COVENTRY CORP
8-K, 1997-04-14
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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<PAGE>   1
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549



                                    FORM 8-K

                                 CURRENT REPORT
                       Pursuant to Section 13 or 15(d) of
                       the Securities Exchange Act of 1934

       Date of Report (Date of earliest event reported): April 2, 1997



                              COVENTRY CORPORATION
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)


<TABLE>
<S>                                                  <C>                            <C>
                  Tennessee                                  0-19147                   62-1297579
- ----------------------------------------------        ----------------------        ------------------                             
(State or other jurisdiction of incorporation)       (Commission File Number)        (I.R.S. Employer
                                                                                    Identification No.)
</TABLE>

  53 Century Boulevard, Suite 250, Nashville, TN                  37214
- ---------------------------------------------------           --------------
     (Address of principal executive offices)                   (Zip Code)



       Registrant's telephone number, including area code: (615) 391-2440



                                 Not Applicable
- --------------------------------------------------------------------------------
          (Former name or former address, if changed since last report)





<PAGE>   2



Item 5.   Other Events
- --------------------------------------------------------------------------------


     On April 2, 1997, Coventry Corporation (the "Company") entered into
that certain Securities Purchase Agreement with Warburg, Pincus Ventures, L.P.
and Franklin Capital Associates, L.P., a copy of which, together with the
schedules and exhibits thereto, is attached hereto as Exhibit 10.

     On April 14, 1997, the Company filed articles and a certificate of merger
to change the state of its incorporation from Delaware to Tennessee by merging 
with and into a wholly-owned subsidiary of the Company created solely for such
purpose. In connection with this migratory merger, the Company increased the
number of shares of common stock, par value $0.01 per share, that the Company
is authorized to issue from a total of 50,000,000 shares to a total of
100,000,000 shares. A copy of the Agreement and Plan of Merger and the Charter
and By-laws of Coventry Corporation, a Tennessee corporation (the "Surviving
Company"), are attached hereto as Exhibits 3, 3(i) and 3(ii), respectively.




                                        2

<PAGE>   3



                                   SIGNATURES


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


                                COVENTRY CORPORATION


Date: April 14, 1997            By: /s/ Shirley R. Smith
                                    --------------------------------------------
                                    Shirley R. Smith
                                    Vice President and Corporate General Counsel









                                        3

<PAGE>   4


                                  EXHIBIT INDEX


<TABLE>
<CAPTION>
   No.                                    Exhibit
- ---------          -------------------------------------------------------------
   <S>             <C>
   10              Securities Purchase Agreement, dated April 2, 1997, by and
                   among Coventry Corporation, Warburg, Pincus Ventures, L.P.
                   and Franklin General Associates III, L.P., together with
                   Exhibit A, Exhibit B, Exhibit C, Schedule I, Schedule 2.1,
                   Schedule 7.14, and Schedule 12.14 thereto

    3              Agreement and Plan of Merger, dated April 14, 1997, by and
                   between Coventry Corporation, a Delaware corporation (the
                   "Merging Corporation"), and Coventry Corporation, a Tennessee
                   corporation (the "Surviving Corporation")

    3(i)           The Charter of Coventry Corporation, a Tennessee
                   corporation, dated April 14, 1997

    3(ii)          The By-laws of Coventry Corporation, a Tennessee
                   corporation, effective as of April 14, 1997

</TABLE>

<PAGE>   1
                                                                     Exhibit 10

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




                          SECURITIES PURCHASE AGREEMENT


                                  by and among


                         WARBURG, PINCUS VENTURES, L.P.,


                      FRANKLIN CAPITAL ASSOCIATES III L.P.


                                       and


                              COVENTRY CORPORATION



                                  April 2, 1997





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



<PAGE>   2


                                TABLE OF CONTENTS

<TABLE>
<CAPTION>
                                                                                 PAGE
<S>                   <C>                                                         <C>
SECTION 1.            AUTHORIZATION OF ISSUE OF SECURITIES.........................1
         1.1.         Convertible Exchangeable Notes...............................1
         1.2.         Warrants.....................................................2
         1.3.         Convertible Preferred Stock..................................2

SECTION 2.            PURCHASE AND SALE OF SECURITIES..............................3
         2.1.         Initial Issuance of Securities...............................3
         2.2.         Closing and Closing Date.....................................3
         2.3.         Tax Basis....................................................3

SECTION 3.            SCHEDULED PAYMENTS AND PREPAYMENTS ON THE NOTES..............4
         3.1.         General......................................................4
         3.2.         Mandatory Prepayments of the Notes...........................4
         3.3.         Optional Prepayments of the Notes............................5
         3.4.         Partial Prepayments Pro Rata.................................5

SECTION 4.            REPRESENTATIONS AND WARRANTIES OF THE COMPANY................5
         4.1.         Corporate Organization.......................................6
         4.2.         Subsidiaries.................................................6
         4.3.         Capitalization...............................................7
         4.4.         Corporate Proceedings, etc...................................8
         4.5.         Consents and Approvals.......................................8
         4.6.         Compliance with Law..........................................9
         4.7.         Litigation..................................................12
         4.8.         Change in Ownership.........................................13
         4.9.         Absence of Defaults, Conflicts, etc.........................13
         4.10.        Reports and Financial Statements............................14
         4.11.        Absence of Certain Developments.............................15
         4.12.        Material Contracts..........................................16
         4.13.        Absence of Undisclosed Liabilities..........................16
         4.14.        Employees...................................................17
         4.15.        Tax Matters.................................................18
         4.16.        Employee Benefit Plans......................................18
         4.17.        Patents, Licenses, etc......................................19
         4.18.        Title to Tangible Assets....................................20
         4.19.        Insurance...................................................20
         4.20.        Transactions with Related Parties...........................20
         4.21.        Interest in Competitors.....................................21
         4.22.        Registration Rights.........................................21
         4.23.        Regulation G, etc...........................................21
         4.24.        Private Offering............................................21
</TABLE>


                                      (i)

<PAGE>   3
<TABLE>
<CAPTION>
<S>                   <C>                                                         <C>
         4.25.        Brokerage...................................................22
         4.26.        Illegal or Unauthorized Payments; Political Contributions...22
         4.27.        Takeover Statute; Rights Plan...............................22
         4.28.        Material Facts..............................................23

SECTION 5.            REPRESENTATIONS AND WARRANTIES OF THE INVESTORS.............23

SECTION 6.            ADDITIONAL COVENANTS OF THE PARTIES.........................25
         6.1.         Resale of Securities........................................25
         6.2.         Covenants Pending Closing...................................25
         6.3.         Board Nominees..............................................26
         6.4.         Subscription Right..........................................26
         6.5.         Use of Proceeds.............................................29
         6.6.         Amendment to Rights Agreement...............................29

SECTION 7.            INVESTORS' CLOSING CONDITIONS...............................29
         7.1.         Representations and Warranties..............................29
         7.2.         Compliance with Agreement...................................29
         7.3.         Injunction..................................................30
         7.4.         Counsel's Opinion...........................................30
         7.5.         Adverse Development.........................................34
         7.6.         Election of Directors.......................................34
         7.7.         Approval of Creditors.......................................34
         7.8.         Consents and Approvals......................................34
         7.9.         Secretary's Certificate.....................................34
         7.10.        Officer's Certificate.......................................35
         7.11.        Approval of Proceedings.....................................35
         7.12.        Amendment to Rights Agreement...............................36

SECTION 8.            COMPANY CLOSING CONDITIONS..................................36
         8.1.         Representations and Warranties..............................36
         8.2.         Compliance with Agreement...................................36
         8.3.         Injunction..................................................37
         8.4.         Consents and Approvals......................................37
         8.5.         Investors' Certificate......................................37

SECTION 9.            CONVERSION..................................................37

SECTION 10.           ANTI-DILUTION PROVISIONS....................................39

SECTION 11.           REGISTRATION RIGHTS.........................................49
         11.1.        Definitions.................................................49
         11.2.        Requested Registration......................................50
</TABLE>

                                      (ii)



<PAGE>   4
<TABLE>
<CAPTION>
<S>                   <C>                                                         <C>
         11.3.        Company Registration........................................52
         11.4.        Expenses of Registration....................................54
         11.5.        Registration Procedures.....................................54
         11.6.        Indemnification.............................................56
         11.7.        Information by the Holders..................................59
         11.8.        Rule 144 Reporting..........................................59
         11.9.        "Market Stand-off" Agreement................................60
         11.10.       Termination.................................................60

SECTION 12.           COVENANTS...................................................60
         12.1.        Approval of Preferred Stock.................................61
         12.2.        Exchange of Notes...........................................61
         12.3.        Financial and Business Information..........................62
         12.4.        Inspection..................................................64
         12.5.        Confidentiality.............................................64
         12.6.        Takeover Statute............................................65
         12.7.        Rights Agreement Inapplicable...............................65
         12.8.        Hart-Scott Filings; Consents and Approvals..................66
         12.9.        Conduct of Business and Maintenance of Existence............66
         12.10.       Compliance with Laws........................................67
         12.11.       Insurance...................................................67
         12.12.       Keeping of Books............................................67
         12.13.       Transfer; Lost, etc. Securities; Certificates Evidencing 
                          Securities (or Common Stock); Exchange..................67
         12.14.       Licenses....................................................69

SECTION 13.           EVENTS OF DEFAULT...........................................69
         13.1.        Events of Default...........................................69
         13.2.        Other Remedies..............................................70

SECTION 14.           INTERPRETATION OF THIS AGREEMENT............................71
         14.1.        Terms Defined...............................................71
         14.2.        Accounting Principles.......................................76
         14.3.        Directly or Indirectly......................................77
         14.4.        Governing Law...............................................77
         14.5.        Paragraph and Section Headings..............................77

SECTION 15.           MISCELLANEOUS...............................................77
         15.1.        Payments....................................................77
         15.2.        Consent to Amendments.......................................77
         15.3.        Notices.....................................................78
         15.4.        Expenses and Taxes..........................................79
         15.5.        Reproduction of Documents...................................79
         15.6.        Termination and Survival....................................80
</TABLE>


                                     (iii)


<PAGE>   5
<TABLE>
<CAPTION>
<S>                   <C>                                                         <C>
         15.7.        Successors and Assigns......................................80
         15.8.        Entire Agreement; Amendment and Waiver......................80
         15.9.        Severability................................................81
         15.10.       Limitation on Enforcement of Remedies.......................81
         15.11.       Counterparts................................................82
</TABLE>

EXHIBIT A                    Form of Note
EXHIBIT B                    Form of Warrant
EXHIBIT C                    Form of Certificate of Designation of Series A     
                             Convertible Preferred Stock of the Company
EXHIBIT D                    Certificate of Incorporation of the Company
EXHIBIT E                    Bylaws of the Company

Schedule I                   Names of Investors
Schedule 2.1                 Investors
Schedule 4.2                 Subsidiaries
Schedule 4.3                 Stockholders and Conversion Rights
Schedule 4.5                 Consents and Approvals
Schedule 4.6                 Compliance with Law
Schedule 4.12                Key Agreements and Instruments
Schedule 4.16                Employee Benefit Arrangements
Schedule 7.14                Affiliates
Schedule 12.14               Licenses




                                      (iv)
<PAGE>   6




                              COVENTRY CORPORATION

                          SECURITIES PURCHASE AGREEMENT

                            Dated as of April 2, 1997

To the Investors whose
names and addresses are
set forth on Schedule I hereto

Dear Sirs:

     Coventry Corporation, a Delaware corporation (the "Company"), hereby agrees
with Warburg, Pincus Ventures, L.P., a Delaware limited partnership ("Warburg"),
and Franklin Capital Associates III L.P., a Delaware limited partnership
("Franklin" and together with Warburg, the "Investors") as follows:

SECTION 1. AUTHORIZATION OF ISSUE OF SECURITIES

     1.1. Convertible Exchangeable Notes.

     The Company has authorized the issuance, sale and delivery to the Investors
of its convertible, exchangeable senior subordinated notes (together with any
replaced or exchanged notes referred to herein as the "Notes") in the aggregate
principal amount of $40,000,000, to be dated the Closing Date and to bear
interest on the unpaid balance thereof from the date thereof at the rate of 8.3%
per annum until the second anniversary of the Closing Date and at the rate of
5.0% per annum thereafter, until the principal thereof shall become due and
payable (whether at maturity, upon notice of prepayment or otherwise). The Notes
shall be substantially in the form of Exhibit A attached hereto. Interest on the
Notes will be payable semi-annually in arrears on the last day of the applicable
month, commencing six months from the Closing Date, and if such date is not a
Business Day on the next Business Day thereafter; provided, however, that the
Company shall issue interest notes ("Interest Notes" and individually called an
"Interest Note") in payment of any or all interest due on or before the second
anniversary of the Closing Date, which Interest Notes shall bear interest on the
unpaid balance thereof at the rate of 8.3% per annum (computed on the basis of a
360-day year of twelve 30-day months) from the date of issuance thereof until
the second anniversary of the Closing Date and at the rate 





<PAGE>   7

of 5.0% per annum (computed on the basis of a 360-day year of twelve 30-day
months) thereafter until the principal thereof shall become due and payable
(whether at maturity, upon notice of prepayment or otherwise); and, provided,
further, that the Company may, at its sole option, issue Interest Notes in lieu
of a cash payment of any or all interest due after the second anniversary of the
Closing Date, which Interest Notes shall bear interest on the unpaid balance
thereof from the date of issuance thereof at the rate of 5.0% per annum
(computed on the basis of a 360-day year of twelve 30-day months) until the
principal thereof shall become due and payable (whether at maturity, upon notice
of prepayment or otherwise). Interest on the Interest Notes will be payable
semi-annually in arrears on the last day of the applicable month, commencing six
months from the date of issuance thereof, and if such date is not a Business Day
on the next Business Day thereafter. Such Interest Notes shall be substantially
in the form of Exhibit A attached hereto. For purposes of this Agreement, all
references to the Notes or a Note shall be deemed to include any and all
Interest Notes.

     1.2. Warrants.

     The Company has authorized and created Warrants (herein, together with any
such warrants which may be issued hereunder in substitution or exchange therefor
collectively called the "Warrants" and individually called a "Warrant"),
initially evidencing the right to purchase an aggregate of 2,352,941 shares of
Common Stock, par value $0.01 per share, of the Company (the "Common Stock"), to
be dated the Closing Date and to be substantially in the form of Exhibit B
hereto. Each Warrant will be immediately exercisable and transferable at the
sole option of its holder.

     1.3. Convertible Preferred Stock.

     The Board has authorized and has proposed to submit to the shareholders of
the Company for their approval at the next annual meeting of shareholders of the
Company the creation, issuance and sale of a series of Series A Convertible
Preferred Stock, $0.01 par value per share (the "Series A Preferred Stock"),
consisting of 6,000,000 shares and designated as its "Series A Convertible
Preferred Stock." The terms, limitations and relative rights and preferences of
any such Series A Preferred Stock are set forth in the form of Certificate of
Designations, Number, Voting Powers, Preferences and Rights of 



                                      -2-
<PAGE>   8

Series A Convertible Preferred Stock of the Company, a copy of which is attached
hereto as Exhibit C (the "Certificate of Designation").

SECTION 2. PURCHASE AND SALE OF SECURITIES

     2.1. Initial Issuance of Securities.

     Subject to the terms and conditions set forth in this Agreement and in
reliance upon the Company's and the Investors' representations set forth below,
on the Closing Date (as defined below) the Company shall sell to the Investors,
and the Investors shall purchase from the Company, the Securities, at the
aggregate cash purchase prices (each a "Purchase Price") set forth opposite
their respective names on Schedule 2.1 (such Securities collectively referred to
herein as the "Purchased Securities"). Such sale and purchase shall be effected
on the Closing Date by the Company executing and delivering to each of the
Investors, duly registered in its name or in the name of its nominee or other
designee designated in writing to the Company at least one day prior to the
Closing Date, a duly executed Note and a duly executed Warrant in the amount set
forth on Schedule 2.1, against delivery by each of the Investors to the Company
of the Purchase Price by wire transfer of immediately available funds to such
account as the Company shall designate in writing.

