SIERRA HEALTH SERVICES INC
10-Q, 1996-05-15
HOSPITAL & MEDICAL SERVICE PLANS
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- ------------------------------------------------------------------------------


                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    Form 10-Q


(Mark One)
X  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
   SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended       March 31, 1996

                                       OR

   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
   SECURITIES EXCHANGE ACT OF 1934


For the transition period from                             to

Commission File Number 1-8865


                          SIERRA HEALTH SERVICES, INC.
             (Exact name of registrant as specified in its charter)

                                     NEVADA
                         (State or other jurisdiction of
                         incorporation or organization)

                                   88-0200415
                                (I.R.S. Employer
                               Identification No.)

                              2724 NORTH TENAYA WAY
                                  LAS VEGAS, NV
                    (Address of principal executive offices)
                                      89128
                                   (Zip Code)


                                 (702) 242-7000
              (Registrant's telephone number, including area code)

                                       N/A
              Former name, former address and former fiscal year,
                         if changed since last report)

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days. Yes X No

 As of April 30, 1996 there were 17,670,000 shares of common stock outstanding.


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<PAGE>



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                                      INDEX

                                                                      Page No.

Part I - FINANCIAL INFORMATION

      Item l.     Financial Statements

                  Condensed Consolidated Balance Sheets -
                    March 31, 1996, and December 31, 1995.............      3

                  Condensed Consolidated Statements of Operations -
                    Three months ended March 31, 1996, and March 31, 1995.. 4

                  Condensed  Consolidated  Statements of Cash Flows Three months
                    ended March 31, 1996, and March 31, 1995...5

                  Notes to Condensed Consolidated Financial Statements......6

      Item 2.     Management's Discussion and Analysis of
                    Financial Condition and Results of Operations...........7



Part II - OTHER INFORMATION

      Item l.     Legal Proceedings........................................12

      Item 2.     Changes in Securities....................................12

      Item 3.     Defaults upon Senior Securities..........................12

      Item 4.     Submission of Matters to a Vote of Security Holders......12

      Item 5.     Other Information........................................12

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

Signatures.................................................................14


                                     Page 2


<PAGE>



                         PART I - FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS

                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                      CONDENSED CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>

                                                                                            March 31        December 31
                                                                                            1996               1995
                                                                                       --------------     ---------
CURRENT ASSETS:
<S>                                                                                    <C>                <C>
   Cash and Cash Equivalents..........................................                 $  60,772,000      $  57,044,000
   Short-term Securities..............................................                    73,216,000         72,579,000
   Accounts Receivable (Less: Allowance for Doubtful
      Accounts: 1996 - $4,664,000, 1995 - $5,000,000) ................                    21,954,000         21,723,000
   Prepaid Expenses and Other Assets..................................                    28,285,000         24,071,000
                                                                                        ------------       ------------
      Total Current Assets............................................                   184,227,000        175,417,000
                                                                                        ------------       ------------

LAND, BUILDING AND EQUIPMENT..........................................                   124,629,000        122,725,000
   Less: Accumulated Depreciation.....................................                    33,876,000         31,549,000
                                                                                        ------------       ------------
      Land, Building and Equipment - Net..............................                    90,753,000         91,176,000
                                                                                        ------------       ------------

OTHER ASSETS:
   Long-term Securities ..............................................                   227,519,000        234,698,000
   Restricted Cash and Securities ....................................                    12,377,000         12,482,000
   Reinsurance Recoverable (Less Current Portion).....................                    22,210,000         24,952,000
   Other.  ...........................................................                    34,236,000         36,421,000
                                                                                        ------------        -----------
      Total Other Assets..............................................                   296,342,000        308,553,000
                                                                                        ------------       ------------
TOTAL ASSETS..........................................................                  $571,322,000       $575,146,000
                                                                                        ============       ============

CURRENT LIABILITIES:
   Accounts Payable and Other Accrued Liabilities.....................                 $  22,237,000     $   21,576,000
   Accrued Payroll and Taxes..........................................                    11,609,000         14,174,000
   Medical Claims Payable.............................................                    38,528,000         37,463,000
   Current Portion of Reserves for Losses and
      Loss Adjustment Expense ........................................                    52,103,000         54,679,000
   Unearned Premium Revenue...........................................                    13,888,000         22,260,000
   Current Portion of Long-term Debt..................................                     6,978,000          7,108,000
                                                                                        ------------       ------------
      Total Current Liabilities.......................................                   145,343,000        157,260,000
RESERVE FOR LOSSES AND LOSS
   ADJUSTMENT EXPENSE (Less Current Portion)  ........................                   131,110,000        127,639,000
LONG-TERM DEBT (Less Current Portion).................................                    69,111,000         71,257,000
OTHER LIABILITIES ....................................................                    12,574,000         11,275,000
                                                                                        ------------       ------------
TOTAL LIABILITIES.....................................................                   358,138,000        367,431,000
                                                                                        ------------       ------------
STOCKHOLDERS' EQUITY:
   Preferred Stock, $.01 Par Value, 1,000,000 Shares
      Authorized, None Issued
   Common Stock, $.005 Par Value, 40,000,000 Shares Authorized;
      Shares Issued: 1996 - 17,767,000; 1995 - 17,677,000;............                        88,000             88,000
  Additional Paid-in Capital..........................................                   149,136,000        147,240,000
  Treasury Stock, 100,200 Common Shares...............................                      (130,000)          (130,000)
  Unrealized Holding Gain on Available-for-Sale Securities............                     3,068,000          9,659,000
  Retained Earnings...................................................                    61,022,000         50,858,000
                                                                                        ------------       ------------
        Total Stockholders' Equity....................................                   213,184,000        207,715,000
                                                                                        ------------       ------------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY............................                  $571,322,000       $575,146,000
                                                                                        ============       ============
</TABLE>

     See accompanying notes to condensed consolidated financial statements.

                                     Page 3


<PAGE>



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
<TABLE>
<CAPTION>

                                                                                             Three Months Ended
                                                                                         March 31        March 31
                                                                                         1996              1995
                                                                                     ------------      --------

OPERATING REVENUES:
<S>                                                                                   <C>                 <C>
    Medical Premiums......................................................            $90,605,000         $75,548,000
    Specialty Product Revenue.............................................             30,939,000          23,075,000
    Professional Fees.....................................................              7,572,000           3,818,000
    Investment and Other Revenue..........................................              6,896,000           5,831,000
                                                                                     ------------        ------------
       Total..............................................................            136,012,000         108,272,000
                                                                                      -----------        ------------

OPERATING EXPENSES:
    Medical Expenses......................................................             73,951,000          57,720,000
    Specialty Product Expenses............................................             30,523,000          22,621,000
    General, Administrative and Other.....................................             17,163,000          15,109,000
                                                                                     ------------        ------------
       Total..............................................................            121,637,000          95,450,000
                                                                                      -----------        ------------

OPERATING INCOME..........................................................             14,375,000          12,822,000

OTHER INCOME (EXPENSE):
    Minority Interests ...................................................                388,000             501,000
    Interest Expense and Other, Net.......................................             (1,197,000)         (1,537,000)
                                                                                     ------------        ------------
       Total..............................................................               (809,000)         (1,036,000)
                                                                                     ------------        ------------

INCOME BEFORE INCOME TAXES AND
    DISCONTINUED OPERATIONS ..............................................             13,566,000          11,786,000

PROVISION FOR INCOME TAXES................................................              3,402,000           3,147,000
                                                                                      -----------        ------------

INCOME FROM CONTINUING OPERATIONS ........................................             10,164,000           8,639,000

NET LOSS ON DISCONTINUED OPERATIONS ......................................                                    964,000
                                                                                 ----------------       -------------

NET INCOME    ...............................................                        $ 10,164,000        $  7,675,000
                                                                                     ============        ============

EARNINGS PER SHARE:
    Income From Continuing Operations.....................................                   $.58                $.50
    Loss on Discontinued Operations ......................................                                        .06
                                                                                     ------------          ----------
       Net Income ........................................................                   $.58                $.44
                                                                                       ==========           =========

WEIGHTED AVERAGE COMMON SHARES OUTSTANDING................................             17,627,000          17,298,000
</TABLE>

     See accompanying notes to condensed consolidated financial statements.

                                     Page 4


<PAGE>



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>

                                                                                          Three Months Ended
                                                                                        March 31          March 31
                                                                                          1996              1995
                                                                                     ------------     ----------
CASH FLOWS FROM OPERATING ACTIVITIES:
<S>                                                                                   <C>                 <C>
  Net Income..............................................................            $10,164,000         $ 7,675,000
  Adjustments to Reconcile Net Income to Net Cash
     Provided by Operating Activities:
     Depreciation and Amortization........................................              2,468,000           2,296,000
     Provision for Doubtful Accounts......................................                536,000              44,000
     Effect from Discontinued Operations .................................                                    633,000
  Changes in Assets and Liabilities ......................................             (7,210,000)         (6,720,000)
                                                                                       ----------          ----------
  Net Cash Provided by Operating Activities ..............................              5,958,000           3,928,000
                                                                                        ---------           ---------

CASH FLOWS FROM INVESTING ACTIVITIES:
  Capital Expenditures....................................................             (1,993,000)         (3,002,000)
  Land, Building and Equipment Dispositions, Net..........................                 79,000               7,000
  Increase in Short-term Securities.......................................               (622,000)         (4,627,000)
  Decrease (Increase) in Long-term Securities.............................                460,000          (3,381,000)
  Decrease (Increase) in Restricted Cash and Securities...................                195,000            (794,000)
  Decrease in Financed Premiums Receivable ...............................                                  2,463,000
                                                                                   --------------         -----------
        Net Cash Provided by (Used for) Investing Activities..............             (1,881,000)         (9,334,000)
                                                                                       ----------          ----------

CASH FLOWS FROM FINANCING ACTIVITIES:
  Proceeds from Long-term Borrowings......................................                                    875,000
  Payments on Debt and Capital Leases.....................................             (1,868,000)           (589,000)
  Exercise of Stock in Connection with Stock Plans........................              1,519,000           1,800,000
                                                                                      -----------          ----------
     Net Cash Provided by (Used for) Financing Activities.................               (349,000)          2,086,000
                                                                                      -----------          ----------
NET INCREASE (DECREASE) IN CASH
  AND CASH EQUIVALENTS....................................................              3,728,000          (3,320,000)
CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR............................             57,044,000          38,045,000
                                                                                      -----------         -----------
CASH AND CASH EQUIVALENTS AT END OF PERIOD................................            $60,772,000         $34,725,000
                                                                                      ===========         ===========


                                                                                          Three Months Ended
Supplemental Condensed Consolidated                                                    March 31           March 31
        Statements of Cash Flows Information:                                            1996               1995
        ------------------------------------------------------------------          --------------     ---------
Cash paid during the period for Interest
  (net of amount Capitalized).............................................            $ 2,503,000         $ 2,746,000
Cash paid during the period for Income Taxes..............................                650,000

Non-cash Investing and Financing Activities:
  Additions (Reductions) to Funds Withheld by Ceding
     Insurance Company and Future Policy Benefits.........................                111,000            (379,000)
  Tax Benefits of Stock Issued for Exercise of Options ...................                377,000             815,000
</TABLE>

     See accompanying notes to condensed consolidated financial statements.

                                     Page 5


<PAGE>



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS


1.      The accompanying unaudited financial statements include the consolidated
        accounts of Sierra Health Services,  Inc. ("Sierra",  a holding Company,
        together  with  its  subsidiaries,   collectively  referred  to  as  the
        "Company").  The financial statements also include the operations of HMO
        Texas L.C. ("HMO Texas").  The Company  currently owns a 50% interest in
        HMO Texas and manages the HMO's  operations.  HMO Texas has an agreement
        with a key employee whereby he may be granted up to a 5% equity interest
        in HMO Texas if certain  employment  requirements  are  fulfilled in the
        future.  All material  intercompany  balances and transactions have been
        eliminated.  These  statements have been prepared in conformity with the
        generally accepted accounting principles used in preparing the Company's
        annual audited consolidated  financial statements but do not contain all
        of the information and disclosures  that would be required in a complete
        set of audited financial statements.  They should, therefore, be read in
        conjunction with the Company's audited consolidated financial statements
        and notes thereto for the years ended December 31, 1995 and 1994. In the
        opinion of management,  all  adjustments,  consisting  only of recurring
        adjustments  necessary for a fair statement of the results of operations
        for the three- month period ended March 31, 1996, have been made.

2.      On October 31, 1995, the Company issued approximately 2.7 million shares
        of its common stock in exchange for all of the outstanding  stock of CII
        Financial,  Inc.  ("CII").  The merger was accounted for as a pooling of
        interests  and,  accordingly,   the  Company's   consolidated  financial
        statements  have been restated to include the accounts and operations of
        CII for all periods prior to the merger.

3.      In April, 1996, Sierra obtained a $50.0 million unsecured line of credit
        from Bank of America National Trust & Savings  Association for a term of
        five  years  at an  interest  rate  indexed  from the  London  InterBank
        Offering Rate ("LIBOR") plus 32 basis points.  Such rate would have been
        5.7625% at March 31, 1996.  The line of credit,  if drawn upon,  will be
        used for general corporate purposes, including acquisitions, and will be
        available for additional working capital, if necessary.


4.      Amounts  in  the  accompanying   Condensed   Consolidated  Statement  of
        Operations  for  the  three  months  ended  March  31,  1995  have  been
        reclassified to conform with the current period presentation.

                                     Page 6


<PAGE>



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2.         MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
                RESULTS OF OPERATIONS.

        The  following   discussion  and  analysis  provides  information  which
management  believes is  relevant  to an  assessment  and  understanding  of the
Company's  consolidated  financial  condition  and  results of  operations.  The
discussion  should  be read  in  conjunction  with  the  Condensed  Consolidated
Financial Statements and Related Notes thereto. Any forward-looking  information
contained in this  Management's  Discussion and Analysis of Financial  Condition
and Results of  Operations  should be  considered  in  connection  with  certain
cautionary  statements  contained in the  Company's  Current  Report on Form 8-K
filing dated March 4, 1996. Such cautionary  statements are made pursuant to the
"safe harbor" provisions of the Private Securities Litigation Reform Act of 1995
and  identify  important  risk  factors  that could cause the  Company's  actual
results  to  differ  from  those  expressed  in  any  projected,   estimated  or
forward-looking statements relating to the Company.

        On October 31, 1995, the Company  acquired CII, a workers'  compensation
insurance  company,  for  approximately  $76.3  million  of  common  stock  in a
transaction  accounted for as a pooling of interests.  The information contained
in this discussion and analysis has been restated to include the results of CII.


Results of Operations, three months ended March 31, 1996, compared to three 
months ended March 31, 1995.

        The Company's total operating  revenues for the three months ended March
31, 1996 increased  25.6% to $136.0  million,  from $108.3 million for the three
months ended March 31, 1995.  The increase was primarily due to medical  premium
revenue increases of approximately  $15.1 million,  or 19.9%, from the Company's
HMO and  managed  indemnity  insurance  subsidiaries.  Such  additional  premium
revenue resulted principally from an 18.3% increase in member months (the number
of  months  of each  period  that an  individual  is  enrolled  in a plan).  The
Company's HMO and insurance  subsidiaries' premium rates increased approximately
1.6% overall  primarily  due to a 3.7% increase in its  capitation  rate for its
Medicare  members  established  by  the  Health  Care  Financing  Administration
("HCFA").  The Company realized  minimal rate changes for the HMO  subsidiaries'
commercial  groups  and the  managed  indemnity  subsidiary.  Specialty  product
revenue  increased $7.9 million,  or 34.1%,  in the three months ended March 31,
1996 compared to the same three-month period in the prior year. The increase was
primarily due to specialty  product revenue growth in the workers'  compensation
insurance  market of approximately  $7.3 million and a $600,000  increase in the
specialty  product  revenue  relating to  administrative  services for the three
months  ended March 31,  1996,  compared to the same  three-month  period in the
prior year.  Professional fees increased by $3.8 million, or 98.3% primarily due
to the opening of new medical  clinics in 1995 and the  acquisition of a medical
facility in October 1995.  Investment and other revenue  increased $1.1 million,
or 18.3%,  due to certain  investment  gains  recognized in the first quarter of
1996, as well as an increase in the balance of invested funds.



                                     Page 7


<PAGE>


                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2.     MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
            RESULTS OF OPERATIONS (continued).

Results of Operations, three months ended March 31, 1996, compared to three
months ended March 31, 1995 (continued).

        Total medical expenses increased by approximately $16.2 million over the
same three-month  period last year. This 28.1% increase resulted  primarily from
the  consolidated  member  month  growth  discussed  above  as well as  clinical
expansions and increases associated with professional fee growth. These factors,
as well as an increase in Medicare  members as a  percentage  of total  members,
resulted in an increase in medical  expenses as a percentage of medical premiums
and professional fees ("Medical Loss Ratio") from 72.7% to 75.3%.  The cost of 
providing  medical care to  Medicare  members  generally  requires a greater  
percentage  of the premium received.  Specialty  product  expenses  increased  
$7.9  million,  or 34.9% due primarily to the 34.1% increase in specialty  
product revenue  discussed  above.  Specialty   product  revenue  and  expense  
is  primarily  related  to  workers' compensation insurance business. In the 
first quarter of 1996, the Company had a combined  loss  ratio of 98.7% on 
its  specialty  product  business.  On the CII workers' compensation  
insurance business,  included therein, the combined ratio was 104.3% for the
first quarter of 1996. Workers'  compensation claims are paid over  several
 years.  Until  payment is made,  the Company  invests the monies,
earning a yield on the invested balance.

        General,  administrative and other ("G&A") costs increased $2.1 million,
or 13.6%,  compared to the first  quarter of 1995.  As a percentage of revenues,
however,  G&A costs for the first quarter of 1996  decreased to 12.6% from 14.0%
during the comparable  period in 1995. Of the $2.1 million increase in G&A, $1.5
million consisted of compensation  expense  resulting  primarily from additional
employees supporting expanded services. Legal and legislative expenses increased
approximately   $200,000,   and  broker  and  premium  tax  expenses   increased
approximately  $400,000 due to increased medical  premiums.  The Company markets
its products  primarily to employer groups and labor unions through its internal
sales  personnel  and  independent   insurance  brokers.  Such  brokers  receive
commissions  based on the  premiums  received  from each  group.  The  Company's
agreements  with its member groups are usually for twelve months and are subject
to annual renewal. For the fiscal quarter ended March 31, 1996 the Company's ten
largest  commercial HMO employer groups were, in the aggregate,  responsible for
less than 15% of its  total  revenues.  Although  none of such  employer  groups
accounted for more than 3% of total revenues for that period, the loss of one or
more  of the  larger  employer  groups  could,  if  not  replaced  with  similar
membership, have a material adverse effect on the Company's business. During the
first  quarter of 1996,  an  employer  group  previously  included as one of the
Company's largest HMO commercial  groups did not renew its contract.  The effect
of this  non-renewal  was offset in large part by the signing of new  commercial
and union groups with similar total membership.

        The  Company's  effective  tax rate for the  first  quarter  of 1996 was
approximately  25.1%  compared to 26.7% in the first  quarter of 1995.  Such tax
rates are the result of the Company's  investment  in tax preferred  investments
and the change in the deferred tax valuation allowance which is due primarily to
the use of net operating loss carryovers.

        Net income for the three months ended March 31, 1996, increased 32.5% to
$10.2  million  from  $7.7  million  for the  comparable  period  in  1995.  The
approximate  $2.5 million  increase in earnings was  primarily  due to increased
operating  revenues,  decreased  G&A  expenses as a percentage  of  revenues,  a
decrease  in the  effective  tax rate and the effects of the  operations  of the
disposed  subsidiary.  Income from  continuing  operations  for the  three-month
period ended March 31, 1996 increased  17.7% from $8.7 million to $10.2 million,
in the comparable  period in the prior year.  During 1995, CII sold its interest
in an  unprofitable  subsidiary.  The net loss on the operations of the disposed
subsidiary was approximately $1.0 million in the quarter ended March 31, 1995.

                                     Page 8


<PAGE>


                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2.     MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
            RESULTS OF OPERATIONS (continued).

Liquidity and Capital Resources

        The Company's  cash,  cash  equivalents  and  non-restricted  securities
decreased  by $2.8  million to $361.5  million at March 31,  1996,  from  $364.3
million at December 31, 1995. At March 31, 1996, the Company had working capital
of $38.9 million.

        The  Company's  cash flow from  operating  activities  during  the three
months ended March 31, 1996 resulted  primarily from $10.2 million of net income
from continuing  operations,  $2.5 million in depreciation  and amortization and
$500,000 in provision for doubtful accounts. This source of cash was offset by a
$7.2 million net change in operating assets and liabilities,  excluding cash and
cash  equivalents.  The  decrease  in cash  which  resulted  from the  change in
operating  assets and  liabilities  was  primarily  due to decreases in unearned
revenue,  as well  as  accounts  receivable  and  other  current  assets.  These
decreases  in cash were offset by  increases  in the reserve for losses and loss
adjustment  expense,  decreases in other assets and increases in medical  claims
payable.

        The $2.2  million  used by  investing  and  financing  activities  since
December 31, 1995  primarily  consisted of $1.9 million in capital  expenditures
including  construction costs associated with a medical facility scheduled to be
completed in 1996,  and other  capital  needs to support the  Company's  growth.
Additionally,  $1.9 million used for the reduction of debt was offset in part by
$1.5 million received in  connection  with the purchase of stock  through the 
Company's stock plans. During the period Sierra bought back $1,143,000 of CII 
Debentures.  

        The holding  company may receive  dividends  from its HMO and  insurance
subsidiaries  which  generally  must be  approved  by  certain  state  insurance
departments.  The Company's HMO and insurance subsidiaries are required by state
regulatory  agencies to maintain certain deposits and must also meet certain net
worth  and  reserve  requirements.   The  HMO  and  insurance  subsidiaries  had
restricted  assets on deposit in various states  totaling  $12.4 million,  as of
March 31, 1996. The HMO and insurance  subsidiaries  must also meet requirements
to maintain minimum  stockholder's  equity,  on a statutory basis,  ranging from
$200,000  to $5.2  million.  Of the  cash and cash  equivalents  and  short-term
securities held at March 31, 1996, $44.1 million is designated for use only by 
the regulated  subsidiaries.  Such amounts are available for transfer to the 
holding company from the HMO and insurance subsidiaries only to the extent that 
they can be remitted in accordance  with terms of existing  management  
agreements and by dividends. Remaining amounts are available on an unrestricted 
basis. The holding company will not receive  dividends from its regulated 
subsidiaries  that would cause violation of statutory net worth and reserve 
requirements.

        The Company has a 1996 capital  budget of  approximately  $25.0 million,
primarily for the  construction of a new 59,000  square-foot  medical  facility,
computer hardware and software,  furniture and equipment, and other requirements
needed for the  Company's  projected  growth and  expansion.  Completion  of the
medical  facility is expected in late 1996 at an estimated cost of $7.3 million.
The Company's  liquidity needs over the next 12 months will primarily be for the
capital items noted above to support growing membership, as well as debt service
and expansion of the Company's operations.


                                     Page 9


<PAGE>


                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2.     MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
            RESULTS OF OPERATIONS (continued).

Liquidity and Capital Resources (continued)

        The  Company  is in the final  stages of  preparing  a  response  to the
government's  request for proposal for providing managed health care services to
the 665,000 CHAMPUS eligibles living in 12 northeastern states plus the District
of Columbia that comprise  Region 1. The Company  expects final  notification of
its Region 1 bid results by the end of 1996.  Notification regarding the CHAMPUS
bid for  Regions 7 and 8,  which the  Company  made as part of a  consortium  of
managed care  companies,  is expected in June 1996. If the consortium is awarded
that  contract,  the  Company  will be  providing  health  care  services to the
approximately  93,000  CHAMPUS  eligibles in Nevada and parts of  Missouri.  The
Company  expects total expenses under both contract  proposals to approximate $5
million to $6 million.  The Company  believes  that  existing  working  capital,
operating cash flow and, if necessary,  equipment leasing, and amounts available
under its credit facility will be sufficient to meet its liquidity needs.

        Additionally,  subject to significant  unanticipated  cash requirements,
the Company  believes that its existing  working capital and operating cash flow
and, if necessary,  its access to new credit facilities,  will enable it to meet
its liquidity needs on a longer term basis.

        In April, 1996, Sierra obtained a $50.0 million unsecured line of credit
from Bank of America  National  Trust & Savings  Association  for a term of five
years at an  interest  rate equal to the LIBOR plus 32 basis  points.  Such rate
would have been  5.7625% at March 31, 1996.  The line of credit,  if drawn upon,
will be used for general corporate purposes, including acquisitions, and will be
available for additional working capital, if necessary.

        In September 1991, CII issued convertible  subordinated  debentures (the
"Debentures")  due September 15, 2001.  The  Debentures  bear interest at 7 1/2%
which  is due  semi-annually  on March  15 and  September  15.  Each  $1,000  in
principal is convertible  into 16.921 shares of the Company's  common stock at a
conversion  price of $59.097 per share.  The  Debentures  are general  unsecured
obligations  of CII only and were not  guaranteed  by Sierra.  CII is  currently
subject to the reporting  requirements  of the Securities  Exchange Act of 1934;
however,  CII has  initiated  the  process  to delist  the  debentures  from the
American Stock Exchange.


        The Company's membership at March 31, 1996 and 1995 was as follows:
<TABLE>
<CAPTION>

                                                                         Number of Members at Period Ended
                                                                      March 31, 1996          March 31, 1995
                                                                      --------------          --------------

HMO
<S>                                                                       <C>                      <C>
  Commercial................................................              119,222                  107,874
  Medicare..................................................               26,462                   20,607
Managed Indemnity...........................................               32,056                   26,309
Medicare Supplement.........................................               17,462                   10,512
Administrative Services.....................................              303,001                  161,435
                                                                          -------                  -------
Total Members...............................................              498,203                  326,737
                                                                          =======                  =======
</TABLE>

                                     Page 10


<PAGE>


                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES


ITEM 2.     MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
            RESULTS OF OPERATIONS (continued).

Health Care Reform

        Numerous  proposals  relating to health care and  insurance  reform have
been and may  continue to be  introduced  in the United  States  Congress and in
state   legislatures.   At  this  time,  the  Company  cannot   determine  which
legislation, if any, will be enacted or what effect such legislation may have on
the Company.

Inflation

        Health care costs  generally  continue to rise at a rate faster than the
Consumer Price Index. The Company has been able to somewhat lessen the impact of
such inflation by managing  medical costs.  There can be no assurance,  however,
that in the future the  Company's  ability to manage  medical  costs will not be
negatively impacted by items such as technological advances, utilization changes
and catastrophic  items,  which could, in turn, result in medical cost increases
continuing to equal or exceed premium increases.

                                     Page 11


<PAGE>



                           PART II - OTHER INFORMATION


Item 1.         Legal Proceedings

                None

Item 2.         Changes in Securities

                None

Item 3.         Defaults Upon Senior Securities

                None

Item 4.         Submission of Matters to a Vote of Security Holders

                Sierra held its Annual Meeting of Stockholders on May 9, 1996 in
Las Vegas, Nevada.

                The following persons were elected directors for a two-year term
                ending in 1998 based on the voting results below:
<TABLE>
<CAPTION>
                                                                                                     Broker
                Name                                     For             Withheld       Abstain      Non-votes

<S>                                                    <C>               <C>                <C>          <C>
                Charles L. Ruthe                       16,910,801        182,906            0            0
                William J. Raggio                      16,309,852        783,855            0            0
                Erin E. MacDonald                      16,912,964        180,743            0            0
</TABLE>

                The following  persons' terms as directors  continued  after the
meeting and end in 1997.

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

                The  stockholders  also ratified the  appointment  of Deloitte &
                Touche LLP as the  Company's  independent  auditors for the year
                ending 1996. The voting results were as follows:
<TABLE>
<CAPTION>
                                                                                                 Broker
                      For                        Against                   Abstain               Non-votes
<S>                  <C>                          <C>                       <C>                   <C>
                     17,025,730                   26,942                    41,035                0
</TABLE>

Item 5.         Other Information

                None



                                     Page 12


<PAGE>



Item 6.         Exhibits and Reports on Form 8-K

                (a)      Exhibits

                         (10)  Credit Agreement Dated as of April 11, 1996 among
                               Sierra Health Services,  Inc., as Borrower,  Bank
                               of   America    National    Trust   and   Savings
                               Association,  as Agent and Issuing Bank,  and The
                               Other Financial  Institutions  Party Hereto for a
                               $50.0 million Line of Credit.

                         (11)  Computation of earnings per share.

                         (27)  Financial Data Schedule

                (b)      Reports on Form 8-K

                         The  Company  filed a Current  Report on Form 8-K dated
                         March  4,  1996  with  the   Securities   and  Exchange
                         Commission  in  connection   with  certain   cautionary
                         statements   made   pursuant   to  the  "safe   harbor"
                         provisions of the Private Securities  Litigation Reform
                         Act of 1995.



















                                     Page 13


<PAGE>


                                   SIGNATURES

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



                                       SIERRA HEALTH SERVICES, INC.
                                            (Registrant)



Date    May 14, 1996                         JAMES L. STARR
     ------------------                --------------------
                                       James L. Starr
                                       Vice President of Finance
                                       Chief Financial Officer and Treasurer
                                       (Principal Financial and
                                       Accounting Officer)











                                     Page 14



                                   EXHIBIT 10

                                CREDIT AGREEMENT


                           Dated as of April 11, 1996

                                      among


                          SIERRA HEALTH SERVICES, INC.,
                                  as Borrower,


                         BANK OF AMERICA NATIONAL TRUST
                            AND SAVINGS ASSOCIATION,
                                    as Agent
                                       and
                                  Issuing Bank


                                       and


                  THE OTHER FINANCIAL INSTITUTIONS PARTY HERETO











<PAGE>



                                TABLE OF CONTENTS

Section                                                                   Page

                                    ARTICLE I
                         DEFINITIONS.........................................1

  1.01  Certain Defined Terms................................................1
  1.02  Other Interpretive Provisions.......................................22
  1.03  Accounting Principles...............................................23

                                   ARTICLE II
                         THE CREDITS........................................24
  2.01  Amounts and Terms of Commitments....................................24
  2.02  Loan Accounts.......................................................24
  2.03  Procedure for Borrowing.............................................24
  2.04  Conversion and Continuation Elections...............................25
  2.05  Voluntary Termination or Reduction of
        Commitments.........................................................27
  2.06  Optional Prepayments................................................27
  2.07  Mandatory Prepayments of Loans;
        Mandatory Commitment Reductions.....................................27
  2.08  Repayment...........................................................28
  2.09  Interest............................................................28
  2.10  Fees   .............................................................29
               (a)     Agency Fee...........................................29
               (b)     Commitment Fees......................................29
  2.11  Computation of Fees and Interest....................................30
  2.12  Payments by the Company.............................................30
  2.13  Payments by the Banks to the Agent..................................31
  2.14  Sharing of Payments, Etc............................................32
  2.15  Security............................................................32
  2.16  Extension of Revolving
        Termination Date....................................................32

                                   ARTICLE III
                         THE LETTERS OF CREDIT..............................33
  3.01  The Letter of Credit Subfacility....................................33
  3.02  Issuance, Amendment and Renewal
        of Letters of Credit................................................34
  3.03  Risk Participations, Drawings and
        Reimbursements......................................................36
  3.04  Repayment of Participations.........................................38
  3.05  Role of the Issuing Bank............................................39
  3.06  Obligations Absolute................................................39
  3.07  Cash Collateral Pledge..............................................41
  3.08  Letter of Credit Fees...............................................41
  3.09  Uniform Customs and Practice........................................42

                                   ARTICLE IV
                         TAXES, YIELD PROTECTION AND ILLEGALITY.............42
  4.01  Taxes  .............................................................42

                                       -i-

<PAGE>


Section                                                                   Page


  4.02  Illegality..........................................................43
  4.03  Increased Costs and Reduction of Return.............................44
  4.04  Funding Losses......................................................44
  4.05  Inability to Determine Rates........................................45
  4.06  Certificates of Banks...............................................46
  4.07  Survival............................................................46

                                    ARTICLE V
                         CONDITIONS PRECEDENT...............................46
  5.01  Conditions of Initial Credit Extensions.............................46
               (a)     Credit Agreement and Notes...........................46
               (b)     Resolutions; Incumbency..............................46
               (c)     Organization Documents; Good Standing................46
               (d)     Legal Opinions.......................................47
               (e)     Payment of Fees......................................47
               (f)     Certificate..........................................47
               (g)     Collateral Documents.................................47
               (h)     Regulatory Compliance................................48
               (i)     Other Documents......................................48
  5.02  Conditions to All Credit Extensions.................................48
               (a)     Notice, Application..................................49
               (b)     Continuation of Representations
              and Warranties................................................49
               (c)     No Existing Default..................................49

                                   ARTICLE VI
                         REPRESENTATIONS AND WARRANTIES.....................49
  6.01  Corporate Existence and Power.......................................49
  6.02  Corporate Authorization; No Contravention...........................50
  6.03  Authorization, Approval, etc........................................50
  6.04  Binding Effect......................................................51
  6.05  Litigation..........................................................51
  6.06  No Default..........................................................51
  6.07  Compliance with Laws and ERISA......................................51
  6.08  Use of Proceeds; Margin Regulations.................................52
  6.09  Title to Property and Collateral; No Liens..........................52
  6.10  As to Pledged Shares................................................53
  6.11  Taxes  .............................................................53
  6.12  Financial Condition.................................................53
  6.13  Environmental Matters...............................................54
  6.14  Collateral Documents................................................54
  6.15  Regulated Entities..................................................54
  6.16  No Burdensome Restrictions..........................................54
  6.17  Copyrights, Patents, Trademarks
        and Licenses, etc...................................................54
  6.18  Subsidiaries........................................................55
  6.19  Insurance...........................................................55
  6.20  Swap Obligations....................................................55
  6.21  Full Disclosure.....................................................55

                                      -ii-

<PAGE>


Section                                                                   Page


  6.22  Business Activity...................................................56
  6.23  Licensing, Etc......................................................56

                                   ARTICLE VII
                         AFFIRMATIVE COVENANTS..............................56
  7.01  Financial Statements................................................56
  7.02  Certificates; Other Information.....................................57
  7.03  Notices.............................................................58
  7.04  Preservation of Corporate Existence, Etc............................59
  7.05  Maintenance of Property.............................................60
  7.06  Insurance...........................................................60
  7.07  Payment of Obligations..............................................60
  7.08  Compliance with Laws................................................61
  7.09  Compliance with ERISA...............................................61
  7.10  Inspection of Property and
        Books and Records...................................................61
  7.11  Environmental Laws..................................................61
  7.12  Use of Proceeds.....................................................61
  7.13  Further Assurances..................................................61
  7.14  Dividends of Subsidiaries During Default............................62
  7.15  Acquisitions........................................................62

                                  ARTICLE VIII
                         NEGATIVE COVENANTS.................................63
  8.01  Limitation on Liens.................................................63
  8.02  Disposition of Assets...............................................65
  8.03  Consolidations and Mergers..........................................65
  8.04  Loans and Investments...............................................66
  8.05  Limitation on Indebtedness..........................................66
  8.06  Transactions with Affiliates........................................67
  8.07  Use of Proceeds.....................................................67
  8.08  Contingent Obligations..............................................68
  8.09  Lease Obligations...................................................68
  8.10  Restricted Payments.................................................68
  8.11  ERISA  .............................................................69
  8.12  Change in Business..................................................69
  8.13  Accounting Changes..................................................69
  8.14  Financial Covenants.................................................69
  8.15  Limitation on Payment Restrictions
        Affecting Subsidiaries..............................................70
  8.16  Pledged Shares......................................................70

                                   ARTICLE IX
                         EVENTS OF DEFAULT..................................70
  9.01  Event of Default....................................................70
               (a)     Non Payment..........................................70
               (b)     Representation or Warranty...........................70
               (c)     Specific Defaults....................................71
               (d)     Other Defaults.......................................71

                                      -iii-

<PAGE>


Section                                                                   Page


               (e)     Cross Default........................................71
               (f)     Insolvency; Voluntary Proceedings....................71
               (g)     Involuntary Proceedings..............................71
               (h)     ERISA................................................72
               (i)     Monetary Judgments...................................72
               (j)     Non Monetary Judgments...............................72
               (k)     Change of Control....................................72
               (l)     Loss of Licenses.....................................72
               (m)     HMO Event............................................73
               (n)     Prospective Premium Default..........................73
               (o)     Adverse Change.......................................73
               (p)     Invalidity of Subordination
              Provisions....................................................73
  9.02  Remedies............................................................73
  9.03  Rights Not Exclusive................................................74

                                    ARTICLE X
                         THE AGENT..........................................74
  10.01  Appointment and Authorization; "Agent".............................74
  10.02  Delegation of Duties...............................................75
  10.03  Liability of Agent.................................................75
  10.04  Reliance by Agent..................................................76
  10.05  Notice of Default..................................................76
  10.06  Credit Decision....................................................76
  10.07  Indemnification of Agent...........................................77
  10.08  Agent in Individual Capacity.......................................77
  10.09  Successor Agent....................................................78
  10.10  Withholding Tax....................................................78

                                   ARTICLE XI
                         MISCELLANEOUS......................................80
  11.01  Amendments and Waivers.............................................80
  11.02  Notices............................................................81
  11.03  No Waiver; Cumulative Remedies.....................................82
  11.04  Costs and Expenses.................................................82
  11.05  Company Indemnification............................................82
  11.06  Payments Set Aside.................................................83
  11.07  Successors and Assigns.............................................83
  11.08  Assignments, Participations, etc...................................84
  11.09  Set-off............................................................85
  11.10  Automatic Debits of Fees...........................................86
  11.11  Notification of Addresses,
         Lending Offices, Etc...............................................86
  11.12  Counterparts.......................................................86
  11.13  Severability.......................................................86
  11.14  No Third Parties Benefited.........................................86
  11.15  Governing Law and Jurisdiction.....................................86
  11.16  Waiver of Jury Trial...............................................87
  11.17  Entire Agreement...................................................88

                                      -iv-

<PAGE>





    SCHEDULES

    Schedule 2.01                      Commitments
    Schedule 5.01(g)                   Excluded Subsidiaries
    Schedule 6.03                      Required Approvals
    Schedule 6.05                      Litigation
    Schedule 6.12                      Permitted Liabilities
    Schedule 6.13                      Environmental Matters
    Schedule 6.18                      Subsidiaries and Minority Interests
    Schedule 6.19                      Insurance Matters
    Schedule 8.01                      Permitted Liens
    Schedule 8.05                      Permitted Indebtedness
    Schedule 8.08                      Contingent Obligations
    Schedule 11.02                     Lending Offices; Addresses for Notices


    EXHIBITS

    Exhibit A                 Form of Notice of Borrowing
    Exhibit B                 Form of Notice of Conversion/Continuation
    Exhibit C                 Form of Compliance Certificate
    Exhibit D                 Form of Legal Opinion of Company's Counsel
    Exhibit E                 Form of Assignment and Acceptance
    Exhibit F                 Form of Promissory Note
    Exhibit G                 Form of Pledge Agreement


                                       -v-

<PAGE>



                                CREDIT AGREEMENT


         This  CREDIT  AGREEMENT  is entered  into as of April 11,  1996,  among
SIERRA HEALTH SERVICES, INC., a Nevada corporation (the "Company"),  the several
financial institutions from time to time party to this Agreement  (collectively,
the "Banks";  individually,  a "Bank"),  and Bank of America  National Trust and
Savings Association, as Issuing Bank and as Agent for the Banks.

