OAK TREE MEDICAL SYSTEMS INC
10QSB, 1997-01-21
HEALTH SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

- --------------------------------------------------------------------------------
                                   FORM 10-QSB
- --------------------------------------------------------------------------------

        [X] QUARTERLY REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES
                              EXCHANGE ACT OF 1934

                For the quarterly period ended November 30, 1996

                                       OR

        [ ] TRANSITION REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES
                              EXCHANGE ACT OF 1934

         For the transition period from ______________ to _____________

                         Commission file number 0-16206

- --------------------------------------------------------------------------------
                         OAK TREE MEDICAL SYSTEMS, INC.
- --------------------------------------------------------------------------------
        (Exact name of small business issuer as specified in its charter)

               DELAWARE                                          02-0401674
       (State or other jurisdiction of                         (IRS Employer
       incorporation or organization)                        Identification No.)

                           2 GANNETT DRIVE, SUITE 215
                          WHITE PLAINS, NEW YORK 10604
                    (Address of principal executive offices)

                                 (914) 694-2500
                (Issuer's telephone number, including area code)

                                   ----------

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

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

     Indicate  number of shares  outstanding of each of the issuer's  classes of
common equity, as of the latest practical date:

     Common Stock, $.01 par value                     2,734,383 shares
     ----------------------------                     ----------------
                 Class                         Outstanding at January 6, 1997

Transitional Small Business Disclosure Format (check one):

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

================================================================================


<PAGE>

                         OAK TREE MEDICAL SYSTEMS, INC.

                                      INDEX



                                                                            Page
                                                                            ----


PART I   FINANCIAL INFORMATION

         Item 1.  Financial Statements (Unaudited)

                    Consolidated Balance Sheet as of November 30, 1996
                    and May 31, 1996

                    Consolidated Statement of Income for the three and
                    six months ended November 30, 1996 and 1995

                    Consolidated Statement of Stockholders' Equity
                    for the six months ended November 30, 1996

                    Consolidated Statement of Cash Flows for the
                    six months ended November 30, 1996 and 1995

                    Notes to Consolidated Financial Statements

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

PART II  OTHER INFORMATION

         Item 2.  Changes in Securities

         Item 6.  Exhibits and Reports on Form 8-K

SIGNATURES


                                      - 2 -


<PAGE>



                 OAK TREE MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
                           Consolidated Balance Sheet
                                   (Unaudited)
<TABLE>
<CAPTION>
ASSETS                                                                              November 30,          May 31,
                                                                                       1996               1996
<S>                                                                                 <C>                <C>        

Current Assets
  Cash                                                                              $   661,070        $   292,315
  Patient care receivables, less allowance for doubtful accounts of
    $1,650,000 and $1,486,270 as of November 30, 1996 and
    May 31, 1996, respectively                                                        5,028,691          3,158,325
  Prepaids and other current assets                                                      77,542             68,621
- -------------------------------------------------------------------------------------------------------------------
Total Current Assets                                                                  5,767,303          3,519,261

Other Assets
  Investment                                                                          5,000,000          5,000,000
  Property and equipment, net                                                           658,661            394,145
  Other assets                                                                          153,421             58,657
  Excess of cost  over  fair  value of net  assets  acquired,  
    Less  accumulated amortization of $107,732 and $90,071
    as of November 30, 1996 and May 31, 1996, respectively                            1,222,150          1,252,143
- -------------------------------------------------------------------------------------------------------------------
TOTAL ASSETS                                                                        $12,801,535        $10,224,206

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

LIABILITIES AND STOCKHOLDERS' EQUITY

Current Liabilities
  Accounts payable and accrued expenses                                             $   760,469        $   920,363
  Notes payable                                                                       1,627,878            310,623
  Current maturities of long-term debt                                                  329,234            147,846
  Deferred income taxes payable                                                         971,575            720,782
- -------------------------------------------------------------------------------------------------------------------
Total Current Liabilities                                                             3,689,156          2,099,614

Other Liabilities
  Long-term debt, less current maturities                                               230,544            128,481
  Obligation to issue shares of common stock                                            349,765            349,765
- -------------------------------------------------------------------------------------------------------------------
Total Liabilities                                                                     4,269,465          2,577,860
- -------------------------------------------------------------------------------------------------------------------


Stockholders' Equity
  Common stock, $.01 par value, 25,000,000 shares
    authorized, 2,583,406 and 2,529,169 shares issued and 
    outstanding as of November 30, 1996 
    and May 31, 1996, respectively                                                       25,834             25,292
  Additional paid-in capital                                                          9,908,007          9,508,549
  Deficit                                                                            (1,401,771)        (1,887,495)
- -------------------------------------------------------------------------------------------------------------------
Total Stockholders' Equity                                                            8,532,070          7,646,346
- -------------------------------------------------------------------------------------------------------------------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                                          $12,801,535        $10,224,206
- -------------------------------------------------------------------------------------------------------------------
</TABLE>

                 See notes to consolidated financial statements.


                                      - 3 -


<PAGE>



                 OAK TREE MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
                        Consolidated Statement of Income
                                   (Unaudited)
<TABLE>
<CAPTION>


                                                             For the Three Months                    For the Six Months
                                                             Ended November 30,                      Ended November 30,
                                                          1996                1995                1996                1995
<S>                                                      <C>                 <C>                 <C>                 <C>       

REVENUE
  Net patient services                                   $1,236,682          $  932,657          $2,239,145          $2,003,592
- --------------------------------------------------------------------------------------------------------------------------------

EXPENSES
  Selling, general and administrative                       630,687             511,941           1,302,626           1,202,115
  Interest                                                   38,729               3,000              81,801               5,000
  Depreciation and Amortization                              63,165              46,250             107,805              92,500
- --------------------------------------------------------------------------------------------------------------------------------

TOTAL EXPENSES                                              732,581             561,191           1,492,232           1,299,615
- --------------------------------------------------------------------------------------------------------------------------------

INCOME FROM CONTINUING OPERATIONS
BEFORE PROVISION FOR INCOME TAXES                           504,101             371,466             746,913             703,977

PROVISION FOR INCOME TAXES                                  170,000             136,100             261,189             258,100
- --------------------------------------------------------------------------------------------------------------------------------

NET INCOME                                               $  334,101          $  235,366          $  485,724          $  445,877
- --------------------------------------------------------------------------------------------------------------------------------

NET INCOME PER COMMON SHARE                                    $.12                $.09                $.18                $.17
- --------------------------------------------------------------------------------------------------------------------------------

Weighted average number of common and
  common equivalent shares outstanding                    2,710,526           2,586,440           2,692,347           2,592,308
- --------------------------------------------------------------------------------------------------------------------------------
</TABLE>

                 See notes to consolidated financial statements.


                                      - 4 -


<PAGE>

                 OAK TREE MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
                 Consolidated Statement of Stockholders' Equity
                   for the six months ended November 30, 1996
                                   (Unaudited)
<TABLE>
<CAPTION>
                                                                                  Additional                            Total
                                                           Common Stock             Paid-in                         Stockholders'
                                                        Shares       Amount         Capital          Deficit            Equity
- -----------------------------------------------------------------------------------------------------------------------------------
<S>                                                     <C>           <C>            <C>             <C>                 <C>       
Balance May 31, 1996                                    2,529,169     $ 25,292       $9,508,549      $ (1,887,495)       $7,646,346

Issuance of shares of common
  stock upon acquisition                                   54,237          542          399,458                 0           400,000

Net Income                                                      0            0                0           485,724           485,724
- -----------------------------------------------------------------------------------------------------------------------------------

Balance November 30, 1996                               2,583,406     $ 25,834       $9,908,007      $ (1,401,771)       $8,532,070
- -----------------------------------------------------------------------------------------------------------------------------------
</TABLE>

                 See notes to consolidated financial statements.


                                      - 5 -


<PAGE>

                 OAK TREE MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
                      Consolidated Statement of Cash Flows
                                   (Unaudited)
<TABLE>
<CAPTION>

                                                                                            For the Six Months
                                                                                            Ended November 30,
                                                                                    1996                            1995
- ----------------------------------------------------------------------------------------------------------------------------------
<S>                                                                                <C>                            <C>     
OPERATING ACTIVITIES
     Net Income                                                                    485,724                        $445,877
     Adjustments to reconcile net income 
         to net cash used in operating activities:
         Depreciation and amortization                                             107,805                          92,500
         Reduction of allowance for doubtful accounts                             (500,000)                              0
         Deferred income taxes                                                     261,188                         258,100
         Change in assets and liabilities:
              (Increase) in patient care receivables                              (620,366)                       (155,837)
              (Increase) in prepaids and other current
                  assets                                                            (3,921)                           (532)
              (Increase) in other assets                                           (41,453)                              0
              (Decrease) in accounts payable
                  and accrued expenses                                            (158,518)                       (831,368)
- ----------------------------------------------------------------------------------------------------------------------------------
NET CASH USED IN OPERATING ACTIVITIES                                             (469,541)                       (191,260)
- ----------------------------------------------------------------------------------------------------------------------------------
INVESTING  ACTIVITIES
     Payments on acquisition                                                      (455,000)                              0
     Increase in note receivable                                                   (50,000)                              0
     Purchases of property and equipment                                           (92,410)                              0
- ----------------------------------------------------------------------------------------------------------------------------------
NET CASH USED IN INVESTING ACTIVITIES                                             (597,410)                              0
- ----------------------------------------------------------------------------------------------------------------------------------
FINANCING ACTIVITIES
     Proceeds of notes payable and long-term debt                                1,772,255                         118,750
     Payments of notes payable and long-term debt                                 (336,549)                        (49,170)
- ----------------------------------------------------------------------------------------------------------------------------------
NET CASH PROVIDED BY FINANCING
     ACTIVITIES                                                                  1,435,706                          69,580
- ----------------------------------------------------------------------------------------------------------------------------------
NET INCREASE (DECREASE) IN CASH                                                    368,755                       (121,680)
- ----------------------------------------------------------------------------------------------------------------------------------
CASH - Beginning of Period                                                         292,315                         138,196
- ----------------------------------------------------------------------------------------------------------------------------------
CASH - End of Period                                                              $661,070                        $ 16,516
- ----------------------------------------------------------------------------------------------------------------------------------
Supplemental Disclosure of Cash Flow Information:
     Interest Expense Paid                                                        $ 87,349                        $  5,000
- ----------------------------------------------------------------------------------------------------------------------------------
</TABLE>

                 See notes to consolidated financial statements


                                                     - 6 -


<PAGE>

                 OAK TREE MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
                   Notes to Consolidated Financial Statements
                                   (Unaudited)



1.       OPERATIONS

         Oak  Tree  Medical  Systems,  Inc.,  a  Delaware  corporation,  and its
subsidiaries (the "Company")  operate physical therapy and  rehabilitation  care
clinics and related  medical  practices  in  Jacksonville,  Florida and New York
City.

