NATIONAL MEDICAL HEALTH CARD SYSTEMS INC
DEF 14A, 2000-11-13
MISC HEALTH & ALLIED SERVICES, NEC
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                        SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                            SCHEDULE 14A INFORMATION

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
                                (Amendment No. )

Filed by the Registrant |X|
Filed by a Party other than the Registrant |_|

Check the appropriate box:

|_| Preliminary Proxy Statement
|X| Definitive Proxy Statement
|_| Definitive Additional Materials
|_| Soliciting Material Pursuant to Rule 14a-11(c) or Rule 14a-12


________________________________________________________________________________
                (Name of Registrant as Specified In Its Charter)

________________________________________________________________________________
                   (Name of Person(s) Filing Proxy Statement)

Payment of Filing Fee (Check the appropriate box):

|_| $125 per Exchange Act Rule 0-11(c)(1)(ii), 14a-6(i)(1) or 14a-6(j)(2).
|_| $500 per each party to the controversy pursuant to
    Exchange Act Rule 14a-6(i)(3).
|_| Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

1) Title of each class of securities to which transaction applies:

   _____________________________________________________________________________

2) Aggregate number of securities to which transaction applies:

   _____________________________________________________________________________

3) Per unit price or other underlying value of transaction computed
   pursuant to Exchange Act Rule 0-11:*

   _____________________________________________________________________________

4) Proposed maximum aggregate value of transaction:

   _____________________________________________________________________________

|_| Check box if any part of the fee is offset as provided by
    Exchange Act Rule 0-11(a)(2) and identify the filing for which
    the offsetting fee was paid previously.  Identify the previous
    filing by registration statement number, or the form or schedule
    and the date of its filing.

    1) Amount previously paid: _________________________________________________

    2) Form, Schedule or Registration No. ______________________________________

    3) Filing party: ___________________________________________________________

    4) Date filed: _____________________________________________________________

___________
*Set forth the amount on which the filing fee is calculated and state how it was
 determined.

(032796DTI)



                   NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.
                              26 HARBOR PARK DRIVE
                         PORT WASHINGTON, NEW YORK 11050

                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS

                                NOVEMBER 20, 2000

TO THE SHAREHOLDERS OF
NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.

     NOTICE IS HEREBY GIVEN that the Annual Meeting of  Shareholders of NATIONAL
MEDICAL HEALTH CARD SYSTEMS,  INC., a New York corporation ("Health Card"), will
be held  at  Health  Card's  executive  offices,  26  Harbor  Park  Drive,  Port
Washington, New York at 11:00 a.m., local time, for the following purposes:

     (1)      To elect a board of six (6) Directors.

     (2) To ratify the adoption of Health Card's 2000 Restricted Stock Plan.

     (3) To  transact  such  other  business  as may  properly  come  before the
meeting.

     Only  Shareholders  of record at the close of  business on October 26, 2000
are entitled to notice of, and to vote at, the Meeting or any  adjournment(s) or
postponement(s) thereof.

                                       By Order of the National Medical Health
                                       Card Systems, Inc. Board of Directors



                                       Gerald Shapiro
                                       Secretary

Port Washington, New York
November 9, 2000

--------------------------------------------------------------------------------
WHETHER OR NOT YOU PLAN TO ATTEND THE MEETING,  PLEASE COMPLETE,  VOTE, DATE AND
SIGN THE ENCLOSED PROXY,  WHICH IS SOLICITED BY THE BOARD OF DIRECTORS OF HEALTH
CARD AND RETURN IT IN THE PRE-ADDRESSED  ENVELOPE PROVIDED FOR THAT PURPOSE. ANY
SHAREHOLDER  MAY  REVOKE  HIS PROXY AT ANY TIME  BEFORE  THE  MEETING BY WRITTEN
NOTICE TO SUCH EFFECT, BY SUBMITTING A SUBSEQUENTLY  DATED PROXY OR BY ATTENDING
THE MEETING AND VOTING IN PERSON.

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

                   NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.
                              26 HARBOR PARK DRIVE
                         PORT WASHINGTON, NEW YORK 11050

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

                     SUPPLEMENT NUMBER 1 TO PROXY STATEMENT
               PRESENTED TO SHAREHOLDERS FOR THE ANNUAL MEETING OF
                  SHAREHOLDERS TO BE HELD ON NOVEMBER 20, 2000

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


     The Board of Directors of National  Medical Health Card Systems,  Inc. (the
"Company")  presents this Supplement Number 1 to its Proxy Statement (the "Proxy
Statement")  for the Annual Meeting of  Shareholders  to be held on November 20,
2000 (the  "Annual  Meeting") to all  shareholders  of record as of the close of
business on October 24,  2000.  The Proxy  Statement  incorrectly  reflects  the
record date with respect to the Annual  Meeting as October 26, 2000. The correct
record date is October 24, 2000.

Port Washington, New York                  By order of the Board of Directors of
November 9, 2000                           National Medical Health Card
                                           Systems, Inc.


                                           Gerald Shapiro
                                           Secretary


<PAGE>


                     NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.
                              26 HARBOR PARK DRIVE
                            PORT WASHINGTON, NY 11050

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

                                 PROXY STATEMENT

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


            ANNUAL MEETING OF SHAREHOLDERS TO BE HELD NOVEMBER 20, 2000

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



     This Proxy  Statement is being  mailed on or about  November 9, 2000 to the
Shareholders of record of National  Medical Health Card Systems,  Inc.  ("Health
Card") at the close of  business  on October  26,  2000 in  connection  with the
solicitation  of proxies by the Board of Directors of Health Card to be voted at
an Annual Meeting of  Shareholders to be held on November 20, 2000 at 11:00 a.m.
(local  time),  at Health  Card's  executive  offices  located at 26 Harbor Park
Drive,  Port  Washington,  New  York  11050,  and any and  all  adjournments  or
postponements thereof (the "Meeting").

     All shares  represented by proxies duly executed and received will be voted
on the matters  presented at the Meeting in accordance  with the  specifications
made in such  proxies.  In the  absence of  specified  instructions,  proxies so
received  will be voted (1) FOR the named  nominees  to Health  Card's  Board of
Directors  and (2) FOR the  ratification  of the adoption of Health  Card's 2000
Restricted  Stock Plan. The Board does not know of any other matters that may be
brought  before the Meeting  nor does it foresee or have reason to believe  that
proxy  holders will have to vote for  substitute  or  alternate  nominees to the
Board.  In the event that any other matter should come before the Meeting or any
nominee is not available for election,  the persons named in the enclosed  proxy
will have discretionary authority to vote all proxies not marked to the contrary
with respect to such matters in accordance with their best judgment.

     The total number of shares of Common Stock,  par value $.001 per share,  of
Health Card (the "Common Shares") outstanding and entitled to vote as of October
26, 2000 was  7,121,496.  The Common  Shares are the only class of securities of
Health Card entitled to vote on matters  presented to the shareholders of Health
Card,  each share being  entitled to one  noncumulative  vote. A majority of the
Common  Shares  outstanding  and  entitled  to vote as of October 26,  2000,  or
3,560,749 Common Shares, must be present at the Meeting in person or by proxy in
order to constitute a quorum for the transaction of business.  Only shareholders
of record as of the close of  business  on October  26, 2000 will be entitled to
vote.  With regard to the election of  Directors,  votes may be cast in favor or
withheld.  Directors  shall be elected by a plurality of the votes cast for such
individuals.  Shareholders may expressly abstain from voting on Proposal 2 by so
indicating on the Proxy.  Abstentions  and broker  non-votes will be counted for
purposes of determining  the presence or absence of a quorum for the transaction
of business.  Abstentions  are counted as present in the  tabulation of votes on
each of the proposals  presented to  shareholders.  Broker non-votes will not be
counted for the purpose of  determining  whether a particular  proposal has been
approved.  Since  Proposal 2 requires the  affirmative  vote of the holders of a
majority  of the votes of the  outstanding  Common  Shares  present in preson or
represented  by proxy  at the  Meeting  (assuming  a quorum  is  present  at the
Meeting),  abstentions  will have the  effect of a negative  vote  while  broker
non-votes will have no effect.

     Any Health Card shareholder  giving a proxy in the form  accompanying  this
Proxy Statement has the power to revoke it at any time before its exercise.  The
proxy may be revoked by filing with Health Card written  notice of revocation or
a fully  executed  proxy bearing a later date.  The proxy may also be revoked by
affirmatively  electing to vote in person  while in  attendance  at the Meeting.
However, a shareholder who attends the Meeting need not revoke a proxy given and
vote in person unless the  shareholder  wishes to do so. Written  revocations or
amended  proxies  should be sent to Health Card at 26 Harbor  Park  Drive,  Port
Washington, New York 11050, Attention: Corporate Secretary.

     This Proxy is being  solicited by Health Card's Board of Directors.  Health
Card will bear the cost of the  solicitation  of proxies,  including the charges
and expenses of brokerage firms and other  custodians,  nominees and fiduciaries
for  forwarding  proxy  materials  to  beneficial  owners of Health Card shares.
Solicitations will be made primarily by mail, but certain Directors, officers or
employees  of  Health  Card may  solicit  proxies  in  person  or by  telephone,
telecopier or telegram without special compensation.

     A list of Health Card shareholders  entitled to vote at the Meeting will be
available for examination by any shareholder for any purpose for a period of ten
days prior to the Meeting at Health Card's offices,  26 Harbor Park Drive,  Port
Washington,  New York 11050 and also during the Meeting  for  inspection  by any
shareholder who is present.


