RAMSAY HEALTH CARE INC
10-Q, 1996-11-19
HOSPITALS
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                       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 September 30, 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 No. 0-13849

                            RAMSAY HEALTH CARE, INC.

             (Exact name of registrant as specified in its charter)

   Delaware                                             63-0857352
   (State or other jurisdiction                         (I.R.S. Employer
    of incorporation or organization)                    Identification Number)

                         Entergy Corporation Building
                         639 Loyola Avenue, Suite 1700
                            New Orleans, Louisiana              70113
                    (Address of principal executive offices)  (Zip Code)

      Registrant's telephone number, including area code:  (504) 525-2505

           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        

           The number of shares of the Registrant's  Common Stock outstanding at
November 12, 1996 follows:

                  Common Stock, par value $0.01 per share - 8,307,131 shares

<PAGE>


                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                                    FORM 10-Q


                                      INDEX



                                                                            Page

Part I.   FINANCIAL INFORMATION
 
Item 1. Financial Statements
    Consolidated balance sheets - September 30, 1996 and
        June 30, 1996 (unaudited).........................................     1

    Consolidated statements of operations - quarter ended September 30, 1996
        and 1995 (unaudited)..............................................     3

    Consolidated statements of cash flows - quarter ended September 30, 1996
        and 1995 (unaudited)..............................................     4

    Notes to consolidated financial statements - September 30, 1996
        (unaudited).......................................................     5

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


Part II.  OTHER INFORMATION

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

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

SIGNATURES ..............................................................     14


<PAGE>

                          PART I. FINANCIAL INFORMATION

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                           CONSOLIDATED BALANCE SHEETS
                                   (unaudited)


                                              September 30            June 30
                                                  1996                  1996    


     ASSETS

CURRENT ASSETS
     Cash and cash equivalents............. $     6,015,000     $     7,605,000
     Patient accounts receivable, less 
       allowances for doubtful accounts
       of $3,799,000 and $4,573,000 at
       September 30, 1996 and June 30, 
       1996, respectively..................      23,864,000          23,410,000
     Amounts due from third-party 
       contractual agencies................       3,737,000           6,479,000
     Current portion of receivable
       from affiliated company.............       1,765,000           1,412,000
     Other receivables.....................       3,440,000           2,985,000
     Deferred income taxes.................       1,398,000           1,398,000
     Other current assets..................       2,635,000           2,372,000
       TOTAL CURRENT ASSETS................      42,854,000          45,661,000



OTHER ASSETS
     Cash held in trust....................         584,000             745,000
     Cost in excess of net asset value 
       of purchased businesses.............         586,000             591,000
     Unamortized preopening and loan 
        costs..............................         983,000           1,040,000
     Receivable from affiliated company,
        less current portion...............       6,799,000           6,795,000
     Deferred income taxes.................      10,141,000          10,141,000
     Other noncurrent assets...............       1,452,000           1,392,000
                                                 20,545,000          20,704,000


PROPERTY AND EQUIPMENT
     Land..................................       5,025,000           5,025,000
     Building and improvements.............      69,576,000          69,200,000
     Equipment, furniture and fixtures.....      20,603,000          20,325,000
                                                 95,204,000          94,550,000
     Less accumulated depreciation.........      29,280,000          28,157,000
                                                 65,924,000          66,393,000

                                            $   129,323,000     $   132,758,000





                 See notes to consolidated financial statements.

                                        1
<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                          CONSOLIDATED BALANCE SHEETS
                                   (unaudited)






                                                 September 30        June 30
                                                     1996              1996     

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES
     Accounts payable.......................  $    4,307,000     $    4,990,000
     Accrued salaries and wages.............       4,478,000          5,169,000
     Other accrued liabilities..............       5,055,000          4,412,000
     Amounts due to third-party
       contractual agencies..............          9,305,000          8,435,000
     Current portion of long-term 
       debt............................           12,645,000         10,940,000
       TOTAL CURRENT LIABILITIES............      35,790,000         33,946,000

NONCURRENT LIABILITIES
     Other accrued liabilities..............       7,109,000          7,170,000
     Long-term debt, less current
       portion..............................      39,531,000         44,664,000
     Minority interests.....................          25,000            925,000
                                                  46,665,000         52,759,000

STOCKHOLDERS' EQUITY
     Class B convertible preferred 
       stock, Series C, $1 par value
       --authorized 152,321 shares; 
       issued 142,486 shares (liquidation
       value of $7,244,000) including 
       accrued dividends of $91,000 ........        233,000             233,000
     Common Stock, $.01 par value--
       authorized 20,000,000 shares; 
       issued 8,888,681 shares at 
        September 30, 1996 and 8,605,108
        shares at June 30, 1996.............         89,000              86,000
     Additional paid-in capital.............    100,563,000          99,899,000
     Retained earnings (deficit)............    (50,118,000)        (50,266,000)
     Treasury Stock, at cost--581,550
        shares at September 30, 1996
       and June 30, 1996....................     (3,899,000)         (3,899,000)
           Total stockholders' equity ......     46,868,000          46,053,000

                                             $  129,323,000      $  132,758,000





                 See notes to consolidated financial statements.

                                        2

<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (unaudited)





                                                   Quarter Ended September 30
                                                     1996               1995

NET REVENUES                                    $ 31,535,000       $ 29,129,000
Expenses:
   Salaries, wages and benefits............       16,616,000         16,239,000
   Other operating expenses................       11,024,000          9,556,000
   Provision for doubtful accounts.........          889,000            956,000
   Depreciation and amortization...........        1,313,000          1,335,000
   Interest and other financing charges....        1,545,000          1,726,000
        TOTAL EXPENSES.....................       31,387,000         29,812,000

INCOME (LOSS) BEFORE MINORITY INTERESTS
   AND INCOME TAXES........................         148,000            (683,000)
Minority interests.........................            ---              (52,000)
INCOME (LOSS) BEFORE INCOME TAXES..........         148,000            (631,000)
Benefit for income taxes...................            ---             (240,000)

      NET INCOME (LOSS)....................     $   148,000        $   (391,000)

Income (loss) per common and dilutive 
  common equivalent share:
   Primary.................................           $0.01              $(0.06)
   Fully diluted...........................           $0.01              $(0.06)

Weighted average number of shares 
  outstanding:
   Primary.................................       8,174,000           7,721,000
   Fully diluted...........................       8,174,000           7,735,000

















                 See notes to consolidated financial statements.


                                        3

<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (unaudited)


                                                    Quarter Ended September 30
                                                       1996             1995

Cash Flows from Operating Activities
Net income (loss)...........................      $   148,000    $     (391,000)
Adjustments to reconcile net income 
   (loss) to net cash provided by
   (used in) operating activities:
   Depreciation and amortization............        1,386,000         1,526,000
   Benefit for deferred income taxes........              ---          (280,000)
   Provision for doubtful accounts..........          889,000           956,000
   Management fees paid in common stock.....          189,000               ---
   Minority interests.......................              ---           (52,000)
   Cash flows from (increase) decrease 
    in operating assets:
      Accounts receivable...................       (1,343,000)       (3,097,000)
      Amounts due from third-party 
        contractual agencies................        2,742,000           653,000
      Other current assets..................         (583,000)          605,000
      Other noncurrent assets...............          (60,000)            3,000
   Cash flows from increase (decrease)
    in operating liabilities:
      Accounts payable......................         (683,000)         (796,000)
      Accrued salaries, wages and other 
        liabilities.........................         (109,000)       (1,035,000)
      Amounts due to third-party
        contractual agencies................          870,000           596,000 
         Total adjustments..................        3,298,000          (921,000)
            Net cash provided by 
              (used in) operating activities        3,446,000        (1,312,000)
Cash Flows from Investing Activities
   Expenditures for property and
      equipment.............................         (654,000)         (345,000)
   Preopening costs.........................          (23,000)          (22,000)
            Net cash used in investing
              activities....................         (677,000)         (367,000)
Cash Flows from Financing Activities
   Loan costs...............................         (101,000)          (21,000)
   Proceeds from exercise of stock
     options and employee stock
     purchase plan..........................              ---            90,000
   Distributions to minority interests......         (900,000)         (540,000)
   Payments on debt.........................       (3,428,000)         (888,000)
   Payment of preferred stock dividends.....          (91,000)          (91,000)
   Cash held in trust.......................          161,000           130,000
            Net cash used in financing
              activities....................       (4,359,000)       (1,320,000)
Net decrease in cash and cash equivalents...       (1,590,000)       (2,999,000)
Cash and cash equivalents at beginning of
 period.....................................        7,605,000         9,044,000
Cash and cash equivalents at end of period..     $  6,015,000    $    6,045,000

Supplemental Disclosures of Cash Flow
 Information
Cash paid during the period for:
   Interest.................................     $  1,254,000    $    1,344,000
   Income taxes.............................           13,000                 0


                 See notes to consolidated financial statements.

                                        4


<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                   (UNAUDITED)
                               September 30, 1996


NOTE 1

           The accompanying  unaudited  consolidated  financial  statements have
been prepared in accordance with generally  accepted  accounting  principles for
interim financial information and with the instructions to Form 10-Q and Article
10 of Regulation  S-X.  Accordingly,  they do not include all of the information
and notes  required by generally  accepted  accounting  principles  for complete
financial statements.  In the opinion of management,  all adjustments considered
necessary  for a  fair  presentation  of the  interim  information  are,  unless
otherwise  discussed in this report,  of a normal recurring nature and have been
included.  The  Company's  business is seasonal in nature and subject to general
economic  conditions and other factors.  Accordingly,  operating results for the
quarter ended September 30, 1996 are not  necessarily  indicative of the results
that  may be  expected  for the  year.  For  further  information,  refer to the
consolidated  financial  statements and notes thereto  included in the Company's
Annual Report on Form 10-K for the year ended June 30, 1996.

NOTE 2

           At September  30, 1996,  the  Company's  credit  facilities  included
$31,075,000 in senior secured notes and $1,615,386 in subordinated secured notes
(the 1990 Credit Facility),  and approximately  $20,000,000 in letters of credit
to support the  Company's  variable  rate demand  revenue bonds (the 1993 Credit
Facility).  The  senior  secured  notes  bear  interest  at  11.6%  and  require
semi-annual  principal  payments  of  $3,531,250  from  March 31,  1997  through
September  30, 1998 and  $5,650,000  from March 31, 1999 through March 31, 2000.
The subordinated secured notes bear interest at 15.6% and are due in semi-annual
installments of $230,769 that began on March 31, 1994 and end on March 31, 2000.

           The variable rate demand  revenue bonds were issued in 1984 and 1985,
have  terms of 30 years  and  require  annual  principal  payments  of  $800,000
(through year 2000) and $900,000 to $1,200,000 from years 2001 to maturity.  The
Company is required to maintain an irrevocable standby letter of credit for each
bond in an  amount  equal to the  total  principal  payments  due under the bond
(totalling  $19,300,000 at September 30, 1996), plus approximately one quarter's
interest. Such letters of credit are provided in the 1993 Credit Facility.

           In August  1996,  the  Company and banks  supporting  the 1993 Credit
Facility  agreed to terms which extended its expiration  date from February 1997
to August 1997. In connection with this extension,  the Company agreed to reduce
the bank group's  exposure  under the 1993 Credit  Facility to  $17,145,835  (an
approximate  $3 million  reduction) by December 31, 1996 and to  $15,000,000  by
July 1, 1997.

           Under the 1993 and 1990 Credit Facilities, the Company is required to
meet certain  covenants,  including:  (1) the  maintenance of a minimum level of
consolidated  tangible  net  worth;  (2) the  maintenance  of a minimum  working
capital ratio; and (3) the maintenance of certain fixed charge and debt service

                                        5


<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

coverage  ratios.  From time to time, the lenders under the 1993 and 1990 Credit
Facilities have agreed to waive or otherwise  adjust certain of these ratios and
levels.  In  connection  with these  waivers and  adjustments,  the Company pays
additional  fees and expenses.  Further,  as part of the waivers and adjustments
obtained  as of June 30,  1996,  the  Company  agreed to provide  its  Hillcrest
Hospital facility and related assets as additional collateral to the lenders and
agreed not to pay cash  dividends  in  respect  of its  Common  Stock or Class B
Preferred Stock, Series C.

A summary of the Company's debt obligations is as follows:

                                                  September 30        June 30
                                                      1996              1996

11.6% senior secured notes .................   $    31,075,000   $   34,169,000
Variable rate demand revenue bonds .........        19,300,000       19,400,000
15.6% subordinated secured notes ...........         1,615,000        1,846,000
Other notes payable.........................           186,000          189,000
                                                    52,176,000       55,604,000
Less amounts due within one year............        12,645,000       10,940,000
                                               $    39,531,000   $   44,664,000


           The  Company has pledged  substantially  all of its real  property as
collateral on its long-term debt.

NOTE 3

           In April 1995,  the Company sold and leased back the land,  buildings
and fixed  equipment  of two of its  inpatient  facilities.  The  leases  have a
primary term of 15 years (with three successive renewal options of 5 years each)
and  currently  require an aggregate  annual  minimum  rental of $1.58  million,
payable monthly.  Effective April 1 of each year, the lease payments are subject
to any upward adjustment (not to exceed 3% annually) in the consumer price index
over the preceding  twelve months.  Effective  April 1995, the Company agreed to
lease an 80-bed  facility  near Salt Lake  City,  Utah for four  years,  with an
option to renew for an additional  three years.  The lease requires  annual base
rental payments of $456,000,  payable  monthly,  and percentage  rental payments
equal to 2% of the net revenues of the facility,  payable quarterly. The Company
leases  office space for various  other  purposes over terms ranging from one to
five years.  Annual rent  expense  related to  noncancellable  operating  leases
totals approximately $3.0 million.