     2.2. Closing and Closing Date.

     The closing of such sale and purchase (the "Closing") shall take place at
10:00 A.M., New York City time, on the third Business Day following the date on
which the last to be fulfilled or waived of the conditions set forth in Sections
7 and 8 hereof shall be fulfilled or waived in accordance with this Agreement,
or such other date as the Investors and the Company agree in writing (the
"Closing Date"), at the offices of Willkie Farr & Gallagher, 153 East 53rd
Street, New York, New York, or such other location as the Investors and the
Company shall mutually select.

     2.3. Tax Basis.

     The Company and the Investors agree that the aggregate Purchase Price of
$42,352,941 shall be allocated as follows: $40,000,000 to the Notes and
$2,352,941 to the Warrants. The Company and the Investors shall each file all
income tax and 


                                      -3-

<PAGE>   9

similar documents (including information and reporting forms) consistent with
such allocation.

SECTION 3. SCHEDULED PAYMENTS AND PREPAYMENTS ON THE NOTES.

     3.1. General.

     The Notes shall be subject to scheduled payment and mandatory prepayments
as specified in Section 3.2 and to the optional prepayments under the
circumstances set forth in Section 3.3.

     3.2. Mandatory Prepayments of the Notes.

     (a) Scheduled Payments of the Notes. On the fifth, sixth and seventh
anniversaries of the Closing Date, the Company shall apply to the outstanding
principal balance of the Notes, without premium or penalty, an amount equal to
33.33%, 50.0% and 100.0%, respectively, of the aggregate outstanding principal
amount of the Notes as of such date, and such aggregate principal amount of the
Notes, together with all accrued and unpaid interest thereon to such payment
date, shall become due and payable on such payment date.

     (b) Prepayment Upon Change of Control. Upon a Change of Control the Company
shall, upon the written request of the Majority Holders, prepay on the effective
date of the Change of Control 100.0% of the aggregate outstanding principal
balance of the Notes or such other portion of the principal amount of the Notes
requested by the Majority Holders to be prepaid at a price in cash equal to the
principal amount to be prepaid plus all accrued but unpaid interest thereon
through the date of payment.

     The Company shall notify each Investor as promptly as practicable prior to
the occurrence of any event constituting a Change of Control but in any event
not less than thirty (30) days prior to a Change of Control. Such notice shall
specify the date of the proposed Change of Control and that such prepayment
would be made pursuant to this Section 3.2(b). If an Investor requests
prepayment it shall thereafter furnish to the Company written notice of such
election pursuant to this Section 3.2(b). Notice of prepayment having been given
as aforesaid, the prepayment price calculated as set forth above shall become
due and payable on the effective date of the Change of Control.



                                      -4-

<PAGE>   10

     3.3. Optional Prepayments of the Notes.

     (a) Except as provided in Section 3.3(b), the Notes may not be prepaid at
the option of the Company.

     (b) The Notes may not be prepaid before the third anniversary of the
Closing Date. Thereafter, the Notes shall be subject to prepayment, in whole but
not in part, at the option of the Company, if the Market Price of the Common
Stock on each of the twenty (20) consecutive days on which there was a price for
such shares during the period ending within five days prior to the giving of
written notice of prepayment as provided in Section 15.3 is at least $17.00 per
share (appropriately adjusted for any stock split, stock dividend or similar
event), at a price in cash equal to (x) the aggregate outstanding principal
amount of the Notes to be prepaid plus (y) all accrued and unpaid interest
thereon up to and including the date of prepayment.

     3.4. Partial Prepayments Pro Rata.

     For so long as there is more than one holder of the Notes, the aggregate
principal amount of each partial prepayment of the Notes under Section 3.1 shall
be allocated among the holders of the Notes at the time outstanding in
proportion to the unpaid principal amounts of the Notes respectively held by
each such holder (to the nearest $1,000).

SECTION 4.  REPRESENTATIONS AND WARRANTIES OF THE COMPANY

     The Company represents and warrants to the Investors that except as
expressly set forth in the correspondingly numbered section on the disclosure
schedule attached hereto to the extent specifically disclosed with respect to
the representation to which such exception applies:


                                      -5-


<PAGE>   11

     4.1. Corporate Organization.

     (a) The Company is a corporation duly organized, validly existing and in
good standing under the laws of the State of Delaware. Attached hereto as
Exhibits D and E, respectively, are true and complete copies of the Certificate
of Incorporation and Bylaws of the Company, as amended through the date hereof
(collectively, the "Organizational Documents").

     (b) The Company has all requisite power and authority and has all necessary
approvals, licenses, permits and authorization to own its properties and to
carry on its business as now conducted. The Company has all requisite power and
authority to execute and deliver the Transaction Documents and to perform its
obligations hereunder and thereunder.

     (c) The Company has filed all necessary documents to qualify to do business
as a foreign corporation in, and the Company is in good standing under the laws
of each jurisdiction in which the conduct of the Company's business or the
nature of the property owned requires such qualification, except where the
failure to so qualify would not have a material adverse affect on the business,
properties, prospects, profits or condition (financial or otherwise) of the
Company and its Subsidiaries taken as a whole (a "Material Adverse Effect").

     4.2. Subsidiaries.

     The Company has no Subsidiaries and no interests or investments in any
partnership, trust or other entity or organization. Each Subsidiary listed on
Schedule 4.2 has been duly incorporated, is validly existing as a corporation in
good standing under the laws of the jurisdiction of its incorporation, has all
requisite corporate power and authority to own its properties and assets and to
conduct its business and is duly registered, qualified and authorized to
transact business and is in good standing in each jurisdiction in which the
conduct of its business or the nature of its properties requires such
registration, qualification or authorization, except where the failure to be so
registered, qualified or authorized would not have a Material Adverse Effect.
All of the issued and outstanding capital stock of each Subsidiary has been duly
authorized and validly issued, is fully paid and non-assessable, and is owned of
record and beneficially, directly or indirectly, by the Company free and clear
of any mortgage, pledge, lien, 


                                      -6-

<PAGE>   12

charge, security interest, claim or other legal or equitable encumbrance,
limitation or restriction. There are no outstanding options, warrants,
agreements, conversion rights, preemptive rights or other rights to subscribe
for, purchase or otherwise acquire any issued or unissued shares of capital
stock of any Subsidiary. 

     4.3. Capitalization.

     (a) On the date hereof, the authorized capital stock of the Company
consists of 50,000,000 shares of Common Stock. On the date hereof, the issued
and outstanding shares of capital stock of the Company consists of 33,021,374
shares of Common Stock and 439,560 shares of Common Stock which are held by
Coventry Health & Life Insurance Company, one of the Company's wholly-owned
subsidiaries, pursuant to applicable insurance laws, and accounted for as shares
of treasury stock of the Company. The Company has no other shares of treasury
stock. As of the date hereof, there are no bonds, debentures, notes or other
evidences of indebtedness having the right to vote on any matters on which the
Company's stockholders may vote issued or outstanding.

     (b) All the outstanding shares of capital stock of the Company have been
duly and validly issued and are fully paid and non-assessable, and were issued
in accordance with the registration or qualification requirements of the
Securities Act and any relevant state securities laws or pursuant to valid
exemptions therefrom. Upon issuance, sale and delivery as contemplated by this
Agreement, the Purchased Securities will be duly authorized and validly issued
obligations of the Company. Upon their issuance in accordance with the terms of
the Purchased Securities, the shares of Common Stock and shares of Series A
Preferred Stock, if any, issuable upon conversion, exchange or exercise of the
Purchased Securities or the Series A Preferred Stock will be duly authorized,
validly issued, fully paid and non-assessable shares of the capital stock of the
Company, free and clear of any and all security interests, pledges, liens,
charges, claims, options, rights, restrictions on transfer, preemptive rights,
proxies and voting or other agreements, or other encumbrances of any nature
whatsoever, except for those provided for herein and other than restrictions on
transfer imposed by federal or state securities laws.



                                      -7-

<PAGE>   13

     (c) Except for the conversion and exchange rights which attach to the
warrants, options and convertible securities which are listed on Schedule 4.3
hereto and to the Purchased Securities, on the Closing Date there will be no
shares of Common Stock or any other equity security of the Company issuable upon
conversion, exchange or exercise of any security of the Company or any
Subsidiary of the Company nor will there be any rights, options, calls or
warrants outstanding or other agreements to acquire shares of Common Stock nor
will the Company be contractually obligated to purchase, redeem or otherwise
acquire any of its outstanding shares. No stockholder of the Company is entitled
to any preemptive or similar rights to subscribe for shares of capital stock of
the Company.

     4.4. Corporate Proceedings, etc.

     The Company has authorized the execution, delivery, and performance of the
Transaction Documents and each of the transactions and agreements contemplated
hereby and thereby. No other corporate action (including stockholder approval)
is necessary to authorize such execution, delivery and performance of the
Transaction Documents, and upon such execution and delivery each of the
Transaction Documents shall constitute the valid and binding obligation of the
Company, enforceable against the Company in accordance with its terms, except
that such enforcement may be subject to bankruptcy, insolvency, reorganization,
moratorium or other similar laws now or hereafter in effect relating to
creditors' rights and general principles of equity. The Company has authorized
the issuance and delivery of the Purchased Securities in accordance with this
Agreement and, subject to the issuance of the Purchased Securities, the Company
has reserved for issuance shares of Common Stock initially issuable upon
conversion, exchange or exercise of the Purchased Securities. Prior to any
exchange of Series A Preferred Stock for the Notes, the Company shall reserve
for issuance shares of Common Stock initially issuable upon conversion of the
Series A Preferred Stock.

     4.5. Consents and Approvals.

     The execution and delivery by the Company of the Transaction Documents, the
issuance of any of the Securities, the performance by the Company of its
obligations hereunder and thereunder and the consummation by the Company of the
transactions contemplated hereby and thereby do not require the 



                                      -8-

<PAGE>   14

Company or any of its Subsidiaries to obtain any consent, approval, clearance or
action of, or make any filing, submission or registration with, or give any
notice to, any Person or judicial authority.

     4.6. Compliance with Law.

     (a) The Company and each of its Subsidiaries are in compliance in all
material respects with, and are not in violation or default in any material
respect under, all federal, state and local laws, ordinances, government rules
and regulations applicable to their business operations, properties, or assets,
including without limitation laws or regulations relating to: the environment;
occupational health and safety; insurance companies; HMOs; preferred provider
organizations; point-of-service health plans; third party administrators; the
provision or arrangement for the provision of health services; employer
benefits; ERISA plans; wages; work place safety; equal employment opportunity
and race; and religious, sex and age discrimination. Neither the Company nor any
of its Subsidiaries have any knowledge of any actual or claimed violation or
default with respect to any of the foregoing. No material expenditures, to the
Company's knowledge, are or will be required in order to cause the current
operations or properties of the Company or any of its Subsidiaries to comply
with any applicable laws, ordinances, governmental rules or regulations at
closing.

     (b) The Company and each of its Subsidiaries have all licenses, permits,
franchises or other governmental authorizations ("Approvals") necessary to the
ownership of their property and to the operation of their respective businesses,
which if violated or not obtained could reasonably be expected to have a
Material Adverse Effect. Neither the Company nor any Subsidiary has finally been
denied any application for any such Approvals necessary for their property or
for the operation of their business. There is no action pending, or to the best
knowledge of the Company or any of its Subsidiaries, threatened or recommended
by appropriate state or federal agencies having jurisdiction thereof, to either
revoke, withdraw, or suspend any such Approvals, or which would have a Material
Adverse Effect on such Approvals, or to terminate the participation of the
Company or any of its Subsidiaries in Medicare, Medicaid, or other government
program, or any decision not to renew any such Approvals.


                                      -9-


<PAGE>   15

     (c) The Company and its Subsidiaries have complied in all material respects
with all laws, rules, conditions of participation, and regulations governing all
Medicare, Medicaid, and any other arrangements with any Governmental Entity and
have filed all returns, cost reports and other filings in any manner prescribed
thereby except where the failure to so comply, together with all other such
failures, would not have a Material Adverse Effect. All returns, cost reports
and other filings made by the Company and its Subsidiaries since January 1, 1993
to Medicare, Medicaid or any other Governmental Entity or third party payor are
true and complete except where the failure to be so true and complete, together
with all other such failures, would not have a Material Adverse Effect. Since
January 1, 1993, no deficiency in any such returns, costs reports and other
filings, including deficiencies for late filings, has been asserted or to the
best of the Company's knowledge, after reasonable investigation, threatened by
any federal, state or local agency or instrumentality or other entities relating
to Medicare or Medicaid or other government payor or third party payor claims
and to the best of the Company's knowledge, after reasonable investigation,
there is no basis for any successful claims or requests for recoupment from any
such agency, instrumentality, entity or third party payor except for any claims
or requests which, together with all other such claims or requests, would not
have a Material Adverse Effect. Neither the Company, nor any of its Subsidiaries
has been subject to any written finding of fraudulent procedures or practices
arising out of the provision of health care insurance, managed care, claims
administration, or health care services or benefits relating to Medicare,
Medicaid, or any other Governmental Entity with which the Company or any of its
Subsidiaries has a contract to provide insurance, managed care, claims
administration, or health care services or benefits and, neither the Company nor
any of its Subsidiaries is currently subject to any pending or threatened audit
relating to such fraudulent procedures or practices.

     (d) In each state in which the Company or any of its Subsidiaries operates
HMOs, PPOs, point of service plans, insurance plans or other health care plans,
the Company and each of its Subsidiaries has filed copies of its (i) standard
employer and other individual and group subscriber agreements, (ii) contracts
with physicians, hospitals and other health care entities, and (iii) contracts
for management and administrative services (collectively, "Agreements") with the
applicable state 



                                      -10-

<PAGE>   16

authorities to the extent required by law, including, but not limited to
contracts required to be filed with the state Departments of Insurance,
Departments of Health or the agencies responsible for each state's Medicaid
program. The Company and each of its Subsidiaries are not providing services
under any Agreements that have not been filed and approved by the state
regulatory authorities except where the failure to so file would not have a
Material Adverse Effect.

     (e) The Company and each of its Subsidiaries is and has operated in
material compliance with all contractual, statutory, regulatory, and other
requirements applicable to entities furnishing coverage to employees of federal,
state and local governments and subdivisions and to beneficiaries under programs
sponsored or administered by any such governments or subdivisions thereof
(collectively "Government Contracts"). Except as set forth in the Company's SEC
Reports, neither the Company nor any of its Subsidiaries is subject to any
claim, penalty, fine, return of premium, repayment of costs charged, or
renegotiation of charges or fees as a result of any audit, adjustment, charge,
retroactive restatements of costs or charges, or other liability with respect to
any Government Contract, except where such claim, penalty, fine, return of
premium, repayment or renegotiation would not have a Material Adverse Effect.

     (f) The Company and each of its Subsidiaries has filed all reports, filings
and notices required to be filed with all applicable Departments of Insurance,
Departments of Health and HMO regulatory bodies since January 1, 1992 except
where the failure to so file would not have a Material Adverse Effect (as such
documents have since the time of their filing been amended, the "DOI Reports").
As of their respective dates, the DOI Reports complied in all material respects
with the requirements of the laws, rules and regulations applicable to such DOI
Reports, and none of the DOI Reports contained any untrue statement of a
material fact or omitted to state a material fact required to be stated therein
or necessary to make the material statements therein, in light of the
circumstances under which they were made, not misleading, except for such
statements, if any, as have been modified by subsequent filings prior to the
date hereof.