2.       CONSOLIDATED FINANCIAL STATEMENTS

         The consolidated  financial statements include the accounts of Oak Tree
Medical  Systems,  Inc. and its  wholly-owned  subsidiaries and Oak Tree Medical
Practice,  P.C., a professional practice entity over which the Company exercises
significant  influence  and  control.  All  material  intercompany  balances and
transactions have been eliminated.

         The accompanying  unaudited consolidated financial statements have been
prepared  by the  Company  in  accordance  with  generally  accepted  accounting
principles for interim financial information.  Accordingly,  they do not include
all the  information  and footnotes  required by generally  accepted  accounting
principles  for  financial  statements.  For further  information,  refer to the
audited consolidated  financial statements and notes thereto for the fiscal year
ended May 31,  1996,  included  in the  Company's  Form  10-KSB  filed  with the
Securities and Exchange Commission on September 12, 1996.

         In the  opinion of  management,  all  adjustments,  consisting  only of
normal  recurring  adjustments  necessary for a fair statement of: (a) financial
position as of November  30, 1996 and 1995,  (b) results of  operations  for the
three months and six months ended November 30, 1996 and 1995, (c) cash flows for
the six months ended November 30, 1996 and 1995 and (d) changes in stockholders'
equity for the six months ended November 30, 1996, have been made.

         The results for the three months and six months ended November 30, 1996
are not  necessarily  indicative  of the results to be  expected  for the entire
fiscal year ending May 31, 1997.

3.       ACQUISITION

         On  October 1, 1996,  the  Company  acquired  the  operations  of three
physical therapy care centers and a hospital service contract located  primarily
in New York City for $900,000,  payable:  (a) $400,000 in cash,  (b) $100,000 by
the assumption of a note payable and (c) the issuance of 54,237 shares of common
stock to a creditor of the seller.  The note payable is due in four installments
of $25,000 through May 19, 1997, with interest at 6.07% per annum.

         In connection with the acquisition,  the Company  incurred  expenses of
$120,000,  including a finder's fee of $90,000 to a company in which the wife of
the chief  executive  officer of the Company is an owner and which was agreed to
prior to employment of the chief executive officer by the Company.  The finder's
fee was paid  $25,000 in cash and the  balance in a note  payable due on January
15, 1998, with interest at 10% per annum.


                                      - 7 -


<PAGE>

         The  acquisition  was recorded on the purchase  method and the purchase
price and related expenses have been allocated as follows:

              Accounts receivable                                $  750,000
              Equipment                                             261,689
              Supplies                                                5,000
              Deposits                                                3,311
                                                                 ----------
                                                                 $1,020,000
                                                                 ==========

         The consolidated  financial statements included the acquired operations
as of October 1, 1996.

4.       NOTE PAYABLE

         On September 30, 1996, a subsidiary of the Company  entered into a loan
agreement  with a bank  for a term  loan of  $400,000  and a line of  credit  of
$200,000.  The proceeds of the loan were used in connection with the acquisition
(Note 3) and is payable in equal monthly  installments  of $22,222 through March
31, 1998, plus interest at 1% above the prime rate, per annum.

         The term  loan and  line of  credit  loans  are  collateralized  by the
accounts receivable,  fixed assets, etc. of the subsidiary and are guaranteed by
Oak Tree Medical Systems, Inc.


5.       SUBSEQUENT EVENT

         On December  11,  1996,  the Company  acquired  certain  assets of four
physical  therapy care centers and a management  company located in Long Island,
New York for an  aggregate  purchase  price of $650,000  and  132,190  shares of
common stock of the Company,  of which 126,190 shares are issuable in 18 months.
The  $650,000  was  payable:  (a)  $250,000  in cash and (b)  $400,000 in a note
payable due in 32 monthly  installments  of $14,763,  including  interest.  If a
certain  market  price is not  achieved,  an  additional  34,097  shares will be
issued. In addition, if certain performance levels are achieved, contingent cash
payments will be required.

         In connection with the acquisition, the Company incurred a finder's fee
equal to 10% of the purchase price to a related company (Note 3).


                                      - 8 -


<PAGE>

                         OAK TREE MEDICAL SYSTEMS, INC.
                     Management's Discussion and Analysis of
                  Financial Condition and Results of Operations

General

The  Company is engaged  in the  business  of  owning,  operating  and  managing
physical therapy clinics,  comprehensive  outpatient  rehabilitation  facilities
(CORF) and related rehabilitative  medicine practices.  As of November 30, 1996,
the Company  has  operations  in  Jacksonville,  Florida and New York City.  The
Company  operates  its  various  facilities  and  practices  through its various
subsidiaries as required or practical for licensing,  operating and managing the
various aspects of its business.

In December 1996, the Company completed its acquisition of four Long Island, New
York, based physical therapy centers, located in Brooklyn, Syosset, Lawrence and
Rockville Centre. The centers had profits of approximately  $450,000 in the most
recent fiscal year. The acquisition also included a medical billing company with
gross  billing  of  approximately  $3  million.  The clinic  assets and  related
management  contracts were acquired for approximately  $1.5 million in stock and
cash.

Results of Operations

Six and Three  Months  Ended  November  30,  1996  Compared to the Six and Three
Months Ended November 30, 1995

Patient  revenues  increased by 11.8% to $2,239,145  from  $2,003,592 in the six
months ended  November 30, 1996 (the  "Fiscal 1997 Six Month  Period")  compared
with the six  months  ended  November  30,  1995  (the  "Fiscal  1996 Six  Month
Period").  Revenues  increased by 32.6% to $1,236,682 from $932,657 in the three
months ended  November 30, 1996 (the "Fiscal 1997  Quarter")  compared  with the
three months ended November 30, 1995 (the "Fiscal 1996  Quarter").  The increase
in revenues was primarily attributable to the acquisition of three New York City
clinics,  whose results of operations  were included with the Company's  results
for October and November  1996. To a lesser  extent,  the increase also reflects
improved  operations and more efficient  billings at the Company's North Florida
clinics  during  the  Fiscal  1997  Quarter,   attributable,  in  part,  to  the
implementation of new financial controls and accounting systems.

Total  expenses  were  $1,492,232  or 66.6% of revenues  for the Fiscal 1997 Six
Month Period,  compared with expenses of $1,299,615 or 64.9% of revenues for the
Fiscal 1996 Six Month Period.  Total expenses were $732,581 or 59.2% of revenues
for the Fiscal  1997  Quarter,  compared  with  expenses of $561,191 or 60.1% of
revenues  for the Fiscal 1996  Quarter.  Expenses  increased  as  percentage  of
revenues  during the Fiscal 1997 Six Month Period as compared to the Fiscal 1996
Six Month Period as a result of increased depreciation and amortization expenses
attributable  to the New York City clinics  acquired in the Fiscal 1997 Quarter,
and  increased  interest  expense   associated  with   substantially   increased
borrowings  and higher  interest  rates.  The  increase  was offset in part by a
percentage  reduction in selling,  general and  administrative  expenses,  which
dropped to 58.2% of  revenues  in the Fiscal  1997 Six Month  Period from 60% of
revenues  in the  Fiscal  1996 Six  Month  Period.  The  decline  was  primarily
attributable  to a downward  adjustment  in  allowance  for  doubtful  accounts.
Expenses  decreased as a  percentage  of revenues for the Fiscal 1997 Quarter as
compared to the Fiscal 1996 Quarter,  primarily as a result of the adjustment in
the allowance for doubtful accounts offset in part by increased depreciation and
amortization and higher interest expenses as described above.

As a result of these factors,  income from continuing operations increased by 6%
to $746,913 in the Fiscal 1997 Six Month Period from $703,977 in the Fiscal 1996
Six Month  Period.  Income  from  continuing  operations  increased  by 35.7% to
$504,101 in the Fiscal 1997 Quarter from $371,466 in the Fiscal 1996


                                      - 9 -


<PAGE>

Quarter.  Net income  increased by 8.9% to $485,724 in the Fiscal 1997 Six Month
Period from $445,877 in the Fiscal 1996 Six Month Period.  Net income  increased
by 41.9% to $334,101 in the Fiscal 1997 Quarter from $235,366 in the Fiscal 1996
Quarter.

Liquidity and Capital Resources

The Company has been funding its capital  requirements from operating cash flow,
loans against its accounts  receivable,  the sale of equity  securities  and the
issuance of equity  securities  in exchange  for assets  acquired  and  services
rendered.  A significant portion of the revenues of the Company are for services
that are paid by third party payors, including insurance companies and Medicare.
As is typical in the health care industry,  the Company  receives  payment after
the services are rendered.  Such payment is based, in part, on established  cost
reimbursement  principles  and is subject to audit and  retroactive  adjustment.
While  waiting for payment from third party  payors,  the Company is required to
fund its expenses from internal, and to the extent available, external financing
sources.

Because of the often substantial delay between billings and collections, patient
care  receivables  (net of allowances)  constitute a substantial  portion of the
Company's  assets,  approximately  90% of its current assets at May 31, 1996 and
87% of its  current  assets at November  30,  1996.  The  Company  has  recently
implemented  electronic billing and installed a new computerized system in order
to better  track its patient  care  receivable.  The Company  expects  that this
system will  provide a more  timely and  accurate  profile of its  patient  care
receivable,  including amounts,  aging and allowances for doubtful accounts. Net
patient  care  receivable  increased  by  approximately  59%, to  $5,028,691  at
November 30, 1996 from $3,158,325 at May 31, 1996,  primarily as a result of the
acquisition  of three New York City clinics in October 1996, but also because of
the improved patient care receivable system.

In June 1996,  the Company was notified  that  Medicare Part A was reviewing its
CORF facility for Medicare Part A service recipients.  This review is for all of
the CORF claims  submitted  by the Company from May 6, 1996  forward,  and is to
verify and assure compliance with all Medicare documentation requirements.  This
review has caused a slowdown on Medicare Part A claims payments. The Company has
submitted a written corrective action plan to Medicare Part A which was accepted
in  August  1996.  The  Company  has  implemented  this  plan and  currently  is
submitting   claims  and  documentation  in  accordance  with  it.  The  Company
anticipates  the review  being  lifted in March 1997.  As a  consequence  of the
review, the Company has experienced  certain cash-flow  difficulties,  but these
difficulties are expected to be eliminated upon termination of the review.

In September  1996,  the Company  obtained a term loan in the amount of $400,000
from a bank to fund the acquisition of the Company's New York City clinics. This
loan bears  interest at the lender's  prime rate plus one percent and matures on
March 31, 1998. The Company also has a revolving line of credit in the amount of
$200,000 with the same bank. Also in September 1996, the Company obtained a loan
in the  amount of  $1,250,000,  collateralized  by  $2,600,000  of its  accounts
receivable.  Under the terms of the loan,  the Company is obligated to repay the
lender  $1,912,500,  plus twenty percent of the  receivables  collected over the
$1,912,500.  The lender is  responsible  for the servicing and collecting of the
accounts receivable  designated as collateral.  A $425,000 receivables financing
facility of the Company expired in November 1996 and was not renewed.

