between the  exercise price and the  fair market value of the
freely transferable and nonforfeitable stock  acquired on the date of  exercise.
Upon exercising an SAR, the participant must generally recognize ordinary income
equal  to the cash  or to the fair  market value of  the freely transferable and
nonforfeitable stock received.

    Upon a disposition of shares acquired upon exercise of an ISO before the end
of the applicable ISO holding periods, the participant must generally  recognize
ordinary  income equal to the lesser of (i)  the fair market value of the shares
at the date of exercise of the ISO  minus the exercise price or (ii) the  amount
realized  upon  the disposition  of  the ISO  shares  minus the  exercise price.
Otherwise, a participant's disposition of  shares acquired upon the exercise  of
an  option or SAR generally will result  in short-term or long-term capital gain
or loss measured by the difference between the sale price and the  participant's
tax  basis  in  such  shares  (generally, the  exercise  price  plus  any amount
previously recognized as ordinary income in connection with the exercise of  the
option or SAR).

    The  Company generally  will be  entitled to  a tax  deduction equal  to the
amount recognized  as ordinary  income  by the  participant in  connection  with
options and SARs. The Company generally is

                                       19
<PAGE>
not  entitled to a  tax deduction relating  to amounts that  represent a capital
gain to a participant. Accordingly, the Company will not be entitled to any  tax
deduction  with respect to  an ISO if  the participant holds  the shares for the
applicable ISO holding periods prior to disposition of the shares.

    With respect to other Awards granted under the 1995 Plan that may be settled
either in cash or in stock or other property that is either not restricted as to
transferability or  not  subject  to  a  substantial  risk  of  forfeiture,  the
participant  must generally recognize  ordinary income equal to  the cash or the
fair market value of stock or other property actually received. The Company will
be entitled to a deduction for the same amount. With respect to awards involving
stock or other property that is restricted as to transferability and subject  to
a  substantial  risk of  forfeiture,  the participant  must  generally recognize
ordinary income equal to the fair market  value of the shares or other  property
received  at the first time the shares  or other property become transferable or
not subject to a substantial risk  of forfeiture, whichever occurs earlier.  The
Company  will be  entitled to  a deduction  in an  amount equal  to the ordinary
income recognized by the participant. A participant may elect to be taxed at the
time of  receipt  of  shares  or  other  property  rather  than  upon  lapse  of
restrictions  on transferability or  the substantial risk  of forfeiture, but if
the participant subsequently forfeits  such shares or property  he would not  be
entitled to any tax deduction, including as a capital loss, for the value of the
shares or property on which he previously paid tax.

    The  foregoing provides  only a  general description  of the  application of
federal income tax laws  to certain types  of awards under  the 1995 Plan.  This
discussion  is intended for  the information of  stockholders considering how to
vote at the Annual Meeting and not  as tax guidance to participants in the  1995
Plan as the consequences may vary with the types of awards made, the identity of
the  recipients and the method of payment or settlement. Different tax rules may
apply, including in the  case of variations in  transactions that are  permitted
under  the 1995  Plan (such  as payment of  the exercise  price of  an option by
surrender of previously acquired shares) and  with respect to a participant  who
is  subject to Section 16  of the 1934 Act,  when he or she  acquires stock in a
transaction that would otherwise result in taxation within six months after  the
Award  is deemed  granted under  Section 16.  The summary  does not  address the
effects of other  federal taxes  (including possible  "golden parachute"  excise
taxes) or taxes imposed under state, local, or foreign tax laws.

    As  discussed  above,  compensation  that  qualifies  as  "performance-based
compensation" is excluded from the $1,000,000 deductibility cap of Code  Section
162(m),  and therefore  remains fully  deductible by  the company  that pays it.
Under the 1995 Plan, options  and SARs granted with  an exercise price or  grant
price at least equal to 100% of fair market value of the underlying stock at the
date  of grant, and certain other  Awards which are conditioned upon achievement
of  performance  goals  are  intended  to  qualify  as  such  "performance-based
compensation."  Final  regulations under  Section  162(m), which  have  not been
adopted yet by the Internal Revenue Service, may adversely affect the ability of
the Company to ensure that such options, SARs and other performance-based Awards
under the 1995  Plan will  qualify as "performance-based  compensation" that  is
fully  deductible. Other Awards under  the 1995 Plan would  not so qualify, with
the result that compensation paid to certain executives in connection with  such
Awards  may, to the extent it and other compensation subject to Section 162(m)'s
deductibility cap  exceeds  $1,000,000  in  a given  year,  be  subject  to  the
limitation of Section 162(m).

    VOTE  REQUIRED FOR APPROVAL.  Approval  of the 1995 Long-Term Incentive Plan
will require the affirmative vote of holders  of a majority of the voting  power
of the issued and outstanding voting securities present in person or represented
by  proxy and  entitled to  vote. Anthony  M. Marlon,  a director  and principal
stockholder of the Company, intends to cast his vote "FOR" approval of the  1995
Plan.

    The  Board of Directors considers the 1995  Plan to be in the best interests
of the Company and  its stockholders and recommends  that the stockholders  vote
FOR approval.

                                       20
<PAGE>
ITEM NO. 3 -- APPROVAL OF THE 1995 NON-EMPLOYEE DIRECTORS' STOCK PLAN

    On February 14, 1995, the Board of Directors of the Company adopted, subject
to  stockholder  approval,  the  1995 Non-Employee  Directors'  Stock  Plan (the
"Directors' Plan").  The Directors'  Plan is  intended to  promote ownership  by
non-employee Directors of a greater proprietary interest in the Company, thereby
aligning   such  Directors'  interests  more   closely  with  the  interests  of
stockholders of  the  Company, and  to  assist  the Company  in  attracting  and
retaining highly qualified persons to serve as Directors.

    The  Board of Directors  adopted the Directors' Plan  in connection with the
termination of  the Company's  1986 Stock  Option Plan  (the "1986  Plan").  SEE
"APPROVAL  OF THE  1995 LONG-TERM INCENTIVE  PLAN." Since January  20, 1992, the
1986 Plan  has  provided  for  automatic annual  grants,  to  each  non-employee
director,  of an option to purchase 2,000  shares of the Company's Common Stock.
The Directors' Plan provides for automatic annual grants and allows non-employee
directors to elect to receive their fees in the form of Common Stock.

    The following is a brief description of the material terms of the Directors'
Plan. Such description  is qualified in  its entirety by  reference to the  full
text of the Directors' Plan, a copy of which is attached to this Proxy Statement
as Exhibit B.

    The  Directors' Plan generally provides for an annual grant to each Director
who is not an employee of the Company or any subsidiary of an option to purchase
3,000 shares of Common Stock. Such grants will be made automatically (i) on  the
date  on which a person is first elected  to the Board of Directors, and (ii) on
January 20, 1996  and on each  January 20 thereafter  (except in the  case of  a
Director who received options upon election to the Board within six months prior
to  any such  January 20).  Messrs. Hartley, Raggio  and Ruthe  would qualify as
non-employee Directors under the Directors' Plan.

    Stock options  granted under  the Directors'  Plan are  non-qualified  stock
options  having an exercise price equal to 100%  of the fair market value of the
Common Stock at the date  of grant. Directors are not  required to pay any  cash
consideration  at the time of grant of  options. A Director may pay the exercise
price of an  option in  cash or by  surrendering previously  acquired shares  of
Common  Stock. On March  14, 1995, the  reported closing price  of the Company's
Common Stock in New York Stock  Exchange Composite Transactions was $30.375  per
share.

    One-fifth  of the  stock options  granted under  the Directors'  Plan become
exercisable on each anniversary date of their grant, although such options  will
become  immediately exercisable if the optionee ceases serving as a Director due
to death or disability or, in the case  of an Option granted six months or  more
prior  to a Change of Control, upon such  Change of Control. A Change of Control
means an event  in which (i)  the Company  shall merge or  consolidate with  any
other  corporation and shall not be  the surviving corporation; (ii) the Company
shall transfer all or substantially  all of its assets  to any other person;  or
(iii)  any person shall have become the beneficial owner of more than 50% of the
voting securities of the Company. Otherwise, such options may be exercised after
a Director ceases to serve as a member of the Board only to the extent that  the
options were exercisable at the date the Director ceases to serve.

    Such  options will expire at the earliest of (i) ten years after the date of
grant, (ii) one  year after the  optionee ceases  serving as a  Director due  to
death  or disability, or (iii) six months after the optionee ceases serving as a
Director for any other reason, except that, if the optionee dies during the  one
year  or six month post termination period,  such period shall be extended until
the date one  year after the  optionee's death (but  in no event  more than  ten
years  after  the date  of grant).  Options generally  will not  be transferable
otherwise than  by will  or by  the laws  of descent  and distribution  or to  a
designated  beneficiary in  the event of  death, and are  exercisable during the
Director's lifetime only by the Director,  except that transfers of options  for
estate  planning  purposes will  be permitted  if  regulations are  modified (as
currently proposed) to permit such transfers.

                                       21
<PAGE>
    The Directors' Plan also permits a non-employee Director to elect to receive
fees otherwise payable in cash in the form of Common Stock, or receive such fees
in the form of "deferred stock." A director may make such an election for up  to
the  full amount of  the fees payable  to him or  her, including annual retainer
fees and fees for service on Board committees. (See "Director Compensation")  If
a  director elects to receive fees in the form of Common Stock, the Company will
issue a number of shares having an aggregate fair market value equal to the fees
that are payable. If a Director elects  to receive fees in the form of  deferred
stock,  the Company will credit a  deferral account established for the Director
with a number of shares of deferred stock equal in fair market value to the fees
payable at  such date.  If dividends  are  declared and  paid on  Common  Stock,
dividend  equivalents will be credited on the  deferred stock then credited to a
Director's account, and such amounts generally  will be deemed to be  reinvested
in  additional deferred stock. Deferred stock will  be settled by delivery of an
equal number of shares of common stock to the Director at such time or times  as
he  or she elects. Shares  of Common Stock and  deferred stock so acquired under
the Directors' Plan are nonforfeitable.

    A total of  60,000 shares  of Common Stock  are reserved  and available  for
issuance  under the Directors' Plan. Such  shares may be authorized and unissued
shares or  treasury shares.  If any  stock option  expires without  having  been
exercised  in full, the shares subject to  the unexercised portion of the option
will again be available  for issuance under the  Directors' Plan. The  aggregate
number  and kind of  shares issuable under  the Directors' Plan,  the number and
kind of shares  subject to each  automatic annual option  grant, the number  and
kind  of shares subject  to outstanding options and  the exercise price thereof,
the kind of  shares to be  issued in  lieu of fees  and the number  and kind  of
shares  to  be issued  in  settlement of  deferred  stock will  be appropriately
adjusted  in   the  event   of  a   recapitalization,  reorganization,   merger,
consolidation,  spin-off, combination,  repurchase, exchange of  shares or other
securities  of  the  Company,  stock   split,  stock  dividend,  certain   other
extraordinary  dividends, liquidation,  dissolution, or  other similar corporate
transaction or event  affecting Common Stock,  in order to  prevent dilution  or
enlargement of Directors' rights under the Directors' Plan.