                                      -11-

<PAGE>   17

     (g) Neither the Company nor any of its Subsidiaries has any knowledge of
any proposed change in any laws, rules or regulations (other than laws of
general applicability) that is reasonably likely to be adopted, would have a
Material Adverse Effect on the transactions contemplated by this Agreement or
all or any material part of the assets or the operations of the Company or any
of its Subsidiaries.

     (h) Neither the Company nor any of its Subsidiaries, nor the officers,
directors, employees or agents of the Company or any of its Subsidiaries, and to
the Company's knowledge none of the persons who provide professional services
under agreements with the Company or any of its Subsidiaries (as agents of such
entities) has engaged in any activities which are prohibited, or are cause for
civil penalties or mandatory or permissive exclusion from Medicare or Medicaid,
under ss. ss. 1320a-7, 1320a-7a, 1320a-7b, or 1395nn of Title 42 of the
United States Code, the federal CHAMPUS statute, or the regulations promulgated
pursuant to such statutes or regulations or related state or local statutes or,
to the Company's knowledge, which are prohibited by any private accrediting
organization from which the Company or any of its Subsidiaries seeks
accreditation.

     (i) The Company and each of its Subsidiaries have applied for accreditation
from the National Committee for Quality Assurance ("NCQA") for each managed care
product eligible for NCQA accreditation. Each such managed care product has
either (a) received full accreditation from NCQA, (b) received one-year
accreditation from NCQA, or (c) has yet to receive any accreditation
determination from NCQA.

     4.7. Litigation.

     Except as disclosed in the Company SEC Reports, there is no legal action,
suit, arbitration or other legal, administrative or other governmental
investigation, inquiry or proceeding (whether federal, state, local or foreign)
pending or, to the best of the Company's knowledge, threatened against or
affecting the Company or any Subsidiary or any of their respective properties,
assets or businesses, except for actions, suits, arbitrations, investigation,
inquiries or proceedings that could not reasonably be expected to have a
Material Adverse Effect. After reasonable inquiry of its employees, the Company
is not aware of any fact which might result in or form the basis for any such
action, suit, arbitration, investigation, inquiry or 



                                      -12-

<PAGE>   18

other proceeding. Except as set forth in the Company SEC Reports, there are no
formally initiated grievances or litigation pending against the Company or any
of its Subsidiaries involving claims from accounts, clients, covered persons, or
enrollees relating to coverage of health claims or any claim for punitive,
exemplary or other extra-contractual damage except for grievances, litigation or
claims which could not reasonably be expected to have a Material Adverse Effect.
Neither the Company nor any Subsidiary is subject to any order, writ, judgment,
injunction, decree, determination or award of any court or of any governmental
agency or instrumentality (whether federal, state, local or foreign) which could
reasonably be expected to have a Material Adverse Effect.

     4.8. Change in Ownership.

     Neither the purchase of the Securities by the Investors nor the
consummation of the transactions contemplated by this Agreement will result in
(i) any material adverse change in the business operations of the Company or any
of its Subsidiaries, (ii) the loss of the benefits of any material relationship
with any subscriber group, employee, union trust, or governmental program, payor
or customer, physician, hospital, health care provider, claims administrator, or
supplier, (iii) the acceleration of the vesting of any outstanding option,
warrant, call, commitment, agreement, conversion right, preemptive right or
other right to subscribe for, purchase or otherwise acquire any of the shares of
the capital stock of the Company or any of the stock of the Company or any of
its Subsidiaries, or debt securities of the Company or any of its Subsidiaries
(collectively "Commitments", and each individually a "Commitment"), (iv) any
obligation of the Company to grant, extend or enter into any Commitment, or (v)
any right in favor of any Person to terminate or cancel any Key Agreement or
Instrument.

     4.9. Absence of Defaults, Conflicts, etc.

     (a) The execution and delivery of the Transaction Documents and the
issuance, sale and delivery by the Company of any of the Securities do not, and
the fulfillment of the terms hereof and thereof by the Company, and the issuance
of any of the Securities will not result in a breach of any of the terms,
conditions or provisions of, or constitute a default under, or result in the
modification of, or permit the acceleration of 


                                      -13-

<PAGE>   19

rights under or termination of, any indenture, mortgage, deed of trust, credit
agreement, note or other evidence of indebtedness, or other material agreement,
contract, commitment, understanding, arrangement or restriction of the Company
or any of its Subsidiaries (collectively the "Key Agreements and Instruments"),
or the Organizational Documents, or any law, ordinance, code, standard,
judgment, rule or regulation of any court or federal, state or foreign
regulatory board or body or administrative agency having jurisdiction over the
Company or any of its Subsidiaries or over their respective properties or
businesses.

     (b) Neither any of the Company nor any of its Subsidiaries is in default
under or in violation of (and no event has occurred and no condition exists
which, upon notice or the passage of time (or both), would constitute a default
under) (i) the Organizational Documents, (ii) any Key Agreement and Instrument,
or (iii) any order, writ, injunction or decree of any court or any Federal,
state, municipal or other domestic or foreign governmental department,
commission, board, bureau, agency or instrumentality except, in the case of
clause (ii), for defaults or violations which would not have a Material Adverse
Effect. 

     4.10. Reports and Financial Statements.

     The Company has furnished the Investors with true and complete copies of
the Company's (i) Annual Reports on Form 10-K for the fiscal years ended
December 31, 1994, December 31, 1995 and December 31, 1996, as filed with the
Commission, (ii) Quarterly Reports on Form 10-Q for the quarters ended March 31,
1996, June 30, 1996, and September 30, 1996, as filed with the Commission, (iii)
proxy statements related to all meetings of its stockholders (whether annual or
special) held since January 1, 1995, and (iv) all other reports filed with or
registration statements declared effective by the Commission since January 1,
1995, except registration statements on Form S-8 relating to employee benefit
plans, which are all the documents (other than preliminary material) that the
Company was required to file with the Commission since that date (clauses (i)
through (iv) being referred to herein collectively as the "Company SEC
Reports"). As of their respective dates, the Company SEC Reports were duly filed
and complied in all material respects with the requirements of the Securities
Act or the Exchange Act, as the case may be, and the rules and regulations of
the Commission thereunder 


                                      -14-

<PAGE>   20

applicable to such Company SEC Reports. As of their respective dates, the
Company SEC Reports did not contain any untrue statement of a material fact or
omit to state a material fact required to be stated therein or necessary to make
the statements therein, in light of the circumstances under which they were
made, not misleading. The audited consolidated financial statements and
unaudited interim financial statements of the Company included in the Company
SEC Reports comply as to form in all material respects with applicable
accounting requirements of the Securities Act and with the published rules and
regulations of the Commission with respect thereto. The financial statements
included in the Company SEC Reports (i) have been prepared in accordance with
generally accepted accounting principles ("GAAP") applied on a consistent basis
(except as may be indicated therein or in the notes thereto), (ii) present
fairly, in all material respects, the financial position of the Company and its
Subsidiaries as at the dates thereof and the results of their operations and
cash flow for the periods then ended subject, in the case of the unaudited
interim financial statements, to normal year-end audit adjustments and any other
adjustments described therein and the fact that certain information and notes
have been condensed or omitted in accordance with the Exchange Act and the rules
promulgated thereunder, and (iii) are in all material respects, in accordance
with the books of account and records of the Company except as indicated
therein.

     4.11. Absence of Certain Developments.

     Except as disclosed in the Company SEC Reports, since December 31, 1995,
there has been no (i) change or event which could reasonably be expected to have
a Material Adverse Effect, (ii) declaration, setting aside or payment of any
dividend or other distribution with respect to the capital stock of the Company,
(iii) issuance of capital stock (other than pursuant to the exercise of options,
warrants, or convertible securities outstanding at such date) or options,
warrants or rights to acquire capital stock (other than the rights granted to
the Investors hereunder), (iv) material loss, destruction or damage to any
property of the Company or any Subsidiary, whether or not insured, (v)
acceleration or prepayment of any indebtedness for borrowed money or the
refunding of any such indebtedness, (vi) labor trouble involving the Company or
any Subsidiary or any material change in their personnel or the terms and
conditions of employment, (vii) waiver of any valuable right in favor of the



                                      -15-

<PAGE>   21

Company or any Subsidiary, (viii) loan or extension of credit to any officer or
employee of the Company or any Subsidiary other than advances for travel-related
expenses and similar advances to officers and employees of the Company in the
ordinary course of business or (ix) acquisition or disposition of any material
assets (or any contract or arrangement therefor), or any other material
transaction by the Company or any Subsidiary otherwise than for fair value in
the ordinary course of business. No event that would constitute an Event of
Default has occurred and is continuing.

     4.12. Material Contracts.

     Schedule 4.12 sets forth a true and complete list of each Key Agreement and
Instrument other than Key Agreements and Instruments filed as an exhibit to a
Company SEC Report. Each Key Agreement and Instrument and any other material
contract filed as an exhibit to a Company SEC Report that is currently in
effect, is valid, binding and enforceable against the Company or such Subsidiary
and, to the Company's best knowledge, the other parties thereto, in accordance
with its terms, and in full force and effect on the date hereof.

     4.13. Absence of Undisclosed Liabilities.

     Neither the Company nor any of its Subsidiaries has any debt, obligation or
liability (whether accrued, absolute, contingent, liquidated or otherwise,
whether due or to become due, whether or not known to the Company) arising out
of any transaction entered into at or prior to the Closing, or any act or
omission at or prior to the Closing, or any state of facts existing at or prior
to the Closing, including taxes with respect to or based upon the transactions
or events occurring at or prior to the Closing, and including, without
limitation, unfunded past service liabilities under any pension, profit sharing
or similar plan, except liabilities disclosed in the Company's Form 10-K for the
fiscal year ended December 31, 1996, current liabilities incurred since December
31, 1996, obligations under agreements set forth on Schedule 4.12 and
obligations under agreements entered into, in the usual and ordinary course of
business, none of which (individually or in the aggregate) could have a Material
Adverse Effect.


                                      -16-


<PAGE>   22

     4.14. Employees.

     (a) The Company and its Subsidiaries are in full compliance with all laws
regarding employment, wages, hours, equal opportunity, collective bargaining and
payment of social security and other taxes except to the extent that
noncompliance would not have a Material Adverse Effect. As of the date of this
Agreement, no complaint of any unfair labor practice or discriminatory
employment practice against the Company or any Subsidiary has been filed or, to
the best of the Company's knowledge, threatened to be filed with or by the
National Labor Relations Board, the Equal Employment Opportunity Commission or
any other administrative agency, federal or state, that regulates labor or
employment practices, nor is any grievance filed or, to the best of the
Company's knowledge, threatened to be filed, against the Company or any
Subsidiary by any employee pursuant to any collective bargaining or other
employment agreement to which the Company or any Subsidiary is a party or is
bound. After the date hereof, the representations set forth in the previous
sentence shall be true and correct, except as would not reasonably be expected
to have a Material Adverse Effect. The Company and its Subsidiaries are in
compliance with all applicable federal, state and local laws and regulations
regarding occupational safety and health standards except to the extent that
noncompliance will not have a Material Adverse Effect, and have received no
complaints from any federal, state or local agency or regulatory body alleging
violations of any such laws and regulations.

     (b) The employment of all Persons employed by the Company or any of its
Subsidiaries is terminable at will without any penalty or severance obligation
of any kind on the part of the employer. All sums due for employee compensation
and benefits and all vacation time owing to any employees of the Company or any
of its Subsidiaries have been duly and adequately accrued on the accounting
records of the Company and its Subsidiaries.

     (c) The Company is not aware that any of its executive officers is
obligated under any contract (including licenses, covenants or commitments of
any nature) or other agreement, or subject to any judgment, decree or order of
any court or administrative agency, that would interfere with the use of such
executive officer's best efforts to promote the interests of the 


                                      -17-



<PAGE>   23

Company or that would conflict with the Company's business as proposed to be
conducted.

     (d) The Company is not aware that any officer or key employee, or that any
group of key employees, intends to terminate their employment with the Company,
nor does the Company have a present intention to terminate the employment of any
of the foregoing.

     4.15. Tax Matters.

     There are no federal, state, county or local taxes due and payable by the
Company or any of its Subsidiaries which have not been paid. The provisions for
taxes on the audited and unaudited balance sheets described in Section 4.10 are,
and the audited balance sheets described in Section 7.13 will be, sufficient for
the payment in all material respects of all accrued and unpaid federal, state,
county and local taxes of the Company and its Subsidiaries whether or not
assessed or disputed as of the respective dates of such balance sheets. Prior to
January 1, 1994, the Company and its Subsidiaries have duly filed all federal,
state, county and local tax returns required to have been filed by it and there
are in effect no waivers of applicable statutes of limitations with respect to
taxes for any year except where the failure to file such returns or the
existence of waivers of applicable statutes of limitations is not reasonably
likely to have a Material Adverse Effect. Since January 1, 1994, the Company and
its Subsidiaries have duly filed all federal, state, county and local tax
returns required to have been filed by it and there are in effect no waivers of
applicable statutes of limitations with respect to taxes. Neither the Company
nor any of its Subsidiaries has been subject to a federal or state tax audit of
any kind.

     4.16. Employee Benefit Plans.

     The Company and its Subsidiaries have no employee benefit plans (as defined
in Section 3(3) of the Employee Retirement Income Security Act of 1974) covering
former and current employees of the Company or any of its Subsidiaries, or under
which the Company or any of its Subsidiaries has any obligation or liability.
Schedule 4.16 lists all material plans, contracts, bonuses, commissions,
profit-sharing, savings, stock options, insurance, deferred compensation, or
other similar fringe or employee benefits covering former or current employees


                                      -18-

<PAGE>   24
of the Company or any of its Subsidiaries or under which the Company or any of
its Subsidiaries has any obligation or liability (each, a "Benefit
Arrangement"). True and complete copies of all Benefit Arrangements have been
provided or made available to the Investors prior to the date hereof. The
Benefit Arrangements are and have been administered in substantial compliance
with their terms and with the requirements of applicable law. All payments to
current or former employees of the Company or any of its Subsidiaries pursuant
to the Benefit Arrangements are and have been fully deductible under the Code.

     4.17. Patents, Licenses, etc.

     The Company or one of its Subsidiaries owns, free and clear of all
encumbrances, restrictions, liens, security interests and charges, and have good
and marketable title to, or hold adequate licenses or otherwise possess all such
rights as are necessary to use all patents (and applications therefor), patent
disclosures, trademarks, service marks, trade names, copyrights (and
applications therefor), inventions, discoveries, processes, know-how,
scientific, technical, engineering and marketing data, formulae and techniques
used or proposed to be used, in or necessary for the conduct of its business as
now conducted or as proposed to be conducted (collectively, "Intellectual
Property").

     Neither the Company nor any of its Subsidiaries has received notice nor
otherwise has reason to know of any conflict or alleged conflict with the rights
of others pertaining to the Intellectual Property described in this Section 4.17
where the effect of such conflict could have a Material Adverse Effect. To the
Company's best knowledge, the Company's business, as presently conducted and as
proposed to be conducted, does not infringe upon or violate any patent rights or
trade secrets of others. To the Company's best knowledge, the Company and its
Subsidiaries have the right to use all trade secrets, processes, customer lists
and other rights incident to their respective businesses as now conducted or as
proposed to be conducted.

     To the Company's best knowledge, no employee of the Company or any of its
Subsidiaries has violated any employment agreement or proprietary information
agreement which he had with a previous employer or any patent policy of such
employer, or is a party to or threatened by any litigation concerning any



                                      -19-

<PAGE>   25

patents, trademarks, trade secrets, service names, trade names, copyrights,
licenses and the like.

     4.18. Title to Tangible Assets.

     The Company and its Subsidiaries have good title to their properties and
assets and good title to all their leasehold estates, in each case subject to no
mortgage, pledge, lien, lease, encumbrance or charge, other than or resulting
from taxes which have not yet become delinquent and minor liens and encumbrances
which do not in any case materially detract from the value of the property
subject thereto or materially impair the operations of the Company and its
Subsidiaries and which have not arisen otherwise than in the ordinary course of
business.