NOTE 4

           Income  taxes are  accounted  for in  accordance  with  Statement  of
Financial  Accounting Standards (SFAS) No. 109. SFAS 109 requires recognition of
deferred tax assets and liabilities for the expected future tax  consequences of
temporary differences between the carrying amounts of assets and liabilities for
financial  reporting  purposes and the amounts used for income tax purposes.  At
September 30, 1996, net operating loss carryovers of  approximately  $23,600,000
(of which $17,600,000 expires from 2000 to 2003,  $3,800,000 expires in 2010 and
$2,200,000 expires in 2011) and alternative minimum tax credit carryovers of 

                                        6


<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

approximately  $1,500,000  are available to reduce future  federal income taxes,
subject to certain annual limitations.

NOTE 5

           In October 1993, the Company,  through its subsidiary  Ramsay Managed
Care,  Inc.  ("RMCI"),  entered the managed  mental health  business  through an
acquisition of Florida  Psychiatric  Management,  Inc. The managed care division
expanded in June 1994 with the acquisition of a Phoenix,  Arizona-based  managed
mental health  business  and, in fiscal 1995,  through the award of contracts in
Hawaii and West Virginia.  On April 24, 1995, the Company  distributed the stock
of RMCI held by it to the holders of record on April 21,  1995 of the  Company's
Common and Preferred Stock. Subsequent to this distribution,  which was recorded
at net book value, RMCI ceased being a subsidiary of the Company.

           At September 30, 1996, total net cash advances made by the Company to
or on behalf of RMCI,  including for purposes of partially funding  acquisitions
and for working capital and other corporate purposes,  totalled  $8,564,000.  Of
this amount, $6,000,000 is represented by an unsecured,  interest- bearing (8%),
subordinated  promissory  note due from RMCI and issued on October 25, 1994. The
remaining amount, which is also unsecured, includes $480,000 of accrued interest
on the  promissory  note since  October  1, 1995 and  $2,084,000  of  additional
amounts  paid by RHCI on behalf of RMCI or charges  by RHCI to RMCI for  certain
administrative  services.  Of the $6,000,000 due on the subordinated  promissory
note,  approximately  $1,765,000 is due on or before  September  30,1997 and the
remainder is payable in 12 quarterly  installments  of  approximately  $353,000,
beginning December 31, 1997. RHCI has agreed that the payment of interest on the
subordinated  promissory  note for the period October 1, 1995 through  September
30, 1997,  as well as the  $2,084,000 of  additional  amounts owed,  will not be
required until after October 1, 1997, all on terms and conditions to be mutually
agreed to by RHCI and RMCI.

           As  previously  announced,  on October 1, 1996,  the Company and RMCI
entered into an agreement  and plan of merger  providing  for the merger of RMCI
into a wholly owned subsidiary of the Company. Following the merger, all amounts
owed by RMCI to the Company will become an  intercompany  payable and receivable
between  RMCI and RHCI,  respectively.  The merger is subject to approval by the
shareholders  of each  company,  the receipt of lender,  governmental  and other
consents and the  declaration  of  effectiveness  by the Securities and Exchange
Commission  of a  registration  statement  filed by the Company.  Subject to the
satisfaction  of  these  conditions,  it is  expected  that the  merger  will be
consummated in March 1997.


                                        7

<PAGE>


                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES


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

           The  Company  pursues  business  expansion  opportunities  which  are
consistent with its overall  strategic plan and disposes of operations no longer
considered  viable  or  consistent  with  this  plan.  Due  to  cost-containment
pressures imposed by managed care  organizations,  governmental and other third-
party  payors,  one of the  Company's  strategic  objectives  is to  reduce  its
dependence on acute  psychiatric  inpatient care revenues and to expand its less
intensive inpatient behavioral  programs,  including  residential  treatment and
youth-oriented  correctional  service programs,  which require longer lengths of
stay.

           Further,  the Company is restructuring its outpatient  services in an
effort to enhance the Company's relationship with managed care organizations and
increase the Company's outpatient revenues. In connection with this strategy and
as previously  announced,  on October 1, 1996, the Company and RMCI entered into
an agreement  and plan of merger  providing for the  acquisition  of RMCI by the
Company (see Note 5 in "Item 1. Financial Statements" above).

           In  connection  with  the  "safe-harbor"  provision  of  the  Private
Securities  Litigation Reform Act of 1995, the Company notes that this Quarterly
Report on Form 10-Q contains  forward-looking  statements about the Company. The
Company is hereby  setting forth  cautionary  statements  identifying  important
factors that may cause the Company's  actual results to differ  materially  from
any forward- looking statement. Some of the most significant factors include (i)
accelerating   changes   occurring  in  the  health  care  industry,   including
competition from consolidating and integrated health care provider systems,  the
imposition  of more  stringent  admission  criteria by payors,  increased  payor
pressures  to limit  lengths of stay,  limitations  on  reimbursement  rates and
limitations  on annual and lifetime  patient health  benefits,  (ii) federal and
state governmental budgetary constraints which could have the effect of limiting
the amount of funds  available  to support  governmental  health care  programs,
including   Medicare  and  Medicaid,   and  (iii)   statutory,   regulatory  and
administrative  changes or  interpretations of existing statutory and regulatory
provisions affecting the conduct of the Company's business and affecting current
and prior reimbursement for the Company's  services.  While the Company believes
that  implementing  the above-described  strategies will enable the Company to
improve its operations and financial  condition,  there can be no assurance that
the Company will be successful in doing so.

Results of Operations

           The following table sets forth,  for the periods  indicated,  certain
items of the Company's Consolidated  Statements of Operations as a percentage of
the Company's net revenues.









                                        8

<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                                                Percentage of Net Revenues
                                                      Quarter Ended
                                                       September 30       
                                                1996                 1995

    Net revenues............................    100.0  %             100.0  %
    Expenses:
         Salaries, wages and benefits.......     52.7                 55.7
         Other operating expenses...........     34.9                 32.8
         Provision for doubtful accounts....      2.8                  3.3
         Depreciation and amortization......      4.2                  4.6
         Interest expense...................      4.9                  5.9
    Total expenses..........................     99.5                102.3
    Income loss before minority interests
     and income taxes.......................      0.5  %              (2.3)  %
 

           Net  revenues  in the  quarter  ended  September  30, 1996 were $31.5
million, compared to $29.1 million in the comparable quarter of the prior fiscal
year.  Same facility net inpatient  revenues  increased 2% between periods (from
$22.2 million in the September 1995 quarter to $22.6 million in the current year
quarter) due to a 6% increase in acute  psychiatric  and  residential  treatment
admissions  and patient  days,  offset by a 4% decrease  between  periods in the
Company's same facility net inpatient revenue per patient day. In addition,  net
revenues  related to  subacute  operations  increased  by $1.9  million  between
periods (from $2.2 million in the prior year period, or 8% of total net revenues
of the Company,  to $4.1 million in the current year period, or 13% of total net
revenues of the Company),  as subacute  patient days increased from 2,631 in the
prior year comparable quarter to 4,939 in the current year quarter. Net revenues
associated  with  outpatient and contract  management  services  remained stable
between periods.

           Salaries,  wages and benefits in the quarter ended September 30, 1996
were $16.6 million,  compared to $16.2 million in the comparable  quarter of the
prior fiscal year.  Same facility  salaries,  wages and benefits  decreased $0.4
million (from $14.2 million to $13.8 million) between periods, or 3%, due to the
continued  increase  in  residential  treatment  services,  which are less labor
intensive  than  acute  psychiatric  services.  The  decrease  in same  facility
salaries,  wages and benefits was offset by a $0.7 million  increase in subacute
salaries,  wages and benefits,  due to the increase in subacute  patient  volume
between periods.

           Other operating expenses in the quarter ended September 30, 1996 were
$11.0 million,  compared to $9.6 million in the comparable  quarter of the prior
fiscal year.  Same facility other  operating  expenses  remained  stable between
periods at $8.0 million,  whereas other operating expenses of the subacute units
increased  by $1.4  million  between  periods  due to the  previously  discussed
increase in subacute patient volume between periods.

           The  provision for doubtful  accounts in the quarter ended  September
30, 1996 totalled $0.9 million, which compares to the $1.0 million provision for
doubtful accounts in the prior year comparable quarter.  Also,  depreciation and
amortization  expense in the quarters ended September 30, 1996 and 1995 totalled
$1.3 million.

                                        9


<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

           Interest  expense  decreased  from $1.7 million in the quarter  ended
September 30, 1995 to $1.5 million in the current year comparable quarter.  Debt
levels were  reduced  between  periods  through  regularly  scheduled  principal
payments on the  Company's  subordinated  secured notes and variable rate demand
revenue bonds. Also, in the prior year comparable quarter,  the Company recorded
interest expense in respect of borrowings under a working capital facility which
was paid off and cancelled in December 1995.

           The  Company  did not  record a  provision  for  income  taxes in the
current  year quarter  based on an  adjustment  to the  deferred  tax  valuation
allowance recorded on deferred tax assets.

Financial Condition

           The Company  records amounts due to or from  third-party  contractual
agencies (Medicare,  Medicaid and Blue Cross) based on its best estimate,  using
the principles of cost  reimbursement,  of amounts to be ultimately  received or
paid under current and prior years' cost reports filed (or to be filed) with the
appropriate intermediaries.  Ultimate settlements and other lump-sum adjustments
due from and paid to these  intermediaries  occur at  various  times  during the
fiscal year. At September 30, 1996, amounts due from Medicare, Medicaid and Blue
Cross totalled $2.7 million, $0.8 million and $0.2 million,  respectively.  Also
at September 30, 1996, amounts due to Medicare, Medicaid and Blue Cross totalled
$7.8  million,  $0.9 million and $0.6  million,  respectively.  Changes in these
amounts  since  June 30,  1996 are the  result of fiscal  intermediary  lump sum
adjustments,  prior year cost  report  settlements  and current  year  estimated
settlements recorded during the three months ended September 30, 1996.

           During the three months  ended  September  30, 1996,  amounts owed to
minority interests decreased by $0.9 million due to a final distribution made to
the  minority  partners  in  the  Three  Rivers  Hospital  Limited  Partnership.
Subsequent to this distribution,  the Three Rivers Hospital Limited  Partnership
was dissolved.

           The Company has net deferred tax assets totalling approximately $11.5
million,  which includes a valuation allowance of $4.4 million, at September 30,
1996.  Management  has  considered  the  effects of  implementing  tax  planning
strategies,  consisting  of the sales of certain  appreciated  property,  as the
primary basis for  recognizing  deferred tax assets at September  30, 1996.  The
ultimate  realization  of deferred  tax assets may be affected by changes in the
underlying  values of the  properties  considered  in the Company's tax planning
strategies, which values are dependent upon the operating results and cash flows
of the individual  properties.  The Company  evaluates the  realizability of its
deferred  tax  assets  on a  quarterly  basis  by  reviewing  its  tax  planning
strategies and the adequacy of its valuation allowance.

           At September  30,  1996,  the current  portion of long-term  debt was
$12.6  million,  compared  to $10.9  million  at June 30,  1996.  This  increase
primarily  resulted from the  Company's  commitment in August 1996 to reduce the
exposure of its bank group from approximately $17 million to $15 million by July
1, 1997.

           In August 1996, a corporate affiliate of Paul J. Ramsay, the Chairman
of the Board of the Company, acquired through a private placement 275,546 shares
of Common Stock of the Company at a price of $2.75 per share.  These shares were

                                       10

<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

issued  for  management  fees due  under a  management  agreement  with  another
corporate affiliate of Mr. Ramsay during 1997. The Company recorded the issuance
of these  shares as prepaid  management  fees,  which is included in prepaid and
other current assets in the  accompanying  balance sheet, and will amortize this
amount in its statement of operations ratably over the twelve months ending June
30, 1997.

           On September 10, 1996,  the Company  entered into a letter  agreement
with  the  corporate  affiliates  discussed  above  terminating  the  management
agreement  effective July 1, 1997. In consideration  for this  termination,  the
Company issued warrants to one of the corporate  affiliates to purchase  250,000
shares of Common Stock at an exercise  price of $2.63 per share.  These warrants
are fully exercisable as of September 10, 1996 and expire on September 10, 2006.

Liquidity and Capital Resources

           The  Company's  credit  facilities  include  $31.1  million in senior
secured notes,  approximately  $20 million in letters of credit and $1.6 million
in subordinated  secured notes.  The senior secured notes bear interest at 11.6%
and require  semi-annual  principal payments of $3.5 million from March 31, 1997
through  September  30, 1998 and $5.65 million from March 31, 1999 through March
31, 2000.  The  subordinated  secured  notes bear  interest at 15.6% and require
semi-annual  principal payments of $0.2 million through March 31, 2000. Required
annual  principal  payments on the variable rate demand revenue bonds total $0.8
million through year 2000 and $0.9 million to $1.2 million in years 2001 through
2015.  In August  1996,  the  Company and the banks  supporting  the 1993 Credit
Facility  agreed to terms which extended the expiration  date of the 1993 Credit
Facility  from  February 15, 1997 to August 15, 1997.  In  connection  with this
extension,  the  Company  agreed to reduce  the banks'  exposure  under the 1993
Credit Facility to $17,145,835 (an approximate $3 million reduction) by December
31, 1996 and to $15,000,000 by July 1, 1997.

