NATIONAL HEALTH ENHANCEMENT SYSTEMS INC
10KSB, 1996-05-15
PREPACKAGED SOFTWARE
Previous: LIFE OF VIRGINIA SEPARATE ACCOUNT II, 497, 1996-05-15
Next: CENTRAL VIRGINIA BANKSHARES INC, 10-Q, 1996-05-15



                     U.S. SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                   FORM 10-KSB

(Mark One)
[X]  ANNUAL REPORT  PURSUANT TO SECTION 13 OR 15(d) OF THE  SECURITIES  EXCHANGE
     ACT OF 1934 [FEE REQUIRED]
For the fiscal year ended     January 31, 1996
                         --------------------------------------------
                                       or
[ ]  TRANSITION  REPORT  PURSUANT  TO  SECTION  13 OR  15(d)  OF THE  SECURITIES
     EXCHANGE ACT OF 1934 [NO FEE REQUIRED]

For the transition period from              N/A         to
                                -----------------------    ---------------------
Commission file Number                               33-9396-LA
                       ---------------------------------------------------------
                    National Health Enhancement Systems, Inc.
- --------------------------------------------------------------------------------
                 (Name of small business issuer in its charter)

Delaware 86-0460312
(State or other jurisdiction of                          (I.R.S. Employer
 incorporation or organization)                          Identification
                                                         Number)
Suite 1750
3200 North Central Avenue
Phoenix, Arizona                                         85012
(Address of principal executive offices)                 (Zip Code)

Issuer's telephone number                                602-230-7575

Securities registered under Section 12(b) of the Exchange Act:

                                      NONE

Securities registered under Section 12(g) of the Exchange Act:

                          COMMON STOCK $.001 PAR VALUE

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

Check if there is no disclosure of delinquent  filers in response to Item 405 of
Regulation  S-B is not  contained  in  this  form,  and no  disclosure  will  be
contained,  to the  best of  registrant's  knowledge,  in  definitive  proxy  or
information statements incorporated by reference in Part III of this Form 10-KSB
or any amendment to this Form 10-KSB [ X ].

Issuer's revenues for its most recent fiscal year:   $16,891,143

As of March 29, 1996, the aggregate  market value of Registrant's  voting shares
held by non-affiliates of shares, based upon the average between the closing bid
and  asked  prices  of  such  stock  as  quoted  on  NASDAQ,  was  approximately
$12,298,664.

The number of shares of the Registrant's common stock issued and outstanding was
3,835,380 at March 29, 1996.

The  Registrant's  definitive Proxy Statement to be filed pursuant to Regulation
14A with the Securities  and Exchange  Commission not later than May 31, 1996 is
incorporated by reference into Part III, Items 9 through 12.
JTZ3602
<PAGE>
<TABLE>
                                TABLE OF CONTENTS
<CAPTION>
                                                                                            PAGE
                                                                                            ----
PART I

<S>        <C>                                                                               <C>
           Item 1.              Description of Business                                      
           Item 2.              Description of Properties                                    
           Item 3.              Legal Proceedings                                            
           Item 4.              Submission of Matters to a Vote of Security Holders          

PART II

           Item 5.              Market for Common Equity and Related Stockholder             
                                Matters
           Item 6.              Management's Discussion and Analysis of
                                Financial Condition and Results of Operations                
           Item 7.              Financial Statements                                         
           Item 8.              Changes In and Disagreements with Accountants on
                                Accounting and Financial Disclosure                          

PART III

           Item 9.              Directors, Executive Officers, Promoters and
                                Control Persons:  Compliance with Section 16(a) of           
                                the Exchange Act                                             
           Item 10.             Executive Compensation                                       
           Item 11.             Security Ownership of Certain Beneficial
                                Owners and Management                                        
           Item 12.             Certain Relationships and Related Transactions               
           Item 13.             Exhibits and Reports on Form 8-K                             

SIGNATURES                     
</TABLE>
<PAGE>

National  Health  Enhancement  Systems,   Inc.  has  restated  its  consolidated
financial  statements  for the fiscal  year ended  January  31, 1995 and for the
quarterly  periods in fiscal year ended January 31, 1996 and 1995.  See Part II,
Item 6, Management's  Discussion and Analysis of Financial Condition and Results
of Operations.

PART I

Item 1.  Description of Business

Business Development

National  Health   Enhancement   Systems,   Inc.  (the  "Company"),   originally
incorporated  in July 1983 as an  Arizona  corporation  named AHI  Limited,  was
formed for the purpose of developing,  licensing and marketing health evaluation
programs to healthcare providers,  including hospitals,  medical groups, clinics
and physicians.  On October 7, 1986, the Company was  reincorporated in Delaware
by merger into a Delaware corporation formed for that purpose.

In 1983,  the  Company  originally  commenced  marketing  a single  proprietary,
software-supported  health  evaluation  system  designed to assist a  healthcare
provider to assess an apparently "well" individual's overall fitness and risk of
incurring  cardiovascular  disease.  This product, the Personal Fitness Profile,
helped  healthcare  providers to generate  additional  direct  revenue and refer
consumers  to  other  programs,   departments  or  physicians  for  remedial  or
preventive  care. The Company's  business  strategy has since  evolved,  and the
Company's  current  business  objective  is to become the  leading  supplier  of
medical  call  center  system  products  and  services  that  enable  healthcare
providers  to  reduce  costs  associated  with   inappropriate   utilization  of
healthcare while improving service and quality.

In April 1993,  the  Company  acquired  by merger  into a newly  formed  Company
subsidiary,  all the assets and business of First Strategic Group, Ltd. ("FSG"),
a California  corporation.  FSG is a strategic consulting firm which specializes
in the  development  of healthcare  marketing and  advertising  strategies.  FSG
services  include  providing   healthcare   marketing  consulting  services  and
strategies and development of creative  marketing and/or  advertising  materials
(such as direct mail pieces and print ad materials) as requested by its clients.
FSG services do not include the placement of media or advertising.

Industry Background

The growth rate of  healthcare  expenditures  in the United  States  continue to
exceed the growth rate in the gross national  product,  and the need to slow the
growth of healthcare costs has served as a catalyst for healthcare  reform.  The
escalating costs of healthcare and the focus healthcare has received have caused
many changes to occur in the healthcare  market.  In the Company's  view, one of
the most  significant  changes is the rapid and  accelerating  growth of managed
care  in  both  the  private  and  public  sector.  As  the  focus  shifts  from
fee-for-service   to  capitation,   managed  care  programs  are  becoming  more
prevalent, and will continue to have a tremendous impact on how business is done
in the  healthcare  industry.  The  Company  believes  this trend will  create a
marketplace where healthcare  providers  maximize  profitability by improving or
reducing  utilization  and managing  health risk more directly than in the past,
i.e. by keeping people healthy and providing the most cost-effective care should
they become sick.

According  to the United  States  General  Accounting  Office,  an  estimated 90
million  emergency  department visits occurred in 1992, and approximately 40% of
these emergency  department  visits were  unnecessary.  The cost to diagnose and
treat  acute  and  chronic  conditions  that are not  truly  emergencies,  in an
emergency  department,  are far more  expensive  than  the  cost to  treat  such
conditions in a physician's office or an urgent care clinic.

The  Company's  strategy  focuses  upon the  opportunity  to  assist  healthcare
providers  redirect  these costly and  unnecessary  emergency  room visits,  and
similar inefficient  utilization patterns,  to more cost-effective  settings, by
offering  medical call center  products and services which can be implemented or
used by healthcare providers.  The Company has "coined" the phrase "medical call
center"  to  represent  a part of the  solution  to improve  service  and reduce
healthcare  costs in this  context.  These  medical  call centers are staffed by
registered   nurses,   who  field  calls  from  people  with  health  questions,
24-hours-a-day,  seven days a week.  Specially  trained nurses provide  callers,
through the use of clinically tested algorithms, with access to specific medical
information  and  referrals  designed  to  direct  them  to  cost-effective  and
appropriate  levels of care. The medical call center system is designed to allow
patients to become actively  involved in managing their own health.  The Company
believes  that  the  information  callers  receive  helps  them to  make  better
decisions  and helps  them  avoid  unnecessary  or  inappropriate  emergency  or
physician  office  visits.   Ultimately,   the  Company  believes  this  reduces
healthcare  costs and increases  satisfaction  and loyalty within the healthcare
delivery   system.   A  typical   medical  call  center   offers  the  following
capabilities:

     1.  Assists people in evaluating their health symptoms.

     2.  Enables  people to better  understand  and  manage  serious  healthcare
         episodes.

     3.  Provides assistance in administering at-home remedies.

     4.  Offers educational information on a wide variety of health topics.

     5.  Offers  assistance  to find a  physician,  class or program to meet the
         callers' needs.

As managed care and capitation continue to change the healthcare  industry,  the
focus continues to shift.  The Company  believes that healthcare  providers,  to
succeed,  will seek to increase access to information and influence  realization
decisions while concurrently managing access to quality healthcare services, and
that this shift toward managing the demand and utilization  will require greater
reliance on three  components of healthcare:  self care,  patient  education and
telephone  triage.  Medical  call center  products  can guide nurses in triaging
adult and pediatric  patients to the most  appropriate and cost effective levels
of care.  Success  for  hospitals,  primary  care  physicians,  HMO's  and other
alliances will, in the Company's opinion,  depend upon the degree to which these
organizations are able to effectively educate patients and subscribers regarding
appropriate  utilization of the  healthcare  system.  The Company  believes that
medical  call  centers  will  support  utilization   management   strategies  by
delivering   information   to  patients  and   subscribers  to  help  them  make
intelligent, well-informed decisions about their health.

The Company's software products and services provide the foundation to implement
medical call centers and systems  operated by or for healthcare  providers.  The
Company has over 300 medical call center clients. These clients have more than 8
million  lives under  managed care health plans and have fielded over 10 million
triage-related  calls and over 30 million total calls with the Company's medical
call center  products.  The  Company  currently  distributes  its  products  and
services  through  Company-employed  sales  representatives.   Historically  the
Company's  primary  customers have been hospitals,  but the Company has recently
expanded   distribution  to  medical  groups,   clinics  and  physician  groups,
self-insured employers and managed care organizations.  The Company continues to
evaluate alternative distribution methods for its products and services and will
continue to evaluate expanding its current products and services.

The Company  plans to introduce in fiscal year 1997 a Company  operated  medical
call center service bureau  offering call center services twenty four (24) hours
a day, 7 days a week.  Eligible  participants  will be able to access  through a
toll free number,  specially  trained  nurses or  prerecorded  information.  The
Company  plans to market  the  service  bureau to  managed  care  organizations,
self-insured  employers and other organizations who do not wish to establish and
operate their own medical call centers.

Products and Services

The Company's  products have expanded over the past few years to include certain
services and  software-based  products with prices  ranging  between  $2,500 and
$250,000.  The  Company's  base of users  now  includes  over 700  clients.  The
Company's  management  believes that this network of  healthcare  providers is a
base that will facilitate the Company's distribution of new products.

The Company's core medical call center products are:

                           - Centramax. MTM
                           - Centramax. M PlusTM
                           - Voicemax PlusTM


The Company's products also include value-added products or services such as:

                           - The Professionals
                           - HealthFone
                           - Profit Acceleration System
                           - Health Direct
                           - Healthcare Marketing Services

Centramax and Centramax.  M. In December 1989,  the Company  released  Centramax
(R), a DOS-based  software system that is designed to manage  consumer  contacts
through a  centralized  database.  In January  1995,  the Company  released  its
Centramax.  M  product,  which  is a  Windows-based  product  that  has  all the
capabilities   of   Centramax,   including   enhanced   reporting  and  graphics
capabilities.  With  Centramax,  the healthcare  provider or other end users can
capture  and store  information  on the  caller,  and  subsequently  communicate
directly with this and other  consumers  based on specific  information or needs
obtained from the caller; access, analyze and report on information contained in
the database; and track revenues generated from marketing campaigns. The Company
believes  that  Centramax  enables a  healthcare  organization  to  improve  its
customer  service function and more  effectively  manage the marketing  function
through the  management  of  information.  For  example,  the inbound  telephone
functions of  Centramax  are  initiated  when an operator  receives a call.  The
Centramax operator then retrieves a particular script and follows the directions
given.  The system enables the operator to cross-sell  other programs offered by
the healthcare  provider which may not have been  motivating  factors behind the
original  call but  which may be of  interest  to the  caller.  For  example,  a
pregnant caller may ask for a referral to an OB/GYN. The Centramax software will
remind the operator to mention the healthcare provider's prenatal classes.
With one  keystroke  the operator can access the schedule and then  register the
caller.

Centramax is offered to healthcare providers under a non-exclusive license at an
initial license fee plus an annual license and support fee. The user is entitled
to ongoing software support, maintenance and enhancements during the term of the
license.

Centramax  Plus.  The Centramax  Plus product  combines the  Centramax  software
product with certain medically-based health information algorithms, known as the
Health Reference Information  System(TM) ("HRIS"),  which are designed to enable
nurses to answer  health-related  questions on incoming  calls.  Centramax  Plus
assists a nurse to  respond  to  callers'  questions,  answer  certain  commonly
occurring medical and health related questions,  and direct callers to available
medical resources. The Company believes the system enables providers to give the
caller with greater access to  information to make an informed  decision and the
healthcare  provider  with an  opportunity  to  direct  the  caller  to the most
appropriate, cost effective care.

Each Centramax Plus user is granted a non-exclusive license. The Company charges
an initial license fee and an annual support and license fee, which entitles the
Centramax  Plus user to continue to license the product and to ongoing  software
updates, support, maintenance, enhancements and updates to the HRIS for the term
of the license.

The  Company  initially  developed  the  HRIS  internally  through  research  of
available current consumer health  information and medical texts. In March 1990,
the Company  transferred  the ownership  rights in the HRIS to Micromedex,  Inc.
("Micromedex"), retaining the right to distribute the HRIS for a period of time.
Under the agreement  Micromedex is  responsible  for the accuracy,  currency and
medical  appropriateness  of  the  HRIS,  including  additional  HRIS  developed
thereunder by the Company.  Provided certain  performance  criteria are met, the
Company has the right to be the exclusive world-wide distributor of the HRIS for
the term of the agreement.  Under certain  circumstances  the Company is granted
the right to purchase all rights to the HRIS.

Centramax.  M Plus,  which was  released  in January  1995,  is a  Windows-based
software product that combines all the features  included in Centramax Plus with
improved and enhanced  reporting and graphics  capabilities  and also  pediatric
algorithms that are not offered in the Centramax Plus DOS product. The pediatric
algorithms  are provided  through an exclusive  agreement  with Barton  Schmitt,
M.D.,  Professor of Pediatrics at the University of Colorado  School of Medicine
and a recognized  pioneer in pediatric  telephone triage. In September 1994, the
Company  entered  into an  agreement  with Dr.  Schmitt,  pursuant  to which the
Company acquired certain exclusive rights to distribute the pediatric algorithms
developed by Dr.  Schmitt to medical call centers or for use in software used in
medical call centers.  The pediatric  algorithms have been used for the past six
(6) years in the "After  Hours  Program"  established  at the Denver  Children's
Hospital.  The Company has included the  pediatric  algorithms in certain of its
medical  call center  products,  and the Company is  obligated  to pay a royalty
based on the sales of the  pediatric  algorithms by the Company on a stand-alone
or bundled basis.

Centramax.  M Plus is the base  product for the  Company's  medical  call center
offering and is offered to healthcare providers under a non-exclusive license at
an  initial  license  fee plus an annual  license  and  support  fee.  Users are
entitled to ongoing software  support,  maintenance and enhancements  during the
term of the license.

Interactive  Voice Response  System.  The Company's  interactive  voice response
product line  primarily  includes  the  Voicemax  Plus  product.  Introduced  in
September 1992, this product permits a licensee to provide health information to
callers via use of a touch-tone  telephone,  24 hours a day, 7 days a week,  365
days a year.  These  products,  which  currently  operate  using The Brite Voice
Systems  hardware   platform,   allow  callers  to  anonymously   access  health
information  (over  1,000  health  categories),   physician   referrals,   class
information  or other  information  that can be  programmed or customized by the
licensee.   The  Company  offers  a  complementary   marketing   product  called
HealthFone,  which  offers an  exclusive  name brand to assist the  customer  in
generating call volume for the Voicemax Plus product.

The Company believes that the benefits of its interactive  voice response system
enable a  licensee  to  improve  utilization  of  existing  resources,  increase
visibility and improve profitability.  Each user of the Voicemax Plus product is
granted a  non-exclusive  license.  Each  HealthFone user is granted a five-year
renewable license with an exclusive geographic service area in which the user is
the only  healthcare  provider in that  service  area that has been  granted the
right to use the  HealthFone  trade name and  marketing  materials.  The Company
charges each user of the interactive voice products an initial fee and an annual
license and support fee, which entitles the user to annual updates to the health
information, software support and enhancements to the interactive voice response
products.

The  Professionals.  The  Professionals  was originally  released to include the
Centramax  software,   the  HRIS  and  a  marketing  package.   Currently,   The
Professionals product only includes the marketing package,  which is intended to
create awareness of targeted services,  and to generate incoming consumer calls,
thereby  helping to build the awareness of a healthcare  providers  medical call
center operations.  The Company believes that healthcare providers will continue
to  purchase  marketing  tools in order to assist  them to compete  among  other
providers for managed care and other opportunities.

Each user of The Professionals is granted a five-year  renewable license with an
exclusive geographic service area in which it is the only healthcare provider in
that  service  area that has been  granted  the  right to use The  Professionals
service mark and customized marketing package. The Company charges each licensee
of The  Professionals  an initial  license fee and an annual license and support
fee, which entitles the user to have continued geographic exclusivity and annual
updates to the marketing package, during the term of the license.

The Profit Acceleration  System. The Profit Acceleration System ("PAS") combines
nine  proprietary,  software-supported  health  screening  products  designed to
assess an individual's  overall  fitness and risk of incurring  certain kinds of
disease.  The nine products are: "The Heart TestTM",  "The Health TestTM",  "The
Cancer TestTM",  "Double CheckTM",  "The Diabetes  TestTM",  "The Woman's Health
TestTM" and "The  Woman's  Health  CheckTM",  "The Life Test TM" and the "Custom
Profile".  The PAS also includes a follow-up  referral  system linked to the PAS
programs called "The Healthcare Telemarketing ProgramTM" (The PAS components are
referred to herein as the "Programs".) Healthcare providers deliver the Programs
as part of a lead  generation  system or risk education  assessment  system that
permits them to refer consumers to other programs, physicians or departments for
remedial or preventive care and thereby generate additional revenue.  The PAS is
offered  with  territorial   exclusivity  and  includes  proprietary   software,
confidential  instruction manuals for implementing and distributing the Programs
as part of a marketing campaign or strategy; and additional standard promotional
and marketing  materials.  The software supporting the Programs can also produce
group summary reports analyzing a group's  cardiovascular  risk factors,  cancer
risk factors,  health  assessment  results,  diabetes risk factors and levels of
interest in specific intervention programs.

The current  standard PAS  agreement  grants each new PAS user up to a five-year
license with a geographic  service area within which it has the exclusive  right
among  healthcare  providers to use the software  supporting  the Programs.  The
initial  fee paid by a PAS  user  depends  primarily  on the  population  of the
service  area,  the  number of  hospitals  in the  service  area,  the number of
physicians  in a service  area and the  economic  environment  of the area.  The
Company evaluates increasing the initial PAS user fee as additional programs are
developed.  In addition,  the standard PAS license agreement  requires that each
PAS licensee pay the Company a monthly support fee, and provides for a five year
renewal term upon payment of a renewal fee, and certain  rights of first refusal
after the 5 year renewal term.

Due to the geographic  exclusivity  of the PAS, the number of available  markets
has decreased as the Company  increased its PAS customer  base.  Presently,  the
Company  believes  markets remain  available and that in the foreseeable  future
initial  license fee revenue will  continue to be generated  from the  available
markets  although at a  decreasing  rate.  In addition,  the  revenues  from PAS
renewal fees,  support fees and material sales are expected  continue to provide
the Company with ongoing future revenues.

Health  Direct.  On April 9,  1991,  the  Company  entered  into a  distribution
agreement with McMurry  Publishing Company (formerly Vim & Vigor, Inc.) pursuant
to which  the  Company  distributes,  on a  nonexclusive  basis,  a  specialized
publication now known as Health Direct.  Health Direct is an eight-page,  direct
response  publication  (direct response  marketing system) designed primarily to
promote hospital services while providing health information.  The Health Direct
contains  thirty to forty  "quick  read"  health  related  articles  that can be
customized by each licensee.  The Company  charges the Health Direct licensee an
initial license fee and grants  geographic  exclusivity to distribute the Health
Direct  product  (generally  within a certain zip code area).  In addition,  the
Company  requires  each Health Direct  licensee to purchase a minimum  number of
copies of Health  Direct per  quarter.  The Company is  obligated to pay McMurry
Publishing a portion of the initial fee received from Health Direct licensees.

Healthcare  Marketing Services.  FSG provides healthcare strategic and marketing
services to existing and prospective  clients.  FSG services  include  providing
healthcare marketing consulting services and strategies, development of creative
marketing  and/or  advertising  materials (such as direct mail pieces,  print ad
materials)  as  requested  by the  clients.  FSG  services  do not  include  the
placement of media.

New Products and Services

The Company plans to develop and introduce a medical call center  service bureau
in fiscal 1997 whereby the Company  will operate the medical call center  twenty
four (24)  hours a day,  7 days a week.  Eligible  participants  will be able to
access through a toll free number nurses or prerecorded information. The Company
plans to market the service bureau to managed care  organizations,  self-insured
employers and other organizations who do not wish to establish and operate their
own  medical  call  centers.  Establishment  of the call center  service  bureau
involves  numerous  risks,  including  risks  associated  with  launching  a new
venture,  diversion of management's attention from other business concerns, loss
of  capital,  risks of  entering  markets in which the Company has limited or no
direct prior  experience and competition in a market where there is at least one
established  competitor with  significantly  greater resources than the Company.
There are no assurances the Company will be able to  successfully  establish the
service bureau or that once  established  the service bureau will be successful.
Launch of the  planned  service  bureau  is  dependent  on a number of  factors,
including the Company  obtaining  adequate  capital to fund the service bureau's
launch and working capital needs.

The Company intends to develop or acquire,  and to market to its current clients
and others,  additional products and services which may or may not be similar to
its existing  products.  The Company's  future growth in revenue is dependent on
the Company's ability to acquire or develop and successfully market new products
and services in the changing  healthcare  market.  There are no  assurances  the
Company will be able to do so. The  Company's  future  success also depends upon
its ability to sell its current products and services to, and acquire or develop
new products  and services  for,  managed  care and similar  organizations.  The
managed care market is changing rapidly,  the Company's  historical business has
not been in the  managed  care  market,  and  there are no  assurances  that the
Company will be able to compete successfully in the managed care market.

Research and Development.  The Company's development staff presently consists of
a senior vice president of software  development,  ten computer systems analysts
and two research and development  specialists.  Management estimates that during
the  fiscal  years  ended   January  31,  1995  and  1996,   the  Company  spent
approximately $ 673,000 and $ 593,000 respectively on company-sponsored research
and  development  activities  (which includes  enhancements  and upgrades to the
Company's products).

Liability in the  Healthcare  Industry.  In recent  years,  participants  in the
healthcare  industry,   including   physicians,   nurses  and  other  healthcare
professionals,  have become subject to an increasing number of lawsuits alleging
malpractice, product liability and related legal theories, many of which involve
large  claims and  significant  defense  costs.  Although  the Company  does not
provide healthcare services directly to consumers, medical malpractice,  product
liability or similar claims against the Company's customers relating to delivery
and use of the Company's  products may also be made against the Company.  Due to
the nature of its business, the Company could become involved in litigation with
the  attendant  risk  of  adverse  publicity,   significant  defense  costs  and
substantial  damage  awards.  To date,  no such claims had been made against the
Company.  However,  there can be no  assurance  that  claims will not be brought
against the Company.  Even if such claims  ultimately prove to be without merit,
defending  against them can be time  consuming  and  expensive,  and any adverse
publicity  associated  with such a claim  could  have an  adverse  effect on the
Company.  The Company is in no position to  determine  the  probability  of such
claims being made.

The Company has taken  certain  steps to minimize the risk of potential  claims.
Delivery  and  use of  the  Company's  products  is  the  responsibility  of the
licensee,  and each licensee is required to indemnify the Company  against third
party claims  arising out of use of the products by the  licensee.  In addition,
the  agreement  with  Micromedex  for use of the HRIS  provides that the Company
shall be indemnified  and held harmless from third party claims arising from the
accuracy,  currency or  completeness  of the  information  contained in the HRIS
reviewed by the Micromedex.  The Company also presently  maintains  professional
errors and omissions liability insurance which it believes to be adequate. There
can be no assurance,  however,  that claims in excess of the Company's insurance
coverage  will not arise or that all claims would be covered by such  insurance.
In addition,  although the Company has not  experienced  difficulty in obtaining
insurance  coverage in the past, there can be no assurance that the Company will
be able to maintain existing  insurance  coverage or obtain increased  insurance
coverage on acceptable  terms or at all. The Company  expects to seek  increased
insurance coverage as its business grows.

Regulatory Matters

Government  Regulation.  The  healthcare  industry is subject to  extensive  and
evolving government regulation at both the Federal and state level regarding the
provision,  marketing and  reimbursement  of  healthcare  services and products,
including Medicare/Medicaid anti-kickback regulations and requirements governing
the  provisions of healthcare  information  services.  Specific  sections of the
Social  Security Act  authorize  the  exclusion of an  individual or entity from
reimbursement  and/or  participation  in  state  health  programs  and  Medicare
programs if it has violated the Social  Security Act. In July 1991,  regulations
outlined  certain  payment  practices  which  would not be subject  to  criminal
prosecution.   These   regulations,   commonly  referred  to  as  "safe  harbor"
regulations,  effect the manner in which hospitals make physician referrals. The
Company's  software product  accommodates the entry of the information  required
under the "safe harbor" regulations  provided that the appropriate  policies and
procedures are followed by the users of the Company's products.  The Company has
no reason to believe that its business violates any Federal or state statutes or
regulations.

Trademarks and Proprietary Rights

The  Company  claims  proprietary  rights  in the  software  that  supports  its
products,  as  well as in  confidential  training  and  promotion  manuals,  the
questionnaires   and  report  forms  used  with  the  PAS,  the   packaging  and
presentation of the Company's products and their  representative  components and
related protectable  materials.  The Company has registered software source code
copyrights  for all of its DOS-based  software  products and intends to register
its source  code for its  Windows-based  software  products.  In  addition,  the
Company's  current  agreements  generally  prohibit its customers from decoding,
reproducing or copying the software.  Those agreements also require customers to
take  reasonable and  appropriate  actions to protect and preserve the Company's
rights in the  software  and other  proprietary  materials.  Subject  to certain
conditions,  the Company will  indemnify  and defend a customer  with respect to
claims  brought by third  parties  against  the  customer  for  infringement  of
patents,  copyrights and  trademarks,  or  misappropriation  of trade secrets or
other proprietary rights relating to the products of the Company licensed by its
customers.  The Company is not aware of any such claims. Despite the precautions
taken by the Company it may be possible for  unauthorized  third parties to copy
or independently  develop aspects of its product it considers  proprietary.  The
Company has no patents and existing  copyright laws afford only limited  product
protection.

The Company holds registered  trademarks for the Centramax,  The  Professionals,
HealthFone  and Referral One names with the United  States  Patent and Trademark
Office.

Market Conditions, Competition and Additional Risk Factors

The  healthcare  industry  in  general  is  extremely  competitive.   Healthcare
expenditures are currently approximately 13% of the gross national product. Many
changes in the  industry  that began in the 1980's will  continue  through  this
decade and will transform the way healthcare providers function and the types of
healthcare  services  they  provide.  The  following  trends among  others,  are
anticipated to have a strong influence on healthcare in the 1990's:

         .    Integrated health care delivery systems.
         .    Rising national healthcare expenditures.
         .    Reduced reimbursement levels.
         .    Increasing competition among providers.
         .    Shifting healthcare delivery patterns.
         .    Aging population with an increased demand for healthcare services.
         .    Hospital mergers and realignments.

