PHYSICIAN CORPORATION OF AMERICA /DE/
8-K, 1996-10-08
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<PAGE>

                       SECURITIES AND EXCHANGE COMMISSION
                              Washington, D.C. 20549

                                     FORM 8-K

                                  Current Report

                       Pursuant to Section 13 or 15(d) of
                       The Securities Exchange Act of 1934

                Date of Report (Date of Earliest Event Reported):
                                 September 23, 1996


                         PHYSICIAN CORPORATION OF AMERICA
                           (Exact Name of Registrant as
                             Specified in its Charter)

                                     0-21440
                             (Commission File Number)

            Delaware                                    48-1006287
  (State of Other Jurisdiction                       (IRS Employer
of Incorporation or Organization)                Identification Number)

                             5835 Blue Lagoon Drive
                              Miami, Florida 33126
                   (Address of Principal Executive Offices)
                                (305) 267-6633
                         (Registrant's Telephone Number
                              Including Area Code)


<PAGE>

Item 2.  ACQUISITION OR DISPOSITION OF ASSETS

         On May 3, 1996, Physician Corporation of America, a Delaware 
         corporation ("PCA") entered into a Stock Purchase Agreement ("Stock 
         Purchase Agreement") with Health Partners of Alabama, Inc., an 
         Alabama corporation ("Health Partners"), whereby Health Partners 
         agreed to purchase 100% of the outstanding shares of three of the 
         PCA's wholly owned subsidiary companies: PCA Health Plans of 
         Alabama, Inc. ("PCA Alabama"), Health Strategies, Inc. 
         ("Health Strategies"), and PCA Health Plans of Georgia, Inc. ("PCA 
         Georgia"), (collectively the "PCA Subsidiaries"). PCA Alabama 
         operates a state licensed Health Maintenance Organization in 
         Alabama, Health Strategies provides third-party health and benefit 
         plan administration services to employer groups operating in Alabama 
         and PCA Georgia operates a state licensed Health Maintenance 
         Organization in Georgia.

         The Stock Purchase Agreement was amended on August 15, 
         1996 and August 30, 1996 ("Amended Stock Purchase Agreement"). 
         After receiving approval to complete the transaction from the 
         requisite governmental authorities, the transaction closed on 
         September 23, 1996 ("Closing Date"). Accordingly, pursuant to the 
         Amended Stock Purchase Agreement, Health Partners paid to PCA 
         $20,500,000 as determined through arms-length negotiations to acquire 
         100% of the shares of the PCA Subsidiaries and deposited $2,500,000 
         into an escrow account to be held pursuant to an escrow agreement 
         entered into by Health Partners and PCA.

         Additionally, Health Partners and PCA entered into a Covenant not 
         to Compete agreement ("Non Compete Covenant").  The terms of the 
         Non Compete Covenant require PCA to refrain from engaging in 
         certain business activities in the states of Alabama and Georgia 
         for a period of three (3) years from the Closing Date. As 
         consideration for PCA's covenant, Health Partners will pay to PCA 
         $500,000 on the first anniversary of the Closing Date and 
         $1,000,000 on the second anniversary of the Closing Date.

Item 7.  FINANCIAL STATEMENTS AND EXHIBITS

         a)  FINANCIAL STATEMENTS OF BUSINESS ACQUIRED
             Not applicable

         b)  PRO FORMA FINANCIAL INFORMATION

         The following unaudited pro forma condensed consolidated 
         financial statements are filed with this report:

         Pro Forma Condensed Consolidated Balance Sheet 
             as of June 30, 1996. . . . . . . . . . . . . . . Page F-1

         Pro Forma Condensed Consolidated Statements of Operations:

            Year ended December 31, 1995. . . . . . . . . . . Page F-3
            Six Months ended June 30, 1996. . . . . . . . . . Page F-4

         The Pro Forma Condensed Consolidated Balance Sheet of PCA as of 
         June 30, 1996 reflects the financial position of PCA after giving 
         effect of the disposition of shares in the PCA subsidiaries as 
         discussed in Item 2 and assumes the disposition took place on June 
         30, 1996. The Pro Forma Condensed Consolidated Statements of 
         Operations for the fiscal year ended December 31, 1995 and the six 
         months ended June 30, 1996 assume the disposition occurred on 
         January 1, 1995 and January 1, 1996, respectively, and are based on 
         the operations of PCA for the year ended December 31, 1995 and the 
         six months ended June 30, 1996.