<PAGE>


                     EXECUTIVE COMPENSATION

SUMMARY COMPENSATION TABLE

     The  following  table sets forth  certain  information  with respect to the
compensation  paid or awarded by Health Card to the Chief Executive  Officer and
other executive officers,  (collectively, the "Named Executive Officers"), whose
salary and bonus  exceeded  $100,000 in all capacities for the fiscal year ended
June 30, 2000:
<PAGE>
<TABLE>
<S>
<C>                <C>       <C>          <C>             <C>                    <C>            <C>           <C>         <C>
=================== ========= ================================================= ======================================== ===========
                                           Annual Compensation                          Long-Term Compensation

------------------- --------- ------------------------------------------------- ---------------------------------------- -----------
------------------- --------- ------------ ------------- ---------------------- ---------------------------- ----------- -----------
                                                                                          Awards              Payouts
------------------- --------- ------------ ------------- ---------------------- ---------------------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                                                             Other Annual        Restricted    Securities               All Other
                                                             Compensation       Stock Awards   Underlying    LTIP      Compensation
                                Salary        Bonus               ($)               ($)         Options/     Payouts         ($)
     Name and         Year        ($)          ($)                                              SARs (#)        ($)
Principal Position
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
 Bert E. Brodsky,     2000    182,114 (1)  120,000 (3)        97,310 (5)            -0-            -0-          -0-          -0-
 Chairman of the
      Board

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1999    403,867 (2)  487,500 (3)        90,717 (5)            -0-            -0-          -0-          -0-
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1998    751,096 (2)   30,000 (3)        47,377 (5)            -0-            -0-          -0-          -0-
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
  Linda Portney,      2000      125,000        -0-            20,140 (6)            -0-            -0-          -0-        499(15)
  Executive Vice                                                                                                           512(16)
   President of
    Operations

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1999      125,000        -0-            20,027 (7)            -0-            -0-          -0-        952(16)
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1998      125,000        -0-            19,514 (7)            -0-            -0-          -0-        1170(16)
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
   Mary Casale,       2000      100,000    226,936 (4)       4,800 (8)(9)           -0-        255,689(10)      -0-        523(15)
  Executive Vice                                                                                                           538(16)
   President of
    Sales and
    Marketing

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1999      100,000    103,300 (4)       4,800 (8)(9)           -0-            -0-          -0-
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1998      100,000     50,031 (4)       4,800 (8)(9)           -0-        255,690(10)      -0-        987(16)
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                                                                                                                           586(16)

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
 Kenneth Hammond,     2000      114,231       10,250              -0-               -0-        10,000 (12)      -0-        393(15)
Vice President of                                                                                                          347(16)
    Operations

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1999      103,135       10,250              -0-               -0-            -0-          -0-        656(16)
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1998      100,327        -0-                -0-               -0-            -0-          -0-          -0-
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
 John Ciufo, Vice     2000      141,730       20,000              -0-               -0-        35,568(13)       -0-        508(15)
   President of
Clinical Services

------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1999      59,000        5,000               -0-               -0-        25,568(14)       -0-          -0-
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
------------------- --------- ------------ ------------- ---------------------- ------------- -------------- ----------- -----------
                      1998        -0-          -0-                -0-               -0-            -0-          -0-          -0-
=================== ========= ============ ============= ====================== ============= ============== =========== ===========
</TABLE>
------------------
(1)  Represents salary paid to Mr. Brodsky.

(2)  Represents  salary and consulting fees paid to certain entities  affiliated
     with Mr. Brodsky.

(3)  For the fiscal year ending June 30, 2000, reflects a $120,000 bonus awarded
     to Mr.  Brodsky in January  2000.  Such bonus is to be paid in twelve equal
     monthly  installments of $10,000. As of June 30, 2000, no amounts have been
     paid to Mr.  Brodsky with regards to this bonus.  Also  includes a bonus of
     $360,000 for the fiscal year ended June 30, 1999 and a bonus of $30,000 for
     the fiscal year ended June 30, 1998.

(4)  Represents  $0, $0 and $15,000 in bonus and $226,936,  $103,300 and $35,031
     in  commissions  for the fiscal years ended June 30,  2000,  1999 and 1998,
     respectively.  Pursuant to Ms.  Casale's  current  arrangement  with Health
     Card,  she is entitled to  commissions  as follows:  .5% of gross  revenues
     received from direct accounts sold and .25% of gross revenues received from
     accounts sold by sales people under her management.

(5)  Includes automobile lease payments to an entity affiliated with Mr. Brodsky
     and life insurance premiums.

(6)  Represents  automobile lease payments to an unaffiliated entity and amounts
     for automobile insurance and travel allowance.

(7)  Represents  automobile  lease  payments  to an entity  affiliated  with Mr.
     Brodsky and amounts for automobile insurance and travel allowance.

(8)  Represents automobile allowances paid to Ms. Casale.

(9)  Does not include  annual  payments  of $20,400  made by Health Card for the
     lease of an apartment for the benefit of Ms. Casale.

(10) Includes  an option  granted by Health Card on February 1, 2000 to purchase
     255,689 shares of common stock, of which 51,138 were exercisable as of June
     30,  2000.  As of October  26,  2000,  102,276  shares of such  option were
     currently exercisable.

(11) Includes  an option  granted by Mr.  Brodsky on July 1, 1997 to purchase an
     aggregate of 255,690 shares of Health Card common stock from Mr. Brodsky at
     a price of $5.87 per share.  Such option was  surrendered  by Ms. Casale on
     February 1, 2000.

(12) Includes an option  granted on August 3, 1999 to purchase  10,000 shares of
     common  stock at an exercise  price of $7.50,  of which  4,000  shares were
     exercisable  as of June 30, 2000.  As of October 26, 2000,  7,000 shares of
     such option were currently exercisable.

(13) Includes an option  granted on August 3, 1999 to purchase  10,000 shares of
     common  stock at an exercise  price of $7.50,  of which  3,400  shares were
     exercisable as of June 30, 2000. As of October 26, 2000,  6,700 shares were
     currently exercisable.  Also includes an option granted on February 1, 2000
     to purchase 25,568 shares of common stock at an exercise price of $5.87, of
     which 8,530 shares of such option were  exercisable as of June 30, 2000 and
     October 26, 2000.

(14) Includes an option  granted by Mr.  Brodsky on December 7, 1998 to purchase
     an aggregate of 25,568 shares of Health Card common stock from Mr.  Brodsky
     at a price of $5.87 per share.  Such option was surrendered by Mr. Ciufo on
     February 1, 2000.

(15) Represents  amounts  anticipated  to be  contributed  by Health  Card under
     Health Card's 401(k) Plan.  Such amounts have not yet been  contributed and
     the obligation to pay these amounts is at the discretion of Health Card.

(16) Represents  amounts  contributed  by Health Card under Health Card's 401(k)
     Plan as of June 30, 2000.


<PAGE>


OPTION/SAR GRANTS IN LAST FISCAL YEAR

     The following table sets forth certain  information  concerning  individual
grants of stock options during the fiscal year ending June 30, 2000:
<PAGE>
<TABLE>
<S>
<C>               <C>             <C>            <C>           <C>             <C>             <C>
============================================================================== =====================================

                                                                                  POTENTIAL REALIZABLE VALUE AT
                                                                               ASSUMED ANNUAL RATES OF STOCK PRICE
                                                                                   APPRECIATION FOR OPTION TERM
                              INDIVIDUAL GRANTS
------------------------------------------------------------------------------ -------------------------------------
------------------ --------------- ---------------- ------------ ------------- ------------------ ------------------


                     Number of       Percent of
                     Securities         Total
                     Underlying     Options/SARs

                      Options/       Granted to     Exercise or
                    SARs Granted    Employees in    Base Price    Expiration

      Name              (#)          Fiscal Year      ($/Sh)         Date           5% ($)             10% ($)
                                         (%)
------------------ --------------- ---------------- ------------ ------------- ------------------ ------------------
------------------ --------------- ---------------- ------------ ------------- ------------------ ------------------

Bert E. Brodsky         -0-              -0-            -0-          -0-              -0-                -0-

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

Mary Casale         255,689 (1)         38.9           5.87         7/1/05            -0-                -0-

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

Kenneth Hammond      10,000 (2)          1.5           7.50         8/3/04         11,104.15          23,999.78

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

John Ciufo           10,000 (3)          1.5           7.50         8/3/04         11,104.15          23,999.78
                     25,568 (4)          3.9           5.87         2/1/05            -0-                -0-

------------------ --------------- ---------------- ------------ ------------- ------------------ ------------------
</TABLE>
(1)  Exercisable  over a five  year  period to the  extent  of 51,138  shares of
     Common  Stock in each of July  1999,  July 2000,  July 2001,  July 2002 and
     51,137 shares of Common Stock in July 2004.

(2)  Exercisable  over a three  year  period to the  extent  of 4,000  shares of
     Common  Stock in August  1999 and 3,000  shares of Common  Stock in each of
     August 2000 and August 2001.

(3)  Exercisable  over a three  year  period to the  extent  of 3,400  shares of
     Common  Stock in August  1999 and 3,300  shares of Common  Stock in each of
     August 2000 and August 2001.

(4)  Exercisable  over a three  year  period to the  extent  of 8,530  shares of
     Common  Stock in February  2000 and 8,519 shares of Common Stock in each of
     February 2001 and December 2001.


<PAGE>

AGGREGATED  OPTION/SAR  EXERCISE IN LAST FISCAL YEAR AND FISCAL  YEAR-END OPTION
VALUE TABLE

The  following  table sets forth  certain  information  concerning  the value of
unexercised options and warrants for the fiscal year ended June 30, 2000:
<PAGE>
<TABLE>
<S>
<C>                   <C>                    <C>                <C>                       <C>
===================== ======================= ================= ========================== ==========================
                                                                  Number of Securities       Value of Unexercised
                                                                 Underlying Unexercised    in-the-Money Options and
                                                                 Options and Warrants at     Warrants at June 30,
        Name            Shares Acquired on     Value Realized       June 30, 2000(#)                2000($)
                           Exercise(#)              ($)         Exercisable/Unexercisable  Exercisable/Unexercisable
--------------------- ----------------------- ----------------- -------------------------- --------------------------
--------------------- ----------------------- ----------------- -------------------------- --------------------------
  Bert E. Brodsky              -0-                  -0-                    -0-                        -0-
--------------------- ----------------------- ----------------- -------------------------- --------------------------
--------------------- ----------------------- ----------------- -------------------------- --------------------------
    Mary Casale                -0-                  -0-              51,138/204,551                 -0-/-0-
--------------------- ----------------------- ----------------- -------------------------- --------------------------
--------------------- ----------------------- ----------------- -------------------------- --------------------------
  Kenneth Hammond              -0-                  -0-                4,000/6,000                  -0-/-0-
--------------------- ----------------------- ----------------- -------------------------- --------------------------
--------------------- ----------------------- ----------------- -------------------------- --------------------------
     John Ciufo                -0-                  -0-                3,400/6,600                  -0-/-0-
                               -0-                  -0-               8,530/17,038                  -0-/-0-
===================== ======================= ================= ========================== ==========================
</TABLE>
COMPENSATION OF DIRECTORS

         During  the  fiscal  year ended  June 30,  2000,  10,000  non-qualified
options were issued to each of Messrs.  Gerald Angowitz and Kenneth J. Daley and
Dr. Richard Strauss.  See "Security  Ownership of Certain  Beneficial Owners and
Management".  The By-Laws of Health Card provide  that  Directors of Health Card
may, by resolution of the Board, be paid a fixed sum and expenses for attendance
at each regular or special  meeting of the Board.  No Director's  fees have been
paid to date. The  Certificate  of  Incorporation  also provides,  to the extent
permitted by law, for certain indemnification of its Directors.