Within the  healthcare  industry,  the Company  and its  clients  are  competing
directly  and  indirectly  for  the  business  of  individuals   and  businesses
interested in healthcare services. The Company believes that hospitals, clinics,
group practices,  managed care organizations and other healthcare  providers are
seeking new ways to reduce  healthcare  costs and to market their  services more
effectively.  Healthcare providers are particularly interested in products which
assist in  reducing  healthcare  costs and  improve  the  quality and service of
healthcare delivery.

There are a number of software-based  systems,  health promotion  programs,  and
wellness  services  being offered to healthcare  providers that are perceived by
the  Company to be direct  competitors  because  they have  software  systems or
services  capable of providing  health  information,  database  information  and
producing  reports  that contain  health  information  similar to the  Company's
reports or providing  benefits  similar to the Company's  software  products and
anticipated service bureau offering.

The barriers to entry into this market are relatively low, consisting  primarily
of the means to develop or  otherwise  acquire  supporting  software and medical
assessment  information;  a  product  responsive  to the  healthcare  providers'
particular  needs;  and a distribution  or delivery  system for the products and
services.  In addition,  development of similar programs by healthcare providers
for use in their own facilities may provide competition for the Company.

In addition the Company  believes that the competition of offering  medical call
centers  products or services  will begin to increase  and that there may be new
entrants with substantially  greater financial,  marketing,  technical and other
resources than the Company which may adversely  impact the Company's  ability to
compete in the market.

The Company  believes  that much of its  competitive  strength  lies in its user
network and in its ability and  experience  in  providing  quality  products and
services to its market.  The  Company's  user  network of  healthcare  providers
affords it a means of quickly reaching a group of healthcare  providers who have
a proven  interest in the types of products  the  Company  supplies  and who are
familiar with the quality of the products and services the Company supplies. The
Company  believes that it has  demonstrated  ability and experience in providing
products  that are (1)  useful in  decreasing  overall  healthcare  costs and in
improving  healthcare service and quality;  (2) effective in improving operating
efficiency and increasing a healthcare  provider's  return on expenditures;  (3)
well  supported  by the  Company's  technical  expertise;  and (4)  easy for the
healthcare  provider to use.  The Company  believes  that these  attributes  are
likely  to  be   attractive   to  healthcare   providers   without   significant
reconfiguration  of the products.  To the extent the Company offers new products
or services or offers its existing  products  and  services in new  markets,  it
expects to face increased  competition from competitors with potentially greater
financial,  marketing or technical  resources than the Company. No assurance can
be given that the Company is able to compete successfully.

The  business  of the  Company is and will  continue  to be  affected by general
economic  conditions and is dependent  upon both a continued  interest to reduce
healthcare  costs  and  a  continued  competitive   environment  for  healthcare
providers.  In addition, the success of the Company will depend upon its ability
to  identify  and  develop  sources of revenue in  addition  to the  initial and
recurring  maintenance and support fees payable from its customers,  such as the
future development or acquisition and distribution of new products and services.

Key Employees and Management

The Company's  success depends on a limited number of key management  employees,
all of whom are subject to certain post-employment  non-competition restrictions
of limited  duration.  The Company believes its continued success will depend on
its ability to attract and retain highly-skilled  management,  marketing,  sales
and other  personnel.  Furthermore,  the Company's  ability to manage change and
growth  successfully  will  require  the  Company to  continue  to  improve  its
management expertise as well as its financial system and controls.

Principal Customers

The Company has  historically  marketed  its products  primarily  to  hospitals.
Recently the Company  marketing  efforts are  expanding to include  managed care
organizations,  physician groups,  self-insured  employers,  integrated delivery
systems such as physician  hospital  organizations  (PHOs). The Company does not
derive 5% or more of its revenues from any one customer.

Volatility of Operating Results and Stock Price

Revenues  and  operating  results  depend  primarily on the volume and timing of
orders  received  during each fiscal  quarter,  which are difficult to forecast.
Historically,  the Company has often  recognized  a  substantial  portion of its
license  revenues in the last month of each fiscal  quarter,  frequently  in the
last week. Because a significant portion of the Company's operating expenses are
relatively fixed with personnel levels and other expenses based upon anticipated
revenues,  a substantial  portion of which may not be generated until the end of
each fiscal quarter,  the Company may not be able to reduce spending in response
to sales shortfalls or delays.  These factors could cause variation in operating
results from quarter to quarter.

The Company believes that such variations in operating results,  or factors such
as announcements of developments  related to the Company's business,  changes in
market analyst  estimates and  recommendations  for the Company's  Common Stock,
changes in  government  regulations  and general  conditions  in the health care
industry and the economy  could cause the price of the Company'  Common Stock to
fluctuate,  perhaps substantially.  In addition, in the most recent fiscal year,
the Company's stock prices have experienced significant price fluctuations.

Employees

As of  March  29,  1996,  the  Company  employed  a total of  approximately  160
full-time employees. None of the Company's employees are covered by a collective
bargaining agreement,  and the Company believes its relations with its employees
are good.


Item 2.  Description of Properties

The  Company's  corporate  offices  are  located in a  twenty-one  story  office
building located in Phoenix Arizona.  The Company occupies  approximately 23,000
square feet of leased space,  for which the lease term for this space expires on
December 15, 2002. The Company  believes that its existing  office space,  along
with the options to expand its space,  will be  sufficient to meet its needs for
the foreseeable future. The Company also leases  approximately 6,500 square feet
of office space in Whittier, California which is used by FSG.

Item 3.  Legal Proceedings

NONE

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

NONE

PART II

Item 5.  Market for Registrant's Common Stock and Related Stockholder Matters

On January 12, 1996 the  Company's  Board of Directors  authorized a two-for-one
stock split in the form of a 100% stock dividend to those shareholders of record
on January 25, 1996.

The Company's  certificate of  incorporation  as amended  authorizes  10,000,000
shares of Common Stock. On December 3, 1986, the Company successfully  concluded
the initial  public  offering of  1,400,000  shares of Common Stock at $2.50 per
share, as adjusted for the 2 for 1 stock split.

The following table of market price information sets forth the range of high and
low bid prices for the Company's  Common Stock (based on pre-stock split prices)
during the past two fiscal years as quoted on NASDAQ.  These quotations  reflect
interdealer prices, without retail markups,  mark-downs or commissions,  and may
not reflect actual transactions.

Market Price

YEAR ENDED:  January 31, 1996

                FIRST          SECOND            THIRD         FOURTH
               QUARTER         QUARTER          QUARTER       QUARTER
               -------         -------          -------       -------

HIGH              3-1/8         2-7/8             5-1/8        16-1/4
LOW               2-1/8         1-3/4             2-3/8         4-1/2

YEAR ENDED:  January 31, 1995

               FIRST           SECOND           THIRD        FOURTH
               QUARTER         QUARTER          QUARTER       QUARTER
               -------         -------          -------       -------

HIGH              5-1/2         4-5/8            4-3/8          4
LOW               3-1/2         3-3/4            2-7/8          2-3/4

The Company has not  declared or paid any  dividends on its Common Stock to date
and does not plan to do so in the foreseeable future.  Pursuant to the Company's
current  credit line the Company is  prohibited  from paying any  dividends.  On
January 31, 1996,  there were  approximately  250  shareholders of record of the
Company's Common stock

The Company has 2,000,000  shares of authorized  Preferred  Stock. On August 18,
1992 the Company issued 125,000 shares of Series A Convertible  Preferred  Stock
(the  "Preferred  Stock") at $2.40 per share.  Through  January  31,  1994,  the
Company was required to pay a quarterly  dividend equal to a certain  percent of
the Company's gross quarterly revenue (the cumulative  percentage based dividend
as defined in the Preferred Stock Agreement) beginning with the first quarter of
the fiscal year ending  January 31, 1994.  Effective June 14, 1994, the right to
receive  dividends  on the  Preferred  Stock  (including  all accrued but unpaid
dividends) was eliminated.

Effective June 14, 1994, each share of the Preferred  Stock is  convertible,  at
the option of the holder,  into four shares of the Company's Common Stock (after
giving  effect to the two for one stock split).  In addition,  the holder of the
Preferred  Stock is  entitled  to one vote for each  share of Common  Stock into
which the Preferred Stock is convertible. Upon liquidation or dissolution of the
Company, the holder of the Preferred Stock shall have liquidating preferences as
to payment for any accrued or unpaid  dividend and a fixed amount equal to $2.40
per share of Preferred  Stock held by it.  Effective June 14, 1994 the Preferred
Stock is no longer redeemable and the Preferred Stock is now considered a common
stock equivalent for purposes of determining the primary earnings per share.


Item 6. MANAGEMENT'S  DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS


Except as noted herein, all references in this Item 6 to the Company include the
Company and its subsidiaries consolidated.

Restated Financial Statements

In connection with the preparation of the Company's financial statements for the
year ended January 31, 1996, the Company  determined that the application of its
accounting  policy  regarding  recognizing  revenues  on its  sales of  software
products and related services did not comply in all instances with the technical
requirements  and  interpretations  of  Statement  of Position  91-1,  "Software
Revenue Recognition."  Accordingly,  the Company has reevaluated and revised its
revenue  recognition  for  the  affected   transactions  and  has  restated  its
previously  reported  accumulated  deficit  for the  cumulative  effect of these
matters.   Additionally,   the  Company's   fiscal  1995  quarterly  and  annual
consolidated   financial  statements  and  fiscal  1996  quarterly  consolidated
financial  statements  have  also  been  restated.   See  Note  1  of  Notes  to
Consolidated  Financial Statements.  The information in the following discussion
is presented after restatement of the financial statements.

Results of Operations

Net Income

For the fiscal  year ended  January  31,  1996,  the  Company  had net income of
$559,746 compared with a net loss available for common  stockholders of $775,727
for the fiscal year ended January 31, 1995.  Net income  improved  significantly
primarily  as a result of  increased  initial  fee  revenue  from the  Company's
medical call center products.  Total revenues  increased  approximately 27% from
the fiscal year January 31, 1995, while total operating  expenses increased 15%.
During the past  fiscal  year,  the  Company  invested  resources  to expand and
improve its sales and client services  function and also invested to support its
product development  efforts. As a result,  operating expenses increased and are
expected to continue at the current or at increasing  levels.  The investment in
the sales and client services functions (which are designed to enable to Company
to improve  product sales to its existing  client network) and the investment in
product development are part of management's strategy to increase revenues.

The  Company's  operations  for its fiscal  year  ended  January  31,  1995 were
adversely affected by two significant  fourth quarter events.  During the fourth
quarter of fiscal  1995 the  Company was  expecting  to  finalize a  significant
agreement with a large hospital  organization to assist it to establish in-house
medical  call  centers  for its  constituent  hospitals.  The  Company  had been
initially  selected as the preferred  vendor by this  organization and therefore
directed   significant   selling  efforts  to  its  constituents   hospitals  in
anticipation of reaching final  agreement in January.  A final agreement was not
signed by the end of January 1995 or thereafter.  The second non-recurring event
which  adversely  impacted  the  Company's  operations  in  fiscal  1995 was the
write-off of certain accounts  receivable related to the Company's  distribution
strategy to penetrate the Northeast market (primarily New York and New Jersey).


The Company had entered into  agreements  with three  organizations  whereby the
organizations agreed to purchase certain of the Company products and utilize the
products to establish service contracts with hospitals. The purchasers defaulted
on their  obligations  in the fourth  quarter of its fiscal 1995 and the Company
wrote-off these accounts, which resulted in $543,240 in bad debt expense.

The Company's operations continue to be affected by consolidation, alliances and
mergers in the healthcare market.  While there are no assurances,  the Company's
management believes that its competitive strengths will permit it to continue to
compete in its targeted  market and that the Company is positioned  favorably to
take advantage of future opportunities in the healthcare industry. The Company's
management  also believes its products help healthcare  providers  improve their
services  and  also  help  reduce   healthcare  costs  by  providing   objective
information on healthcare  issues to individuals  thereby  enabling them to make
informed  choices  about when,  where and how to seek  healthcare  services  and
reduce  healthcare  costs while providing  providers with a favorable  return on
their  investment  in  the  Company's  products.   Nonetheless,   the  Company's
operations may be materially and adversely affected by continuing consolidation,
alliances  and  mergers in the  healthcare  industry,  healthcare  reform in the
private or public sector, and by future economic conditions.

Revenues  and  operating  results  depend  primarily on the volume and timing of
orders  received  during each fiscal  quarter,  which are difficult to forecast.
Historically,  the Company has often  recognized  a  substantial  portion of its
license  revenues in the last month of each fiscal  quarter,  frequently  in the
last week. Because a significant portion of the Company's operating expenses are
relatively fixed with personnel levels and other expenses based upon anticipated
revenues,  a substantial  portion of which may not be generated until the end of
each fiscal quarter,  the Company may not be able to reduce spending in response
to sales shortfalls or delays. These factors could cause variations in operating
results from quarter to quarter,  which may result in volatility in the price of
the Company's common stock.

Revenues.  Net revenues for fiscal year 1996  increased  approximately  27% to $
16,891,143  compared to  $13,350,268  in fiscal year 1995.  The  increase in net
revenues in fiscal year 1996 from  fiscal year 1995 is  primarily  the result of
increased revenues from initial license fees and support fees.

License fees represent revenues primarily from the initial sale of the Company's
medical call center products,  Centramax Plus and the interactive voice response
products.  The  Company's  primary  product  lines  consist  of  its  Centramax,
Centramax  Plus,  Profit  Acceleration  System(TM)  ("PAS") (which includes nine
health  screening and education  products),  and its interactive  voice response
products.

Revenue  generated  from license fees of the  Company's  products  accounted for
approximately  52% of the Company's  total revenues in fiscal year 1996 compared
to 50% in fiscal  year  1995.  Revenue  from  support,  materials  and  services
accounted for 48% of the Company's total revenue in fiscal year 1996 compared to
50% in fiscal year 1995.  The Company's  management  believes that revenues from
initial  license  fees will  continue  to  provide a  significant  amount of the
Company's future revenues. The Company is exploring and will continue to explore
opportunities  to  increase  recurring  revenue  and  decrease  the  reliance of
operating results on initial fee revenues.

License fees  increased to $ 8,845,081  for fiscal year 1996 from  $6,647,145 in
fiscal year 1995.  The  increase  in initial  license fee revenue in fiscal year
1996 from  fiscal  year 1995 is due  primarily  to  revenue  generated  from the
Company's  medical  call  center  products  such as  Centramax.  M Plus  and the
interactive voice response products. Certain of the Company's products--PAS, The
Professionals,  Health Direct and HealthFone--are  offered on an exclusive basis
and  therefore  as the Company  places these  products,  the number of available
markets  decreases.  Although there are no assurances  the Company's  management
believes that there are still an adequate number of markets available for all of
its exclusive  products and therefore  these  products will continue to generate
license fee revenue in the foreseeable future, but at a decreasing rate.

Support fees,  material and service revenue was $ 8,046,062 in fiscal year 1996,
compared to $6,703,123 in fiscal year 1995.  Support fees  represent  charges to
customers,  as provided for in the Company's license  agreements,  for continued
use of the products and for ongoing software maintenance and enhancements to the
products.  The support fees  generally  begin within six months after a customer
executes a license agreement.  Support fee revenue increased in fiscal year 1996
from  fiscal  year 1995 due to the  increase  in the  number of  customers.  The
Company  believes  that as the  number  of  customers  it has  for all  products
increases,  revenues  generated  from  recurring  support fees will  continue to
increase.  Revenues  generated  from the sale of  materials  in fiscal year 1996
remained at comparable levels to fiscal year 1995. Material sales represents the
sale of printed  questionnaires and reports from the Company's PAS and quarterly
publication of the Health Direct product.  The Company presently does not expect
any  significant  increase or decrease in future  revenue from the Health Direct
product  or  material  sales to PAS users.  Service  revenue  (which  represents
strategic and creative services revenue generated from FSG) was approximately $2
million for fiscal 1996 and fiscal 1995.

Operating  Expense.  Total  operating  expenses  incurred  for fiscal  year 1996
increased 15% to $16,273,397,  compared to $14,153,758 for fiscal year 1995. The
primary reason for this increase in total operating expenses in fiscal year 1996
compared  to fiscal  year 1995 is due to the  continued  investment  made by the
Company in selling,  product  development  and support  functions  and increased
expenses associated with FSG operations.

Cost of  Revenues.  The cost of  revenues  includes  the costs  associated  with
license fees to implement and install the products and costs of materials  sold.
The cost of initial  license fees  increased to  $2,327,060 in fiscal year 1996,
from $1,900,102 in fiscal year 1995. The increase in the cost of initial license
fees in fiscal year 1996,  compared to fiscal year 1995, is due primarily to the
recognition of costs  associated  with increased sales of the Centramax Plus and
the interactive voice response product lines.

The cost of materials sold, which represents the cost of printed  questionnaires
and  reports to PAS users and,  the costs  associated  with the  delivery of the
Health  Direct  product  and  variable  cost of  delivery  of  services  by FSG,
decreased to  $1,600,389  in fiscal year 1996,  from  $1,854,255  in fiscal year
1995.  The  decrease in the cost of  materials  in fiscal year 1996  compared to
fiscal year 1995, is due to the decreased  costs  associated  with the decreased
revenue generated from the Health Direct product and services of FSG.

Selling,  Product  Development  and Support.  Selling,  product  development and
support expenses were $9,328,576 in fiscal year 1996,  compared to $7,355,514 in
fiscal year 1995.  The increase in fiscal year 1996 from fiscal year 1995 is due
primarily to increased costs associated with the increase in the number of sales
and product  support and  development  staff  necessary to support the Company's
products.  The Company  intends to  continue  to invest in product  development,
service  support and sales  staffs.  In addition as the  Company's  customer and
product support obligations  increase,  it anticipates that additional staff and
office space will be needed.  The Company believes that additional  staffing and
office space will be needed during fiscal year 1997, which in turn will increase
operating expenses.

General and Administrative.  General and administrative expenses were $1,888,586
in fiscal year 1996, compared to $1,762,454 in fiscal year 1995. The increase in
general and administrative  expense in fiscal year 1996 from fiscal year 1995 is
due  primarily to expenses  associated  with an increase in  personnel,  general
price  increases  associated  with payroll and other general and  administrative
expenses such as general liability insurance and certain  professional  services
and administration expenses.

Depreciation  and  Amortization.  Depreciation  and  amortization  expenses were
$862,286  in fiscal year 1996,  compared  to  $493,870 in fiscal year 1995.  The
increase  in fiscal  year  1996 from  fiscal  year 1995 is due  primarily  to an
increase in the amortization of capitalized  software  development  costs of the
Company's Windows-based products.

Provision for Doubtful  Accounts.  The provision for doubtful accounts decreased
to $266,500 for fiscal year 1996,  from  $787,562 for the fiscal year 1995.  The
change in the  provision  for  doubtful  accounts  is adjusted by the Company to
reflect potentially uncollectible accounts receivable. The decrease was a result
of the one-time write-off of certain accounts which occurred in fiscal year 1995
as previously  discussed.  The Company  believes that the allowance for doubtful
accounts is adequate, given the amount of receivables, the payment terms and the
Company's history of collecting receivables.

Liquidity and Capital Resources.

As of January  31,  1996,  the Company had a working  capital  deficit  (current
assets minus current  liabilities) of $1,349,989,  compared to a working capital
deficit of $1,704,367 as of January 31, 1995. The improvement in working capital
was primarily  caused by the  Company's  operating  improvements  for the fiscal
year.  The  Company's  accounts  receivable  balance  increased to $5,735,778 at
January 31, 1996 from  $3,360,909 at January 31, 1995. The Company  continues to
take steps to reduce  payment  terms.  As a result of expected  shorter  payment
terms,  the Company expects  improved cash receipts from initial fee receivables
although there are no assurances.

On November 13, 1995 the Company  obtained a revolving line of credit  providing
up to  $2,000,000.  The  revolving  line of credit bears  interest at prime plus
2.5%, is secured by accounts  receivable  and matures on November 13, 1996.  The
availability  of  borrowing  on the  revolving  line of  credit  is  subject  to
available eligible accounts receivable and certain other covenants as defined in
the agreement.  The Company also obtained a line of credit of $500,000, from the
same lender.  The $500,000 line of credit is secured by accounts  receivable and
equipment equal to the amount  borrowed.  Interest is paid monthly on the unpaid
balance at an annual rate of one  percentage  point above the bank's prime rate.
The line matures in November 1996.

The  Company  is  currently  dependent  on cash from  operations  and  available
proceeds  from the  $2,000,000  line of credit  for its daily  operational  cash
requirements.  The  Company  will be  required  to renew or replace  the line of
credit in November, 1996 in order to continue to meet its cash requirements. The
Company continues to evaluate  opportunities to expand and increase the existing
capital  available to it and continues to evaluate  opportunities  to reduce the
number of days it takes to collect  the  initial fee  accounts  receivable.  The
Company will continue to seek alternative sources to raise additional capital to
support its current  operations  and launch of the planned  medical  call center
service bureau and other future growth plans,  but there are no assurances  that
the Company will be successful  in obtaining  additional  capital.  Creation and
operation of the planned  medical call center  service  bureau is dependent upon
among other  things,  acquiring  capital to fund the launch and working  capital
needs of the center.

In July 1995,  the Company  borrowed  $750,000  from a third party lender in the
amount of $750,000.  The note bore interest at prime plus 5% with a floor of 14%
and was paid in full on November 13, 1995. On October 7, 1994 the Company issued
an  unsecured  12%  promissory  note  to  the  Series  A  Convertible  Preferred
Stockholder  in the amount of $100,000.  The  outstanding  principal  balance of
$84,151 was paid in November 1995. The note was issued to fund advance royalties
to a third party to secure the distribution  rights to certain  pediatric triage
guidelines.

In each of its fiscal  years  ending  January  31,  1996 and 1995,  the  Company
offered a discount  to its PAS users to prepay  monthly  support  fees for a one
year period. In each of these fiscal years, the Company generated  approximately
$300,000  in cash  from the  program.  Cash  from  this  prepayment  program  is
recognized as revenue over the period benefited, generally a 12-month period.

The Company's  operating results continue to be inconsistent on a month-to-month
basis and are dependent  upon retention and  performance of the Company's  sales
staff,  long product  sales cycles  related in part to pricing of the  Company's
products  and  customer  budget  requirements,  and to  other  factors,  such as
uncertainties  associated  with the healthcare  market and economic  conditions,
beyond the  control of the  Company.  The  Company,  however,  will  continue to
evaluate methods to improve and increase its product  distribution  channels and
to enhance or expand its current  product lines.  The Company has expanded,  and
will seek to continue to improve and enhance,  its product  lines in order to be
more responsive to the market. The Company's  management believes that quarterly
operating  results are  dependent,  and will  continue to be  dependent,  on the
initial  license  fee  revenues in the  foreseeable  future.  The  Company  will
continue  to focus its efforts on  improving  cash from  operations,  increasing
recurring  revenue and increasing its operating  income.  The recurring  monthly
revenue  from  support  fees,  material  sales and  services  is  currently  not
sufficient  to maintain a break-even  level at the Company's  current  operating
expense levels.

The Company  intends to continue to invest in product and software  development,
which will require additional support staff and related operating expenses.  The
Company has  expanded  its current  office  space and has made  certain  capital
commitments  related to the additional  office space.  The Company  expects that
additional space will be taken and staff will be hired during its current fiscal
year (ending January 31, 1997) and additional  capital  resources will be needed
to fund this growth and expansion. In the past the Company has funded its growth
primarily  through cash from  operations  and its existing  line of credit.  The
Company believes that additional capital will be necessary to support operations
and planned  growth in the coming fiscal year,  including for  implementing  its
service bureau strategy.  There are no assurances the Company will be successful
in renewing or replacing  its  $2,000,000  credit line or in raising  additional
capital to support planned growth.

"Safe Harbor"  statement under the Private  Securities  Litigation Reform Act of
1995

The discussions above and in Part I include  statements which constitute forward
looking  statements  within the  meaning of the  Private  Securities  Litigation
Reform Act of 1995,  which are  statements  other  than  historical  fact,  that
involve risks and uncertainties.  In addition to the factors discussed elsewhere
herein,  important  factors  may cause the  Company's  actual  results to differ
materially from these and any future forward looking  statements by or on behalf
of the Company. Those factors include, among others, uncertainties and delays in
the development and marketing of new products and services,  product and service
demand and market  acceptance  risks, the Company's  ability,  or not, to obtain
required additional financing, the impact of competitive products,  services and
pricing,  continued  rapid change and  consolidation  in the health care market,
general  changes in economic  conditions not presently  contemplated,  and other
factors detailed in the Company's Securities and Exchange Commission filings.

Item 7. Financial Statements

           SEE ATTACHED

Item  8.  Changes  in and  Disagreements  with  Accountants  on  Accounting  and
          Financial Disclosure

         NONE


PART III

The  information  required  here by Items 9, 10,  11 and 12 is  incorporated  by
reference to the Company's  definitive  Proxy  Statement to be filed pursuant to
Regulation 14A with the Securities and Exchange Commission no later than May 31,
1995.
<TABLE>
<CAPTION>

Item 13.      Exhibits and Reports on Form 8-K

<S>      <C>                                                                            <C>                        
A.       1.   Financial Statement Pages                                                 Page or Method of Filing

         (1)  Report of Independent Accountants                                                  Page 
         (2)  Financial Statements and notes to consolidated financial                           Pages  to 
              statements of the Company,  including Balance Sheets as of January
              31,  1995 and  related  Statements  of  Operations,  Stockholders'
              Equity and Cash Flows for each of the years in the two-year period
              ended January 31, 1995.

All other schedules have been omitted because of the absence of conditions under
which they are required or because the required material information is included
in the  Financial  Statements  or Notes  to the  Financial  Statements  included
herein.

         (1)  Exhibits  required by Item 601 of Regulation  S-B are set forth on
              the  Exhibit  Index to this  report  which is hereby  incorporated
              herein by this reference.

         (2)  Management  contracts and compensatory  plans required to be filed
              as an exhibit list form.

         (a)  Employment Agreements with Dr. Larry Gettman and Jeffrey Zywicki.
              Incorporated by Reference to Exhibit 10.9 of S-18 No. 33-9397-LA.

         (b)  Form of Stock Option Agreement with Key Employees and Officers.
              Incorporated by Reference to Exhibit 10.32 to Form 10-K filed for
              the year ended January 31, 1989.

         (c)  Form of Stock Option Agreement with Outside Directors.
              Incorporated by Reference to Exhibit 10.33 to Form 10-K for
              the year ended January 31, 1989.

         (d)  Key Executive Employment and Severance Agreements.  Incorporated
              by Reference to Exhibit 10.44 to Form 10KSB filed for the fiscal year
              ended January 31, 1994.

         (e)  Employment Agreement with A. Neal Westermeyer.  Incorporated
              by Reference to Exhibit 10.46 to Form-10-KSB filed for the fiscal year
              ended January 31, 1994.

B.       Reports on Form 8-K for the fourth quarter of fiscal year 1996
</TABLE>
              NONE


                                   SIGNATURES


In  accordance  with  Section 13 or 15(d) of the Exchange  Act,  the  registrant
caused  this  report to be signed on its  behalf by the  undersigned,  thereunto
authorized.

NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC.
(Registrant)



By       /s/ Gregory J. Petras
     ------------------------------------------
         Gregory J. Petras
         President, Chief Executive Officer


Date:    May 14, 1996
      -----------------------------------------

In  accordance  with the Exchange  Act, this report has been signed below by the
following  persons on behalf of the  registrant and in the capacities and on the
dates indicated.
<TABLE>
<CAPTION>

<S>                                         <C>                                                  <C>
Signature                                   Title                                                Date
- ---------                                   -----                                                ----


/s/ Gregory J. Petras                       President (Principal                                 05-14-96
Gregory J. Petras                           Executive Officer) and Director


/s/ John Delmatoff                          Director                                             05-14-96
John Delmatoff


/s/ Gardiner S. Dutton                      Director                                             05-14-96
Gardiner S. Dutton


/s/ James W. Myers                          Director                                             05-14-96
James W. Myers


/s/ Steven D. Wood, Ph.D.                   Director                                             05-14-96
Steven D. Wood, Ph.D.