In January and March 1996,  the Company  completed  the private  placement of an
aggregate  of 82,200  shares of Common Stock at a gross sales price of $439,000.
The  Company  issued  54,237  shares  of  Common  Stock in  connection  with the
acquisition of its New York City clinics in October 1996. In connection with the
acquisition  of its Long Island,  New York clinics in December 1996, the Company
issued  6,000  shares of Common  Stock,  and  committed  to issue an  additional
126,190 shares (increasing


                                     - 10 -


<PAGE>

to  160,287  shares if the price  per  share of Common  Stock  does not equal or
exceed  $7.00  at any  time  prior  to the  eighteen  month  anniversary  of the
acquisition).

In January 1995, the Company acquired its 1st Coast  subsidiary,  which owns and
operates the Company's  North Florida  clinics,  through the issuance of 400,000
shares of Common  Stock.  The  acquisition  agreement  provided that if the fair
market  value of such shares is less than  $1,000,000  within 30 days of January
16, 1997, the Company will issue additional shares of Common Stock valued in the
amount of the  shortfall.  The agreement  also obligates the Company to issue to
the seller of 1st Coast additional shares of Common Stock based upon the pre-tax
earnings of 1st Coast in each of the four years following the acquisition.

Subject to the  lifting  of the  Medicare  Part A review  discussed  above,  the
Company  believes  that its cash flow,  together  with its  available  borrowing
facilities,  will be sufficient to fund its  operations at their current  levels
for the  foreseeable  future.  In order to pursue its strategy of growth through
acquisitions,  and to enhance  services at its existing clinic  facilities,  the
Company will require  additional  sources of capital.  The Company  continues to
explore opportunities to raise private equity capital,  although the Company has
no current  arrangements to do so and there can be no assurance that its efforts
to raise private  capital will be successful.  If the Company is unable to raise
additional capital,  its future operations and growth strategy may be materially
adversely affected.

In June 1995, the Company  exchanged gold ore valued at $5,000,000 for 6,000,000
shares of common stock of Accord Futronics Corporation ("Accord").  The gold ore
was acquired in May 1993 from one of the  Company's  principal  stockholders  in
exchange  for  1,350,000  shares of Common  Stock.  The Company has the right to
receive a royalty of 12 1/2% of the net mining  income  from  processing  of the
gold ore transferred to Accord. However, Accord is not currently mining the gold
ore, and the Company cannot predict when, if ever,  such mining will occur.  The
book value of the Accord common stock constitutes  approximately 39% of the book
value of the  Company's  assets as of November  30, 1996.  No current  financial
information  is available  for Accord,  and, if the Company  cannot  obtain such
information,  the  Company  may write down all or a  substantial  portion of its
investment  in Accord.  The Company does not  anticipate  that such a write down
would materially  adversely affect the Company's  medical business or its growth
and profitability in the medical business management field.


                                     - 11 -


<PAGE>

PART II  OTHER INFORMATION

Item 2.      Changes in Securities

In November 1996, the Company issued 54,237 shares of the Company's common stock
as part of its satisfaction of debt in the aggregate amount of $400,000 incurred
by the Company in its acquisition of three New York City based physical  therapy
centers on October 1, 1996. The shares were issued in reliance upon Section 4(2)
of the Securities Act of 1933 for transactions not involving a public offering.

Item 6.      Exhibits and Reports on Form 8-K

   (a)       Reports on Form 8-K

             The Company  filed a Current  Report on Form 8-K,  dated October 1,
             1996,  reporting  the  acquisition  of three  New York  City  based
             physical therapy centers.

   (b)       Exhibits

             The following exhibits are filed as part of this report:

    10.1       Executive Employment Agreement dated December 3, 1996 between Oak
               Tree Medical Systems, Inc. and William Kedersha

    10.2       Stock Option  Agreement  dated  December 3, 1996 between Oak Tree
               Medical Systems, Inc. and Burton Dubbin

    10.3       Public Relations  Consulting  Letter Agreement dated December 20,
               1996  between  Oak Tree  Medical  Systems,  Inc.  and Gotham City
               Corporate Relations Group, Inc.

    10.4       Financial Advisor  Consulting Letter Agreement dated December 20,
               1996  between  Oak  Tree  Medical   Systems,   Inc.  and  Anthony
               Palmigiano

    10.5       Letter,  dated  January 14, 1997, in respect of  modification  of
               Agreement of Sale, dated December 11, 1996, between Maple Health,
               Inc., Northern Professional,  Inc., Southern Professional,  Inc.,
               Mark A.  Gentile,  James  O'Neill,  Robert  Einemann  and Bernard
               Posner and Oak Tree Medical Management, Inc.


                                     - 12 -


<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 thereto duly authorized.


                             OAK TREE MEDICAL SYSTEMS, INC.



                             By: /s/ WILLIAM KEDERSHA
                                 --------------------
                                    William Kedersha
                                    Chief Executive Officer

Dated:  January 21, 1997


                                     - 13 -



                         EXECUTIVE EMPLOYMENT AGREEMENT

         This EXECUTIVE EMPLOYMENT AGREEMENT,  dated as of December 3, 1996 (the
"Agreement"),  by and  between  Oak  Tree  Medical  Systems,  Inc.,  a  Delaware
corporation (the "Company"),  with executive  offices at 2 Gannett Drive,  Suite
215, White Plains, New York 10604, and William Kedersha (the "Executive").

         WHEREAS,  the  Company  believes  that  it is  in  the  Company's  best
interests  to assure the  continued  services of the  Executive on the terms and
conditions set forth herein.

         NOW, THEREFORE, in consideration of the mutual covenants and conditions
hereinafter set forth and other good and valuable  consideration the receipt and
sufficiency of which is hereby acknowledged, the parties intending to be legally
bound hereby agree as follows:


1.   DEFINITIONS.

     1.1  "Affiliate"  of a person or other  entity shall mean a person or other
entity that  directly or  indirectly  controls,  is  controlled  by, or is under
common  control with the person or other  entity  specified  (including  without
limitation any investment entity managed by the person or other entity specified
or a person or entity that directly or indirectly controls, is controlled by, or
is under common control with the person or other entity specified).

     1.2 "Board" shall mean the Board of Directors of the Company.

     1.3 "Cause" shall mean:

          (a)  The Executive is convicted of a felony involving moral turpitude;
               or

          (b)  The Executive is guilty of willful gross neglect or willful gross
               misconduct  in  carrying  out his duties  under  this  Agreement,
               resulting,  in either  case,  in  material  economic  harm to the
               Company,  unless the  Executive  believed in good faith that such
               act or nonact was in the best interests of the Company.

     1.4  "Change  in  Control"  shall  mean  the  occurrence  of any one of the
following events:

          (a)  Any "person," as such term is used in Sections  3(a)(9) and 13(d)
               of the  Securities  Exchange Act of 1934  (including  any group),
               other than Henry Dubbin,  becomes a  "beneficial  owner," as such
               term is used in Rule 13d-3  promulgated under such Act, of 35% or
               more of the  Voting  Stock of the  Company  or any  "person"  who
               currently owns 35% or


<PAGE>

               more of the Voting Stock of the Company acquires an additional 3%
               or more of the Voting Stock of the Company;

          (b)  The  majority  of the Board  consists of  individuals  other than
               Incumbent Directors, which term means the members of the Board on
               the date of this  Agreement;  provided that any person becoming a
               director subsequent to such date whose election or nomination for
               election was  supported by  two-thirds  of the directors who then
               comprised  the Incumbent  Directors  shall be considered to be an
               Incumbent Director;

          (c)  The  Company  adopts any plan of  liquidation  providing  for the
               distribution  of all or  substantially  all of the  assets of the
               Company on a consolidated basis;

          (d)  All or substantially all of the assets or business of the Company
               is  disposed  of  pursuant  to a merger,  consolidation  or other
               transaction  (unless the shareholders of the Company  immediately
               prior  to  such  merger,   consolidation  or  other   transaction
               beneficially  own,  directly or indirectly,  in substantially the
               same  proportion  as they owned the Voting  Stock of the Company,
               all of the  Voting  Stock or  other  ownership  interests  of the
               entity or entities,  if any,  that succeed to the business of the
               Company); or

          (e)  The  Company  merges  or  combines  with  another   company  and,
               immediately after the merger or combination,  the stockholders of
               the Company  immediately prior to the combination hold,  directly
               or  indirectly,  (i) in the event the  Company  is the  surviving
               corporation,  50% or less of the  Voting  Stock  of the  combined
               company,  or (ii) in the event the  Company is not the  surviving
               corporation,  50% or less of the Voting Stock or other  ownership
               interests of the entity or entities,  if any, that succeed to the
               business of the Company.

     1.5  "Disability"  shall mean the  Executive's  inability to  substantially
perform the Executive's duties and  responsibilities  as contemplated under this
Agreement for a period of more than six (6) months,  whether or not  continuous,
during any 365-day period, due to physical or mental incapacity or impairment.

     1.6 "Good Reason" shall mean the Executive's  termination of his employment
upon  notice  to  the  Company  following  assignment  to the  Executive  duties
materially  inconsistent  with the Executive's  position as described in Section
2.1 or the Executive's being removed from such position,  in either case without
the  Executive's  consent,  provided  such  termination  shall only be effective
thirty (30) days after prompt notice of such  circumstances  by the Executive to
the Company, if such circumstances have not been cured prior to such date.


                                      - 2 -


<PAGE>

     1.7 "Specified  Multiple" shall mean a multiple of two and one-half for any
termination  occurring prior to the second anniversary of the Effective Date and
one for any termination occurring thereafter.

     1.8  "Subsidiary"  of the Company shall mean any  corporation  of which the
Company owns, directly or indirectly, more than 50% of the Voting Stock.

     1.9 "Voting  Stock" shall mean capital stock of any class or classes having
general   voting  power  under  ordinary   circumstances,   in  the  absence  of
contingencies, to elect the directors of a corporation.


2.       EMPLOYMENT TERM

     2.1 Employment.  Upon the terms and conditions  hereinafter set forth,  the
Company  hereby  employs  the  Executive,   and  the  Executive  hereby  accepts
employment   with  the   Company.   The   Executive's   principal   office   and
responsibilities  shall be that of Chief  Executive  Officer of the  Company and
shall be  responsible  for the general  management of the affairs of the Company
and its  Subsidiaries.  The  Executive,  in carrying  out his duties  under this
Agreement, shall report to the Board.

