PHP HEALTHCARE CORP
S-3, 1996-02-21
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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<PAGE>
   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON FEBRUARY 20, 1996

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

                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                            ------------------------
                                    FORM S-3
                             REGISTRATION STATEMENT
                                     UNDER
                           THE SECURITIES ACT OF 1933
                            ------------------------
                           PHP HEALTHCARE CORPORATION

             (Exact name of registrant as specified in its charter)

<TABLE>
<S>                              <C>
           DELAWARE                     54-1023168
(State or other jurisdiction of      (I.R.S. Employer
incorporation or organization)    Identification Number)
</TABLE>

               11440 COMMERCE PARK DRIVE, RESTON, VIRGINIA 22091
                                 (703) 758-3600
  (Address, including zip code, and telephone number, including area code, of
                   registrant's principal executive offices)

                            JACK M. MAZUR, PRESIDENT
               11440 COMMERCE PARK DRIVE, RESTON, VIRGINIA 22091
                                 (703) 758-3600
 (Name, address, including zip code, and telephone number, including area code,
                       of registrant's agent for service)
                         ------------------------------

                  Please send copies of all communications to:

                             ANDREW P. VARNEY, ESQ.
                    FRIED, FRANK, HARRIS, SHRIVER & JACOBSON
                   1001 PENNSYLVANIA AVENUE, N.W., SUITE 800
                          WASHINGTON, D.C. 20004-2505
                         ------------------------------

 APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO PUBLIC: FROM TIME TO TIME
            AFTER THE EFFECTIVE DATE OF THE REGISTRATION STATEMENT.
                         ------------------------------

    If  the  only securities  being registered  on this  form are  being offered
pursuant to dividend or interest reinvestment plans, please check the  following
box. / /

    If  any of the securities being registered on this form are to be offered on
a delayed or continuous basis pursuant to  Rule 415 under the Securities Act  of
1933, other than securities offered only in connection with dividend or interest
reinvestment plans, check the following box. /X/

    If this Form is filed to register additional securities for an offering
pursuant to Rule 462(b) under the Securities Act, please check the following box
and list the Securities Act registration statement number of the earlier
effective registration statement for the same offering. / /

    If  this Form  is a post-effective  amendment filed pursuant  to Rule 462(b)
under the Securities Act,  check the following box  and list the Securities  Act
registration  statement number  of the earlier  effective registration statement
for the same offering. / /

    If delivery of the prospectus is expected  to be made pursuant to Rule  434,
please check the following box. / /
                         ------------------------------

                        CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
                                                              PROPOSED MAXIMUM         PROPOSED MAXIMUM
     TITLE OF EACH CLASS OF              AMOUNT TO             OFFERING PRICE              AGGREGATE                AMOUNT OF
  SECURITIES TO BE REGISTERED          BE REGISTERED              PER UNIT              OFFERING PRICE          REGISTRATION FEE
<S>                               <C>                      <C>                      <C>                      <C>
6 1/2% Convertible Subordinated
 Debentures due 2002............    $  69,000,000                  100%(1)             $   69,000,000(1)         $  23,793.10
Common Stock, par value $.01 per
 share..........................        3,499,937(2)(3)              N/A                      N/A                $   8,677.07(4)
Total Registration Fee..........            --                       --                       --                 $  32,470.17(4)
</TABLE>

(1) Estimated solely for the purpose of calculating the registration fee.

(2)  Includes  (i)  2,532,110 shares  of  Common Stock  initially  issuable upon
    conversion of the  Debentures being registered  hereunder, and (ii)  967,827
    shares of Common Stock.

(3)  Plus such additional indeterminate number  of shares as may become issuable
    upon conversion of  the Debentures  being registered hereunder  by means  of
    adjustment in the conversion price.

(4) Pursuant to Rule 457(i) there is no filing fee with respect to the shares of
    common   stock  issuable  upon  conversion  of  the  Debentures  because  no
    additional consideration will be received in connection with the exercise of
    the conversion privilege. With respect to the 967,827 shares of common stock
    offered hereby which  are not  issuable upon conversion  of the  Debentures,
    pursuant to Rule 457(c), the registration fee has been calculated based upon
    a price of $26.00 per share, the average of the high and low prices reported
    on the NYSE on February 12, 1996.
                         ------------------------------

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

- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                           PHP HEALTHCARE CORPORATION
                             CROSS-REFERENCE SHEET
                   PURSUANT TO ITEM 501(B) OF REGULATION S-K

<TABLE>
<CAPTION>
FORM S-3 ITEM NUMBER HEADING                                                CAPTION OR LOCATION IN PROSPECTUS
- ----------------------------------------------------------------  -----------------------------------------------------
<C>        <S>                                                    <C>
       1.  Forepart of the Registration Statement and Outside
            Front Cover Page of Prospectus......................  Front Cover Page; Cross-Reference Sheet; Outside
                                                                   Front Cover Page
       2.  Inside Front and Outside Back Cover Pages of
            Prospectus..........................................  Inside Front and Outside Back Cover Pages
       3.  Summary Information, Risk Factors and Ratio of
            Earnings to Fixed Charges...........................  The Company, Risk Factors, Ratio of Earnings to Fixed
                                                                   Charges
       4.  Use of Proceeds......................................  Use of Proceeds
       5.  Determination of Offering Price......................  Not Applicable
       6.  Dilution.............................................  Not Applicable
       7.  Selling Security Holders.............................  Selling Securityholders
       8.  Plan of Distribution.................................  Plan of Distribution
       9.  Description of Securities to be Registered...........  Description of Debentures; Description of Capital
                                                                   Stock
      10.  Interests of Named Experts and Counsel...............  Not Applicable
      11.  Material Changes.....................................  Not Applicable
      12.  Incorporation of Certain Information by Reference....  Incorporation of Certain Documents by Reference
      13.  Disclosure of Commission Position on Indemnification
            for Securities Act Liabilities......................  Not Applicable
</TABLE>
<PAGE>
INFORMATION   CONTAINED  HEREIN  IS  SUBJECT   TO  COMPLETION  OR  AMENDMENT.  A
REGISTRATION STATEMENT  RELATING TO  THESE SECURITIES  HAS BEEN  FILED WITH  THE
SECURITIES  AND EXCHANGE  COMMISSION. THESE SECURITIES  MAY NOT BE  SOLD NOR MAY
OFFERS TO BUY BE ACCEPTED PRIOR  TO THE TIME THE REGISTRATION STATEMENT  BECOMES
EFFECTIVE.  THIS  PROSPECTUS  SHALL  NOT  CONSTITUTE AN  OFFER  TO  SELL  OR THE
SOLICITATION OF AN OFFER TO BUY NOR SHALL THERE BE ANY SALE OF THESE  SECURITIES
IN  ANY STATE IN WHICH SUCH OFFER,  SOLICITATION OR SALE WOULD BE UNLAWFUL PRIOR
TO REGISTRATION OR QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE.
<PAGE>

<TABLE>
<S>             <C>                                                                          <C>
PROSPECTUS                    SUBJECT TO COMPLETION, DATED FEBRUARY 20, 1996
</TABLE>

                           PHP HEALTHCARE CORPORATION

               $69,000,000 PRINCIPAL AMOUNT OF 6 1/2% CONVERTIBLE
                        SUBORDINATED DEBENTURES DUE 2002
                   (Interest payable June 15 and December 15)

                        3,499,937 SHARES OF COMMON STOCK
                               ------------------

    This Prospectus relates  to (i)  $69,000,000 aggregate  principal amount  of
6  1/2% Convertible Subordinated  Debentures due 2002  (the "Debentures") of PHP
Healthcare Corporation, a  Delaware corporation ("PHP"  or the "Company"),  (ii)
2,532,110  shares of  the Common  Stock, par value  $.01 per  share (the "Common
Stock"), of the  Company which  are initially  issuable upon  conversion of  the
Debentures  plus such additional indeterminate number  of shares of Common Stock
as may  become  issuable  upon conversion  of  the  Debentures as  a  result  of
adjustments  to the  conversion price  (the "Conversion  Shares"), and  (iii) an
additional 967,827 shares of  Common Stock (including  shares issuable upon  the
exercise   of  options  or  the   conversion  of  convertible  securities)  (the
"Additional Shares").  The  Conversion  Shares and  the  Additional  Shares  are
collectively  referred to herein as the "Shares." The Debentures, the Conversion
Shares and the  Additional Shares  that are being  registered hereby  are to  be
offered  for the account of the holders thereof (the "Selling Securityholders").
The Debentures were  acquired from  the Company by  Smith Barney  Inc. and  Dean
Witter  Reynolds Inc. (the "Initial Purchasers")  in December 1995 in connection
with a  private offering  (the "Debenture  Offering"). See  "Description of  the
Debentures."  The Additional Shares  were acquired from  the Company by Shamrock
Investments, Charles P. Reilly, Michael E. Gallagher, Jonathan J. Spees and John
P. Cole in September  1994 in connection  with the issuance  of Common Stock  to
Shamrock  Investments and the merger of J.P. Cole & Associates, Inc. and Paragon
Ambulatory Surgery, Inc. into the Company.

    The Debentures are convertible into Common Stock of the Company at any  time
after the 60th day following the date of original issuance of the Debentures and
at  or before  maturity, unless  previously redeemed,  at a  conversion price of
$27.25 per share, subject to adjustment in certain events. On February 16, 1996,
the closing price of the Common Stock on the New York Stock Exchange was $26 3/4
per share. The Common Stock is traded under the symbol PPH.

    The Debentures  do  not provide  for  a  sinking fund.  The  Debentures  are
redeemable  at the option of the Company, in whole or in part, at the redemption
prices set forth in this Prospectus, together with accrued interest, except that
no redemption may be made  prior to December 17,  1998. Upon a Repurchase  Event
(as  defined herein),  each holder  of Debentures shall  have the  right, at the
holder's option, to require the  Company to repurchase such holder's  Debentures
at  a purchase price equal to 100% of the principal amount thereof, plus accrued
interest. See "Description of Debentures -- Certain Rights to Require Repurchase
of Debentures."

    The Debentures are unsecured obligations of the Company and are subordinated
to all present and future Senior Indebtedness (as defined herein) of the Company
and will  be effectively  subordinated to  all indebtedness  and liabilities  of
subsidiaries  of the Company. The Indenture  does not restrict the incurrence of
any other indebtedness or  liabilities by the Company  or its subsidiaries.  See
"Description of Debentures -- Subordination."

    The  Debentures have been  designated for trading  in the Private Offerings,
Resales  and  Trading  through  Automated  Linkages  ("PORTAL")  Market.  For  a
description of certain income tax consequences to holders of the Debentures, see
"Certain  United States Federal Income Tax Consequences." The Initial Purchasers
have advised the Company that  they intend to make  a market in the  Debentures.
The  Initial Purchasers, however, are not obligated to do so and any such market
making may be discontinued at any time without notice, in the sole discretion of
the Initial  Purchasers. No  assurance can  be  given that  any market  for  the
Debentures will develop or be maintained.

    The  Debentures and  the Conversion  Shares are  being registered  to permit
public secondary trading of the Debentures and, upon conversion, the  underlying
Common  Stock, by the holders  thereof from time to time  after the date of this
Prospectus. The Company  has agreed, among  other things, to  bear all  expenses
(other  than  underwriting  discounts,  selling  commissions  and  fees  and the
expenses of counsel and other advisors to  the holders of the Debentures or  the
underlying  Common Stock)  in connection with  the registration and  sale of the
Debentures and  the underlying  Common  Stock covered  by this  Prospectus.  The
holders of the Additional Shares have agreed to pay their own expenses and bear,
on  a pro rata basis, all incremental registration expenses that result from the
inclusion of the Additional Shares in  the Registration Statement of which  this
Prospectus is a part.

    The  Company will  not receive  any of  the proceeds  from the  sales of the
Debentures or the Shares by the Selling Securityholders. The Debentures and  the
Shares  may be offered in negotiated transactions or otherwise, at market prices
prevailing at the time of sale or at negotiated prices. In addition, the  Shares
may  be offered from time to time through ordinary brokerage transactions on the
New York Stock Exchange. See "Plan of Distribution." The Selling Securityholders
may be deemed to be "Underwriters" as defined in the Securities Act of 1933,  as
amended  (the "Securities Act").  If any broker-dealers are  used by the Selling
Securityholders, any commissions paid  to broker-dealers and, if  broker-dealers
purchase  any Debentures or  Shares as principals, any  profits received by such
broker-dealers on the resale  of the Debentures  or Shares may  be deemed to  be
underwriting discounts or commissions under the Securities Act. In addition, any
profits realized by the Selling Securityholders may be deemed to be underwriting
commissions.
                         ------------------------------

            SEE "RISK FACTORS" FOR A DESCRIPTION OF CERTAIN FACTORS
              THAT SHOULD BE CONSIDERED BY PROSPECTIVE INVESTORS.
                            ------------------------

THESE  SECURITIES HAVE  NOT BEEN APPROVED  OR DISAPPROVED BY  THE SECURITIES AND
EXCHANGE COMMISSION OR ANY STATE  SECURITIES COMMISSION NOR HAS THE  SECURITIES
 AND  EXCHANGE COMMISSION OR  ANY STATE SECURITIES  COMMISSION PASSED UPON THE
  ACCURACY OR ADEQUACY OF THIS PROSPECTUS ANY REPRESENTATION TO THE CONTRARY
                             IS A CRIMINAL OFFENSE.
                           --------------------------

               THE DATE OF THIS PROSPECTUS IS FEBRUARY   , 1996.
<PAGE>
                             AVAILABLE INFORMATION

    The Company is subject to  the informational requirements of the  Securities
Exchange  Act  of 1934,  as  amended (the  "Exchange  Act"), and,  in accordance
therewith, files reports and other information with the Securities and  Exchange
Commission  (the "Commission"). Reports, proxy  statements and other information
may be inspected and copied at the public reference facilities maintained by the
Commission at Judiciary Plaza, 450 Fifth Street, N.W., Washington D.C. 20549 and
at the  Commission's Regional  Offices located  at 7  World Trade  Center,  13th
Floor,  New  York, New  York  10048 and  500  West Madison  Street,  Suite 1400,
Chicago, Illinois  60661. Copies  of such  materials can  be obtained  from  the
Public Reference Section of the Commission at Judiciary Plaza, 450 Fifth Street,
N.W.,  Washington D.C.  20549, at prescribed  rates. Such materials  can also be
inspected at the New York  Stock Exchange, 20 Broad  Street, New York, New  York
10005.

    The  Company has filed with the  Commission a registration statement on Form
S-3 (such  registration statement,  together with  all amendments  and  exhibits
thereto,  being hereinafter referred  to as the  "Registration Statement") under
the Securities  Act  of  1933,  as  amended  (the  "Securities  Act"),  for  the
registration  under  the Securities  Act of  the  Debentures and  Shares offered
hereby. This Prospectus does not contain all of the information set forth in the
Registration Statement, certain parts  of which are  omitted in accordance  with
the  rules and regulations  of the Commission.  Reference is hereby  made to the
Registration Statement for further information  with respect to the Company  and
the  securities  offered  hereby.  Statements  contained  herein  concerning the
provisions of  documents filed  as exhibits  to the  Registration Statement  are
necessarily summaries of such documents, and each such statement is qualified in
its  entirety by reference to the copy of the applicable document filed with the
Commission. Copies  of  the  Registration  Statement and  the  exhibits  may  be
inspected,  without charge,  at the  offices of  the Commission,  or obtained at
prescribed rates from  the Public  Reference Section  of the  Commission at  the
address set forth above.

                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE

    The  following documents previously filed with the Commission by the Company
pursuant to the Exchange  Act are incorporated by  reference in this  Prospectus
and  made a part hereof: the Company's Annual Report on Form 10-K for the fiscal
year ended April 30, 1995 and the Company's Amendment to that Form 10-K for  the
fiscal year ended April 30, 1995 on Form 10-K/A; the Company's Quarterly Reports
on  Form 10-Q  for the quarters  ended July 31,  1995 and October  31, 1995; the
Company's Current Reports on  Form 8-K dated January  17, 1995, March 22,  1995,
December  1, 1995, December 22, 1995, and  January 11, 1996; and the description
of the Company's Common Stock contained in the Company's Registration  Statement
on  Form 8-A dated July 20, 1992,  including any amendments or reports filed for
the purpose of updating such description.

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

    The  Company  will  provide  without  charge  to  any  person  to  whom this
Prospectus is delivered, upon the written or oral request of such person, a copy
of any or all of the documents which have been incorporated by reference in this
Prospectus, other  than exhibits  to  such documents  unless such  exhibits  are
specifically  incorporated  by  reference into  the  documents  so incorporated.
Requests for such copies should be  directed to: Anthony M. Picini, Senior  Vice
President,  PHP  Healthcare  Corporation,  11440  Commerce  Park  Drive, Reston,
Virginia 22091, telephone (703) 758-3600.

                                       2
<PAGE>
                                  THE COMPANY

    PHP  Healthcare Corporation ("PHP"  or the "Company")  designs, develops and
operates patient-oriented Integrated Systems of  Care ("ISOCs") which serve  the
needs  of  managed  care  organizations,  self-insured  employers,  health  care
providers and provider  systems, and government  agencies. The Company  develops
and operates each integrated system by: (i) developing and maintaining a network
of  physicians, hospitals, and other providers; (ii) organizing and managing the
individual and group  practices of  physicians who participate  in the  network;
(iii)  operating information systems  to coordinate and  integrate the services,
measure outcomes, and provide financial results of the system; and (iv) entering
into contracts  with various  third  party payors,  such as  health  maintenance
organizations  ("HMOs"), insurers, or employee health benefit plans on behalf of
the network. The Company manages 15 ISOCs for its clients and has two more ISOCs
under development,  owns  a 30,000-member  Medicaid  HMO primarily  serving  the
District  of Columbia, and manages inpatient and outpatient health care services
under 34 government contracts, providing care in over 70 health care facilities.
As of  October 31,  1995, the  Company contracted  with or  employed over  3,000
physicians.

    PHP was organized as a Delaware corporation in January 1986 and succeeded to
the business of a predecessor corporation by merger in March 1986. The Company's
corporate  headquarters  is  located  at  11440  Commerce  Park  Drive,  Reston,
Virginia, 22091, and  its telephone number  at that address  is (703)  758-3600.
Unless  the context otherwise  requires, all references  herein to the "Company"
include PHP and its subsidiaries.

                                       3
<PAGE>
                                  RISK FACTORS

    In addition to the other information contained in this Prospectus and in the
documents incorporated  herein  by  reference,  prospective  purchasers  of  the
Debentures  and the Shares should carefully consider the factors set forth below
before purchasing the Debentures or the Shares.

RECENT ENTRY INTO COMMERCIAL MANAGED HEALTH CARE MARKET

    Until fiscal 1994, PHP operated almost  exclusively as a provider of  health
care  services to federal, state and  local government agencies. During the past
two fiscal years,  however, the  Company has invested  significant resources  in
developing  its ISOC  product for the  commercial managed health  care market in
order to refocus its  business from that  of a government  contractor to a  full
service  managed  care company.  There can  be no  assurance that  the Company's
strategy will continue to  be successful or that  modifications to its  strategy
will not be required.

HISTORICAL LOSSES

    The  Company reported net losses of $3,756,000 and $9,334,000 for the fiscal
years ended April  30, 1993  and 1994,  respectively. Although  the Company  was
profitable for the fiscal year ended April 30, 1995 and for the six months ended
October  31, 1995, there  can be no  assurance that it  will continue to operate
profitably, or  have  earnings  or  cash flow  sufficient  to  comply  with  the
financial  covenants  to which  it is  subject  or to  cover its  fixed charges,
including those attributable to the Debentures.  As a consequence of the  losses
reported  in fiscal  1993 and  1994, the Company  failed to  comply with certain
financial covenants under its credit agreement. The Company obtained waivers for
such noncompliance  and the  Company's bank  modified the  applicable  financial
covenants.  In  the  future, any  failure  by  the Company  to  comply  with the
financial covenants contained  in its  credit agreement (or  in any  replacement
credit  facility) could result in a default under such facility which could have
the effect of  blocking payments  on the Debentures  and could  have a  material
adverse  effect on  the Company's business,  financial condition  and results of
operations.

DEPENDENCE ON CERTAIN CONTRACTS

    For the year ended April 30, 1995, and for the six months ended October  31,
1995,  39% and 38%, respectively, of the Company's revenues, and an even greater
percentage of  the Company's  gross profits,  were derived  from two  contracts.
These  contracts are with the District  of Columbia Department of Human Services
(concerning the Company's  Medicaid HMO in  the District of  Columbia) and  with
Medigroup,  Inc., a wholly owned subsidiary of Blue Cross and Blue Shield of New
Jersey, Inc. ("BCBSNJ") (concerning the development and management of ten  ISOCs
in  New Jersey), and accounted  for 22% and 17%,  respectively, of the Company's
revenues in fiscal  1995. For the  six months ended  October 31, 1995,  revenues
derived  from  these  contracts represented  29%  and 9%,  respectively,  of the
Company's revenue. The loss of either  of these contracts would have a  material
adverse  effect on  the Company's business,  financial condition  and results of
operations.

    The agreement  with  BCBSNJ  provides  BCBSNJ the  right  to  terminate  the
agreement  upon 90 days notice  without cause upon the  payment of a termination
fee  to  the  Company.  The   agreement  also  contains  provisions   permitting
termination by BCBSNJ for cause in the event of a material breach by PHP or upon
the  occurrence of certain other circumstances, including PHP's failure to cause
all ten centers to be fully operational by March 31, 1995. Although nine of  the
ten  centers were fully operational by March  31, 1995, one center was not fully
operational until September  1995. The  Company believes,  for various  reasons,
that  BCBSNJ may  not validly  terminate the  agreement based  upon the  date of
completion of the tenth center. The parties have also discussed the  possibility
of  renegotiating the  agreement or otherwise  altering their  relationship on a
mutually agreeable  basis,  although no  specific  proposal is  presently  under
consideration.  There can be no assurance that BCBSNJ will not seek to terminate
the agreement based upon the  date of completion of the  tenth center or on  any
other  basis  or  that, if  BCBSNJ  does seek  to  do  so, the  Company  will be
successful in preventing such a termination.

                                       4
<PAGE>
    The Company's accounts receivable as of October 31, 1995 include amounts due
from the District of Columbia Department of Human Services and the United States
Department of Health  and Human  Services as  follows: approximately  $8,000,000
related  to  the  cost  settlement  for  the  three-year  contract  period ended
September 30, 1994, and approximately $3,000,000 related to the cost  settlement
for  the one-year  contract period ended  September 30, 1995.  These amounts are
subject to audit and the audits are expected to be completed during the  current
fiscal  year. In  addition, as a  result of  the current federal  budget and the
District of Columbia's  fiscal difficulties,  the Company has  past due  amounts
from the District of Columbia and the Department of Health and Human Services of
approximately  $4.3 million due January 1,  1996, and an additional $4.3 million
due February 1, 1996. The Company  cannot predict when or whether these  amounts
will  be paid. The failure of the Company  to collect these amounts would have a
material adverse  effect  on the  Company's  business, financial  condition  and
results of operations.

CAPITATED NATURE OF REVENUE

    The Company provides a portion of its services on a capitated basis, and the
Company  intends to negotiate additional  capitated agreements with managed care
organizations or assume such contracts  in connection with its affiliation  with
primary  care practices. Such contracts, typically  referred to as "shared risk"
contracts, are arrangements between the Company and a managed care  organization
under  which  the Company  agrees to  provide certain  health care  services, as
required by members of such managed  care organization, in exchange for a  fixed
fee per member per month. Under these contracts, the Company bears the risk that
the cost of the services it is required to provide will exceed the fixed fees it
is entitled to receive. In order for such shared-risk contracts to be profitable
for  the Company,  the Company must  effectively manage the  utilization rate of
primary care  services,  specialty  physician services,  and  hospital  services
delivered to members of the managed care organization. There can be no assurance
that  the Company  will receive fees  under such  shared-risk arrangements which
will permit it  to recover  the costs  of the health  care services  it will  be
required to provide.

DEPENDENCE ON PRIMARY CARE PHYSICIANS

    Primary  care  physicians are  a key  operating  component of  the Company's
integrated system  of care.  The  Company competes  for exclusive  primary  care
physician  affiliations  with a  variety of  systems including  group practices,
individual practice  associations  ("IPAs"),  health  maintenance  organizations
("HMOs"),  practice  management  companies  and  hospitals.  Most  primary  care
physicians  have  traditionally  practiced  independently  or  in  small  single
specialty groups. The competitive and operational disadvantages to the physician
of  this type of practice  structure have compelled many  of these physicians to
evaluate alternatives. The  process of negotiating  these affiliations is  often
competitive,  complex and  time consuming.  There can  be no  assurance that the
Company will continue  to be  able to identify  and secure  affiliations with  a
sufficient number of primary care physicians to operate its ISOCs effectively.

LIMITATIONS ON REIMBURSEMENT

    A  major  portion of  the Company's  revenues are  derived from  third party
payors, such as governmental programs, private insurance plans and managed  care
organizations.  In particular,  for the  year ended April  30, 1995  and the six
months ended October 31, 1995, approximately  22% and 29%, respectively, of  the
Company's  revenues were derived from the Medicaid program, a cooperative state-
federal program for medical assistance to  the needy. Reflecting a trend in  the
health  care  industry, third  party  payors increasingly  are  negotiating with
health care providers  such as  the Company  concerning the  prices charged  for
medical services, with the goal of lowering reimbursement and utilization rates.
There can be no assurance that any future reduction in reimbursement rates would
be  offset through enhanced operating efficiencies, or that any such enhancement
of operating  efficiencies  would  occur.  Third  party  payors  may  also  deny
reimbursement if they determine that a treatment was not performed in accordance
with  the  cost-effective  treatment  methods established  by  such  payors, was
experimental, or  for  other  reasons. In  addition,  funding  for  governmental
programs, such as Medicaid, is under increased scrutiny.

                                       5
<PAGE>
    The  U.S. Congress has passed a  fiscal year 1996 budget reconciliation bill
that provides for  reductions in the  rate of spending  increases over the  next
seven  years  of approximately  $270 billion  in the  Medicare program  and $165
billion in the  Medicaid program.  The bill  provides for,  among other  things,
converting  the  federal share  of the  Medicaid  program to  a block  grant and
gradually reducing the overall  growth of the  federal share from  approximately
ten  percent annually  to approximately  four percent  by fiscal  year 2000. The
annual increase in the federal share would  vary from state to state based on  a
variety  of factors. Although the initial  reconciliation bill was vetoed by the
President, no assurance can be given that reductions in the rate of increase  in
spending  for these programs,  if ultimately signed  into law, would  not have a
material adverse effect on the Company's operations. Any loss of revenue  caused
by  trends in  the health  care industry  toward cost  containment and oversight
could have a material adverse effect on the Company's business.

MANAGEMENT INFORMATION SYSTEMS

    The Company's management information systems are critical to its ability  to
manage  care efficiently and to be competitive in the market. The Company relies
on these systems to support practice operations and to facilitate the management
and monitoring of clinical performance. Clinical guidelines, practice protocols,
case management  and  utilization  review  systems  are  all  essential  to  the
Company's  ability  to  secure,  and  operate  profitably  under,  capitated and
shared-risk contracts. There can be no  assurance that the Company will be  able
to refine and enhance these systems to keep them current and competitive.

DEPENDENCE ON GOVERNMENT CONTRACTS

    Contracts   with  various  federal,  state  and  local  government  agencies
(excluding agreements concerning the Company's  Medicaid HMO in the District  of
Columbia)  account  for  approximately  50%  of  the  Company's  revenues. These
contracts are  obtained primarily  through the  competitive bidding  process  as
governed by applicable federal and state statutes and regulations, and generally
may  be modified or terminated  for the convenience of  the government agency at
any time during the term of the contract. Contracts are generally awarded for  a
base period of less than one year and corresponding with the government agency's
fiscal  year, have two-to-four one-year renewals at the option of the government
agency, and are subject  to appropriation of funds  annually by the  appropriate
legislative  body. There  is, therefore, no  assurance that the  Company will be
able to retain its contracts or, if retained, that all of such contracts will be
fully funded.

    Under the competitive bidding process, unsuccessful bidders may protest  the
award  of a contract to  another bidder in accordance  with a government appeals
process if they believe  the award was improper.  Such protests could result  in
the  rebidding,  delay  or  loss  of  contracts.  In  addition,  contracts  with
government agencies are generally complex  in nature and subject contractors  to
extensive regulation under federal, state and local law. For example, government
contractors  are subject to  audits which can result  in adjustments to contract
costs and fees.

    The Company believes  that it  has complied  in all  material respects  with
applicable   government  regulations.  In  certain   circumstances  in  which  a
contractor has not complied with the terms of a contract or with regulations  or
statutes,  the contractor  may be  debarred or  suspended from  obtaining future
contracts for a specified  period of time. Any  such suspension or debarment  of
the Company could have a material adverse effect upon the Company's business.

DEPENDENCE ON KEY PERSONNEL

    The  Company is  highly dependent  on the  skill and  efforts of  its senior
management. The loss of  key management personnel or  the inability to  attract,
retain  and motivate sufficient numbers  of qualified management personnel could
adversely affect the Company's business.

COMPETITION

    The managed care industry is highly competitive and is subject to continuing
changes in how services  are provided and how  providers are selected and  paid.
Increased  enrollment in prepaid health care plans  due to health care reform or
for other reasons, increased participation by physicians in

                                       6
<PAGE>
group practices and other factors may attract new entrants into the managed care
industry and result  in increased competition  for the Company.  Certain of  the
Company's competitors are significantly larger and better capitalized, provide a
wider  variety of services, may have greater experience in providing health care
management services and may have longer established relationships with payors.

EXPOSURE TO PROFESSIONAL LIABILITY

    Due to the nature of the Company's business, there are asserted from time to
time medical malpractice lawsuits and other claims against the Company, some  of
which are currently pending, which subjects the Company to the attendant risk of
substantial damage awards. The most significant source of potential liability in
this  regard  is the  negligence  of physicians  employed  or contracted  by the
Company. To the  extent such  physicians are employees  of the  Company or  were
regarded  as agents  of the  Company in  the practice  of medicine,  the Company
would, in most instances, be held liable for their negligence. In addition,  the
Company could be found in certain instances to have been negligent in performing
its  management  services  under  contractual arrangements,  even  if  no agency
relationship with  the  physician  were  found to  exist.  In  some  cases,  the
Company's contracts with hospitals and third party payors require the Company to
indemnify  such  other  parties  for losses  resulting  from  the  negligence of
physicians who were employed or managed by or affiliated with the Company.

    The Company  maintains professional  and general  liability insurance  on  a
claims  made  basis  in  amounts  deemed  appropriate  by  management,  based on
historical claims and  the nature and  risks of  its business. There  can be  no
assurances,  however, that an existing or future claim or claims will not exceed
the limits of available insurance coverage, that any insurer will remain solvent
and able to  meet its  obligations to  provide coverage  for any  such claim  or
claims  or that such  coverage will continue  to be available  or available with
sufficient limits and at a reasonable cost to adequately and economically insure
the Company's operations in the future. A judgment against the Company in excess
of such coverage could have a material adverse effect on the Company.

HEALTH CARE REGULATION

    The health care industry is subject to extensive federal regulation relating
to licensure, conduct of operations and prices for services.

    The laws  of  many  states  prohibit physicians  from  splitting  fees  with
non-physicians  and  prohibit non-physician  entities from  practicing medicine.
These laws vary from state to state,  have been subject to limited judicial  and
regulatory  interpretation, and  are enforced  by the  courts and  by regulatory
authorities with broad discretion. Although  the Company seeks to structure  its
operations  so as to comply with these laws,  there can be no assurance that the
Company's present or future  operations will not  be successfully challenged  as
violating, or determined to have violated, such laws, or that the enforceability
of  the provisions of agreements governing  such operations will not be limited.
Any such result could have a material adverse effect on the Company.

    The laws in  most states  also regulate the  business of  insurance and  the
operation  of HMOs. Many states also regulate the establishment and operation of
networks of health care providers. Although  the Company seeks to structure  its
operations  so as  to comply  with these  laws in  the states  in which  it does
business, there can  be no  assurance that future  interpretations of  insurance
laws  and health care network laws by the regulatory authorities in these states
or in the states into which the Company may expand will not require licensure or
a restructuring  of some  or  all of  the  Company's operations.  The  Company's
Medicaid  HMO is not presently subject to licensure requirements in the District
of Columbia.  However, legislation  has been  proposed which  would require  the
licensure  of  HMOs in  the  District of  Columbia  and subject  the  Company to
additional regulatory requirements. The  Company is unable  to predict what  HMO
legislation  or regulation, if any, will be  adopted in the District of Columbia
and what  effect, if  any, such  legislation  or regulation  would have  on  the
Company's  business. No  assurance can be  given that future  HMO legislation or
regulation in  the District  of Columbia  or in  other states  will not  have  a
material  adverse  effect  on  the Company's  business,  financial  condition or
results of operation.

                                       7
<PAGE>
    Anti-fraud and abuse amendments  codified under the  Social Security Act  of
1935,  as  amended  (the  "Social  Security  Act"),  prohibit  certain  business
practices and relationships  that may affect  the provision and  cost of  health
care  services  reimbursable under  the  Medicare and  Medicaid  programs. These
amendments  include  anti-kickback  provisions  prohibiting  the   solicitation,
payment,  receipt or  offering of  any direct  or indirect  remuneration for the
referral of Medicare or  Medicaid patients or for  the ordering or providing  of
Medicare  or  Medicaid  covered  services,  items  or  equipment.  Sanctions for
violating the  anti-kickback provisions  include  criminal penalties  and  civil
sanctions, including fines and possible exclusion from the Medicare and Medicaid
programs. In addition, Section 1877 of the Social Security Act (the "Stark law")
restricts  physician referrals  to certain providers,  including hospitals, with
which they have a  financial arrangement. Sanctions for  violation of the  Stark
law  include civil money penalties and  exclusion from the Medicare and Medicaid
programs. The Stark law and the anti-kickback provisions of the Social  Security
Act  are broadly worded and often vague,  and the future interpretation of these
provisions and  their  applicability  to  the  Company's  operations  cannot  be
predicted  with certainty.  Although the Company  seeks to  arrange its business
relationships so as to comply  with these laws, there  can be no assurance  that
the  Company's present or future operations will not be accused of violating, or
be determined to have  violated, such provisions. Any  such result could have  a
material adverse effect on the Company.

HEALTH CARE REFORM

    In  recent years,  an increasing number  of legislative  proposals have been
introduced in Congress and  in some state legislatures  that would effect  major
changes  in the health care system, either nationally or at the state level. The
Company is unable to predict what  health care reform legislation, if any,  will
be  adopted and what effect, if any,  such legislation may have on the Company's
business. No assurance can be given  that future health care reform  legislation
will  not have  a material adverse  effect on the  Company's business, financial
condition or results of operations.

    Provisions in the fiscal year  1996 reconciliation bill passed by  Congress,
if   signed  into  law,  would   eliminate  the  federally  mandated  individual
entitlement to Medicaid benefits  and give the states  wide latitude in  setting
eligibility standards and benefit levels. In addition, the bill would reduce for
a  number of  states the level  of state  spending necessary to  qualify for the
maximum federal matching. Such changes, if adopted, could result in a  reduction
in the number of individuals participating in the Medicaid program. No assurance
can  be given that such changes would not  have a material adverse effect on the
Company's business.

SUBSTANTIAL INDEBTEDNESS

    The Company's indebtedness is substantial  in relation to its  stockholders'
equity.  At October 31, 1995, the Company's total long-term debt, net of current
portion, accounted for  49% of  its total  capitalization. As  adjusted to  give
effect  to  the  Debenture Offering  and  the  application of  the  net proceeds
therefrom, such debt accounted for 73% of the Company's total capitalization.

SUBORDINATION OF DEBENTURES

    The Debentures are subordinate in right of payment to all current and future
Senior Indebtedness of  the Company.  Senior Indebtedness  includes all  secured
indebtedness  of  the  Company (other  than  claims  of trade  creditors  of the
Company), whether  existing on  or created  or incurred  after the  date of  the
issuance  of the Debentures, that is not  made subordinate to or pari passu with
the Debentures by the instrument creating the indebtedness. At October 31, 1995,
the aggregate amount of Senior Indebtedness outstanding and the aggregate amount
of indebtedness and  other liabilities of  the Company and  its subsidiaries  to
which  the  Debentures  are  effectively  subordinated  was  approximately $42.8
million. As of October 31, 1995, after  giving effect to the repayment of  $21.2
million  of indebtedness with proceeds from  the Debenture Offering, the Company
will  have  approximately  $21.5  million  of  indebtedness  outstanding   which
constitutes  Senior  Indebtedness or  to  which the  Debentures  are effectively
subordinated.  The  Indenture   does  not   limit  the   amount  of   additional
indebtedness,  including  Senior  Indebtedness, which  the  Company  can create,
incur, assume or guarantee. By reason  of such subordination of the  Debentures,
in the event of the insolvency, bankruptcy,

                                       8
<PAGE>
liquidation,  reorganization, dissolution or  winding up of  the business of the
Company or upon a default in payment with respect to any Senior Indebtedness  of
the  Company or an event of default  with respect to such indebtedness resulting
in the acceleration thereof, the assets of the Company will be available to  pay
the  amounts due  on the  Debentures only after  all Senior  Indebtedness of the
Company has  been paid  in full.  In  addition, holders  of the  Debentures  are
effectively   subordinated  to  the   claims  of  creditors   of  the  Company's
subsidiaries.  In  the  event   of  the  insolvency,  bankruptcy,   liquidation,
reorganization,  dissolution or winding up of  the business of any subsidiary of
the Company, creditors of  such subsidiary generally will  have the right to  be
paid  in full before any  distribution is made to the  Company or the holders of
the Debentures.

LIMITATIONS ON REPURCHASE OF DEBENTURES UPON A REPURCHASE EVENT

    In the event of a Repurchase Event, which includes a Change in Control and a
Termination of Trading (each as defined  herein) each holder of Debentures  will
have the right, at the holder's option, to require the Company to repurchase all
or  a portion of such  holder's Debentures at a purchase  price equal to 100% of
the principal amount thereof plus accrued  interest to the repurchase date.  The
Company's  ability to repurchase  the Debentures upon a  Repurchase Event may be
limited by the terms of the Company's Senior Indebtedness and the  subordination
provisions  of the Indenture. Further, the  ability of the Company to repurchase
Debentures upon a  Repurchase Event  will be  dependent on  the availability  of
sufficient  funds and  compliance with applicable  securities laws. Accordingly,
there can  be no  assurance that  the Company  will be  able to  repurchase  the
Debentures  upon a Repurchase  Event. The term "Repurchase  Event" is limited to
certain specified  transactions and  may  not include  other events  that  might
adversely affect the financial condition of the Company or result in a downgrade
of  the credit  rating of  the Debentures,  nor would  the requirement  that the
Company offer to repurchase the  Debentures upon a Repurchase Event  necessarily
afford  holders of the Debentures protection in  the event of a highly leveraged
transaction,  reorganization,  merger  or  similar  transaction  involving   the
Company. See "Description of Debentures."

ABSENCE OF PUBLIC MARKET

    There is no existing market for the Debentures and there can be no assurance
as  to the  liquidity of any  markets that  may develop for  the Debentures, the
ability of the holders to sell their Debentures or the price at which holders of
the Debentures may be  able to sell their  Debentures. Future trading prices  of
the  Debentures  will depend  on many  factors,  including, among  other things,
prevailing interest rates,  the Company's  operating results, the  price of  the
Common  Stock and the market for similar securities. The Initial Purchasers have
informed the Company that the Initial Purchasers intend to make a market in  the
Debentures;  however, the Initial Purchasers are not  obligated to do so and any
such market making activity may be terminated at any time without notice to  the
holders  of the Debentures. See "Description  of the Debentures -- Registrations
Rights; Liquidated  Damages." The  Debentures are  eligible for  trading in  the
PORTAL  Market; however, the Company does not intend to apply for listing of the
Debentures on any securities exchange.

POSSIBLE VOLATILITY OF STOCK PRICE

    The market  price of  the Common  Stock  has experienced  a high  degree  of
volatility.  There can be no assurance that such volatility will not continue or
become more pronounced. In addition, recently the stock market has  experienced,
and  is  likely  to  experience  in the  future,  significant  price  and volume
fluctuations which could adversely affect the  market price of the Common  Stock
without regard to the operating performance of the Company. The Company believes
that  factors such  as quarterly  fluctuations in  the financial  results of the
Company or its competitors and general  conditions in the industry, the  overall
economy  and the financial markets could cause  the price of the Common Stock to
fluctuate substantially.

CONTROL BY MANAGEMENT AND CERTAIN STOCKHOLDERS

    Certain of  the  Company's  executive officers  and  directors  and  related
entities  (collectively,  the "Voting  Group")  currently hold  an  aggregate of
approximately 25% of  the outstanding  Common Stock  (excluding shares  issuable
upon  the exercise of  options or the conversion  of convertible securities) and

                                       9
<PAGE>
have entered into a voting agreement  (the "Voting Agreement") under which  they
have   agreed  to  act  together  under  certain  circumstances.  Assuming  full
conversion of the Debentures,  the Voting Group will  hold approximately 21%  of
the  outstanding Common Stock.  The Voting Agreement  currently provides that it
will terminate on October 7, 1996. If  the Voting Group acts together, they  may
exercise  a controlling influence  over the outcome of  matters submitted to the
Company's stockholders for approval. Moreover, the Voting Group collectively may
have the power to delay, defer or prevent a change in control of the Company.

ANTI-TAKEOVER EFFECT OF DELAWARE LAW AND CHARTER AND BY-LAW PROVISIONS

    Certain provisions of  the Company's certificate  of incorporation,  by-laws
and Delaware law could, together or separately, discourage potential acquisition
proposals,  delay or prevent  a change in  control of the  Company and limit the
price that certain investors might be willing to pay in the future for shares of
the Common Stock. These provisions include a classified Board of Directors,  the
ability  of the  Board of Directors  to authorize the  issuance, without further
stockholder approval, of preferred stock with rights and privileges which  could
be  senior to the Common Stock, elimination of the stockholders' ability to take
any action  without  a meeting,  and  establishment of  certain  advance  notice
procedures  for  nomination  of candidates  for  election as  directors  and for
stockholder proposals to be considered  at stockholders' meetings. In  addition,
the  Company has distributed  preferred stock purchase  rights which could cause
substantial dilution to a person or group that attempts to acquire a controlling
interest in the  Company. The  Company is  also subject  to Section  203 of  the
Delaware   General  Corporation  Laws  which,  subject  to  certain  exceptions,
prohibits a  Delaware corporation  from engaging  in  any of  a broad  range  of
business  combinations with any  "interested stockholder" for  a period of three
years  following  the   date  that  such   stockholder  became  an   "interested
stockholder." See "Description of Capital Stock."

                                USE OF PROCEEDS

    The  Company will  not receive  any of  the proceeds  from the  sales of the
Debentures  or  the  Shares  by   the  Selling  Securityholders.  See   "Selling
Securityholders" for a list of those persons and entities receiving the proceeds
from the sales of the Debentures or the Shares.

                       RATIO OF EARNINGS TO FIXED CHARGES

    The  Company's ratio of  earnings to fixed  charges for each  of the periods
indicated is as follows:

<TABLE>
<CAPTION>
                                                         SIX MONTHS ENDED
                 YEAR ENDED APRIL 30                        OCTOBER 31
- -----------------------------------------------------  --------------------
  1991       1992       1993       1994       1995       1994       1995
- ---------  ---------  ---------  ---------  ---------  ---------  ---------
<S>        <C>        <C>        <C>        <C>        <C>        <C>
  4.36x      7.15x     (1.58)x    (1.89)x     1.41x      1.21x      3.24x
</TABLE>

    The ratio of earnings to fixed charges is computed by dividing fixed charges
into earnings from continuing operations before income taxes, minority  interest
and  extraordinary items plus  fixed charges. Fixed  charges consist of interest
expense, amortization of financing costs and the estimated interest component of
rent expense.

                                       10
<PAGE>
                           DESCRIPTION OF DEBENTURES

    The Debentures were issued under an indenture dated as of December 15,  1995
(the "Indenture"), between the Company and IBJ Schroder Bank & Trust Company, as
trustee  (the "Trustee"). The  following summaries of  certain provisions of the
Indenture do not purport to be complete and are subject to, and are qualified in
their entirety  by  reference  to,  all of  the  provisions  of  the  Indenture,
including  the definition therein of certain terms. Wherever particular sections
or defined terms  of the  Indenture are referred  to, such  sections or  defined
terms  are  incorporated  herein  by  reference.  Copies  of  the  Indenture are
available from  the Company  upon request  at  the address  provided on  page  3
herein.

GENERAL

    The  Debentures are  unsecured obligations  of the  Company, are  limited to
$69,000,000 in  aggregate principal  amount (including  the Initial  Purchasers'
over-allotment  option) and  mature on  December 15,  2002. The  Debentures bear
interest at the rate per annum shown on the front cover of this Prospectus  from
the  date of original issuance  of Debentures pursuant to  the Indenture or from
the most  recent  Interest Payment  Date  to which  interest  has been  paid  or
provided  for, payable semi-annually  on June 15  and December 15  of each year,
commencing June 15,  1996, to the  Person in  whose name the  Debenture (or  any
predecessor  Debenture) is registered at the  close of business on the preceding
June 1 or December  1, as the case  may be. Interest on  the Debentures will  be
paid on the basis of a 360-day year of twelve 30-day months.

    Principal  of, premium, if  any, and interest on,  the Debentures is payable
(i) in respect  of Debentures  held of record  by the  Depository Trust  Company
("DTC")  or its nominee in same day funds  on or prior to the payment dates with
respect to such  amounts and (ii)  in respect  of Debentures held  of record  by
holders other than DTC or its nominee, at the office of the Trustee in New York,
New  York,  and the  Debentures  may be  surrendered  for transfer,  exchange or
conversion at the office of the Trustee in New York, New York. In addition, with
respect to Debentures held of record by  holders other than DTC or its  nominee,
payment  of interest may be made, at the  option of the Company, by check mailed
to the address of the persons entitled thereto as it appears in the register for
the Debentures on the Regular Record Date for such interest.