         WHEREAS,  the Banks  have  agreed to make  available  to the  Company a
revolving  credit facility with letter of credit  subfacility upon the terms and
conditions set forth in this Agreement;

         NOW, THEREFORE,  in consideration of the mutual agreements,  provisions
and covenants contained herein, the parties agree as follows:


                                    ARTICLE I
                                   DEFINITIONS

         1.01  Certain Defined Terms.  The following terms have the
following meanings:

         "Acquisition"  means any transaction or series of related  transactions
for the purpose of or resulting,  directly or indirectly, in (a) the acquisition
of all or  substantially  all of the assets of a Person,  or of any  business or
division  of a Person,  (b) the  acquisition  of in excess of 50% of the capital
stock,  partnership interests,  membership interests or equity of any Person, or
otherwise  causing  any  Person  to  become a  Subsidiary,  or (c) a  merger  or
consolidation or any other  combination with another Person (other than a Person
that is a  Subsidiary)  provided  that  the  Company  or the  Subsidiary  is the
surviving entity.

         "Actual  Knowledge"  shall mean,  as to any matter with  respect to any
Person,  the actual  knowledge of such matter by a  Responsible  Officer of such
Person, it being understood in any event that "actual knowledge" shall be deemed
to exist upon receipt of a notice of such matter by a Responsible Officer.

         "Affiliate" means, as to any Person,  any other Person which,  directly
or  indirectly,  is in control of, is controlled  by, or is under common control
with,  such Person.  A Person shall be deemed to control  another  Person if the
controlling  Person  possesses,  directly or indirectly,  the power to direct or
cause the direction of the management and policies of the other Person,  whether
through the ownership of voting securities,  membership interests,  by contract,
or otherwise.

                                      -1-

<PAGE>



         "Agent"  means BofA in its  capacity as agent for the Banks  hereunder,
and any successor agent arising under Section 10.09.

         "Agent  Related  Persons"  means BofA and any  successor  agent arising
under Section 10.09 and any successor  letter of credit issuing bank  hereunder,
together  with  their  respective  Affiliates,  and  the  officers,   directors,
employees, agents and attorneys-in-fact of such Persons and Affiliates.

         "Agent's  Payment  Office"  means the address for payments set forth on
Schedule 11.02 or such other address as the Agent may from time to time specify.

         "Agreement" means this Credit Agreement.

         "Applicable Regulatory  Requirements" refers to any requisite filing or
approval  requirements  of any state  insurance  regulatory  authorities  having
jurisdiction  over any of the Subsidiaries that must be satisfied or obtained by
the Agent or the Lender  Parties as a condition to  exercising  or  transferring
direct  or  indirect   voting  or  other  control  over  such   Subsidiaries  or
transferring or otherwise  disposing of the Pledged Shares,  Pledged Property or
Collateral with respect to such Subsidiaries.

         "Applicable  Spread" means the rates per annum set forth below opposite
the Company's Leverage Ratio; provided, that with respect to Base Rate Loans the
Applicable Spread shall mean 0.0%:

Leverage Ratio                                       LIBOR Spread

Less than 1.0                                        0.275%
1.0 through 1.49                                     0.325%
1.5 through 1.99                                     0.425%
2.0 or greater                                       0.650%

The  Applicable  Spread shall be based on the Leverage Ratio as set forth in the
most recent  Compliance  Certificate,  and shall be effective from and including
the date the Agent  receives such  Compliance  Certificate  to but excluding the
date on which the Agent  receives  the next  Compliance  Certificate;  provided,
however, that if the Agent does not receive a Compliance Certificate by the date
required by Section 7.02(b),  the Applicable Spread shall,  effective as of such
date,  be the  highest  Applicable  Spread to but  excluding  the date the Agent
receives such Compliance  Certificate.  Subject to the foregoing proviso,  until
the delivery of the first  Compliance  Certificate  after the Closing Date,  the
Applicable Spread shall be 0.325%.

         "Assignee" has the meaning specified in subsection 11.08(a).


                                       -2-

<PAGE>



         "Attorney   Costs"  means  and  includes   all   reasonable   fees  and
disbursements  of  any  law  firm  or  other  external  counsel,  the  allocated
reasonable  cost of internal  legal services and all  disbursements  of internal
counsel.

         "Bank" has the meaning  specified in the  introductory  clause  hereto.
References  to the "Banks"  shall  include  BofA,  including  in its capacity as
Issuing Bank;  for purposes of  clarification  only, to the extent that BofA may
have any  rights or  obligations  in  addition  to those of the Banks due to its
status as Issuing Bank, its status as such will be specifically referenced.

         "Bankruptcy Code" means the Federal Bankruptcy Reform Act of
1978 (11 U.S.C. ss.101, et seq.).

         "Base  Rate"  means,  for any day,  the  higher of: (a) 0.50% per annum
above the latest  Federal Funds Rate; and (b) the rate of interest in effect for
such  day as  publicly  announced  from  time to time by BofA in San  Francisco,
California, as its "reference rate." (The "reference rate" is a rate set by BofA
based upon various factors  including  BofA's costs and desired return,  general
economic  conditions  and other  factors,  and is used as a reference  point for
pricing  some  loans,  which may be priced at,  above,  or below such  announced
rate.)

                  Any change in the reference  rate announced by BofA shall take
effect  at  the  opening  of  business  on  the  day  specified  in  the  public
announcement of such change.

         "Base Rate Loan" means a Revolving Loan, or an L/C Advance,  that bears
interest based on the Base Rate.

         "BofA" means Bank of America National Trust and Savings Association,  a
national banking association.

         "Borrowing" means a borrowing  hereunder  consisting of Revolving Loans
of the same Type made to the Company on the same day by the Banks under  Article
II,  and,  other than in the case of Base Rate Loans,  having the same  Interest
Period.

         "Borrowing  Date"  means  any date on which a  Borrowing  occurs  under
Section 2.03.

         "Business Day" means any day other than a Saturday, Sunday or other day
on which  commercial banks in San Francisco are authorized or required by law to
close and, if the applicable  Business Day relates to any LIBOR Rate Loan, means
such a day on which  dealings are carried on in the applicable  offshore  dollar
interbank market.

         "Capital Adequacy Regulation" means any guideline, request or directive
of any central bank or other Governmental  Authority,  or any other law, rule or
regulation, whether or not having the force

                                       -3-

<PAGE>



of  law,  in  each  case,  regarding  capital  adequacy  of any  bank  or of any
corporation controlling a bank.

         "Capital  Expenditures"  means, for any period, the aggregate amount of
all expenditures of the Company and its Subsidiaries for fixed or capital assets
made during such period which, in accordance  with GAAP,  would be classified as
capital expenditures.

         "Capital  Lease" means any lease of property  which in accordance  with
GAAP should be  capitalized  on the  lessee's  balance  sheet or  disclosed in a
footnote thereto as a capitalized lease.

         "Cash Collateralize" means to pledge and deposit with or deliver to the
Agent,  for the  benefit  of the  Agent,  the  Issuing  Bank and the  Banks,  as
additional collateral for the L/C Obligations,  cash or deposit account balances
pursuant to  documentation  in form and substance  satisfactory to the Agent and
the  Issuing  Bank  (which  documents  are hereby  consented  to by the  Banks).
Derivatives  of such term shall have  corresponding  meaning.  The Company shall
grant to the  Agent,  for the  benefit of the Agent,  the  Issuing  Bank and the
Banks, a security interest in all such cash and deposit account  balances.  Cash
collateral shall be maintained in blocked deposit accounts at BofA.

         "Change of Control"  shall be deemed to have  occurred if any Person or
group  (as  defined  in  Section   13(d)(3)  of  the  Exchange   Act)   acquires
(beneficially  or of record) 25% or more of the voting or economic  interests in
the fully diluted capital stock of the Company.

         "CII Acquisition"  means the transaction  pursuant to which the Company
acquired CII Financial, Inc.

         "CII Discontinued  Operations" means, for the twelve-month period ended
December  31,  1995,  those  expenses  totalling  $6,600,000  as detailed in the
Company's  1995  audited  statement  of  operations  under  the line  item  "Net
operating  loss  on  Discontinued   operations  and  Net  loss  on  Disposal  of
Discontinued Operations".

         "CII Transaction  Expenses"  means,  for the twelve-month  period ended
December 31,  1995,  those  expenses  totalling  $11,614,000  as detailed in the
Company's 1995 audited  statement of operations under the line item "Acquisition
and integration expense".

         "Closing  Date" means the date on which all  conditions  precedent  set
forth in Section  5.01 are  satisfied or waived by all Banks (or, in the case of
subsection 5.01(e), waived by the Person entitled to receive such payment).

         "Code" means the Internal Revenue Code of 1986, and
regulations promulgated thereunder.


                                       -4-

<PAGE>



         "Collateral"  means all property and interests in property and proceeds
thereof now owned or hereafter  acquired by the Company and its  Subsidiaries in
or upon which a Lien now or hereafter exists in favor of the Banks, or the Agent
on  behalf  of the  Banks,  whether  under  this  Agreement  or under  any other
documents executed by any such Person and delivered to the Agent or the Banks.

         "Collateral  Documents" means,  collectively,  (i) the Pledge Agreement
and all  other  security  agreements,  mortgages,  deeds of  trust,  patent  and
trademark   assignments,   lease  assignments,   guarantees  and  other  similar
agreements  between the Company or any Subsidiary or any Guarantor and the Banks
or the Agents for the  benefit of the Banks now or  hereafter  delivered  to the
Banks  or  the  Agent  pursuant  to  or  in  connection  with  the  transactions
contemplated  hereby, and all financing  statements (or comparable documents now
or hereafter filed in accordance with the Uniform  Commercial Code or comparable
law)  against the Company or any  Subsidiary  as debtor in favor of the Banks or
the  Agent  for the  benefit  of the  Banks  as  secured  party,  and  (ii)  any
amendments, supplements, modifications, renewals, replacements,  consolidations,
substitutions and extensions of any of the foregoing.

         "Commitment", as to each Bank, has the meaning specified in
Section 2.01.

         "Compliance Certificate" means a certificate substantially in
the form of Exhibit C.

         "Consolidated Tangible Assets" means, at any time, (a) the total assets
of the Company and its  Subsidiaries,  minus (b) the aggregate net book value at
such time of all  assets of the  Company  and its  Subsidiaries  that  should be
treated  as  intangible  assets in  accordance  with GAAP,  (including,  without
limitation, goodwill, patents, trade names, trade marks, copyrights, franchises,
experimental  expense,  organization  expense,  unamortized  debt  discount  and
expense,  deferred  assets  (other than  prepaid  insurance,  prepaid  taxes and
deferred tax assets)  treasury  stock and the excess of cost of shares  acquired
over book value of related assets).

         "Contingent Obligation" means, as to any Person, any direct or indirect
liability  of that  Person,  with or without  recourse,  (a) with respect to any
Indebtedness,  lease,  dividend,  letter  of  credit  or other  obligation  (the
"primary obligations") of another Person (the "primary obligor"),  including any
obligation of that Person (i) to purchase,  repurchase or otherwise acquire such
primary  obligations or any security therefor,  (ii) to advance or provide funds
for the payment or  discharge  of any such  primary  obligation,  or to maintain
working  capital  or equity  capital of the  primary  obligor  or  otherwise  to
maintain the net worth or solvency or any balance sheet item, level of income or
financial  condition  of  the  primary  obligor,  (iii)  to  purchase  property,
securities or

                                       -5-

<PAGE>



services  primarily  for the purpose of assuring  the owner of any such  primary
obligation of the ability of the primary obligor to make payment of such primary
obligation,  or (iv) otherwise to assure or hold harmless the holder of any such
primary   obligation   against  loss  in  respect  thereof  (each,  a  "Guaranty
Obligation");  (b) with respect to any Surety  Instrument issued for the account
of that Person or as to which that Person is otherwise liable for  reimbursement
of  drawings  or  payments;  (c) to purchase  any  materials,  supplies or other
property  from,  or to obtain the  services of,  another  Person if the relevant
contract or other related document or obligation  requires that payment for such
materials,  supplies  or other  property,  or for such  services,  shall be made
regardless of whether delivery of such materials,  supplies or other property is
ever made or tendered,  or such services are ever performed or tendered,  or (d)
in respect of any Swap Contract.  The amount of any Contingent Obligation shall,
in  the  case  of  Guaranty  Obligations,  be  deemed  equal  to the  stated  or
determinable  amount of the primary obligation in respect of which such Guaranty
Obligation  is  made  or,  if  not  stated  or if  indeterminable,  the  maximum
reasonably  anticipated  liability in respect thereof,  and in the case of other
Contingent  Obligations other than in respect of Swap Contracts,  shall be equal
to the maximum reasonably  anticipated  liability in respect thereof and, in the
case of Contingent  Obligations in respect of Swap Contracts,  shall be equal to
the Swap Termination Value.

         "Contractual  Obligation" means, as to any Person, any provision of any
security  issued by such  Person  or of any  agreement,  undertaking,  contract,
indenture, mortgage, deed of trust or other instrument, document or agreement to
which such Person is a party or by which it or any of its property is bound.

         "Conversion/Continuation  Date" means any date on which,  under Section
2.04,  the  Company  (a)  converts  Loans of one Type to  another  Type,  or (b)
continues  as Loans of the same  Type,  but with a new  Interest  Period,  Loans
having Interest Periods expiring on such date.

         "Convertible Debt" means the Indebtedness in respect of those certain 7
1/2% Convertible Subordinated Debentures Due 2000 of CII Financial,  Inc., in an
outstanding principal amount of $55,657,000.

         "Credit  Extension"  means and includes (a) the making of any Revolving
Loans hereunder, and (b) the Issuance of any Letters of Credit hereunder.

         "Default"  means any event or  circumstance  which,  with the giving of
notice,  the lapse of time, or both,  would (if not cured or otherwise  remedied
during such time) constitute an Event of Default.


                                       -6-

<PAGE>



         "Dollars", "dollars" and "$" each mean lawful money of the
United States.

         "EBIT" of any Person for any  period  means net income for such  period
plus all amounts  deducted in determining such net income on account of Interest
Expense and taxes, and (solely with respect to determinations made for the first
three fiscal quarters ending in calendar year 1996) (i) up to $11,614,000 in CII
Acquisition  Expenses and (ii) up to $6,600,000  in respect of CII  Discontinued
Operations,  in each case to the extent  expensed but not  capitalized  prior to
January 1, 1996,  all as determined  for such Person and its  Subsidiaries  on a
consolidated basis in accordance with GAAP.

         "EBITDA" of any Person  means net income  plus all amounts  deducted in
determining such net income on account of Interest Expense, taxes,  depreciation
expense and  amortization  expense,  and (solely with respect to  determinations
made for the first three fiscal quarters ending in calendar year 1996) (i) up to
$11,614,000 in CII Acquisition  Expenses and (ii) up to $6,600,000 in respect of
CII  Discontinued  Operations,  in each  case  to the  extent  expensed  but not
capitalized  prior to January 1, 1995, all as determined for such Person and its
Subsidiaries  on a consolidated  basis in accordance  with GAAP. For purposes of
determining the Leverage Ratio,  EBITDA of the Company shall be calculated as of
the last day of the most  recently  ended fiscal  quarter for the period of four
consecutive full fiscal quarters then ended (the "Measurement Period"), and such
calculation  shall  include,  on a pro forma  basis,  the  EBITDA of any  Person
acquired  by the  Company  pursuant  to an  Acquisition  during the  Measurement
Period,  as if such Acquisition had occurred on the first day of the Measurement
Period.

         "Effective Amount" means (i) with respect to any Revolving Loans on any
date, the aggregate  outstanding principal amount thereof after giving effect to
any Borrowings and  prepayments  or repayments of Revolving  Loans  occurring on
such date; and (ii) with respect to any outstanding L/C Obligations on any date,
the  amount of such L/C  Obligations  on such date  after  giving  effect to any
Issuances of Letters of Credit  occurring on such date and any other  changes in
the  aggregate  amount of the L/C  Obligations  as of such date,  including as a
result of any reimbursements of outstanding unpaid drawings under any Letters of
Credit or any  reductions  in the maximum  amount  available  for drawing  under
Letters of Credit taking effect on such date.

         "Eligible  Assignee"  means (a) a commercial  bank organized  under the
laws of the United States,  or any state thereof,  and having a combined capital
and surplus of at least $100,000,000;  (b) a commercial bank organized under the
laws of any other  country  which is a member of the  Organization  for Economic
Cooperation and Development (the "OECD"), or a political subdivision of any such
country,  and having a combined  capital and  surplus of at least  $100,000,000,
provided that such bank is acting through a branch or

                                       -7-

<PAGE>



agency located in the United States;  and (c) a Person that is primarily engaged
in the business of  commercial  banking and that is (i) a Subsidiary  of a Bank,
(ii) a Subsidiary of a Person of which a Bank is a Subsidiary, or (iii) a Person
of which a Bank is a Subsidiary.

         "Environmental  Claims"  means all  claims,  however  asserted,  by any
Governmental   Authority  or  other  Person  alleging  potential   liability  or
responsibility  for violation of any Environmental Law, or for release or injury
to the  environment  or threat  to public  health,  personal  injury  (including
sickness,  disease or death),  property damage,  natural  resources  damage,  or
otherwise   alleging  liability  or  responsibility  for  damages  (punitive  or
otherwise),  cleanup, removal, remedial or response costs, restitution, civil or
criminal penalties,  injunctive relief, or other type of relief,  resulting from
or based upon the presence, placement, discharge, emission or release (including
intentional  and  unintentional,  negligent  and non  negligent,  sudden  or non
sudden,  accidental or non accidental,  placement,  spills,  leaks,  discharges,
emissions  or  releases) of any  Hazardous  Material  at, in, or from  Property,
whether or not owned by the Company.

         "Environmental Laws" means all federal,  state or local laws, statutes,
common law duties, rules,  regulations,  ordinances and codes, together with all
administrative orders, directed duties, requests,  licenses,  authorizations and
permits of, and agreements  with,  any  Governmental  Authorities,  in each case
relating to environmental,  health,  safety and land use matters;  including the
Comprehensive  Environmental  Response,  Compensation  and Liability Act of 1980
("CERCLA"),  the Clean Air Act, the Federal Water Pollution Control Act of 1972,
the Solid Waste  Disposal Act, the Federal  Resource  Conservation  and Recovery
Act, the Toxic Substances  Control Act and the Emergency  Planning and Community
Right-to-Know Act.

         "ERISA" means the Employee  Retirement Income Security Act of 1974, and
regulations promulgated thereunder.

         "ERISA   Affiliate"  means  any  trade  or  business  (whether  or  not
incorporated)  under  common  control  with the  Company  within the  meaning of
Section  414(b) or (c) of the Code (and Sections  414(m) and (o) of the Code for
purposes of provisions relating to Section 412 of the Code).

         "ERISA  Event" means (a) a  Reportable  Event with respect to a Pension
Plan; (b) a withdrawal by the Company or any ERISA Affiliate from a Pension Plan
subject  to  Section  4063  of  ERISA  during  a plan  year  in  which  it was a
substantial  employer (as defined in Section 4001(a)(2) of ERISA) or a cessation
of operations  which is treated as such a withdrawal  under  Section  4062(e) of
ERISA;  (c) a  complete  or  partial  withdrawal  by the  Company  or any  ERISA
Affiliate from a Multiemployer Plan or

                                       -8-

<PAGE>



notification that a Multiemployer Plan is in reorganization; (d) the filing of a
notice  of  intent  to  terminate,  the  treatment  of  a  Plan  amendment  as a
termination  under  Section  4041 or  4041A of  ERISA,  or the  commencement  of
proceedings by the PBGC to terminate a Pension Plan or  Multiemployer  Plan; (e)
an event or condition which might  reasonably be expected to constitute  grounds
under  Section 4042 of ERISA for the  termination  of, or the  appointment  of a
trustee to  administer,  any  Pension  Plan or  Multiemployer  Plan;  or (f) the
imposition  of any liability  under Title IV of ERISA,  other than PBGC premiums
due but not  delinquent  under  Section  4007 of ERISA,  upon the Company or any
ERISA Affiliate.

         "Eurodollar Reserve Percentage" has the meaning specified in
the definition of "LIBOR Rate".

         "Event of Default" means any of the events or circumstances
specified in Section 9.01.

         "Exchange  Act"  means  the  Securities   Exchange  Act  of  1934,  and
regulations promulgated thereunder.

         "Excluded Subsidiary" means HMO Texas, 2314 Partnership,  and any other
Subsidiary  of the Company or of another  Subsidiary  of the Company that (a) is
not a Significant  Subsidiary  and (b) would not, if  aggregated  with all other
Excluded Subsidiaries, constitute a Significant Subsidiary.

         "Federal  Funds  Rate"  means,  for any day,  the rate set forth in the
weekly   statistical   release   designated  as  H.15(519),   or  any  successor
publication,  published by the Federal  Reserve Bank of New York  (including any
such successor,  "H.15(519)") on the preceding Business Day opposite the caption
"Federal  Funds  (Effective)";  or, if for any  relevant day such rate is not so
published on any such preceding  Business Day, the rate for such day will be the
arithmetic mean as determined by the Agent of the rates for the last transaction
in overnight  Federal funds  arranged prior to 9:00 a.m. (New York City time) on
that day by each of three leading  brokers of Federal funds  transactions in New
York City selected by the Agent.

         "Fee Letter" has the meaning specified in subsection 2.10(a).

         "Fixed  Charges"  means,  for any  period  of four  consecutive  fiscal
quarters and without duplication,  the sum of (i) Interest Expense and fees paid
on, and  amortization  of debt discount in respect of, all  Indebtedness  during
such period plus (ii) rental  payments made under  operating  leases during such
period plus (iii) the aggregate  principal  amount of all current  maturities of
Funded  Indebtedness  (including the principal  portion of rentals under Capital
Leases) paid by the Company and its Subsidiaries  during such period  (excluding
prepayments of principal not required under the loan documents  relating to such
Indebtedness), plus

                                       -9-

<PAGE>



(iv) cash dividends  paid by the Company  during such period,  all as determined
for the Company and its Subsidiaries on a consolidated  basis in accordance with
GAAP.

         "Fixed Charges Coverage Ratio" means, at any date, the ratio of (i) Net
Cash Flow for the four  consecutive  fiscal  quarters ending on or prior to such
date to (ii) Fixed Charges for such period.

         "FRB" means the Board of Governors of the Federal Reserve  System,  and
any Governmental Authority succeeding to any of its principal functions.

         "Funded  Indebtedness"  means, as of any date, when used with reference
to any Person, without duplication, (i) Indebtedness of such Person which by its
terms  matures in, or at such  Person's  option can be extended for, one year or
more from the date of the  creation or  incurrence  thereof  (including  current
portions of such long-term  Indebtedness),  including all hedging agreements and
letters of credit entered into in connection with such  Indebtedness,  (ii) such
Person's Capital Lease  obligations  classified as long-term  liabilities  under
GAAP and (iii)  Guaranty  Obligations  of such Person of  Indebtedness  of other
Persons of the character referred to in clauses (i) and (ii) above.

         "Further  Taxes"  means any and all  present or future  taxes,  levies,
assessments,  imposts, duties, deductions, fees, withholdings or similar charges
(including,  without limitation,  net income taxes and franchise taxes), and all
liabilities  with respect  thereto,  imposed by any  jurisdiction  on account of
amounts payable or paid pursuant to Section 3.01.

         "GAAP" means generally  accepted  accounting  principles set forth from
time to time in the opinions and  pronouncements  of the  Accounting  Principles
Board and the American  Institute of Certified Public Accountants and statements
and pronouncements of the Financial Accounting Standards Board (or agencies with
similar functions of comparable stature and authority within the U.S. accounting
profession),  which  are  applicable  to the  circumstances  as of the  date  of
determination.

         "Governmental  Authority" means any nation or government,  any state or
other political  subdivision  thereof,  any central bank (or similar monetary or
regulatory  authority) thereof,  any entity exercising  executive,  legislative,
judicial, regulatory or administrative functions of or pertaining to government,
and any  corporation  or other  entity  owned or  controlled,  through  stock or
capital ownership or otherwise, by any of the foregoing.

         "Guaranty Obligation" has the meaning specified in the
definition of "Contingent Obligation."


                                      -10-

<PAGE>



         "Hazardous Materials" means all those substances that are regulated by,
or which may form the basis of liability under, any Environmental Law, including
any  substance   identified  under  any   Environmental   Law  as  a  pollutant,
contaminant,  hazardous waste, hazardous  constituent,  special waste, hazardous
substance,  hazardous  material,  or toxic substance,  or petroleum or petroleum
derived substance or waste.

         "Health Care Business" shall mean (a) the provision,  administration or
arrangement  of  health  care  services,  related  ancillary  products  or both,
directly  or  through  an HMO, a  provider,  a  regulated  health  care  service
contractor  or any  other  business  which  in  the  ordinary  course  provides,
administers or arranges for such services,  products or both, (b) the provision,
administration  or arrangement of health,  life and related  insurance,  (c) the
provision or management of health care services  (including  medical  management
claims services and management through medical  information  services),  (d) the
provision,  administration  or  arrangement  of health care  through a hospital,
outpatient,  urgent care, clinical, home health or hospice environment,  (e) the
provision,  administration or arrangement of workers' compensation services both
fully insured and administrative in nature, (f) any business activities directly
related  and  incidental  to any of the  foregoing,  and (g) any other  business
activity  which is related,  ancillary or incidental to any of the foregoing and
in which the Company is engaged on the Closing Date.

         "HMO" shall mean any Person which operates as a health
maintenance organization.

         "HMO  Event"  shall  mean  failure  by the  Company  or any of its  HMO
Subsidiaries  to  comply  in any  material  respect  with any of the  terms  and
provisions of any applicable HMO Regulation  pertaining to the fiscal soundness,
solvency or financial  condition of the Company or any of its HMO  Subsidiaries,
or the assertion in writing, after the Closing Date, by an HMO Regulator that it
intends to take  administrative  action  against  the  Company or any of its HMO
Subsidiaries to revoke or modify any Governmental Approval of, or to enforce the
fiscal soundness,  solvency or financial  provisions or requirements of such HMO
Regulations against, the Company or any of its HMO Subsidiaries, if such action,
modification  or  enforcement  is reasonably  likely to have a Material  Adverse
Effect.

         "HMO Regulations"  shall mean all Requirements of Law applicable to any
HMO  Subsidiary  under  federal  or state law and any  regulations,  orders  and
directives promulgated or issued pursuant to the foregoing.

         "HMO  Regulator"  means any  Person  charged  with the  administration,
oversight or enforcement of an HMO Regulation,  whether primarily,  secondarily,
or jointly.

                                      -11-

<PAGE>




         "HMO  Subsidiary"  shall mean any current or future  Subsidiary  of the
Company that is either an HMO or a regulated health care service contractor.

         "HMO Texas" means HMO Texas,  L.C., a Texas limited  liability  company
which is an indirect Subsidiary of the Company.

         "Honor Date" has the meaning specified in subsection 3.03(b).

         "Indebtedness"  of any  Person  means,  without  duplication,  (a)  all
indebtedness  for borrowed  money;  (b) all  obligations  issued,  undertaken or
assumed as the deferred purchase price of property or services (other than trade
payables entered into in the ordinary course of business on ordinary terms); (c)
all non contingent  reimbursement or payment  obligations with respect to Surety
Instruments;  (d) all  obligations  evidenced  by notes,  bonds,  debentures  or
similar instruments,  including  obligations so evidenced incurred in connection
with the  acquisition of property,  assets or businesses;  (e) all  indebtedness
created  or  arising  under  any  conditional  sale  or  other  title  retention
agreement,  or incurred as  financing,  in either case with  respect to property
acquired  by the Person  (even  though the rights and  remedies of the seller or
bank under such agreement in the event of default are limited to repossession or
sale of such property);  (f) all obligations with respect to Capital Leases; (g)
all Indebtedness referred to in clauses (a) through (f) above secured by (or for
which the holder of such  Indebtedness  has an  existing  right,  contingent  or
otherwise,  to be secured by) any Lien upon or in property  (including  accounts
and  contracts  rights)  owned by such  Person,  even though such Person has not
assumed or become  liable  for the  payment  of such  Indebtedness;  and (h) all
Guaranty  Obligations in respect of Indebtedness or obligations of others of the
kinds  referred to in clauses (a)  through (g) above.  For all  purposes of this
Agreement,   the   Indebtedness   of  any  Person  shall  include  all  recourse
Indebtedness of any partnership or joint venture or limited liability company in
which such Person is a general partner or a joint venturer or a member.

         "Indemnified Liabilities" has the meaning specified in Section
11.05.

         "Indemnified Person" has the meaning specified in Section
11.05.

         "Independent Auditor" has the meaning specified in subsection
7.01(a).

         "Insolvency  Proceeding"  means,  with  respect to any Person,  (a) any
case, action or proceeding with respect to such Person before any court or other
Governmental  Authority  relating  to  bankruptcy,  reorganization,  insolvency,
liquidation, receivership,  dissolution, winding-up or relief of debtors, or (b)
any general

                                      -12-

<PAGE>



assignment for the benefit of creditors, composition,  marshalling of assets for
creditors,  or other,  similar arrangement in respect of its creditors generally
or any  substantial  portion of its creditors;  undertaken  under U.S.  Federal,
state or foreign law, including the Bankruptcy Code.

         "Interest  Expense" of the Company and its  Subsidiaries for any period
means the aggregate amount of interest paid,  accrued or scheduled to be paid or
accrued  in respect  of any  Indebtedness  (including  the  interest  portion of
rentals under Capital Leases) and all but the principal component of payments in
respect  of  conditional  sales,   equipment  trust  or  other  title  retention
agreements  or under a Capital  Lease paid,  accrued or  scheduled to be paid or
accrued by the Company and its  Subsidiaries  during such  period,  in each case
determined  in  accordance  with  GAAP  and  excluding   periodic   maintenance,
insurance,  taxes and similar  charges not  properly  characterized  as interest
expense under GAAP.

         "Interest  Payment Date" means, as to any LIBOR Rate Loan, the last day
of each Interest  Period  applicable to such Loan and, as to any Base Rate Loan,
the last  Business  Day of each  calendar  quarter  and each  date  such Loan is
converted  into another Type of Loan,  provided,  however,  that if any Interest
Period for a LIBOR Rate Loan  exceeds  three  months,  the date that falls three
months  after the  beginning  of such  Interest  Period and after each  Interest
Payment Date thereafter is also an Interest Payment Date.

         "Interest  Period"  means,  as to  any  LIBOR  Rate  Loan,  the  period
commencing on the Borrowing Date of such Loan or on the  Conversion/Continuation
Date on which the Loan is converted  into or continued as a LIBOR Rate Loan, and
ending on the date one, two,  three or six months  thereafter as selected by the
Company in its Notice of Borrowing or Notice of Conversion/Continuation;

         provided that:

                  (i) if any Interest  Period would  otherwise end on a day that
         is not a Business Day,  that  Interest  Period shall be extended to the
         following  Business Day unless the result of such extension would be to
         carry such Interest Period into another  calendar month, in which event
         such Interest Period shall end on the preceding Business Day;

                  (ii) any Interest Period  pertaining to a LIBOR Rate Loan that
         begins on the last  Business  Day of a calendar  month (or on a day for
         which there is no numerically  corresponding  day in the calendar month
         at the end of such Interest  Period) shall end on the last Business Day
         of the calendar month at the end of such Interest Period; and

                  (iii) no Interest  Period for any Loan shall extend beyond the
         Revolving Termination Date.

                                      -13-

<PAGE>




         "Investment" has the meaning specified in Section 8.04.

         "IRS"  means  the  Internal  Revenue  Service,   and  any  Governmental
Authority succeeding to any of its principal functions under the Code.

         "Issuance Date" has the meaning specified in subsection
3.01(a).

         "Issue"  means,  with  respect to any Letter of Credit,  to issue or to
extend the  expiry of, or to renew or  increase  the amount of,  such  Letter of
Credit;  and the terms  "Issued,"  "Issuing" and "Issuance"  have  corresponding
meanings.

         "Issuing  Bank"  means  BofA in its  capacity  as issuer of one or more
Letters of Credit  hereunder,  together  with any  replacement  letter of credit
issuer arising under subsection 10.01(b) or Section 10.09.

         "L/C Advance" means each Bank's  participation  in any L/C Borrowing in
accordance with its Pro Rata Share.

         "L/C Amendment  Application" means an application form for amendment of
outstanding  standby  letters  of  credit  as shall at any time be in use at the
Issuing Bank, as the Issuing Bank shall request.

         "L/C  Application"  means an application  form for issuances of standby
letters  of credit as shall at any time be in use at the  Issuing  Bank,  as the
Issuing Bank shall request.

         "L/C Borrowing"  means an extension of credit  resulting from a drawing
under any Letter of Credit which shall not have been reimbursed on the date when
made nor converted into a Borrowing of Revolving Loans under subsection 3.03(b).

         "L/C Commitment" means the commitment of the Issuing Bank to Issue, and
the commitment of the Banks  severally to participate in, Letters of Credit from
time to time Issued or outstanding under Article III, in an aggregate amount not
to exceed on any date the amount of $20,000,000, as the same shall be reduced as
a result of a reduction in the L/C Commitment pursuant to Section 2.06; provided
that the L/C  Commitment  is a part of the combined  Commitments,  rather than a
separate, independent commitment.

         "L/C  Obligations"  means  at any  time  the sum of (a)  the  aggregate
undrawn amount of all Letters of Credit then outstanding, plus (b) the amount of
all unreimbursed drawings under all Letters of Credit, including all outstanding
L/C Borrowings.

         "L/C-Related Documents" means the Letters of Credit, the L/C
Applications, the L/C Amendment Applications and any other document

                                      -14-

<PAGE>



relating to any Letter of Credit,  including any of the Issuing Bank's  standard
form documents for letter of credit issuances.

         "Lender Party" has the meaning specified in the Pledge
Agreement.

         "Lending  Office" means,  as to any Bank, the office or offices of such
Bank specified as its "Lending Office" or "Domestic Lending Office" or "Offshore
Lending Office",  as the case may be, on Schedule 11.02, or such other office or
offices as such Bank may from time to time notify the Company and the Agent.

         "Letters of Credit"  means any standby  letters of credit Issued by the
Issuing Bank pursuant to Article III.

         "Leverage Ratio" of any Person means the ratio of Total Debt
to EBITDA.

         "LIBOR Rate" means, for any Interest Period, with respect to LIBOR Rate
Loans  comprising  part of the same  Borrowing,  the rate of interest  per annum
(rounded upward to the next 1/16th of 1%) determined by the Agent as follows:

         LIBOR Rate = LIBOR divided by (1.00 - Eurodollar Reserve Percentage)

         Where,

                  "Eurodollar  Reserve  Percentage"  means  for  any day for any
                  Interest Period the maximum reserve percentage (expressed as a
                  decimal,  rounded  upward to the next 1/100th of 1%) in effect
                  on such day  (whether  or not  applicable  to any Bank)  under
                  regulations   issued   from  time  to  time  by  the  FRB  for
                  determining  the maximum  reserve  requirement  (including any
                  emergency, supplemental or other marginal reserve requirement)
                  with respect to Eurocurrency funding (currently referred to as
                  "Eurocurrency liabilities"); and

                  "LIBOR" means the rate of interest per annum determined by the
         Agent to be the arithmetic  mean (rounded  upward to the next 1/16th of
         1%) of the rates of interest per annum notified to the Agent by BofA as
         the rate of interest at which dollar deposits in the approximate amount
         of the  amount of the Loan to be made or  continued  as,  or  converted
         into,  a LIBOR Rate Loan by BofA and having a  maturity  comparable  to
         such  Interest  Period  would be offered  to major  banks in the London
         interbank market at their request at  approximately  11:00 a.m. (London
         time) two  Business  Days prior to the  commencement  of such  Interest
         Period.