     2.2 Term. Unless sooner terminated as hereinafter provided, the Executive's
employment  hereunder  shall  be for a term of three  (3)  years  commencing  on
December 3, 1996 (the "Effective  Date") and terminating on December 2, 1999. At
the end of such three-year period, this Agreement shall be automatically renewed
upon the same terms and conditions hereof for successive one-year periods (as so
extended, the "Term"), unless either party gives ninety (90) days' prior written
notice  that such  party  does not wish to renew for  another  one-year  period,
whereupon this Agreement shall expire on the scheduled termination date.

     2.3 Duties.  During the Term,  the Executive  shall perform such duties for
the  Company  and its  Subsidiaries,  consistent  with his  position  and  title
hereunder,  and as  may  be  assigned  to  him,  consistent  with  his  position
hereunder,  from time to time by the Board.  The Executive  agrees to (i) devote
his full time and best  efforts,  attention  and  energies to the  business  and
affairs of the Company and to faithfully and diligently  perform, to the best of
his  ability,  all  of  his  duties  and  responsibilities;  (ii)  abide  by all
applicable  policies of the Company  from time to time in effect  provided  that
such  policies  comply  with  applicable  law;  and (iii) not take any action or
conduct  himself  in any manner  which  would be  reasonably  likely to harm the
reputation or goodwill of the Company.

     2.4  Exclusive  Agreement.  The  Executive  represents  and warrants to the
Company that there are no agreements or  arrangements,  whether written or oral,
in effect  which  would  prevent the  Executive  from  rendering  service to the
Company during the Term as provided herein. During the Term, the Executive shall
not (i) engage in any activity which  conflicts or interferes  with or derogates
from the performance of the Executive's duties hereunder nor shall the Executive
engage in any other business activity, whether or not such business


                                      - 3 -


<PAGE>

activity is pursued for gain or profit, except as approved in advance in writing
by the Board;  or (ii) accept any other  full-time  or  substantially  full-time
employment,  whether as an executive or consultant or in any other capacity, and
whether or not compensated therefor.

         Anything herein to the contrary notwithstanding, nothing shall preclude
the Executive from (i) serving on the boards of directors of a reasonable number
of other corporations or the boards of a reasonable number of trade associations
and/or  charitable  organizations,  (ii) engaging in charitable  activities  and
community  affairs,  and (iii)  managing his personal  investments  and affairs,
provided  that such  activities  do not  materially  interfere  with the  proper
performance of his duties and  responsibilities as the Company's Chief Executive
Officer.


3.       COMPENSATION

     3.1 Base Salary.  As partial  compensation for all services rendered by the
Executive hereunder and all covenants and conditions  undertaken by him pursuant
to this Agreement,  the Company shall pay the Executive,  in accordance with the
regular payroll practices of the Company,  an annual base salary ("Base Salary")
of $150,000.  Of such Base Salary, a salary ("Deferred Salary") of $50,000 shall
be payable on a deferred basis as follows:  If the Company shall have net income
of at least  $1,000,000  for the fiscal  year in which the  Deferred  Salary was
earned (the "Year  Earned"),  the Deferred  Salary shall be paid  following such
fiscal year. If the Company shall not have net income of at least  $1,000,000 in
the Year Earned,  the Deferred  Salary shall be paid  following  the next fiscal
year for which the net  income of the  Company is at least  equal to  $1,000,000
multiplied  by the sum of number of fiscal  years  prior to the Year  Earned for
which the Deferred Salary has been deferred and not  theretofore  paid plus two.
Notwithstanding  the foregoing,  all Deferred Salary not  theretofore  paid (pro
rated for any partial fiscal year) shall become immediately due and payable upon
termination  of the Executive  without Cause or termination by the Executive for
Good Reason.  Any Deferred Salary due and payable on the basis of the net income
achieved for any fiscal year shall be paid within forty-five (45) days after the
end of such fiscal year.

     3.2 Bonus.  For each fiscal year (pro rated for any  partial  fiscal  year)
during the Term,  provided the Company  shall have annual net income of at least
$500,000,  as reflected on the Company's audited  financial  statements for such
fiscal year,  in addition to the Base Salary,  the  Executive  shall  receive an
annual  bonus of 5% of the first  $2,000,000  of the  annual  net  income of the
Company,  2-1/2% of the next  $10,000,000 of net income and 1% of all net income
thereafter.  Any bonus  earned  during  any  fiscal  year  shall be paid  within
forty-five (45) days after the end of such fiscal year.

     3.3 Stock Options.

         (a) As further  consideration  of the  services  to be  rendered by the
Executive,  the  Company  hereby  grants to the  Executive,  effective  upon the
Effective  Date,  options (the  "Options") to purchase  375,000 shares of common
stock, par value $0.01 per


                                      - 4 -


<PAGE>

share (the "Common  Stock"),  of the Company at an exercise price (the "Exercise
Price") equal to $1-11/16 per share. The number and kind of shares issuable upon
exercise of the Options and the Exercise Price shall be  appropriately  adjusted
upon the  occurrence of any stock split,  reverse stock split,  stock  dividend,
recapitalization, reorganization or similar transaction.

         (b) The Options shall vest and become  exercisable upon the earliest to
occur  of the  following:  (i) a  fiscal  year  in  which  the  Company  has (y)
$10,000,000  in  gross  revenue  and  (z)  either  $750,000  in  pre-tax  income
(including  extraordinary  gains)  or  $500,000  in  pre-tax  income  (excluding
extraordinary gains), as reflected on the Company's audited financial statements
for such fiscal year; (ii) a fiscal year in which the Company has $15,000,000 in
gross revenue,  as reflected on the Company's audited  financial  statements for
such  fiscal  year;  and (iii)  the fifth  anniversary  of the  Effective  Date.
Notwithstanding  the foregoing,  the Options shall  immediately  vest and become
exercisable  upon the  occurrence  of a Change  of  Control,  the  Executive  is
terminated by the Company other than for Cause or the Executive  terminates  his
employment for Good Reason.

         (c) Except as provided  below,  the Options granted hereby shall expire
on the  tenth  anniversary  of  the  Effective  Date.  Upon  termination  of the
Executive's  employment,  the Options  shall  expire as follows:  If the Company
terminates the Executive for Cause,  the Options shall expire  immediately  upon
termination. If the Executive terminates his employment without Good Reason, the
Options shall expire three months following such termination. If the Executive's
employment  shall terminate upon the expiration of the Term or upon the death or
Disability  of the  Executive or if the Company  shall  terminate  the Executive
without  Cause or if the  Executive  shall  terminate  his  employment  for Good
Reason, the Options shall expire one year from the date of such termination.

         (d) The Company shall  promptly file with the  Securities  and Exchange
Commission a registration statement on Form S-8 registering the shares of Common
Stock  issuable upon the exercise of the Options by the Executive and shall keep
such  registration  statement  effective  for as long as any of the  Options are
outstanding.

     3.4 Method of  Exercise.  The Options or any part  thereof may be exercised
only by the  giving of  written  notice to the  Company on such form and in such
manner as the Board shall  prescribe.  Such written  notice of exercise shall be
accompanied  by payment of the full purchase price of the number of shares being
purchased. Such payment may be made by cash, certified check or check acceptable
to the Company.  The date of exercise (the "Exercise Date") of the Options shall
be the date on which  written  notice of exercise  is  received by the  Company,
during normal  business hours, at its address as provided in Section 7.1 of this
Agreement.  On the Exercise Date, the Executive shall be deemed to be the holder
of  record  of  the  shares  of  Common  Stock   issuable  upon  such  exercise,
notwithstanding  that the transfer  books of the Company shall then be closed or
certificates  representing  such  shares  shall  not  then  have  been  actually
delivered to the Executive.  As soon as practicable after the Exercise Date, the
Company shall issue and deliver to the


                                      - 5 -


<PAGE>

Executive a certificate or  certificates  for the number of shares issuable upon
such exercise, registered in the name of the Executive.

     3.5  Nonassignability.  No  options  granted  to the  Executive  under this
Agreement shall be assignable or transferable  other than by will or by the laws
of descent  and  distribution  or by  qualified  domestic  relations  orders (as
defined in the Internal Revenue Code).


4.       BENEFITS

     4.1 Benefits. The Executive shall be entitled to participate, to the extent
the Executive is otherwise  eligible under the terms  thereof,  in all plans now
existing  or  hereafter  adopted  for  the  general  benefit  of  the  Company's
employees,  such as stock option or other incentive  compensation  plans, profit
sharing plans,  retirement  plans,  health  insurance  plans, or other insurance
plans and benefits (not including,  however,  bonus, severance or cash incentive
arrangements  other  than those  specified  in this  Agreement),  subject to the
provisions of such plans as may be in effect from time to time.

     4.2 Expense Reimbursement.  The Executive is authorized to incur reasonable
expenses in carrying out his duties and  responsibilities  under this  Agreement
and the Company shall promptly  reimburse him for all business expenses incurred
in connection with carrying out the business of the Company,  in accordance with
its standard policies from time to time in effect.

     4.3 Vacation.  The Executive shall be entitled to six (6) weeks annual paid
vacation  for each year  during  the  Term.  Any  vacation  days not used by the
Executive during any calendar year shall be paid to the Executive in the form of
a bonus at the end of such calendar year.  The Executive  shall also be entitled
to sick leave and holidays in accordance with the Company's  policies for senior
executive employees.

     4.4 Automobile Allowance.  The Company shall provide the Executive with the
full use of a  leased  automobile  of the  Executive's  choice  at a cost to the
Company not to exceed $1,000 per month and shall further reimburse the Executive
for all reasonable  expenses  incurred in connection with the Executive's use of
such automobile.

     4.5 Life  Insurance.  The  Company  shall  provide to the  Executive a life
insurance policy, providing death benefits in the amount of $1,000,000,  payable
to any beneficiary to be designated by the Executive.

     4.6  Indemnification.  The Company  agrees that if the  Executive is made a
party, or is threatened to be made a party,  to any action,  suit or proceeding,
whether civil,  criminal,  administrative or investigative (a "Proceeding"),  by
reason of the fact that he is or was a  director,  officer  or  employee  of the
Company or is or was serving at the request of the Company as director, officer,
member,  employee or agent of another corporation,  partnership,  joint venture,
trust or other enterprise, including service with respect to


                                      - 6 -


<PAGE>

employee  benefit  plans,  whether  or not the basis of such  Proceeding  is the
Executive's  alleged action in an official capacity while serving as a director,
officer,  member, employee or agent, the Executive shall be indemnified and held
harmless by the Company to the fullest  extent  permitted or  authorized  by the
Company's certificate of incorporation or bylaws, or, if greater, by the laws of
the State of Delaware, against all cost, expense, liability and loss (including,
without limitation,  attorney's fees, judgments,  fines, ERISA exercise taxes or
penalties and amounts paid or to be paid in settlement)  reasonably  incurred or
suffered by the  Executive in  connection  therewith,  and such  indemnification
shall  continue  as to the  Executive  even if he has  ceased to be a  director,
member,  employee or agent of the Company or other entity and shall inure to the
benefit of the  Executive's  heirs,  executors and  administrators.  The Company
shall advance to the Executive all reasonable costs and expenses incurred by him
in  connection  with a Proceeding  within  twenty (20) days after receipt by the
Company of a written  request for such  advance.  Such request  shall include an
undertaking  by the  Executive  to repay the amount of such  advance if it shall
ultimately be determined that he is not entitled to be indemnified  against such
costs and expenses.  Notwithstanding the foregoing,  such indemnification  shall
include, without limitation,  consultation services provided by the Executive to
the Company as of March 1, 1996.