    The Directors' Plan will be administered by the Board of Directors, provided
that  any action  by the  Board shall  be taken  only if  approved by  vote of a
majority of  the Directors  who are  not  then eligible  to participate  in  the
Directors'  Plan.  The  Directors'  Plan  may  be  amended,  altered, suspended,
discontinued, or terminated  by the Board  without stockholder approval,  unless
required by law or regulation or deemed advisable.

    The Directors' Plan will become effective upon its approval by stockholders.
Unless  earlier terminated by the Board, the Directors' Plan will terminate when
no shares under the Plan remain available and the Company and Directors have  no
further rights and obligations under the Directors' Plan.

    NEW  PLAN BENEFITS  TABLE.   The following  table sets  forth the  number of
options that would have been automatically granted to non-employee Directors  as
a group under the Directors' Plan in 1994 had the Directors' Plan been in effect
during that year:

                               NEW PLAN BENEFITS
                   NON-EMPLOYEE DIRECTORS' STOCK OPTION PLAN

<TABLE>
<CAPTION>
               NAME AND POSITION                  NUMBER OF OPTIONS
- -----------------------------------------------  -------------------
<S>                                              <C>
Non-employee Directors (3 in number)                      9,000
</TABLE>

It  is not  possible at  present to predict  the number  of shares  that will be
issuable under the Directors' Plan to non-employee Directors who receive fees in
the form of Common Stock or deferred stock.

    FEDERAL INCOME TAX CONSEQUENCES.   The following is  a brief description  of
the  federal income tax consequences of options that may be granted and stock or
deferred stock issued in lieu of fees under

                                       22
<PAGE>
the Directors'  Plan.  This  discussion  is  intended  for  the  information  of
stockholders  considering  how to  vote at  the  Annual Meeting  and not  as tax
guidance to Directors who participate in the Directors' Plan.

    The grant of an option will create  no tax consequences for the optionee  or
the  Company. Upon exercise of an  option, the optionee must generally recognize
ordinary income equal to the fair market  value of the Common Stock acquired  on
the  date of exercise minus the exercise price, and the Company will be entitled
to a  deduction  equal  to the  amount  recognized  as ordinary  income  by  the
optionee.  A sale of  shares acquired upon  the exercise of  an option generally
will result in  short-term or  long-term capital gain  or loss  measured by  the
difference  between the sale price and  the optionee's tax basis (generally, the
exercise price plus the  amount recognized as ordinary  income) in such  shares.
There  will be  no tax  consequences to  the Company  from a  Director's sale of
option shares.

    If a  Director  acquires Common  Stock  in lieu  of  fees, he  or  she  will
recognize  ordinary income equal  to the fair  market value of  the Common Stock
acquired on the  date of acquisition.  If a Director  is credited with  deferred
stock  in lieu  of fees, he  or she  will recognize ordinary  income when Common
Stock is issued  to the  Director in  settlement of  the deferred  stock, in  an
amount  equal to the fair market value of the Common Stock acquired. The Company
will be entitled to a tax deduction  equal to the amount recognized as  ordinary
income by the Director.

    VOTE  REQUIRED FOR APPROVAL.   Approval of the  Directors' Plan will require
the affirmative vote of holders of a majority of the voting power of the  issued
and  outstanding voting securities present in person or represented by proxy and
entitled to vote. Anthony M. Marlon, a director and principal stockholder of the
Company, intends to cast his votes "FOR" approval of the Directors' Plan.

    THE BOARD  OF DIRECTORS  CONSIDERS THE  DIRECTORS' PLAN  TO BE  IN THE  BEST
INTERESTS   OF  THE  COMPANY  AND  ITS  STOCKHOLDERS  AND  RECOMMENDS  THAT  THE
STOCKHOLDERS VOTE FOR APPROVAL.

ITEM NO. 4 -- RATIFICATION OF APPOINTMENT OF AUDITORS

APPOINTMENT OF AUDITORS

    The Board  of  Directors  has  appointed the  firm  of  Deloitte  &  Touche,
certified  independent public  accountants, as auditors  of the  Company for the
year ending December 31,  1995. Although not  required to do  so, the Board  has
determined   that  it  would  be  desirable  to  request  ratification  of  this
appointment by the holders of Common Stock of the Company. If such  ratification
is  not received, the Board will  reconsider the appointment. Representatives of
Deloitte & Touche are expected to be present at the Annual Meeting and available
for questions  from stockholders.  They  will have  the  opportunity to  make  a
statement if they so desire.

    THE  BOARD OF DIRECTORS CONSIDERS DELOITTE & TOUCHE TO BE WELL-QUALIFIED AND
RECOMMENDS THAT THE STOCKHOLDERS VOTE FOR RATIFICATION.

                                 OTHER MATTERS

    As of the date of this Proxy  Statement, the Board of Directors knows of  no
other  matters which may come before the Annual Meeting. However, if any further
business should properly come before the Annual Meeting, the proxy holders named
on the accompanying proxy card, or their substitutes, will vote on such business
in accordance with their best judgment.

                           PROPOSALS OF STOCKHOLDERS

    Proposals which stockholders intend to present at the next Annual Meeting of
Stockholders of the Company in May 1996 must be received by the Secretary of the
Company at its principal  executive offices (P.O. Box  15645, Las Vegas,  Nevada
89114-5645)  no later than December 2, 1995 for inclusion in the Company's Proxy
Statement and proxy for  that meeting and must  be otherwise in compliance  with
applicable Securities and Exchange Commission regulations. Use of certified mail
is suggested.

                                       23
<PAGE>
                         ANNUAL REPORT TO STOCKHOLDERS

    The  Company's 1994 Annual Report  to Stockholders, which includes financial
statements for the fiscal year ended  December 31, 1994, accompanies this  Proxy
Statement. The Annual Report does not constitute a part of the proxy materials.

    It  is important that proxies  be returned promptly. Therefore, stockholders
are urged to  fill in,  date, sign  and return the  enclosed proxy  card in  the
enclosed stamped envelope.

                                          By Order of the Board of Directors,

                                          [SIG]

                                          Frank E. Collins
                                          SECRETARY

Dated: March 31, 1995

                                       24
<PAGE>
                                                                       EXHIBIT A

                          SIERRA HEALTH SERVICES, INC.
                         1995 LONG-TERM INCENTIVE PLAN

    1.  PURPOSE.  The purpose of this 1995 Long-Term Incentive Plan (the "Plan")
of  Sierra Health  Services, Inc., a  Nevada corporation (the  "Company"), is to
advance the interests of the Company  and its stockholders by providing a  means
to attract, retain, and reward executive officers and other key employees of the
Company  and its subsidiaries, to link compensation to measures of the Company's
performance in  order  to  provide additional  stock-based  incentives  to  such
employees for the creation of stockholder value, and to enable such employees to
acquire  or increase a proprietary interest in the Company in order to promote a
closer  identity  of  interests  between   such  employees  and  the   Company's
stockholders.

    2.    DEFINITIONS.   The  definitions of  awards  under the  Plan, including
Options, SARs (including Limited SARs), Restricted Stock, Deferred Stock,  Stock
granted  as a bonus or in lieu of other awards, and Other Stock-Based Awards are
set forth in Section 6 of the  Plan. Such awards, together with any other  right
or  interest granted to a  Participant under the Plan,  are termed "Awards." The
definitions of terms  relating to a  Change of  Control of the  Company are  set
forth  in Section 8 of the Plan. In addition to such terms and the terms defined
in Section 1, the following terms shall be defined as set forth below:

        (a) "Award Agreement" means any written agreement, contract, notice to a
    Participant, or other instrument or document evidencing an Award.

        (b) "Beneficiary" means the person, persons, trust, or trusts which have
    been designated  by  a  Participant  in  his  or  her  most  recent  written
    beneficiary  designation filed  with the  Committee to  receive the benefits
    specified under this Plan upon such  Participant's death or to which  Awards
    or other rights are transferred if and to the extent permitted under Section
    9(b).  If, upon a Participant's death, there is no designated Beneficiary or
    surviving designated  Beneficiary,  then  the  term  Beneficiary  means  the
    person,  persons, trust, or trusts  entitled by will or  the laws of descent
    and distribution to receive such benefits.

        (c) "Board" means the Board of Directors of the Company.

        (d) "Code" means the Internal Revenue Code of 1986, as amended from time
    to time.  References  to  any  provision of  the  Code  include  regulations
    thereunder and successor provisions and regulations thereto.

        (e)  "Committee" means  the Stock Plan  Committee of the  Board, or such
    other Board committee as  may be designated by  the Board to administer  the
    Plan;  PROVIDED, HOWEVER, that  the Committee shall at  all times consist of
    two or more directors  each of whom is  a "disinterested person" within  the
    meaning of Rule 16b-3 under the Exchange Act.

        (f) "Exchange Act" means the Securities Exchange Act of 1934, as amended
    from  time to time. References to any  provision of the Exchange Act include
    rules thereunder and successor provisions and rules thereto.

        (g) "Fair Market Value" means, with  respect to Stock, Awards, or  other
    property,  the fair  market value of  such Stock, Awards,  or other property
    determined by such methods or procedures  as shall be established from  time
    to  time by the Committee. Unless otherwise determined by the Committee, the
    Fair Market Value of Stock as of any given date means the closing sale price
    of a share of common  stock reported in the  table entitled "New York  Stock
    Exchange Composite Transactions" contained in THE WALL STREET JOURNAL (or an
    equivalent  successor table) for such date or,  if no such closing price was
    reported for such date, for the most  recent trading day prior to such  date
    for which such closing price was reported.

                                      A-1
<PAGE>
        (h) "ISO" means any Option intended to be and designated as an incentive
    stock option within the meaning of Section 422 of the Code.

        (i)  "Participant" means  a person who,  as an executive  officer or key
    employee of the Company or a subsidiary, has been granted an Award under the
    Plan which remains outstanding.

        (j)  "Rule 16b-3" means Rule 16b-3,  as from time to time in effect  and
    applicable  to the Plan and Participants,  promulgated by the Securities and
    Exchange Commission under Section 16 of the Exchange Act.