                                      -15-

<PAGE>



                  The LIBOR Rate shall be adjusted automatically as to all LIBOR
         Rate Loans then  outstanding  as of the effective date of any change in
         the Eurodollar Reserve Percentage.

         "LIBOR Rate Loan" means a Loan that bears  interest  based on the LIBOR
Rate.

         "Lien" means any security interest,  mortgage,  deed of trust,  pledge,
hypothecation,  assignment,  charge or deposit  arrangement,  encumbrance,  lien
(statutory or other) option,  pre-emptive  right or preferential  arrangement of
any kind or nature whatsoever having substantially the same effect as any of the
foregoing in respect of any property  (including those created by, arising under
or evidenced by any  conditional  sale or other title retention  agreement,  the
interest  of a  lessor  under  a  Capital  Lease,  any  financing  lease  having
substantially the same economic effect as any of the foregoing, or the filing of
any financing statement naming the owner of the asset to which such lien relates
as  debtor,  under the  Uniform  Commercial  Code or any  comparable  law),  any
contingent or other agreement to provide any of the foregoing (but not including
the interest of a lessor under an operating lease),  and including,  in the case
of  stock,   stockholder   agreements,   voting  trust  agreements  and  similar
arrangements.

         "Loan"  means an  extension  of credit by a Bank to the  Company  under
Article II or Article III in the form of a Revolving Loan or L/C Advance.

         "Loan  Documents"  means  this  Agreement,  any Notes,  the  Collateral
Documents,  the Fee Letter, the L/C-Related  Documents,  and all other documents
delivered to the Agent or any Bank in connection herewith.

         "Majority  Banks" means at any time Banks then holding in excess of 50%
of the then  aggregate  unpaid  principal  amount of the  Loans,  or, if no such
principal amount is then outstanding,  Banks then having in excess of 50% of the
Commitments.

         "Margin  Stock"  means  "margin  stock"  as  such  term is  defined  in
Regulation G, T, U or X of the FRB.

         "Material  Adverse Effect" means (a) a material adverse change in, or a
material adverse effect upon, the operations,  business,  properties,  condition
(financial  or  otherwise)  or  prospects  of the Company or the Company and its
Subsidiaries  taken as a whole; (b) a material  impairment of the ability of the
Company to perform under any Loan Document and to avoid any Event of Default; or
(c) a material adverse effect upon (i) the legality, validity, binding effect or
enforceability  against the Company of any Loan Document, or (ii) the perfection
or priority of any Lien granted under any of the Collateral Documents.


                                      -16-

<PAGE>



         "Multiemployer  Plan" means a "multiemployer  plan", within the meaning
of Section  4001(a)(3)  of ERISA,  to which the  Company or any ERISA  Affiliate
makes, is making, or is obligated to make contributions or, during the preceding
three calendar years, has made, or been obligated to make, contributions.

         "Net Cash  Flow"  means,  with  respect to any Person for any period of
four  consecutive  fiscal  quarters,  (i) EBIT for such  period plus (ii) rental
payments  made under  operating  leases  during such  period,  minus (iii) taxes
actually paid in cash during such period,  all as determined for the Company and
its Subsidiaries on a consolidated basis in accordance with GAAP.

         "Net  Worth" of any Person  means the  amount,  if any,  by which Total
Assets exceed Total Liabilities.

         "Note"  means a promissory  note  executed by the Company in favor of a
Bank pursuant to subsection 2.02(b), in substantially the form of Exhibit F.

         "Notice of Borrowing" means a notice in substantially the form
of Exhibit A.

         "Notice of Conversion/Continuation" means a notice in
substantially the form of Exhibit B.

         "Obligations"  means all  advances,  debts,  liabilities,  obligations,
covenants and duties arising under any Loan Document owing by the Company to any
Bank,  the  Agent,  or  any  Indemnified  Person,  whether  direct  or  indirect
(including  those acquired by  assignment),  absolute or  contingent,  due or to
become due, now existing or hereafter arising.

         "Organization Documents" means, for any corporation, the certificate or
articles of  incorporation,  the bylaws,  any  certificate of  determination  or
instrument relating to the rights of preferred shareholders of such corporation,
any shareholder rights agreement, and all applicable resolutions of the board of
directors (or any committee thereof) of such corporation.

         "Other Taxes" means any present or future stamp,  court or  documentary
taxes or any other  excise or property  taxes,  charges or similar  levies which
arise  from  any  payment  made  hereunder  or  from  the  execution,  delivery,
performance,  enforcement or registration of, or otherwise with respect to, this
Agreement or any other Loan Documents.

         "Participant" has the meaning specified in subsection
11.08(d).


                                      -17-

<PAGE>



         "PBGC"  means  the  Pension  Benefit  Guaranty   Corporation,   or  any
Governmental Authority succeeding to any of its principal functions under ERISA.

         "Pension  Plan"  means a pension  plan (as  defined in Section  3(2) of
ERISA) subject to Title IV of ERISA which the Company sponsors, maintains, or to
which it makes, is making, or is obligated to make contributions, or in the case
of a multiple  employer plan (as described in Section 4064(a) of ERISA) has made
contributions at any time during the immediately preceding five (5) plan years.

         "Permitted  Acquisitions"  means  Acquisitions by the Company or any of
its Subsidiaries of Persons and/or assets involved (or to be used) in connection
with the Health Care Business;  provided,  that (i) any Acquisition  involving a
merger to which the Company or any of its  Subsidiaries  is a party must provide
that the Company or such Subsidiary is the surviving corporation in such merger,
(ii)  immediately  before and after giving  effect to the  consummation  of each
Acquisition,  no Default has occurred and is continuing or will exist; (iii) for
each such Acquisition,  the prior, effective written consent or approval to such
Acquisition  of the  board of  directors  or  equivalent  governing  body of the
acquiree has been  obtained,  and (iv) the Company  shall have complied with the
requirements of Section 7.15, if applicable.

         "Permitted Liens" has the meaning specified in Section 8.01.

         "Person"  means  an  individual,   partnership,   corporation,  limited
liability company,  business trust, joint stock company,  trust,  unincorporated
association, joint venture or Governmental Authority.

         "Plan"  means an employee  benefit  plan (as defined in Section 3(3) of
ERISA) which the Company sponsors or maintains or to which the Company makes, is
making, or is obligated to make contributions and includes any Pension Plan.

         "Pledge  Agreement" means each Pledge Agreement  executed and delivered
by  the  Company  or  a  Pledgor   Subsidiary   pursuant  to  Section  5.0.1(g),
substantially  in the  form of  Exhibit  G  hereto,  as  amended,  supplemented,
restated or otherwise modified from time to time.

         "Pledged Collateral" has the meaning specified in the Pledge
Agreement.

         "Pledged Property" has the meaning specified in the Pledge
Agreement.

         "Pledged Shares" has the meaning specified in the Pledge
Agreement.

                                      -18-

<PAGE>




         "Pledgor  Subsidiary" means any Subsidiary of the Company or of another
Subsidiary executing and delivering a Pledge Agreement.

         "Pro Rata  Share"  means,  as to any Bank at any time,  the  percentage
equivalent (expressed as a decimal,  rounded to the ninth decimal place) at such
time of such Bank's Commitment divided by the combined Commitments of all Banks.

         "Prospective Premium Default" shall mean the institution,  with respect
to the  Company  or any of its  Subsidiaries  by an HMO  Regulator  pursuant  to
applicable  HMO  Regulations,  of a restriction on the fees or premiums that any
HMO  Subsidiary of the Company may charge that is likely to cause the Company to
be in default of one or more of the financial  covenants in Section 8.14 of this
Agreement  during  one or  more  of the  four  fiscal  quarters  of the  Company
following the effective date of such restriction;  provided that, in determining
such  likelihood,  due  consideration  shall  be given of  actions  the  Company
proposes  to take,  or to have any HMO  Subsidiary  take,  in  response  to such
restriction  to the extent  such  actions  have been  communicated  to the Banks
within  30 days  after  such  effective  date  and so long as no  other  Default
(whether or not related to such  restriction)  shall then have  occurred  and be
continuing.

         "Regulatory Tangible Net Equity" shall mean, for any HMO, "tangible net
equity,"  "net worth" or such  similar  financial  concept as defined by any HMO
Regulation promulgated by any HMO Regulator as shall be applicable to HMOs.

         "Regulatory Tangible Net Equity Requirement" shall mean, as to any HMO,
the minimum level at which an HMO is required by any  applicable  HMO Regulation
or HMO Regulator to maintain its Regulatory Tangible Net Equity.

         "Reportable  Event"  means,  any of the  events  set  forth in  Section
4043(b) of ERISA or the  regulations  thereunder,  other than any such event for
which the 30-day notice  requirement  under ERISA has been waived in regulations
issued by the PBGC.

         "Requirement  of Law" means,  as to any Person,  any law  (statutory or
common),  treaty,  rule or regulation or  determination of an arbitrator or of a
Governmental Authority, in each case applicable to or binding upon the Person or
any of its property or to which the Person or any of its property is subject.

         "Responsible   Officer"  means  the  chief  executive  officer  or  the
president  of the  Company,  the chief  financial  officer or any other  officer
having substantially the same authority and responsibility;  or, with respect to
compliance with financial covenants,  the chief financial officer, the treasurer
or  the  assistant  treasurer  of  the  Company,  or any  other  officer  having
substantially the same authority and responsibility.

                                      -19-

<PAGE>




         "Revolving Loan" has the meaning  specified in Section 2.01, and may be
a Base Rate Loan or a LIBOR Rate Loan (each, a "Type" of Revolving Loan).

         "Revolving Termination Date" means the earlier to occur of:

                  (a)      the fifth (5th) anniversary of the Closing Date (as
         such date may be extended pursuant to Section 2.16); and

                  (b)  the date on which the Commitments terminate in
         accordance with the provisions of this Agreement.

         "SEC" means the Securities and Exchange Commission, or any Governmental
Authority succeeding to any of its principal functions.

         "Significant  Subsidiary"  shall mean any  Subsidiary of the Company of
which (i) the revenues  (directly  and together with its  Subsidiaries)  for the
most recent  fiscal year of the Company  were at least five  percent (5%) of the
Company's  consolidated  revenues for such fiscal year or (ii) the  consolidated
total  assets as of the last day of the most  recent  fiscal year of the Company
were at least five percent (5%) of the Company's consolidated total assets as of
such date.

         "Subsidiary"   of  a  Person   means  any   corporation,   association,
partnership,  limited liability company,  joint venture or other business entity
of which 50% or more of the voting stock,  membership  interests or other equity
interests  (in the  case of  Persons  other  than  corporations),  is  owned  or
controlled  directly  or  indirectly  by  the  Person,  or one  or  more  of the
Subsidiaries  of the  Person,  or a  combination  thereof.  Unless  the  context
otherwise  clearly  requires,  references  herein to a  "Subsidiary"  refer to a
Subsidiary of the Company.

         "Surety Instruments" means all letters of credit (including standby and
commercial), banker's acceptances, bank guaranties, shipside bonds, surety bonds
and similar instruments.

         "Swap  Contract"  means  any  agreement,  whether  or not  in  writing,
relating  to any  transaction  that is a rate swap,  basis  swap,  forward  rate
transaction,  commodity swap,  commodity option,  equity or equity index swap or
option,  bond,  note or bill  option,  interest  rate  option,  forward  foreign
exchange  transaction,   cap,  collar  or  floor  transaction,   currency  swap,
cross-currency  rate  swap,  swaption,  currency  option or any  other,  similar
transaction  (including  any option to enter into any of the  foregoing)  or any
combination  of  the  foregoing,  and,  unless  the  context  otherwise  clearly
requires,  any  master  agreement  relating  to or  governing  any or all of the
foregoing.


                                      -20-

<PAGE>



         "Swap  Termination  Value"  means,  in  respect of any one or more Swap
Contracts,  after  taking into  account  the effect of any  legally  enforceable
netting agreement relating to such Swap Contracts,  (a) for any date on or after
the date such Swap  Contracts  have been  closed  out and  termination  value(s)
determined in accordance therewith,  such termination value(s),  and (b) for any
date prior to the date referenced in clause (a) the amount(s)  determined as the
mark-to-market  value(s) for such Swap  Contracts,  as determined by the Company
based upon one or more mid-market or other readily available quotations provided
by any recognized dealer in such Swap Contracts (which may include any Bank).

         "Taxes" means any and all present or future taxes, levies, assessments,
imposts,  duties,  deductions,  fees,  withholdings or similar charges,  and all
liabilities  with respect thereto,  excluding,  in the case of each Bank and the
Agent,  respectively,  taxes  imposed  on or  measured  by its net income by the
jurisdiction (or any political subdivision thereof) under the laws of which such
Bank or the  Agent,  as the case may be, is  organized  or  maintains  a lending
office.

         "Total  Assets"  of  any  Person  means  all  property  (whether  real,
personal, tangible, intangible or mixed) that, in accordance with GAAP should be
included  in  determining  total  assets  as shown on the asset  portion  of the
balance sheet of such Person.

         "Total Debt" of any Person means, without  duplication,  the sum of all
Indebtedness  and  Contingent  Obligations  of  such  Person  as of the  date of
determination.

         "Total  Liabilities"  of any  Person  means all  obligations  that,  in
accordance  with GAAP,  would be included in  determining  total  liabilities as
shown on the liabilities side of the balance sheet of such Person.

         "2314  Partnership"  means 2314 West Charleston  Partnership,  a Nevada
general  partnership of which the general partner is Southwest  Realty,  Inc., a
Nevada corporation which is a wholly owned subsidiary of the Company.

         "Type" has the meaning specified in the definition of
"Revolving Loan."

         "Unfunded  Pension  Liability"  means the  excess  of a Plan's  benefit
liabilities  under Section  4001(a)(16) of ERISA, over the current value of that
Plan's assets,  determined in accordance with the  assumptions  used for funding
the Pension  Plan  pursuant to Section 412 of the Code for the  applicable  plan
year.

         "United States" and "U.S." each means the United States of
America.


                                      -21-

<PAGE>



         "Wholly Owned  Subsidiary"  means any  corporation in which (other than
directors'  qualifying shares required by law) 100% of the capital stock of each
class having ordinary voting power, and 100% of the capital stock of every other
class, in each case, at the time as of which any determination is being made, is
owned,  beneficially  and of record,  by the  Company,  or by one or more of the
other Wholly Owned Subsidiaries, or both.

         1.02  Other Interpretive Provisions.  (a)  The meanings of
defined terms are equally applicable to the singular and plural
forms of the defined terms.

                  (b) The words  "hereof",  "herein",  "hereunder"  and  similar
words refer to this Agreement as a whole and not to any particular  provision of
this Agreement; and subsection,  Section, Schedule and Exhibit references are to
this Agreement unless otherwise specified.

                  (c) (i) The term "documents" includes any and all instruments,
         documents,  agreements,  certificates,  indentures,  notices  and other
         writings, however evidenced.

                           (ii)  The term "including" is not limiting and means
         "including without limitation."

                           (iii) In the  computation  of  periods of time from a
         specified date to a later  specified  date, the word "from" means "from
         and  including";   the  words  "to"  and  "until"  each  mean  "to  but
         excluding", and the word "through" means "to and including."

                           (iv)  The  term  "property"   includes  any  kind  of
         property or asset, real, personal or mixed, tangible or intangible.

                  (d) Unless otherwise expressly provided herein, (i) references
to agreements (including this Agreement) and other contractual instruments shall
be deemed to include all subsequent amendments and other modifications  thereto,
but  only  to the  extent  such  amendments  and  other  modifications  are  not
prohibited by the terms of any Loan Document, and (ii) references to any statute
or regulation  are to be construed as including  all  statutory  and  regulatory
provisions consolidating, amending, replacing, supplementing or interpreting the
statute or regulation.

                  (e)      The captions and headings of this Agreement are for
convenience of reference only and shall not affect the
interpretation of this Agreement.

                  (f)      This Agreement and other Loan Documents may use
several different limitations, tests or measurements to regulate
the same or similar matters.  All such limitations, tests and

                                      -22-

<PAGE>



measurements are cumulative and shall each be performed in accordance with their
terms. Unless otherwise  expressly provided,  any reference to any action of the
Agent  or the  Banks by way of  consent,  approval  or  waiver  shall be  deemed
modified by the phrase "in its/their sole discretion."

                  (g) This Agreement and the other Loan Documents are the result
of  negotiations  among and have been  reviewed  by counsel  to the  Agent,  the
Company and the other parties, and are the products of all parties. Accordingly,
they shall not be construed against the Banks or the Agent merely because of the
Agent's or Banks' involvement in their preparation.

         1.03 Accounting  Principles.  (a) Unless the context  otherwise clearly
requires,  all accounting terms not expressly defined herein shall be construed,
and all financial  computations  required under this Agreement shall be made, in
accordance with GAAP, consistently applied.

                  (b)      References herein to "fiscal year" and "fiscal
quarter" refer to such fiscal periods of the Company.


                                   ARTICLE II
                                   THE CREDITS

         2.01 Amounts and Terms of Commitments.  Each Bank severally  agrees, on
the terms and  conditions  set forth herein,  to make loans to the Company (each
such loan, a "Revolving  Loan") from time to time on any Business Day during the
period from the Closing Date to the Revolving  Termination Date, in an aggregate
amount not to exceed at any time  outstanding  the amount set forth on  Schedule
2.01 (such amount as the same may be reduced  under  Section 2.05 or as a result
of one or more  assignments  under  Section  10.08,  the  Bank's  "Commitment");
provided,  however,  that,  after  giving  effect to any  Borrowing of Revolving
Loans, the Effective Amount of all outstanding Revolving Loans and the Effective
Amount  of all L/C  Obligations,  shall  not at any  time  exceed  the  combined
Commitments;  and provided  further,  that the Effective Amount of the Revolving
Loans of any Bank plus the participation of such Bank in the Effective Amount of
all L/C Obligations shall not at any time exceed such Bank's Commitment.  Within
the  limits of each  Bank's  Commitment,  and  subject  to the  other  terms and
conditions  hereof, the Company may borrow under this section 2.01, prepay under
Section 2.06 and reborrow under this section 2.01.

         2.02 Loan Accounts.  (a) The Loans made by each Bank and the Letters of
Credit  Issued by the Issuing Bank shall be evidenced by one or more accounts or
records  maintained  by such Bank or  Issuing  Bank,  as the case may be, in the
ordinary  course of business.  The accounts or records  maintained by the Agent,
the Issuing Bank and each Bank shall be conclusive  absent manifest error of the
amount

                                      -23-

<PAGE>



of the Loans made by the Banks to the Company  and the Letters of Credit  Issued
for the account of the  Company,  and the interest  and  payments  thereon.  Any
failure to so maintain such accounts or records, or any error in doing so, shall
not, however,  limit or otherwise affect the obligation of the Company hereunder
to pay any amount owing with respect to the Loans or any Letter of Credit.

                  (b) Upon the request of any Bank made  through the Agent,  the
Loans made by such Bank may be evidenced by one or more Notes,  instead of or in
addition to loan accounts. Each such Bank shall endorse on the schedules annexed
to its  Note(s)  the date,  amount and  maturity of each Loan made by it and the
amount of each  payment of principal  made by the Company with respect  thereto.
Each such Bank is  irrevocably  authorized by the Company to endorse its Note(s)
and each Bank's  record shall be conclusive  absent  manifest  error;  provided,
however,  that the failure of a Bank to make, or an error in making,  a notation
thereon  with  respect  to any Loan  shall not  limit or  otherwise  affect  the
obligations of the Company hereunder or under any such Note to such Bank.

         2.03  Procedure for Borrowing.  (a) Each  Borrowing of Revolving  Loans
shall be made upon the Company's  irrevocable  written  notice  delivered to the
Agent in the form of a Notice of Borrowing (which notice must be received by the
Agent prior to 9:00 a.m. (San  Francisco  time) (i) three Business Days prior to
the  requested  Borrowing  Date,  in the case of LIBOR Rate Loans;  and (ii) one
Business Day prior to the  requested  Borrowing  Date,  in the case of Base Rate
Loans, specifying:

                           (A)      the amount of the Borrowing, which shall be
         in an aggregate minimum amount of $1,000,000 or any multiple of
         $500,000 in excess thereof;

                           (B)      the requested Borrowing Date, which shall
         be a Business Day;

                           (C)      the Type of Loans comprising the Borrowing;
         and

                           (D) if such  Borrowing  is  comprised  of LIBOR  Rate
         Loans,  the duration of the Interest  Period  applicable  to such Loans
         included in such notice.  If the Notice of  Borrowing  fails to specify
         the  duration of the  Interest  Period for any  Borrowing  comprised of
         LIBOR Rate Loans, such Interest Period shall be three months.

                  (b) The Agent will promptly notify each Bank of its receipt of
any Notice of Borrowing  and of the amount of such Bank's Pro Rata Share of that
Borrowing.

                  (c)      Each Bank will make the amount of its Pro Rata Share
of each Borrowing available to the Agent for the account of the
Company at the Agent's Payment Office by 11:00 a.m. (San Francisco

                                      -24-

<PAGE>



time) on the  Borrowing  Date  requested  by the  Company  in funds  immediately
available  to the  Agent.  The  proceeds  of all such  Loans  will  then be made
available  to the  Company  by the Agent by wire  transfer  in  accordance  with
written  instructions  provided  to the Agent by the  Company  of like  funds as
received by the Agent.

                  (d) After  giving  effect to any  Borrowing,  unless the Agent
shall otherwise consent,  there may not be more than five (5) different Interest
Periods in effect.

         2.04  Conversion and Continuation Elections.  (a)  The Company
may, upon irrevocable written notice to the Agent in accordance
with subsection 2.04(b):

                  (i) elect,  as of any  Business  Day, in the case of Base Rate
         Loans, or as of the last day of the applicable  Interest Period, in the
         case of LIBOR  Rate  Loans,  to  convert  any such  Loans  (or any part
         thereof  in an  amount  not  less  than  $1,000,000,  or  that is in an
         integral  multiple  of $500,000  in excess  thereof)  into Loans of any
         other Type; or

                  (ii)  elect  as of the  last  day of the  applicable  Interest
         Period,  to  continue  any  Revolving  Loans  having  Interest  Periods
         expiring  on such day (or any part  thereof  in an amount not less than
         $1,000,000,  or that is in an  integral  multiple of $500,000 in excess
         thereof);

provided,  that if at any time the  aggregate  amount  of  LIBOR  Rate  Loans in
respect of any Borrowing is reduced,  by payment,  prepayment,  or conversion of
part  thereof  to  be  less  than  $1,000,000,   such  LIBOR  Rate  Loans  shall
automatically convert into Base Rate Loans, and on and after such date the right
of the Company to continue  such Loans as, and  convert  such Loans into,  LIBOR
Rate Loans, shall terminate.

                  (b)    The    Company    shall    deliver    a    Notice    of
Conversion/Continuation  to be  received  by the Agent not later  than 9:00 a.m.
(San  Francisco  time)  at least  (i)  three  Business  Days in  advance  of the
Conversion/  Continuation  Date,  if the  Loans  are  to be  converted  into  or
continued  as LIBOR  Rate  Loans;  and (ii) one  Business  Day in advance of the
Conversion/Continuation  Date,  if the Loans are to be converted  into Base Rate
Loans, specifying:

                           (A)      the proposed Conversion/Continuation Date;

                           (B)      the aggregate amount of Loans to be
         converted or continued;

                           (C)      the Type of Loans resulting from the
         proposed conversion or continuation; and


                                      -25-

<PAGE>



                           (D) other than in the case of  conversions  into Base
         Rate Loans, the duration of the requested Interest Period.

                  (c) If upon the expiration of any Interest  Period  applicable
to LIBOR Rate  Loans,  the Company  has failed to select  timely a new  Interest
Period to be applicable to such LIBOR Rate Loans,  or if any Default or Event of
Default then exists, the Company shall be deemed to have elected to convert such
LIBOR Rate Loans into Base Rate Loans  effective  as of the  expiration  date of
such Interest Period.

                  (d) The Agent will promptly notify each Bank of its receipt of
a Notice of Conversion/ Continuation, or, if no timely notice is provided by the
Company,  the  Agent  will  promptly  notify  each  Bank of the  details  of any
automatic  conversion.  All conversions and continuations  shall be made ratably
according  to the  respective  outstanding  principal  amounts of the Loans with
respect to which the notice was given held by each Bank.

                  (e) Unless the Majority Banks  otherwise  consent,  during the
existence of a Default or Event of Default,  the Company may not elect to have a
Loan converted into or continued as a LIBOR Rate Loan.

                  (f) After giving effect to any conversion or  continuation  of
Loans,  unless the Agent  shall  otherwise  consent,  there may not be more than
three (3) different Interest Periods in effect.

         2.05  Voluntary  Termination or Reduction of  Commitments.  The Company
may, upon not less than five Business Days' prior notice to the Agent, terminate
the Commitments,  or permanently  reduce the Commitments by an aggregate minimum
amount of $5,000,000 or any multiple of  $1,000,000 in excess  thereof;  unless,
after  giving  effect  thereto  and to any  prepayments  of  Loans  made  on the
effective date thereof,  (a) the Effective Amount of all Revolving Loans and L/C
Obligations together would exceed the amount of the combined Commitments then in
effect,  or (b) the Effective  Amount of all L/C  Obligations  then  outstanding
would exceed the L/C  Commitment.  Once reduced in accordance with this Section,
the Commitments may not be increased.  Any reduction of the Commitments shall be
applied  to each Bank  according  to its Pro Rata  Share.  If and to the  extent
specified  by  the  Company  in the  notice  to the  Agent,  some  or all of the
reduction  in the  combined  Commitments  shall be  applied  to  reduce  the L/C
Commitment.  All  accrued  commitment  and  letter  of credit  fees to,  but not
including,  the effective date of any reduction or  termination of  Commitments,
shall be paid on the effective date of such reduction or termination.

         2.06  Optional Prepayments. Subject to Section 4.04, the
Company may, at any time or from time to time, upon not less than

                                      -26-

<PAGE>



one Business  Day's  irrevocable  notice to the Agent,  ratably  prepay Loans in
whole or in part,  in minimum  amounts of $1,000,000 or any multiple of $500,000
in excess thereof.  Such notice of prepayment  shall specify the date and amount
of such  prepayment  and the  Type(s)  of Loans to be  prepaid.  The Agent  will
promptly notify each Bank of its receipt of any such notice,  and of such Bank's
Pro Rata Share of such prepayment.  If such notice is given by the Company,  the
Company  shall make such  prepayment  and the payment  amount  specified in such
notice shall be due and payable on the date  specified  therein,  together  with
accrued  interest  to each  such  date on the  amount  prepaid  and any  amounts
required pursuant to Section 4.04.  Amounts so prepaid may be reborrowed subject
to the applicable provisions of this Agreement.

         2.07 Mandatory Prepayments of Loans;  Mandatory Commitment  Reductions.
If on  any  date  the  Effective  Amount  of L/C  Obligations  exceeds  the  L/C
Commitment,  the Company shall Cash  Collateralize  on such date the outstanding
Letters of Credit in an amount  equal to the excess of the  maximum  amount then
available  to be drawn  under the  Letters  of  Credit  over the  Aggregate  L/C
Commitment.  Subject to Section  4.04, if on any date after giving effect to any
Cash Collateralization made on such date pursuant to the preceding sentence, the
Effective  Amount of all  Revolving  Loans then  outstanding  plus the Effective
Amount of all L/C  Obligations  exceeds the  combined  Commitments,  the Company
shall  immediately,  and  without  notice  or  demand,  prepay  the  outstanding
principal  amount of the Revolving  Loans and L/C Advances by an amount equal to
the applicable excess.

         2.08  Repayment.  The Company shall repay to the Banks on the Revolving
Termination  Date the aggregate  principal  amount of Loans  outstanding on such
date.

         2.09  Interest.  (a) Each  Revolving  Loan shall bear  interest  on the
outstanding  principal  amount thereof from the  applicable  Borrowing Date at a
rate per annum equal to the LIBOR Rate or the Base Rate, as the case may be (and
subject to the Company's  right to convert to other Types of Loans under Section
2.04), plus the Applicable Spread.

                  (b) Interest on each  Revolving  Loan shall be paid in arrears
on each Interest  Payment Date.  Interest  shall also be paid on the date of any
prepayment  of Loans under  Section 2.06 or 2.07 for the portion of the Loans so
prepaid and upon payment (including  prepayment) in full thereof and, during the
existence of any Event of Default, interest shall be paid on demand of the Agent
at the request or with the consent of the Majority Banks.

                  (c) Notwithstanding  subsection (a) of this Section, while any
Event of Default  exists or after  acceleration,  the Company shall pay interest
(after as well as before  entry of judgment  thereon to the extent  permitted by
law) on the principal

                                      -27-

<PAGE>



amount of all outstanding  Obligations,  at a rate per annum which is determined
by adding 2% per annum to the  Applicable  Spread  then in effect for such Loans
and, in the case of Obligations not subject to an Applicable  Spread,  at a rate
per annum equal to the Base Rate plus 2%; provided,  however, that, on and after
the  expiration  of any  Interest  Period  applicable  to any  LIBOR  Rate  Loan
outstanding on the date of occurrence of such Event of Default or  acceleration,
the principal  amount of such Loan shall,  during the continuation of such Event
of Default or after acceleration, bear interest at a rate per annum equal to the
Base Rate plus 2%.

                  (d)  Anything  herein  to the  contrary  notwithstanding,  the
obligations  of the  Company  to any  Bank  hereunder  shall be  subject  to the
limitation  that  payments of interest  shall not be required for any period for
which  interest  is computed  hereunder,  to the extent (but only to the extent)
that contracting for or receiving such payment by such Bank would be contrary to
the  provisions of any law  applicable to such Bank limiting the highest rate of
interest that may be lawfully  contracted for, charged or received by such Bank,
and in such event the Company  shall pay such Bank  interest at the highest rate
permitted by applicable law.

         2.10  Fees.  In addition to certain fees described in Section
3.08:

                  (a)      Agency Fee.  The Company shall pay an agency fee to
the Agent for the Agent's own account, as required by the letter
agreement ("Fee Letter") between the Company and the Agent dated
February 9, 1996.

                  (b)  Commitment  Fees.  The Company shall pay to the Agent for
the account of each Bank a commitment fee on the average daily unused portion of
such Bank's  Commitment,  computed  on a quarterly  basis in arrears on the last
Business Day of each fiscal quarter,  equal to the product of (i) the applicable
percentage  set forth below  opposite the Company's  Leverage Ratio and (ii) the
average  daily  unused  portion of such  Bank's  Commitment  during  such fiscal
quarter.

                                                                   Commitment
Leverage Ratio                                                     Fee

Less than 1.0                                                     0.09%

1.0 through 1.49                                                  0.11%

1.5 through 1.99                                                  0.15%

2.0 or greater                                                    0.25%


The  percentage  used to  determine  the  Commitment  Fee  shall be based on the
Leverage Ratio as set forth in the most recent Compliance Certificate, and shall
be effective  from and  including the date the Agent  receives  such  Compliance
Certificate to but excluding the

                                      -28-

<PAGE>



date on which the Agent  receives  the next  Compliance  Certificate;  provided,
however, that if the Agent does not receive a Compliance Certificate by the date
required by Section 7.02(b), the percentage shall, effective as of such date, be
the  highest  percentage  set forth  above to but  excluding  the date the Agent
receives such Compliance  Certificate.  Subject to the foregoing proviso,  until
the delivery of the first  Compliance  Certificate  after the Closing Date,  the
percentage shall be 0.11%.

                  For purposes of calculating utilization under this subsection,
the  Commitments  shall be deemed used to the extent of the Effective  Amount of
Revolving Loans then  outstanding,  plus the Effective Amount of L/C Obligations
then outstanding.  Such commitment fee shall accrue from the Closing Date to the
Revolving  Termination Date and shall be due and payable quarterly in arrears on
the 30th day of each March,  June,  September and December,  commencing June 30,
1996 through the Revolving  Termination  Date, with the final payment to be made
on the  Revolving  Termination  Date;  provided  that,  in  connection  with any
reduction or termination of Commitments  under Section 2.05 or Section 2.07, the
accrued  commitment fee calculated for the period ending on such date shall also
be paid on the  date  of such  reduction  or  termination,  with  the  following
quarterly  payment  being  calculated  on the  basis  of the  period  from  such
reduction or  termination  date to such  quarterly  payment date. The commitment
fees  provided  in  this  subsection   shall  accrue  at  all  times  after  the
above-mentioned  commencement  date,  including  at any time during which one or
more conditions in Article V are not met.

         2.11 Computation of Fees and Interest. (a) All computations of interest
for Base Rate Loans when the Base Rate is determined by BofA's  "reference rate"
shall be made on the basis of a year of 365 or 366 days, as the case may be, and
actual days elapsed.  All other  computations of fees and interest shall be made
on the basis of a 360-day  year and actual days elapsed  (which  results in more
interest being paid than if computed on the basis of a 365-day  year).  Interest
and fees shall accrue during each period during which  interest or such fees are
computed from the first day thereof to the last day thereof.

                  (b) Each  determination of an interest rate by the Agent shall
be  conclusive  and  binding  on the  Company  and the Banks in the  absence  of
manifest  error.  The Agent  will,  at the  request of the  Company or any Bank,
deliver to the Company or the Bank, as the case may be, a statement  showing the
quotations  used by the Agent in determining any interest rate and the resulting
interest rate.

         2.12  Payments by the Company.  (a)  All payments to be made
by the Company shall be made without set-off, recoupment or
counterclaim.  Except as otherwise expressly provided herein, all
payments by the Company shall be made to the Agent for the account
of the Banks at the Agent's Payment Office, and shall be made in

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<PAGE>



dollars  and in  immediately  available  funds,  no later than  11:00 a.m.  (San
Francisco time) on the date specified herein. The Agent will promptly distribute
to each Bank its Pro Rata Share (or other applicable share as expressly provided
herein) of such payment in like funds as received.  Any payment  received by the
Agent later than 11:00 a.m.  (San  Francisco  time) shall be deemed to have been
received on the following Business Day and any applicable  interest or fee shall
continue to accrue.

                  (b) Subject to the  provisions  set forth in the definition of
"Interest  Period"  herein,  whenever  any  payment is due on a day other than a
Business Day, such payment shall be made on the following Business Day, and such
extension of time shall in such case be included in the  computation of interest
or fees, as the case may be.

                  (c) Unless the Agent receives notice from the Company prior to
the date on which any payment is due to the Banks that the Company will not make
such payment in full as and when required, the Agent may assume that the Company
has made such payment in full to the Agent on such date in immediately available
funds and the Agent may (but shall not be so  required),  in reliance  upon such
assumption,  distribute  to each  Bank on such due date an  amount  equal to the
amount  then due such Bank.  If and to the extent the  Company has not made such
payment in full to the Agent,  each Bank shall repay to the Agent on demand such
amount  distributed to such Bank,  together with interest thereon at the Federal
Funds Rate for each day from the date such  amount is  distributed  to such Bank
until the date repaid.

         2.13 Payments by the Banks to the Agent.  (a) Unless the Agent receives
notice  from a Bank on or prior to the  Closing  Date or,  with  respect  to any
Borrowing after the Closing Date, at least one Business Day prior to the date of
such  Borrowing,  that such Bank will not make  available  as and when  required
hereunder  to the Agent for the account of the Company the amount of that Bank's
Pro Rata Share of the  Borrowing,  the Agent may assume  that each Bank has made
such  amount  available  to the  Agent  in  immediately  available  funds on the
Borrowing  Date and the Agent may (but shall not be so  required),  in  reliance
upon such assumption, make available to the Company on such date a corresponding
amount.  If and to the  extent  any Bank  shall  not have  made its full  amount
available  to the  Agent in  immediately  available  funds and the Agent in such
circumstances has made available to the Company such amount,  that Bank shall on
the Business Day following such Borrowing Date make such amount available to the
Agent, together with interest at the Federal Funds Rate for each day during such
period.  A notice of the Agent  submitted  to any Bank with  respect  to amounts
owing under this  subsection (a) shall be conclusive,  absent manifest error. If
such amount is so made  available,  such  payment to the Agent shall  constitute
such Bank's Loan on the date of Borrowing for all purposes of this Agreement. If
such amount is

                                      -30-

<PAGE>



not made  available  to the Agent on the Business Day  following  the  Borrowing
Date, the Agent will notify the Company of such failure to fund and, upon demand
by the Agent,  the  Company  shall pay such  amount to the Agent for the Agent's
account,  together with interest  thereon for each day elapsed since the date of
such Borrowing, at a rate per annum equal to the interest rate applicable at the
time to the Loans comprising such Borrowing.

                  (b) The failure of any Bank to make any Loan on any  Borrowing
Date shall not relieve any other Bank of any obligation hereunder to make a Loan
on such Borrowing  Date, but no Bank shall be responsible for the failure of any
other Bank to make the Loan to be made by such other Bank on any Borrowing Date.