    The Debentures are issued  only in registered form,  without coupons and  in
denominations of $1,000 or any integral multiple thereof. No service charge will
be  made for  any transfer or  exchange of  the Debentures, but  the Company may
require payment  of a  sum sufficient  to cover  any tax  or other  governmental
charge  and any other expenses (including the  fees and expenses of the Trustee)
payable in  connection therewith.  The Company  is not  required (i)  to  issue,
register the transfer of or exchange any Debentures during a period beginning at
the  opening of business  15 days before the  day of the mailing  of a notice of
redemption and ending at the  close of business on the  day of such mailing,  or
(ii)  to  register  the  transfer  of or  exchange  any  Debenture  selected for
redemption in whole  or in  part, except  the unredeemed  portion of  Debentures
being redeemed in part.

    All  moneys paid by the  Company to the Trustee or  any Paying Agent for the
payment of principal of and premium  and interest on any Debenture which  remain
unclaimed for two years after such principal, premium or interest become due and
payable  may be repaid to the Company.  Thereafter, the Holder of such Debenture
may, as an  unsecured general  creditor, look only  to the  Company for  payment
thereof.

    The  Indenture does not contain any provisions that would provide protection
to Holders of  the Debentures against  a sudden and  dramatic decline in  credit
quality  of the Company resulting from any takeover, recapitalization or similar
restructuring, except  as  described  below under  "Certain  Rights  to  Require
Repurchase of Debentures."

CONVERSION RIGHTS

    The  Debentures are convertible into Common Stock at any time after the 60th
day following  the date  of original  issuance of  the Debentures  and prior  to
redemption or final maturity, initially at the

                                       11
<PAGE>
conversion price of $27.25 per share. The right to convert Debentures which have
been called for redemption will terminate at the close of business on the second
business day preceding the Redemption Date. See "Optional Redemption" below.

    The  conversion price is subject to adjustment upon the occurrence of any of
the following events:  (i) the subdivision,  combination or reclassification  of
outstanding  shares of Common Stock; (ii) the  payment in shares of Common Stock
of a dividend  or distribution on  any class  of capital stock  of the  Company;
(iii)  the  issuance  of rights  or  warrants  to all  holders  of  Common Stock
entitling them to acquire shares of Common Stock at a price per share less  than
the  Current Market Price; (iv)  the distribution to holders  of Common Stock of
shares of capital stock other than Common Stock, evidences of indebtedness, cash
or assets (including securities, but  excluding dividends or distributions  paid
exclusively  in cash and dividends,  distributions, rights and warrants referred
to above); (v) a distribution consisting exclusively of cash (excluding any cash
distributions referred to in (iv)  above) to all holders  of Common Stock in  an
aggregate amount that, together with (A) all other cash distributions (excluding
any  cash distributions  referred to  in (iv) above)  made within  the 12 months
preceding such distribution and (B) any cash and the fair market value of  other
consideration  payable  in respect  of  any tender  offer  by the  Company  or a
subsidiary of the Company for the Common Stock consummated within the 12  months
preceding  such  distribution,  exceeds  12.5 percent  of  the  Company's market
capitalization (being the product of the  Current Market Price times the  number
of  shares of Common Stock  then outstanding) on the  date fixed for determining
the stockholders entitled to such distribution;  and (vi) the consummation of  a
tender offer made by the Company or any subsidiary of the Company for the Common
Stock which involves an aggregate consideration that, together with (X) any cash
and other consideration payable in respect of any tender offer by the Company or
a  subsidiary of  the Company  for the  Common Stock  consummated within  the 12
months preceding the  consummation of such  tender offer and  (Y) the  aggregate
amount  of all cash distributions (excluding  any cash distributions referred to
in (iv) above) to all holders of the Common Stock within the 12 months preceding
the consummation of  such tender offer,  exceeds 12.5 percent  of the  Company's
market  capitalization  at the  date of  consummation of  such tender  offer. No
adjustment of the conversion price will be required to be made until  cumulative
adjustments  amount to  at least  one percent of  the conversion  price, as last
adjusted. Any adjustment that  would otherwise be required  to be made shall  be
carried forward and taken into account in any subsequent adjustment.

    In  addition to the foregoing adjustments,  the Company will be permitted to
reduce the conversion price as  it considers to be  advisable in order that  any
event  treated for federal income  tax purposes as a  dividend of stock or stock
rights will not be taxable to the holders of the Common Stock or, if that is not
possible, to diminish  any income taxes  that are otherwise  payable because  of
such  event. In the case of any consolidation  or merger of the Company with any
other corporation (other  than one  in which  no change  is made  in the  Common
Stock), or any sale or transfer of all or substantially all of the assets of the
Company,  the  Holder  of  any Debenture  then  outstanding  will,  with certain
exceptions, have the right  thereafter to convert such  Debenture only into  the
kind  and amount  of securities,  cash and  other property  receivable upon such
consolidation, merger, sale or transfer by a  holder of the number of shares  of
Common  Stock into  which such Debenture  might have  been converted immediately
prior to such consolidation, merger, sale  or transfer; and adjustments will  be
provided  for  events  subsequent  thereto  that  are  as  nearly  equivalent as
practical to the conversion price adjustments described above.

    Fractional shares of Common Stock will  not be issued upon conversion,  but,
in  lieu thereof,  the Company will  pay a  cash adjustment based  upon the then
Closing Price  at  the close  of  business on  the  day of  conversion.  If  any
Debentures  are surrendered for  conversion during the period  from the close of
business on any Regular  Record Date through and  including the next  succeeding
Interest  Payment Date (except any such  Debentures called for redemption), such
Debentures when surrendered  for conversion  must be accompanied  by payment  in
next  day funds of an amount equal  to the interest thereon which the registered
Holder on  such  Regular  Date  is  to  receive.  Except  as  described  in  the

                                       12
<PAGE>
preceding  sentence, no  interest will  be payable  by the  Company on converted
Debentures with respect to any Interest  Payment Date subsequent to the date  of
conversion.  No other payment or  adjustment for interest or  dividends is to be
made upon conversion.

    The Indenture  provides that,  in the  event of  the occurrence  of  certain
events affecting the rights (the "Rights") distributed pursuant to the Company's
Rights  Agreement, dated as of April 10, 1992, with Riggs National Bank, NA (the
"Rights Agreement"), appropriate  adjustments to  the conversion  price will  be
made. In lieu of any such adjustment, the Company may amend the Rights Agreement
to  provide  that upon  conversion  of the  Debentures  the holder  thereof will
receive, in addition  to the  Common Stock  issuable upon  such conversion,  the
Rights  which attached to such shares of  Common Stock or would have attached to
such shares  if  the Rights  had  not become  separated  from the  Common  Stock
pursuant to the provisions of the Rights Agreement.

SUBORDINATION

    The  payment of the  principal of and  premium, if any,  and interest on the
Debentures are, to the extent set forth in the Indenture, subordinated in  right
of  payment to the prior payment in full of all Senior Indebtedness. If there is
a  payment  or  distribution  of  assets  to  creditors  upon  any  liquidation,
dissolution,   winding  up,  reorganization,  assignment   for  the  benefit  of
creditors, marshalling  of  assets  or any  bankruptcy,  insolvency  or  similar
proceedings  of  the Company,  the holders  of all  Senior Indebtedness  will be
entitled to receive payment in full of all amounts due or to become due  thereon
or  provision for such payment  in money or money's  worth before the Holders of
the Debentures  will  be entitled  to  receive any  payment  in respect  of  the
principal  of or premium, if any, or interest on the Debentures. In the event of
the acceleration of the  Maturity of the Debentures,  the holders of all  Senior
Indebtedness  will first be entitled  to receive payment in  full in cash of all
amounts due thereon  or provision  for such payment  in money  or money's  worth
before the Holders of the Debentures will be entitled to receive any payment for
the  principal of or premium, if any, or interest on the Debentures. No payments
on account of principal of or premium, if any, or interest on the Debentures  or
on account of the purchase or acquisition of Debentures may be made if there has
occurred  and is  continuing a  default in  any payment  with respect  to Senior
Indebtedness, any acceleration of the maturity of any Senior Indebtedness of  if
any judicial proceeding is pending with respect to any such default.

    Senior  Indebtedness  is  defined  in  the  Indenture  as  (a)  all  secured
indebtedness of the Company  for money borrowed, excluding  the claims of  trade
creditors  of the Company, whether  outstanding on the date  of execution of the
Indenture or  thereafter created,  incurred or  assumed, except  any such  other
indebtedness  that by the terms  of the instrument or  instruments by which such
indebtedness was created or incurred expressly provides that it (i) is junior in
right of payment to the Debentures or (ii) ranks PARI PASSU in right of  payment
with   the   Debentures,   and  (b)   any   amendments,   renewals,  extensions,
modifications, refinancings and  refundings of  any of the  foregoing. The  term
"indebtedness  for  money borrowed"  when used  with respect  to the  Company is
defined to mean  (i) any  obligation of, or  any obligation  guaranteed by,  the
Company  for the repayment of borrowed money (including without limitation fees,
penalties and other obligations in respect thereof), whether or not evidenced by
bonds, debentures, notes or other written instruments, (ii) any deferred payment
obligation of, or any such obligation guaranteed by, the Company for the payment
of the purchase  price of  property or  assets evidenced  by a  note or  similar
instrument,  and (iii) any obligation of,  or any such obligation guaranteed by,
the Company for the payment of rent  or other amounts under a lease of  property
or  assets which obligation is required to  be classified and accounted for as a
capitalized lease on the balance sheet  of the Company under generally  accepted
accounting principles.

    The  Debentures are obligations exclusively of the Company. A portion of the
operations of the  Company are currently  conducted through subsidiaries,  which
are  separate and distinct legal entities  and have no obligation, contingent or
otherwise, to pay  any amounts due  pursuant to  the Debentures or  to make  any
funds  available therefor,  whether by  dividends, loans  or other  payments. In
addition,

                                       13
<PAGE>
the payment of dividends and certain loans  and advances to the Company by  such
subsidiaries  may be subject  to certain statutory  or contractual restrictions,
are contingent upon the earnings of such subsidiaries and are subject to various
business considerations.

    The Debentures are  effectively subordinated to  all indebtedness and  other
liabilities  and commitments (including trade payables and lease obligations) of
the Company's subsidiaries. Any  right of the Company  to receive assets of  any
such  subsidiary upon the  liquidation or reorganization  of any such subsidiary
(and the consequent  right of the  Holders of the  Debentures to participate  in
those   assets)  will  be  effectively  subordinated   to  the  claims  of  that
subsidiary's creditors,  except  to  the  extent  that  the  Company  is  itself
recognized  as a creditor  of such subsidiary,  in which case  the claims of the
Company would still  be subordinate to  any security interest  in the assets  of
such  subsidiary and any indebtedness of such  subsidiary senior to that held by
the Company.

    The  Indenture  does  not  limit  or  prohibit  the  incurrence  of   Senior
Indebtedness.  At October 31, 1995, the  aggregate amount of Senior Indebtedness
outstanding and the aggregate  amount of indebtedness  and other liabilities  of
the  Company  and  its  subsidiaries to  which  the  Debentures  are effectively
subordinated was approximately $42.8 million. The Company also expects to  incur
Senior Indebtedness from time to time in the future.

OPTIONAL REDEMPTION

    The  Debentures are  redeemable, at the  Company's option, in  whole or from
time to time in part, at any time  on or after December 17, 1998, upon not  less
than  15 nor more than 60 days' notice mailed to each Holder of Debentures to be
redeemed at its address appearing in the Security Register and prior to Maturity
at the following Redemption  Prices (expressed as  percentages of the  principal
amount)  plus accrued interest to  the Redemption Date (subject  to the right of
Holders of record on the relevant Regular Record Date to receive interest due on
an Interest Payment Date that is on or prior to the Redemption Date).

    If redeemed during the  12-month period beginning December  15, in the  year
indicated (December 17, in the case of 1998), the redemption price shall be:

<TABLE>
<CAPTION>
YEAR                                                                REDEMPTION PRICE
- ------------------------------------------------------------------  ----------------
<S>                                                                 <C>
1998..............................................................      103.71%
1999..............................................................      102.79%
2000..............................................................      101.86%
2001..............................................................      100.93%
</TABLE>

    No sinking fund is provided for the Debentures.

CONSOLIDATION, MERGER AND SALE OF ASSETS

    The  Company will  not consolidate  with or merge  into any  other Person or
convey, transfer or lease its properties and assets substantially as an entirety
to any  Person, or  permit any  Person to  consolidate with  or merge  into  the
Company or convey, transfer or lease its properties substantially as an entirety
to   the  Company,  unless  (a)  if   applicable,  the  Person  formed  by  such
consolidation or into which the Company  is merged or the Person or  corporation
which  acquires the  properties and  assets of  the Company  substantially as an
entirety is a corporation, partnership  or trust organized and validly  existing
under  the laws  of the United  States or any  state thereof or  the District of
Columbia and expressly assumes payment of the principal of and premium, if  any,
and interest on the Debentures and performance and observance of each obligation
of  the Company under the Indenture,  (b) after consummating such consolidation,
merger, transfer or  lease, no Default  or Event  of Default will  occur and  be
continuing,  (c) such  consolidation, merger  or acquisition  does not adversely
affect the validity or enforceability of the Debentures and (d) the Company  has
delivered  to the  Trustee an Officer's  Certificate and an  Opinion of Counsel,
each stating  that such  consolidation, merger,  conveyance, transfer  or  lease
complies with the provisions of the Indenture.

                                       14
<PAGE>
CERTAIN RIGHTS TO REQUIRE REPURCHASE OF DEBENTURES

    In  the event of any Repurchase Event (as defined below) occurring after the
date of issuance of the Debentures and  on or prior to Maturity, each Holder  of
Debentures  will have the right, at the  Holder's option, to require the Company
to repurchase  all or  any part  of the  Holder's Debentures  on the  date  (the
"Repurchase  Date") that is 30  days after the date  the Company gives notice of
the Repurchase Event  as described  below at  a price  (the "Repurchase  Price")
equal  to 100% of the principal amount thereof, together with accrued and unpaid
interest to the Repurchase Date. On or prior to the Repurchase Date, the Company
shall deposit with the Trustee or a  Paying Agent an amount of money  sufficient
to  pay the  Repurchase Price of  the Debentures which  are to be  repaid on the
Repurchase Date.

    Failure by the Company  to provide timely notice  of a Repurchase Event,  as
provided  for below,  or to  repurchase the  Debentures when  required under the
preceding paragraph  will result  in an  Event of  Default under  the  Indenture
whether  or not such repurchase is  permitted by the subordination provisions of
the Indenture.

    On or before the 15th  day after the occurrence  of a Repurchase Event,  the
Company  is  obligated to  mail to  all Holders  of Debentures  a notice  of the
occurrence of such Repurchase Event, the Repurchase Date, the date by which  the
repurchase  right must be exercised, the Repurchase Price for Debentures and the
procedures which the Holder must follow to exercise this right. To exercise  the
repurchase right, the Holder of a Debenture must deliver, on or before the close
of  business on the  Repurchase Date, irrevocable written  notice to the Company
(or an agent designated by the Company  for such purpose) and to the Trustee  of
the  Holder's exercise of such right,  together with the certificates evidencing
the Debentures with respect to which the right is being exercised, duly endorsed
for transfer.

    A "Repurchase Event" shall have occurred upon the occurrence of a Change  in
Control (as defined below) or a Termination of Trading (as defined below).

    A  "Change in Control" shall occur when: (i) all or substantially all of the
Company's assets are  sold as  an entirety  to any  person or  related group  of
persons;  (ii) there  shall be  consummated any  consolidation or  merger of the
Company (A) in which the Company is not the continuing or surviving  corporation
(other  than a  consolidation or  merger with a  wholly owned  subsidiary of the
Company in which all shares of Common Stock outstanding immediately prior to the
effectiveness thereof are changed into or exchanged for the same  consideration)
or  (B)  pursuant  to which  the  Common  Stock would  be  converted  into cash,
securities or other property, in each case, other than a consolidation or merger
of the Company in which the holders of the Common Stock immediately prior to the
consolidation or merger have, directly or indirectly, at least a majority of the
total voting power of all classes of capital stock entitled to vote generally in
the election of directors of the continuing or surviving corporation immediately
after such consolidation or merger in substantially the same proportion as their
ownership of Common Stock immediately before such transaction; (iii) any person,
or any persons acting together which would constitute a "group" for purposes  of
Section  13(d) of the Exchange Act,  together with any affiliates thereof, shall
beneficially own (as defined in Rule 13d-3 under the Exchange Act) at least  50%
of  the  total voting  power  of all  classes of  capital  stock of  the Company
entitled to vote generally in the election of directors of the Company; (iv)  at
any  time  during  any  consecutive  two-year  period,  individuals  who  at the
beginning of  such period  constituted the  Board of  Directors of  the  Company
(together  with any new directors  whose election by such  Board of Directors or
whose nomination for election by the stockholders of the Company was approved by
a vote of 662 3% of the directors then still in office who were either directors
at the beginning of such period or whose election or nomination for election was
previously so approved)  cease for any  reason to constitute  a majority of  the
Board  of  Directors  of the  Company  then in  office;  or (v)  the  Company is
liquidated or dissolved or adopts a plan of liquidation or dissolution.

                                       15
<PAGE>
    A "Termination of Trading" shall occur if the Common Stock (or other  common
stock  into which  the Debentures  are then  convertible) is  neither listed for
trading on a U.S.  national securities exchange nor  approved for trading on  an
established automated over-the-counter trading market in the United States.

    The right to require the Company to repurchase Debentures as a result of the
occurrence  of a Repurchase Event could create  an event of default under Senior
Indebtedness of the Company, as a result of which any repurchase could, absent a
waiver, be  blocked  by the  subordination  provisions of  the  Debentures.  See
"Subordination."  Failure  by  the  Company to  repurchase  the  Debentures when
required will  result in  an Event  of Default  with respect  to the  Debentures
whether or not such repurchase is permitted by the subordination provisions. The
Company's ability to pay cash to the Holders of Debentures upon a repurchase may
be  limited by  certain financial  covenants contained  in the  Company's Senior
Indebtedness.

    In the event a Repurchase Event occurs and the Holders exercise their rights
to require the Company to repurchase  Debentures, the Company intends to  comply
with applicable tender offer rules under the Exchange Act, including Rules 13e-4
and 14e-1, as then in effect, with respect to any such purchase.

    The  foregoing  provisions  would  not  necessarily  afford  Holders  of the
Debentures protection in  the event  of highly leveraged  or other  transactions
involving  the  Company  that may  adversely  affect Holders.  In  addition, the
foregoing provisions may discourage open market purchases of the Common Stock or
a non-negotiated tender or exchange offer  for such stock and, accordingly,  may
limit  a stockholder's ability to realize a premium over the market price of the
Common Stock in connection with any such transaction.

EVENTS OF DEFAULT

    The following are Events of Default under the Indenture with respect to  the
Debentures:  (a) default in  the payment of  principal of or  any premium on any
Debenture when due  (even if  such payment  is prohibited  by the  subordination
provisions  of the Indenture); (b) default in the payment of any interest on any
Debenture when due, which default continues for 30 days (even if such payment is
prohibited by the  subordination provisions  of the Indenture);  (c) failure  to
provide  timely notice of a  Repurchase Event as required  by the Indenture; (d)
default in the payment of  the Repurchase Price in  respect of any Debenture  on
the  Repurchase  Date  therefor  (even  if such  payment  is  prohibited  by the
subordination provisions of the  Indenture); (e) default  in the performance  of
any  other covenant of the Company in  the Indenture continued for 60 days after
written notice by the Trustee or Holders of at least 25% in aggregate  principal
amount  of the Outstanding Debentures as  provided in the Indenture; (f) default
under any bond,  debenture, note  or other  evidence of  indebtedness for  money
borrowed  by the Company or any subsidiary of the Company or under any mortgage,
indenture or instrument under which there may be issued or by which there may be
secured or evidenced any indebtedness for  money borrowed by the Company or  any
subsidiary  of  the  Company,  whether such  indebtedness  now  exists  or shall
hereafter be  created, which  default  shall constitute  a  failure to  pay  the
principal of indebtedness in excess of $5,000,000 when due and payable after the
expiration  of any  applicable grace period  with respect thereto  or shall have
resulted in indebtedness in excess of $5,000,000 becoming or being declared  due
and  payable prior to the  date on which it would  otherwise have become due and
payable, without such indebtedness having been discharged, or such  acceleration
having  been rescinded or annulled, within a period of 30 days after there shall
have been given to the Company by the Trustee or to the Company and the  Trustee
by  the Holders of at least 25% in aggregate principal amount of the Outstanding
Debentures a written notice specifying such default and requiring the Company to
cause such  indebtedness to  be  discharged or  cause  such acceleration  to  be
rescinded  or  annulled; and  (g) certain  events  in bankruptcy,  insolvency or
reorganization of the Company or any subsidiary of the Company.

    If an Event of  Default with respect  to the Debentures  shall occur and  be
continuing,  the  Trustee or  the  Holders of  not  less than  25%  in aggregate
principal amount of the Outstanding Debentures may

                                       16
<PAGE>
declare the principal of and premium, if  any, on all such Debentures to be  due
and  payable immediately, but if the Company cures all Events of Default (except
the nonpayment of interest on, premium, if any, and principal of any Notes)  and
certain  other conditions  are met,  such declaration  may be  canceled and past
defaults may be  waived by  the Holders  of a  majority in  principal amount  of
Outstanding  Debentures. If an  Event of Default  shall occur as  a result of an
event of  bankruptcy,  insolvency  or  reorganization  of  the  Company  or  any
subsidiary  of the  Company, the  aggregate principal  amount of  the Debentures
shall automatically become due and payable.  The Company is required to  furnish
to  the Trustee  annually a statement  as to  the performance by  the Company of
certain of its obligations  under the Indenture  and as to  any default in  such
performance.  The Indenture provides that the Trustee may withhold notice to the
Holders of the Debentures  of any continuing default  (except in the payment  of
the  principal of  or premium,  if any,  or interest  on any  Debentures) if the
Trustee considers it in the interest of Holders of the Debentures to do so.

MODIFICATION, AMENDMENTS AND WAIVERS

    Modifications and amendments of the Indenture may be made by the Company and
the Trustee without the consent of the Holders to: (a) cause the Indenture to be
qualified under the Trust Indenture Act; (b) evidence the succession of  another
Person  to the Company and the assumption by any such successor of the covenants
of the Company herein  and in the  Debentures; (c) add to  the covenants of  the
Company  for the benefit  of the Holders  or an additional  Event of Default, or
surrender any  right  or  power  conferred upon  the  Company;  (d)  secure  the
Debentures;  (e) make provision with respect to the conversion rights of Holders
in the event of a consolidation, merger or sale of assets involving the Company,
as required by  the Indenture; (f)  evidence and provide  for the acceptance  of
appointment  by a successor Trustee with respect  to the Debentures; or (g) cure
any ambiguity, correct  or supplement any  provision which may  be defective  or
inconsistent with any other provision, or make any other provisions with respect
to  matters  or  questions  arising  under  the  Indenture  which  shall  not be
inconsistent with the provisions  of the Indenture,  PROVIDED, HOWEVER, that  no
such  modification or amendment may adversely affect the interest of the Holders
in any material respect.

    Modifications and amendments of the Indenture may be made by the Company and
the Trustee with the consent of the Holders of a majority in aggregate principal
amount  of  the  Outstanding  Debentures;   PROVIDED,  HOWEVER,  that  no   such
modification  or  amendment  may, without  the  consent  of the  Holder  of each
Outstanding Debenture, (a) change  the Stated Maturity of  the principal of,  or
any  installment of interest on, such Debenture, (b) reduce the principal amount
of, or premium, if any, or interest on, such Debenture, (c) adversely affect the
right to convert such  Debenture or modify the  subordination provisions in  the
Indenture  in a manner adverse to the  Holders, (d) change the place or currency
of payment of principal of, or premium, if any, or interest on, such  Debenture,
(e)  adversely affect the right to require the Company to repurchase Debentures,
(f) impair the right to institute suit  for the enforcement of any such  payment
on  or with respect to such Debenture, or (g) reduce the percentage in principal
amount of Outstanding Debentures, the consent  of whose Holders is required  for
modification  or amendment  of the  Indenture or  for waiver  of compliance with
certain provisions of the Indenture or for waiver of certain defaults.

    The Holders of a majority in  aggregate principal amount of the  Outstanding
Debentures  may, on behalf of all Holders of Debentures, waive compliance by the
Company with certain restrictive provisions of  the Indenture. The Holders of  a
majority  in aggregate  principal amount of  the Outstanding  Debentures may, on
behalf of all Holders of Debentures, waive any past default under the  Indenture
with respect to the Debentures, except a default in the payment of principal of,
or  premium, if any,  or interest or in  respect of a  provision which under the
Indenture cannot be modified  or amended without consent  of the Holder of  each
Outstanding Debenture.

SATISFACTION AND DISCHARGE

    The  Company  may  discharge  its  obligations  under  the  Indenture  while
Debentures remain Outstanding if (a) all Outstanding Debentures will become  due
and payable at their scheduled

                                       17
<PAGE>
maturity  within one  year or (b)  all Outstanding Debentures  are scheduled for
redemption within one year,  and in either case  the Company has deposited  with
the Trustee an amount sufficient to pay and discharge all Outstanding Debentures
on the date of their scheduled maturity or the scheduled date of redemption.

DELIVERY AND FORM OF DEBENTURES

    The  Debentures were sold to Qualified  Institutional Buyers (each, a "QIB")
in reliance on Rule 144A under  the Securities Act and were initially  deposited
with,  or on behalf of,  The Depository Trust Company  ("DTC") and registered in
the name of Cede & Co., as DTC's nominee, in the form of a global Debenture (the
"Rule 144A Global Debenture"). Interests in the Rule 144A Global Debenture  will
be  shown  in, and  transfers  thereof will  be  effected only  through, records
maintained by DTC and its participants ("participants"). Only QIBs may elect  to
hold   Debentures   through  the   Depository.   Debentures  purchased   by  (i)
institutional accredited investors that  are not QIBs  and (ii) persons  outside
the  United States in  offshore transactions pursuant to  Regulation S under the
Securities Act ("Regulation S Purchasers") are represented by Debentures  issued
in  definitive registered form without  coupons (the "Certificated Debentures").
Only Debentures held by Qualified Institutional Buyers may be represented by the
Rule 144A Global Debenture. The Rule  144A Global Debenture will be (i)  reduced
in  principal amount to reflect the  subsequent transfer by owners of beneficial
interest in  the Rule  144A Global  Debenture  to a  Regulation S  Purchaser  or
another  person who is not a Qualified  Institutional Buyer or (ii) increased in
principal amount to reflect the subsequent transfer of a Certificated  Debenture
to  a Qualified  Institutional Buyer  from a  Regulation S  Purchaser or another
person who is not a Qualified  Institutional Buyer. Transfer of the  Debentures,
whether  as an  interest in  the Rule 144A  Global Debenture  or as Certificated
Debentures, must be made in accordance with the Indenture.

PAYMENTS OF PRINCIPAL AND INTEREST

    The Indenture requires that payments in respect of the Debentures (including
principal, premium,  if any,  and interest)  held of  record by  DTC  (including
Debentures  evidenced by  the Rule  144A Global Debenture)  be made  in same day
funds. Payments in  respect of the  Debentures held of  record by holders  other
than  DTC may, at the option of the Company, be made by check and mailed to such
holders of record as shown on the register for the Debentures.

GOVERNING LAW

    The Indenture and  Debentures are  governed by and  construed in  accordance
with  the laws of the  State of New York, without  giving effect to such State's
conflicts of laws principles.

INFORMATION CONCERNING THE TRUSTEE

    The Company and its subsidiaries  may maintain deposit accounts and  conduct
other banking transactions with the Trustee in the ordinary course of business.

REGISTRATION RIGHTS; LIQUIDATED DAMAGES

    Pursuant  to the Registration  Rights Agreement between  the Company and the
Initial Purchasers, the  Company has  filed with the  Commission a  registration
statement  on  Form  S-3 (the  "Shelf  Registration Statement"),  of  which this
Prospectus is a  part, to cover  resales of Transfer  Restricted Securities  (as
defined below) by the holders thereof who satisfy certain conditions relating to
the   provision  of  information  in  connection  with  the  Shelf  Registration
Statement. For purposes of the foregoing, "Transfer Restricted Securities" means
each Debenture and any underlying share of Common Stock until the date on  which
such  Debenture  or  underlying  share  of  Common  Stock  has  been effectively
registered under the Securities Act and disposed of in accordance with the Shelf
Registration Statement, the date on which such Debenture or underlying share  of
Common  Stock  is distributed  to  the public  pursuant  to Rule  144  under the
Securities Act or on  the date such  Debenture or share of  Common Stock may  be
sold  or transferred pursuant to Rule 144(k)  (or any similar provisions then in
force).

                                       18
<PAGE>
    The Registration Rights Agreement provides that if (i) the applicable  Shelf
Registration  Statement is not filed with the  Commission on or prior to 60 days
after the Closing Date, or the  applicable Shelf Registration Statement has  not
been  declared effective by the Commission within 90 days after the Closing Date
or (ii) the  Shelf Registration Statement  shall cease to  be effective  without
being  succeeded immediately by  an additional registration  statement filed and
declared effective  (each such  event referred  to in  clauses (i)  and (ii),  a
("Registration Default"), the Company will pay liquidated damages to each Holder
of  Transfer  Restricted Securities.  The amount  of liquidated  damages payable
during any period during which a Registration Default shall have occurred and be
continuing is that amount which is equal to one-quarter of one percent (25 basis
points) per annum per  $1,000 principal amount of  Debentures or $.07 per  annum
per  share of Common Stock (subject to  adjustment in the event of stock splits,
stock recombinations,  stock  dividends  and  the  like)  constituting  Transfer
Restricted  Securities. All accrued liquidated damages  shall be paid to holders
of Debentures by  wire transfer  of immediately  available funds  or by  federal
funds  check by  the Company  on each  Damages Payment  Date (as  defined in the
Registration Rights Agreement).  Following the cure  of a Registration  Default,
liquidated  damages  will  cease to  accrue  with respect  to  such Registration
Default.

    Holders of the Debentures will  be required to make certain  representations
to the Company (as described in the Registration Rights Agreement) in connection
with  the Shelf Registration Statement within the  time periods set forth in the
Registration Rights Agreement in order to have their Debentures and Common Stock
included in the Shelf Registration Statement.

    The Company shall cause the Shelf Registration Statement to be effective for
a period of three years from the  effective date thereof or such shorter  period
that  will terminate when each of  the Transfer Restricted Securities covered by
the Registration Statement ceases to be a Transfer Restricted Security.

    The foregoing  summary  of certain  provisions  of the  Registration  Rights
Agreement does not purport to be complete and is subject to, and is qualified in
its  entirety  by  reference  to,  the  provisions  of  the  Registration Rights
Agreement. Copies of the  Registration Rights Agreement  are available from  the
Company upon request.

ABSENCE OF PUBLIC MARKET

    There is no existing market for the Debentures and there can be no assurance
as  to the  liquidity of any  markets that  may develop for  the Debentures, the
ability of the holders to sell their Debentures or at what price holders of  the
Debentures  will be able to sell their  Debentures. Future trading prices of the
Debentures  will  depend  upon  many  factors  including,  among  other  things,
prevailing  interest rates,  the Company's operating  results, the  price of the
Common Stock and the market for similar securities. The Initial Purchasers  have
informed the Company that they intend to make a market in the Debentures offered
hereby;  however, the Initial Purchasers are not obligated to do so and any such
market making  activity may  be terminated  at any  time without  notice to  the
holders  of the Debentures.  See "Registration Rights;  Liquidated Damages." The
Debentures have been designated for trading  in the PORTAL Market; however,  the
Company does not intend to apply for listing of the Debentures on any securities
exchange.

                          DESCRIPTION OF CAPITAL STOCK

    The  Company's  authorized capital  stock consists  of 25,000,000  shares of
Common Stock, par value $.01 per  share, and 500,000 shares of Preferred  Stock,
par  value $.01 per share. No shares of Preferred Stock are outstanding. Certain
Preferred  Stock  Purchase  Rights  were  distributed  pursuant  to  a  dividend
distribution  declared April 10, 1992, and 50,000 shares of Preferred Stock were
designated and reserved  as Series  A Junior Participating  Preferred Stock  for
issuance upon exercise of such rights. As of January 31, 1995, 10,934,080 shares
of  Common Stock (including  88,572 shares held in  escrow) were outstanding and
held by approximately 950 shareholders of record.

                                       19
<PAGE>
COMMON STOCK

    Subject to the prior rights  of any shares of  Preferred Stock which may  be
issued  in the future, the  holders of the Common  Stock are entitled to receive
dividends as and when declared  by the Board of  Directors out of funds  legally
available  for  dividends,  and, in  the  event of  liquidation,  dissolution or
winding up  of the  Company, to  share  ratably in  all assets  remaining  after
payment of liabilities. The holders of the Common Stock are entitled to one vote
for each share of Common Stock held of record on all matters submitted to a vote
of  shareholders. Since  holders of Common  Stock do not  have cumulative voting
rights, holders  of more  than 50%  of the  outstanding shares  of Common  Stock
present  and voting at an annual meeting at  which a quorum is present can elect
all the directors of the Company. The holders of Common Stock have no preemptive
rights or conversion rights and are not subject to further calls or  assessments
by the Company. There are no redemption or sinking fund provisions applicable to
the Common Stock.

    The Transfer Agent for the Company's Common Stock is The Bank of New York.

PREFERRED STOCK

    The Board of Directors is authorized to issue shares of Preferred Stock from
time  to time  in one  or more  classes or  series and  to fix  by resolution or
resolutions (without further stockholder action) the voting rights, if any,  and
the  designations, preferences  and relative, participating,  optional and other
special rights, and  the qualifications, limitations  and restrictions  thereof,
including,  without limitation,  the dividend rights,  conversion rights, rights
and terms  of redemption  (including sinking  fund provisions)  and  liquidation
rights  of each  such class or  series. In  addition, the Board  of Directors is
empowered to determine the number of  shares constituting each class and  series
of  Preferred Stock and, subject to  compliance with applicable law, to increase
or decrease the  number of shares  of each such  class or series.  The Board  of
Directors  may, without shareholder approval,  issue Preferred Stock with voting
and conversion rights which could adversely  affect the voting power of  holders
of Common Stock.

PREFERRED STOCK PURCHASE RIGHTS

    The  description  of  certain Preferred  Stock  Purchase  Rights distributed
pursuant to a dividend distribution declared by the Company's Board of Directors
on April 10, 1992, and of the shares of Series A Junior Participating  Preferred
Stock  reserved for  issuance upon exercise  of such Rights,  is incorporated by
reference to Item 1 of the Company's Form 8-A, dated April 10, 1992, filed  with
the Securities and Exchange Commission on April 13, 1992.

    The  Preferred Stock Purchase Rights have certain anti-takeover effects. The
Rights will cause  substantial dilution to  a person or  group that attempts  to
acquire  the Company without  conditioning the offer on  a substantial number of
the Rights being acquired.  The Rights should not  interfere with any merger  or
other  business combination approved by the  Board of Directors since the Rights
may be redeemed by the Company.

CERTAIN PROVISIONS OF THE COMPANY'S CERTIFICATE AND BY-LAWS

    The Company's Certificate of  Incorporation (as amended, the  "Certificate")
provides  that the  Board of  Directors consists  of three  classes of directors
serving for staggered three-year terms. As a result, one-third of the  Company's
Board  of Directors  will be elected  each year. The  classified board provision
could prevent a  party who  acquires control of  a majority  of the  outstanding
voting  stock of the  Company from obtaining  control of the  Board of Directors
until the second  annual stockholders  meeting following the  date the  acquirer
obtains  the controlling interest. Subject to the rights of holders of Preferred
Stock of the Company, any vacancy on  the Board of Directors may be filled  only
by the remaining directors then in office.

    The  Company has 500,000 authorized and  unissued shares of Preferred Stock.
The Certificate  grants the  Board of  Directors broad  power to  establish  the
designations,  powers, preferences and rights of  any series of Preferred Stock.
Such stock  could be  used by  the Board  of Directors  for defensive  purposes,
including  its  issuance or  sale to  third parties  or use  in recapitalization
transactions.

                                       20
<PAGE>
    In order for a stockholder to  nominate a candidate for director, under  the
Company's  By-laws, timely notice of the nomination must be given to the Company
in advance of the meeting. Such notice  must be given in respect to an  election
to be held at an annual meeting of stockholders not less than 90 days before the
anniversary  of the immediately  preceding annual meeting, and  must be given in
respect to an election to be held at a special meeting of stockholders within 10
days after the notice of the  meeting is given to stockholders. The  stockholder
filing  the notice  of nomination  must describe  various matters  regarding the
nominee, including  such information  as name,  address, occupation  and  shares
held.

    In  order  for  a  stockholder  to bring  other  business  before  an annual
stockholder meeting, timely notice must be received by the Company not less than
60 days nor more than 90 days before the meeting (but if the Company gives  less
than  70 days notice of the meeting, then such notice must be received within 10
days after the notice of the meeting is mailed or other public disclosure of the
meeting is  made).  Such notice  must  include  a description  of  the  proposed
business, the reasons therefore, and other specified matters.

    Under  the By-laws, special  meetings of stockholders may  be called only by
the Board of Directors or the President of the Company, and may not be called by
stockholders. In addition, the Certificate provides that any action required  or
permitted to be taken by the stockholders of the Company at an annual or special
meeting of stockholders must be effected at a duly called meeting and may not be
taken or effected by a written consent of the stockholders in lieu thereof.

    The  By-laws may be amended by the Board of Directors or by affirmative vote
of the holders of two-thirds of the stock issued and outstanding and entitled to
vote thereon.  Certain  provisions  of  the  Certificate,  including  provisions
concerning  the classified Board of Directors and the ability of stockholders to
take action only at an  annual or special meeting  of stockholders, may only  be
amended by the affirmative vote of the holders of two-thirds of the stock issued
and outstanding and entitled to vote thereon. The foregoing summary is qualified
in  its entirety by reference to the  full text of the Company's Certificate and
By-laws.

    These provisions  are  designed  in  part to  make  it  more  difficult  and
time-consuming  to  obtain majority  control of  the Board  of Directors  of the
Company or otherwise to bring a  matter before stockholders without the  Board's
consent,  and thus  reduce the  vulnerability of  the Company  to an unsolicited
takeover proposal.  These  provisions are  designed  to enable  the  Company  to
develop  its business in a  manner which will foster  its long-term growth, with
the threat of a takeover not deemed by  the Board to be in the best interest  of
the Company and its stockholders and the potential disruption entailed by such a
threat  reduced to the  extent practicable. On the  other hand, these provisions
may have  an adverse  effect on  the ability  of stockholders  to influence  the
governance  of  the  Company and  the  possibility of  stockholders  receiving a
premium above market price for their securities from a potential acquiror who is
unfriendly to management.

DELAWARE GENERAL CORPORATION LAW SECTION 203

    As a corporation  organized under  the laws of  the State  of Delaware,  the
Company  is subject to Section 203 of the Delaware General Corporation Law which
restricts certain business combinations between  the Company and an  "interested
stockholder"  (in general,  a stockholder  owning 15%  or more  of the Company's
outstanding voting stock) or its affiliates or associates for a period of  three
years  following  the  date  on which  the  stockholder  becomes  an "interested
stockholder." The  restrictions do  not  apply if  (i)  prior to  an  interested
stockholder  becoming such, the Board of  Directors approves either the business
combination or the transaction  in which the  stockholder becomes an  interested
stockholder  (ii)  upon  consummation of  the  transaction in  which  any person
becomes an interested stockholder, such interested stockholder owns at least 85%
of the  voting stock  of the  Company outstanding  at the  time the  transaction
commences  (excluding shares owned by certain employee stock ownership plans and
persons who are  both directors  and officers  of the  Company) or  (iii) on  or
subsequent  to the  date an  interested stockholder  becomes such,  the business
combination is both

                                       21
<PAGE>
approved by  the Board  of Directors  and  authorized at  an annual  or  special
meeting   of  the  Company's  stockholders,  not  by  written  consent,  by  the
affirmative vote of at least 66 2/3%  of the outstanding voting stock not  owned
by the interested stockholder.

REGISTRATION RIGHTS

    In  September 1994, the Company  entered into registration rights agreements
with certain stockholders  in connection with  the issuance of  common stock  to
Shamrock  Investments and the merger of J.P. Cole & Associates, Inc. and Paragon
Ambulatory Surgery,  Inc.  into the  Company.  Under these  registration  rights
agreements,  Shamrock Investments  has the right  to demand  one registration on
Form S-3  of the  shares  of Common  Stock held  by  it. In  addition,  Shamrock
Investments, Charles P. Reilly, Michael E. Gallagher, Jonathan Spees and John P.
Cole have certain "piggy-back" registration rights under the Securities Act with
respect  to  the Common  Stock held  by such  stockholders. Accordingly,  if the
Company proposes to  effect certain  registrations of its  securities under  the
Securities  Act,  the Company  is required  to notify  such stockholders  and to
include in such registration all of the  shares of Common Stock requested to  be
included   by  such  stockholders,  subject  to  the  right  of  an  underwriter
participating in the  offering to limit  the number of  shares included in  such
registration.  The Company shall  not be required  to include such  shares in an
underwriting unless the  holders thereof  enter into  an underwriting  agreement
upon terms and conditions agreed upon by the Company and the underwriter (except
as  to monetary obligations of the  holders not contemplated by the registration
rights agreements).  Any such  stockholders  requesting registration  shall  pay
their  own expenses and  shall bear, on  a pro rata  basis with other requesting
stockholders,  all  incremental  registration  expenses  that  result  from  the
inclusion of such shares in a registration.

    The Company may delay, suspend or withdraw any registration or qualification
of  securities required  pursuant to  the registration  rights agreements  for a
period not exceeding 120 days if the  Company determines in good faith that  any
such registration would adversely affect an offering or contemplated offering of
any  securities  of the  Company or  any  other contemplated  material corporate
event. In addition, the Company  shall not be required  to effect more than  one
registration in any twelve-month period in which such stockholders were afforded
the opportunity to register securities.

    The  holders of such registration rights,  covering in the aggregate 967,827
shares of Common Stock (including shares  issuable upon the exercise of  options
or  the  conversion of  convertible securities),  may  request that  the Company
include some or  all of the  registrable securities  held by them  in the  Shelf
Registration  Statement. See "Description of  Debentures -- Registration Rights;
Liquidated Damages."