        (k) "Stock" means the Common Stock, $.005 par value, of the Company  and
    such  other  securities  as  may  be substituted  for  Stock  or  such other
    securities pursuant to Section 4.

    3.  ADMINISTRATION.

    (a)  AUTHORITY  OF THE COMMITTEE.   The  Plan shall be  administered by  the
Committee.  The  Committee  shall have  full  and  final authority  to  take the
following actions, in each case subject to and consistent with the provisions of
the Plan:

        (i) to select Participants to whom Awards may be granted;

        (ii) to determine  the type or  types of  Awards to be  granted to  each
    Participant;

       (iii)  to determine  the number  of Awards to  be granted,  the number of
    shares of Stock to which an Award  will relate, the terms and conditions  of
    any  Award  granted  under the  Plan  (including,  but not  limited  to, any
    exercise  price,  grant  price,  or  purchase  price,  any  restriction   or
    condition,   any  schedule  or  performance  conditions  for  the  lapse  of
    restrictions  or   conditions  relating   to  transferability,   forfeiture,
    exercisability,  or settlement of  an Award, and  waivers, accelerations, or
    modifications thereof,  based in  each case  on such  considerations as  the
    Committee  shall  determine),  and all  other  matters to  be  determined in
    connection with an Award;

       (iv) to determine whether, to  what extent, and under what  circumstances
    an  Award may be settled, or the exercise  price of an Award may be paid, in
    cash, Stock, other Awards, or other property, or an Award may be  cancelled,
    forfeited, or surrendered;

        (v)  to determine whether, to what  extent, and under what circumstances
    cash, Stock, other  Awards, or  other property  payable with  respect to  an
    Award  will  be  deferred  either  automatically,  at  the  election  of the
    Committee, or at the election of the Participant;

       (vi) to prescribe  the form of  each Award Agreement,  which need not  be
    identical for each Participant;

       (vii)  to  adopt,  amend,  suspend, waive,  and  rescind  such  rules and
    regulations and appoint such agents as  the Committee may deem necessary  or
    advisable to administer the Plan;

      (viii)  to  correct any  defect or  supply any  omission or  reconcile any
    inconsistency in the  Plan and to  construe and interpret  the Plan and  any
    Award,   rules  and  regulations,  Award   Agreement,  or  other  instrument
    hereunder; and

       (ix) to make all  other decisions and determinations  as may be  required
    under  the  terms of  the Plan  or as  the Committee  may deem  necessary or
    advisable for the administration of the Plan.

    (b)   MANNER  OF EXERCISE  OF  COMMITTEE  AUTHORITY.   Unless  authority  is
specifically  reserved to the Board  under the terms of  the Plan, the Company's
Certificate of Incorporation or Bylaws,  or applicable law, the Committee  shall
have  sole discretion in exercising authority under  the Plan. Any action of the
Committee with respect to  the Plan shall be  final, conclusive, and binding  on
all  persons, including the Company,  subsidiaries of the Company, Participants,
any person claiming any rights under  the Plan from or through any  Participant,
and  stockholders. The express grant of any specific power to the Committee, and
the taking of any action  by the Committee, shall  not be construed as  limiting
any  power or authority of the Committee. The Committee may delegate to officers
or managers of the

                                      A-2
<PAGE>
Company or any subsidiary of the Company the authority, subject to such terms as
the Committee shall  determine, to  perform administrative  functions and,  with
respect  to  Participants not  subject to  Section  16 of  the Exchange  Act, to
perform such other functions of the Committee as the Committee may determine, to
the extent permitted under Rule 16b-3 and applicable law.

    (c)   LIMITATION  OF LIABILITY.    Each member  of  the Committee  shall  be
entitled  to, in good  faith, rely or  act upon any  report or other information
furnished to  him  by any  officer  or other  employee  of the  Company  or  any
subsidiary,  the  Company's  independent certified  public  accountants,  or any
executive compensation consultant, legal counsel, or other professional retained
by the Company to  assist in the  administration of the Plan.  No member of  the
Committee,  nor any officer or  employee of the Company  acting on behalf of the
Committee,  shall  be  personally  liable  for  any  action,  determination,  or
interpretation  taken or made  in good faith  with respect to  the Plan, and all
members of the Committee and  any officer or employee  of the Company acting  on
behalf  of the Committee  or members thereof  shall, to the  extent permitted by
law, be fully indemnified and protected by the Company with respect to any  such
action, determination, or interpretation.

    4.  STOCK AVAILABLE UNDER PLAN; PER-PERSON AWARD LIMITATIONS; ADJUSTMENTS.

    (a)    STOCK RESERVED  FOR  AWARDS.   Subject  to adjustment  as hereinafter
provided, the  total  number of  shares  of  Stock reserved  and  available  for
issuance  to  Participants in  connection with  Awards under  the Plan  shall be
1,200,000 plus the number of shares reserved  for the grant of awards under  the
Company's Second Amended and Restated 1986 Stock Option Plan and Second Restated
Capital  Accumulation Plan but which have not  been and will not be issued under
such plans (as determined at any time during the effectiveness of the Plan).  No
Award  may be granted if the number of  shares to which such Award relates, when
added to the  number of shares  to which other  then-outstanding Awards  relate,
exceeds  the number of  shares then remaining available  for issuance under this
Section 4. If all or any portion of  an Award is forfeited, settled in cash,  or
otherwise  terminated without issuance of shares  to the Participant, the shares
to which such  Award or  portion thereof related  shall again  be available  for
Awards under the Plan; PROVIDED, HOWEVER, that shares withheld in payment of the
exercise  price of any Option or withholding taxes relating to Awards and shares
equal to the number of  Shares surrendered in payment  of the exercise price  of
any  Option or withholding taxes relating to  Awards shall, for purposes of this
provision, be deemed not  to have been issued  to the Participant in  connection
with  such Awards under the Plan, and PROVIDED FURTHER, that, if any such shares
could not again  be available  for Awards  to a  Participant who  is subject  to
Section 16 of the Exchange Act under applicable requirements of Rule 16b-3, such
shares  shall be  available exclusively for  Awards to Participants  who are not
subject to Section 16.  The Committee may adopt  procedures for the counting  of
shares  relating to  any Award to  ensure appropriate counting  and avoid double
counting (in  the case  of tandem  or substitute  awards). Any  shares of  Stock
issued  pursuant to an Award may consist, in whole or in part, of authorized and
unissued shares,  treasury shares,  or shares  acquired in  the market  for  the
account  of the  Participant (which treasury  shares or acquired  shares will be
deemed to have been "issued" pursuant to such Award).

    (b)    ANNUAL  INDIVIDUAL  LIMITATIONS.    During  any  calendar  year,   no
Participant  may be granted Options, SARs, and  other Awards under the Plan with
respect to more than 200,000 shares of Stock, subject to adjustment as  provided
in  Section 4(c).  For purposes  of this  Section 4(b),  unless more restrictive
counting is required in order for Awards to comply with the requirements of Code
Section 162(m) and regulations thereunder, this provision will limit the maximum
number of shares that can be issued  to a Participant under Awards (taking  into
consideration the terms of the Awards, including tandem exercise provisions).

    (c)   ADJUSTMENTS.  In the event that the Committee shall determine that any
dividend or other  distribution (whether in  the form of  cash, Stock, or  other
property),  recapitalization, forward or  reverse split, reorganization, merger,
consolidation, spin-off, combination,  repurchase, or share  exchange, or  other
similar  corporate  transaction  or  event,  affects  the  Stock  such  that  an
adjustment is appropriate  in order to  prevent dilution or  enlargement of  the
rights of Participants under the Plan,

                                      A-3
<PAGE>
then the Committee shall, in such manner as it may deem equitable, adjust any or
all  of (i) the  number and kind of  shares of Stock  reserved and available for
Awards under Section  4(a), (ii) the  number and kind  of shares of  outstanding
Restricted  Stock or relating to any  other outstanding Award in connection with
which shares have been issued, (iii) the  number and kind of shares that may  be
issued  in respect of  other outstanding Awards, (iv)  the exercise price, grant
price, or purchase price relating to  any Award (or, if deemed appropriate,  the
Committee  may make provision for a cash payment with respect to any outstanding
Award), and (v) the number  of shares with respect  to which Options, SARs,  and
other  Awards may be granted to a Participant in any calendar year, as set forth
in Section 4(b). In addition, the Committee is authorized to make adjustments in
the terms and conditions of, and the criteria included in, Awards in recognition
of  unusual  or  nonrecurring  events  (including,  without  limitation,  events
described  in the preceding sentence) affecting the Company or any subsidiary or
the financial statements  of the Company  or any subsidiary,  or in response  to
changes in applicable laws, regulations, or accounting principles. The foregoing
notwithstanding, no adjustments shall be authorized under this Section 4(c) with
respect  to ISOs or SARs  in tandem therewith to  the extent that such authority
would cause the Plan or  such Awards to fail to  comply with Section 422 of  the
Code,  and no such adjustment shall be  authorized with respect to Options, SARs
or other Awards subject to Section 7(f) to the extent that such authority  would
cause   such  Awards  to   fail  to  qualify   as  "qualified  performance-based
compensation" under Section 162(m)(4)(C) of the Code and regulations thereunder.

    5.  ELIGIBILITY.  Executive officers and other key employees of the  Company
and its subsidiaries, including any director who is also an executive officer or
employee,  are  eligible to  be  granted Awards  under  the Plan.  The foregoing
notwithstanding, no member  of the  Committee shall  be eligible  to be  granted
Awards under the Plan.

    6.  SPECIFIC TERMS OF AWARDS.

    (a)   GENERAL.  Awards may be granted  on the terms and conditions set forth
in this Section 6.  In addition, the  Committee may impose on  any Award or  the
exercise  thereof, at the date of grant or thereafter (subject to Section 9(e)),
such additional terms and  conditions, not inconsistent  with the provisions  of
the Plan, as the Committee shall determine, including terms requiring forfeiture
of  Awards in the event of termination  of employment by the Participant or upon
the occurrence of other events. Awards will  be granted under the Plan in  order
to  obtain for the Company  and its subsidiaries the  benefit of the services of
Participants; accordingly, except as  provided in Sections  6(f), 6(g), or  7(a)
and  to the extent  required to comply  with requirements of  the Nevada General
Corporation  Law  that  lawful  consideration  be  paid  for  Stock,  no   other
consideration  may  be  required  in  connection with  the  grant  (but  not the
exercise) of any Award.