         2.14  Sharing of Payments,  Etc.  If, other than as expressly  provided
elsewhere  herein,  any Bank shall obtain on account of the Loans made by it any
payment (whether  voluntary,  involuntary,  through the exercise of any right of
set-off,  or  otherwise)  in  excess  of  its  ratable  share  (or  other  share
contemplated  hereunder),  such Bank shall  immediately  (a) notify the Agent of
such fact,  and (b)  purchase  from the other Banks such  participations  in the
Loans made by them as shall be necessary to cause such  purchasing Bank to share
the excess payment pro rata with each of them; provided, however, that if all or
any portion of such excess  payment is thereafter  recovered from the purchasing
Bank,  such purchase shall to that extent be rescinded and each other Bank shall
repay to the purchasing Bank the purchase price paid therefor,  together with an
amount equal to such paying Bank's ratable share (according to the proportion of
(i) the amount of such paying Bank's required repayment to (ii) the total amount
so recovered from the  purchasing  Bank) of any interest or other amount paid or
payable by the purchasing Bank in respect of the total amount so recovered.  The
Company  agrees that any Bank so  purchasing a  participation  from another Bank
may, to the fullest extent permitted by law,  exercise all its rights of payment
(including  the right of set-off,  but subject to Section 11.10) with respect to
such  participation  as fully as if such Bank were the  direct  creditor  of the
Company in the amount of such participation.  The Agent will keep records (which
shall  be  conclusive  and  binding  in  the  absence  of  manifest   error)  of
participations  purchased  under this  Section  and will in each case notify the
Banks following any such purchases or repayments.

         2.15 Security. All obligations of the Company under this Agreement, the
Notes and all other  Loan  Documents  shall be secured  in  accordance  with the
Collateral Documents.

         2.16 Extension of Revolving Termination Date. Not less than 30 days nor
more than 60 days before each  anniversary of the Closing Date, the Company may,
by  written  request  delivered  to  the  Agent,   request  that  the  Revolving
Termination  Date be  extended by all of the Banks for a period of one year from
the then-current

                                      -31-

<PAGE>



Revolving  Termination  Date;  provided,  however,  that in no event  shall  the
Revolving  Termination Date extend beyond the seventh anniversary of the Closing
Date.  The Agent  shall  promptly  notify  the Banks of any such  request.  Such
extension  shall only be effective  upon approval  thereof in writing by each of
the Agent and all of the Banks and the execution and delivery of such amendments
to the  Loan  Documents  as the  Agent  may  require  in  connection  with  such
extension.  The Agent and each Bank may  accept  or reject  any  request  for an
extension in its sole and absolute discretion. The Agent and each Bank shall use
best efforts to accept or reject any such request within 30 days after receiving
notice  thereof,  provided that any failure by the Agent or a Bank to respond to
such a request shall be deemed to be a rejection thereof.


                                   ARTICLE III
                              THE LETTERS OF CREDIT

         3.01 The Letter of Credit Subfacility.  (a) On the terms and conditions
set forth  herein  (i) the  Issuing  Bank  agrees,  (A) from time to time on any
Business  Day  during  the  period  from  the  Closing  Date  to  the  Revolving
Termination Date to issue Letters of Credit for the account of the Company,  and
to amend or renew Letters of Credit  previously issued by it, in accordance with
subsections  3.02(c) and  3.02(d),  and (B) to honor drafts under the Letters of
Credit;  and (ii) the Banks  severally agree to participate in Letters of Credit
Issued for the account of the Company; provided, that the Issuing Bank shall not
be obligated to Issue,  and no Bank shall be  obligated to  participate  in, any
Letter of Credit if as of the date of  Issuance  of such  Letter of Credit  (the
"Issuance  Date")  (1) the  Effective  Amount  of all L/C  Obligations  plus the
Effective  Amount of all Revolving Loans exceeds the combined  Commitments,  (2)
the  participation  of any Bank in the Effective  Amount of all L/C  Obligations
plus the  Effective  Amount of the  Revolving  Loans of such Bank  exceeds  such
Bank's  Commitment,  or (3) the Effective Amount of L/C Obligations  exceeds the
L/C Commitment.  Within the foregoing limits, and subject to the other terms and
conditions  hereof,  the Company's  ability to obtain Letters of Credit shall be
fully revolving, and, accordingly, the Company may, during the foregoing period,
obtain  Letters of Credit to replace  Letters  of Credit  which have  expired or
which have been drawn upon and reimbursed.

                  (b)      The Issuing Bank is under no obligation to Issue any
Letter of Credit if:

                           (i) any order, judgment or decree of any Governmental
         Authority  or  arbitrator  shall by its  terms  purport  to  enjoin  or
         restrain the Issuing  Bank from  Issuing such Letter of Credit,  or any
         Requirement  of Law  applicable  to the Issuing  Bank or any request or
         directive   (whether   or  not  having  the  force  of  law)  from  any
         Governmental Authority with

                                      -32-

<PAGE>



         jurisdiction over the Issuing Bank shall prohibit,  or request that the
         Issuing Bank refrain from, the Issuance of letters of credit  generally
         or such Letter of Credit in particular or shall impose upon the Issuing
         Bank with respect to such Letter of Credit any restriction,  reserve or
         capital  requirement  (for  which  the  Issuing  Bank is not  otherwise
         compensated  hereunder)  not in effect on the  Closing  Date,  or shall
         impose upon the Issuing  Bank any  unreimbursed  loss,  cost or expense
         which was not applicable on the Closing Date and which the Issuing Bank
         in good faith deems material to it;

                           (ii) the Issuing  Bank has  received  written  notice
         from any Bank,  the Agent or the  Company,  on or prior to the Business
         Day prior to the  requested  date of Issuance of such Letter of Credit,
         that one or more of the applicable conditions contained in Article V is
         not then satisfied;

                           (iii)  the  expiry  date of any  requested  Letter of
         Credit is (A) more than 364 days after the date of Issuance, unless the
         Majority Banks have approved such expiry date in writing,  or (B) after
         the Revolving Termination Date;

                           (iv)  the  expiry  date of any  requested  Letter  of
         Credit is prior to the maturity date of any financial  obligation to be
         supported by the requested Letter of Credit;

                           (v) any  requested  Letter of Credit does not provide
         for drafts, or is not otherwise in form and substance acceptable to the
         Issuing  Bank,  or the Issuance of a Letter of Credit shall violate any
         applicable policies of the Issuing Bank;

                           (vi) any requested Letter of Credit is for the
         purpose of supporting the issuance of any letter of credit by
         any other Person; or

                           (vi) such  Letter of Credit is in a face  amount less
         than $1,000,000 or to be denominated in a currency other than Dollars.

         3.02  Issuance,  Amendment  and Renewal of Letters of Credit.  (a) Each
Letter of Credit  shall be issued upon the  irrevocable  written  request of the
Company  received  by the  Issuing  Bank (with a copy sent by the Company to the
Agent) at least four days (or such shorter time as the Issuing Bank may agree in
a particular  instance in its sole  discretion)  prior to the  proposed  date of
issuance.  Each such  request  for  issuance  of a Letter of Credit  shall be by
facsimile,  confirmed  immediately in an original writing, in the form of an L/C
Application,  and shall specify in form and detail  satisfactory  to the Issuing
Bank:  (i) the proposed date of issuance of the Letter of Credit (which shall be
a Business Day); (ii) the face amount of the Letter of Credit; (iii) the

                                      -33-

<PAGE>



expiry  date  of the  Letter  of  Credit;  (iv)  the  name  and  address  of the
beneficiary thereof; (v) the documents to be presented by the beneficiary of the
Letter of Credit in case of any  drawing  thereunder;  (vi) the full text of any
certificate  to  be  presented  by  the  beneficiary  in  case  of  any  drawing
thereunder; and (vii) such other matters as the Issuing Bank may require.

                  (b) At least two  Business  Days prior to the  Issuance of any
Letter of Credit,  the Issuing Bank will confirm with the Agent (by telephone or
in writing)  that the Agent has  received a copy of the L/C  Application  or L/C
Amendment  Application  from the  Company  and, if not,  the  Issuing  Bank will
provide  the Agent with a copy  thereof.  Unless the Issuing  Bank has  received
notice on or before the Business Day immediately  preceding the date the Issuing
Bank is to issue a requested  Letter of Credit from the Agent (A)  directing the
Issuing  Bank not to issue such Letter of Credit  because  such  issuance is not
then permitted under subsection 3.01(a) as a result of the limitations set forth
in clauses (1) through (3) thereof or subsection 3.01(b)(ii); or (B) that one or
more conditions specified in Article V are not then satisfied;  then, subject to
the terms and conditions  hereof, the Issuing Bank shall, on the requested date,
issue a Letter of Credit for the account of the Company in  accordance  with the
Issuing Bank's usual and customary business practices.

                  (c) From time to time while a Letter of Credit is  outstanding
and prior to the Revolving  Termination  Date,  the Issuing Bank will,  upon the
written request of the Company received by the Issuing Bank (with a copy sent by
the  Company  to the  Agent)  at least  four days (or such  shorter  time as the
Issuing Bank may agree in a particular instance in its sole discretion) prior to
the proposed  date of  amendment,  amend any Letter of Credit issued by it. Each
such request for  amendment  of a Letter of Credit  shall be made by  facsimile,
confirmed  immediately  in an  original  writing,  made  in the  form  of an L/C
Amendment  Application and shall specify in form and detail  satisfactory to the
Issuing Bank: (i) the Letter of Credit to be amended;  (ii) the proposed date of
amendment  of the Letter of Credit  (which shall be a Business  Day);  (iii) the
nature of the  proposed  amendment;  and (iv) such other  matters as the Issuing
Bank may  require.  The Issuing Bank shall be under no  obligation  to amend any
Letter of Credit if: (A) the Issuing Bank would have no  obligation at such time
to issue  such  Letter  of Credit in its  amended  form  under the terms of this
Agreement;  or (B) the  beneficiary of any such letter of Credit does not accept
the proposed  amendment to the Letter of Credit.  The Agent will promptly notify
the  Banks  of  the  receipt  by it of any  L/C  Application  or  L/C  Amendment
Application.

                  (d) The Issuing Bank and the Banks agree that,  while a Letter
of Credit is  outstanding  and prior to the Revolving  Termination  Date, at the
option of the Company and upon the  written  request of the Company  received by
the Issuing Bank (with a copy

                                      -34-

<PAGE>



sent by the  Company to the Agent) at least four days (or such  shorter  time as
the Issuing  Bank may agree in a  particular  instance  in its sole  discretion)
prior to the proposed date of notification of renewal, the Issuing Bank shall be
entitled to authorize  the  automatic  renewal of any Letter of Credit issued by
it.  Each such  request  for  renewal  of a Letter  of  Credit  shall be made by
facsimile,  confirmed  immediately in an original writing, in the form of an L/C
Amendment Application,  and shall specify in form and detail satisfactory to the
Issuing Bank: (i) the Letter of Credit to be renewed;  (ii) the proposed date of
notification of renewal of the Letter of Credit (which shall be a Business Day);
(iii) the  revised  expiry  date of the  Letter of  Credit;  and (iv) such other
matters as the Issuing  Bank may  require.  The  Issuing  Bank shall be under no
obligation  so to renew any Letter of Credit if: (A) the Issuing Bank would have
no  obligation  at such  time to issue or amend  such  Letter  of  Credit in its
renewed form under the terms of this  Agreement;  or (B) the  beneficiary of any
such  Letter of Credit  does not  accept the  proposed  renewal of the Letter of
Credit.  If any  outstanding  Letter of Credit  shall  provide  that it shall be
automatically  renewed unless the beneficiary  thereof  receives notice from the
Issuing Bank that such Letter of Credit shall not be renewed, and if at the time
of renewal the Issuing Bank would be entitled to authorize the automatic renewal
of such Letter of Credit in  accordance  with this  subsection  3.02(e) upon the
request of the  Company  but the Issuing  Bank shall not have  received  any L/C
Amendment  Application  from the Company  with  respect to such renewal or other
written  direction by the Company with respect  thereto,  the Issuing Bank shall
nonetheless  be  permitted  to allow  such  Letter of  Credit to renew,  and the
Company and the Banks hereby  authorize  such  renewal,  and,  accordingly,  the
Issuing Bank shall be deemed to have received an L/C Amendment  Application from
the Company requesting such renewal.

                  (e) The Issuing  Bank may, at its  election (or as required by
the Agent at the  direction  of the  Majority  Banks),  deliver  any  notices of
termination  or other  communications  to any  Letter of Credit  beneficiary  or
transferee,  and take any other action as necessary or appropriate,  at any time
and from  time to time,  in order to cause  the  expiry  date of such  Letter of
Credit to be a date not later than the Revolving Termination Date.

                  (f) This Agreement  shall control in the event of any conflict
with any L/C-Related Document (other than any Letter of Credit).

                  (g)  The  Issuing   Bank  will  also  deliver  to  the  Agent,
concurrently  or  promptly  following  its  delivery  of a Letter of Credit,  or
amendment  to or  renewal  of a  Letter  of  Credit,  to an  advising  bank or a
beneficiary, a true and complete copy of each such Letter of Credit or amendment
to or renewal of a Letter of Credit.


                                      -35-

<PAGE>



         3.03  Risk Participations, Drawings and Reimbursements.

                  (a)  Immediately  upon the  Issuance of each Letter of Credit,
each Bank shall be deemed to, and hereby irrevocably and unconditionally  agrees
to, purchase from the Issuing Bank a participation  in such Letter of Credit and
each  drawing  thereunder  in an amount equal to the product of (i) the Pro Rata
Share of such Bank,  times (ii) the maximum  amount  available to be drawn under
such Letter of Credit and the amount of such drawing, respectively. For purposes
of  subsection  2.01(b),  each Issuance of a Letter of Credit shall be deemed to
utilize  the  Commitment  of each Bank by an amount  equal to the amount of such
participation.

                  (b) In the event of any request  for a drawing  under a Letter
of Credit by the  beneficiary  or  transferee  thereof,  the  Issuing  Bank will
promptly notify the Company.  The Company shall reimburse the Issuing Bank prior
to 10:00 a.m. (San Francisco  time), on each date that any amount is paid by the
Issuing Bank under any Letter of Credit (each such date, an "Honor Date"), in an
amount equal to the amount so paid by the Issuing Bank. In the event the Company
fails to reimburse the Issuing Bank for the full amount of any drawing under any
Letter of Credit by 10:00  a.m.  (San  Francisco  time) on the Honor  Date,  the
Issuing Bank will promptly  notify the Agent and the Agent will promptly  notify
each Bank thereof,  and the Company shall be deemed to have  requested that Base
Rate  Loans be made by the Banks to be  disbursed  on the Honor  Date under such
Letter of  Credit,  subject  to the  amount  of the  unutilized  portion  of the
Revolving  Commitment  and subject to the  conditions set forth in Section 5.02.
Any notice  given by the Issuing Bank or the Agent  pursuant to this  subsection
3.03(b)  may  be  oral  if  immediately   confirmed  in  writing  (including  by
facsimile);  provided that the lack of such an immediate  confirmation shall not
affect the conclusiveness or binding effect of such notice.

                  (c) Each Bank  shall upon any notice  pursuant  to  subsection
3.03(b) make available to the Agent for the account of the relevant Issuing Bank
an amount in Dollars and in  immediately  available  funds equal to its Pro Rata
Share of the amount of the  drawing,  whereupon  the  participating  Banks shall
(subject to subsection 3.03(d)) each be deemed to have made a Loan consisting of
a Base Rate Loan to the Company in that amount. If any Bank so notified fails to
make  available  to the Agent for the account of the Issuing  Bank the amount of
such  Bank's Pro Rata Share of the amount of the  drawing by no later than 12:00
noon (San Francisco  time) on the Honor Date, then interest shall accrue on such
Bank's  obligation  to make such  payment,  from the Honor Date to the date such
Bank makes such payment,  at a rate per annum equal to the Federal Funds Rate in
effect from time to time during such period. The Agent will promptly give notice
of the  occurrence of the Honor Date,  but failure of the Agent to give any such
notice on the Honor Date or in sufficient time to enable any Bank to effect such

                                      -36-

<PAGE>



payment on such date shall not relieve such Bank from its obligations under this
Section 3.03.

                  (d)  With  respect  to any  unreimbursed  drawing  that is not
converted into Loans consisting of Base Rate Loans to the Company in whole or in
part,  because of the Company's  failure to satisfy the  conditions set forth in
Section  5.02 or for any  other  reason,  the  Company  shall be  deemed to have
incurred  from the Issuing Bank an L/C  Borrowing in the amount of such drawing,
which L/C Borrowing shall be due and payable on demand  (together with interest)
and shall bear  interest  at a rate per annum equal to the Base Rate plus 2% per
annum,  and each Bank's  payment to the  Issuing  Bank  pursuant  to  subsection
3.03(c)  shall be deemed  payment in respect  of its  participation  in such L/C
Borrowing and shall  constitute an L/C Advance from such Bank in satisfaction of
its participation obligation under this Section 3.03.

                  (e) Each Bank's  obligation in accordance  with this Agreement
to make the Loans or L/C Advances,  as  contemplated  by this Section 3.03, as a
result  of  a  drawing  under  a  Letter  of  Credit,   shall  be  absolute  and
unconditional and without recourse to the Issuing Bank and shall not be affected
by any  circumstance,  including  (i)  any  set-off,  counterclaim,  recoupment,
defense or other right which such Bank may have  against the Issuing  Bank,  the
Company or any other Person for any reason  whatsoever;  (ii) the  occurrence or
continuance of a Default,  an Event of Default or a Material Adverse Effect;  or
(iii) any other  circumstance,  happening  or event  whatsoever,  whether or not
similar to any of the foregoing;  provided, however, that each Bank's obligation
to make Loans under this Section 3.03 is subject to the  conditions set forth in
Section 5.02.

         3.04 Repayment of  Participations.  (a) Upon (and only upon) receipt by
the Agent for the account of the Issuing  Bank of  immediately  available  funds
from the Company (i) in  reimbursement  of any payment  made by the Issuing Bank
under the Letter of Credit with respect to which any Bank has paid the Agent for
the account of the Issuing Bank for such Bank's  participation  in the Letter of
Credit  pursuant  to Section  3.03 or (ii) in payment of interest  thereon,  the
Agent will pay to each Bank,  in the same funds as those  received  by the Agent
for the account of the Issuing Bank, the amount of such Bank's Pro Rata Share of
such funds,  and the Issuing Bank shall receive the amount of the Pro Rata Share
of such  funds of any Bank that did not so pay the Agent for the  account of the
Issuing Bank.

                  (b) If the Agent or the  Issuing  Bank is required at any time
to return to the Company, or to a trustee, receiver,  liquidator,  custodian, or
any official in any Insolvency  Proceeding,  any portion of the payments made by
the  Company  to the Agent for the  account  of the  Issuing  Bank  pursuant  to
subsection 3.04(a) in reimbursement of a payment made under the Letter of

                                      -37-

<PAGE>



Credit or interest  or fee  thereon,  each Bank  shall,  on demand of the Agent,
forthwith  return to the Agent or the  Issuing  Bank the  amount of its Pro Rata
Share of any amounts so returned by the Agent or the Issuing Bank plus  interest
thereon  from the date such demand is made to the date such amounts are returned
by such Bank to the Agent or the Issuing  Bank, at a rate per annum equal to the
Federal Funds Rate in effect from time to time.

         3.05 Role of the  Issuing  Bank.  (a) Each Bank and the  Company  agree
that, in paying any drawing under a Letter of Credit, the Issuing Bank shall not
have any  responsibility  to obtain any document (other than any sight draft and
certificates  expressly  required  by the Letter of Credit) or to  ascertain  or
inquire as to the validity or accuracy of any such  document or the authority of
the Person executing or delivering any such document.

                  (b)  No  Agent  Related  Person  nor  any  of  the  respective
correspondents, participants or assignees of the Issuing Bank shall be liable to
any Bank for:  (i) any action  taken or omitted in  connection  herewith  at the
request or with the  approval of the Banks  (including  the Majority  Banks,  as
applicable); (ii) any action taken or omitted in the absence of gross negligence
or willful misconduct;  or (iii) the due execution,  effectiveness,  validity or
enforceability of any L/C-Related Document.

                  (c) The  Company  hereby  assumes  all  risks  of the  acts or
omissions of any beneficiary or transferee with respect to its use of any Letter
of Credit; provided, however, that this assumption is not intended to, and shall
not,  preclude the  Company's  pursuing  such rights and remedies as it may have
against the  beneficiary or transferee at law or under any other  agreement.  No
Agent Related Person, nor any of the respective correspondents,  participants or
assignees of the Issuing  Bank,  shall be liable or  responsible  for any of the
matters  described  in clauses  (i)  through  (vii) of Section  3.06;  provided,
however,  anything in such  clauses to the  contrary  notwithstanding,  that the
Company may have a claim against the Issuing  Bank,  and the Issuing Bank may be
liable to the Company,  to the extent, but only to the extent, of any direct, as
opposed to consequential or exemplary, damages suffered by the Company which the
Company  proves were caused by the Issuing  Bank's  willful  misconduct or gross
negligence  or the  Issuing  Bank's  willful  failure to pay under any Letter of
Credit  after the  presentation  to it by the  beneficiary  of a sight draft and
certificate(s)  strictly  complying with the terms and conditions of a Letter of
Credit.  In furtherance and not in limitation of the foregoing:  (i) the Issuing
Bank may accept  documents  that  appear on their  face to be in order,  without
responsibility   for  further   investigation,   regardless  of  any  notice  or
information to the contrary;  and (ii) the Issuing Bank shall not be responsible
for the validity or sufficiency of any instrument  transferring  or assigning or
purporting  to  transfer  or assign a Letter of Credit or the rights or benefits
thereunder or proceeds thereof, in whole or

                                      -38-

<PAGE>



in part, which may prove to be invalid or ineffective for any
reason.

         3.06  Obligations  Absolute.  The obligations of the Company under this
Agreement  and any  L/C-Related  Document to  reimburse  the Issuing  Bank for a
drawing under a Letter of Credit, and to repay any L/C Borrowing and any drawing
under a Letter of Credit converted into Revolving Loans,  shall be unconditional
and irrevocable, and shall be paid strictly in accordance with the terms of this
Agreement  and each such other  L/C-Related  Document  under all  circumstances,
including the following:

                  (i) any lack of validity or enforceability of this
         Agreement or any L/C-Related Document;

                  (ii) any change in the time, manner or place of payment of, or
         in any other term of, all or any of the  obligations  of the Company in
         respect of any Letter of Credit or any other  amendment or waiver of or
         any consent to departure from all or any of the L/C-Related Documents;

                  (iii) the  existence of any claim,  set-off,  defense or other
         right that the Company may have at any time against any  beneficiary or
         any transferee of any Letter of Credit (or any Person for whom any such
         beneficiary or any such transferee may be acting),  the Issuing Bank or
         any other  Person,  whether  in  connection  with this  Agreement,  the
         transactions contemplated hereby or by the L/C-Related Documents or any
         unrelated transaction;

                  (iv)  any  draft,   demand,   certificate  or  other  document
         presented under any Letter of Credit proving to be forged,  fraudulent,
         invalid or insufficient  in any respect or any statement  therein being
         untrue  or  inaccurate  in any  respect;  or any  loss or  delay in the
         transmission  or otherwise of any document  required in order to make a
         drawing under any Letter of Credit;

                  (v) any payment by the Issuing Bank under any Letter of Credit
         against  presentation of a draft or certificate  that does not strictly
         comply with the terms of any Letter of Credit;  or any payment  made by
         the Issuing Bank under any Letter of Credit to any Person purporting to
         be a trustee  in  bankruptcy,  debtor-in-possession,  assignee  for the
         benefit of creditors,  liquidator,  receiver or other representative of
         or  successor to any  beneficiary  or any  transferee  of any Letter of
         Credit,  including  any  arising  in  connection  with  any  Insolvency
         Proceeding;

                  (vi) any exchange, release or non perfection of any
         collateral, or any release or amendment or waiver of or
         consent to departure from any other guarantee, for all or any

                                      -39-

<PAGE>



         of the obligations of the Company in respect of any Letter of
         Credit; or

                  (vii) any other circumstance or happening whatsoever,  whether
         or  not  similar  to  any  of  the   foregoing,   including  any  other
         circumstance that might otherwise constitute a defense available to, or
         a discharge of, the Company or a guarantor.

         3.07 Cash Collateral Pledge.  Upon (i) the request of the Agent, (A) if
the Issuing Bank has honored any full or partial  drawing  request on any Letter
of Credit and such drawing has resulted in an L/C  Borrowing  hereunder,  or (B)
if, as of the  Revolving  Termination  Date,  any  Letters of Credit may for any
reason  remain  outstanding  and  partially  or  wholly  undrawn,  or  (ii)  the
occurrence of the circumstances  described in Section 2.07 requiring the Company
to Cash  Collateralize  Letters of Credit,  then, the Company shall  immediately
Cash  Collateralize  the  L/C  Obligations  in  an  amount  equal  to  such  L/C
Obligations.

         3.08 Letter of Credit Fees.  (a) The Company shall pay to the Agent for
the account of each of the Banks a letter of credit fee  computed on a quarterly
basis in advance on the first Business Day of each calendar quarter with respect
to the Letters of Credit equal to the product of (i) the  applicable  percentage
set forth below opposite the Company's Leverage Ratio and (ii) the average daily
maximum amount available to be drawn under the outstanding Letters of Credit for
such quarter,  as  calculated by the Agent.  Such letter of credit fees shall be
due and  payable  quarterly  in  advance  on the 30th day of each  March,  June,
September  and  December,  commencing  June  30,  1996,  through  the  Revolving
Termination Date, with the final payment to be made on the Revolving Termination
Date.

                                    Letter of
Leverage Ratio                                         Credit Fee

Less than 1.0                                           0.275%

1.0 through 1.49                                        0.325%

1.5 through 1.99                                        0.425%

2.0 or greater                                          0.650%


The percentage  used to determine the letter of credit fee shall be based on the
Leverage Ratio as set forth in the most recent Compliance Certificate, and shall
be effective  from and  including the date the Agent  receives  such  Compliance
Certificate  to but  excluding  the date on which  the Agent  receives  the next
Compliance Certificate;  provided, however, that if the Agent does not receive a
Compliance  Certificate by the date required by Section 7.02(b),  the percentage
shall,  effective as of such date, be the highest  percentage set forth above to
but excluding the date the Agent receives such Compliance  Certificate.  Subject
to the foregoing

                                      -40-

<PAGE>



proviso,  until the  delivery  of the  first  Compliance  Certificate  after the
Closing Date, the percentage shall be 0.325%.

                  (b) The Company  shall pay to the Issuing  Bank,  for its sole
account, a letter of credit fronting fee for each Letter of Credit Issued by the
Issuing Bank equal to .125% of the face amount (or increased face amount, as the
case may be) of such Letter of Credit.  Such Letter of Credit fronting fee shall
be due and payable on each date of Issuance of a Letter of Credit.

                  (c) The Company  shall pay to the Issuing  Bank,  for its sole
account,  from  time  to time  on  demand  the  normal  issuance,  presentation,
amendment and other  processing  fees, and other standard costs and charges,  of
the Issuing Bank relating to letters of credit as from time to time in effect.

         3.09 Uniform Customs and Practice. The Uniform Customs and Practice for
Documentary  Credits as published by the International  Chamber of Commerce most
recently at the time of issuance of any Letter of Credit shall (unless otherwise
expressly provided in the Letters of Credit) apply to the Letters of Credit.


                                   ARTICLE IV
                     TAXES, YIELD PROTECTION AND ILLEGALITY

         4.01 Taxes. (a) Any and all payments by the Company to each Bank or the
Agent under this  Agreement and any other Loan  Document  shall be made free and
clear of, and without deduction or withholding for, any Taxes. In addition,  the
Company shall pay all Other Taxes.

                  (b)      If the Company shall be required by law to deduct or
withhold any Taxes or Other Taxes from or in respect of any sum
payable hereunder to any Bank or the Agent, then:

                           (i) the sum payable  shall be  increased as necessary
         so  that,  after  making  all  required   deductions  and  withholdings
         (including  deductions and  withholdings  applicable to additional sums
         payable under this  Section),  such Bank or the Agent,  as the case may
         be,  receives  and  retains  an amount  equal to the sum it would  have
         received and retained had no such deductions or withholdings been made;

                           (ii) the Company shall make such deductions and
         withholdings;

                           (iii) the Company shall pay the full amount  deducted
         or withheld to the  relevant  taxing  authority  or other  authority in
         accordance with applicable law; and


                                      -41-

<PAGE>



                           (iv) the  Company  shall also pay to each Bank or the
         Agent for the  account  of such  Bank,  at the time  interest  is paid,
         Further  Taxes in the amount  that the  respective  Bank  specifies  as
         necessary to preserve the after-tax  yield the Bank would have received
         if such Taxes, Other Taxes or Further Taxes had not been imposed.

                  (c) The Company  agrees to indemnify  and hold  harmless  each
Bank and the Agent for the full amount of (i) Taxes, (ii) Other Taxes, and (iii)
Further Taxes in the amount that the  respective  Bank specifies as necessary to
preserve the after-tax  yield the Bank would have received if such Taxes,  Other
Taxes or  Further  Taxes  had not been  imposed,  and any  liability  (including
penalties,  interest,  additions to tax and expenses)  arising therefrom or with
respect  thereto,  whether or not such Taxes,  Other Taxes or Further Taxes were
correctly or legally asserted.  Payment under this indemnification shall be made
within  30 days  after  the date  the Bank or the  Agent  makes  written  demand
therefor.

                  (d)  Within  30 days  after  the  date of any  payment  by the
Company of Taxes,  Other Taxes or Further  Taxes,  the Company  shall furnish to
each Bank or the Agent the original or a certified copy of a receipt  evidencing
payment thereof,  or other evidence of payment  satisfactory to such Bank or the
Agent.

                  (e) If the  Company is  required to pay any amount to any Bank
or the Agent pursuant to subsection  (b) or (c) of this Section,  then such Bank
shall use reasonable efforts (consistent with legal and regulatory restrictions)
to change the  jurisdiction  of its Lending  Office so as to eliminate  any such
additional payment by the Company which may thereafter accrue, if such change in
the sole judgment of such Bank is not otherwise disadvantageous to such Bank.

         4.02  Illegality.  (a) If any Bank determines that the  introduction of
any  Requirement  of Law,  or any change in any  Requirement  of Law,  or in the
interpretation  or  administration  of any  Requirement  of  Law,  has  made  it
unlawful, or that any central bank or other Governmental  Authority has asserted
that it is unlawful, for any Bank or its applicable Lending Office to make LIBOR
Rate  Loans,  then,  on notice  thereof by the Bank to the  Company  through the
Agent,  any  obligation of that Bank to make LIBOR Rate Loans shall be suspended
until the Bank notifies the Agent and the Company that the circumstances  giving
rise to such determination no longer exist.

                  (b) If a Bank  determines  that it is unlawful to maintain any
LIBOR Rate Loan, the Company shall,  upon its receipt of notice of such fact and
demand from such Bank (with a copy to the Agent), prepay in full such LIBOR Rate
Loans of that Bank then outstanding,  together with interest accrued thereon and
amounts  required  under  Section  4.04,  either on the last day of the Interest
Period

                                      -42-

<PAGE>



thereof,  if the Bank may lawfully continue to maintain such LIBOR Rate Loans to
such day, or immediately, if the Bank may not lawfully continue to maintain such
LIBOR Rate Loan.  If the  Company is  required to so prepay any LIBOR Rate Loan,
then  concurrently  with such  prepayment,  the  Company  shall  borrow from the
affected Bank, in the amount of such repayment, a Base Rate Loan.

                  (c) If the  obligation  of any Bank to make or maintain  LIBOR
Rate Loans has been so terminated or suspended, the Company may elect, by giving
notice to the Bank  through the Agent that all Loans which  would  otherwise  be
made by the Bank as LIBOR Rate Loans shall be instead Base Rate Loans.

         4.03  Increased  Costs  and  Reduction  of  Return.  (a)  If  any  Bank
determines  that, due to either (i) the  introduction  of or any change in or in
the  interpretation of any law or regulation or (ii) the compliance by that Bank
with any  guideline  or  request  from any  central  bank or other  Governmental
Authority  (whether or not having the force of law), there shall be any increase
in the cost to such Bank of agreeing to make or making,  funding or  maintaining
any LIBOR Rate Loans or participating  in Letters of Credit,  or, in the case of
the Issuing  Bank,  any  increase in the cost to the Issuing Bank of agreeing to
issue,  issuing or  maintaining  any Letter of Credit or of  agreeing to make or
making,  funding or  maintaining  any unpaid drawing under any Letter of Credit,
then the Company  shall be liable for, and shall from time to time,  upon demand
(with a copy of such demand to be sent to the  Agent),  pay to the Agent for the
account of such Bank,  additional  amounts as are sufficient to compensate  such
Bank for such increased costs.

                  (b)  If  any  Bank   shall  have   determined   that  (i)  the
introduction of any Capital Adequacy Regulation,  (ii) any change in any Capital
Adequacy Regulation, (iii) any change in the interpretation or administration of
any  Capital  Adequacy  Regulation  by any  central  bank or other  Governmental
Authority charged with the  interpretation or  administration  thereof,  or (iv)
compliance by the Bank (or its Lending  Office) or any  corporation  controlling
the Bank with any  Capital  Adequacy  Regulation,  affects  or would  affect the
amount of capital  required  or  expected  to be  maintained  by the Bank or any
corporation  controlling the Bank and (taking into  consideration such Bank's or
such  corporation's  policies  with respect to capital  adequacy and such Bank's
desired  return  on  capital)  determines  that the  amount of such  capital  is
increased as a consequence  of its  Commitment,  loans,  credits or  obligations
under this Agreement,  then, upon demand of such Bank to the Company through the
Agent,  the Company shall pay to the Bank, from time to time as specified by the
Bank, additional amounts sufficient to compensate the Bank for such increase.

         4.04 Funding  Losses.  The Company shall  reimburse  each Bank and hold
each Bank  harmless from any loss or expense which the Bank may sustain or incur
as a consequence of:

                                      -43-

<PAGE>




                  (a)      the failure of the Company to make on a timely basis
any payment of principal of any LIBOR Rate Loan;

                  (b) the failure of the Company to borrow,  continue or convert
a Loan  after the  Company  has  given (or is deemed to have  given) a Notice of
Borrowing or a Notice of Conversion/ Continuation;

                  (c)      the failure of the Company to make any prepayment in
accordance with any notice delivered under Section 2.06;

                  (d) the  prepayment  (including  pursuant to Section  2.07) or
other payment (including after  acceleration  thereof) of a LIBOR Rate Loan on a
day that is not the last day of the relevant Interest Period; or

                  (e) the automatic  conversion  under Section 2.04 of any LIBOR
Rate  Loan  into a Base  Rate  Loan on a day  that is not  the  last  day of the
relevant Interest Period;

including any such loss or expense  arising from the liquidation or reemployment
of funds obtained by it to maintain its LIBOR Rate Loans or from fees payable to
terminate  the  deposits  from which such funds were  obtained.  For purposes of
calculating  amounts  payable by the Company to the Banks under this Section and
under subsection 4.03(a),  each LIBOR Rate Loan made by a Bank (and each related
reserve, special deposit or similar requirement) shall be conclusively deemed to
have been funded at the LIBOR used in determining  the LIBOR Rate for such LIBOR
Rate Loan by a matching  deposit or other borrowing in the interbank  eurodollar
market for a comparable amount and for a comparable period,  whether or not such
LIBOR Rate Loan is in fact so funded.

         4.05 Inability to Determine Rates. If the Agent determines that for any
reason adequate and reasonable means do not exist for determining the LIBOR Rate
for any requested Interest Period with respect to a proposed LIBOR Rate Loan, or
that the LIBOR Rate applicable  pursuant to subsection 2.09(a) for any requested
Interest  Period with respect to a proposed  LIBOR Rate Loan does not adequately
and fairly  reflect the cost to the Banks of funding  such Loan,  the Agent will
promptly so notify the Company and each Bank. Thereafter,  the obligation of the
Banks to make or maintain LIBOR Rate Loans  hereunder  shall be suspended  until
the Agent  revokes  such notice in writing.  Upon  receipt of such  notice,  the
Company may revoke any Notice of Borrowing or Notice of  Conversion/Continuation
then  submitted  by it. If the Company  does not revoke such  Notice,  the Banks
shall make,  convert or continue the Loans,  as proposed by the Company,  in the
amount  specified in the applicable  notice  submitted by the Company,  but such
Loans shall be made,  converted or continued as Base Rate Loans instead of LIBOR
Rate Loans.


                                      -44-

<PAGE>



         4.06  Certificates  of  Banks.  Any  Bank  claiming   reimbursement  or
compensation  under this Article IV shall deliver to the Company (with a copy to
the Agent) a certificate  setting forth in reasonable  detail the amount payable
to the Bank  hereunder and such  certificate  shall be conclusive and binding on
the Company in the absence of manifest error.

         4.07 Survival.  The  agreements and  obligations of the Company in this
Article IV shall survive the payment of all other Obligations.


                                    ARTICLE V
                              CONDITIONS PRECEDENT

         5.01  Conditions of Initial Credit  Extensions.  The obligation of each
Bank to make its initial Credit Extension  hereunder is subject to the condition
that the Agent  shall have  received  on or before the  Closing  Date all of the
following, in form and substance satisfactory to the Agent and each Bank, and in
sufficient copies for each Bank:

                  (a)      Credit Agreement and Notes.  This Agreement and the
Notes executed by each party thereto;

                  (b)      Resolutions; Incumbency.