                            SELLING SECURITYHOLDERS

    The following table sets forth certain  information as of February 15,  1996
(except  as otherwise  indicated) as  to the  security ownership  of the Selling
Securityholders. Except as set forth below, none of the Selling  Securityholders
has  had a material relationship with the  Company or any of its predecessors or
affiliates within the past three years.
<TABLE>
<CAPTION>
                                                  PRINCIPAL AMOUNT                                SHARES OF COMMON
                                                   OF DEBENTURES                                       STOCK
                                                 BENEFICIALLY OWNED          PRINCIPAL           BENEFICIALLY OWNED
                                                 PRIOR TO OFFERING           AMOUNT OF           PRIOR TO OFFERING
                                            ----------------------------    DEBENTURES     ------------------------------
NAME                                            AMOUNT         PERCENT      BEING SOLD          NUMBER          PERCENT
- ------------------------------------------  ---------------  -----------  ---------------  -----------------  -----------
<S>                                         <C>              <C>          <C>              <C>                <C>
General Motors Employees Domestic Group
 Trust....................................  $    13,800,000       20.00   $    13,800,000        514,122            4.43
Bankers Trust Company (1).................  $     5,780,000        8.38   $     5,780,000        212,110            1.90
Oppenheimer Main Street Income & Growth
 Fund.....................................  $     5,000,000        7.25   $     5,000,000        183,486            1.65
Allstate Insurance Company................  $     4,000,000        5.80   $     4,000,000        146,789            1.32
Forest Fulcrum Fund LP....................  $     2,850,000        4.13   $     2,850,000        104,587           *
SBC Capital Markets Inc...................  $     2,800,000        4.06   $     2,800,000        102,752           *

<CAPTION>

                                            SHARES OF COMMON
                                            STOCK UNDERLYING
                                            DEBENTURES BEING
                                                SOLD AND
NAME                                        ADDITIONAL SHARES
- ------------------------------------------  -----------------
<S>                                         <C>
General Motors Employees Domestic Group
 Trust....................................         506,422
Bankers Trust Company (1).................         212,110
Oppenheimer Main Street Income & Growth
 Fund.....................................         183,486
Allstate Insurance Company................         146,789
Forest Fulcrum Fund LP....................         104,587
SBC Capital Markets Inc...................         102,752
</TABLE>

                                       22
<PAGE>
<TABLE>
<CAPTION>
                                                  PRINCIPAL AMOUNT                                SHARES OF COMMON
                                                   OF DEBENTURES                                       STOCK
                                                 BENEFICIALLY OWNED          PRINCIPAL           BENEFICIALLY OWNED
                                                 PRIOR TO OFFERING           AMOUNT OF           PRIOR TO OFFERING
                                            ----------------------------    DEBENTURES     ------------------------------
NAME                                            AMOUNT         PERCENT      BEING SOLD          NUMBER          PERCENT
- ------------------------------------------  ---------------  -----------  ---------------  -----------------  -----------
Oregon Equity Fund........................  $     2,500,000        3.62   $     2,500,000         91,743           *
<S>                                         <C>              <C>          <C>              <C>                <C>
Tennessee Consolidated Retirement.........  $     2,500,000        3.62   $     2,500,000         91,743           *
Paul Berkman and Company..................  $     1,800,000        2.61   $     1,800,000         66,055           *
OCM Convertible Trust.....................  $     1,580,000        2.29   $     1,580,000         57,981           *
SAIF Corporation..........................  $     1,550,000        2.25   $     1,550,000         56,880           *
Societe Generale Bonafide Arbitrage.......  $     1,500,000        2.17   $     1,500,000         57,981           *
Delaware State Employees' Retirement
 Fund.....................................  $     1,260,000        1.83   $     1,260,000         46,238           *
Forest Fulcrum Fd Ltd.....................  $     1,150,000        1.66   $     1,150,000         42,201           *
Offshore Strategies, Ltd..................  $     1,100,000        1.59   $     1,100,000         40,367           *
Commonwealth Life Insurance Co. Stock TRAC
 (Teamsters 1)............................  $     1,000,000        1.45   $     1,000,000         36,697           *
Delta Airlines Master Trust...............  $       920,000        1.33   $       920,000         33,761           *
Nicholas-Applegate Income & Growth........  $       900,000        1.30   $       900,000         33,027           *
San Diego County Employees Retirement
 Acct.....................................  $       800,000        1.16   $       800,000         29,537           *
Templeton Global Hedged Convert Ltd.......  $       800,000        1.16   $       800,000         29,537           *
Central State Southeast & Southwest
 Pension Fund.............................  $       790,000        1.14   $       790,000         28,990           *
JMG Convertible Investments, L.P..........  $       750,000        1.09   $       750,000         27,523           *
McMahan Securities Co. L.P................  $       750,000        1.09   $       750,000         27,523           *
State of Delaware Retirement..............  $       750,000        1.09   $       750,000         27,523           *
Massachusetts Pension Reserve Investment
 Management Board.........................  $       670,000       *       $       670,000         24,587           *
31 West Fund L.P..........................  $       500,000       *       $       500,000         18,348           *
Ince and Company..........................          450,000       *       $       450,000         16,513           *
Templeton Global Hedged Convert L.P.......  $       450,000       *       $       450,000         16,513           *
Weirton Convertible.......................  $       430,000       *       $       430,000         15,779           *
Declaration of Trust for Defined Benefit
 Plan of ICI American Holdings............  $       390,000       *       $       390,000         14,312           *
ICI American Holdings Pension.............  $       350,000       *       $       350,000         12,844           *
Zeneca Holdings Pension...................  $       350,000       *       $       350,000         12,884           *
State Employees' Retirement Fund of the
 State of Delaware........................  $       330,000       *       $       330,000         12,110           *
Harris Trust & Savings Bank, Trustee for
 the Harris Trust and Savings Bank Trust
 for Collective Investment of Employee
 Benefit Accounts -- Convertible Fund.....  $       300,000       *       $       300,000         11,009           *
Declaration of Trust for Defined Benefit
 Plan of Zeneca Holdings Inc..............  $       255,000       *       $       255,100          9,357           *

<CAPTION>

                                            SHARES OF COMMON
                                            STOCK UNDERLYING
                                            DEBENTURES BEING
                                                SOLD AND
NAME                                        ADDITIONAL SHARES
- ------------------------------------------  -----------------
Oregon Equity Fund........................          91,743
<S>                                         <C>
Tennessee Consolidated Retirement.........          91,743
Paul Berkman and Company..................          66,055
OCM Convertible Trust.....................          57,981
SAIF Corporation..........................          56,880
Societe Generale Bonafide Arbitrage.......          57,981
Delaware State Employees' Retirement
 Fund.....................................          46,238
Forest Fulcrum Fd Ltd.....................          42,201
Offshore Strategies, Ltd..................          40,367
Commonwealth Life Insurance Co. Stock TRAC
 (Teamsters 1)............................          36,697
Delta Airlines Master Trust...............          33,761
Nicholas-Applegate Income & Growth........          33,027
San Diego County Employees Retirement
 Acct.....................................          29,537
Templeton Global Hedged Convert Ltd.......          29,537
Central State Southeast & Southwest
 Pension Fund.............................          28,990
JMG Convertible Investments, L.P..........          27,523
McMahan Securities Co. L.P................          27,523
State of Delaware Retirement..............          27,523
Massachusetts Pension Reserve Investment
 Management Board.........................          24,587
31 West Fund L.P..........................          18,348
Ince and Company..........................          16,513
Templeton Global Hedged Convert L.P.......          16,513
Weirton Convertible.......................          15,779
Declaration of Trust for Defined Benefit
 Plan of ICI American Holdings............          14,312
ICI American Holdings Pension.............          12,844
Zeneca Holdings Pension...................          12,884
State Employees' Retirement Fund of the
 State of Delaware........................          12,110
Harris Trust & Savings Bank, Trustee for
 the Harris Trust and Savings Bank Trust
 for Collective Investment of Employee
 Benefit Accounts -- Convertible Fund.....          11,009
Declaration of Trust for Defined Benefit
 Plan of Zeneca Holdings Inc..............           9,357
</TABLE>

                                       23
<PAGE>
<TABLE>
<CAPTION>
                                       PRINCIPAL AMOUNT                            SHARES OF COMMON         SHARES OF COMMON
                                         OF DEBENTURES                                  STOCK               STOCK UNDERLYING
                                      BENEFICIALLY OWNED       PRINCIPAL          BENEFICIALLY OWNED        DEBENTURES BEING
                                       PRIOR TO OFFERING       AMOUNT OF          PRIOR TO OFFERING             SOLD AND
                                   -------------------------   DEBENTURES   ------------------------------     ADDITIONAL
NAME                                  AMOUNT       PERCENT     BEING SOLD        NUMBER          PERCENT         SHARES
- ---------------------------------  ------------  -----------  ------------  -----------------  -----------  ----------------
Laterman & Co.............................  $       250,000       *       $       250,000          9,174           *
<S>                                <C>           <C>          <C>           <C>                <C>          <C>
Laterman Strategies 90's L.P.....  $    250,000       *       $    250,000       9,174              *           9,174
WAFRA Discretionary..............  $    250,000       *       $    250,000       9,174              *           9,174
PB International CV..............  $    200,000       *       $    200,000       7,339              *           7,339
Thermo Electron Balanced
 Investment Fund.................  $    175,000       *       $    175,000       6,422              *           6,422
San Diego City Employees
 Retirement System...............  $    170,000       *       $    170,000       6,238              *           6,238
Firebird Overseas, Ltd...........  $    150,000       *       $    150,000       5,804              *           5,504
Bank of America Convertible
 Securities Fund.................  $    150,000       *       $    150,000       5,504              *           5,504
NALCO Chemical Retirement
 Trust...........................  $    150,000       *       $    150,000       5,504              *           5,504
Magus Int'l Limited..............  $    100,000       *       $    100,000       3,669              *           3,669
Kapiolani Medical Center.........  $    100,000       *       $    100,000       3,669              *           3,669
Bankers Trust FBO Los Angeles
 County Metro Transit
 Authority.......................  $    100,000       *       $    100,000       3,669              *           3,669
Bankers Trust FBO Presbyterian
 Healthcare......................  $    100,000       *       $    100,000       3,669              *           3,669
Wachovia Bank of NC, Custodian
 for Wake Forest University......  $    100,000       *       $    100,000       3,669              *           3,669
Hillside Capital.................  $     85,000       *       $     85,000       3,119              *           3,119
Occidental College...............  $     50,000       *       $     50,000       1,834              *           1,834
Hillside Master Trust............  $     35,000       *       $     35,000       1,284              *           1,284
Fleet Bank of MA, Custodian for
 Museum of Fine Arts.............  $     20,000       *       $     20,000         733              *             733
Other Selling Securityholders
 (2).............................  $  5,460,000        7.91   $  5,460,000     200,366               1.80     200,366
Voting Group (3)(4)(5) Charles H.
 Robbins and Ellen E. Robbins;
 Jack M. Mazur and Lynn Mazur,
 VACHR, Inc.; Michael D. Starr;
 Shamrock Investments; Charles P.
 Reilly; Michael E. Gallagher....       --           --            --        3,808,089(6)           31.73     755,717(7)(10)
Shamrock Group (3)(5)(8) Charles
 P. Reilly; Michael E. Gallagher;
 Shamrock Investments............       --           --            --        1,075,675(9)            9.43     755,717(10)
Charles P. Reilly (3)(5)(11).....       --           --            --          508,545(12)(13)       4.54     313,945(13)
Michael E. Gallagher (3)(5)(14)..       --           --            --          338,457(15)(16)       3.05     235,599(16)
Shamrock Investments (3)(5)......       --           --            --          228,673(17)(18)       2.09     206,173(18)
John P. Cole (3)(5)(19)..........       --           --            --          350,000(20)(21)       3.18     200,000(21)
Jonathan J. Spees (3)(22)........       --           --            --           12,110                  *      12,110

<CAPTION>
Laterman & Co.............................           9,174
<S>                                  <C>
</TABLE>

- ------------------------
 *   Less than 1%.

                                       24
<PAGE>
 (1) $5,780,000 aggregate principal amount of Debentures are beneficially  owned
     by  clients of Bankers Trust  Company and held by  Bankers Trust Company as
     custodian for these  clients. Information regarding  these clients will  be
     added by supplement to this Prospectus.

 (2) Information regarding these persons or entities will be added by supplement
     to this Prospectus.

 (3) Information is as of February 19, 1996.

 (4) The persons listed are parties to a Voting Agreement dated as of October 7,
     1994,  pursuant to  which they  have agreed  to act  together under certain
     circumstances. See  "Risk  Factors --  Control  by Management  and  Certain
     Stockholders." These persons constitute a group (the "Voting Group") within
     the  meaning of Section 13(d)(3) of the Exchange Act and have jointly filed
     a Schedule 13D with the Securities and Exchange Commission. For  additional
     information  regarding the relationship  between the members  of the Voting
     Group and the Company,  see Items 10-13 of  the Company's Annual Report  on
     Form 10-K/A for the fiscal year ended April 30, 1995, which is incorporated
     herein by reference.

 (5) Each member of the Voting Group and certain other officers and directors of
     the  Company (including Mr. Cole) have agreed that prior to April 12, 1996,
     they will not,  without the  prior written  consent of  Smith Barney  Inc.,
     sell, offer to sell, contract to sell or otherwise dispose of any shares of
     Common  Stock or  any securities convertible  into or  exchangeable for any
     shares of Common Stock.

 (6) For additional information regarding the beneficial ownership of shares  by
     members  of the Voting  Group, see Item 12  ("Security Ownership of Certain
     Beneficial Owners and Management") of  the Company's Annual Report on  Form
     10-K/A  for the  fiscal year  ended April  30, 1995,  which is incorporated
     herein by reference.

 (7) Does not include any shares beneficially owned by Charles H. Robbins, Ellen
     E. Robbins, Jack  M. Mazur, Lynn  Mazur, VACHR, Inc.  or Michael D.  Starr,
     other  than the shares referred to in note 10 in which such persons have no
     pecuniary interest.

 (8) Shamrock Investments, Charles P. Reilly and Michael E. Gallagher constitute
     a group (separate from the Voting  Group, the "Shamrock Group") within  the
     meaning  of Section 13(d)(3) of  the Exchange Act and  have jointly filed a
     Schedule 13D with  the Securities and  Exchange Commission. For  additional
     information  regarding  the relationship  between  members of  the Shamrock
     Group and  the Company,  see Item  13 ("Certain  Transactions and  Business
     Relationships")  of  the Company's  Annual Report  on  Form 10-K/A  for the
     fiscal  year  ended  April  30,  1995,  which  is  incorporated  herein  by
     reference.

 (9) Includes  508,545 shares beneficially owned by Mr. Reilly (see notes 12 and
     13 below), 338,457 shares beneficially owned by Mr. Gallagher (see notes 15
     and 16 below) and 228,673 shares beneficially owned by Shamrock Investments
     (see notes 17 and 18 below). Excludes additional shares referred to in note
     6 deemed to be beneficially owned by  the members of the Shamrock Group  by
     virtue of their participation in the Voting Group.

(10) Includes  313,945  shares beneficially  owned by  Mr.  Reilly (see  note 13
     below), 235,599 shares  beneficially owned  by Mr. Gallagher  (see note  16
     below)  and 206,173 shares beneficially  owned by Shamrock Investments (see
     note 18 below).

(11) Mr. Reilly joined the  Company as a  Director in 1991.  He is the  managing
     general  partner of Shamrock Investments. From  August 1994 to August 1995,
     Mr. Reilly  was an  employee of  the Company,  serving as  chairman of  the
     Company's Executive Council.

(12) Includes 137,142 shares issuable upon the exercise of stock options granted
     to Mr. Reilly in connection with his employment agreement and an additional
     52,500  shares issuable upon  the exercise of stock  options granted to Mr.
     Reilly.

(13) Includes 205,074 shares  issued to  Mr. Reilly and  59,963 shares  issuable
     upon the conversion of convertible notes issued to Mr. Reilly in connection
     with  the merger of Paragon Ambulatory  Surgery, Inc. into the Company (the
     "Paragon Merger"). Also  includes 24,454  shares issued to  Mr. Reilly  and
     24,454  shares issuable upon  the exercise of stock  options granted to Mr.
     Reilly in connection with the merger  of J.P. Cole & Associates, Inc.  into
     the  Company (the "Cole Merger").  Of the shares and  options issued to Mr.
     Reilly in connection with the Cole Merger, 15,162 shares are held in escrow
     subject to forfeiture  unless certain performance  conditions are met,  and

                                       25
<PAGE>
     15,162   options  will  become  exercisable  only  if  certain  performance
     conditions are met  by December  30, 1996  or a  change of  control of  the
     Company  occurs prior to that date.  Excludes additional shares referred to
     in notes 6, 15, 16, 17 and 18 deemed to be beneficially owned by Mr. Reilly
     by virtu

(14) Mr. Gallagher is  a general  partner of Shamrock  Investments. From  August
     1994  to August 1995, Mr. Gallagher was employed by the Company as a member
     of its Executive Council. He  previously served as Chief Executive  Officer
     of  Paragon Ambulatory Surgery, Inc., which  was merged into the Company on
     September 29, 1994.

(15) Includes 102,858 shares issuable upon the exercise of stock options granted
     to Mr. Gallagher in connection with his employment agreement.

(16) Includes 153,816 shares to  Mr. Gallagher and  44,975 shares issuable  upon
     the  conversion of convertible notes issued  to Mr. Gallagher in connection
     with the  Paragon  Merger.  Also  includes  18,404  shares  issued  to  Mr.
     Gallagher  and 18,404  shares issuable upon  the exercise  of stock options
     granted to Mr. Gallagher in connection with the Cole Merger. Of the  shares
     and  options issued  to Mr. Gallagher  in connection with  the Cole Merger,
     11,410 shares  are held  in  escrow subject  to forfeiture  unless  certain
     performance  conditions are met, and 11,410 options will become exercisable
     only if certain performance  conditions are met by  December 30, 1996 or  a
     chance  of  control of  the  Company occurs  prior  to that  date. Excludes
     additional shares referred to in notes 6,  12, 13, 17, and 18 deemed to  be
     beneficially  owned by Mr. Gallagher by  virtue of his participation in the
     Shamrock Group and the Voting Group.

(17) Includes 22,500 shares issuable upon the exercise of stock options  granted
     to Shamrock Investments.

(18) Inclues  6,173 shares  issuable upon  conversion of  convertible promissory
     notes held by Shamrock Investments. Also includes 200,000 shares issued  to
     Shamrock  Investments pursuant to the Stock Purchase Agreement, dated as of
     September 29, 1994, by  and between the  Company and Shamrock  Investments.
     Excludes  additional shares  referred to  in notes  6, 12,  13, 15,  and 16
     deemed to be beneficially  owned by Shamrock Investments  by virtue of  its
     participation in the Voting Group.

(19) Mr.  Cole  joined the  Company in  1993.  On September  29, 1994,  Mr. Cole
     entered into an employment agreement with the Company pursuant to which  he
     serves  as  an  Executive  Vice  President of  the  Company  and  heads the
     marketing of the Company's commercial products and services. He  previously
     served  as  President of  J.P.  Cole and  Associates,  Inc., a  health care
     marketing firm, which was merged into PHP Family Healthcare Corporation,  a
     wholly-owned subsidiary of the Company, on October 3, 1994.

(20) Includes  30,000 shares issuable upon the exercise of stock options granted
     to Mr.  Cole in  connection with  his employment  agreement. Also  includes
     84,000  shares held by Mr. Cole's spouse, and 74,000 shares held jointly by
     Mr. Cole and his spouse.

(21) Includes 100,000 shares issued to Mr. Cole and 100,000 shares issuable upon
     the exercise of stock  options granted to Mr.  Cole in connection with  the
     Cole  Merger. Of the  shares and options  issued to Mr.  Cole in connection
     with the  Cole  Merger,  62,000  shares  are  held  in  escrow  subject  to
     forfeiture  unless  certain  performance  conditions  are  met,  and 62,000
     options will become exercisable only if certain performance conditions  are
     met by December 30, 1996 or a change of control of the Company occurs prior
     to that date.

(22) Mr. Spees has been an employee of Shamrock Investments for each of the last
     three years.

    The  preceding table has  been prepared based  upon information furnished to
the Company by The Depository Trust  Company ("DTC"), IBJ Schroder Bank &  Trust
Company,  trustee  under the  Indenture,  and by  or  on behalf  of  the Selling
Securityholders.

    Information concerning the Selling Securityholders  may change from time  to
time  and will be set forth in Supplements to this Prospectus. As of the date of
this Prospectus, the  aggregate principal  amount of  Debentures outstanding  is
$69,000,000.

                                       26
<PAGE>
    Because  the Selling Securityholders may offer all or some of the Debentures
and shares  of Common  Stock  issued upon  conversion  thereof pursuant  to  the
offering  contemplated by  this Prospectus, and  because there  are currently no
agreements, arrangements or understandings  with respect to the  sale of any  of
the  Debentures  or shares  of Common  Stock that  will be  held by  the Selling
Securityholders after completion of this offering,  no estimate can be given  as
to  the principal amount  of Debentures or  shares of Common  Stock that will be
held by the Selling Securityholders after completion of this offering. See "Plan
of Distribution."

                              PLAN OF DISTRIBUTION

    The Debentures  and  the  Shares  are  being  registered  to  permit  public
secondary  trading of such securities  by the holders thereof  from time to time
after the date of this Prospectus.  The Company has agreed, among other  things,
to bear all expenses (other than underwriting discounts, selling commissions and
fees and expenses of counsel and other advisors to holders of the Debentures and
the underlying Common Stock) in connection with the registration and sale of the
Debentures  and the Conversion Shares covered  by this Prospectus. The holder of
the Additional Shares have agreed  to pay their own expenses  and to bear, on  a
pro rata basis, with other Selling Securityholders, all investment expenses that
result from the inclusion of the Additional Shares.

    The  Company  will not  receive any  of  the proceeds  from the  offering of
Debentures and the Shares by the  Selling Securityholders. The Company has  been
advised by the Selling Securityholders that the Selling Securityholders may sell
all  or a portion  of the Debentures  and Shares beneficially  owned by them and
offered hereby from time  to time on  any exchange on  which the securities  are
listed  on  terms to  be  determined at  the times  of  such sales.  The Selling
Securityholders may also  make private  sales directly  or through  a broker  or
brokers. Alternatively, any of the Selling Securityholders may from time to time
offer  the  Debentures or  shares  of Common  Stock  beneficially owned  by them
through underwriters, dealers  or agents,  who may receive  compensation in  the
form  of  underwriting discounts,  commissions or  concessions from  the Selling
Securityholders and the purchasers of the  Debentures or shares or Common  Stock
from  whom  they  may  act  as agent.  The  aggregate  proceeds  to  the Selling
Securityholders from  the sale  of  the Debentures  of  shares or  Common  Stock
offered  by them hereby will be the  purchase price of such Debentures or shares
of Common Stock less discounts and commissions, if any.

    The Debentures and the Shares may be sold  from time to time in one or  more
transactions  at  fixed offering  prices, which  may be  changed, or  at varying
prices determined at the time of sale or at negotiated prices. Such prices  will
be  determined by the  holders of such  securities or by  agreement between such
holders and  underwriters or  dealers who  may receive  fees or  commissions  in
connection therewith.

    The  outstanding Common Stock  is listed for  trading on the  New York Stock
Exchange, and the Shares of Common Stock  have been approved for listing on  the
New  York Stock Exchange.  The Initial Purchasers have  advised the Company that
they are  making  and  currently intend  to  continue  making a  market  in  the
Debentures;  however, they are not obligated to do so and any such market-making
may be discontinued at any  time without notice, in  the sole discretion of  the
Initial  Purchasers. The  Company does  not intend to  apply for  listing of the
Debentures on any securities exchange. Accordingly, no assurance can be given as
to the development of liquidity of any  trading market that may develop for  the
Debentures. See "Risk Factors -- No Prior Public Market for the Debentures."

    In  order  to  comply  with  the  securities  laws  of  certain  states,  if
applicable, the Debentures and  Shares will be sold  in such jurisdictions  only
through  registered  or licensed  brokers or  dealers.  In addition,  in certain
states the  Debentures  and  Shares  may  not be  sold  unless  they  have  been
registered  or qualified for sale  in the applicable state  or an exemption from
the registration or qualification requirement is available and is complied with.

    The Selling Securityholders and any broker and any broker-dealers, agents or
underwriters  that  participate   with  the  Selling   Securityholders  in   the
distribution of the Debentures or the Shares may

                                       27
<PAGE>
be  deemed to  be "underwriters"  within the meaning  of the  Securities Act, in
which  event  any  commissions  received  by  such  broker-dealers,  agents   or
underwriters  any profit on the resale of the Debentures or the Shares purchased
by them may  be deemed  to be underwriting  commissions or  discounts under  the
Securities Act.

    In  addition, any  securities covered by  this Prospectus  which qualify for
sale pursuant to Rule 144 or Rule 144A  of the Securities Act may be sold  under
Rule  144 or  Rule 144A  rather than  pursuant to  this Prospectus.  There is no
assurance that any Selling Securityholder will sell any or all of the Debentures
or Shares described herein, and any Selling Securityholder may transfer,  devise
or gift such securities by other means not described herein.

    The  Debentures were  originally sold to  Smith Barney Inc.  and Dean Witter
Reynolds Inc. in  December 1995 in  a private placement.  The Company agreed  to
indemnify  and hold  Smith Barney  Inc. and  Dean Witter  Reynolds Inc. harmless
against certain  liabilities  under  the  Securities Act  that  could  arise  in
connection  with the sale of the Debentures by Smith Barney Inc. and Dean Witter
Reynolds Inc.  The Company  and  the Selling  Securityholders are  obligated  to
indemnify  each other against  certain liabilities arising  under the Securities
Act.

    The Company will use its best efforts to cause the registration statement to
which this Prospectus relates to become effective as promptly as is  practicable
and  to keep the  registration statement effective  for a period  of three years
from the effective date thereof, or until the Shelf Registration Statement is no
longer required for transfer of the  Debentures or the underlying Common  Stock.
The  Company is permitted  to suspend the  use of this  Prospectus in connection
with the sales of Debentures and Conversion Shares by holders upon the happening
of an event or  if there exists  any fact that makes  any statement of  material
fact  made in this Prospectus untrue or that requires the making of additions to
or changes  in  the  Prospectus in  order  to  make the  statements  herein  not
misleading  until such time  as the Company  advises the Selling Securityholders
that use of  the Prospectus may  be resumed, in  which case the  period of  time
during  which the Company is required to maintain the effectiveness of the Shelf
Registration Statement shall be extended.  Expenses of preparing and filing  the
registration  statement and all  post-effective amendments will  be borne by the
Company.

                                       28
<PAGE>
             CERTAIN UNITED STATES FEDERAL INCOME TAX CONSEQUENCES

    The  following  is a  general discussion  of  certain United  States federal
income tax considerations relevant to holders of the Debentures. This discussion
is based  upon the  Internal Revenue  Code  of 1986,  as amended  (the  "Code"),
Treasury  Regulations, Internal  Revenue Service  ("IRS") rulings,  and judicial
decisions now  in effect,  all of  which are  subject to  change (possibly  with
retroactive effect) or different interpretations.

    This  discussion does  not deal  with all  aspects of  United States federal
income taxation that may be relevant to  holders of the Debentures or shares  of
Common  Stock and does not deal with  tax consequences arising under the laws of
any foreign,  state  or  local  jurisdiction. This  discussion  is  for  general
information  only, and does not  purport to address all  of the tax consequences
that may  be  relevant to  particular  purchasers  in light  of  their  personal
circumstances,  or to  certain types  of purchasers  (such as  certain financial
institutions, insurance companies, tax-exempt entities, dealers in securities or
persons who hold the Debentures or  Common Stock in connection with a  straddle)
who  may be subject to  special rules. This discussion  assumes that each holder
holds the Debentures  and the shares  of Common Stock  received upon  conversion
thereof as capital assets.

    For the purpose of this discussion, a "Non-U.S. Holder" refers to any holder
who  is not  a United  States person.  The term  "United States  person" means a
citizen or resident of the United  States, a corporation or partnership  created
or  organized in the United States or any  state thereof, or an estate or trust,
the income of which is includible in income for United States federal income tax
purposes regardless of its source.

    PROSPECTIVE PURCHASERS ARE URGED TO CONSULT THEIR OWN TAX ADVISORS REGARDING
THE FEDERAL, STATE, LOCAL AND FOREIGN TAX CONSEQUENCES OF THEIR PARTICIPATION IN
THIS OFFERING, OWNERSHIP AND DISPOSITION OF THE DEBENTURES, INCLUDING CONVERSION
OF THE DEBENTURES, AND THE EFFECT  THAT THEIR PARTICULAR CIRCUMSTANCES MAY  HAVE
ON SUCH TAX CONSEQUENCES.

OWNERSHIP OF THE DEBENTURES

    INTEREST  ON DEBENTURES.  Interest paid on  a Debenture will be taxable to a
holder as ordinary interest income in accordance with the holder's method of tax
accounting  at  the  time  that  such  interest  is  accrued  or  (actually   or
constructively)  received. The Company anticipates  that the Debentures will not
be issued with original issue discount ("OID") within the meaning of the Code.

    CONSTRUCTIVE  DIVIDEND.      Certain   corporate   transactions,   such   as
distributions   of  cash  to  holders  of  Common  Stock,  may  cause  a  deemed
distribution to  the  holders of  the  Debentures  if the  conversion  price  or
conversion  ratio  of  the  Debentures is  adjusted  to  reflect  such corporate
transaction. Such deemed distributions will be taxable as a dividend, return  of
capital,  or  capital gain  in accordance  with the  earnings and  profits rules
discussed under "Dividends on Shares of Common Stock."

    SALE OR EXCHANGE OF  DEBENTURES OR SHARES  OF COMMON STOCK.   In general,  a
holder  of a Debenture  will recognize gain  or loss upon  the sale, redemption,
retirement or  other disposition  of the  Debenture measured  by the  difference
between  the amount of cash  and the fair market  value of any property received
(except to the extent attributable to  the payment of accrued interest) and  the
holder's  adjusted  tax  basis in  the  Debenture.  A holder's  tax  basis  in a
Debenture generally will equal the cost of the Debenture to the holder increased
by the amount of market  discount, if any, previously  taken into income by  the
holder or decreased by any bond premium theretofore amortized by the holder with
respect  to the Debenture. (For the basis and holding period of shares of Common
Stock, see "Conversion of Debentures.") In general, each holder of Common  Stock
into  which the Debentures have been converted  will recognize gain or loss upon
the sale, exchange, redemption, or other  disposition of the Common Stock  under
rules  similar to those applicable to the Debentures. Special rules may apply to
redemptions of Common Stock which may result in the amount paid being treated as
a dividend. Subject to  the market discount rules  discussed below, the gain  or
loss on the disposition of the

                                       29
<PAGE>
Debentures  or shares of Common  Stock will be capital gain  or loss and will be
long-term gain or loss  if the Debentures  or shares of  Common Stock have  been
held for more than one year at the time of such disposition.

    CONVERSION  OF DEBENTURES.  A holder of  a Debenture will not recognize gain
or loss on the conversion of the  Debenture into shares of Common Stock,  except
to  the extent that the Common Stock  issued upon the conversion is attributable
to accrued interest on  the Debenture. The holder's  aggregate tax basis in  the
shares  of Common Stock received upon conversion  of the Debenture will be equal
to the holder's aggregate  basis in the Debenture  exchanged therefor (less  any
portion  thereof allocable to cash received in  lieu of a fractional share). The
holding period  of  the shares  of  Common Stock  received  by the  holder  upon
conversion of the Debenture will include the period during which the holder held
the Debenture prior to the conversion.

    Cash  received  in lieu  of a  fractional  share of  Common Stock  should be
treated as  a  payment in  exchange  for such  fractional  share. Gain  or  loss
recognized  on  the receipt  of  cash paid  in  lieu of  such  fractional shares
generally will equal the difference between the amount of cash received and  the
amount of tax basis allocable to the fractional shares.

    MARKET  DISCOUNT.  The resale of a  Debenture may be affected by the "market
discount" provisions of  the Code. For  this purpose, the  market discount on  a
Debenture  will generally be  equal to the  amount, if any,  by which the stated
redemption price at maturity of the Debenture immediately after its  acquisition
exceeds  the  holder's tax  basis  in the  debenture.  Subject to  a  de minimis
exception, these provisions generally require  a holder of a Debenture  acquired
at  a market  discount to treat  as ordinary  income any gain  recognized on the
disposition of such Debenture to the extent of the "accrued market discount"  on
such  Debenture at  the time  of disposition. In  general, market  discount on a
Debenture will be treated as accruing on a straight-line basis over the term  of
such  Debenture,  or, at  the election  of  the holder,  under a  constant yield
method.

    In addition, any holder of a Debenture acquired at a market discount may  be
required to defer the deduction of a portion of the interest on any indebtedness
incurred or maintained to purchase or carry the Debenture until the Debenture is
disposed  of in a taxable transaction. The  foregoing rule will not apply if the
holder elects to include accrued market discount in income currently.

    If a holder acquires the Debenture at a market discount and receives  Common
Stock  upon conversion of  the Debenture, the amount  of accrued market discount
with respect to the converted Debenture through the date of the conversion  will
be  treated,  under  regulations  to  be  issued,  as  ordinary  income  on  the
disposition of the Common Stock.

    DIVIDENDS ON SHARES  OF COMMON  STOCK.   Distributions on  shares of  Common
Stock will constitute dividends for United States federal income tax purposes to
the  extent of  current or  accumulated earnings and  profits of  the Company as
determined under United States federal income tax principles. Dividends paid  to
holders   that   are   United   States   corporations   may   qualify   for  the
dividends-received deduction.  Individuals,  partnerships, trusts,  and  certain
corporations,  including certain foreign  corporations, are not  entitled to the
dividends-received deduction.

    To the extent, if any,  that a holder receives  a distribution on shares  of
Common  Stock  that  would otherwise  constitute  a dividend  for  United States
federal income tax purposes  but that exceeds  current and accumulated  earnings
and  profits  of the  Company,  such distribution  will  be treated  first  as a
non-taxable return  of capital  reducing the  holder's basis  in the  shares  of
Common  Stock. Any  such distribution  in excess  of the  holder's basis  in the
shares of Common Stock will be treated as a capital gain.

CERTAIN FEDERAL INCOME TAX CONSIDERATIONS APPLICABLE TO NON-U.S. HOLDERS

    INTEREST ON DEBENTURES.   Generally, interest  paid on the  Debentures to  a
Non-U.S.  Holder will not be subject to United States federal income tax if: (i)
such interest  is not  effectively connected  with  the conduct  of a  trade  or
business  within the  United States by  such Non-U.S. Holder;  (ii) the Non-U.S.

                                       30
<PAGE>
Holder does not actually or constructively own  10% or more of the total  voting
power  of all  classes of stock  of the  Company entitled to  vote and  is not a
controlled foreign corporation with respect to  which the Company is a  "related
person"  within the meaning of  the Code; and (iii)  the beneficial owner, under
penalty of perjury, certifies that he or  she is not a United States person  and
provides his or her name and address. If certain requirements are satisfied, the
certification described in paragraph (iii) above may be provided by a securities
clearing  organization,  a  bank,  or  other  financial  institution  that holds
customers' securities in the ordinary course of its trade or business. For  this
purpose,  the holder of  a Debenture would  be deemed to  own constructively the
Common Stock into which it  could be converted. If a  holder is not exempt  from
tax under these rules, he or she will be subject to United States federal income
tax  withholding at a rate  of 30% unless the  interest is effectively connected
with the  conduct of  a  United States  trade or  business,  in which  case  the
interest  will be subject to the United  States federal income tax on net income
that applies to United States persons generally. Non-U.S. Holders should consult
applicable income tax treaties, which may provide different rules.

    SALE OR EXCHANGE OF DEBENTURES OR SHARES OF COMMON STOCK.  A Non-U.S. Holder
generally will  not be  subject to  United  States federal  income tax  on  gain
recognized  upon the  sale or  other disposition  (including a  redemption) of a
Debenture or shares of Common Stock received upon conversion thereof  (including
the  receipt of cash in lieu of  a fractional share upon such conversion) unless
(i) the gain is effectively  connected with the conduct  of a trade or  business
within  the United  States by  the Non-U.S.  Holder, or  (ii) in  the case  of a
Non-U.S. Holder who is a nonresident alien individual and holds the Common Stock
as a capital asset, such holder is present in the United States for 183 or  more
days  in the taxable  year and certain  other circumstances are  present. If the
Company is  a "United  States  real property  holding corporation,"  a  Non-U.S.
Holder may be subject to federal income tax with respect to gain realized on the
disposition  of such Debentures or Common Stock, and the proceeds of disposition
would be subject  to withholding. Any  amount withheld pursuant  to these  rules
will  be creditable against such Non-U.S.  Holder's United States federal income
tax liability and may entitle such  Non-U.S. Holder to a refund upon  furnishing
the  required  information to  the  Internal Revenue  Service.  Non-U.S. Holders
should consult  applicable  income tax  treaties,  which may  provide  different
rules.

    CONVERSION  OF DEBENTURES.  A Non-U.S.  Holder generally will not be subject
to United States federal income tax on the conversion of a Debenture into shares
of Common Stock.  To the extent  a Non-U.S. Holder  receives cash in  lieu of  a
fractional  share on conversion, such  cash may give rise  to gain that would be
subject to the rules described above with  respect to the sale or exchange of  a
Debenture or Common Stock.

    DIVIDENDS  ON SHARES OF COMMON STOCK.  Generally, any distribution on shares
of Common Stock to a  Non-U.S. Holder will be  subject to United States  federal
income  tax withholding  at a  rate of  30% unless  the dividend  is effectively
connected with the conduct of  a trade or business  within the United States  by
the  Non-U.S. Holder, in which  case the dividend will  be subject to the United
States federal income tax  on net income that  applies to United States  persons
generally   (and,  with   respect  to   corporate  holders   and  under  certain
circumstances, the  branch profits  tax). Non-U.S.  Holders should  consult  any
applicable  income  tax  treaties,  which  may  provide  for  a  lower  rate  of
withholding or  other rules  different from  those described  above. A  Non-U.S.
Holder may be required to satisfy certain certification requirements in order to
claim  treaty  benefits or  otherwise  claim a  reduction  of or  exemption from
withholding under the foregoing rules.

INFORMATION REPORTING AND BACKUP WITHHOLDING

    U.S. HOLDERS.   Information reporting  and backup withholding  may apply  to
payments  of  interest or  dividends on  or the  proceeds of  the sale  or other
disposition of the Debentures or shares of Common Stock made by the Company with
respect to certain noncorporate U.S.  holders. Such U.S. holders generally  will
be  subject to backup withholding at a rate  of 31% unless the recipient of such
payment supplies a taxpayer identification number, certified under penalties  of
perjury, as well as certain other

                                       31
<PAGE>
information,  or  otherwise establishes,  in the  manner  prescribed by  law, an
exemption from backup withholding. Any amount withheld under backup  withholding
is  allowable as  a credit  against the U.S.  holder's federal  income tax, upon
furnishing the required information.

    NON-U.S. HOLDERS.  Generally,  information reporting and backup  withholding
of  United States federal income tax  at a rate of 31%  may apply to payments of
principal, interest and premium (if any) to Non-U.S. Holders if the payee  fails
to  certify that he or she is a Non-U.S.  person or if the Company or any of its
paying agents has actual knowledge that the payee is a United States person.

    The 31% backup withholding tax generally will not apply to dividends paid to
foreign holders outside the  United States that are  subject to 30%  withholding
discussed  above or that  are not so  subject because a  tax treaty applies that
reduces  or  eliminates  such  withholding.  In  that  regard,  under  temporary
regulations,  dividends  payable at  an address  located  outside of  the United
States to a foreign holder are not subject to the backup withholding rules.

    The payment of the  proceeds on the disposition  of Debentures or shares  of
Common  Stock  to or  through the  United States  office of  a United  States or
foreign broker will be subject  to information reporting and backup  withholding
at  a rate of 31% unless the owner provides the certification described above or
otherwise establishes  an  exemption.  The  proceeds of  the  disposition  by  a
Non-U.S.  Holder of Debentures or shares of Common Stock to or through a foreign
office of a broker will not be  subject to backup withholding. However, if  such
broker  is a U.S. person, a controlled foreign corporation for United States tax
purposes, or a foreign person 50% or more of whose gross income from all sources
for certain periods  is from activities  that are effectively  connected with  a
United  States trade or  business, information reporting  will apply unless such
broker has documentary evidence in its  files of the owner's foreign status  and
has  no  actual  knowledge  to  the  contrary  or  unless  the  owner  otherwise
establishes an exemption. Both backup withholding and information reporting will
apply to the proceeds from such dispositions if the broker has actual  knowledge
that the payee is a U.S. holder.

                                 LEGAL MATTERS

    The validity of the issuance of the Debentures and the Shares offered hereby
will  be passed upon for the Company by Fried, Frank, Harris, Shriver & Jacobson
(a partnership including professional corporations), Washington, D.C. 20004.

                         INDEPENDENT PUBLIC ACCOUNTANTS

    The consolidated financial statements of the Company as of and for the  year
ended  April 30, 1995, incorporated  by reference in this  Prospectus and in the
Registration Statement from the  Company's 1995 Form 10-K  and Form 8-K/A  dated
January  11, 1996,  have been audited  by Coopers &  Lybrand L.L.P., independent
certified public accountants, as stated in its reports incorporated by reference
herein, and  upon  the authority  of  said firm  as  experts in  accounting  and
auditing. Coopers & Lybrand L.L.P.'s report included in the Company's Form 8-K/A
dated   January  11,  1996  includes  an  explanatory  paragraph  regarding  the
adjustments described in  the first paragraph  of Note 8  to those  consolidated
financial  statements that were applied to  retroactively restate the 1995, 1994
and 1993 consolidated  financial statements  and footnotes  thereto included  in
that Form 8-K/A for the effects of a two-for-one stock split effected as a stock
dividend  in  November 1995.  With respect  to  the unaudited  interim financial
information as  of October  31,  1995, and  for  the three-month  and  six-month
periods then ended incorporated by reference in this Prospectus and Registration
Statement,  Coopers &  Lybrand L.L.P. has  reported that it  has applied limited
procedures in  accordance  with professional  standards  for a  review  of  such
information.  However, its separate  report included in  the Company's quarterly
report on Form 10-Q for the quarter ended October 31, 1995, and incorporated  by
reference herein, states that Coopers & Lybrand L.L.P. did not audit and it does
not  express an opinion on that  interim financial information. Accordingly, the
degree of reliance  on its report  on such information  should be restricted  in
light  of the limited nature of the review procedures applied. Coopers & Lybrand
L.L.P. is  not  subject  to  the  liability provisions  of  Section  11  of  the
Securities Act for its report on unaudited

                                       32
<PAGE>
interim financial information because that report is not a "report" or "part" of
the  Prospectus or  Registration Statement  prepared or  certified by  Coopers &
Lybrand L.L.P. within the meaning of Sections 7 and 11 of the Securities Act.

    The consolidated financial statements  of the Company as  of April 30,  1994
and  1993 and for each of the years in the two-year period ended April 30, 1994,
incorporated by reference in this  Prospectus and in the Registration  Statement
from  the Company's 1995 Form 10-K, have  been audited by KPMG Peat Marwick LLP,
independent certified public accountants, as stated in their report incorporated
by reference  herein,  and  upon  the  authority of  said  firm  as  experts  in
accounting and auditing. The consolidated financial statements of the Company as
of  April 30, 1994  and 1993 and  for each of  the years in  the two-year period
ended  April  30,  1994,  incorporated  by  reference  in  this  Prospectus  and
Registration Statement from the Company's Form 8-K/A dated January 11, 1996, but
prior  to the adjustments  described in the  first paragraph of  Note 8 to those
consolidated financial statements that were applied to retroactively restate the
1994 and 1993 consolidated  financial statements and  footnotes thereto for  the
effects  of a 2-for-1 stock split effected as a stock dividend in November 1995,
have been  audited  by  KPMG  Peat Marwick  LLP,  independent  certified  public
accountants, as stated in their report appearing therein, and upon the authority
of said firm as experts in accounting and auditing.

    On  January 9, 1995, the Company solicited Statements of Qualifications from
several independent  accounting  firms, including  KPMG  Peat Marwick  LLP,  the
Company's public accountants for the fiscal years ended April 30, 1994 and April
30,  1993, to provide  audit services for  its consolidated financial statements
for the year ended April  30, 1995. On January 11,  1995, KPMG Peat Marwick  LLP
indicated  that it had  decided not to stand  for re-appointment and, therefore,
would not  submit  a  Statement  of  Qualifications.  The  decision  to  solicit
proposals  to perform audit services was  recommended by the Audit Committee and
approved by the Board of Directors.

    The audit reports  of KPMG Peat  Marwick LLP on  the Company's  consolidated
financial  statements as of  and for the  fiscal years ended  April 30, 1994 and
1993 did not contain an adverse opinion or a disclaimer of opinion, and was  not
qualified  or modified  as to uncertainty,  audit scope  or accounting principle
except with  respect  to the  Company's  adoption of  the  Financial  Accounting
Standards   Board's  Statement  of  Financial   Accounting  Standards  No.  109,
Accounting for Income Taxes, in fiscal  year ended April 30, 1994. In  addition,
during  fiscal year 1993 and 1994 and any subsequent interim period during which
KPMG Peat Marwick LLP  served as the  Company's independent public  accountants,
there  were  no  disagreements with  KPMG  Peat  Marwick LLP  on  any  matter of
accounting principles, or practices, financial statement disclosure, or auditing
scope or  procedures  which,  if  not  satisfied  to  KPMG  Peat  Marwick  LLP's
satisfaction,  would have caused it to make a reference to the subject matter of
the disagreement in connection with its reports. In connection with its audit of
the Company's consolidated financial statements for the fiscal year ended  April
30, 1994, KPMG Peat Marwick LLP issued a letter relating to internal controls to
the  Board of Directors that identified what KPMG Peat Marwick LLP considered to
be a  reportable  condition  relating  to timely  financial  reporting  and  the
Company's accounting decision-making process.

    On  March 17,  1995, the  Company engaged  Coopers &  Lybrand L.L.P.  as the
Company's  independent  accounting  firm  to  provide  audit  services  for  the
Company's consolidated financial statements.

                                       33
<PAGE>
- -------------------------------------------
                                     -------------------------------------------
- -------------------------------------------
                                     -------------------------------------------

    NO  DEALER,  SALESPERSON OR  OTHER PERSON  HAS BEEN  AUTHORIZED TO  GIVE ANY
INFORMATION OR TO MAKE ANY REPRESENTATION NOT CONTAINED IN THIS PROSPECTUS  AND,
IF  GIVEN OR MADE, SUCH INFORMATION OR REPRESENTATION MUST NOT BE RELIED UPON AS
HAVING BEEN AUTHORIZED BY  THE COMPANY. THIS PROSPECTUS  DOES NOT CONSTITUTE  AN
OFFER TO SELL OR A SOLICITATION OF AN OFFER TO BUY ANY OF THE SECURITIES OFFERED
HEREBY  IN ANY JURISDICTION  TO ANY PERSON TO  WHOM IT IS  UNLAWFUL TO MAKE SUCH
OFFER IN SUCH JURISDICTION. NEITHER THE DELIVERY OF THIS PROSPECTUS NOR ANY SALE
MADE HEREUNDER SHALL, UNDER ANY  CIRCUMSTANCES, CREATE ANY IMPLICATION THAT  THE
INFORMATION  HEREIN IS CORRECT AS  OF ANY TIME SUBSEQUENT  TO THE DATE HEREOF OR
THAT THERE HAS BEEN NO CHANGE IN THE AFFAIRS OF THE COMPANY SINCE SUCH DATE.

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

                               TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                   PAGE
                                                 ---------
<S>                                              <C>
Available Information..........................          2
Incorporation of Certain Documents by
  Reference....................................          2
The Company....................................          3
Risk Factors...................................          4
Use of Proceeds................................         10
Ratio of Earnings to Fixed Charges.............         10
Description of Debentures......................         11
Description of Capital Stock...................         19
Selling Securityholders........................         22
Plan of Distribution...........................         26
Certain United States Federal Income Tax
  Consequences.................................         28
Legal Matters..................................         31
Independent Public Accountants.................         31
</TABLE>

                                 PHP HEALTHCARE
                                  CORPORATION

                                  $69,000,000
                               6 1/2% CONVERTIBLE
                            SUBORDINATED DEBENTURES
                                    DUE 2002
                                      AND
                              3,499,937 SHARES OF
                                  COMMON STOCK

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

                                   PROSPECTUS

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

                               FEBRUARY   , 1996

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

ITEM 14.  OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

    The  following  table  sets  forth  all  expenses,  other  than underwriting
discounts and commissions, payable by the Company in connection with the sale of
the Debentures and the Common Stock being registered. All amounts are  estimates
except the registration fee.

<TABLE>
<S>                                                             <C>
Commission Registration Fee...................................  $ 32,470.17
Printing and engraving expenses...............................  $ 10,000.00
Legal fees and expenses.......................................  $ 50,000.00
Trustee's fees (including counsel fees).......................  $  3,700.00
Accounting fees and expenses..................................  $ 10,000.00
Miscellaneous.................................................  $ 10,000.00
                                                                -----------
    Total.....................................................  $116,170.17
                                                                -----------
                                                                -----------
</TABLE>

ITEM 15.  INDEMNIFICATION OF DIRECTORS AND OFFICERS.

    Subsection (a) of Section 145 of the General Corporation Law of the State of
Delaware  (the "DGCL") empowers a corporation to indemnify any person who was or
is a party or  is threatened to be  made a party to  any threatened, pending  or
completed  action, suit or proceedings,  whether civil, criminal, administrative
or investigative (other than an action by or in the right of the corporation) by
reason of the fact that he is or  was a director, officer, employee or agent  of
the  corporation, or is  or was serving at  the request of  the corporation as a
director, officer, employee or agent of another corporation, partnership,  joint
venture,  trust  or  other enterprise,  against  expenses  (including attorneys'
fees), judgments, fines and amounts  paid in settlement actually and  reasonably
incurred  by him in connection with such  action, suit or proceeding if he acted
in good faith and in a manner he reasonably believed to be in or not opposed  to
the  best interests of the corporation, and, with respect to any criminal action
or proceeding, had no reasonable cause to believe his conduct was unlawful.

    Subsection (b) of Section 145 empowers a corporation to indemnify any person
who was or is  a party or is  threatened to be made  a party to any  threatened,
pending  or completed action, or  suit by or in the  right of the corporation to
procure a judgment in its favor by reason of the fact that such person acted  in
any  of the capacities  set forth above,  against expenses (including attorneys'
fees) actually and reasonably incurred by him in connection with the defense  or
settlement  of such action or suit if he acted  in good faith and in a manner he
reasonably believed  to be  in  or not  opposed to  the  best interests  of  the
corporation, except that no indemnification may be made in respect of any claim,
issue or matter as to which such person shall have been adjudged to be liable to
the  corporation unless and only to the extent that the Court of Chancery or the
court in which such action or suit was brought shall determine upon  application
that, despite the adjudication of liability but in view of all the circumstances
of the case, such person is fairly and reasonably entitled to indemnity for such
expenses which the Court of Chancery or such other court shall deem proper.