/s/ Jeffrey T. Zywicki                      Senior Vice President-Finance,                       05-14-96
Jeffrey T. Zywicki                          Treasurer and Secretary
                                            (Principal Financial and
                                            Accounting Officer)
</TABLE>
<TABLE>
<CAPTION>

                                  EXHIBIT INDEX


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

<S>                   <C>                                                        <C>
  2.1                 Plan of Reorganization and                                 Incorporated by Reference
                      Agreement of Merger                                        to Form 8-k filed July 13, 1994

  3.1                 Certification of Incorporation                             Incorporated by Reference
                                                                                 of the Company to
                                                                                 Exhibit 3.1 of S-18
                                                                                 No. 33-9396-LA

  3.2                 Bylaws of the Company                                      Incorporated by Reference
                                                                                 to Exhibit 3.2 of S-18
                                                                                 No. 33-9396-LA

  4.1                 Specimen Certificate                                       Incorporated by Reference
                      Representing $.001 par value                               to Exhibit 4.1 of S-18
                      Common Stock                                               No. 33-9397-LA

  4.2                 Form of Warrant to the                                     Incorporated by Reference
                      Underwriter                                                to Exhibit 4.2 of
                                                                                 Amendment No. 2 to S-18
                                                                                 No. 33-9397-LA

  4.3                 Form of Warrant to the                                     Incorporated by Reference
                      Advisor                                                    to Exhibit 4.3 of
                                                                                 Amendment No. 2 to S-18
                                                                                 No. 33-9397-LA

10.1                  Confirmation of License and                                Incorporated by Reference
                      Agreement Regarding Purchase                               to Exhibit 10.1 of S-18
                      Option and related letter                                  No. 33-9397-LA
                      agreement dated October 2, 1986

10.2                  Franchising and Licensing                                  Incorporated by Reference
                      Agreement with The Arizona                                 to Exhibit 10.2 of
                      Heart Institute, Ltd.                                      Amendment No. 1 to S-18
                                                                                 No. 33-9397-LA

10.3                  Assignment of Rights to The                                Incorporated by Reference
                      Heart Test                                                 to Exhibit 10.3 of S-18
                                                                                 No. 33-9397-LA

10.4                  Shareholders Contribution and                              Incorporated by Reference
                      Conversion Agreement as                                    to Exhibit 10.4 of S-18
                      Amended, and related notes held                            No. 33-9397-LA
                      by Shareholders and Affiliated

10.5                  Form of Outstanding Warrants                               Incorporated by Reference
                                                                                 to Exhibit 10.5 of S-18
                                                                                 No. 33-9397-LA


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

10.6                  Promissory Notes in the                                    Incorporated by Reference
                      Aggregate amount of $100,000                               to Exhibit 10.6 of S-18
                      Principal                                                  No. 33-9397-LA

10.7                  Lease for Company's Office                                 Incorporated by Reference
                      Space dated August 22, 1986                                to Exhibit 10.7 of S-18
                                                                                 No. 33-9397-LA

10.7.1                Amendment to Lease for                                     Incorporated by Reference
                      Company's Office Space dated                               to Exhibit 10.7.1 to Form
                      August 22, 1986                                            10-K filed for the year
                                                                                 Ended January 31, 1987

10.8                  Agreement and Plan of Merger                               Incorporated by Reference
                                                                                 Exhibit 10.8 of S-18
                                                                                 No. 33-9397-LA

10.9                  Employment Agreements with                                 Incorporated by Reference
                      Dr. Larry Gettman and                                      Exhibit 10.9 of S-18
                      Jeffrey Zywicki                                            No. 33-9397-LA

10.10                 Line of Credit Documentation                               Incorporated by Reference
                                                                                 to Exhibit 10.10 of S-18
                                                                                 No. 33-9397-LA

10.11                 Promissory Note in the                                     Incorporated by Reference
                      Principal Amount of $25,801                                to Exhibit 10.11 of S-18
                                                                                 No. 33-9397-LA

10.12                 Company Indemnities                                        Incorporated by Reference
                                                                                 to Exhibit 10.12 of S-18
                                                                                 No. 33-9397-LA

10.13.1               Forms of Franchise                                         Incorporated by Reference
                      Agreement used in 1987                                     to Exhibit 10.13.1 to
                                                                                 Amendment No. 2 of S-18
                                                                                 No. 33-9397-LA

10.13.2               Forms of Franchise                                         Incorporated by Reference
                      Agreement used in 1986                                     to Exhibit 10.13.2 to
                                                                                 Amendment No. 1 and
                                                                                 Amendment No. 2 to S-18
                                                                                 No. 33-9397-LA

10.13.3               Forms of Franchise Agreement                               Incorporated by Reference
                      used in 1985                                               to Exhibit 10.13.3 to S-18
                                                                                 No. 33-9397-LA

10.13.4               Forms of Franchise Agreement                               Incorporated by Reference
                      used in 1984                                               to Exhibit 10.13.4 to S-18
                                                                                 No. 33-9397-LA


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

10.13.5               Franchise Agreements Executed                              Incorporated by Reference
                      Agreement                                                  to Exhibit 10.13.5 of S-18
                                                                                 No. 33-9397-LA

10.13.6               Existing Area Franchise                                    Incorporated by Reference
                      Agreement                                                  to Exhibit 10.13.6 of S-18
                                                                                 No. 33-9397-LA

10.13.7               Form of Franchise Agreement                                Incorporated by Reference
                      used by the Company in 1987                                to Form 10-K filed for
                                                                                 year ended January 31,
                                                                                 1988

10.13.8               Form of Franchise Agreement                                Incorporated by Reference
                      used by the Company in 1988                                to Form 10-K filed for the year ended January 31,
                                                                                 1989

10.13.9               Form of Franchise Agreement                                Incorporated by Reference
                      used by the Company in 1989                                to Form 10-K filed for the year ended January 31,
                                                                                 1990

10.14                 Forms of Rescission offers                                 Incorporated by Reference
                                                                                 to Exhibit 10.14 of S-18
                                                                                 No. 33-9397-LA

10.15                 Rescission and Refund Responses                            Incorporated by Reference
                      for internal use of Programs                               to Exhibit 10.15 of S-18
                                                                                 No. 33-9396-LA

10.16                 Agreements with Corporations                               Incorporated by Reference
                      for internal use of Programs                               to Exhibit 10.16 of S-18
                                                                                 No. 33-9397-LA

10.17                 South Dakota and Wisconsin                                 Incorporated by Reference
                      "No Action" letters and certain                            to Exhibit 10.17 of
                      related documents                                          Amendment No. 1 to S-18
                                                                                 No. 33-9397-LA

10.18                 Revised Exhibit A to Form of                               Incorporated by Reference
                      Stock Escrow Agreement required                            to Exhibit 10.18 of
                      by the Arizona Corporation                                 Amendment No. 1 to S-18
                      Commission and Shareholder                                 No. 33-9397-LA
                      lock-up agreements

10.19                 Promissory Note in Principal                               Incorporated by Reference
                      Amount of $50,000 and related                              to Exhibit 10.19 of
                      materials                                                  Amendment No. 1 to S-18
                                                                                 No. 33-9397-LA

10.20                 Agreement with Advisor                                     Incorporated by Reference
                                                                                 to Exhibit 10.20 of
                                                                                 Amendment No. 1 to S-18
                                                                                 No. 33-9397-LA


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

10.21                 Notification of Option to                                  Incorporated by Reference
                      Purchase the Personal Fitness                              to Exhibit 10.21 to Form
                      Profile Software                                           10-K filed for the fiscal
                                                                                 year ended January 31, 1987

10.21.1               List of Subsidiaries                                       Page 37

10.22                 Promissory Note in Principal                               Incorporated by Reference
                      Amount of $75,000 for purchase                             to Exhibit 10.22 to Form
                      of Personal Fitness Profile                                10-K filed for the fiscal
                      Software and related materials                             year ended January 31, 1987

10.23                 Employment Agreement with                                  Incorporated by Reference
                      James Wichterman                                           to Exhibit 10.23 to Form
                                                                                 10-Q filed for the quarter ended April 30, 1987

10.24                 Term Note Payable in the                                   Incorporated by Reference
                      Principal Amount of $75,000                                to Exhibit 10.24 to Form
                                                                                 10-Q filed for the
                                                                                 quarter ended April 30, 1987

10.25                 Software Customization and                                 Incorporated by Reference
                      License Agreement with                                     to Exhibit 10.25 to Form
                      Resource Center Enterprises,                               10-Q filed for the
                      Inc. dated May 22, 1987                                    quarter ended July 31, 1987

10.26                 Med Plus Corporation Distribution                          Incorporated by Reference
                      and Sales Agreement dated                                  to Exhibit 10.26 to Form
                      September 19, 1987                                         10-Q filed for the quarter ended October 31, 1987

10.27                 Distribution Agreements                                    Incorporated by Reference
                      for Marketing Consultants                                  to exhibit 10.27 to Form
                                                                                 10-Q filed for the quarter ended October 31, 1987

10.28                 Consulting, Development                                    Incorporated by Reference
                      and License Agreement with                                 to Exhibit 10.28 to Form
                      Humana Inc., dated December                                10-K filed for the year
                      31, 1987                                                   ended January 31, 1988

10.29                 Agreement with Healthscan, Inc.                            Incorporated by Reference
                      to discontinue use of Healthscan                           to Exhibit 10.29 to Form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1988

10.30                 Stock Option Letter with                                   Incorporated by Reference
                      Jim Wichterman                                             to Exhibit 10.30 to Form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1988


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

10.31                 Employment Agreement with                                  Incorporated by Reference
                      Dan Bergman                                                to Exhibit 10.31 to Form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1988

10.32                 Form of Stock Option Agreement                             Incorporated by Reference
                      with Key Employees and Officers                            to Exhibit 10.32 to Form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1989

10.33                 Form of Stock Option Agreement                             Incorporated by Reference
                      with Outside Directors                                     to Exhibit 10.33 to form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1989

10.34                 Severance Agreement with                                   Incorporated by Reference
                      Gregory J. Petras                                          to Exhibit 10.34 to Form
                                                                                 10-K filed for the year
                                                                                 ended January 31, 1989

10.35                 $100,000 Installment Note                                  Incorporated by Reference
                      Payable to Three Carollo                                   to Exhibit 10.35 to Form
                      Partnership                                                10-Q filed for the quarter ended July 31, 1989

10.36                 Purchase, Consulting and                                   Incorporated by Reference
                      Distribution Agreement with                                to Exhibit 10.36 to Form
                      Micromedex, Inc.                                           10-K filed for the fiscal
                                                                                 year ended January 31, 1991

10.37                 $125,000 Installment Note                                  Incorporated by Reference
                      Payable to Gardiner S. Dutton                              to Exhibit 10.37 to Form
                      as Agent                                                   10-Q for the quarter ended July 31, 1990

10.38                 Asset Purchase Agreement with                              Incorporated by Reference
                      Prentice Hall, Inc. to purchase                            to Exhibit 10.38 to Form
                      Riskscan                                                   July 31, 1990

10.39                 Lease for Company's Office Space                           Incorporated by Reference
                      dated October 1990                                         to Exhibit 10.39 to Form 10-K filed for the
                                                                                 fiscal year ended January 31, 1991

10.40                 Exclusive Distributor Agreement                            Incorporated by Reference to Exhibit
                      with Vim & Vigor, Inc.                                     10.40 to Form 10-K filed for the fiscal year
                                                                                 ended January 31, 1992.

10.41                 Exclusive Agency Agreement                                 Incorporated by Reference to Exhibit
                      with Joseph Stevens Group, Inc.                            10.41 to Form 10-K filed for the
                                                                                 fiscal year ended January 31, 1992


Exhibit                                                                          Page or
number                Description                                                Method of Filing
- ------                -----------                                                ----------------

10.42                 Development and Distribution                               Incorporated by Reference to Exhibit
                      Agreement with Parlay                                      10.42 to Form 10-KSB filed for fiscal
                      International Communication, Inc.                          year ended January 31, 1993

10.43                 Amended and Restated Purchase,                             Incorporated by Reference to Exhibit
                      Consulting and Distribution Agreement                      10.43 to From 10-KSB filed for fiscal
                      with Micromedex, Inc.                                      year ended January 31, 1993

10.44                 Employment Agreement with Gregory J.                       Incorporated by Reference to
                      Petras and Form Other key Executives                       the Form 10-KSB filed for the
                                                                                 fiscal year ended January 31, 1993

10.45                 1988 Stock Option Plan                                     Incorporated by Reference to
                                                                                 1988 Proxy statement

10.46                 Employment Agreement with                                  Incorporated by Reference to
                      A. Neal Westermeyer                                        Exhibit 10.46 to Form 10-KSB
                                                                                 filed for fiscal year ended
                                                                                 January 31, 1994

10.47                 Amendment and Restated Certificate                         Incorporated by Reference to
                      of Designation Agreement of Series A                       the Form 10-QSB filed for the fiscal
                      Preferred Stock dated, June 14, 1994                       quarter ended April 30, 1994

10.48                 Pediatric Protocol Publishing                              Incorporated by Reference to Exhibit
                      Agreement with Barton D. Schmitt M.D.                      10.48 to Form 10KSB for the fiscal
                                                                                 year January 31, 1995

10.49                 Consulting Agreement with                                  Incorporated by Reference to Exhibit
                      Steven Poole, M.D.                                         10.49 to Form 10-KSB for the fiscal
                                                                                 year January 31, 1995
                                                                                 
10.50                 First Amendment to Amended and Restated                    Incorporated by Reference to Exhibit
                      Purchase, Consulting and Distribution                      10.50 to Form 10-KSB for the fiscal
                      Agreement                                                  year January 31, 1995

10.51
</TABLE>
<PAGE>
 
                  NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC.
                  AND SUBSIDIARIES

                  CONSOLIDATED FINANCIAL STATEMENTS
                  JANUARY 31, 1996
                  TOGETHER WITH REPORT OF
                  INDEPENDENT PUBLIC ACCOUNTANTS






<PAGE>











                    REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS





To National Health Enhancement Systems, Inc.:


We have audited the accompanying  consolidated  balance sheet of NATIONAL HEALTH
ENHANCEMENT  SYSTEMS,  INC.  (a Delaware  corporation)  and  subsidiaries  as of
January 31, 1996, and the related consolidated statements of operations, changes
in stockholders'  equity and cash flows for the years ended January 31, 1996 and
1995  (as  restated  -  see  Note  1).  These   financial   statements  are  the
responsibility of the Company's management.  Our responsibility is to express an
opinion on these financial statements based on our audits.

We  conducted  our  audits  in  accordance  with  generally   accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

In our opinion,  the financial  statements  referred to above present fairly, in
all material  respects,  the financial  position of National Health  Enhancement
Systems,  Inc. and subsidiaries as of January 31, 1996, and the results of their
operations  and their cash flows for the years  ended  January 31, 1996 and 1995
(as restated  see Note 1), in  conformity  with  generally  accepted  accounting
principles.


                                                    ARTHUR ANDERSEN LLP


Phoenix, Arizona,
   May 14, 1996.
<PAGE>
           NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC. AND SUBSIDIARIES

                           CONSOLIDATED BALANCE SHEET

                                JANUARY 31, 1996
<TABLE>
<CAPTION>
                                     ASSETS
<S>                                                                                               <C>   
CURRENT ASSETS:
   Cash and cash equivalents (Note 2)                                                             $  1,477,769
   Accounts receivable, net of allowance for doubtful accounts
     of $691,000 (Notes 2 and 3)                                                                     5,735,778
   Prepaid, deferred expenses and supplies                                                             711,309
                                                                                                   -----------
                  Total current assets                                                               7,924,856

CAPITALIZED SOFTWARE DEVELOPMENT COSTS, net of
   accumulated amortization of $1,029,000 (Note 2)                                                     907,890

PROPERTY AND EQUIPMENT, net (Notes 2 and 3)                                                            950,125

EXCESS OF PURCHASE PRICE OVER RELATED NET ASSETS
   ACQUIRED (Notes 1 and 2)                                                                            555,341

OTHER ASSETS (Note 2)                                                                                  430,049
                                                                                                   -----------

                                                                                                  $ 10,768,261
                                                                                                   ===========
                      LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
   Current installments of notes payable and obligations under
     capital leases (Notes 1 and 3)                                                               $  1,889,576
   Accounts payable                                                                                    997,842
   Accrued liabilities (Note 5)                                                                      3,077,350
   Deferred revenue (Note 2)                                                                         3,310,077
                                                                                                  ------------

                  Total current liabilities                                                          9,274,845
                                                                                                  ------------
NOTES PAYABLE AND OBLIGATIONS UNDER CAPITAL
   LEASES, net of current installments (Note 3)                                                        246,288
                                                                                                  ------------

DEFERRED REVENUE, net of current portion (Note 2)                                                      222,906
                                                                                                  ------------

COMMITMENTS AND CONTINGENCIES (Notes 1, 3, 4 and 6)

STOCKHOLDERS' EQUITY (Notes 1 and 6):
   Series A  convertible  preferred  stock,  $.001 par value,  2,000,000  shares
     authorized, 125,000 shares issued and outstanding;
     liquidation preference over common stockholders of $2.40 per share                                    125
   Common stock, $.001 par value, 10,000,000 shares authorized,
     4,204,136 shares issued and 3,835,380 shares outstanding                                            3,836
   Capital contributed in excess of par value                                                        3,461,127
   Accumulated deficit                                                                              (2,437,301)
   Less:  treasury stock, 3,568 shares, at cost                                                         (3,565)
                                                                                                  ------------
                                                                                                     1,024,222
                                                                                                  ------------

                                                                                                  $ 10,768,261
                                                                                                  ============
</TABLE>
 The accompanying notes are an integral part of this consolidated balance sheet.
<PAGE>


           NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF OPERATIONS

                  FOR THE YEARS ENDED JANUARY 31, 1996 AND 1995
<TABLE>
<CAPTION>


                                                                                        1996            1995
                                                                                   -------------   -------------
                                                                                                    as restated
                                                                                                      (Note 1)
<S>                                                                                <C>             <C>    
REVENUES (Note 2):
   License fees                                                                    $   8,845,081   $   6,647,145
   Support fees, marketing services and material sales                                 8,046,062       6,703,123
                                                                                   -------------   -------------

                  Total revenues                                                      16,891,143      13,350,268
                                                                                   -------------   -------------

OPERATING EXPENSES:
   Cost of initial license fees                                                        2,327,060       1,900,102
   Cost of materials sold                                                              1,600,389       1,854,255
   Selling, product development and support                                            9,328,576       7,355,514
   General and administrative                                                          1,888,586       1,762,454
   Depreciation and amortization                                                         862,286         493,870
   Provision for doubtful accounts                                                       266,500         787,562
                                                                                   -------------   -------------

                  Total operating expenses                                            16,273,397      14,153,758
                                                                                   -------------   -------------

INCOME (LOSS) BEFORE PROVISION FOR INCOME TAXES                                          617,746        (803,490)

PROVISION FOR INCOME TAXES (Note 7)                                                      (58,000)             -
                                                                                   --------------  -------------

                  Net income (loss)                                                $     559,746   $    (803,490)
                                                                                   =============   ==============

PREFERRED STOCK DIVIDENDS (Note 6)                                                            -           27,763
                                                                                   -------------   -------------

NET INCOME (LOSS) AVAILABLE FOR COMMON
   STOCKHOLDERS                                                                    $     559,746   $    (775,727)
                                                                                   =============   ==============

NET INCOME (LOSS) PER COMMON SHARE (Note 6)
                  Primary                                                          $         .11   $        (.21)
                                                                                   =============   ==============
                  Fully diluted                                                    $         .10   $        -
                                                                                   =============   ==============
WEIGHTED AVERAGE SHARES OUTSTANDING (Note 6)
                  Primary                                                              5,028,367       3,780,346
                                                                                   =============   ===============
                  Fully diluted                                                        5,457,947            -
                                                                                   =============   ===============

</TABLE>
  The accompanying notes are an integral part of these consolidated statements.
<PAGE>
           NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC. AND SUBSIDIARIES



           CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY

                  FOR THE YEARS ENDED JANUARY 31, 1996 AND 1995




<TABLE>
<CAPTION>

                                                                                                                        
                                              Series A Convertible                     Capital                  
                                                Preferred Stock     Common Stock     Contributed                      
                                               ----------------    ---------------- In Excess of   Accumulated    Treasury
                                               Shares    Amount   Shares     Amount   Par Value      Deficit        Stock    Total
                                               -------- ------- ---------- -------- ------------- ------------- ----------- ------
<S>                                           <C>      <C>      <C>        <C>      <C>          <C>            <C>      <C> 
BALANCE AT JANUARY 31, 1994, as restated
(see Note 1)                                  125,000  $  125   3,652,124  $ 3,652  $ 3,310,726   $(2,221,320)  $(3,565) $1,089,618
  Stock options exercised                          -       -       63,500       64       37,096            -         -       37,160
  Shares released from escrow - FSG (Note 1)       -       -       75,596       76       94,419            -         -       94,495
  Preferred dividends forgiven (Note 6)            -       -           -        -            -         27,763        -       27,763
  Net loss, as restated (Note 1)                   -       -           -        -            -       (803,490)       -     (803,490)
                                               --------   -----  ----------   -------  -----------   -----------   -------  --------

BALANCE AT JANUARY 31, 1995, as restated
(see Note 1)                                  125,000     125   3,791,220    3,792    3,442,241    (2,997,047)   (3,565)    445,546
  Stock options exercised                         -       -        44,160       44       18,886        -              -      18,930
  Net loss                                        -       -           -        -            -         559,746         -     559,746
                                              --------   -----  ----------   -------  -----------   -----------   -------  ---------

BALANCE AT JANUARY 31, 1996                   125,000  $  125   3,835,380  $ 3,836  $ 3,461,127   $(2,437,301)  $(3,565) $1,024,222
                                              ========   =====  ==========   =====    ===========  ============  ======== ==========

</TABLE>







  The accompanying notes are an integral part of these consolidated statements.


<PAGE>



           NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC. AND SUBSIDIARIES

                      CONSOLIDATED STATEMENTS OF CASH FLOWS

                  FOR THE YEARS ENDED JANUARY 31, 1996 AND 1995

<TABLE>
<CAPTION>

                                                                                          1996           1995
                                                                                      -----------    -----------
                                                                                                      as restated
                                                                                                        (Note 1)
<S>                                                                                   <C>            <C>    
CASH FLOWS FROM OPERATING ACTIVITIES:
   Net income (loss)                                                                  $   559,746    $  (803,490)
   Adjustments to reconcile net income (loss) to net cash provided by
     operating activities-
       Depreciation and amortization                                                      862,286        493,870
       Provision for doubtful accounts                                                    266,500        787,562
       Changes in assets and liabilities-
         Increase in accounts receivable                                               (2,478,369)    (1,515,148)
         Decrease (increase) in prepaid, deferred expenses and supplies                  (298,021)        61,052
         Increase (decrease)in accounts payable                                          (325,393)       312,594
         Increase in accrued liabilities                                                1,099,658        213,280
         Increase in deferred revenue                                                     992,233        868,967
                                                                                      -----------    -----------

                  Net cash provided by operating activities                               678,640        418,687
                                                                                      -----------    -----------

CASH FLOWS FROM INVESTING ACTIVITIES:
   Purchase of property and equipment                                                    (152,995)       (90,447)
   Payments for capitalized software and other development costs                         (615,779)      (635,085)
   Increase in other assets                                                              (124,081)       (18,781)
                                                                                      ------------   ------------

                  Net cash used in investing activities                                  (892,855)      (744,313)
                                                                                      ------------   ------------

CASH FLOWS FROM FINANCING ACTIVITIES:
   Proceeds from exercise of stock options                                                 18,930         37,160
   Proceeds from issuance of notes payable                                              2,606,093      2,850,000
   Principal payments on notes payable and capital leases                              (2,413,804)    (2,237,935)
   Payments of dividends on convertible preferred stock                                    -             (42,431)
                                                                                      -----------    ------------

                  Net cash provided by financing activities                              211,219        606,794
                                                                                      -----------    -----------

NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS                                       (2,996)       281,168

CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR                                          1,480,765      1,199,597
                                                                                      -----------    -----------

CASH AND CASH EQUIVALENTS AT END OF YEAR (Notes 2 and 3)                              $ 1,477,769    $ 1,480,765
                                                                                      ===========    ===========

SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
   Cash paid for interest                                                             $   309,000    $   139,000
                                                                                      ===========    ===========

SUPPLEMENTAL DISCLOSURE OF NONCASH FINANCING AND
     INVESTING ACTIVITIES:
       Property and equipment acquired under capital leases                           $   300,488    $   339,681
                                                                                      ===========    ===========

       Pursuant to the  acquisition  agreement with First Strategic  Group,  the
         Company  issued  75,596  shares of common  stock to the  former  owners
         during fiscal 1995 (Note 1).
</TABLE>


  The accompanying notes are an integral part of these consolidated statements.


<PAGE>









           NATIONAL HEALTH ENHANCEMENT SYSTEMS, INC. AND SUBSIDIARIES


                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                                JANUARY 31, 1996




(1)   ORGANIZATION:

National Health Enhancement Systems, Inc. (the Company) was incorporated in July
1983 as AHI Limited  for the  purpose of  developing,  licensing  and  marketing
health evaluation programs to hospitals, medical groups, clinics and physicians.
In October 1986,  the Company  changed its name to National  Health  Enhancement
Systems, Inc. and reincorporated in the State of Delaware. The Company presently
distributes  proprietary  software-supported  medical  call center  products and
services  designed to enable  healthcare  providers  reduce the costs associated
with  inappropriate  utilization  of  healthcare  and  improve  service to their
customers.

         Acquisition of First Strategic Group, Ltd.

In April 1993,  the Company  acquired,  by merger  into a newly  formed  Company
subsidiary, all of the assets and business of First Strategic Group, Ltd. (FSG),
a  California  corporation.  The  Company  paid  $50,000 in cash,  issued a note
payable of $250,000 and issued  755,556 shares of common stock of the Company in
exchange for all of the issued and  outstanding  capital  stock of FSG. The note
was paid in full during 1993. Of the common stock issued by the Company, 311,112
shares  were  issued at the time of the  merger and 75,596  shares  were  issued
effective  February 1, 1994,  upon FSG  meeting  their  fiscal 1994  performance
target.  The  remaining  shares are held in escrow and will be  delivered to the
former owners of FSG upon meeting  certain  performance  targets as specified in
the  agreement.  The shares held in escrow are not  included in the earnings per
share  computation  as such shares are not deemed  outstanding.  FSG maintains a
market  position  as  healthcare  marketing  and  advertising   strategists  and
emphasizes the role of strategic planning in the healthcare market.