     4.19. Insurance.

     The Company and its Subsidiaries and their respective properties are
insured in such amounts, against such losses and with such insurers as are
prudent when considered in light of the nature of the properties and businesses
of the Company and its Subsidiaries and customary in light of the Company's
exposure. No notice of any termination or threatened termination of any of such
policies has been received and such policies are in full force and effect.

     4.20. Transactions with Related Parties.

     Neither the Company nor any Subsidiary is a party to any agreement with any
of the Company's directors, officers or stockholders or any Affiliate or family
member of any of the foregoing under which it: (i) leases any real or personal
property (either to or from such Person), (ii) licenses technology (either to or
from such Person), (iii) is obligated to purchase any tangible or intangible
asset from or sell such asset to such Person, (iv) purchases products or
services from such Person or (v) has borrowed money from or lent money to such
Person. Neither the Company nor any Subsidiary employs as an employee or engages
as a consultant any family member of any of the Company's directors or officers.
To the best knowledge of the Company, there exist no agreements among
stockholders of the Company to act in concert with respect to their voting or
holding of Company securities.


                                      -20-

<PAGE>   26
     4.21. Interest in competitors.

     Neither the Company nor any of its officers or, to the best of its
knowledge, directors, has any interest, either by way of contract or by way of
investment (other than as holder of not more than 2% of the outstanding capital
stock of a publicly traded Person) or otherwise, directly or indirectly, in any
Person other than the Company that (i) provides any services or designs,
produces or sells any product or product lines or engages in any activity
similar to or competitive with any activity currently proposed to be conducted
by the Company or any of its Subsidiaries or (ii) has any direct or indirect
interest in any asset or property, real or personal, tangible or intangible, of
the Company.

     4.22. Registration Rights.

     Except as provided by Section 11, the Company will not, as of the Closing
Date, be under any obligation to register any of its securities under the
Securities Act.

     4.23. Regulation G, etc.

     Neither the Company nor any of its Subsidiaries owns or has any present
intention of acquiring any "margin stock" as defined in Regulation G (12 CFR
Part 207) of the Board of Governors of the Federal Reserve System (herein called
"margin stock"). All of the proceeds of the sale of the Notes will be used by
the Company as set forth in Section 6.5. None of the proceeds from the sale of
the Notes will be used, directly or indirectly, for the purpose of purchasing or
carrying any margin stock or for the purpose of reducing or retiring any
indebtedness which was originally incurred to purchase or carry margin stock or
for any other purpose which might constitute this transaction a "purpose credit"
within the meaning of Regulation G. Neither the Company, any of its Subsidiaries
nor any agent acting on their behalf has taken or will take any action which
might cause this Agreement or the Notes to violate Regulation G, Regulation T,
Regulation X or any other regulation of the Board of Governors of the Federal
Reserve System or to violate the 1934 Act, in each case as in effect now or as
the same may hereafter be in effect.

     4.24. Private Offering.

     Neither the Company nor anyone acting on its behalf has sold or has offered
any of the Securities for sale to, or solicited offers to buy from, or otherwise
approached or 



                                      -21-

<PAGE>   27

negotiated with respect thereto with, any prospective purchaser of the
Securities, other than the Investors. Neither the Company nor anyone acting on
its behalf shall offer the Securities for issue or sale to, or solicit any offer
to acquire any of the same from, anyone so as to bring the issuance and sale of
such Securities, or any part thereof, within the provisions of Section 5 of the
Securities Act. Based upon the representations of the Investors set forth in
Section 5, the offer, issuance and sale of the Securities are and will be exempt
from the registration and prospectus delivery requirements of the Securities
Act, and have been registered or qualified (or are exempt from registration and
qualification) under the registration, permit or qualification requirements of
all applicable state securities laws.

     4.25. Brokerage.

     There are no claims for brokerage commissions or finder's fees or similar
compensation in connection with the transactions contemplated by this Agreement
based on any arrangement made by or on behalf of the Company and the Company
agrees to indemnify and hold the Investors harmless against any costs or damages
incurred as a result of any such claim.

     4.26. Illegal or Unauthorized Payments; Political Contributions.

     Neither the Company or any of its Subsidiaries nor, to the best of the
Company's knowledge (after reasonable inquiry of its executive officers and
directors), any of the current officers and directors of the Company or any of
its Subsidiaries has, directly or indirectly, made or authorized any payment,
contribution or gift of money, property, or services, (a) as a kickback or bribe
to any Person or (b) to any political organization, or the holder of or any
aspirant to any elective or appointive public office except for personal
political contributions not involving the use of funds of the Company or any of
its Subsidiaries.

     4.27. Takeover Statute; Rights Plan.

     Neither of the Investors is, as a result of its execution and delivery of
this Agreement, the performance of its obligations hereunder or the acquisition
of any Securities, an "interested stockholder" of the Company within the meaning
of Section 203 of the DGCL or an "interested shareholder" prohibited 


                                      -22-

<PAGE>   28

from entering into a business combination with the Company or any subsidiary
pursuant to Section 48-103-205 of the Business Combination Act of the State of
Tennessee or an "Acquiring Person" within the meaning of the Rights Agreement. A
"Triggering Event" (as defined in the Rights Agreement) shall not be deemed to
have occurred and the Rights (as defined in the Rights Agreement) shall not
separate from the Common Stock as a result of any of the transactions
contemplated hereby. No other Takeover Statute is applicable to the transactions
contemplated hereby.

     4.28. Material Facts.

     This Agreement, the schedules furnished contemporaneously herewith, and the
other agreements, documents, certificates or written statements furnished or to
be furnished to the Investors through the Closing Date by or on behalf of the
Company in connection with the transactions contemplated hereby taken as a
whole, do not contain any untrue statement of a material fact or omit to state a
material fact necessary to make the statements contained therein or herein, in
light of the circumstances in which they were made, not misleading. There is no
fact which is known to the Company and which has not been disclosed herein or
otherwise by the Company to the Investors which is reasonably likely to
materially adversely affect the business, properties, assets or condition,
financial or otherwise, of the Company and its Subsidiaries taken as a whole.

SECTION 5. REPRESENTATIONS AND WARRANTIES OF THE INVESTORS

     Each of the Investors represents and warrants to the Company as follows:

     (a) It is acquiring the Purchased Securities (and will acquire the Common
Stock issuable upon conversion or exercise of the Purchased Securities and may
acquire the Series A Preferred Stock, if any, issuable upon exchange of the
Purchased Securities) for its own account for investment and not with a view
towards the resale, transfer or distribution thereof, nor with any present
intention of distributing the Purchased Securities (or the Common Stock acquired
upon conversion of the Purchased Securities, and Series A Preferred Stock, if
any, acquired upon exchange of the Purchased Securities), but subject,
nevertheless, to any requirement of law that the disposition of either
Investor's property shall at all times be within such 



                                      -23-

<PAGE>   29

Investor's control, and without prejudice to such Investor's right at all times
to sell or otherwise dispose of all or any part of such securities under a
registration under the Securities Act or under an exemption from said
registration available under the Securities Act.

     (b) It has full power and legal right to execute and deliver this Agreement
and to perform its obligations hereunder.

     (c) It is a validly existing limited partnership, duly organized under the
laws of Delaware.

     (d) It has taken all partnership action necessary for the authorization,
execution, delivery, and performance of this Agreement and its obligations
hereunder, and, upon execution and delivery by the Company, this Agreement shall
constitute the valid and binding obligation of the Investors, enforceable
against the Investors in accordance with its terms, except that such enforcement
may be limited by bankruptcy, insolvency, reorganization, moratorium or other
similar laws now or hereafter in effect relating to creditors' rights and
general principles of equity.

     (e) There are no claims for brokerage commissions or finder's fees or
similar compensation in connection with the transactions contemplated by this
Agreement based on any arrangement made by or on behalf of the Investors and the
Investors agree to indemnify and hold the Company harmless against any costs or
damages incurred as a result of any such claim.

     (f) It has such knowledge and experience in financial and business matters
that it is capable of evaluating the merits and risks of its investment in the
Company as contemplated by this Agreement, and is able to bear the economic risk
of such investment for an indefinite period of time. It has been furnished
access to such information and documents as it has requested and has been
afforded an opportunity to ask questions of and receive answers from
representatives of the Company concerning the terms and conditions of this
Agreement and the purchase of the Purchased Securities contemplated hereby.

     (g) Neither Investor is aware of any material fact or circumstance relating
to it which would be grounds for disapproval of any application required to be
filed by it with 



                                      -24-

<PAGE>   30

any state regulatory authority for approval of its acquisition of the Purchased
Securities.

     (h) Each Investor is an "accredited investor" as defined under Regulation D
of the Securities Act.

SECTION 6. ADDITIONAL COVENANTS OF THE PARTIES

     6.1. Resale of Securities.

     (a) Each of the Investors severally covenants that it will not sell or
otherwise transfer the Securities except pursuant to an effective registration
under the Securities Act or in a transaction which, in the opinion of counsel
reasonably satisfactory to the Company, qualifies as an exempt transaction under
the Securities Act and the rules and regulations promulgated thereunder.

     (b) The Securities will bear substantially the following legend reflecting
the foregoing restrictions on the transfer of such securities:

     "The securities evidenced hereby have not been registered under the
     Securities Act of 1933, as amended (the "Act"), or any state securities
     law, and may not be sold, transferred or otherwise disposed of except
     pursuant to an effective registration under the Act or in a transaction
     which, in the opinion of counsel reasonably acceptable to the Company, is
     exempt from such registration."

     6.2. Covenants Pending Closing.

     Pending the Closing, the Company will conduct and will cause its
Subsidiaries to conduct their respective businesses in the ordinary course, and
will not, and will not permit any of its Subsidiaries to, without the prior
written consent of the Majority Holders, take any action which would result in
any of the representations or warranties contained in this Agreement not being
true at and as of the time immediately after such action, or in any of the
covenants contained in this Agreement becoming incapable of performance. The
Company will promptly advise the Investors of any action or event of which it
becomes aware which has the effect of making incorrect any of such
representations or 


                                      -25-

<PAGE>   31

warranties or which has the effect of rendering any of such covenants incapable
of performance.

     6.3. Board Nominees.

     For so long as the Notes remain outstanding, the Board will recommend to
the nominating committee of the Board and use its best efforts to elect
(including recommending the election of the Nominees to the stockholders of the
Company) and to cause to remain as directors on the Board two (2) Nominees
designated by the Majority Holders. If any Event of Default shall occur and be
continuing, the Company will nominate and use its best efforts to elect and to
cause to remain as a director on the Board for so long as such Event of Default
continues, one (1) additional Nominee designated by the Majority Holders. For so
long as the Investors own beneficially (within the meaning of Rule 13d-3 under
the Exchange Act) at least 50% of the shares of Common Stock of the Company
beneficially owned by them (within the meaning of Rule 13d-3 under the Exchange
Act) on the Closing Date, the Company will nominate and use its best efforts to
elect and to cause to remain as directors on the Board at least one Nominee
designated by the Majority Holders. Any vacancy created by the death,
disability, retirement or removal of any such individual may be filled by the
Majority Holders. In the event the Board is increased to more than nine
directors, for so long as the Notes remain outstanding the Majority Holders
shall be entitled to the whole number of Nominees obtained by multiplying (a)
the number of directors on the Board (including the Nominees) by (b) a fraction,
the numerator of which is equal to the number of shares of Common Stock issuable
upon conversion or Exchange of the Notes and the denominator of which is equal
to the total number of shares of capital stock of the Company then outstanding
as measured in each case on an as converted to Common Stock basis.

     6.4. Subscription Right.

     (a) If at any time after the date hereof, the Company proposes to issue
equity securities of any kind (the term "equity securities" shall include for
these purposes any warrants, options or other rights to acquire equity
securities and debt securities convertible into equity securities) of the
Company (other than the issuance of securities (i) upon conversion of the
Securities, (ii) to the public in a firm commitment underwriting pursuant to a
registration statement filed under the Act, (iii) 



                                      -26-

<PAGE>   32

pursuant to the acquisition of another corporation by the Company by merger,
purchase of substantially all of the assets or other form of reorganization,
(iv) pursuant to an employee or director stock option plan, stock bonus plan,
stock purchase plan or other management equity program or (v) to providers,
customers and consultants to the Company or employees of the Company), then, as
to each holder of the Securities, the Company shall:

          (i) give written notice setting forth in reasonable detail (1) the
     designation and all of the terms and provisions of the securities proposed
     to be issued (the "Proposed Securities"), including, where applicable, the
     voting powers, preferences and relative participating, optional or other
     special rights, and the qualification, limitations or restrictions thereof
     and interest rate and maturity; (2) the price and other terms of the
     proposed sale of such securities; (3) the amount of such securities
     proposed to be issued; and (4) such other information as the holders of the
     Securities may reasonably request in order to evaluate the proposed
     issuance; and

          (ii) offer to issue to each holder of the Securities upon the terms
     described in subparagraph (i) above a portion of the Proposed Securities
     (the "Subscription Securities") equal to a percentage determined by
     dividing (x) the number of shares of Common Stock beneficially owned
     (within the meaning of Rule 13d-3 under the Exchange Act) by such holder of
     Securities, by (y) the total number of shares of Common Stock beneficially
     owned (within the meaning of Rule 13d-3 under the Exchange Act) by all
     holders of Common Stock, Options or Convertible Securities immediately
     preceding the issuance of the Proposed Securities.

     (b) Each holder of the Securities must exercise its purchase rights
hereunder within ten (10) days after receipt of such notice from the Company. If
all of the Subscription Securities offered to the holders of the Securities are
not fully subscribed by such holders of the Securities, the remaining
Subscription Securities will be reoffered to the holders of the Securities
purchasing their full allotment upon the terms set forth in this Section 6.4,
until all such Subscription Securities are fully subscribed for or until all
such holders of the Securities have subscribed for all such Subscription
Securities 



                                      -27-

<PAGE>   33

which they desire to purchase, except that such holders of the Securities must
exercise their purchase rights within five days after receipt of all such
reoffers. To the extent that the Company offers two or more securities in units,
the holders of the Securities must purchase such units as a whole and will not
be given the opportunity to purchase only one of the securities making up such
unit.

     (c) Upon the expiration of the offering periods described above, the
Company will be free to sell such Subscription Securities that the holders of
the Securities have not elected to purchase during the ninety (90) days
following such expiration on terms and conditions no more favorable to the
purchasers thereof than those offered to such holders. Any Subscription
Securities offered or sold by the Company after such 90 day period must be
reoffered to the holders of the Securities pursuant to this Section 6.4.

     (d) The election by any holder of the Securities not to exercise its
subscription rights under this Section 6.4 in any one instance shall not affect
its right (other than in respect of a reduction in its percentage holdings) as
to any subsequent proposed issuance. Any sale of such securities by the Company
without first giving the holders of the Securities the rights described in this
Section 6.4 shall be void and of no force and effect.




                                      -28-

<PAGE>   34

     6.5. Use of Proceeds.

     Fifty percent (50%) of the proceeds received by the Company from the
issuance and sale of the Purchased Securities shall be used by the Company to
pay down existing indebtedness and the remaining proceeds shall be used by the
Company for general corporate purposes.

     6.6. Amendment to Rights Agreement.

     Without the prior written consent of the Board, the Investors shall not
acquire, offer or agree to acquire any shares of Common Stock (or securities
convertible into or exchangeable for shares of Common Stock) if, as a result of
such acquisition, Investors would beneficially own (within the meaning of Rule
13d-3 under the Exchange Act) more than thirty percent (30%) of the then
outstanding shares of Common Stock on a fully diluted basis (the "Investor
Threshold").