    Section  145 further provides that to the  extent a director or officer of a
corporation has been successful on the merits or otherwise in the defense of any
action, suit or  proceeding referred to  in subsections (a)  and (b) of  Section
145,  or  in  defense  of  any  claim, issue  or  matter  therein,  he  shall be
indemnified against expenses (including attorneys' fees) actually and reasonably
incurred by him in  connection therewith; that  indemnification provided for  by
Section  145 shall  not be  deemed exclusive  of any  other rights  to which the
indemnified party may be entitled; that indemnification provided for by  Section
145 shall, unless otherwise provided when authorized or ratified, continue as to
a  person who has ceased to be a  director, officer, employee or agent and shall
inure to the benefit of such

                                      II-1
<PAGE>
persons' heirs, executors  and administrators; and  empowers the corporation  to
purchase  and  maintain insurance  on behalf  of  a director  or officer  of the
corporation against any liability  asserted against him and  incurred by him  in
any  such capacity,  or arising out  of his status  as such, whether  or not the
corporation would have the power to  indemnify him against such liability  under
Section 145.

    Article  IX  of  the  Company's  By-laws  provides  that  the  Company shall
indemnify its directors  and officers to  the fullest extent  authorized by  the
DGCL.

    Section  102(b)(7) of DGCL provides that  a certificate of incorporation may
contain a provision eliminating or limiting the personal liability of a director
to the  corporation or  its  stockholders for  monetary  damages for  breach  of
fiduciary duty as a director provided that such provision shall not eliminate or
limit  the liability of a director (i) for  any breach of the director's duty of
loyalty to the corporation or its  stockholders, (ii) for acts or omissions  not
in  good faith or which involve intentional misconduct or a knowing violation of
law, (iii) under Section 174 of the DGCL, or (iv) for any transaction from which
the director derived an  improper personal benefit. Article  X of the  Company's
Certificate  of Incorporation limits  the liability of  directors to the fullest
extent permitted by Section 102(b)(7).

ITEM 16.  EXHIBITS.

    The following exhibits are filed herewith or incorporated by reference.

<TABLE>
<CAPTION>
EXHIBIT NO.                                              DESCRIPTION
- -----------  ----------------------------------------------------------------------------------------------------
<C>          <S>
        .14  Indenture dated as of December 15, 1995 between the Company and IBJ Schroder Bank & Trust Company.
       4.2   Form of 6 1/2% Convertible Subordinated Debentures due 2002 (included in Indenture filed as Exhibit
              4.1).
       4.3   Registration Rights Agreement, dated as of December 13, 1995, between the Company and Smith Barney
              Inc. and Dean Witter Reynolds Inc.
       4.4   Stock Purchase Agreement, dated as of September 29, 1994, by and between the Company and Shamrock
              Investments.
       4.5   Pledge and Security Agreement, dated as of September 29, 1994, by Charles P. Reilly, Michael E.
              Gallagher, and Shamrock Investments in favor of the Company.
       4.6   Stock Purchase Note, dated September 29, 1994, from Shamrock Investments to the Company.
       4.7   Registration Rights Agreement, dated as of September 29, 1994 between the Company and Shamrock
              Investments.
       4.8   Convertible Note, dated September 29, 1994, from the Company to Charles P. Reilly.
       4.9   Convertible Note, dated September 29, 1994, from the Company to Michael E. Gallagher.
       4.10  Convertible Note, dated September 29, 1994, from the Company to Jonathan J. Spees.
       4.11  Registration Rights Agreement, dated as of September 29, 1994, between the Company and Charles P.
              Reilly, Michael E. Gallagher and Jonathan J. Spees.
       4.12  Stock Option, dated as of October 3, 1994, between the Company and Charles P. Reilly.
       4.13  Stock Option, dated as of October 3, 1994, between the Company and Michael E. Gallagher.
</TABLE>

                                      II-2
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT NO.                                              DESCRIPTION
- -----------  ----------------------------------------------------------------------------------------------------
       4.14  Stock Option, dated as of October 3, 1994, between the Company and John P. Cole.
<C>          <S>
       4.15  Escrow Agreement, dated as of September 29, 1994, by and among PHP Family Healthcare Corporation,
              J.P. Cole & Associates, Inc., John P. Cole, Charles P. Reilly, Michael E. Gallagher, the Company,
              and William F. Bavinger, III.
       4.16  Registration Rights Agreement, dated as of September 29, 1994, between the Company and John P. Cole,
              Charles P. Reilly, and Michael E. Gallagher.
       5.1   Opinion of Fried, Frank, Harris, Shriver & Jacobson.
      12.1   Statement re computation of ratios.
      15.1   Letter of Coopers & Lybrand L.L.P. re unaudited interim financial information.
      23.1   Consent of Coopers & Lybrand L.L.P.
      23.2   Consent of KPMG Peat Marwick LLP.
      23.3   Consent of Fried, Frank, Harris, Shriver & Jacobson (included in Exhibit 5.1).
      24.1   Power of Attorney (included on page II-4 hereof).
      25.1   Form T-1 Statement of Eligibility and Qualification under the Trust Indenture Act of 1939 of IBJ
              Schroder Bank & Trust Company.
</TABLE>

ITEM 17.  UNDERTAKINGS.

    The  undersigned  Registrant  hereby   undertakes  that,  for  purposes   of
determining  any liability under the Securities Act  of 1933, each filing of the
Registrant's annual report pursuant to Section 13(a) or 15(d) of the  Securities
Exchange  Act  of 1934  that is  incorporated by  reference in  the registration
statement shall be  deemed to be  a new registration  statement relating to  the
securities  offered therein,  and the offering  of such securities  at that time
shall be deemed to be the initial bona fide offering thereof.

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

                                      II-3
<PAGE>
                                   SIGNATURES

    Pursuant  to the requirements of the  Securities Act of 1933, the Registrant
certifies that  it has  reasonable grounds  to  believe that  it meets  all  the
requirements  of  filing  on Form  S-3  and  has duly  caused  this Registration
Statement to  be  signed  on  its behalf  by  the  undersigned,  thereunto  duly
authorized, in the Town of Reston, Commonwealth of Virginia, on this 20th day of
February, 1996.

                                          PHP HEALTHCARE CORPORATION
                                          (Registrant)

                                          By:          /s/ JACK M. MAZUR

                                             -----------------------------------
                                                   Name: Jack M. Mazur
                                                   Title: President and Director

    The  officers and directors  of PHP Healthcare  Corporation whose signatures
appear below hereby constitute  and appoint Charles H.  Robbins, Jack M.  Mazur,
Anthony M. Picini and Ben Rosenbaum III, and each of them, their true and lawful
attorneys  and agents, each with power to  act alone, to sign, execute and cause
to be filed on behalf of the undersigned any amendment or amendments,  including
post-effective  amendments,  to this  Registration  Statement of  PHP Healthcare
Corporation on Form S-3. Each of the Undersigned does hereby ratify and  confirm
all  that said  attorneys and  agents shall  do or  cause to  be done  by virtue
hereof.

    Pursuant to the requirements of the Securities Act of 1933, the Registration
Statement has  been signed  below by  the following  persons in  the  capacities
indicated on this 20th day of February, 1996.

<TABLE>
<C>                                                     <S>                                <C>
                      SIGNATURE                                       TITLE                         DATE
- ------------------------------------------------------  ---------------------------------  ----------------------

                /s/ CHARLES H. ROBBINS
     -------------------------------------------        Chairman of the Board and            February 20, 1996
                  Charles H. Robbins                     Chief Executive Officer

                  /s/ JACK M. MAZUR
     -------------------------------------------        President and Director               February 20, 1996
                    Jack M. Mazur

                /s/ ANTHONY M. PICINI                   Senior Vice President and Chief
     -------------------------------------------         Financial Officer (Chief            February 20, 1996
                  Anthony M. Picini                      Accounting Officer)

                 /s/ MICHAEL D. STARR                   Senior Vice President,
     -------------------------------------------         Information Systems and             February 20, 1996
                   Michael D. Starr                      Director

                 /s/ JULIEN J. LAVOIE                   Senior Vice President,
     -------------------------------------------         Information Systems and             February 20, 1996
                   Julien J. Lavoie                      Director
</TABLE>

                                      II-4
<PAGE>
<TABLE>
<C>                                                     <S>                                <C>
                      SIGNATURE                                       TITLE                         DATE
- ------------------------------------------------------  ---------------------------------  ----------------------

             /s/ GEORGE E. SCHAFER, M.D.
     -------------------------------------------        Senior Vice President, Medical       February 20, 1996
               George E. Schafer, M.D.                   Affairs and Director

                 /s/ PAUL T. CUZMANES
     -------------------------------------------        Director                             February 20, 1996
                   Paul T. Cuzmanes

                /s/ JOSEPH G. MATHEWS
     -------------------------------------------        Director                             February 20, 1996
                  Joseph G. Mathews

                /s/ CHARLES P. REILLY
     -------------------------------------------        Director                             February 20, 1996
                  Charles P. Reilly

                /s/ DONALD J. RUFFING
     -------------------------------------------        Director                             February 20, 1996
                  Donald J. Ruffing
</TABLE>

                                      II-5
<PAGE>
                                 EXHIBIT INDEX

<TABLE>
<CAPTION>
EXHIBIT NO.                                               DESCRIPTION
- -----------  -----------------------------------------------------------------------------------------------------
<S>          <C>
       4.1   Indenture dated as of December 15, 1995 between the Company and IBJ Schroder Bank & Trust Company
             (filed as Exhibit 4.1 to the Company's Current Report on Form 8-K/A dated January 11, 1996 (File No.
             001-11780) and incorporated herein by reference).
       4.2   Form of 6 1/2% Convertible Subordinated Debentures due 2002 (included in Indenture filed as Exhibit
             4.1 to the Company's Current Report on Form 8-K/A dated January 11, 1996 (File No. 001-11780) and
             incorporated herein by reference).
       4.3   Registration Rights Agreement, dated as of December 13, 1995, between the Company and Smith Barney
             Inc. and Dean Witter Reynolds Inc. (filed as Exhibit 4.2 to the Company's Current Report on Form
             8-K/A dated January 11, 1996
             (File No. 001-11780) and incorporated herein by reference).
       4.4   Stock Purchase Agreement, dated as of September 29, 1994, by and between the Company and Shamrock
             Investments (filed as Exhibit 4 to the Company's Current Report on Form 8-K dated October 3, 1994
             (File No. 0-16235)).
       4.5   Pledge and Security Agreement, dated as of September 29, 1994, by Charles P. Reilly, Michael E.
             Gallagher, and Shamrock Investments in favor of the Company.
       4.6   Stock Purchase Note, dated September 29, 1994, from Shamrock Investments to the Company.
       4.7   Registration Rights Agreement, dated as of September 29, 1994 between the Company and Shamrock
             Investments.
       4.8   Convertible Note, dated September 29, 1994, from the Company to Charles P. Reilly.
       4.9   Convertible Note, dated September 29, 1994, from the Company to Michael E. Gallagher.
      4.10   Convertible Note, dated September 29, 1994, from the Company to Jonathan J. Spees.
      4.11   Registration Rights Agreement, dated as of September 29, 1994, between the Company and Charles P.
             Reilly, Michael E. Gallagher and Jonathan J. Spees.
      4.12   Stock Option, dated as of October 3, 1994, between the Company and Charles P. Reilly.
      4.13   Stock Option, dated as of October 3, 1994, between the Company and Michael E. Gallagher.
      4.14   Stock Option, dated as of October 3, 1994, between the Company and John P. Cole.
      4.15   Escrow Agreement, dated as of September 29, 1994, by and among PHP Family Healthcare Corporation,
             J.P. Cole & Associates, Inc., John P. Cole, Charles P. Reilly, Michael E. Gallagher, the Company, and
             William F. Bavinger, III.
      4.16   Registration Rights Agreement, dated as of September 29, 1994, between the Company and John P. Cole,
             Charles P. Reilly, and Michael E. Gallagher.
       5.1   Opinion of Fried, Frank, Harris, Shriver & Jacobson (to be filed).
      12.1   Statement re computation of ratios.
      15.1   Letter of Coopers & Lybrand L.L.P. re unaudited interim financial information.
      23.1   Consent of Coopers & Lybrand L.L.P.
      23.2   Consent of KPMG Peat Marwick LLP.
      23.3   Consent of Fried, Frank, Harris, Shriver & Jacobson (included in Exhibit 5.1).
      24.1   Power of Attorney (included on page II-4 hereof).
      25.1   Form T-1 Statement of Eligibility and Qualification under the Trust Indenture Act of 1939 of IBJ
             Schroder Bank & Trust Company.
</TABLE>

<PAGE>

                                                                    EXHIBIT 4.5


                          PLEDGE AND SECURITY AGREEMENT

          THIS PLEDGE AND SECURITY AGREEMENT is made and effective as of
September 29, 1994 by EACH PARTY LISTED on Schedule 1 hereto (each, a "Pledgor";
collectively, the "Pledgors") in favor of PHP HEALTHCARE CORPORATION, a Delaware
corporation ("PHP").

                                 R E C I T A L S
                                 - - - - - - - -

          WHEREAS, SHAMROCK INVESTMENTS, a California general partnership
("Shamrock") has entered into a Stock Purchase Agreement (the "Stock Purchase
Agreement") and has made and delivered to PHP a promissory note (the "Stock
Purchase Note"), each dated as of the date hereof; and

          WHEREAS, as further security for the payment and performance of the
obligations of Shamrock under the Stock Purchase Agreement and the Stock
Purchase Note, and in order to induce PHP to engage in the transactions
contemplated thereby, each Pledgor is executing and delivering this Agreement to
PHP; and

          WHEREAS, each Pledgor has determined that it is his, her or its best
interest to execute this Pledge and Security Agreement inasmuch as each Pledgor
will derive substantial direct and indirect benefits from the execution and
performance of the Stock Purchase Agreement; and

          NOW, THEREFORE, for good and valuable consideration, the receipt and
sufficient of which are hereby acknowledged, and in order to induce PHP to enter
into the Stock Purchase Agreement with Shamrock, each Pledgor agrees, for the
benefit of Shamrock, as follows:

                               ARTICLE I:  PLEDGE

          1.1. GRANT OF SECURITY INTEREST.  Each Pledgor hereby pledges,
hypothecates, assigns, charges, mortgages, delivers, and transfers to PHP and
hereby grants to PHP a continuing security interest in all of the following
property ("Collateral"):

          (a)  The issued and outstanding shares of capital stock of PHP owned
               by such Pledgor and identified on Schedule 1 hereto; and

          (b)  All other Pledged Shares issued from time to time to such
               Pledgor; and

          (c)  All other Pledged Property (including, without limitation, all
               options


<PAGE>


               and warrants for Pledged Shares, as identified on Schedule 1
               hereto) owned by such Pledgor, whether nor or hereafter delivered
               to PHP in connection with this Pledge and Security Agreement; and

          (d)  All Dividends, Distributions and other payments and rights with
               respect to any Pledged Property received or receivable by such
               Pledgor (subject, however, to Sections 1.4 and 3.4(a) hereof);
               and

          (e)  All proceeds of any of the foregoing.

          1.2.  SECURITY FOR OBLIGATIONS.  This Pledge and Security Agreement
secures the payment and performance in full of all obligations (monetary or
otherwise) of Shamrock under the Stock Purchase Agreement and Stock Purchase
Note, whether for principal, interest, costs, fees, expenses, or otherwise, and
all obligations (monetary or otherwise) of Shamrock and/or any Pledgor now or
hereafter existing under this Pledge and Security Agreement (all such
obligations of Shamrock and/or any Pledgor being referred to as the "Secured
Obligations").

          1.3.  DELIVERY OF PLEDGED PROPERTY.  All certificates or instruments
representing or evidencing any Collateral, including all Pledged Shares, will be
delivered to and held by or on behalf of PHP pursuant hereto, must be in
suitable form for transfer by delivery, and must be accompanied by all necessary
instruments of transfer or assignment, duly executed in blank.

          1.4.  DIVIDENDS ON PLEDGED SHARES.  So long as no Default has occurred
and is then continuing or is caused by the payment of such Dividend, any
Dividend paid on any Pledged Share may be paid directly to the respective
Pledgor; after the occurrence and during the continuance of a Default, all
Dividends distributed to shareholders must be paid directly to PHP and applied
against the Stock Purchase Note except for the amount of the respective
Pledgor's resulting federal, state and local income tax liability.

          1.5.  CONTINUING SECURITY INTEREST; TRANSFER OF NOTES.  This Pledge
and Security Agreement creates a continuing security interest in the Collateral
and will remain in full force and effect until the payment and performance in
full of all Secured Obligations and the expiration of any period during which
any such payments may be subject to challenge or return as a preference or
otherwise. This Pledge and Security Agreement is binding upon each Pledgor, and
his, her or its successors, heirs, executors, personal representatives,
transferees and assigns, and, together with the rights and remedies of PHP
hereunder, inures to the benefit of PHP and its successors, transferees and
assigns. Without limiting the generality of the foregoing, PHP may assign or
otherwise transfer (in whole or in part) the Stock Purchase Note held by it to
any other Person or entity, and each other Person or entity will thereupon
become vested with all the rights and benefits in respect thereof granted to PHP
under the Stock Purchase Agreement, the Stock Purchase Note and this Pledge and
Security Agreement or otherwise, SUBJECT, HOWEVER, to any contrary provision in
such assignment or transfer. Upon the payment and performance in full of all
Secured Obligations and the expiration of any period during which any such
payments may be subject to


                                       -2-


<PAGE>


challenge to return, the pledge and security interest granted herein will
terminate and all rights to the Collateral will revert to each Pledgor. Upon any
such termination, PHP, at each Pledgor's sole expense, will deliver to each
Pledgor, without any representation, warranties or recourse of any kind
whatsoever, all certificates and instruments representing or evidencing the
Pledged Shares, together with all other Collateral held by PHP hereunder, and
will execute and deliver to each Pledgor such documents as such Pledgor may
reasonably request to evidence such termination and delivery.

          1.6.  SECURITY INTEREST ABSOLUTE.  All rights of PHP and the security
interests granted to PHP hereunder, and all obligations of any Pledgor
hereunder, are absolute and unconditional, irrespective of:

          (a)  Any lack of validity or enforceability of the Stock Purchase
               Note; or

          (b)  The failure of PHP or any holder of the Stock Purchase Note:

               (i)  To assert any claim or demand or to enforce any right or
                    remedy under the provisions of the Stock Purchase Note or
                    otherwise, or

               (ii) To exercise any right or remedy against any other obligor
                    of, or collateral security, any obligations of Shamrock
                    owing to PHP; or

          (c)  Any change in the time, manner or place of payment of, or in any
               other term of, all or any of the Secured Obligations or any other
               extension, compromise or renewal of any Secured Obligation; or

          (d)  Any reduction, limitation, impairment or termination of any
               Secured Obligation for any reason, including any claim of waiver,
               release, surrender, alteration or compromise (and each Pledgor
               hereby waives any right to or claim of any defense or set off,
               counterclaim, recoupment or termination whatsoever by reason of
               any invalidity, illegality, nongenuineness, irregularity,
               compromise, unenforceability of, or any other event or occurrence
               affecting, any Secured Obligation); or

          (e)  Any amendment to, rescission, waiver, or other modification of,
               or any consent to departure from, the Stock Purchase Note; or

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


                                       -3-


<PAGE>


          (g)  Any other circumstances which might otherwise constitute a
               defense available to, or a legal or equitable discharge of, any
               Pledgor.


                   ARTICLE II:  REPRESENTATIONS AND WARRANTIES

          Each Pledgor, as of the date of each pledge and delivery hereunder
(including each pledge and delivery of Pledged Shares) by any such Pledgor to
PHP of any Collateral, hereby jointly and severally represents and warrants to
PHP as set forth in this Article.

          2.1. LEGAL CAPACITY.  Each Pledgor has the full power and legal
capacity to execute and deliver the Pledge and Security Agreement and perform
its obligations hereunder.

          2.2. OWNERSHIP:  NO LIENS.  Each Pledgor is the legal and beneficial
owner of, and has good and marketable title to (and has full right and authority
to pledge and assign) such Collateral, free and clear of all liens, security
interests, options, or other charges or encumbrances, except any lien or
security interest granted pursuant hereto in favor of PHP.

          2.3. VALID SECURITY INTEREST.  The delivery of the Collateral to PHP
by each Pledgor is effective to create a valid, perfected, first priority
security interest in the Collateral and all proceeds thereof securing the
payment of the Secured Obligations. No filing and no approval or consent of any
Person will be necessary to perfect or protect such security interest.

          2.4  NON-CONTRAVENTION.  The execution, delivery and performance by
each Pledgor of this Pledge and Security Agreement do not:

          (a)  Contravene any contractual restriction the violation of which
               individually or in the aggregate would have a Material Adverse
               Effect; or

          (b)  Contravene any law or governmental regulation or court decree or
               order binding on or affecting any Pledgor; or

          (c)  Result in, or require the creation or imposition of, any lien on
               any of such Pledgor's property, other than the lien created
               pursuant to this Pledge and Security Agreement.

          2.5  VALIDITY.  This Pledge and Security Agreement constitutes the
legal, valid and binding obligation of such Pledgor and is enforceable against
him, her or it in accordance with the terms hereof.


                                       -4-


<PAGE>


                             ARTICLE III.  COVENANTS

          Each Pledgor, jointly and severally, hereby covenants and agrees that,
so long as this Pledge and Security Agreement remains effective, each Pledgor
will comply with the covenants set forth in this Article.

          3.1. PROTECT COLLATERAL; FURTHER ASSURANCE.  No Pledgor will sell,
assign, transfer, pledge, or encumber in any other manner the Collateral (except
in favor of PHP hereunder), except that any of the Pledged Shares hereunder
owned by an individual Pledgor may be transferred upon such individual's death
to his or her heirs, executor or personal representative PROVIDED THAT (a) such
Collateral at all times remains subject to the pledge and security interest
created hereby and, (b) such transferee (at such transferee's expense and prior
to the effectiveness of any such transfer) becomes a Pledgor hereunder and
executes such agreements and documents as PHP may reasonably request to ensure
the continuation of PHP's first priority interest in such Collateral. Shamrock
shall promptly notify PHP in writing of the death of any Pledgor. Each Pledgor
will warrant and defend the right and title herein granted to PHP in and to the
Collateral (and all right, title, and interest represented by the Collateral)
against the claims and demands of all persons whomsoever. Each Pledgor agrees
that at any time, and from time to time, at the expense of such Pledgor, such
Pledgor will promptly execute and deliver all further instruments, and will take
all further action, that may be reasonably necessary or desirable, or that PHP
may reasonably request, in order to perfect and protect any security interest
granted or purported to be granted hereby or to enable PHP to exercise and
endorse its rights and remedies hereunder with respect to any Collateral.

          3.2. STOCK POWERS.  Each Pledgor agrees that all Pledged Shares (and
all other shares of stock constituting Collateral) delivered by such Pledgor
pursuant to this Pledge and Security Agreement, if requested by PHP, will be
endorsed in blank or accompanied by duly executed undated blank stock powers, or
other equivalent instruments of transfer acceptable to PHP. Each Pledgor, from
time to time upon the request of PHP, will promptly deliver to PHP such stock
powers, instruments, and similar documents (satisfactory in form and substance
to PHP) with respect to the Collateral as PHP may reasonably request and from
time to time upon the request of PHP after the occurrence of any Event of
Default, will promptly transfer any Pledged Shares or other shares of capital
stock constituting Collateral into the name of any nominee designated by PHP.

          3.3. CONTINUOUS PLEDGE.  Each Pledgor, at all times, will keep pledged
to PHP pursuant hereto all Pledged Shares and all other shares of capital stock
constituting Collateral, all Dividends (subject, however, to Section 1.4 hereof)
and Distributions with respect thereto, and all other Collateral and other
securities, instruments, proceeds, and rights from time to time received by or
distributable to Pledgor in respect to any Collateral.

          3.4. VOTING RIGHTS; DISTRIBUTIONS.  Until an Event of Default has
occurred and is continuing, each Pledgor may exercise all of its voting rights
in respect of its Collateral. Each Pledgor agrees:


                                       -5-


<PAGE>


          (a)  Promptly upon receipt and without any request by PHP, to deliver
               to PHP (properly endorsed where required hereby or requested by
               PHP) all Distributions, all other non-Dividend cash payments, and
               all proceeds of the Collateral, all of which will be held by PHP
               as additional Collateral, provided that each Pledgor may retain
               the amount of any such Distribution, payment or proceeds
               representing his resulting federal, state and local income tax
               liability; and

          (b)  After any Event of Default has occurred and is continuing and PHP
               has notified Pledgor of PHP's intention to exercise its voting
               power under this Section 3.4(b):

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

               (ii) Promptly to deliver to PHP such additional proxies and other
                    documents as may be necessary to allow PHP to exercise such
                    voting power;

All Dividends, Distributions, cash payments, and proceeds that at any time and
from time to time may be delivered to any Pledgor but which such Pledgor is then
obligated to deliver to PHP, until delivery to PHP, must be held by such Pledgor
separate and apart from his, her or its other property in trust for PHP. PHP
agrees that unless an Event of Default has occurred and is continuing, each
Pledgor will have the exclusive voting power with respect to any shares of
capital stock (including any of the Pledged Shares) of such Pledgor constituting
Collateral and, upon the written request of such Pledgor, PHP will promptly
deliver such proxies and other documents, if any, as reasonably requested by
such Pledgor that are necessary to allow such Pledgor to exercise voting power
with respect to any such shares of capital stock (including any of the Pledged
Shares) of such Pledgor constituting Collateral; PROVIDED, HOWEVER, that no vote
may be cast, or consent, waiver, or ratification given, or action taken by any
Pledgor that would impair any Collateral or be inconsistent with or violate any
provision of any of the Stock Purchase Agreement, the Stock Purchase Note or
this Pledge and Security Agreement.

                                ARTICLE IV:  PHP

          4.1. PHP APPOINTED AS ATTORNEY-IN-FACT.  Each Pledgor hereby
irrevocably appoints PHP as such Pledgor's attorney-in-fact, with full authority
in the place and stead of such Pledgor and in the name of Pledgor or otherwise,
from time to time in PHP's reasonable discretion, to take any action and to
execute any instrument which PHP may deem


                                       -6-


<PAGE>


necessary or advisable to accomplish the purposes of this Pledge and Security
Agreement, including, without limitation:

          (a)  To ask, demand, collect, sue for, recover, compromise, receive
               and give acquittance and receipts for moneys due and to become
               due under or in respect of any of the Collateral; and/or

          (b)  To perform any and all of the affirmative obligations and
               covenants of such Pledgor hereunder.

Each Pledgor hereby acknowledges, consents and agrees that the power of attorney
granted pursuant to this Section 4.1 is irrevocable and coupled with an interest
but will terminate upon the termination of this Agreement pursuant to Section
1.5 hereof.

          4.2. PHP MAY PERFORM.  If any Pledgor fails to perform any agreement
contained herein, PHP may itself perform, or cause the performance of, such
agreement, and the expenses of PHP incurred in connection therewith will be
payable pursuant to Section 5.6 hereof.

          4.3. PHP HAS NO DUTY.  The rights and powers conferred on PHP
hereunder are solely to protect its interest in the Collateral and do not impose
any duty on PHP to exercise any such rights or powers. Except for reasonable
care of any Collateral in its possession and the accounting for moneys actually
received by it hereunder, PHP has no duty as to any Collateral or any
responsibility for taking any necessary steps to preserve rights against prior
parties or any other rights pertaining to any Collateral.

          4.4. REASONABLE CARE.  PHP is required to exercise reasonable care in
the custody and preservation of any of the Collateral in its possession;
PROVIDED, HOWEVER, PHP will be deemed to have exercised such reasonable care in
the custody and preservation of any of the Collateral, if it takes such action
for that purpose as each Pledgor reasonably requests in writing at times other
than upon the occurrence and during the continuance of any Event of Default, but
failure of PHP to comply with any such request at any time will not in itself be
deemed a failure to exercise reasonable care.


                        ARTICLE V:  DEFAULTS AND REMEDIES

          5.1. EVENTS OF DEFAULT.  The occurrence of any of the following events
will constitute an Event of Default ("Event of Default") hereunder:

          (a)  STOCK PURCHASE AGREEMENT AND STOCK PURCHASE NOTE.  If any default
               occurs under the Stock Purchase Agreement or the Stock Purchase
               Note.

          (b)  REPRESENTATIONS AND WARRANTIES.  If any representation, warranty
               or statement made in this Agreement, or in any schedule or


                                       -7-


<PAGE>


               exhibit hereto, by any Person (other than PHP) obligated
               hereunder when made was or subsequently becomes false, misleading
               or incorrect in any material respect.

          (c)  COVENANTS.  If any Person (other than PHP) obligated hereunder
               defaults in the performance of any agreement or covenant
               contained herein, or in any document or agreement now or
               hereafter executed or delivered in connection herewith, AND such
               default remains uncured for a period of thirty (30) Business Days
               after the earlier of the date that PHP notifies such Person
               thereof or the date that such Person otherwise acquires
               knowledge.

          (d)  SECURITY INTEREST.  If the security interest or lien in any of
               the Collateral hereunder at any time does not constitute a legal,
               valid and enforceable first priority security interest or lien in
               favor of PHP.

          (e)  INSOLVENCY.  If any Person obligated hereunder becomes insolvent,
               bankrupt or generally fails to pay his, her or its debts as such
               debts as such debts become due.

     5.2. CERTAIN REMEDIES.  If any Event of Default occurs and is continuing:

          (a)  PHP may exercise in respect of the Collateral, in addition to
               other rights and remedies provided for herein or otherwise
               available to it, all rights and remedies of a secured party on
               default under the U.C.C. (whether or not the U.C.C. applies to
               the affected Collateral).

          (b)  In addition, without notice except as specified below, PHP may
               sell the Collateral or any part thereof in one or more parcels at
               public or private sale, at any of PHP's offices or elsewhere, for
               cash, on credit or for future delivery, and upon such other terms
               as PHP may in good faith deem commercially reasonable. Each
               Pledgor agrees that, to the extent notice of sale is required by
               applicable law, at least thirty (30) calendar days' prior notice
               to such Pledgor of the time and place of any public sale or the
               time after which any private sale is to be made will constitute
               reasonable notification. PHP is not and will not be obligated to
               make any sale of Collateral regardless of notice of sale having
               been given. PHP may adjourn any public or private sale from time
               to time by announcement at the time and place fixed therefor, and
               without further notice, such sale may be made at the time and
               place to which it was so adjourned.


                                       -8-


<PAGE>


          (c)  PHP, in addition, may:

               (i)  Transfer all or part of the Collateral into the name of PHP
                    or its nominee, with or without disclosing that such
                    Collateral is subject to the Lien and security interest
                    hereunder; and

               (ii) Notify the parties obligated on any of the Collateral to
                    make payment to PHP of any amount due or to become due in
                    connection therewith; and

              (iii) Endorse any checks, drafts, or other writings in any
                    Pledgor's name to allow collection of the Collateral; and

               (iv) Take control of any proceeds of the Collateral;

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

          5.3. COMPLIANCE WITH RESTRICTIONS.  Each Pledgor agrees that in any
sale of any of the Collateral whenever an Event of Default has occurred and is
continuing, PHP is hereby authorized to comply with any limitation or
restriction in connection with such sale as it may be advised by counsel is
necessary in order to avoid any violation of applicable law (including
compliance with such procedures as may restrict the number of prospective
bidders and purchasers, require that such prospective bidders and purchasers
have certain qualifications, and restrict such prospective bidders and
purchasers to persons who will represent and agree that they are purchasing for
their own account for investment and not with a view to the distribution or
resale of such Collateral), or in order to obtain any required approval of the
sale or of the purchaser by any Official Body. Each Pledgor further agrees that
such compliance will not result in such sale being considered or deemed not to
have been made in a commercially reasonable manner, nor will PHP be liable or
accountable to any Pledgor for any discount allowed by the reason of the fact
that such Collateral is sold in compliance with any such limitation or
restriction.

          5.4. APPLICATION OF PROCEEDS.  All cash proceeds received by PHP in
respect of any sale of, collection from, or other realization upon, all or any
part of the Collateral, in the discretion of PHP, may be held by PHP as
additional collateral security for, or then or at any time thereafter may be
applied in whole or in part by PHP against, all or any part of the Secured
Obligations in such order as PHP may elect. Any surplus of such cash or cash
proceeds held by PHP and remaining after payment in full of all the Secured
Obligations will be paid over to the applicable Pledgor or to whomsoever may be
lawfully entitled to receive such surplus.

                                       -9-

<PAGE>

          5.5. INDEMNITY AND EXPENSES.

          (a)  Each Pledgor hereby agrees to indemnify and hold harmless PHP
               from and against any and all claims, losses, and liabilities
               arising out of or resulting from this Pledge and Security
               Agreement (including enforcement of this Pledge and Security
               Agreement against such Pledgor) directly or indirectly caused by
               or resulting from the actions or inactions of such Pledgor,
               except for liabilities resulting from PHP's own willful
               misconduct or fraud.

          (b)  Upon demand, each Pledgor (on a pro rata basis, based upon the
               percentage of outstanding shares owned or to which such Pledgor
               has the right to own) will pay to PHP the amounts of any and all
               reasonable expenses, including the reasonable fees and
               disbursements of its counsel and of any experts and agents, which
               PHP may incur in connection with:

               (i)  The administration of this Pledge and Security Agreement,
                    and each of the other Loan Documents to which Pledgor is a
                    party; and/or

               (ii) The custody, preservation, use, or operation of, or the sale
                    of, collection from, or other realization upon, any of the
                    Collateral; and/or

              (iii) The exercise or enforcement of any of the rights of PHP
                    hereunder; and/or

               (iv) The failure by such Pledgor to perform or observe any of the
                    provisions hereof.


                            ARTICLE VI:  DEFINITIONS

     6.1. CERTAIN TERMS.  The following terms when used in this Pledge and
Security Agreement, including its preamble and recitals, have the following
meanings (such definitions to be equally applicable to the singular and plural
forms thereof):

     (a)  "COLLATERAL" is defined in Section 1.1 hereof.

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


                                      -10-


<PAGE>


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

          (d)  "MATERIAL ADVERSE EFFECT" means relative to any occurrence of
whatever nature (including, without limitation, any adverse determination in any
litigation, arbitration, or governmental investigation or proceeding), a
material adverse change to, or, as the case may be, a materially adverse effect
on:

               (1)  The business, assets, revenues, financial condition, or
                    operations of any Pledgor or Shamrock; or

               (2)  The ability of Pledgor or Shamrock to perform any of its
                    payment obligations when due or to perform any other
                    material obligations under this Pledge and Security
                    Agreement, the Stock Purchase Agreement or the Stock
                    Purchase Note.

          (e)  "PERSON" means any natural person, corporation, partnership,
firm, association, trust, government, governmental agency or any other entity,
whether acting in an individual, fiduciary or other capacity.

          (f)  "PHP" means PHP Healthcare Corporation, a Delaware corporation,
and any successor thereof, or any assignee or transferee of PHP under the Stock
Purchase Agreement or the Stock Purchase Note.

          (g)  "PLEDGE AND SECURITY AGREEMENT" means this Stock Pledge and
Security Agreement, and all exhibits and schedules hereto, all as may be
amended, supplemented and otherwise modified from time to time.

          (h)  "PLEDGED PROPERTY" means all Pledged Shares and all other pledged
shares of capital stock, all other securities (including, without limitation,
all options and warrants for Pledged Shares), all assignments of any amounts due
or to become due, all other instruments which are now being delivered by any
Pledgor to PHP or may from time to time hereafter be delivered by a Pledgor to
PHP for the purpose of pledge under the Pledge and Security Agreement, and all
proceeds of any of the foregoing.

          (i)  "PLEDGED SHARES" means all shares of capital and/or voting stock
issued by PHP which are delivered by any Pledgor to PHP as Pledged Property
hereunder.

          (j)  "PLEDGOR" means each Person required hereunder to execute this
Pledge and Security Agreement, and any successor, heir, personal representative
or executor thereof.

          (k)  "SECURED OBLIGATIONS" is defined in Section 1.2 hereof.


                                      -11-


<PAGE>


          (l)  "SECURITIES ACT" means the Securities Act of 1933, as amended
from time to time, and as implemented by the Securities Exchange Commission.

          (m)  "SHAMROCK" means Shamrock Investments, a California general
partnership, or any successor therefor or any authorized assignee of Shamrock
under the Stock Purchase Agreement.

          (n)  "STOCK PURCHASE AGREEMENT" means the Stock Purchase Agreement,
and all exhibits and schedules hereto, all as may be amended, supplemented and
otherwise modified from time to time.

          (o)  "STOCK PURCHASE NOTE" means the promissory note, dated the date
hereof, executed by Shamrock pursuant to the Stock Purchase Agreement, as may be
amended, supplemented and otherwise modified from time to time.

          (p)  "U.C.C." means the Uniform Commercial Code as in effect in the
State of Virginia.

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


                     ARTICLE VII:  MISCELLANEOUS PROVISIONS

          7.1. AMENDMENTS.  No amendment to or waiver of any provision of this
Pledge and Security Agreement nor any consent to any departure by any Pledgor
herefrom will in any event be effective unless the same is in writing and signed
by PHP and any Pledgor directly obligated by such amendment, and then any such
waiver or consent will be effective only in the specific instance and for the
specific purpose for which it is given.

          7.2. PROTECTION OF COLLATERAL.  PHP from time to time, at its option,
may perform any act which any Pledgor agrees hereunder to perform and which such
Pledgor fails to perform after being requested in writing so to perform (it
being understood that no such request need be given after the occurrence and
during the continuance of an Event of Default), and PHP from time to time may
take any other action which PHP reasonably deems necessary for the maintenance,
preservation or protection of any of the Collateral or of its security interest
therein.

          7.3. ADDRESSES FOR NOTICES.  All notices and other communications
provided to any party hereto shall be in writing and mailed, delivered or
transmitted to such party at its address or facsimile number set forth below its
signature hereto and as to any party, at such other address or facsimile number
as may be designated by such party in a written notice to each other party
complying as to delivery with the terms of this Section. Any notice, if mailed
and properly addressed with postage prepaid or, if properly addressed and sent
by prepaid courier service, will be deemed given when received; any notice, if


                                      -12-


<PAGE>


transmitted by facsimile, will be deemed given when transmitted (upon receipt of
electronic confirmation of transmission).

          7.4. HEADINGS.  The various headings used in this Pledge and Security
Agreement are for convenience of reference only, and shall not affect the
meaning or interpretation of this Pledge and Security Agreement or any provision
hereof.

          7.5. SEVERABILITY.  Wherever possible, each provision of this Pledge
and Security Agreement is to be interpreted in such manner as to be effective
and valid under applicable law, but if any provision of this Pledge and Security
Agreement is prohibited by or invalid under such law, such provision is to be
ineffective to the extent of such prohibition or invalidity, without
invalidating the remainder of such provision or the remaining provisions of this
Pledge and Security Agreement.

          7.6. GOVERNING LAW; ENTIRE AGREEMENT.  This Pledge and Security
Agreement shall be governed by and construed in accordance with the internal
laws of the State of Virginia, without giving effect of conflicts of laws
principles, except to the extent that the validity or perfection of the security
interest hereunder, or remedies hereunder, in respect of any particular
collateral are governed by the laws of a jurisdiction other than the State of
Virginia. This Pledge and Security Agreement, the Stock Purchase Agreement and
the Stock Purchase Note constitute the entire understanding among the parties
hereto with respect to the subject matter hereof and supersede any prior
agreements, written or oral, with respect thereto.

          7.7. FORUM SELECTION AND CONSENT TO JURISDICTION.  ANY LITIGATION
BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS PLEDGE AND
SECURITY AGREEMENT, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF PHP OR ANY PLEDGOR SHALL BE BROUGHT
AND MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF VIRGINIA OR IN THE
UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA; PROVIDED,
HOWEVER, THAT ANY SUIT SEEKING ENFORCEMENT AGAINST ANY COLLATERAL OR OTHER
PROPERTY MAY ALSO BE BROUGHT, AT PHP'S OPTION, IN THE COURTS OF ANY
JURISDICTION WHERE SUCH COLLATERAL OR OTHER PROPERTY MAY BE FOUND OR WHERE
PLEDGOR IS OTHERWISE SUBJECT TO PERSONAL JURISDICTION. EACH PLEDGOR HEREBY
EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF THE
STATE OF VIRGINIA AND OF THE UNITED STATES DISTRICT COURT FOR THE EASTERN
DISTRICT OF VIRGINIA OR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE
AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN
CONNECTION WITH SUCH LITIGATION. EACH PLEDGOR FURTHER IRREVOCABLY CONSENTS TO
THE SERVICES OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL
SERVICE WITHIN OR WITHOUT THE STATE OF VIRGINIA. EACH PLEDGOR HEREBY EXPRESSLY
AND IRREVOCABLY WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION
WHICH IT MAY HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH
LITIGATION BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY
SUCH LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT
ANY PLEDGOR HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY
COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT
PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE) WITH RESPECT
TO ITSELF OR ITS PROPERTY, SUCH

                                      -13-


<PAGE>


PLEDGOR HEREBY IRREVOCABLY WAIVES SUCH IMMUNITY IN RESPECT OF ITS SECURED
OBLIGATIONS UNDER THIS PLEDGE AND SECURITY AGREEMENT.

          7.8. WAIVER OF JURY TRIAL.  PHP AND EACH PLEDGOR HEREBY KNOWINGLY,
VOLUNTARILY AND INTENTIONALLY WAIVE ANY RIGHTS THEY MAY HAVE TO A TRIAL BY JURY
IN RESPECT OF ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN
CONNECTION WITH, THIS PLEDGE AND SECURITY AGREEMENT, OR ANY COURSE OF CONDUCT,
COURSE OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN) OR ACTIONS OF PHP OR
ANY PLEDGOR. EACH PLEDGOR ACKNOWLEDGES AND AGREES THAT HE, SHE OR IT HAS
RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION (AND EACH OTHER
PROVISION OF EACH OTHER LOAN DOCUMENT TO WHICH IT IS A PARTY), THAT HE, SHE OR
IT HAS BEEN ADVISED BY LEGAL COUNSEL IN CONNECTION HEREWITH AND THAT THIS
PROVISION IS A MATERIAL INDUCEMENT FOR PHP ENTERING INTO THE STOCK PURCHASE
AGREEMENT.

          7.9. REINSTATEMENT.  To the extent permitted by law, this Pledge and
Security Agreement shall continue to be effective or be reinstated if at any
time any amount received by PHP in respect of the Stock Purchase Agreement or
the Stock Purchase Note is rescinded or must otherwise be restored or returned
by PHP upon the insolvency, bankruptcy, dissolution, liquidation or
reorganization of Shamrock of any Pledgor or upon the appointment of any
receiver, intervenor, conservator, trustee or similar official for Shamrock or
any Pledgor or any substantial part of Shamrock or any Pledgor's assets, or
otherwise, all as though such payments had not been made.

          7.10.     WAIVER OF LIABILITY.  EACH PLEDGOR (A) AGREES THAT PHP SHALL
HAVE NO LIABILITY TO PLEDGOR (WHETHER SOUNDING IN TORT, CONTRACT OR OTHERWISE)
FOR LOSSES SUFFERED BY ANY PLEDGOR IN CONNECTION WITH, ARISING OUT OF, OR IN ANY
WAY RELATED TO, THE TRANSACTIONS CONTEMPLATED AND THE RELATIONSHIP ESTABLISHED
BY THIS PLEDGE AND SECURITY AGREEMENT, OR ANY ACT, OMISSION OR EVENT OCCURRING
IN CONNECTION THEREWITH, EXCEPT CLAIMS RESULTING FROM PHP'S WILLFUL MISCONDUCT
OR FRAUD, AND (B) WAIVES, RELEASES AND AGREES NOT TO SUE UPON ANY CLAIM AGAINST
PHP (WHETHER SOUNDING IN TORT, CONTRACT OR OTHERWISE), EXCEPT CLAIMS RESULTING
FROM PHP'S WILLFUL MISCONDUCT OR FRAUD. WHETHER OR NOT SUCH DAMAGES ARE RELATED
TO A CLAIM THAT IS SUBJECT TO THE WAIVER EFFECTED ABOVE AND WHETHER OR NOT SUCH
WAIVER IS EFFECTIVE, PHP SHALL HAVE NO LIABILITY WITH RESPECT TO, AND EACH
PLEDGOR HEREBY WAIVES, RELEASES AND AGREES NOT TO SUE UPON ANY CLAIM FOR, ANY
SPECIAL, INDIRECT, CONSEQUENTIAL OR PUNITIVE DAMAGES SUFFERED BY ANY PLEDGOR IN
CONNECTION WITH, ARISING OUT OF, OR IN ANY WAY RELATED TO THE TRANSACTIONS
CONTEMPLATED OR THE RELATIONSHIP ESTABLISHED BY THIS PLEDGE AND SECURITY
AGREEMENT, THE STOCK PURCHASE AGREEMENT OR THE STOCK PURCHASE NOTE, OR ANY ACT,
OMISSION OR EVENT OCCURRING IN CONNECTION HEREWITH OR THEREWITH.

          7.11.     WAIVER OF NOTICE; WAIVER OF BOND.  EACH PLEDGOR WAIVES ALL
RIGHTS OF NOTICE AND HEARING OF ANY KIND PRIOR TO THE EXERCISE BY PHP OF ITS
RIGHTS FROM AND AFTER THE OCCURRENCE OF ANY EVENT OF DEFAULT TO REPOSSESS THE
COLLATERAL WITH JUDICIAL PROCESS OR TO REPLEVY, ATTACH OR LEVY UPON THE
COLLATERAL. EACH PLEDGOR WAIVES THE POSTING OF ANY BOND OTHERWISE REQUIRED OF
PHP IN CONNECTION WITH ANY JUDICIAL PROCESS OR PROCEEDING TO OBTAIN POSSESSION
OF, REPLEVY, ATTACH OR LEVY UPON COLLATERAL OR OTHER


                                      -14-


<PAGE>


SECURITY FOR THE SECURED OBLIGATIONS, TO ENFORCE ANY JUDGMENT OR OTHER COURT
ORDER ENTERED IN FAVOR OF PHP, OR TO ENFORCE BY SPECIFIC PERFORMANCE, TEMPORARY
RESTRAINING ORDER OR PRELIMINARY OR PERMANENT INJUNCTION THIS PLEDGE AND
SECURITY AGREEMENT OR ANY OTHER AGREEMENT OR DOCUMENT BETWEEN ANY PLEDGOR AND
PHP.