    (b)  OPTIONS.  The Committee is authorized to grant Options to  Participants
(including  "reload" options automatically granted to offset specified exercises
of options) on the following terms and conditions:

        (i) EXERCISE PRICE.  The exercise  price per share of Stock  purchasable
    under  an Option  shall be determined  by the  Committee; PROVIDED, HOWEVER,
    that, except as provided in Section  7(a), such exercise price shall be  not
    less  than the Fair  Market Value of  a share on  the date of  grant of such
    Option.

        (ii) TIME AND  METHOD OF EXERCISE.   The Committee  shall determine  the
    time  or times at which an Option may  be exercised in whole or in part, the
    methods by which such exercise price may  be paid or deemed to be paid,  the
    form  of  such payment,  including, without  limitation, cash,  Stock, other
    Awards or  awards  granted under  other  Company plans,  or  other  property
    (including  notes or other  contractual obligations of  Participants to make
    payment  on  a   deferred  basis,  such   as  through  "cashless   exercise"
    arrangements, to the extent permitted by applicable law), and the methods by
    which Stock will be delivered or deemed to be delivered to Participants.

                                      A-4
<PAGE>
       (iii)  ISOS.  The terms of any ISO granted under the Plan shall comply in
    all respects with the provisions of  Section 422 of the Code, including  but
    not  limited to the requirement  that no ISO shall  be granted more than ten
    years after the  effective date of  the Plan.  Anything in the  Plan to  the
    contrary  notwithstanding, no  term of  the Plan  relating to  ISOs shall be
    interpreted, amended,  or altered,  nor shall  any discretion  or  authority
    granted  under the Plan be exercised, so as to disqualify either the Plan or
    any ISO under  Section 422  of the Code,  unless the  Participant has  first
    requested such disqualification.

    (c)   STOCK APPRECIATION RIGHTS.  The  Committee is authorized to grant SARs
to Participants on the following terms and conditions:

        (i) RIGHT TO PAYMENT.  An SAR shall confer on the Participant to whom it
    is granted a right to receive, upon exercise thereof, the excess of (A)  the
    Fair  Market Value of one share of Stock on the date of exercise (or, if the
    Committee shall so determine in  the case of any  such right other than  one
    related  to an ISO, the Fair Market Value  of one share at any time during a
    specified period before or after the  date of exercise), over (B) the  grant
    price  of the SAR as determined by the  Committee as of the date of grant of
    the SAR, which, except as provided in  Section 7(a), shall be not less  than
    the Fair Market Value of one share of Stock on the date of grant.

        (ii)  OTHER TERMS.  The  Committee shall determine the  time or times at
    which an SAR may be exercised in  whole or in part, the method of  exercise,
    method of settlement, form of consideration payable in settlement, method by
    which  Stock will  be delivered or  deemed to be  delivered to Participants,
    whether or not an SAR shall be in tandem with any other Award, and any other
    terms and conditions  of any SAR.  Limited SARs that  may only be  exercised
    upon  the occurrence  of a  Change of  Control (as  such term  is defined in
    Section 8(b) or  as otherwise defined  by the Committee)  may be granted  on
    such  terms, not inconsistent  with this Section 6(c),  as the Committee may
    determine. Such Limited SARs  may be either freestanding  or in tandem  with
    other Awards.

    (d)   RESTRICTED  STOCK.   The Committee  is authorized  to grant Restricted
Stock to Participants on the following terms and conditions:

        (i) GRANT AND RESTRICTIONS.  Restricted  Stock shall be subject to  such
    restrictions  on  transferability and  other  restrictions, if  any,  as the
    Committee  may  impose,  which  restrictions  may  lapse  separately  or  in
    combination  at such times, under  such circumstances, in such installments,
    or otherwise  as  the  Committee  may  determine;  PROVIDED,  HOWEVER,  that
    Restricted  Stock the grant of which  is not conditioned upon achievement of
    any  performance   objective  shall   be  subject   to  a   restriction   on
    transferability and a risk of forfeiture for a period of not less than three
    years  after the date of grant (except that the Committee may accelerate the
    lapse of such restrictions in the event of the Participant's termination  of
    employment due to death, disability, normal or approved early retirement, or
    involuntary  termination by the Company or  a subsidiary without "cause," as
    defined by the Committee). Except to  the extent restricted under the  terms
    of  the Plan  and any  Award Agreement relating  to the  Restricted Stock, a
    Participant granted  Restricted Stock  shall have  all of  the rights  of  a
    stockholder  including,  without limitation,  the  right to  vote Restricted
    Stock or the right to receive dividends thereon.

        (ii) FORFEITURE.  Except as otherwise determined by the Committee,  upon
    termination   of  employment  during   the  applicable  restriction  period,
    Restricted Stock  that is  at that  time subject  to restrictions  shall  be
    forfeited  and  reacquired  by  the  Company;  PROVIDED,  HOWEVER,  that the
    Committee may provide, by rule or  regulation or in any Award Agreement,  or
    may  determine  in  any  individual case,  that  restrictions  or forfeiture
    conditions relating to Restricted Stock will  be waived in whole or in  part
    in  the event  of terminations  resulting from  specified causes,  except as
    otherwise provided in Section 6(d)(i).

       (iii) CERTIFICATES FOR STOCK.   Restricted Stock  granted under the  Plan
    may  be  evidenced  in such  manner  as  the Committee  shall  determine. If
    certificates representing Restricted Stock are

                                      A-5
<PAGE>
    registered in the name of the  Participant, such certificates shall bear  an
    appropriate  legend  referring to  the  terms, conditions,  and restrictions
    applicable to  such  Restricted Stock,  the  Company shall  retain  physical
    possession  of the certificate,  and the Participant  shall have delivered a
    stock power to the  Company, endorsed in blank,  relating to the  Restricted
    Stock.

       (iv)  DIVIDENDS AND  DISTRIBUTIONS.   Dividends paid  on Restricted Stock
    shall be either paid at  the dividend payment date in  cash or in shares  of
    unrestricted  Stock having a Fair  Market Value equal to  the amount of such
    dividends, or the  payment of such  dividends shall be  deferred and/or  the
    amount  or value  thereof automatically reinvested  in additional Restricted
    Stock, other Awards, or  other investment vehicles,  as the Committee  shall
    determine   or  permit  the  Participant  to  elect.  Stock  distributed  in
    connection with  a  Stock  split  or  Stock  dividend,  and  other  property
    distributed  as a dividend, shall  be subject to restrictions  and a risk of
    forfeiture to the same extent as the Restricted Stock with respect to  which
    such Stock or other property is distributed.

    (e)  DEFERRED STOCK.  The Committee is authorized to grant Deferred Stock to
Participants, subject to the following terms and conditions:

        (i)  AWARD  AND  RESTRICTIONS.    Issuance  of  Stock  will  occur  upon
    expiration of the deferral period specified  for an Award of Deferred  Stock
    by  the Committee  (or, if  permitted by  the Committee,  as elected  by the
    Participant).  In  addition,  Deferred  Stock  shall  be  subject  to   such
    restrictions  as the  Committee may impose,  if any,  which restrictions may
    lapse at  the expiration  of the  deferral period  or at  earlier  specified
    times,  separately  or in  combination,  under such  circumstances,  in such
    installments, or otherwise as the Committee may determine.

        (ii) FORFEITURE.  Except as otherwise determined by the Committee,  upon
    termination  of employment during the  applicable deferral period or portion
    thereof to  which forfeiture  conditions  apply (as  provided in  the  Award
    Agreement evidencing the Deferred Stock), all Deferred Stock that is at that
    time  subject  to  such risk  of  forfeiture shall  be  forfeited; PROVIDED,
    HOWEVER, that the  Committee may provide,  by rule or  regulation or in  any
    Award  Agreement, or may determine in any individual case, that restrictions
    or forfeiture conditions relating to Deferred Stock will be waived in  whole
    or in part in the event of terminations resulting from specified causes.

       (iii)  DIVIDEND EQUIVALENTS.  The Committee  may provide that payments in
    the form of  dividend equivalents will  be credited in  respect of  Deferred
    Stock,  which  amounts may  be paid  or distributed  when accrued  or deemed
    reinvested in additional Deferred Stock.

    (f)  BONUS STOCK AND AWARDS IN  LIEU OF CASH OBLIGATIONS.  The Committee  is
authorized  to grant Stock as a bonus, or to grant Stock or other Awards in lieu
of  Company  obligations  to  pay   cash  under  other  plans  or   compensatory
arrangements;  PROVIDED, HOWEVER, that,  in the case  of Participants subject to
Section 16 of  the Exchange Act,  the amount of  such Stock or  Awards shall  be
determined  by  the  Committee  in  a  manner  conforming  to  the disinterested
administration requirements of  Rule 16b-3.  Stock or  Awards granted  hereunder
shall be subject to such other terms as shall be determined by the Committee.

    (g)   OTHER  STOCK-BASED AWARDS.   The  Committee is  authorized, subject to
limitations under applicable  law, to  grant to Participants  such other  Awards
that  may be denominated or payable in, valued  in whole or in part by reference
to, or otherwise based on, or related  to, Stock and factors that may  influence
the  value  of Stock,  as  deemed by  the Committee  to  be consistent  with the
purposes of the Plan, including, without limitation, convertible or exchangeable
debt securities, other rights convertible  or exchangeable into Stock,  purchase
rights  for Stock, Awards with value  and payment contingent upon performance of
the Company or any other factors designated by the Committee, and Awards  valued
by  reference to the  book value of Stock  or the value of  securities of or the
performance of specified subsidiaries. The  Committee shall determine the  terms
and  conditions of such Awards. Stock issued  pursuant to an Award in the nature
of a purchase right granted under this Section 6(g) shall be purchased for  such
consideration,   paid   for   at   such  times,   by   such   methods,   and  in

                                      A-6
<PAGE>
such forms, including, without limitation,  cash, Stock, other Awards, or  other
property,  as the Committee  shall determine. Cash  awards, as an  element of or
supplement to any other Award  under the Plan, may  be granted pursuant to  this
Section 6(g).

    7.  CERTAIN PROVISIONS APPLICABLE TO AWARDS.

    (a)  STAND-ALONE, ADDITIONAL, TANDEM, AND SUBSTITUTE AWARDS.  Awards granted
under  the Plan may, in the discretion of the Committee, be granted either alone
or in addition  to, in  tandem with,  or in  substitution for,  any other  Award
granted under the Plan or any award granted under any other plan of the Company,
any  subsidiary,  or any  business entity  to be  acquired by  the Company  or a
subsidiary, or any  other right  of a Participant  to receive  payment from  the
Company or any subsidiary. Awards granted in addition to or in tandem with other
Awards  or awards may  be granted either as  of the same time  as or a different
time from the grant of such other Awards or awards. The per share exercise price
of any Option,  grant price of  any SAR, or  purchase price of  any other  Award
conferring  a right to purchase Stock granted in substitution for an outstanding
Award or  award  may  be adjusted  to  reflect  the in-the-money  value  of  the
surrendered Award or award.