SECTION 7. INVESTORS' CLOSING CONDITIONS

     The obligation of the Investors to purchase and pay for the Purchased
Securities on the Closing Date, as provided in Section 2 hereof, shall be
subject to the performance by the Company of its agreements theretofore to be
performed hereunder and to the satisfaction, prior thereto or concurrently
therewith, of the following further conditions:

     7.1. Representations and Warranties.

     The representations and warranties of the Company contained in this
Agreement shall be true and correct in all material respects on and as of the
Closing Date as though such warranties and representations were made at and as
of such date, except as otherwise affected by the transactions contemplated
hereby.

     7.2. Compliance with Agreement.

     The Company shall have performed and complied in all material respects with
all agreements, covenants and conditions contained in this Agreement which are
required to be performed or complied with by the Company prior to or on the
Closing Date.


                                      -29-

<PAGE>   35

     7.3. Injunction.

     There shall be no effective injunction, writ, preliminary restraining order
or any order of any nature issued by a court of competent jurisdiction directing
that the transactions provided for herein or any of them not be consummated as
herein provided.

     7.4. Counsel's Opinion.

     Each of the Investors shall have received from the Company's counsel, Bass,
Berry & Sims PLC, an opinion, dated the Closing Date, substantially to the
effect that:

     (i) The Company is duly organized and validly existing in good standing
     under the laws of Delaware, has the all requisite corporate power and
     authority to own its properties and assets and to carry on its business as
     now conducted. The Company has all requisite power and authority to execute
     and deliver the Transaction Documents and to perform its obligations
     thereunder.

     (ii) The Company is duly qualified as a foreign corporation in every
     jurisdiction in which such qualification is necessary, except where the
     failure to so qualify would not have a material adverse effect on the
     Company.

     (iii) Section 4.3(a) of the Agreement accurately sets forth the authorized
     and issued capital stock of the Company and the Company has duly reserved
     for issuance of shares of Common Stock initially issuable upon conversion,
     exchange or exercise of the Purchased Securities.

     (iv) Except for the conversion and exchange rights which attach to the
     Securities and to the warrants, options and convertible securities listed
     on Schedule 4.3 hereto, to the best knowledge of such counsel, there are no
     shares of Common Stock, issuable upon conversion of any security of the
     Company nor are there any rights, options or warrants 



                                      -30-

<PAGE>   36

     outstanding or other agreements to acquire shares of Common Stock from the
     Company nor is the Company contractually obligated to purchase, redeem or
     otherwise acquire any of its outstanding shares of Common Stock. No
     stockholder of the Company is entitled to any statutory preemptive right
     or, to the best knowledge of such counsel, other similar rights to
     subscribe for shares of capital stock of the Company.

     (v) Upon their issuance in accordance with the terms of the Securities, the
     shares of Common Stock or Series A Preferred Stock, if any, issuable upon
     conversion or exchange or exercise of the Securities will be duly
     authorized, validly issued, fully paid and non-assessable shares of Common
     Stock or Series A Preferred Stock, if any, of the Company, free of all
     preemptive or similar rights.

     (vi) The Company has duly authorized the execution, delivery, and
     performance of the Transaction Documents and each of the transactions and
     agreements contemplated thereby, and no other corporate action is necessary
     to authorize such execution, delivery or performance. The Transaction
     Documents have been duly executed and delivered on behalf of the Company
     and constitute the valid and binding obligation of the Company, enforceable
     against the Company in accordance with their terms, except as such
     enforcement may be subject to bankruptcy, insolvency, reorganization,
     moratorium or other similar laws now or hereafter in effect relating to
     creditors' rights and general principles of equity.

     (vii) The execution and delivery by the Company of the Transaction
     Documents, the performance by the Company of its obligations thereunder and
     the consummation by the 



                                      -31-

<PAGE>   37

     Company of the transactions contemplated thereby do not require the Company
     to obtain any consent, approval or action of, or make any filing with or
     give any notice to, any corporation, person or firm or any public,
     governmental or judicial authority except such as have been duly obtained
     or made, as the case may be, and are in full force and effect.

     (viii) The execution and delivery of the Transaction Documents, and the
     adoption by the Board of the Certificate of Designation, if any, the
     fulfillment of the terms hereof and thereof by the Company and the issuance
     of shares of Common Stock or Series A Preferred Stock, if any, upon
     conversion exchange or exercise of the Securities as herein contemplated
     will not, (A) result in a breach of any of the terms, conditions or
     provisions of, or constitute a default under, any material indenture,
     mortgage, deed of trust, credit agreement, security agreement, note or
     other evidence of indebtedness, or other material agreement to which the
     Company or any of its Subsidiaries is a party and of which such counsel is
     aware, (B) violate the Organizational Documents (except that the approval
     of the Company's stockholders is required to issue the Series A Preferred
     Stock), or any federal or state law, rule or regulation known to such
     counsel of any court or federal, state or other regulatory board or body or
     administrative agency having jurisdiction over the Company or over its
     properties or businesses or (C) conflict with or constitute a default under
     any judgment, writ, decree or order known to such counsel to be applicable
     by its terms to the Company or any of its Subsidiaries.

     (ix) To the best knowledge of such counsel, there is no action, suit,
     investigation or proceeding pending or threatened, against the 



                                      -32-

<PAGE>   38

     Company or any of its properties or assets by or before any court,
     arbitrator or governmental body, department, commission, board, bureau,
     agency or instrumentality, which questions the validity of the Transaction
     Documents or, the Purchased Securities, the Certificate of Designation, if
     any, or the Securities or any action taken or to be taken pursuant hereto
     or thereto.

     (x) Assuming the representations and warranties of the Company and the
     Investors set forth in the Transaction Documents are true and correct, the
     issuance and sale of the Securities do not require registration under
     Section 5 of the Securities Act or qualification under any state securities
     or Blue Sky laws.

     (xi) The consummation of the transactions contemplated by the Transaction
     Documents and the application of the proceeds thereof by the Company do not
     violate Regulations G, T, U or X of the Board of Governors of the Federal
     Reserve System.

     (xii) In rendering the foregoing opinions numbered (vii), (viii) and (ix),
     Bass, Berry & Sims PLC shall be entitled to rely on opinions of local
     counsel in each state so long as each such local counsel opinion is in form
     and substance reasonably acceptable to the Investors.

     (xiii) In rendering the foregoing opinions numbered (vii), (viii) and (ix),
     Bass, Berry & Sims PLC shall be entitled to rely on certificates of
     applicable public officials in each state and certificates solely as to
     matters of fact that are not known to Bass, Berry & Sims, after due
     inquiry, executed by executive officers of the Company if each such
     certificate is in form and substance reasonably acceptable to the
     Investors.


                                     -33-

<PAGE>   39

     7.5. Adverse Development.

     There shall have been no developments in the business of the Company or any
of its Subsidiaries which since the date of this Agreement have had a Material
Adverse Effect. There shall exist no events of default under the provisions of
any instrument evidencing Debt of the Company or its Subsidiaries or any event
that would constitute an Event of Default under the Notes.

     7.6. Election of Directors.

     Messrs. Patrick T. Hackett and Joel Ackerman shall have been elected to the
Board, effective upon the Closing.

     7.7. Approval of Creditors.

     Each senior lender of the Company shall have consented to the Company
entering into and performing this Agreement and to the consummation the
transactions contemplated hereby, and a writing to that effect shall have been
delivered to the Investors which, as of the Closing Date, shall not have been
revoked.

     7.8. Consents and Approvals.

     All consents, waivers, authorizations, licenses, permits, certificates and
approvals of any Person required in connection with the execution, delivery and
performance of this Agreement, including, without limitation, the approval of
each entity set forth on Schedule 4.5 hereto shall have been duly obtained and
shall be in full force and effect on the Closing Date.

     7.9. Secretary's Certificate.

     Each Investor shall have received a certificate, dated the Closing Date, of
the Secretary of the Company attaching (i) a true and complete copy of the
Certificate of Incorporation of the Company as filed with the Secretary of State
of the State of Delaware, with all amendments thereto, (ii) true and complete
copies of the Company's By-Laws in effect as of such date, (iii) certificates of
good standing of the appropriate officials of the jurisdictions of incorporation
of the Company and of each state in which the Company is qualified to do
business as a foreign corporation and (iv) resolutions of the Board authorizing
the execution and delivery of this Agreement and the Transaction 



                                      -34-

<PAGE>   40

Documents and the transactions contemplated hereby and thereby, the issuance of
the Securities and the reservation for issuance of a sufficient number of shares
of Common Stock and Series A Preferred Stock, if any, into which the Securities
may be converted.

     7.10. Officer's Certificate.

     Each of the Investors shall have received a certificate, dated the Closing
Date, signed by each of the President and the Chief Financial Officer of the
Company, certifying that the conditions specified in the foregoing Sections 7.1,
7.2, 7.3, 7.5 and 7.9 hereof have been fulfilled.

     7.11. Approval of Proceedings.

     All proceedings to be taken in connection with the transactions
contemplated by this Agreement, and all documents incident thereto, shall be
satisfactory in form and substance to the Investors and their special counsel,
Willkie Farr & Gallagher; and the Investors shall have received copies of all
documents or other evidence which it and Willkie Farr & Gallagher may request in
connection with such transactions and of all records of corporate proceedings in
connection therewith in form and substance satisfactory to the Investors and
Willkie Farr & Gallagher.


                                      -35-

<PAGE>   41

     7.12. Amendment to Rights Agreement.

     The Rights Agreement shall have been amended on terms reasonably acceptable
to the Majority Holders to permit the Investors to (i) beneficially own (within
the meaning of Rule 13d-3 under the Exchange Act) Securities of the Company up
to the Investor Threshold and (ii) transfer any securities of the Company
beneficially owned (within the meaning of Rule 13d-3 under the Exchange Act) by
the Investors to an Affiliate set forth on Schedule 7.14 without (a) resulting
in the occurrence of a "Triggering Event" under the Rights Agreement, (b)
causing either Investor to become an "Acquiring Person" as defined in the Rights
Agreement or (c) otherwise causing the exercise of any "Right" issued pursuant
to the Rights Agreement or the issuance, exercise or separation of any "Rights
Certificate" under the Rights Agreement.

SECTION 8. COMPANY CLOSING CONDITIONS

     The obligation of the Company to issue and deliver the Purchased Securities
on the Closing Date, as provided in Section 2 hereof, shall be subject to the
performance by the Investors of their agreements theretofore to be performed
hereunder and to the satisfaction, prior thereto or concurrently therewith, of
the following further conditions:

     8.1. Representations and Warranties.

     The representations and warranties of the Investors contained in this
Agreement shall be true and correct in all material respects on and as of the
Closing Date as though such warranties and representations were made at and as
of such date, except as otherwise affected by the transactions contemplated
hereby.

     8.2. Compliance with Agreement.

     The Investors shall have performed and complied in all material respects
with all agreements, covenants and conditions contained in this Agreement which
are required to be performed or complied with by it prior to or on the Closing
Date.


                                      -36-


<PAGE>   42

     8.3. Injunction.

     There shall be no effective injunction, writ, preliminary restraining order
or any order of any nature issued by a court of competent jurisdiction directing
that the transactions provided for herein or any of them not be consummated as
herein provided.

     8.4. Consents and Approvals.

     All consents, waivers, authorizations, licenses, permits, certificates and
approvals of any Person required in connection with the execution, delivery and
performance of this Agreement, including, without limitation, the approval of
each entity set forth on Schedule 4.5 hereto shall have been duly obtained and
shall be in full force and effect on the Closing Date.

     8.5. Investors' Certificate.

     The Company shall have received a certificate from each of the Investors,
dated the Closing Date, signed by a duly authorized representative of such
Investor, certifying that the conditions specified in the foregoing Sections 8.1
and 8.2 hereof have been fulfilled.

SECTION 9. CONVERSION.

     (a) Each Note may be converted at any time, in whole or in part, at the
option of the holder thereof, in the manner hereinafter provided, into
fully-paid and nonassessable shares of Common Stock. The Notes shall
automatically be converted into shares of Common Stock at the then effective
Conversion Price for such shares with the consent of the Majority Holders.

     (b) The initial conversion rate for the Notes shall be 100 shares of Common
Stock for each $1,000 in aggregate principal amount of the Notes representing an
initial Conversion Price (for purposes of Section 10) of $10.00 per share of the
Common Stock. The applicable conversion rate and Conversion Price from time to
time in effect is subject to adjustment as hereinafter provided.

     (c) The Company shall not issue fractions of shares of Common Stock upon
conversion of the Notes or scrip in lieu thereof. If any fraction of a share of
Common Stock would, except for the provisions of this Section 9(c), be issuable
upon conversion of either Note or the Notes, the Company shall in lieu 


                                      -37-

<PAGE>   43

thereof pay to the person entitled thereto an amount in cash equal to the Market
Price of such fraction, calculated to the nearest one-hundredth (1/100) of a
share.

     (d) Whenever the conversion rate and Conversion Price shall be adjusted as
provided in Section 10 hereof, the Company shall forthwith file at each office
designated for the conversion of the Notes, a statement, signed by the Chairman
of the Board, the President, any Vice President or Treasurer of the Company,
showing in reasonable detail the facts requiring such adjustment and the
conversion rate that will be effective after such adjustment. The Company shall
also cause a notice setting forth any such adjustments to be sent by mail, first
class, postage prepaid, to the holders of the Notes. If such notice relates to
an adjustment resulting from an event referred to in paragraph 10(g), such
notice shall be included as part of the notice required to be mailed and
published under the provisions of paragraph 10(g) hereof.

     (e) In order to exercise the conversion right, each holder of a Note shall
surrender its Note therefore to the Company at its principal office, and shall
give written notice to the Company at such office that such holder elects to
convert its Note. Such notice shall also state the name or names (with address)
in which the certificate or certificates for shares of Common Stock which shall
be issuable on such conversion shall be issued, subject to any restrictions on
transfer relating to such Note or shares of Common Stock upon conversion
thereof. If so required by the Company, the Note or Notes surrendered for
conversion shall be endorsed or accompanied by written instrument or instruments
of transfer, in form reasonably satisfactory to the Company, duly authorized in
writing. The date of receipt by the Company of the certificates and notice shall
be the conversion date. As soon as practicable after receipt of such notice and
the surrender of the as aforesaid, the Company shall cause to be issued and
delivered at such office to such holder, or on his or its written order, a
certificate or certificates for the number of full shares of Common Stock
issuable on such conversion in accordance with the provisions hereof and cash as
provided in Section 9(c) in respect of any fraction of a share of Common Stock
otherwise issuable upon such conversion.

     (f) Upon any conversion of all or any part of the Notes hereunder, the
holders of the Notes shall be entitled to 


                                      -38-

<PAGE>   44

receive, at the election of the Company, cash in respect of any accrued but
unpaid interest or additional shares of Common Stock equal to the amount of
accrued but unpaid interest as of the date of conversion, divided by the
Conversion Price then in effect.

     (g) In the event of a partial conversion of either Note or the Notes, the
Company, at its expense, will forthwith issue to the holder or holders thereof a
new Note or Notes of like tenor representing the portion of the Note or Notes
that have not been converted, such Note or Notes to be issued in the name of the
holder thereof or its nominee (upon payment by such holder of any applicable
transfer taxes).

     (h) The Company shall at all times when the Notes shall be outstanding
reserve and keep available out of its authorized but unissued stock, for the
purposes of effecting the conversion of the Notes, such number of its duly
authorized shares of Common Stock as shall from time to time be sufficient to
effect the conversion of the Notes. Before taking any action which would cause
an adjustment reducing the conversion price below the then par value of the
shares of Common Stock issuable upon conversion of the Notes, the Company will
take any corporate action which may, in the opinion of its counsel, be necessary
in order that the Company may validly and legally issue fully-paid and
nonassessable shares of such Common Stock at such adjusted Conversion Price.

SECTION 10.  ANTI-DILUTION PROVISIONS.