          7.12.     WAIVER OF SUBROGATION.  Each Pledgor hereby irrevocably
waives any claim or other rights which it may now have or hereafter acquire
against Shamrock or any other obligor that arise from the existence, payment,
performance or enforcement of Pledgor's obligations under this Pledge and
Security Agreement, the Stock Pledge and Security Agreement or the Stock
Purchase Note, including any right of subrogation, reimbursement, exoneration,
or indemnification, any right to participate in any claim or remedy of PHP
against Shamrock or any other obligor or any collateral which PHP now has or
hereafter acquires, whether or not such claim, remedy or right arises in equity,
or under contract, statute or common law, including the right to take or receive
from Shamrock or any other obligor, directly or indirectly, in cash or other
property or by set-off or in any manner, payment or security on account of such
claim or other rights. If any amount shall be paid to any Pledgor in violation
of the preceding sentence and the Secured Obligations shall not have been paid
in cash in full, such amount shall be deemed to have been paid to such Pledgor
for the benefit of, and held in trust for, PHP, and shall forthwith be paid to
PHP to be credited and applied upon the Secured Obligations, whether matured or
unmatured. Each Pledgor acknowledges that it will receive direct and indirect
benefits from the transactions contemplated by the Stock Purchase Agreement and
that the waiver set forth in this Section is knowingly made in contemplation of
such benefits.

          7.13.     COUNTERPARTS.  This Pledge and Security Agreement may be
executed in any number of counterparts with the same effect as if all the
signatures on such counterparts appeared on one document; each such counterpart
will be deemed to be an original but all counterparts together will constitute
one and the same instrument.


                                      -15-


<PAGE>


          IN WITNESS WHEREOF, the parties hereto have caused this Pledge and
Security Agreement to be duly executed and delivered as of the day and year
first above written.

WITNESS/ATTEST:                         SHAMROCK INVESTMENTS (PLEDGOR)



By:    /s/ Michael E. Gallagher         By:  /s/ Charles P. Reilly
       ------------------------------        --------------------------
Name:  Michael E. Gallagher             Name:   Charles P. Reilly
Title: General Partner                  Title:  Managing General Partner



WITNESS:                                CHARLES P. REILLY (PLEDGOR)



By:    /s/ Michael E. Gallagher         /s/ Charles P. Reilly
       ------------------------------   ----------------------------------
Name:  Michael E. Gallagher             Address:  2049 Century Park East,
                                                  Suite 3330
                                                  Los Angeles, California 90067


WITNESS:                                MICHAEL E. GALLAGHER (PLEDGOR)


By:    /s/ Charles P. Reilly            /s/ Michael E. Gallagher
       ------------------------------   ----------------------------------
Name:  Charles P. Reilly                Address:  2049 Century Park East,
                                                  Suite 3330
                                                  Los Angeles, California 90067


WITNESS/ATTEST:                         PHP HEALTHCARE CORPORATION


By:    /s/ Margaret E. Ferrell          By:    /s/ Jack M. Mazur
       ------------------------------          --------------------------------
Name:  Margaret E. Ferrell              Name:  Jack M. Mazur
Title:                                  Title: Senior Vice President


<PAGE>


                                   SCHEDULE I

                                 PLEDGED SHARES


          1.   Fifty-Seven Thousand One Hundred Forty-Three (57,143) Shares of
Common Stock, $.01 par value, of PHP Healthcare Corporation registered in the
name of Charles P. Reilly.

          2.   Forty-Two Thousand Eight Hundred Fifty-Seven (42,857) Shares of
Common Stock, $.01 par value, of PHP Healthcare Corporation registered in the
name of Michael E. Gallagher.

          3.   One Hundred Thousand (100,000) Shares of Common Stock, $.01 par
value, of PHP Healthcare Corporation registered in the name of Shamrock
Investments.



<PAGE>

                                                                    EXHIBIT 4.6

                               STOCK PURCHASE NOTE

$900,000.00                                                   September 29, 1994

          FOR VALUE RECEIVED, the undersigned, SHAMROCK INVESTMENTS, a
California general partnership ("Maker"), hereby unconditionally promises to pay
to the order of PHP HEALTHCARE CORPORATION, a Delaware corporation, or its
successors or assigns ("Payee"), on or before September 29, 1999, ("Maturity
Date") the principal sum of NINE HUNDRED THOUSAND DOLLARS ($900,000.00), or such
other amount as at the time may be outstanding hereunder, TOGETHER WITH all
accrued but unpaid interest thereon computed at the rate per annum set forth
below and all unpaid expenses and fees connected herewith.

          Prior to the Maturity Date, the outstanding principal amount hereunder
will bear interest, computed daily until paid, at a fixed rate per annum of
7.0%. Interest will be calculated, accrued and imposed on the basis of a 365-day
year for the actual number of days elapsed.

          Prior to the Maturity Date, accrued interest hereunder (but not
principal) will be due and payable annually in arrears on the 30th day of April,
commencing on April 30, 1995. Payee is authorized to note or endorse the date
and amount of each payment and prepayment of principal and/or interest hereunder
on a schedule annexed to and constituting a part hereof. Such notations or
endorsements, if made, will constitute PRIMA FACIE evidence of the information
endorsed on such schedule, but the failure of Payee to make any such notation or
endorsement will not limit or otherwise affect the obligations of Maker
hereunder.

          At any time, upon two (2) business days written notice to Payee, Maker
may prepay the outstanding principal balance hereunder in whole or in part
without premium or penalty, except as otherwise provided herein. Payments and
prepayments will be applied by Payee in the following order: (a) first to the
payment of any fees and charges due hereunder, (b) then to any obligations of
Maker for the payment of expenses due hereunder, (c) then to the payment of
interest due and owing hereunder, (d) then to the principal indebtedness due
hereunder, and (e) then to any other indebtedness of Maker to Payee.

          All payments of principal, interest (including any default interest),
fees and any other amounts due hereunder, including any prepayments thereof,
must be made by Maker to Payee in immediately available funds on or before
twelve o'clock (12:00) noon on the due date therefor at the principal office of
Payee at 11440 Commerce Park Drive, Reston, Virginia 22091, Attention: Anthony
M. Picini, Vice President, Finance, or at such other place as the Payee or any
other holder of this Note may at any time or from time to time designate in
writing to Maker.

          Whenever any payment to be made hereunder is due on a day that is not
a business day (I.E., any day other than a Saturday, Sunday or legal public
holiday), such payment may be made on the next succeeding business day, and such
extension of time will be included


                                    -1 of 4-


<PAGE>


in the computation of interest hereunder. Any funds received by Payee after
12:00 noon on any day will be deemed to be received on the next succeeding
business day.

          Upon the occurrence and during the existence of a default hereunder
(including, without limitation, failure or refusal by Maker to deliver payment
of the outstanding balance plus interest on the Maturity Date), Maker hereby
agrees (to the maximum extent not prohibited by applicable law) to pay to Payee
interest on any indebtedness outstanding hereunder at the rate of three percent
(3.0%) per annum in excess of the rate then otherwise applicable to such
indebtedness.

          If, after a default hereunder, counsel is employed to collect the
indebtedness evidenced hereby or to protect the security hereof, Maker agrees to
pay Payee (to the maximum extent not prohibited by applicable law) reasonable
attorneys' fees and all other costs and expenses incurred in connection with
such collection.

          Maker hereby waives diligence, presentment, protest, demand for
payment, notice of protest and non-payment, notice of dishonor, and any and all
other notices or demands in connection with the delivery, acceptance,
performance, default, acceleration or enforcement of this Note. No delay on the
part of Payee in exercising any power or right hereunder will operate as a
waiver thereof nor will any single or partial exercise of any power or right
hereunder preclude other or further exercise thereof or the exercise of any
other power or right. This Note is binding on Maker and its successors and
assigns. If any term or provision of this Note is held invalid, illegal or
unenforceable, the validity of all other terms and provisions hereof will in no
way be affected thereby.


          Nothing contained in this Note will require Maker to pay interest at a
rate prohibited by applicable law. If interest payable to Payee on any date
would be in a prohibited amount, such interest will be automatically reduced to
an amount that is not prohibited and interest for subsequent periods, to the
extent not prohibited, will be increased by the amount of such reduction until
payment of the full amount of each such reduction. Any prohibited amount
previously paid will be credited towards reduction of the outstanding principal
balance.

          MAKER AND PAYEE EACH HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY
WAIVES ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION
BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS NOTE OR
ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS (WHETHER VERBAL OR
WRITTEN) OR ACTIONS OF MAKER OR PAYEE. MAKER ACKNOWLEDGES AND AGREES THAT IT
HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION, THAT IT HAS
BEEN ADVISED BY LEGAL COUNSEL IN CONNECTION HEREWITH, AND THAT THIS PROVISION
IS A MATERIAL INDUCEMENT FOR PAYEE ENTERING INTO THE STOCK PURCHASE AGREEMENT
(THE "STOCK PURCHASE AGREEMENT") BY AND BETWEEN MAKER AND PAYEE, AND THE
PLEDGE AND SECURITY AGREEMENT (THE "PLEDGE AND SECURITY AGREEMENT") BY AND
AMONG MAKER, PAYEE AND CERTAIN OTHER PARTIES, EACH DATED AS OF THE DATE HEREOF.

                                    -2 of 4-


<PAGE>


          ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN
CONNECTION WITH, THIS NOTE, OR ANY COURSE OF CONDUCT, COURSE OF DEALING,
STATEMENTS (WHETHER VERBAL OR WRITTEN) OR ACTIONS OF MAKER OR PAYEE WILL BE
BROUGHT AND MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF VIRGINIA OR IN
THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA; PROVIDED,
HOWEVER, THAT ANY SUIT SEEKING ENFORCEMENT HEREOF AGAINST MAKER MAY BE BROUGHT,
AT PAYEE'S OPTION, IN THE COURTS OF ANY JURISDICTION WHERE PAYEE MAY OTHERWISE
OBTAIN PERSONAL JURISDICTION OVER MAKER. MAKER HEREBY EXPRESSLY AND IRREVOCABLY
SUBMITS TO THE JURISDICTION OF THE COURTS OF THE STATE OF VIRGINIA AND OF THE
UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA FOR THE
PURPOSE OF ANY SUCH LITIGATION ASSET FORTH ABOVE AND IRREVOCABLY AGREES TO BE
BOUND BY ANY JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION. MAKER
FURTHER IRREVOCABLY CONSENTS TO THE SERVICE OF PROCESS BY REGISTERED MAIL,
POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF
VIRGINIA. MAKER HEREBY EXPRESSLY AND IRREVOCABLY WAIVES, TO THE FULLEST EXTENT
PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE OR HEREAFTER MAY HAVE TO THE
LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCH COURT REFERRED TO
ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT
FORUM. TO THE EXTENT THAT MAKER HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM
JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR
NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR
OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, MAKER HEREBY IRREVOCABLY
WAIVES SUCH IMMUNITY IN RESPECT OF ITS SECURED OBLIGATIONS UNDER THIS NOTE.

          This Note is the "Shamrock Note" referred to in, and arises out of,
the Stock Purchase Agreement, and the timely repayment hereof in accordance with
the terms hereof is secured by the Pledge and Security Agreement. Upon and at
any time after the occurrence of any breach or default hereunder or under the
Stock Purchase Agreement or the Pledge and Security Agreement, at the election
of Payee, Payee may declare the entire unpaid balance of all indebtedness
hereunder (including, principal, interest and fees) to be immediately due and
payable. Payee is entitled to the rights and benefits of the Stock Purchase
Agreement and the Pledge and Security Agreement.

          THE RIGHTS OF PAYEE TO RECEIVE PAYMENT PURSUANT TO THIS NOTE ARE
SUBJECT TO THE RIGHTS OF MAKER TO SET OFF AGAINST ANY AMOUNTS THEN DUE AND
PAYABLE HEREUNDER ANY OTHER AMOUNTS THEN DUE AND PAYABLE BY MAKER TO PAYEE (OR
TO CHARLES P. REILLY OR MICHAEL E. GALLAGHER, PARTNERS OF MAKER, TO THE EXTENT
THAT PAYEE SHALL HAVE PURCHASED SUCH DEBT FROM THEM), PROVIDED THAT PAYEE SHALL
HAVE FIRST GIVEN MAKER WRITTEN NOTICE OF ITS INTENT TO EXERCISE SUCH SET OFF
RIGHT.

          Payee, its successors or assigns, may assign at any time all or a part
of its rights hereunder without the consent of Maker.

          This Note shall be governed by and construed under the laws of the
State of Virginia without giving effect to conflicts of laws principles.


                                    -3 of 4-


<PAGE>


          IN WITNESS WHEREOF, Maker has caused this Note to be executed in its
name and on its behalf on the day and year first written above.


WITNESS/ATTEST:                         SHAMROCK INVESTMENTS, Maker


/s/ Michael E. Gallagher                By:   /s/ Charles P. Reilly
- --------------------------                   --------------------------------
Name:  Michael E. Gallagher                  Name:  Charles P. Reilly
Title:  General Partner                      Title:  Managing General Partner


BEING ALL OF THE GENERAL PARTNERS OF SHAMROCK INVESTMENTS, A CALIFORNIA GENERAL
PARTNERSHIP ("MAKER"), EACH INDIVIDUAL BELOW HEREBY RATIFIES, CONFIRMS AND
APPROVES THE INDEBTEDNESS REPRESENTED HEREBY AND HEREBY REPRESENTS AND WARRANTS
TO PHP HEALTHCARE CORPORATION THAT ALL NECESSARY ACTIONS HAVE BEEN TAKEN AND
APPROVALS RECEIVED IN ORDER FOR THE INDEBTEDNESS REPRESENTED BY THIS NOTE TO BE
THE LEGAL, VALID AND ENFORCEABLE INDEBTEDNESS OF THE MAKER.


/s/ Charles P. Reilly
- -------------------------------------
Charles P. Reilly, General Partner



/s/ Michael E. Gallagher
- -------------------------------------
Michael E. Gallagher, General Partner


<PAGE>


                                                                    EXHIBIT 4.7


                          REGISTRATION RIGHTS AGREEMENT


          REGISTRATION RIGHTS AGREEMENT dated as of September 29, 1994, between
PHP HEALTHCARE CORPORATION, a Delaware corporation (the "Company"), and SHAMROCK
INVESTMENTS, a California partnership ("Shamrock").

                                    RECITALS

          1.   Shamrock has entered into a Stock Purchase Agreement dated the
date hereof (the "Stock Purchase Agreement") under which it has acquired 100,000
shares of the Common Stock of the Company.

          2.   The Company and Shamrock therefore deem it to be in their
respective best interests to set forth the rights of Shamrock and certain other
holders of such shares of Common Stock of the Company in connection with public
offerings and sales of such shares.

          NOW, THEREFORE, in consideration of the premises and mutual covenants
and obligations hereinafter set forth, and intending to be legally bound hereby,
the Company and Shamrock hereby agree as follows:

          1.   DEFINITIONS.  For purposes of this Agreement:

               (a)  "Common Stock" shall mean the common stock, $.01 par value
     per share, of the Company and any other securities into which or for which
     such common stock has been converted or exchanged pursuant to a plan of
     recapitalization, reorganization, merger, sale of assets, or otherwise.

               (b)  "Exchange Act" shall mean the Securities Exchange Act of
     1934, as amended, and the rules and regulations promulgated thereunder.

               (c)  "Form S-3" means such form of registration statement under
     the Securities Act on the date hereof or any registration form under the
     Securities Act subsequently adopted by the SEC that permits the inclusion
     or incorporation of substantial information by reference to other documents
     filed by the Company with the SEC.

               (d)  "Holder" means Shamrock, so long as it holds any Registrable
     Securities, and any person owning Registrable Securities who is a permitted
     assignee under Section 11 of this Agreement.


<PAGE>


               (e)  The terms "register," "registered," and "resignation" refer
     to a registration effected by the preparation and filing of a Registration
     Statement in compliance with the Securities Act, and the declaration or
     ordering of effectiveness of such Registration Statement by the SEC.

               (f)  "Registrable Securities" shall mean the shares of Common
     Stock acquired by Shamrock pursuant to the Stock Purchase Agreement or
     owned by any subsequent Holder or Holders, and, in each case, all shares of
     Common Stock issued as (or issuable upon the conversion or exercise of any
     warrant, right or other security which is issued as) a dividend or other
     distribution with respect to, in exchange for, or in replacement of such
     shares of Common Stock. The term"Registrable Securities" excludes, however,
     any security (i) the sale of which has been effectively registered under
     the Securities Act and which has been disposed of in accordance with a
     Registration Statement, (ii) that has been sold by a Holder in a
     transaction exempt from the registration statement and prospectus delivery
     requirements of the Securities Act under Section 4(1) thereof (including,
     without limitation, transactions pursuant to Rules 144 and 144A) such that
     the further disposition of such securities by the transferee or assignee is
     not restricted under the Securities Act, (iii) that have been sold by a
     Holder in a transaction in which such Holder's rights under this Agreement
     are not, or cannot be, assigned, or (iv) for which the registration rights
     provided under this Agreement have expired pursuant to Section 14 of this
     Agreement.

               (g)  "Registration Expenses" shall mean (i) registration,
     qualification and filing fees; (ii) fees and expenses of compliance with
     securities or blue sky laws (including reasonable fees and disbursements of
     counsel in connection with blue sky qualifications of any Registrable
     Securities being registered); (iii) printing expenses; (iv) fees and
     disbursements of counsel for the Company and customary fees and expenses
     for independent certified public accountants retained by the Company
     (including the expenses of any comfort letters or costs associated with the
     delivery by independent certified public accountants of comfort letters
     customarily requested by underwriters); (v) fees and expenses of counsel
     for the requesting Holders; (vi) fees and expenses of listing any
     Registrable Securities on any securities exchange on which the Common Stock
     is then listed; (vii) fees and disbursements of underwriters customarily
     paid by issuers or sellers of securities; and (viii) any underwriting fees,
     discounts or commissions attributable to the sale of any Registrable
     Securities and any fees and expenses of underwriters' counsel; but
     excluding all internal expenses of the Company, including without
     limitation all salaries and expenses of officers and employees of the
     Company performing legal or accounting duties.

               (h)  "Registration Statement" shall mean any registration
     statement or similar document that covers any of the Registrable Securities
     pursuant to the provisions of this Agreement, including the prospectus or
     preliminary prospectus included therein, all amendments and supplements to
     such Registration Statement, including post-effective amendments, all
     exhibits to such Registration Statement and all material incorporated by
     reference in such Registration Statement.


                                        2


<PAGE>


               (i)  "Rule 144" shall mean Rule 144 promulgated under the
     Securities Act or any successor rule thereto.

               (j)  "Rule 144A" shall mean Rule 144A promulgated under the
     Securities Act or any successor rule thereto.

               (k)  "SEC" shall mean the Securities and Exchange Commission.

               (l)  "Securities Act" shall mean the Securities Act of 1933, as
     amended, and the rules and regulations promulgated thereunder.

          2.   FORM S-3 REGISTRATION.

               (a)  After the date hereof, if the Company shall receive from the
Holder(s) of the Registrable Securities a written request that the Company
effect a registration on Form S-3 and any related qualification or compliance
with respect to any or all such Registrable Securities owned by such Holder(s),
the Company shall use its reasonable best efforts to effect such registration
and all such qualifications and compliances as may be so requested and as would
permit or facilitate the sale and distribution of all of the Registrable
Securities specified in such request.

               (b)  The Company shall not be obligated to effect any
registration, qualification or compliance pursuant to this Section 2 if Form S-3
is not available to the Company for such offering by the requesting Holder(s).

               (c)  The Company shall not be obligated to effect more than one
registration pursuant to this Section 2 and shall not be obligated to effect
more than one registration in any twelve-month period pursuant to this Section 2
or Section 3.

          3.   INCIDENTAL REGISTRATION.  After the date hereof, if (but without
any obligation to do so) the Company proposes to register (including a
registration effected by the Company for shareholders other than the Holders)
any shares of Common Stock under the Securities Act in connection with the
public offering of such shares solely for cash on any form of Registration
Statement in which the inclusion of Registrable Securities is appropriate (other
than a registration (i) relating solely to the sale of securities to
participants in a Company stock plan, (ii) pursuant to a Registration Statement
on Form S-4 or Form S-8 (or any successor forms) or any form that does not
include substantially the same information, other than information relating to
the selling shareholders or their plan of distribution, as would be required to
be included in a registration statement covering the sale of Registrable
Securities, (iii) in connection with any dividend reinvestment or similar plan,
or (iv) for the sole purpose of offering securities to another entity or its
security holders in connection with the acquisition of assets or securities of
such entity or any similar transaction), the Company shall promptly give each
Holder written notice of such registration in the manner provided in Section 16
at least 30 days before the anticipated filing date of any such Registration
Statement. Upon the written request of any Holder given in the manner provided
in Section 16 within 15 days after the mailing of such notice by the Company,
the Company shall, subject to the provisions of Section 7 hereof, cause to be
registered under the Securities Act


                                        3


<PAGE>


all of the Registrable Securities that such Holder has so requested to be
registered. The Company shall not be required to proceed with, or maintain the
effectiveness of, any registration of its securities after giving notice herein
provided, and the right of any Holder to have Registrable Securities included in
such Registration Statement shall be conditioned upon participation in any
underwriting to the extent provided herein. The Company shall not be required to
include any Registrable Securities in such underwriting unless the Holders
thereof enter into an underwriting agreement in customary form and upon terms
and conditions agreed upon between the Company and the underwriter(s) (except as
to monetary obligations of the Holders not contemplated by Section 6 of this
Agreement), with the underwriter(s) selected by the Company. In the event that
the underwriter(s) shall advise the Company that marketing or other factors
require a limitation of the number of shares to be underwritten, then the
Company shall so advise all Holders of Registrable Securities that would
otherwise be underwritten pursuant hereto. The underwriter(s) may exclude some
or all of the Registrable Securities from such underwriting and the number of
Registrable Securities, if any, that may be included in the underwriting shall
be allocated among all Holders thereof in proportion (as nearly as practicable)
to the number of Registrable Securities which each Holder requested be included
in such registration. Nothing in this Section 3 is intended to diminish the
number of securities to be included by the Company in such underwriting. The
Company and the underwriter(s) selected by the Company shall make all
determinations with respect to the timing, pricing and other matters related to
the offering.

          4.   REGISTRATION PROCEDURE.  Whenever required under this Agreement
to effect the registration of any Registrable Securities, the Company shall, as
expeditiously as reasonably practicable:

               (a)  Prepare and file with the SEC a new Registration Statement
     with respect to such Registrable Securities and use its reasonable best
     efforts to cause such registration statement to become effective, and keep
     such Registration Statement effective for up to 90 days or such shorter
     period as shall be required to sell all of the Registrable Securities
     covered by such Registration Statement (except as provided in Section 3);
     provided, however, that if such Registration Statement is on Form S-3 and
     relates to a distribution by the Holders on a delayed or continuous basis
     other than by means of an underwriting, the Company shall keep such
     Registration Statement effective for the maximum period permitted for such
     Registration Statement; provided further that no Registration Statement
     need remain in effect after all Registrable Securities covered thereby have
     been sold.

               (b)  Prepare and file with the SEC such amendments and
     supplements to such Registration Statement and the prospectus used in
     connection with such Registration Statement as may be necessary to comply
     with the provisions of the Securities Act with respect to the disposition
     of all securities covered by such Registration Statement.

               (c)  Furnish to the Holders of Registrable Securities to be
     registered, without charge, such number of copies of a prospectus,
     including a preliminary prospectus, and any amendment or supplement thereto
     as they may reasonably request


                                        4


<PAGE>


     and a reasonable number of copies of the then-effective Registration
     Statement and any post-effective amendment thereto, including financial
     statements and schedules, all documents incorporated therein by reference
     and all exhibits (including those incorporated by reference).

               (d)  Promptly after the filing of any document that is to be
     incorporated by reference into a Registration Statement or prospectus,
     provide copies of such document to the Holders of Registrable Securities
     covered thereby and any underwriter.

               (e)  Use its reasonable best efforts to register and qualify the
     securities covered by such Registration Statement under such other
     securities or blue sky laws of such jurisdictions as shall be reasonably
     requested by the Holders; provided, however, that the Company shall not be
     required to qualify to do business or to file a general consent to service
     of process in any such states or jurisdictions where it would not otherwise
     be required to so qualify to do business or consent to service of process
     or subject itself to taxation in any such jurisdiction.

               (f)  Cooperate with the Holders of Registrable Securities and
     each underwriter participating in the disposition of such Registrable
     Securities and their respective counsel in connection with any filings
     required to be made with the National Association of Securities Dealers,
     Inc.

               (g)  In the event of any underwritten public offering, enter into
     and perform its obligations under an underwriting agreement, in usual and
     customary form, with the underwriter(s) of such offering, with such terms
     and conditions as the Company and the underwriter(s) may agree. Each Holder
     participating in such underwriting shall also enter into and perform its
     obligations under such an agreement.

               (h)  Notify each Holder of Registrable Securities covered by such
     Registration Statement, at any time when a prospectus relating thereto is
     required to be delivered under the Securities Act, of the happening of any
     event as a result of which the prospectus included in such Registration
     Statement, as then in effect, includes an untrue statement of a material
     fact or omits to state a material fact required to be stated therein or
     necessary to make the statements therein not misleading in the light of the
     circumstances then existing.

               (i)  Cause all Registrable Securities covered by the Registration
     Statement to be listed on each securities exchange or automated quotation
     system on which shares of the Company's Stock is then listed. If any of
     such shares are not so listed, the Company shall cause such shares to be
     listed on the securities exchange or automated quotation system as may be
     reasonably requested by the holders of a majority of the Registrable
     Securities being registered.

               (j)  In the case of an underwritten public offering, furnish, at
     the request of any Holder requesting registration pursuant to this
     Agreement, on the date


                                        5


<PAGE>


     that such Registrable Securities are delivered to the underwriters for sale
     in connection with a registration pursuant to this Agreement, (A) an
     opinion of counsel representing the Company for the purposes of such
     registration, and (B) a letter from independent certified public
     accountants of the Company, in each case to be dated such date and to be in
     form and substance as is customarily given by counsel or independent
     certified public accountants, as the case may be, to underwriters in an
     underwritten public offering, addressed to the underwriters.

               (k)  Permit a representative of any Holder of Registrable
     Securities, any underwriter participating in any disposition pursuant to
     such registration, and any attorney or accountant retained by such Holder
     or underwriter, to participate, at each person's own expense, in the
     preparation of the Registration Statement, and cause the Company's
     officers, directors and employees to supply all information reasonably
     requested by any such representative, underwriter, attorney or accountant
     in connection with such registration; provided, however, that such
     representatives, underwriters, attorneys or accountants enter into a
     confidentiality agreement, in form and substance reasonably satisfactory to
     the Company, prior to the release or disclosure of any such information.

Notwithstanding the foregoing, the Company may delay, suspend or withdraw any
registration or qualification of Registrable Securities required pursuant this
Agreement for a period not exceeding 120 days if the Company shall in good faith
determine that any such registration would adversely affect an offering or
contemplated offering of any securities of the Company or any other contemplated
material corporate event. In addition, the Company shall not be required to
register Registrable Securities within 12 months after the effective date of a
Registration Statement referred to in Section 3 pursuant to which the Holders
were afforded the opportunity to register Registrable Securities.

          5.   HOLDERS' OBLIGATION TO FURNISH INFORMATION.  It shall be a
condition precedent to the obligations of the Company to take any action
pursuant to this Agreement with respect to any Registrable Securities that the
Holder of such securities furnish to the Company such information regarding
itself, the Registrable Securities held by it, and the intended method of
disposition of such securities as shall be required to effect the registration
of such Holder's Registrable Securities.

          Each Holder agrees that, upon receipt of any notice from the Company,
such Holder will forthwith discontinue disposition of Registrable Securities
pursuant to the then current prospectus until (i) such Holder is advised in
writing by the Company that a new Registration Statement covering the reoffer of
Registrable Securities has become effective under the Securities Act or (ii)
such Holder receives copies of a supplemented or amended prospectus contemplated
by Section 4 hereof, or until such Holder is advised in writing by the Company
that the use of the prospectus may be resumed. The Company shall use its
reasonable best efforts to limit the duration of any discontinuance of
disposition of Registrable Securities pursuant to this paragraph.

          6.   REGISTRATION EXPENSES.  In the case of any demand registration on
Form S-3 pursuant to Section 2, the Company shall pay the fees and disbursements
of


                                        6


<PAGE>


counsel for the Company and customary fees and expenses for independent
certified public accountants retained by the Company (including the expenses of
any comfort letters or costs associated with the delivery by independent
certified public accountants of comfort letters customarily requested by
underwriters), and the requesting Holders shall pay their own expenses and shall
bear on a pro rata basis with the other requesting Holders all other
Registration Expenses relating to the Registrable Securities, provided, that the
holder of any other shares of Common Stock included in any such registration, or
the Company with respect to shares to be sold by the Company pursuant to such
registration, shall bear its incremental Registration Expenses. In the case of
any incidental registration pursuant to Section 3, the requesting Holders shall
pay their own expenses and shall bear on a pro rata basis with other requesting
Holders all incremental Registration Expenses, including, without limitation,
incremental registration and qualification fees and expenses (including
underwriters' fees, discounts and commissions), and all incremental costs and
disbursements (including legal fees and expenses), that result from the
inclusion of the Registrable Securities in such registration.

          7.   EFFECTIVENESS OF REGISTRATION.  A registration requested pursuant
to Section 2 or Section 3 will not be deemed to have been effected if (i) the
registration statement has not been kept effective for the period required under
Section 4(a) of this Agreement or (ii) the offering of Registrable Securities
pursuant to such registration is interfered with by any stop order, injunction
or other order or requirement of the SEC or other governmental agency or court.

          8.   DELAY OF REGISTRATION.  No Holder shall have any right to obtain
or seek an injunction restraining or otherwise delaying any registration of the
Company's securities as the result of any controversy that might arise with
respect to the interpretation or implementation of this Agreement.

          9.   INDEMNIFICATION AND CONTRIBUTION.  In the event any Registrable
Securities are included in a Registration Statement pursuant to this Agreement:

               (a)  The Company will indemnify and hold harmless each Holder,
     its directors, officers and employees and each person, if any, who
     "controls" such Holder (within the meaning of the Securities Act) against
     all losses, claims, damages, or liabilities, joint or several, or actions
     in respect thereof to which such Holder or other person entitled to
     indemnification hereunder may become subject under the Securities Act, or
     otherwise, insofar as such losses, claims, damages, liabilities or actions
     in respect thereof arise out of, or are based upon, any untrue statement or
     alleged untrue statement of any material fact contained in such
     Registration Statement, any related preliminary prospectus, or any related
     prospectus or any amendment or supplement thereto, or arise out of, or are
     based upon, the omission or alleged omission to state therein a material
     fact required to be stated therein or necessary to make the statements
     therein not misleading, and will reimburse such Holder or other person
     entitled to indemnification hereunder for any legal or other expenses
     reasonably incurred by it in connection with investigating or defending any
     such loss, claim, damage, liability or action; provided, however, that the
     Company will not be so liable to the extent that any such loss, claim,
     damage, liability or action arises out


                                        7


<PAGE>


     of, or is based upon, an untrue statement or alleged untrue statement of a
     material fact or an omission or alleged omission to state a material fact
     in such Registration Statement, such preliminary prospectus, or such
     prospectus, or any such amendment or supplement thereto in reliance upon,
     and in conformity with, written information furnished to the Company by or
     on behalf of a Holder or an underwriter specifically for use therein; and
     provided further that the Company will not be liable, and this
     indemnification agreement shall not apply, in any such case to the extent
     that any such loss, claim, damage, liability or action is solely
     attributable to the failure of such Holder (or underwriter or agent acting
     on its behalf) to deliver a final prospectus (or amendment or supplement
     thereto) that corrects a material misstatement or omission contained
     in the preliminary prospectus (or final prospectus). The Company will also
     indemnify underwriters, selling brokers, dealer managers and similar
     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Holders, if so requested, except
     with respect to information furnished in writing specifically for use in
     any prospectus or Registration Statement by any selling Holders or any such
     underwriters.

               (b)  With respect to written information furnished to the Company
     by or on behalf of a Holder specifically for use in a Registration
     Statement, any related preliminary prospectus, or any related prospectus or
     any supplement or amendment thereto, such Holder will severally indemnify
     and hold harmless the Company, and its directors, officers and employees
     and each person, if any, who "controls" the Company (within the meaning of
     the Securities Act) against any losses, claims, damages or liabilities,
     joint or several, or actions in respect thereof, to which the Company or
     such other person entitled to indemnification hereunder may become subject
     under the Securities Act, or otherwise, insofar as such losses, claims,
     damages, liabilities or actions in respect thereof arise out of, or are
     based upon, any untrue statement or alleged untrue statement of any
     material fact contained in such Registration Statement, such preliminary
     prospectus, or such prospectus, or any such amendment or supplement
     thereto, or arise out of, or are based upon, the omission or alleged
     omission to state therein a material fact required to be stated therein
     or necessary to make the statements therein not misleading; and such Holder
     will reimburse the Company and such other persons for any legal or other
     expenses reasonably incurred by them in connection with investigating or
     defending any such loss, claim, damage, liability or action, in each case
     to the extent, but only to the extent, that the same arises out of, or is
     based upon, an untrue statement or alleged untrue statement of a material
     fact or an omission or alleged omission to state a material fact in such
     Registration Statement, such preliminary prospectus, or such prospectus or
     any such amendment or supplement thereto in reliance upon, and in
     conformity with, such written information. The Company shall be entitled to
     receive indemnities from underwriters, selling brokers, dealer managers and
     similar securities industry professionals participating in the
     distribution, to the same extent as provided above with respect to the
     information so furnished in writing by such persons specifically for
     inclusion in any prospectus or Registration Statement. The Holder will also
     indemnify underwriters, selling brokers, dealer managers and similar


                                        8


<PAGE>


     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Company, if so requested.

          (c)  Promptly after receipt by an indemnified party of notice of any
     claim or the commencement of any action, the indemnified party will, if a
     claim in respect thereof is to be made against the indemnifying party,
     notify the indemnifying party in writing of the claim or the commencement
     of that action; provided, however, that the failure to notify the
     indemnifying party will not relieve it from any liability that it may have
     to the indemnified party except to the extent it was actually damaged or
     suffered any loss or incurred any additional expense as a result thereof.
     If any such claim or action is brought against an indemnified party, and it
     notifies the indemnifying party thereof, the indemnifying party will be
     entitled to assume the defense thereof with counsel selected by the
     indemnifying party and reasonably satisfactory to the indemnified party.
     After notice from the indemnifying party to the indemnified party of its
     election to assume the defense of such claim or action, (i) the
     indemnifying party will not be liable to the indemnified party for any
     legal or other expense subsequently incurred by the indemnified party in
     connection with the defense thereof, (ii) the indemnifying party will not
     be liable for the costs and expenses of any settlement of such claim or
     action unless such settlement was effected with the written consent of
     the indemnifying party or the indemnified party waived any rights to
     indemnification hereunder in writing, in which case the indemnified party
     may effect a settlement without such consent, and (iii) the indemnified
     party will be obligated to cooperate with the indemnifying party in the
     investigation of such claim or action; provided, however, that the Holders
     and their respective controlling persons who may be subject to liability
     arising out of any claim in respect of which indemnity may be sought by
     such Holders against the Company may employ their own counsel if they have
     been advised by counsel in writing that, in the reasonable judgment of such
     counsel, it is advisable for such Holders and their controlling persons to
     be represented by separate counsel due to the presence of conflicts of
     interest, and in that event the fees and expenses of such separate counsel
     will also be paid by the Company; provided that the Company shall not be
     liable for the fees and expenses of more than one separate counsel at any
     time for all such indemnified parties. An indemnifying party shall not,
     without the prior written consent of the indemnified parties, settle,
     compromise or consent to the entry of any judgment with respect to any
     pending or threatened claim, action, suit or proceeding in respect of which
     indemnification or contribution may be sought hereunder (whether or not the
     indemnified parties are actual or potential parties to such claim or
     action) unless such settlement, compromise or consent includes a release of
     such indemnified party reasonably acceptable to such indemnified party from
     all liability arising out of such claim, action, suit or proceeding or
     unless the indemnifying party shall confirm in a written agreement
     reasonably acceptable to such indemnified party, that notwithstanding any
     federal, state or common law, such settlement, compromise or consent shall
     not adversely affect the right of any indemnified party to indemnification
     or contribution as provided in this Agreement.


                                        9


<PAGE>


               (d)  If for any reason the indemnification provided for in
     Sections 10(a) or (b) is unavailable to an indemnified party or is
     insufficient to hold it harmless as contemplated therein, then the
     indemnifying party shall contribute to the amount paid or payable  by the
     indemnified party as a result of such loss, claim, damage, or liability in
     such proportion as is appropriate to reflect not only the relative benefits
     received by the indemnifying party and the indemnified party, but also the
     relative fault of the indemnifying party and the indemnified party, as well
     as any other relevant equitable considerations. No person guilty of
     fraudulent misrepresentation (within the meaning of Section 11(f) of the
     Securities Act) shall be entitled to contribution from any person who was
     not guilty of such fraudulent misrepresentation.

               (e)  The obligations under this Section 10 shall survive the
     completion of any offering of Registrable Securities in a Registration
     Statement pursuant to this Agreement, and otherwise.

          10.  REPORTS UNDER EXCHANGE ACT.  With a view to making available to
the Holders the benefits of Rule 144 and any other rule or regulation of the SEC
that may at any time permit a Holder to sell securities of the Company to the
public without registration, the Company agrees to:

               (a)  Make and keep public information available, as those terms
     are understood and defined in Rule 144; and

               (b)  Furnish to any Holder, so long as the Holder owns any
     Registrable Securities, upon request (i) a written statement by the Company
     as to its compliance with the reporting requirements of Rule 144 for the
     most recent 90 days, the Securities Act and the Exchange Act, or as to its
     qualification as a registrant whose securities may be resold pursuant to
     Form S-3, (ii) a copy of the most recent annual or quarterly report of the
     Company and such other reports and documents so filed by the Company, and
     (iii) such other information as may be reasonably requested in availing any
     Holder of any rule or regulation of the SEC which permits the selling of
     any such securities without registration or pursuant to such form.

          11.  ASSIGNMENT OF REGISTRATION RIGHTS.  The rights to cause the
Company to register Registrable Securities pursuant to this Agreement may be
assigned by Shamrock to Charles P. Reilly and Michael E. Gallagher; provided,
however, that (i) the Company is, promptly upon such transfer, furnished with
written notice of the name and address of such transferee or assignee and the
securities with respect to which such registration rights are being assigned,
(ii) the transfer of such securities may be effected in accordance with all
applicable securities laws, (iii) immediately following such transfer the
further disposition of such securities by the transferee or assignee is
restricted under the Securities Act, and (iv) the transferee executes and agrees
to be bound by this Agreement, an executed counterpart of which shall be
furnished to the Company. In no event may the rights of Holders hereunder be
transferred or assigned to any other person.


                                       10


<PAGE>


          12.  AMENDMENT OF REGISTRATION RIGHTS.  Any provision of this
Agreement may be amended or the observance thereof may be waived (either
generally or in a particular instance and either retroactively or
prospectively), only with the written consent of the Company and the holders
of a majority of Registrable Securities then outstanding. Any amendment or
waiver effected in accordance with this Section shall be binding upon each
Holder of any Registrable Securities, each future Holder of such securities
and the Company.

          13.  "MARKET STAND-OFF" AGREEMENT.  Any Holder, if requested by the
Company or an underwriter of an underwritten public offering, agrees not to
sell, make any short sale of, loan, grant any option for the purchase of, or
otherwise transfer or dispose of any Common Stock held by such Holder (other
than Registrable Securities included in the registration) without the prior
written consent of the Company or such underwriter(s), as the case may be,
during a period of up to seven days prior to and 180 days following the
effective date of any underwritten registration of the Company's securities
effected pursuant to Section 2 or 3 hereof. Such agreement shall be in
writing in form satisfactory to the Company and such underwriter, and may be
included in the underwriting agreement. The Company may impose stop-transfer
instructions with respect to the securities subject to the foregoing
restriction until the end of the required stand-off period.

          14.  TERMINATION OF REGISTRATION RIGHTS.  A Holder's registration
rights under this Agreement relating to such Registrable Securities shall
terminate on the date such Holder is able to dispose of all its shares of
Registrable Securities in any 90-day period pursuant to Rule 144. All
registration rights (except for rights previously exercised in connection
with an underwritten public offering pursuant to Section 3) of a Holder under
this Agreement shall terminate on the date on which all of such Holder's
shares of Registrable Securities can be sold pursuant to Rule 144(k).

          15.  INFORMATION CONFIDENTIAL.  No Holder may use any confidential
information received by it pursuant to this Agreement in violation of the
Exchange Act or reproduce, disclose, or disseminate such information to any
other person (other than its employees or agents having a need to know the
contents of such information and its attorneys), except to the extent
reasonably related to the exercise of rights under this Agreement, unless such
information has been made available to the public generally (other than by
such recipient in violation of this Section 15) or such recipient is required
to disclose such information by a governmental body or regulatory agency or by
law in connection with a transaction that is not otherwise prohibited hereby.

          16.  NOTICES.  All notices and other communications provided for or
permitted hereunder shall be made in writing by hand-delivery, registered
first-class mail, or air-courier guaranteeing overnight delivery:

               (a)  If to a Holder of Registrable Securities: Shamrock
     Investments, 2049 Century Park East, Suite 3330, Los Angeles, California
     90067, Attention: Charles P. Reilly, Managing Partner (facsimile: (310)
     551-3037), and thereafter at such other address as may be designated from
     time to time by notice given in the manner provided in this Section 16.

                                       11
<PAGE>

               (b)  If to the Company: PHP Healthcare Corporation, 11440
     Commerce Park Drive, Reston, Virginia 22091, Attention: General Counsel
     (facsimile: (703) 758-7259), and thereafter at such other address as may be
     designated from time to time by notice given in the manner provided in this
     Section 16.

               (c)  All such notices and other communications shall be deemed
     to have been delivered and received (i) in the case of personal delivery,
     telex, telecopier or telegram, on the date of such delivery, (ii) in the
     case of air courier, on the business day after the date when sent and (iii)
     in the Case of mailing, on the third business day following such mailing.

               (d)  From time to time as the Company may request, each Holder
     shall  provide to the Company such evidence or documentation reasonably
     satisfactory  to the Company, in its sole discretion, certified by an
     appropriate officer of such Holder, regarding the number of shares of
     Common Stock beneficially owned by such Holder and its status as an
     "affiliate" under the Securities Act.

          17.  SUCCESSORS AND ASSIGNS.  Subject to the provisions of Section 11
hereof, this Agreement shall inure to the benefit of and be binding upon the
successors and permitted assigns of each of the parties.

          18.  COUNTERPARTS.  This Agreement may be executed in any number of
counterparts, each of which when so executed shall be deemed to be an original
and all of which taken together shall constitute one of the same agreement.

          19. HEADINGS.  The headings in this Agreement are for convenience of
reference only and shall not limit or otherwise affect the meaning hereof.

          20. GOVERNING LAW.  This Agreement shall be governed by and
constructed in accordance with the internal laws of the State of Delaware
without giving effect to conflicts of laws principles.

          21. SEVERABILITY.   In the event that any one or more of the
provisions contained herein, or the application thereof in any circumstance,
is held invalid, illegal or unenforceable, the validity, legality and
enforceability of any such provision in every other respect and of the
remaining provisions contained herein shall not be affected or impaired
thereby.

          22. ENTIRE AGREEMENT.  This Agreement is intended by the parties as
a final expression of their agreement and intended to be a complete and
exclusive statement of the agreement and understanding of the parties hereto
in respect of the subject matter contained herein. This Agreement supersedes
all prior agreements and understandings between the parties with respect to
such subject matter.


                                       12


<PAGE>


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

                              PHP HEALTHCARE CORPORATION


                              By:  /s/ Jack M. Mazur
                                   --------------------------------------
                                   Name: Jack M. Mazur
                                   Title: Senior Executive Vice President


                              SHAMROCK INVESTMENTS


                              By:  /s/ Charles P. Reilly
                                   --------------------------------------
                                   Name: Charles P. Reilly
                                   Title: Managing General Partner


                                       13



<PAGE>

                                                                 EXHIBIT 4.8

THIS NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1993 OR THE
SECURITIES LAWS OF ANY STATE, AND MAY NOT BE TRANSFERRED OR SOLD UNLESS
REGISTERED THEREUNDER OR EXEMPTIONS FROM SUCH REGISTRATION ARE AVAILABLE.

                           CONVERTIBLE NOTE

$269,833.34                                               September 29, 1994

     FOR VALUE RECEIVED, the undersigned, PHP HEALTHCARE CORPORATION, a Delaware
corporation ("Maker"), hereby unconditionally promises to pay CHARLES P. REILLY
("Payee"), on or before September 29, 1999 ("Maturity Date") the principal sum
of TWO HUNDRED SIXTY NINE THOUSAND EIGHT HUNDRED THIRTY THREE DOLLARS AND THIRTY
FOUR CENTS ($269,833.34), or such other amount as at the time may be outstanding
hereunder TOGETHER WITH all accrued but unpaid interest thereon computed at the
rate per annum set forth below and all unpaid expenses and fees connected
herewith.

     Prior to the Maturity Date, the outstanding principal amount hereunder will
bear interest, computed daily until paid, at a fixed rate per annum of 7.0%.
Interest will be calculated, accrued and imposed on the basis of a 365-day year
for the actual number of days elapsed.

     Prior to the Maturity Date, accrued interest hereunder (but not principal)
will be due and payable annually in arrears on the 30th day of April, commencing
on April 30, 1995. Payee is authorized to note or endorse the date and amount of
each payment and prepayment of principal and/or interest hereunder on a schedule
annexed to and constituting a part hereof. Such notations or endorsements, if
made, will constitute PRIMA FACIE evidence of the information endorsed on such
schedule, but the failure of Payee to make any such notation or endorsement will
not limit or otherwise affect the obligations of Maker hereunder.