EMPLOYMENT   CONTRACTS,   TERMINATION   OF  EMPLOYMENT   AND   CHANGE-IN-CONTROL
ARRANGEMENTS

     Except as  described  below,  there are no  written  employment  or similar
agreements with any of the Named Executive Officers.

     Health  Card  entered  into  an  employment  agreement  with  the  majority
stockholder, Mr. Brodsky effective July 1, 1999. Pursuant to this agreement, Mr.
Brodsky has agreed to serve as Chairman of the Board of  Directors  at an annual
salary  of  $200,000,  subject  to  adjustment  by the Board of  Directors.  The
agreement  commenced  on  July 1,  1999  and  has a term  of two  years,  unless
terminated  by  Health  Card for  cause,  or in the event  Mr.  Brodsky  becomes
permanently disabled. The agreement provides for certain fringe benefits payable
to or on behalf of Mr. Brodsky,  such as the use of an automobile.  In addition,
the agreement provides for certain termination  benefits payable to Mr. Brodsky,
which  depending  upon the  reason  for  termination,  can equal up to two years
salary.  It is anticipated that Mr. Brodsky may devote a portion of his business
time to business affairs unrelated to Health Card, provided that such activities
do not prevent him from  fulfilling his  obligations  under the  agreement.  The
agreement  does not quantify the amount of time that Mr.  Brodsky must devote to
Health  Card.  However,  it is  contemplated  that  Mr.  Brodsky  will  devote a
substantial portion of his business time to the affairs of Health Card.

     In January  2000,  the Board of  Directors  authorized  the  payment to Mr.
Brodsky  of a bonus in the  amount of  $120,000.  Such bonus is payable in equal
monthly installments of $10,000.

     Health Card entered into an employment  agreement with James Bigl effective
June 12,  2000.  Pursuant  to this  agreement,  Mr.  Bigl has agreed to serve as
President  and Chief  Operating  Officer  at an annual  salary of  $188,000,  in
addition to (i) a $25,000 signing bonus upon execution of the agreement and (ii)
the  ability  to  participate  in the  bonus  pool for  senior  executives.  The
agreement also provides for certain termination benefits,  which, depending upon
the reason for  termination,  can equal up to one year of salary.  In connection
with the  employment  agreement,  Health Card  granted to Mr. Bigl an  incentive
stock option to purchase 100,000 shares of common stock at $5.00 per share. Such
option vests over a three year period  commencing  on June 12, 2001.  The option
expires on June 12, 2005.

     Health  Card  entered  into an  employment  agreement  with  David  Gershen
effective May 1, 2000.  Pursuant to this  agreement,  Mr.  Gershen has agreed to
serve as Senior Vice  President of Finance at an annual  salary of $150,000,  in
addition  to (i) a  $25,000  bonus  upon  the  completion  of one  full  year of
employment  with Health Card and (ii) the  ability to  participate  in the bonus
pool for senior executives.  The agreement also provides for certain termination
benefits,  including,  but not limited to, a change of control, which, depending
upon  the  reason  for  termination,  can  equal up to one  year of  salary.  In
connection with the employment agreement,  Health Card granted to Mr. Gershen an
incentive  stock option to purchase  35,000  shares of common stock at $5.00 per
share. Such option vests over a three year period commencing on May 1, 2001. The
option expires on May 1, 2005.

     Ms. Portney,  Ms. Casale,  Mr. Ciufo and Mr. Hammond are employed by Health
Card pursuant to letters,  employee covenant  agreements and/or  confidentiality
and  non-disclosure  agreements  reflecting  the  compensation  set forth in the
Executive  Compensation  Table  hereof  and/or  restricting  the  employee  from
engaging in certain competitive activity and/or disclosing certain information.

<PAGE>


                 SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS
                                 AND MANAGEMENT

     The following table sets forth to the knowledge of Health Card based solely
upon  records  available  to it,  certain  information,  as of October 26, 2000,
regarding the beneficial ownership of Health Card's common stock for:

     o each  person who is known by Health  Card to be the  beneficial  owner of
more than five (5%) percent of Health Card's shares of common stock,

     o each of the Named Executive Officers,

     o each of Health Card's Directors, and

     o all of Health Card's Executive Officers and Directors as a group.

         Except as otherwise  indicated  below,  each of the entities or persons
named in the table has sole  voting and  investment  power  with  respect to all
shares of common stock beneficially owned.
<TABLE>
<S>
<C>                                          <C>                                        <C>
============================================= ========================================= ==========================================
    NAME OF MANAGEMENT PERSON AND NAME AND
      ADDRESS OF BENEFICIAL OWNER (1)                                                            APPROXIMATE PERCENTAGE
                                                          NUMBER OF SHARES                        OF OUTSTANDING SHARES
--------------------------------------------- ----------------------------------------- ------------------------------------------
Bert E. Brodsky                                            4,051,160 (2)                                  56.9%
--------------------------------------------- ----------------------------------------- ------------------------------------------
Irrevocable Trust of                                          383,579                                     5.4%
David Craig Brodsky
--------------------------------------------- ----------------------------------------- ------------------------------------------
Gerald Shapiro                                                383,534                                     5.4%
--------------------------------------------- ----------------------------------------- ------------------------------------------
James Bigl                                                   2,000 (3)                                      *
--------------------------------------------- ----------------------------------------- ------------------------------------------
Linda Portney                                                 219,162                                     3.1%
--------------------------------------------- ----------------------------------------- ------------------------------------------
Mary Casale                                                 102,276 (4)                                   1.4%
--------------------------------------------- ----------------------------------------- ------------------------------------------
David Gershen                                                 -0- (5)                                       *
--------------------------------------------- ----------------------------------------- ------------------------------------------
Barry Denaro                                                 7,010 (6)                                      *
--------------------------------------------- ----------------------------------------- ------------------------------------------
Kenneth Hammond                                              7,000 (7)                                      *
--------------------------------------------- ----------------------------------------- ------------------------------------------
John Ciufo                                                   15,230 (8)                                     *
--------------------------------------------- ----------------------------------------- ------------------------------------------
Kenneth J. Daley                                             6,700 (9)                                      *
6 Glen Avenue
Glen Head, NY 11545
--------------------------------------------- ----------------------------------------- ------------------------------------------
Richard J. Strauss, M.D.                                     6,700 (9)                                      *
1000 Northern Boulevard
Great Neck, NY 11021
--------------------------------------------- ----------------------------------------- ------------------------------------------
Gerald Angowitz                                              6,700 (9)                                      *
37 Fieldstone Lane
Oyster Bay, NY 11771
--------------------------------------------- ----------------------------------------- ------------------------------------------
All executive officers and Directors as a           4,785,242 (2)(3)(4)(5)(6)(9)                          66.0%
group (10 persons)
============================================= ========================================= ==========================================
</TABLE>

<PAGE>


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

(1)  With the exception of the addresses specifically noted, the address of each
     person named in the table is c/o National Medical Health Card Systems, Inc.
     at 26 Harbor Park Drive, Port Washington, NY 11050.

(2)  Includes (i) an aggregate  of 997,583  shares of common stock  beneficially
     owned by Mr.  Brodsky's  children's  trusts,  (ii) 100,000 shares of common
     stock  beneficially owned by the Bert E. Brodsky Revocable Trust, and (iii)
     1,725 shares of common stock  beneficially  owned by P.W. Capital Corp., of
     which Mr. Brodsky is President.

(3)  Does not include an aggregate of 100,000  shares of common stock subject to
     currently unexercisable options.

(4)  Includes  102,276  shares of  common  stock  subject  to  options  that are
     currently  exercisable.  Does not include an aggregate of 153,413 shares of
     common stock subject to currently unexercisable options.

(5)  Does not include an aggregate of 35,000  shares of common stock  subject to
     currently unexercisable options.

(6)  Includes 7,000 shares of common stock subject to options that are currently
     exercisable.  Does not include an aggregate of 3,000 shares of common stock
     subject to currently unexercisable options.

(7)  Includes 7,000 shares of common stock subject to options that are currently
     exercisable.  Does not include an aggregate of 3,000 shares of common stock
     subject to currently unexercisable options.

(8)  Includes 6,700 shares of common stock subject to options that are currently
     exercisable.  Does not include an aggregate of 3,300 shares of common stock
     subject to currently  unexercisable  options.  Also  includes  8,530 shares
     subject to options  that are  currently  exercisable.  Does not  include an
     aggregate  of  17,038   shares  of  common   stock   subject  to  currently
     unexercisable options.

(9)  Includes for each of Mr. Daley,  Dr. Strauss and Mr.  Angowitz 6,700 shares
     of common stock subject to options that are currently exercisable. Does not
     include for each of them 3,300 shares of common stock  subject to currently
     unexercisable options.

<PAGE>


                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

         From time to time,  Mr.  Brodsky  and his  affiliates  have  engaged in
numerous transactions with Health Card.