5.       TERMINATION

     5.1  Termination  Generally.  The Term may be terminated at any time by the
Company immediately upon notice from the Company to the Executive. The Executive
may terminate his employment  hereunder at any time by giving the Company ninety
(90) days' prior written notice.

     5.2  Termination for Cause. In the event that the Term is terminated by the
Company for Cause,  or if the  Executive  terminates  his  employment  hereunder
without Good Reason,  the Company  shall pay to the Executive an amount equal to
the  Executive's  accrued  but  unpaid  Base  Salary  through  the  date of such
termination  (including  any Deferred  Salary,  payable at the same time as such
Deferred  Salary  would be paid as provided  in Section 3.1 of this  Agreement),
accrued  but unpaid  bonus for any  completed  fiscal  year,  additional  salary
payments  in lieu of  Executive's  accrued and unused  vacation  for the current
calendar  year  (on a pro  rata  basis),  unreimbursed  business  expenses,  and
unreimbursed  medical,  dental and other employee benefit  expenses  incurred in
accordance with the applicable plans (the "Standard Termination Payments").

     5.3  Death;  Disability.   The  Term  will  terminate  forthwith  upon  the
Executive's  death or,  upon notice by the  Company or the  Executive,  upon the
Executive's Disability.

         Upon  the  Executive's  death,  the  Company  shall  pay  the  Standard
Termination  Payments to the Executive's  estate, and any and all death benefits
under the Company's  benefit plans shall be paid to the Executive's  beneficiary
or  beneficiaries  as  duly  designated  in  writing  by  the  Executive.   Upon
termination of the Term for  Disability,  the Company shall pay to the Executive
the Standard Termination Payments and any and all other employee benefits as may
be provided under the terms of the applicable  benefit plans. In 


                                      - 7 -


<PAGE>

addition,  upon  termination  of the  Executive  for  death or  Disability,  the
Executive or the Executive's  designated  beneficiary or beneficiaries  shall be
entitled  to receive  salary  payments,  at the annual  rate of the Base  Salary
(excluding the Deferred  Salary),  for a period of six (6) months following such
termination and, in the event of termination for Disability, the Executive shall
be  entitled  to  participate  in  medical,  dental,  hospitalization  and  life
insurance  coverage and in all other employee plans and programs in which he was
participating  on the date of such  termination  for a period of six (6)  months
following such termination.

     5.4 Termination Without Cause. In the event that the Company terminates the
Executive's  employment  under this  Agreement  without  Cause and other than by
reason of his death or  Disability or the Executive  terminates  his  employment
hereunder  for Good  Reason,  the Company  shall make the  Standard  Termination
Payments and, so long as the Executive  shall not have breached the  Executive's
obligations  to the Company  under Article 6 hereof  (without  limitation to any
other remedy  available to the  Company),  the Company shall pay the Executive a
severance  payment  equal to the  Specified  Multiple  times the sum of his Base
Salary and the greater of $25,000 or the  Executive's  bonus for the immediately
preceding  fiscal year. In addition,  the Executive shall be entitled to receive
salary payments,  at the annual rate of the Base Salary  (excluding the Deferred
Salary),  and to  participate  in  medical,  dental,  hospitalization  and  life
insurance  coverage and in all other employee plans and programs in which he was
participating on the date of such termination for a period of twelve (12) months
following such termination.

     5.5 Change of Control.  In the event of a Change in Control,  the Executive
shall be entitled to a lump sum payment of  $1,000,000  (in cash or by certified
check),  payable  within  ten (10)  days of such  Change of  Control;  provided,
however,  such payment shall be reduced by an amount equal to the sum of (A) the
number  of  shares  issuable  upon  exercise  of  any  then-unexercised  Options
multiplied by the positive  difference,  if any, between (w) the market value of
one share of Common  Stock on the date of such  Change  of  Control  and (x) the
Exercise  Price  and (B) the  number  of  shares  issued  upon  exercise  of any
previously exercised options multiplied, in each case, by the difference between
(y) the market  value of one share of Common  Stock on the date of exercise  and
(z) the Exercise  Price.  Market value for these  purposes  shall be the closing
price on the average of the  closing bid and ask prices on the last  trading day
prior to the Change of Control or  exercise,  as the case may be, for which such
prices  are  available,   on  the  principal  national  securities  exchange  or
inter-dealer  quotation  system on which the Common Stock is then quoted,  or if
the  Common  Stock is not then so  quoted,  as  determined  in good faith by the
Board.

     5.6 Severance Payment. In the event that the employment of the Executive is
terminated  for any reason,  the Company  shall make a severance  payment to the
Executive  in an  amount  based on the  gross  revenues  of the  Company  in the
immediately  preceding fiscal year,  stated on the Company's  audited  financial
statements, as set forth in the following table:


                                      - 8 -


<PAGE>

                  Amount of Gross Revenues            Aggregate Amount
                    per Fiscal Year                     of Severance

                     Less than $7,500,000                    -0-
                  $7,500,001 -   $8,000,000                $80,000
                  $8,000,001 -   $8,500,000               $160,000
                  $8,500,001 -   $9,000,000               $240,000
                  $9,000,001 -   $9,500,000               $320,000
                  $9,500,001 -  $10,000,000               $400,000

         Such severance  payments  (together with any payments  provided in this
Article 5) shall  constitute  complete  satisfaction  of all  obligations of the
Company to the Executive  pursuant to the Agreement.  Upon  termination  for any
reason,  the  Executive  shall  cease to be an  employee  of the Company for all
purposes, and the Company shall have no obligation to provide the Executive with
any  employee  benefits  or  perquisites  hereunder  (except as provided in this
Article 5). The  Executive's  rights set out in this Article 5 shall  constitute
the  Executive's  sole and  exclusive  rights  and  remedies  as a result of the
Executive's actual or constructive termination of employment without Cause.


6.       CONFIDENTIALITY AND NON-COMPETE

     6.1  Confidentiality.  The  Executive  acknowledges  that the Company,  its
Subsidiaries, affiliated companies and ventures from time to time (collectively,
including  the Company,  the "Company  Affiliates")  own and have  developed and
compiled, and will own, develop and compile,  certain proprietary techniques and
confidential information which have great value to their business ("Confidential
Information").  Confidential Information includes not only information disclosed
by the Company  Affiliates to the Executive,  but also information  developed or
learned  by the  Executive  during  the  course  or as a  result  of  employment
hereunder, which information the Executive acknowledges is and shall be the sole
and  exclusive  property of the  Company  Affiliates.  Confidential  Information
includes all proprietary  information that has or could have commercial value or
other  utility in the  business in which the Company  Affiliates  are engaged or
contemplate engaging, and all proprietary  information of which the unauthorized
disclosure  could  be  detrimental  to the  interests  of  any  of  the  Company
Affiliates,  whether  or  not  such  information  is  specifically  labelled  as
Confidential Information by a Company Affiliate.

         The Executive  agrees that he shall not,  directly or indirectly,  use,
make  available,  sell,  disclose or otherwise  communicate to any  corporation,
partnership,  individual  or other third party,  other than in the course of his
assigned duties and for the benefit of the Company Affiliates,  any Confidential
Information, either during the Term or thereafter.

         In the event of the Executive's  employment with the Company ceases for
any  reason,  the  Executive  will not remove  from the  premises  of any of the
Company  Affiliates  without  their prior  written  consent any records,  files,
drawings, documents, equipment, materials or writings received from, created for
or  belonging  to the Company  Affiliates,  including  those which  relate to or
contain Confidential  Information,  or any copies thereof.  


                                      - 9 -


<PAGE>

Upon request or when the Executive's employment with the Company terminates, the
Executive will immediately deliver the same to the Company.

         The  Executive's  obligations  under this Section 6.1 shall survive the
termination of this Agreement and the Executive's employment hereunder.

     6.2 Proprietary  Information.  During the Term, the Executive will disclose
to the  Company  all  designs,  inventions  and  business  strategies  or  plans
developed  by  the  Executive  during  such  period  which  relate  directly  or
indirectly  to  the  business  of  the  Company  Affiliates,  including  without
limitation any process, operation,  product or improvement.  The Executive agree
that all of the foregoing are and will be the sole and exclusive property of the
Company  and that the  Executive  will at the request and cost of the Company do
whatever is  necessary  to secure the rights  thereto,  by patent,  copyright or
otherwise, to the Company.

     6.3 Non-Competition.  The Executive agrees that, during his employment with
the Company and for a period of twelve (12)  months  thereafter,  the  Executive
shall  not,  directly  or  indirectly,  own,  manage,  operate,  join,  control,
participate  in, invest in or otherwise be connected or associated  with, in any
manner,  including as an officer,  director,  employee,  independent contractor,
partner,  consultant,  advisor,  agent,  proprietor,  trustee or  investor,  any
Competing Business in the Territory;  provided,  however, that nothing contained
in this Section 6.3 shall prevent the Executive  from owning less than 5% of the
voting  stock of a  publicly  held  corporation  for  investment  purposes.  For
purposes  of this  Section  6.3,  the term  "Competing  Business"  shall  mean a
business  engaged in providing  health care services or which  competes with any
business  then being  operated by any Company  Affiliate.  For  purposes of this
Section  6.3, the term  "Territory"  means any fifteen (15) mile radius in which
any Company  Affiliate then operates or in which,  at the date of termination of
Executive's  employment  hereunder,  any Company Affiliate has taken substantial
steps toward  establishing  operations.  The Executive's  obligations under this
Section 6.3 shall survive the  termination of this Agreement and the Executive's
employment hereunder.

     6.4 No Solicitation.  The Executive agrees that, during his employment with
the Company and within twelve (12) months  thereafter,  the Executive shall not,
directly or indirectly,  seek to employ or engage, or assist anyone else to seek
to employ or engage,  any person who at any time during the year  preceding  the
termination of the Executive's  employment hereunder was in the employ of any of
the Company  Affiliates  or was an  independent  contractor  providing  material
merchandising,  marketing, sales, financial or management consulting services in
connection with the business of any of the Company  Affiliates and with whom the
Executive had regular contact; or interfere in any manner in the relationship of
any Company  Affiliate  with any of its  suppliers or  independent  contractors,
whether or not the relationship between such Company Affiliate and such supplier
or independent  contractor was originally established in whole or in part by the
Executive's  efforts.  The Executive's  obligations under this Section 6.4 shall
survive  the  termination  of  this  Agreement  and the  Executive's  employment
hereunder.