     Payee shall have the option at any time subsequent to one (1) year after
the date hereof or to the occurrence of a Change in Control of Maker as
defined in Section 14.4(b) of the Amended And Restated PHP Healthcare
Corporation 1986 Stock Option Plan, whichever shall first occur, and prior to
the Maturity Date to convert the principal amount outstanding hereunder into
fully paid and nonassessable shares of Maker's common stock, $.01 par value
("Common Stock"), at a conversion rate (the "Conversion Rate") of $9.00 of
principal for one share of Common Stock, subject to adjustment as set forth
below. Payee shall give written notice that it elects to convert to Maker at
its principal office (or such other office as Maker may designate by notice in
writing) at any time during Maker's usual business hours. All shares of Common
Stock to be delivered by Maker upon receipt of such notice shall be shares
held by Maker as treasury stock and not newly issued shares. No fractional
shares shall be issued upon conversion, and no payment or adjustment shall be
made on account of any cash dividends on the Common Stock on or prior to the
date of conversion. If any fractional share of Common Stock would otherwise be
delivered upon conversion, Maker shall pay to Payee an amount in cash equal to
the current market price of such fractional share.

                                    -1 of 4-
<PAGE>

     If Maker shall, on or after the date hereof, issue any shares of Common
Stock by way of stock dividend, stock split or other reclassification, the
Conversion Rate shall be adjusted by multiplying the conversion rate in effect
immediately prior to each such issuance by the quotient obtained by dividing
the total number of shares of Common Stock outstanding immediately after the
issuance of such Common Stock by the total number of shares of Common Stock
outstanding immediately prior to such issuance. In the event of a reverse
split or recombination, the Conversion Rate will be similarly adjusted to
preserve equitably the intended conversion relationship.

     If there shall occur any reclassification or change of the outstanding
Common Stock or any reorganization of Maker (or any other entity the stock or
securities of which are at the time receivable upon conversion) on or after the
date hereof, or if Maker (or any such other entity) shall merge with or into
another entity or convey all or substantially all of its assets to another
entity, then and in each such event, Payee, upon conversion at any time after
the consummation of such reclassification, change, reorganization, merger or
conveyance, shall be entitled to receive, in lieu of the stock or other
securities and property receivable upon conversion prior to such consummation,
the stock or other securities or property to which Payee would have been
entitled upon such consummation if Payee had converted immediately prior
thereto, all subject to further adjustment after such consummation as provided
herein.

     Payments will be applied by Payee in the following order: (a) first to the
payment of any fees and charges due hereunder, (b) then to any obligation of
Maker for the payment of expenses due hereunder, (c) then to the payment of
interest due and owing hereunder, (d) then to the principal indebtedness due
hereunder, and (e) then to any other indebtedness of Maker to Payee.

     All payments of principal, interest (including any default interest),
fees and any other amounts due hereunder must be made by Maker or Payee in
immediately available funds on or before twelve o'clock (12:00) noon on the
due date therefor at the principal office of Payee at 2049 Century Park East,
Suite 3330, Los Angeles, California 90067, or at such other place as Payee may
at any time or from time to time designate in writing to Maker.

     Whenever any payment to be made hereunder is due on a day that is not a
business day (I.E., any day other than a Saturday, Sunday or legal public
holiday), such payment may be made on the next succeeding business day, and
such extension of time will be included in the computation of interest
hereunder. Any funds received by Payee after 12:00 noon on any day will be
deemed to be received on the next succeeding day.

     Upon the occurrence and during the existence of a default hereunder
(including, without limitation, failure or refusal by Maker to deliver payment
of the outstanding balance plus interest on the Maturity Date), Maker hereby
agrees (to the maximum extent not prohibited by applicable law) to pay to Payee
interest on any indebtedness outstanding hereunder at the rate of three percent
(3.0%) per annum in excess of the rate then otherwise applicable to such
indebtedness.

                                    -2 of 4-
<PAGE>

     If, after a default hereunder, counsel is employed to collect the
indebtedness evidenced hereby or to protect the security hereof, Maker agrees to
pay Payee (to the maximum extent not prohibited by applicable law) reasonable
attorneys' fees and all other costs and expenses incurred in connection with
such collection.

     Maker hereby waives diligence, presentment, protest, demand for payment,
notice of protest and non-payment, notice of dishonor, and any and all other
notices or demands in connection with the delivery, acceptance, performance,
default, acceleration or enforcement of this Note. No delay on the part of
Payee in exercising any power or right hereunder will operate as a waiver
thereof nor will any single or partial exercise of any power or right
hereunder preclude other or further exercise thereof or the exercise of any
other power or right. This Note is binding on Maker and its successors and
assigns. If any term or provision of this Note is held invalid, illegal or
unenforceable, the validity of all other terms and provisions hereof will in
no way be affected thereby.

     Nothing contained in this Note will require Maker to pay interest at a
rate prohibited by applicable law. If interest payable to Payee on any date
would be in a prohibited amount, such interest will be automatically reduced
to an amount that is not prohibited and interest for subsequent periods, to
the extent not prohibited, will be increased by the amount of such reduction
until payment of the full amount of each such reduction. Any prohibited amount
previously paid will be credited towards reduction of the outstanding
principal balance.

     MAKER AND PAYEE EACH HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES
ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED
HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS NOTE OR ANY COURSE
OF CONDUCT, COURSE  OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN) OR
ACTIONS OF MAKER OR PAYEE. MAKER AND PAYEE EACH ACKNOWLEDGE AND AGREE THAT IT
HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION, THAT IT HAS
BEEN ADVISED BY LEGAL COUNSEL IN CONNECTION HEREWITH, AND THAT THIS PROVISION IS
A MATERIAL INDUCEMENT FOR IT ENTERING INTO THE PLAN AND AGREEMENT OF MERGER (THE
"MERGER AGREEMENT"), DATED AS OF SEPTEMBER 29, 1994, BY AND AMONG PARAGON
AMBULATORY SURGERY, INC., MAKER, CHARLES P. REILLY, MICHAEL E. GALLAGHER AND
JONATHAN J. SPEES.

     ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION
WITH, THIS NOTE, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF MAKER OR PAYEE WILL BE BROUGHT AND
MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF VIRGINIA OR IN THE UNITED
STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA. MAKER AND PAYEE EACH
HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF
THE STATE OF VIRGINIA AND OF THE UNITED STATES DISTRICT COURT FOR THE EASTERN
DISTRICT OF VIRGINIA FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE
AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN
CONNECTION WITH SUCH LITIGATION. MAKER AND PAYEE EACH FURTHER IRREVOCABLY
CONSENT TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY
PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF VIRGINIA.

                                   -3  of  4-
<PAGE>

MAKER AND PAYEE EACH HEREBY EXPRESSLY AND IRREVOCABLY WAIVES, TO THE FULLEST
EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE OR HEREAFTER MAY HAVE
TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCH COURT REFERRED
TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN BROUGHT IN AN
INCONVENIENT FORUM. TO THE EXTENT THAT MAKER OR PAYEE HAS OR HEREAFTER MAY
ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS
(WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN
AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, EACH
HEREBY IRREVOCABLY WAIVES SUCH IMMUNITY IN RESPECT OF ITS SECURED OBLIGATIONS
UNDER THIS NOTE.

     This Note is the "Convertible PHP Note" referred to in, and arises out of,
the Merger Agreement. Upon and at anytime after the occurrence of any breach or
default hereunder, at the election of Payee, Payee may declare the entire unpaid
balance of all indebtedness hereunder (including, principal, interest and fees)
to be immediately due and payable.

     Payee may not assign at any time all or a part of its rights hereunder
without the consent of Maker except to other parties to the Merger Agreement.

     This Note shall be governed by and construed under the laws of the State of
Virginia, without giving effect to conflicts of laws principles.

     IN WITNESS WHEREOF, Maker has caused this Note to be executed in
 its name and as of the day and year first written above.

WITNESS/ATTEST:                         PHP HEALTHCARE CORPORATION,
                                        Maker

/s/ Ben Rosenbaum, III                  By:  /s/ Jack M. Mazur
- ----------------------                       -----------------
    Ben Rosenbaum, III, Secretary            Name: Jack M. Mazur
                                             Title: Sr. Exec. V. Pres.


                                    -4 of  4-



<PAGE>

                                                             EXHIBIT 4.9

THIS NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1993 OR THE
SECURITIES LAWS OF ANY STATE, AND MAY NOT BE TRANSFERRED OR SOLD UNLESS
REGISTERED THEREUNDER OR EXEMPTIONS FROM SUCH REGISTRATION ARE AVAILABLE.

                                CONVERTIBLE NOTE

$202,388.88                                             September 29, 1994

     FOR VALUE RECEIVED, the undersigned, PHP HEALTHCARE CORPORATION, a Delaware
corporation ("Maker"), hereby unconditionally promises to pay MICHAEL E.
GALLAGHER ("Payee"), on or before September 29, 1999 ("Maturity Date") the
principal sum of TWO HUNDRED TWO THOUSAND THREE HUNDRED EIGHTY EIGHT DOLLARS AND
EIGHTY EIGHT CENTS ($202,388.88), or such other amount as at the time may be
outstanding hereunder, TOGETHER WITH all accrued but unpaid interest thereon
computed at the rate per annum set forth below and all unpaid expenses and fees
connected herewith.

     Prior to the Maturity Date, the outstanding principal amount hereunder will
bear interest, computed daily until paid, at a fixed rate per annum of 7.0%.
Interest will be calculated, accrued and imposed on the basis of a 365-day year
for the actual number of days elapsed.

     Prior to the Maturity Date, accrued interest hereunder (but not principal)
will be due and payable annually in arrears on the 30th day of April, commencing
on April 30, 1995. Payee is authorized to note or endorse the date and amount of
each payment and prepayment of principal and/or interest hereunder on a schedule
annexed to and constituting a part hereof. Such notations or endorsements, if
made, will constitute PRIMA FACIE evidence of the information endorsed on such
schedule, but the failure of Payee to make any such notation or endorsement will
not permit or otherwise affect the obligations of Maker hereunder.

     Payee shall have the option at any time subsequent to one (1) year after
the date hereof or to the occurrence of a Change in Control of Maker as
defined in Section 14.4(b) of the Amended And Restated PHP Healthcare
Corporation 1986 Stock Option Plan, whichever shall first occur, and prior to
the Maturity Date to convert the principal amount outstanding hereunder into
fully paid and nonassessable shares of Maker's common stock, $.01 par value
("Common Stock"), at a conversion rate (the "Conversion Rate") of $9.00 of
principal for one share of Common Stock, subject to adjustment as set forth
below. Payee shall give written notice that it elects to convert to Maker at
its principal office (or such other office as Maker may designate by notice in
writing) at any time during Maker's usual business hours. All shares of Common
Stock to be delivered by Maker upon receipt of such notice shall be shares
held by Maker as treasury stock and not newly issued shares. No fractional
shares shall be issued upon conversion, and no payment or adjustment shall be
made on account of any cash dividends on the Common Stock on or prior to the
date of conversion. If any fractional share of Common Stock would otherwise be
delivered upon conversion, Maker shall pay to Payee an amount in cash equal to
the current market price of such fractional share.

                                    -1 of 4-
<PAGE>

     If Maker shall, on or after the date hereof, issue any shares of Common
Stock by way of stock dividend, stock split or other reclassification, the
Conversion Rate shall be adjusted by multiplying the conversion rate in effect
immediately prior to each such issuance by the quotient obtained by dividing
the total number of shares of Common Stock outstanding immediately after the
issuance of such Common Stock by the total number of shares of Common Stock
outstanding immediately prior to such issuance. In the event of a reverse
split or recombination, the Conversion Rate will be similarly adjusted to
preserve equitably the intended conversion relationship.

     If there shall occur any reclassification or change of the outstanding
Common Stock or any reorganization of Maker (or any other entity the stock or
securities of which are at the time receivable upon conversion) on or after the
date hereof, or if Maker (or any such other entity) shall merge with or into
another entity or convey all or substantially all of its assets to another
entity, then and in each such event, Payee, upon conversion at any time after
the consummation of such reclassification, change, reorganization, merger or
conveyance, shall be entitled to receive, in lieu of the stock or other
securities and property receivable upon conversion prior to such consummation,
the stock or other securities or property to which Payee would have been
entitled upon such consummation if Payee had converted immediately prior
thereto, all subject to further adjustment after such consummation as provided
herein.

     Payments will be applied by Payee in the following order: (a) first to the
payment of any fees and charges due hereunder, (b) then to any obligations of
Maker for the payment of expenses due hereunder, (c) then to the payment of
interest due and owing hereunder, (d) then to the principal indebtedness due
hereunder, and (e) then to any other indebtedness of Maker to Payee.

     All payments of principal, interest (including any default interest),
fees and any other amounts due hereunder must be made by Maker to Payee in
immediately available funds on or before twelve o'clock (12:00) noon on the
due date therefor at the principal office of Payee at 2049 Century Park East,
Suite 3330, Los Angeles, California 90067, or at such other place as Payee may
at any time or from time to time designate in writing to Maker.

     Whenever any payment to be made hereunder is due on a day that is not a
business day (I.E., any day other than a Saturday, Sunday or legal public
holiday, such payment may be made on the next succeeding business day, and
such extension of time will be included in the computation of interest
hereunder. Any funds received by Payee after 12:00 noon on any day will be
deemed to be received on the next succeeding business day.

     Upon the occurrence and during the existence of a default hereunder
(including, without limitation, failure or refusal by Maker to deliver payment
of the outstanding balance plus interest on the Maturity Date), Maker hereby
agrees (to the maximum extent not prohibited by applicable law) to pay to Payee
interest on any indebtedness outstanding hereunder at the rate of three percent
(3.0%) per annum in excess of the rate then otherwise applicable to such
indebtedness.

                                    -2 of 4-
<PAGE>

     If, after a default hereunder, counsel is employed to collect the
indebtedness evidenced hereby or to protect the security hereof, Maker agrees to
pay Payee (to the maximum extent not prohibited by applicable law) reasonable
attorneys' fees and all other costs and expenses incurred in connection with
such collection.

     Maker hereby waives diligence, presentment, protest, demand for payment,
notice of protest and non-payment, notice of dishonor, and any and all other
notices or demands in connection with the delivery, acceptance, performance,
default, acceleration or enforcement of this Note. No delay on the part of
Payee in exercising any power or right. hereunder will operate as a waiver
thereof nor will any single or partial exercise of any power or right
hereunder preclude other or further exercise thereof or the exercise of any
other power or right. This Note is binding on Maker and its successors and
assigns. If any term or provision of this Note is held invalid, illegal or
unenforceable, the validity of all other terms and provisions hereof will in
no way be affected thereby.

     Nothing contained in this Note will require Maker to pay interest at a
rate prohibited by applicable law. If interest payable to Payee on any date
would be in a prohibited amount, such interest will be automatically  reduced
to an amount that is not prohibited and interest for subsequent periods, to
the extent not prohibited, will be increased by the amount of such reduction
until payment of the full amount of each such reduction. Any prohibited amount
previously paid will be credited towards reduction of the outstanding
principal balance.

     MAKER AND PAYEE EACH HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY WAIVES
ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION BASED
HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS NOTE OR ANY COURSE
OF CONDUCT, COURSE  OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN) OR
ACTIONS OF MAKER OR PAYEE. MAKER AND PAYEE EACH ACKNOWLEDGE AND AGREE THAT IT
HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION, THAT IT HAS
BEEN ADVISED BY LEGAL COUNSEL IN CONNECTION HEREWITH, AND THAT THIS PROVISION IS
A MATERIAL INDUCEMENT FOR IT ENTERING INTO THE PLAN AND AGREEMENT OF MERGER (THE
"MERGER AGREEMENT"), DATED AS OF SEPTEMBER 29, 1994, BY AND AMONG PARAGON
AMBULATORY SURGERY, INC., MAKER, CHARLES P. REILLY, MICHAEL E. GALLAGHER AND
JONATHAN J. SPEES.

     ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION
WITH, THIS NOTE, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF MAKER OR PAYEE WILL BE BROUGHT AND
MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF VIRGINIA OR IN THE UNITED
STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA. MAKER AND PAYEE EACH
HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF THE COURTS OF
THE STATE OF VIRGINIA AND OF THE UNITED STATES DISTRICT COURT FOR THE EASTERN
DISTRICT OF VIRGINIA FOR THE PURPOSE OF ANY SUCH LITIGATION AS SET FORTH ABOVE
AND IRREVOCABLY AGREES TO BE BOUND BY ANY JUDGMENT RENDERED THEREBY IN
CONNECTION WITH SUCH LITIGATION. MAKER AND PAYEE EACH FURTHER IRREVOCABLY
CONSENT TO THE SERVICE OF PROCESS BY REGISTERED MAIL, POSTAGE PREPAID, OR BY
PERSONAL SERVICE WITHIN OR WITHOUT THE STATE OF VIRGINIA.

                                   -3  of  4-
<PAGE>

MAKER AND PAYEE EACH HEREBY EXPRESSLY AND IRREVOCABLY WAIVES, TO THE FULLEST
EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY HAVE OR HEREAFTER MAY HAVE
TO THE LAYING OF VENUE OF ANY SUCH LITIGATION BROUGHT IN ANY SUCH COURT REFERRED
TO ABOVE AND ANY CLAIM THAT ANY SUCH LITIGATION HAS BEEN BROUGHT IN AN
INCONVENIENT FORUM. TO THE EXTENT THAT MAKER OR PAYEE HAS OR HEREAFTER MAY
ACQUIRE ANY IMMUNITY FROM JURISDICTION OF ANY COURT OR FROM ANY LEGAL PROCESS
(WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN
AID OF EXECUTION OR OTHERWISE) WITH RESPECT TO ITSELF OR ITS PROPERTY, EACH
HEREBY IRREVOCABLY WAIVES SUCH IMMUNITY IN RESPECT TO ITS SECURED OBLIGATIONS
UNDER THIS NOTE.

     This Note is the "Convertible PHP Note" referred to in, and arises out of,
the Merger Agreement. Upon and at anytime after the occurrence of any breach or
default hereunder, at the election of Payee, Payee may declare the entire unpaid
balance of all indebtedness hereunder (including, principal, interest and fees)
to be immediately due and payable.

     Payee may not assign at any time all or a part of its rights hereunder
without the consent of Maker except to other parties to the Merger Agreement.

     This Note shall be governed by and construed under the laws of the State of
Virginia, without giving effect to conflicts of laws principles.

     IN WITNESS WHEREOF, Maker has caused this Note to be executed in
 its name and on its behalf as of the day and year first written above.

WITNESS/ATTEST:                         PHP HEALTHCARE CORPORATION,
                                        Maker

/s/ Ben Rosenbaum, III                  By: /s/  Jack M. Mazur
- ----------------------                  ----------------------
Ben Rosenbaum, III, Secretary           Name: Jack M. Mazur
                                        Title: Sr. Exec. V. Pres.

                                    -4 of  4-


<PAGE>

                                                             EXHIBIT 4.10

THIS NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1993 OR THE
SECURITIES LAWS OF ANY STATE, AND MAY NOT BE TRANSFERRED OR SOLD UNLESS
REGISTERED THEREUNDER OR EXEMPTIONS FROM SUCH REGISTRATION ARE AVAILABLE.

                              CONVERTIBLE NOTE

$27,777.78                                                September 29, 1994

     FOR VALUE RECEIVED, the undersigned, PHP HEALTHCARE CORPORATION, a
Delaware corporation ("Maker"), hereby unconditionally promises to pay
JONATHAN J. SPEES ("Payee"), on or before September 29, 1999 ("Maturity
Date") the principal sum of TWENTY SEVEN THOUSAND SEVEN HUNDRED SEVENTY SEVEN
DOLLARS AND SEVENTY EIGHT CENTS ($27,777.78), or such other amount as at the
time may be outstanding hereunder, TOGETHER WITH all accrued but unpaid
interest thereon computed at the rate per annum set forth below and all
unpaid expenses and fees connected herewith.

     Prior to the Maturity Date, the outstanding principal amount hereunder
will bear interest, computed daily until paid, at a fixed rate per annum of
7.0%. Interest will be calculated, accrued and imposed on the basis of a
365-day year for the actual number of days elapsed.

     Prior to the Maturity Date, accrued interest hereunder (but not
principal) will be due and payable annually in arrears on the 30th day of
April, commencing on April 30, 1995. Payee is authorized to note or endorse
the date and amount of each payment and prepayment of principal and/or
interest hereunder on a schedule annexed to and constituting a part hereof.
Such notations or endorsements, if made, will constitute PRIMA FACIE evidence
of the information endorsed on such schedule, but the failure of Payee to
make any such notation or endorsement will not limit or otherwise affect the
obligations of Maker hereunder.

     Payee shall have the option at any time subsequent to one (1) year after
the date hereof or to the occurrence of a Change in Control of Maker as
defined in Section 14.4(b) of the Amended And Restated PHP Healthcare
Corporation 1986 Stock Option Plan, whichever shall first occur, and prior to
the Maturity Date to convert the principal amount outstanding hereunder into
fully paid and nonassessable shares of Maker's common stock, $.01 par value
("Common Stock"), at a conversion rate (the "Conversion Rate") of $9.00 of
principal for one share of Common Stock, subject to adjustment as set forth
below. Payee shall give written notice that it elects to convert to Maker at
its principal office (or such other office as Maker may designate by notice
in writing) at any time during Maker's usual business hours. All shares of
Common Stock to be delivered by Maker upon receipt of such notice shall be
shares held by Maker as treasury stock and not newly issued shares. No
fractional shares shall be issued upon conversion, and no payment or
adjustment shall be made on account of any cash dividends on the Common Stock
on or prior to the date of conversion. If any fractional share of Common

                                      -1 of 4-
<PAGE>

Stock would otherwise be delivered upon conversion, Maker shall pay to Payee
an amount in cash equal to the current market price of such fractional share.

     If Maker shall, on or after the date hereof, issue any shares of Common
Stock by way of stock dividend, stock split or other reclassification, the
Conversion Rate shall be adjusted by multiplying the conversion rate in
effect immediately prior to each such issuance by the quotient obtained by
dividing the number of shares of Common Stock outstanding immediately after
the issuance of such Common Stock by the total number of shares of Common
Stock outstanding immediately prior to such issuance. In the event of a
reverse split or recombination, the Conversion Rate will be similarly
adjusted to preserve equitability the intended conversion relationship.

     If there shall occur any reclassification or change of the outstanding
Common Stock or any reorganization of Maker (or any other entity the stock or
securities of which are at the time receivable upon conversion) on or after
the date hereof, or if Maker (or any such other entity) shall merge with or
into another entity or convey all or substantially all of its assets to
another entity, then and in each such event, Payee, upon conversion at any
time after the consummation of such reclassification, change, reorganization,
merger or conveyance, shall be entitled to receive, in lieu of the stock or
other securities and property receivable upon conversion prior to such
consummation, the stock or other securities or property to which Payee would
have been entitled upon such consummation if Payee had converted immediately
prior thereto, all subject to further adjustment after such consummation as
provided herein.

     Payments will be applied by Payee in the following order: (a) first to
the payment of any fees and charges due hereunder, (b) then to any obligation
of Maker for the payment of expenses due hereunder, (c) then to the payment
of interest due and owing hereunder, (d) then to the principal indebtedness
due hereunder, and (e) then to any other indebtedness of Maker to Payee.

     All payments of principal, interest (including any default interest),
fees and any other amounts due hereunder must be made by Maker or Payee in
immediately available funds on or before twelve o'clock (12:00) noon on the
due date therefor at the principal office of Payee at 2049 Century Park East,
Suite 3300, Los Angeles, California 90067, or at such other place as Payee
may at time or from time to time designate in writing to Maker.

     Whenever any payment to be made hereunder is due on a day that is not a
business day (I.E. any day other than a Saturday, Sunday or legal public
holiday), such payment may be made on the next succeeding business day, and
such extension of time will be included in the computation of interest
hereunder. Any funds received by Payee after 12:00 noon on any day deemed to
be received on the next succeeding day.

     Upon the occurrence and during the existence of a default hereunder
(including, without limitation, failure or refusal by Maker to deliver
payment of the outstanding balance plus interest on the Maturity Date), Maker
hereby agrees (to the maximum extent not prohibited by applicable law) to pay
to Payee interest on any indebtedness outstanding hereunder at the rate of

                                      -2 of 4-
<PAGE>

three percent (3.0%) per annum in excess of the rate then otherwise
applicable to such indebtedness.

     If, after a default hereunder, counsel is employed to collect the
indebtedness evidenced hereby or to protect the security hereof, Maker agrees
to pay Payee (to the maximum extent not prohibited by applicable law)
reasonable attorneys' fees and all other costs and expenses incurred in
connection with such collection.

     Maker hereby waives diligence, presentment, protest, demand for payment,
notice of protest and non-payment, notice of dishonor, and any and all other
notices or demands in connection with the delivery, acceptance, performance,
default, acceleration or enforcement of this Note. No delay on the part of
Payee in exercising any power or right hereunder will operate as a waiver
thereof nor will any single or partial exercise of any power or right
hereunder preclude other or further exercise thereof or the exercise of any
other power or right. This Note is binding on Maker and its successors and
assigns. If any term or provision of this Note is held invalid, illegal and
enforceable, the validity of all other terms and provisions hereof will in no
way be affected thereby.

     Nothing contained in this Note will require Maker to pay interest at a
rate prohibited by applicable law. If interest payable to Payee on any date
would be in a prohibited amount, such interest will be automatically  reduced
to an amount that is not prohibited and interest for subsequent periods, to
the extent not prohibited, will be increased by the amount of such reduction
until payment of the full amount of each such reduction. Any prohibited amount
previously paid will be credited towards reduction of the outstanding balance.

     MAKER AND PAYEE EACH HEREBY KNOWINGLY, VOLUNTARILY AND INTENTIONALLY
WAIVES ANY RIGHTS IT MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION
BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION WITH, THIS NOTE OR ANY
COURSE OF CONDUCT, COURSE  OF DEALING, STATEMENTS (WHETHER VERBAL OR WRITTEN)
OR ACTIONS OF MAKER OR PAYEE. MAKER AND PAYEE EACH ACKNOWLEDGE AND AGREE THAT
IT HAS RECEIVED FULL AND SUFFICIENT CONSIDERATION FOR THIS PROVISION, THAT IT
HAS BEEN ADVISED BY LEGAL COUNSEL IN CONNECTION HEREWITH, AND THAT THIS
PROVISION IS A MATERIAL INDUCEMENT FOR IT ENTERING INTO THE PLAN AND
AGREEMENT OF MERGER (THE "MERGER AGREEMENT"), DATED AS OF SEPTEMBER 29, 1994,
BY AND AMONG PARAGON AMBULATORY SURGERY, INC., MAKER, CHARLES P. REILLY,
MICHAEL E. GALLAGHER AND JONATHAN J. SPEES.

     ANY LITIGATION BASED HEREON, OR ARISING OUT OF, UNDER, OR IN CONNECTION
WITH, THIS NOTE, OR ANY COURSE OF CONDUCT, COURSE OF DEALING, STATEMENTS
(WHETHER VERBAL OR WRITTEN) OR ACTIONS OF MAKER OR PAYEE WILL BE BROUGHT AND
MAINTAINED EXCLUSIVELY IN THE COURTS OF THE STATE OF VIRGINIA OR IN THE
UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF VIRGINIA. MAKER AND
PAYEE EACH HEREBY EXPRESSLY AND IRREVOCABLY SUBMITS TO THE JURISDICTION OF
THE COURTS OF THE STATE OF VIRGINIA AND OF THE UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF VIRGINIA FOR THE PURPOSE OF ANY SUCH LITIGATION
AS SET FORTH ABOVE AND IRREVOCABLY AGREES TO BE BOUND

                                     -3  of  4-
<PAGE>

BY ANY JUDGMENT RENDERED THEREBY IN CONNECTION WITH SUCH LITIGATION. MAKER
AND PAYEE EACH FURTHER IRREVOCABLY CONSENT TO THE SERVICE OF PROCESS BY
REGISTERED MAIL, POSTAGE PREPAID, OR BY PERSONAL SERVICE WITHIN OR WITHOUT
THE STATE OF VIRGINIA. MAKER AND PAYEE EACH HEREBY EXPRESSLY AND IRREVOCABLY
WAIVES, TO THE FULLEST EXTENT PERMITTED BY LAW, ANY OBJECTION WHICH IT MAY
HAVE OR HEREAFTER MAY HAVE TO THE LAYING OF VENUE OF ANY SUCH LITIGATION
BROUGHT IN ANY SUCH COURT REFERRED TO ABOVE AND ANY CLAIM THAT ANY SUCH
LITIGATION HAS BEEN BROUGHT IN AN INCONVENIENT FORUM. TO THE EXTENT THAT
MAKER OR PAYEE HAS OR HEREAFTER MAY ACQUIRE ANY IMMUNITY FROM JURISDICTION OF
ANY COURT OR FROM ANY LEGAL PROCESS (WHETHER THROUGH SERVICE OR NOTICE,
ATTACHMENT PRIOR TO JUDGMENT, ATTACHMENT IN AID OF EXECUTION OR OTHERWISE)
WITH RESPECT TO ITSELF OR ITS PROPERTY, EACH HEREBY IRREVOCABLY WAIVES SUCH
IMMUNITY IN RESPECT TO ITS SECURED OBLIGATIONS UNDER THIS NOTE.

     This Note is the "Convertible PHP Note" referred to in, and arises out
of, the Merger Agreement. Upon and at anytime after the occurrence of any
breach or default hereunder, at the election of Payee, Payee may declare the
entire unpaid balance of all indebtedness hereunder (including, principal,
interest and fees) to be immediately due and payable.

     Payee may not assign at any time all or part of its rights hereunder
without the consent of Maker except to other parties to the Merger Agreement.

     This Note shall be governed by and construed under the laws of the State
of Virginia, without giving effect to conflicts of laws principles.

     IN WITNESS WHEREOF, Maker has caused this Note to be executed in  its
name and on its behalf as of the day and year first written above.

WITNESS/ATTEST:                         PHP HEALTHCARE CORPORATION,
                                        Maker

/s/ Ben Rosenbaum, III                  By: /s/  Jack M. Mazur
- ----------------------                      ------------------
Ben Rosenbaum, III, Secretary               Name:  Jack M. Mazur
                                            Title: Sr. Exec. V. Pres.


                                      -4 of  4-



<PAGE>

                                                                 EXHIBIT 4.11

                          REGISTRATION RIGHTS AGREEMENT

     REGISTRATION RIGHTS AGREEMENT dated as of September 29, 1994, between PHP
HEALTHCARE CORPORATION, a Delaware corporation (the "Company"), and Charles P.
Reilly, Michael E. Gallagher and Jonathan J. Spees (each a "Shamrock Investor"
and, collectively the "Shamrock Investors").

                                    RECITALS

          1.  The Company, the Shamrock Investors and others have entered into a
Plan and Agreement of Merger (the "Merger Agreement") dated as of the date
hereof providing for the merger of Paragon Ambulatory Surgery, Inc. into the
Company and for the execution of this Agreement.

     NOW, THEREFORE, in consideration of the premises and mutual covenants and
obligations hereinafter set forth, and intending to be legally bound hereby, the
Company and the Shamrock Investors hereby agree as follows:

          1.   DEFINITIONS.  For purposes of this Agreement:

               (a)  "Common Stock" shall mean the common stock, $.01 par value
     per share, of the Company and any other securities into which or for which
     such common stock has been converted or exchanged pursuant to a plan of
     recapitalization, reorganization, merger, sale of assets, or otherwise.

               (b)  "Exchange Act" shall mean the Securities Exchange Act of
     1934, as amended, and the rules and regulations promulgated thereunder.

               (c)  "Holder" means a Shamrock Investor, so long as he holds any
     Registrable Securities, and any person owning Registrable Securities who is
     a permitted assignee under Section 10 of this Agreement.

               (d)  The term "register," "registered," and "registration" refer
     to a registration effected by the preparation and filing of a Registration
     Statement in compliance with the Securities Act, and the declaration or
     ordering of effectiveness of such Registration Statement by the SEC.

               (e)  "Registrable Securities" shall mean the shares of Common
     Stock acquired by the Shamrock Investors pursuant to the Merger Agreement
     or owned by any subsequent Holder or Holders, and, in each case, all shares
     of Common Stock issued as (or issuable upon the conversion or exercise of
     any warrant, right or other security which is issued as) a dividend or
     other distribution with respect to, in exchange for, or in replacement of
     such shares of Common Stock. The term "Registrable Securities" excludes,
     however, any security (i) the sale of which has been effectively
     registered under the Securities Act and which has been disposed of in

<PAGE>

     accordance with a Registration Statement, (ii) that has been sold by a
     Holder in a transaction exempt from the registration and prospectus
     delivery requirements of the Securities Act under Section 4(1) thereof
     (including, without limitation, transactions pursuant to Rules 144 and
     144A) such that the further disposition of such securities by the
     transferee or assignee is not restricted under the Securities Act,  (iii)
     that have been sold by a Holder in a transaction in which such Holder's
     rights under this Agreement are not, or cannot be, assigned, or (iv) for
     which the registration rights provided under this Agreement have expired
     pursuant to Section 13 of this Agreement.

               (f) "Registration Expenses" shall mean (i) registration,
     qualification and filing fees; (ii) fees and expenses of compliance with
     securities or blue sky laws (including reasonable fees and disbursements of
     counsel in connection with blue sky qualifications of any Registrable
     Securities being registered); (iii) printing expenses; (iv) fees and
     disbursements of counsel for the Company and customary fees and expenses
     for independent certified public accountants retained by the Company
     (including the expenses of any comfort letters or costs associated with
     the delivery by independent certified public accountants of comfort letters
     customarily requested by underwriters); (v) fees and expenses of counsel
     for the requesting Holders; (vi) fees and expenses of listing any
     Registrable Securities on any securities exchange on which the Common Stock
     is then listed; (vii) fees and disbursements of underwriters customarily
     paid by issuers or sellers of securities; and (viii) any underwriting fees,
     discounts or commissions attributable to the sale of any Registrable
     Securities and any fees and expenses of underwriters' counsel; but
     excluding all internal expenses of the Company, including without
     limitation all salaries and expenses of officers and employees of the
     Company performing legal or accounting duties.

               (g) "Registration Statement" shall mean any registration
     statement or similar document that covers any of the Registrable Securities
     pursuant to the provisions of this Agreement, including the prospectus or
     preliminary prospectus included therein, all amendments and supplements to
     such Registration Statement, including post-effective amendments, all
     exhibits to such Registration Statement and all material incorporated by
     reference in such Registration Statement.

               (h) "Rule 144" shall mean Rule 144 promulgated under the
     Securities Act or any successor rule thereto.

               (i) "Rule 144A" shall mean Rule 144A promulgated under the
     Securities Act or any successor rule thereto.

               (j) "SEC" shall mean the Securities and Exchange Commission.

               (k) "Securities Act" shall mean the Securities Act of 1933, as
     amended, and the rules and regulations promulgated thereunder.

          2.  INCIDENTAL REGISTRATION.  After the date hereof, if (but without
any obligation to do so) the Company proposes to register (including a
registration effected by

                                        2
<PAGE>

the Company for shareholders other than the Holders) any shares of Common
Stock under the Securities Act in connection with the public offering of such
shares solely for cash on any form of Registration Statement in which the
inclusion of Registrable Securities is appropriate (other than a registration
(i) relating solely to the sale of securities to participants in a Company stock
plan, (ii) pursuant to a Registration Statement on Form S-4 or Form S-8 (or any
successor forms) or any form that does not include substantially the same
information, other than information relating to the selling shareholders or
their plan of distribution, as would be required to be included in a
registration statement covering the sale of Registrable Securities, (iii) in
connection with any dividend reinvestment or similar plan, or (iv) for the sole
purpose of offering securities to another entity or its securityholders in
connection with the acquisition of assets or securities of such entity or any
similar transaction), the Company shall promptly give each Holder written notice
of such registration in the manner provided in Section 15 at least 30 days
before the anticipated filing date of any such Registration Statement. Upon the
written request of any Holder given in the manner provided in Section 15 within
15 days after the mailing of such notice by the Company, the Company shall,
subject to the provisions of Section 6 hereof, cause to be registered under the
Securities Act all of the Registrable securities that such Holder has so
requested to be registered. The Company shall not be required to proceed with,
or maintain the effectiveness of, any registration of its securities after
giving the notice herein provided, and the right of any Holder to have
Registrable Securities included in such Registration Statement shall be
conditioned upon participation in any underwriting to the extent provided
herein. The Company shall not be required to include any Registrable Securities
in such underwriting unless the Holders thereof enter into an underwriting
agreement in customary form and upon terms and conditions agreed upon between
the Company and the underwriter(s) (except as to monetary obligations of the
Holders not contemplated by Section 5 of this Agreement), with the
underwriter(s) selected by the Company. In the event that the underwriter(s)
shall advise the Company that marketing or other factors require a limitation of
the number of shares to be underwritten, then the Company shall so advise all
Holders of Registrable Securities that would otherwise be underwritten pursuant
hereto. The underwriter(s) may exclude some or all of the Registrable Securities
from such underwriting and the number of Registrable Securities, if any, that
may be included in the underwriting shall be allocated among all Holders thereof
in proportion (as nearly as practicable) to the number of Registrable Securities
which each Holder requested be included in such registration. Nothing in this
Section 2 is intended to diminish the number of securities to be included by the
Company in such underwriting. The Company and the underwriter(s) selected by the
Company shall make all determinations with respect to the timing, pricing and
other matters related to the offering.

          3.  REGISTRATION PROCEDURE.  Whenever required under this Agreement to
effect the registration of any Registrable Securities, the Company shall, as
expeditiously as reasonably practicable:

               (a) Prepare and file with the SEC a new Registration Statement
     with respect to such Registrable Securities and use its reasonable best
     efforts to cause such registration statement to become effective, and keep
     such Registration Statement effective for up to 90 days or such shorter
     period as shall be required to sell all of the Registrable Securities
     covered by such Registration Statement (except as provided in

                                        3
<PAGE>

     Section 2); provided, however, that if such Registration Statement is on
     Form S-3 and relates to a distribution by the Holders on a delayed or
     continuous basis other than by means of an underwriting, the Company shall
     keep such Registration Statement effective for the maximum period permitted
     for such Registration Statement; provided further that no Registration
     Statement need remain in effect after all Registrable Securities covered
     thereby have been sold.

               (b) Prepare and file with the SEC such amendments and supplements
     to such Registration Statement and the prospectus used in connection with
     such Registration Statement as may be necessary to comply with the
     provisions of the Securities Act with respect to the disposition of all
     securities covered by such Registration Statement.

               (c) Furnish to the Holders of Registrable Securities to be
     registered, without charge, such number of copies of a prospectus,
     including a preliminary prospectus, and any amendment or supplement thereto
     as they may reasonably request and a reasonable number of copies of the
     then-effective Registration Statement and any post-effective amendment
     thereto, including financial statements and schedules, all documents
     incorporated therein by reference and all exhibits (including those
     incorporated by reference).

               (d) Promptly after the filing of any document that is to be
     incorporated by reference into a Registration Statement or prospectus,
     provide copies of such document to the Holders of Registrable Securities
     covered thereby and any underwriter.

               (e) Use its reasonable best efforts to register and qualify the
     securities covered by such Registration Statement under such other
     securities or blue sky laws of such jurisdictions as shall be reasonably
     requested by the Holders; provided, however, that the Company shall not be
     required to qualify to do business or to file a general consent to service
     of process in any such states or jurisdictions where it would not otherwise
     be required to so qualify to do business or consent to service of process
     or subject itself to taxation in any such jurisdiction.

               (f) Cooperate with the Holders of Registrable Securities and each
     underwriter participating in the disposition of such Registrable Securities
     and their respective counsel in connection with any filings required to be
     made with the National Association of Securities Dealers, Inc.

               (g) In the event of any underwritten public offering, enter into
     and perform its obligations under an underwriting agreement, in usual and
     customary form, with the underwriter(s) of such offering, with such terms
     and conditions as the Company and the underwriter(s) may agree. Each Holder
     participating in such underwriting shall also enter into and perform its
     obligations under such an agreement.

                                        4
<PAGE>

               (h) Notify each Holder of Registrable Securities covered by such
     Registration Statement, at any time when a prospectus relating thereto is
     required to be delivered under the Securities Act, of the happening of any
     event as a result of which the prospectus included in such Registration
     Statement, as then in effect, includes an untrue statement of a material
     fact or omits to state a material fact required to be stated therein or
     necessary to make the statements therein not misleading in the light of the
     circumstances then existing.

               (i) Cause all Registrable Securities covered by the Registration
     Statement to be listed on each securities exchange or automated quotation
     system on which shares of the Company's Common Stock is then listed. If any
     of such shares are not so listed, the company shall cause such shares to be
     listed on the securities exchange or automated quotation system as may be
     reasonably requested by the Holders of a majority of the Registrable
     Securities being registered.

               (j) In the case of an underwritten public offering, furnish, at
     the request of any Holder requesting registration pursuant to this
     Agreement, on the date that such Registrable Securities are delivered to
     the underwriters for sale in connection with a registration pursuant to
     this Agreement, (A) an opinion of  counsel representing the Company for the
     purposes of such registration, and (B) a letter from independent certified
     public accountants of the Company, in each case to be dated such date and
     to be in form and substance as is customarily given by counsel or
     independent certified public accountants, as the case may be, to
     underwriters in an underwritten public offering, addressed to the
     underwriters.

               (k) Permit a representative of any Holder of Registrable
     Securities, any underwriter participating in any disposition pursuant to
     such registration, and any attorney or accountant retained by such Holder
     or underwriter, to participate, at each person's own expense, in the
     preparation of the Registration Statement, and cause the Company's
     officers, directors and employees to supply all information reasonably
     requested by any such representative, underwriter, attorney or accountant
     in connection with such registration; provided, however, that such
     representatives, underwriters, attorneys or accountants enter into a
     confidentiality agreement, in form and substance reasonably satisfactory to
     the Company, prior to the release or disclosure of any such information.

Notwithstanding the foregoing, the Company may delay, suspend or withdraw any
registration or qualification of Registrable Securities required pursuant this
Agreement for a period not exceeding 120 days if the Company shall in good faith
determine that any such registration would adversely affect an offering or
contemplated offering of any securities of the Company or any other contemplated
material corporate event. In addition, the Company shall not be required to
register Registrable Securities within 12 months after the effective date of a
Registration Statement referred to in Section 2 pursuant to which the Holders
were afforded the opportunity to register Registrable Securities.

          4.  HOLDERS' OBLIGATION TO FURNISH INFORMATION.  It shall be a
condition precedent to the obligations of the Company to take any action
pursuant to this Agreement

                                        5
<PAGE>

with respect to any Registrable Securities that the Holder of such securities
furnish to the Company such information regarding itself, the Registrable
Securities held by it, and the intended method of disposition of such securities
as shall be required to effect the registration of such Holder's Registrable
Securities.

          Each Holder agrees that, upon receipt of any notice from the Company,
such Holder will forthwith discontinue disposition of Registrable Securities
pursuant to the then current prospectus until (i) such Holder is advised in
writing by the Company that a new Registration Statement covering the reoffer of
Registrable Securities has become effective under the Securities Act or (ii)
such Holder receives copies of a supplemented or amended prospectus contemplated
by Section 3 hereof, or until such Holder is advised in writing by the Company
that the use of the prospectus may be resumed. The Company shall use its
reasonable best efforts to limit the duration of any discontinuance of
disposition of Registrable Securities pursuant to this paragraph.

          5.  REGISTRATION EXPENSES.  The requesting Holders shall pay their own
expenses and shall bear on a pro rata basis with other requesting Holders all
incremental Registration Expenses, including, without limitation, incremental
registration and qualification fees and expenses (including underwriters' fees,
discounts and commissions), and all incremental costs and disbursements
(including legal fees and expenses), that result from the inclusion of the
Registrable Securities in such registration.

          6.  EFFECTIVENESS OF REGISTRATION.  A registration requested pursuant
to Section 2 will not be deemed to have been effected if (i) the registration
statement has not been kept effective for the period required under Section 3(a)
of this Agreement or (ii) the offering of Registrable Securities pursuant to
such registration is interfered with by any stop order, injunction or other
order or requirement of the SEC or other governmental agency or court.

          7.  DELAY OF REGISTRATION.  No holder shall have any right to obtain
or seek an injunction restraining or otherwise delaying any registration of the
Company's securities as the result of any controversy that might arise with
respect to the interpretation or implementation of this Agreement.

          8.  INDEMNIFICATION AND CONTRIBUTION.  In the event any Registrable
Securities are included in a Registration Statement pursuant to this Agreement:

               (a) The Company will indemnify and hold harmless each Holder, its
     directors, officers and employees and each person, if any, who "controls"
     such Holder (within the meaning of the Securities Act) against all losses,
     claims, damages, or liabilities, joint or several, or actions in respect
     thereof to which such Holder or other person entitled to indemnification
     hereunder may become subject under the Securities Act, or otherwise,
     insofar as such losses, claims, damages, liabilities or actions in respect
     thereof arise out of, or are based upon, any untrue statement or alleged
     untrue statement of any material fact contained in such Registration
     Statement, any related preliminary prospectus, or any related prospectus or
     any amendment or supplement thereto, or arise out of, or are based upon,
     the omission or alleged

                                        6
<PAGE>

     omission to state therein a material fact required to be stated therein or
     necessary to make the statements therein not misleading, and will reimburse
     such Holder or other person entitled to indemnification hereunder for any
     legal or other expenses reasonably incurred by it in connection with
     investigating or defending any such loss, claim, damage, liability or
     action; provided, however, that the Company will not be so liable to the
     extent that any such loss, claim, damage, liability or action arises out
     of, or is based upon, an untrue statement or alleged untrue statement of a
     material fact or an omission or alleged omission to state a material fact
     in such Registration Statement, such preliminary prospectus, or such
     prospectus, or any such amendment or supplement thereto in reliance upon,
     and in conformity with, written information furnished to the Company by or
     on behalf of a Holder or an underwriter specifically for use therein;
     provided further that the Company will not be liable, and this
     indemnification agreement shall not apply, in any such case to the extent
     that any such loss, claim, damage, liability or action is solely
     attributable to the failure of such Holder (or underwriter or agent acting
     on its behalf) to deliver a final prospectus (or amendment or supplement
     thereto) that corrects a material misstatement or omission contained in the
     preliminary prospectus (or final prospectus). The Company will also
     indemnify underwriters, selling brokers, dealer managers and similar
     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Holders, if so requested, except
     with respect to information furnished in writing specifically for use in
     any prospectus or Registration Statement by any selling Holders or any such
     underwriters.