           The  Company  expects to satisfy its  requirement  to reduce the bank
group's  exposure on  December  31, 1996  through  (a)  proceeds  from a working
capital  facility  secured  by  certain of the  Company's  receivables,  (b) the
possible sale of the Company's facility in Fort Walton Beach, Florida, or (c ) a
transaction in which the Company would contribute one of its facilities to a new
entity  which  would be  jointly  owned by the  Company  and a  medical/surgical
facility  in the  market  area  that the  Company's  facility  is  located.  The
medical/surgical  facility would contribute cash and other  consideration to the
new entity. Through economies of scale,  infrastructure savings and new business
opportunities  of the new entity,  the Company  believes its income from the new
entity could  approximate the income currently  realized from this facility.  In
connection with this transaction,  the revenue bonds outstanding on the facility
would be  redeemed or a  substitute  letter of credit  would be issued,  thereby
achieving the  Company's  commitment to reduce the exposure of its bank group by
approximately $3 million by December 31, 1996. At present,  the Company does not
have a  commitment  for a working  capital  facility,  has not  entered  into an
agreement  to sell its Fort Walton  Beach  facility  and has not entered into an
agreement in respect of the above-described joint venture transaction. There can
be  no  assurance  that  the  Company  will  consummate  any  of  the  foregoing
transactions.


                                       11

<PAGE>


                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

           In May 1996,  the Company signed a letter of intent to sell its Three
Rivers  facility  to an  independent  party.  The  Company  expects  to  receive
approximately  $2.2 million from the sale of this facility in December  1996. At
present,  the Company has not entered  into a  definitive  agreement to sell its
Three Rivers facility.

           In response to market demands, the Company is currently converting an
additional 37 beds at its Texas  facilities  from  psychiatric  care to subacute
care. Future renovation costs associated with this project, which is expected to
be  completed  by January 1,  1997,  will  approximate  $0.5  million.  No other
commitments to make material capital expenditures exist at this time.

           As part of the Company's  business  strategy,  the Company intends to
refinance  its debt during the next fiscal year to provide  funds for growth and
working  capital,  as well as to  reschedule  the  current  level  of  principal
repayment required under the 1990 Credit Facility.  At present, the Company does
not  have a  commitment  from any  lender  to  refinance  its  outstanding  debt
obligations.

           The Company's current primary cash requirements  relate to its normal
operating  expenses,  the  requirement  to reduce its banks' credit  exposure as
discussed above, principal payments on its senior secured notes, routine capital
improvements at its facilities and the above mentioned renovation project.

           On the  basis  of  its  historical  cash  collection  experience  and
projected  cash needs,  the Company  believes that its existing cash  resources,
internally  generated  funds from  operations,  proceeds  from the sale of Three
Rivers Hospital,  debt reductions derived from the Company's business strategies
discussed  above and a  refinancing  of the Company's  outstanding  debt will be
sufficient to meet its current cash requirements and future  identifiable needs.
Further,  the Company  believes that the resolution of the matter with the State
of  Louisiana  discussed  below in "Item 5. Other  Information"  will not have a
material adverse effect on its liquidity.


                           PART II - OTHER INFORMATION

Item 5.  Other Information

           During  fiscal 1996,  the State of Louisiana  requested  repayment of
disproportionate  share  payments  received  by two of the  Company's  Louisiana
facilities in fiscal years 1995 and 1994 totalling approximately $5,000,000. The
repayment  requests  related to a)  alleged  overpayments  made to Three  Rivers
Hospital because the State believed Three Rivers' actual annual inpatient volume
was less than its projection of annual inpatient volume made at the beginning of
its 1994 cost reporting year and b) alleged improper  teaching hospital payments
made to Three Rivers Hospital and Bayou Oaks Hospital because the State believed
these  facilities  were not  qualifying  teaching  hospitals  at the time  these
payments were made. The Company believes that certain of the calculations  which
support the State's  calculation of annual inpatient volume in 1994 are in error
and that other relevant factors affecting the State's  calculation have not been
considered.  Further,  the Company believes that, based on its  understanding of
the rules and  regulations in place at the time the teaching  hospital  payments
were made,  payments  received as a result of the teaching  classification  were
appropriate.

                                       12



<PAGE>

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

           On the basis of  discussions  to date  between  the  Company  and the
State,  the  Company  believes  that this  matter may be  settled  for an amount
significantly  less than the State's  initial  requests.  Any settlement of this
matter will be contingent  upon the execution of settlement  documentation,  the
terms of which have not been agreed  upon.  Further,  there can be no  assurance
that the  Company and the State will agree on a  settlement  amount or the terms
and conditions of settlement  documentation.  The Company  intends to vigorously
contest any  position  by the State of  Louisiana  which the  Company  considers
adverse and believes that an adequate  reserve  exists at September 30, 1996 for
the  estimated  amount which might be recovered  from the Company as a result of
this matter.

           Effective  November 1, 1996, the Company amended the Rights Agreement
dated as of August 1,  1995,  as amended by the  Amendment  thereto  dated as of
October 3, 1995,  between the Company  and First  Union  National  Bank of North
Carolina,  as Rights Agent (as so amended,  the "Agreement"),  by excluding from
the definition of "Acquiring Person" in the Agreement persons who are elgible to
file a  statement  on  Schedule  13G under Rule  13d-1(b)  under the  Securities
Exchange  Act of 1934 who acquire  beneficial  ownership of less than 25% of the
Company's  capital  stock,  unless  and until the  conditions  set forth in Rule
13d-1(b) (3) or (4) exist. For a more complete description of the foregoing, see
Amendment No. 2 to the Agreement, attached hereto as Exhibit 10.101.

Item 6.  Exhibits and Reports on Form 8-K

         (a)  Exhibits

              The exhibits required to be filed as part of this Quarterly Report
              on Form 10-Q are as follows:

         Exhibit 10.99
              Employment Agreement dated August 12, 1996 by and between the
              Company and Remberto Cibran

         Exhibit 10.100
              Services Agreement dated August 12, 1996 by and between the
              Company and Healthlink Enterprises, Inc.

         Exhibit 10.101
               Amendement  No. 2 dated as of  November  1, 1996 to that  certain
               Rights  Agreement  dated as of August 1, 1995, as amended by that
               certain  Amendment  dated as of October 3, 1995,  between  Ramsay
               Health  Care,  Inc.  and  First  Union  National  Bank  of  North
               Carolina, as Rights Agent.

         Exhibit 11
              Computation of Net Income per Share

         Exhibit 27
              Financial Data Schedule

(b)      Current Reports on Form 8-K

              The Company  did not file any Current  Reports on Form 8-K during
              the quarter ended September 30, 1996. Subsequent to September 30,
              1996, the Company filed the following  Current Report on Form 8-K
              with the Commission:

                  *        Form 8-K dated October 2, 1996 relating to the 
                           proposed merger between the Company and Ramsay
                           Managed Care, Inc.



                                       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 thereupon duly authorized.


                                 RAMSAY HEALTH CARE, INC.
                                 Registrant



                                 /s/ Carol C. Lang                              
                                     Carol C. Lang
                                     Chief Financial Officer





Date:  November 19, 1996


                                       14








                              EMPLOYMENT AGREEMENT


          AGREEMENT  made as of the  12th  day of  August,  1996 by and  between
RAMSAY HEALTH CARE, INC., a Delaware  corporation (the "Company"),  and REMBERTO
CIBRAN (the "Employee").

                              W I T N E S S E T H :

          WHEREAS,  the Company  wishes to retain the services of the  Employee,
and the Employee  wishes to serve in the employ of the  Company,  upon the terms
and conditions hereinafter set forth.

          NOW,  THEREFORE,  in  consideration  of the  premises  and the  mutual
agreements hereinafter set forth, the parties hereto hereby agree as follows:

          1. Employment.

          1.1 The Company agrees to employ the Employee, and the Employee agrees
to serve in the employ of the Company, for the term set forth in Section 1.2, in
the position and with the  responsibilities,  duties and  authority set forth in
Section 2 and on the other terms and conditions set forth in this Agreement.

          1.2  The  term  of the  Employee's  employment  under  this  Agreement
(including any extended term,  the "term of this  Agreement")  shall commence on
the date  hereof and shall  terminate  on August 11,  1999,  unless  extended or
sooner terminated in accordance with this Agreement.

          1.3 As of January 31, 1999 and each  subsequent  January 31 during the
term of this Agreement (each, an "Automatic Renewal Date"),  unless either party
shall have given a notice of non-extension on or prior to such Automatic Renewal
Date, the term of this Agreement shall be extended automatically for a period of
one (1) year to the anniversary of the expiration date of the then-current  term
of this  Agreement.  Once a notice of  non-extension  shall  have been  given by
either party, there shall be no further automatic extension of this Agreement.

          2. Position; Duties.

          During the term of this  Agreement,  the  Employee  shall serve in the
positions of President and Chief Operating Officer of the Company.  The Employee
shall perform, faithfully and diligently, such duties, and shall have such 



<PAGE>

                                                                               2

responsibilities,  appropriate  to such  positions,  as shall be assigned to him
from time to time by the Vice Chairman of the Board of Directors of the Company.
The  Employee  shall  report  directly  to the  Vice  Chairman  of the  Board of
Directors of the Company.  The Employee  shall devote  substantially  all of his
attention to the performance of his duties and responsibilities hereunder during
the normal working hours of executive employees of the Company.

          3. Salary; Bonus; Stock Options.

          3.1 Salary. (a) During the term of this Agreement, in consideration of
the  performance  by the Employee of the services set forth in Section 2 and his
observance of the other  covenants  set forth herein,  the Company shall pay the
Employee,  and the Employee shall accept,  a base salary at the rate of $300,000
per annum,  payable in  accordance  with the standard  payroll  practices of the
Company.

          (b) The  base  salary  set  forth in  Section  3.1(a)  above  shall be
adjusted annually (but not decreased) on each anniversary date of this Agreement
by multiplying  such base salary by a fraction,  the numerator of which shall be
the  Consumer  Price  Index  for the July  preceding  the  month  in which  such
adjustment  is to be made,  and the  denominator  of which shall be the Consumer
Price Index for the previous July. For purposes  hereof,  "Consumer Price Index"
shall mean the "Consumer Price Index for all Urban Consumers, Urban Wage Earners
and Clerical  Workers-U.S.  City Average  (1982-84=100)"  issued  monthly by the
Bureau of Labor  Statistics  of the United States  Department  of Labor,  or any
successor index thereto appropriately  adjusted.  The Employee shall be entitled
to such  additional  increases  in base salary as shall be awarded  from time to
time by the Board of Directors of the Company in its sole discretion.

          3.2 Bonus.  (a) In addition to the base salary provided for in Section
3.1, the Company  shall pay to the Employee  with respect to each fiscal year of
the Company ending during the term of this Agreement,  subject to the provisions
of Section 3.2(c) hereof,  a bonus in an amount equal to two percent (2%) of the
increase in  "operating  income" (as  hereinafter  defined) for such fiscal year
over operating income for the fiscal year of the Company ending June 30, 1996.

          (b) For purposes of this Section 3.2,  "operating  income"  shall mean
Income (Loss) Before Minority  Interests,  Income Taxes,  Extraordinary Item and
Cumulative Effect of Accounting Change as shown in the audited financial


<PAGE>

                                                                               3

statements of the Company and its subsidiaries  for the applicable  fiscal year,
excluding (i) the amount of the bonus determined in accordance with this Section
3.2;  (ii) any loss on sales of  closed  facilities;  (iii)  charges  for  asset
impairment; (iv) restructuring charges; and (v) any other charges for write-offs
or reserves relating to periods prior to July 1, 1996.

          (c) In the event of the  termination of the employment of the Employee
pursuant to Section 6.3 (Due Cause) of this Agreement, the Employee shall not be
entitled to a bonus for the fiscal year of the Company in which such termination
takes place.  In the event of the  termination of the employment of the Employee
pursuant  to Section  6.4 (Other  Termination  by the  Company)  or Section  6.6
(Change in Control) of this Agreement,  the Employee shall be entitled to a full
bonus for the fiscal year of the Company in which such termination  takes place.
In the event of the  termination of the  employment of the Employee  pursuant to
Section 6.1 (Death),  Section 6.2  (Disability)  or Section 6.5  (Termination by
Employee) of this  Agreement,  the  Employee  shall be entitled to a bonus in an
amount equal to the bonus for the full fiscal year determined in accordance with
Section 3.2(a) multiplied by a fraction, the numerator of which is the number of
days in the fiscal year to the date of termination  and the denominator of which
is 365. The Employee shall not be entitled to a bonus for any fiscal year of the
Company subsequent to the fiscal year in which the termination of his employment
takes place.

          (d) In  addition  to the bonus  provided  for in Section  3.2(a),  the
Company  shall each year during the term of this  Agreement  pay the Employee an
additional bonus in such amount as shall be determined by the Board of Directors
of the Company.

          (e) The bonus or bonuses  provided  for in this  Section  3.2 shall be
paid to the  Employee not later than ninety (90) days  following  the end of the
fiscal year of the Company to which such bonus relates.

          3.3 Stock  Options.  (a) The Company  shall cause to be granted to the
Employee as promptly as practicable  after the date hereof,  options to purchase
125,000  shares of the  common  stock,  par value  $.01 per share  (the  "Common
Stock"),  of the Company at an exercise price per share equal to the fair market
value of the Common  Stock on the date of grant  (the  "Options").  The  Options
shall become exercisable in full nine years and six months following the date of
grant provided that the Option shall become exercisable in six months after the

<PAGE>

                                                                               4


date of grant if at the time of exercise the closing  price for the Common Stock
as quoted on one or more U.S. national securities exchanges, the NASDAQ National
Market  System or the NASDAQ  SmallCap  Market or the average of the closing bid
and asked prices as quoted on the OTC Bulletin Board and/or the NQB Pink Sheets,
as the case may be, shall have equalled or exceeded $7.00 (subject to adjustment
for events  affecting the Common Stock or the capital  structure of the Company)
on at least twenty (20) trading days, which need not be consecutive,  subsequent
to the date of grant. The Options shall be otherwise subject to the terms of the
Stock Option Plan of the Company pursuant to which the Options are granted.