                                     - 10 -


<PAGE>

7.       MISCELLANEOUS

     7.1  Notices.  Any and all  notices  or other  communications  required  or
permitted to be given under any of the provisions of this Agreement  shall be in
writing and shall be deemed to have been duly given and received when  delivered
personally or three (3) days after mailing, if mailed by registered or certified
mail, return receipt requested; as to the Executive, at his address as set forth
beneath his signature hereto, and as to the Company,  at its principal office at
that time. The Executive may change his mailing address for the purposes of this
Agreement by written notice to the Company as herein provided.

     7.2  Authority.  This  Agreement has been duly  authorized on behalf of the
Company by the Board.  The  Executive  represents  that he is free to enter into
this  Agreement and that his entering into this  Agreement  does not violate any
obligation that he has to any other person or legal entity.

     7.3  Severability.  In the event that any provision of this Agreement would
be held to be  invalid  or  unenforceable  for any  reason  unless  narrowed  by
construction,   this  Agreement  shall  be  construed  as  if  such  invalid  or
unenforceable  provision had been more narrowly drawn so as not to be invalid or
unenforceable.   If,  notwithstanding  the  foregoing,  any  provision  of  this
Agreement  shall be held to be invalid or  unenforceable  for any  reason,  such
invalidity or unenforceability shall attach only to such provision and shall not
affect or render invalid or unenforceable any other provision of this Agreement.

     7.4 Entire Agreement. This Agreement sets forth the entire understanding of
the Company and the  Executive  with  respect to the subject  matter  hereof and
cannot be amended or modified except by a writing signed by both parties.

     7.5 Binding Effect.  Except as otherwise  expressly  provided herein,  this
Agreement  shall be binding upon and inure to the benefit of the parties hereto,
and their respective successors and assigns, heirs and personal representatives.

     7.6  Governing  Law.  This  Agreement  shall be governed by the laws of the
State of New York without regard to its conflict of laws provisions.

     7.7 Arbitration.  With respect to any suit, action or proceeding  initiated
by a party to this  Agreement  arising out of, under or in connection  with this
Agreement,  the parties hereto each hereby  submits to the exclusive,  final and
binding  arbitration of the before the American  Arbitration  Association of New
York City in accordance with their Commercial  Arbitration Rules.  Judgment upon
the award rendered by the arbitrator may be entered in


                                     - 11 -


<PAGE>

any court of record of competent jurisdiction in any country, or application may
be made to such  court for a  judicial  acceptance  of the award and an order of
enforcement,  as the law of such jurisdiction may require or allow. In the event
the Executive is successful in pursuing any claim arising out of this Agreement,
the  Company  shall  pay  all of the  Executive's  attorneys'  fees  and  costs,
including the  compensation  and expense of the Arbitrator.  In all other cases,
the expenses of arbitration will be borne among the parties as determined by the
arbitrator.

     7.8  Counterparts.  This Agreement may be executed in  counterparts  which,
taken together, shall constitute a single original document.


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


                                             OAK TREE MEDICAL SYSTEMS, INC.


                                             By:___________________________
                                                Name:
                                                Title:



                                             ------------------------------
                                             WILLIAM KEDERSHA

                                             Address:
                                             ------------------------------

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

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


                                     - 12 -


                             STOCK OPTION AGREEMENT


         This  STOCK  OPTION  AGREEMENT,  dated  as of  December  3,  1996  (the
"Agreement"),  by and  between  Oak  Tree  Medical  Systems,  Inc.,  a  Delaware
corporation (the "Company"), and Burton Dubbin (the "Optionee").

         WHEREAS,  the Board of  Directors  of the  Company  (the  "Board")  has
determined  that it is in the  Company's  best  interests  to grant the Optionee
options to purchase common stock of the Company.

         NOW, THEREFORE, in consideration of the mutual covenants and conditions
hereinafter set forth and other good and valuable  consideration the receipt and
sufficiency of which is hereby acknowledged, the parties intending to be legally
bound hereby agree as follows:


1.       DEFINITIONS.

     1.1  "Affiliate"  of a person or other  entity shall mean a person or other
entity that  directly or  indirectly  controls,  is  controlled  by, or is under
common  control with the person or other  entity  specified  (including  without
limitation any investment entity managed by the person or other entity specified
or a person or entity that directly or indirectly controls, is controlled by, or
is under common control with the person or other entity specified).

     1.2 "Cause" shall mean:

          (a)  The Optionee is convicted of a felony  involving moral turpitude;
               or

          (b)  The Optionee is guilty of willful  gross neglect or willful gross
               misconduct in carrying out his duties under a written  employment
               agreement  between the Company and the  Optionee  (the  "Optionee
               Employment  Agreement"),  resulting,  in either case, in material
               economic  harm to the Company,  unless the  Optionee  believed in
               good faith that such act or nonact was in the best  interests  of
               the Company.

     1.3  "Change  in  Control"  shall  mean  the  occurrence  of any one of the
following events:

          (a)  Any "person," as such term is used in Sections  3(a)(9) and 13(d)
               of the  Securities  Exchange Act of 1934  (including  any group),
               other than Henry Dubbin,  becomes a  "beneficial  owner," as such
               term is used in Rule 13d-3  promulgated under such Act, of 35% or
               more of the  Voting  Stock of the  Company  or any  "person"  who
               currently  owns 35% or more of the  Voting  Stock of the  Company
               acquires  an  additional  3% or more of the  Voting  Stock of the
               Company;


<PAGE>

          (b)  The  majority  of the Board  consists of  individuals  other than
               Incumbent Directors, which term means the members of the Board on
               the date of this  Agreement;  provided that any person becoming a
               director subsequent to such date whose election or nomination for
               election was  supported by  two-thirds  of the directors who then
               comprised  the Incumbent  Directors  shall be considered to be an
               Incumbent Director;

          (c)  The  Company  adopts any plan of  liquidation  providing  for the
               distribution  of all or  substantially  all of the  assets of the
               Company on a consolidated basis;

          (d)  All or substantially all of the assets or business of the Company
               is  disposed  of  pursuant  to a merger,  consolidation  or other
               transaction  (unless the shareholders of the Company  immediately
               prior  to  such  merger,   consolidation  or  other   transaction
               beneficially  own,  directly or indirectly,  in substantially the
               same  proportion  as they owned the Voting  Stock of the Company,
               all of the  Voting  Stock or  other  ownership  interests  of the
               entity or entities,  if any,  that succeed to the business of the
               Company); or

          (e)  The  Company  merges  or  combines  with  another   company  and,
               immediately after the merger or combination,  the stockholders of
               the Company  immediately prior to the combination hold,  directly
               or  indirectly,  (1) in the event the  Company  is the  surviving
               corporation,  50% or less of the  Voting  Stock  of the  combined
               company,  or (2) in the event the  Company  is not the  surviving
               corporation,  50% or less of the Voting Stock or other  ownership
               interests of the entity or entities,  if any, that succeed to the
               business of the Company.

     1.4  "Disability"  shall mean the  Optionee's  inability  to  substantially
perform the Optionee's  duties and  responsibilities  as contemplated  under the
Optionee Employment Agreement for a period of more than six (6) months,  whether
or not  continuous,  during  any  365-day  period,  due to  physical  or  mental
incapacity or impairment.

     1.5 "Good Reason" shall mean the  Optionee's  termination of his employment
upon  notice  to  the  Company  following  assignment  to  the  Optionee  duties
materially  inconsistent  with  the  Optionee's  position  as  described  in the
Optionee  Employment  Agreement  or  the  Optionee's  being  removed  from  such
position,  in  either  case  without  the  Optionee's  consent,   provided  such
termination shall only be effective thirty (30) days after prompt notice of such
circumstances  by the Optionee to the Company,  if such  circumstances  have not
been cured prior to such date.

     1.6 "Voting  Stock" shall mean capital stock of any class or classes having
general   voting  power  under  ordinary   circumstances,   in  the  absence  of
contingencies, to elect the directors of a corporation.


                                      - 2 -


<PAGE>

2.       Grant of Options.

     2.1 The Company  hereby grants to the Optionee  options (the  "Options") to
purchase  375,000  shares of common  stock,  par value  $0.01 per share,  of the
Company ("Common Stock") at an exercise price (the "Exercise Price") of $1-11/16
per share.  The number and kind of shares  issuable upon exercise of the Options
and the Exercise  Price shall be  appropriately  adjusted upon the occurrence of
any  stock  split,  reverse  stock  split,  stock  dividend,   recapitalization,
reorganization or similar transaction.

     2.2 The  Options  shall vest and become  exercisable  upon the  earliest to
occur  of the  following:  (i) a  fiscal  year  in  which  the  Company  has (y)
$10,000,000  in  gross  revenue  and  (z)  either  $750,000  in  pre-tax  income
(including  extraordinary  gains)  or  $500,000  in  pre-tax  income  (excluding
extraordinary gains), as reflected on the Company's audited financial statements
for such fiscal year; (ii) a fiscal year in which the Company has $15,000,000 in
gross revenue,  as reflected on the Company's audited  financial  statements for
such fiscal year; and (iii) the fifth anniversary of the date hereof;  provided,
however,  that the  Options  shall not be  exercisable  at any time  unless  the
Optionee becomes an employee of the Company within six (6) months of the date of
this Agreement.  Notwithstanding  the foregoing,  the Options shall  immediately
vest and become  exercisable upon the occurrence of a Change of Control,  if the
Optionee,  after becoming an employee within the aforesaid six month period,  is
terminated by the Company other than for Cause or terminates  his employment for
Good Reason.

     2.3 Except as provided  below,  the Options  granted hereby shall expire on
the tenth  anniversary of the date of this  Agreement.  Upon  termination of the
Optionee's  employment,  the Options  shall  expire as  follows:  If the Company
terminates  the  employment of the Optionee for Cause,  the Options shall expire
immediately upon termination.  If the Optionee terminates his employment without
Good  Reason,   the  Options  shall  expire  three  (3)  months  following  such
termination. If the Optionee's employment shall terminate upon the expiration of
the term of his  employment  with  the  Company  (as  provided  in the  Optionee
Employment  Agreement) or upon the death or Disability of the Optionee or if the
Company  shall  terminate the Optionee  without  Cause or if the Optionee  shall
terminate his employment for Good Reason, the Options shall expire one year from
the date of such termination.

     2.4 The  Company  shall  promptly  file with the  Securities  and  Exchange
Commission a registration statement on Form S-8 registering the shares of Common
Stock  issuable  upon the exercise of the Options by the Optionee and shall keep
such  registration  statement  effective  for as long as any of the  Options are
outstanding.