                           (i)  Copies  of  the  resolutions  of  the  board  of
         directors of the Company and each Pledgor  Subsidiary  authorizing  the
         transactions  contemplated hereby,  certified as of the Closing Date by
         the  Secretary or an  Assistant  Secretary of the Company and each such
         Pledgor Subsidiary; and

                           (ii) A  certificate  of the  Secretary  or  Assistant
         Secretary of the Company and each  Pledgor  Subsidiary  certifying  the
         names  and true  signatures  of the  officers  of the  Company  or such
         Pledgor Subsidiary (as the case may be) authorized to execute,  deliver
         and  perform,  as  applicable,  this  Agreement,  and  all  other  Loan
         Documents to be delivered by it hereunder;

                  (c)      Organization Documents; Good Standing.  Each of the
following documents:

                           (i) the articles or certificate of incorporation  and
         the bylaws of the Company as in effect on the Closing  Date,  certified
         by the  Secretary  or  Assistant  Secretary  of the  Company  as of the
         Closing Date; and

                           (ii)  a  good   standing   and  tax   good   standing
         certificate  for the  Company  and  each of its  Subsidiaries  from the
         Secretary of State (or similar, applicable Governmental

                                      -45-

<PAGE>



         Authority)  of its  state of  incorporation  and each  state  where the
         Company  or such  Subsidiary  (as the case may be) is  qualified  to do
         business as a foreign  corporation as of a recent date, together with a
         bring-down certificate by facsimile, dated the Closing Date;

                  (d) Legal Opinions.  Opinions of (i) Morgan,  Lewis & Bockius,
special California  counsel to the Company;  (ii) internal Nevada counsel to the
Company;  and (iii) local  counsel to the Company and its  Subsidiaries  in such
other  jurisdictions  where  Subsidiaries  whose  stock is subject to the Pledge
Agreements  are  organized,  each  addressed  to the  Agent  and the  Banks  and
collectively  addressing  the matters set forth in Exhibit D with respect to the
Company and its Subsidiaries.

                  (e) Payment of Fees. Evidence of payment by the Company of all
accrued and unpaid  fees,  costs and expenses to the extent then due and payable
on the Closing Date, together with Attorney Costs of BofA to the extent invoiced
prior to or on the Closing Date, plus such additional  amounts of Attorney Costs
as shall constitute BofA's reasonable  estimate of Attorney Costs incurred or to
be incurred by it through the closing  proceedings  (provided that such estimate
shall not thereafter preclude final settling of accounts between the Company and
BofA);  including any such costs,  fees and expenses arising under or referenced
in Sections 2.10 and 11.04;

                  (f)      Certificate.  A certificate signed by a Responsible
Officer, dated as of the Closing Date, stating that:

                           (i) the representations  and warranties  contained in
         Article IV are true and correct on and as of such date,  as though made
         on and as of such date;

                           (ii) no Default or Event of Default exists or would
         result from the Credit Extension; and

                           (iii) there has occurred  since December 31, 1994, no
         event or circumstance that has resulted or could reasonably be expected
         to result in a Material Adverse Effect; and

                  (g) Collateral Documents.  The Pledge Agreements,  executed by
the Company  and each  Pledgor  Subsidiary,  covering  the capital  stock of all
Subsidiaries other than those Excluded  Subsidiaries listed on Schedule 5.01(g),
in appropriate form for recording, where necessary, together with:

                           (i)  acknowledgment  copies  of all  UCC-1  financing
         statements  filed,  registered  or  recorded  to perfect  the  security
         interests of the Agent for the benefit of the Banks,  or other evidence
         satisfactory  to the Agent that  there has been  filed,  registered  or
         recorded all financing statements

                                      -46-

<PAGE>



         and other filings, registrations and recordings necessary and advisable
         to  perfect  the  Liens of the Agent  for the  benefit  of the Banks in
         accordance with applicable law;

                           (ii)  written  advice   relating  to  such  Lien  and
         judgment  searches  as  the  Agent  shall  have  requested,   and  such
         termination  statements  or  other  documents  as may be  necessary  to
         confirm  that the  Collateral  is subject to no other Liens in favor of
         any Persons (other than Permitted Liens);

                           (iii) all certificates  and instruments  representing
         the Pledged  Collateral,  stock transfer  powers executed in blank with
         signatures guaranteed as the Agent or the Banks may specify;

                           (iv) evidence that all other actions necessary or, in
         the opinion of the Agent or the Banks, desirable to perfect and protect
         the first priority  security  interest created by the Pledge Agreements
         have been taken;

                           (v) funds sufficient to pay any filing or recording
         tax or fee in connection with any and all UCC-1 financing
         statements; and

                           (vi) evidence that all other actions necessary or, in
         the opinion of the Agent or the Banks, desirable to perfect and protect
         the first  priority Lien created by the  Collateral  Documents,  and to
         enhance the Agent's  ability to preserve  and protect its  interests in
         and access to the Collateral, have been taken;

                  (h)  Regulatory  Compliance.  A  certificate  of a Responsible
Officer on behalf of each of the HMO  Subsidiaries  to the effect  that such HMO
Subsidiary is in compliance in all material  respects with the  requirements  of
all applicable HMO  Regulations,  including such Regulatory  Tangible Net Equity
Requirements  as are  applicable  to such HMO  Subsidiary,  and  with all  other
Requirements of Law; and

                  (i)      Other Documents.  Such other approvals, opinions,
documents or materials as the Agent or any Bank may request.

         5.02 Conditions to All Credit  Extensions.  The obligation of each Bank
to make  any  Loan  to be  made  by it  (including  its  initial  Loan)  and the
obligation  of the  Issuing  Bank to Issue any Letter of Credit  (including  the
initial  Letter of  Credit)  is subject  to the  satisfaction  of the  following
conditions precedent on the relevant Borrowing Date or Issuance Date:

                  (a)      Notice, Application.  The Agent shall have received
(with, in the case of the initial Loan only, a copy for each Bank)
a Notice of Borrowing or, in the case of any Issuance of any Letter

                                      -47-

<PAGE>



of Credit, the Issuing Bank and the Agent shall have received an L/C Application
or L/C Amendment Application, as required under Section 3.02;

                  (b)  Continuation  of  Representations  and  Warranties.   The
representations and warranties in Article IV hereof and in the Pledge Agreements
shall be true and correct on and as of such  Borrowing Date or Issuance Date (in
all material  respects if such date is a date  subsequent  to the Closing  Date)
with the same  effect as if made on and as of such  Borrowing  Date or  Issuance
Date (except to the extent such  representations and warranties  expressly refer
to an earlier  date,  in which  case they  shall be true and  correct as of such
earlier date); and

                  (c)      No Existing Default.  No Default or Event of Default
shall exist or shall result from such Borrowing or Issuance.

Each  Notice of  Borrowing  and L/C  Application  or L/C  Amendment  Application
submitted  by the  Company  hereunder  shall  constitute  a  representation  and
warranty by the Company hereunder,  as of the date of each such notice and as of
each Borrowing Date or Issuance Date, as applicable, that the conditions in this
Section 5.02 are satisfied.


                                   ARTICLE VI
                         REPRESENTATIONS AND WARRANTIES

         The Company represents and warrants to the Agent and each Bank that:

         6.01  Corporate Existence and Power.  The Company and each of
its Subsidiaries:

                  (a)      is a corporation duly organized, validly existing
and in good standing under the laws of the jurisdiction of its
incorporation;

                  (b) has the corporate power and authority and all governmental
licenses, authorizations,  consents and approvals to own or hold under lease its
property and other  assets,  carry on its business as currently  conducted by it
and to execute, deliver, and perform its obligations under the Loan Documents;

                  (c) is duly qualified as a foreign corporation and is licensed
and in good standing  under the laws of each  jurisdiction  where its ownership,
lease or  operation  of property or the conduct of its  business  requires  such
qualification  or  license,  except  where  the  failure  to be so  licensed  or
qualified would not have,  individually or in the aggregate,  a Material Adverse
Effect; and


                                      -48-

<PAGE>



                  (d) is in compliance with all  Requirements of Law, except for
such  instances  of non  compliance  as would not have,  individually  or in the
aggregate, a Material Adverse Effect.

         6.02 Corporate Authorization; No Contravention. The execution, delivery
and performance by the Company of this Agreement, the Pledge Agreements and each
other Loan  Document to which the Company or any  Pledgor  Subsidiary  is party,
have been duly authorized by all necessary corporate action, and do not and will
not:

                  (a)      contravene the terms of any of the Company's or the
Pledgor Subsidiaries' Organization Documents;

                  (b) conflict with or result in any breach or contravention of,
or the  creation of any Lien under,  any  document  evidencing  any  Contractual
Obligation  to which the  Company is a party or any order,  injunction,  writ or
decree  of any  Governmental  Authority  to which  the  Company  or any  Pledgor
Subsidiary  or any of their  respective  property  is  subject,  except for such
instances  as would not  have,  individually  or in the  aggregate,  a  Material
Adverse Effect; or

                  (c)      violate any Requirement of Law.

         6.03  Authorization,  Approval,  etc.  Except as set forth on  Schedule
6.03, no approval,  consent,  exemption,  authorization,  or other action by, or
notice  to, or filing  with,  any  Governmental  Authority  or any other  Person
(except for  recordings or filings in  connection  with the Liens granted to the
Agent under the  Collateral  Documents)  is necessary or required in  connection
with the execution,  delivery or performance  by, or  enforcement  against,  the
Company or any of its  Subsidiaries of the Agreement,  the Pledge  Agreements or
any other Loan Document including:

                  (a)      the pledge by the Company and the Pledgor
Subsidiaries of any Collateral pursuant to the Pledge Agreements or
the execution, delivery, and performance of the Pledge Agreements
by the Company and the Pledgor Subsidiaries; and

                  (b) the  exercise  by the Agent of the voting or other  rights
provided for in the Pledge  Agreements,  or,  except with respect to any Pledged
Shares,  as may be required in  connection  with a  disposition  of such Pledged
Shares by laws  affecting  the offering and sale of  securities  generally,  the
remedies in respect of the Collateral pursuant to the Pledge Agreements.

         6.04 Binding  Effect.  This Agreement,  the Pledge  Agreements and each
other Loan  Document to which the Company or any Pledgor  Subsidiary  is a party
constitute  the legal,  valid and  binding  obligations  of the  Company or such
Pledgor Subsidiary (as the case may be), enforceable against the Company or such
Pledgor Subsidiary

                                      -49-

<PAGE>



(as the case may be) in  accordance  with  their  respective  terms,  except  as
enforceability may be limited by applicable bankruptcy,  insolvency,  or similar
laws affecting the  enforcement of creditors'  rights  generally or by equitable
principles relating to enforceability.

         6.05  Litigation.  Except as set forth on Schedule  6.05,  there are no
actions, suits, proceedings,  claims or disputes pending which have been served,
or to the best  knowledge  of the  Company,  otherwise  pending,  threatened  or
contemplated,  at law,  in equity,  in  arbitration  or before any  Governmental
Authority,  against the Company,  or its Subsidiaries or any of their respective
properties which:

                  (a)      purport to affect or pertain to this Agreement or
any other Loan Document, or any of the transactions contemplated
hereby or thereby; or

                  (b)  if   determined   adversely   to  the   Company   or  its
Subsidiaries, would reasonably be expected to have a Material Adverse Effect. No
injunction,  writ,  temporary  restraining  order or any order of any nature has
been issued by any court or other Governmental Authority purporting to enjoin or
restrain the  execution,  delivery or performance of this Agreement or any other
Loan Document, or directing that the transactions provided for herein or therein
not be consummated as herein or therein provided.

         6.06 No Default.  No Default or Event of Default exists or would result
from the incurring of any Obligations by the Company or any of its  Subsidiaries
or from the grant or  perfection  of the Liens of the Agent and the Banks on the
Collateral. As of the Closing Date, neither the Company nor any Subsidiary is in
default  under or with  respect to any  Contractual  Obligation  in any  respect
which,  individually  or together with all such  defaults,  could  reasonably be
expected to have a Material  Adverse Effect,  or that would, if such default had
occurred  after the Closing Date,  create an Event of Default  under  subsection
9.01(e).

         6.07  Compliance with Laws and ERISA.

                  (a) Except as set forth on Schedule  6.03, the Company and its
Subsidiaries  are in compliance with the  requirements  of all applicable  laws,
rules,   regulations  and  orders  of  every  governmental  authority,  the  non
compliance  with  which  might   materially   adversely   affect  the  business,
properties, assets, operations,  condition (financial or otherwise) or prospects
of the Company or the value of the  Collateral or the worth of the Collateral as
collateral security.

                  (b)      Each Plan is in compliance in all material respects
with the applicable provisions of ERISA, the Code and other federal
or state law.  Each Plan which is intended to qualify under Section

                                      -50-

<PAGE>



401(a) of the Code has  received a favorable  determination  letter from the IRS
and to the best knowledge of the Company, nothing has occurred which would cause
the loss of such  qualification.  The Company and each ERISA  Affiliate has made
all required  contributions  to any Plan subject to Section 412 of the Code, and
no application for a funding waiver or an extension of any  amortization  period
pursuant to Section 412 of the Code has been made with respect to any Plan.

                  (c)  There  are no  pending  (and  served)  or,  to  the  best
knowledge  of  Company,  otherwise  pending  or  threatened  claims,  actions or
lawsuits,  or action by any  Governmental  Authority,  with  respect to any Plan
which has  resulted  or could  reasonably  be  expected  to result in a Material
Adverse  Effect.  There has been no prohibited  transaction  or violation of the
fiduciary  responsibility  rules with  respect to any Plan which has resulted or
could reasonably be expected to result in a Material Adverse Effect.

                  (d) (i) No ERISA Event has occurred or is reasonably  expected
to occur; (ii) no Pension Plan has any Unfunded Pension Liability; (iii) neither
the Company nor any ERISA  Affiliate  has  incurred,  or  reasonably  expects to
incur,  any  liability  under Title IV of ERISA with respect to any Pension Plan
(other than premiums due and not delinquent  under Section 4007 of ERISA);  (iv)
neither the Company nor any ERISA Affiliate has incurred,  or reasonably expects
to incur,  any liability  (and no event has occurred  which,  with the giving of
notice  under  Section  4219 of ERISA,  would  result in such  liability)  under
Section  4201 or 4243 of ERISA with  respect to a  Multiemployer  Plan;  and (v)
neither the Company nor any ERISA  Affiliate has engaged in a  transaction  that
could be subject to Section 4069 or 4212(c) of ERISA.

         6.08 Use of Proceeds; Margin Regulations. The proceeds of the Loans are
to be used solely for the  purposes  set forth in and  permitted by Section 7.12
and Section 8.07. Neither the Company nor any Subsidiary is generally engaged in
the business of purchasing or selling  Margin Stock or extending  credit for the
purpose of purchasing or carrying Margin Stock.

         6.09 Title to Property and Collateral;  No Liens.  The Company and each
Subsidiary  have good  record  and  marketable  title in fee simple to, or valid
leasehold  interests  in, all real  property  necessary  or used in the ordinary
conduct of their  respective  businesses,  except  for such  defects in title as
could not, individually or in the aggregate, have a Material Adverse Effect. The
Company and the Pledgor Subsidiaries are the legal and beneficial owners of, and
have good and marketable  title to (and have full right and authority to pledge,
hypothecate,  mortgage and deliver) all the Collateral  that is subject to their
respective  Pledge  Agreements.  As of the Closing Date,  all the Collateral and
other  property  of the Company  and its  Subsidiaries  are subject to no Liens,
other than Permitted Liens. Even after the Closing Date,

                                      -51-

<PAGE>



the Collateral shall continue not to be subject to any Liens, other
than Permitted Liens.

         6.10 As to Pledged  Shares.  Except as disclosed in Schedule  6.10, all
Pledged  Shares are duly  authorized  and validly  issued,  fully paid,  and non
assessable,  and constitute all of the issued and outstanding  shares of capital
stock of the Subsidiaries  whose shares have been pledged by the Company and the
Pledgor Subsidiaries under the Pledge Agreements. Other than the Pledged Shares,
no  Subsidiary  whose shares have been pledged under the Pledge  Agreements  has
outstanding  any  capital  stock  or  other   securities   convertible  into  or
exchangeable  for any of its capital  stock,  nor will it have  outstanding  any
rights to  subscribe  for or to  purchase,  or any  warrants  or options for the
purchase of, or any  agreements  (contingent  or  otherwise)  providing  for the
issuance of, or any calls,  commitments or claims of any character  relating to,
any of its capital stock or any securities  convertible into or exchangeable for
any of its capital stock.

         6.11 Taxes. The Company and its Subsidiaries have filed all Federal and
other material tax returns and reports  required to be filed,  and have paid all
Federal  and other  material  taxes,  assessments,  fees and other  governmental
charges  levied  or  imposed  upon  them or their  properties,  income or assets
otherwise due and payable,  except those which are being contested in good faith
by appropriate proceedings and for which adequate reserves have been provided in
accordance with GAAP. There is no proposed tax assessment against the Company or
any Subsidiary that would, if made, have a Material Adverse Effect.

         6.12  Financial  Condition.  (a)  The  audited  consolidated  financial
statements of the Company and its Subsidiaries  dated December 31, 1995, and the
related  consolidated  statements of income or operations,  shareholders' equity
and cash flows for the fiscal year ended on that date:

                           (i)   were   prepared   in   accordance   with   GAAP
         consistently  applied throughout the period covered thereby,  except as
         otherwise expressly noted therein;

                           (ii) fairly  present the  financial  condition of the
         Company  and its  Subsidiaries  as of the date  thereof  and results of
         operations for the period covered thereby; and

                           (iii)  except as  specifically  disclosed in Schedule
         6.11, show all material  indebtedness and other liabilities,  direct or
         contingent,  of the Company and its consolidated Subsidiaries as of the
         date thereof, including liabilities for taxes, material commitments and
         Contingent Obligations.

                  (b)      Since December 31, 1995, there has been no Material
Adverse Effect.

                                      -52-

<PAGE>




         6.13 Environmental Matters. The Company conducts in the ordinary course
of business a review of the effect of existing  Environmental  Laws and existing
Environmental Claims on its business, operations and properties, and as a result
thereof  the Company  has  reasonably  concluded  that,  except as  specifically
disclosed in Schedule 6.13, such  Environmental  Laws and  Environmental  Claims
could not,  individually  or in the aggregate,  reasonably be expected to have a
Material Adverse Effect.

         6.14 Collateral Documents.  (a) The provisions of the Pledge Agreements
and the delivery of the Collateral  pursuant  thereto are effective to create in
favor of the Agent for the benefit of the Banks, a legal,  valid and enforceable
first priority security interest in all right, title and interest of the Company
and its  Subsidiaries  in the  Collateral  described  therein  and all  proceeds
thereof.  Except as contemplated  by this  Agreement,  no filing or other action
will be necessary to perfect or protect such security interest.

                  (b)      All representations and warranties of the Company
and the Pledgor Subsidiaries contained in the Collateral Documents
are true and correct.

         6.15 Regulated  Entities.  None of the Company,  any Person controlling
the Company, or any Subsidiary, is an "Investment Company" within the meaning of
the  Investment  Company Act of 1940.  The Company is not subject to  regulation
under the Public Utility Holding Company Act of 1935, the Federal Power Act, the
Interstate  Commerce Act, any state public  utilities code, or any other Federal
or state statute or regulation limiting its ability to incur Indebtedness.

         6.16 No Burdensome Restrictions. Neither the Company nor any Subsidiary
is a  party  to or  bound  by any  Contractual  Obligation,  or  subject  to any
restriction in any Organization Document, or any Requirement of Law, which could
reasonably be expected to have a Material Adverse Effect.

         6.17 Copyrights,  Patents, Trademarks and Licenses, etc. The Company or
its  Subsidiaries  own or are licensed or otherwise have the right to use all of
the patents,  trademarks,  service marks, trade names,  copyrights,  contractual
franchises,  authorizations  and other rights that are reasonably  necessary for
the operation of their respective  businesses,  without conflict with the rights
of any other Person.  To the best  knowledge of the Company,  no slogan or other
advertising device, product,  process, method, substance, part or other material
now  employed,  or  now  contemplated  to be  employed,  by the  Company  or any
Subsidiary  infringes  upon any  rights  held by any other  Person.  No claim or
litigation  regarding  any of the  foregoing  is pending or  threatened,  and no
patent,  invention,  device,  application,  principle or any statute, law, rule,
regulation, standard or code is pending or, to the knowledge

                                      -53-

<PAGE>



of the Company, proposed, which, in either case, could reasonably be expected to
have a Material Adverse Effect.

         6.18  Subsidiaries.  As  of  the  Closing  Date,  the  Company  has  no
Subsidiaries  other than those  specifically  disclosed  in part (a) of Schedule
6.18 hereto and has no equity  investments  in any other  corporation  or entity
constituting 20% or more of the outstanding equity interests in such corporation
or entity other than those specifically  disclosed in part (b) of Schedule 6.18.
Set forth in part (c) of Schedule 6.18 is a list of all Excluded Subsidiaries as
of the Closing Date.

         6.19 Insurance.  Except as specifically disclosed in Schedule 6.19, the
properties  of the Company and its  Subsidiaries  are insured  with  financially
sound and reputable  insurance  companies not Affiliates of the Company, in such
amounts,  with such  deductibles  and  covering  such  risks as are  customarily
carried by companies engaged in similar businesses and owning similar properties
in localities where the Company or such Subsidiary operates.

         6.20 Swap Obligations.  Neither the Company nor any of its Subsidiaries
has incurred any outstanding  obligations under any Swap Contracts.  The Company
has  undertaken  its own  independent  assessment  of its  consolidated  assets,
liabilities and commitments and has considered  appropriate  means of mitigating
and managing risks  associated  with such matters and has not relied on any swap
counterparty or any Affiliate of any swap counterparty in determining whether to
enter into any Swap Contract.

         6.21 Full Disclosure. None of the representations or warranties made by
the  Company  or any  Subsidiary  in the  Loan  Documents  as of the  date  such
representations  and  warranties  are  made  or  deemed  made,  and  none of the
statements contained in any exhibit,  report, statement or certificate furnished
by or on behalf of the Company or any  Subsidiary  in  connection  with the Loan
Documents  (including the offering and disclosure  materials  delivered by or on
behalf of the  Company to the Banks  prior to the Closing  Date),  contains  any
untrue  statement of a material  fact or omits any material  fact required to be
stated therein or necessary to make the statements made therein, in light of the
circumstances under which they are made, not misleading as of the time when made
or delivered.

         6.22  Business Activity.  Neither the Company nor any of its
Subsidiaries is engaged in any line or lines of business activity
other than the Health Care Business.

         6.23  Licensing, Etc.  Each HMO Subsidiary maintains (i) all
licenses and certifications required pursuant to any HMO
Regulation; (ii) all certifications and authorizations necessary to
ensure that each of the HMO Subsidiaries is eligible for all

                                      -54-

<PAGE>



reimbursements  available under the HMO Regulations to the extent  applicable to
HMOs of  their  type;  and  (iii)  all  licenses,  permits,  authorizations  and
qualifications  required  under  the HMO  Regulations  in  connection  with  the
ownership or  operation of HMOs;  except where the failure to maintain the items
described  in any of the  preceding  three  clauses  would  not have a  Material
Adverse Effect.


                                   ARTICLE VII
                              AFFIRMATIVE COVENANTS

         So long as any Bank shall have any Commitment hereunder, or any Loan or
other  Obligation  shall remain unpaid or  unsatisfied,  or any Letter of Credit
shall remain outstanding, unless the Majority Banks waive compliance in writing:

         7.01  Financial Statements.  The Company shall deliver to the
Agent, in form and detail satisfactory to the Agent and the
Majority Banks, with sufficient copies for each Bank:

                  (a) as soon as  available,  but not later  than 120 days after
the end of each fiscal year  (commencing with the fiscal year ended December 31,
1995 as provided in Section  6.12), a copy of the audited  consolidated  balance
sheets of the  Company and its  Subsidiaries  as at the end of such year and the
related  consolidated  statements of income or operations,  shareholders' equity
and cash flows for such year, setting forth in each case in comparative form the
figures for the previous fiscal year, and accompanied by the opinion of Deloitte
& Touche or another  nationally-recognized  independent  public  accounting firm
("Independent   Auditor")  which  report  shall  state  that  such  consolidated
financial  statements  present  fairly the  financial  position  for the periods
indicated  in  conformity  with GAAP  applied on a basis  consistent  with prior
years. Such opinion shall not be qualified or limited because of a restricted or
limited  examination by the Independent  Auditor of any material  portion of the
Company's or any Subsidiary's records;

                  (b) as soon as available, but not later than 45 days after the
end of each of the first three fiscal  quarters of each fiscal year  (commencing
with  the  fiscal  quarter  ended  March  31,  1996),  a copy  of the  unaudited
consolidated balance sheets of the Company and its Subsidiaries as of the end of
such quarter and the related  consolidated  statements  of income and cash flows
for the  period  commencing  on the first day and ending on the last day of such
quarter,  and  certified  by a  Responsible  Officer  as fairly  presenting,  in
accordance   with  GAAP  (subject  to  ordinary,   good  faith   year-end  audit
adjustments),  the  financial  position  and the  results of  operations  of the
Company and the Subsidiaries;


                                      -55-

<PAGE>



                  (c) as soon as  available,  but not later  than 120 days after
the end of each fiscal year  (commencing with the fiscal year ended December 31,
1995),  a copy of an unaudited  consolidating  balance sheets of the Company and
its  Subsidiaries  as at the end of such  year  and  the  related  consolidating
statements of income for such year, certified by a Responsible Officer as having
been  developed and used in  connection  with the  preparation  of the financial
statements referred to in subsection 7.01(a); and

                  (d) as soon as available, but not later than 45 days after the
end of each of the first three fiscal  quarters of each fiscal year  (commencing
with  the  fiscal  quarter  ended  March  31,  1996),  a copy  of the  unaudited
consolidating  balance  sheets  of the  Company  and its  Subsidiaries,  and the
related consolidating  statements of income for such quarter, all certified by a
Responsible  Officer as having been  developed and used in  connection  with the
preparation of the financial statements referred to in subsection 7.01(b).

         7.02  Certificates; Other Information.  The Company shall
furnish to the Agent, with sufficient copies for each Bank:

                  (a) concurrently with the delivery of the financial statements
referred to in subsection  7.01(a),  a certificate  of the  Independent  Auditor
stating  that in making the  examination  necessary  therefor no  knowledge  was
obtained  of any  Default  or Event of  Default,  except  as  specified  in such
certificate;

                  (b)      concurrently with the delivery of the financial
statements referred to in subsections 7.01(a) and (b), a Compliance
Certificate executed by a Responsible Officer;

                  (c) promptly,  copies of all financial  statements and reports
that  the  Company  sends  to its  shareholders,  and  copies  of all  financial
statements and regular,  periodical or special reports (including Forms 10K, 10Q
and 8K) that the Company or any Subsidiary may make to, or file with, the SEC;

                  (d) promptly following the receipt of the same, a copy of each
notice relating to the loss by the Company or any HMO Subsidiary of any material
operating permit, license or certification by any HMO Regulator;

                  (e)  promptly   following   the  receipt  of  the  same,   all
correspondence   received  by  the  Company  or  any   Subsidiary   (other  than
correspondence  in draft  form) from an HMO  Regulator  which  asserts  that the
Company or any HMO  Subsidiary  is not in  substantial  compliance  with any HMO
Regulation or which  threatens  the taking of any action  against the Company or
any Subsidiary under any HMO Regulation;


                                      -56-

<PAGE>



                  (f) from time to time upon receipt of a written request by the
Agent or any Bank  specifying in reasonable  detail the types of documents to be
provided, copies of any and all statements, audits, studies or reports submitted
by or on behalf of the Company or any HMO Subsidiary to any HMO Regulator; and

                  (g)  promptly,   such  additional  information  regarding  the
business, financial or corporate affairs of the Company or any Subsidiary as the
Agent, at the request of any Bank, may from time to time  reasonably  request in
writing.

         7.03  Notices.  The Company shall promptly notify the Agent
and each Bank:

                  (a) of the occurrence of any Default or Event of Default,  and
of the  occurrence or existence of any event or  circumstance  that could,  with
reasonable foreseeability, become a Default or Event of Default;

                  (b) of any  matter  that has  resulted  or may  reasonably  be
expected to result in a Material  Adverse  Effect,  including  (i) breach or non
performance of, or any default under, a Contractual Obligation of the Company or
any  Subsidiary;  (ii) any dispute,  litigation,  investigation,  proceeding  or
suspension between the Company or any Subsidiary and any Governmental Authority;
or (iii) the commencement of, or any material  development in, any litigation or
proceeding  affecting the Company or any Subsidiary;  including  pursuant to any
applicable Environmental Laws;

                  (c) of the occurrence of any of the following events affecting
the Company or any ERISA Affiliate (but in no event more than 10 days after such
event), and deliver to the Agent and each Bank a copy of any notice with respect
to such  event  that is  filed  with a  Governmental  Authority  and any  notice
delivered by a Governmental Authority to the Company or any ERISA Affiliate with
respect to such event:

                           (i) an ERISA Event,

                           (ii) a material increase in the Unfunded Pension
         Liability of any Pension Plan,

                           (iii) the adoption of, or the commencement of
         contributions to, any Plan subject to Section 412 of the Code
         by the Company or any ERISA Affiliate, or

                           (iv) the adoption of any  amendment to a Plan subject
         to Section  412 of the Code,  if such  amendment  results in a material
         increase in contributions or Unfunded Pension Liability; and


                                      -57-

<PAGE>



                  (d)      of any material change in accounting policies or
financial reporting practices by the Company or any of its
consolidated Subsidiaries.

Each notice under this Section shall be accompanied by a written  statement by a
Responsible Officer setting forth details of the occurrence referred to therein,
and stating what action the Company or any affected  Subsidiary proposes to take
with  respect  thereto and at what time.  Each notice under  subsection  7.03(a)
shall  describe  with  particularity  any and all clauses or  provisions of this
Agreement  or other  Loan  Document  that have been (or  could  with  reasonable
foreseeability be) breached or violated.

         7.04  Preservation of Corporate Existence, Etc.  The Company
shall, and shall cause each Subsidiary to:

                  (a)      preserve and maintain in full force and effect its
corporate existence and good standing under the laws of its state
or jurisdiction of incorporation;

                  (b)  preserve  and  maintain  in full  force  and  effect  all
governmental  rights,   privileges,   qualifications,   permits,   licenses  and
franchises  necessary  or  desirable  in the  normal  conduct  of its  business,
including  all  licenses  and  certifications   required  pursuant  to  any  HMO
Regulation,  all certifications and authorizations necessary to ensure that each
of the HMO Subsidiaries is eligible for all  reimbursements  available under the
HMO Regulation to the extent applicable to HMOs of their type, and all licenses,
permits,  authorization and qualifications required under the HMO Regulations in
connection with the ownership or operation of HMOs;

                  (c)      use reasonable efforts, in the ordinary course of
business, to preserve its business organization and goodwill; and

                  (d)  preserve  or  renew  all  of  its   registered   patents,
trademarks,  trade names and service marks,  the non preservation of which could
reasonably be expected to have a Material Adverse Effect.

         7.05  Maintenance of Property.  The Company shall  maintain,  and shall
cause each  Subsidiary to maintain,  and preserve all its property which is used
or useful in its business in good working order and condition, ordinary wear and
tear  excepted  and  make  all  necessary   repairs  thereto  and  renewals  and
replacements  thereof  except where the failure to do so could not reasonably be
expected to have a Material Adverse Effect.

         7.06 Insurance.  In addition to insurance requirements set forth in the
Collateral  Documents,   the  Company  shall  maintain,  and  shall  cause  each
Subsidiary  to  maintain,  with  financially  sound  and  reputable  independent
insurers, insurance with respect to its

                                      -58-

<PAGE>



properties and business against loss or damage of the kinds customarily  insured
against by Persons engaged in the same or similar business, of such types and in
such amounts as are  customarily  carried  under similar  circumstances  by such
other  Persons,  of such types and in such  amounts as are  customarily  carried
under  similar   circumstances  by  such  other  Persons;   including   workers'
compensation  insurance,  public  liability and property and casualty  insurance
which  amount  shall not be  reduced by the  Company in the  absence of 30 days'
prior notice to the Agent.  Upon  request of the Agent or any Bank,  the Company
shall  furnish the Agent,  with  sufficient  copies for each Bank, at reasonable
intervals  (but not  more  than  once  per  calendar  year) a  certificate  of a
Responsible  Officer  of the  Company  (and,  if  requested  by the  Agent,  any
insurance  broker of the  Company)  setting  forth the  nature and extent of all
insurance maintained by the Company and its Subsidiaries in accordance with this
Section or any Collateral  Documents (and which, in the case of a certificate of
a broker, were placed through such broker).

         7.07 Payment of  Obligations.  The Company shall,  and shall cause each
Subsidiary  to, pay and discharge as the same shall become due and payable,  all
their respective obligations and liabilities, including:

                  (a) all tax liabilities,  assessments and governmental charges
or  levies  upon it or its  properties  or  assets,  unless  the same are  being
contested in good faith by  appropriate  proceedings  and  adequate  reserves in
accordance with GAAP are being maintained by the Company or such Subsidiary;

                  (b)      all lawful claims which, if unpaid, would by law
become a Lien upon its property; and

                  (c)      all Indebtedness, as and when due and payable, but
subject to any subordination provisions contained in any instrument
or agreement evidencing such Indebtedness.

         7.08  Compliance  with Laws. The Company shall comply,  and shall cause
each Subsidiary to comply, in all material respects with all Requirements of Law
of any  Governmental  Authority  having  jurisdiction  over  it or its  business
(including all HMO Regulations and the Federal Fair Labor Standards Act), except
such as may be  contested  in good faith or as to which a bona fide  dispute may
exist.

         7.09 Compliance with ERISA.  The Company shall, and shall cause each of
its ERISA  Affiliates  to: (a) maintain  each Plan in compliance in all material
respects with the applicable  provisions of ERISA, the Code and other federal or
state law; (b) cause each Plan which is qualified  under  Section  401(a) of the
Code to maintain such qualification;  and (c) make all required contributions to
any Plan subject to Section 412 of the Code.

                                      -59-

<PAGE>




         7.10  Inspection  of Property and Books and Records.  The Company shall
maintain and shall cause each  Subsidiary to maintain proper books of record and
account,  in which  full,  true and  correct  entries  in  conformity  with GAAP
consistently  applied  shall be made of all financial  transactions  and matters
involving  the assets and  business  of the  Company  and such  Subsidiary.  The
Company shall permit, and shall cause each Subsidiary to permit, representatives
and independent contractors of the Agent or any Bank to visit and inspect any of
their respective  properties,  to examine their respective corporate,  financial
and operating records,  and make copies thereof or abstracts  therefrom,  and to
discuss their  respective  affairs,  finances and accounts with their respective
directors,  officers, and independent public accountants,  all at the expense of
the Company and at such  reasonable  times during normal  business  hours and as
often as may be  reasonably  desired,  upon  reasonable  advance  notice  to the
Company;  provided,  however,  when an Event of Default  exists the Agent or any
Bank may do any of the  foregoing  at the  expense  of the  Company  at any time
during normal business hours and without advance notice.

         7.11  Environmental Laws.  The Company shall, and shall cause
each Subsidiary to, conduct its operations and keep and maintain
its property in material compliance.

         7.12 Use of Proceeds.  The Company  shall use the proceeds of the Loans
for  general  corporate  purposes  (other  than  for  Acquisitions  that are not
Permitted Acquisitions) not in contravention of any Requirement of Law or of any
Loan Document.

         7.13 Further Assurances.  (a) The Company shall ensure that all written
information, exhibits and reports furnished to the Agent or the Banks do not and
will not contain any untrue statement of a material fact and do not and will not
omit to state any material  fact or any fact  necessary  to make the  statements
contained  therein not misleading in light of the  circumstances  in which made,
and will promptly  disclose to the Agent and the Banks and correct any defect or
error  that  may  be  discovered  therein  or in  any  Loan  Document  or in the
execution, acknowledgement or recordation thereof.

                  (b) Promptly upon request by the Agent or the Majority  Banks,
the Company shall (and shall cause any of its  Subsidiaries,  including  Pledgor
Subsidiaries, to) do, execute, acknowledge, deliver, record, re record, file, re
file,  register  and  re  register,  any  and  all  such  further  acts,  deeds,
conveyances, security agreements, mortgages, assignments, estoppel certificates,
financing statements and continuations thereof, termination statements,  notices
of assignment,  transfers,  certificates,  assurances and other  instruments the
Agent or such Banks,  as the case may be, may  reasonably  require  from time to
time in order (i) to carry out more  effectively  the purposes of this Agreement
or any other Loan Document, (ii) to subject to the Liens created by

                                      -60-

<PAGE>



any of the Collateral  Documents any of the  Collateral,  properties,  rights or
interests covered by any of the Collateral Documents,  (iii) to perfect, protect
and maintain the validity,  effectiveness  and priority of any of the Collateral
Documents  and the Liens  intended  to be  created  thereby,  and (iv) to better
assure, convey, grant, assign,  transfer,  preserve,  protect and confirm to the
Agent and Banks the rights granted or now or hereafter intended to be granted to
the Banks  under any Loan  Document  or under any  other  document  executed  in
connection therewith.

         7.14 Dividends of Subsidiaries During Default. Promptly upon (but in no
case more than five  Business  Days  after) the  occurrence  of a  Default,  the
Company  shall  cause each HMO  Subsidiary  of the  Company  to declare  and pay
dividends  (in  cash,  property,  or  obligations)  on, or to make  payments  or
distributions  on account  of, the shares of all classes of stock of such entity
in an amount equal to the maximum  amount  permitted by  applicable  law at such
time to such Subsidiary for the payment of dividends; provided, however, that no
such  Subsidiary  shall be required to pay dividends  under this Section 7.14 to
the extent that doing so would cause the Regulatory  Tangible Net Equity of such
Subsidiary  to be less than 105 percent of any  Regulatory  Tangible  Net Equity
Requirement applicable to such Subsidiary.