                                      1

<PAGE>

The unaudited pro forma condensed consolidated financial statements 
have been prepared by PCA based upon assumptions which it has 
deemed appropriate. The unaudited pro forma condensed consolidated 
financial statements as presented herein are shown for illustrative 
purposes and are not necessarily indicative of the future financial 
position or future results of operations of PCA, or of the 
financial position or results of operations of PCA that would have 
actually occurred had the transaction been in effect as of the date 
or for the periods presented.

The unaudited pro forma condensed consolidated financial statements 
should be read in conjunction with the historical financial 
statements and related notes of PCA. Additionally, it should be 
noted that PCA's financial statements will reflect the disposition 
from September 23, 1996, the Closing Date.

c)  EXHIBITS

NO.               DESCRIPTION
- ---               -----------

2.1  Stock Purchase Agreement between Health Partners of Alabama, 
     Inc. and Physician Corporation of America dated May 3, 1996 (to be 
     filed by Amendment).

2.2  Amendment dated August 15, 1996 to that certain Stock Purchase 
     Agreement by and between Physician Corporation of America and 
     Health Partners of Alabama, Inc.

2.3  Second Amendment dated August 30, 1996 to that certain Stock 
     Purchase Agreement by and between Physician Corporation of America 
     and Health Partners of Alabama, Inc.

                                      2

<PAGE>

                                  SIGNATURES

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


                                       PHYSICIAN CORPORATION OF AMERICA
                                       (Registrant)

Date: October 8, 1996                  By: /s/  Jay M. Grobowsky
      ----------------------------         ----------------------------
                                       Jay M. Grobowsky
                                       Vice President of Finance

                                      3

<PAGE>
<TABLE>
<CAPTION>
                                             PHYSICIAN CORPORATION OF AMERICA
                            PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET AS OF JUNE 30, 1996
                                                        (UNAUDITED)

                                                                             PRO FORMA ADJUSTMENTS
                                                                   -----------------------------------------
                                                                   PCA        HEALTH        PCA
                                                    HISTORICAL     ALABAMA a) STRATEGIES a) GEORGIA a) OTHER       PRO FORMA
                                                    ----------     -------    ----------    -------    -----       ---------
                                                                             (DOLLARS IN THOUSANDS)
<S>                                                 <C>           <C>         <C>         <C>         <C>         <C>
Current Assets:
  Cash and cash equivalents                             56,564        359            352         90    2,908 b)       58,671
  Short-term investments                               141,771      2,229                       -                    139,542
  Accounts receivable, net of allowance                127,975      1,788            948      1,630    1,247 g)      124,856
  Prepaid expenses, inventories and
        other current assets                            26,742        276             56         42      467 c)       28,335
                                                                                                       1,500 d)
  Income tax receivable                                  6,486      2,379            (62)     4,257       88 h)          -
  Deferred income tax benefit                           16,641        866            528         42                   15,205
                                                      --------    -------        -------     ------   ------         -------
        Total current assets                           376,179      7,897          1,822      6,061    6,210         366,609

  Property and equipment, net                           52,727        683            538        524                   50,982
  Long-term investments                                220,073        571                       293                  219,209
  Deferred income tax benefit                            5,746                                         1,176 i)        6,922
  Statutory deposits and other assets                  106,879      1,200                       124    1,000 d)      107,428
                                                                                                         873 c)
  Intangibles assets - Goodwill                        161,559      8,484                                            153,075
                     - Other intangible assets          23,204      3,702                        10                   19,492
                                                      --------    -------        -------     ------   ------         -------
        Total intangible assets                        184,763     12,186             -          10       -          172,567
                                                      --------    -------        -------     ------   ------         -------
        Total Assets                                   946,367     22,537          2,360      7,012    9,259         923,717
                                                      --------    -------        -------     ------   ------         -------
                                                      --------    -------        -------     ------   ------         -------
Current liabilities:
  Accounts payable, accrued 
      expense and other current liabilities             51,864      2,332          1,853        241      447 e)       48,628
                                                                                                         655 g)
                                                                                                          88 b)
  Health Claims payable                                165,624      4,337                     2,881                  158,406
  Current portion of other claims payable,
        primarily workers' compensation                 41,480                                                        41,480
  Unearned premiums and service fees                    40,481         58                                             40,423
  Current portion of long term debt and
        obligations under capital leases                70,421         82                        41                   70,298
                                                      --------    -------        -------     ------   ------         -------
        Total current liabilities                      369,870      6,809          1,853      3,163    1,190         359,235