3.       Method of Exercise.

         The Options or any part thereof may be exercised  only by the giving of
written notice to the Company on such form and in such manner as the Board shall
prescribe.  Such written  notice of exercise  shall be accompanied by payment of
the full purchase  price of the number of shares being  purchased.  Such payment
may be made by cash,  certified  check or check  acceptable to the Company.  The
date of exercise (the "Exercise Date") of the Options


                                      - 3 -


<PAGE>

shall be the  date on which  written  notice  of  exercise  is  received  by the
Company,  during normal  business hours, at its address as provided in Article 5
of this Agreement.  On the Exercise Date, the Optionee shall be deemed to be the
holder of record of the  shares of Common  Stock  issuable  upon such  exercise,
notwithstanding  that the transfer  books of the Company shall then be closed or
certificates  representing  such  shares  shall  not  then  have  been  actually
delivered to the Optionee.  As soon as practicable  after the Exercise Date, the
Company  shall issue and deliver to the Optionee a certificate  or  certificates
for the number of shares issuable upon such exercise,  registered in the name of
the Optionee.

4.       Nonassignability.

         No  options  granted to the  Optionee  under  this  Agreement  shall be
assignable  or  transferable  other than by will or by the laws of  descent  and
distribution  or by  qualified  domestic  relations  orders  (as  defined in the
Internal Revenue Code).

5.       Notices.

         Any and all notices or other communications required or permitted to be
given  under any of the  provisions  of this  Agreement  shall be in writing and
shall be deemed to have been duly given and received when  delivered  personally
or three (3) days after  mailing,  if mailed by  registered  or certified  mail,
return receipt requested;  as to the Optionee,  at the address set forth beneath
his  signature  hereto,  or at such other  address as the Optionee may hereafter
designate  to the Company by notice as provided  herein,  and as to the Company,
addressed  to the Chief  Executive  Officer of the  Company at Oak Tree  Medical
Systems,  Inc., 2 Gannett Drive,  Suite 215, White Plains, New York 10604, or at
such other  address as the Company may  hereafter  designate  to the Optionee by
notice as herein provided.

6.       Miscellaneous.

     6.1  Authority.  This  Agreement has been duly  authorized on behalf of the
Company by the Board. The Optionee represents that he is free to enter into this
Agreement  and that his  entering  into  this  Agreement  does not  violate  any
obligation that he has to any other person or legal entity.

     6.2  Severability.  In the event that any provision of this Agreement would
be held to be  invalid  or  unenforceable  for any  reason  unless  narrowed  by
construction,   this  Agreement  shall  be  construed  as  if  such  invalid  or
unenforceable  provision had been more narrowly drawn so as not to be invalid or
unenforceable.   If,  notwithstanding  the  foregoing,  any  provision  of  this
Agreement  shall be held to be invalid or  unenforceable  for any  reason,  such
invalidity or unenforceability shall attach only to such provision and shall not
affect or render invalid or unenforceable any other provision of this Agreement.

     6.3 Entire Agreement. This Agreement sets forth the entire understanding of
the Company and the  Optionee  with  respect to the  subject  matter  hereof and
cannot be amended or modified except by a writing signed by both parties.


                                      - 4 -


<PAGE>

     6.4 Successors and Assigns.  Except as otherwise expressly provided herein,
this  Agreement  shall be binding  upon and inure to the  benefit of the parties
hereto,  and  their  respective  successors  and  assigns,  heirs  and  personal
representatives.

     6.5  Governing  Law. This  Agreement  shall be  interpreted,  construed and
administered in accordance with the laws of the State of New York without regard
to choice of law provisions.

     6.6 Arbitration.  With respect to any suit, action or proceeding  initiated
by a party to this  Agreement  arising out of, under or in connection  with this
Agreement,  the parties hereto each hereby  submits to the exclusive,  final and
binding  arbitration of the before the American  Arbitration  Association of New
York City in accordance with their Commercial  Arbitration Rules.  Judgment upon
the award  rendered by the  arbitrator  may be entered in any court of record of
competent  jurisdiction in any country, or application may be made to such court
for a judicial  acceptance of the award and an order of enforcement,  as the law
of such  jurisdiction  may  require  or  allow.  In the event  the  Optionee  is
successful  in pursuing  any claim  arising out of this  Agreement,  the Company
shall  pay all of the  Optionee's  attorneys'  fees  and  costs,  including  the
compensation and expense of the Arbitrator.  In all other cases, the expenses of
arbitration will be borne among the parties as determined by the arbitrator.

     6.7  Counterparts.  This Agreement may be executed in  counterparts  which,
taken together, shall constitute a single original document.


                                      - 5 -


<PAGE>

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


                                       OAK TREE MEDICAL SYSTEMS, INC.


                                       By:
                                          ---------------------------------
                                       Name:
                                       Title:

                                       OPTIONEE


                                       ---------------------------------
                                       Name:  Burton Dubbin
                                       Address:



                                        ---------------------------------
                                        Social Security Number


                                      - 6 -

                         Oak Tree Medical Systems, Inc.
                                 2 Gannett Drive
                                    Suite 215
                             White Plains, NY 10604


                                December 20, 1996


Mr. Michael S. Neufeld
Gotham City Corporate Relations Group, Inc.
2228 128th Street
College Point, NY  11356-2722

Dear Mr. Neufeld:

This letter sets forth the terms and conditions upon which Gotham City Corporate
Relations  Group,  Inc.  (the  "Consultant")  will  act  as a  public  relations
consultant to Oak Tree Medical Systems,Inc.
(the "Company").

       1.         Scope of Engagement.  Consultant  will act a public  relations
                  advisor and  consultant to the Company and, in such  capacity,
                  will  perform  such  public  relations  services  as  shall be
                  appropriate  to  acquaint  the  financial  community  with the
                  Company, its business and prospects.

       2.         Responsibilities and Services Provided.  With respect
                  to the scope of assignment and at all times subject to
                  Section 7 hereof, Consultant will:

                  a.       Familiarize itself with the business, operations,
                           management, financial condition, and future
                           prospects of the Company;

                  b.       Meet and communicate concerning the Company with
                           brokers, dealers, financial advisors, publicists,
                           investors and other members of the financial
                           community;

                  c.       Arrange meetings and other avenues of communica-
                           tion between the Company's executives and members
                           of the financial community; and

                  d.       Advise the Company on the formulation, preparation
                           and delivery of its presentations to the financial
                           community.

       3.         Compensation to Consultant.

                  a.       As compensation for Consultant's services not
                           later than sixty (60) business days following
                           execution of this Letter Agreement, the Company


<PAGE>

                           will issue ten thousand (10,000) shares of its common
                           stock,  par value $.01 (the "Stock"),  to Consultant,
                           against the payment  therefor of $100 in cash.  Prior
                           to  issuance  the  company  will file a  registration
                           statement  of Form S-8  under the  Securities  Act of
                           1933,   as  amended   with   respect  to  the  Stock.
                           Consultant  represents  and warrants  that it will be
                           providing bona fide services,  not in connection with
                           the offer or sale of securities in a capital  raising
                           transaction, within the meaning of Rule 401 under the
                           Securities Act, as  compensation  for which the Stock
                           will be issued.

                  b.       As additional compensation for Consultant's
                           services hereunder, not later than twenty (20)
                           business days following the date of execution of
                           this Letter Agreement by the Company, the Company
                           will issue 200,000 warrants (the "Warrants") to
                           Consultant exercisable for the purchase of up to
                           200,000 shares of the Company's common stock, par
                           value $.01 ("Common Stock"), in three (3)
                           tranches, upon the following terms:

                        (i)         66,667 of the Warrants  shall be immediately
                                    exercisable for one share of Common Stock at
                                    an exercise  price per share equal to $5.00;
                                    these Warrants  shall be  exercisable  until
                                    January 1, 1998;

                       (ii)         66,667 of the Warrants  shall be immediately
                                    exercisable for one share of Common Stock at
                                    an exercise  price per share equal to $6.00;
                                    these Warrants  shall be  exercisable  until
                                    January 1, 1998;

                      (iii)         66,667 of the Warrants  shall be immediately
                                    exercisable for one share of Common Stock at
                                    an exercise  price per share equal to $7.00;
                                    these Warrants  shall be  exercisable  until
                                    January 1, 1998;

                  c.       The  Company  agrees to include  the shares of Common
                           Stock  underlying  the  Warrants in its  Registration
                           Statement  on Form SB-2,  which has  heretofore  been
                           filed with the Securities and Exchange Commission but
                           has not yet been declared effective.

       4.         Reimbursement of Expenses.  The Company agrees to
                  reimburse Consultant on a monthly basis for all
                  reasonable out-of-pocket expenses which have been pre-
                  approved.

       5.         Terms of Engagement.  The engagement of Consultant
                  pursuant to the terms of this Letter Agreement shall be


                                      - 2 -


<PAGE>

                  effective  commencing  on the date  hereof and shall  continue
                  until December 31, 1997; provided,  however,  that the Company
                  may  terminate  this  Letter  Agreement  at any time,  for any
                  reason,  by  giving  15 days,  prior  written  notice  of such
                  termination to Consultant.

       6.         Confidentiality.  Each of the parties agrees to keep
                  any information with respect to each other and this
                  agreement confidential and not make use thereof except
                  as may be required by applicable law or judicial
                  process.  Each party will not be identified or referred
                  to in any public release or communication prepared by
                  either party or any of their affiliates or associates
                  without the other party's prior written consent.

       7.         Company's Obligations.  The Company will continuously
                  and timely apprise Consultant of material matters
                  relevant to the Company's business.

                  The company  recognizes,  agrees and confirms that  Consultant
                  (i) will be using and relying on  information  available  from
                  the Company  and  generally  recognized  public  sources  (the
                  "information"),  without  having  independently  verified  the
                  same,  and;  (ii)  does  not  assume  responsibility  for  the
                  accuracy of completeness of the information. The Company will,
                  in addition to any other duties of  indemnification  set forth
                  in  this  Letter  Agreement,  indemnify  and  hold  Consultant
                  harmless  for any  claim,  suit  or  judgment  arising  out of
                  Consultant's  use of any  information  concerning  the Company
                  furnished by the Company to the Consultant.

       8.         Limitation of Liability;  indemnification.  In performing  its
                  services  under this  Agreement,  neither  Consultant  nor any
                  officer, director, employee,  shareholder,  attorney, or agent
                  of  Consultant  will be liable to the Company or its creditors
                  for errors or judgment or for any other acts,  except for acts
                  of negligence of Consultant.

                  Notwithstanding  anything  contained in this Letter Agreement,
                  in  the  event  that   Consultant   incurs  any  liability  or
                  obligations in connection with the performance of its services
                  under this  Letter  Agreement,  the  Company  shall  indemnify
                  Consultant for all of such liabilities, obligations, expenses,
                  or costs arising  therefrom,  including  reasonable legal fees
                  incurred by  Consultant,  except for (i) actions of Consultant
                  which have not been authorized by the Company and (ii) acts of
                  negligence of Consultant.