HEALTH CARD'S RELATIONSHIP WITH SANDATA

     Health Card has entered into various  verbal and written  agreements,  with
Sandata, Inc.  ("Sandata"),  a provider of computerized data processing services
and  custom  software  in  programming  services,  of which Mr.  Brodsky  is the
Chairman of the Board,  Treasurer  and a principal  stockholder,  and several of
Sandata's  wholly-owned  subsidiaries.  The majority of the  services  which are
provided by wholly-owned subsidiaries, Sandsport Data Services, Inc. and Sandata
Home Health Systems, Inc., are related to database and operating system support,
hardware leasing,  maintenance and related administrative services.  Health Card
purchases  services from Sandata,  and its  subsidiaries,  on an as needed basis
based upon  negotiated  hourly or  monthly  rates.  Sandata  also  procures  the
majority of Health Card's computer equipment and furniture and fixtures. Sandata
resells  these  items to Health Card at their cost plus a 10-20%  servicing  fee
depending  on the level of  up-front  consulting  required to develop the proper
specifications for the equipment.  Approximately  $181,000 of computer equipment
and  furniture  and fixtures  were  purchased on Health Card's behalf during the
fiscal  year  ended  June  30,  2000.  In  addition,  Sandata,  through  another
wholly-owned  subsidiary,  Santrax Systems, Inc., resells its telephone services
to Health Card based on actual usage.

     A significant portion of Health Card's information systems has historically
been  developed,  enhanced,  modified and maintained by Sandsport Data Services,
Inc., a  wholly-owned  subsidiary of Sandata.  During the fiscal year ended June
30,  2000,  Sandsport  billed  Health Card  approximately  $478,000  for quality
assurance  testing of  software  programs  developed  by Health  Card along with
network support and approximately $147,000 for help desk services.  Furthermore,
Health Card currently leases computer hardware for its data processing center at
a monthly  cost of  approximately  $44,170  from  Sandsport  pursuant to an oral
agreement,  terminable at will by either party.  Lease payments under this lease
for the fiscal years ended June 30, 1999 and 2000 totaled  $350,287 and $490,214
respectively.  Management  of Health Card  believes that the terms of such lease
and the negotiated  billing rates are as fair to Health Card as those that could
be obtained from an unaffiliated third party, although no independent fee quotes
have been obtained.

     During the fiscal  years ended June 30,  1998,  1999 and 2000,  Health Card
incurred  fees to Sandata,  or its  subsidiaries,  in the  aggregate  amounts of
approximately $2,626,781, $2,151,415 and $2,331,000 respectively. As of June 30,
2000, Health Card owed $172,379 to Sandata, or its subsidiaries,  which has been
paid subsequently.

     As of June 30,  2000,  Sandata  owed  Health  Card  $503,958  pursuant to a
promissory  note,  dated May 31,  2000,  made payable by Sandata to the order of
Health Card in the original  principal  amount of $500,000  plus interest at the
rate of 9-1/2%;  interest on such note is payable quarterly and such note is due
on June 1, 2001.

EMPLOYEE MANAGEMENT RELATIONSHIP WITH MEDICAL ARTS OFFICE SERVICES, INC.

     Medical Arts Office Services,  Inc.  ("MAOS") may be deemed an affiliate of
Health Card.  Certain persons employed by companies  affiliated with Mr. Brodsky
are also  officers  and  Directors  of MAOS,  of which Mr.  Brodsky  is the sole
shareholder.

     MAOS provides  Health Card with paralegal,  bookkeeping and  administrative
services  (including  payroll   processing)   pursuant  to  an  oral  agreement,
terminable at will by either party.

     During the fiscal  year ended June 30,  2000,  the total  payments  made by
Health Card to MAOS were approximately  $262,147,  of which $66,725 was paid for
bookkeeping  services,  $80,491 was paid for paralegal services and $114,931 was
paid for administrative services.

     The rates  charged  by MAOS for such  services  currently  are as  follows:
paralegal services at $125 per hour,  bookkeeping  services at $6,650 per month,
and  administrative  services  at  various  rates  per hour  depending  upon the
provider of the service.  Management  believes  that the hourly rates charged by
MAOS  are as fair to  Health  Card as  those  that  could  be  obtained  from an
unaffiliated third party, although no independent fee quotes have been obtained.

CONSULTING FEES

     For the  fiscal  year  ended  June 30,  2000,  Health  Card paid  aggregate
consulting fees to P.W. Capital of $58,111 for services rendered by Mr. Brodsky.

     Prior to the filing of the registration  statement for Health Card's public
offering  which became  effective on July 28, 1999 (the "Public  Offering"),  in
consideration of consulting fees, Mr. Brodsky provided managerial  expertise and
advice,  including  but not limited to advice  regarding the hiring of executive
management and other personnel,  marketing and sales matters, and negotiation of
contracts with sponsors and other parties.  Mr. Brodsky's services were rendered
in his  capacities  as Chairman of the Board of  Directors  and Chief  Executive
Officer.  Pursuant  to an  agreement  with Mr.  Brodsky,  payment  of the  above
consulting  fees  ceased  upon  consummation  of the  Public  Offering  and,  in
consideration of the provision of such executive services,  Mr. Brodsky began to
receive, and continues to receive, remuneration as an employee of Health Card.

     In addition,  during the fiscal year ended June 30, 2000,  Health Card paid
P.W.  Capital  $28,000  representing  lease  payments  for cars  leased  for Mr.
Brodsky's benefit.

REAL ESTATE

     Health Card occupies approximately 14,600 square feet of space at 26 Harbor
Park Drive,  Port Washington,  New York under an amended lease at a monthly cost
of $32,550  (including  utilities).  The  lessor is BFS  Realty,  LLC,  which is
affiliated with Mr. Brodsky.  The lease expires as of March 30, 2004. Rent under
the lease increases by 5% annually. The BFS lease was assigned by Sandata to BFS
in November 1996. Mr. Brodsky is the Operating  Manager and holder of a majority
of the membership  interests of BFS. Health Card believes that the terms of this
lease are as fair to it as those which could be  obtained  from an  unaffiliated
third party, although no independent fee quotes have been obtained.  Pursuant to
an  agreement  entered into in 1994,  Health Card paid  $700,000 in June 1995 in
connection  with certain  allocated  leasehold  improvements.  Health Card began
occupying  space at 26 Harbor Park Drive in October 1994 and began making rental
payments for such space in December  1994. In addition,  during the fiscal years
ended  June 30,  1999 and  2000,  Health  Card  paid  another  affiliated  party
approximately $15,833 and $10,200, respectively, in connection with improvements
to the  building in which  Health  Card's  offices  are  located.  Sandata  also
occupies space at 26 Harbor Park Drive. Except for certain common areas, Sandata
and Health Card do not share space in such facility.

     Pursuant to a lease dated  August 10, 1998 and expiring on August 31, 2005,
Health Card occupies  approximately  1,500 square feet of space at 63 Manorhaven
Boulevard,  Port  Washington,  New York,  which is licensed  as a pharmacy.  The
landlord  for these  premises  is 61  Manorhaven  Boulevard,  LLC,  of which Mr.
Brodsky is the sole  member.  The current  rent is $1,575 per month;  the annual
rent increases by 5% per year. Additional rent, in the form of certain expenses,
is also payable.

INDEBTEDNESS OF MANAGEMENT

     From time to time,  Mr.  Brodsky  and certain of his  affiliates  and other
directors and  affiliates of Health Card have borrowed  funds,  or have incurred
indebtedness  in connection  with the purchase of shares,  from Health Card. The
following table describes certain information relating to such indebtedness.
<TABLE>
<S>
<C>                                                  <C>                      <C>
                                                     Largest Aggregate
                                                   Amount Owed by Debtor      Debt Owed
                                                     During Fiscal Year         As of
   Debtor                                           Ended June 30, 2000     June 30, 2000

P.W. Capital LLC(1).............................         $4,609,664           $3,872,996
Port Charitable Foundation(2)...................             14,000               14,000
Bert E. Brodsky(3)..............................          1,050,900                  -0-
    Gerald Shapiro(4)...........................            338,250              338,250
Sandra Rothstein(5).............................                850                  850
Linda Portney(6)................................              2,374                2,374
Sandata, Inc. (7)...............................            503,958              503,958

</TABLE>
-------------

(1)  On June 1, 1998,  Health Card  assigned  certain  indebtedness  aggregating
     $1,636,785 in principal and accrued interest,  if any, from certain persons
     and  entities,  including  Mr.  Brodsky,  to P.W.  Capital,  LLC, a company
     affiliated  with Mr.  Brodsky.  On June 1, 1998,  P.W.  Capital  executed a
     demand  promissory  note made  payable  to the order of Health  Card in the
     principal amount of $4,254,785 with interest at the rate of 8.5% per annum,
     payable  quarterly,  such amount  reflecting  the assigned debt and amounts
     then owed by P.W.  Capital to Health  Card.  On June 1, 1998,  Mr.  Brodsky
     executed an unconditional guaranty in favor of Health Card for the full and
     prompt payment to Health Card of all amounts payable under the P.W. Capital
     promissory  note  dated June 1,  1998.  Such note is  secured by  1,022,758
     shares of common stock of Health Card and is without recourse to the maker.
     Such note was restructured by a new non-recourse promissory note dated July
     31, 2000,  made payable by P.W.  Capital to the order of Health Card in the
     amount of  $3,890,940.  Such note is  payable  in  annual  installments  of
     $400,000  consisting  of  principal  and interest at the rate of 8 1/2% per
     annum on each of the  first and  second  anniversary  date,  with the total
     remaining  balance of  principal  and  interest due and payable on July 31,
     2003.  The note is  collateralized  by 1,000,000  shares of $.001 par value
     common stock of Health Card.

     As of January 2, 1999, P.W. Capital executed a demand  promissory note made
payable  without  interest to the order of Health  Card to evidence  advances to
P.W. Capital in the amount of $90,100.

(2)  Port  Charitable  Foundation is a company  affiliated  with Hugh Freund and
     Carol Freund,  who are husband and wife.  Mr.  Freund is an Executive  Vice
     President, Director and principal stockholder of Sandata.

(3)  Includes  principal  and  interest  due under a  non-recourse  (except  for
     interest) promissory note dated July 1, 1997 made payable by Mr. Brodsky to
     the order of Health Card in the original  principal  amount of  $1,000,000,
     secured by a pledge of  1,278,447  shares of common  stock of Health  Card.
     Interest on such note, at the rate of 8.5% per annum, is payable quarterly.
     The principal amount of the note is payable five years from the date of the
     note. This note has been paid in full.