         Restatement of Previously Issued Financial Statements

In  connection  with its  year-end  closing,  the  Company  determined  that the
application of its accounting policy regarding recognizing revenues on its sales
of software products and related services did not comply, in all respects,  with
the technical  requirements  and  interpretations  of the American  Institute of
Certified  Public  Accountants'  Statement of Position 91-1,  "Software  Revenue
Recognition" (SOP 91-1).  Accordingly,  the Company has conformed its accounting
policy and has retroactively restated its previously issued financial statements
for fiscal 1994 and 1995 to give effect to full  compliance  with SOP 91-1.  The
cumulative  effect of  $653,648,  has been  reflected  as an  adjustment  to the
accumulated  deficit balance of 1,747,806,  as of January 31, 1993 as previously
reported.   Additionally,   the  Company's   fiscal  1995  and  1996   quarterly
consolidated financial statements have also been restated.
<PAGE>
                                      -2-

The effect of the  reevaluation on the Company's  fiscal 1994 and 1995 operating
results is as follows:
<TABLE>
<CAPTION>

                                             Fiscal 1994                         Fiscal 1995
                                  --------------------------------   --------------------------------
                                    As Reported        As Restated      As Reported      As Restated
                                  ---------------    -------------   ---------------    -------------
<S>                               <C>                <C>             <C>                <C>
Total revenues                    $    11,216,526    $  10,794,076   $    13,061,898    $  13,350,268
Income (loss) before
  provision for income
  taxes                                   634,973          360,381          (985,680)        (803,490)
Net income (loss)                         622,973          348,381          (985,680)        (803,490)
Income(loss) available for
   common stockholders                    454,725          180,133          (957,917)        (775,727)
Income (loss) per share                       .11              .04              (.26)            (.21)
Accumulated deficit                    (1,293,081)      (2,221,321)       (2,250,998)      (2,997,047)
Stockholders' equity                    2,017,857        1,089,627         1,191,595          445,456
</TABLE>

Effective  January 12,  1996,  the Board of Directors  authorized a  two-for-one
stock split of the Company's  common stock in the form of a 100% stock  dividend
to those  shareholders of record as of January 25, 1996. All share and per share
amounts have been restated for all periods to reflect this split.

(2)   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

         Principles of Consolidation

The accompanying  consolidated  financial statements include the accounts of the
Company  and  its  wholly-owned   subsidiaries.   All  significant  intercompany
transactions have been eliminated in consolidation.

         Cash Equivalents

Cash  equivalents  consist  primarily of investments in bank money market funds.
The Company  considers  investments  with initial  maturities of three months or
less to be cash equivalents.

         Capitalized Software Development Costs

The Company capitalizes  software  development costs incurred in connection with
the  development  of its software.  Amortization  expense is provided  using the
straight-line method over the software's estimated economic life of three years.
All research and development costs incurred by the Company prior to establishing
technological   feasibility  are  expensed  as  incurred.   Total  research  and
development  costs  expensed  during the years ended  January 31, 1996 and 1995,
were approximately $673,000 and $593,000, respectively.



<PAGE>
                                      -3-

         Property and Equipment

Property  and  equipment  are  stated  at cost.  Depreciation  on  property  and
equipment is provided using the  straight-line  method over the estimated useful
lives of the assets of three to five years.  Property and  equipment  held under
capital leases and leasehold  improvements are amortized using the straight-line
method  over the  shorter of the lease  term or  estimated  useful  lives of the
assets.

At January 31, 1996, property and equipment consisted of the following:
<TABLE>
<CAPTION>
         <S>                                                                                    <C>  

         Computer equipment                                                                     $    541,685
         Office furniture and equipment                                                              240,998
         Assets held under capital leases, primarily computer equipment                            1,128,664
         Leasehold improvements                                                                       57,888
                                                                                                ------------
                                                                                                   1,969,235
         Accumulated depreciation                                                                 (1,019,110)
                                                                                                ------------
                                                                                                $    950,125
                                                                                                ============
</TABLE>


         Excess of Purchase Price Over Related Net Assets Acquired

The excess of purchase price over related net assets acquired  resulted from the
acquisition  of FSG described in Note 1, and is being  amortized  over ten years
using the straight-line  method.  Amortization expense was approximately $77,000
for each of the years ended January 31, 1996 and 1995.

         Other Assets

Other assets include  approximately  $157,000  representing  accounts receivable
from  customers  with terms in excess of one year.  These accounts are generally
due over  periods  ranging  from 18 to 36 months.  Interest  has been imputed on
these amounts at 10%.

         Revenue Recognition

Revenue on sales of the  Company's  software  products  and related  services is
recognized in accordance  with SOP 91-1.  Accordingly,  initial license fees are
recognized as revenue when the Company  receives an executed  license  agreement
and all material  services and conditions  (primarily  delivery of the software)
relating to the sale have been  substantially  performed.  Revenue from software
license  fees  related  to  the   Company's   obligation   to  provide   certain
post-contract  customer support without charge is unbundled from the license fee
at its fair value and is  deferred  and  recognized  over the  contract  support
period.  The associated  costs incurred by the Company related to providing such
support,  primarily  royalty  fees  incurred to maintain the currency of medical
technical data included in the Company's software products, is also deferred and
recognized over the period benefited. Deferred costs totaled $470,000 at January
31, 1996.  Revenues for annual renewals of support contracts are recognized over
the term of the related  contracts,  generally 12 months.  Revenue for strategic
plans  and   marketing   projects   performed  by  FSG  is   recognized  on  the
percentage-of-completion  method.  The  percentage  complete  is  determined  by
relating  costs incurred to the estimated  total costs at  completion.  When the
estimate for a specific service indicates a loss, the entire loss is recognized.
Deferred revenue includes amounts which represent the excess of billings to date

<PAGE>
                                      -4-

over  the  amount  of costs  and  profit  recognized  on the  remaining  jobs in
progress.  Deferred  revenue also  reflects the  prepayment  of support fees and
materials by licensees.

         Concentrations of Credit Risk

Financial  instruments which potentially expose the Company to concentrations of
credit risk, as defined by Statement of Financial  Accounting Standards No. 105,
"Disclosure of Information  About Financial  Instruments With Off-Balance  Sheet
Risk and Financial  Investments  With  Concentrations  of Credit Risk,"  consist
primarily  of cash and cash  equivalents  and accounts  receivable.  The Company
places its cash and cash  equivalents with high quality  financial  institutions
and limits the amount of credit exposure to any one financial institution.

The Company  sells its products  and  services to  customers  in the  healthcare
industry  throughout  the  United  States.  Concentrations  of credit  risk with
respect to accounts  receivable are limited due to the geographic  diversity and
large number of customers  comprising  the Company's  customer base. The Company
performs credit evaluations of its customers,  but does not required  collateral
to support  receivable  balances.  An allowance  for doubtful  accounts has been
established based on factors  surrounding the credit risk of specific borrowers,
historical trends and other information.

         Use of Estimates

The preparation of financial  statements in accordance  with generally  accepted
accounting principles requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities, disclosures of contingent
assets and liabilities at the date of the financial  statements and the reported
amounts of revenues and expenses  during the reported  periods.  Actual  results
could differ from those estimates.

         Fair Value of Financial Instruments

The  Company's  financial  instruments  as defined  by  Statement  of  Financial
Accounting  Standards  No.  107,  Disclosures  About  Fair  Value  of  Financial
Instruments,  include cash and cash equivalents,  accounts receivable,  accounts
payable and notes  payable.  The  carrying  value of cash and cash  equivalents,
accounts receivable and accounts payable approximate fair value due to the short
maturity of these  instruments.  The  Company's  notes  payable bear interest at
rates indexed to the prime rate;  therefore,  the carrying  amounts  approximate
fair value.


         Recently Issued Accounting Standards

Statement  of  Financial  Accounting  Standards  No.  121,  Accounting  for  the
Impairment  of  Long-Lived  Assets and for  Long-Lived  Assets to be Disposed Of
(SFAS No.  121),  which is required to be adopted by the Company in fiscal 1997,
requires that  long-lived  assets be reviewed for impairment  whenever events or
circumstances  indicate  that  the  carrying  amount  of the  asset  may  not be
recoverable.  If the sum of expected future cash flows (undiscounted and without

<PAGE>
                                      -5-

interest  charges)  from an asset to be held and used in operations is less than
the carrying  value of the asset,  an impairment  loss must be recognized in the
amount  of the  difference  between  the  carrying  value  and the  fair  value.
Management  does not  expect  the  adoption  of SFAS No.  121 to have a material
effect on the Company's financial position or results of operations.

Statement of Financial  Accounting Standards No. 123, Accounting for Stock-Based
Compensation  (SFAS No. 123), is required to be adopted by the Company in fiscal
1997.  As permitted  by SFAS No. 123,  the Company will  continue to account for
stock  transactions with its employees  pursuant to Accounting  Principles Board
Opinion  No. 25,  Accounting  for Stock  Issued to  Employees.  Therefore,  this
statement is not expected to have a material  effect on the Company's  financial
position or results of operations.  SFAS No. 123 requires companies which do not
choose to account for the effects of stock based  compensation  in the financial
statements  to disclose the pro forma effects on earnings and earnings per share
as if such accounting had occurred.

(3)   NOTES PAYABLE AND OBLIGATIONS UNDER CAPITAL LEASES:

Notes payable and obligations  under capital leases at January 31, 1996, were as
follows:
<TABLE>
<CAPTION>
     <S>                                                                                     <C>
     Revolving line of credit,  advances not to exceed the calculated  borrowing
     base, as defined, or $2,000,000, interest at Wall Street Journal prime rate
     plus 2.5% (11% at January 31,  1996),  matures  November  1996,  secured by
     substantially  all  assets  of the  Company,  including  eligible  accounts
     receivable, as defined                                                                  $  1,356,073

     Note payable to bank,  interest at Wall Street  Journal prime rate (8.5% at
     January 31, 1996),  matures November 1996,  secured by accounts  receivable
     and equipment                                                                                250,000


     Obligations  under capital leases,  interest rates ranging from 11% to 28%,
     maturities through November 1999, secured by computers and other equipment                   529,791
                                                                                             -------------
                                                                                                2,135,864
     Less- Current installments                                                                (1,889,576)
                                                                                             -------------
                                                                                             $    246,288
                                                                                             =============
</TABLE>
The lines of credit and note payable  agreements require the Company to maintain
compliance with certain covenants including, among others, a debt to net worth a
minimum  quick  ratio  and a minimum  tangible  net  worth,  as  defined  in the
agreement.  At January 31, 1996, the company was not in compliance with the debt
to net worth  requirement.  The lender has waived  compliance with this covenant
through August 1996.

<PAGE>

                                      -6-

Future  maturities of notes payable and obligations  under capital leases are as
follows as of January 31, 1996:

                                                   Notes             Capital
  Fiscal Year                                     Payable            Leases

    1997                                      $   1,606,073      $    336,756
    1998                                                 -            173,354
    1999                                                 -             56,284
    2000                                                 -             33,372
    2001                                                 -              5,443
                                              -------------      ------------
                                                  1,606,073           605,209
    Less - Amounts representing interest               -              (75,418)
                                              -------------      -------------

                                              $   1,606,073      $    529,791
                                              =============      ============

(4)   COMMITMENTS:

The  Company  leases  its  office   facilities  and  certain   equipment   under
noncancelable  operating leases expiring through fiscal 2001. The leases include
options to extend for additional  periods at the then  prevailing  market rates.
Rent expense was approximately $229,000 and $296,000 for the years ended January
31, 1996 and 1995, respectively.  Future minimum payments under these leases are
as follows as of January 31, 1996:

                Fiscal Year   
                              
                   1997                            $    378,000
                   1998                                 392,000
                   1999                                 417,000
                   2000                                 443,000
                   2001                                 408,000
                   Thereafter                           412,000
                                                   ------------
                              
                                                   $  2,450,000
                                                   ============
                              
The Company has entered into certain  exclusive  agreements with product support
vendors which require the payment of royalties on products sold and also require
minimum annual purchases of products to maintain the exclusivity associated with
these  agreements.  Future  minimum  obligations  under these  agreements are as
follows as of January 31, 1996:

                Fiscal Year  
                             
                   1997                            $   2,082,000
                   1998                                2,283,000
                   1999                                2,504,000
                   2000                                2,722,000
                   2001                                2,939,000
                   Thereafter                          2,214,000
                                                   -------------
                             
                                                   $  14,744,000
                                                   =============
                             
               

<PAGE>
                                      -7-

(5)   ACCRUED LIABILITIES:

Accrued liabilities at January 31, 1996, were as follows:

                  Accrued product cost of sales            $     921,888
                  Accrued payroll and commissions                642,913
                  Accrued royalties (Note 4)                     869,622
                  Other accrued liabilities                      642,927
                                                           -------------

                                                           $   3,077,350
                                                           =============
(6)   STOCKHOLDERS' EQUITY:

         Stock Option Plan

During the fiscal year ended  January  31,  1989,  the Company  adopted the 1988
Stock Option Plan (the Plan).  The Plan, as amended,  will terminate in May 1998
and provides for the grant of 700,000 incentive and 700,000  nonqualified  stock
options and 200,000 shares to be issued at the Board's  discretion.  The Company
has reserved  1,600,000 shares of common stock for exercise of options under the
Plan.  Key employees  are eligible for both  incentive  and  nonqualified  stock
options. Officers and outside directors are eligible only for nonqualified stock
options.  The Board of  Directors,  within the limits of the  provisions  of the
Plan, shall determine the period over which granted options become exercisable.

A summary  of stock  option  activity  under  the Plan for the two  years  ended
January 31, 1996 follows:

<TABLE>
<CAPTION>

                                                                                 Options Outstanding
                                                          Options          -------------------------------
                                                         Available                             Exercise
                                                         For Grant         Shares              Price Range
                                                       ------------      -----------           ------------
         <S>                                           <C>                <C>                 <C>    
         Balance at January 31, 1994                        199,500        1,068,000           $.13 - $1.44
              Granted                                      (317,000)         317,000            $1.31-$1.81
              Exercised                                          -           (63,500)             $.44-$.77
              Canceled                                      232,000         (232,000)
                                                       ------------      -----------

         Balance at January 31, 1995                        114,500        1,089,500           $.13 - $1.81

              Increase in shares reserved                   200,000          -
              Granted                                      (207,000)         207,000          $1.15 - $1.31
              Exercised                                          -           (40,500)           $.35 - $.72
                                                       ------------      -----------

         Balance at January 31, 1996                        107,500        1,256,000           $.13 - $1.81
                                                       ============      ===========
</TABLE>

Options for 790,250 shares were exercisable at January 31, 1996.
<PAGE>
                                      -8-

         Series A Convertible Preferred Stock

On August 18, 1992,  the Company  issued  125,000 shares of Series A Convertible
Preferred  Stock (the  Preferred  Stock) at $2.40 per  share.  The  Company  was
required  to pay a  quarterly  dividend  equal to a  certain  percentage  of the
Company's gross quarterly  revenue (the cumulative  percentage based dividend as
defined in the Preferred Stock  Agreement)  through January 31, 2001.  Effective
February 1, 1994,  the Preferred  Stock  Agreement was amended.  Pursuant to the
amendment,  each  share of the  Preferred  Stock  shall be, at the option of the
holder, convertible into four shares of the Company's common stock. In addition,
the holder of the  Preferred  Stock is  entitled to four votes for each share of
Preferred Stock.  Upon liquidation or dissolution of the Company,  the holder of
the Preferred Stock shall have liquidating  preferences equal to $2.40 per share
of Preferred  Stock.  The amendment  eliminated all rights to receive  dividends
subsequent to the effective date. The amount of accrued and unpaid  dividends of
$27,763 at January 31, 1994, was reclassified to retained earnings.

         Net Income (Loss) Per Share

Net income (loss) per share is computed by dividing net income (loss)  available
for  common  stockholders  by the  weighted  average  number  of  common  shares
outstanding.  The number of weighted average shares of common stock  outstanding
during 1995, does not include certain common stock equivalents  (Preferred Stock
and options) as their effect on earnings per share would be antidilutive.  Fully
diluted  earnings  per share is not  presented  for 1995,  as the  impact of the
Preferred Stock and options is anti-dilutive.

(7)  INCOME TAXES:

The Company  accounts  for income  taxes under the  provisions  of  Statement of
Financial  Accounting  Standards No. 109,  Accounting for Income Taxes (SFAS No.
109).  SFAS No. 109 requires  deferred  income tax assets and  liabilities to be
computed based upon cumulative temporary differences between financial reporting
and taxable income, carryforwards available and enacted tax law.

Income tax expense differs from the amount computed by applying the U.S. federal
income  tax  rate of 34% to  income  before  income  taxes  as a  result  of the
following:
<TABLE>
<CAPTION>

                                                                                  1996             1995
                                                                             -------------     -------------
   <S>                                                                       <C>               <C>    
   Expected income tax expense (benefit) at 34%                              $     210,000     $   (273,000)
   Reconciling items:
     State income taxes, net of federal income tax benefit                          40,000          (50,000)
     Amortization of excess purchase price and other                                40,000           53,000
     Increase in valuation allowance                                                    -           270,000
     Other, including effect of utilizing a net operating
       loss carryforwards in accordance with SFAS No. 109                         (232,000)               -
                                                                             -------------     ------------

   Current provision for income taxes, of which
     $18,000 is federal and $40,000 is state in 1996                         $      58,000     $          -
                                                                             =============     ============
</TABLE>
<PAGE>
                                      -9-

The components of net deferred taxes as of January 31, 1996, are as follows:

     Deferred tax assets (liabilities):
       Allowance for doubtful accounts                      $     276,000
       Accrued liabilities                                        348,000
       Deferred revenue                                           515,000
       Net operating loss and AMT credit carryforwards            119,000
       Capitalized software costs                                (399,000)
       Tax depreciation in excess of book depreciation            (85,000)
       Valuation allowance                                       (774,000)
                                                            --------------

                                                            $        -
                                                            ==============

A valuation  allowance is provided when it is uncertain that some portion or all
of the deferred tax asset will be recognized.  The valuation allowance decreased
during the year  ended  January  31,  1996,  due to the  Company's  fiscal  1996
operating results.

As  of  January  31,  1996,   the  Company  had  remaining  net  operating  loss
carryforwards  for  federal  and state  income  tax  purposes  of  approximately
$300,000 to offset future  taxable  income,  expiring  through the year 2007, of
which approximately $60,000 is subject to special limitations as to use pursuant
to state income tax regulations.







                                  EXHIBIT 10.51


                     DEVELOPMENT AND DISTRIBUTION AGREEMENT


                  Agreement  made as of the  22nd  day of  December,  1995  (the
"Effective  Date"),  by  and  between  Pfizer  Health  Sciences,  Inc.  ("Pfizer
Health"),  a Delaware  corporation having its principal place of business at 235
East 42nd Street, New York, New York 10017-5755, and National Health Enhancement
Systems,  Inc.  ("NHES"),  a Delaware  corporation having its principal place of
business at 3200 North Central Avenue, Suite 1750, Phoenix, Arizona 85012;

                  WHEREAS,  NHES is in the  business of  developing,  marketing,
selling and operating the products  described on Schedule A attached hereto (the
"NHES  Products")  and offers,  or intends to offer the  services  described  on
Schedule A attached hereto ("NHES Services");

                  WHEREAS,   Pfizer  Health  and  its   Affiliates  (as  defined
hereunder)  desire to use,  and to  distribute  to third party  end-users,  NHES
Products and NHES Services;

                  WHEREAS,  Pfizer  Health  and NHES  desire  to  enter  into an
arrangement for the development of: (i) customized products,  including, but not
limited to, the  [Deleted - see *]  ("Customized  Products");  (ii)  services to
health  care  organizations  and their  beneficiaries  by the  operation  of any
Customized Product ("Related  Services");  and (iii) interfaces between the NHES
Products, Customized Products (including, but not limited to, [Deleted - see *])
and [Deleted - see *];

                  WHEREAS,  Pfizer Health and its Affiliates  desire to use, and
to  distribute  to third party  end-users,  such  Customized  Products,  Related
Services and Interfaces; and

                  WHEREAS, the parties desire to accomplish the foregoing on the
terms and conditions set forth herein.

                  In  consideration  of the mutual  promises  and subject to the
terms and conditions set forth herein, Pfizer Health and NHES agree as follows:

(* Confidential  Treatment Pursuant to Rule 24b-2 of the Securities Exchange Act
of 1934)


                             Section 1. DEFINITIONS

         When used in this  Agreement  and in each Work Order issued  hereunder,
the  capitalized  terms  listed  in this  Section  1 shall  have  the  following
meanings:

         1.1.  Affiliate  -- of a party  shall  mean  any  corporation  or other
business  entity that directly or indirectly  controls,  is controlled by, or is
under common control with, such party.

         1.2.  Change in Control -- of NHES means (a) whenever a majority of the
members of the Board of Directors  of NHES shall have been  elected  against the
recommendation  of the  management  of NHES or the Board of Directors of NHES in
office immediately prior to such election;  provided, however, that for purposes
of this clause (a), a member of such Board of Directors  whose initial  election
occurs as a result of either an actual or threatened  election  contest (as such
terms are used in Rule 14a-11 of Regulation 14A promulgated under the Securities
Exchange Act of 1934, as amended) or other actual or threatened  solicitation of
proxies  or  consents  by or on behalf  of a person  other  than  such  Board of
Directors  shall be deemed to have been elected  against the  recommendation  of
such Board of Directors; (b) whenever any person or group of persons (other than
those set forth in Schedule I) shall acquire (whether by merger,  consolidation,
sale,  assignment,  lease,  transfer or  otherwise,  in one  transaction  or any
related series of transactions) or otherwise  beneficially own equity securities
of NHES that  represent  in excess of fifty (50)  percent of the voting power of
all  outstanding  equity  securities of NHES generally  entitled to vote for the
election of directors;  or (c) whenever any pharmaceutical company shall acquire
(whether  by  merger,  consolidation,   sale,  assignment,  lease,  transfer  or
otherwise,  in one  transaction  or  any  related  series  of  transactions)  or
otherwise beneficially own equity securities of NHES that represent in excess of
thirty (30) percent of the voting power of all outstanding  equity securities of
NHES generally entitled to vote for the election of directors.

         1.3.  Code -- shall mean  computer  programming  code other than Source
Code,  including,  without limitation,  the  machine-readable  form of such code
(hereinafter "Object Code"), any Maintenance Modifications or Basic Enhancements
thereto created


by NHES and made  generally  available to its customers  from time to time,  and
Major  Enhancements  thereto when added in  connection  with a Work Order issued
hereunder.

         1.4.  Customer -- shall mean any third party that purchases or licenses
products or services from Pfizer Health, including, without limitation, any NHES
Product,  NHES Service,  Customized Product,  Related Service, or [Deleted - see
*].

              (a) Tier 1  Customer  -- shall mean a  Customer  having  more than
250,000 beneficiaries.

              (b) Tier 2 Customer  -- shall mean a Customer  having no more than
250,000 beneficiaries.

         1.5.  Deliverables  -- shall mean all Code,  Documentation,  Customized
Products,  [Deleted see *], data,  databases,  and other materials  developed by
NHES under this Agreement or any Work Order issued hereunder.

         1.6.  Derivative  Work -- shall  mean a work that is based  upon one or
more  preexisting  works,  such  as  a  revision,   modification,   translation,
abridgement,   condensation,   expansion,  or  any  other  form  in  which  such
preexisting works may be recast,  transformed, or adapted, and that, if prepared
without  authorization of the owner of the copyright in such  preexisting  work,
would  constitute a copyright  infringement.  For purposes  hereof, a Derivative
Work shall also include any  compilation  that  incorporates  such a preexisting
work.

         1.7.  Documentation  -- shall  mean  user  manuals  and  other  written
materials,  including  materials  useful for design (e.g.,  logic manuals,  flow
charts,   and  principles  of  operation).   Documentation   shall  include  any
Maintenance  Modifications  or Basic  Enhancements  thereto created by NHES from
time to time,  and shall  include Major  Enhancements  thereto when added to the
Documentation in connection with a Work Order issued hereunder.

         1.8.  Enhancements  -- shall  mean  changes  or  additions,  other than
Maintenance  Modifications,  to Code and Source Code and related  Documentation,
that are  incorporated in any new release that NHES makes available to more than
one third party or to Pfizer and that improve functions,  add new functions,  or
significantly improve performance by changes in system design or coding.


              (a) Basic Enhancements -- shall mean any Enhancements that are not
Major Enhancements.

              (b) Major  Enhancements -- shall mean Enhancements that (1) have a
value and utility separate from the use of the Code and Documentation;  (2) as a
practical  matter,  may be  priced  and  offered  separately  from  the Code and
Documentation;  and (3) are not made available to any of NHES' customers without
separate charge.

         1.9. Error -- shall mean any error,  problem,  or defect resulting from
(1)  an  incorrect  functioning  of  Code,  or (2) an  incorrect  or  incomplete
statement  of diagram in  Documentation,  if such an error,  problem,  or defect
renders the Code inoperable,  causes the Code to fail to meet the specifications
thereof, causes the Documentation to be inaccurate or incomplete in any material
respect,  causes incorrect results,  or causes incorrect functions to occur when
any such materials are used.

         1.10.  Initial  Term -- shall  mean the period of one (1) year from the
Effective Date.

         1.11.  Maintenance  Modifications  -- shall mean any  modifications  or
revisions  that NHES makes  available to more than one third party or to Pfizer,
other than Enhancements,  to Code or Documentation that correct Errors,  support
new  releases  of the  operating  systems  with  which the Code is  designed  to
operate,  support new  input/output  (I/O) devices,  or provide other incidental
updates and corrections.

         1.12.  Product  Completion  -- shall  mean the date of Pfizer  Health's
acceptance  of  a  Customized  Product  or  Interface  in  accordance  with  the
parameters set forth in the applicable Work Order.

         1.13.  Quarter -- shall mean any consecutive  three-month period of the
Initial Term, commencing on the Effective Date and each three months thereafter.

         1.14.  Representative  -- of a party shall mean any officer,  director,
employee,  independent  contractor,  agent, assign or any other person or entity
working under the supervision of or at the direction of such party.

         1.15. Source Code -- shall mean the human-readable form of the computer
programming  code and related  Documentation,  including  all  comments  and any
procedural code such as job control language and including any Maintenance


Modifications or Basic  Enhancements  thereto created by NHES and made generally
available to its customers  from time to time,  and Major  Enhancements  thereto
when added in connection with a Work Order issued hereunder.

         1.16.  Technology -- shall mean all materials,  processes,  inventions,
works  of  authorship,   techniques,  data,  know  how,  algorithms,   programs,
subroutines,  specifications, tools, testing and maintenance specifications, and
related technology,  that are used in, incorporated in, embodied in or displayed
by any Code or  Source  Code,  or used or  useful  in the  design,  development,
reproduction,  maintenance or  modification  of any Code or Source Code, and all
intellectual property rights, including,  without limitation,  those in patents,
copyrights, and trade secrets in the foregoing.

         1.17. Third Party Product -- shall mean any Code,  Source Code or other
Technology that is owned by a third party.

         1.18.  Work Order -- shall  mean an  agreement  entered  into by Pfizer
Health and NHES pursuant to this  Agreement for the  development of a Customized
Product,  Related  Service,  [Deleted  - see *], or the  provision  of  services
pursuant to Sections 4.2 and 4.3, a form of which is attached hereto as Schedule
C.


              Section 2. SUPPLY OF NHES PRODUCTS AND NHES SERVICES

         2.1.  NHES'  Obligation  to Supply.  (a) NHES  shall  provide to Pfizer
Health all NHES Products and NHES Services ordered by Pfizer Health hereunder at
prices to be determined according to Section 14.2.

         (b) NHES  shall  also  provide to Pfizer  Health  Customized  Products,
Related  Services,  and [Deleted - see *] in accordance  with this Agreement and
pursuant to a Work Order hereunder,  including,  without  limitation,  all Code,
Source Code, Documentation,  Enhancements, and Maintenance Modifications related
thereto, at fees to be determined according to Section 14.3.

         2.2. Pfizer Health's Obligation to Acquire.  (a) Within one (1) year of
the  Effective  Date,  Pfizer  Health shall  acquire the NHES  Products and NHES
Services at the prices  listed on Schedule A hereto in an amount of  $1,375,000,
which shall be payable pursuant to Section 14.1.

         (b)  Pfizer  Health  shall  deliver  to NHES a written  purchase  order
specifying such NHES Products and NHES Services in accordance with Schedule J by
each of the following  dates:  January 15, 1996;  March 15, 1996; June 14, 1996;
and September 13, 1996.


                         Section 3. SOFTWARE DEVELOPMENT

         3.1. Health Risk Assessment  Tool. (a) NHES shall develop the HRA at no
additional  cost to  Pfizer  Health,  pursuant  to the HRA  project  description
attached hereto as Schedule B. NHES shall use its best efforts to develop a more
detailed product description, specifications, and development schedule that meet
Pfizer Health's approval by January 31, 1996.