     (a) In order to prevent dilution of the right granted hereunder, the
Conversion Price shall be subject to adjustment from time to time in accordance
with this Section 10. At any given time the Conversion Price, whether as the
initial price ($10.00 per share) or as last adjusted, shall be that dollar (or
part of a dollar) amount the payment of which shall be sufficient at the given
time to acquire one share of Common Stock upon conversion of the Notes. Upon
each adjustment of the Conversion Price pursuant to this Section 10, the
registered holder of each Note shall thereafter be entitled to acquire upon
exercise, at the Conversion Price resulting from such adjustment, the number of
shares of the Common Stock obtainable by multiplying the Conversion Price in
effect immediately prior to such adjustment by the number of shares of the
Company's Common Stock acquirable immediately prior to such adjustment and
dividing the product thereof by the Conversion Price resulting from such
adjustment. 



                                      -39-

<PAGE>   45

For purposes of this Section 10, the term "Number of Common Shares Deemed
Outstanding" at any given time shall mean the sum of (x) the number of shares of
the Company's Common Stock outstanding at such time, (y) the number of shares of
the Company's Common Stock issuable assuming conversion at such time of the
Company's Notes and Warrants and (z) the number of shares of the Company's
Common Stock deemed to be outstanding under subparagraphs 10(b)(1) to (9),
inclusive, at such time.

     (b) Except as provided in Section 10(c) or 10(f) below, if and whenever on
or after Closing Date, the Company shall issue or sell, or shall in accordance
with subparagraphs 10(b)(1) to (9), inclusive, be deemed to have issued or sold
any shares of its Common Stock for a consideration per share less than the
average Market Price for the ten trading days immediately preceding such
issuance or sale, then forthwith upon such issue or sale (the "Triggering
Transaction"), the Conversion Price shall, subject to subparagraphs (1) to (9)
of this Section 10(b), be reduced to the Conversion Price (calculated to the
nearest tenth of a cent) determined by multiplying the Conversion Price in
effect immediately prior to the time of such Triggering Transaction by a
fraction, the numerator of which shall be the sum of (x) the Number of Shares
Deemed Outstanding immediately prior to such Triggering Transaction and (y) the
number of shares of Common Stock which the aggregate consideration received by
the Company upon such Triggering Transaction would purchase at the average
Market Price for the ten-day trading period immediately preceding such
Triggering Transaction, and the denominator of which shall be the Number of
Shares Deemed Outstanding immediately after such Triggering Transaction.

     For purposes of determining the adjusted Conversion Price under this
Section 10, the following subsections (1) to (9), inclusive, shall be
applicable:

          (1) In case the Company at any time shall in any manner grant (whether
     directly or by assumption in a merger or otherwise) any rights to subscribe
     for or to purchase, or any options for the purchase of, Common Stock or any
     stock or other securities convertible into or exchangeable for Common Stock
     (such rights or options being herein called "Options" and such convertible
     or exchangeable stock or securities being herein called "Convertible
     Securities"), whether or not 



                                      -40-

<PAGE>   46

     such Options or the right to convert or exchange any such Convertible
     Securities are immediately exercisable and the price per share for which
     the Common Stock is issuable upon exercise, conversion or exchange
     (determined by dividing (x) the total amount, if any, received or
     receivable by the Company as consideration for the granting of such
     Options, plus the aggregate amount of additional consideration payable to
     the Company upon the exercise of all such Options, plus, in the case of
     such Options which relate to Convertible Securities, the aggregate amount
     of additional consideration, if any, payable upon the issue or sale of such
     Convertible Securities and upon the conversion or exchange thereof, by (y)
     the total maximum number of shares of Common Stock issuable upon the
     exercise of such Options or the conversion or exchange of such Convertible
     Securities) shall be less than the average Market Price in effect for the
     ten-day trading period immediately prior to the time of the granting of
     such Option, then the total maximum amount of Common Stock issuable upon
     the exercise of such Options or in the case of Options for Convertible
     Securities, upon the conversion or exchange of such Convertible Securities,
     shall (as of the date of granting of such Options) be deemed to be
     outstanding and to have been issued and sold by the Company for such price
     per share. No adjustment of the Conversion Price shall be made upon the
     actual issue of such shares of Common Stock or such Convertible Securities
     upon the exercise of such Options, except as otherwise provided in
     subparagraph (3) below.

          (2) In case the Company at any time shall in any manner issue (whether
     directly or by assumption in a merger or otherwise) or sell any Convertible
     Securities, whether or not the rights to exchange or convert thereunder are
     immediately exercisable, and the price per share for which Common Stock is
     issuable upon such conversion or exchange (determined by dividing (x) the
     total amount received or receivable by the Company as consideration for the
     issue or sale of such Convertible Securities, plus the aggregate amount of
     additional consideration, if any, payable to the Company upon the
     conversion or exchange thereof, by (y) 



                                      -41-

<PAGE>   47

     the total maximum number of shares of Common Stock issuable upon the
     conversion or exchange of all such Convertible Securities) shall be less
     than the average Market Price in effect for the ten-day trading period
     immediately prior to the time of such issue or sale, then the total maximum
     number of shares of Common Stock issuable upon conversion or exchange of
     all such Convertible Securities shall (as of the date of the issue or sale
     of such Convertible Securities) be deemed to be outstanding and to have
     been issued and sold by the Company for such price per share. No adjustment
     of the Conversion Price shall be made upon the actual issue of such Common
     Stock upon exercise of the rights to exchange or convert under such
     Convertible Securities, except as otherwise provided in subparagraph (3)
     below.

          (3) If the purchase price provided for in any Options referred to in
     subparagraph (1), the additional consideration, if any, payable upon the
     conversion or exchange of any Convertible Securities referred to in
     subparagraphs (1) or (2), or the rate at which any Convertible Securities
     referred to in subparagraph (1) or (2) are convertible into or exchangeable
     for Common Stock shall change at any time (other than under or by reason of
     provisions designed to protect against dilution of the type set forth in
     Sections 10(b) or 10(d)), the Conversion Price in effect at the time of
     such change shall forthwith be readjusted to the Conversion Price which
     would have been in effect at such time had such Options or Convertible
     Securities still outstanding provided for such changed purchase price,
     additional consideration or conversion rate, as the case may be, at the
     time initially granted, issued or sold. If the purchase price provided for
     in any Option referred to in subparagraph (1) or the rate at which any
     Convertible Securities referred to in subparagraphs (1) or (2) are
     convertible into or exchangeable for Common Stock, shall be reduced at any
     time under or by reason of provisions with respect thereto designed to
     protect against dilution, then in case of the delivery of Common Stock upon
     the exercise of any such Option or upon conversion or exchange of any such
     Convertible Security, the Conversion Price 


                                      -42-

<PAGE>   48

     then in effect hereunder shall forthwith be adjusted to such respective
     amount as would have been obtained had such Option or Convertible Security
     never been issued as to such Common Stock and had adjustments been made
     upon the issuance of the shares of Common Stock delivered as aforesaid, but
     only if as a result of such adjustment the Conversion Price then in effect
     hereunder is hereby reduced.

          (4) On the expiration of any Option or the termination of any right to
     convert or exchange any Convertible Securities, the Conversion Price then
     in effect hereunder shall forthwith be increased to the Conversion Price
     which would have been in effect at the time of such expiration or
     termination had such Option or Convertible Securities, to the extent
     outstanding immediately prior to such expiration or termination, never been
     issued.

          (5) In case any Options shall be issued in connection with the issue
     or sale of other securities of the Company, together comprising one
     integral transaction in which no specific consideration is allocated to
     such Options by the parties thereto, such Options shall be deemed to have
     been issued without consideration.

          (6) In case any shares of Common Stock, Options or Convertible
     Securities shall be issued or sold or deemed to have been issued or sold
     for cash, the consideration received therefor shall be deemed to be the
     amount received by the Company therefor. In case any shares of Common
     Stock, Options or Convertible Securities shall be issued or sold for a
     consideration other than cash, the amount of the consideration other than
     cash received by the Company shall be the fair value of such consideration
     as determined in good faith by the Board. In case any shares of Common
     Stock, Options or Convertible Securities shall be issued in connection with
     any merger in which the Company is the surviving corporation, the amount of
     consideration therefor shall be deemed to be the fair value of such portion
     of the net assets and business of the non-surviving corporation as shall be
     attributed by the 


                                      -43-

<PAGE>   49

     Board in good faith to such Common Stock, Options or Convertible
     Securities, as the case may be as determined in good faith by the Board.

          (7) The number of shares of Common Stock outstanding at any given time
     shall not include shares owned or held by or for the account of the
     Company, and the disposition of any shares so owned or held shall be
     considered an issue or sale of Common Stock for the purpose of this Section
     10.

          (8) In case the Company shall declare a dividend or make any other
     distribution upon the stock of the Company payable in Common Stock,
     Options, or Convertible Securities, then in such case any Common Stock,
     Options or Convertible Securities, as the case may be, issuable in payment
     of such dividend or distribution shall be deemed to have been issued or
     sold without consideration.

          (9) For purposes of this Section 10, in case the Company shall take a
     record of the holders of its Common Stock for the purpose of entitling them
     (x) to receive a dividend or other distribution payable in Common Stock,
     Options or in Convertible Securities, or (y) to subscribe for or purchase
     Common Stock, Options or Convertible Securities, then such record date
     shall be deemed to be the date of the issue or sale of the shares of Common
     Stock deemed to have been issued or sold upon the declaration of such
     dividend or the making of such other distribution or the date of the
     granting of such right or subscription or purchase, as the case may be.

     (c) In the event the Company shall declare a dividend upon the Common Stock
(other than a dividend payable in Common Stock covered by Section 10(b)(8))
payable otherwise than out of earnings or earned surplus, determined in
accordance with generally accepted accounting principles, including the making
of appropriate deductions for minority interests, if any, in Subsidiaries
(herein referred to as "Liquidating Dividends"), then, as soon as possible after
the conversion of any Purchased Securities, the Company shall pay to the person
converting such Purchased Securities an amount equal to the aggregate value at
the time of such exercise of all Liquidating Dividends (including 



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<PAGE>   50

but not limited to the Common Stock which would have been issued at the time of
such earlier exercise and all other securities which would have been issued with
respect to such Common Stock by reason of stock splits, stock dividends, mergers
or reorganizations, or for any other reason). For the purposes of this Section
10(c), a dividend other than in cash shall be considered payable out of earnings
or earned surplus only to the extent that such earnings or earned surplus are
charged an amount equal to the fair value of such dividend as determined in good
faith by the Board.

     (d) In case the Company shall at any time subdivide (other than by means of
a dividend payable in Common Stock covered by Section 10(b)(8)) its outstanding
shares of Common Stock into a greater number of shares, the Conversion Price in
effect immediately prior to such subdivision shall be proportionately reduced,
and, conversely, in case the outstanding shares of Common Stock of the Company
shall be combined into a smaller number of shares, the Conversion Price in
effect immediately prior to such combination shall be proportionately increased.

     (e) If any capital reorganization or reclassification of the capital stock
of the Company, or consolidation or merger of the Company with another
corporation, or the sale of all or substantially all of its assets to another
corporation shall be effected in such a way that holders of Common Stock shall
be entitled to receive stock, securities, cash or other property with respect to
or in exchange for Common Stock, then, as a condition of such reorganization,
reclassification, consolidation, merger or sale, lawful and adequate provision
shall be made whereby the holders of the Notes shall have the right to acquire
and receive upon conversion of the Notes, which right shall be prior to the
rights of the holders of stock, such shares of stock, securities, cash or other
property issuable or payable (as part of the reorganization, reclassification,
consolidation, merger or sale) with respect to or in exchange for such number of
outstanding shares of the Company's Common Stock as would have been received
upon conversion of the Notes at the Conversion Price then in effect. The Company
will not effect any such consolidation, merger or sale, unless prior to the
consummation thereof the successor corporation (if other than the Company)
resulting from such consolidation or merger or the corporation purchasing such
assets shall assume by written 


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<PAGE>   51

instrument mailed or delivered to the holders of the Notes at the last address
of each such holder appearing on the books of the Company, the obligation to
deliver to each such holder such shares of stock, securities or assets as, in
accordance with the foregoing provisions, such holder may be entitled to
purchase. If a purchase, tender or exchange offer is made to and accepted by the
holders of more than 50% of the outstanding shares of Common Stock of the
Company, the Company shall not effect any consolidation, merger or sale with the
person having made such offer or with any Affiliate of such person, unless prior
to the consummation of such consolidation, merger or sale the holders of the
Notes shall have been given a reasonable opportunity to then elect to receive
upon the conversion of the Notes either the stock, securities or assets then
issuable with respect to the Common Stock of the Company or the stock,
securities or assets, or the equivalent, issued to previous holders of the
Common Stock in accordance with such offer. For purposes hereof, the term
"Affiliate" with respect to any given person shall mean any person controlling,
controlled by or under common control with the given person.

     (f) The provisions of this Section 10 shall not apply to any Common Stock
issued, issuable or deemed outstanding under Sections 10(b)(1) to (9) inclusive:
(i) to any person pursuant to any stock option, stock purchase or similar plan
or arrangement for the benefit of employees, consultants or directors of the
Company or its Subsidiaries in effect on the Closing Date or thereafter adopted
by the Board (or physicians or providers contracting with the Company or any of
its Subsidiaries), (ii) pursuant to options, warrants and conversion rights in
existence on the Closing Date, (iii) upon exercise of the Warrants, (iv) on
conversion of a Note or (v) in connection with underwritten public offerings for
cash pursuant to a registration statement filed under the Securities Act
relating to Common Stock, Options or Convertible Securities.

     (g) In the event that:

          (1) the Company shall declare any cash dividend upon its Common Stock,
     or

          (2) the Company shall declare any dividend upon its Common Stock
     payable in stock or make any special dividend or other distribution to the
     holders of its Common Stock, or


                                      -46-

<PAGE>   52

          (3) the Company shall offer for subscription pro rata to the holders
     of its Common Stock any additional shares of stock of any class or other
     rights, or

          (4) there shall be any capital reorganization or reclassification of
     the capital stock of the Company, including any subdivision or combination
     of its outstanding shares of Common Stock, or consolidation or merger of
     the Company with, or sale of all or substantially all of its assets to,
     another corporation, or

          (5) there shall be a voluntary or involuntary dissolution, liquidation
     or winding up of the Company;

then, in connection with such event, the Company shall give to the holders of
the Notes:

          (i)  at least twenty (20) days prior written notice of the date on
               which the books of the Company shall close or a record shall be
               taken for such dividend, distribution or subscription rights or
               for determining rights to vote in respect of any such
               reorganization, reclassification, consolidation, merger, sale,
               dissolution, liquidation or winding up; and

          (ii) in the case of any such reorganization, reclassification,
               consolidation, merger, sale, dissolution, liquidation or winding
               up, at least twenty (20) days prior written notice of the date
               when the same shall take place. Such notice in accordance with
               the foregoing clause (i) shall also specify, in the case of any
               such dividend, distribution or subscription rights, the date on
               which the holders of Common Stock shall be entitled thereto, and
               such notice in accordance with the foregoing clause (ii) shall
               also specify the date on which the holders of Common Stock shall
               be entitled to exchange their Common Stock for securities or
               other property deliverable upon such reorganization,
               reclassification consolidation, merger, sale, dissolution,
               liquidation or winding up, as the case may be. Each such written
               notice shall be given by first class mail, postage prepaid,
               addressed to each 


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<PAGE>   53

               holder of a Note at the address of such holder as shown on the
               books of the Company.