(4)  Mr. Shapiro,  Vice Chairman of the Board of Health Card, is the Chairman of
     the  Board and  Treasurer  of  Mediclaim,  Inc.  The  amount  due  includes
     principal  and  interest  due under a  non-recourse  (except for  interest)
     promissory note dated July 1, 1997 made payable by Mr. Shapiro to the order
     of Health Card in the original  principal amount of $300,000,  secured by a
     pledge of 383,534  shares of common stock of Health Card.  Interest on such
     note, at the rate of 8.5% per annum,  is payable  quarterly.  The principal
     amount of the note is payable five years from the date of the note. $38,250
     of interest was paid by Mr. Shapiro in July 2000.

(5)  Sandra Rothstein is Mr. Brodsky's  administrative  assistant. In July 1997,
     Ms.  Rothstein  purchased  51,137  shares of common stock of Health Card by
     delivery of a  promissory  note made payable to the order of Health Card in
     the original  principal  amount of $40,000.  This note is secured by 51,137
     shares of common stock of Health Card owned by Ms.  Rothstein and principal
     was without,  and interest is with,  recourse to Ms. Rothstein.  As of June
     30, 2000,  no principal  was  outstanding  with respect to Ms.  Rothstein's
     note,  and $850 of  interest  was  outstanding  under  such  note.  $850 of
     interest was paid by Ms. Rothstein in July 2000.

(6)  Linda Portney is Executive Vice President of Operations of Health Card.

(7)  Sandata,  Inc.  is a company  affiliated  with  Health  Card,  of which Mr.
     Brodsky is Chairman of the Board, Treasurer and principal  stockholder.  On
     May 31, 2000, Sandata,  Inc. executed a promissory note made payable to the
     order of Health Card in the  principal  amount of $500,000 with interest at
     9-1/2% per annum,  payable  quarterly.  The principal amount of the note is
     payable on June 1, 2001.

     The  Brodsky  Revocable  Trust  has  repaid  certain  of  the  indebtedness
reflected above to the extent of approximately  $1,992,900  (representing 73% of
the proceeds from the sale of shares by the Brodsky Trust pursuant to the Public
Offering,  net of  underwriting  discounts and  commissions,  a  non-accountable
expense allowance and a financial advisory fee payable to the representatives of
the Public  Offering).  The net proceeds  from the sale of shares by the Brodsky
Trust were applied first 100% to amounts owed by Mr.  Brodsky to Health Card and
the balance to amounts  owed by P.W.  Capital to Health Card.  In addition,  Mr.
Brodsky had agreed to pay in full,  within one year of the  consummation  of the
Public Offering, the remaining  indebtedness owed by P.W. Capital,  reflected in
the above table,  after  application of the net proceeds from the sale of shares
by the Brodsky Trust in the Public Offering.  However, in July 2000, Health Card
restructured  such  indebtedness  with a new non-recourse  promissory note dated
July 31, 2000,  and made payable by P.W.  Capital to the order of Health Card in
the  amount of  $3,890,940.  Such note is  payable  in  annual  installments  of
$400,000 consisting of principal and interest at the rate of 8 1/2% per annum on
each of the first and second  anniversary date, with the total remaining balance
of principal  and  interest due and payable on July 31, 2003.  In the event that
P.W. Capital does not pay amounts due as and when required under this promissory
note, Health Card's recourse will be to exercise its legal remedies with respect
to the Health Card shares held by Health  Card as  collateral  and pursue  legal
action against Mr. Brodsky under a related guaranty.  Such note does not provide
for default interest or penalties.  Mr. Shapiro had orally agreed to pay in full
the indebtedness  reflected opposite his name in the above table within one year
of the consummation of the Public Offering.  However,  in July 2000, Health Card
allowed Mr. Shapiro to comply with the payment schedule  reflected in footnote 4
to the table  above.  In the event that Mr.  Shapiro does not pay amounts due as
and when required under his July 1997  promissory  note,  Health Card's recourse
will be to exercise  its legal  remedies  with respect to the Health Card shares
held by Health Card as collateral  and pursue legal action  against Mr.  Shapiro
for  unpaid  interest.  Such note  does not  provide  for  default  interest  or
penalties. It is not anticipated that additional advances to or on behalf of Mr.
Brodsky or his affiliates will be permitted in the future,  unless approved by a
majority of Health Card's disinterested Directors.

SUNSTAR HEALTHCARE, INC.

     SunStar Healthcare,  Inc., ("SunStar") a Delaware corporation,  was engaged
in providing  managed  health care services in the State of Florida by operating
an HMO. Its service territory covered 52 counties in central, northern and other
parts  of  Florida,   including  the  metropolitan  areas  of  Tampa,   Orlando,
Jacksonville,  and others. As of November 1, 1998, SunStar served  approximately
57,000 enrolled plan members.  On February 19, 1999, Mr. Brodsky, as trustee for
the  irrevocable  trusts of each of his  children,  purchased  for  $250,000 (an
aggregate  of  $1,000,000)  preferred  stock and  warrants  offered by  SunStar.
Effective  May 1, 1999,  Health Card began  providing  services  to SunStar.  On
February  1,  2000,  Health  Card  was  notified  that  SunStar  was  placed  in
receivership under the Department of Insurance of the State of Florida. There is
an  outstanding  receivable  from  SunStar  for the  month  of  January  2000 of
approximately  $1,200,000.  Health Card  intends to file a claim for this amount
with the Department of Insurance of the State of Florida.  There is no guarantee
that the full amount will be collected so Health Card has made an  assessment of
amounts that might be collected and has reserved for the difference.  During the
fiscal  year ended June 30,  2000,  Health  Card  billed  SunStar  approximately
$10,500,000.

                                    PROPOSALS

1.     ELECTION OF DIRECTORS

       Five  Directors  are to be elected at the Meeting to serve until the next
annual meeting of shareholders and until their  respective  successors have been
elected and have  qualified.  If for some  unforeseen  reason one or more of the
nominees is not available as a candidate for Director,  the proxies may be voted
for such other  candidate or  candidates  as may be nominated by the Board.  THE
BOARD  OF  DIRECTORS  OF  HEALTH  CARD  UNANIMOUSLY  RECOMMENDS  A VOTE  FOR ALL
NOMINEES.

       The following  table sets forth the positions and offices  presently held
with Health Card by each nominee for election as Director, his age as of October
26,  2000 and the year he first  became a Director of Health  Card.  Proxies not
marked to the contrary will be voted in favor of each such nominee's election.
<TABLE>
<S>
<C>                              <C>        <C>                                                 <C>
================================= ========= ==================================================== ==================

                                                           Positions and Offices                  YEAR BE- CAME A
                                                            Presently Held with                      DIRECTOR
              Name                Age                           Health card
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Bert E. Brodsky                   58        Chairman of the Board and Chief Executive Officer          1998
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Gerald Shapiro                    70        Vice Chairman, Secretary and Director                      1998
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Gerald Angowitz                   51        Director                                                   1998
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Kenneth J. Daley                  63        Director                                                   1999
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Paul J. Konigsberg                64        Director Nominee                                             -
--------------------------------- --------- ---------------------------------------------------- ------------------
--------------------------------- --------- ---------------------------------------------------- ------------------
Ronald L. Fish                    59        Director Nominee                                             -
================================= ========= ==================================================== ==================
</TABLE>
     Bert E.  Brodsky  has served as  Chairman of the Board of Health Card since
December 7, 1998 and as Chief  Executive  Officer since June,  1998. Mr. Brodsky
has at various times since 1983 served as Chairman of the Board, President and a
Director  of Health  Card.  Mr.  Brodsky has served as Chairman of the Board and
Treasurer of Sandata  since June 1983 and as President of Sandata from  December
1989 through January 2000. Sandata's shares of common stock are publicly traded.
From October 1983 to December  1993, Mr. Brodsky served as Chairman of the Board
of Compuflight, Inc., a provider of computerized flight planning services. Since
August 1980,  Mr.  Brodsky has served as Chairman of the Board and  President of
P.W. Medical Management,  Inc., which provides financial and consulting services
to physicians. For more than the past five years, Mr. Brodsky has also served as
President of P.W.  Capital  Corp.,  a consulting  services  firm and Chairman of
Sandsport  Data  Services,  Inc.,  a  computer  services  firm and  wholly-owned
subsidiary of Sandata.  Mr.  Brodsky has also been the Operating  Manager of BFS
Realty,  LLC, a real estate  company,  since October 1996, BFS Realty II, LLC, a
real estate  company,  since November 1996 and 4 B's Realty,  LLC, a real estate
company, since July 1996.

     Gerald  Shapiro  has served as Vice  Chairman  of the Board of Health  Card
since  December 7, 1998. Mr. Shapiro has also served as Secretary of Health Card
since  October 28,  1998.  From June 1, 1998 to December  7, 1998,  Mr.  Shapiro
served as  Chairman  of the Board of Health  Card.  From  February 4, 1998 until
present,  Mr. Shapiro  served as Health Card's Vice Chairman.  For more than the
past five years,  Mr. Shapiro has been an employee of Sandata,  President of Lee
Management  Associates,  Inc., a physician billing and consulting firm, Chairman
and  Treasurer of  Mediclaim,  Inc., a physician  billing and  consulting  firm,
President of Brookhaven M.R.I., Inc., a company that operates magnetic resonance
imaging machines,  Vice President of Mobile Health Management Services,  Inc., a
provider of medical screening services. From 1973 to 1978, Mr. Shapiro served as
President of Ally & Gargano,  Inc., an advertising agency, and from 1971 to 1973
he was President of Hertz Corporation.

     Gerald  Angowitz  has  served as a Director  of Health  Card since June 26,
1998.  Mr.  Angowitz  presently  serves as a Management  Consultant  through the
Angowitz Company, which provides consulting services. Mr. Angowitz had served as
Senior Vice  President of Human  Resources and  Administration  for RJR Nabisco,
Inc. ("RJR"), a consumer products  manufacturer,  from March 1995 until December
1999. Mr.  Angowitz  previously  served as Vice President of Human Resources for
RJR from February 1994 to March 1995 and Vice President of employee  benefits at
RJR from January 1992 to February 1994.

     Kenneth  J. Daley has  served as a  Director  of Health  Card since May 10,
1999.  For more than the five years prior to January  1999,  Mr. Daley served as
Senior Vice President of Chase Manhattan Bank.