    (b)  TERM OF AWARDS.  The term of each Award shall be for such period as may
be  determined by the Committee;  PROVIDED, HOWEVER, that in  no event shall the
term of any ISO  or an SAR granted  in tandem therewith exceed  a period of  ten
years  from the date of  its grant (or such shorter  period as may be applicable
under Section 422 of the Code).

    (c)  FORM OF PAYMENT UNDER AWARDS.  Subject to the terms of the Plan and any
applicable Award Agreement, payments to be  made by the Company or a  subsidiary
upon  the  grant or  exercise of  an  Award may  be made  in  such forms  as the
Committee shall  determine, including,  without limitation,  cash, Stock,  other
Awards,  or other property, and may be made  in a single payment or transfer, in
installments, or  on  a  deferred  basis. Such  payments  may  include,  without
limitation,  provisions for the  payment or crediting  of reasonable interest on
installment  or  deferred  payments  or  the  grant  or  crediting  of  dividend
equivalents in respect of installment or deferred payments denominated in Stock.

    (d)  RULE 16B-3 COMPLIANCE.

        (i)  SIX-MONTH  HOLDING PERIOD.   Unless  a Participant  could otherwise
    dispose of or  exercise a  derivative security  or dispose  of Stock  issued
    under  the  Plan  without incurring  liability  under Section  16(b)  of the
    Exchange Act,  (i)  at  least six  months  shall  elapse from  the  date  of
    acquisition  of  a  derivative  security  under  the  Plan  to  the  date of
    disposition  of  the  derivative  security  (other  than  upon  exercise  or
    conversion)  or its  underlying equity  security and  (ii) Stock  granted or
    awarded under  the  Plan  other  than  upon  exercise  or  conversion  of  a
    derivative  security shall be held for at  least six months from the date of
    grant or award.

        (ii) REFORMATION TO COMPLY WITH EXCHANGE ACT RULES.  It is the intent of
    the Company that this Plan comply in all respects with applicable provisions
    of Rule 16b-3 or Rule 16a-1(c)(3) under the Exchange Act in connection  with
    any  grant of Awards to or other transaction by a Participant who is subject
    to Section 16 of  the Exchange Act (except  for transactions exempted  under
    alternative  Exchange Act Rules or acknowledged  in writing to be non-exempt
    by such Participant).  Accordingly, if  any provision  of this  Plan or  any
    Award  Agreement relating to an Award  does not comply with the requirements
    of  Rule  16b-3  or  Rule  16a-1(c)(3)  as  then  applicable  to  any   such
    transaction,  such  provision will  be construed  or  deemed amended  to the
    extent necessary to conform to the applicable requirements of Rule 16b-3  or
    Rule  16a-1(c)(3)  so  that  such Participant  shall  avoid  liability under
    Section 16(b). In addition, the exercise price of any Award carrying a right
    to exercise granted to a Participant  subject to Section 16 of the  Exchange
    Act  shall be not less than 50% of the  Fair Market Value of Stock as of the
    date such Award is granted if such pricing limitation is required under Rule
    16b-3 at the time of such grant.

    (e)  LOAN PROVISIONS.  With the consent of the Committee, and subject at all
times to, and  only to the  extent, if  any, permitted under  and in  accordance
with, laws and regulations and other binding

                                      A-7
<PAGE>
obligations  or  provisions applicable  to the  Company,  the Company  may make,
guarantee, or arrange for a loan or  loans to a Participant with respect to  the
exercise  of any Option or other payment in connection with any Award, including
the payment by a Participant  of any or all federal,  state, or local income  or
other  taxes due in connection with any  Award. Subject to such limitations, the
Committee shall have full authority  to decide whether to  make a loan or  loans
hereunder and to determine the amount, terms, and provisions of any such loan or
loans,  including the interest rate to be charged in respect of any such loan or
loans, whether the loan or loans are to be with or without recourse against  the
borrower,  the terms on which  the loan is to be  repaid and conditions, if any,
under which the loan or loans may be forgiven.

    (f)   PERFORMANCE-BASED  AWARDS.   The  Committee may,  in  its  discretion,
designate any Award that is subject to the achievement of performance conditions
as  a performance-based Award subject to this  Section 7(f), in order to qualify
such Award as "qualified performance-based  compensation" within the meaning  of
Code  Section 162(m) and regulations  thereunder. The performance objectives for
an Award subject  to this Section  7(f) shall  consist of one  or more  business
criteria  and a  targeted level  or levels of  performance with  respect to such
criteria, as specified by the Committee  but subject to this Section 7(f).  Such
performance   objectives  shall  be  objective  and  shall  otherwise  meet  the
requirements of Section  162(m)(4)(C) of  the Code  and regulations  thereunder.
Business  criteria  used  by  the  Committee  in  establishing  such performance
objectives shall be selected exclusively from among the following:

    (1) Annual return on equity;

    (2) Annual earnings per share;

    (3) Changes in annual revenues; and/or

    (4) Strategic business criteria, consisting of one or more objectives  based
       on  meeting  specified revenue,  market penetration,  geographic business
       expansion goals,  cost targets,  and goals  relating to  acquisitions  or
       divestitures.

The levels of performance required with respect to such business criteria may be
expressed  in absolute or relative levels. Achievement of performance objectives
with respect to such Awards shall be measured over a period of not less than one
year nor  more  than five  years,  as  the Committee  may  specify.  Performance
objectives  may differ for such Awards  to different Participants. The Committee
shall specify  the weighting  to  be given  to  each performance  objective  for
purposes of determining the final amount payable with respect to any such Award.
The Committee may, in its discretion, reduce the amount of a payout otherwise to
be  made in connection with  an Award subject to this  Section 7(f), but may not
exercise discretion  to increase  such amount,  and the  Committee may  consider
other  performance criteria in exercising such discretion. All determinations by
the Committee  as to  the  achievement of  performance  objectives shall  be  in
writing.  The Committee may  not delegate any responsibility  with respect to an
Award subject to this Section 7(f).

    8.  CHANGE OF CONTROL PROVISIONS.

    (a) In the event of a "Change  of Control," as defined in this Section,  the
following acceleration provisions shall apply:

        (i)  any outstanding Award carrying a  right to exercise which Award was
    not previously exercisable  and vested, shall  become fully exercisable  and
    vested,  subject only to the restrictions  set forth in Sections 7(d)(i) and
    9(a); and

        (ii) The restrictions, deferral of settlement, and forfeiture conditions
    applicable to any other outstanding Award granted six months or more  before
    the date of the Change of Control shall lapse and such Award shall be deemed
    fully  vested, and  any performance conditions  imposed with  respect to any
    such Award shall be deemed to be fully achieved, subject to the restrictions
    set forth in Sections 7(d)(i) and 9(a).

                                      A-8
<PAGE>
    (b) For purposes of the Plan, a  "Change of Control" means a transaction  or
event  in which,  after the effective  date of  the Plan, (i)  the Company shall
merge or consolidate with any other  corporation and shall not be the  surviving
corporation;  (ii) the  Company shall transfer  all or substantially  all of its
assets to any other person; or (iii) any person shall have become the beneficial
owner of more than 50% of the  voting power of outstanding voting securities  of
the Company.

    9.  GENERAL PROVISIONS.

    (a)    COMPLIANCE WITH  LAWS  AND OBLIGATIONS.    The Company  shall  not be
obligated to issue or  deliver Stock in  connection with any  Award or take  any
other  action  under  the Plan  in  a  transaction subject  to  the registration
requirements of the Securities Act of 1933, as amended, or any other federal  or
state  securities law, any  requirement under any  listing agreement between the
Company and any national securities  exchange or automated quotation system,  or
any  other law, regulation, or contractual  obligation of the Company, until the
Company is satisfied that such laws,  regulations, and other obligations of  the
Company  have been  complied with in  full. Certificates  representing shares of
Stock issued under  the Plan will  be subject to  such stop-transfer orders  and
other  restrictions as may be applicable under such laws, regulations, and other
obligations of the Company, including any  requirement that a legend or  legends
be placed thereon.

    (b)   LIMITATIONS  ON TRANSFERABILITY.   Awards  and other  rights under the
Plan, including any Award  or right which constitutes  a derivative security  as
generally  defined  in  Rule  16a-1(c)  under  the  Exchange  Act,  will  not be
transferable by  a  Participant  except by  will  or  the laws  of  descent  and
distribution  (or to a designated Beneficiary  in the event of the Participant's
death), and,  if exercisable,  shall be  exercisable during  the lifetime  of  a
Participant    only   by   such   Participant   or   his   guardian   or   legal
representative; PROVIDED, HOWEVER, that such Awards and other rights (other than
ISOs  and  SARs  in  tandem  therewith)  may  be  transferred  to  one  or  more
Beneficiaries  during the  lifetime of  the Participant  in connection  with the
Participant's estate  planning, and  may  be exercised  by such  transferees  in
accordance  with the  terms of such  Award, but only  if and to  the extent then
permitted under Rule 16b-3,  consistent with the registration  of the offer  and
sale  of Stock on  Form S-8 or Form  S-3 or such other  registration form of the
Securities and  Exchange Commission  as may  then be  filed and  effective  with
respect  to the Plan,  and permitted by  the Committee. Awards  and other rights
under the  Plan  may  not  be pledged,  mortgaged,  hypothecated,  or  otherwise
encumbered, and shall not be subject to the claims of creditors.

    (c)   NO RIGHT TO CONTINUED EMPLOYMENT; LEAVES OF ABSENCE.  Neither the Plan
nor any action  taken hereunder shall  be construed as  giving any employee  the
right  to be retained in  the employ of the Company  or any of its subsidiaries,
nor shall it interfere in any  way with the right of  the Company or any of  its
subsidiaries  to  terminate  any  employee's  employment  at  any  time.  Unless
otherwise specified  in the  applicable Award  Agreement, an  approved leave  of
absence  shall not be considered a termination  of employment for purposes of an
Award under the Plan.

    (d)  TAXES.  The Company and  any subsidiary is authorized to withhold  from
any  Award granted or to be settled, any delivery of Stock in connection with an
Award, any other payment relating to an  Award, or any payroll or other  payment
to  a  Participant amounts  of withholding  and other  taxes due  or potentially
payable in connection with any transaction involving an Award, and to take  such
other  action as  the Committee  may deem  advisable to  enable the  Company and
Participants to satisfy  obligations for  the payment of  withholding taxes  and
other  tax  obligations  relating to  any  Award. This  authority  shall include
authority to  withhold or  receive Stock  or  other property  and to  make  cash
payments in respect thereof in satisfaction of a Participant's tax obligations.