  Long-term debt and obligations under capital
        leases, less current portion                    97,645        271                        93  (17,000)f)       80,281
  Long-term portion of other claims payable,
        primarily workers' compensation                252,591                                                       252,591
  Deferred income taxes                                     -       1,124                        52    1,176 i)
  Deferred income and other long term liabilities       18,530                                           893 c)       19,423
                                                      --------    -------        -------     ------   ------         -------
        Total liabilities                              738,636      8,204          1,853      3,308  (13,741)        711,530
                                                      --------    -------        -------     ------   ------         -------

Stockholders' Equity
  Preferred stock                                           -                                                            -
  Common stock                                            388         100              1      1,500    1,601             388
  Additional paid-in-capital                           136,945     45,784          1,875     13,555   61,214         136,945
  Common stock held in treasury - at cost              (10,048)                                          -           (10,048)
  Retained earnings                                     84,460    (31,558)        (1,369)   (11,298) (39,769)         88,916
  Unrealized (loss) gain on investments                 (4,014)         7                       (53)     (46)         (4,014)
                                                      --------    -------        -------    -------   ------         -------
        Total stockholders' equity                     207,731     14,333            507      3,704   23,000         212,187
                                                      --------    -------        -------    -------   ------         -------


        Total liabilities and stockholders' equity     946,367     22,537          2,360     7,012     9,259         923,717
                                                      --------    -------        -------    -------   ------         -------
                                                      --------    -------        -------    -------   ------         -------
</TABLE>
                                        F-1
<PAGE>

                   PHYSICIAN CORPORATION OF AMERICA
  NOTES TO PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET AS OF JUNE 30, 1996
                                (UNAUDITED)


a)  To eliminate the assets, liabilities and equity of PCA Alabama, Health
    Strategies and PCA Georgia for the entire period.

b)  To record cash proceeds from dispositions of $20.5 million net of debt
    repayments of $17.0 million and intercompany settlements and transactions
    expenses.

c)  To record current and long-term portion of covenant-not-to-compete 
    receivable.

d)  To record the current and long-term portion of receivable from escrow.

e)  To record current and long-term portion of covenant-not-to-compete 
    deferred revenue.

f)  To record use of proceeds to reduce long-term debt.

g)  To eliminate intercompany balances.

h)  To reclassify income tax payable.

i)  To reclassify negative deferred income tax liability balances to deferred 
    tax asset.


                                     F-2

<PAGE>
<TABLE>
<CAPTION>
                                              PHYSICIAN CORPORATION OF AMERICA
                                  PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
                                            FOR THE YEAR ENDED DECEMBER 31, 1995
                                                         (UNAUDITED)
                                 (DOLLARS AND SHARES IN THOUSANDS EXCEPT PER SHARE AMOUNTS)

                                                                             PRO FORMA ADJUSTMENTS
                                                                    ---------------------------------------
                                                                PCA          HEALTH        PCA
                                                  HISTORICAL    ALABAMA  a)  STRATEGIES a) GEORGIA  a)  OTHER        PRO FORMA
                                                  ----------    ---------    ----------    ---------    ---------    ---------

Revenues:                                         <C>           <C>          <C>           <C>          <C>          <C>
     Health Premiums                               1,038,638       29,391                     14,111                   995,136
     Workers' Compensation and other 
          revenue                                    159,309        3,401         2,944           11          447 b)   153,400
     Investment income                                18,602          381             8          162           94 c)    18,145
                                                   ---------    ---------     ---------    ---------    ---------    ---------
          Total revenues                           1,216,549       33,173         2,952       14,284          541    1,166,681

Operating Expenses:
     Medical Costs                                   878,918       27,645                     12,842                   838,431
     Administrative, marketing and other
          expenses                                   305,510        8,337         2,781        8,738                   285,654
     Impairment of long lived assets                  25,863       25,863                                                  -
     Depreciation and amortization                    23,264        3,112           149          178                    19,825
                                                   ---------    ---------     ---------    ---------    ---------    ---------
          Total operating expenses                 1,233,555       64,957         2,930       21,758                 1,143,910