         7.15 Acquisitions.  Prior to consummating any Permitted Acquisition for
aggregate consideration (whether consisting of cash, securities, other property,
assumption of Indebtedness  or other  obligations,  or any combination  thereof)
having a value in excess of $25,000,000, the Company shall have delivered to the
Agent (in form and detail satisfactory to each Bank and in sufficient copies for
each Bank) the following:

                  (i) At least 15 days' prior written  notice from a Responsible
         Officer of the Company, stating the Company's intention to consummate a
         Permitted Acquisition, together with a brief summary of the substantive
         terms thereof;

                  (ii)  At  least  10 days  prior  to the  consummation  of such
         Permitted  Acquisition,  a  certified  copy  of the  executed  purchase
         contract or merger  agreement  relating to such Permitted  Acquisition;
         and

                  (iii) An  officer's  certificate,  executed  by a  Responsible
         Officer  of the  Company,  dated  the  date  of  consummation  of  such
         Permitted  Acquisition,  certifying that  immediately  before and after
         giving effect to such Permitted Acquisition (A) no Default has occurred
         and is  continuing  or will exist after giving  effect to the Permitted
         Acquisition  and (B) that the Company  will be in  compliance  on a pro
         forma basis with each of the financial ratios specified in Section 8.14
         as of  the  end  of  the  fiscal  quarter  immediately  preceding  such
         Acquisition for the twelve-month period preceding such fiscal

                                      -61-

<PAGE>



         quarter end,  together  with a reasonably  detailed  worksheet  setting
         forth the  calculations  of such ratios,  which  calculations  shall be
         acceptable to the Banks.

Notwithstanding  the  foregoing  or anything  in the  definition  of  "Permitted
Acquisition"   to  the  contrary,   no  individual   acquisition  for  aggregate
consideration   (whether  consisting  of  cash,   securities,   other  property,
assumption of Indebtedness  or other  obligations,  or any combination  thereof)
having  a  value  in  excess  of  $100,000,000  shall  be  deemed  a  "Permitted
Acquisition" unless the Company shall have obtained the prior written consent of
the Agent, at the direction of the Majority Banks.


                                  ARTICLE VIII
                               NEGATIVE COVENANTS

         So long as any Bank shall have any Commitment hereunder, or any Loan or
other  Obligation  shall remain unpaid or  unsatisfied,  or any Letter of Credit
shall remain outstanding, unless the Majority Banks waive compliance in writing:

         8.01  Limitation on Liens.  The Company shall not, and shall not suffer
or permit any Subsidiary to, directly or indirectly, make, create, incur, assume
or suffer to exist any Lien upon or with  respect  to any part of its  property,
whether now owned or hereafter  acquired,  other than the following  ("Permitted
Liens"):

                  (a) any  Lien  existing  on  property  of the  Company  or any
Subsidiary  on the  Closing  Date  and  set  forth  in  Schedule  8.01  securing
Indebtedness outstanding on such date and any refinancing or refunding thereof;

                  (b)      any Lien created under any Loan Document;

                  (c) Liens for taxes,  fees,  assessments or other governmental
charges which are not delinquent or remain payable  without  penalty,  or to the
extent that non payment  thereof is permitted by Section 7.07,  provided that no
notice of lien has been filed or recorded under the Code;

                  (d)   carriers',   warehousemen's,   mechanics',   landlords',
materialmen's, repairmen's or other similar Liens arising in the ordinary course
of business which are not delinquent or remain payable without penalty;

                  (e) Liens (other than any Lien imposed by ERISA) consisting of
pledges or deposits  required in the ordinary  course of business in  connection
with workers'  compensation,  unemployment  insurance and other social  security
legislation;


                                      -62-

<PAGE>



                  (f) easements,  rights-of-way,  restrictions and other similar
encumbrances  incurred  in  the  ordinary  course  of  business  which,  in  the
aggregate,  are  not  substantial  in  amount,  and  which  do not  in any  case
materially  detract from the value of the property  subject thereto or interfere
with the ordinary conduct of the businesses of the Company and its Subsidiaries;

                  (g) purchase money security interests on any property acquired
or held by the Company or its  Subsidiaries  in the ordinary course of business,
securing  Indebtedness  incurred or assumed for the purpose of financing  all or
any part of the cost of acquiring such property; provided that (i) any such Lien
attaches  to such  property  concurrently  with or  within  20  days  after  the
acquisition thereof,  (ii) such Lien attaches solely to the property so acquired
in such  transaction,  (iii) the principal  amount of the  Indebtedness  secured
thereby  does  not  exceed  100% of the  cost of such  property,  and  (iv)  the
principal amount of the Indebtedness  secured by any and all such purchase money
security interests shall not at any time exceed $25,000,000;

                  (h)  mortgage   liens  on  any  real   property   acquired  or
constructed by the Company or its Subsidiaries subsequent to the Closing Date in
the ordinary course of business,  securing  Indebtedness incurred or assumed for
the  purpose  of  financing  all or  any  part  of  the  cost  of  acquiring  or
constructing  such  property;  provided  that (i) any such Lien attaches to such
property concurrently with or within 20 days after the acquisition thereof, (ii)
such Lien  attaches  solely to the property so acquired or  constructed  in such
transaction, (iii) the principal amount of the Indebtedness secured thereby does
not  exceed  100%  of  the  fair  market  value  of  such  property,  (iv)  such
Indebtedness is without  recourse to the Company or any of its  Subsidiaries and
(v) the aggregate amount of all such Indebtedness  does not exceed  $50,000,000;
and

                  (i) Liens securing  obligations in respect of Capital  Leases,
limited to the assets subject to such leases,  provided that such Capital Leases
are otherwise permitted hereunder.

         8.02 Disposition of Assets. The Company shall not, and shall not suffer
or permit any  Subsidiary  to,  directly or  indirectly,  sell,  assign,  lease,
convey,  transfer  or  otherwise  dispose  of  (whether  in one or a  series  of
transactions) any property  (including  accounts and notes  receivable,  with or
without  recourse)  or enter  into  any  agreement  to do any of the  foregoing,
except:

                  (a)      dispositions of inventory, or used, worn-out or
surplus equipment, all in the ordinary course of business;

                  (b) the sale of equipment to the extent that such equipment is
exchanged  for  credit  against  the  purchase  price  of  similar   replacement
equipment, or the proceeds of such sale are

                                      -63-

<PAGE>



reasonably promptly applied to the purchase price of such
replacement equipment;

                  (c)      dispositions of tangible assets acquired subsequent
to the Closing Date, to the extent advisable in the best business
judgment of the Company; and

                  (d) dispositions not otherwise permitted hereunder of tangible
listed on the balance sheet of the Company at December 31, 1995,  which are made
for fair market value;  provided,  that (i) at the time of any  disposition,  no
Event of Default  shall exist or shall  result from such  disposition,  (ii) the
aggregate sales price from such disposition shall be paid in cash, and (iii) the
aggregate value of all assets so sold by the Company and its Subsidiaries  prior
to the Revolving Loan Termination  Date,  together,  shall not exceed 10% of the
Consolidated Tangible Assets listed on the December 31, 1995 balance sheet.

         8.03  Consolidations and Mergers.  The Company shall not, and shall not
suffer or permit any Subsidiary to, merge,  consolidate with or into, or convey,
transfer,  lease or  otherwise  dispose of (whether in one  transaction  or in a
series of transactions all or substantially all of its assets (whether now owned
or hereafter acquired) to or in favor of any Person, except:

                  (a) any Subsidiary  may merge with the Company,  provided that
the Company shall be the continuing or surviving corporation, or with any one or
more  Subsidiaries,  provided  that  if  any  transaction  shall  be  between  a
Subsidiary and a Wholly Owned  Subsidiary,  the Wholly Owned Subsidiary shall be
the continuing or surviving corporation;

                  (b)      any Subsidiary may sell all or substantially all of
its assets (upon voluntary liquidation or otherwise), to the
Company or another Wholly Owned Subsidiary; and

                  (c)      Permitted Acquisitions.

         8.04 Loans and Investments.  The Company shall not purchase or acquire,
or  suffer  or  permit  any  Subsidiary  to  purchase  or  acquire,  or make any
commitment therefor,  any capital stock, equity interest,  or any obligations or
other  securities of, or any interest in, any Person,  or make or commit to make
any  Acquisitions,  or make or commit to make any  advance,  loan,  extension of
credit  or  capital  contribution  to or any other  investment  in,  any  Person
including any Affiliate of the Company (together, "Investments"), except for:

                  (a)      Investments held by the Company or Subsidiary in the
form of cash equivalents or short term marketable securities;


                                      -64-

<PAGE>



                  (b)      extensions of credit in the nature of accounts
receivable or notes receivable arising from the sale or lease of
goods or services in the ordinary course of business;

                  (c)      extensions of credit by the Company to any of its
Wholly Owned Subsidiaries or by any of its Wholly Owned
Subsidiaries to another of its Wholly Owned Subsidiaries;

                  (d)      Investments in Subsidiaries other than HMO Texas;
and

                  (e) other  Investments  consisting  of equity  holdings in HMO
Texas,  2314  Partnership  and Persons other than  Subsidiaries  in an aggregate
amount not exceeding 15% of the Company's Net Worth at any one time outstanding.

         8.05 Limitation on  Indebtedness.  The Company shall not, and shall not
suffer or permit any Subsidiary to, create,  incur, assume,  suffer to exist, or
otherwise  become or remain  directly or indirectly  liable with respect to, any
Indebtedness, except:

                  (a)      Indebtedness incurred pursuant to this Agreement;

                  (b)      Indebtedness consisting of Contingent Obligations
permitted pursuant to Section 8.08;

                  (c)      Indebtedness existing on the Closing Date and set
forth in Schedule 8.05;

                  (d)      Indebtedness secured by Liens permitted by
subsections 8.01(g) and (h);

                  (e)  Indebtedness  incurred for the purpose of refinancing all
(but not less than all) of the Indebtedness incurred pursuant to subsections (b)
or (c) above; provided,  that the aggregate outstanding principal amount of such
Indebtedness  shall not at any time exceed the aggregate  outstanding  principal
amount thereof at the Closing Date,  minus the aggregate  amount of all payments
and  prepayments  of principal  which as of such time shall have been made after
the date of this  Agreement  in respect of  Indebtedness  incurred  pursuant  to
subsections (b) and (c) or pursuant to this subsection (e); and

                  (f) additional unsecured  Indebtedness not otherwise permitted
under  this  Section  8.05,  in an  aggregate  principal  amount  not to  exceed
$25,000,000 at any one time outstanding.

         8.06 Transactions with Affiliates. The Company shall not, and shall not
suffer  or  permit  any  Subsidiary  to,  enter  into any  transaction  with any
Affiliate  of the  Company,  except  upon  fair  and  reasonable  terms  no less
favorable  to the Company or such  Subsidiary  than would obtain in a comparable
arm's-length

                                      -65-

<PAGE>



transaction with a Person not an Affiliate of the Company or such
Subsidiary.

         8.07 Use of Proceeds.  (a) The Company  shall not, and shall not suffer
or permit any  Subsidiary to, use any portion of the Loan proceeds or any Letter
of Credit,  directly or indirectly,  (i) to purchase or carry Margin Stock, (ii)
to repay or otherwise  refinance  indebtedness of the Company or others incurred
to purchase or carry  Margin  Stock,  (iii) to extend  credit for the purpose of
purchasing  or carrying  any Margin  Stock,  (iv) to acquire any security in any
transaction  that is subject to Section 13 or 14 of the Exchange Act, or (v) for
any purpose which violated Regulations G, T, U or X of the FRB.

                  (b) The Company  shall not,  directly or  indirectly,  use any
portion of the Loan  proceeds or any Letter of Credit (i)  knowingly to purchase
Ineligible  Securities from the Agent or any of its Affiliates during any period
in which the Agent or any of its  Affiliates  makes a market in such  Ineligible
Securities,  (ii)  knowingly to purchase  during the  underwriting  or placement
period Ineligible Securities being underwritten or privately placed by the Agent
or any of its Affiliates,  or (iii) to make payments of principal or interest on
Ineligible  Securities  underwritten or privately  placed by the Agent or any of
its  Affiliates and issued by or for the benefit of the Company or any Affiliate
of the Company.  Certain  Affiliates of the Agent are registered  broker dealers
and  permitted to  underwrite  and deal in certain  Ineligible  Securities;  and
"Ineligible  Securities" means securities which may not be underwritten or dealt
in by member banks of the Federal Reserve System under Section 16 of the Banking
Act of 1933 (12 U.S.C. Section 24, Seventh), as amended.

         8.08  Contingent Obligations.  The Company shall not, and
shall not suffer or permit any Subsidiary to, create, incur, assume
or suffer to exist any Contingent Obligations except:

                  (a)      endorsements for collection or deposit in the
ordinary course of business;

                  (b)      Contingent Obligations of the Company and its
Subsidiaries existing as of the Closing Date and listed in Schedule
8.08;

                  (c)      Contingent Obligations under Swap Contracts; and

                  (d)      Contingent Obligations with respect to Surety
Instruments incurred in the ordinary course of business, to the
extent permitted under Section 8.05.

         8.09  Lease Obligations.  The Company shall not, and shall not
suffer or permit any Subsidiary to, create or suffer to exist any

                                      -66-

<PAGE>



obligations for the payment of rent for any property under lease or agreement to
lease, except for:

                  (a)      leases of the Company and of Subsidiaries in
existence on the Closing Date and any renewal, extension or
refinancing thereof;

                  (b)      operating leases entered into by the Company or any
Subsidiary after the Closing Date in the ordinary course of
business; and

                  (c) Capital Leases other than those permitted under clause (a)
of this Section, entered into by the Company or any Subsidiary after the Closing
Date to finance the acquisition of equipment.

         8.10  Restricted  Payments.  (a) The Company  shall not,  and shall not
suffer or permit any  Subsidiary  to,  declare or make any  dividend  payment or
other  distribution  of  assets,   properties,   cash,  rights,  obligations  or
securities  on  account  of any  shares of any class of its  capital  stock,  or
purchase,  redeem or otherwise acquire for value any shares of its capital stock
or any  warrants,  rights or options to acquire  such  shares,  now or hereafter
outstanding (each, a "Restricted Payment") unless

                  (i) at the time of, and  immediately  after giving  effect to,
         such  Restricted  Payment,  no Default  or Event of Default  shall have
         occurred and be continuing, and

                  (ii)  after  giving  effect to such  Restricted  Payment,  the
         aggregate amount of all Restricted  Payments made from the Closing Date
         to the date of such Restricted  Payment shall not exceed the sum of (x)
         25% of net income (or minus 100% of consolidated net income in the case
         of a loss)  of the  Company  and its  Subsidiaries  arising  after  the
         Closing Date and computed on a cumulative  consolidated  basis plus (y)
         50% of the net cash  proceeds of any  issuance of capital  stock of the
         Company subsequent to the Closing Date,  exclusive of any such issuance
         made in connection with a merger or Acquisition.

         (b) The  Company  shall  not,  and  shall  not  suffer  or  permit  any
Subsidiary  to,  purchase,  redeem,  retire or  otherwise  acquire,  or make any
payment,  prepayment or defeasance of, more than  $25,000,000 of the outstanding
principal of any of the  Convertible  Notes on a cumulative  basis following the
Closing Date for so long as any of the Obligations shall remain outstanding.

         8.11 ERISA.  The Company  shall not, and shall not suffer or permit any
of its ERISA Affiliates to: (a) engage in a prohibited  transaction or violation
of the  fiduciary  responsibility  rules  with  respect  to any Plan  which  has
resulted or could  reasonably  expected to result in liability of the Company in
an aggregate amount in

                                      -67-

<PAGE>



excess of  $2,000,000;  or (b) engage in a transaction  that could be subject to
Section 4069 or 4212(c) of ERISA.

         8.12 Change in Business. The Company shall not, and shall not suffer or
permit any Subsidiary to, engage in any material line of business other than the
Health Care Business.

         8.13 Accounting Changes. The Company shall not, and shall not suffer or
permit any Subsidiary to, make any significant change in accounting treatment or
reporting  practices,  except as required by GAAP,  or change the fiscal year of
the Company or of any Subsidiary.

         8.14  Financial Covenants.  The Company shall not:

                  (a)      permit its Leverage Ratio to exceed 2.5 to 1.00 as
of the end of any fiscal quarter;

                  (b) permit its Net Worth to be less than the sum of (i) 85% of
Net Worth at December  31,  1995 plus (ii) 50% of  cumulative  consolidated  net
income (or minus 100% of consolidated net loss) for the period commencing on the
Closing  Date and  ending on the date of  determination,  plus  (iii) 50% of the
amount by which Net Worth is increased by issuances of equity securities (except
to the  extent  such  issuance  is made in  connection  with an  Acquisition  or
securities  issued  pursuant to the Company's long term incentive  plans,  stock
option plans and employee stock purchase plans);

                  (c)      permit its Fixed Charges Coverage Ratio to be less
than 2.25 to 1.00 as of the end of any fiscal quarter; or

                  (d) incur, make or enter into any contractual  undertaking for
Capital  Expenditures  in any  fiscal  year  in  excess  of 6% of the  Company's
Consolidated  Tangible  Assets  as of the last day of the  most  recently  ended
fiscal year.

         8.15 Limitation on Payment Restrictions Affecting Subsidiaries.  Except
as set forth in this Agreement,  the Company shall not, and shall not permit any
of its  Subsidiaries,  directly or  indirectly,  to create or suffer to exist or
allow to become  effective any  consensual  encumbrance  or  restriction  on the
ability of (i) any of the  Subsidiaries  of the  Company to (a)  declare and pay
dividends on such  Subsidiaries'  stock or pay any obligation,  liability or any
Indebtedness  owed to the  Company  or any of its other  Subsidiaries,  (b) make
loans or advances to the Company or its other  Subsidiaries  or (c) transfer any
of its properties or assets to the Company or any of its other Subsidiaries,  or
(ii) the Company or any of its  Subsidiaries to receive or retain  vis-a-vis the
transferor any such amounts set forth in clauses (i)(a), (i)(b) or (i)(c) above,
except  for  encumbrances  or  restrictions  existing  under or by reason of HMO
Regulations and other applicable law.


                                      -68-

<PAGE>



         8.16 Pledged  Shares.  The Company  shall,  and shall cause each of its
Subsidiaries  to, pledge to the Agent,  for the benefit of the Banks, all of the
shares of capital stock of each of their  respective  Subsidiaries  from time to
time pursuant to a Pledge Agreement.  Notwithstanding  foregoing,  the shares of
Excluded  Subsidiaries shall not be required to be so pledged until such time as
the Subsidiaries whose capital stock is not subject to a Pledge Agreement would,
if aggregated, constitute a Significant Subsidiary.  Thereafter, the Agent shall
be entitled  to require  the pledge of the  capital  stock of any one or more of
such  Subsidiaries  (other than HMO Texas and 2314  Partnership) as the Majority
Banks may select.


                                   ARTICLE IX
                                EVENTS OF DEFAULT

         9.01  Event of Default.  Any of the following shall constitute
an "Event of Default":

                  (a) Non  Payment.  The Company  fails to pay,  (i) when and as
required to be paid  herein,  any amount of principal of or interest on any Loan
or of any L/C Obligation,  or (ii) within three days after the same becomes due,
any fee or any other amount payable  hereunder or under any other Loan Document;
or

                  (b) Representation or Warranty. Any representation or warranty
by the Company or any Subsidiary  made or deemed made herein,  in any other Loan
Document,  or which is  contained in any  certificate,  document or financial or
other  statement by the Company,  any Subsidiary,  or any  Responsible  Officer,
furnished  at any time  under  this  Agreement,  or in or under any  other  Loan
Document,  is  incorrect  in any  material  respect on or as of the date made or
deemed made; or

                  (c)      Specific Defaults.  The Company fails to perform or
observe any term, covenant or agreement contained in any of Section
7.01, 7.02, 7.03 or 7.09 or in Article VIII; or

                  (d) Other  Defaults.  The Company  fails to perform or observe
any other  term or  covenant  contained  in this  Agreement  or any  other  Loan
Document,  and such default shall  continue  unremedied  for a period of 20 days
after the  earlier of (i) the date upon which a  Responsible  Officer had Actual
Knowledge of such failure or (ii) the date upon which written  notice thereof is
given to the Company by the Agent or any Bank; or

                  (e) Cross-Default.  The Company or any Subsidiary (A) fails to
make any payment in respect of any Indebtedness or Contingent  Obligation (other
than in respect of Swap Contracts), having an aggregate principal amount of more
than $5,000,000 when due (whether by scheduled maturity, required prepayment,

                                      -69-

<PAGE>



acceleration,  demand,  or  otherwise);  or (B) fails to perform or observe  any
other condition or covenant,  or any other event shall occur or condition exist,
under  any  agreement  or  instrument  relating  to  any  such  Indebtedness  or
Contingent Obligation,  and such failure continues after the applicable grace or
notice period,  if any,  specified in the relevant  document on the date of such
failure if the effect of such  failure,  event or condition  is to cause,  or to
permit  the  holder  or  holders  of  such   Indebtedness   or   beneficiary  or
beneficiaries  of such  Indebtedness  (or a  trustee  or agent on behalf of such
holder or holders or beneficiary or beneficiaries) to cause such Indebtedness to
be  declared  to be due  and  payable  prior  to its  stated  maturity,  or such
Contingent Obligation to become payable or cash collateral in respect thereof to
be demanded; or

                  (f)  Insolvency;  Voluntary  Proceedings.  The  Company or any
Significant  Subsidiary (i) ceases or fails to be solvent, or generally fails to
pay, or admits in writing its  inability  to pay,  its debts as they become due,
subject to  applicable  grace  periods,  if any,  whether at stated  maturity or
otherwise;  (ii)  voluntarily  ceases to conduct its  business  in the  ordinary
course;  (iii) commences any Insolvency  Proceeding  with respect to itself;  or
(iv) takes any action to effectuate or authorize any of the foregoing; or

                  (g) Involuntary  Proceedings.  (i) Any involuntary  Insolvency
Proceeding  is  commenced  or  filed  against  the  Company  or any  Significant
Subsidiary, or any writ, judgment,  warrant of attachment,  execution or similar
process,  is issued or levied against a substantial part of the Company's or any
Significant Subsidiary's  properties,  and any such proceeding or petition shall
not be dismissed,  or such writ, judgment,  warrant of attachment,  execution or
similar  process  shall not be released,  vacated or fully bonded within 60 days
after  commencement,  filing  or  levy;  (ii)  the  Company  or any  Significant
Subsidiary  admits the  material  allegations  of a  petition  against it in any
Insolvency  Proceeding,  or an order for relief (or similar order under non U.S.
law) is  ordered  in any  Insolvency  Proceeding;  or (iii) the  Company  or any
Significant  Subsidiary  acquiesces in the  appointment of a receiver,  trustee,
custodian, conservator, liquidator, mortgagee in possession (or agent therefor),
or other similar  Person for itself or a substantial  portion of its property or
business; or

                  (h) ERISA.  (i) An ERISA Event  shall occur with  respect to a
Pension Plan or  Multiemployer  Plan which has resulted or could  reasonably  be
expected to result in  liability  of the Company  under Title IV of ERISA to the
Pension Plan, Multiemployer Plan or the PBGC in an aggregate amount in excess of
$2,000,000; the aggregate amount of Unfunded Pension Liability among all Pension
Plans  at any time  exceeds  $2,000,000;  or  (iii)  the  Company  or any  ERISA
Affiliate  shall fail to pay when due,  after the  expiration of any  applicable
grace period, any installment payment with respect to

                                      -70-

<PAGE>



its withdrawal liability under Section 4201 of ERISA under a
Multiemployer Plan in an aggregate amount in excess of $2,000,000;
or

                  (i)  Monetary   Judgments.   One  or  more  non  interlocutory
judgments,  non interlocutory  orders,  decrees or arbitration awards is entered
against the Company or any Subsidiary involving in the aggregate a liability (to
the extent not  covered by  independent  third-party  insurance  as to which the
insurer  does not  dispute  coverage)  as to any  single  or  related  series of
transactions, incidents or conditions, of $5,000,000 or more, and the same shall
remain  unvacated and unstayed  pending appeal for a period of 10 days after the
entry thereof; or

                  (j) Non Monetary Judgments.  Any non monetary judgment,  order
or decree is entered  against the Company or any Subsidiary  which does or would
reasonably be expected to have a Material Adverse Effect, and there shall be any
period  of 10  consecutive  days  during  which  a stay of  enforcement  of such
judgment or order,  by reason of a pending appeal or otherwise,  shall not be in
effect; or

                  (k)      Change of Control.  There occurs any Change of
Control; or

                  (l)  Loss  of  Licenses.   Any  HMO  Regulator  or  any  other
Governmental Authority revokes or fails to renew any material license, permit or
franchise of the Company or any Subsidiary, or the Company or any Subsidiary for
any reason loses any material  license,  permit or franchise,  or the Company or
any  Subsidiary  suffers  the  imposition  of  any  restraining  order,  escrow,
suspension or impound of funds in connection  with any  proceeding  (judicial or
administrative) with respect to any material license, permit or franchise; or

                  (m) HMO Event.  An HMO Event  shall have  occurred  and remain
unremedied  for the lesser of 30 days after the occurrence of such event or five
days after the  duration  of any cure  period  imposed  for the cure of such HMO
Event by the HMO Regulator administering the pertinent HMO Regulations; or

                  (n)      Prospective Premium Default.  A Prospective Premium
Default shall have occurred; or

                  (o)      Adverse Change.  There occurs a Material Adverse
Effect; or

                  (p)      Invalidity of Subordination Provisions.  The
subordination provisions of the Convertible Notes or any agreement
or instrument governing any other Subordinated Debt is for any
reason revoked or invalidated, or otherwise cease to be in full
force and effect, or any Person contests in any manner (with a

                                      -71-

<PAGE>



reasonable  likelihood  of success)  the validity or  enforceability  thereof or
denies  that it has any  further  liability  or  obligation  thereunder,  or the
Indebtedness  hereunder  is for any  reason  subordinated  or does  not have the
priority contemplated by this Agreement or such subordination provisions.

         9.02  Remedies.  If any Event of Default occurs, the Agent
shall, at the request of, or may, with the consent of, the Majority
Banks,

                  (a) declare the  commitment of each Bank to make Loans and any
obligation  of the  Issuing  Bank to Issue  Letters of Credit to be  terminated,
whereupon such commitments and obligation shall be terminated;

                  (b) declare an amount  equal to the maximum  aggregate  amount
that is or at any time  thereafter  may become  available  for drawing under any
outstanding  Letters  of  Credit  (whether  or not any  beneficiary  shall  have
presented,  or shall be entitled  at such time to  present,  the drafts or other
documents  required to draw under such Letters of Credit) to be immediately  due
and payable,  and declare the unpaid principal amount of all outstanding  Loans,
all interest accrued and unpaid thereon,  and all other amounts owing or payable
hereunder or under any other Loan  Document to be  immediately  due and payable,
without presentment,  demand,  protest or other notice of any kind, all of which
are hereby expressly waived by the Company; and

                  (c)      exercise on behalf of itself and the Banks all
rights and remedies available to it and the Banks under the Loan
Documents or applicable law;

provided, however, that upon the occurrence of any event specified in subsection
(f) or (g) of Section 9.01 (in the case of clause (i) of subsection (g) upon the
expiration of the 60-day period mentioned therein),  the obligation of each Bank
to make Loans and any  obligation of the Issuing Bank to Issue Letters of Credit
shall automatically terminate and the unpaid principal amount of all outstanding
Loans and all interest and other amounts as aforesaid shall automatically become
due and payable without further act of the Agent, the Issuing Bank or any Bank.

NOTWITHSTANDING THE FOREGOING, THE AGENT AND THE BANKS EXPRESSLY ACKNOWLEDGE AND
AGREE THAT ANY TRANSFER OF THE PLEDGED  SHARES,  OR ANY EXERCISE OF CONTROL WITH
RESPECT THERETO, IS SUBJECT TO, AND SHALL BE EFFECTED SOLELY IN COMPLIANCE WITH,
APPLICABLE  REGULATORY  REQUIREMENTS;  PROVIDED  THAT  THIS  ACKNOWLEDGMENT  AND
AGREEMENT  IS MADE  SOLELY  FOR  THE  BENEFIT  OF  APPLICABLE  GOVERNMENTAL  AND
REGULATORY  AUTHORITIES  AND SHALL NOT BE CONSTRUED AS A COVENANT AS BETWEEN THE
AGENT  AND  THE  BANKS,  ON  THE  ONE  HAND,  AND  THE  COMPANY  OR  ANY  OF ITS
SUBSIDIARIES, ON THE OTHER HAND.


                                      -72-

<PAGE>



         9.03 Rights Not  Exclusive.  The rights  provided for in this Agreement
and the other Loan  Documents are  cumulative and are not exclusive of any other
rights,  powers,  privileges or remedies  provided by law or in equity, or under
any other instrument, document or agreement now existing or hereafter arising.


                                    ARTICLE X
                                    THE AGENT

         10.01  Appointment  and  Authorization;  "Agent".  (a) Each Bank hereby
irrevocably  (subject to Section 10.09) appoints,  designates and authorizes the
Agent to take such action on its behalf under the  provisions of this  Agreement
and each other Loan Document and to exercise such powers and perform such duties
as are  expressly  delegated  to it by the terms of this  Agreement or any other
Loan Document,  together with such powers as are reasonably  incidental thereto.
Notwithstanding  any  provision  to the  contrary  contained  elsewhere  in this
Agreement or in any other Loan Document,  the Agent shall not have any duties or
responsibilities,  except those expressly set forth herein,  nor shall the Agent
have or be  deemed to have any  fiduciary  relationship  with any  Bank,  and no
implied  covenants,   functions,   responsibilities,   duties,   obligations  or
liabilities  shall be read into this  Agreement  or any other Loan  Document  or
otherwise  exist  against the Agent.  Without  limiting  the  generality  of the
foregoing sentence, the use of the term "agent" in this Agreement with reference
to the Agent is not  intended  to connote  any  fiduciary  or other  implied (or
express)  obligations  arising  under  agency  doctrine of any  applicable  law.
Instead,  such term is used merely as a matter of market custom, and is intended
to create or reflect only an  administrative  relationship  between  independent
contracting parties.

                  (b) The  Issuing  Bank  shall act on behalf of the Banks  with
respect  to any  Letters  of Credit  Issued by it and the  documents  associated
therewith  until  such time and except for so long as the Agent may agree at the
request  of the  Majority  Lenders  to act for such  Issuing  Bank with  respect
thereto; provided, however, that the Issuing Bank shall have all of the benefits
and  immunities  (i) provided to the Agent in this Article X with respect to any
acts taken or omissions  suffered by the Issuing Bank in connection with Letters
of Credit  Issued by it or proposed to be Issued by it and the  application  and
agreements for letters of credit pertaining to the Letters of Credit as fully as
if the term  "Agent",  as used in this Article X, included the Issuing Bank with
respect to such acts or  omissions,  and (ii) as  additionally  provided in this
Agreement with respect to the Issuing Bank.

         10.02  Delegation  of Duties.  The Agent may  execute any of its duties
under this Agreement or any other Loan Document by or through agents,  employees
or  attorneys-in-fact  and shall be entitled to advice of counsel concerning all
matters pertaining to

                                      -73-

<PAGE>



such duties. The Agent shall not be responsible for the negligence or misconduct
of any agent or attorney-in-fact that it selects with reasonable care.

         10.03  Liability of Agent.  None of the Agent Related Persons shall (i)
be liable for any action taken or omitted to be taken by any of them under or in
connection  with this  Agreement or any other Loan Document or the  transactions
contemplated hereby (except for its own gross negligence or willful misconduct),
or (ii) be  responsible  in any  manner  to any of the  Banks  for any  recital,
statement,  representation  or warranty made by the Company or any Subsidiary or
Affiliate of the Company, or any officer thereof, contained in this Agreement or
in any other Loan Document,  or in any certificate,  report,  statement or other
document  referred to or  provided  for in, or received by the Agent under or in
connection  with,  this Agreement or any other Loan  Document,  or the validity,
effectiveness,  genuineness,  enforceability or sufficiency of this Agreement or
any other Loan Document, or for any failure of the Company or any other party to
any Loan Document to perform its obligations  hereunder or thereunder.  No Agent
Related  Person  shall be under any  obligation  to any Bank to  ascertain or to
inquire as to the observance or  performance of any of the agreements  contained
in, or conditions of, this  Agreement or any other Loan Document,  or to inspect
the  properties,  books  or  records  of the  Company  or  any of the  Company's
Subsidiaries or Affiliates.

         10.04  Reliance by Agent.  (a) The Agent shall be entitled to rely, and
shall be fully  protected  in relying,  upon any  writing,  resolution,  notice,
consent, certificate, affidavit, letter, telegram, facsimile, telex or telephone
message,  statement  or other  document  or  conversation  believed  by it to be
genuine and correct and to have been signed,  sent or made by the proper  Person
or Persons,  and upon advice and statements of legal counsel  (including counsel
to the  Company),  independent  accountants  and other  experts  selected by the
Agent.  The Agent  shall be fully  justified  in failing or refusing to take any
action  under this  Agreement or any other Loan  Document  unless it shall first
receive such advice or concurrence of the Majority Banks as it deems appropriate
and, if it so requests, it shall first be indemnified to its satisfaction by the
Banks  against any and all  liability and expense which may be incurred by it by
reason of taking or continuing  to take any such action.  The Agent shall in all
cases be fully  protected in acting,  or in refraining  from acting,  under this
Agreement or any other Loan Document in accordance  with a request or consent of
the  Majority  Banks and such  request  and any  action  taken or failure to act
pursuant thereto shall be binding upon all of the Banks.

                  (b) For purposes of determining compliance with the conditions
specified in Section 5.01,  each Bank that has executed this Agreement  shall be
deemed to have consented to,  approved or accepted or to be satisfied with, each
document  or other  matter  either  sent by the Agent to such Bank for  consent,
approval,

                                      -74-

<PAGE>



acceptance or satisfaction, or required thereunder to be consented
to or approved by or acceptable or satisfactory to the Bank.

         10.05  Notice  of  Default.  The  Agent  shall  not be  deemed  to have
knowledge or notice of the occurrence of any Default or Event of Default, except
with respect to defaults in the payment of principal, interest and fees required
to be paid to the Agent for the  account  of the Banks,  unless the Agent  shall
have  received  written  notice  from a Bank or the  Company  referring  to this
Agreement,  describing  such  Default or Event of Default and stating  that such
notice is a "notice of default".  The Agent will notify the Banks of its receipt
of any such  notice.  The Agent  shall  take such  action  with  respect to such
Default  or  Event of  Default  as may be  requested  by the  Majority  Banks in
accordance with Article IX; provided,  however,  that unless and until the Agent
has received  any such  request,  the Agent may (but shall not be obligated  to)
take such  action,  or refrain  from taking such  action,  with  respect to such
Default or Event of Default as it shall deem  advisable or in the best  interest
of the Banks.

         10.06 Credit Decision.  Each Bank  acknowledges  that none of the Agent
Related Persons has made any  representation  or warranty to it, and that no act
by the Agent  hereinafter  taken,  including  any  review of the  affairs of the
Company and its Subsidiaries,  shall be deemed to constitute any  representation
or warranty by any Agent Related Person to any Bank. Each Bank represents to the
Agent that it has,  independently  and without  reliance  upon any Agent Related
Person and based on such documents and information as it has deemed appropriate,
made  its own  appraisal  of and  investigation  into the  business,  prospects,
operations,  property, financial and other condition and creditworthiness of the
Company and its  Subsidiaries,  and all applicable bank regulatory laws relating
to the transactions contemplated hereby, and made its own decision to enter into
this  Agreement  and to extend credit to the Company  hereunder.  Each Bank also
represents  that it will,  independently  and  without  reliance  upon any Agent
Related  Person and based on such  documents  and  information  as it shall deem
appropriate at the time,  continue to make its own credit  analysis,  appraisals
and decisions in taking or not taking action under this  Agreement and the other
Loan Documents,  and to make such investigations as it deems necessary to inform
itself as to the business, prospects,  operations, property, financial and other
condition and creditworthiness of the Company.  Except for notices,  reports and
other  documents  expressly  herein required to be furnished to the Banks by the
Agent, the Agent shall not have any duty or  responsibility  to provide any Bank
with any  credit  or  other  information  concerning  the  business,  prospects,
operations,  property,  financial and other condition or creditworthiness of the
Company which may come into the possession of any of the Agent Related Persons.


                                      -75-

<PAGE>



         10.07  Indemnification  of  Agent.  Whether  or  not  the  transactions
contemplated  hereby are consummated,  the Banks shall indemnify upon demand the
Agent  Related  Persons  (to the  extent not  reimbursed  by or on behalf of the
Company and without  limiting the obligation of the Company to do so), pro rata,
from and against any and all Indemnified Liabilities; provided, however, that no
Bank shall be liable for the payment to the Agent Related Persons of any portion
of such  Indemnified  Liabilities  resulting  solely  from such  Person's  gross
negligence or willful misconduct. Without limitation of the foregoing, each Bank
shall  reimburse  the Agent upon  demand for its  ratable  share of any costs or
out-of-pocket  expenses  (including  Attorney  Costs)  incurred  by the Agent in
connection   with  the   preparation,   execution,   delivery,   administration,
modification,  amendment or enforcement  (whether  through  negotiations,  legal
proceedings  or  otherwise)  of,  or  legal  advice  in  respect  of  rights  or
responsibilities under, this Agreement, any other Loan Document, or any document
contemplated  by or  referred  to herein,  to the  extent  that the Agent is not
reimbursed for such expenses by or on behalf of the Company.  The undertaking in
this Section  shall  survive the payment of all  Obligations  hereunder  and the
resignation or replacement of the Agent.