         (b)  NHES  shall  provide  Enhancements  and  new  releases  to the HRA
pursuant to the Work Order process.

         3.2.  Customized  Products  and Related  Services.  NHES shall  develop
Customized  Products and Related Services upon the execution of, and pursuant to
the terms of, a Work Order.

         3.3.     [Deleted - see *]

         (b) [Deleted - see *] shall be at no additional  cost to Pfizer Health.
The cost to Pfizer Health of any additional  [Deleted - see *] will be set forth
in the related Work Order.


                 Section 4. NHES SUPPORT AND CONSULTING SERVICES

         4.1.  Standard  Product  Support  and  Consulting  Services.  (a) NHES,
through its service  department,  shall provide  product  support and consulting
services to Pfizer Health,  its  Affiliates and its Customers,  as set forth in,
and under the terms and  conditions  (including but not limited to cost) of, the
License Agreement attached hereto as Schedule D, or Annual License,  Support and
Maintenance Agreement attached hereto as Schedule E, as applicable, provided the
same is executed and delivered by the applicable user.

 (b)      Such services shall include, but not be limited to:
          (1)      initial software and hardware installation;
          (2)      start-up training; and
          (3)      routine product servicing, including, without limitation, the
                   development  of Maintenance  Modifications  to the Customized
                   Products.

         (c) The cost to Pfizer  Health of support and  consulting  services for
Customized  Products  provided by NHES to Pfizer Health or any of its Affiliates
is set forth in Section 14.3.

         4.2. Additional Product Support and Consulting Services. (a) NHES shall
provide additional product support and consulting services to Pfizer Health, its
Affiliates  and its Customers  upon the issuance of a Work Order  specifying the
requested services and the cost to Pfizer Health, its Affiliate or its Customer,
as applicable.

         (b) NHES  shall  provide  such  services  either  through  its  service
department or, at NHES' discretion,  by subcontracting  such services to a third
party  service  provider  (or  providers)  in  accordance  with the Work  Order;
provided that Pfizer Health approves any such  subcontract,  including,  without
limitation, the subcontractor,  in advance. Pfizer Health's approval of any such
subcontract shall not be unreasonably withheld.

         (c) The cost to Pfizer Health of such support and  consulting  services
provided  by NHES to  Pfizer  Health  or any of its  Affiliates  is set forth in
Section 14.4.

         4.3.  Turnkey  Services.  (a)  NHES  shall  provide  turnkey  services,
including,  but  not  limited  to,  hardware  purchasing,  space  configuration,
training and staffing, to Pfizer Health, its Affiliates, and its Customers, upon
the issuance of a Work Order  specifying the requested  services and the cost to
Pfizer Health, its Affiliate, or its Customer, as applicable.

         (b) NHES  shall  provide  such  services  either  through  its  service
department or, at NHES' discretion,  by subcontracting  such services to a third
party  service  provider  (or  providers)  in  accordance  with the Work  Order;
provided that Pfizer Health approves any such  subcontract,  including,  without
limitation, the subcontractor,  in advance. Pfizer Health's approval of any such
subcontract shall not be unreasonably withheld.

         (c) The cost to Pfizer Health of such support and  consulting  services
provided  by NHES to  Pfizer  Health  or any of its  Affiliates  is set forth in
Section 14.4.

         4.4.  Discontinued  NHES  Products.  (a) NHES shall continue to provide
support  services to Pfizer Health or its Affiliate,  as  applicable,  at Pfizer
Health's  request,  for at  least  the  two  (2)  most  recent  versions  of any
discontinued  NHES  Product for the term of this  Agreement,  and, in any event,
until  Pfizer  Health  or  its  Affiliate,  as  applicable,  has  completed  its
transition to a substitute NHES Product. Such transition period shall not exceed
ninety (90) days.

                  (b) NHES shall  continue  to provide  support  services to any
Customer,  at the  Customer's  request,  for at least  the two (2)  most  recent
versions of any discontinued NHES Product for the term of any applicable License
Agreement  or Annual  License,  Support and  Maintenance  Agreement  and, in any
event,  until the Customer has  completed its  transition  to a substitute  NHES
Product. Such transition period shall not exceed ninety (90) days.


                         Section 5. PROMOTIONAL MATERIAL

         5.1.  Provision of Marketing  Resources.  Pfizer  Health shall  provide
reasonable marketing resources for the development,  production and distribution
of  promotional  material  for the  NHES  Products,  NHES  Services,  Customized
Products,  Related Services and [Deleted - see *], including access to personnel
designated  by Pfizer  Health,  the use of Pfizer  Health's  or its  Affiliates'
vendors  for the  purpose of  obtaining  volume  discounts,  and any  additional
resources designated and agreed to by Pfizer Health.  Reasonable resources shall
not include access to Pfizer Health's or any of its  Affiliates'  pharmaceutical
sales representatives unless Pfizer Health agrees otherwise.

         5.2. Allocation of Cost. If the promotion is initiated by Pfizer Health
or any of its Affiliates, the cost of the promotional material shall be borne by
Pfizer Health.  If the promotion is initiated by NHES or any of its  Affiliates,
the cost of the promotional material shall be borne by NHES.


                         Section 6. CUSTOMER INFORMATION

         6.1. Pfizer Health's Obligation.  Pfizer Health shall provide NHES with
customer information on a confidential basis, as needed, for the sole purpose of
coordinating  sales calls  between  the two  parties,  unless  such  information
violates a confidentiality agreement between Pfizer Health and a Customer.

         6.2.  NHES'  Obligation.  NHES  shall  provide  Pfizer  Health  and its
Affiliates  with  access  to its  customer  database  on a  confidential  basis,
including,  without  limitation,  stand-alone  or on-line  access,  to a limited
number  of  personnel  on a  "need  to know  basis,"  for the  sole  purpose  of
coordinating sales calls between the two parties.


            Section 7. CONTRACT ADMINISTRATION AND PROJECT MANAGEMENT

         7.1. Contract Coordinator.  (a) On the Effective Date, each party shall
notify the other party of the name,  business  address,  and telephone number of
its Contract Coordinator.

         (b)      The Contract Coordinator shall be responsible for:

              (1)  arranging all meetings, visits, and consultations between the
                   parties that are of a non-technical nature;

              (2)  receiving all notices  other than those  described in Section
                   22.12(a),  including,  but  not  limited  to,  all  requests,
                   reports, or approvals under this Agreement; and
              (3)  all administrative  matters such as invoices,  payments,  and
                   amendments to the Agreement.

         7.2.  Technical  Coordinator.  Each Work  Order  shall  state the name,
business  address,  and telephone  number of the Technical  Coordinator  of each
party, who may also be the Contract Coordinator. The Technical Coordinator shall
be responsible for performance under such Work Order, including, but not limited
to, the  transmission  and receipt of  Deliverables  and  technical  information
between the parties.

         7.3.  Support  Services  Personnel.  The  following  personnel of NHES'
service  department shall be responsible for NHES'  performance under Section 4:
one  (1)  Manager,  one  (1)  Sales  Specialist,  and  one  (1)  Client  Service
Coordinator.  NHES shall  identify  the Manager  within  ninety (90) days of the
Effective Date, and the Sales Specialist and Client Service  Coordinator  within
one hundred eighty (180) days of the Effective Date.

         7.4.  Issuance  of Work  Orders.  A Work Order may be  originated  by a
written request by Pfizer Health,  a written  proposal by NHES, or other written
instrument by either of the parties,  and shall become  effective,  and shall be
deemed to have issued, upon its execution by authorized  representatives of both
parties.

         7.5.  Notice.  All notice  required or permitted to be given under this
Section  7 shall  be in  writing  and  shall be  deemed  to have  been  given if
personally delivered, faxed (with receipt confirmed) or mailed (by registered or
certified air mail, return receipt  requested),  postage prepaid, to the persons
identified in this Section 7, as  applicable or as designated  from time to time
by written notice.


                               Section 8. CHANGES

         8.1. Changes in Work Order.  (a) Changes in any Work Order,  including,
without limitation,  any Specifications or Deliverables  related thereto,  shall
become  effective  only when a written  change request is executed by authorized
representatives  of both  parties.  Change  requests  that do not  substantially
affect the nature of Deliverables,  their performance or functionality, and that
do not change the total  estimated time for development or provision of services
stated  in the Work  Order by more  than ten  percent  (10%),  or the  estimated
development  cost or  support  cost  stated  in the Work  Order by more than ten
percent (10%), as applicable,  may be requested  and/or accepted by the parties'
Technical Coordinators. All other change requests with respect to this Agreement
or any Work Order must be requested  and/or  accepted by both parties'  Contract
Coordinators.

         (b) NHES may not decline to accept any change  requests that reduce the
cost of  performance,  provided that an equitable  adjustment in compensation is
made for the  out-of-pocket  costs of any  performance  or  preparation  already
undertaken.  NHES further may not decline any change  requests that increase the
cost or magnitude of  performance,  provided that the changes are  reasonable in
scope and result in a commensurate increase in compensation.

         8.2.  Unused NHES Products and NHES Services.  (a) For any NHES Product
purchased  by Pfizer  Health in the first  Quarter,  NHES hereby  grants  Pfizer
Health  the  option to upgrade  such NHES  Product to a new  version of the NHES
Product during the Initial Term at no additional cost to Pfizer Health under the
terms and  conditions  set forth on Schedules D and E, as  applicable,  or NHES'
standard  form  agreement  for  NHES  Services,  as the  same  may be  hereafter
developed.

         (b) For any NHES  Product or NHES Service  purchased  by Pfizer  Health
during the second,  third and fourth Quarters,  NHES hereby grants Pfizer Health
the option to  exchange  any NHES  Product or NHES  Service  acquired  by Pfizer
Health for any other  NHES  Product  or NHES  Service of the same or  comparable
value during the Initial Term, at no additional cost to Pfizer Health;  provided
that such option is exercised in accordance with Schedule J.

         8.3. Enhancements. (a) For any NHES Product or Customized Product, NHES
shall develop Enhancements in accordance with a Work Order.

         (b) NHES  shall  provide  Pfizer  Health  with  advance  notice  of the
availability of other  Enhancements for  incorporation  into any NHES Product or
Customized Product,  which shall be no later than the advance notice provided to
any third party end-user of such NHES Product or Customized Product.  NHES shall
notify Pfizer Health promptly of any Enhancement, or its intention to develop an
Enhancement,  which is likely to  adversely  affect the  utility of the  subject
matter of a pending Work Order.

         8.4. Delay. NHES agrees to notify Pfizer Health promptly of any factor,
occurrence,  or event coming to its  attention  that NHES believes in good faith
may materially and adversely  affect NHES' ability to meet the  requirements  of
any Work Order issued under this Agreement,  or that NHES believes in good faith
is likely to occasion  any  material  delay in delivery  of  Deliverables.  Such
factors,  occurrences,  and events include,  but are not limited to, the loss or
reassignment of key employees,  threat of strike,  major equipment  failure,  or
threat of Change in Control of NHES.


                              Section 9. OWNERSHIP

         9.1.  NHES  Products  and  NHES  Services.  (a)  Ownership  of all NHES
Products and NHES  Services  shall remain with NHES.  Schedule A identifies  all
NHES Products and NHES Services that are  commercially  available on, or planned
as of, the Effective Date.

         (b) If, at any time during the term of this  Agreement but  independent
of its performance under this Agreement,  NHES develops  additional medical call
center or other demand  management  products or services  that are  commercially
available and are not listed on Schedule A, NHES shall promptly amend Schedule A
to include the same and the prices therefor.

         9.2. Customized Products,  Related Services and Interfaces.  NHES shall
own all Customized  Products,  Related  Services and [Deleted - see *] developed
pursuant to this  Agreement,  including,  but not limited to, all  Deliverables,
Code, Source Code, Derivative Works, and Documentation,  and including all trade
secrets, copyrights, patents, and other intellectual property rights therein and
thereto.


                              Section 10. LICENSES

         10.1 License of NHES Products and NHES Services in the United States.

         (a) License to Use. NHES grants to Pfizer  Health and its  Affiliates a
non-exclusive  license to use the NHES  Products  and NHES  Services  ordered by
Pfizer Health from NHES pursuant to Section 2.2, including,  but not limited to,
any related Technology and any updates, Enhancements, Maintenance Modifications,
or new releases  thereof,  in the United States,  under the terms and conditions
set forth on Schedules D and E, as applicable,  or NHES' standard form agreement
for NHES Services, as the same may be hereafter developed.

         (b)  License  to  Market,   Etc.   NHES  grants  to  Pfizer   Health  a
non-exclusive license to market, distribute,  lease, and sublicense,  during the
term of this  Agreement,  the NHES Products and NHES Services  ordered by Pfizer
Health from NHES  pursuant to Section  2.2,  including,  but not limited to, any
related Technology and any updates, Enhancements,  Maintenance Modifications, or
new releases thereof, to its Customers in the United States,  provided that such
Customers agree to use the NHES Products and NHES Services pursuant to the terms
and conditions of an agreement that is substantially  similar to either Schedule
D or E, as applicable,  or NHES'  standard form agreement for NHES Services,  as
the same may be hereafter developed.

         10.2.    License of [Deleted - see *] in the United States.

         (a) License to Use. NHES hereby grants Pfizer Health and its Affiliates
a perpetual license to use the [Deleted - see *], including, but not limited to,
any related Technology and any updates, Enhancements, Maintenance Modifications,
or new releases thereof, in the United States, under the terms and conditions of
an  agreement  that is  substantially  similar  to  either  Schedule  D or E, as
applicable,  or NHES' standard form agreement for NHES Services, as the same may
be  hereafter  developed.  Such  license  shall  be  exclusive  except  for  the
sublicenses authorized by Section 10.2(b).

         (b)  License  to  Market,  Etc.  NHES  hereby  grants  Pfizer  Health a
perpetual,  exclusive license to market,  distribute,  lease, and sublicense the
[Deleted - see *], including, but not limited to, any related Technology and any
updates,  Enhancements,  Maintenance Modifications,  or new releases thereof, to
its Customers in the United States;  provided that such  Customers  agree to use
the [Deleted see *] pursuant to the terms and conditions of an agreement that is
substantially  similar  to  either  Schedule  D or E, as  applicable,  or  NHES'
standard  form  agreement  for  NHES  Services,  as the  same  may be  hereafter
developed.

         10.3.  License  of Other  Customized  Products,  Related  Services  and
[Deleted - see *] in the United States.

         (a) License to Use. NHES hereby grants Pfizer Health and its Affiliates
a perpetual license to use the Customized Products other than [Deleted - see *],
and Related  Services and [Deleted  see *],  including,  but not limited to, any
related Technology and any updates, Enhancements,  Maintenance Modifications, or
new releases thereof, in the United States, under the terms and conditions of an
agreement  that  is  substantially  similar  to  either  Schedule  D  or  E,  as
applicable,  or NHES' standard form agreement for NHES Services, as the same may
be  hereafter  developed.  Such  license  shall  be  exclusive  except  for  the
sublicenses authorized by Section 10.3(b).

         (b)  License  to  Market,  Etc.  NHES  hereby  grants  Pfizer  Health a
perpetual, exclusive license to market, distribute, lease, and/or sublicense the
Customized  Products  other than  [Deleted  see *],  and  Related  Services  and
Interfaces,  including,  but not  limited  to, any  related  Technology  and any
updates,  Enhancements,  Maintenance Modifications,  or new releases thereof, to
its Customers in the United States;  provided that such  Customers  agree to use
the  Customized  Products ( [Deleted - see *]) and [Deleted - see *] pursuant to
the terms and conditions of an agreement that is substantially similar to either
Schedule  D or E, as  applicable,  or NHES'  standard  form  agreement  for NHES
Services, as the same may be hereafter developed.

         (c)  Exclusivity.  If the exclusivity of the license granted in Section
10.3(b)  causes at least  three (3) lost  opportunities  by NHES to provide  its
medical call center  products to third party  end-users  within any  consecutive
twenty-four  (24)-month  period,  NHES may distribute  the  Customized  Products
(other than  [Deleted - see *]) to third party  end-users in the United  States,
other  than any  other  pharmaceutical  company  or any  Affiliate  thereof  for
perpetual  term and in accordance  with the terms and conditions of the relevant
Work Order  (including any relevant  royalty  payments payable by NHES to Pfizer
Health);  provided that, at Pfizer Health's request,  NHES submits proof of such
loss and causation to Pfizer Health to Pfizer Health's  reasonable  satisfaction
prior to marketing the Customized Products.

         10.4  License  of  [Deleted  - see *] and  Other  Customized  Products,
Related Services and Interfaces Outside the United States.

         (a) License to Use. NHES hereby grants  Pfizer  International  Inc., an
Affiliate  of Pfizer  Health  ("Pfizer  IPG"),  a  perpetual  license to use the
Customized Products, Related Services, and [Deleted - see *], including, but not
limited to, any related  Technology and any updates,  Enhancements,  Maintenance
Modifications,  or new releases  thereof,  under the terms and  conditions of an
agreement  that  is  substantially  similar  to  either  Schedule  D  or  E,  as
applicable,  or NHES' standard form agreement for NHES Services, as the same may
be hereafter  developed.  Such license shall be exclusive  except as provided in
Section 10.4(b) and 10.4(c).

         (b) License to Market,  Etc.  NHES hereby grants Pfizer IPG a perpetual
license to market,  distribute,  lease, and sublicense the Customized  Products,
Related  Services,  and  [Deleted - see *],  including,  but not limited to, any
related Technology and any updates, Enhancements,  Maintenance Modifications, or
new releases  thereof,  to third party  end-users  outside of the United States;
provided that such Customers agree to use the Customized Products and Interfaces
pursuant  to the terms and  conditions  of an  agreement  that is  substantially
similar  to  either  Schedule  D or E, as  applicable,  or NHES'  standard  form
agreement  for  NHES  Services,  as the same may be  hereafter  developed.  Such
license shall be exclusive except as provided in Section 10.4(c).

         (c)  NHES'  Rights.  NHES  shall  retain  the  right  to  use,  market,
distribute,  lease  and  sublicense  the  Customized  Products  to  third  party
end-users  outside of the United  States for the term of this  Agreement and for
twelve (12) months thereafter.

         10.5.    License of Data.

         (a) License to Use. NHES hereby grants Pfizer Health and its Affiliates
a perpetual,  royalty-free  license to use any data or  databases  owned by NHES
that are  reasonably  required by Pfizer Health and its Affiliates for operation
of the NHES Products, NHES Services,  Customized Products, Related Services, and
[Deleted - see *],  provided that such use does not violate any  confidentiality
agreement between NHES and any third party.

         (b) Right to Sublicense.  NHES further grants Pfizer Health a perpetual
right to  sublicense  to its  Customers  the right to use any data or  databases
owned by NHES that are reasonably required by its Customers for operation of the
NHES  Products,  NHES  Services,  Customized  Products,  Related  Services,  and
[Deleted - see *]; provided,  however, that no Customer shall further sublicense
such right.

         10.6.  License  Modifications.  Notwithstanding  the provisions of this
Section  10,  NHES  may  from  time to time  reasonably  modify  the  terms  and
conditions  contained  in  Schedules D and E;  provided,  however,  that no such
modification may adversely affect the rights of Pfizer Health hereunder.


                               Section 11. ESCROW

         11.1. Escrow Agreement.  NHES shall enter into an agreement with Pfizer
Health and an escrow agent to be agreed upon by the parties (the "Escrow Agent")
within thirty (30) days of the Effective  Date, for the deposit and custody with
the Escrow  Agent of the Source Code for any and all NHES  Products,  Customized
Products,  [Deleted  -  see  *],  and  any  other  Deliverables,  including  any
Enhancements and Maintenance Modifications (the "Escrow Agreement").  NHES shall
use  its  best  efforts  to  enter  into  such  agreement  within  such  period.
Notwithstanding the foregoing, Pfizer Health shall not unreasonably withhold its
consent to such Escrow Agreement.

         11.2.  Deposit  and  Custody  of Source  Code.  Pursuant  to the Escrow
Agreement, NHES shall deposit the Source Code described in Section 11.1 with the
Escrow Agent.

         11.3.  Release of Source Code.  (a)  Pursuant to the Escrow  Agreement,
NHES, on 30 days written notice from Pfizer Health,  shall  authorize the Escrow
Agent to release  copies of all Source Code  described in Section 11.1 to Pfizer
Health,  on a  confidential  basis,  in the event that, but only for so long as,
NHES is unable to  perform  its  obligations  under  Section  4, and only to the
extent  Pfizer  Health  reasonably   believes   necessary  for  Pfizer  Health's
performance of such obligations.  Any dispute concerning whether Pfizer Health's
access to the Source Code was reasonably  necessary will be resolved pursuant to
provisions contained in the Escrow Agreement.

         (b) Pfizer  Health shall use the Source Code for the NHES Products only
for the  performance of the services  described in Section 4, and, in any event,
not for distribution to any third party.

         11.4.  Return or Destruction of Source Code for NHES Products.  If NHES
is able to perform its obligations under Section 4 at any time after the release
of the Source  Code for the NHES  Products  pursuant  to Section  11.3,  or upon
termination  of this  Agreement,  whichever  occurs  first,  Pfizer Health shall
return to the Escrow Agent, or destroy, any and all copies of such Source Code.

         11.5.  Verification  and Testing of Source Code. Upon written notice to
NHES and the Escrow Agent, and at Pfizer Health's  expense,  Pfizer Health shall
have the right to appoint a consultant  to conduct tests of the Source Code held
in escrow pursuant to Section 11.1, under the supervision of NHES and subject to
reasonable confidentiality  requirements requested by NHES, to confirm that they
are a correct, current, and complete version of the Deliverables.


                           Section 12. CONFIDENTIALITY

         12.1.  Definition of Confidential  Information.  Pfizer Health and NHES
recognize that, in connection with their performance under this Agreement,  each
of them may disclose to the other information  about the disclosing  party's (or
one of its  Affiliates')  business  or  activities  which  such  party  or  such
Affiliate considers  proprietary and confidential and that, in the course of the
performance  of their  duties  under this  Agreement,  each will create  certain
materials and develop  certain  Software and  Technology  that are not generally
known.  All of such  information of each party and its  Affiliates,  which shall
include all business,  customer,  financial and technical information of a party
or one of its  Affiliates,  all  Technology,  the terms and  provisions  of this
Agreement,  and any other  information  of a party  designated  by that party as
confidential   information,   is   hereafter   referred   to  as   "Confidential
Information,"  except that the existence of this  Agreement  itself shall not be
deemed confidential.

         12.2.  Treatment of Confidential  Information.  The party receiving any
Confidential Information (the "Receiving Party") shall maintain it in confidence
and shall not use it for any purpose  other than the  purposes  contemplated  by
this Agreement.

Pfizer Health and NHES may disclose the other's  Confidential  Information only:
(1) to the  Representatives of such party (and, in the case of Pfizer Health, to
Pfizer Inc. and the Representatives thereto); and (2) upon the prior approval of
the party disclosing its Confidential Information (the "Disclosing Party").

         12.3.  Exceptions.  (a) The obligations of Section 12.2 shall not apply
to information that the Receiving Party can show to the reasonable  satisfaction
of the Disclosing Party:

              (1)  is  in  the   possession  of  the  Receiving   Party  without
                   obligation  of  confidence  to the  Disclosing  Party  before
                   receipt thereof from the Disclosing Party;

              (2)  is or has become available to the public without fault of the
                   Receiving Party; or

              (3)  is disclosed to the Receiving Party, without restriction,  by
                   a third party who is not under any legal  obligation  (either
                   by agreement with the  disclosing  party or otherwise by law)
                   prohibiting such disclosure.

         (b)  The  Receiving   Party  may  disclose  the  other's   Confidential
Information  in  the  event  it is  required  by law  to  disclose  Confidential
Information to  governmental  agencies or authorities or in connection  with any
litigation or proceeding;  provided, however, that the Receiving Party endeavors
to limit  disclosure  to that  purpose and gives the  Disclosing  Party  written
notice  of any  instance  of  such a  requirement  in  reasonable  time  for the
Disclosing Party to take steps to object to or to limit such disclosure.

         (c) NHES may disclose the  confidential  terms and  conditions  of this
Agreement in connection  with a proposed  material  transaction to a third party
other than a pharmaceutical company upon such third party's consent to treat the
confidential terms and conditions of this Agreement as Confidential  Information
in accordance  with Section 12.2. NHES may disclose the  confidential  terms and
conditions of this Agreement in connection with a proposed material  transaction
to a pharmaceutical company only if Pfizer Health consents in advance in writing
to such disclosure.

         (d) At any time  during  the term of,  and upon  termination  of,  this
Agreement,  each party shall, on the written request of the other party, deliver
to the  requesting  party any  written,  printed  or other  materials  embodying
Confidential  Information  of the  requesting  party in its  possession,  in the
possession of any of its  Representatives,  or, in the case of Pfizer Health, in
the possession of any Representatives of Pfizer Inc.

         12.4. Obligated Persons.  The foregoing  obligations of confidentiality
shall apply to the  Representatives  of the parties and the parties'  Affiliates
and any other person to whom the parties have delivered  copies of, or permitted
access to, such Confidential  Information  pursuant to this Section 12, and each
party shall  identify all  Confidential  Information  in tangible form by either
stamping or otherwise  affixing in a legible manner the term  "CONFIDENTIAL"  on
such tangible form.

         12.5.   Third-party   Confidential   Information.    Any   confidential
information  of a third party that is so  designated  by such third party and is
disclosed to either  Pfizer  Health or NHES in  furtherance  of this  Agreement,
shall be treated  by Pfizer  Health or NHES,  as the case may be, in  accordance
with the  terms  under  which  such  third-party  confidential  information  was
disclosed.

                       Section 13. PREFERRED RELATIONSHIP

         13.1.  Product  Distribution.  (a) During the term of the Agreement and
for six (6) months  thereafter,  NHES shall not enter into any agreement for the
distribution of the NHES Products or NHES Services in the United States with any
other pharmaceutical company or any affiliate thereof.

         (b) During the term of the Agreement and for six (6) months thereafter,
Pfizer Health shall not, for the benefit of its  pharmaceutical  business or the
pharmaceutical  business of any of its Affiliates,  enter into any  distribution
and development  agreement comparable to this Agreement with any of NHES' direct
competitors whose primary business is stand-alone  demand management systems and
services comparable to those provided by NHES hereunder.

         13.2. Product Development. During the term of the Agreement and for six
(6) months thereafter,  NHES shall not develop any customized  products based on
the NHES Products for any other pharmaceutical  company or any Affiliate thereof
for use in the United States.

         13.3. Hiring of  Representatives.  During the term of the Agreement and
for one (1) year  thereafter,  each party and its  Affiliates  shall not hire or
solicit for hire any  Representative of the other party or any of its Affiliates
who has performed any  obligation  under this Agreement or any Work Order issued
hereunder, or who otherwise obtained Confidential Information in connection with
this Agreement.

         13.4 Right of First Refusal. (a) During the term of this Agreement,  if
NHES  desires  to  sell,  assign  or  transfer  any  equity  securities,  or any
securities  convertible  into  equity  securities,   to  another  pharmaceutical
company,   where  such  sale,  assignment  or  transfer  would  result  in  such
pharmaceutical   company's  beneficial  ownership  of  NHES'  equity  securities
representing  in excess of thirty  percent  (30%) of the voting  power of all of
NHES' outstanding equity securities  generally entitled to vote for the election
of directors (the "Noticed Securities"), NHES shall not sell, assign or transfer
the Noticed  Securities  without first sending a written notice to Pfizer Health
setting forth in detail the terms of the proposed  sale,  assignment or transfer
and offering to sell the Noticed Securities to Pfizer Health at the price and on
the terms contained  therein (the "Notice").  Pfizer Health shall have an option
for thirty (30) days from its  receipt of the Notice to elect to  purchase  all,
but not less  than  all,  of the  Noticed  Securities.  The  exercise  of Pfizer
Health's  right to purchase the Noticed  Securities  shall be made in writing to
NHES.  The closing of the purchase of the Noticed  Securities  by Pfizer  Health
shall occur no later than sixty (60) days  following  expiration  of the initial
thirty (30)-day period provided for above.