     (h) If at any time or from time to time on or after the Closing Date, the
Company shall grant, issue or sell any Options, Convertible Securities or rights
to purchase property (the "Purchase Rights") pro rata to the record holders of
any class of Common Stock of the Company and such grants, issuances or sales do
not result in an adjustment of the Conversion Price under Section 10(b) hereof,
then each holder of Purchased Securities shall be entitled to acquire (within
thirty (30) days after the later to occur of the initial exercise date of such
Purchase Rights or receipt by such holder of the notice concerning Purchase
Rights to which such holder shall be entitled under Section 10(g)) and upon the
terms applicable to such Purchase Rights either:

          (i)  the aggregate Purchase Rights which such holder could have
               acquired if it had held the number of shares of Common Stock
               acquirable upon conversion of the Purchased Securities
               immediately before the grant, issuance or sale of such Purchase
               Rights; provided that if any Purchase Rights were distributed to
               holders of Common Stock without the payment of additional
               consideration by such holders, corresponding Purchase Rights
               shall be distributed to the exercising holders of the Purchased
               Securities as soon as possible after such exercise and it shall
               not be necessary for the exercising holder of the Purchased
               Securities specifically to request delivery of such rights; or

          (ii) in the event that any such Purchase Rights shall have expired or
               shall expire prior to the end of said thirty (30) day period, the
               number of shares of Common Stock or the amount of property which
               such holder could have acquired upon such exercise at the time or
               times at which the Company granted, issued or sold such expired
               Purchase Rights.

     (i) If any event occurs as to which, in the opinion of the Board, the
provisions of this Section 10 are not strictly applicable or if strictly
applicable would not fairly protect the 



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<PAGE>   54

rights of the holders of the Notes in accordance with the essential intent and
principles of such provisions, then the Board shall make an adjustment in the
application of such provisions, in accordance with such essential intent and
principles, so as to protect such rights as aforesaid, but in no event shall any
adjustment have the effect of increasing the Conversion Price as otherwise
determined pursuant to any of the provisions of this Section 10 except in the
case of a combination of shares of a type contemplated in Section 10(d) and then
in no event to an amount larger than the Conversion Price as adjusted pursuant
to Section 10(d).

SECTION 11.  REGISTRATION RIGHTS

     11.1. Definitions.

     As used in this Section 11:

     (a) the terms "register," "registered" and "registration" refer to a
registration effected by preparing and filing a registration statement in
compliance with the Securities Act (and any post-effective amendments filed or
required to be filed) and the declaration or ordering of effectiveness of such
registration statement;

     (b) the term "Registrable Securities" means (i) shares of Common Stock, if
any, issuable on conversion or exchange of the Securities, (ii) any additional
shares of Common Stock, if any, acquired by the Investors and (iii) any capital
stock of the Company issued as a dividend or other distribution with respect to,
or in exchange for or in replacement of, the shares of Common Stock, if any,
referred to in clause (i) or (ii);

     (c) the term "Holder" shall mean any holder of Registrable Securities;

     (d) the term "Initiating Holder" shall mean any Holder or Holders who in
the aggregate are Holders of more than 50% of the then outstanding Registrable
Securities;

     (e) "Registration Expenses" shall mean all expenses incurred by the Company
in compliance with Sections 11.2 and 11.3 hereof, including, without limitation,
all registration and filing fees, printing expenses, fees and disbursements of
counsel for the Company, fees and expenses of one counsel for all the 


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<PAGE>   55

Holders in an amount not to exceed $15,000, blue sky fees and expenses and the
expense of any special audits incident to or required by any such registration
(but excluding the compensation of regular employees of the Company, which shall
be paid in any event by the Company); and

     (f) "Selling Expenses" shall mean all underwriting discounts and selling
commissions applicable to the sale of Registrable Securities and all fees and
disbursements of counsel for each of the Holders other than fees and expenses of
one counsel for all the Holders in an amount not to exceed $15,000.

     11.2. Requested Registration.

     (a) Request for Registration. If the Company shall receive from an
Initiating Holder a written request that the Company effect any registration
with respect to all or a part of the Registrable Securities, the Company will:

         (i) promptly give written notice of the proposed registration,
qualification or compliance to all other Holders of Registrable Securities; and

         (ii) as soon as practicable, use its diligent best efforts to effect 
such registration (including, without limitation, the execution of an
undertaking to file post-effective amendments, appropriate qualification under
applicable blue sky or other state securities laws and appropriate compliance
with applicable regulations issued under the Securities Act) as may be so
requested and as would permit or facilitate the sale and distribution of all or
such portion of such Registrable Securities as are specified in such request,
together with all or such portion of the Registrable Securities of any Holder or
Holders joining in such request as are specified in a written request received
by the Company within 10 business days after written notice from the Company is
given under Section 11.2(a)(i) above; provided that the Company shall not be
obligated to effect, or take any action to effect, any such registration
pursuant to this Section 11.2:

              (A) In any particular jurisdiction in which the Company would be 
required to execute a general consent to service of process in effecting such
registration, qualification or compliance, unless the Company is already subject
to service 


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<PAGE>   56

in such jurisdiction and except as may be required by the Securities Act or
applicable rules or regulations thereunder;

              (B) After the Company has effected two (2) such registrations 
pursuant to this Section 11.2 and such registrations have been declared or 
ordered effective and the sales of such Registrable Securities shall have 
closed; or

              (C) If the Registrable Securities requested by all Holders to be 
registered pursuant to such request do not have an anticipated aggregate public
offering price (before any underwriting discounts and commissions) of not less
than $20,000,000.

              (D) If in the good faith judgment of the Board, such registration 
would be seriously detrimental to the Company, the Company shall have the right
to delay registration for up to 90 days but not more than once in any twelve
month period.

     The registration statement filed pursuant to the request of the Initiating
Holders may, subject to the provisions of Section 11.2(b) below, include other
securities of the Company which are held by Persons who, by virtue of agreements
with the Company, are entitled to include their securities in any such
registration.

     The registration rights set forth in this Section 11 shall be assignable,
in whole or in part, to any transferee of Common Stock (who shall be bound by
all obligations of this Section 11).

     (b) Underwriting. If the Initiating Holders intend to distribute the
Registrable Securities covered by their request by means of an underwriting,
they shall so advise the Company as a part of their request made pursuant to
Section 11.2.

     If holders of securities of the Company other than Registrable Securities
who are entitled, by contract with the Company or otherwise, to have securities
included in such a registration (the "Other Stockholders") request such
inclusion, the Holders shall offer to include the securities of such Other
Stockholders in the underwriting and may condition such offer on their
acceptance of the further applicable provisions of this Section 11. The Holders
whose shares are to be included in such 


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<PAGE>   57

registration and the Company shall (together with all Other Stockholders
proposing to distribute their securities through such underwriting) enter into
an underwriting agreement in customary form with the representative of the
underwriter or underwriters selected for such underwriting by the Initiating
Holders and reasonably acceptable to the Company. Notwithstanding any other
provision of this Section 11.2, if the representative advises the Holders in
writing that marketing factors require a limitation on the number of shares to
be underwritten, the securities of the Company held by Other Stockholders shall
be excluded from such registration to the extent so required by such limitation.
If, after the exclusion of such shares, further reductions are still required,
the number of shares included in the registration by each Holder shall be
reduced on a pro rata basis (based on the number of shares held by such Holder),
by such minimum number of shares as is necessary to comply with such request. No
Registrable Securities or any other securities excluded from the underwriting by
reason of the underwriter's marketing limitation shall be included in such
registration. If any of the Holders or any Other Stockholder who has requested
inclusion in such registration as provided above disapproves of the terms of the
underwriting, such person may elect to withdraw therefrom by written notice to
the Company, the underwriter and the Initiating Holders. The securities so
withdrawn shall also be withdrawn from registration. If the underwriter has not
limited the number of Registrable Securities to be underwritten, the Company may
include its securities for its own account in such registration if the
representative so agrees and if the number of Registrable Securities which would
otherwise have been included in such registration and underwriting will not
thereby be limited.

     11.3. Company Registration.

     (a) Inclusion in Registration. If the Company shall determine to register
any of its equity securities either for its own account or for the account of a
security holder or holders exercising their respective demand registration
rights, other than a registration relating solely to employee benefit plans, or
a registration relating solely to a SEC Rule 145 transaction, or a registration
on any registration form which does not permit secondary sales or does not
include substantially the same information as would be required to be included
in a registration 



                                      -52-

<PAGE>   58

statement covering the sale of Registrable Securities, the Company will:

          (i) promptly give to each of the Holders a written notice thereof
     (which shall include a list of the jurisdictions in which the Company
     intends to attempt to qualify such securities under the applicable blue sky
     or other state securities laws); and

          (ii) include in such registration (and any related qualification under
     blue sky laws or other compliance), and in any underwriting involved
     therein, all the Registrable Securities specified in a written request or
     requests, made by the Holders within fifteen (15) days after receipt of the
     written notice from the Company described in clause (i) above, except as
     set forth in Section 11.3(b) below. Such written request may specify all or
     a part of the Holders' Registrable Securities.

     (b) Underwriting. If the registration of which the Company gives notice is
for a registered public offering involving an underwriting, the Company shall so
advise each of the Holders as a part of the written notice given pursuant to
Section 11.3(a)(i). In such event, the right of each of the Holders to
registration pursuant to this Section 11.3 shall be conditioned upon such
Holders' participation in such underwriting and the inclusion of such Holders'
Registrable Securities in the underwriting to the extent provided herein;
provided, however, that neither Investor shall be required to participate in
such underwriting if such Investor notifies the Company that it is seeking
registration of its shares solely to enable it to distribute such shares to its
partners. The Holders whose shares are to be included in such registration
(other than either Investor, if such Investor elects not to participate in such
underwriting) shall (together with the Company and the Other Stockholders
distributing their securities through such underwriting) enter into an
underwriting agreement in customary form with the representative of the
underwriter or underwriters selected for underwriting by the Company.
Notwithstanding any other provision of this Section 11.3, if the representative
determines that marketing factors require a limitation on the number of shares
to be underwritten, the representative may (subject to the allocation priority
set forth below) limit the number of Registrable Securities to be included in
the 


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<PAGE>   59

registration and underwriting to not less than fifteen percent (15%) of the
securities included therein (based on aggregate market values). The Company
shall so advise all holders of securities requesting registration, and the
number of shares of securities that are entitled to be included in the
registration and underwriting shall be allocated in the following manner: The
securities of the Company held by Other Stockholders of the Company (other than
Registrable Securities and other than securities held by holders who by
contractual right demanded such registration ("Demanding Holders")) shall be
excluded from such registration and underwriting to the extent required by such
limitation, and, if a limitation on the number of shares is still required, the
number of shares that may be included in the registration and underwriting by
each of the Holders and Demanding Holders shall be reduced, on a pro rata basis
(based on the number of shares held by such Holder), by such minimum number of
shares as is necessary to comply with such limitation. If any of the Holders or
any Other Stockholder disapproves of the terms of any such underwriting, such
person may elect to withdraw therefrom by written notice to the Company and the
underwriter. Any Registrable Securities or other securities excluded or
withdrawn from such underwriting shall be withdrawn from such registration.

     11.4. Expenses of Registration.

     All Registration Expenses incurred in connection with any registration,
qualification or compliance pursuant to this Section 11 shall be borne by the
Company, and all Selling Expenses shall be borne by the Holders of the
securities so registered pro rata on the basis of the number of their shares so
registered. Notwithstanding the foregoing, if the Holders request registration
pursuant to Section 11.2 and, at the time of such request, all shares then
requested to be sold could be sold pursuant to Rule 144(k) under the Act, then
the Company shall not be obligated to pay Registration Expenses of more than
$75,000 in connection with such registration.

     11.5. Registration Procedures.

     In the case of each registration effected by the Company pursuant to this
Section 11, the Company will keep the Holders, as applicable, advised in writing
as to the initiation of each registration and as to the completion thereof. At
its expense, the Company will:



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<PAGE>   60

          (i) keep such registration effective for a period of one hundred
     twenty (120) days or until the Holders, as applicable, have completed the
     distribution described in the registration statement relating thereto,
     whichever first occurs; provided, however, that such 120-day period shall
     be extended for a period of time equal to the period during which the
     Holders, as applicable, refrain from selling any securities included in
     such registration in accordance with provisions in Section 11.9 hereof;

          (ii) furnish such number of prospectuses and other documents incident
     thereto as each of the Holders, as applicable, from time to time may
     reasonably request;

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

          (iv) furnish, on the date that such Registrable Securities are
     delivered to the underwriters for sale, if such securities are being sold
     through underwriters or, if such securities are not being sold through
     underwriters, on the date that the registration statement with respect to
     such securities becomes effective, (1) an opinion, dated as of such date,
     of the counsel representing the Company for the purposes of such
     registration, in form and substance as is customarily given to underwriters
     in an underwritten public offering and reasonably satisfactory to a
     majority in interest of the Holders participating in such registration,
     addressed to the underwriters, if any, and to the Holders participating in
     such registration and (2) a letter, dated as of such date, from the
     independent certified public accountants of the Company, in form and
     substance as is customarily given by independent certified public
     accountants to underwriters in an underwritten public offering and
     reasonably satisfactory to a majority in interest of the Holders
     participating in such registration, 



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<PAGE>   61

     addressed to the underwriters, if any, and if permitted by applicable
     accounting standards, to the Holders participating in such registration.

     11.6. Indemnification.

     (a) The Company will indemnify each of the Holders, as applicable, each of
its officers, directors and partners, and each person controlling each of the
Holders, with respect to each registration which has been effected pursuant to
this Section 11, and each underwriter, if any, and each person who controls any
underwriter, against all claims, losses, damages and liabilities (or actions in
respect thereof) arising out of or based on any untrue statement (or alleged
untrue statement) of a material fact contained in any prospectus, offering
circular or other document (including any related registration statement,
notification or the like) incident to any such registration, qualification or
compliance, or based on any omission (or alleged omission) to state therein a
material fact required to be stated therein or necessary to make the statements
therein not misleading, or any violation by the Company of the Securities Act or
any rule or regulation thereunder applicable to the Company and relating to
action or inaction required of the Company in connection with any such
registration, qualification or compliance, and will reimburse each of the
Holders, each of its officers, directors and partners, and each person
controlling each of the Holders, each such underwriter and each person who
controls any such underwriter, for any legal and any other expenses reasonably
incurred in connection with investigating and defending any such claim, loss,
damage, liability or action, provided that the Company will not be liable in any
such case to the extent that any such claim, loss, damage, liability or expense
arises out of or is based on any untrue statement or omission based upon written
information furnished to the Company by the Holders or underwriter and stated to
be specifically for use therein.

     (b) Each of the Holders will, if Registrable Securities held by it are
included in the securities as to which such registration, qualification or
compliance is being effected, indemnify the Company, each of its directors and
officers and each underwriter, if any, of the Company's securities covered by
such a registration statement, each person who controls the Company or such
underwriter, each Other Stockholder and each of their officers, directors, and
partners, and each person 


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<PAGE>   62

controlling such Other Stockholder against all claims, losses, damages and
liabilities (or actions in respect thereof) arising out of or based on any
untrue statement (or alleged untrue statement) of a material fact contained in
any such registration statement, prospectus, offering circular or other document
made by such Holder, or any omission (or alleged omission) to state therein a
material fact required to be stated therein or necessary to make the statements
by such Holder therein not misleading, and will reimburse the Company and such
Other Stockholders, directors, officers, partners, persons, underwriters or
control persons for any legal or any other expenses reasonably incurred in
connection with investigating or defending any such claim, loss, damage,
liability or action, in each case to the extent, but only to the extent, that
such untrue statement (or alleged untrue statement) or omission (or alleged
omission) is made in such registration statement, prospectus, offering circular
or other document in reliance upon and in conformity with written information
furnished to the Company by such Holder for use therein; provided, however, that
the obligations of each of the Holders hereunder shall be limited to an amount
equal to the net proceeds to such Holder of securities sold as contemplated
herein.