    (e)   CHANGES TO THE PLAN AND AWARDS.   The Board may amend, alter, suspend,
discontinue, or terminate the Plan or the Committee's authority to grant  Awards
under  the Plan without the consent of stockholders or Participants, except that
any amendment or alteration  shall be subject to  the approval of the  Company's
stockholders  at or before the next annual meeting of stockholders for which the
record date is after the date of such Board action if such stockholder  approval
is  required by any federal or state law or regulation or the rules of any stock
exchange or automated quotation

                                      A-9
<PAGE>
system on  which the  Stock may  then be  listed or  quoted, and  the Board  may
otherwise,  in  its discretion,  determine to  submit  other such  amendments or
alterations to stockholders for approval;  PROVIDED, HOWEVER, that, without  the
consent  of an  affected Participant, no  such action may  materially impair the
rights of  such Participant  under any  Award theretofore  granted to  him.  The
Committee  may waive any  conditions or rights under,  or amend, alter, suspend,
discontinue, or terminate, any Award theretofore granted and any Award Agreement
relating thereto; PROVIDED, HOWEVER,  that, without the  consent of an  affected
Participant, no such action may materially impair the rights of such Participant
under such Award.

    (f)  NO RIGHTS TO AWARDS; NO STOCKHOLDER RIGHTS.  No Participant or employee
shall  have any claim  to be granted any  Award under the Plan,  and there is no
obligation for uniformity of treatment  of Participants and employees. No  Award
shall  confer  on any  Participant any  of the  rights of  a stockholder  of the
Company unless and until  Stock is duly issued  or transferred and delivered  to
the  Participant in accordance with the terms of the Award or, in the case of an
Option, the Option is duly exercised.

    (g)  UNFUNDED STATUS OF AWARDS; CREATION OF TRUSTS.  The Plan is intended to
constitute an  "unfunded" plan  for incentive  and deferred  compensation.  With
respect  to any  payments not yet  made to  a Participant pursuant  to an Award,
nothing contained in the Plan or any  Award shall give any such Participant  any
rights  that  are greater  than  those of  a  general creditor  of  the Company;
PROVIDED, HOWEVER, that the  Committee may authorize the  creation of trusts  or
make  other arrangements  to meet  the Company's  obligations under  the Plan to
deliver cash, Stock,  other Awards,  or other  property pursuant  to any  Award,
which  trusts  or other  arrangements shall  be  consistent with  the "unfunded"
status of the Plan unless the Committee otherwise determines with the consent of
each affected Participant.

    (h)  NONEXCLUSIVITY OF THE  PLAN.  Neither the adoption  of the Plan by  the
Board  nor its submission to the stockholders  of the Company for approval shall
be construed as creating any limitations on the power of the Board to adopt such
other compensatory arrangements  as it  may deem  desirable, including,  without
limitation,  the  granting of  awards otherwise  than under  the Plan,  and such
arrangements may be either applicable generally or only in specific cases.

    (i)  NO FRACTIONAL SHARES.  No fractional shares of Stock shall be issued or
delivered pursuant  to the  Plan or  any Award.  The Committee  shall  determine
whether cash, other Awards, or other property shall be issued or paid in lieu of
such  fractional shares or whether such  fractional shares or any rights thereto
shall be forfeited or otherwise eliminated.

    (j)  COMPLIANCE WITH CODE SECTION 162(M).   It is the intent of the  Company
that  Options, SARs,  and other Awards  designated as Awards  subject to Section
7(f) shall  constitute  "qualified performance-based  compensation"  within  the
meaning  of Code Section  162(m) and regulations  thereunder (including Proposed
Regulation 1.162-27). Accordingly,  if any provision  of the Plan  or any  Award
Agreement  relating to such an Award does not comply or is inconsistent with the
requirements of Code  Section 162(m) or  regulations thereunder, such  provision
shall  be construed or deemed amended to the extent necessary to conform to such
requirements, and no provision shall be  deemed to confer upon the Committee  or
any  other person  discretion to increase  the amount  of compensation otherwise
payable in connection  with any  such Award  upon attainment  of the  applicable
performance objectives.

    (k)  GOVERNING LAW.  The validity, construction, and effect of the Plan, any
rules and regulations under the Plan, and any Award Agreement will be determined
in  accordance with the Nevada General Corporation Law and other laws (including
those governing contracts)  of the  State of  Nevada, without  giving effect  to
principles of conflicts of laws, and applicable federal law.

    (l)   EFFECTIVE DATE, STOCKHOLDER APPROVAL,  AND PLAN TERMINATION.  The Plan
shall become effective if, and at such time as, the stockholders of the  Company
have  approved it by the  affirmative votes of the holders  of a majority of the
voting securities of the Company present,  or represented, and entitled to  vote
on  the subject matter  at a duly  held meeting of  stockholders. Unless earlier
terminated

                                      A-10
<PAGE>
by action of the Board of Directors,  the Plan will remain in effect until  such
time  as no Stock remains available for  delivery under the Plan and the Company
has no further rights or obligations under the Plan with respect to  outstanding
Awards under the Plan.

As recommended by the Stock Plan Committee
and adopted by the Board of Directors:                        February 14, 1995.

                                      A-11
<PAGE>
                                                                       EXHIBIT B

                          SIERRA HEALTH SERVICES, INC.
                    1995 NON-EMPLOYEE DIRECTORS' STOCK PLAN

    1.   PURPOSE.  The  purpose of this 1995  Non-Employee Directors' Stock Plan
(the "Plan") of Sierra Health Services,  Inc. (the "Company") is to advance  the
interests  of the Company and  its stockholders by providing  a means to attract
and retain highly qualified  persons to serve as  non-employee directors of  the
Company  and to  promote ownership  by such  directors of  a greater proprietary
interest in the Company, thereby aligning such directors' interests more closely
with the interests of stockholders of the Company.

    2.  DEFINITIONS.  In  addition to terms defined  elsewhere in the Plan,  the
following terms are defined as set forth below:

        (a) "Code" means the Internal Revenue Code of 1986, as amended from time
    to  time.  References  to  any provision  of  the  Code  include regulations
    thereunder and successor provisions and regulations thereto.

        (b) "Change of Control" means a transaction or event in which, after the
    effective date of the Plan, (i) the Company shall merge or consolidate  with
    any  other corporation and shall not  be the surviving corporation; (ii) the
    Company shall transfer all or substantially  all of its assets to any  other
    person;  or (iii) any person shall have  become the beneficial owner of more
    than 50%  of  the voting  power  of  outstanding voting  securities  of  the
    Company.

        (c)  "Deferred  Stock" means  the  credits to  a  Participant's deferral
    account under Section 7, each of  which represents the right to receive  one
    share  of Stock upon settlement of  the deferral account. Deferral accounts,
    and Deferred Stock  credited thereto, are  maintained solely as  bookkeeping
    entries by the Company evidencing unfunded obligations of the Company.

        (d)  "Exchange  Act"  means  the Securities  Exchange  Act  of  1934, as
    amended. References  to any  provision  of the  Exchange Act  include  rules
    thereunder and successor provisions and rules thereto.

        (e)  "Fair  Market Value"  of Stock  means,  as of  any given  date, the
    closing sale price of a share of  Stock reported in the table entitled  "New
    York  Stock Exchange  Composite Transactions"  contained in  THE WALL STREET
    JOURNAL (or an  equivalent successor  table) for such  date or,  if no  such
    closing  price was reported for  such date, for the  most recent trading day
    prior to such date for which such closing price was reported.

        (f) "Option" means the right, granted to a director under Section 6,  to
    purchase  a specified  number of shares  of Stock at  the specified exercise
    price for a specified  period of time  under the Plan.  All Options will  be
    non-qualified stock options.

        (g)  "Participant" means  a director  of the  Company who  is granted an
    Option or who receives fees in the form of Stock or defers fees in the  form
    of Deferred Stock under the Plan.

        (h)  "Stock" means the Common Stock, $.005 par value, of the Company and
    such other  securities  as  may  be substituted  for  Stock  or  such  other
    securities pursuant to Section 8.

    3.   SHARES AVAILABLE UNDER THE PLAN.   Subject to adjustment as provided in
Section 8,  the total  number of  shares  of Stock  reserved and  available  for
issuance  under the Plan is  60,000. Such shares may  be authorized but unissued
shares, treasury shares, or shares acquired in the market for the account of the
Participant. For  purposes  of the  Plan,  shares  that may  be  purchased  upon
exercise  of an Option or delivered in  settlement of Deferred Stock will not be
considered to be available after such Option has been granted or Deferred  Stock
credited, except for purposes of issuance in connection

                                      B-1
<PAGE>
with  such  Option or  Deferred  Stock; PROVIDED,  HOWEVER,  that, if  an Option
expires for any reason without having been exercised in full, the shares subject
to the unexercised portion of such  Option will again be available for  issuance
under the Plan.

    4.   ADMINISTRATION OF THE PLAN.  The Plan will be administered by the Board
of Directors of the Company; PROVIDED, HOWEVER, that any action by the Board  or
such  Committee relating to the  Plan will be taken only  if, in addition to any
other required  vote, such  action is  approved  by the  affirmative vote  of  a
majority of the directors who are not then eligible to participate in the Plan.

    5.   ELIGIBILITY.  Each director of the Company who, on any date on which an
Option is to be granted under  Section 6 or on which  fees are to be paid  which
could be received in the form of Stock or deferred in the form of Deferred Stock
under  Section 7,  is not an  employee of the  Company or any  subsidiary of the
Company will be eligible, at such date, to be granted an Option under Section  6
or receive fees in the form of Stock or defer fees in the form of Deferred Stock
under  Section 7. No person other than those specified in this Section 5 will be
eligible to participate in the Plan.

    6.   OPTIONS.   An Option  to purchase  3,000 shares  of Stock,  subject  to
adjustment  as provided  in Section  8, will be  automatically granted  (i) to a
person who is first elected  or appointed to serve as  a member of the Board  of
Directors  of the Company after  the effective date of the  Plan, on the date of
such election or  appointment, if  such director is  eligible to  be granted  an
Option  at that date, and (ii)  to each member of the  Board of Directors of the
Company on January 20, 1996 and on  each January 20 thereafter if such  director
is  eligible to  be granted an  Option at that  date and has  not otherwise been
granted an Option under this Section 6 during the six-month period prior to  and
including the date the Option would otherwise be granted hereunder. Options will
be subject to the following terms and conditions:

        (a)   EXERCISE PRICE.  The exercise price per share of Stock purchasable
    upon exercise of an Option will be equal to 100% of the Fair Market Value of
    Stock on the date of grant of the Option.