          (b) It is understood  and agreed that the Employee  shall  continue to
retain options heretofore granted to him to purchase 75,000 shares of the Common
Stock of the Company and 125,000 shares of the common stock,  $.01 par value, of
Ramsay Managed Care, Inc.

          4. Expense Reimbursement.

          During the term of this  Agreement,  the Company  shall  reimburse the
Employee for all reasonable and necessary out-of-pocket expenses incurred by him
in  connection  with  the  performance  of  his  duties   hereunder,   upon  the
presentation  of proper  accounts  therefor  in  accordance  with the  Company's
policies and annual budget parameters.

          5. Benefits.

          5.1 Benefit  Plans.  During the term of this  Agreement,  the Employee
will be eligible to  participate  in all employee  benefit plans and programs of
the Company, including,  without limitation,  group life insurance,  disability,
401(k), stock option, stock purchase, group hospitalization,  surgical and major
medical  insurance  plans of the Company,  in accordance  with the provisions of
such plans and programs as in effect from time to time.  The Employee  will also
be entitled to  participate  in other benefit  programs made available to senior
executives of the Company.

          5.2  Vacation;  Sick Days;  Leave of Absence.  The  Employee  shall be
entitled to four (4) weeks' paid  vacation  and ten (10) paid sick days per year
and leaves of absence to attend professional and business activities,  including
conventions and educational programs, all in accordance with Company policies in
effect  from time to time for its  executive  employees.  Any accrued and unused
vacation and sick days will be carried forward to the subsequent year or years.



<PAGE>

                                                                               5

Upon any termination of the Employee's employment with the Company, the Employee
(or his estate)  shall be paid for any  vacation  and sick days then accrued and
unused.

          5.3 Automobile.  During the term of this Agreement,  the Company shall
provide the Employee  with an  automobile  allowance in the amount of $1,760 per
month.

          5.4  Disability  Insurance.   In  addition  to  any  other  disability
insurance  which may now or hereafter be provided by the Company under any group
contract or otherwise,  the Company shall, during the term of this Agreement pay
directly or reimburse the Employee for premiums  payable during the term of this
Agreement on the disability insurance policy described in Exhibit A hereto.

          5.5 Club Dues.  During the term of this  Agreement,  the Company shall
pay directly or reimburse the Employee for club dues in such  reasonable  amount
as shall be  approved  by the  Company  in advance  on an annual  basis.  At the
request of the Employee, the Company shall advance to the Employee $10,000 for a
club  membership  deposit,  such  advance to be refunded by the  Employee to the
Company upon termination of the Employee's employment with the Company.

          6. Termination of Employment.

          6.1 Death.  In the event of the death of the Employee  during the term
of  this  Agreement,  the  Company  shall  pay  to the  estate  or  other  legal
representative  of the  Employee  (a) the base salary  provided for in Section 3
accrued to the date of death and not theretofore  paid to the Employee,  (b) any
bonus  payable  pursuant  to  Section  3.2  and (c) any  compensation  as  would
otherwise have been payable to the Employee from the date of death to the end of
the month in which the  Employee's  death  occurs.  Rights and  benefits  of the
estate or other legal representative of the Employee under the benefit plans and
programs of the Company shall be determined in accordance with the provisions of
such plans and programs. Neither the estate or other legal representative of the
Employee nor the Company shall have any further rights or obligations under this
Agreement, except as provided in Sections 5 and 6.7.

          6.2 Disability.  If, during the term of this  Agreement,  the Employee
shall become incapacitated by reason of sickness,  accident or other physical or
mental disability and shall be unable to perform his normal duties hereunder for
a  cumulative  period of three (3) months in any  period of six (6)  consecutive
months, the employment of the Employee hereunder may be terminated by the 



<PAGE>

                                                                               6

Company or the Employee. In the event of such termination, the Company shall (a)
pay to the Employee any bonus payable  pursuant to Section 3.2 and (b) until the
first to occur of the expiration of a period of twenty-four (24) months from the
date of such termination or the death of the Employee,  the Company shall pay to
the  Employee an amount equal to the excess of the monthly base salary in effect
at the time of such termination  over the aggregate  monthly benefits payable to
the Employee under any disability  plan or policy  maintained by the Company and
the  disability  policy  described  in Section  5.4.  Rights and benefits of the
Employee under the benefit plans and programs of the Company shall be determined
in  accordance  with the  provisions  of such plans and  programs.  Neither  the
Employee nor the Company shall have any further rights or obligations under this
Agreement, except as provided in Sections 5, 6.7, 7, 8, 9 and 10.

          6.3  Due  Cause.  The  employment  of the  Employee  hereunder  may be
terminated by the Company at any time during the term of this  Agreement for Due
Cause (as hereinafter  defined).  In the event of such termination,  the Company
shall pay to the Employee (a) the base salary  provided for in Section 3 accrued
to the date of such termination and not theretofore paid to the Employee and (b)
any bonus payable  pursuant to Section 3.2.  Rights and benefits of the Employee
under the  benefit  plans and  programs of the Company  shall be  determined  in
accordance with the provisions of such plans and programs.  For purposes hereof,
"Due Cause" shall mean (i) the Employee's  material  breach by willful action or
inaction,  of any of the  material  provisions  of this  Agreement,  or (ii) the
Employee's  conviction  in a court  of law of any  felony,  or of any  crime  or
offense concerning money or property of the Company; provided, however, that the
Employee  shall be given written  notice by a majority of the Board of Directors
of the Company that it intends to terminate the  Employee's  employment  for Due
Cause,  which  written  notice  shall  specify  the act or acts  upon  which the
majority of the Board of  Directors of the Company  intends so to terminate  the
Employee's  employment,  and the Employee  shall then be given the  opportunity,
within ten (10) days of his receipt of such  notice,  to have a meeting with the
Board of Directors  of the Company to discuss such act or acts.  If the basis of
such written  notice is other than an act or acts  described in clause (ii), the
Employee  shall be given ten (10) days after such meeting  within which to cease
or correct the  performance  (or  nonperformance)  giving  rise to such  written
notice and,  upon failure of the Employee  within such ten (10) days to cease or
correct such performance (or nonperformance), the Employee's employment by the


<PAGE>

                                                                               7


Company shall automatically be terminated  hereunder for Due Cause.  Neither the
Employee nor the Company shall have any further rights or obligations under this
Agreement, except as provided in Sections 5, 6.7, 7, 8, 9 and 10.

          6.4 Other  Termination  by the Company.  The Company may terminate the
Employee's  employment at any time for whatever  reason it deems  appropriate or
without reason. In the event of such  termination,  the Company shall (a) pay to
the Employee any bonus  payable  pursuant to Section 3.2 and (b) continue to pay
the base  salary  provided  for in Section 3 (at the annual rate then in effect)
until the  expiration  of a period of  twenty-four  (24) months from the date of
such  termination.  Rights and benefits of the Employee  under the benefit plans
and  programs  of the  Company  shall  be  determined  in  accordance  with  the
provisions  of such plans and  programs.  Neither the  Employee  nor the Company
shall have any further rights or  obligations  under this  Agreement,  except as
provided in Sections 5, 6.7, 7, 8, 9 and 10.

          6.5  Termination  by the  Employee.  The  Employee may  terminate  his
employment  with the  Company  during  the term of this  Agreement  upon six (6)
months' prior written notice to the Company.  In the event of such  termination,
the  Company  shall pay to the  Employee  (a) the base  salary  provided  for in
Section 3 accrued to the date of  termination  and not  theretofore  paid to the
Employee and (b) any bonus payable  pursuant to Section 3.2. Rights and benefits
of the Employee  under the benefit  plans and  programs of the Company  shall be
determined in accordance with the provisions of such plans and programs. Neither
the Employee nor the Company shall have any further rights or obligations  under
this Agreement, except as provided in Sections 5, 6.7, 7, 8, 9 and 10.

          6.6  Change in  Control.  If,  following  a change in  control  of the
Company,  if the  employment  of the Employee  hereunder is  terminated  for any
reason  whatsoever or for no reason,  whether by the Employee or by the Company,
the Company  shall pay to the Employee (a)  severance  pay in an amount equal to
twenty-four  (24)  months'  base  salary (at the  highest  annual rate in effect
during the one-year  period ending on the date of termination of employment) and
(b) any bonus payable pursuant to Section 3.2. Such severance  payment and bonus
shall be paid to the Employee in a cash lump sum on the date of  termination  of
employment.  Rights and  benefits of the  Employee  under the benefit  plans and
programs of the Company shall be determined in accordance with the provisions of
such plans and programs. Neither the Employee nor the Company shall have any



<PAGE>

                                                                               8

further  rights or  obligations  under this  Agreement,  except as  provided  in
Sections 5, 6.7, 7, 8, 9 and 10. For  purposes  of this  Agreement,  a change in
control of the Company shall be deemed to have occurred if:

          (A) a "person" (meaning an individual,  a partnership,  or other group
or association as defined in Sections 13(d) and 14(d) of the Securities Exchange
Act of 1934), other than RHHL (as hereinafter defined) or any affiliate thereof,
acquires  fifty  percent  (50%)  or more of the  combined  voting  power  of the
outstanding  securities  of the Company  having a right to vote in  elections of
directors; or

          (B) Continuing Directors (as hereinafter defined) shall for any reason
cease to constitute a majority of the Board of Directors of the Company; or

          (C)  all or  substantially  all  of the  business  of the  Company  is
disposed  of by the  Company to a party or parties  other than a  subsidiary  or
other  affiliate of the Company,  in which the Company owns less than a majority
of the equity,  pursuant to a partial or complete  liquidation  of the  Company,
sale of assets  (including  stock of a subsidiary  of the Company) or otherwise.
For purposes hereof, a sale or disposition of fifty percent (50%) or more of the
assets  of the  Company  to a party  or  parties  (other  than a  subsidiary  or
affiliate of the Company as above  described)  shall be deemed a disposition  of
substantially all of the business of the Company.

          For purposes of this Agreement,  the term "Continuing  Director" shall
mean a member of the Board of  Directors  of the Company who either was a member
of the  Board of  Directors  on the date  hereof  or who  subsequently  became a
Director  and  whose  election  was voted for by  Ramsay  Holdings  HSA  Limited
("RHHL") or by a Continuing  Director with the  acquiescence of RHHL. A Director
shall not be considered a Continuing  Director for purposes of this Agreement if
his  election  was  voted  for by RHHL,  or by a  Continuing  Director  with the
acquiescence  of RHHL,  (i) pursuant to an agreement  with, or at the direction,
request or suggestion of, any individual, firm or corporation in connection with
the  purchase  or other  acquisition  or  receipt  by such  individual,  firm or
corporation  of all or any  shares of  capital  stock of the  Company or (ii) in
anticipation  of the  sale  or  other  disposition  by RHHL of all or any of its
shares of capital stock of the Company.


<PAGE>

                                                                               9

          6.7 Stock  Options.  In the  event of  termination  of the  Employee's
employment with the Company:  (i) pursuant to Section 6.4 (Other Termination) or
6.6 (Change in Control) of this  Agreement,  the Company  shall cause each stock
option  heretofore  granted  by the  Company  to the  Employee  to become  fully
exercisable and to remain  exercisable until the later of August 11, 1999 or six
(6) months following the date of termination, unless such action, in the opinion
of counsel to the Company, would violate, or adversely affect the status of such
option or the plan (if any)  pursuant to which such  option was  granted  under,
Rule 16b-3 under  Section 16 of the  Securities  Exchange  Act of 1934;  or (ii)
pursuant to Section 6.1 (Death),  6.2 (Disability),  6.4 (Other  Termination) or
6.6 (Change in Control) of this  Agreement,  the Company  shall cause each stock
option heretofore  granted by the Company to the Employee to become  exercisable
by the Employee or the Employee's  estate without regard to the requirement that
the price for the Common Stock shall have  equalled or exceeded  $7.00 per share
on at least  twenty  (20)  trading  days  subsequent  to the  date of grant  (as
described in Section 3.3 of this Agreement).

          7. Confidential Information.

          7.1 The Employee  shall,  during the term of this Agreement and at all
times  thereafter,  treat  as  confidential  and,  except  as  required  in  the
performance  of his  duties  and  responsibilities  under  this  Agreement,  not
disclose,  publish  or  otherwise  make  available  to  the  public  or  to  any
individual,  firm or  corporation  any  confidential  material  (as  hereinafter
defined). The Employee agrees that all confidential material,  together with all
notes and records of the Employee relating thereto, and all copies or facsimiles
thereof in the  possession  of the Employee,  are the exclusive  property of the
Company and the Employee agrees to return such material to the Company  promptly
upon the termination of the Employee's employment with the Company.

          7.2 For the purposes hereof,  the term  "confidential  material" shall
mean all  information  acquired by the Employee in the course of the  Employee's
employment  with the  Company  in any way  concerning  the  products,  projects,
activities,  business  or affairs of the  Company  or the  Company's  customers,
including,  without limitation, all information concerning trade secrets and the
products or projects of the Company and/or any improvements  therein,  all sales
and  financial  information  concerning  the Company,  all customer and supplier
lists,  all  information  concerning  projects in research  and  development  or
marketing plans for any such products or projects, and all information in any



<PAGE>

                                                                              10


way  concerning  the  products,  projects,  activities,  business  or affairs of
customers  of the Company  which is  furnished to the Employee by the Company or
any of its  agents  or  customers,  as such;  provided,  however,  that the term
"confidential   material"  shall  not  include  information  which  (a)  becomes
generally  available to the public other than as a result of a disclosure by the
Employee, (b) was available to the Employee on a non-confidential basis prior to
his  employment  with the Company or (c) becomes  available to the Employee on a
non-confidential basis from a source other than the Company or any of its agents
or  customers  provided  that  such  source  is not  bound by a  confidentiality
agreement with the Company or any of such agents or customers.