     Paul J. Konigsberg is a certified  public  accountant and has been a senior
partner in the  accounting  firm of Konigsberg  Wolf & Co., P.C. since 1970. Mr.
Konigsberg  has  served  as a  Director  of  Sandata  since  January  1998.  Mr.
Konigsberg  previously served on Sandata's Board of Directors from November 1987
through August 1995. Mr. Konigsberg,  if elected to the Board of Directors, will
serve on the Health Card Audit Committee.

     Ronald L. Fish, since 1975, served as Administrator, Treasurer and Director
of  Unlimited  Care Inc.,  a nursing  services  firm.  Mr.  Fish has served as a
Director of Sandata  since  January  1998.  Mr. Fish, if elected to the Board of
Directors, will serve on the Health Card Audit Committee.

<PAGE>

FAMILY RELATIONSHIPS

     There are no family  relationships  among  any of Health  Card's  executive
officers, Directors or nominees for Directors.

MEETINGS

     The Board held  three (3)  meetings  during the fiscal  year ended June 30,
2000. At least a majority of the Directors of Health Card attended each meeting.
The Board also acted on sixteen (16) occasions during the fiscal year ended June
30, 2000 by unanimous written consent in lieu of a meeting.

BOARD COMMITTEES

     THE AUDIT COMMITTEE

     The Audit Committee is responsible for reviewing and making recommendations
regarding Health Card's retention of independent  auditors,  the annual audit of
Health  Card's  financial  statements  and  Health  Card's  internal  accounting
controls,  practices  and  policies.  The Audit  Committee  consists  of Messrs.
Angowitz,  Daley and Shapiro. The Audit Committee did not meet during the fiscal
year ended June 30, 2000. The Audit Committee has met twice since June 30, 2000.

     THE COMPENSATION COMMITTEE

     The Compensation Committee is responsible for making recommendations to the
Board of Directors regarding compensation arrangements for executive officers of
Health Card, including annual bonus compensation, and consulting with management
of Health Card regarding  compensation policies and practices.  The Compensation
Committee also makes recommendations concerning the adoption of any compensation
plans in which management is eligible to participate,  including the granting of
stock options or other benefits  under such plans.  The  Compensation  Committee
consists of Messrs.  Angowitz,  Daley and Shapiro.  The  Compensation  Committee
acted once  during the fiscal  year  ended June 30,  2000 by  unanimous  written
consent in lieu of a meeting.

TERM OF OFFICE

     Each  Director   will  hold  office  until  the  next  Annual   Meeting  of
Stockholders  or until his or her  successor  is  elected  and  qualified.  Each
executive  officer will hold office until the next regular  meeting of the Board
of Directors  following the next Annual Meeting of  Stockholders or until his or
her successor is elected or appointed and qualified.

REPORT ON EXECUTIVE COMPENSATION

     Health  Card's  executive  compensation  program is  designed  to  attract,
motivate and retain management with incentives  linked to financial  performance
and enhanced  stockholder value.  Health Card's  compensation  program currently
consists of a number of components,  including a cash salary, an executive bonus
pool and stock option grants.

     The  Compensation   Committee  reviews  salary,   bonus  and  option  award
information for competitive  companies of comparable size in similar industries,
as well as that of companies not in its industry  which do business in locations
where  Health  Card  has  operations.  Based  in part on this  information,  the
Compensation  Committee  generally  sets  salaries at levels  comparable to such
companies.  Bonuses generally are linked to Health Card's performance during the
year and thus  align  the  interest  of  executive  officers  with  those of the
stockholders.  The Compensation Committee also assesses each executive officer's
individual  performance  and  contribution  in  determining  bonus  levels.  The
Compensation  Committee  uses Health Card's stock option program to motivate its
executive officers.

     Health Card entered into an employment agreement with Mr. Brodsky effective
July 1, 1999.  Pursuant to this  agreement,  Mr.  Brodsky has agreed to serve as
Chairman of the Board of Directors at an annual  salary of $200,000,  subject to
adjustment  by the Board of Directors.  The agreement  commenced on July 1, 1999
and has a term of two years,  unless  terminated by Health Card for cause, or in
the event Mr. Brodsky becomes permanently  disabled.  The agreement provides for
certain fringe benefits payable to or on behalf of Mr. Brodsky,  such as the use
of an automobile.  In addition,  the agreement provides for certain  termination
benefits   payable  to  Mr.  Brodsky,   which  depending  upon  the  reason  for
termination,  can  equal up to two  years  salary.  It is  anticipated  that Mr.
Brodsky may devote a portion of his business time to business affairs  unrelated
to Health Card, provided that such activities do not prevent him from fulfilling
his obligations under the agreement.  The agreement does not quantify the amount
of time that Mr. Brodsky must devote to Health Card. However, it is contemplated
that Mr.  Brodsky will devote a substantial  portion of his business time to the
affairs of Health Card.

     In January  2000,  the Board of  Directors  authorized  the  payment to Mr.
Brodsky of a bonus in the amount of $120,000 (the "Bonus"). The Bonus is payable
in equal monthly installments of $10,000.

     For the  fiscal  year  ended  June 30,  2000,  the  Compensation  Committee
reviewed  salary  information  for  competitive  companies,  as  well as that of
companies not in its industry  which do business in locations  where Health Card
has operations,  Mr.  Brodsky's  extensive  experience in various aspects of the
prescription  benefits  management industry and his past performance and service
with Health Card and determined  that the amounts payable to Mr. Brodsky for the
fiscal year ended June 30, 2000 under the terms of the employment agreement,  as
well as the  amounts  payable  to Mr.  Brodsky  in  connection  with the  Bonus,
adequately  compensated  Mr. Brodsky for the services he rendered to Health Card
in  fiscal  2000.  See  "Executive   Compensation"  and  "Employment  Contracts;
Termination of Employment and Change-in-Control Arrangements."

     Since the Compensation  Committee  believes that the granting of options to
purchase  Common  Shares  provides its  executive  employees  with the long-term
incentive to work for the betterment of Health Card, stock options are generally
granted  annually to executives and  periodically  to other  selected  employees
whose  contributions  and skills are critical to the long-term success of Health
Card.  Options are granted  with an exercise  price equal to the market price of
Health  Card's  common  stock on the date of the  grant,  generally  vest over a
period of at least five years and generally  expire after ten years. Mr. Brodsky
was not granted stock options during the fiscal year ended June 30, 2000.

     Health Card also intends to compensate its executive  employees through the
grant of awards  under the 2000  Restricted  Stock Plan,  provided  such plan is
approved by the  stockholders  of Health Card. See "Proposal 2: 2000  Restricted
Stock Plan."

     This report has been  approved by the Board of  Directors as of November 7,
2000.

                                                                Gerald Angowitz
                                                                Gerald Shapiro
                                                                Kenneth J. Daley

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

     Gerald Shapiro, the Vice Chairman of the Board of Directors of Health Card,
and Bert E.  Brodsky,  Health Card's  Chairman of the Board and Chief  Executive
Officer,  are each  either  or both  members  of the Board of  Directors  and/or
officers of the following  companies (unless otherwise stated, such affiliations
have been maintained for more than the past five years): (i) P.W. Capital Corp.,
a consulting  services firm (Mr.  Brodsky since June 1996 and Mr.  Shapiro since
October 1994),  (ii) Brookhaven  M.R.I.,  Inc., a company that operates magnetic
resonance imaging machines,  (iii) Mobile Health  Management  Services,  Inc., a
provider of medical testing  services,  (iv) 780 Bay Walk Land Co., Inc., a real
estate  company  (since  August  1994),  (v)  Accutrak  Media,  Inc., a computer
duplication  disk  company,  (vi) Bert Brodsky  Associates,  Inc.,  an insurance
consulting firm (since February 1996),  (vii) Island Mermaid Restaurant Corp., a
company that operates a restaurant,  (viii) Wilder Woods Estates Corporation,  a
real estate company (since April 1994), (ix) Lee Management Associates,  Inc., a
billing and collections firm, (x) United States  Information  Corp., a facsimile
subscription  service  company and (xii) Medical Arts Office  Services,  Inc., a
company that provides  personnel and  administrative  services  (since  November
1998).


<PAGE>

HEALTH CARD'S STOCK PERFORMANCE

     The  following  graph shows a comparison of  cumulative  total  stockholder
return,  calculated on a dividend  reinvested basis, for Health Card, the NASDAQ
Market Index and the MG Group (Health  Services)  Index (the "MG Group  Index").
The graph  assumes  $100 was invested in each of the Common  Shares,  the NASDAQ
Market  Index and the MG Group  Index on July 28,  1999.(1)  Data  points on the
graph  are  quarterly.  Note  that  historic  stock  price  performance  is  not
necessarily indicative of future stock performance.
<TABLE>
<S>
<C>                                     <C>              <C>          <C>          <C>          <C>
                                                7/28/99     9/30/99     12/31/99     3/31/00     6/30/00

NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.       100.00       78.63        45.30       42.74       32.48
MG GROUP INDEX                                   100.00       88.32        92.29      102.81      108.22
NASDAQ MARKET INDEX                              100.00      103.58       152.98      174.07      149.71

</TABLE>

Source: Media General Financial Services, Inc.

--------------------
(1) Health Card's Common  Shares were first  registered  under Section 12 of the
Securities Exchange Act of 1934, as amended, on July 28, 1999.


<PAGE>

SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

     Section 16 of the  Securities  Exchange Act of 1934,  as amended  ("Section
16"), requires that reports of beneficial ownership of capital stock and changes
in such  ownership  be filed with the  Securities  and  Exchange  Commission  by
Section 16 "reporting persons," including directors,  certain officers,  holders
of more than 10% of the  outstanding  Common  Stock and certain  trusts of which
reporting  persons  are  trustees.  Health  Card is required to disclose in this
Proxy  Statement each reporting  person whom it knows to have failed to file any
required reports under Section 16 on a timely basis during the fiscal year ended
June 30, 2000 or prior fiscal years.

     To Health Card's knowledge,  based solely on a review of copies of Forms 3,
4 and 5 furnished to it and written  representations  that no other reports were
required,  during the fiscal year ended June 30, 2000,  Health Card's  officers,
Directors  and  10%   stockholders   complied  with  all  Section  16(a)  filing
requirements  applicable to them except:  Mr. Angowitz failed to timely file two
reports relative to one transaction.  Mr. Bigl failed to timely file one report.
Mr. Brodsky failed to timely file three reports  relative to four  transactions.
Ms. Casale failed to timely file two reports relative to two  transactions.  Mr.
Daley failed to timely file two reports.  Mr. Denaro failed to timely file three
reports  relative to two  transactions.  Ms. Marjorie  O'Malley failed to timely
file three reports  relative to two  transactions.  Ms. Portney failed to timely
file one report.  Mr.  Shapiro  failed to timely file one  report.  Dr.  Strauss
failed to timely file two reports relative to one transaction.