        (b)   OPTION EXPIRATION.   A  Participant's Option  will expire  at  the
    earlier  of (i) ten years  after the date of grant,  (ii) one year after the
    date the Participant ceases  to serve as  a director of  the Company due  to
    death  or disability,  or (iii) six  months after the  Participant ceases to
    serve as a director of the Company for any other reason; PROVIDED,  HOWEVER,
    that,  if the Participant dies during the one year after ceasing to serve as
    a director due to disability or during the six months after ceasing to serve
    as a director  for reasons other  than disability, the  expiration shall  be
    delayed  until the earlier of one year  after the Participant's death or ten
    years after the date of grant of the Option.

        (c)  EXERCISABILITY.  Each  Option will become cumulatively  exercisable
    as  to 20% of the shares of Stock subject to such Option on each anniversary
    of the date of  grant; PROVIDED, HOWEVER, that  a Participant's Option  will
    become immediately exercisable in full at the time the Participant ceases to
    serve  as a director due to death or disability or, in the case of an Option
    granted six months or more prior to a Change of Control, upon such Change of
    Control; and PROVIDED FURTHER, that a Participant's Option may be  exercised
    after  the Participant ceases  to serve as  a director for  any reason other
    than death or disability only to the extent that the Option was  exercisable
    at the date he or she ceased to be a director.

        (d)  METHOD OF EXERCISE.  A Participant may exercise an Option, in whole
    or  in part, at such time as it  is exercisable and prior to its expiration,
    by giving  written notice  of  exercise to  the  Secretary of  the  Company,
    specifying  the Option to be exercised and  the number of shares of Stock to
    be purchased, and paying  in full the exercise  price in cash (including  by
    check)  or by surrender of shares of  Stock already owned by the Participant
    (except for shares acquired from the  Company by exercise of an option  less
    than  six months before the date of surrender) having a Fair Market Value at
    the time of exercise  equal to the  exercise price, or  by a combination  of
    cash and Stock.

    7.   RECEIPT OF STOCK OR  DEFERRED STOCK IN LIEU OF  FEES.  Each director of
the Company may, in lieu of receipt of fees in his or her capacity as a director
(including annual retainer fees for service on the

                                      B-2
<PAGE>
Board, fees for service on a Board committee, fees for service as chairman of  a
Board  committee, and any  other fees paid  to directors) in  cash, receive such
fees in the form of Stock or defer receipt of such fees in the form of  Deferred
Stock  in accordance with this Section  7; PROVIDED, HOWEVER, that such director
is eligible to  do so  under Section 5  at the  date any such  fee is  otherwise
payable.

    (a)    ELECTIONS.   Each director  who elects  to receive  fees for  a given
calendar year in  the form of  Stock or to  defer fees in  the form of  Deferred
Stock for such year must file an irrevocable written election with the Secretary
of  the Company no later than  six months before the due  date for the first fee
payment during such calendar year, and in no event later than December 31 of the
year preceding  such calendar  year; PROVIDED,  HOWEVER, that,  with respect  to
1995,  directors may file such election at any time prior to March 29, 1995; and
PROVIDED FURTHER,  that any  newly elected  or appointed  director may  file  an
election  for any year not  later than 30 days after  the date such person first
became a director. An election  by a director shall  be deemed to be  continuing
and therefore applicable to subsequent Plan years unless the director revokes or
changes  such election by  filing a new election  form by the  due date for such
form specified in this Section 7(a). The election must specify the following:

        (i) A percentage of fees to be received in the form of Stock or deferred
    in the form of Deferred Stock under the Plan; and

        (ii) In  the case  of a  deferral, the  period or  periods during  which
    settlement  of Deferred Stock will be  deferred (subject to such limitations
    as may be specified by counsel to the Company).

Certain elections may  not result in  receipt of  Stock or deferral  of fees  as
Deferred Stock for a six-month period, as provided in Section 7(g).

    (b)   PAYMENT OF FEES IN  THE FORM OF STOCK.  At  any date on which fees are
payable to a Participant  who has elected  to receive such fees  in the form  of
Stock,  the Company will issue to such  Participant, or to an account maintained
by a third party and designated by such Participant, a number of shares of Stock
having an aggregate  Fair Market Value  at that date  equal to the  fees, or  as
nearly  as possible equal to  the fees (but in no  event greater than the fees),
that would have been payable at such date but for the Participant's election  to
receive  Stock in  lieu thereof. If  the Stock is  to be credited  to an account
maintained by the Participant and  to the extent reasonably practicable  without
requiring  the actual  issuance of  fractional shares,  the Company  shall cause
fractional shares to  be credited  to the Participant's  account. If  fractional
shares  are not so credited, any part of  the Participant's fees not paid in the
form of whole shares of Stock will be payable in cash to the Participant (either
separately or included in a subsequent  payment of fees, including a  subsequent
payment of fees subject to an election under this Section 7).

    (c)   DEFERRAL  OF FEES  IN THE FORM  OF DEFERRED  STOCK.   The Company will
establish a deferral account  for each Participant who  elects to defer fees  in
the  form of Deferred Stock under this Section  7. At any date on which fees are
payable to a Participant who has elected  to defer fees in the form of  Deferred
Stock, the Company will credit such Participant's deferral account with a number
of  shares of Deferred  Stock equal to the  number of shares  of Stock having an
aggregate Fair Market Value at that date equal to the fees that otherwise  would
have  been payable  at such  date but  for the  Participant's election  to defer
receipt of such fees in the form of Deferred Stock. The amount of Deferred Stock
so credited shall include fractional shares calculated to at least three decimal
places.

    (d)  CREDITING  OF DIVIDEND  EQUIVALENTS.   Whenever dividends  are paid  or
distributions  made with respect to Stock,  a Participant to whom Deferred Stock
is then credited  in a  deferral account  shall be  entitled to  be receive,  as
dividend  equivalents, an amount  equal in value  to the amount  of the dividend
paid or property distributed on a single share of Stock multiplied by the number
of shares of Deferred Stock (including any fractional share) credited to his  or
her  deferral account as of  the record date for  such dividend or distribution.
Such   dividend   equivalents   shall   be   credited   to   the   Participant's

                                      B-3
<PAGE>
deferral  account as a number of shares of Deferred Stock determined by dividing
the aggregate value of such dividend equivalents  by the Fair Market Value of  a
share of Stock at the payment date of the dividend or distribution.

    (e)     SETTLEMENT  OF  DEFERRAL  STOCK.     The  Company  will  settle  the
Participant's deferral account by delivering to  the Participant (or his or  her
beneficiary)  a number of shares of Stock equal to the number of whole shares of
Deferred Stock then  credited to  his or her  deferral account  (or a  specified
portion  in the event of any partial  settlement), together with cash in lieu of
any fractional share  remaining at  a time  that less  than one  whole share  of
Deferred  Stock is credited  to such deferral account.  Such settlement shall be
made at  the time  or times  specified in  the Participant's  election filed  in
accordance  with Section 7(a); PROVIDED, HOWEVER, that a Participant may further
defer settlement of  Deferred Stock if  counsel to the  Company determines  that
such  further deferral likely would be effective under applicable federal income
tax laws and regulations.

    (f)  DESIGNATION OF BENEFICIARY.  Each Participant may designate one or more
beneficiaries to  receive  the  amounts  distributable  from  the  Participant's
deferral  account under the Plan  in the event of  such Participant's death, and
the terms  of any  such distribution,  on  forms provided  by the  Company.  The
Company  may rely upon the beneficiary designation last filed in accordance with
this Section 7(f).

    (g)   DELAYED  EFFECTIVENESS OF  ELECTIONS  IN  ORDER TO  COMPLY  WITH  RULE
16B-3.   Other provisions of  this Section 7 notwithstanding,  if any payment of
fees in the  form of Stock  or deferral of  fees in the  form of Deferred  Stock
would  occur less  than six months  after the Participant  filed the irrevocable
election which would result in such payment  or deferral and at a time when  the
Company's  employee benefit  plans are  being operated  in conformity  with Rule
16b-3 under the Exchange Act  as in effect on and  after May 1, 1991, such  fees
shall be paid in cash on a non-deferred basis.

    (f)   NONFORFEITABILITY.  The interest of  each Participant in any fees paid
in the  form of  Stock or  Deferred  Stock (and  any deferral  account  relating
thereto) at all times will be nonforfeitable.

    8.  ADJUSTMENT PROVISIONS.

    (a)   CORPORATE TRANSACTIONS AND EVENTS.  In the event any recapitalization,
reorganization,  merger,  consolidation,   spin-off,  combination,   repurchase,
exchange  of shares or other  securities of the Company,  stock split or reverse
split, stock dividend, other extraordinary dividend having a value in excess  of
150%  of  the  aggregate quarterly  dividends  paid during  the  12-month period
preceding the record date therefor,  liquidation, dissolution, or other  similar
corporate  transaction or  event affects  the Stock  such that  an adjustment is
appropriate in order to  prevent dilution or  enlargement of each  Participant's
rights  under the Plan,  then an adjustment shall  be made, in  a manner that is
proportionate to the  change to the  Stock and otherwise  equitable, in (i)  the
number  and kind of shares  of Stock remaining available  for issuance under the
Plan, (ii)  the number  and  kind of  shares  of Stock  to  be subject  to  each
automatic  grant of  an Option  under Section  6, (iii)  the number  and kind of
shares of  Stock  issuable upon  exercise  of outstanding  Options,  and/or  the
exercise  price per  share thereof (provided  that no fractional  shares will be
issued upon exercise  of any Option),  (iv) the kind  of shares of  Stock to  be
issued in lieu of fees under Section 7, and (v) the number and kind of shares of
Stock  to  be issued  upon settlement  of  Deferred Stock  under Section  7. The
foregoing notwithstanding, no adjustment may be made hereunder except as will be
necessary to maintain the  proportionate interest of  the Participant under  the
Plan  and to preserve,  without exceeding, the value  of outstanding Options and
potential grants of Options.

    (b)  INSUFFICIENT NUMBER OF SHARES.   If at any date an insufficient  number
of  shares of  Stock are  available under  the Plan  for the  automatic grant of
Options or the receipt of fees in the  form of Stock or deferral of fees in  the
form of Deferred Stock at that date, Options will first be automatically granted
proportionately  to  each  eligible  director, to  the  extent  shares  are then
available (provided that no  fractional shares will be  issued upon exercise  of
any Option) and otherwise as provided under

                                      B-4
<PAGE>
Section  6, and then, if any shares remain  available, fees shall be paid in the
form of Stock or  deferred in the form  of Deferred Stock proportionately  among
directors  then eligible to participate to  the extent shares are then available
and otherwise as provided under Section 7.