          8. Interference With the Company.

          8.1 The Employee  acknowledges that the services to be rendered by him
to the Company are of a special and unique character.  The Employee agrees that,
in  consideration of his employment  hereunder,  the Employee will not (a) for a
period of one year  commencing on the date of termination of his employment with
the Company, (i) solicit or endeavor to solicit patient referrals, either on his
own account or for any person, firm, corporation or other organization, from (x)
any person,  including any physician,  clinical  psychologist,  social worker or
consultant to the Company,  who, during the period of the Employee's  employment
with the Company,  made patient referrals to the Company, or (y) any employee of
the  Company,  or (ii)  solicit or entice or  endeavor to solicit or entice away
from the Company any person who was a director,  officer, employee or consultant
of the Company,  either on his own account or for any person, firm,  corporation
or other organization, whether or not such person would commit any breach of his
contract of employment by reason of leaving the service of the Company,  and the
Employee  agrees not to employ,  directly  or  indirectly,  any person who was a
director,  officer or employee of the Company or who by reason of such  position
at  any  time  is or may  be  likely  to be in  possession  of any  confidential
information  or trade  secrets  relating  to the  businesses  or products of the
Company or (b) at any time,  take any action or make any statement the effect of
which would be,  directly or indirectly,  to impair the good will of the Company
or the  business  reputation  or  good  name  of  the  Company  or be  otherwise
detrimental  to the interests of the Company,  including any action or statement
intended, directly or indirectly, to benefit a competitor of the Company.

          8.2 The Employee and the Company agree that if, in any proceeding, the
court or other authority shall refuse to enforce the covenants herein set forth



<PAGE>

                                                                              11


because  such  covenants  cover too  extensive a  geographic  area or too long a
period of time,  any such  covenant  shall be deemed  appropriately  amended and
modified in keeping  with the  intention  of the  parties to the maximum  extent
permitted by law.

          9. Inventions.

          Any and all  inventions,  innovations or  improvements  ("inventions")
made, developed or created by the Employee (whether at the request or suggestion
of the Company or otherwise,  whether alone or in conjunction  with others,  and
whether  during  regular  hours of work or  otherwise)  during the period of his
employment  with the Company which may be directly or  indirectly  useful in, or
relate to, the business of the Company, shall be promptly and fully disclosed by
the Employee to the Board of Directors of the Company and shall be the Company's
exclusive  property as against the  Employee,  and the Employee  shall  promptly
deliver to an  appropriate  representative  of the Company as  designated by the
Board of  Directors  all  papers,  drawings,  models,  data and  other  material
relating to any inventions made,  developed or created by him as aforesaid.  The
Employee shall, at the request of the Company and without any payment  therefor,
execute any  documents  necessary or  advisable in the opinion of the  Company's
counsel to direct  issuance of patents or copyrights to the Company with respect
to such inventions as are to be the Company's  exclusive property as against the
Employee  or to vest in the  Company  title to such  inventions  as against  the
Employee. The expense of securing any such patent or copyright shall be borne by
the Company.

          10. Equitable Relief.

          In the event of a breach or  threatened  breach by the Employee of any
of the provisions of Sections 7, 8 or 9 of this  Agreement,  the Employee hereby
consents  and agrees that the Company  shall be  entitled  to an  injunction  or
similar  equitable relief from any court of competent  jurisdiction  restraining
the Employee from committing or continuing any such breach or threatened  breach
or granting  specific  performance  of any act  required to be  performed by the
Employee  under any of such  provisions,  without the  necessity  of showing any
actual  damage or that money  damages  would not afford an  adequate  remedy and
without the  necessity  of posting any bond or other  security.  Nothing  herein
shall be construed as  prohibiting  the Company from pursuing any other remedies
at law or in equity  which it may have.  For purposes of Sections 7, 8, 9 and 10
of  this  Agreement,   the  term  "Company"  shall  be  deemed  to  include  the
subsidiaries and affiliates of the Company.




<PAGE>

                                                                              12

          11. Successors and Assigns.

          11.1  Assignment  by  the  Company.  The  Company  shall  require  any
successors (whether direct or indirect,  by purchase,  merger,  consolidation or
otherwise)  to all or  substantially  all of the business  and/or  assets of the
Company to assume and agree to perform this  Agreement in the same manner and to
the same  extent  that the  Company  would be  required  to  perform  if no such
succession  had taken place.  As used in this Section,  "the Company" shall mean
the Company as  hereinbefore  defined and any  successor to its business  and/or
assets  as  aforesaid  which  otherwise  becomes  bound  by all  the  terms  and
provisions  of this  Agreement by operation of law and this  Agreement  shall be
binding upon, and inure to the benefit of, the Company, as so defined.

          11.2  Assignment  by the  Employee.  The  Employee may not assign this
Agreement or any part thereof without the prior written consent of a majority of
the Board of Directors of the Company;  provided,  however,  that nothing herein
shall  preclude one or more  beneficiaries  of the Employee  from  receiving any
amount that may be payable following the occurrence of his legal incompetency or
his death and shall not  preclude  the legal  representative  of his estate from
receiving  such amount or from  assigning  any right  hereunder to the person or
persons  entitled  thereto under his will or, in the case of  intestacy,  to the
person or persons entitled thereto under the laws of intestacy applicable to his
estate.  The  term  "beneficiaries",  as used in this  Agreement,  shall  mean a
beneficiary or  beneficiaries so designated to receive any such amount or, if no
beneficiary has been so designated, the legal representative of the Employee (in
the event of his incompetency) or the Employee's estate.

          12. Governing Law.

          This  Agreement  shall be deemed a contract  made  under,  and for all
purposes  shall be  construed  in  accordance  with,  the  laws of the  State of
Delaware  applicable to contracts to be performed entirely within such State. In
the event that a court of any  jurisdiction  shall hold any of the provisions of
this  Agreement to be wholly or  partially  unenforceable  for any reason,  such
determination  shall not bar or in any way affect the Company's  right to relief
as provided for herein in the courts of any other jurisdiction. Such provisions,
as they relate to each  jurisdiction,  are,  for this  purpose,  severable  into
diverse and independent  covenants.  Service of process on the parties hereto at
the addresses set forth herein shall be deemed adequate service of such process.

<PAGE>

                                                                              13


          13. Entire Agreement.

          This Agreement  contains all the  understandings  and  representations
between  the  parties  hereto  pertaining  to  the  subject  matter  hereof  and
supersedes all undertakings and agreements,  whether oral or in writing,  if any
there be, previously entered into by them with respect thereto.

          14. Amendment; Modification; Waiver.

          No provision of this Agreement may be amended or modified  unless such
amendment or modification is agreed to in writing and signed by the Employee and
by a duly  authorized  representative  of the Company  other than the  Employee.
Except as otherwise specifically provided in this Agreement, no waiver by either
party  hereto of any  breach  by the other  party  hereto  of any  condition  or
provision of this  Agreement to be performed by such other party shall be deemed
a waiver of a similar or  dissimilar  provision  or condition at the same or any
prior or  subsequent  time,  nor shall the  failure of or delay by either  party
hereto in exercising any right, power or privilege hereunder operate as a waiver
thereof to preclude any other or further exercise thereof or the exercise of any
other such right, power or privilege.

          15. Arbitration.

          Any controversy or claim arising out of or relating to this Agreement,
or any breach  thereof,  shall,  except as provided in Section 10, be settled by
arbitration in accordance with the rules of the American Arbitration Association
then in effect and judgment upon such award  rendered by the  arbitrator  may be
entered in any court having jurisdiction  thereof. The arbitration shall be held
in the area where the Company  then has its  principal  place of  business.  The
arbitration award may include an award of attorneys' fees and costs.

          16. Notices.

          Any notice to be given  hereunder  shall be in writing  and  delivered
personally or sent by certified mail, postage prepaid, return receipt requested,
addressed to the party concerned at the address indicated below or at such other
address as such party may subsequently designate by like notice:



<PAGE>

                                                                              14


          If to the Company:

                Ramsay Health Care, Inc.
                One Alhambra Plaza
                Suite 750
                Coral Gables, Florida  33134
                Attention:  Vice Chairman of the Board

          If to the Employee:

                Mr. Remberto Cibran
                11820 S.W. 92nd Avenue
                Miami, Florida  33176

          17. Severability.

          Should  any  provision  of  this  Agreement  be  held  by a  court  or
arbitration panel of competent  jurisdiction to be enforceable only if modified,
such holding shall not affect the validity of the  remainder of this  Agreement,
the balance of which shall  continue to be binding upon the parties  hereto with
any such  modification to become a part hereof and treated as though  originally
set forth in this  Agreement.  The parties  further agree that any such court or
arbitration  panel is  expressly  authorized  to modify  any such  unenforceable
provision of this  Agreement in lieu of severing  such  unenforceable  provision
from  this  Agreement  in its  entirety,  whether  by  rewriting  the  offending
provision,  deleting any or all of the offending  provision,  adding  additional
language to this Agreement,  or by making such other  modifications  as it deems
warranted  to carry out the  intent and  agreement  of the  parties as  embodied
herein to the maximum extent permitted by law. The parties  expressly agree that
this Agreement as so modified by the court or arbitration panel shall be binding
upon and enforceable  against each of them. In any event,  should one or more of
the provisions of this Agreement be held to be invalid, illegal or unenforceable
in any respect, such invalidity, illegality or unenforceability shall not affect
any  other  provisions  hereof,  and if such  provision  or  provisions  are not
modified  as  provided  above,  this  Agreement  shall be  construed  as if such
invalid, illegal or unenforceable provisions had never been set forth herein.

          18. Key-Man Life Insurance.

          The  parties  agree  that the  Company  may,  in its sole  discretion,
maintain key man life insurance policies on the life of the Employee.



<PAGE>

                                                                              15


          19. Indemnification.

          The Company and the Employee are simultaneously herewith entering into
an  Indemnification  Agreement  which  shall  continue  in full force and effect
during  the  term  of  this   Agreement  and  thereafter  as  provided  in  such
Indemnification Agreement.

          20. Authority.

          The Company represents and warrants to the Employee that the execution
and delivery of this Agreement by the Company and the performance by the Company
of its  covenants  and  agreements  hereunder  have been duly  authorized by all
necessary  corporate  action and that this  Agreement has been duly executed and
delivered on behalf of the Company.

          21. Withholding.

          Anything to the contrary notwithstanding,  all payments required to be
made by the Company  hereunder to the Employee or his  beneficiaries,  including
his estate, shall be subject to withholding of such amounts relating to taxes as
the  Company  may  reasonably  determine  it  should  withhold  pursuant  to any
applicable law or regulation.

          22. Survivorship.

          The respective  rights and obligations of the parties  hereunder shall
survive  any  termination  of this  Agreement  to the  extent  necessary  to the
intended preservation of such rights and obligations.

          23. Titles.

          Titles of the  sections  of this  Agreement  are  intended  solely for
convenience  and no provision of this  Agreement is to be construed by reference
to the title of any section.

                    *                   *                   *


<PAGE>

                                                                              16




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

                                     RAMSAY HEALTH CARE, INC.


                                     By /s/  Luis Lamela                        
                                     ___________________________________________
                                             Luis Lamela



                                     By /s/  Remberto Cibran                    
                                     ___________________________________________
                                             Remberto Cibran

<PAGE>


                                    Exhibit A

                                Disability Policy


Insured:          Remberto Cibran

Insurer:          UNUM Life Insurance Company of America

Policy No.:       LAD257591



                                                                               1

                               SERVICES AGREEMENT


          AGREEMENT  made as of the  12th  day of  August,  1996 by and  between
RAMSAY HEALTH CARE, INC., a Delaware corporation (the "Company"), and HEALTHLINK
ENTERPRISES, INC., a Florida corporation (the "Advisor").

                              W I T N E S S E T H :

          WHEREAS, the Company wishes to retain the services of the Advisor, and
the  Advisor  wishes to  provide  services  to the  Company,  upon the terms and
conditions hereinafter set forth;

          NOW,  THEREFORE,  in  consideration  of the  premises  and the  mutual
agreements hereinafter set forth, the parties hereto hereby agree as follows:

          1. Engagement.

          1.1 The  Company  agrees  to  retain  the  Advisor  as an  independent
contractor,  and the  Advisor  agrees to serve  the  Company  as an  independent
contractor,  for the term set forth in Section 1.2,  with the  responsibilities,
duties  and  authority  set  forth  in  Section  2 and on the  other  terms  and
conditions  set forth in this  Agreement.  The Advisor shall make available such
individual or individuals as are required to perform Advisor's duties hereunder,
all of whom shall be subject to the advance  written  approval  of the  Company,
which approval may be granted or withheld by the Company in its sole  discretion
(all such individuals hereinafter  collectively referred to as the "Executive").
Carol C. Lang is hereby  approved  by the  Company  to act as an  Executive  for
purposes of performing the duties of the Advisor under this Agreement.

          1.2 The term of the Advisor's  engagement  under this  Agreement  (the
"term of this Agreement")  shall commence on the date hereof and shall terminate
on August 12, 1998, unless extended or sooner terminated in accordance with this
Agreement.

          1.3 As of January 31, 1998 and each  subsequent  January 31 during the
term of this Agreement (each, an "Automatic Renewal Date"),  unless either party
shall have given a notice of non-extension on or prior to such Automatic Renewal
Date, the term of this Agreement shall be extended automatically for a period of
one (1) year to the anniversary of the expiration date of the then-current  term
of this  Agreement.  Once a notice of  non-extension  shall  have been  given by
either party, there shall be no further automatic extension of this Agreement.