         (b) If Pfizer Health does not elect to purchase the Noticed  Securities
and NHES fails to transfer the Noticed  Securities within  one-hundred and fifty
(150) days following the expiration of the thirty  (30)-day  period provided for
above, then any sale,  assignment,  or transfer of the Noticed Securities to the
other pharmaceutical  company shall again be subject to Pfizer Health's right of
first refusal as set forth in this Section 13.4.

         (c)  Notwithstanding  the above, Pfizer Health's right of first refusal
shall not apply to any  transfer of the Noticed  Securities  to an  Affiliate of
Pfizer Health.

                    Section 14. PRODUCT AND SERVICE PAYMENTS

         14.1. Advance Payments for NHES Products and NHES Services.  (a) During
the Initial Term,  Pfizer Health shall make the following  minimum  payments for
NHES Products and NHES Services,  at the prices  established in accordance  with
Section 14.2.  Such payments shall be  non-refundable  and made on or before the
dates specified  below,  with the first payment to be made on the Effective Date
by wire transfer;  except that payment for the fourth Quarter shall be made only
in the event that the [Deleted  see *] is  delivered to Pfizer  Health to Pfizer
Health's reasonable satisfaction,  and if so, upon the later of the commencement
of the  fourth  Quarter  or such  delivery  of the  [Deleted  - see *] to Pfizer
Health.

      Quarter       Payment Date                  Amount
      -------       ------------                  ------

         1          Effective Date                $[Deleted - see *]

         2          March 22, 1996                $[Deleted - see *]

         3          June 21, 1996                 $[Deleted - see *]

         4          September 20, 1996            $[Deleted - see *]

         (b) During the Initial Term, Pfizer Health may purchase additional NHES
Products and NHES Services at the prices  established in accordance with Section
14.2.

         14.2.    [Deleted - see *]

         14.3.    Fees for Customized Product Support and Consulting Services.

         (a) [Deleted - see *]. (1) For the Initial  Term,  Pfizer  Health shall
pay to NHES the  following  fees for  product  support and  consulting  services
relating to the [Deleted - see *] and provided  pursuant to Section 4.1: (i) for
each Tier 1  Customer,  $[Deleted  - see *]; and (ii) for each Tier 2  Customer,
$[Deleted - see *]; except that the  aggregate  amount paid by Pfizer Health for
Tier 1 Customers and Tier 2 Customers  shall not exceed  $[Deleted - see *], and
the aggregate  number of Tier 1 Customers and Tier 2 Customers  shall not exceed
seventy (70) Customers.

         (2) For the Second Term and  Successive  Terms,  NHES and Pfizer Health
shall agree upon support and maintenance  fees at the  commencement of each such
term;  provided that if the parties are unable to agree on such fees, NHES shall
have no further  obligation to provide  consulting and support  services for the
[Deleted - see *] pursuant to Section 4.1.

         (b) Customized Products and Interfaces. Pfizer Health shall pay to NHES
fees for product  support and  consulting  services  relating to the  Customized
Products  other  than  the  [Deleted  - see *] and the  [Deleted  - see *],  and
provided  pursuant  to  Section  4.1,  to be agreed  upon by the  parties in the
relevant  Work Order or  otherwise;  provided  that if the parties are unable to
agree on such fees, NHES shall have no further  obligation to provide consulting
and support  services for such  Customized  Products and Interfaces  pursuant to
Section 4.1.

         14.4.  Fees for Additional  Product  Support and Consulting and Turnkey
Services.  (a) The fee rates for NHES'  services to Pfizer  Health or any of its
Affiliates or Customers  pursuant to Sections 4.2 and 4.3 shall be in the amount
of the average  product support fees charged by NHES in connection with sales of
similar services to other NHES customers that are of similar size and complexity
to the Customer at issue  during the most recent six  (6)-month  period,  as set
forth on Schedule H hereto,  as amended from time to time upon  agreement of the
parties.

         (b)  Such  fees  shall  be  payable  by  Pfizer  Health  or  any of its
Affiliates or Customers  pursuant to a Work Order.  Such payments shall commence
in accordance  with  Schedules D and E, as  applicable,  or NHES'  standard form
agreement for NHES Services, as the same may hereafter be developed.

         14.5. Invoicing.  (a) NHES shall submit invoices on a monthly basis for
charges due or accruing in each  calendar  month to Pfizer  Health for  services
rendered  pursuant  to  Sections  4.2 and 4.3  and  for  Deliverables  delivered
pursuant  to Section 3 at such time or times as payment  becomes  due under each
Work Order.  Invoices shall be addressed to Pfizer Health's Contract Coordinator
and shall specifically refer to the Work Order to which they relate.

         (b)  Each  invoice  shall   separately   set  forth  travel  and  other
out-of-pocket  or cash  expenses,  if  any,  authorized  by  Pfizer  Health  for
reimbursement.  Any  supporting  documentation  reasonably  required  by  Pfizer
Health,  including,  but not limited to,  receipts for air travel,  hotels,  and
rental  cars,  shall  accompany  each  invoice.  Any  extraneous  terms on NHES'
invoices  shall be void and of no  effect,  except  as  otherwise  agreed by the
parties.

         14.6. Sales Commission. NHES shall pay Pfizer Health a sales commission
for Pfizer  Health's  referral to NHES or other  facilitation of sales by Pfizer
Health  of the  NHES  Products,  NHES  Services,  Customized  Products,  Related
Services and  Interfaces  during the Second or Successive  Term, at a rate to be
agreed upon by the parties at the  commencement of the applicable  term.  Pfizer
Health shall not be entitled to sales  commissions  on the placement of products
and services previously ordered by Pfizer Health.


                          Section 15. TERM AND RENEWAL

         15.1.  Term of Agreement.  This  Agreement  shall be effective upon the
Effective Date and shall remain in force for the Initial Term,  unless otherwise
terminated as provided herein.

         15.2.  Renewal of Agreement for Second Term. During the fourth Quarter,
this  Agreement may be renewed for an  additional  three year period upon mutual
written agreement of the parties (the "Second Term"). [Deleted - see *].

         15.3.  Additional Renewals.  Thereafter,  this Agreement may be renewed
upon mutual written  agreement of the parties for additional  three year periods
(each a  "Successive  Term")  during the last Quarter or the last quarter of the
Second Term or Successive Term, as the case may be.


                             Section 16. TERMINATION

         16.1.  Termination  of  Agreement  by Either  Party.  Either  party may
terminate  this  Agreement,  effective  immediately  upon  receipt  of notice of
default to the other  party,  in the event that the other party  defaults on the
performance  or  observance  of any of the material  terms or conditions of this
Agreement,  including,  without  limitation,  any material breach of warranty or
breach of  confidentiality,  which  default is not remedied  within  thirty (30)
calendar  days after  written  notice  specifying  the nature of the  default is
received by NHES (the "uncured material breach"),  except as provided in Section
16.4.

         16.2.  Termination  of Agreement by Pfizer  Health.  Pfizer  Health may
terminate this Agreement, effective immediately upon NHES's receipt of notice to
NHES,  upon the  occurrence  of any of the  following  events:  (a) a Change  in
Control of NHES or the  transfer or disposal of a  substantial  portion of NHES'
assets necessary for NHES' performance  under this Agreement;  (b) the filing by
or  against  NHES of, or the entry of an order for relief  against  NHES in, any
voluntary or good faith involuntary proceeding under any bankruptcy, insolvency,
reorganization or receivership law (including,  without  limitation,  the United
States Bankruptcy code) or an admission seeking relief as therein allowed, which
filing or order is not vacated  within  ninety (90) calendar days from the entry
thereof;  (c) the appointment of a receiver for all or a substantial  portion of
NHES'  property for a period  exceeding  sixty (60)  calendar  days;  or (d) the
assumption  of custody,  attachment  or  sequestration  by a court of  competent
jurisdiction of all or a significant portion of NHES' property.

         16.3.  Termination of Work Orders.  (a) Should Pfizer Health  terminate
this  Agreement  pursuant to Sections  16.1 or 16.2,  Pfizer  Health may, at its
option,  terminate  any or all Work Orders  outstanding,  upon thirty (30) days'
written notice.

         (b) Either party may terminate a Work Order, effective immediately upon
receipt  of notice of default  to the other  party,  in the event that the other
party  materially  defaults  on  the  performance  or  observance  of any of the
material  terms or conditions of such Work Order,  which default is not remedied
within thirty (30) calendar days after written  notice  specifying the nature of
the default is received by the defaulting party.  Notwithstanding the foregoing,
this  Section  16.3  shall  not apply to a  failure  by Pfizer  Health to meet a
payment  obligation as to which there is a good faith dispute,  up to the amount
of such dispute.

         (c) Upon receipt of notice by either party of  termination  pursuant to
Sections  16.3(a) or 16.3(b),  NHES shall inform  Pfizer Health of the extent to
which  performance has been completed through such date, and collect and deliver
to  Pfizer  Health  whatever  Deliverables  and  other  work  product  have been
developed  pursuant to the applicable  Work Order(s) and then exist, in a manner
to be prescribed  by Pfizer  Health.  NHES shall be paid for all work  performed
pursuant to such Work Order(s)  through the date of  termination,  provided that
such payment shall not be greater than the payment that would have become due if
the work had been completed.

         16.4.  Refusal of Work Orders. If Pfizer Health fails to meet a payment
obligation as to which there is a good faith dispute between the parties,  up to
the amount of such dispute:  (a) NHES may decline to accept any additional  Work
Orders,  provided that it continue to perform in accordance  with this Agreement
and any Work  Orders  then in effect;  and (b) such  failure to pay shall not be
considered an uncured material breach pursuant to Section 16.1.


                 Section 17. EFFECT OF TERMINATION OR EXPIRATION

         17.1.  Deliverables.  Upon termination or expiration of this Agreement,
all completed or partially  completed  Customized  Products,  [Deleted - see *],
related  Documentation and other  Deliverables  developed,  and for which Pfizer
Health has made  payment,  pursuant to this  Agreement and any  applicable  Work
Order, shall be transferred to Pfizer Health.

         17.2  Payments.  (a)  Upon  (1)  expiration  of this  Agreement  or (2)
termination of this Agreement due to either:  (i) an uncured  material breach by
NHES under Section 16.1, or (ii) one of the events described in Section 16.2, no
further  amounts (except for amounts past due) will be payable to NHES, and NHES
shall repay to Pfizer  Health any  amounts  received by it that are in excess of
payments due under this  Agreement for work  actually  performed to the point in
time of termination or expiration.

                  (b)  Upon  termination  of this  Agreement  due to an  uncured
material  breach by Pfizer Health under  Section  16.1,  Pfizer Health shall pay
NHES the balance of the $ 1,375,000 due under Section 2.2 of this Agreement, and
shall be entitled to receive NHES Products and NHES Services of the same value.

         17.3.  Winding-Up.  Upon  termination or expiration of this  Agreement,
NHES shall provide the necessary  services for winding up, including services in
connection  with the transition to a substitute  product by Pfizer  Health,  its
Affiliates,  or its  Customers,  as  requested by Pfizer  Health,  to the extent
Pfizer Health agrees to make payments for such services, which payments shall be
at the rates established pursuant to Section 14.2, up to an amount of $50,000.

         17.4.  Survival  Provisions  of  Agreement.  (a)  In the  event  of any
termination or expiration of this Agreement,  the perpetual  licenses granted in
Section 10 and the provisions of Sections 18.1(a),  18.1(b), 18.2, 18.4 and 19.1
hereof  shall  survive and  continue in effect and shall inure to the benefit of
and be  binding  upon  the  parties  and  their  legal  representatives,  heirs,
successors, and assigns.

         (b) In the event of any  termination  or expiration of this  Agreement,
Sections  18.3 and 21.2 hereof  shall  survive and  continue in effect and shall
inure  to the  benefit  of and be  binding  upon the  parties  and  their  legal
representatives,  heirs,  successors,  and assigns for a period of two (2) years
after such termination or expiration.

         17.5.  Survival  of  Confidential  Information.  In  the  event  of any
termination  or  expiration  of this  Agreement,  Section 12 shall  survive  and
continue  in effect and shall  inure to the  benefit of and be binding  upon the
parties and their legal representatives,  heirs,  successors,  and assigns for a
period of five (5) years after  termination  or  expiration  of this  Agreement;
except that Pfizer Health shall  maintain in confidence  all Source Code for the
NHES Products,  including,  without limitation, all Technology and Documentation
related thereto, in accordance with Section 12 of this Agreement in perpetuity.

         17.6.  Survival of Work Order.  Upon  termination or expiration of this
Agreement,  any Work Order then in effect shall continue to remain in effect, at
Pfizer  Health's  sole option,  for the term of the Work Order,  unless the Work
Order is terminated pursuant to Section 16.3.

         17.7.  Survival  of License  Agreement,  Annual  License,  Support  and
Maintenance Agreement and Applicable Warranties.  Upon termination or expiration
of this  Agreement,  any  License  Agreements  and Annual  License,  Support and
Maintenance Agreements in effect on such date of termination or expiration,  and
Sections  18.1(c)  and 18.1(d)  applicable  thereto,  shall  remain in effect in
accordance with the terms of such agreements.

         17.8. Survival of Rights Accrued Prior to Termination.  The exercise of
any right of  termination  under this section  shall not affect any rights which
have accrued prior to  termination  and shall be without  prejudice to any other
legal or equitable  remedies to which the  terminating  party may be entitled by
reason of such rights.


                   Section 18. REPRESENTATIONS AND WARRANTIES

         18.1.  General  Representations  and  Warranties  of NHES.  NHES hereby
represents, warrants and covenants to Pfizer Health that:

         (a) NHES has full  corporate  power and  authority  to enter  into this
Agreement,  and the execution by NHES of this Agreement and the  consummation by
NHES  of  the  transactions  contemplated  by  this  Agreement  have  been  duly
authorized by all necessary  corporate  actions on behalf of NHES; the execution
and delivery of this Agreement by NHES, and the consummation of the transactions
contemplated by this Agreement, do not conflict with or violate: (i) the charter
documents  or by-laws of NHES;  (ii) any  contract or agreement to which NHES or
any of its  Affiliates  is a party,  by which NHES or any of its  Affiliates  is
bound, or to which NHES' or any of its Affiliates' assets are subject;  or (iii)
any applicable law or the order of any court or governmental authority;

         (b) NHES is the legal and  beneficial  owner of all  rights,  title and
interest in the NHES Products  having good title thereto,  free and clear of any
and all liens,  subject to the licenses  from third parties to NHES set forth in
Schedule F hereto, and the liens on NHES Products provided on Schedule G hereto;

         (c) NHES shall  diligently  perform all NHES Services in a professional
and workmanlike  manner and in accordance with industry  standards and practices
applicable to the performance of such services; and

         (c) The support services  described in the License  Agreement or Annual
License,  Support  and  Maintenance  Agreement,  whichever  is  applicable,  are
sufficient  in NHES'  experience to enable Pfizer Health or a third party to use
and operate NHES Products.

         18.2. Warranty for Infringement.  NHES hereby represents,  warrants and
covenants to Pfizer Health that:

         (a)  NHES  shall  have   obtained  all  the   necessary   licenses  and
authorizations  to use Third Party  Products  before  incorporating  it into, or
using it in connection with, NHES Products,  Customized Products, [Deleted - see
*], or any other  Deliverables;  the incorporation of any Third Party Product in
any NHES Product,  Customized  Product,  Interface,  or  Deliverable  is, to the
extent  necessary,  permitted  by such  third  parties;  the use,  reproduction,
distribution  or  modification   of  any  NHES  Product,   Customized   Product,
Interfaces,  or any other  Deliverable  shall not be in  violation  of any third
party  rights in such Third Party  Product;  and the term of such  licenses  and
authorizations is for the term of the Agreement, and, if longer, the term of the
relevant License Agreement or Annual License, Support and Maintenance Agreement,
as  applicable,  except where such  license  would  violate any  confidentiality
agreement between NHES and a third party.

         (b) Neither  the NHES  Products,  including,  without  limitation,  any
Technology,  nor the copying,  using or selling thereof to the extent  permitted
under this  Agreement or  attachments  hereto,  infringe or are infringed by any
United States copyright,  trade secret,  United States trademark,  United States
patent or any other intellectual property right of any third party in the United
States; and

         (c) Neither the  Customized  Products,  [Deleted - see *], or any other
Deliverables, the copying, making, using or selling thereof, nor the practice or
use of any process or product to develop such Customized  Products,  Interfaces,
or Deliverables,  including,  without limitation,  any Technology, to the extent
permitted under this Agreement or attachments hereto,  infringe or are infringed
by any United States copyright,  trade secret,  United States trademark,  United
States patent or any other intellectual property right of any third party in the
United States.

         18.3. Warranty of Performance and Reliability.  Without limiting in any
way NHES' support and maintenance  obligations  under this Agreement or any Work
Order, NHES hereby represents, warrants and covenants that:

         (a) Any Deliverable shall conform to the specifications and operational
requirements  set forth in the Work Order for the  development of the Customized
Product or Interface  associated with such  Deliverable and be free from Errors,
defects, and faulty workmanship in accordance with best industry practice;

         (b) The Technology of the NHES Products,  Customized Products, [Deleted
- - see *], and other Deliverables, including, without limitation, all algorithms,
are or shall be free from and do not and shall not contain Errors,  defects,  or
faulty workmanship in accordance with best industry practice, are or shall be as
up-to-date as is reasonably  possible at the time of delivery to Pfizer  Health,
its Affiliates or its  Customers,  and, to the best of NHES'  knowledge,  are or
shall be accurate,  safe,  efficacious  and  complete  for use by qualified  and
competent end-users;

         (c) The Source Code of any NHES Product, Customized Product, Interface,
or any other  Deliverable  (i) is or shall be free from physical  defects in the
media in which it is  embodied  and (ii) does not or shall not  contain  any (A)
"back door," "time bomb," "drop dead" device or other software  routine designed
to disable a computer  program  automatically  with the passage of time or under
the positive  control of any person or (B) any virus,  "Trojan horse," "worm" or
other software routines or hardware  components  designed to permit unauthorized
access,  to disable,  erase or otherwise harm software,  hardware or date, or to
perform any other similar actions;

         (d) The descriptions of the NHES Product,  Customized Product, [Deleted
- - see *], or any other  Deliverable  contained  in each Work Order are a part of
the basis of the bargain, and the NHES Product,  Customized Product,  Interface,
or any other  Deliverable  shall  conform to such  descriptions  in all material
respects; and

         (e) Upon  completion  of all  performance  obligations  under each Work
Order,  the NHES Product,  Customized  Product,  [Deleted - see *], or any other
Deliverable  shall be reasonably  suitable for its intended purpose as set forth
in the terms of the Work Order.

         18.4. General  Representations and Warranties of Pfizer Health.  Pfizer
Health hereby represents,  warrants and covenants to NHES that Pfizer Health has
full  corporate  power  and  authority  to enter  into this  Agreement,  and the
execution by Pfizer  Health of this  Agreement  and the  consummation  by Pfizer
Health  of the  transactions  contemplated  by this  Agreement  have  been  duly
authorized by all necessary  corporate  actions on behalf of Pfizer Health;  the
execution and delivery of this Agreement by Pfizer Health,  and the consummation
of the  transactions  contemplated  by this  Agreement,  do not conflict with or
violate:  (1) the  charter  documents  or by-laws of Pfizer  Health;  or (2) any
contract or  agreement  to which  Pfizer  Health or any of its  Affiliates  is a
party, by which Pfizer Health or any of its Affiliates is bound, or to which any
of Pfizer Health's or any Affiliates' assets are subject;  or (3) any applicable
law or the order of any court or governmental authority.

         18.5.  LIMITATIONS.  THE  REPRESENTATIONS  AND  WARRANTIES  OF NHES AND
PFIZER HEALTH SET FORTH IN SECTIONS  18.1,  18.2,  18.3, and 18.4 ARE IN LIEU OF
ALL  OTHER  REPRESENTATIONS  OR  WARRANTIES,   EXPRESS,  IMPLIED  OR  STATUTORY,
INCLUDING,  BUT NOT LIMITED TO, ANY IMPLIED  REPRESENTATIONS  OR  WARRANTIES  OF
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.


                           Section 19. INDEMNIFICATION

         19.1.  Indemnification by NHES. (a) NHES shall indemnify Pfizer Health,
its Affiliates,  and its Representatives and hold them harmless from any and all
claims,  losses,  deficiencies,   damages,  liabilities,   costs,  and  expenses
(including, but not limited to, reasonable attorneys' fees and all related costs
and expenses) incurred by Pfizer

Health,  its Affiliates,  or its  Representatives as a result of any third party
claim,  judgment or adjudication against Pfizer Health alleging or arising from:
(1) the infringement by any of the Deliverables of any third party  intellectual
property rights; (2) the intentional misconduct, negligent actions or omissions,
or grossly  negligent  actions or omissions of NHES or its  Representatives,  in
performing  under the terms of this Agreement or any Work Order related thereto;
and (3) any breach or allegation  which, if true,  would  constitute a breach of
any  of  NHES'  obligations,  representations,  covenants  or  warranties  under
Sections 18.1, 18.2 and 18.3; and (4) any product liability arising from the use
of  NHES  Products,  Customized  Products,  [Deleted  - see  *],  or  any  other
Deliverables;  provided that Pfizer Health promptly  notifies NHES in writing of
any such claims and  reasonably  cooperates  with NHES in defending  against any
such claims, at NHES' sole expense.

         (b)  To  the  extent  that  Pfizer  Health,   its  Affiliates  and  its
Representatives  exercise their rights to use the NHES Products,  NHES Services,
Customized Products, Related Services and [Deleted - see *] pursuant to Sections
10.1(a),  10.2(a)(1),  10.3(a),  10.4(a) and 10.5(a), NHES assumes liability for
and hereby agrees to indemnify,  protect and keep harmless  Pfizer  Health,  its
Affiliates,   and  its  Representatives  for,  from  and  against  any  and  all
liabilities, obligations, losses, damages, injuries, claims, demands, penalties,
actions, costs and expenses, including reasonable attorneys' fees, of whatsoever
kind and  nature,  arising  out of any failure on the part of NHES to perform or
comply with its obligations under this Agreement.

         19.2.  Indemnification by Customer. NHES shall obtain an agreement from
each  Customer  to  indemnify,  protect and keep  harmless  Pfizer  Health,  its
Affiliates  and  its   Representatives   for,  from  and  against  any  and  all
liabilities, obligations, losses, damages, injuries, claims, demands, penalties,
actions, costs and expenses, including reasonable attorneys' fees, of whatsoever
kind and nature, arising out of: (1) any failure on the part of such Customer to
perform or comply with its  obligations  under any License  Agreement  or Annual
License,  Support  and  Maintenance  Agreement  in effect;  and (2) any  advice,
information,  health  reference  information or materials  provided  directly or
indirectly  by the  Customer  to an  independent  third party as a result of the
normal use and operation of any NHES Product, NHES Service,  Customized Product,
Related Service or

[Deleted - see *];  provided that if the Customer  agrees to provide  additional
indemnification  to NHES,  NHES shall obtain an agreement  from such Customer to
provide  commensurate  indemnification  to Pfizer Health, its Affiliates and its
Representatives.

         19.3.  Indemnification  by  Pfizer  Health.  (a)  Pfizer  Health  shall
indemnify  NHES  and  hold  NHES  harmless  from  any  and all  claims,  losses,
deficiencies,  damages,  liabilities,  costs, and expenses  (including,  but not
limited  to,  reasonable  attorneys'  fees and all related  costs and  expenses)
incurred by NHES as a result of any third party claim,  judgment or adjudication
against NHES alleging or arising from intentional misconduct,  negligent actions
or omissions,  or grossly negligent  actions or omissions of Pfizer Health,  its
Affiliates, or its Representatives,  in performing pursuant to this Agreement or
any Work Order related  thereto;  provided that NHES  promptly  notifies  Pfizer
Health in  writing of any such  claims and  reasonably  cooperates  with  Pfizer
Health in defending against such claims, at Pfizer Health's sole expense.

         (b) Pfizer Health shall  indemnify  NHES in connection  with its use of
any NHES  Products  pursuant to Section  10.1 in  accordance  with the  licensee
indemnification provisions set forth on Schedule D or Schedule E, as applicable.

         19.4.  NHES Insurance.  During the term of this  Agreement,  NHES shall
carry comprehensive property damage and liability insurance,  including, without
limitation,  protection  against product  liability  claims,  with reputable and
financially secure insurance  carrier(s),  affording it coverage consistent with
good business  practice for the size and type of business operated by NHES. This
insurance  shall  cover any actions of Pfizer  Health,  its  Affiliates  and its
Customers  under the  provisions  of this  Agreement  or any Work  Order  issued
hereunder. Additional insurance requirements may be imposed in connection with a
Work Order. Upon request,  NHES shall provide Pfizer Health with certificates of
insurance or other proof of insurance.

         19.5.  Litigation.  (a) In the event that any third party makes a claim
or brings an action  against NHES and/or  Pfizer  Health  directly or indirectly
related to any NHES  Product,  Customized  Product,  [Deleted - see *], or other
Deliverable,  the party  becoming  aware of such claim or action  shall  provide
prompt notice thereof to the other party. The party that pays for the defense or
settlement  of the claim or action  shall  have the  first  right to direct  the
defense or settlement against such claim or action.

         (b) Pfizer  Health  shall bear its own  respective  direct  expenses in
defending  or  settling  such  claim or action  unless  such  claim or action is
subject to the  indemnity by NHES set forth in Section  19.1, in which case NHES
shall bear all of Pfizer Health's reasonable  litigation expenses,  as incurred,
provided that Pfizer  Health  tenders to NHES its right to direct the defense or
settlement against such claim or action.

         (c) If NHES is named as sole  defendant  or  otherwise  undertakes  any
defense of such claim or action, Pfizer Health shall have the right, bearing its
own direct expenses, to join and participate in such defense; provided, however,
that if such claim or action is subject  to the  indemnity  by NHES set forth in
Section  19.1,  NHES shall  bear all of Pfizer  Health's  reasonable  litigation
expenses.  Notwithstanding the above, Pfizer Health shall in no way be obligated
to join or participate in such defense.

         (d)  Notwithstanding  the above, in no event shall NHES settle any such
action in a manner that does or may affect the  continued  rights and ability of
Pfizer Health to use, modify or maintain any NHES Product,  Customized  Product,
[Deleted - see *], or any other Deliverable in the manner permitted by the terms
of this  Agreement  without the prior written  consent of Pfizer  Health,  which
shall not be unreasonably withheld or delayed.

         19.6.  Mitigation  of  Infringement.  (a) In the event that any of NHES
Products,  Customized  Products,  Interfaces,  or  Deliverables  are  alleged to
infringe a third party's  intellectual  property rights,  and counsel for Pfizer
Health  reasonably  concludes that there is a significant  possibility that such
allegation  may  be  upheld  in a  litigation,  in  addition  to  any  indemnity
obligations  which may arise  pursuant to Section  19.1,  NHES shall use it best
efforts to promptly:  (1) procure for Pfizer Health the right to continue  using
the NHES Product,  Customized Product, [Deleted - see *], or Deliverable free of
any liability or  infringement;  (2) provide  Pfizer Health with a  functionally
equivalent, non-infringing replacement for the NHES Product, Customized Product,
[Deleted  -  see  *],  or  Deliverable  otherwise  complying  with  all  of  the
requirements  of this Agreement,  except that such  replacement may deviate from
the specifications,  as then in effect,  provided such replacement does not have
an adverse  effect on the operation or capacity of the NHES Product,  Customized
Product, [Deleted - see *], or Deliverable.