     Operating (loss) income                         (17,006)     (31,784)           22       (7,474)         541       22,771

Interest expense                                      (9,113)         (45)           (4)         (17)       1,190 d)    (7,857)
Other income (expense)                                   263                                       3                       260
                                                   ---------    ---------     ---------    ---------    ---------    ---------
     (Loss) earnings before income taxes             (25,856)     (31,829)           18       (7,488)       1,731       15,174

Income tax benefit (expense)                           1,260        2,272            (8)       2,599         (606)e)    (4,209)
                                                   ---------    ---------     ---------    ---------    ---------    ---------

Net earnings                                         (24,596)     (29,557)           10       (4,889)       1,125       10,965
                                                   ---------    ---------     ---------    ---------    ---------    ---------
                                                   ---------    ---------     ---------    ---------    ---------    ---------

Net earnings (loss) per common and common 
equivalent share assuming full dilution            $   (0.62)                                                        $    0.27
                                                   ---------                                                         ---------
                                                   ---------                                                         ---------

Number of Common Shares used in
Computation of fully diluted earnings per share       39,970                                                            39,970
                                                   ---------                                                         ---------
                                                   ---------                                                         ---------
</TABLE>

NOTES:

a)  TO ELIMINATE THE REVENUE AND EXPENSES OF PCA ALABAMA, HEALTH STRATEGIES 
    AND PCA GEORGIA FOR THE ENTIRE PERIOD.

b)  TO RECOGNIZE REVENUE EARNED PURSUANT TO THE COVENANT-NOT-TO-COMPETE 
    AGREEMENT.

c)  TO RECOGNIZE INTEREST INCOME EARNED RELATING TO THE 
    COVENANT-NOT-TO-COMPETE AGREEMENT.

d)  TO RECORD REDUCTION IN INTEREST EXPENSE RESULTING FROM USING $17.0 
    MILLION OF SALES PROCEEDS TO REPAY LONG-TERM DEBT.

e)  TO RECORD THE RELATED INCOME TAX EXPENSE ARISING FROM THE PRO FORMA 
    ADJUSTMENTS NOTED ABOVE.


                                     F-3
<PAGE>

<TABLE>
<CAPTION>

                                                       PHYSICIAN CORPORATION OF AMERICA
                                           PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
                                                     FOR THE SIX MONTHS ENDED JUNE 30, 1996
                                                                  (UNAUDITED)
                                           (DOLLARS AND SHARES IN THOUSANDS EXCEPT PER SHARE AMOUNTS)

                                                                        PRO FORMA ADJUSTMENTS
                                                           ---------------------------------------------
                                                           PCA          HEALTH        PCA
                                              HISTORICAL   ALABAMA a)   STRATEGIES a) GEORGIA a)   OTHER        PRO FORMA
                                              ----------   -------      ----------    -------      -----        ---------
<S>                                           <C>          <C>          <C>           <C>          <C>          <C>
Revenues:                                                                                   
     Health Premiums                          642,811      14,000                     10,960                      617,851
     Workers' Compensation and other                                          
       revenue                                 72,692       1,591         1,300            6        223   b)       70,018
     Investment income                         11,609         168             6           73         47   c)       11,409
                                            -----------   ---------    ----------   ----------    -------     ------------
       Total revenues                         727,112      15,759         1,306       11,039        270           699,278

Operating Expenses:
     Medical Costs                            560,869      13,171                     12,633                      535,065
     Administrative, marketing and other
       expenses                               161,256       3,878         1,054        3,270                      153,054

     Depreciation and amortization             11,969                                                              11,969
                                            -----------   ---------    ----------   ----------   --------      -----------
        Total operating expenses              734,094      17,049         1,054       15,903        -             700,088

     Operating (loss) income                   (6,982)     (1,290)          252       (4,864)       270              (810)

Gain on sale of subsidiaries                    7,900                                                               7,900
Interest expense                               (7,722)        (20)                       (48)       595   d)       (7,059)
Other income (expense)                           (137)                                     1                         (138)
                                            -----------   ---------    ----------   ----------   --------      -----------
      (Loss) earnings before income taxes      (6,941)     (1,310)          252       (4,911)       865              (107)