<PAGE>

                                                                               2

          2. Duties.

          During  the  term of this  Agreement,  the  Advisor  shall  cause  the
Executive to serve in the position of Chief  Financial  Officer of the  Company.
The Advisor  shall cause the  Executive to perform,  faithfully  and diligently,
such duties and such responsibilities, appropriate to such position, as shall be
assigned from time to time by the President and Chief  Operating  Officer of the
Company.  The  Advisor  shall  cause the  Executive  to report  directly  to the
President and Chief  Operating  Officer of the Company.  The Advisor shall cause
the Executive to devote such time to the  performance  of the  Advisor's  duties
hereunder as shall be equal to eighty  percent (80%) of the normal working hours
of executive  employees of the Company.  The Company shall make available to the
Advisor, at no cost to the Advisor, the Company's office facilities,  telephones
and personnel,  including all necessary clerical assistance that may be required
to perform the services required hereunder.

          3. Compensation; Bonus; Stock Options.

          3.1  Compensation.   (a)  During  the  term  of  this  Agreement,   in
consideration  of the  performance  by the Advisor of the  services set forth in
Section 2 and the  observance  of the other  covenants  set  forth  herein,  the
Company shall pay the Advisor, and the Advisor shall accept, a base compensation
at the rate of $240,000 per annum, payable in equal installments on a monthly or
more frequent basis.

          (b) The base  compensation  set forth in Section 3.1(a) above shall be
adjusted annually (but not decreased) on each anniversary date of this Agreement
by  multiplying  such base  compensation  by a fraction,  the numerator of which
shall be the Consumer Price Index for the July preceding the month in which such
adjustment  is to be made,  and the  denominator  of which shall be the Consumer
Price Index for the previous July. For purposes  hereof,  "Consumer Price Index"
shall mean the "Consumer Price Index for all Urban Consumers, Urban Wage Earners
and Clerical  Workers-U.S.  City Average  (1982-84=100)"  issued  monthly by the
Bureau of Labor  Statistics  of the United States  Department  of Labor,  or any
successor index thereto appropriately adjusted. The Advisor shall be entitled to
such additional  increases in base compensation as shall be awarded from time to
time by the Board of Directors of the Company in its sole discretion.

          3.2 Bonus. In addition to the base  compensation  set forth in Section
3.1, the Advisor  shall receive an annual  incentive  bonus with respect to each
fiscal  year of the  Company  ending  during the term of this  Agreement,  in an
amount of up to 40% of the Advisor's base compensation,  based on achievement of
targets established by the President or the Board of Directors in consultation 



<PAGE>

                                                                               3

with the Advisor  (i) in the case of the fiscal year of the Company  ending June
30,  1997,  not later than  October  15, 1996 and (ii) in the case of each other
fiscal year of the  Company  during the term of this  Agreement,  not later than
forty five (45) days after the  commencement of each fiscal year of the Company.
The bonus with  respect to each fiscal year shall be paid to the Advisor  within
forty-five (45) days following the end of such fiscal year.

          3.3  Stock  Options.  As  part  of the  compensation  to  the  Advisor
hereunder,  the Company shall cause to be granted directly to the Executive,  on
behalf of the Advisor, as promptly as practicable after the date hereof, options
to purchase  100,000  shares of the common stock,  par value $.01 per share (the
"Common Stock"), of the Company at an exercise price per share equal to the fair
market  value of the  Common  Stock on the date of grant  (the  "Options").  The
Options  shall  become  exercisable  in full nine (9)  years and six (6)  months
following the date of grant;  provided that the Options shall become exercisable
in full  beginning  six (6)  months  after  the  date of grant if at the time of
exercise  the closing  price for the Common  Stock as quoted on one or more U.S.
national securities  exchanges,  the NASDAQ National Market System or the NASDAQ
SmallCap  Market or the average of the closing bid and asked prices as quoted on
the OTC Bulletin  Board  and/or the NQB Pink  Sheets,  as the case may be, shall
have  equalled or exceeded  $7.00 per share  (subject to  adjustment  for events
affecting the Common Stock or the capital  structure of the Company) on at least
twenty (20) trading days, which need not be consecutive,  subsequent to the date
of grant.  The  Options  shall be  otherwise  subject  to the terms of the Stock
Option Plan of the Company pursuant to which the Options are granted.

          4. Expense Reimbursement.

          During the term of this  Agreement,  the Company  shall  reimburse the
Advisor for all reasonable and necessary  out-of-pocket  expenses incurred by it
in  connection  with  the  performance  of  its  duties   hereunder,   upon  the
presentation  of proper  accounts  therefor  in  accordance  with the  Company's
policies and annual budget parameters.

          5. Termination.

          5.1 Death of  Executive.  In the  event of the death of the  Executive
during the term of this Agreement,  the Company shall pay to the Advisor (a) the
base compensation provided for in Section 3 accrued to the date of death and not
theretofore  paid to the Advisor and (b) any bonus  payable  pursuant to Section
3.2.  Rights and benefits of the Advisor under any applicable  benefit plans and
programs of the Company shall be determined in accordance with the provisions of



<PAGE>

                                                                               4

such plans and  programs.  Neither the  Advisor  nor the Company  shall have any
further  rights or  obligations  under this  Agreement,  except as  provided  in
Section 5.7.

          5.2  Disability of Executive.  If, during the term of this  Agreement,
the  Executive  shall become  incapacitated  by reason of sickness,  accident or
other  physical or mental  disability  and shall be unable to perform the normal
duties of Advisor  hereunder for a cumulative  period of three (3) months in any
period of six (6) consecutive  months,  the engagement of the Advisor  hereunder
may be  terminated  by the  Company  or  the  Advisor.  In  the  event  of  such
termination, the Company shall (a) pay to the Advisor any bonus payable pursuant
to Section 3.2 and (b)  continue  to pay to the  Advisor  the base  compensation
provided  for in Section 3 until the first to occur of (i) the  expiration  of a
period of six months from the date of such termination, (ii) the commencement of
payment of benefits to the Executive  under any  applicable  disability  plan or
policy  maintained by the Company,  or (iii) the death of the Executive.  Rights
and benefits of the Advisor under any  applicable  benefit plans and programs of
the Company shall be determined in accordance  with the provisions of such plans
and programs.  Neither the Advisor nor the Company shall have any further rights
or obligations under this Agreement, except as provided in Sections 5.7, 6, 7, 8
and 9.

          5.3  Due  Cause.  The  engagement  of  the  Advisor  hereunder  may be
terminated by the Company at any time during the term of this  Agreement for Due
Cause (as hereinafter  defined).  In the event of such termination,  the Company
shall pay to the Advisor  (a) the base  compensation  provided  for in Section 3
accrued to the date of such  termination and not theretofore paid to the Advisor
and (b) any bonus  payable  pursuant to Section 3.2.  Rights and benefits of the
Advisor under any applicable  benefit plans and programs of the Company shall be
determined in  accordance  with the  provisions of such plans and programs.  For
purposes hereof,  "Due Cause" shall mean (a) the Advisor's  continuing  material
breach for twenty (20) days following written notice thereof,  by willful action
or inaction,  of any of the material  provisions of this  Agreement,  or (b) the
Advisor's or the Executive's  conviction in a court of law of any felony,  or of
any crime or offense  concerning  money or  property  of the Company or (c) that
Carol C. Lang shall have ceased to serve as the Executive  hereunder (other than
pursuant to Section 5.1, 5.2, 5.4, 5.5 or 5.6 of this Agreement) and the Company
shall not have approved in its sole  discretion  the  appointment of a successor
Executive.  Neither the Advisor nor the Company shall have any further rights or
obligations  under this  Agreement,  except as provided in Sections 5.7, 6, 7, 8
and 9.




<PAGE>

                                                                               5


          5.4 Other  Termination  by the Company.  The Company may terminate the
Advisor's  engagement at any time for whatever  reason it deems  appropriate  or
without reason. In the event of such  termination,  the Company shall (a) pay to
the Advisor any bonus  payable  pursuant to Section 3.2 and (b)  continue to pay
the base  compensation  provided  for in Section 3 (at the  annual  rate then in
effect)  until  the later of (i) the last day of the then  current  term of this
Agreement or (ii) the last day of the six- month period beginning on the date of
such  termination.  Rights and  benefits  of the  Advisor  under any  applicable
benefit plans and programs of the Company shall be determined in accordance with
the  provisions of such plans and programs.  Neither the Advisor nor the Company
shall have any further rights or  obligations  under this  Agreement,  except as
provided in Sections 5.7, 6, 7, 8 and 9.

          5.5  Termination  by  the  Advisor.  The  Advisor  may  terminate  its
engagement  with the Company  during the term of this  Agreement  upon three (3)
months' prior written notice to the Company.  In the event of such  termination,
the Company shall pay to the Advisor (a) the base  compensation  provided for in
Section 3 accrued to the date of  termination  and not  theretofore  paid to the
Advisor and (b) any bonus payable  pursuant to Section 3.2.  Rights and benefits
of the Advisor  under any  applicable  benefit plans and programs of the Company
shall  be  determined  in  accordance  with the  provisions  of such  plans  and
programs.  Neither the Advisor nor the Company shall have any further  rights or
obligations under this Agreement, except as provided in Sections 6, 7, 8 and 9.

          5.6 Change in Control. If, within a period of six (6) months following
a change in control of the Company,  the engagement of the Advisor  hereunder is
terminated for any reason whatsoever,  whether by the Advisor or by the Company,
the  Company  shall pay to the  Advisor  (a) any bonus  payable  to the  Advisor
pursuant  to Section  3.2 and (b)  severance  pay in an amount  equal to (x) the
greater of twelve (12) months' base  compensation or the base  compensation that
would have been payable to the Advisor from the date of  termination to the last
day of the  then-current  term of this Agreement,  if such termination is by the
Company,  or (y) twelve (12) months' base compensation if such termination is by
the  Advisor  (in the case of both  (x) and (y) at the  highest  annual  rate in
effect  during the  one-year  period  ending on the date of  termination  of the
engagement).  Such severance payment shall be made to the Advisor in a cash lump
sum on the date of  termination  of the  engagement.  Rights and benefits of the
Advisor under any applicable  benefit plans and programs of the Company shall be
determined in accordance with the provisions of such plans and programs. Neither
the Advisor nor the Company shall have any further rights or  obligations  under
this Agreement,  except as provided in Sections 5.7, 6, 7, 8 and 9. For purposes
of this  Agreement,  a change in control of the Company  shall be deemed to have
occurred if:




<PAGE>

                                                                               6



               (A) a "person"  (meaning an individual,  a partnership,  or other
group or  association  as defined in Sections  13(d) and 14(d) of the Securities
Exchange Act of 1934) , other than Paul J. Ramsay or RHHL (as defined  below) or
any affiliate(s) of either thereof,  acquires fifty percent (50%) or more of the
combined  voting power of the  outstanding  securities  of the Company  having a
right to vote in elections of directors; or

               (B) Continuing  Directors (as hereinafter  defined) shall for any
reason cease to  constitute a majority of the Board of Directors of the Company;
or

               (C) all or  substantially  all of the  business of the Company is
disposed  of by the  Company to a party or parties  other than a  subsidiary  or
other  affiliate of the Company,  in which the Company owns less than a majority
of the equity (by both  voting  control  and  value),  pursuant  to a partial or
complete  liquidation  of the  Company,  sale of  assets  (including  stock of a
subsidiary of the Company) or otherwise.

           For purposes of this Agreement,  the term "Continuing Director" shall
mean a member of the Board of  Directors  of the Company who either was a member
of the  Board of  Directors  on the date  hereof  or who  subsequently  became a
Director  and  whose  election  was voted for by  Ramsay  Holdings  HSA  Limited
("RHHL") or by a Continuing  Director with the  acquiescence of RHHL. A Director
shall not be considered a Continuing  Director for purposes of this Agreement if
his  election  was  voted  for by RHHL,  or by a  Continuing  Director  with the
acquiescence  of RHHL,  (i) pursuant to an agreement  with, or at the direction,
request or suggestion of, any individual, firm or corporation in connection with
the  purchase  or other  acquisition  or  receipt  by such  individual,  firm or
corporation  of all or any  shares of  capital  stock of the  Company or (ii) in
anticipation  of the  sale  or  other  disposition  by RHHL of all or any of its
shares of capital stock of the Company.

           5.7 Stock  Options.  In the  event of  termination  of the  Advisor's
engagement with the Company:  (i) pursuant to Section 5.4 (Other Termination) or
5.6 (Change in Control) of this  Agreement,  the Company  shall cause each stock
option  heretofore  granted by the  Company to the  Executive,  on behalf of the
Advisor, to become fully exercisable (and to remain exercisable until August 12,
1998 or for the maximum  period  permitted by the plan or agreement  pursuant to
which such option was granted) unless such action,  in the opinion of counsel to
the Company, would violate, or adversely affect the status of such option or the


<PAGE>

                                                                               7


plan (if any) pursuant to which such option was granted under,  Rule 16b-3 under
Section 16 of the  Securities  Exchange Act of 1934; or (ii) pursuant to Section
5.1 (Death) or 5.2 (Disability) of this Agreement,  the Company shall cause each
stock option  heretofore  granted by the Company to the Executive,  on behalf of
the Advisor,  to become  exercisable  without regard to the requirement that the
closing  price for the  Common  Stock as quoted on the  NASDAQ  National  Market
System shall have  equalled or exceeded  $7.00 per share on at least twenty (20)
trading days subsequent to August 12, 1996.