       9.         Relationship of the Parties.  Nothing in this Letter
                  Agreement shall be construed to place Consultant and
                  the Company in the relationship of partners or joint


                                      - 3 -


<PAGE>

                  venturers.  Neither Consultant nor the Company shall represent
                  itself as the agent or legal  representative  of the other for
                  any purpose whatsoever.  Consultant, in performing its service
                  hereunder, shall at all times be an independent contractor.

      10.         Miscellaneous.  Notwithstanding anything to the
                  contrary contained herein, the provisions concerning
                  confidentiality, indemnification and the Company's
                  obligations to reimburse expenses obtained herein shall
                  survive any expiration or termination of Letter
                  Agreement.  The Letter Agreement may not be amended or
                  modified except in writing and shall be governed by and
                  construed in accordance with the laws of the State of
                  New York without reference to principles of conflicts
                  of law thereof.

If the  foregoing  conforms to your  understanding,  please  sign,  and date and
return to us the enclosed copy of this letter.

Very truly yours

OAK TREE MEDICAL SYSTEMS, INC.



- ---------------------------
William Kedersha
Chief Executive Officer

The foregoing is in conformity with our understanding:


- ---------------------------
Print Name:
Title:


                                      - 4 -

                         Oak Tree Medical Systems, Inc.
                                 2 Gannett Drive
                                    Suite 215
                             White Plains, NY 10604



                                December 20, 1996


Mr. Anthony Palmigiano
88-51 Aubrey Avenue
Glendale, NY  11385

Dear Mr. Palmigiano:

This letter sets forth the terms and  conditions  upon which Anthony  Palmigiano
(the   "Consultant")   will  act  as  financial  advisor  to  Oak  Tree  Medical
Systems,Inc. (the "Company").

           1.   Scope of Engagement.  Consultant  will act as financial  advisor
                and Consultant to the Company and, in such capacity, will advise
                the Company with respect to structuring, financing, acquisitions
                and such other  matters  within its areas of  expertise,  as the
                Company may request.

           2.   Responsibilities and Service Provided.  With respect to
                the scope of assignment and at all times subject to
                Section 7 hereof, Consultant will:

                     a.    Familiarize itself with the business, operations,
                           management, financial condition, and future
                           prospects of the Company and new business
                           opportunities;

                     b.    Evaluate potential acquisitions including their
                           associated costs and benefits;

                     c.    Identify potential sources of capital investment;
                           and

                     d.    Assist the Company in arranging and structuring
                           capital transactions.

           3.   Compensation to Consultant.

                     a.    As compensation for Consultant's  services hereunder,
                           not later than twenty (20)  business  days  following
                           the  receipt by the  Company of at least  $400,000 in
                           capital  investments to be arranged by the Consultant
                           pursuant to this Letter


<PAGE>

                           Agreement,   the  Company  will  issue  ten  thousand
                           (10,000)  shares of its Common Stock (the "Stock") to
                           Consultant.

                     b.    The  Company  agrees  to  include  the  Stock  in its
                           Registration   Statement  on  Form  SB-2,  which  has
                           heretofore   been  filed  with  the   Securities  and
                           Exchange  Commission  but has not yet  been  declared
                           effective.

           4.   Reimbursement of Expenses.  The Company agrees to
                reimburse Consultant on a monthly basis for all
                reasonable out-of-pocket expenses which have been pre-
                approved.

           5.   Terms of Engagement.  The engagement of Consultant
                pursuant to the terms of this Letter Agreement shall be
                effective commencing on the date hereof and shall
                continue until December 20, 1997; provided, however,
                that the Company may terminate this Letter Agreement at
                any time, for any reason, by giving 45 days, prior
                written notice of such termination to Consultant.  If
                this Letter Agreement is terminated, the Warrants in
                each tranche shall be canceled (except to the extent
                therefore exercised) in the same proportion as the
                remaining term of this Letter Agreement bears to the
                full term hereof.

           6.   Confidentiality.  Each of the parties agrees to keep any
                information with respect to each other and this
                agreement confidential and not make use thereof except
                as may be required by applicable law or judicial
                process.  Each party will not be identified or referred
                to in any public release or communication prepared by
                either party or any of their affiliates or associates
                without the other party's prior written consent.

           7.   Company's Obligations.  The Company will continuously
                and timely apprise Consultant of material matters
                relevant to the Company's business.

                The company recognizes,  agrees and confirms that Consultant (i)
                will be using and  relying  on  information  available  from the
                Company   and   generally   recognized   public   sources   (the
                "information"),  without having independently verified the same,
                and;  (ii) does not assume  responsibility  for the  accuracy of
                completeness of the  information.  The Company will, in addition
                to any other duties of indemnification  set forth in this Letter
                Agreement, indemnify and hold Consultant harmless for any claim,
                suit  or  judgment  arising  out  of  Consultant's  use  of  any
                information  concerning the Company  furnished by the Company to
                Consultant.


                                     - 2 -


<PAGE>

           8.   Limitation of  Liability;  indemnification.  In  performing  its
                services  under  this  Agreement,  neither  Consultant  nor  any
                officer, director, employee, shareholder,  attorney, or agent of
                Consultant  will be liable to the Company or its  creditors  for
                errors or  judgment  or for any other  acts,  except for acts of
                negligence of Consultant.

                Notwithstanding  anything contained in this Letter Agreement, in
                the event that Consultant incurs any liability or obligations in
                connection  with the  performance  of its  services  under  this
                Letter Agreement, the Company shall indemnify Consultant for all
                of such  liabilities,  obligations,  expenses,  or costs arising
                therefrom,   including   reasonable   legal  fees   incurred  by
                Consultant,  except for (i) actions of Consultant which have not
                been  authorized  by the Company and (ii) acts of  negligence of
                Consultant.

           9.   Relationship of the Parties.  Nothing in this Letter
                Agreement shall be construed to place Consultant and the
                Company in the relationship of partners or joint
                venturers.  Neither Consultant nor the Company shall
                represent itself as the agent or legal representative of
                the other for any purpose whatsoever.  Consultant, in
                performing its service hereunder, shall at all times be
                an independent contractor.

          10.   Miscellaneous.  Notwithstanding anything to the contrary
                contained herein, the provisions concerning
                confidentiality, indemnification and the Company's
                obligations to pay fees and reimburse expenses obtained
                herein shall survive any expiration or termination of
                Letter Agreement.  The Letter Agreement may not be
                amended or modified except in writing and shall be
                governed by and construed in accordance with the laws of
                the State of New York without reference to principles of
                conflicts of law thereof.


                                      - 3 -


<PAGE>

If the  foregoing  conforms to your  understanding,  please  sign,  and date and
return to us the enclosed copy of this letter.

Very truly yours

OAK TREE MEDICAL SYSTEMS, INC.



- ---------------------------
William Kedersha
Chief Executive Officer

The foregoing is in conformity with our understanding:


- ---------------------------
Print Name:
Title:


                                      - 4 -

                                 January 14,1997


John Matthews, Esq.
Gallagher & Matthews
11 Clinton Avenue
Rockville Centre, NY 11570

         Re:      Modification of Agreement of Sale dated December 11,
                  1996, between Sellers Southern Professional Associates,
                  Inc., Northern Professional Associates, Inc., Maple
                  Health, Inc., Shareholders Gentile, O'Neill, Einemann
                  and Posner and Oak Tree Medical Management, Inc.,
                  Purchaser.

Dear Mr. Matthews:

         Pursuant  to our  clients'  agreement  to modify the terms of the above
noted  Agreement of Sale,  I have  enclosed a new  Promissory  Note and four (4)
original copies of the Security  Agreement.  These new documents have again been
modified since my 12/26/96  letter to you. The terms of the original  Promissory
Note have changed such that  instead of borrowing  $500,000.00  Oak Tree Medical
Management is borrowing  $400,000.00 with the balance of $100,000,00  being paid
to Sellers in the form of Oak Tree Medical  Systems,  Inc. stock. The additional
$100,000  payable  over nine (9) months  according  to the terms of the original
Agreement,  will also be  satisfied by issuing Oak Tree  Medical  Systems,  Inc.
stock.  Also, Oak Tree Medical  Management,  Inc. will be paying  $14,763.26 per
month for thirty two (32)  months in order to retire the Note.  You should  hold
the new Promissory Note in escrow until the original Note ($500,000) is returned
to me.

         Please  have  your  clients  sign all four  originals  of the  Security
Agreement  and return two (2) fully  executed  originals  to me. You should also
hold these Security Agreements in escrow until the former originals are returned
to me.

         As concerns the stock, Oak Tree Medical Systems, Inc. will issue 33,333
shares of its  common  stock to  Sellers  in  satisfaction  of Oak Tree  Medical
Management's  remaining  $200,000.00  obligation to Sellers.  If during the next
eighteen (18) months from December 11, 1996, the common stock reaches a


<PAGE>

trading  price of seven ($7.00)  dollars per share or more,  and remains at that
level for at least one full business week (M-F) during the eighteen  month term,
then the 33,333  shares of the  common  stock  issued  will have  satisfied  the
$200,000.00 balance due, under the terms of the Agreement of Sale.

         If, during the eighteen (18) month term, the common stock never reaches
the seven ($7,00)  dollar per share  threshold for one week,  then an additional
8,772 shares of Oak Tree Medical  Systems,  Inc.  common stock will be issued to
Sellers in satisfaction of the purchase price balance of $200,000.00.

         Please acknowledge, on behalf of your clients, your agreement with this
modification of the Agreement of Sale terms, as contained herein.

                                                     Most Sincerely,



Frederick C. Veit                                   ----------------------
                                                     John Matthews, Esq.


                                      - 2 -

<TABLE> <S> <C>

<ARTICLE>                     5

       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                              MAY-31-1997
<PERIOD-START>                                 JUN-01-1996
<PERIOD-END>                                   NOV-30-1996
<CASH>                                         661,070
<SECURITIES>                                   0
<RECEIVABLES>                                  6,678,691
<ALLOWANCES>                                   1,650,000
<INVENTORY>                                    0
<CURRENT-ASSETS>                               5,767,303
<PP&E>                                         906,327
<DEPRECIATION>                                 247,666
<TOTAL-ASSETS>                                 12,801,535
<CURRENT-LIABILITIES>                          3,689,156
<BONDS>                                        0
                          0
                                    0
<COMMON>                                       25,834
<OTHER-SE>                                     8,506,236
<TOTAL-LIABILITY-AND-EQUITY>                   12,801,535
<SALES>                                        2,239,145
<TOTAL-REVENUES>                               2,239,145
<CGS>                                          0
<TOTAL-COSTS>                                  1,410,431
<OTHER-EXPENSES>                               0
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             81,801
<INCOME-PRETAX>                                746,913
<INCOME-TAX>                                   261,189
<INCOME-CONTINUING>                            485,724
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   485,724
<EPS-PRIMARY>                                  .18
<EPS-DILUTED>                                  .16
        

</TABLE>


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