Income tax benefit (expense)                    7,343         765           (69)       1,772       (303)  e)        4,572
                                            -----------   ---------    ----------   ----------   --------      -----------
Net earnings                                      402        (545)          183       (3,139)       562             4,465
                                            -----------   ---------    ----------   ----------   --------      -----------
                                            -----------   ---------    ----------   ----------   --------      -----------

Net earnings (loss) per common and common
equivalent share assuming full dilution        $ 0.01                                                               $0.11
                                            -----------                                                        -----------
                                            -----------                                                        -----------
Number of Common Shares used in Computation
of fully diluted earnings per share           39,281                                                               39,281
                                            -----------                                                        -----------
                                            -----------                                                        -----------
</TABLE>

NOTES:

a)  TO ELIMINATE THE REVENUE AND EXPENSES OF PCA ALABAMA, HEALTH STRATEGIES 
    AND PCA GEORGIA FOR THE ENTIRE PERIOD.

b)  TO RECOGNIZE REVENUE EARNED PURSUANT TO THE COVENANT-NOT-TO-COMPETE 
    AGREEMENT.

c)  TO RECOGNIZE INTEREST INCOME EARNED RELATING TO THE 
    COVENANT-NOT-TO-COMPETE AGREEMENT.

d)  TO RECORD REDUCTION IN INTEREST EXPENSE RESULTING FROM USING $17.0 
    MILLION OF SALES PROCEEDS TO REPAY LONG-TERM DEBT.

e)  TO RECORD THE RELATED INCOME TAX EXPENSE ARISING FROM THE PRO FORMA 
    ADJUSTMENTS NOTED ABOVE.

                                                        F-4


<PAGE>
                                                                     EXHIBIT 2.2

                           Physician Corporation of America
                           5835 Blue Lagoon Drive, 4th Floor
                                 Miami, Florida 33126

                                   August 15, 1996

Health Partners of Alabama, Inc.
680 Beacon Parkway West, Suite 500
Birmingham, Alabama 35209

     RE:  Amendment to that certain Stock Purchase Agreement by and between 
          Physician Corporation of America ("PCA") and Health Partners of 
          Alabama, Inc. ("Health Partners"), dated May 3, 1996 (the "Stock 
          Purchase Agreement")

Dear Sir:

     In the event that the closing occurs on or before August 31, 1996, PCA 
proposed to modify the Stock Purchase Agreement in the following manner:

     1.   COVENANT NOT-TO-COMPETE:  Section 5.12 of the Stock Purchase 
Agreement is hereby amended as follows:

          (a)  the second sentence is deleted in its entirety and inserted in 
lieu thereof, the following:

          However, notwithstanding the foregoing, nothing herein shall 
          prohibit Seller or its subsidiaries, assigns, agents, successors or 
          other affiliates from providing or soliciting workers compensation 
          insurance, workers compensation surety insurance, workers compensation
          excess insurance, workers compensation inland marine insurance, 
          employer liability insurance, property and casualty insurance, 
          third party administration services to administer self funded 
          workers compensation programs or self insured workers compensation 
          programs or self insured worker compensation program funds or any 
          provider network services for any workers compensation programs in 
          Alabama and Georgia.

          (b)  to the end of Section 5.12 of the Stock Purchase Agreement, 
the following:

          Nothing herein to the contrary shall prohibit the Seller or its 
          subsidiaries (including without limitation PCA Solutions) from 
          providing services to the entities set forth on Exhibit A attached 
          hereto and incorporated herein in the manner and form as currently 
          provided to such entities.  Neither the Seller nor its subsidiaries 
          may renew its contractual obligations to render such services to 
          the Permissible Entities.

     2.   RESTRUCTURING PURCHASE PRICE AND COVENANT NOT-TO-COMPETE.  The 
parties hereby amend the Stock Purchase Agreement to increase the Base 
Purchase Price under Section 1.2 of the Stock Purchase Agreement from 
$21,250,000 to $22,500,000 and to reduce the payment to PCA under Section 5.12 
of the Stock Purchase Agreement from $3,750,000 to $2,000,000.  The $2,000,000 
payable under Section 5.12 of the Stock Purchase Agreement shall be paid by 
Health Partners to PCA in the following 

                                       1
<PAGE>

manner:  (a) $750,000 on the first annual anniversary of the Closing Date under 
the Stock Purchase Agreement; and (b) $1,250,000 on the second annual 
anniversary of the Closing Date under the Stock Purchase Agreement.