           6. Confidential Information.

           6.1 The Advisor  shall,  during the term of this Agreement and at all
times  thereafter,  treat  as  confidential  and,  except  as  required  in  the
performance  of its  duties  and  responsibilities  under  this  Agreement,  not
disclose,  publish  or  otherwise  make  available  to  the  public  or  to  any
individual,  firm or  corporation  any  confidential  material  (as  hereinafter
defined). The Advisor agrees that all confidential  material,  together with all
notes and records of the Advisor relating thereto,  and all copies or facsimiles
thereof in its  possession,  are the  exclusive  property of the Company and the
Advisor  agrees  to  return  such  material  to the  Company  promptly  upon the
termination of the Advisor's engagement with the Company.

           6.2 For the purposes hereof, the term  "confidential  material" shall
mean all  information  acquired  by the  Advisor in the course of the  Advisor's
engagement  with the  Company  in any way  concerning  the  products,  projects,
activities,  business  or affairs of the  Company  or the  Company's  customers,
including,  without limitation, all information concerning trade secrets and the
products or projects of the Company and/or any improvements  therein,  all sales
and  financial  information  concerning  the Company,  all customer and supplier
lists,  all  information  concerning  projects in research  and  development  or
marketing  plans for any such products or projects,  and all  information in any
way  concerning  the  products,  projects,  activities,  business  or affairs of
customers of the Company which is furnished to the Advisor by the Company or any
of  its  agents  or  customers,  as  such;  provided,  however,  that  the  term
"confidential   material"  shall  not  include  information  which  (a)  becomes
generally  available to the public other than as a result of a disclosure by the
Advisor,  (b) was available to the Advisor on a non-confidential  basis prior to
its  engagement  with the Company or (c) becomes  available  to the Advisor on a
non-confidential basis from a source other than the Company or any of its agents
or  customers  provided  that  such  source  is not  bound by a  confidentiality
agreement with the Company or any of such agents or customers.




<PAGE>

                                                                               8


           7. Interference With the Company.

           7.1 The Advisor  acknowledges that the services to be rendered by the
Advisor to the Company are of a special and unique character. The Advisor agrees
that, in consideration of the Advisor's engagement  hereunder,  the Advisor will
not (a) for a period of one year  commencing on the date of  termination  of the
Advisor's  engagement  with the  Company,  (i)  solicit or  endeavor  to solicit
patient  referrals,  either  on  its  own  account  or  for  any  person,  firm,
corporation or other organization, from (x) any person, including any physician,
clinical  psychologist,  social worker or consultant to the Company, who, during
the period of the Advisor's engagement with the Company,  made patient referrals
to the Company, or (y) any employee of the Company, or (ii) solicit or entice or
endeavor  to  solicit  or entice  away from the  Company  any  person  who was a
director,  officer,  employee or  consultant  of the Company,  either on its own
account or for any person, firm,  corporation or other organization,  whether or
not such person would commit any breach of his contract of  employment by reason
of leaving the  service of the  Company,  and the Advisor  agrees not to employ,
directly or  indirectly,  any person who was a director,  officer or employee of
the Company  and who by reason of such  position at any time is or may be likely
to be in possession of any confidential information or trade secrets relating to
the businesses or products of the Company or (b) at any time, take any action or
make any  statement  the effect of which would be,  directly or  indirectly,  to
impair the good will of the Company or the business  reputation  or good name of
the  Company  or be  otherwise  detrimental  to the  interests  of the  Company,
including any action or statement intended, directly or indirectly, to benefit a
competitor of the Company.

           7.2 The Company acknowledges that the Advisor is currently engaged in
the medical consulting business (the "Advisor's Existing Business") and that the
Advisor  will  continue to be engaged in such  business  during the term of this
Agreement.  The Company  further  acknowledges  that to the extent the Advisor's
Existing  Business  does not conflict  with the  provisions  of Section 7.1, the
Advisor may, subject to the provisions of Section 2 of this Agreement,  continue
the  Advisor's  Existing  Business  during  the term of this  Agreement  and the
Company  shall have no  interest  in or right to  participate  in the  Advisor's
Existing Business.

           7.3 The Advisor and the Company agree that if, in any proceeding, the
court or other authority shall refuse to enforce the covenants  herein set forth
because  such  covenants  cover too  extensive a  geographic  area or too long a
period of time,  any such  covenant  shall be deemed  appropriately  amended and
modified in keeping  with the  intention  of the  parties to the maximum  extent
permitted by law.



<PAGE>

                                                                               9


           8. Inventions.

           Except for  inventions,  innovations or  improvements  ("inventions")
developed by Advisor in the Advisor's Existing Business,  any and all inventions
made,  developed or created by the Advisor,  provided that such  inventions  are
capable of being properly copyrighted,  trademarked or patented, (whether at the
request  or  suggestion  of  the  Company  or  otherwise,  whether  alone  or in
conjunction with others,  and whether during regular hours of work or otherwise)
during the period of its  engagement  with the Company  which may be directly or
indirectly  useful in, or relate  to,  the  business  of the  Company,  shall be
promptly  and fully  disclosed  by the Advisor to the Board of  Directors of the
Company and shall be the  Company's  exclusive  property as against the Advisor,
and the Advisor shall promptly deliver to an appropriate  representative  of the
Company as designated by the Board of Directors  all papers,  drawings,  models,
data and other material relating to any inventions made, developed or created by
him as aforesaid.  The Advisor shall,  at the request of the Company and without
any payment  therefor,  execute any  documents  necessary  or  advisable  in the
opinion of the Company's  counsel to direct issuance of patents or copyrights to
the Company with respect to such inventions as are to be the Company's exclusive
property  as  against  the  Advisor  or to vest  in the  Company  title  to such
inventions  as against the  Advisor.  The expense of securing any such patent or
copyright shall be borne by the Company.

           9. Equitable Relief.

           In the event of a breach or  threatened  breach by the Advisor of any
of the  provisions of Sections 6, 7 or 8 of this  Agreement,  the Advisor hereby
consents  and agrees that the Company  shall be  entitled  to an  injunction  or
similar  equitable relief from any court of competent  jurisdiction  restraining
the Advisor and/or the Executive  from  committing or continuing any such breach
or threatened breach or granting specific  performance of any act required to be
performed by the Advisor under any of such provisions,  without the necessity of
showing  any actual  damage or that money  damages  would not afford an adequate
remedy and without the necessity of posting any bond or other security.  Nothing
herein  shall be construed as  prohibiting  the Company from  pursuing any other
remedies at law or in equity which it may have. For purposes of Sections 6, 7, 8
and 9 of this  Agreement,  the term  "Company"  shall be deemed to  include  the
subsidiaries and affiliates of the Company.


<PAGE>


                                                                              10


           10. Successors and Assigns.

           10.1  Assignment  by the  Company.  The  Company  shall  require  any
successors (whether direct or indirect,  by purchase,  merger,  consolidation or
otherwise)  to all or  substantially  all of the business  and/or  assets of the
Company to assume and agree to perform this  Agreement in the same manner and to
the same  extent  that the  Company  would be  required  to  perform  if no such
succession  had taken place.  As used in this Section,  "the Company" shall mean
the Company as  hereinbefore  defined and any  successor to its business  and/or
assets  as  aforesaid  which  otherwise  becomes  bound  by all  the  terms  and
provisions  of this  Agreement by operation of law and this  Agreement  shall be
binding upon, and inure to the benefit of, the Company, as so defined.

           10.2  Assignment  by the  Advisor.  The  Advisor  may not assign this
Agreement or any part thereof without the prior written consent of a majority of
the Board of Directors of the Company.

           11. Governing Law.

           This  Agreement  shall be deemed a contract  made under,  and for all
purposes  shall be  construed  in  accordance  with,  the  laws of the  State of
Delaware  applicable to contracts to be performed entirely within such State. In
the event that a court of any  jurisdiction  shall hold any of the provisions of
this  Agreement to be wholly or  partially  unenforceable  for any reason,  such
determination  shall not bar or in any way affect the Company's  right to relief
as provided for herein in the courts of any other jurisdiction. Such provisions,
as they relate to each  jurisdiction,  are,  for this  purpose,  severable  into
diverse and independent  covenants.  Service of process on the parties hereto at
the addresses set forth herein shall be deemed adequate service of such process.

           12. Entire Agreement.

           This Agreement contains all the  understandings  and  representations
between  the  parties  hereto  pertaining  to  the  subject  matter  hereof  and
supersedes all undertakings and agreements,  whether oral or in writing,  if any
there be, previously entered into by them with respect thereto.

           13. Amendment; Modification; Waiver.

           No provision of this Agreement may be amended or modified unless such
amendment or  modification is agreed to in writing and signed by duly authorized
representatives of the Company and the Advisor. Except as otherwise specifically
provided in this Agreement, no waiver by either party hereto of any breach by  



<PAGE>

                                                                              11

the other party hereto of any  condition  or  provision of this  Agreement to be
performed  by such  other  party  shall  be  deemed  a waiver  of a  similar  or
dissimilar  provision or condition at the same or any prior or subsequent  time,
nor shall the  failure  of or delay by either  party  hereto in  exercising  any
right, power or privilege  hereunder operate as a waiver thereof to preclude any
other or further exercise thereof or the exercise of any other such right, power
or privilege.

           14. Arbitration.

           Any  controversy  or  claim  arising  out  of  or  relating  to  this
Agreement,  or any breach  thereof,  shall,  except as provided in Section 9, be
settled by arbitration in accordance with the rules of the American  Arbitration
Association  then in  effect  and  judgment  upon  such  award  rendered  by the
arbitrator  may be  entered  in  any  court  having  jurisdiction  thereof.  The
arbitration  shall be held in the area where the Company then has its  principal
place of business. The arbitration award may include an award of attorneys' fees
and costs.

           15. Notices.

           Any notice to be given  hereunder  shall be in writing and  delivered
personally or sent by certified mail, postage prepaid, return receipt requested,
addressed to the party concerned at the address indicated below or at such other
address as such party may subsequently designate by like notice:

           If to the Company:

           Ramsay Health Care,  Inc. One Alhambra  Plaza Suite 750 Coral Gables,
Florida 33134 Attention: President

           If to the Advisor or the Executive:

                Healthlink Enterprises, Inc.
                Suite 3160
                200 South Biscayne Boulevard
                Miami, Florida  33131
                Attention:  Carol C. Lang

All notices given in accordance herewith shall be deemed received on the date of
delivery,  if hand  delivered,  and three (3)  business  days  after the date of
mailing, if mailed by certified mail, return receipt requested.




<PAGE>

                                                                              12

           16. Severability.

           Should  any  provision  of this  Agreement  be  held  by a  court  or
arbitration panel of competent  jurisdiction to be enforceable only if modified,
such holding shall not affect the validity of the  remainder of this  Agreement,
the balance of which shall  continue to be binding upon the parties  hereto with
any such  modification to become a part hereof and treated as though  originally
set forth in this  Agreement.  The parties  further agree that any such court or
arbitration  panel is  expressly  authorized  to modify  any such  unenforceable
provision of this  Agreement in lieu of severing  such  unenforceable  provision
from  this  Agreement  in its  entirety,  whether  by  rewriting  the  offending
provision,  deleting any or all of the offending  provision,  adding  additional
language to this Agreement,  or by making such other  modifications  as it deems
warranted  to carry out the  intent and  agreement  of the  parties as  embodied
herein to the maximum extent permitted by law. The parties  expressly agree that
this Agreement as so modified by the court or arbitration panel shall be binding
upon and enforceable  against each of them. In any event,  should one or more of
the provisions of this Agreement be held to be invalid, illegal or unenforceable
in any respect, such invalidity, illegality or unenforceability shall not affect
any  other  provisions  hereof,  and if such  provision  or  provisions  are not
modified  as  provided  above,  this  Agreement  shall be  construed  as if such
invalid, illegal or unenforceable provisions had never been set forth herein.

           17. Indemnification.

           17.1  In the  event  the  Advisor  becomes  involved  in any  action,
proceeding,  or  investigation in connection with any matter referred to in this
Agreement or in any manner arising from the  transactions  contemplated  hereby,
the  Company  will  defend and hold  harmless  the  Advisor  for its  reasonable
investigation   expenses  incurred  in  connection   therewith,   including  its
reasonable  legal,  appellate  and other  expenses,  except to the  extent  such
action,  proceeding or investigation results in a finding that the Advisor acted
in a grossly  negligent  manner or in bad faith in performing the services which
are the subject of this  Agreement.  The Company  also will  indemnify  and hold
harmless the Advisor against any losses,  claims, rights, damages or liabilities
to which the Advisor  may become  subject in  connection  with or related to any
matter referred to in this Agreement,  including its reasonable legal, appellate
and other  expenses,  except to the  extent  that any such loss,  right,  claim,
damage  or  liability  has been  determined  by a final  judgment  of a court of
competent  jurisdiction to have resulted from the gross  negligence or bad faith
of the  Advisor  in  performing  the  services  which  are the  subject  of this
Agreement. Under any such circumstance, the Company shall defend the Advisor, 



<PAGE>

                                                                              13

unless a  conflict  of  interest  arises,  in which  case the  Advisor  shall be
entitled to retain  counsel of its own selection  which shall be  independent of
the counsel of the Company.

           17.2 The reimbursement and indemnity obligations of the Company under
this  Section 17 and the payment  obligations  of the Company  under  Section 18
shall be in addition to any liability  which the Company may otherwise have, and
shall  extend  upon the same terms and  conditions  to the  partners,  officers,
employees,  agents, controlling persons and affiliated companies of the Advisor,
including the Executive, and shall be binding upon any successors and assigns of
the Company. The foregoing provision shall survive any termination or expiration
of the authorization provided by this Agreement.