2.  RATIFY THE ADOPTION OF THE 2000 RESTRICTED STOCK PLAN

     On October 16, 2000,  Health  Card's  Board of  Directors  adopted the 2000
Restricted  Stock  Grant  Plan (the "2000  Restricted  Stock  Plan")  subject to
stockholder  approval  thereof.  The following  statements  include summaries of
certain  provision of the 2000  Restricted  Stock Plan.  The  statements  do not
purport to be complete and are  qualified in their  entirety by reference to the
provisions  of the 2000  Restricted  Stock Plan, a copy of which is available at
Health Card's executive offices.

     PURPOSE

     The purpose of the 2000  Restricted  Stock Plan is to advance the interests
of Health Card by  encouraging  and enabling  eligible  employees,  non-employee
Directors,  consultants and advisors, upon whose judgment, initiative and effort
Health Card is largely dependent for the successful conduct of its business,  to
acquire and retain a  proprietary  interest in Health Card by  ownership  of its
stock.

     ADMINISTRATION

     The  2000  Restricted  Stock  Plan is to be  administered  by the  Board of
Directors of Health Card or a Committee  appointed by the Board.  Subject to the
provisions  of the  2000  Restricted  Stock  Plan,  the  Board of  Directors  or
Committee  has  the  sole   discretion   and  authority  to  (a)  determine  the
participants in the 2000 Restricted Stock Plan, the time or times when grants of
common  stock of Health  Card under the 2000  Restricted  Stock Plan (a "Grant")
shall be made,  and the  number  of  shares  so  granted;  (b) to  construe  and
interpret  in the  2000  Restricted  Stock  Plan  (c)  to  determine  the  terms
restrictions  and  provisions  of  the  respective  Grants  (which  need  not be
identical) including,  without limitation,  restrictions on shares granted under
the 2000  Restricted  Stock Plan, as well as the purchase  price, if any, of the
shares granted under the 2000  Restricted  Stock Plan; and (d) to make all other
determinations  and take all other actions deemed necessary or advisable for the
proper  administration  for the 2000 Restricted Stock Plan. All such actions and
determinations  of the Board of Directors or the Committee shall be conclusively
binding for all purposes and upon all persons.

     EFFECTIVE DATE OF THE 2000 RESTRICTED STOCK PLAN

     The effective date of the 2000  Restricted  Stock Plan is October 16, 2000,
the date of its adoption by the Board.

     ELIGIBILITY

     Subject to certain  limitations as set forth in the 2000  Restricted  Stock
Plan, Grants may be granted  thereunder to persons or entities who are employees
or  non-employee  Directors  of, or certain  consultants  or advisors to, either
Health Card or any parent or subsidiary corporation of Health Card. For purposes
of the 2000 Restricted Stock Plan, a non-employee to whom an offer of employment
has been extended is considered an employee. At October 26, 2000,  approximately
146 employees and three  non-employee  Directors were eligible to receive grants
under the 2000 Restricted Stock Plan.

     SHARES SUBJECT TO THE 2000 RESTRICTED STOCK PLAN

     700,000 shares of common stock of Health Card, subject to adjustment,  have
been reserved for issuance by Health Card under the 2000 Restricted  Stock Plan.
The shares to be delivered pursuant to Grants may consist,  in whole or in part,
of authorized  but unissued  common stock or treasury  common stock not reserved
for any other purpose.

     ADJUSTMENTS

     In the event  that the  common  stock of  Health  Card is  changed  into or
exchanged,  for a  different  number or kind of shares  or other  securities  of
Health Card or another  corporation by reason of a stock dividend,  stock split,
reorganization,   reclassification,   recapitalization,  merger,  consolidation,
combination,  exchange of shares, or other similar exchange,  then there will be
appropriate  adjustments  made to the  aggregate  number  and class of shares or
other  securities  that  may be  issued  or  transferred  pursuant  to the  2000
Restricted  Stock  Plan,  and  the  provisions,  terms  and  conditions  of each
outstanding Grant affected thereby shall be adjusted  appropriately by the Board
or the Committee.

<PAGE>


     RESTRICTIONS

     Each Grant made by the Board or the  Committee  shall be made pursuant to a
written  instrument  which  must be  executed  by the  grantee  in  order  to be
effective,  which shall include the following  restrictions,  in addition to any
other  restrictions  that the Board or the Committee may deem advisable in their
sole discretion to place upon the Grant:

     1. No shares granted pursuant to a Grant may be sold, transferred, pledged,
assigned or otherwise  alienated or  hypothecated  until such shares are vested;
and

     2. The shares granted pursuant to a Grant are non-vested at the time of the
Grant, but shall,  unless forfeited before they are fully vested, vest according
to the following schedule:

                                                              Vested Percentage
                           Vesting Dates                      of Shares Granted

                  one year from date of Grant                          14%

                  two years from date of Grant                         28%

                  three years from date of Grant                       42%

                  four years from date of Grant                        56%

                  five years from date of Grant                        70%

                  six years from date of Grant                         84%

                  seven years from date of Grant                      100%

     Additionally, any grantee will forfeit all shares not previously vested, if
any,  at  such  time  as the  grantee  is no  longer  employed  by or  rendering
consulting or advisory services to Health Card, its parent company or subsidiary
of Health  Card.  Notwithstanding  any of the standard  restrictions  which will
appear in all Grants,  the Board or Committee may impose such other or different
restrictions on any shares granted,  under the 2000 Restricted Stock Plan, as it
may  deem  advisable  in its sole  discretion,  including,  without  limitation,
restrictions  relating  to  the  length  of  service,   corporate   performance,
attainment of individual or group performance  objectives,  and federal or state
securities  laws,  and the  Board  or  Committee  may  legend  the  certificates
representing  the  restricted   shares  to  give  appropriate   notice  of  such
restriction.  Each  transfer  agent for the common stock of Health Card shall be
instructed with respect to the foregoing restrictions on the stock. Any of these
other or different  restrictions  shall be  specifically  set forth in the grant
instrument.


<PAGE>


     RIGHTS AND RESTRICTED SHARES

     All stock  certificates  representing  the  shares  granted  under the 2000
Restricted  Stock Plan subject to restrictions  shall be held by Health Card, or
if the  Board  or the  Committee  so  specifies,  deposited  with a third  party
custodian or trustee until the lapse of all the  restrictions on the shares,  at
which point in time,  certificates  for the  unrestricted  shares (or the vested
percentage  of such  unrestricted  shares)  shall be delivered by Health Card or
such third party custodian or trustee to the grantee.  Additionally,  during any
applicable  period of  restriction,  a grantee who has been granted shares under
the 2000  Restricted  Stock Plan shall be the record owner of such shares and as
such,  shall be entitled to vote such shares and receive all dividends and other
distributions  paid with  respect to such shares  while they are so  restricted.
However,  if any such  dividends or  distributions  are paid in shares of Health
Card stock during an applicable  period of restriction,  the shares received due
to such dividend or  distribution  shall be subject to the same  restrictions as
the shares with respect to which they were issued.

     If the Board or the Committee determines,  in its sole discretion,  that in
order to effectively  deliver the shares granted pursuant to the 2000 Restricted
Stock  Plan  Health  Card must  satisfy  certain  tax  withholding  liabilities,
listing,  registration or qualification  requirements of any securities exchange
or under any state or federal  law,  or obtain the  consent or  approval  of any
regulatory  body as a condition  for the  delivery of the shares  under the 2000
Restricted Stock Plan, then no Grant shall be effective unless such withholding,
listing,  registration,  qualification,  consent,  or  approval  shall have been
effected or obtained free of any conditions not acceptable to Health Card.

     REMOVAL OF RESTRICTIONS

     Any grantee  under the 2000  Restricted  Stock Plan who has not  previously
forfeited  any  non-vested  shares that are granted  pursuant to a Grant,  shall
automatically  have such  non-vested  shares  vest upon the  earlier  of (a) the
effective date of a Change in Control, (b) the termination by Health Card of the
grantee's employment with, or consulting or advisory services to Health Card, as
well as its  parent  and  subsidiary  companies,  other  than for  Cause (c) the
Resignation  for Good  Reason  by the  grantee  and (d) the  grantee's  Death or
Permanent  Disability (as such terms are defined in Section  8(b)(3) of the 2000
Restricted Stock Plan).

     AMENDMENT AND TERMINATION OF THE 2000 RESTRICTED STOCK PLAN

     The Board may at any time suspend or terminate  the 2000  Restricted  Stock
Plan, or any portion  thereof,  or amend it from time to time in such respect as
the Board deems advisable.  No Grants may be made during any suspension or after
termination  of the 2000  Restricted  Stock Plan. No amendment,  suspension,  or
termination  of the 2000  Restricted  Stock Plan shall,  without  the  grantee's
consent,  alter or  impair  any of the  rights  or  obligations  under any Grant
previously  granted to such grantee  under the 2000  Restricted  Stock Plan.  No
Grants may be made under the 2000 Restricted  Stock Plan after October 16, 2010.
The provisions of the 2000  Restricted  Stock Plan shall,  however,  continue to
apply as to any Grants made prior to such date.

<PAGE>

     FEDERAL TAX CONSEQUENCES

     A grantee  receiving  restricted stock under the 2000 Restricted Stock Plan
may elect under  Section  83(b) of the  Internal  Revenue  Code (the  "Code") to
include in ordinary  income,  as  compensation,  at the time restricted stock is
first  transferred to him, the excess of the fair market value of such shares at
the time of the transfer  (determined  without regard to the restrictions)  over
the amount  paid,  if any, by the grantee  for such  shares.  Unless an election
under  Section  83(b) of the Code is timely made by the grantee  (not later than
the  expiration  of 30 days  following  the time of the transfer of the stock to
him), taxable income will not be recognized by the grantee until such shares are
no longer  subject to a  substantial  risk of forfeiture  (the  "Restrictions").
However, when the Restrictions lapse, the grantee will recognize ordinary income
in an amount equal to the excess of the fair market value of the common stock on
the date of the lapse over the amount  paid,  if any,  by the  grantee  for such
shares.  Such  ordinary  income  recognized  by a grantee  who is a Health  Card
employee will be subject to both wage withholding and employment taxes.