     3.   ASSIGNABILITY.  Health Partners may transfer its right under the 
Stock Purchase Agreement to a third party whose shareholders are substantially 
the same as the shareholders of Health Partners, provided that such third party
assumes all of the obligations, terms and conditions and makes all such 
representations and warranties as otherwise provided for Health Partners under 
the Stock Purchase Agreement.  This assignment shall not affect Health Partners'
obligations hereunder.

     4.   NO OTHER AMENDMENTS.  The parties agree that the Stock Purchase 
Agreement is only amended as provided herein, and all other provisions of the 
Stock Purchase Agreement shall remain in full effect.

     If you agree with the foregoing terms, please execute this letter below.

                                       Sincerely,
                                       Physician Corporation of America


                                       By: /s/ Clifford W. Donnelly
                                           _____________________________________
                                           Clifford W. Donnelly,
                                           Chief Financial Officer and
                                           Senior Vice President

                             AGREEMENT AND CONSENT

     Health Partners of Alabama, Inc. hereby agrees to amend the Stock 
Purchase Agreement in accordance with the terms of the foregoing letter.

                                       HEALTH PARTNERS OF ALABAMA, INC.


                                       By: /s/ Gary Simmons
                                           _____________________________________
                                           Gary Simmons, Chief Financial Officer




                                       2



<PAGE>
                                                                     EXHIBIT 2.3

                        Physician Corporation of America
                        5835 Blue Lagoon Drive, 4th Floor
                              Miami, Florida 33126

                                August 30, 1996

Health Partners of Alabama, Inc.
Health Partners Southeast, Inc.
680 Beacon Parkway West, Suite 500
Birmingham, Alabama 35209

     RE:  Second Amendment to that certain Stock Purchase Agreement, dated 
          May 3, 1996 and amended on August 15, 1996, by and between Physician
          Corporation of America ("PCA") and Health Partners of Alabama, Inc. 
          ("HPA"), as assigned by HPA to and assumed by Health Partners 
          Southeast, Inc. ("HPS") of even date herewith (collectively, the 
          "Stock Purchase Agreement")

Dear HPA and HPS:

     The parties desire to amend the Stock Purchase Agreement as follows:

     1.   Employee Incentives:  PCA hereby acknowledges that it has 
transferred $67,587.50 to PCA Health Plans of Georgia, Inc. ("PCA-GA") and 
$338,831.99 to PCA Health Plans of Alabama, Inc. ("PCA-AL") in order to allow 
PCA-GA and PCA-AL to satisfy the employee incentive payments to such persons 
(the "Payees") and in such amounts as set forth in Exhibit A attached hereto 
and incorporated herein (the "Employee Incentive Payments").  HPS agrees to 
cause PCA-GA and PCA-AL:  (a) to pay the appropriate amount of the Employee 
Incentive Payments to the appropriate Payee as soon as practical after the 
date hereof but no later than ten days after the date on which PCA transfers 
ownership to HPS of PCA-GA and PCA-AL, as may be applicable; and (b) to use 
its best efforts to obtain an executed Acknowledgment and Release from each 
Payee in the form attached hereto as Exhibit B.  If PCA-GA or PCA-AL are 
unable to obtain an executed Acknowledgment and Release from the appropriate 
Payee, then HPS shall cause PCA-GA or PCA-AL, as may be applicable, to contact 
Jose Menendez, Esq. or such other designee of PCA for further instructions with
respect to such payment.  As consideration for such services, PCA hereby 
indemnifies, defends and holds harmless HPS, HPA, PCA-GA and PCA-AL, and 
their officers, directors, shareholders, employees, agents and assigns, from 
any liability owed by such parties to any Payee with respect to that certain 
Incentive Compensation Agreement with such Payee as referenced in the 
applicable Acknowledgment and Release.

     2.   Temporary Name Use:  PCA agrees to allow PCA-GA and PCA-AL to 
temporarily use the initials "PCA" on its membership cards and existing 
marketing materials for a period not to exceed sixty days from the date after 
the date on which PCA transfers ownership to HPS of PCA-GA and PCA-AL, as may 
be applicable.  PCA-GA, PCA-AL and HPS are prohibited from using the initials 
"PCA", the name "Physician Corporation of America" or any derivative thereof 
in any manner other than as set forth in the foregoing sentence without the 
prior written consent of PCA.