         10.08 Agent in Individual  Capacity.  BofA and its  Affiliates may make
loans to,  issue  letters of credit for the account of,  accept  deposits  from,
acquire equity interests in and generally engage in any kind of banking,  trust,
financial  advisory,  underwriting  or other  business  with the Company and its
Subsidiaries  and  Affiliates  as though  BofA were not the Agent or the Issuing
Bank  hereunder  and  without  notice  to or  consent  of the  Banks.  The Banks
acknowledge  that,  pursuant  to such  activities,  BofA or its  Affiliates  may
receive  information   regarding  the  Company  or  its  Affiliates   (including
information that may be subject to  confidentiality  obligations in favor of the
Company or such  Subsidiary)  and  acknowledge  that the Agent shall be under no
obligation to provide such information to them. With respect to its Loans,  BofA
shall have the same rights and powers under this Agreement as any other Bank and
may exercise the same as though it were not the Agent or the Issuing Bank.

         10.09  Successor  Agent.  The  Agent  may,  and at the  request  of the
Majority Banks shall,  resign as Agent upon 30 days' notice to the Banks. If the
Agent resigns under this Agreement,  the Majority Banks shall appoint from among
the Banks a successor  agent for the Banks.  If no successor  agent is appointed
prior to the  effective  date of the  resignation  of the  Agent,  the Agent may
appoint, after consulting with the Banks and the Company, a successor agent from
among the Banks.  Upon the  acceptance  of its  appointment  as successor  agent
hereunder,  such  successor  agent shall  succeed to all the rights,  powers and
duties of the  retiring  Agent and the term  "Agent"  shall mean such  successor
agent and the retiring Agent's appointment,  powers and duties as Agent shall be
terminated. After any retiring Agent's resignation hereunder as

                                      -76-

<PAGE>



Agent, the provisions of this Article X and Sections 11.04 and 11.05 shall inure
to its benefit as to any actions taken or omitted to be taken by it while it was
Agent under this Agreement.  If no successor  agent has accepted  appointment as
Agent by the date  which is 30 days  following  a  retiring  Agent's  notice  of
resignation,  the retiring  Agent's  resignation  shall  nevertheless  thereupon
become  effective  and the Banks  shall  perform  all of the duties of the Agent
hereunder  until such time,  if any, as the Majority  Banks  appoint a successor
agent as provided for above.  Notwithstanding the foregoing,  however,  BofA may
not be removed as the Agent at the  request of the  Majority  Banks  unless BofA
shall also  simultaneously  be replaced as "Issuing Bank" hereunder  pursuant to
documentation in form and substance reasonably satisfactory to BofA.

         10.10  Withholding Tax.  (a)  If any Bank is a "foreign
corporation, partnership or trust" within the meaning of the Code
and such Bank claims exemption from, or a reduction of, U.S.
withholding tax under Sections 1441 or 1442 of the Code, such Bank
agrees with and in favor of the Agent, to deliver to the Agent:

                           (i) if such  Bank  claims  an  exemption  from,  or a
         reduction of,  withholding  tax under a United  States tax treaty,  two
         properly  completed  and  executed  copies of IRS Form 1001  before the
         payment  of any  interest  in the first  calendar  year and  before the
         payment of any interest in each third  succeeding  calendar year during
         which interest may be paid under this Agreement;

                           (ii) if such Bank  claims  that  interest  paid under
         this Agreement is exempt from United States  withholding tax because it
         is effectively connected with a United States trade or business of such
         Bank,  two  properly  completed  and  executed  copies of IRS Form 4224
         before the payment of any interest is due in the first  taxable year of
         such Bank and in each succeeding taxable year of such Bank during which
         interest may be paid under this Agreement; and

                           (iii)  such  other  form or forms as may be  required
         under the Code or other laws of the  United  States as a  condition  to
         exemption from, or reduction of, United States withholding tax.

Such Bank  agrees to  promptly  notify the Agent of any change in  circumstances
which would modify or render invalid any claimed exemption or reduction.

                  (b) If any  Bank  claims  exemption  from,  or  reduction  of,
withholding  tax under a United States tax treaty by providing IRS Form 1001 and
such Bank sells, assigns,  grants a participation in, or otherwise transfers all
or part of the  Obligations  of the  Company to such Bank,  such Bank  agrees to
notify  the  Agent  of the  percentage  amount  in  which  it is no  longer  the
beneficial owner of

                                      -77-

<PAGE>



Obligations  of the  Company  to such  Bank.  To the  extent of such  percentage
amount, the Agent will treat such Bank's IRS Form 1001 as no longer valid.

                  (c)  If  any  Bank  claiming   exemption  from  United  States
withholding tax by filing IRS Form 4224 with the Agent sells, assigns,  grants a
participation  in, or otherwise  transfers all or part of the Obligations of the
Company to such Bank,  such Bank agrees to  undertake  sole  responsibility  for
complying with the  withholding  tax  requirements  imposed by Sections 1441 and
1442 of the Code.

                  (d) If any Bank is entitled to a reduction  in the  applicable
withholding  tax, the Agent may withhold from any interest  payment to such Bank
an amount equivalent to the applicable withholding tax after taking into account
such  reduction.  However,  if the  forms or  other  documentation  required  by
subsection  (a) of this Section are not  delivered to the Agent,  then the Agent
may withhold from any interest  payment to such Bank not providing such forms or
other  documentation  an amount  equivalent to the  applicable  withholding  tax
imposed by Sections 1441 and 1442 of the Code, without reduction.

                  (e) If the  IRS or any  other  Governmental  Authority  of the
United  States  or other  jurisdiction  asserts  a claim  that the Agent did not
properly  withhold  tax  from  amounts  paid to or for the  account  of any Bank
(because the appropriate form was not delivered or was not properly executed, or
because such Bank failed to notify the Agent of a change in circumstances  which
rendered the exemption from, or reduction of,  withholding tax  ineffective,  or
for any other reason) such Bank shall  indemnify the Agent fully for all amounts
paid,  directly  or  indirectly,  by the  Agent as tax or  otherwise,  including
penalties and interest,  and including any taxes imposed by any  jurisdiction on
the amounts payable to the Agent under this Section, together with all costs and
expenses  (including  Attorney  Costs).  The  obligation of the Banks under this
subsection  shall survive the payment of all  Obligations and the resignation or
replacement of the Agent.


                                   ARTICLE XI
                                  MISCELLANEOUS

         11.01  Amendments and Waivers.  No amendment or waiver of any provision
of this Agreement or any other Loan Document, and no consent with respect to any
departure by the Company therefrom,  shall be effective unless the same shall be
in writing  and  signed by the  Majority  Banks (or by the Agent at the  written
request of the Majority  Banks) and the Company and  acknowledged  by the Agent,
and then any such  waiver or consent  shall be  effective  only in the  specific
instance and for the specific purpose for which given;  provided,  however, that
no such waiver, amendment, or consent

                                      -78-

<PAGE>



shall, unless in writing and signed by all the Banks and the
Company and acknowledged by the Agent, do any of the following:

                  (a)      increase or extend the Commitment of any Bank (or
reinstate any Commitment terminated pursuant to Section 8.02);

                  (b) postpone or delay any date fixed by this  Agreement or any
other Loan  Document  for any  payment  of  principal,  interest,  fees or other
amounts  due to the Banks  (or any of them)  hereunder  or under any other  Loan
Document;

                  (c) reduce the principal of, or the rate of interest specified
herein on any Loan, or (subject to clause (iii) below) any fees or other amounts
payable hereunder or under any other Loan Document;

                  (d)      change the percentage of the Commitments or of the
aggregate unpaid principal amount of the Loans which is required
for the Banks or any of them to take any action hereunder; or

                  (e)      amend this Section, or Section 2.14, or any
provision herein providing for consent or other action by all
Banks;

and, provided further, that (i) no amendment, waiver or consent shall, unless in
writing and signed by the Issuing Bank in addition to the Majority  Banks or all
the Banks,  as the case may be,  affect the rights or duties of the Issuing Bank
under this  Agreement  or any  L/C-Related  Document  relating  to any Letter of
Credit Issued or to be Issued by it, (ii) no amendment, waiver or consent shall,
unless in writing and signed by the Agent in addition to the  Majority  Banks or
all the  Banks,  as the case may be,  affect  the  rights or duties of the Agent
under this Agreement or any other Loan  Document,  and (iii) the Fee Letters may
be amended, or rights or privileges  thereunder waived, in a writing executed by
the parties thereto.

         11.02 Notices. (a) All notices, requests, consents,  approvals, waivers
and other  communications  shall be in writing  (including,  unless the  context
expressly  otherwise  provides,  by facsimile  transmission,  provided  that any
matter  transmitted  by the  Company  by  facsimile  (i)  shall  be  immediately
confirmed  by a  telephone  call to the  recipient  at the number  specified  on
Schedule 11.02,  and (ii) shall be followed  promptly by delivery of a hard copy
original  thereof) and mailed,  faxed or delivered,  to the address or facsimile
number  specified for notices on Schedule 11.02;  or, as directed to the Company
or the Agent,  to such other  address as shall be  designated by such party in a
written notice to the other parties, and as directed to any other party, at such
other address as shall be  designated  by such party in a written  notice to the
Company and the Agent.


                                      -79-

<PAGE>



                  (b) All such notices,  requests and communications shall, when
transmitted  by overnight  delivery,  or faxed,  be effective when delivered for
overnight  (next-day)  delivery,  or  transmitted  in legible  form by facsimile
machine,  respectively, or if mailed, upon the third Business Day after the date
deposited  into the U.S.  mail,  or if  delivered,  upon  delivery;  except that
notices  pursuant to Article  II, III or X to the Agent  shall not be  effective
until actually received by the Agent, and notices pursuant to Article III to the
Issuing Bank shall not be effective until actually  received by the Issuing Bank
at the address specified for the "Issuing Bank" on the applicable signature page
hereof.

                  (c) Any agreement of the Agent and the Banks herein to receive
certain  notices by telephone or facsimile is solely for the  convenience and at
the request of the Company and the Pledgor Subsidiaries. The Agent and the Banks
shall be  entitled to rely on the  authority  of any Person  purporting  to be a
Person  authorized by the Company or any Pledgor  Subsidiary to give such notice
and the Agent and the Banks shall not have any  liability  to the  Company,  any
Pledgor  subsidiary  or other Person on account of any action taken or not taken
by the Agent or the Banks in reliance upon such telephonic or facsimile  notice.
The obligation of the Company to repay the Loans and L/C  Obligations  shall not
be  affected  in any way or to any  extent by any  failure  by the Agent and the
Banks to receive written  confirmation of any telephonic or facsimile  notice or
the  receipt by the Agent and the Banks of a  confirmation  which is at variance
with the terms  understood  by the Agent  and the Banks to be  contained  in the
telephonic or facsimile notice.

         11.03 No Waiver;  Cumulative  Remedies.  No failure to exercise  and no
delay in exercising,  on the part of the Agent or any Bank,  any right,  remedy,
power or privilege  hereunder,  shall operate as a waiver thereof; nor shall any
single or partial exercise of any right,  remedy,  power or privilege  hereunder
preclude  any other or further  exercise  thereof or the  exercise  of any other
right, remedy, power or privilege.

         11.04  Costs and Expenses.  The Company shall:

                  (a) whether or not the  transactions  contemplated  hereby are
consummated,  pay or  reimburse  BofA  (including  in its  capacity as Agent and
Issuing  Bank) within five  Business  Days after demand  (subject to  subsection
5.01(e)) for all reasonable  costs and expenses  incurred by BofA  (including in
its  capacity as Agent and Issuing  Bank) in  connection  with the  development,
preparation,  delivery,  administration  and  execution  of, and any  amendment,
supplement,   waiver  or  modification   to  (in  each  case,   whether  or  not
consummated), this Agreement, any Loan Document and any other documents prepared
in connection  herewith or therewith,  and the  consummation of the transactions
contemplated hereby and thereby, including reasonable Attorney Costs incurred by
or on behalf of

                                      -80-

<PAGE>



BofA (including in its capacity as Agent and Issuing Bank) with
respect thereto; and

                  (b) pay or  reimburse  the  Agent and each  Bank  within  five
Business Days after demand  (subject to subsection  5.01(e)) for all  reasonable
costs and expenses  (including  Attorney  Costs)  incurred by them in connection
with the enforcement,  attempted  enforcement,  or preservation of any rights or
remedies under this Agreement or any other Loan Document during the existence of
an Event of Default or after  acceleration of the Loans (including in connection
with any "workout" or  restructuring  regarding the Loans,  and including in any
Insolvency Proceeding or appellate proceeding).

         11.05  Company   Indemnification.   Whether  or  not  the  transactions
contemplated  hereby are consummated,  the Company shall  indemnify,  defend and
hold  the  Agent  Related  Persons,  and each  Bank  and each of its  respective
officers, directors,  employees, counsel, agents and attorneys-in-fact (each, an
"Indemnified  Person")  harmless  from  and  against  any and  all  liabilities,
obligations,  losses,  damages,  penalties,  actions,  judgments,  suits, costs,
charges,  expenses  and  disbursements  (including  of  experts  and  agents and
Attorney  Costs which all shall be paid upon demand by the Agent) of any kind or
nature  whatsoever  which  may at any  time  (including  at any  time  following
repayment  of the  Loans,  the  termination  of the  Letters  of Credit  and the
termination, resignation or replacement of the Agent or replacement of any Bank)
be imposed  on,  incurred  by or  asserted  against  any such  Person in any way
relating to or arising  out of: this  Agreement,  the Pledge  Agreements  or any
document  contemplated by or referred to herein;  the administration of the Loan
Documents;  the  custody,  preservation,  use or  operation  of or the  sale of,
collection from, or other realization upon, any of the Collateral;  the exercise
or enforcement of any of the rights of the Agent under the Pledge  Agreements or
any other Loan Document; the failure by the Company to perform or observe any of
the  provisions  of the  Pledge  Agreements  or any  other  Loan  Document;  the
transactions  contemplated  hereby;  or any other action taken or omitted by any
such Person under or in connection  with any of the  foregoing,  including  with
respect to any investigation, litigation or proceeding (including any Insolvency
Proceeding or appellate  proceeding) related to or arising out of this Agreement
or the Loans or Letters of Credit or the use of the proceeds thereof, whether or
not any Indemnified Person is a party thereto (all the foregoing,  collectively,
the  "Indemnified  Liabilities").  Provided,  that  the  Company  shall  have no
obligation  hereunder  to any  Indemnified  Person with  respect to  Indemnified
Liabilities  resulting solely from the gross negligence or willful misconduct of
such Indemnified Person. The agreements in this Section shall survive payment of
all other Obligations.

         11.06  Payments Set Aside.  To the extent that the Company
makes a payment to the Agent or the Banks, or the Agent or the

                                      -81-

<PAGE>



Banks exercise their right of set-off,  and such payment or the proceeds of such
set-off  or any  part  thereof  are  subsequently  invalidated,  declared  to be
fraudulent or  preferential,  set aside or required  (including  pursuant to any
settlement  entered  into by the  Agent or such  Bank in its  discretion)  to be
repaid  to a  trustee,  receiver  or any other  party,  in  connection  with any
Insolvency Proceeding or otherwise,  then (a) to the extent of such recovery the
obligation or part thereof originally  intended to be satisfied shall be revived
and  continued  in full force and effect as if such payment had not been made or
such set-off had not occurred,  and (b) each Bank severally agrees to pay to the
Agent upon demand its pro rata share of any amount so  recovered  from or repaid
by the Agent.

         11.07 Successors and Assigns. The provisions of this Agreement shall be
binding upon and inure to the benefit of the parties hereto and their respective
successors  and assigns,  except that the Company may not assign or transfer any
of its rights or  obligations  under this  Agreement  without the prior  written
consent of the Agent and each Bank.

         11.08  Assignments,  Participations,  etc.  (a) Any Bank may,  with the
written  consent of the Company at all times other than during the  existence of
an Event of Default and the Agent and the Issuing Bank, which consents shall not
be  unreasonably  withheld,  at any  time  assign  and  delegate  to one or more
Eligible Assignees  (provided that no written consent of the Company,  the Agent
or the Issuing  Bank shall be required in  connection  with any  assignment  and
delegation by a Bank to an Eligible  Assignee that is an Affiliate of such Bank)
(each  an  "Assignee")  all,  or any  ratable  part of all,  of the  Loans,  the
Commitments,  the L/C  Obligations  and the other rights and obligations of such
Bank hereunder, in a minimum amount of $5,000,000;  provided,  however, that the
Company and the Agent may continue to deal solely and directly with such Bank in
connection with the interest so assigned to an Assignee until (i) written notice
of such assignment,  together with payment  instructions,  addresses and related
information  with respect to the Assignee,  shall have been given to the Company
and the Agent by such  Bank and the  Assignee;  (ii) such Bank and its  Assignee
shall have  delivered to the Company and the Agent an Assignment  and Acceptance
in the form of Exhibit E ("Assignment and Acceptance") together with any Note or
Notes  subject to such  assignment  and (iii) the assignor  Bank or Assignee has
paid to the Agent a processing fee in the amount of $2,500.

                  (b) From and  after  the date  that  the  Agent  notifies  the
assignor Bank that it has received (and provided its consent with respect to) an
executed   Assignment  and  Acceptance  and  payment  of  the   above-referenced
processing fee, (i) the Assignee  thereunder shall be a party hereto and, to the
extent that rights and  obligations  hereunder have been assigned to it pursuant
to such Assignment and Acceptance, shall have the rights and obligations of

                                      -82-

<PAGE>



a Bank under the Loan Documents, and (ii) the assignor Bank shall, to the extent
that rights and  obligations  hereunder and under the other Loan  Documents have
been assigned by it pursuant to such Assignment and  Acceptance,  relinquish its
rights and be released from its obligations under the Loan Documents.

                  (c) Immediately upon each Assignee's making its processing fee
payment under the Assignment and  Acceptance,  this Agreement shall be deemed to
be amended to the  extent,  but only to the  extent,  necessary  to reflect  the
addition of the Assignee and the resulting adjustment of the Commitments arising
therefrom.   The  Commitment  allocated  to  each  Assignee  shall  reduce  such
Commitments of the assigning Bank pro tanto.

                  (d) Any Bank may at any  time  sell to one or more  commercial
banks  or  other  Persons  not  Affiliates  of  the  Company  (a  "Participant")
participating  interests in any Loans, the Commitment of that Bank and the other
interests of that Bank (the  "originating  Bank")  hereunder and under the other
Loan Documents;  provided,  however, that (i) the originating Bank's obligations
under this Agreement shall remain  unchanged,  (ii) the  originating  Bank shall
remain solely  responsible  for the performance of such  obligations,  (iii) the
Company,  the  Issuing  Bank and the Agent  shall  continue  to deal  solely and
directly with the originating  Bank in connection  with the  originating  Bank's
rights and obligations  under this Agreement and the other Loan  Documents,  and
(iv) no Bank shall transfer or grant any participating  interest under which the
Participant  has rights to approve  any  amendment  to, or any consent or waiver
with respect to, this Agreement or any other Loan Document, except to the extent
such amendment,  consent or waiver would require  unanimous consent of the Banks
as  described  in the first  proviso to Section  11.01.  In the case of any such
participation,  the  Participant  shall be  entitled  to the benefit of Sections
4.01,  4.03 and 11.05 as though it were also a Bank  hereunder,  and if  amounts
outstanding under this Agreement are due and unpaid, or shall have been declared
or shall have become due and payable upon the occurrence of an Event of Default,
each Participant  shall be deemed to have the right of set-off in respect of its
participating  interest in amounts owing under this Agreement to the same extent
as if the amount of its  participating  interest were owing  directly to it as a
Bank under this Agreement.

                  (e) Notwithstanding any other provision in this Agreement, any
Bank may at any time  create a  security  interest  in,  or  pledge,  all or any
portion of its rights under and interest in this  Agreement and the Note held by
it in favor of any Federal  Reserve Bank in accordance  with Regulation A of the
FRB or U.S. Treasury  Regulation 31 CFR Section 203.14, and such Federal Reserve
Bank may enforce such pledge or security  interest in any manner permitted under
applicable law.


                                      -83-

<PAGE>



         11.09  Set-off.  In  addition  to any rights and  remedies of the Banks
provided  by  law,  if an  Event  of  Default  exists  or the  Loans  have  been
accelerated,  each Bank is authorized at any time and from time to time, without
prior notice to the Company,  any such notice being waived by the Company to the
fullest  extent  permitted  by law,  to set off and apply  any and all  deposits
(general or special, time or demand,  provisional or final) at any time held by,
and other  indebtedness  at any time owing by, such Bank to or for the credit or
the account of the Company against any and all  Obligations  owing to such Bank,
now or hereafter existing, irrespective of whether or not the Agent or such Bank
shall have made demand under this  Agreement  or any Loan  Document and although
such  Obligations  may be contingent or unmatured.  Each Bank agrees promptly to
notify the Company and the Agent after any such set-off and application  made by
such Bank;  provided,  however,  that the failure to give such notice  shall not
affect the validity of such set-off and application.

         11.10  Automatic  Debits of Fees.  With respect to any commitment  fee,
arrangement fee, letter of credit fee or other fee, or any other cost or expense
(including  Attorney  Costs) due and payable to the Agent,  the Issuing  Bank or
BofA under the Loan Documents, the Company hereby irrevocably authorizes BofA to
debit any deposit  account of the  Company  with BofA in an amount such that the
aggregate amount debited from all such deposit accounts does not exceed such fee
or other  cost or  expense.  If there  are  insufficient  funds in such  deposit
accounts to cover the amount of the fee or other cost or expense then due,  such
debits will be reversed  (in whole or in part,  in BofA's sole  discretion)  and
such amount not debited  shall be deemed to be unpaid.  No such debit under this
Section shall be deemed a set-off.

         11.11 Notification of Addresses,  Lending Offices, Etc. Each Bank shall
notify the Agent in writing of any  changes in the  address to which  notices to
the Bank should be  directed,  of addresses  of any Lending  Office,  of payment
instructions  in respect of all payments to be made to it hereunder  and of such
other administrative information as the Agent shall reasonably request.

         11.12  Counterparts.  This  Agreement  may be executed in any number of
separate  counterparts,  each of  which,  when so  executed,  shall be deemed an
original,  and all of said  counterparts  taken  together  shall  be  deemed  to
constitute but one and the same instrument.

         11.13 Severability. Wherever possible each provision of this Agreement,
the Pledge Agreements or any other instrument agreement required hereunder shall
be interpreted in such manner as to be effective and valid under applicable law,
but if any  provision  of this  Agreement,  the Pledge  Agreements  or any other
instrument  or agreement  required  hereunder  shall be prohibited by or invalid
under such law, such provision shall be ineffective to the extent

                                      -84-

<PAGE>



of such  prohibition or invalidity,  without  invalidating the remainder of such
provision or the remaining provisions of such agreement or instrument.

         11.14 No Third Parties  Benefited.  This  Agreement is made and entered
into for the sole  protection and legal benefit of the Company,  the Banks,  the
Agent and the Agent Related Persons, and their permitted successors and assigns,
and no other Person shall be a direct or indirect legal  beneficiary of, or have
any  direct  or  indirect  cause of  action or claim in  connection  with,  this
Agreement or any of the other Loan Documents.

         11.15 Governing Law and  Jurisdiction.  (a) THIS AGREEMENT,  THE PLEDGE
AGREEMENTS AND THE NOTES SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH,
THE LAW OF THE STATE OF  CALIFORNIA  EXCEPT TO THE EXTENT  THAT THE  VALIDITY OR
PERFECTION OF ANY SECURITY  INTERESTS OR REMEDIES  UNDER ANY LOAN  DOCUMENTS ARE
GOVERNED BY THE LAWS OF A STATE OTHER THAN  CALIFORNIA;  PROVIDED THAT THE AGENT
AND THE BANKS SHALL RETAIN ALL RIGHTS ARISING UNDER FEDERAL LAW.

                  (b) ANY LEGAL ACTION,  PROCEEDING OR LITIGATION  BASED HEREON,
OR ARISING OUT OF, UNDER,  OR IN CONNECTION  WITH,  THIS  AGREEMENT,  THE PLEDGE
AGREEMENTS  OR ANY OTHER  LOAN  DOCUMENT,  OR ANY COURSE OF  CONDUCT,  COURSE OF
DEALING, STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS OF THE AGENT, THE BANKS
OR THE  COMPANY  MAY BE  BROUGHT  AND  MAINTAINED  IN THE COURTS OF THE STATE OF
CALIFORNIA OR IN THE UNITED STATES  DISTRICT COURT FOR THE NORTHERN  DISTRICT OF
CALIFORNIA;  PROVIDED,  HOWEVER,  THAT ANY SUIT SEEKING  ENFORCEMENT AGAINST ANY
COLLATERAL  OR OTHER  PROPERTY  MAY BE BROUGHT,  AT THE AGENT'S  OPTION,  IN THE
COURTS OF ANY JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND.
BY THE EXECUTION AND DELIVERY OF THIS AGREEMENT OR THE PLEDGE  AGREEMENTS,  EACH
OF THE  COMPANY,  THE BANKS AND THE AGENT  HEREBY  CONSENTS  FOR  ITSELF  AND IN
RESPECT  OF ITS  PROPERTY  AND  EXPRESSLY  AND  IRREVOCABLY  SUBMITS  TO THE NON
EXCLUSIVE  JURISDICTION  OF THE  COURTS  OF THE STATE OF  CALIFORNIA  AND OF THE
UNITED STATES  DISTRICT  COURT FOR THE NORTHERN  DISTRICT OF CALIFORNIA  FOR THE
PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE AND  IRREVOCABLY  AGREES TO BE
BOUND BY ANY JUDGMENT  RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION.  THE
AGENT, THE BANKS AND THE COMPANY FURTHER  IRREVOCABLY  CONSENT TO THE SERVICE OF
PROCESS BY ANY MEANS  PERMITTED BY CALIFORNIA LAW INCLUDING BY REGISTERED  MAIL,
POSTAGE  PREPAID,  OR BY  PERSONAL  SERVICE  WITHIN  OR  WITHOUT  THE  STATE  OF
CALIFORNIA.   THE  AGENT,  THE  BANKS  AND  THE  COMPANY  HEREBY  EXPRESSLY  AND
IRREVOCABLY  WAIVE, TO THE FULLEST EXTENT  PERMITTED BY LAW, ANY OBJECTION WHICH
THEY  MAY  HAVE OR  HEREAFTER  MAY  HAVE TO THE  LAYING  OF  VENUE  OF ANY  SUCH
LITIGATION  BROUGHT IN ANY SUCH COURT  REFERRED  TO ABOVE AND ANY CLAIM THAT ANY
SUCH  LITIGATION HAS BEEN BROUGHT IN AN  INCONVENIENT  FORUM. TO THE EXTENT THAT
THE AGENT,  THE BANKS AND THE COMPANY HAVE OR HEREAFTER MAY ACQUIRE ANY IMMUNITY
FROM  JURISDICTION  OF ANY  COURT OR FROM ANY  LEGAL  PROCESS  (WHETHER  THROUGH
SERVICE OR NOTICE,

                                      -85-

<PAGE>



ATTACHMENT PRIOR TO JUDGMENT,  ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH
RESPECT TO THEM OR THEIR PROPERTY,  THE AGENT,  THE BANKS AND THE COMPANY HEREBY
IRREVOCABLY  WAIVE SUCH  IMMUNITY  IN RESPECT  OF THEIR  OBLIGATIONS  UNDER THIS
AGREEMENT, THE PLEDGE AGREEMENTS AND THE OTHER LOAN DOCUMENTS.

         11.16 Waiver of Jury Trial.  THE COMPANY,  THE BANKS AND THE AGENT EACH
WAIVE THEIR RESPECTIVE RIGHTS TO A TRIAL BY JURY OF ANY CLAIM OR CAUSE OF ACTION
BASED  UPON  OR  ARISING  OUT  OF OR  RELATED  TO  THIS  AGREEMENT,  THE  PLEDGE
AGREEMENTS,  THE OTHER LOAN DOCUMENTS, ANY COURSE OF CONDUCT, COURSE OF DEALING,
STATEMENTS  (WHETHER  ORAL OR  WRITTEN) OR ACTIONS OF THE  COMPANY,  THE PLEDGOR
SUBSIDIARIES, THE BANKS OR THE AGENT, OR THE TRANSACTIONS CONTEMPLATED HEREBY OR
THEREBY,  IN ANY ACTION,  PROCEEDING OR OTHER  LITIGATION OF ANY TYPE BROUGHT BY
ANY OF THE  PARTIES  AGAINST  ANY  OTHER  PARTY  OR ANY  AGENT  RELATED  PERSON,
PARTICIPANT OR ASSIGNEE,  WHETHER WITH RESPECT TO CONTRACT CLAIMS,  TORT CLAIMS,
OR  OTHERWISE.  THE  COMPANY,  THE BANKS AND THE AGENT  EACH AGREE THAT ANY SUCH
CLAIM OR CAUSE OF ACTION SHALL BE TRIED BY A COURT TRIAL WITHOUT A JURY. WITHOUT
LIMITING THE FOREGOING, THE PARTIES FURTHER AGREE THAT THEIR RESPECTIVE RIGHT TO
A TRIAL  BY JURY IS  WAIVED  BY  OPERATION  OF THIS  SECTION  AS TO ANY  ACTION,
COUNTERCLAIM OR OTHER  PROCEEDING WHICH SEEKS, IN WHOLE OR IN PART, TO CHALLENGE
THE VALIDITY OR ENFORCEABILITY OF THIS AGREEMENT, THE PLEDGE AGREEMENTS,  OR THE
OTHER LOAN DOCUMENTS OR ANY PROVISION HEREOF OR THEREOF. THIS WAIVER SHALL APPLY
TO ANY SUBSEQUENT  AMENDMENTS,  RENEWALS,  SUPPLEMENTS OR  MODIFICATIONS TO THIS
AGREEMENT,  THE PLEDGE  AGREEMENTS,  AND THE OTHER LOAN  DOCUMENTS.  THE COMPANY
ACKNOWLEDGES  AND AGREES THAT IT HAS RECEIVED FULL AND SUFFICIENT  CONSIDERATION
FOR THIS  PROVISION  (AND EACH OTHER  PROVISION  OF EACH OTHER LOAN  DOCUMENT TO
WHICH IT IS A PARTY) AND THAT THIS  PROVISION IS A MATERIAL  INDUCEMENT  FOR THE
AGENT AND THE  BANKS  ENTERING  INTO THIS  AGREEMENT  AND EACH SUCH  OTHER  LOAN
DOCUMENT.

         11.17  Entire  Agreement.  This  Agreement,  together  with the  Pledge
Agreements  and the other Loan  Documents,  embodies  the entire  agreement  and
understanding  among the Company,  the Pledgor  Subsidiaries,  the Banks and the
Agent, and supersedes all prior or contemporaneous agreements and understandings
of such Persons,  verbal or written,  relating to the subject  matter hereof and
thereof.


                  [remainder of page intentionally left blank]

                                      -86-

<PAGE>



         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
duly executed and delivered in Los Angeles,  California by their proper and duly
authorized officers as of the day and year first above written.

                                       SIERRA HEALTH SERVICES, INC.


                                       By:          /S/ JAMES L. STARR
                                       Title:       Vice President and Chief
                                Financial Officer






                    [signatures continue on following page]







                                      -87-

<PAGE>





                                       BANK OF AMERICA NATIONAL TRUST AND
                                       SAVINGS ASSOCIATION, as Agent


                                       By:              /S/ RUTH Z. EDWARDS
                                       Title:       Vice President



                                       BANK OF AMERICA NATIONAL TRUST AND
                      SAVINGS ASSOCIATION, as Issuing Bank


                                       By:              /S/ RUTH Z. EDWARDS
                                       Title:       Vice President



Commitment: $50,000,000                BANK OF AMERICA NATIONAL TRUST AND
                                       SAVINGS ASSOCIATION, as a Bank


                                       By:                /S/ RUTH Z. EDWARDS
                                       Title:       Vice President

                                       Address for notices:

                                       555 South Flower Street, 11th Floor
                                       Unit #9173
                                       Los Angeles, CA 90071
                                       Attention:  Ruth Z. Edwards
                                       Phone:  (213) 228-2678
                                       Fax:  (213) 228-2756

                                       Domestic and Offshore Lending
                                       Office:
                                       333 S. Beaudry Ave.
                                       Los Angeles, CA 90017
                                       Attention:  Betsy Quinio
                                       Phone:  (213) 345-6345
                                       Fax:  (213) 345-6550




                                      -88-

<PAGE>


<PAGE>




                              SUMMARY OF SCHEDULES

         Schedule  2.01 sets  forth the  aggregate  amount of the line of credit
available  pursuant  to the Credit  Agreement,  which may not be exceeded at any
time.

         Schedule  5.01 lists all the  subsidiaries  of Sierra  Health  Services
(SHS) whose stock was not required to be pledged as collateral  under the Credit
Agreement.

         Schedule  6.03  lists  the  approvals,   consents,   authorizations  or
exemptions  that must be obtained from any  Governmental  Authority in order for
SHS to enter into and perform the Credit Agreement and other Loan Documents, and
any other non-compliance with applicable laws.

         Schedule   6.05  lists   certain   litigation   involving  SHS  or  its
subsidiaries.

         Schedule  6.10 lists  those  subsidiaries  where less than all of their
outstanding shares were pledged as collateral under the Credit Agreement.

         Schedule 6.12 lists those  liabilities  which SHS is permitted to incur
and maintain  pursuant to the terms of the Credit  Agreement and not included in
the audited financial statement of SHS and its subsidiaries.

         Schedule 6.13 lists any material environmental matters involving SHS or
its subsidiaries.

         Schedule  6.18 lists all of SHS  subsidiaries,  equity  investments  in
other  corporations  or  entities  constituting  20% or more of the  outstanding
equity interest in such  corporation or entity,  and  subsidiaries  whose shares
were not part of the shares pledged under the Loan Documents.

         Schedule 6.19 lists by  incorporation  to Schedule  6.12,  all material
insurance issues involving SHS or its subsidiaries.

         Schedule 8.01 lists by incorporation to Schedule 6.12 those liens which
SHS or its  subsidiaries  may  incur or  maintain  pursuant  to the terms of the
Credit Agreement.

         Schedule 8.05 lists by  incorporation to Schedule 6.12 any indebtedness
which SHS or its subsidiaries may incur or maintain pursuant to the terms of the
Credit Agreement.

         Schedule 8.08 lists by  incorporation to Schedule 6.12 those contingent
obligations,  indebtedness  and liens which SHS or its subsidiaries may incur or
maintain pursuant to the terms of the Credit Agreement.

         Schedule 11.02 lists the domestic and offshore  lending offices and the
addresses and phone numbers for notices, for Bank of America.

                                      -1-

<PAGE>
                                    

                             FORM OF PROMISSORY NOTE


$50,000,000                                                      April 11, 1996

         FOR VALUE RECEIVED,  the undersigned  SIERRA HEALTH  SERVICES,  INC., a
Nevada Corporation (the "Company"),  hereby promises to pay to the order of BANK
OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION (the "Bank") the principal sum
of Fifty  Million  Dollars  ($50,000,000)  or,  if less,  the  aggregate  unpaid
principal  amount of all Loans made by the Bank to the  Company  pursuant to the
Credit Agreement,  dated as of even date herewith (such Credit Agreement,  as it
may be amended, restated,  supplemented or otherwise modified from time to time,
being herein after called the "Credit Agreement"),  among the Company, the Bank,
the other banks party  thereto,  and Bank of America  National Trust and Savings
Association,  as the  Agent  for the  Banks,  on the  dates  and in the  amounts
provided in the Credit  Agreement.  The Company further promises to pay interest
on the unpaid  principal  amount of the Loans evidenced hereby from time to time
at the rates, on the dates, and otherwise as provided in the Credit Agreement.

         The Bank is authorized to endorse the amount and the date on which each
Loan is made,  the maturity  date  therefor  and each payment of principal  with
respect  thereto on the schedules  annexed hereto and made a part hereof,  or on
continuations  thereof  which shall be attached  hereto and made a part  hereof;
provided,  that any  failure to endorse  such  information  on such  schedule or
continuation  thereof  shall not in any  manner  affect  any  obligation  of the
Company under the Credit Agreement and this Note (the "Note").

         This Note is one of the Notes  referred  to in, and is  entitled to the
benefits of, the Credit Agreement,  which Credit Agreement,  among other things,
contains  provisions for  acceleration of the maturity hereof upon the happening
of certain stated events and also for prepayments on account of principal hereof
prior to the maturity hereof upon the terms and conditions therein specified.

         Terms  defined  in the  Credit  Agreement  are used  herein  with their
defined  meanings therein unless  otherwise  defined herein.  This Note shall be
governed by, and construed and  interpreted in accordance  with, the laws of the
State of California  applicable to contracts  made and to be performed  entirely
within such State.

                                    SIERRA HEALTH SERVICES, INC.


                                    By:          /S/  JAMES L. STARR
                                    Title:     Vice President and Chief
                                                       Financial Officer





                                       1

<PAGE>



                               Schedule A to Note

                                 BASE RATE LOANS
                        AND REPAYMENT OF BASE RATE LOANS

<TABLE>
<CAPTION>




<S>                             <C>                                <C>                                <C>
                                (2)                                (3)                                (4)
                                         Amount                              Amount
                                           of                               of Base
        (1)                             Base Rate                             Rate                             Notation
       Date                               Loan                             Loan Repaid                          Made By





















</TABLE>

                                        2

<PAGE>


                               Schedule B to Note

                         LIBOR RATE LOANS AND REPAYMENT
                               OF LIBOR RATE LOANS

<TABLE>
<CAPTION>



<S>                        <C>                      <C>                        <C>                      <C>
                           (2)                      (3)                        (4)                      (5)
                                                    Maturity Date              Amount of LIBOR
          (1)              Amount of LIBOR          of LIBOR                   Rate Loan                Notation Made
                                                                                    ----                         ----
          Date             Rate Loan                Rate Loan                  Repaid                   by






















</TABLE>


                                        3



                                PLEDGE AGREEMENT


         THIS PLEDGE AGREEMENT (this "Pledge Agreement"),  dated as of April 11,
1996,  made  by  SIERRA  HEALTH  SERVICES,   INC.,  a  Nevada  corporation  (the
"Pledgor"),  in favor of BANK OF AMERICA NATIONAL TRUST AND SAVINGS ASSOCIATION,
as agent (together with any successor(s) thereto in such capacity,  the "Agent")
for each of the Lender Parties (as defined below).