           18. Advance of Defense Expenses.

           In the event of any action,  proceeding  or claim against the Advisor
or the Executive  arising out of the  Executive  serving or having served in any
capacity as an officer and/or director of the Company,  which in the Executive's
sole judgment  requires her to retain counsel (such choice of counsel to be made
in her sole and absolute  discretion) or otherwise expend her personal funds for
her defense in connection  therewith,  the Company shall be obligated to advance
to the Executive  (or pay directly to her counsel)  counsel fees and other costs
associated  with the  Executive's  defense of such action,  proceeding or claim;
provided,  however,  that in such  event  the  Executive  shall  first  agree in
writing, without posting bond or collateral,  to repay all sums paid or advanced
to her  pursuant to this Section 18 in the event that the final  disposition  of
such action,  proceeding  or claim is one for which the  Executive  would not be
entitled to indemnification  pursuant to the provisions of the laws of the State
of Delaware or the Certificate of Incorporation or By-laws of the Company.

           19. Withholding.

           All  payments  required  to be made by the Company  hereunder  to the
Advisor shall be treated as payments to an  independent  contractor and shall be
subject to  withholding  of such  amounts  relating  to taxes as the Company may
reasonably  determine  it should  withhold  pursuant  to any  applicable  law or
regulation.  The Company  shall not  withhold  any amounts  with  respect to the
compensation payable to employees of the Advisor,  including the Executive.  The
Advisor  shall  withhold and remit all taxes and other  amounts  relating to the
compensation  payable to employees of the Advisor,  including the Executive,  as
are required pursuant to applicable law or regulation.





<PAGE>

                                                                              14


           20. Survivorship.

           The respective  rights and obligations of the parties hereunder shall
survive  any  termination  of this  Agreement  to the  extent  necessary  to the
intended preservation of such rights and obligations.

           21. Titles.

           Titles of the  sections of this  Agreement  are  intended  solely for
convenience  and no provision of this  Agreement is to be construed by reference
to the title of any section.

                        *                    *                   *


<PAGE>


                                                                              15



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


                              THE COMPANY:

                              RAMSAY HEALTH CARE, INC.


                              By/s/ Remberto Cibran
                                    Remberto Cibran 
                                    President




                              THE ADVISOR:

                              HEALTHLINK ENTERPRISES, INC.


                              By/s/ Carol C. Lang
                                    Carol C. Lang
                                      President



                              The undersigned hereby joins in this Agreement for
                              purposes of  guaranteeing  the  performance by the
                              Advisor   of  its   obligations   hereunder.   The
                              undersigned  also  agrees that the  provisions  of
                              Sections 6 through 9 of this Agreement shall apply
                              to the  undersigned,  in her individual  capacity,
                              and to the Advisor.


                              /s/ Carol C. Lang
                                      Carol C. Lang





           AMENDMENT No. 2 dated as of November 1, 1996 (this  "Amendment") made
by Ramsay Health Care,  Inc. a Delaware  corporation  (the  "Company"),  to that
certain Rights  Agreement dated as of August 1, 1995, as amended by that certain
Amendment dated as of October 3, 1995 (as so amended, the "Agreement"),  between
the  Company  and First  Union  National  Bank of North  Carolina  (the  "Rights
Agent").

           WHEREAS, the Company has determined that the definition of "Acquiring
Person" in the  Agreement  should be amended to provide an exception for persons
who are eligible to file a statement on Schedule 13G under Rule  13d-1(b)  under
the  Securities  Exchange  Act of 1934 who  acquire  less than 25% of the Common
Shares (as defined in the Agreement),  unless and until the conditions set forth
in Rule 13d-1(b) (3) or (4) exist;

           WHEREAS,   the   Company   desires  to  provide   certainty   to  its
shareholders,  the  securities  markets  and the Rights  Agent in respect of the
terms of the Agreement and to further the purposes and intent of the  Agreement;
and

           WHEREAS, in order to effect the foregoing, the Company has determined
to amend the  Agreement  pursuant  to Section 27 of the  Agreement  as set forth
below.

           NOW,  THEREFORE,  effective as of the date hereof,  the  Agreement is
hereby amended pursuant to Section 27 thereof as follows:

           1. Section 1(a) of the Agreement is hereby  deleted and replaced with
      the following:

               "(a)  "Acquiring  Person"  shall mean any Person (as such term is
          hereinafter  defined) who or which,  together with all  Affiliates and
          Associates  (as such terms are  hereinafter  defined) of such  Person,
          shall be the Beneficial Owner (as such term is hereinafter defined) of
          20% or more of the Common Shares of the Company then outstanding,  but
          shall  not  include  the  Company,  any  Subsidiary  (as such  term is
          hereinafter  defined) of the Company, any employee benefit plan of the
          Company or any Subsidiary of the Company, or any Person holding Common
          Shares for or pursuant to the terms of any such plan.  Notwithstanding
          the foregoing, (i) no Person shall become an "Acquiring Person" solely
          as the result of (x) an  acquisition  after the date  hereof of Common
          Shares by the Company  which,  by reducing the number of Common Shares
          outstanding, increases the proportionate number of shares beneficially
          owned  by such  Person  to 20% (or in the  case  of a 13G  Person  (as
          hereinafter defined), 25%) or more of the Common Shares of the Company
          then outstanding or (y) the acquisition of Beneficial Ownership of 20%
          (or in the case of a 13G person,  25%) or more of the Common Shares of
          the  Company  then  outstanding  in the good  faith  belief  that such
          acquisition  would not (A) cause such  Beneficial  Ownership to exceed
          20% (or in the case of a 13G  Person,  25%) of the Common  Shares then
          outstanding  and such  Person  relied in good faith in  computing  the
          percentage of its  Beneficial  Ownership on publicly  filed reports or
          documents of the Company which are  inaccurate or  out-of-date  or (B)
          otherwise  cause a  Distribution  Date to occur;  (ii)  subject to the
          proviso in this clause (ii), no Person (an "Acquiror") shall become an
          "Acquiring  Person"  as a result  of the  acquisition  after  the date
          hereof by an Acquiror from Paul J. Ramsay or from any Person who is an
          Affiliate  or  Associate  of  Paul  J.  Ramsay  at the  time  of  such
          acquisition  (collectively,  the "Ramsay  Persons")  of (1) any of the
          shares of Class B Preferred  Stock currently held by any Ramsay Person
          or (2) any Common Shares issued pursuant to options or other rights to
          purchase  Common Shares  currently held by any Ramsay Person;  (3) any
          Common Shares issued pursuant to the Class B Preferred Stock currently
          held by any Ramsay Person or (4) any Common Shares  currently  held by
          any Ramsay Person; provided that, at the time of such acquisition, the
          Acquiror   (together   with  all  of  such  Person's   Affiliates  and
          Associates)  are  not the  Beneficial  Owners  of more  than 1% of the
          Common  Shares of the Company then  outstanding  and provided  further
          that,  following such acquisition,  the Acquiror (together with all of
          such Person's  Affiliates and Associates) do not become the Beneficial
          Owners of an additional 1% or more of the Common Shares of the Company
          then  outstanding,  (iii) subject to the proviso in this clause (iii),
          none of the Ramsay  Persons shall become an "Acquiring  Person" in the
          event that any Ramsay Person  (together with all other Ramsay Persons)
          become  the  Beneficial  Owners  after the date  hereof of  additional
          Common  Shares;  provided  that the  number  of  Common  Shares of the
          Company of which all Ramsay Persons are the Beneficial Owners does not
          exceed  one Common  Share  less than 50% of the  Common  Shares of the
          Company then outstanding,  and (iv) no Person who or which is eligible
          to file a statement  with the  Securities  and Exchange  Commission on
          Schedule  13G under Rule  13d-1(b),  as in effect on  November 1, 1996
          (the  "Amendment  Date"),  under  the  Exchange  Act  (as  hereinafter
          defined) with respect to such Person's beneficial  ownership of Common
          Shares (a "13G Person")  shall become an "Acquiring  Person" after the
          Amendment  Date if and for so long as such 13G Person,  together  with
          all  Affiliates  and  Associates of such 13G Person,  shall not be the
          Beneficial  Owner of 25% or more of the Common  Shares of the  Company
          then outstanding;  provided,  however, that if such Person or any such
          Person's  Affiliates or Associates  becomes  subject to Rules 13d-1(a)
          and  13d-2(a),  as in effect on the Amendment  Date,  pursuant to Rule
          13d-1(b)  (3) or (4), as in effect on the  Amendment  Date,  then such
          Person  shall no longer be a "13G  Person"  and if such Person at such
          time would be an  Acquiring  Person  but for this  clause  (iv),  such
          Person  shall  immediately  become an Acquiring  Person,  in each case
          without regard to the ten day periods referred to in Rule 13d-1(b) (3)
          and (4), as in effect on the Amendment  Date.  Notwithstanding  clause
          (i) of the prior  sentence,  if any  Person  that is not an  Acquiring
          Person  due to such  clause  (i) does not  reduce  its  percentage  of
          Beneficial  Ownership of Common Shares to below 20% (or in the case of
          a 13G  Person,  25%) by 5:00  P.M.  New York  City  time on the  tenth
          Business Day after notice (including telephonic or facsimile) from the
          Company  (the date of notice  being the first day) that such  Person's
          Beneficial  Ownership of Common  Shares so exceeds 20% (on in the case
          of a 13G  person,  25%),  such  Person  shall,  at the end of such ten
          Business Day period,  become an Acquiring  Person (and such clause (i)
          shall  no  longer  apply  to  such  Person).   For  purposes  of  this
          definition, the determination whether any Person acted in "good faith"
          shall be  conclusively  determined  by the Board of  Directors  of the
          Company,  acting by a vote of those  directors  of the  Company  whose
          approval would be required to redeem the Rights under Section 23."

          2. This  Amendment  shall be deemded  to be a contract  made under the
     laws of the State of Delaware and for all purposes shall be governed by and
     construed in accordance with the laws of such State applicable to contracts
     made and to be performed entirely within such State,  without regard to any
     conflict  of laws  principles  which  would  apply  the  laws of any  other
     jurisdiction.

          3. The Agreement, as amended hereby, is hereby ratified, confirmed and
     continued in full force and effect.

           IN WITNESS  WHEREOF,  the  Company has caused  this  Amendment  to be
executed as of the date first above written.


                                                  RAMSAY HEALTH CARE, INC.



                                                  BY  /s/  B.G. Cibran
                                                    ____________________________
                                                    Name:  Bert Cibran
                                                    Title: President & C.O.O.



                                                                      Exhibit 11

                    RAMSAY HEALTH CARE, INC. AND SUBSIDIARIES

                       COMPUTATION OF NET INCOME PER SHARE
                                   (unaudited)



                                                             Quarter Ended
                                                              September 30
                                                       1996          1995 
 
 
PRIMARY
   Weighted average common shares outstanding.......  8,173,731     7,721,142
   Class B convertible preferred stock, Series C....        ---*          --- *
        TOTAL COMMON AND DILUTIVE
        COMMON EQUIVALENT SHARES....................  8,173,731     7,721,142

        Net Income (Loss) Available to Common 
         Shareholders............................... $   57,000**  $ (482,000)**

        NET INCOME (LOSS) PER SHARE.................      $0.01        $(0.06)

FULLY DILUTED
   Weighted average common shares outstanding.......  8,173,731     7,735,328
   Class B convertible preferred stock, Series C....        ---*         --- *
        TOTAL COMMON AND DILUTIVE
        COMMON EQUIVALENT SHARES....................  8,173,731     7,735,328

        Net Income (Loss) Available to Common
         Shareholders............................... $   57,000**  $ (482,000)**


        NET INCOME (LOSS) PER SHARE................. $      0.01       $(0.06)





*    The Class B convertible preferred stock, Series C were anti-dilutive in the
     quarters  ended  September  30,  1996 and 1995 and,  accordingly,  were not
     considered in the calculation of earnings per share in these quarters.

**   Net income  (loss)  reported for the period was  decreased  (increased)  by
     dividends  related to the Class B convertible  preferred  stock,  Series C,
     totalling $91,000.



WARNING: THE EDGAR SYSTEM ENCOUNTERED ERROR(S) WHILE PROCESSING THIS SCHEDULE.

<TABLE> <S> <C>


<ARTICLE>                     5
<CIK>                                          0000773136
<NAME>                                         Ramsay Health Care, Inc.
<CURRENCY>                                     U.S. Dollars
       
<S>                                            <C>
<PERIOD-TYPE>                                  3-MOS
<FISCAL-YEAR-END>                              Jun-30-1996
<PERIOD-START>                                 Jul-01-1996
<PERIOD-END>                                   Sep-30-1996
<CASH>                                         6,015,000
<SECURITIES>                                   0
<RECEIVABLES>                                  27,663,000
<ALLOWANCES>                                   3,799,000
<INVENTORY>                                    0
<CURRENT-ASSETS>                               42,854,000
<PP&E>                                         95,204,000
<DEPRECIATION>                                 29,280,000
<TOTAL-ASSETS>                                 129,323,000
<CURRENT-LIABILITIES>                          35,790,000
<BONDS>                                        39,531,000
                          0
                                    233,000
<COMMON>                                       89,000
<OTHER-SE>                                     46,546,000
<TOTAL-LIABILITY-AND-EQUITY>                   129,323,000
<SALES>                                        0
<TOTAL-REVENUES>                               31,535,000
<CGS>                                          0
<TOTAL-COSTS>                                  27,640,000
<OTHER-EXPENSES>                               1,313,000
<LOSS-PROVISION>                               889,000
<INTEREST-EXPENSE>                             1,545,000
<INCOME-PRETAX>                                148,000
<INCOME-TAX>                                   0
<INCOME-CONTINUING>                            148,000
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   148,000
<EPS-PRIMARY>                                  0.01
<EPS-DILUTED>                                  0.01
        


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