     3.   Access to Telephone System:  The telephone system currently used by 
PCA-GA is being leased in conjunction with PCA Solutions, Inc. and expect as 
otherwise provided herein, will be used exclusively by PCA Solutions, Inc. 
following PCA's transfer of ownership of PCA-GA to HPS.

                                       1
<PAGE>

However, PCA hereby agrees to allow PCA-GA to continue its current use of 
such telephone system for a period of one hundred twenty days following such 
transfer.  PCA-GA shall pay its applicable share of the lease cost with 
respect to this telephone system during this period of use.

     4.   Adjustment to Base Purchase Price and Covenant Not-to-Compete:  In 
consideration for each party agreeing not to terminate the Stock Purchase 
Agreement under Section 8.1(c) thereof prior to September 17, 1996 and 
extending the Stock Purchase Agreement to September 17, 1996, the parties 
agree:  (a) to increase the Base Purchase Price under Section 1.2 of the 
Stock Purchase Agreement from $22,500,000 to $23,000,000 with this additional 
$500,000 deposited with the Escrow Agent in a separate escrow account to be 
released to PCA on August 17, 1998 to be utilized in connection with the 
obligations of Seller to indemnify HPS under the Stock Purchase Agreement, 
and such additional $500,000 amount shall be paid in connection with the sale 
of the capital stock of PCA-HSA from PCA to HPS; and (b) decrease the amount 
payable $500,000 on the first anniversary date of the Closing Date and 
$1,000,000 on the second anniversary date of the Closing Date.  
Notwithstanding this reduction of the amount payable under Section 5.12 of 
the Stock Purchase Agreement, if the last sentence of Section 5.12 of the 
Stock Purchase Agreement becomes operational, PCA shall immediately refund to 
HPS all payments then made by HPS under Section 5.12 of the Stock Purchase 
Agreement together with an additional $500,000, at which point the Covenant 
Not-to-Compete and the Period of Non-Compete will terminate.

     5.   Limited Software Use Agreement:  The Limited Software Use Agreement 
shall include Section 11(b) and (c) set forth in the draft of such agreement 
provided to HPS's counsel by PCA's counsel on July 25, 1996.

     6.   Escrow Agreement:  The Escrow Agreement contemplated in the Stock 
Purchase agreement shall provide that the governing law for such agreement 
shall be Georgia and choice of venue for any arbitrations or legal actions 
shall be held in Atlanta, Georgia.  In addition, the Escrow Agreement will 
not include language which was previously set forth in the Stock Purchase 
Agreement but will incorporate by reference the terms of the Stock Purchase 
Agreement.

     7.   Marketing of PCA-AL, PCA-HSA and PCA-GA:  In the event that no 
hearing date is established with the Georgia Department of Insurance on or 
before September 4, 1996 with respect to the transfer of PCA-GA from PCA to 
HPS, PCA may privately market the sale of the capital stock or assets of 
PCA-AL, PCA-HSA and/or PCA-GA to five or fewer potential purchasers.  
Notwithstanding the foregoing, PCA may not enter into any agreement to 
privately sell such stock or assets of PCA-AL, PCA-HSA or PCA-GA on or prior 
to September 17, 1996.

     The parties to the Stock Purchase Agreement hereby amend the Stock 
Purchase Agreement only with respect to the matters contained herein, and all 
other terms and provisions of the Stock Purchase Agreement shall remain 
unchanged as of the date hereof.

                                       Sincerely,
                                       Physician Corporation of America


                                       By: /s/ Clifford W. Donnelly
                                           _____________________________________
                                           Clifford W. Donnelly,
                                           Senior Vice President and
                                           Chief Financial Officer

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<PAGE>

                             AGREED AND ACCEPTED:

     The undersigned consent to the terms of the foregoing letter and hereby 
amend the Stock Purchase Agreement as set forth above.

August 30, 1996                        Health Partners of Alabama, Inc.


                                       By: /s/ Gary Simmons
                                           _____________________________________
                                           Gary Simmons,
                                           Senior Vice President and
                                           Chief Financial Officer

                                       Health Partners Southeast, Inc.


                                       By: /s/ Gary Simmons
                                           _____________________________________
                                           Gary Simmons,
                                           Senior Vice President and
                                           Chief Financial Officer



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