    9.  CHANGES TO THE PLAN.  The Board of Directors may amend, alter,  suspend,
discontinue,  or terminate the Plan or authority to grant Options or pay fees in
the form  of Stock  or Deferred  Stock under  the Plan  without the  consent  of
stockholders  or Participants, except  that any amendment  or alteration will be
subject to the  approval of  the Company's stockholders  at or  before the  next
annual  meeting of stockholders for  which the record date  is after the date of
such Board action  if such stockholder  approval is required  by any federal  or
state  law  or  regulation or  the  rules  of any  stock  exchange  or automated
quotation system, and  the Board may  otherwise determine to  submit other  such
amendments or alterations to stockholders for approval; PROVIDED, HOWEVER, that,
without  the consent of  an affected Participant, no  such action may materially
impair the rights  of such Participant  with respect to  any previously  granted
Option  or any previous payment of fees in the form of Stock or deferral of fees
in the form of  Deferred Stock; and, PROVIDED  FURTHER, that any Plan  provision
that  specifies the directors who may receive  grants of Options, the amount and
price of shares  of Stock that  may be  purchased upon the  exercise of  Options
granted  to such  directors, and the  timing of  such grants of  Options to such
directors,  or   is  otherwise   a  "plan   provision"  referred   to  in   Rule
16b-3(c)(2)(ii)(B)  under the Exchange Act, shall  not be amended more than once
every six months, other than  to comport with changes in  the Code or the  rules
thereunder.

    10.  GENERAL PROVISIONS.

    (a)   AGREEMENTS.   Options, Deferred Stock,  and any other  right under the
Plan may be evidenced by agreements  or other documents executed by the  Company
and  the Participant  incorporating the  terms and  conditions set  forth in the
Plan, together with such  other terms and conditions  not inconsistent with  the
Plan, as the Board of Directors may from time to time approve.

    (b)    COMPLIANCE  WITH LAWS  AND  OBLIGATIONS.   The  Company  will  not be
obligated to issue or deliver shares of Stock in connection with any Option,  in
payment  of  any  directors' fees,  or  in  settlement of  Deferred  Stock  in a
transaction subject to the  registration requirements of  the Securities Act  of
1933,  as amended, or any other federal or state securities law, any requirement
under any  listing agreement  between  the Company  and  any stock  exchange  or
automated  quotation  system,  or  any  other  law,  regulation,  or contractual
obligation of  the Company,  until  the Company  is  satisfied that  such  laws,
regulations,  and other  obligations of the  Company have been  complied with in
full. Certificates representing shares  of Stock issued under  the Plan will  be
subject to such stop-transfer orders and other restrictions as may be applicable
under  such laws, regulations,  and other obligations  of the Company, including
any requirement that a legend or legends be placed thereon.

    (c)  LIMITATIONS ON TRANSFERABILITY.  Options, Deferred Stock, and any other
right under the Plan will not be transferable by a Participant except by will or
the laws of  descent and  distribution (or to  a designated  beneficiary in  the
event  of a Participant's death), and will be exercisable during the lifetime of
the Participant  only  by such  Participant  or his  or  her guardian  or  legal
representative;  PROVIDED, HOWEVER, that Options  and Deferred Stock (and rights
relating  thereto)  may  be  transferred  to   one  or  more  trusts  or   other
beneficiaries  during  the  lifetime  of the  Participant  for  purposes  of the
Participant's estate  planning, and  may  be exercised  by such  transferees  in
accordance  with the terms thereof, but only if and to the extent then permitted
under Rule 16b-3 under the Exchange Act and consistent with the registration  of
the  offer and sale of shares of Stock related thereto on Form S-8, Form S-3, or
such other registration form  of the Securities and  Exchange Commission as  may
then  be filed and effective with respect  to the Plan. Options, Deferred Stock,
and other rights under the Plan may not be pledged, mortgaged, hypothecated,  or
otherwise encumbered, and shall not be subject to the claims of creditors of any
Participant.

    (d)   COMPLIANCE WITH RULE 16B-3.  It is the intent of the Company that this
Plan comply in all respects with  applicable provisions of Rule 16b-3 under  the
Exchange  Act.  Accordingly, if  any  provision of  this  Plan or  any agreement
hereunder  does   not  comply   with   the  requirements   of  Rule   16b-3   as

                                      B-5
<PAGE>
then  applicable to a Participant,  or would preclude a  director of the Company
from being deemed  a "disinterested person"  within the meaning  of Rule  16b-3,
such  provision will be construed  or deemed amended to  the extent necessary to
conform to  the applicable  requirements with  respect to  such Participant  and
ensure  the  director's status  as a  "disinterested  person" is  unaffected. In
addition, the Board of Directors will  have no authority to make any  amendment,
alteration,  suspension,  discontinuation,  or  termination  of  the  Plan under
Section 9  and  the Board  of  Directors will  have  no authority  to  make  any
adjustment  under Section  8, amend any  agreement hereunder, or  take any other
action if and to the extent such  authority would cause a transaction under  the
Plan  by a Participant not to be exempt, or would preclude a director from being
deemed a "disinterested person," under Rule 16b-3.

    (e)  CONTINUED SERVICE AS AN EMPLOYEE.  If a Participant ceases serving as a
director of the Company and, immediately thereafter, is employed by the  Company
or any subsidiary of the Company, then, solely for purposes of Sections 6(b) and
(c), such Participant will not be deemed to have ceased service as a director at
that  time and his or her continued  employment by the Company or any subsidiary
will be deemed to be continued service as a director.

    (f)  NO RIGHT TO CONTINUE AS A  DIRECTOR.  Nothing contained in the Plan  or
any  agreement hereunder will confer upon  any Participant any right to continue
to serve as a director of the Company.

    (g)  NO STOCKHOLDER RIGHTS CONFERRED.  Nothing contained in the Plan or  any
agreement  hereunder will confer  upon any Participant (or  any person or entity
claiming rights by or through a Participant) any rights of a stockholder of  the
Company  unless and until shares of Stock are in fact issued to such Participant
(or person) or his or her account maintained by a third party or, in the case an
Option, such Option is validly exercised in accordance with Section 6.

    (h)  NONEXCLUSIVITY OF THE  PLAN.  Neither the adoption  of the Plan by  the
Board  of Directors nor  its submission to  the stockholders of  the Company for
approval shall be  construed as  creating any limitations  on the  power of  the
Board to adopt such other compensatory arrangements for directors as it may deem
desirable.

    (i)   GOVERNING LAW.  The validity, construction, and effect of the Plan and
any agreement hereunder will be determined in accordance with the Nevada General
Corporation Law  and other  laws (including  those governing  contracts) of  the
State  of Nevada, without giving effect to  principles of conflicts of laws, and
applicable federal law.

    11.  STOCKHOLDER APPROVAL, EFFECTIVE DATE,  AND PLAN TERMINATION.  The  Plan
will  be effective if, and at such time as, the stockholders of the Company have
approved it by the affirmative votes of the holders of a majority of the  voting
securities  of the Company present, or represented,  and entitled to vote on the
subject matter at a duly held  meeting of stockholders, PROVIDED, HOWEVER,  that
such  approval is  obtained not  later than the  final adjournment  of the first
annual meeting of stockholders of the Company  held after the date the Board  of
Directors has adopted the Plan. Unless earlier terminated by action of the Board
of  Directors, the Plan  will remain in effect  until such time  as no shares of
Stock remain  available  for  issuance  under  the  Plan  and  the  Company  and
Participants have no further rights or obligations under the Plan.

Adopted by the Board of Directors:                             February 14, 1995

                                      B-6
<PAGE>
                          SIERRA HEALTH SERVICES, INC.
          THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
             FOR THE ANNUAL MEETING OF STOCKHOLDERS ON MAY 16, 1995

    The  undersigned holder of shares of Common Stock of SIERRA HEALTH SERVICES,
INC. (the "Company") hereby appoints William J. Raggio and Erin E. MacDonald  or
either  of them acting  singly in the absence  of the other,  with full power of
substitution,  the  Proxies  of  the  undersigned  at  the  Annual  Meeting   of
Stockholders  of the  Company to be  held May  16, 1995 and  at any adjournments
thereof.

<TABLE>
<S>  <C>                    <C>                                           <C>
1.   Election of Directors  FOR all nominees listed below                 WITHHOLD AUTHORITY
                            (except as marked to the contrary below) / /  to vote for all nominees listed below / /
</TABLE>

                 Anthony M. Marlon, M.D. and Thomas Y. Hartley

(INSTRUCTION: To withhold authority to vote for any individual nominee strike a
              line through the nominee's name in the list above.)

<TABLE>
<S>  <C>                    <C>                                           <C>
2.   To approve the adoption of the Company's 1995 Long-Term Incentive Plan.
</TABLE>

            / /  FOR            / /  AGAINST            / /  ABSTAIN

<TABLE>
<S>  <C>                    <C>                                           <C>
3.   To approve the adoption of the Company's 1995 Non-Employee Directors' Stock Plan
</TABLE>

            / /  FOR            / /  AGAINST            / /  ABSTAIN

<TABLE>
<S>  <C>                    <C>                                           <C>
4.   To ratify the appointment of Deloitte & Touche as the Company's auditors for 1995.
</TABLE>

            / /  FOR            / /  AGAINST            / /  ABSTAIN

<TABLE>
<S>  <C>                    <C>                                           <C>
5.   To transact such other business as may properly come before the meeting or any adjournments thereof.
</TABLE>

                                    (CONTINUED AND TO BE SIGNED ON REVERSE SIDE)
<PAGE>
    THIS PROXY  WHEN PROPERLY  EXECUTED WILL  BE VOTED  IN THE  MANNER  DIRECTED
HEREIN  BY THE UNDERSIGNED STOCKHOLDER. IF NO DIRECTION IS MADE, THIS PROXY WILL
BE VOTED "FOR" ITEMS 1 THROUGH 4. THE PROXIES WILL VOTE IN ACCORDANCE WITH THEIR
BEST JUDGMENT WITH RESPECT TO ANY MATTERS REFERRED TO IN ITEM 5.

                                              NOTE: Please sign exactly as  your
                                              name  or names appear herein. When
                                              signing as an executor,
                                              administrator, corporation,
                                              officer, attorney, agent,  trustee
                                              or guardian, etc., please add your
                                              full title to your signature.
                                              __________________________________
                                              Signature
                                              __________________________________
                                              Signature
                                              Date _____________________________


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