               (b) With respect to written information furnished to the Company
     by or on behalf of a Holder specifically for use in a Registration
     Statement, any related preliminary prospectus, or any related prospectus or
     any supplement or amendment thereto, such Holder will severally indemnify
     and hold harmless the Company, and its directors, officers and employees
     and each person, if any, who "controls" the Company (within the meaning of
     the Securities Act) against any losses, claims, damages or liabilities,
     joint or several, or actions in respect thereof, to which the Company or
     such other person entitled to indemnification hereunder may become subject
     under the Securities Act, or otherwise, insofar as such losses, claims,
     damages, liabilities or actions in respect thereof arise out of, or are
     based upon, any untrue statement or alleged untrue statement of any
     material fact contained in such Registration Statement, such preliminary
     prospectus, or such prospectus, or any such amendment or supplement
     thereto, or arise out of, or are based upon, the omission or alleged
     omission to state therein a material fact required to be stated therein or
     necessary to make the statements therein not misleading; and such Holder
     will reimburse the Company and such other persons for any legal or other
     expenses reasonably incurred by them in connection with investigating or
     defending any such loss, claim, damage, liability or action, in each case
     to the extent, but only to the extent, that the same arises out of, or is
     based upon, an untrue statement or alleged untrue statement of a material
     fact or an omission or alleged omission to state a material fact in such
     Registration Statement, such preliminary prospectus, or such prospectus or
     any such amendment or supplement thereto in reliance upon, and in

                                        7
<PAGE>

     conformity with, such written information. The Company shall be entitled to
     receive indemnities from underwriters, selling brokers, dealer managers and
     similar securities industry professionals participating in the
     distribution, to the same extent as provided above with respect to the
     information so furnished in writing by such persons specifically for
     inclusion in any prospectus or Registration Statement. The Holder will also
     indemnify underwriters, selling brokers, dealer managers and similar
     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Company, if so requested.

               (c) Promptly after receipt by an indemnified party of notice of
     any claim or the commencement of any action, the indemnified party will, if
     a claim in respect thereof is to be made against the indemnifying party,
     notify the indemnifying party in writing of the claim or the commencement
     of that action; provided, however, that the failure to notify the
     indemnifying party will not relieve it from any liability that it may have
     to the indemnified party except to the extent it was actually damaged or
     suffered any loss or incurred any additional expense as a result thereof.
     If any such claim or action is brought against an indemnified party, and it
     notifies the indemnifying party thereof, the indemnifying party will be
     entitled to assume the defense thereof with counsel selected by the
     indemnifying party and reasonably satisfactory to the indemnified party.
     After notice from the indemnifying party to the indemnified party of its
     election to assume the defense of such claim or action, (i) the
     indemnifying party will not be liable to the indemnified party for any
     legal or other expense subsequently incurred by the indemnified party in
     connection with the defense thereof, (ii) the indemnifying party will not
     be liable for the costs and expenses of any settlement of such claim or
     action unless such settlement was effected with the written consent of the
     indemnifying party or the indemnified party waived any rights to
     indemnification hereunder in writing, in which case the indemnified party
     may effect a settlement without such consent, and (iii) the indemnified
     party will be obligated to cooperate with the indemnifying party in the
     investigation of such claim or action; provided, however, that the Holders
     and their respective controlling persons who may be subject to liability
     arising out of any claim in respect of which indemnity may be sought by
     such Holders against the Company may employ their own counsel if they have
     been advised by counsel in writing that, in the reasonable judgment of such
     counsel, it is advisable for such Holders and their controlling persons to
     be represented by separate counsel due to the presence of conflicts of
     interest, and in that event the fees and expenses of such separate counsel
     will also be paid by the Company; provided that the Company shall not be
     liable for the fees and expenses of more than one separate counsel at any
     time for all such indemnified parties. An indemnifying party shall not,
     without the prior written consent of the indemnified parties, settle,
     compromise or consent to the entry of any judgment with respect to any
     pending or threatened claim, action, suit or proceeding in respect of which
     indemnification or contribution may be sought hereunder (whether or not the
     indemnified parties are actual or potential parties to such claim or
     action) unless such settlement, compromise or consent includes a release of
     such indemnified party reasonably acceptable to such indemnified party from
     all liability arising out of such

                                        8
<PAGE>

     claim, action, suit or proceeding or unless the indemnifying party shall
     confirm in a written agreement reasonably acceptable to such indemnified
     party, that notwithstanding any federal, state or common law, such
     settlement, compromise or consent shall not adversely affect the right of
     any indemnified party to indemnification or contribution as provided in
     this Agreement.

               (d) If for any reason the indemnification provided for in
     Sections 10(a) or (b) is unavailable to an indemnified party or is
     insufficient to hold it harmless as contemplated therein, then the
     indemnifying party shall contribute to the amount paid or payable by the
     indemnified party as a result of such loss, claim, damage or liability in
     such proportion as is appropriate to reflect not only the relative benefits
     received by the indemnifying party and the indemnified party, but also the
     relative fault of the indemnifying party and the indemnified party, as well
     as any other relevant equitable considerations. No person guilty of
     fraudulent misrepresentation (within the meaning of Section 11(f) of the
     Securities Act) shall be entitled to contribution from any person who was
     not guilty of such fraudulent misrepresentation.

               (e) The obligations under this Section 8 shall survive the
     completion of any offering of Registrable Securities in a Registration
     Statement pursuant to this Agreement, and otherwise.

          9.   REPORTS UNDER EXCHANGE ACT.  With a view to making available to
the Holders the benefits of Rule 144 and any other rule or regulation of the SEC
that may at any time permit a Holder to sell securities of the Company to the
public without registration, the Company agrees to:

               (a) Make and keep public information available, as those terms
     are understood and defined in Rule 144; and

               (b) Furnish to any Holder, so long as the Holder owns any
     Registrable Securities, upon request (i) a written statement by the Company
     as to its compliance with the reporting requirements of Rule 144 for the
     most recent 90 days, the Securities Act and the Exchange Act, (ii) a copy
     of the most recent annual or quarterly report of the Company and such other
     reports and documents so filed by the Company, and (iii) such other
     information as may be reasonably requested in availing any Holder of any
     rule or regulation of the SEC which permits the selling of any such
     securities without registration.

          10.  ASSIGNMENT OF REGISTRATION RIGHTS.  The rights to cause the
Company to register Registrable Securities pursuant to this Agreement may be
assigned by a Shamrock Investor to another Shamrock Investor; provided, however,
that (i) the Company is, promptly upon such transfer, furnished with written
notice of the name and address of such transferee or assignee and the securities
with respect to which such registration rights are being assigned, (ii) the
transfer of such securities may be effected in accordance with all applicable
securities laws, (iii) immediately following such transfer the further
disposition of such securities by the transferee or assignee is restricted under
the Securities Act, and (iv) the

                                        9
<PAGE>

transferee executes and agrees to be bound by this Agreement, an executed
counterpart of which shall be furnished to the Company. In no event may the
rights of Holders hereunder be transferred or assigned to any other person.

          11.  AMENDMENT OF REGISTRATION RIGHTS.  Any provision of this
Agreement may be amended or the observance thereof may be waived (either
generally or in a particular instance and either retroactively or
prospectively), only with the written consent of the Company and the holders of
a majority of Registrable Securities then outstanding. Any amendment or waiver
effected in accordance with this Section shall be binding upon each Holder of
any Registrable Securities, each future Holder of such securities and the
Company.

          12.  "MARKET STAND-OFF" AGREEMENT.  Any Holder, if requested by the
Company or an underwriter of an underwritten public offering, agrees not to
sell, make any short sale of, loan, grant any option for the purchase of, or
otherwise transfer or dispose of any Common Stock held by such Holder (other
than Registrable Securities included in the registration) without the prior
written consent of the Company or such underwriter(s), as the case may be,
during a period of up to seven days prior to and 180 days following the
effective date of any underwritten registration of the Company's securities
effected pursuant to Section 2  hereof. Such agreement shall be in writing in
form satisfactory to the Company and such underwriter, and may be included in
the underwriting agreement. The Company may impose stop-transfer instructions
with respect to the securities subject to the foregoing restriction until the
end of the required stand-off period.

          13.  TERMINATION OF REGISTRATION RIGHTS.  A Holder's registration
rights under this Agreement relating to such Registrable Securities shall
terminate on the date such Holder is able to dispose of all its shares of
Registrable Securities in any 90-day period pursuant to Rule 144. All
registration rights (except for rights previously exercised in connection with
an underwritten public offering pursuant to Section 2) of a Holder under this
Agreement shall terminate on the date on which all of such Holder's shares of
Registrable Securities can be sold pursuant to Rule 144(k).

          14.  INFORMATION CONFIDENTIAL.  No Holder may use any confidential
information received by it pursuant to this Agreement in violation of the
Exchange Act or reproduce, disclose, disseminate such information to any other
person (other than its employees or agents having a need to know the contents of
such information and its attorneys), except to the extent reasonably related to
the exercise of rights under this Agreement, unless such information has been
made available to the public generally (other than by such recipient in
violation of this Section 14) or such recipient is required to disclose such
information by a governmental body or regulatory agency or by law in connection
with a transaction that is not otherwise prohibited hereby.

          15.  NOTICES.  All notices and other communications provided for or
permitted hereunder shall be made in writing by hand-delivery, registered
first-class mail, or air-courier guaranteeing overnight delivery:

               (a)  If to a Holder of Registrable Securities: Shamrock
     Investments, 2049 Century Park East, Suite 3330, Los Angeles, California
     90067, Attention:

                                       10
<PAGE>

     Charles P. Reilly, Managing Partner (facsimile: (310) 551-3037), and
     thereafter at such other address as may be designated from time to time by
     notice given in the manner provided in this Section 15.

               (b)  If to the Company: PHP Healthcare Corporation, 11440
     Commerce Park Drive, Reston, Virginia 22091, Attention: General Counsel
     (facsimile: (703) 758-7259), and thereafter at such other address as may be
     designated from time to time by notice given in the manner provided in this
     Section 16.

               (c)  All such notices and other communications shall be deemed to
     have been delivered and received (i) in the case of personal delivery,
     telex, telecopier or telegram, on the date of such delivery, (ii) in the
     case of air courier, on the business day after the date when sent and (iii)
     in the case of mailing, on the third business day following such mailing.

               (d)  From time to time as the Company may request, each Holder
     shall provide to the Company such evidence or documentation reasonably
     satisfactory to the Company, in its sole discretion, certified by an
     appropriate officer of such Holder, regarding the number of shares of
     Common Stock beneficially owned by such Holder and its status as an
     "affiliate" under the Securities Act.

          16.  SUCCESSORS AND ASSIGNS.  Subject to the provisions of Section 10
hereof, this Agreement shall inure to the benefit of and be binding upon the
successors and permitted assigns of each of the parties.

          17.  COUNTERPARTS.  This Agreement may be executed in any number of
counterparts, each of which when so executed shall be deemed to be an original
and all of which taken together shall constitute one and the same agreement.

          18. HEADINGS.  The headings in this Agreement are for convenience of
reference only and shall not limit or otherwise affect the meaning hereof.

          19. GOVERNING LAW.  This Agreement shall be governed by and
constructed in accordance with the internal laws of the State of Delaware
without giving effect to conflicts of laws principles.

          20. SEVERABILITY.   In the event that any one or more of the
provisions contained herein, or the application thereof in any circumstance,
is held invalid, illegal or unenforceable, the validity, legality and
enforceability of any such provision in every other respect and of the
remaining provisions contained herein shall not be affected or impaired
thereby.

          21. ENTIRE AGREEMENT.  This Agreement is intended by the parties as a
final expression of their agreement and intended to be a complete and exclusive
statement of the agreement and understanding of the parties hereto in respect of
the subject matter contained herein. This Agreement supersedes all prior
agreements and understandings between the parties with respect to such subject
matter.

                                       11
<PAGE>

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

                              PHP HEALTHCARE CORPORATION

                              By:   /s/ Jack M. Mazur
                                   ---------------------------
                                   Name: Jack M. Mazur
                                   Title: Sr. Exec. Vice President




                               /s/ Charles P. Reilly
                              -------------------------------
                              Charles P. Reilly


                               /s/ Michael E. Gallagher
                              -------------------------------
                              Michael E. Gallagher


                               /s/ Jonathan J. Spees
                              -------------------------------
                              Jonathan J. Spees

                              12


<PAGE>

                                                                 EXHIBIT 4.12

                                  STOCK OPTION

     THIS AGREEMENT, made as of the 3rd day of October, 1994 (the "Grant Date"),
between PHP Healthcare Corporation, a Delaware corporation (the "Company"), and
Charles P. Reilly (the "Optionee") in accordance with Section 157 of the
Delaware General Corporation Law.

     The parties hereto agree as follows:

          1.  DEFINITION.

              The term "Shares" shall mean the shares of common stock, par
value $.01 per share, of the Company.

          2.  GRANT OF OPTION.

              2.1  The Company hereby grants to the Optionee the right and
option (the "Option") to purchase all or any part of an aggregate of Twelve
Thousand Two Hundred Twenty Seven (12,227) whole Shares subject to, and in
accordance with, the terms and conditions set forth in this Agreement. The
Shares to be delivered upon exercise of the Option shall be Shares held by the
Company as treasury stock and not newly issued Shares.

              2.2  The Option is not intended to qualify as an Incentive Stock
Option within the meaning of Section 422A of the Internal Revenue Code of 1990
(the "Code") and is not granted pursuant to the Company's Amended and Restated
1986 Stock Option Plan (the "Option Plan").

          3.  PURCHASE PRICE.

              3.1  The price at which the Optionee shall be entitled to purchase
Shares upon the exercise of the Option shall be $9.00 per Share (the "Purchase
Price").

              3.2  Payment of the Purchase Price shall be made (i) in cash, (ii)
in the discretion of the Company's Board of Directors, by tender of Shares owned
by the Optionee and registered in the Optionee's name with a fair market value
equal to the cash exercise price of the Option being exercised (in whole or in
part), or (iii) in the discretion of the Company's Board of Directors, by any
combination if (i) and (ii) hereof.

          4.  TERM OF OPTION.

              Subject to earlier termination of the Option in accordance with
Section 5 hereof, the Option shall be exercisable to the extent and in the
manner provided herein for a period of ten (10) years from the Grant Date (the
"Exercise Term").

<PAGE>

          5.  EXERCISABILITY OF OPTION

               5.1  The Option is granted pursuant to the Plan and Agreement of
Merger dated as of September 23, 1994, by and among PHP Family Healthcare
Corporation, a Delaware corporation ("Family"), the Company, the Optionee and
certain other parties (the "Merger Agreement"). The Option shall only be
exercisable with respect to Four Thousand Six Hundred Forty Six (4,646) whole
Shares, and shall be terminated and of no force or effect with respect to the
rest of the Shares covered by the Option, unless on or before December 31, 1996,
(i) Family has accrued the JPC Minimum Target Revenues under Qualifying
Contracts, as finally determined in good faith by Family in accordance with
generally accepted accounting principles consistently applied, or (ii) a Change
in Control of PHP shall have occurred. For this purpose, "JPC Minimum Target
Revenues" shall mean (i) total revenues of at least Fifty Million Dollars
($50,000,000) during the two year period ending December 31, 1996, and (ii)
revenues of at least Fifteen Million Dollars ($15,000,000) during each calendar
year of such period; "Qualifying Contracts" shall mean contracts entered into by
Family in its sole discretion on or after September 1, 1993, under which it
provides managed care products and services to private sector health insurers,
large employers, coalitions of employers, managed care plans or hospital
systems, and which have been performed or remain in force on December 31, 1996;
and "Change in Control" shall have the meaning set forth in Section 14.4(b) of
the Option Plan.

               5.2  Except as otherwise provided in Section 5.1 hereof or in
this Agreement, the Option shall entitle the Optionee to purchase, in whole at
any time or in part from time to time, one-half (1/2) of the total number of
Shares covered by the Option after the expiration of one (1) year following the
Grant Date and the remaining one-half (1/2) of the total number of Shares
covered by the Option after the expiration of two (2) years following the Grant
Date, and each such right of purchase shall be cumulative and shall continue,
unless sooner exercised in whole or in part or terminated as herein provided,
during the remaining period of the Exercise Term.

          6.  MANNER OF EXERCISE.

              6.1  Subject to the terms and conditions of this Agreement, the
Option may be exercised by delivery of written notice to the Secretary of the
Company at the Company's principal executive office. Such notice shall state
that the Optionee is electing to exercise the Option and the number of Shares in
respect of which the Option is being exercised and shall be signed by the person
or persons exercising the Option on behalf of the Optionee. If the Company
requests, such person or persons shall (i) deliver this Agreement to the
Secretary of the Company who shall endorse thereon a notation of such exercise
and (ii) provide satisfactory proof as to the authority of such person or
persons to exercise the Option on behalf of the Optionee.

                                        2
<PAGE>

              6.2  The notice of exercise described in Section 6.1 shall be
accompanied by the Purchase Price for the number of Shares in respect of which
the Option is being exercised.

              6.3  Upon receipt of notice of exercise and the Purchase Price for
the Shares in respect of which the Option is being exercised, the Company shall
take appropriate action to effect the transfer to the Optionee of the number of
Shares as to which such exercise was effective.

              6.4  The Optionee shall not be deemed to be the holder of, or to
have any of the rights of a holder with respect to, any Shares subject to the
Option until (i) the Option shall have been exercised pursuant to the terms of
this Agreement and the Optionee shall have paid the full Purchase Price for the
number of Shares in respect of which the Option was exercised, (ii) the Company
has complied, in its discretion, with any listing, registration or qualification
requirement of any securities exchange or the National Association of Securities
Dealers, Inc., as the case may be, or under any state or federal law, (iii) the
Optionee's name shall have been entered as a stockholder or record on the books
of the Company, and (iv) the Company shall have issued and delivered the Shares
in certificate form to the Optionee, whereupon the Optionee shall have full
voting and other ownership rights with respect to such shares.

          7.  NO RIGHT TO EMPLOYMENT.

              Nothing in this Agreement shall be interpreted or construed to
confer upon the Optionee any right to employment or retention by the Company in
any capacity.

          8.  ADJUSTMENTS.

              In the event that any option under the Option Plan is adjusted
pursuant to Section 14 thereof, the Option shall be adjusted in accordance with
such provision at the same time.

          9.  AMENDMENT.

              This Agreement may be amended or terminated and any terms or
condition hereof may be waived in accordance with a written instrument executed
on behalf of each party hereto.

          10. NOTICE.

              All notices, requests, claims, demands and other communications
hereunder shall be in writing and shall be deemed to have been duly given when
delivered in person, by cable, telegram, telex or facsimile transmission or by
registered or certified mail (postage prepaid, return receipt requested) to the
parties at the following addresses:

                                        3
<PAGE>

                    If to Optionee:

                    Charles P. Reilly
                    Shamrock Investments
                    2049 Century Park East, Suite 3330
                    Los Angeles, California 90067

                    If to the Company:

                    PHP Healthcare Corporation
                    11440 Commerce Park Drive
                    Reston, Virginia 22091
                    Attention: General Counsel

             11.  VALIDITY.

                  The invalidity or unenforceability of any provision of this
Agreement shall not affect the validity or enforceability of any other provision
of this Agreement, which shall remain in full force and effect.

             12.  HEADINGS.

                  The headings contained in this Agreement are for reference
purposes only and shall not affect in any way the meaning or interpretation of
this Agreement.

             13.  COUNTERPARTS.

                  This Agreement may be executed by the parties hereto in two or
more counterparts, each of which shall be deemed to be an original instrument,
but all of which together shall be deemed to be one and the same instrument.

             14.  GOVERNING LAW.

                  This Agreement shall be governed by and construed in
accordance with the laws of the State of Delaware without giving effect to the
principles of conflicts of the laws thereof.

             15.  PARTIES IN INTEREST.

                  This Agreement is binding upon and is solely for the benefit
of the parties hereto and their respective successors (but not their assigns).
The Option shall not be transferable by the Optionee other than by will or the
laws of descent and distribution.

                                        4
<PAGE>

            16.  RESOLUTION OF DISPUTES.

                 Any dispute or disagreement which may arise under, or as a
result of, or in any way relate to, the interpretation, construction or
application of this Agreement shall be determined by the Board of Directors of
the Company. Any such determination shall be final, binding and conclusive on
the Optionee and Company for all purposes.

                              PHP HEALTHCARE CORPORATION



                              By: /s/ Jack M. Mazur
                                  ----------------------------
                                  Name: Jack M. Mazur
                                  Title: Sr. Exec. Vice Pres.


                              OPTIONEE

                              /s/ Charles H. Reilly
                              --------------------------------
                              Charles H. Reilly

                                        5



<PAGE>

                                                                 EXHIBIT 4.13

                                  STOCK OPTION

     THIS AGREEMENT, made as of the 3rd day of October, 1994 (the "Grant Date"),
between PHP Healthcare Corporation, a Delaware corporation (the "Company"), and
Michael E. Gallagher (the "Optionee") in accordance with Section 157 of the
Delaware General Corporation Law.

     The parties hereto agree as follows:

          1.  DEFINITION.

              The term "Shares" shall mean the shares of common stock, par value
$.01 per share, of the Company.

          2.  GRANT OF OPTION.

              2.1  The Company hereby grants to the Optionee the right and
option (the "Option") to purchase all or any part of an aggregate of Nine
Thousand Two Hundred Two (9,202) whole Shares subject to, and in accordance
with, the terms and conditions set forth in this Agreement. The Shares to be
delivered upon exercise of the Option shall be Shares held by the Company as
treasury stock and not newly issued Shares.

              2.2  The Option is not intended to qualify as an Incentive Stock
Option within the meaning of Section 422A of the Internal Revenue Code of 1990
(the "Code") and is not granted pursuant to the Company's Amended and Restated
1986 Stock Option Plan (the "Option Plan").

          3.  PURCHASE PRICE.

              3.1  The price at which the Optionee shall be entitled to purchase
Shares upon the exercise of the Option shall be $9.00 per Share (the "Purchase
Price").

              3.2  Payment of the Purchase Price shall be made (i) in cash, (ii)
in the discretion of the Company's Board of Directors, by tender of Shares owned
by the Optionee and registered in the Optionee's name with a fair market value
equal to the cash exercise price of the Option being exercised (in whole or in
part), or (iii) in the discretion of the Company's Board of Directors, by any
combination if (i) and (ii) hereof.

          4.  TERM OF OPTION.

              Subject to earlier termination of the Option in accordance with
Section 5 hereof, the Option shall be exercisable to the extent and in the
manner provided herein for a period of ten (10) years from the Grant Date (the
"Exercise Term").

<PAGE>

          5.  EXERCISABILITY OF OPTION

              5.1  The Option is granted pursuant to the Plan and Agreement of
Merger dated as of September 23, 1994, by and among PHP Family Healthcare
Corporation, a Delaware corporation ("Family"), the Company, the Optionee and
certain other parties (the "Merger Agreement"). The Option shall only be
exercisable with respect to Four Thousand Six Hundred Forty Six (4,646) whole
Shares, and shall be terminated and of no force or effect with respect to the
rest of the Shares covered by the Option, unless on or before December 31, 1996,
(i) Family has accrued the JPC Minimum Target Revenues under Qualifying
Contracts, as finally determined in good faith by Family in accordance with
generally accepted accounting principles consistently applied, or (ii) a Change
in Control of PHP shall have occurred. For this purpose, "JPC Minimum Target
Revenues" shall mean (i) total revenues of at least Fifty Million Dollars
($50,000,000) during the two year period ending December 31, 1996, and (ii)
revenues of at least Fifteen Million Dollars ($15,000,000) during each calendar
year of such period; "Qualifying Contracts" shall mean contracts entered into by
Family in its sole discretion on or after September 1, 1993, under which it
provides managed care products and services to private sector health insurers,
large employers, coalitions of employers, managed care plans or hospital
systems, and which have been performed or remain in force on December 31, 1996;
and "Change in Control" shall have the meaning set forth in Section 14.4(b) of
the Option Plan.

              5.2  Except as otherwise provided in Section 5.1 hereof or in this
Agreement, the Option shall entitle the Optionee to purchase, in whole at any
time or in part from time to time, one-half (1/2) of the total number of Shares
covered by the Option after the expiration of one (1) year following the Grant
Date and the remaining one-half (1/2) of the total number of Shares covered by
the Option after the expiration of two (2) years following the Grant Date, and
each such right of purchase shall be cumulative and shall continue, unless
sooner exercised in whole or in part or terminated as herein provided, during
the remaining period of the Exercise Term.

          6.  MANNER OF EXERCISE.

              6.1  Subject to the terms and conditions of this Agreement, the
Option may be exercised by delivery of written notice to the Secretary of the
Company at the Company's principal executive office. Such notice shall state
that the Optionee is electing to exercise the Option and the number of Shares in
respect to which the Option is being exercised and shall be signed by the person
or persons exercising the Option on behalf of the Optionee. If the Company
requests, such person or persons shall (i) deliver this Agreement to the
Secretary of the Company who shall endorse thereon a notation of such exercise
and (ii) provide satisfactory proof as to the authority of such person or
persons to exercise the Option on behalf of the Optionee.

                                        2
<PAGE>

              6.2  The notice of exercise described in Section 6.1 shall be
accompanied by the Purchase price for the number of Shares in respect of which
the Option is being exercised.

              6.3  Upon receipt of notice of exercise and the Purchase Price for
the Shares in respect of which the Option is being exercised, the Company shall
take appropriate action to effect the transfer to the Optionee of the number of
Shares as to which such exercise was effective.

              6.4  The Optionee shall not be deemed to be the holder of, or to
have any of the rights of a holder with respect to, any Shares subject to the
Option until (i) the Option shall have been exercised pursuant to the terms of
this Agreement and the Optionee shall have paid the full Purchase Price for the
number of Shares in respect of which the Option was exercised, (ii) the Company
has complied, in its discretion, with any listing, registration or qualification
requirement of any securities exchange or the National Association of Securities
Dealers, Inc., as the case may be, or under any state or federal law, (iii) the
Optionee's name shall have been entered as a stockholder or record on the books
of the Company, and (iv) the Company shall have issued and delivered the Shares
in certificate form to the Optionee, whereupon the Optionee shall have full
voting and other ownership rights with respect to such shares.

          7.  NO RIGHT TO EMPLOYMENT.

              Nothing in this Agreement shall be interpreted or construed to
confer upon the Optionee any right to employment or retention by the Company in
any capacity.

          8.  ADJUSTMENTS.

              In the event that any option under the Option Plan is adjusted
pursuant to Section 14 thereof, the Option shall be adjusted in accordance with
such provision at the same time.

          9.  AMENDMENT.

              This Agreement may be amended or terminated and any terms or
condition hereof may be waived in accordance with a written instrument executed
on behalf of each party hereto.

         10.  NOTICE.

              All notices, requests, claims, demands and other communications
hereunder shall be in writing and shall be deemed to have been duly given when
delivered in person, by cable, telegram, telex or facsimile transmission or by
registered or certified mail (postage prepaid, return receipt requested) to the
parties at the following addresses:

                                        3
<PAGE>

              If to Optionee:

              Michael E. Gallagher
              Shamrock Investments
              2049 Century Park East, Suite 3330
              Los Angeles, California 90067

              If to the Company:

              PHP Healthcare Corporation
              11440 Commerce Park Drive
              Reston, Virginia 22091
              Attention: General Counsel

          11. VALIDITY.

              The invalidity or unenforceability of any provision of this
Agreement shall not affect the validity or enforceability of any other provision
of this Agreement, which shall remain in full force and effect.

          12. HEADINGS.

              The headings contained in this Agreement are for reference
purposes only and shall not affect in any way the meaning or interpretation of
this Agreement.

          13. COUNTERPARTS.

              This Agreement may be executed by the parties hereto in two or
more counterparts, each of which shall be deemed to be an original instrument,
but all of which together shall be deemed to be one and the same instrument.

          14. GOVERNING LAW.

              This Agreement shall be governed by and construed in accordance
with the laws of the State of Delaware without giving effect to the principles
of conflicts of the laws thereof.

          15. PARTIES IN INTEREST.

              This Agreement is binding upon and is solely for the benefit of
the parties hereto and their respective successors (but not their assigns). The
Option shall not be transferable by the Optionee other than by will or the laws
of descent and distribution.

                                        4
<PAGE>

          16. RESOLUTION OF DISPUTES.

              Any dispute or disagreement which may arise under, or as a result
of, or in any way relate to, the interpretation, construction or application of
this Agreement shall be determined by the Board of Directors of the Company. Any
such determination shall be final, binding and conclusive on the Optionee and
Company for all purposes.

                              PHP HEALTHCARE CORPORATION


                              By: /s/ Jack M. Mazur
                                 ----------------------------
                                Name: Jack M. Mazur
                                Title: Sr. Exec. Vice Pres.


                              OPTIONEE

                              /s/ Michael E. Gallagher
                              ----------------------------
                              Michael E. Gallagher

                              5



<PAGE>

                                                                 EXHIBIT 4.14

                                  STOCK OPTION

     THIS AGREEMENT, made as of the 3rd day of October, 1994 (the "Grant Date"),
between PHP Healthcare Corporation, a Delaware corporation (the "Company"), and
John P. Cole (the "Optionee") in accordance with Section 157 of the Delaware
General Corporation Law.

     The parties hereto agree as follows:

          1.  DEFINITION.

              The term "Shares" shall mean the shares of common stock, par
value $.01 per share, of the Company.

          2.  GRANT OF OPTION.

              2.1  The Company hereby grants to the Optionee the right and
option (the "Option") to purchase all or any part of an aggregate of Fifty
Thousand (50,000) whole Shares subject to, and in accordance with, the terms
and conditions set forth in this Agreement. The Shares to be delivered upon
exercise of the Option shall be Shares held by the Company as treasury stock and
not newly issued Shares.

              2.2  The Option is not intended to qualify as an Incentive Stock
Option within the meaning of Section 422A of the Internal Revenue Code of 1990
(the "Code") and is not granted pursuant to the Company's Amended and Restated
1986 Stock Option Plan (the "Option Plan").

          3.  PURCHASE PRICE.

              3.1  The price at which the Optionee shall be entitled to purchase
Shares upon the exercise of the Option shall be $9.00 per Share (the "Purchase
Price").

              3.2  Payment of the Purchase Price shall be made (i) in cash,
(ii) in the discretion of the Company's Board of Directors, by tender of Shares
owned by the Optionee and registered in the Optionee's name with a fair market
value equal to the cash exercise price of the Option being exercised (in whole
or in part), or (iii) in the discretion of the Company's Board of Directors, by
any combination if (i) and (ii) hereof.

          4.  TERM OF OPTION.

              Subject to earlier termination of the Option in accordance with
Section 5 hereof, the Option shall be exercisable to the extent and in the
manner provided herein for a period of ten (10) years from the Grant Date (the
"Exercise Term").

<PAGE>

          5.  EXERCISABILITY OF OPTION

              5.1  The Option is granted pursuant to the Plan and Agreement of
Merger dated as of September 23, 1994, by and among PHP Family Healthcare
Corporation, a Delaware corporation ("Family"), the Company, the Optionee and
certain other parties (the "Merger Agreement"). The Option shall only be
exercisable with respect to 19,000 whole Shares, and shall be terminated and
of no force or effect with respect to the rest of the Shares covered by the
Option, unless on or before December 31, 1996, (i) Family has accrued the JPC
Minimum Target Revenues under Qualifying Contracts, as finally determined in
good faith by Family in accordance with generally accepted accounting
principles consistently applied, or (ii) a Change in Control of PHP shall have
occurred. For this purpose, "JPC Minimum Target Revenues" shall mean (i) total
revenues of at least Fifty Million Dollars ($50,000,000) during the two year
period ending December 31, 1996, and (ii) revenues of at least Fifteen Million
Dollars ($15,000,000) during each calendar year of such period; "Qualifying
Contracts" shall mean contracts entered into by Family in its sole discretion
on or after September 1, 1993, under which it provides managed care products
and services to private sector health insurers, large employers, coalitions of
employers, managed care plans or hospital systems, and which have been
performed or remain in force on December 31, 1996; and "Change in Control"
shall have the meaning set forth in Section 14.4(b) of the Option Plan.

              5.2  Except as otherwise provided in Section 5.1 hereof or in this
Agreement, the Option shall entitle the Optionee to purchase, in whole at any
time or in part from time to time, one-half (1/2) of the total number of Shares
covered by the Option after the expiration of one (1) year following the Grant
Date and the remaining one-half (1/2) of the total number of Shares covered by
the Option after the expiration of two (2) years following the Grant Date, and
each such right of purchase shall be cumulative and shall continue, unless
sooner exercised in whole or in part or terminated as herein provided, during
the remaining period of the Exercise Term.

          6.  MANNER OF EXERCISE.

              6.1  Subject to the terms and conditions of this Agreement, the
Option may be exercised by delivery of written notice to the Secretary of the
Company at the Company's principal executive office. Such notice shall state
that the Optionee is electing to exercise the Option and the number of Shares in
respect of which the Option is being exercised and shall be signed by the person
or persons exercising the Option on behalf of the Optionee. If the Company
requests, such person or persons shall (i) deliver this Agreement to the
Secretary of the Company who shall endorse thereon a notation of such exercise
and (ii) provide satisfactory proof as to the authority of such person or
persons to exercise the Option on behalf of the Optionee.

                                        2
<PAGE>

              6.2  The notice of exercise described in Section 6.1 shall be
accompanied by the Purchase Price for the number of Shares in respect of which
the Option is being exercised.

              6.3  Upon receipt of notice of exercise and the Purchase Price for
the Shares in respect of which the Option is being exercised, the Company shall
take appropriate action to effect the transfer to the Optionee of the number of
Shares as to which such exercise was effective.

              6.4  The Optionee shall not be deemed to be the holder of, or to
have any of the rights of a holder with respect to, any Shares subject to the
Option until (i) the Option shall have been exercised pursuant to the terms of
this Agreement and the Optionee shall have paid the full Purchase Price for the
number of Shares in respect of which the Option was exercised, (ii) the Company
has complied, in its discretion, with any listing, registration or qualification
requirement of any securities exchange or the National Association of Securities
Dealers, Inc., as the case may be, or under any state or federal law, (iii) the
Optionee's name shall have been entered as a stockholder of record on the books
of the Company, and (iv) the Company shall have issued and delivered the Shares
in certificate form to the Optionee, whereupon the Optionee shall have full
voting and other ownership rights with respect to such shares.

          7.  NO RIGHT TO EMPLOYMENT.

              Nothing in this Agreement shall be interpreted or construed to
confer upon the Optionee any right to employment or retention by the Company in
any capacity.

          8.  ADJUSTMENTS.

              In the event that any option under the Option Plan is adjusted
pursuant to Section 14 thereof, the Option shall be adjusted in accordance with
such provision at the same time.

          9.  AMENDMENT.

              This Agreement may be amended or terminated and any terms or
condition hereof may be waived in accordance with a written instrument executed
on behalf of each party hereto.

          10. NOTICE.

              All notices, requests, claims, demands and other communications
hereunder shall be in writing and shall be deemed to have been duly given when
delivered in person, by cable, telegram, telex or facsimile transmission or by
registered or certified mail (postage prepaid, return receipt requested) to the
parties at the following addresses:

                                        3
<PAGE>

                  If to Optionee:

                  John P. Cole
                  9512 Eagle Ridge Drive
                  Bethesda, MD 20817

                  If to the Company:

                  PHP Healthcare Corporation
                  11440 Commerce Park Drive
                  Reston, Virginia 22091
                  Attention: General Counsel

             11.  VALIDITY.

                  The invalidity or unenforceability of any provision of this
Agreement shall not affect the validity or enforceability of any other provision
of this Agreement, which shall remain in full force and effect.

             12.  HEADINGS.

                  The headings contained in this Agreement are for reference
purposes only and shall not affect in any way the meaning or interpretation of
this Agreement.

             13.  COUNTERPARTS.

                  This Agreement may be executed by the parties hereto in two or
more counterparts, each of which shall be deemed to be an original instrument,
but all of which together shall be deemed to be one and the same instrument.

             14.  GOVERNING LAW.

                  This Agreement shall be governed by and construed in
accordance with the laws of the State of Delaware without giving effect to the
principles of conflicts of the laws thereof.

             15.  PARTIES IN INTEREST.

                  This Agreement is binding upon and is solely for the benefit
of the parties hereto and their respective successors (but not their assigns).
The Option shall not be transferable by the Optionee other than by will or the
laws of descent and distribution.

                                        4
<PAGE>

            16.  RESOLUTION OF DISPUTES.

                 Any dispute or disagreement which may arise under, or as a
result of, or in any way relate to, the interpretation, construction or
application of this Agreement shall be determined by the Board of Directors of
the Company. Any such determination shall be final, binding and conclusive on
the Optionee and Company for all purposes.

                              PHP HEALTHCARE CORPORATION



                              By: /s/ Jack M. Mazur
                                ------------------------------
                                Name: Jack M. Mazur
                                Title: Sr. Exec. Vice Pres.


                              OPTIONEE

                              /s/ John P. Cole
                              --------------------------------
                              John P. Cole

                                        5




<PAGE>

                                                                  EXHIBIT 4.15

                                ESCROW AGREEMENT

     THIS ESCROW AGREEMENT ("Agreement") made and entered into as of September
29, 1994, by and among PHP Family Healthcare Corporation, a Delaware corporation
("Family"), J.P. Cole & Associates, Inc., a Virginia corporation ("JPC"), John
P. Cole, Charles P. Reilly and Michael E. Gallagher (collectively, the
"Shareholders"), PHP Healthcare Corporation, a Delaware corporation ("PHP"), and
William F. Bavinger, III (the "Escrow Agent").

                                    RECITALS

     A.  Family, JPC, the Shareholders and PHP (the "Escrow Parties") have
entered into a Plan and Agreement of Merger, dated as of September 29, 1994 (the
"Merger Agreement"), pursuant to which the outstanding shares of common stock of
JPC will be converted into, among other things, shares of common stock, $.01 par
value, of PHP ("PHP Common Stock").

     B.  The Merger Agreement provides that Forty Four Thousand Two Hundred
Eighty Six (44,286) shares of PHP Common Stock (the "Escrow Securities") shall
be deposited and held in escrow in accordance with the terms set forth herein.

     C.  The Escrow Agent desires to perform the escrow services described
herein, and the Escrow Parties desire to engage the Escrow Agent to perform such
services;

     NOW, THEREFORE, in consideration of the premises and the mutual agreements
set forth herein and in the Merger Agreement, and for other good and valuable
consideration the receipt and sufficiency of which are hereby acknowledged, the
parties hereby agree as follows:

                                      TERMS

     1.  APPOINTMENT OF ESCROW AGENT.  The Escrow Agent is hereby appointed to
act as Escrow Agent hereunder and agrees to accept and to hold the Escrow
Securities in accordance with the terms hereof.

     2.  ESTABLISHMENT OF ESCROW.  Pursuant to Article IV of the Merger
Agreement, certificates representing the Escrow Securities registered in the
names of the Shareholders have been deposited with the Escrow Agent, and the
Escrow Agent hereby acknowledges receipt of the Escrow Securities.

     3.  DECLARATION OF ESCROW.  The Escrow Agent hereby declares and agrees
that it will hold and distribute the Escrow Securities, in accordance with and
subject to the provisions of

<PAGE>

this Agreement. The Escrow Agent further agrees that it will receive, hold and
distribute as additional Escrow Securities, in accordance with and subject to
the terms of this Agreement, all dividends, distributions, securities, rights,
instruments and proceeds in respect of the Escrow Securities which PHP or the
Shareholders may subsequently deliver to the Escrow Agent.

     4.  ESCROW PERIOD.  The term of this escrow (the "Term") shall commence
immediately upon receipt by the Escrow Agent of the Escrow Securities and shall
expire as provided in Section 7(c) hereof.

     5.  DISTRIBUTION OF ESCROW SECURITIES.

          (a)  THE PERFORMANCE CONDITION.  The Escrow Securities shall be
retained in escrow on the terms set forth herein until Family determines as
provided in Article IV of the Merger Agreement whether on or before December 31,
1996, (i) it has accrued the JPC Minimum Target Revenues under Qualifying
Contracts (the "Performance Condition"), or (ii) Change in Control of PHP has
occurred. Family shall make such determination and give notice thereof to the
Escrow Agent and the Escrow Parties as soon as reasonably practicable.

         (b)  RELEASE OF ESCROW SECURITIES TO SHAREHOLDERS. If Family shall give
notice that the Performance Condition has been satisfied or that a Change in
Control of PHP has occurred, the Escrow Securities shall be released to the
Shareholders promptly.

         (c)  RELEASE OF ESCROW SECURITIES TO PHP.  If Family shall give notice
that the Performance Condition has not been satisfied and the Shareholders shall
not, within 20 days after receipt of such notice, give notice that they claim
that the Performance Condition has been satisfied, the Escrow Securities shall
be released to PHP promptly. If the Shareholders give timely notice that they
claim that the Performance Condition has been satisfied, the dispute shall be
resolved in accordance with Section 6 hereof.

     6.  SETTLEMENT OF DISPUTES.  Any dispute among the Escrow Parties that may
arise under this Agreement with respect to: (a) the delivery, ownership or right
to possession of the Escrow Securities; (b) the facts upon which the Escrow
Agent's determinations are based; (c) the duties of the Escrow Agent hereunder;
(d) whether the Performance Condition set forth in Section 5(a) hereof has been
satisfied; and (e) any other questions arising under this Agreement, shall be
determined by (i) mutual agreement of the Escrow Parties (evidenced by
appropriate instructions in writing to the Escrow Agent signed by or on behalf
of all of such parties) within 30 days after such dispute arises, or (ii) if the
Escrow Parties are unable to reach an agreement, and are unable to agree upon
arbitration or some other form of alternative dispute resolution, litigation in
a court of competent jurisdiction. The Escrow Agent shall be under no duty to
institute or defend any proceeding relating to any such dispute and none of the
costs and expenses of any such proceedings shall be borne by the

                                        2

<PAGE>

Escrow Agent. Pending the resolution of any dispute as provided in this Section
6, the Escrow Agent is authorized and directed to retain the Escrow Securities
in its possession.

     7.  PROVISIONS CONCERNING THE ESCROW AGENT.

          (a)  AMENDMENTS AND MODIFICATIONS.  The Escrow Agent shall not in any
way be bound or affected by any amendment, modification or cancellation of this
Agreement which increases or alters the obligations of the Escrow Agent under or
pursuant to this Agreement, unless the same shall have been agreed to in writing
by the Escrow Agent.

         (b)  COMPENSATION.  Upon receipt by Buyer and Seller of the Escrow
Agent's written notice itemizing its fees and out-of-pocket expenses incurred in
performing its duties hereunder, the Escrow Agent shall be entitled to payment
(from other than the Escrow Securities) of such fees and reimbursements for such
expenses from PHP, such amounts to be paid within thirty (30) days after such
written notice is given. The Escrow Agent's fee shall be as agreed upon by the
parties, plus all reasonable out-of-pocket expenses payable when billed.

         (c)  TERMINATION OF THIS ESCROW AGREEMENT.  This Agreement shall
terminate upon the release of the Escrow Securities by the Escrow Agent pursuant
to this Agreement.

         (d)  DUTIES OF ESCROW AGENT.  This Agreement sets forth the duties and
obligations of the Escrow Agent with respect to any and all matters pertinent to
its acting as such hereunder. The Escrow Agent shall not have duties or
responsibilities other than those specifically set forth herein and shall act
only in accordance with the provisions hereof. Without limiting the generality
of the foregoing, the Escrow Agent shall not have any duty or responsibility (i)
to enforce or cause to be enforced any of the terms and conditions contained in
the Merger Agreement or (ii) to verify the accuracy or sufficiency of any notice
or other document received by it in connection with this Agreement. The Escrow
Agent shall be entitled to reply upon any instructions or directions to it in
writing under this Agreement signed or presented by the proper party or parties
and shall be entitled to treat as genuine any instruction or document delivered
to the Escrow Agent hereunder and reasonably believed by the Escrow Agent to be
genuine and to have been presented by the proper party or parties, without being
required to determine the authenticity or correctness of any fact stated
therein, or the authority or authorization of the person or persons making
and/or delivering the same to do so.

        (e)  LIABILITY OF ESCROW AGENT. Neither the Escrow Agent nor any of its
officers, directors, shareholders, partners, employees or agents shall be liable
to the Escrow Parties or any other person or entity for or in respect of any
loss, claim, damage, liability or expense resulting from or arising out of any
act or failure to act by it in connection with this Agreement, other than for
any loss, claim, damage, liability or expense which shall be finally adjudicated
to be the result of gross negligence or willful bad faith on the part of the
Escrow Agent or any such officers, directors, partners, employees or agents.
More

                                        3

<PAGE>

specifically, (i) the Escrow Agent shall not be liable for any error of judgment
made by it in good faith and (ii) the Escrow Agent may consult with counsel of
its own choice whenever the Escrow Agent shall deem it convenient or
appropriate, and shall have full and complete authorization and protection for
any action taken or suffered by it hereunder in good faith in accordance with
the advice of counsel.

        (f)  RESIGNATION OF ESCROW AGENT.  At any time that the Escrow Agent so
chooses, the Escrow Agent may resign from its duties hereunder by giving not
less than 30 days' written notice to the Escrow Parties. Prior to the expiration
of such 30-day period, the Escrow Parties shall designate, by mutual consent, a
successor escrow agent; PROVIDED that notwithstanding any resignation date set
forth in the Escrow Agent's notice, such resignation shall not take effect until
receipt by the Escrow Agent of an instrument duly executed by a successor escrow
agent evidencing its appointment as Escrow Agent hereunder and acceptance of
this Agreement. If no successor escrow agent is appointed within such 30-day
period, the Escrow Agent may deposit the Escrow Securities with a court of
competent jurisdiction as provided in paragraph (g) below and thereupon the
Escrow Agent shall be discharged of all duties and obligations hereunder.

       (g)  DEPOSIT OF ESCROW SECURITIES WITH COURT.  Notwithstanding anything
herein to the contrary, in the event of any disagreement between any of the
parties to this Agreement, or between them and any other person, resulting in
adverse claims or demands being made against the Escrow Securities, or in the
event the Escrow Agent in good faith is in doubt as to what action it should
take hereunder, the Escrow Agent may be discharged of its duties and obligations
hereunder upon its deposit, at any time after written notice to the Escrow
Parties, of the Escrow Securities with a court of competent jurisdiction.