         (b) If the operation of the NHES Product,  Customized Product, [Deleted
- - see *], or Deliverable  would not be adversely  affected by the absence of the
affected NHES Product,  Customized  Product,  [Deleted - see *], or Deliverable,
and NHES is not  reasonably  able to perform  the  options  set forth in Section
19.6(a),  NHES shall use its best  efforts to promptly  repurchase  the affected
NHES Product,  Customized Product, [Deleted - see *], or Deliverable from Pfizer
Health AS IS, WHERE IS and WITH ALL FAULTS,  for an aggregate price equal to the
sum of the total  amounts  theretofore  paid and then payable to NHES under this
Agreement  with  respect  to the  affected  NHES  Product,  Customized  Product,
[Deleted - see *], or  Deliverable,  multiplied by a fraction,  the numerator of
which will be  thirty-six  (36) minus the number of months  since the  Effective
Date, and the  denominator  of which will be thirty-six  (36), if NHES exercises
this  option to  repurchase  the  affected  NHES  Product,  Customized  Product,
[Deleted - see *], or Deliverable  within three (3) years of delivery by NHES of
the Deliverable, and otherwise at no cost to NHES.


                            Section 20. FORCE MAJEURE

         20.1. Limitation on Liability. Neither party will be liable for failure
or delay in  performance  under any Work Order,  and such failure or delay shall
not  constitute  a default  under or breach of this  Agreement or any Work Order
issued hereunder,  for any period and to the extent that the failure or delay is
due in whole or in part to any cause  beyond such  party's  reasonable  control,
including  but not limited to,  action or  inaction  of  governmental,  civil or
military  authority,  delays in  transportation,  sources  of  supply,  material
shortages,  labor  difficulties,  accidents,  Acts of God, or fire,  flood, war,
riot,  earthquake  or any other force  majeure  (hereinafter  "Force  Majeure");
provided,  however,  that:  (i) NHES will use a standard of care  acceptable  in
software  development  industry  practice to protect  against such  failures and
fluctuations  and may not rely on the  provisions of this Section 20.1 to excuse
its failure to exercise such  standard of care;  and (ii) NHES' delay or failure
to perform  will not be excused  by a default  by any of its  subcontractors  or
suppliers  unless  such  failure is  attributable  to a cause that would  excuse

         20.2.  Notice.  Any party desiring to rely on an event of Force Majeure
as an excuse for its failure or delay in performance hereunder or under any Work
Order shall,  when the cause  arises,  give to the other party prompt  notice in
writing  of the  facts  that  constitute  such  cause;  shall use  diligent  and
determined  efforts to mitigate or overcome the effects  thereof;  and, when the
cause cases to exist,  shall give prompt notice in writing  thereof to the other
party.

         20.3. Pfizer Health's Option to Terminate a Work Order. Notwithstanding
any other  provision  of this  Agreement,  in the event  NHES fails to perform a
material portion of its obligations  under any Work Order for sixty (60) or more
consecutive  days  because  of an  event of Force  Majeure,  and no  alternative
service is agreed upon by the parties during such period, then Pfizer Health may
elect to terminate  such Work Order as of the date specified in a written notice
of termination  delivered to NHES by Pfizer  Health,  which shall be on or after
the date on which the Force Majeure first occurred.

         20.4.   Pfizer   Health's   Option   to   Terminate   this   Agreement.
Notwithstanding  any other provision of this Agreement,  in the event NHES fails
to perform a material portion of its obligations  under this Agreement for sixty
(60) or more  consecutive  days  because  of an event of Force  Majeure,  and no
alternative  service is agreed upon by the  parties  during  such  period,  then
Pfizer Health may elect to terminate  this Agreement as of the date specified in
a written notice of termination  delivered to NHES by Pfizer Health, which shall
be on or after the date on which the Force Majeure first occurred.


                               Section 21. RECORDS

         21.1. Records.  NHES shall keep reasonably accurate records of all work
performed by NHES related to the  development  of each NHES Product,  Customized
Product,  [Deleted - see *], or any other  Deliverable and of any costs incurred
by NHES in  connection  with such work for the term of the Agreement and for two
(2) years  thereafter.  Such records shall clearly and  separately set forth all
relevant  information,  including a detailed  description of the work performed,
the hourly billing rate of the individuals who are involved, the number of hours
(or part thereof)  expended on the task, and the total billable  amount for that
task and any components of NHES's development costs.

         21.2. Audits. NHES shall allow Pfizer Health or its agents, upon Pfizer
Health's request and reasonable prior notice, to inspect,  audit and analyze all
relevant  portions of NHES' books and records relating to any or all of the NHES
Products,  Customized Products,  Interfaces,  and any other Deliverables as they
relate to this  Agreement,  during  business  hours at NHES' place of  business.
Unless otherwise reasonable under the circumstances, such audits shall not occur
more frequently than once per year and shall not commence any later than two (2)
years  subsequent to the  expiration or  termination  of any Work Order.  Pfizer
Health  shall  bear  the  cost of such  inspection  and  audit  unless  material
unauthorized  activities,  materially  improper record keeping or overbilling of
payments  in excess of five  percent  (5%) of the amount  required to be paid by
Pfizer  Health is  discovered,  in which  case NHES  shall bear the cost of such
inspection  and  audit.  Any  overpayment  by Pfizer  Health  shall be  promptly
remitted to Pfizer Health,  together with interest at the prime rate of interest
in  effect  at Chase  Manhattan  Bank,  N.A.,  calculated  from  the  time  such
overpayment was made.


                            Section 22. MISCELLANEOUS

         22.1. Headings.  The headings of the Sections of this Agreement are for
convenience  only and in no way limit or affect the terms or  conditions of this
Agreement.

         22.2.  Governing Law. This Agreement shall be governed by and construed
in accordance with the laws of the State of New York.

         22.3.  Dispute  Resolution.  (a) If a dispute arises between the Pfizer
Health,  its  Affiliates,  its  Customers  and/or NHES in  connection  with this
Agreement or a Work Order submitted in connection therewith,  including, without
limitation,  an  alleged  breach of any  representation  or  warranty  herein or
therein, or a disagreement regarding the interpretation of any section hereof or
thereof (the  "Dispute"),  the parties agree to use the  following  procedure in
good faith prior to any party pursuing other available  judicial or non-judicial
remedies:

              (1)  The party alleging non-performance or breach shall deliver to
                   the other  party  written  notice  specifying  in detail  the
                   alleged non-performance or breach (the "Dispute Notice");

              (2)  As soon as is reasonably  practical following the delivery of
                   such  Dispute  Notice,  a meeting  shall be held  between the
                   parties  attended by a  representative  of each party  having
                   decision-making  authority  regarding the Dispute, to attempt
                   in good  faith to  negotiate  a  resolution  of the  Dispute;
                   and/or  to  consider  appropriate   non-binding   alternative
                   dispute  resolution   mechanisms   ("ADRs"),   including  the
                   submission  of the  Dispute to a mediator  or other  mutually
                   acceptable  neutral  person or persons  not  affiliated  with
                   either of the parties.

                  (b)  Notwithstanding  the  foregoing,  nothing in this Section
22.3 shall preclude any party from seeking interim or provisional relief, in the
form of a temporary restraining order,  preliminary  injunction or other interim
equitable  relief  concerning  the  Dispute,  either  prior to or during any ADR
selected by the parties, if necessary to protect the interests of such party.

         22.4.  Jurisdiction.  If the dispute  resolution  process under Section
22.3  does  not  terminate  the  Dispute,  then  it  shall  be  subject  to  the
jurisdiction of the state and federal courts of the state in which the defendant
in such action resides.

         22.5. Severability. If any provision or any portion of any provision of
this  Agreement  is  construed  to be illegal,  invalid or  unenforceable,  such
provision  or portion  thereof  shall be deemed  stricken  and deleted from this
Agreement to the same extent and effect as if it were never incorporated herein,
but all other  provisions of this  Agreement  and the  remaining  portion of any
provision  that is construed  to be illegal,  invalid or  unenforceable  in part
shall  continue  in  full  force  and  effect;   provided  that  such  resulting
construction  of the  Agreement  does  not  frustrate  the main  purpose  of the
Agreement.

         22.6. Entire Agreement. This Agreement, together with all the Schedules
hereto,  constitutes the entire agreement between the parties and supersedes all
previous agreements, promises, representations, understandings and negotiations,
whether written or oral,  between the parties with respect to the subject matter
hereof.  In the event any one or more of the provisions of this Agreement  shall
for any reason be held to be invalid,  illegal or  unenforceable,  the remaining
provisions of this Agreement  shall be  unimpaired.  The terms and conditions of
any  and all  Schedules  to  this  Agreement  are  incorporated  herein  by this
reference  and shall  constitute  part of this  Agreement  as if fully set forth
herein.

         22.7. Publicity. Neither party shall promote or otherwise publicize the
terms and conditions of this Agreement,  any Work Order issued hereunder, or the
Customized  Products,  Related  Services or Interfaces  developed or distributed
thereunder,  without  the prior  approval  of the other  party,  except  for any
disclosures  required by law, in which case the  disclosing  party shall provide
the other party with reasonable advance notice of such disclosure.

         22.8. No Assignment Without Consent.  (a) This Agreement shall inure to
the benefit of and be binding  upon the parties  hereto,  their  successors  and
assigns. The rights granted to each party hereunder are personal in nature.

         (b) NHES shall not sell,  transfer,  lease,  sublicense  or assign this
Agreement,  any of its obligations,  rights and interests hereunder, or any part
thereof,  to any third party,  by operation of law or  otherwise,  without prior
written  consent of Pfizer  Health,  except to a successor  entity in connection
with the sale of  substantially  all of Pfizer  Health's  business,  subject  to
NHES's option to terminate pursuant to Section 16.2.

         (c) Pfizer Health shall not sell, transfer, lease, sublicense or assign
this Agreement,  its obligations,  rights and interests  hereunder,  or any part
thereof to any  unaffiliated  third party,  by  operation  of law or  otherwise,
without  the prior  written  consent of NHES,  except to a  successor  entity in
connection with the sale of substantially all of Pfizer Health's business.

         22.9 No  Relationship  Between  the  Parties.  Neither  NHES nor Pfizer
Health shall represent itself as the agent or legal  representative of the other
or as joint  ventures  for any purpose  whatsoever,  and neither  shall have any
right to create or assume any obligations of any kind,  express or implied,  for
or on behalf of the other in any way whatsoever.

         22.10 Non-Waiver.  A failure of either party to enforce at any time any
term,  provision  or condition  of this  Agreement,  or to exercise any right or
option herein, shall in no way operate as a waiver thereof, nor shall any single
or  partial  exercise  preclude  any  other  right or option  herein;  in no way
whatsoever shall a waiver of any term,  provision or condition of this Agreement
be valid unless in writing,  signed by the waiving party, and only to the extent
set forth in such writing.

         22.11.  Counterparts.  This  Agreement may be executed in any number of
counterparts,  each of which shall be deemed to be an original, and all of which
together shall be deemed to be one and the same instrument.

         22.12 Notices. (a) All legal notices to either party shall be given:

If to Pfizer Health:                  If to NHES:
- --------------------                  -----------

Pfizer Health Sciences, Inc.          National Health Enhancement Systems, Inc.
235 E. 42nd Street                    3200 North Central Avenue, Suite 1750,
New York, New York                    Phoenix, Arizona 85012;
 10017-5755
                                      Attn:  President
Attn:  Secretary                      Telecopy:  (602) 274-6158
Telecopy:  (212) 573-3977
                                      
Copy to:                              Copy to:
- --------                              --------
                                      
Dennis J. Block                       Thomas H. Curzon         
Weil, Gotshal & Manges                Osborn Maledon           
767 Fifth Avenue                      2929 N. Central Avenue   
New York, New York  10153             Suite 2100               
                                      Phoenix, Arizona  85012  
                                                               
Telecopy: (212) 310-8007              Telecopy:  (602) 235-9444
                                                          
         (b) All notices  required or permitted  to be given under  Sections 7.1
and  22.12(a)  shall be given  in  writing  and,  unless  specifically  provided
otherwise in this  Agreement,  shall be deemed to have been given if  personally
delivered,  faxed (with receipt confirmed) or mailed (by registered or certified
air mail, return receipt requested), postage prepaid, to the party concerned, at
its address or addresses as set forth below or as  designated  from time to time
by notice in writing.

         22.13.  Written  Approval.  All approvals and/or consents required by a
party to this  Agreement  and each Work Order must be requested by such party in
writing to the other party, and all approvals or consents shall not be effective
unless in writing.

         22.14 Schedules.  The following  Schedules referred to in the Agreement
are incorporated in this Agreement in their entirety.

              Schedule A:                Description and Prices of
                                         NHES Products and NHES Services
              Schedule B:                Customized [Deleted - see
                                         *] General Project Description
              Schedule C:                Form of Work Order
              Schedule D:                License Agreement
              Schedule E:                Annual License, Support
                                         and Maintenance Agreement
              Schedule F:                Licenses to NHES from
                                         Third Parties
              Schedule G:                Liens on NHES Products
              Schedule H:                Product Support and
                                         Consulting Rate Fees
              Schedule I:                Present Significant
                                         Owners of NHES Securities
              Schedule J:                Quarterly Purchase
                                         Schedule of NHES Products and NHES 
                                         Services

                  IN WITNESS  THEREOF,  Pfizer  Health and NHES have caused this
Agreement to be signed and delivered by their duly authorized  officers,  all as
of the date first hereinabove written.


Pfizer Health Sciences, Inc.         National Health Enhancement Systems, Inc.


By:________________________          By: _______________________
Name:______________________          Name:______________________
Title:_____________________          Title:_____________________

<TABLE>
<CAPTION>

                                   Schedule A.

                                   PFIZER INC
                                [Deleted - see *]

                                DEMAND MANAGEMENT

                                                                                    FEES
  PRODUCT                                 DESCRIPTION                          INITIAL*/ANNUAL           AVAILABLE
  -------                                 -----------                          ---------------           ---------

<S>                        <C>                                                  <C>                         <C>    
Centramax Plus -           Installed  system  complete with adult &             [Deleted - see *]           YES
Hospital Systems           pediatric triage  algorithms and related
                           health education databases.             
                           
Centramax Plus -           Installed  system  complete with adult &             [Deleted - see *]           YES
Managed Care               pediatric triage  algorithms and related
( 50,000  Members          health education databases.             
  50,000 -   99,999        
  100,000 - 249,999
  250,000 - 500,000
) 500,000

Pediatric Triage/          Installed  system with pediatric  triage             [Deleted - see *]           YES
Advice System              algorithms    and    health    education     
                           guidelines.                             
                           
Demand Management          Service Bureau for Demand Management and              To Be Defined            Mar - 96
Service Bureau             other call center applications               
                           
- ---------------------------------------------------
*Initial Fee reflects a 20% savings off list price.












                                   Schedule A.

                             VOICE RESPONSE SYSTEMS
                             ----------------------

                                                                              FEES   
  PRODUCT                          DESCRIPTION                          INITIAL*/ANNUAL                       AVAILABLE
  -------                          -----------                          ---------------                       ---------


VoiceMax Plus           Installed  audio text  hardware  w/1,200       [Deleted - see *]                           YES
(varies with volume)    health education  scripts and ability to       [Deleted - see *]
8 lines                 customize  or  add   additional   topics       [Deleted - see *]
12 lines                (custom topics at $75 ea.).             
16 lines                        
Communication Plus      National   Service   Bureau   for  audio     Level  Monthly Topics  Monthly Fee            YES
                        library services.                            -----  --------------  -----------
                                                                        1       (500      [Deleted - see *]
                                                                        2       1,250     [Deleted - see *]
                                                                        3       2,000     [Deleted - see *]
                                                                        4       2,750     [Deleted - see *]
                                                                        5       3,500     [Deleted - see *]
                                                                        6       4,250     [Deleted - see *]
                                                                        7       5,000     [Deleted - see *]
                                                                        8       5,750     [Deleted - see *]
                                                                        9       6,500     [Deleted - see *]
                                                                        10      7,250     [Deleted - see *]
                                                                                (7,250    [Deleted - see *]
                                                                        


Parent Advice Line     Installed  audio text  hardware with 250                   [Deleted - see *]                YES
(Installed System)     Pediatric topics for parents.                      
                       
Parent Advice Line     Service    Bureau   audio   text   w/250      Same fee structure as Communication Plus    Nov - 95
                       Pediatric topics for parents.                                  
                       
Physician Test         National  Service  Bureau to disseminate                     To Be Defined                Feb - 96
Results                physician test results.                                 
                       
Practice Information   Service Bureau for Medical  Practice and                     To Be Defined                May - 96
Line                   Information.                            



                                   Schedule A.

                             HEALTH RISK ASSESSMENTS

                                                                              FEES   
  PRODUCT                          DESCRIPTION                          INITIAL*/ANNUAL                       AVAILABLE
  -------                          -----------                          ---------------                       ---------

Health Risk            Installed system for HRA processing.            [Deleted - see *]                      Mar - 96
Assessments                                                            [Deleted - see *]
(Installed System)

Health Risk            Service Bureau for HRA processing.          Quantity         Per Test                  Mar - 96
Assessments                                                        --------         --------
(Service Bureau)
                                                                  1 - 1,999      [Deleted - see*]
                                                              2,000 - 2,999      [Deleted - see*]
                                                              3,000 - 4,999      [Deleted - see*]
                                                              5,000 - 9,999      [Deleted - see*]
                                                                     10,000+     Per Quote

</TABLE>

*All availability dates for Products or Services not yet available are estimates
only and may vary.


                                   Schedule B.

                                [Deleted - see *]


                                   Schedule C.

                               FORM OF WORK ORDER


1. General. This Work Order, dated as of _____________________,  is entered into
under the Agreement  between Pfizer Health  Sciences,  Inc. and National  Health
Enhancement Systems, Inc., dated as of December ___, 1995.

2.  Technical Coordinators.

Pfizer Health:                                            NHES:

name:                                                     name:
address:                                                  address:

3.  Summary or Purpose of Statement of Work.

4.  Identification of Preexisting Works.

5.  Estimated Development Cost.

6.  Payment Schedule.

7.  Development Schedule and Performance Milestones.

8.  Completion and Acceptance Criteria.

9.  Estimated Support Cost.

10.  Third Party Subcontractors:
         (a)      Performance Obligations
         (b)      Cost Estimates

11.      Licenses to NHES.

12.  Applicable Royalties, if any.

13.  Other relevant items.


Pfizer Health Sciences, Inc.

By:________________________
Name:______________________
Title:_____________________

National Health Enhancement Systems, Inc.


By: _______________________
Name: _____________________
Title:_____________________


                                   Schedule D.
                                LICENSE AGREEMENT

This   License   Agreement   is   entered   into   as   of   this   ____day   of
___________________, 19____, by and between National Health Enhancement Systems,
Inc.,        a       Delaware        corporation        ("Licensor"),        and
______________________________________________________________________,_________
_________________________,__________________________,________,("Licensee").

Whereas,  each Product (as defined hereunder) is an NHES Product or Deliverable,
as  defined  in the  Development  and  Distribution  Agreement  entered  into on
December _____, 1995, by and between Licensor and Pfizer Health Sciences, Inc.

In  consideration of the mutual promises and subject to the terms and conditions
set forth herein, Licensor and Licensee agree as follows:

1.   DEFINITIONS.

a.   "Product"  shall  have  as its  meaning  the  definition  provided  in each
     Schedule attached hereto.

b.   "Schedule" shall mean any schedule attached hereto.

c.   "License Agreement" shall mean this license agreement.

d.   "Agreement"  shall  mean  the  License  Agreement,  any and  all  Schedules
     attached thereto, and any and all exhibits attached to said Schedules.

2.  LICENSE.
a.  License  Grant.  Licensor  hereby  grants  to  Licensee,  on the  terms  and
conditions of this Agreement,  a license to use each Product or portions thereof
for  Licensee's  own use and  benefit.  The  license to use does not include the
right to reproduce or copy any portion of any Product  except for normal  backup
procedures  by  Licensee,  except as  agreed  to in  writing  by  Licensor.  Any
authorized or  unauthorized  copy of any portion of any Product is, and remains,
entirely  the  property of Licensor  and shall  include all  copyright  or trade
secret  notices  of  Licensor  set forth  thereon or  therein,  or  provided  by
Licensor.  For  purposes of this  Agreement,  "use" of the  "Product"  refers to
physical use of the Product at Licensee's business location. "Physical use" does
not prohibit Licensee from conducting  marketing efforts or solicitation related
to use of the Product outside Licensee's business location.

b. License  Term.  Unless  otherwise  stated,  the license for the Product shall
continue until termination of this Agreement pursuant to Section 6 hereof.

c. Proprietary Rights and Confidentiality. Licensee's rights in each Product are
expressly  limited  to the right of use,  as set forth in this  Section  2, each
Schedule and any exhibits thereto,  which are hereby incorporated herein by this
reference.  Each Product shall at all times remain the property of Licensor, and
Licensee  shall have no right,  title or interest  therein,  except as expressly
stated in this Agreement.  Licensee shall not sublicense, sell, transfer, lease,
assign or  otherwise  make  available  to others its right to use any Product or
copies  thereof,  except as specifically  set forth in this  Agreement,  and any
attempt  to do so shall be null  and  void and of no force or  effect.  Licensee
shall secure and protect each Product and copies thereof in a manner  consistent
with complete  preservation of Licensor's copyright and trade secret rights, and
shall take such  actions to protect and preserve  such rights as Licensee  takes
with respect to its most valuable proprietary  property.  Licensee agrees not to
remove  or  destroy  copyright  notices,   other  confidentiality   legends,  or
proprietary markings placed upon or contained within any Product, and shall copy
the same in full on any copies of any such Product Licensee may make.

d. Injunctive Relief.  Licensee acknowledges that each Product is proprietary in
nature and that  Licensee's  unauthorized  transfer or  disclosure of any of the
Products to a third party would cause great and  irreparable  harm to  Licensor.
Licensee further  acknowledges that, in the event of such unauthorized  transfer
or  disclosure,  Licensor  shall  be  entitled,  as a  matter  of  right,  to an
injunction  from  a  court  of  competent   jurisdiction   restraining   further
unauthorized  disclosures  or use. This right to  injunctive  relief shall be in
addition to any other rights or remedies  which  Licensor  may have  pursuant to
this Agreement, or at law, including,  without limitation,  the right to recover
monetary damages, whether compensatory or punitive.

e. Further  Restrictions  on Use.  Licensee may not, and may not cause or permit
any other person to, reverse compile, disassemble,  decode, copy, modify, alter,
electronically  transfer,  sublicense any Product or any portion thereof, except
as  stipulated  in  the  related   software  user's  manual  for  normal  backup
procedures, or with the express prior written consent of Licensor.

                                LICENSE AGREEMENT


f.  Copyrights.  No copyright  license is granted to Licensee in any copyrighted
materials obtained from Licensor.

g. Possession of Product.  Licensee shall not, without the prior written consent
of  Licensor,  knowingly  or willingly  part with  possession  or control of, or
suffer or allow to pass out of its  possession  or  control,  any  Product,  and
Licensee shall take all  reasonable  precautions to ensure that any Product does
not pass out of Licensee's possession or control. Licensee shall promptly notify
Licensor  of all  details of any  claimed  encumbrances  upon,  or any  accident
allegedly resulting from the use or operation of any Product.

3. CLIENT  QUALITY  CONTROL  REQUIREMENTS.  To preserve  and protect  Licensor's
service marks and other proprietary rights, Licensee agrees, among other things,
to do each of the following:

a.   Administer   and  conduct  each  Product  in  accordance   with   operating
instructions,  specifications  and  recommendations  made  by  Licensor.  It  is
understood and agreed that, except for quality control necessary to preserve and
protect Licensor's  proprietary  marks, if applicable,  Licensee shall have full
and  sole  authority  and  responsibility  for  implementing,   marketing,   and
administering  each Product and providing  advice or  information to patients or
members of the general public,  whether or not such  information is based on the
use of the Product.

b.  Licensee  shall  participate  and cooperate  with  Licensor in  accumulating
certain Licensee information. Each quarter, Licensee shall provide Licensor with
certain performance data from the use of each Product,  as reasonably  requested
by Licensor.  Such information  shall be kept  confidential by Licensor and used
strictly  as  statistical   information  to  be  shared  with  other  authorized
licensees.

4.       EVENTS OF DEFAULT BY LICENSEE.

a. Definition.  "Event of Default by Licensee" shall mean those events described
in (b) and (c) below:

b.  Individual  Schedules.  Licensee  shall be in  default  under  this  License
Agreement as it relates to any individual Schedule, upon the happening of any of
the following events or conditions:

         (i) Any default with respect to such Schedule by Licensee under Section
2 of this License  Agreement  and failure to cure the default  immediately  upon
receipt of written notice from Licensor.

         (ii) Any default by Licensee in the performance or payment of any other
obligation  now or hereafter owed by Licensee to Licensor under such Schedule or
this License  Agreement as it relates to that  Schedule and the  continuance  of
such default for thirty (30)  consecutive  days after receipt of written  notice
from Licensor,  except that, with respect to defaults under Section 3.a. of this
License  Agreement as it relates to such  Schedule,  Licensee  shall have ninety
(90) days to cure default after receipt of written notice from Licensor;

c. The Agreement.  Licensee shall be in default of the entire Agreement upon the
dissolution,  liquidation  or  termination  of  the  existing  Licensee  or  the
discontinuance  of its  business,  the  insolvency  or  business  failure of, or
appointment  of a receiver for any part of the property,  or assignment  for the
benefit of creditors of, Licensee, or the commencement by or against Licensee of
bankruptcy or insolvency  proceedings  which is not dismissed within ninety (90)
days.

No express or implied  waiver by  Licensor  of any Event of Default by  Licensee
hereunder  shall in any way be, or be construed to be, a waiver of any future or
subsequent Event of Default by Licensee, whether similar in kind or otherwise.

5.       EVENTS OF DEFAULT BY LICENSOR.

a. Definition.  "Event of Default by Licensor" shall mean those events described
in (b) and (c) below:

b.  Individual  Schedules.  Licensor  shall be in  default  under  this  License
Agreement as it relates to any individual Schedule, upon the happening of any of
the following  events or conditions:  a material  default in the  performance or
payment of any  obligation  now or hereafter  owed by Licensor to Licensee under
said  Schedule or the License  Agreement as it relates to said  Schedule and the
continuance of such default for thirty (30) days after receipt of written notice
from Licensee to Licensor of such default.

                                LICENSE AGREEMENT


c. The Agreement.  Licensor shall be in default of the entire Agreement upon the
happening  of  any of the  following  events  or  conditions:  The  dissolution,
liquidation or termination of Licensor;  the discontinuance of its business, the
insolvency or business  failure of, or appointment of a receiver for any part of
the property,  or  assignment  for the benefit of creditors  of,  Licensor;  the
commencement  by or against  Licensor of bankruptcy  or  insolvency  proceedings
which are not dismissed in ninety (90) days.

No express or implied  waiver by  Licensee  of any Event of Default by  Licensor
hereunder  shall in any way be, or be construed to be, a waiver of any future or
subsequent Event of Default by Licensor, whether similar in kind or otherwise.

6.  TERMINATION  AND LICENSE  TERM.  This License  Agreement  is effective  with
respect to any Schedule so long as such Schedule remains in effect.

a. Termination by Licensee During Operation. Licensee may terminate this License
Agreement  as it relates to any  individual  Schedule  (i) by providing at least
twelve (12) months prior written  notice to Licensor or (ii) upon the occurrence
of an Event of Default by Licensor.  Licensee may terminate the entire Agreement
(i) by providing at least twelve (12) months prior written notice to Licensor or
(ii) upon the occurrence of an event described in Section 5.c. above.

b. Termination by Licensor.  Licensor may terminate this License Agreement as it
relates to any individual Schedule upon the occurrence of any event described in
Section 4.b. by delivering  written notice to Licensee  specifying the nature of
the default.  Licensor may terminate the entire Agreement upon the occurrence of
any event  described  in Section  4.c.  above by  delivering  written  notice to
Licensee, specifying the nature of the default.

c. Licensee's  Obligations Upon Termination.  Licensee agrees that promptly upon
the termination of this Agreement, or any portion thereof, Licensee shall return
to  Licensor  any  Product  or  portion  thereof,  including  any  copies of the
foregoing,  provided  under  the  terminated  portion(s)  of  the  Agreement  in
Licensee's  possession.  Upon such  termination,  Licensee  shall not make,  nor
permit,  the use of any such Product or copy thereof.  The provisions of Section
2.c. of this License  Agreement  concerning  confidentiality  shall  survive the
termination of the Agreement or any portion thereof.

d. Client Support  Services.  Upon  termination  pursuant to this Section 6, the
client support services provided in the Schedule(s) subject to termination shall
be discontinued.

e. No Release. Except as the parties otherwise may agree, or as expressly stated
herein, no termination shall release Licensor or Licensee from any liability for
recoverable   damages  caused  by  that  party's  material  default  under  this
Agreement.