     The Board or the  Committee  may,  in its sole  discretion,  (a)  require a
grantee to remit to Health Card a cash amount sufficient to satisfy, in whole or
in part,  federal,  state or local  withholding  tax  requirements  prior to the
delivery of any certificate for vested shares pursuant to a Grant; (b) require a
grantee to satisfy,  in whole or in part, any such  withholding tax requirements
by having Health Card,  upon any delivery of vested  shares,  withhold from such
shares that number of full shares having a fair market value equal to the amount
or portion of the amount,  required or permitted to be withheld;  or (c) satisfy
such withholding requirements through another lawful method.

     If the Section 83(b)  election is made,  any  dividends  received on shares
which are  subject to  Restrictions  will be treated as  dividend  income.  If a
grantee does not make an election under Section 83(b), dividends received on the
common stock prior to the time the  Restrictions  on such shares of common stock
lapse will be treated as  additional  compensation  income,  and not as dividend
income for  federal tax  purposes  and will be subject to wage  withholding  and
employment taxes.

     A grantee's tax basis in  restricted  stock  received  pursuant to the 2000
Restricted  Stock  Plan  will be  equal  to the sum of the  price  paid for such
shares,  if any,  increased by the amount of ordinary income  recognized by such
recipient  with  respect  to  the  receipt  of  such  shares  or  the  lapse  of
Restrictions  thereof. The grantee's holding period for such shares for purposes
of determining long term or short term capital gain or loss on a subsequent sale
will begin  immediately  after the  transfer  of such shares to the grantee if a
Section 83(b) election is made with respect to such shares, or immediately after
the Restrictions on such shares lapse if no Section 83(b) election is made.

     If the grantee  includes the  ordinary  income in his gross  income,  or if
Health Card satisfies the compensation reporting requirements,  a deduction will
be allowed  to Health  Card for  federal  income  tax  purposes,  subject to the
applications of Sections  162(a)(1),  162(m), 263, 263A and 280G of the Code, in
an amount equal to the ordinary income recognized by the grantee with respect to
restricted  stock  awarded  pursuant  to the 2000  Restricted  Stock  Plan.  If,
subsequent to the lapse of Restrictions  on his common stock,  the grantee sells
such shares, the difference,  if any, between the amount realized from such sale
and the tax basis of such shares will result in capital gain or loss.

     If a Section 83(b) election is made,  and,  before the  Restrictions on the
shares lapse,  the shares which are subject to such election are forfeited:  (i)
no  deduction  will be allowed to such  grantee  for the amount  included in the
income of such  grantee by reason of the  Section  83(b)  election  and (ii) the
grantee  will  realize a loss in an amount  equal to the excess,  if any, of the
amount  paid by the  grantee  for such  shares  over the amount  received by the
grantee upon  forfeiture  (which loss would be a capital  loss).  In such event,
Health  Card  will be  required  to  include  in its  income  the  amount of any
deduction  previously  allowed to it in  connection  with the  transfer  of such
shares. A grantee will realize gain in an amount equal to the excess, if any, of
the amount  received by the grantee upon such  forfeiture over the grantee's tax
basis in such shares (which gain would be capital gain).

     Section  162(m)  denies a deduction to any publicly  held  corporation  for
compensation paid to certain "Covered Employees" in a taxable year to the extent
that  such  compensation   exceeds   $1,000,000.   "Covered   Employees"  are  a
corporation's   chief  executive   officer  and  any  other   individual   whose
compensation  is required to be reported to  stockholders  under the  Securities
Exchange Act of 1934, as amended,  by reason of being among the four most highly
compensated  officers (other than the Chief  Executive  Officer) for the taxable
year. If certain requirements are met, compensation paid under certain qualified
performance-based  compensation  arrangements (which among other things) provide
for compensation  based on  pre-established  performance  goals established by a
compensation  committee  that  is  composed  solely  of  two  or  more  "outside
Directors,"  is  not  considered  in  determining   whether   Covered   Employee
compensation  exceeds  $1,000,000.  Grants under the 2000 Restricted  Stock Plan
will not satisfy the  requirements of Section 162(m) of the Code for performance
based compensation,  so that the income recognized in connection with the awards
thereunder will be included in a Covered Employee's compensation for purposes of
determining whether such Covered Employee's compensation exceeds $1,000,000.

     In the event that the lapse of Restrictions on any shares awarded under the
2000  Restricted  Stock Plan is accelerated  because of a Change of Ownership of
Health Card (as defined in Code Section 280G(b)(2)),  a portion of the income to
the  grantee  resulting  from the lapse of such  Restrictions,  either  alone or
together with any other  payments made to the grantee,  may constitute an excess
parachute  payment  under  Section 280G of the Code.  In such event,  subject to
certain  exceptions,  a portion of such amount will be  non-deductible to Health
Card and the grantee will be subject to a 20% excise tax on such portion of such
amount.

     RECOMMENDATION OF BOARD OF DIRECTORS

     The Board of  Directors of Health Card  believes  that  approving  the 2000
Restricted  Stock  Plan  is  in  the  best  interest  of  Health  Card  and  its
shareholders.  The affirmative vote of the holders of a majority of the votes of
the  outstanding  Common Shares of Health Card present in person or by proxy and
entitled to vote on the proposal at the Meeting is required for approval of this
proposal.  THE BOARD  RECOMMENDS A VOTE FOR  RATIFICATION OF THE ADOPTION OF THE
2000 RESTRICTED STOCK PLAN.

<PAGE>
                              INDEPENDENT AUDITORS

     BDO Seidman,  LLP has served as Health Card's  independent  auditors  since
March 21, 1998 and has been selected as Health Card's  independent  auditors for
the fiscal year ending June 30, 2000.

     A  representative  of BDO  Seidman,  LLP is  expected  to be present at the
Meeting,  will have the opportunity to make a statement,  if such representative
so desires,  and the representative  will be available to respond to appropriate
questions.

                              SHAREHOLDER PROPOSALS

     Shareholder  proposals  intended to be presented at the Meeting pursuant to
the  provisions  of Rule 14a-8 of the SEC,  promulgated  under the Exchange Act,
must be received by the  Secretary  of Health  Card at the  principal  executive
offices of Health Card by August 5, 2001 for  inclusion  in Health  Card's Proxy
Statement and form of Proxy relating to such meeting.  Health Card, however, may
hold next year's annual  meeting  earlier in the year than this year's  meeting.
Accordingly,  Health Card suggests  that  shareholder  proposals  intended to be
presented at next year's annual  meeting be submitted  well in advance of August
15,  2001,  the  earliest  date upon which  Health  Card  anticipates  the proxy
statement  and  form of proxy  relating  to such  meeting  will be  released  to
shareholders.

                                 OTHER BUSINESS

     While  the  accompanying  Notice  of  Annual  Meeting  of all  Shareholders
provides for the  transaction of such other business as may properly come before
the Meeting, Health Card has no knowledge of any other matter to be presented at
the Meeting  other than  matters 1 and 2 in the Notice.  However,  the  enclosed
Proxy gives  discretionary  authority in the event any other  matters  should be
presented.

                                           By Order of the Board of Directors of
                                      National Medical Health Card Systems, Inc.




                                                                  Gerald Shapiro
                                                                  Secretary

Port Washington, New York
November 9, 2000


<PAGE>


                   NATIONAL MEDICAL HEALTH CARD SYSTEMS, INC.
                              26 HARBOR PARK DRIVE
                         PORT WASHINGTON, NEW YORK 11050

           THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

     The  undersigned  hereby  appoints  Bert E.  Brodsky and Gerald  Shapiro as
Proxies,  each with the power to appoint his substitute,  and hereby  authorizes
them,  and each of them, to represent and vote,  as  designated  below,  all the
shares of common  stock of National  Medical  Health  Card  Systems,  Inc.  (the
"Company")  held of record by the  undersigned on October 26, 2000 at the Annual
Meeting of  Shareholders  to be held on  November  20,  2000 or any  adjournment
thereof.


1.       ELECTION OF DIRECTORS

         FOR all nominees listed below          WITHHOLD AUTHORITY
         (except as marked to the               to vote for all nominees listed.
         contrary below).

(INSTRUCTION:  TO WITHHOLD  AUTHORITY TO VOTE FOR ANY  INDIVIDUAL  NOMINEE,
STRIKE SUCH NOMINEE'S NAME FROM THE LIST BELOW.)

             BERT E. BRODSKY       GERALD SHAPIRO        GERALD ANGOWITZ

           KENNETH J. DALEY      PAUL J. KONIGSBERG       RONALD L. FISH

2.       PROPOSAL TO RATIFY THE ADOPTION OF THE 2000 RESTRICTED STOCK PLAN

         FOR                                AGAINST                    ABSTAIN




<PAGE>

This Proxy,  when properly  executed,  will be voted in the manner directed
herein by the undersigned shareholder.  IF NO DIRECTION IS MADE, THIS PROXY WILL
BE VOTED FOR  PROPOSAL 1 AND  PROPOSAL 2 AND IN FAVOR OF ANY PROPOSAL TO ADJOURN
THE MEETING IN ORDER TO ALLOW HEALTH CARD ADDITIONAL  TIME TO OBTAIN  SUFFICIENT
PROXIES WITH REGARD THERETO.


THE BOARD OF DIRECTORS RECOMMENDS A VOTE "FOR" PROPOSALS 1 AND 2.

Please  sign  exactly  as name  appears  below.  When  shares  are held by joint
tenants,  both should sign. When signing as attorney,  executor,  administrator,
trustee or guardian,  please give full title as such. If a  corporation,  please
sign in full corporate name by the President or other authorized  officer.  If a
partnership, please sign in full partnership name by authorized person.

                                                      DATED..............., 2000

                                                      Signature

                                                      Signature, if held jointly



             PLEASE MARK, SIGN, DATE AND RETURN THIS PROXY PROMPTLY
                           USING THE ENCLOSED ENVELOPE


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