     8.  MISCELLANEOUS.

         (a)  ENTIRE AGREEMENT. This Agreement has been entered into pursuant to
the Merger Agreement and as such embodies the entire agreement and understanding
among the parties hereto relating to the subject matter hereof and may not be
charged orally, but only by an instrument in writing signed by all the parties
hereto.

         (b)  NOTICES.  All notices, requests, demands and other communications
hereunder shall be deemed to have been duly given if the same shall be in
writing and shall be delivered and received personally or sent by facsimile
transmission or overnight delivery service, and addressed as set forth below:

                                        4

<PAGE>

         (i)  If to PHP, Family or JPC:

               PHP Healthcare Corporation
               11440 Commerce Park Drive
               Reston, Virginia 22091
               Attention: General Counsel


        (ii)   If to Shareholders:

               John P. Cole                   Charles P. Reilly
               PHP Healthcare Corporation     Shamrock Investments
               11440 Commerce Park Drive      2049 Century Park East, Suite 3330
               Reston, Virginia 22091         Los Angeles, California 90067

        (iii)   If  to the Escrow Agent:

                William F. Bavinger, III
                700 Thirteenth Street, N.W.
                Washington, D.C. 20005

or at such other address or to such other wire instructions as any party may
designate by means of notice given in accordance with this Section 8(b). Any
facsimile transmission not received by the Escrow Agent before 5:00 p.m. eastern
standard time shall be deemed received on the next business day.

         (c)  HEADINGS.  The headings of the sections of this Agreement have
been inserted for convenience only and shall not modify, define, limit or expand
the express provisions of this Agreement.

         (d)  GOVERNING LAW; SEVERABILITY.  This Agreement shall be construed
and interpreted according to the laws of the State of Delaware without regard to
conflicts of law principles.

         (e)  BINDING NATURE.  This Agreement shall be binding upon the parties
hereto and their respective successors and assigns, provided that the Escrow
Agent may not assign its obligations hereunder without the consent of all of the
other parties hereto.

         (f)  COUNTERPARTS.  This Agreement may be executed in any number of
counterparts, each of which shall be deemed as original, but all of which
together constitute one and the same agreement, and it shall not be necessary,
in proving the due execution and delivery of this Agreement, to produce or
account for more than one such counterpart.

                                        5

<PAGE>

         (g)  DEFINITIONS.  Unless expressly provided otherwise herein, all
initially capitalized terms used herein and defined in the Acquisition Agreement
shall have the same meanings ascribed to them in the Acquisition Agreement.

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

Attest:                               J.P. COLE & ASSOCIATES, INC.

/s/ Charles P. Reilly                 By: /s/ John P. Cole
- ---------------------                     ----------------
Charles P. Reilly, Secretary              John P. Cole, President

Attest:                               PHP FAMILY HEALTHCARE CORPORATION

/s/ Ben Rosenbaum, III                By: /s/ Charles H. Robbins
- ----------------------                    ----------------------
Ben Rosenbaum, III,  Secretary            Name: Charles H. Robbins
                                          Title:  President

Attest:                               PHP  HEALTHCARE CORPORATION

/s/ Ben Rosenbaum, III                By: /s/ Jack M. Mazur
- ----------------------                    -----------------
Ben Rosenbaum, III,  Secretary            Name: Jack M. Mazur
                                          Title: Sr. Exec. Vice Pres.

                                          /s/ John P. Cole
                                          ----------------
                                          John P. Cole

                                          /s/ Charles P. Reilly
                                          ---------------------
                                          Charles P. Reilly

                                          /s/ Michael E. Gallagher
                                          ------------------------
                                          Michael E. Gallagher

                                        6

<PAGE>

                                          /s/  William F. Bavinger, III
                                          -----------------------------
                                          William F. Bavinger, III

                                        7

<PAGE>
                                                                   EXHIBIT 4.16

                          REGISTRATION RIGHTS AGREEMENT

     REGISTRATION RIGHTS AGREEMENT dated as of September 29, 1994, between PHP
HEALTHCARE CORPORATION, a Delaware corporation (the "Company"),  and John P.
Cole, Charles P. Reilly and Michael E. Gallagher (each a "Shareholder" and,
collectively the "Shareholders").

                                    RECITALS

          1.  The Company, the shareholders and others have entered into a
Plan and Agreement of Merger (the "Merger Agreement") dated as of the date
hereof providing for the merger of J.P. Cole & Associates, Inc. into PHP
Family Healthcare Corporation and for the execution of this Agreement.

          NOW, THEREFORE, in consideration of the premises and mutual covenants
and obligations hereinafter set forth, and intending to be legally bound hereby,
the Company and the Shareholders hereby agree as follows:

          1. DEFINITIONS.  For purposes of this Agreement:

               (a)  "Common Stock" shall mean the common stock, $.01 par value
     per share, of the Company and any other securities into which or for which
     such common stock has been converted or exchanged pursuant to a plan of
     recapitalization, reorganization, merger, sale of assets, or otherwise.

               (b)  "Exchange Act" shall mean the Securities Exchange Act of
     1934, as amended, and the rules and regulations promulgated thereunder.

               (c)  "Holder" means a shareholder, so long as he holds any
     Registrable Securities, and any person owning Registrable Securities who is
     a permitted assignee under Section 10 of this Agreement.

               (d)  The term "register," "registered," and "registration" refer
     to a registration effected by the preparation and filing of a Registration
     Statement in compliance with the Securities Act, and the declaration or
     ordering of effectiveness of such Registration Statement by the SEC.

               (e)  "Registrable Securities" shall mean the shares of Common
     Stock acquired by the shareholders pursuant to the Merger Agreement
     or owned by any subsequent Holder or Holders, and, in each case, all shares
     of Common Stock issued as (or issuable upon the conversion or exercise of
     any warrant, right or other security which is issued as) a dividend or
     other distribution with respect to, in exchange for, or in replacement of
     such shares of Common Stock. The term "Registrable Securities" excludes,
     however, any security (i) the sale of which has been effectively

                                        1

<PAGE>

     registered under the Securities Act and which has been disposed of in
     accordance with a Registration Statement, (ii) that has been sold by a
     Holder in a transaction exempt from the registration and prospectus
     delivery requirements of the Securities Act under Section 4(1) thereof
     (including, without limitation, transactions pursuant to Rules 144 and
     144A) such that the further disposition of such securities by the
     transferee or assignee is not restricted under the Securities Act, (iii)
     that have been sold by a Holder in a transaction in which such Holder's
     rights under this Agreement are not, or cannot be, assigned, or (iv) for
     which the registration rights provided under this Agreement have expired
     pursuant to Section 13 of this Agreement.

               (f) "Registration Expenses" shall mean (i) registration,
     qualification and filing fees; (ii) fees and expenses of compliance with
     securities or blue sky laws (including reasonable fees and disbursements of
     counsel in connection with blue sky qualifications of any Registrable
     Securities being registered); (iii) printing expenses; (iv) fees and
     disbursements of counsel for the Company and customary fees and expenses
     for independent certified public accountants retained by the Company
     (including the expenses of any comfort letters or costs associated with
     the delivery by independent certified public accountants of comfort letters
     customarily requested by underwriters): (v) fees and expenses of counsel
     for the requesting  Holders; (vi) fees and expenses of listing any
     Registrable Securities on any securities exchange on which the Common Stock
     is then listed; (vii) fees and disbursements of underwriters customarily
     paid by issuers or sellers of securities; and (viii) any underwriting fees,
     discounts or commissions attributable to the sale of any Registrable
     Securities and any fees and expenses of underwriters' counsel; but
     excluding all internal expenses of the Company, including without
     limitation all salaries and expenses of officers and employees of the
     Company performing legal or accounting duties.

               (g) "Registration Statement" shall mean any registration
     statement or similar document that covers any of the Registrable Securities
     pursuant to the provisions of this Agreement, including the prospectus or
     preliminary prospectus included therein, all amendments and supplements to
     such Registration Statement, including post-effective amendments, all
     exhibits to such Registration Statement and all material incorporated by
     reference in such Registration Statement.

               (h) "Rule 144" shall mean Rule 144 promulgated under the
     Securities Act or any successor rule thereto.

               (i) "Rule 144A" shall mean Rule 144A promulgated under the
     Securities Act or any successor rule thereto.

               (j) "SEC" shall mean the Securities and Exchange Commission.

               (k) "Securities Act" shall mean the Securities Act of 1933, as
     amended, and the rules and regulations promulgated thereunder.

          2.  INCIDENTAL REGISTRATION.  After the date hereof, if (but without
any obligation to do so) the Company proposes to register (including a
registration effected by

                                        2

<PAGE>

the Company for shareholders other than the Holders) or any shares of Common
Stock under the Securities Act in connection with the public offering of such
shares solely for cash on any form of Registration Statement in which the
inclusion of Registrable Securities is appropriate (other than a registration
(i) relating solely to the sale of securities to participants in a Company stock
plan, (ii) pursuant to a Registration Statement on Form S-4 or Form S-8 (or any
successor forms) or any form that does not include substantially the same
information, other than information relating to the selling shareholders or
their plan of distribution, as would be required to be included in a
registration statement covering the sale of Registrable Securities, (iii) in
connection with any dividend reinvestment or similar plan, or (iv) for the sole
purpose of offering securities to another entity or its securityholders in
connection with the acquisition of assets or securities of such entity or any
similar transaction), the Company shall promptly give each Holder written notice
of such registration in the manner provided in Section 15 at least 30 days
before the anticipated filing date of any such Registration Statement. Upon the
written request of any Holder given in the manner provided in Section 15 within
15 days after the mailing of such notice by the Company, the Company shall,
subject to the provisions of Section 6 hereof, cause to be registered under the
Securities Act all of the Registrable securities that such Holder has so
requested to be registered. The Company shall not be required to proceed with,
or maintain the effectiveness of, any registration of its securities after
giving the notice herein provided, and the right of any Holder to have
Registrable Securities included in such Registration Statement shall be
conditioned upon participation in any underwriting to the extent provided
herein. The Company shall not be required to include any Registrable Securities
in such underwriting unless the Holders thereof enter into an underwriting
agreement in customary form and upon terms and conditions agreed upon between
the Company and the underwriter(s) (except as to monetary obligations of the
Holders not contemplated by Section 5 of this Agreement), with the
underwriter(s) selected by the Company. In the event that the underwriter(s)
shall advise the Company that marketing or other factors require a limitation of
the number of shares to be underwritten, then the Company shall so advise all
Holders of Registrable Securities that would otherwise be underwritten pursuant
hereto. The underwriter(s) may exclude some or all of the Registrable Securities
from such underwriting and the number of Registrable Securities, if any, that
may be included in the underwriting shall be allocated among all Holders thereof
in proportion (as nearly as practicable) to the number of Registrable Securities
which each Holder requested be included in such registration. Nothing in this
Section 2 is intended to diminish the number of securities to be included by the
Company in such underwriting. The Company and the underwriter(s) selected by the
Company shall make all determinations with respect to the timing, pricing and
other matters related to the offering.

          3.  REGISTRATION PROCEDURE.  Whenever required under this Agreement to
effect the registration of any Registrable Securities, the Company shall, as
expeditiously as reasonably practicable:

               (a) Prepare and file with the SEC a new Registration Statement
     with respect to such Registrable Securities and use its reasonable best
     efforts to cause such registration statement to become effective, and keep
     such Registration Statement effective for up to 90 days or such shorter
     period as shall be required to sell all of the Registrable Securities
     covered by such Registration Statement (except as provided in

                                        3

<PAGE>

     Section 2); provided, however, that if such Registration Statement is on
     Form S-3 and relates to a distribution by the Holders on a delayed or
     continuous basis other than by means of an underwriting, the Company shall
     keep such Registration Statement effective for the maximum period permitted
     for such Registration Statement; provided further that no Registration
     Statement need remain in effect after all Registrable Securities covered
     thereby have been sold.

               (b) Prepare and file with the SEC such amendments and supplements
     to such Registration Statement and the prospectus used in connection with
     such Registration Statement as may be necessary to comply with the
     provisions of the Securities Act with respect to the disposition of all
     securities covered by such Registration Statement.

               (c) Furnish to the Holders of Registrable Securities to be
     registered, without charge, such number of copies of a prospectus,
     including a preliminary prospectus, and any amendment or supplement thereto
     as they may reasonably request and a reasonable number of copies of the
     then-effective Registration Statement and any post-effective amendment
     thereto, including financial statements and schedules, all documents
     incorporated therein by reference and all exhibits (including those
     incorporated by reference).

               (d) Promptly after the filing of any document that is to be
     incorporated by reference into a Registration Statement or prospectus,
     provide copies of such document to the Holders of Registrable Securities
     covered thereby and any underwriter.

               (e) Use its reasonable best efforts to register and qualify the
     securities covered by such Registration Statement under such other
     securities or blue sky laws of such jurisdictions as shall be reasonably
     requested by the Holders; provided, however, that the Company shall not be
     required to qualify to do business or to file a general consent to service
     of process in any such states or jurisdictions where it would not otherwise
     be required to so qualify to do business or consent to service of process
     or subject itself to taxation in any such jurisdiction.

               (f) Cooperate with the Holders of Registrable Securities and each
     underwriter participating in the disposition of such Registrable Securities
     and their respective counsel in connection with any filings required to be
     made with the National Association of Securities Dealers, Inc.

               (g) In the event of any underwritten public offering, enter into
     and perform its obligations under an underwriting agreement, in usual and
     customary form, with the underwriter(s) of such offering, with such terms
     and conditions as the Company and the underwriter(s) may agree. Each Holder
     participating in such underwriting shall also enter into and perform its
     obligations under such an agreement.

                                        4

<PAGE>

               (h) Notify each Holder of Registrable Securities covered by such
     Registration Statement, at any time when a prospectus relating thereto is
     required to be delivered under the Securities Act, of the happening of
     any event as a result of which the prospectus included in such Registration
     Statement, as then in effect, includes an untrue statement of a material
     fact or omits to state a material fact required to be stated therein or
     necessary to make the statements therein not misleading in the light of the
     circumstances then existing.

               (i) Cause all Registrable Securities covered by the Registration
     Statement to be listed on each securities exchange or automated quotation
     system on which shares of the Company's Common Stock is then listed. If any
     of such shares are not so listed, the company shall cause such shares to be
     listed on the securities exchange or automated quotation system as may be
     reasonably requested by the Holders of a majority of the Registrable
     Securities being registered.

               (j) In the case of an underwritten public offering, furnish, at
     the request of any Holder requesting registration pursuant to this
     Agreement, on the date that such Registrable Securities are delivered to
     the underwriters for sale in connection with a registration pursuant to
     this Agreement, (A) an opinion of counsel representing the Company for the
     purposes of such registration, and (B) a letter from independent certified
     public accountants of the Company, in each case to be dated such date and
     to be in form and substance as is customarily given by counsel or
     independent certified public accountants, as the case may be, to
     underwriters in an underwritten public offering, addressed to the
     underwriters.

               (k) Permit a representative of any Holder of Registrable
     Securities, any underwriter participating in any disposition pursuant to
     such registration, and any attorney or accountant retained by such Holder
     or underwriter, to participate, at each person's own expense, in the
     preparation of the Registration Statement, and cause the Company's
     officers, directors and employees to supply all information reasonably
     requested by any such representative, underwriter, attorney or accountant
     in connection with such registration; provided, however, that such
     representatives, underwriters, attorneys or accountants enter into a
     confidentiality agreement, in form and substance reasonably satisfactory to
     the Company, prior to the release or disclosure of any such information.

Notwithstanding the foregoing, the Company may delay, suspend or withdraw any
registration or qualification of Registrable Securities required pursuant this
Agreement for a period not exceeding 120 days if the Company shall in good faith
determine that any such registration would adversely affect an offering or
contemplated offering of any securities of the Company or any other contemplated
material corporate event. In addition, the Company shall not be required to
register Registrable Securities within 12 months after the effective date of a
Registration Statement referred to in Section 2 pursuant to which the Holders
were afforded the opportunity to register Registrable Securities.

          4.  HOLDERS' OBLIGATION TO FURNISH INFORMATION.  It shall be a
condition precedent to the obligations of the Company to take any action
pursuant to this Agreement

                                        5

<PAGE>

with respect to any Registrable Securities that the Holder of such securities
furnish to the Company such information regarding itself, the Registrable
Securities held by it, and the intended method of disposition of such securities
as shall be required to effect the registration of such Holder's Registrable
Securities.

          Each Holder agrees that, upon receipt of any notice from the Company,
such Holder will forthwith discontinue disposition of Registrable Securities
pursuant to the then current prospectus until (i) such Holder is advised in
writing by the Company that a new Registration Statement covering the reoffer of
Registrable Securities has become effective under the Securities Act or (ii)
such Holder receives copies of a supplemented or amended prospectus contemplated
by Section 3 hereof, or until such Holder is advised in writing by the Company
that the use of the prospectus may be resumed. The Company shall use its
reasonable best efforts to limit the duration of any discontinuance of
disposition of Registrable Securities pursuant to this paragraph.

          5.  REGISTRATION EXPENSES.  The requesting Holders shall pay their own
expenses and shall bear on a pro rata basis with other requesting Holders all
incremental Registration Expenses, including, without limitation, incremental
registration and qualification fees and expenses (including underwriters' fees,
discounts and commissions), and all incremental costs and disbursements
(including legal fees and expenses), that result from the inclusion of the
Registrable Securities in such registration.

          6.  EFFECTIVENESS OF REGISTRATION.  A registration requested pursuant
to Section 2 will not be deemed to have been effected if (i) the registration
statement has not been kept effective for the period required under Section 3(a)
of this Agreement or (ii) the offering of Registrable Securities pursuant to
such registration is interfered with by any stop order, injunction or other
order or requirement of the SEC or other governmental agency or court.

          7.  DELAY OF REGISTRATION.  No holder shall have any right to obtain
or seek an injunction restraining or otherwise delaying any registration of the
Company's securities as the result of any controversy that might arise with
respect to the interpretation or implementation of this Agreement.

          8.  INDEMNIFICATION AND CONTRIBUTION.  In the event any Registrable
Securities are included in a Registration Statement pursuant to this Agreement:

               (a) The Company will indemnify and hold harmless each Holder, its
     directors, officers and employees and each person, if any, who "controls"
     such Holder (within the meaning of the Securities Act) against all losses,
     claims, damages, or liabilities, joint or several, or actions in respect
     thereof to which such Holder or other person entitled to indemnification
     hereunder may become subject under the Securities Act, or otherwise,
     insofar as such losses, claims, damages, liabilities or actions in respect
     thereof arise out of, or are based upon, any untrue statement or alleged
     untrue statement of any material fact contained in such Registration
     Statement, any related preliminary prospectus, or any related prospectus or
     any amendment or supplement thereto, or arise out of, or are based upon,
     the omission or alleged

                                        6
<PAGE>

     omission to state therein a material fact required to be stated therein or
     necessary to make the statements therein not misleading, and will reimburse
     such Holder or other person entitled to indemnification hereunder for any
     legal or other expenses reasonably incurred by it in connection with
     investigating or defending any such loss, claim, damage, liability or
     action; provided, however, that the Company will not be so liable to the
     extent that any such loss, claim, damage, liability or action arises out
     of, or is based upon, an untrue statement or alleged untrue statement of a
     material fact or an omission or alleged omission to state a material fact
     in such  Registration Statement, such preliminary prospectus, or such
     prospectus, or any such amendment or supplement thereto in reliance upon,
     and in conformity with, written information furnished to the Company by or
     on behalf of a Holder or an underwriter specifically for use therein;
     provided further that the Company will not be liable, and this
     indemnification agreement shall not apply, in any such case to the extent
     that any such loss, claim, damage, liability or action is solely
     attributable to the failure of such Holder (or underwriter or agent acting
     on its behalf) to deliver a final prospectus (or amendment or supplement
     thereto) that corrects a material misstatement or omission contained in the
     preliminary prospectus (or final prospectus). The Company will also
     indemnify underwriters, selling brokers, dealer managers and similar
     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Holders, if so requested, except
     with respect to information furnished in writing specifically for use in
     any prospectus or Registration Statement by any selling Holders or any such
     underwriters.

               (b) With respect to written information furnished to the Company
     by or on behalf of a Holder specifically for use in a Registration
     Statement, any related preliminary prospectus, or any related prospectus or
     any supplement or amendment thereto, such Holder will severally indemnify
     and hold harmless the company, and its directors, officers and employees
     and each person, if any, who "controls" the Company (within the meaning of
     the Securities Act) against any losses, claims, damages or liabilities,
     joint or several, or actions in respect thereof, to which the Company or
     such other person entitled to indemnification hereunder may become subject
     under the Securities Act, or otherwise, insofar as such losses, claims,
     damages, liabilities or actions in respect thereof arise out of, or are
     based upon, any untrue statement or alleged untrue statement of any
     material fact contained in such Registration Statement, such preliminary
     prospectus, or such prospectus, or any such amendment or supplement
     thereto, or arise out of, or are based upon, the omission or alleged
     omission to state therein a material fact required to be stated therein or
     necessary to make the statements therein not misleading; and such Holder
     will reimburse the Company and such other persons or any legal or other
     expenses reasonably incurred by them in connection with investigating or
     defending any such loss, claim, damage, liability or action, in each case
     to the extent, but only to the extent, that the same arises out of, or is
     based upon, an untrue statement or alleged untrue statement of a material
     fact or an omission or alleged omission to state a material fact in such
     Registration Statement, such preliminary prospectus, or such prospectus or
     any such amendment or supplement thereto in reliance upon, and in

                                        7
<PAGE>

     conformity with, such written information. The Company shall be entitled to
     receive indemnities from underwriters, selling brokers, dealer managers and
     similar securities industry professionals participating in the
     distribution, to the same extent as provided above with respect to the
     information so furnished in writing by such persons specifically for
     inclusion in any prospectus or Registration Statement. The Holder will
     also indemnify underwriters, selling brokers, dealer managers and similar
     securities industry professionals participating in the distribution, their
     officers and directors and each person who "controls" such persons (within
     the meaning of the Securities Act) to the same extent as provided above
     with respect to the indemnification of the Company, if so requested.

               (c) Promptly after receipt by an indemnified party of notice of
     any claim or the commencement of any action, the indemnified party will, if
     a claim in respect thereof is to be made against the indemnifying party,
     notify the indemnifying party in writing of the claim or the commencement
     of that action; provided, however, that the failure to notify the
     indemnifying party will not relieve it from any liability that it may have
     to the indemnified party except to the extent it was actually damaged or
     suffered any loss or incurred any additional expense as a result thereof.
     If any such claim or action is brought against an indemnified party, and it
     notifies the indemnifying party thereof, the indemnifying party will be
     entitled to assume the defense thereof with counsel selected by the
     indemnifying party and reasonably satisfactory to the indemnified party.
     After notice from the indemnifying party to the indemnified party of its
     election to assume the defense of such claim or action, (i) the
     indemnifying party will not be liable to the indemnified party for any
     legal or other expense subsequently incurred by the indemnified party in
     connection with the defense thereof, (ii) the indemnifying party will not
     be liable for the costs and expenses of any settlement of such claim or
     action unless such settlement was effected with the written consent of the
     indemnifying party or the indemnified party waived any rights to
     indemnification hereunder in writing, in which case the indemnified party
     may effect a settlement without such consent, and (iii) the indemnified
     party will be obligated to cooperate with the indemnifying party in the
     investigation of such claim or action; provided, however, that the Holders
     and their respective controlling persons who may be subject to liability
     arising out of any claim in respect of which indemnity may be sought by
     such Holders against the Company may employ their own counsel if they have
     been advised by counsel in writing that, in the reasonable judgment of such
     counsel, it is advisable for such Holders and their controlling persons to
     be represented by separate counsel due to the presence of conflicts of
     interest, and in that event the fees and expenses of such separate counsel
     will also be paid by the Company; provided that the Company shall not be
     liable for the fees and expenses of more than one separate counsel at any
     time for all such indemnified parties. An indemnifying party shall not,
     without the prior written consent of the indemnified parties, settle,
     compromise or consent to the entry of any judgment with respect to any
     pending or threatened claim, action, suit or proceeding in respect of which
     indemnification or contribution may be sought hereunder (whether or not the
     indemnified parties are actual or potential parties to such claim or
     action) unless such settlement, compromise or consent  ncludes a release of
     such indemnified party reasonably acceptable to such indemnified party from
     all liability arising out of such

                                        8
<PAGE>

     claim, action, suit or proceeding or unless the indemnifying party shall
     confirm in a written agreement reasonably acceptable to such indemnified
     party, that notwithstanding any federal, state or common law, such
     settlement, compromise or consent shall not adversely affect the right of
     any indemnified party to  indemnification or contribution as provided in
     this Agreement.

               (d) If for any reason the indemnification provided for in
     Sections 10(a) or (b) is unavailable to an indemnified party or is
     insufficient to hold it harmless as contemplated therein, then the
     indemnifying party shall contribute to the amount paid or payable by the
     indemnified party as a result of such loss, claim, damage or liability in
     such proportion as is appropriate to reflect not only the relative benefits
     received by the indemnifying party and the indemnified party, but also the
     relative fault of the indemnifying party and the indemnified party, as well
     as any other relevant equitable considerations. No person guilty of
     fraudulent misrepresentation (within the meaning of Section 11(f) of the
     Securities Act) shall be entitled to contribution from any person who was
     not  guilty of such fraudulent misrepresentation.

               (e) The obligations under this Section 8 shall survive the
     completion of any offering of Registrable Securities in a Registration
     Statement pursuant to this Agreement, and otherwise.

          9.  REPORTS UNDER EXCHANGE ACT.  With a view to making available to
the Holders the benefits of Rule 144 and any other rule or regulation of the SEC
that may at any time permit a Holder to sell securities of the Company to the
public without registration, the Company agrees to:

               (a) Make and keep public information available, as those terms
     are understood and defined in Rule 144; and

               (b) Furnish to any Holder, so long as the Holder owns any
     Registrable Securities, upon request (i) a written statement by the Company
     as to its compliance with the reporting requirements of Rule 144 for the
     most recent 90 days, the Securities Act and the Exchange Act, (ii) a copy
     of the most recent annual or quarterly report of the Company and such other
     reports and documents so filed by the Company, and (iii) such other
     information as may be reasonably requested in availing any Holder of any
     rule or regulation of the SEC which permits the selling of any such
     securities without registration.

          10.  ASSIGNMENT OF REGISTRATION RIGHTS.  The rights to cause the
Company to register Registrable Securities pursuant to this Agreement may be
assigned by a Shareholder to another Shareholder; provided, however,
that (i) the Company is, promptly upon such transfer, furnished with written
notice of the name and address of such transferee or assignee and the securities
with respect to which such registration rights are being assigned, (ii) the
transfer of such securities may be effected in accordance with all applicable
securities laws, (iii) immediately following such transfer the further
disposition of such securities by the transferee or assignee is restricted under
the Securities Act, and (iv) the
                                        9
<PAGE>

transferee executes and agrees to be bound by this Agreement, an executed
counterpart of which shall be furnished to the Company. In no event may the
rights of Holders hereunder be transferred or assigned to any other person.

          11.  AMENDMENT OF REGISTRATION RIGHTS.  Any provision of this
Agreement may be amended or the observance thereof may be waived (either
generally or in a particular instance and either retroactively or
prospectively), only with the written consent of the Company and the holders of
a majority of Registrable Securities then outstanding. Any amendment or waiver
effected in accordance with this Section shall be binding upon each Holder of
any Registrable Securities, each future Holder of such securities and the
Company.

          12.  "MARKET STAND-OFF" AGREEMENT.  Any Holder, if requested by the
Company or an underwriter of an underwritten public offering, agrees not to
sell, make any short sale of, loan, grant any option for the purchase of, or
otherwise transfer or dispose of any Common Stock held by such Holder (other
than Registrable Securities included in the registration) without the prior
written consent of the Company or such underwriter(s), as the case may be,
during a period of up to seven days prior to and 180 days following the
effective date of any underwritten registration of the Company's securities
effected pursuant to Section 2 hereof. Such agreement shall be in writing in
form satisfactory to the Company and such underwriter, and may be included in
the underwriting agreement. The Company may impose stop-transfer instructions
with respect to the securities subject to the foregoing restriction until the
end of the required stand-off period.

          13.  TERMINATION OF REGISTRATION RIGHTS.  A Holder's registration
rights under this Agreement relating to such Registrable Securities shall
terminate on the date such Holder is able to dispose of all its shares of
Registrable Securities in any 90-day period pursuant to Rule 144. All
registration rights (except for rights previously exercised in connection with
an underwritten public offering pursuant to Section 2) of a Holder under this
Agreement shall terminate on the date on which all of such Holder's shares of
Registrable Securities can be sold pursuant to Rule 144(k).

          14.  INFORMATION CONFIDENTIAL.  No Holder may use any confidential
information received by it pursuant to this Agreement in violation of the
Exchange Act or reproduce, disclose, disseminate such information to any other
person (other than its employees or agents having a need to know the contents of
such information and its attorneys), except to the extent reasonably related to
the exercise of rights under this Agreement, unless such information has been
made available to the public generally (other than by such recipient in
violation of this Section 14) or such recipient is required to disclose such
information by a governmental body or regulatory agency or by law in connection
with a transaction that is not otherwise prohibited hereby.

          15.  NOTICES.  All notices and other communications provided for or
permitted hereunder shall be made in writing by hand-delivery, registered
first-class mail, or air-courier guaranteeing overnight delivery:

               (a)  If to a holder of Registrable Securities: Shamrock
     Investments, 2049 Century Park East, Suite 3330, Los Angeles, California
     90067, Attention:

                                       10
<PAGE>

     Charles P. Reilly, Managing Partner (facsimile: (310) 551-3037), and
     thereafter at such other address as may be designated from time to time by
     notice given in the manner provided in this Section 15.

               (b)  If to the Company: PHP Healthcare Corporation, 11440
     Commerce Park Drive, Reston, Virginia 22091, Attention: General Counsel
     (facsimile: (703) 758-7259), and thereafter at such other address as may be
     designated from time to time by notice given in the manner provided in this
     Section 16.

               (c)  All such notices and other communications shall be deemed to
     have been delivered and received (i) in the case of personal delivery,
     telex, telecopier or telegram, on the date of such delivery, (ii) in the
     case of air courier, on the business day after the date when sent and (iii)
     in the case of mailing, on the third business day following such mailing.

               (d)  From time to time as the Company may request, each Holder
     shall provide to the Company such evidence or documentation reasonably
     satisfactory to the Company, in its sole discretion, certified by an
     appropriate officer of such Holder, regarding the number of shares of
     Common Stock beneficially owned by such Holder and its status as an
     "affiliate" under the Securities Act.

          16.  SUCCESSORS AND ASSIGNS.  Subject to the provisions of Section 10
hereof, this Agreement shall inure to the benefit of and be binding upon the
successors and permitted assigns of each of the parties.

          17.  COUNTERPARTS.  This Agreement may be executed in any number of
counterparts, each of which when so executed shall be deemed to be an original
and all of which taken together shall constitute one of the same agreement.

          18. HEADINGS.  The headings in this Agreement are for convenience of
reference only and shall not limit or otherwise affect the meaning hereof.

          19. GOVERNING LAW.  This Agreement shall be governed by and
constructed in accordance with the internal laws of the State of Delaware
without giving effect to conflicts of laws principles.

          20. SEVERABILITY.   In the event that any one or more of the previous
provisions contained herein, or the application thereof in any circumstance, is
held invalid, illegal or unenforceable, the validity, legality and
enforceability of any such provision in every other respect and of the remaining
provisions contained herein shall not be affected or impaired thereby.

          21. ENTIRE AGREEMENT.  This Agreement is intended by the parties as a
final expression of their agreement and intended to be a complete and exclusive
statement of the agreement and understanding of the parties hereto in respect of
the subject matter contained herein. This Agreement supersedes all prior
agreements and understandings between the parties with respect to such subject
matter.

                                       11
<PAGE>

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

                              PHP HEALTHCARE CORPORATION

                              By:   /s/ Jack M. Mazur
                                    --------------------------------
                                    Name: Jack M. Mazur
                                    Title: Sr. Exec. Vice President

                              /s/ John P. Cole
                              --------------------------------------
                              John P. Cole

                              /s/ Charles P. Reilly
                              --------------------------------------
                              Charles P. Reilly

                              /s/ Michael E. Gallagher
                              --------------------------------------
                              Michael E. Gallagher

                                       12


<PAGE>

<TABLE>
<CAPTION>

                                                                        EXHIBIT 12.1
                                                                 PHP HEALTHCARE CORPORATION
                                                       COMPUTATION OF RATION OF EARNINGS TO FIXED CHARGES
                                                         (IN THOUSANDS OF DOLLARS, EXCEPT RATIO DATA)


                                                                                             Six Months Ended
                                                  Year ended April 30                            October 31
                                      --------------------------------------------    -------------------------------
                                        1991        1992       1993        1994         1995        1994        1995
                                      -------     -------     -------    -------      -------     -------     -------
<S>                                   <C>         <C>        <C>        <C>          <C>          <C>         <C>
Income (loss) from
  continuing operations
  before income taxes                 $ 6,150     $ 7,074    $ (5,562)  $ (12,469)    $ 1,487     $   395     $ 3,696
Add:
  Interest charges and
    bank charges                        1,061         283       1,071       3,288       2,209       1,384       1,098
  Interest portion of
    rentals                               767         867       1,083       1,033       1,433         507         552
                                      -------     -------     -------     -------     -------     -------     -------
Income available for fixed
  charges                             $ 7,978     $ 8,224    $ (3,408)   $ (8,148)    $ 5,129     $ 2,286     $ 5,346
                                      -------     -------     -------     -------     -------     -------     -------
                                      -------     -------     -------     -------     -------     -------     -------
Fixed charges
  Interest and bank
    charges                             1,061         283       1,071       3,288       2,209       1,384       1,098
  Interest portion of
    rentals                               767         867       1,083       1,033       1,433         507         552
                                      -------     -------     -------     -------     -------     -------     -------
Total fixed charges                   $ 1,828     $ 1,150     $ 2,154     $ 4,321     $ 3,642     $ 1,891     $ 1,650
                                      -------     -------     -------     -------     -------     -------     -------
                                      -------     -------     -------     -------     -------     -------     -------
Ratio of earnings (loss)
  to fixed charges                       4.36        7.15       (1.58)      (1.89)       1.41        1.21        3.24
                                      -------     -------     -------     -------     -------     -------     -------
</TABLE>


<PAGE>

                                                                    EXHIBIT 15.1


[COOPERS & LYBRAND LETTERHEAD]

Securities and Exchange Commission
450 Fifth Street, NW
Washington, D.C. 20549


     Re:  PHP Healthcare Corporation
          Registration on Form S-3

We are aware that our report dated November 29, 1995 on our review of interim
financial information of PHP Healthcare Corporation and consolidated
subsidiaries as of October 31, 1995 and for the three-month and six-month
periods then ended and included in the Company's quarterly report on Form 10-Q
for the quarter then ended is incorporated by reference in this prospectus and
registration statement.  Pursuant to Rule 436(c) under the Securities Act of
1933, this report should not be considered a part of the prospectus and
registration statement prepared or certified by us within the meaning of
Sections 7 and 11 of that Act.




                                        /s/ Coopers & Lybrand L.L.P.

                                        COOPERS & LYBRAND L.L.P.



Washington, D.C.
February 16, 1996



<PAGE>

                                                                    EXHIBIT 23.1


[COOPERS & LYBRAND LETTERHEAD]




                       CONSENT OF INDEPENDENT ACCOUNTANTS



We consent to the incorporation by reference in this prospectus and registration
statement on Form S-3 regarding $69,000,000 of 6 1/2% Convertible Subordinated
Debentures due 2002 and 3,499,937 shares of Common Stock, par value $.01 per
share, of our report dated July 6, 1995, on our audit of the consolidated
financial statements and financial statement schedule of PHP Healthcare
Corporation and Subsidiaries as of April 30, 1995 and for the year then ended
appearing in the  Company's 1995 Form 10-K and, of our report dated July 6,
1995, except for the first paragraph of Note 8 as to which the date is November
20, 1995, on our audit of the consolidated financial statements of PHP
Healthcare Corporation and Subsidiaries as of April 30, 1995 and for the year
ended appearing in the Company's 8-K/A dated January 11, 1996.  The report
appearing in the Company's 8-K/A dated January 11, 1996 includes an explanatory
paragraph regarding the adjustments described in the first paragraph on Note 8
to those consolidated financial statements that were applied to retroactively
restate the 1995, 1994 and 1993 consolidated financial statements and footnotes
thereto for the effects of a two-for-one stock split effected as a stock
dividend in November, 1995.  We also consent to the reference to our firm under
the caption "Independent Public Accountants."




                                             /s/ Coopers & Lybrand L.L.P.

                                             COOPERS & LYBRAND L.L.P.




Washington, D.C.
February 16, 1996



<PAGE>


                                                                    Exhibit 23.2

THE BOARD OF DIRECTORS
PHP HEALTHCARE CORPORATION

We consent to the use of our report included in the Annual Report on Form 10-K
for the fiscal year ended April 30, 1995 of PHP Healthcare Corporation
incorporated herein by reference and to the references to our firm under the
heading of "Independent Public Accountants" in the prospectus.  Our report
refers to a change in the method of accounting for income taxes.

                                                   /s/ KPMG Peat Marwick LLP
                                                  ---------------------------
                                                       KPMG Peat Marwick LLP
Washington, D.C.
February 16, 1996



<PAGE>

                                                                    EXHIBIT 25.1

                                 ---------------
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                  ------------
                                    FORM T-1

                            STATEMENT OF ELIGIBILITY
                   UNDER THE TRUST INDENTURE ACT OF 1939 OF A
                    CORPORATION DESIGNATED TO ACT AS TRUSTEE

                      CHECK IF AN APPLICATION TO DETERMINE
                       ELIGIBLITY OF A TRUSTEE PURSUANT TO
                                SECTION 305(b)(2)


                                    ---------

                        IBJ SCHRODER BANK & TRUST COMPANY
               (Exact name of trustee as specified in its charter)

        New York                                      13-5375195
(Jurisdiction of incorporation                      (I.R.S. employer
or organization if not a U.S. national bank)        identification No.)

One State Street, New York, New York                  10004
(Address of principal executive offices)            (Zip code)

                        IBJ SCHRODER BANK & TRUST COMPANY
                                One State Street
                            New York, New York 10004
                                 (212) 858-2000
            (Name, address and telephone number of agent for service)

                           PHP Healthcare Corporation
               (Exact name of obligor as specified in its charter)

        Delaware                                       54-1023168
(State or other jurisdiction of                     (I.R.S. employer
incorporation or organization)                      identification No.)

11440 Commerce Park Drive
Reston, VA                                            22091
(Address of principal executive offices)            (Zip code)

                                    ---------
            61/2% Convertible Subordinated Debentures due 12/15/2002
                         (Title of indenture securities)

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

<PAGE>

Item 1.        General information

               Furnish the following information as to the trustee:

      (a)      Name and address of each examining or supervising authority to
               which it is subject.

                    New York State Banking Department, Two Rector Street,
                    New York, New York

                    Federal Deposit Insurance Corporation, Washington, D.C.

                    Federal Reserve Bank of New York Second District,
                    33 Liberty Street, New York, New York

      (b)      Whether it is authorized to exercise corporate trust powers.

                                        Yes

Item 2.        Affiliations with the Obligor.

               If the obligor is an affiliate of the trustee, describe each such
               affiliation.

               The obligor is not an affiliate of the trustee.

Item 13.       Defaults by the Obligor.

      (a)      State whether there is or has been a default with respect to the
               securities under this indenture. Explain the nature of any such
               default.

                                        None

      (b)      If the trustee is a trustee under another indenture under which
               any other securities, or certificates of interest or
               participation in any other securities, of the obligor are
               outstanding, or is trustee for more than one outstanding series
               of securities under the indenture, state whether there has been a
               default under any such indenture or series, identify the
               indenture or series affected, and explain the nature of any such
               default.

                                        None
<PAGE>

Item 16.       List of exhibits.

               List below all exhibits filed as part of this statement of
               eligibility.

      *1.      A copy of the Charter of IBJ Schroder Bank & Trust Company as
               amended to date. (See Exhibit 1A to Form T-1, Securities and
               Exchange Commission File No. 22-18460).

      *2.      A copy of the Certificate of Authority of the trustee to Commence
               Business (Included in Exhibit 1 above).

      *3.      A copy of the Authorization of the trustee to exercise corporate
               trust powers, as amended to date (See Exhibit 4 to Form T-1,
               Securities and Exchange Commission File No. 22-19146).

      *4.      A copy of the existing By-Laws of the trustee, as amended to date
               (See Exhibit 4 to Form T-1, Securities and Exchange Commission
               File No. 22-19146).

       5.      Not Applicable

       6.      The consent of United States institutional trustee required by
               Section 321(b) of the Act.

       7.      A copy of the latest report of condition of the trustee published
               pursuant to law or the requirements of its supervising or
               examining authority.

*    The Exhibits thus designated are incorporated herein by reference as
     exhibits hereto. Following the description of such Exhibits is a reference
     to the copy of the Exhibit heretofore filed with the Securities and
     Exchange Commission, to which there have been no amendments or changes.

<PAGE>

                                      NOTE

In answering any item in this Statement of Eligibility which relates to matters
peculiarly within the knowledge of the obligor and its directors or officers,
the trustee has relied upon information furnished to it by the obligor.

Inasmuch as this Form T-1 is filed prior to the ascertainment by the trustee of
all facts on which to base responsive answers to Item 2. the answer to said item
are based on incomplete information.

Item 2, may, however, be considered as correct unless amended by an amendment to
this Form T-1.

Pursuant to General Instruction B, the trustee has responded to Items 1, 2 and
16 of this form since to the best knowledge of the trustee as indicated in Item
13, the obligor is not in default under any indenture under which the applicant
is trustee.



<PAGE>

                                    SIGNATURE

          Pursuant to the requirements of the Trust Indenture Act of 1939, the
trustee, IBJ Schroder Bank & Trust Company, a corporation organized and existing
under the laws of the State of New York, has duly caused this statement of
eligibility to be signed on its behalf by the undersigned, thereunto duly
authorized, all in the City of New York, and State of New York, on the 20th
day of February, 1996.

                                   IBJ SCHRODER BANK & TRUST COMPANY

                                   By:   /s/ Thomas J. Bogert
                                         --------------------------------
                                             Thomas J. Bogert
                                             Assistant Vice President





<PAGE>
                                    EXHIBIT 6

                               CONSENT OF TRUSTEE

          Pursuant to the requirements of Section 321(b) of the Trust Indenture
Act of 1939, as amended, in connection with the issue by PHP Healthcare
Corporation of its 6 1/2% Convertible Subordinated Debentures due 2002, we
hereby consent that reports of examinations by Federal, State, Territorial, or
District authorities may be furnished by such authorities to the Securities and
Exchange Commission upon request therefor.

                                   IBJ SCHRODER BANK & TRUST COMPANY

                                   By: /s/ Thomas J. Bogert
                                      ---------------------
                                           Thomas J. Bogert
                                           Assistant Vice President


Dated: February 20, 1996


<PAGE>
                                    EXHIBIT 7

                       CONSOLIDATED REPORT OF CONDITION OF
                        IBJ SCHRODER BANK & TRUST COMPANY
                              OF NEW YORK, NEW YORK
                      AND FOREIGN AND DOMESTIC SUBSIDIARIES

                         REPORT AS OF SEPTEMBER 30, 1995
<TABLE>
<CAPTION>


                                                                                                            DOLLAR AMOUNTS
                                                                                                             IN THOUSANDS
                                                                                                            ---------------


                                                     ASSETS

<S>                                                                                         <C>              <C>
Cash and balance due from depository institutions:
  Noninterest-bearing balances and currency and coin . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   27,302
  Interest-bearing balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$  274,438

Securities:  Held to Maturity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$  169,283
             Available-for-sale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   30,605

Federal funds sold and securities purchased under
agreements to resell in domestic offices of the bank
and of its Edge and Agreement subsidiaries and in IBFs:
  Federal Funds sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   49,732
  Securities purchased under agreements to resell. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$    -0-

Loans and lease financing receivables:
  Loans and leases, net of unearned income . . . . . . . . . . . . . . . . . . . . . . . . .$ 1,837,874
  LESS: Allowance for loan and lease losses. . . . . . . . . . . . . . . . . . . . . . . . .$    52,477
  LESS: Allocated transfer risk reserve . . . . . . . . . . . . . . . . . . . . . . . . . . $     -0-

Loans and leases, net of unearned income, allowance, and reserve . . . . . . . . . . . . . . . . . . . . . .$1,785,397

Assets held in trading accounts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$114

Premises and fixed assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$7,958

Other real estate owned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$397

Investments in unconsolidated subsidiaries and associated companies. . . . . . . . . . . . . . . . . . . . .$-0-

Customers' liability to this bank on acceptances outstanding . . . . . . . . . . . . . . . . . . . . . . . .$938

Intangible assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$-0-

Other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$68,195

TOTAL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,414,359

<PAGE>

                                                     LIABILITIES

DEPOSITS:
  In domestic offices. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$474,693
    Noninterest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   143,148
    Interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   331,545

  In foreign offices, Edge and Agreement subsidiaries, and IBFs. . . . . . . . . . . . . . . . . . . . . . . . .$853,713
    Noninterest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$    10,321
    Interest-bearing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$   843,392

Federal funds purchased and securities sold under
agreements to repurchase in domestic offices of the bank and
of its Edge and Agreement subsidiaries, and in IBFs:

  Federal Funds purchased. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$75,000
  Securities sold under agreements to repurchase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $-0-

Demand notes issued to the U.S. Treasury . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$50,000

Trading Liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$101

Other borrowed money:
  a) With original maturity of one year or less. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$668,892
  b) With original maturity of more than one year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$5,000

Mortgage indebtedness and obligations under capitalized leases . . . . . . . . . . . . . . . . . . . . . . . .$-0-

Bank's liability on acceptances executed and outstanding. . . . . . . . . . . . . . . . . . . . . . . . . . . $938

Subordinated notes and debentures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$-0-

Other liabilities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$83,666

TOTAL LIABILITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,212,003

Limited life preferred stock and related surplus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$-0-


                                                    EQUITY CAPITAL

Perpetual preferred stock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$-0-

Common Stock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$29,650

Surplus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$216,935

Undivided profits and capital reserves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$(44,320)

Plus:  Net unrealized gains (losses) on marketable equity securities . . . . . . . . . . . . . . . . . . . . .$(91)

Cumulative foreign currency translation adjustments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$-0-


TOTAL EQUITY CAPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$202,356

TOTAL LIABILITIES AND EQUITY CAPITAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$2,414,359
</TABLE>


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