7. RISK OF LOSS. All risk of loss, damage, theft or destruction to any equipment
or other personal  property,  including any device on which any Product resides,
in Licensee's possession and control shall be borne by Licensee.

8. INDEMNIFICATION.

a. Except for any obligation  disclaimed  pursuant to Section 9.c.  herein,  and
matters as to which  Licensee  is  required to  indemnify  Licensor  pursuant to
Section 8.b. and c. herein,  Licensor assumes liability for and hereby agrees to
indemnify,  protect  and  keep  harmless  Licensee,  its  officers,   directors,
shareholders,  agents,  employees  and assigns for, from and against any and all
liabilities, obligations, losses, damages, injuries, claims, demands, penalties,
actions, costs and expenses, including reasonable attorneys' fees, of whatsoever
kind and  nature,  arising out of any failure on the part of Licensor to perform
or  comply  with its  obligations  under  the  Agreement.  The  indemnities  and
assumptions of liabilities and obligations herein provided for shall continue in
full force and effect  notwithstanding  the  expiration or other  termination of
this Agreement.  Nothing contained in this Agreement shall authorize Licensee or
any other  person to operate any portion of any Product so as to incur or impose
any liability or obligation for, or on behalf of, Licensor.

b. Licensee assumes  liability for, and hereby agrees to indemnify,  protect and
keep  harmless  Licensor,  its  officers,   directors,   shareholders,   agents,
employees,  and  assigns,  and  Pfizer  Health  Sciences,  Inc.,  its  officers,
directors, shareholders, agents, employees, assigns and affiliates for, from and
against any and all liabilities, obligations, losses, damages, injuries, claims,
demands, penalties, actions, costs and expenses, including reasonable attorneys'
fees, of whatsoever  kind and nature,  arising out of any failure on the part of
Licensee to perform or comply with its obligations under this Agreement.

                                LICENSE AGREEMENT


c. Except to the extent of Licensor's indemnity  obligations under Section 8.a.,
Licensee assumes liability for, and hereby agrees to indemnify, protect and keep
harmless Licensor, its officers, directors, shareholders, agents, employees, and
assigns,   and  Pfizer  Health   Sciences,   Inc.,   its  officers,   directors,
shareholders,  agents,  employees,  assigns and affiliates for, from and against
any  and all  liabilities,  obligations,  losses,  damages,  inquiries,  claims,
demands, penalties, actions, costs and expenses, including reasonable attorney's
fees, of whatsoever kind and nature, arising out of advice, information,  health
reference information or materials,  provided directly or indirectly by Licensee
or a representative of Licensee to an independent third party as a result of the
normal use and operation of any Product.

d. Licensee  represents to Licensor  that  Licensee has  professional  liability
insurance and Licensee shall  maintain  professional  liability  insurance in at
least such amount  during the term of this  Agreement and for a five year period
thereafter.  Upon  Licensor's  request,  Licensee will provide  certificates  of
insurance  or other  evidence  reasonably  demonstrating  compliance  with  this
Section.

9. WARRANTY AND DISCLAIMERS.

a.       Warranty.
         (i) Licensor  represents and warrants that it has the title or right to
grant to Licensee the license described herein for use of each Product.

         (ii) Licensor  warrants that each Product will conform to the features,
function  descriptions  and  specifications  of such  Product  set forth in user
documentation and other written instructions provided by Licensor. This warranty
is  conditioned  upon Licensee  using each Product in  accordance  with the user
documentation  and other  instructions  provided by Licensor with respect to the
Product  and shall be null and void if Licensee  alters or modifies  the Product
without the prior written consent of Licensor.

b.  Infringement.  Licensor  further  represents  and warrants to Licensee  that
Licensor,  at its own  expense  and in timely  fashion,  will  defend,  protect,
indemnify and hold Licensee  harmless against any and all liabilities,  damages,
costs and expenses,  including  reasonable  attorneys'  fees, which Licensee may
incur or be held liable for by reason of any action,  suit,  proceeding or claim
instituted  against  Licensee by any third party for  infringement of any United
States patent, copyright,  trademark, trade secrets or other proprietary rights,
based upon Licensee's use of any Product in unmodified  form,  provided that (1)
Licensee  promptly  notifies  Licensor  in  writing  of any such  action,  suit,
proceeding  or claim  and  cooperates  fully  (at no  out-of-pocket  expense  to
Licensee)  with  Licensor  in the defense  thereof,  and (2)  Licensor  has sole
control of the defense and any related settlement  negotiations.  If any Product
is, in  Licensor's  opinion,  likely to become or does  become the  subject of a
claim of infringement or misappropriation of a patent,  copyright,  trade secret
or other  proprietary  right,  Licensor  may,  in addition to its rights in this
Section and at  Licensor's  election,  (a)  promptly  replace the Product with a
compatible,  functionally equivalent non-infringing Product, (b) promptly modify
the Product to make it non-infringing  without materially  impairing  Licensee's
ability to use the  Product  as  intended,  (c)  promptly  procure  the right of
Licensee to continue  using the  Product,  or (d) refund the pro rata portion of
Licensee's  prepaid  license  fee (based on a useful  life of two (2) years) and
maintenance  fees,  and the license for such Product shall be  terminated.  This
indemnity  does not extend to  modifications  of any Product made by Licensee or
any third party or to any unauthorized use of any Product.

c.  Disclaimer;  Limitations of Remedies.  EXCEPT FOR THE EXPRESS  WARRANTIES IN
SUBSECTIONS  (a) and (b) OF THIS SECTION 9 AND THOSE  EXPRESSLY  PROVIDED FOR IN
ANY  SCHEDULE OR EXHIBITS  ATTACHED  THERETO,  THERE ARE NO  REPRESENTATIONS  OR
WARRANTIES  OF ANY KIND,  EXPRESS OR IMPLIED,  WITH RESPECT TO THE  CONDITION OR
PERFORMANCE  OF ANY PRODUCT OR THE  MERCHANTABILITY  OR FITNESS  FOR  PARTICULAR
PURPOSE  THEREOF.  THUS,  SUCH  WARRANTIES  ARE IN LIEU OF ALL OTHER  WARRANTIES
CONCERNING  PRODUCTS  OR  SERVICES  PROVIDED  BY  LICENSOR,  EXPRESS OR IMPLIED,
INCLUDING,  BUT NOT LIMITED TO, THE IMPLIED  WARRANTIES OF  MERCHANTABILITY  AND
FITNESS FOR A PARTICULAR PURPOSE, AS MAY RELATE IN ANY WAY TO THE PRODUCT. IN NO
EVENT,  EVEN IF ADVISED OF THE  POSSIBILITY  OF SUCH  DAMAGES,  WILL LICENSOR BE
LIABLE  TO  LICENSEE  FOR ANY  DAMAGES,  INCLUDING  ANY LOSS OF  GOODWILL,  LOST
PROFITS,  LOST SAVINGS OR OTHER INCIDENTAL OR CONSEQUENTIAL  DAMAGES ARISING OUT
OF THE USE OF OR INABILITY TO USE ANY PRODUCT.

Licensee  assumes  responsibility  for the  selection of each Product to achieve
Licensee's  intended  results,  and for the  installation,  use and the  results
obtained from that Product,  including without  limitation  provision of advice,
information,  health reference  information or materials to Licensee's customers
or third parties.

d. The  foregoing  warranties  are subject to  modification  as provided in each
Schedule and any exhibits attached thereto.

                                LICENSE AGREEMENT


10.  REMEDIES OF LICENSOR  AND  LICENSEE.  Upon the  occurrence  of any Event of
Default by Licensee and at any time  thereafter,  Licensor may,  without further
notice,  exercise either  simultaneously  or successively any one or more of the
following remedies, as Licensor in its sole discretion may elect:

a. Terminate any applicable portion of the Agreement pursuant to Section 6;

b. Take possession of any Product  provided by any Schedule subject to the Event
of Default by Licensee and all copies  thereof  without any  liability for suit,
action or other proceeding by Licensee;

c. Cause Licensee at its expense promptly to return each Product provided by any
Schedule  subject  to the Event of Default  by  Licensee  and all copies of such
Product to Licensor;

d. Use, hold, sell or otherwise dispose of Licensee's interest in (i) the entire
Agreement,  if the entire  Agreement  is subject  to  default  pursuant  to 4.c.
hereof,  (ii) any  portion  of the  Agreement  which is  subject  to an Event of
Default by the  Licensee,  or (iii) any Product or any item thereof  provided by
any Schedule subject to default,  in accordance with the Uniform Commercial Code
and, if notice  thereof is  required  by law,  any notice in writing of any such
sale by Licensor  to  Licensee  at least ten (10) days  before the date  thereof
shall constitute reasonable notice thereof to Licensee; and

e.  Proceed  by  appropriate  action  either  at law  or in  equity  to  enforce
performance  by Licensee of the  applicable  covenants  of this  Agreement or to
recover damages for the breach thereof.

Upon the  occurrence  of any Event of  Default by the  Licensor  and at any time
thereafter,  Licensee may,  without further notice,  exercise any one or more of
the following remedies, at its sole discretion:

f. Terminate any applicable portion of the Agreement, pursuant to Section 6;

g.  Proceed  by  appropriate  action  either  at law  or in  equity  to  enforce
performance  by Licensor of the  applicable  covenants  of this  Agreement or to
recover damages for the breach thereof.

h.  Continue to use each  Product in  accordance  with the terms and  conditions
(including  applicable  fee  provisions)  of this  Agreement  as if no  Event of
Default by Licensor had occurred.

Subject to Section 9 of this License  Agreement  and any express  limitation  on
remedies in any Schedule or any exhibits attached thereto,  none of the remedies
under this License  Agreement  are intended to be  exclusive,  but each shall be
cumulative  and in addition to any other remedy  referred to herein or otherwise
available  to  Licensor or Licensee  in law or in equity.  Any  repossession  or
subsequent  sale by  Licensor of any  interest  in any Product  shall not bar an
action for  damages as herein  provided,  and the  bringing  of an action or the
entry  of the  judgment  against  Licensee  shall  not bar  Licensor's  right to
repossess any or all items of any Product.

11. TAXES.  Licensee shall keep each Product free and clear of all levies, liens
and encumbrances  and shall pay all assessments,  license fees, taxes (including
sales, use, excise, stamp,  documentary,  personal property and other taxes) and
all other  governmental  charges,  fees,  fines or  penalties  whatsoever  on or
relating to each  Product or the use,  shipment,  transportation,  delivery,  or
operation  thereof,  and on or relating to this  Agreement or services  provided
pursuant  thereto,  except that the  foregoing  shall not include any federal or
state income taxes or taxes based upon ownership of any Product imposed upon and
payable by Licensor.

In the event use or sales taxes (or similar excise taxes) are properly  assessed
or assessable on Licensee's use of any materials,  items or information acquired
by it pursuant  hereto and  Licensor has a  collection  obligation  with respect
thereto,  Licensee agrees to cooperate with Licensor in connection therewith and
to pay  promptly  all such  taxes and any  interest  and  penalties  in  respect
thereof.

12. GENERAL PROVISIONS.

a. Acceptable by Authorized Agent. This Agreement and attached Schedule(s) shall
be binding on Licensor  only upon being  accepted  in writing by the  President,
Chief Operating Officer or Chief Financial Officer of Licensor.

                                LICENSE AGREEMENT


b.  Notice.  Any notice to any party under this  Agreement  shall be in writing,
shall be effective  on the earlier of (i) the date when  received by such party,
or (ii) the date  which is three (3) days after  mailing  (postage  prepaid)  by
certified or registered mail, return receipt  requested,  to the address of such
party set forth herein,  or to such other address as shall have  previously been
specified in writing by such party to all parties hereto.

c.  Attorneys'  Fees. If suit is brought or an attorney is retained by any party
to this Agreement to enforce the terms of this Agreement or to collect any money
due  hereunder,  or to collect money damages for breach  hereof,  the prevailing
party  shall  be  entitled  to  recover,   in  addition  to  any  other  remedy,
reimbursement   for  reasonable   attorneys'   fees,   court  costs,   costs  of
investigation and other related expenses incurred in connection therewith.

d. Integration and Governing Law. This Agreement represents the entire agreement
of the parties on the subject  matter hereof,  and all  agreements  entered into
prior  hereto,   are  revoked  and   superseded  by  this   Agreement,   and  no
representations,  warranties,  inducements or oral  agreements have been made by
any  of  the  parties   except  as  expressly  set  forth  herein  or  in  other
contemporaneous written agreements.  This Agreement may not be changed, modified
or rescinded except in writing, signed by all parties hereto, and any attempt at
oral  modification  of this  Agreement  shall  be void  and of no  effect.  This
Agreement shall be deemed to be made under, and shall be construed in accordance
with and shall be governed  by, the laws of  Arizona,  as if both  parties  were
residents  of Arizona and the  Agreement  were to be performed  entirely  within
Arizona.

e. Interest on Overdue Amounts.  Amounts past due thirty (30) days or more shall
bear  interest  at the lower  rate of  eighteen  percent  (18%) per annum or the
highest rate permitted by law until paid,  and in connection  with such past due
amounts,  Licensee shall pay an annual  service  charge of  Twenty-Five  Dollars
($25.00).

f. No Waiver of  Remedies.  Nothing  in this  Agreement  shall be  construed  to
eliminate or waive any remedies at law or in equity to either party.


g.  Incorporation  of Schedules and Exhibits.  Any schedule or exhibit  attached
hereto shall be deemed to have been incorporated herein by this reference,  with
the same force and effect as if fully set forth in the body hereof.

h.  Severability.  If any  provision  of  this  Agreement  is  declared  void or
unenforceable, such provision shall be deemed severed from this Agreement, which
shall otherwise remain in full force and effect.

i.  Other.  Licensee  agrees  not to solicit  or hire or employ an  employee  of
Licensor without written consent of Licensor.

13. Escrow of Source Code. At the written request from Licensee,  Licensor shall
deposit in escrow with Record Management Systems,  Inc. ("Escrow Holder") a copy
of the most current  version of the source code for any and all portions of each
Product owned by Licensor and all additional relevant documentation required for
an  experienced  programmer/analyst  to reasonably  understand and maintain such
portion  of the  Product,  brought  up to date to the  date of  delivery  of the
Product,   and  Licensor   shall   continue  to  update  such  source  code  and
documentation as the Product is updated in accordance with this Agreement.  Such
source code and documentation shall be released by the Escrow Holder to Licensee
in the event  that  Licensor  is  unable to  perform  and meet its  support  and
maintenance  obligations  under the License  Agreement.  Licensor shall have the
right to change and replace escrow holder with another  qualified escrow holder.
Licensor  will notify  Licensee,  in  writing,  of the new escrow and certify in
writing  that the source code of each such Product has been  transferred  to new
escrow holder.

EXECUTED as of the first date set forth above.
National Health Enhancement Systems, Inc.                 Licensee
3200 North Central Avenue, Suite 1750
Phoenix, Arizona 85012                                    ______________________
                                                          Print Name of Licensee


_____________________________________                     ______________________
Authorized Agent                                          Authorized Agent


_____________________________________                     ______________________
Print Name of Agent                                       Print Name of Agent


                                   Schedule E.

                Annual License, Support and Maintenance Agreement
                                    (Pfizer)


This  Schedule  amends and  supplements  that certain  License  Agreement by and
between  National  Health  Enhancement  Systems,  Inc.,  a Delaware  corporation
("Licensor"),  and , ("Licensee")  dated . All capitalized terms used herein and
not otherwise defined herein shall have the meanings  expressly assigned thereto
in the  License  Agreement.  In the event of any  conflict  between  any term or
condition  in the  License  Agreement  and in this  Schedule  (or  any  exhibits
attached hereto), the terms and conditions of this Schedule shall control.  This
Schedule is dated .


1. DEFINITIONS.

a.  The  term  "Product"  means:  (i)  the  CENTRAMAX.  M(TM)  software  product
("CENTRAMAX. M" or "Software"), (ii) the HEALTH REFERENCE INFORMATION SYSTEM(TM)
("HRIS"),  (iii) the related CENTRAMAX.  M user's manuals ("User's Manuals") and
(iv)  other  proprietary  materials  related to the  Software  and HRIS that are
provided by Licensor  (collectively,  the User's  Manuals and other  proprietary
materials shall be referred to as the "Related Materials").

b. The term "License" means: the terms and conditions of the License  Agreement,
this Schedule and any exhibits attached hereto.


2. FEES TO BE PAID BY LICENSEE; DELIVERABLE BY LICENSOR.

a. Annual License,  Support Fee and Third Party License Fee.  Licensee shall pay
Licensor an Annual Support Fee of Dollars ($ ) ("License and Support Fee").  The
License and Support Fee entitles Licensee to continued use of the Product and to
the  Client  Support  Services  for the  Product as defined in Section 4 of this
Schedule.  Licensee  shall pay to  Licensor a Third  Party  License  Fee of ($ )
("Third Party License Fee").  The Third Party License Fee is to support the cost
incurred by Licensor for third party vendor obligations of the Product. Together
the  License,  Support  Fee and Third Party  License  Fee shall be  collectively
referred to hereafter as "Annual  Fee".  The Annual Fee shall be due beginning ,
19 and  thereafter  the  Annual  Support  Fee  shall  be  paid  annually  on the
anniversary  date of this  Schedule,  within  thirty  (30) days from the date of
invoice. Each payment shall be in the form of a check payable to National Health
Enhancement  Systems,  Inc.  Licensor  may  increase  the  Annual  Fee once each
calendar year ("Annual Adjustment").  The Annual Adjustment shall be the greater
of (i) five percent (5%) of the then Annual Fee or (ii) an adjustment based upon
the "United States City Average (All Urban Consumers) -- All Items" index of the
Consumer Price Index published by the Bureau of Labor Statistics,  United States
Department of Labor ("CPI").  The CPI adjustment shall be calculated as follows:
The Annual Fee to be adjusted  shall be multiplied by a fraction.  The numerator
of this fraction shall be the CPI for the most recent month for which the CPI is
available at the time the adjustment calculation is made. The denominator of the
fraction  shall  be the CPI for the  month  in  which  the  most  recent  Annual
Adjustment was made. The CPI in the numerator and the denominator shall have the
same base year.  In no case,  however,  shall the  application  of this  formula
result in the reduction of the Annual Fee.

b. Confidential  Price. The pricing in this License is confidential and Licensee
agrees not to disclose  the  purchase  price or terms of this  License  with any
third party other than as required by law.


3. LICENSE.  The license granted pursuant to Section 2 of the License  Agreement
with  respect  to the  Product  set  forth  in  this  Schedule  is a  perpetual,
nonexclusive and nontransferable license to use the Product,  subject to earlier
termination in accordance with Section 6 of the License Agreement.  This license
does not extend to multiple geographic locations. Multiple copies of the License
and the Product must be purchased for multiple locations.


                                   SCHEDULE E

                Annual License, Support and Maintenance Agreement
                                    (Pfizer)


4. CLIENT SUPPORT SERVICES.

a.  Maintenance.  Licensor  will  provide to  Licensee  maintenance  and support
services as hereinafter  set forth for the most current version of each Software
program. The period for the rendering of such services shall be annual and shall
be  automatically  renewed each year unless either party terminates this License
upon written notice as provided for in Section 6 of the License Agreement.

b. Maintenance  Fees. The maintenance and support fees for each Software program
shall be determined as provided  herein.  Fees for maintenance and support shall
be invoiced by Licensor  annually and shall be payable by Licensee within thirty
(30) days after receipt of invoice by Licensee.

c. Maintenance  Services.  As long as a Software program is to be maintained and
supported by Licensor hereunder:

         (i) Licensor shall correct any variance in the operational condition of
the Software  program from the  specifications  set forth in the User's Manuals,
provided  Licensee advises Licensor of the existence of such variance during the
period for which  maintenance  and support is to be provided  hereunder for such
Software  program and provided  further that the variance can be corrected  with
reasonable effort, including the correction of the software code. Licensor shall
distribute to Licensee one copy of the  corrected  program or patches as soon as
it is available.  Licensee shall be  responsible  for effecting such changes and
corrections  in each  copy of the  applicable  Software  licensed  by  Licensee.
Licensor will respond to Licensee's request for maintenance and support services
within  a  reasonable  time  considering  all  circumstances  at the time of the
request,  including  the  nature  of  the  service  or  support  required.  Such
maintenance and support  services do not include on-site  maintenance or support
which, subject to availability of personnel, will be offered to Licensee only at
a separate charge.

         (ii) Licensor  shall  provide  support and  maintenance  services via a
toll-free  telephone number to representatives of Licensee who have successfully
completed  the  required  training  program.  Telephone  support  is  defined as
"answering  questions  requiring a reasonable amount of time, usually during the
same  telephone  call."  Telephone  support  shall be available  Monday  through
Friday, holidays excluded,  during normal local business hours from 8:00 a.m. to
5:00 p.m. Telephone support service is available during extended hours for a fee
of fifty dollars  ($50.00) per call.  Extended  hours are 8:00 a.m. to 5:00 p.m.
Mountain Standard Time on Saturdays, Sundays and holidays.  Additional telephone
support for non-certified representatives of Licensee will be provided for a fee
of seventy dollars ($70.00) per hour billed monthly net thirty (30).

         (iii) Licensee agrees to identify a competent  technical support person
at Licensee's  organization  responsible for the ongoing oversight and technical
support issues to assist Licensor in resolving  technical  software matters.  If
Licensee is unable to  identify  and  Licensor  is  required to provide  on-site
support services  because of the absence of this individual,  Licensee agrees to
pay  Licensor  a fee of  $1,000  per day  and  reasonable  out-of-pocket  travel
expenses.

         (iv)  Licensor   shall   promptly   make   available  to  Licensee  all
modifications  and  improvements to the Software that are generally  released by
Licensor to other licensees of the Software.  Modification  and improvements may
include, but are not limited to:

                  1. Systems Updates. Versions of the appropriate Software which
operate under new releases of the computer manufacturer's operating system.

                  2. Computer Program Modifications. Versions of the appropriate
Software which encompass  improvements and other changes which Licensor,  at its
sole  discretion,  deems to be  improvements  or  modifications  of the original
version of the Software.

                  3.   Documentation.   Updates   and   modifications   of  user
documentation of the appropriate Software.


                                   SCHEDULE E

                Annual License, Support and Maintenance Agreement
                                    (Pfizer)


d. New Capabilities.  New capabilities, or software programs which are generally
released as new and/or different from the Software described in this License are
not covered under this Agreement.  Licensor reserves the sole right to determine
which capabilities  shall be made available  hereunder and which shall be deemed
to be new and different  and not included in the  applicable  Software  licensed
hereunder. All corrections, modifications,  improvements and enhancements to the
Software  shall  remain the  property of Licensor  and shall be used by Licensee
only as part of the Software subject to this Agreement.



EXECUTED as of the first date set forth above.

National Health Enhancement Systems, Inc.                 Licensee
3200 North Central Avenue, Suite 1750
Phoenix, Arizona 85012                                    ______________________
                                                          Print Name of Licensee


________________________________                          ______________________
Authorized Agent                                          Authorized Agent


________________________________                          ______________________
Print Name of Agent                                       Print Name of Agent

                                   Schedule F.

                       LICENSES TO NHES FROM THIRD PARTIES

1)   Agreement between  Micromedex Inc. ("MDX") and National Health  Enhancement
     Systems ("NHES") dated October 1, 1992 and amended on March 28, 1995.

2)   Agreement between Parlay and National Health  Enhancement  Systems ("NHES")
     dated February 5, 1992.

3)   Agreement  between Dr.  Barton  Schmitt  and  National  Health  Enhancement
     Systems ("NHES") dated October 14, 1994.

4)   Agreement  between  Micro Focus and  National  Health  Enhancement  Systems
     ("NHES") dated June 8, 1989 and OSX dated April 27, 1992.

5)   Agreement between Programmed  Intelligence  Corporation and National Health
     Enhancement Systems ("NHES") dated December 4, 1989.

6)   Agreement between MapInfo and National Health Enhancement  Systems ("NHES")
     dated February 15, 1995.

7)   Agreement between COGNOS and National Health  Enhancement  Systems ("NHES")
     dated September 30, 1994.

8)   Agreement between Brite Voice Systems, Inc. and National Health Enhancement
     Systems ("NHES") dated May 19, 1992 and amendment dated September 15, 1992.

9)   Agreement  between  Advanced Logics,  Inc. and National Health  Enhancement
     Systems, Inc. dated August 25, 1994.


                                   Schedule G.

Blanket lien to Venture Lending,  a division of Cupertino National Bank & Trust,
Palo Alto California on all NHES assets in connection with the Loan and Security
Agreement dated November 31, 1995.


                                   Schedule H.

                    Product Support and Consulting Rate Fees

                       SKILL                            RATE/HOUR
            Project Manager                           $[Deleted - see *]
            Analyst                                   $[Deleted - see *]
            Data Base Analyst                         $[Deleted - see *]
            Programmer/Analyst                        $[Deleted - see *]
            Voice Response Analyst                    $[Deleted - see *]
            Reporting Specialist                      $[Deleted - see *]
            Quality Assurance                         $[Deleted - see *]
            Documentation Specialist                  $[Deleted - see *]
            Training Specialist                       $[Deleted - see *]
            Client Support Analyst                    $[Deleted - see *]
            Physician Consultation                    $[Deleted - see *]
            Nurse Consultation                        $[Deleted - see *]
            Clerical                                  $[Deleted - see *]


                                   Schedule I.

                  PRESENT SIGNIFICANT OWNERS OF NHES SECURITIES

Edward B. Diethrich, M.D. and Gloria B. Diethrich (Trust)
Gregory J. Petras
John P. Delmatoff
Terri S. Langhans
Bisgrove Financial Management Limited Partnership


                                   Schedule J.

           Quarterly - Purchase Schedule of NHES Products and Services

[Deleted - see *]

<TABLE> <S> <C>


<ARTICLE>                     5
<MULTIPLIER>                                              1
<CURRENCY>                                     U.S. DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                              JAN-31-1996
<PERIOD-START>                                 FEB-01-1995
<PERIOD-END>                                   JAN-31-1996
<EXCHANGE-RATE>                                          1
<CASH>                                                   0
<SECURITIES>                                             0
<RECEIVABLES>                                            0
<ALLOWANCES>                                       691,000
<INVENTORY>                                              0
<CURRENT-ASSETS>                                 7,924,856
<PP&E>                                             950,125
<DEPRECIATION>                                           0
<TOTAL-ASSETS>                                  10,768,261
<CURRENT-LIABILITIES>                            9,274,845
<BONDS>                                                  0
                                    0
                                            125
<COMMON>                                             3,836
<OTHER-SE>                                       1,020,261
<TOTAL-LIABILITY-AND-EQUITY>                    10,768,261
<SALES>                                         16,891,143
<TOTAL-REVENUES>                                16,891,143
<CGS>                                            3,927,449
<TOTAL-COSTS>                                   16,273,397
<OTHER-EXPENSES>                                         0
<LOSS-PROVISION>                                         0
<INTEREST-EXPENSE>                                       0
<INCOME-PRETAX>                                          0
<INCOME-TAX>                                             0
<INCOME-CONTINUING>                                      0
<DISCONTINUED>                                           0
<EXTRAORDINARY>                                          0
<CHANGES>                                                0
<NET-INCOME>                                       559,746
<EPS-PRIMARY>                                          .10
<EPS-DILUTED>                                          .11
        

</TABLE>


© 2022 IncJournal is not affiliated with or endorsed by the U.S. Securities and Exchange Commission