                              W I T N E S S E T H:

         WHEREAS, pursuant to a Credit Agreement, dated as of even date herewith
(together with all amendments and other modifications, if any, from time to time
thereafter made thereto, the "Credit Agreement"),  among Sierra Health Services,
Inc., a Nevada corporation (the "Company"),  the several financial  institutions
as are,  or may  from  time to time  become,  parties  thereto  (individually  a
"Lender"  and  collectively  the  "Lenders")  and the Agent,  the  Lenders  have
extended Commitments to make Loans to the Company; and

         WHEREAS,  as a condition  precedent to the making of the initial  Loans
under the Credit Agreement,  the Pledgor is required to execute and deliver this
Pledge Agreement; and

         WHEREAS, the Pledgor has duly authorized the execution, delivery
and performance of this Pledge Agreement; and

         WHEREAS,  it is in the best  interests  of the Pledgor to execute  this
Pledge  Agreement  inasmuch as the Pledgor  will derive  substantial  direct and
indirect  benefits  from the Loans made from time to time to the  Company by the
Lenders pursuant to the Credit Agreement;

         NOW THEREFORE, for good and valuable consideration the receipt of which
is hereby acknowledged,  and in order to induce the Lenders to make Loans to the
Company pursuant to the Credit Agreement, the Pledgor agrees, for the benefit of
each Lender Party, as follows:


                                    ARTICLE I
                                   DEFINITIONS

         SECTION  1.1.  Certain  Terms.  The  following  terms  (whether  or not
underscored)  when used in this Pledge  Agreement,  including  its  preamble and
recitals,  shall have the following  meanings  (such  definitions  to be equally
applicable to the singular and plural forms thereof):

         "Agent" is defined in the preamble.

         "Collateral" is defined in Section 2.1.

         "Company" is defined in the first recital.

         "Credit Agreement" is defined in the first recital.



<PAGE>



         "Distributions"  means  all  stock  dividends,  liquidating  dividends,
shares of stock  resulting  from (or in  connection  with the exercise of) stock
splits,  reclassifications,  warrants,  options,  non-cash  dividends,  mergers,
consolidations,  and all other  distributions  (whether similar or dissimilar to
the  foregoing)  on or with  respect to any  Pledged  Shares or other  shares of
capital stock constituting Collateral, but shall not include Dividends.

         "Dividends" means cash dividends and cash distributions with respect to
any Pledged  Shares or other  Pledged  Property  made in the ordinary  course of
business and not a liquidating dividend.

         "Lender" is defined in the first recital.

         "Lender  Party"  means,  as the context may require,  any Lender or the
Agent and each of its respective successors, transferees and assigns.

         "Lenders" is defined in the first recital.

         "Pledge Agreement" is defined in the preamble.

         "Pledged  Property"  means all  Pledged  Shares  and all other  pledged
shares of capital stock,  all other  securities,  all assignments of any amounts
due or to become due, all other instruments which are now being delivered by the
Pledgor  to the Agent or may from time to time  hereafter  be  delivered  by the
Pledgor to the Agent for the purpose of pledge  under this Pledge  Agreement  or
any other Loan Document, and all proceeds of any of the foregoing.

         "Pledged  Shares" means,  collectively,  all shares of capital stock of
each now existing or  hereafter  created or acquired  Subsidiary  of the Company
(but  excluding,  subject to  Section  8.16 of the  Credit  Agreement,  Excluded
Subsidiaries),  including,  without  limitations,  the shares of  capital  stock
identified  in  Attachment  1 hereto  which are  delivered by the Pledgor to the
Agent as Pledged Property hereunder.

         "Pledgor" is defined in the preamble.

         "Secured Obligations" is defined in Section 2.2.


         "U.C.C." means the Uniform Commercial Code as in effect in the
State of California.

         SECTION 1.2. Credit Agreement  Definitions.  Unless  otherwise  defined
herein or the context otherwise  requires,  terms used in this Pledge Agreement,
including  its preamble and recitals,  have the meanings  provided in the Credit
Agreement.

         SECTION 1.3.  U.C.C. Definitions.  Unless otherwise defined
herein or the context otherwise requires, terms for which meanings are
provided in the U.C.C. are used in this Pledge Agreement, including
its preamble and recitals, with such meanings.




                                       -2-

<PAGE>



                                   ARTICLE II
                                     PLEDGE

         SECTION 2.1. Grant of Security  Interest.  The Pledgor hereby  pledges,
hypothecates,  mortgages  and  delivers  to the Agent,  for its  benefit and the
ratable benefit of each of the Lender  Parties,  and hereby grants to the Agent,
for its benefit  and the ratable  benefit of the Lender  Parties,  a  continuing
security interest in, all of the following property (the "Collateral"):

                  (a)  all Pledged Shares, including without limitation those
         identified in Attachment 1 hereto;

                  (b)  all other Pledged Property, whether now or hereafter
         delivered to the Agent in connection with this Pledge Agreement;

                  (c)  all Dividends, Distributions, interest, and other
         payments and rights with respect to any Pledged Property; and

                  (d)  all proceeds of any of the foregoing.

         SECTION 2.2.  Security for Obligations.  This Pledge Agreement  secures
the  payment  in full of all  Obligations  of the  Company  and/or  any  Pledgor
Subsidiary now or hereafter  existing under the Credit Agreement,  the Notes and
each other Loan Document to which the Company  and/or any Pledgor  Subsidiary is
or may become a party, whether for principal,  interest,  costs, fees, expenses,
or otherwise, (all such obligations of the Company and/or any Pledgor Subsidiary
being the "Secured Obligations").

         SECTION  2.3.  Delivery  of  Pledged  Property.   All  certificates  or
instruments  representing  or evidencing any  Collateral,  including all Pledged
Shares,  shall be  delivered  to and held by or on behalf of the Agent  pursuant
hereto,  shall be in  suitable  form for  transfer  by  delivery,  and  shall be
accompanied  by all  necessary  instruments  of  transfer  or  assignment,  duly
executed in blank.

         SECTION  2.4.  Dividends  on  Pledged  Shares.  In the  event  that any
Dividend is to be paid on any Pledged Share during the  continuation of an Event
of  Default,  then any such  Dividend or payment  shall be paid  directly to the
Agent.

         SECTION 2.5.  Continuing Security Interest; Transfer of Note.
This Pledge Agreement shall create a continuing security interest in
the Collateral and shall

                  (a)  remain in full force and effect until payment in full
         of all Secured Obligations and the termination of all
         Commitments,

                  (b)  be binding upon the Pledgor and its successors,
         transferees and assigns, and

                  (c) inure,  together with the rights and remedies of the Agent
         hereunder, to the benefit of the Agent and each other Lender Party.


                                       -3-

<PAGE>



Without  limiting the  foregoing  clause (c), any Lender may assign or otherwise
transfer  (in whole or in part) any Note or Loan held by it to any other  Person
or entity in  accordance  with the  provisions  of  Section  11.08 of the Credit
Agreement,  and such other Person or entity shall  thereupon  become vested with
all the rights and benefits in respect  thereof granted to such Lender under any
Loan Document (including this Pledge Agreement) or otherwise,  subject, however,
to any contrary provisions in such assignment or transfer, and to the provisions
of  Section  11.08 of the  Credit  Agreement.  Upon the  payment  in full of all
Secured  Obligations  and  the  termination  of all  Commitments,  the  security
interest  granted herein shall terminate and all rights to the Collateral  shall
revert  to the  Pledgor.  Upon any such  termination,  the  Agent  will,  at the
Pledgor's  sole expense,  deliver to the Pledgor,  without any  representations,
warranties or recourse of any kind whatsoever,  all certificates and instruments
representing  or  evidencing  all  Pledged  Shares,   together  with  all  other
Collateral held by the Agent  hereunder,  and execute and deliver to the Pledgor
such  documents  as the  Pledgor  shall  reasonably  request  to  evidence  such
termination.

         SECTION 2.6.  Security Interest Absolute.  All rights of the
Agent and the security interests granted to the Agent hereunder, and
all obligations of the Pledgor hereunder, shall be absolute and
unconditional, irrespective of

                  (a)  any lack of validity or enforceability of the Credit
         Agreement, any Note or any other Loan Document,

                  (b)  the failure of any Lender Party or any holder of any
         Note

                           (i) to assert any claim or demand or to  enforce  any
                  right  or  remedy  against  the  Company  and/or  any  Pledgor
                  Subsidiary  or any other  Person under the  provisions  of the
                  Credit  Agreement,  any  Note,  any  other  Loan  Document  or
                  otherwise, or

                           (ii) to  exercise  any  right or remedy  against  any
                  other guarantor of, or collateral securing, any Obligations of
                  the Company and/or any Pledgor Subsidiary,

                  (c) any change in the time,  manner or place of payment of, or
         in any  other  term  of,  all or any of the  Obligations  or any  other
         extension,  compromise  or renewal  of any  Obligation  of the  Company
         and/or any Pledgor Subsidiary or any other Obligor,

                  (d) any  reduction,  limitation,  impairment or termination of
         any  Obligations of the Company  and/or any Pledgor  Subsidiary for any
         reason, including any claim of waiver, release,  surrender,  alteration
         or  compromise,  and shall not be  subject to (and the  Pledgor  hereby
         waives any right to or claim of) any  defense or setoff,  counterclaim,
         recoupment  or  termination  whatsoever  by reason  of the  invalidity,
         illegality, nongenuineness,  irregularity, compromise, unenforceability
         of, or any other event or occurrence affecting,  any Obligations of the
         Company and/or any Pledgor Subsidiary,


                                       -4-

<PAGE>



                  (e)  any   amendment   to,   rescission,   waiver,   or  other
         modification  of, or any consent to departure from, any of the terms of
         the Credit Agreement, any Note or any other Loan Document,

                  (f)   any   addition,    exchange,   release,   surrender   or
         nonperfection  of any  collateral  (including the  Collateral),  or any
         amendment  to or waiver or  release  of or  addition  to or  consent to
         departure from any guaranty, for any of the Obligations, or

                  (g) any other circumstances which might otherwise constitute a
         defense available to, or a legal or equitable discharge of, the Company
         and/or any Pledgor Subsidiary, any surety or any guarantor.


                                   ARTICLE III
                         REPRESENTATIONS AND WARRANTIES

         SECTION 3.1. Warranties,  etc. The Pledgor represents and warrants unto
each  Lender  Party,  as at the  date  of each  pledge  and  delivery  hereunder
(including  each pledge and  delivery  of Pledged  Shares) by the Pledgor to the
Agent of any Collateral, as set forth in this Article.

         SECTION 3.1.1.  Organization,  etc. The Pledgor makes and reaffirms the
representations and warranties set forth in Section 6.01 of the Credit Agreement
which are hereby incorporated herein by reference and made a part hereof.

         SECTION 3.1.2. Due Authorization,  Non-Contravention,  etc. The Pledgor
makes and reaffirms the representations and warranties set forth in Section 6.02
of the Credit  Agreement which are hereby  incorporated  herein by reference and
made a part hereof.

         SECTION  3.1.3.  Validity,  etc. The Pledgor  makes and  reaffirms  the
representations and warranties set forth in Section 6.04 of the Credit Agreement
which are hereby incorporated herein by reference and made a part hereof.

         SECTION  3.1.4.  Ownership,  No  Liens,  etc.  The  Pledgor  makes  and
reaffirms the  representations  and  warranties set forth in Section 6.09 of the
Credit  Agreement which are hereby  incorporated  herein by reference and made a
part hereof.

         SECTION 3.1.5. Valid Security Interest. The Pledgor makes and reaffirms
the  representations  and warranties set forth in Section  6.14(a) of the Credit
Agreement  which are hereby  incorporated  herein by  reference  and made a part
hereof.

         SECTION 3.1.6.  As to Pledged  Shares.  The Pledgor makes and reaffirms
the  representations  and  warranties  set forth in  Section  6.10 of the Credit
Agreement  which are hereby  incorporated  herein by  reference  and made a part
hereof.



                                       -5-

<PAGE>



         SECTION  3.1.7.  Authorization,  Approval,  etc. The Pledgor  makes and
reaffirms the  representations  and  warranties set forth in Section 6.03 of the
Credit  Agreement which are hereby  incorporated  herein by reference and made a
part hereof.

         SECTION  3.1.8.  Compliance  with Laws. The Pledgor makes and reaffirms
the  representations  and warranties set forth in Section  6.07(a) of the Credit
Agreement  which are hereby  incorporated  herein by  reference  and made a part
hereof.


                                   ARTICLE IV
                                    COVENANTS

         SECTION 4.1.  Protect  Collateral.  Except as  authorized in the Credit
Agreement, the Pledgor will not sell, assign,  transfer,  pledge, or encumber in
any other manner the Collateral  (except in favor of the Agent  hereunder).  The
Pledgor  will  warrant and defend the right and title  herein  granted  unto the
Agent in and to the Collateral (and all right,  title, and interest  represented
by the Collateral) against the claims and demands of all Persons whomsoever.

         SECTION 4.2.  Further Assurances.  Pledgor reaffirms the
covenants set forth in Section 7.13 of the Credit Agreement, which
covenants are incorporated herein by reference and made a part hereof.

         SECTION 4.3.  Stock  Powers,  etc. The Pledgor  agrees that all Pledged
Shares (and all other shares of capital stock constituting Collateral) delivered
by the Pledgor  pursuant to this Pledge  Agreement  will be  accompanied by duly
executed undated blank stock powers, or other equivalent instruments of transfer
acceptable to the Agent. The Pledgor will, from time to time upon the request of
the Agent,  promptly  deliver to the Agent such stock powers,  instruments,  and
similar documents, satisfactory in form and substance to the Agent, with respect
to the  Collateral as the Agent may  reasonably  request and will,  from time to
time upon the request of the Agent after the occurrence of any Event of Default,
promptly   transfer  any  Pledged   Shares  or  other  shares  of  common  stock
constituting  Collateral  into the name of any nominee  designated by the Agent,
subject to compliance with Applicable Regulatory Requirements.

         SECTION 4.4.  Continuous  Pledge.  The Pledgor will, at all times, keep
pledged to the Agent pursuant  hereto all Pledged Shares and all other shares of
capital stock  constituting  Collateral,  all Dividends and  Distributions  with
respect  thereto,  and all other Collateral and other  securities,  instruments,
proceeds,  and rights  from time to time  received  by or  distributable  to the
Pledgor in respect of any Collateral.

         SECTION 4.5.  Voting Rights; Dividends, etc.  The Pledgor agrees:

                  (a)  after  any  Default  or an Event of  Default  shall  have
         occurred  and be  continuing,  promptly  upon  receipt  thereof  by the
         Pledgor  and without  any  request  therefor  by the Agent,  to deliver
         (properly  endorsed where required hereby or requested by the Agent) to
         the Agent all Dividends,  Distributions,  all interest,  all principal,
         all other cash payments, and all proceeds of the

                                       -6-

<PAGE>



         Collateral, all of which shall be held by the Agent as additional
         Collateral for use in accordance with Section 6.3; and

                  (b) after any Event of  Default  shall  have  occurred  and be
         continuing  and the Agent  has  notified  the  Pledgor  of the  Agent's
         intention to exercise its voting power under this Section 4.5(b)

                           (i) the Agent may,  subject to Applicable  Regulatory
                  Requirements,  exercise (to the  exclusion of the Pledgor) the
                  voting power and all other incidental rights of ownership with
                  respect to any Pledged Shares or other shares of capital stock
                  constituting  Collateral  and the  Pledgor  hereby  grants the
                  Agent  an  irrevocable  proxy,  exercisable  only  under  such
                  circumstances,  to vote the  Pledged  Shares  and  such  other
                  Collateral; and

                           (ii) promptly to deliver to the Agent such additional
                  proxies and other  documents  as may be necessary to allow the
                  Agent to exercise such voting power.

All Dividends,  Distributions,  interest, principal, cash payments, and proceeds
which may at any time and from time to time be held by the Pledgor but which the
Pledgor is then obligated to deliver to the Agent,  shall, until delivery to the
Agent,  be held by the  Pledgor  separate  and apart from its other  property in
trust for the Agent. The Agent agrees that unless an Event of Default shall have
occurred and be continuing and the Agent shall have given the notice referred to
in Section  4.5(b) and complied with  Applicable  Regulatory  Requirements,  the
Pledgor  shall have the  exclusive  voting  power with  respect to any shares of
capital stock (including any of the Pledged Shares) constituting  Collateral and
the Agent shall, upon the written request of the Pledgor,  promptly deliver such
proxies and other  documents,  if any, as shall be  reasonably  requested by the
Pledgor which are  necessary to allow the Pledgor to exercise  voting power with
respect to any such share of capital stock (including any of the Pledged Shares)
constituting  Collateral;  provided,  however,  that no vote  shall be cast,  or
consent,  waiver,  or  ratification  given,  or action taken by the Pledgor that
would impair any Collateral or be inconsistent  with or violate any provision of
the  Credit  Agreement  or  any  other  Loan  Document  (including  this  Pledge
Agreement).


                                    ARTICLE V
                                    THE AGENT

         SECTION  5.1.  Agent  Appointed  Attorney-in-Fact.  The Pledgor  hereby
irrevocably  appoints  the  Agent  the  Pledgor's  attorney-in-fact,  with  full
authority  in the place and stead of the  Pledgor and in the name of the Pledgor
or otherwise,  from time to time in the Agent's  discretion,  to take any action
and to execute any instrument which the Agent may deem necessary or advisable to
accomplish the purposes of this Pledge Agreement, including without limitation:

                  (a)  after  the  occurrence  and  continuance  of an  Event of
         Default, to ask, demand, collect, sue for, recover, compromise, receive
         and give  acquittance  and  receipts  for  moneys due and to become due
         under or in respect of any of the Collateral;


                                       -7-

<PAGE>



                  (b)  to receive, endorse, and collect any drafts or other
         instruments, documents and chattel paper, in connection with
         clause (a) above; and

                  (c) to file any  claims or take any  action or  institute  any
         proceedings  which the Agent may deem  necessary or  desirable  for the
         collection of any of the  Collateral or otherwise to enforce the rights
         of the Agent with respect to any of the Collateral.

The Pledgor hereby acknowledges,  consents and agrees that the power of attorney
granted  pursuant to this Section is  irrevocable  and coupled with an interest.
Any  attempt by the Agent or any of the Lender  Parties to  exercise  any voting
control or  otherwise  control any  Subsidiary  subject to  regulation  by state
insurance  regulatory   authorities  shall  be  in  accordance  with  Applicable
Regulatory Requirements.

         SECTION  5.2.  Agent May Perform.  If the Pledgor  fails to perform any
agreement  contained herein, the Agent may itself perform,  or cause performance
of,  such  agreement,  and the  expenses  of the Agent  incurred  in  connection
therewith shall be payable by the Pledgor pursuant to Section 6.4.

         SECTION  5.3.  Agent Has No Duty.  The  powers  conferred  on the Agent
hereunder  are solely to protect its interest (on behalf of the Lender  Parties)
in the  Collateral  and shall not  impose  any duty on it to  exercise  any such
powers.  Except for reasonable  care of any Collateral in its possession and the
accounting for moneys actually received by it hereunder, the Agent shall have no
duty as to any Collateral or responsibility for

                  (a)  ascertaining  or taking  action  with  respect  to calls,
         conversions,  exchanges,  maturities, tenders or other matters relative
         to any Pledged  Property,  whether or not the Agent has or is deemed to
         have knowledge of such matters, or

                  (b) taking any  necessary  steps to  preserve  rights  against
         prior parties or any other rights pertaining to any Collateral.

         SECTION  5.4.  Reasonable  Care.  The  Agent is  required  to  exercise
reasonable care in the custody and  preservation of any of the Collateral in its
possession;  provided,  however,  the Agent  shall be  deemed to have  exercised
reasonable care in the custody and preservation of any of the Collateral,  if it
takes such action for that purpose as the Pledgor reasonably requests in writing
at times other than upon the occurrence and during the  continuance of any Event
of Default, but failure of the Agent to comply with any such request at any time
shall not in itself be deemed a failure to exercise reasonable care.


                                   ARTICLE VI
                                    REMEDIES

         SECTION 6.1.  Certain Remedies.  If any Event of Default shall
have occurred and be continuing:


                                       -8-

<PAGE>



                  (a) The Agent may  exercise in respect of the  Collateral,  in
         addition to other rights and remedies  provided for herein or otherwise
         available  to it,  all the rights and  remedies  of a secured  party on
         default  under the U.C.C.  (whether  or not the  U.C.C.  applies to the
         affected  Collateral) and also may,  without notice except as specified
         below,  sell the  Collateral or any part thereof in one or more parcels
         at public or private sale, at any of the Agent's  offices or elsewhere,
         for cash, on credit or for future  delivery,  and upon such other terms
         as the Agent may deem commercially reasonable. The Pledgor agrees that,
         to the extent  notice of sale shall be  required  by law,  at least ten
         days'  prior  notice to the Pledgor of the time and place of any public
         sale or the time  after  which  any  private  sale is to be made  shall
         constitute reasonable notification. The Agent shall not be obligated to
         make any sale of  Collateral  regardless  of notice of sale having been
         given.  The Agent may adjourn  any public or private  sale from time to
         time by  announcement  at the time and place fixed  therefor,  and such
         sale  may,  without  further  notice,  be made at the time and place to
         which it was so adjourned.

                  (b)  The Agent may

                           (i) transfer all or any part of the  Collateral  into
                  the  name  of  the  Agent  or its  nominee,  with  or  without
                  disclosing  that such  Collateral  is  subject to the lien and
                  security interest hereunder,

                           (ii)  notify the parties obligated on any of the
                  Collateral to make payment to the Agent of any amount due or
                  to become due thereunder,

                           (iii) enforce  collection of any of the Collateral by
                  suit or otherwise,  and surrender,  release or exchange all or
                  any part  thereof,  or  compromise  or extend or renew for any
                  period  (whether or not longer than the  original  period) any
                  obligations of any nature of any party with respect thereto,

                           (iv)  endorse any checks, drafts, or other writings
                  in the Pledgor's name to allow collection of the Collateral,

                           (v)  take control of any proceeds of the Collateral,
                  and

                           (vi)  execute  (in the  name,  place and stead of the
                  Pledgor)  endorsements,  assignments,  stock  powers and other
                  instruments  of  conveyance or transfer with respect to all or
                  any of the Collateral.

                  (c)      Any transfer of, or exercise of control with respect
         to, the Collateral by the Agent shall be subject to Applicable
         Regulatory Requirements.

         SECTION 6.2.  Compliance with Restrictions.  The Pledgor agrees that in
any  sale of any of the  Collateral  whenever  an Event of  Default  shall  have
occurred and be  continuing,  the Agent is hereby  authorized to comply with any
limitation or restriction  in connection  with such sale as it may be advised by
counsel  is  necessary  in  order to  avoid  any  violation  of  applicable  law
(including compliance with such

                                       -9-

<PAGE>



procedures  as may restrict the number of  prospective  bidders and  purchasers,
require   that  such   prospective   bidders   and   purchasers   have   certain
qualifications,  and restrict such prospective bidders and purchasers to persons
who will  represent and agree that they are purchasing for their own account for
investment  and  not  with  a  view  to  the  distribution  or  resale  of  such
Collateral),  or in order to obtain any required  approval of the sale or of the
purchaser by any governmental  regulatory authority or official, and the Pledgor
further  agrees  that  such  compliance  shall not  result  in such  sale  being
considered or deemed not to have been made in a commercially  reasonable manner,
nor shall the Agent be liable nor  accountable  to the Pledgor for any  discount
allowed by the  reason of the fact that such  Collateral  is sold in  compliance
with any such limitation or restriction.

         SECTION 6.3. Application of Proceeds. All cash proceeds received by the
Agent in respect of any sale of, collection from, or other realization upon, all
or any part of the Collateral  may, in the  discretion of the Agent,  be held by
the  Agent  as  additional  collateral  security  for,  or then  or at any  time
thereafter  be  applied  (after  payment  of any  amounts  payable  to the Agent
pursuant to Section  10.07 of the Credit  Agreement and Section 6.4) in whole or
in part by the Agent against, all or any part of the Secured Obligations in such
order as the Agent shall elect.

         Any  surplus  of such  cash  or cash  proceeds  held by the  Agent  and
remaining  after  payment  in  full  of all  the  Secured  Obligations,  and the
termination  of all  Commitments,  shall  be  paid  over  to the  Pledgor  or to
whomsoever may be lawfully entitled to receive such surplus.

         SECTION 6.4.  Indemnity and Expenses.  The Pledgor hereby agrees to and
reaffirms its obligations under Sections 10.07 and 11.05 of the Credit Agreement
which are incorporated herein by reference and made a part hereof.

                                   ARTICLE VII
                            MISCELLANEOUS PROVISIONS

         SECTION 7.1. Loan  Document.  This Pledge  Agreement is a Loan Document
executed pursuant to the Credit Agreement and shall (unless otherwise  expressly
indicated herein) be construed,  administered and applied in accordance with the
terms and provisions thereof.

         SECTION  7.2.  Amendments,  etc.  No  amendment  to or  waiver  of  any
provision of this Pledge  Agreement  nor consent to any departure by the Pledgor
herefrom shall in any event be effective unless the same shall be given, made or
entered into in  accordance  with Section 11.01 of the Credit  Agreement,  which
Section is incorporated herein by reference and made a part hereof.

         SECTION 7.3. Protection of Collateral. The Agent may from time to time,
at its option, perform any act which the Pledgor agrees hereunder to perform and
which the Pledgor shall fail to perform  after being  requested in writing so to
perform  (it  being  understood  that no such  request  need be given  after the
occurrence and during the  continuance of an Event of Default) and the Agent may
from time to time  take any  other  action  which  the  Agent  reasonably  deems
necessary

                                      -10-

<PAGE>



for the maintenance, preservation or protection of any of the
Collateral or of its security interest therein.

         SECTION 7.4. Notices. All notices and other communications provided for
hereunder  shall be delivered  in  accordance  with Section  11.02 of the Credit
Agreement,  which  Section is  incorporated  herein by reference and made a part
hereof.

         SECTION 7.5.  Section Captions.  Section captions used in this
Pledge Agreement are for convenience of reference only, and shall not
affect the construction of this Pledge Agreement.

         SECTION 7.6.  Severability.  Wherever  possible each  provision of this
Pledge  Agreement  shall be  interpreted  in such manner as to be effective  and
valid under  applicable law, but if any provision of this Pledge Agreement shall
be prohibited by or invalid under such law, such provision  shall be ineffective
to the  extent of such  prohibition  or  invalidity,  without  invalidating  the
remainder  of  such  provision  or  the  remaining  provisions  of  this  Pledge
Agreement.

         SECTION 7.7.  Governing Law, Entire Agreement, etc.  Sections
11.15 and 11.17 of the Credit Agreement are incorporated by reference
herein and made a part hereof.

         SECTION 7.8.  Forum  Selection and Consent to  Jurisdiction.  ANY LEGAL
ACTION,  PROCEEDING OR LITIGATION BASED HEREON,  OR ARISING OUT OF, UNDER, OR IN
CONNECTION WITH, THIS PLEDGE AGREEMENT OR ANY OTHER LOAN DOCUMENT, OR ANY COURSE
OF CONDUCT,  COURSE OF DEALING,  STATEMENTS (WHETHER ORAL OR WRITTEN) OR ACTIONS
OF THE AGENT, THE LENDER PARTIES OR THE PLEDGOR MAY BE BROUGHT AND MAINTAINED IN
THE COURTS OF THE STATE OF CALIFORNIA OR IN THE UNITED STATES DISTRICT COURT FOR
THE NORTHERN DISTRICT OF CALIFORNIA;  PROVIDED,  HOWEVER,  THAT ANY SUIT SEEKING
ENFORCEMENT  AGAINST ANY  COLLATERAL  OR OTHER  PROPERTY MAY BE BROUGHT,  AT THE
AGENT'S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE SUCH COLLATERAL OR OTHER
PROPERTY MAY BE FOUND.  BY THE EXECUTION AND DELIVERY OF THIS PLEDGE  AGREEMENT,
THE  PLEDGOR  HEREBY  CONSENTS  FOR ITSELF AND IN  RESPECT OF ITS  PROPERTY  AND
EXPRESSLY  AND  IRREVOCABLY  SUBMITS TO THE  NON-EXCLUSIVE  JURISDICTION  OF THE
COURTS OF THE STATE OF CALIFORNIA  AND OF THE UNITED STATES  DISTRICT  COURT FOR
THE NORTHERN  DISTRICT OF CALIFORNIA  FOR THE PURPOSE OF ANY SUCH  LITIGATION AS
SET FORTH  ABOVE AND  IRREVOCABLY  AGREES TO BE BOUND BY ANY  JUDGMENT  RENDERED
THEREBY IN CONNECTION WITH SUCH  LITIGATION.  THE AGENT,  THE LENDER PARTIES AND
THE PLEDGOR FURTHER  IRREVOCABLY  CONSENT TO THE SERVICE OF PROCESS BY ANY MEANS
PERMITTED BY CALIFORNIA LAW INCLUDING BY REGISTERED MAIL, POSTAGE PREPAID, OR BY
PERSONAL  SERVICE  WITHIN OR WITHOUT  THE STATE OF  CALIFORNIA.  THE AGENT,  THE
LENDER PARTIES AND THE PLEDGOR HEREBY  EXPRESSLY AND  IRREVOCABLY  WAIVE, TO THE
FULLEST EXTENT  PERMITTED BY LAW, ANY OBJECTION WHICH THEY MAY HAVE OR HEREAFTER
MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCH COURT
REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH  LITIGATION HAS BEEN BROUGHT IN AN
INCONVENIENT  FORUM.  TO THE EXTENT THAT THE AGENT,  THE LENDER  PARTIES AND THE
PLEDGOR HAVE OR  HEREAFTER  MAY ACQUIRE ANY IMMUNITY  FROM  JURISDICTION  OF ANY
COURT OR FROM ANY LEGAL PROCESS (WHETHER  THROUGH SERVICE OR NOTICE,  ATTACHMENT
PRIOR TO JUDGMENT,  ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO
THEM OR THEIR  PROPERTY,  THE AGENT,  THE LENDER  PARTIES AND THE PLEDGOR HEREBY
IRREVOCABLY  WAIVE SUCH  IMMUNITY  IN RESPECT  OF THEIR  OBLIGATIONS  UNDER THIS
PLEDGE AGREEMENT AND THE OTHER LOAN DOCUMENTS.

                                      -11-

<PAGE>




         SECTION 7.9. Waiver of Jury Trial. THE PLEDGOR,  THE LENDER PARTIES AND
THE AGENT EACH WAIVE THEIR RESPECTIVE  RIGHTS TO A TRIAL BY JURY OF ANY CLAIM OR
CAUSE  OF  ACTION  BASED  UPON OR  ARISING  OUT OF OR  RELATED  TO  THIS  PLEDGE
AGREEMENT,  THE OTHER LOAN DOCUMENTS,  ANY COURSE OF CONDUCT, COURSE OF DEALING,
STATEMENTS  (WHETHER  ORAL OR  WRITTEN)  OR ACTIONS OF THE  PLEDGOR,  THE LENDER
PARTIES OR THE AGENT, OR THE TRANSACTIONS CONTEMPLATED HEREBY OR THEREBY, IN ANY
ACTION, PROCEEDING OR OTHER LITIGATION OF ANY TYPE BROUGHT BY ANY OF THE PARTIES
AGAINST ANY OTHER PARTY OR ANY  AGENT-RELATED  PERSON,  PARTICIPANT OR ASSIGNEE,
WHETHER WITH RESPECT TO CONTRACT CLAIMS, TORT CLAIMS, OR OTHERWISE. THE PLEDGOR,
THE  LENDER  PARTIES  AND THE AGENT  EACH  AGREE THAT ANY SUCH CLAIM OR CAUSE OF
ACTION  SHALL BE TRIED BY A COURT TRIAL  WITHOUT A JURY.  WITHOUT  LIMITING  THE
FOREGOING,  THE PARTIES FURTHER AGREE THAT THEIR  RESPECTIVE RIGHT TO A TRIAL BY
JURY IS WAIVED BY OPERATION OF THIS  SECTION AS TO ANY ACTION,  COUNTERCLAIM  OR
OTHER  PROCEEDING WHICH SEEKS, IN WHOLE OR IN PART, TO CHALLENGE THE VALIDITY OR
ENFORCEABILITY  OF THIS PLEDGE  AGREEMENT,  OR THE OTHER LOAN  DOCUMENTS  OR ANY
PROVISION  HEREOF  OR  THEREOF.  THIS  WAIVER  SHALL  APPLY  TO  ANY  SUBSEQUENT
AMENDMENTS,  RENEWALS, SUPPLEMENTS OR MODIFICATIONS TO THIS PLEDGE AGREEMENT AND
THE OTHER LOAN  DOCUMENTS.  THE  PLEDGOR  ACKNOWLEDGES  AND  AGREES  THAT IT HAS
RECEIVED FULL AND  SUFFICIENT  CONSIDERATION  FOR THIS PROVISION (AND EACH OTHER
PROVISION  OF EACH  OTHER  LOAN  DOCUMENT  TO WHICH IT IS A PARTY) AND THAT THIS
PROVISION IS A MATERIAL INDUCEMENT FOR THE AGENT AND THE LENDER PARTIES ENTERING
INTO THIS PLEDGE AGREEMENT AND EACH SUCH OTHER LOAN DOCUMENT.



                                      -12-

<PAGE>



         IN  WITNESS  WHEREOF,  the  parties  hereto  have  caused  this  Pledge
Agreement  to be duly  executed  and  delivered  by  their  respective  officers
thereunto duly authorized as of the day and year first above written.


                          SIERRA HEALTH SERVICES, INC.


                                       By:           /S/ JAMES L. STARR
                                       Title:        Chief Financial Officer

                                       Address:      2724 North Tenaya Way
                                                     Las Vegas, NV 89128

                                       Facsimile No.: 702-242-7916
                                       Attention:     Chief Financial Officer


                                       BANK OF AMERICA NATIONAL TRUST AND
                                       SAVINGS ASSOCIATION, as Agent

                                       By   /S/ RUTH Z. EDWARDS
                                       Title: Vice President

                       Address: Agency Management Services
                                                 #5596
                               1455 Market Street
                                                 12th Floor
                             San Francisco, CA 94103


                                       Facsimile No.: (415) 622-4894
                                       Attention:  Vice President





                                      -13-



                  SIERRA HEALTH SERVICES, INC. AND SUBSIDIARIES

                        COMPUTATION OF EARNINGS PER SHARE

                                   EXHIBIT 11

<TABLE>
<CAPTION>

                                                                                 Three Months Ended
                                                                            March                   March
                                                                            1996                    1995
                                                                       --------------          --------------


<S>                                                                       <C>                    <C>
NET INCOME...........................................                     $10,164,000            $ 7,675,000

EARNINGS PER COMMON SHARE............................                            $.58                   $.44

Weighted Average Common Shares
   Outstanding.......................................                      17,627,000             17,298,000



PRIMARY EARNINGS PER COMMON
   SHARE AND COMMON SHARE
   EQUIVALENTS.......................................                      18,057,000             17,571,000

Weighted Average Common and Common
   Equivalent Shares Outstanding.....................                            $.56                   $.44


FULLY DILUTED PRIMARY EARNINGS
   PER COMMON AND COMMON
   SHARE EQUIVALENTS.................................                      18,058,000             17,646,000

Weighted Average Common and Common
   Equivalent Shares Outstanding Assuming
   Full Dilution.....................................                            $.56                   $.43

</TABLE>


Note:    Common Equivalent Shares represent the incremental effect of
         outstanding stock options and stock appreciation rights.




<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
STATEMENTS OF CONSOLIDATED OPERATIONS AND IS QUALIFIED IN ITS ENTIRETY BY
REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<CIK> 0000754009
<NAME> SIERRA HEALTH SERVICES
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-END>                               MAR-31-1996
<CASH>                                      60,772,000
<SECURITIES>                               313,112,000
<RECEIVABLES>                               26,618,000
<ALLOWANCES>                                 4,664,000
<INVENTORY>                                          0
<CURRENT-ASSETS>                           184,227,000
<PP&E>                                     124,629,000
<DEPRECIATION>                              33,876,000
<TOTAL-ASSETS>                             571,322,000
<CURRENT-LIABILITIES>                      145,343,000
<BONDS>                                     69,111,000
                                0
                                          0
<COMMON>                                        88,000
<OTHER-SE>                                 213,096,000
<TOTAL-LIABILITY-AND-EQUITY>               571,322,000
<SALES>                                              0
<TOTAL-REVENUES>                           136,012,000
<CGS>                                                0
<TOTAL-COSTS>                              121,637,000
<OTHER-EXPENSES>                               388,000
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                           1,197,000
<INCOME-PRETAX>                             13,566,000
<INCOME-TAX>                                 3,402,000
<INCOME-CONTINUING>                         10,164,000
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                10,164,000
<EPS-PRIMARY>                                     0.58
<EPS-DILUTED>                                     0.00
        

</TABLE>


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