     (c) Each party entitled to indemnification under this Section 11.6 (the
"Indemnified Party") shall give notice to the party required to provide
indemnification (the "Indemnifying Party") promptly after such Indemnified Party
has actual knowledge of any claim as to which indemnity may be sought, and shall
permit the Indemnifying Party to assume the defense of any such claim or any
litigation resulting therefrom; provided that counsel for the Indemnifying
Party, who shall conduct the defense of such claim or any litigation resulting
therefrom, shall be approved by the Indemnified Party (whose approval shall not
unreasonably be withheld) and the Indemnified Party may participate in such
defense at such party's expense (unless the Indemnified Party shall have
reasonably concluded that there may be a conflict of interest between the
Indemnifying Party and the Indemnified Party in such action, in which case the
fees and expenses of counsel shall be at the expense of the Indemnifying Party),
and provided, further, that the failure of any Indemnified Party to give notice
as provided herein shall not relieve the Indemnifying Party of its obligations
under this Section 11 unless the Indemnifying Party is materially prejudiced
thereby. No Indemnifying Party, in the defense of any such claim 


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<PAGE>   63

or litigation shall, except with the consent of each Indemnified Party, consent
to entry of any judgment or enter into any settlement which does not include as
an unconditional term thereof the giving by the claimant or plaintiff to such
Indemnified Party of a release from all liability in respect to such claim or
litigation. Each Indemnified Party shall furnish such information regarding
itself or the claim in question as an Indemnifying Party may reasonably request
in writing and as shall be reasonably required in connection with the defense of
such claim and litigation resulting therefrom.

     (d) If the indemnification provided for in this Section 11.6 is held by a
court of competent jurisdiction to be unavailable to an Indemnified Party with
respect to any loss, liability, claim, damage or expense referred to herein,
then the Indemnifying Party, in lieu of indemnifying such Indemnified Party
hereunder, shall contribute to the amount paid or payable by such Indemnified
Party as a result of such loss, liability, claim, damage or expense in such
proportion as is appropriate to reflect the relative fault of the Indemnifying
Party on the one hand and of the Indemnified Party on the other in connection
with the statements or omissions which resulted in such loss, liability, claim,
damage or expense, as well as any other relevant equitable considerations. The
relative fault of the Indemnifying Party and of the Indemnified Party shall be
determined by reference to, among other things, whether the untrue (or alleged
untrue) statement of a material fact or the omission (or alleged omission) to
state a material fact relates to information supplied by the Indemnifying Party
or by the Indemnified Party and the parties' relative intent, knowledge, access
to information and opportunity to correct or prevent such statement or omission.

     (e) Notwithstanding the foregoing, to the extent that the provisions on
indemnification and contribution contained in the underwriting agreement entered
into in connection with any underwritten public offering contemplated by this
Agreement are in conflict with the foregoing provisions, the provisions in such
underwriting agreement shall be controlling.

     (f) The foregoing indemnity agreement of the Company and the Holders is
subject to the condition that, insofar as they relate to any loss, claim,
liability or damage made in a preliminary prospectus but eliminated or remedied
in the amended 


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<PAGE>   64

prospectus on file with the Commission at the time the registration statement in
question becomes effective or the amended prospectus filed with the Commission
pursuant to Commission Rule 424(b) (the "Final Prospectus"), such indemnity
agreement shall not inure to the benefit of any underwriter if a copy of the
Final Prospectus was furnished to the underwriter and was not furnished to the
person asserting the loss, liability, claim or damage at or prior to the time
such action is required by the Securities Act.

     11.7. Information by the Holders.

     Each of the Holders holding securities included in any registration shall
furnish to the Company such information regarding such Holder and the
distribution proposed by such Holder as the Company may reasonably request in
writing and as shall be reasonably required in connection with any registration,
qualification or compliance referred to in this Section 11.

     11.8. Rule 144 Reporting.

     With a view to making available the benefits of certain rules and
regulations of the Commission which may permit the sale of restricted securities
to the public without registration, the Company agrees to:

          (i) make and keep public information available as those terms are
     understood and defined in Rule 144;

          (ii) use its best efforts to file with the SEC in a timely manner all
     reports and other documents required of the Company under the Securities
     Act and the Exchange Act at any time after it has become subject to such
     reporting requirements; and

          (iii) so long as the Holder owns any Registrable Securities, furnish
     to the Holder upon request, a written statement by the Company as to its
     compliance with the reporting requirements of Rule 144 (at any time from
     and after ninety (90) days following the effective date of the first
     registration statement filed by the Company for an offering of its
     securities to the general public), and of the Securities Act and the
     Exchange Act (at any time after it has become subject to such reporting
     requirements), a copy of the most recent annual or quarterly report of the


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<PAGE>   65

     Company, and such other reports and documents so filed as the Holder may
     reasonably request in availing itself of any rule or regulation of the
     Commission allowing the Holder to sell any such securities without
     registration.

     11.9. "Market Stand-off" Agreement.

     Each of the Holders agrees, if requested by the Company and an underwriter
of Common Stock (or other securities) of the Company, not to sell or otherwise
transfer or dispose of any Common Stock (or other securities) of the Company
held by such Holder during the 90-day period following the effective date of a
registration statement of the Company filed under the Securities Act, provided
that all executive officers and directors of the Company enter into similar
agreements.

     If requested by the underwriters, the Holders shall execute a separate
agreement to the foregoing effect. The Company may impose stop-transfer
instructions with respect to the shares (or securities) subject to the foregoing
restriction until the end of said 90-day period. The provisions of this Section
11.9 shall be binding upon any transferee who acquires Registrable Securities,
whether or not such transferee is entitled to the registration rights provided
hereunder.

     11.10. Termination.

     The registration rights set forth in this Section 11 shall not be available
to any Holder if, in the opinion of counsel to the Company, all of the
Registrable Securities then owned by such Holder could be sold in any 90-day
period pursuant to Rule 144 under the Securities Act (without giving effect to
the provisions of Rule 144(k) in the case of a Holder owing more than three
percent (3%) of the Common Stock then outstanding).

SECTION 12.  COVENANTS

     All covenants contained herein shall be given independent effect so that if
a particular action or condition is not permitted by any such covenants, the
fact that such action or condition would be permitted by an exception to, or
otherwise be within the limitations of, another covenant shall not avoid the
occurrence of a Default if such action is taken or condition exists.



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<PAGE>   66

     12.1. Approval of Preferred Stock.

     The Company will use its best efforts to obtain the requisite approval of
the holders of the outstanding shares of Common Stock to the creation, issuance,
sale and delivery of the Series A Preferred Stock to the holders of the Notes
upon the terms and conditions set forth in this Agreement and in Exhibit C
hereto as soon as practicable following the Closing Date.

     12.2. Exchange of Notes.

     (a) In the event that the stockholders of the Company authorize the Series
A Preferred Stock, the Company may upon written notice to the holders of the
Notes (the "Notice"), exchange the Notes for shares of Series A Preferred Stock
(the "Exchange"), provided that the Certificate of Designation for the Series A
Preferred Stock shall be substantially in the form of Exhibit C hereto.

     (b) In the event the Company elects to effect the Exchange, the holders of
the Notes shall be entitled to receive a number of shares of Series A Preferred
Stock equal to the aggregate principal amount of the Notes then being exchanged,
together with all accrued interest thereon, divided by the conversion price for
the Series A Preferred Stock (assuming that the Series A Preferred Stock had
been issued on the Closing Date, and, therefore, that the conversion price for
the Series A Preferred Stock is appropriately adjusted pursuant to the terms of
Section 6 of the Certificate of Designation for any events that occur between
the Closing Date and the date on which the Exchange occurs).

     (c) As soon as practicable after the date on which the Company delivers to
the holders of the Notes the Notice, and in any event within ten (10) days
thereafter, the Company, at its expense, will cause to be issued in the name of
and delivered to the holders of the Notes a certificate or certificates for the
number of fully paid and non-assessable shares of Series A Preferred Stock to
which such holder shall be entitled plus, in lieu of any fractional share to
which such holder would otherwise be entitled, cash in an amount determined in
accordance with Section 9(c). The Company agrees that the shares of Series A
Preferred Stock so issued shall be deemed to be issued to the holders of the
Notes pro rata as the record owner of such shares as of the close or business on
the date on which the Notice shall 



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<PAGE>   67

have been delivered to the holders of the Notes. The holders of the Notes shall
promptly surrender the Notes upon receipt of the certificate or certificates for
the Series A Preferred Stock. The failure of either holder of the Notes to
surrender the Notes shall not affect the validity of the issuance of the Series
A Preferred Stock.

     12.3. Financial and Business Information.

     From and after the date hereof, the Company shall deliver to Warburg so
long Warburg owns beneficially (within the meaning of Rule 13d-3 under the
Exchange Act) at least twenty-five percent (25%) of the shares of Common Stock
beneficially owned (within the meaning of Rule 13d-3 under the Exchange Act) by
it on the Closing Date:

     (a) Monthly and Quarterly Statements - as soon as practicable, and in any
event within 30 days after the close of each month of each fiscal year of the
Company other than at the end of a fiscal quarter of the Company in the case of
monthly statements and 45 days after the close of each of the first three fiscal
quarters of each fiscal year of the Company in the case of quarterly statements,
a consolidated balance sheet, statement of income and statement of cash flows of
the Company and any Subsidiaries as at the close of such month or quarter and
covering operations for such month or quarter, as the case may be, and the
portion of the Company's fiscal year ending on the last day of such month or
quarter, all in reasonable detail and prepared in accordance with GAAP, subject
to audit and year-end adjustments, setting forth in each case in comparative
form the figures for the comparable period of the previous fiscal year. The
Company shall also provide comparisons of each pertinent item to the budget
referred to in subsection (c) below.

     (b) Annual Statements - as soon as practicable after the end of each fiscal
year of the Company, and in any event within 90 days thereafter, duplicate
copies of:

          (1) consolidated and consolidating balance sheets of the Company and
     any Subsidiaries at the end of such year; and

          (2) consolidated and consolidating statements of income, stockholders'
     equity and cash flows of the Company and any Subsidiaries for such year,
     setting forth in each 


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<PAGE>   68

     case in comparative form the figures for the previous fiscal year, all in
     reasonable detail and accompanied by an opinion thereon of independent
     certified public accountants of recognized national standing selected by
     the Company, which opinion shall state that such financial statements
     fairly present the financial position of the Company and any Subsidiaries
     on a consolidated basis and have been prepared in accordance with GAAP
     (except for changes in application in which such accountants concur) and
     that the examination of such accountants in connection with such financial
     statements has been made in accordance with generally accepted auditing
     standards, and accordingly included such tests of the accounting records
     and such other auditing procedures as were considered necessary in the
     circumstances, and the Company shall also provide comparisons of each
     pertinent item to the budget referred to in subsection (c) below.

     (c) Business Plan; Projections - prior to the commencement of each fiscal
year of the Company, an annual business plan of the Company and projections of
operating results, prepared on a monthly basis. Such business plans and
projections shall contain such substance and detail and shall be in such form as
will be reasonably acceptable to the Majority Holders.

     (d) Audit Reports - promptly upon receipt thereof, one copy of each other
financial report and internal control letter submitted to the Company by
independent accountants in connection with any annual, interim or special audit
made by them of the books of the Company.

     (e) Other Reports - promptly upon their becoming available, one copy of
each financial statement, report, notice or proxy statement sent by the Company
to stockholders generally, of each financial statement, report, notice or proxy
statement sent by the Company or any of its Subsidiaries to the Commission or
any successor agency, if applicable, of each regular or periodic report and any
registration statement, prospectus or written communication (other than
transmittal letters) in respect thereof filed by the Company or any Subsidiary
with, or received by such Person in connection therewith from, any domestic or
foreign securities exchange, the Commission or any successor agency or any
foreign regulatory authority performing functions 



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<PAGE>   69

similar to the Commission, of any press release issued by the Company or any
Subsidiary, and of any material of any nature whatsoever prepared by the
Commission or any successor agency thereto or any state blue sky or securities
law commission which relates to or affects in any way the Company or any
Subsidiary.

     (f) Requested Information - with reasonable promptness, the Company shall
furnish the Investors with such other data and information as from time to time
may be reasonably requested.

     12.4. Inspection.

     As long as Warburg owns beneficially (within the meaning of Rule 13d-3
under the Exchange Act) at least twenty-five percent (25%) of the shares of
Common Stock beneficially owned (within the meaning of Rule 13d-3 under the
Exchange Act) by it on the Closing Date of the outstanding Common Stock, the
Company shall permit Warburg, its nominee, assignee, and its representative to
visit and inspect any of the properties of the Company and its Subsidiaries, to
examine all its books of account, records, reports and other papers not
contractually required of the Company to be confidential or secret, to make
copies and extracts therefrom, and to discuss its affairs, finances and accounts
with its officers, directors, key employees and independent public accountants
or any of them (and by this provision the Company authorizes said accountants to
discuss with Warburg, its nominees, assignees and representatives the finances
and affairs of the Company and any Subsidiaries), all at such reasonable times
and as often as may be reasonably requested.

     12.5. Confidentiality.

     As to so much of the information and other material furnished under or in
connection with this Agreement (whether furnished before, on or after the date
hereof, including without limitation information furnished pursuant to Sections
12.3 and 12.4 hereof) as constitutes or contains confidential business,
financial or other information of the Company or any Subsidiary, each of the
Investors covenants for itself and its directors, officers and partners that it
will use due care to prevent its officers, directors, partners, employees,
counsel, accountants and other representatives from disclosing such information
to Persons other than their respective authorized employees, counsel,
accountants, shareholders, partners, limited partners 



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<PAGE>   70

and other authorized representatives; provided, however, that either Investor
may disclose or deliver any information or other material disclosed to or
received by it should such Investor be advised by its counsel that such
disclosure or delivery is required by law, regulation or judicial or
administrative order but only after so much prior written notice as is
reasonably practicable under the circumstances to the Company that it proposes
to make such disclosures. In the event of any termination of this Agreement
prior to the Closing Date, each Investor shall return to the Company all
confidential material previously furnished to it or its officers, directors,
partners, employees, counsel, accountants and other representatives in
connection with this transaction. For purposes of this Section 12.5, "due care"
means at least the same level of care that such Investors would use to protect
the confidentiality of their own sensitive or proprietary information, and this
obligation shall survive termination of this Agreement.

     12.6. Takeover Statute.

     If any Takeover Statute shall become applicable to the transactions
contemplated hereby, including without limitation Section 203 of the DGCL and
any takeover provision under the laws of the State of Tennessee, the Company and
the members of the Board shall grant such approvals and take such actions as are
necessary so that the transactions contemplated hereby may be consummated as
promptly as practicable on the terms contemplated hereby and otherwise act to
eliminate or minimize the effects of such statue or regulation on the
transactions contemplated hereby.

     12.7. Rights Agreement Inapplicable.

     If the transactions contemplated hereby or the conversion or exchange or
exercise of any of the Securities upon its terms would (a) result in the
occurrence of a "Triggering Event" under the Rights Agreement, (b) cause either
Investor to become an "Acquiring Person" as defined in the Rights Agreement or
(c) otherwise cause the exercise of any "Right" issued pursuant to the Rights
Agreement or the issuance or exercise of any "Rights Certificate" under the
Rights Agreement, the Company will promptly cause the Rights Agreement to be
duly amended to prevent any such characterization.


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<PAGE>   71

     12.8. Hart-Scott Filings; Consents and Approvals.

     The Company and the Investors will promptly prepare and file, or cause to
be prepared and filed, any notification or response to any request for
additional information required to be filed under the Hart-Scott Act and the
rules and regulations promulgated thereunder with respect to the acquisition of
shares of Common Stock and Series A Preferred Stock, if any, by the Investors
upon conversion, Exchange or exercise of any of the Securities. If any
additional filings are required under the Hart-Scott Act in connection with the
exercise of the Warrants, the Exchange or the acquisition of any other
Securities, the Company shall promptly, and in any event within ten-days
following a written request from the Majority Holders or any other holder of the
Securities, prepare and file, or cause to be prepared and filed, any
notification or response to any request for additional information required to
be filed under the Hart-Scott Act and the rules and regulations promulgated
thereunder in connection with any acquisition, conversion, Exchange or exercise
of any of the Securities. The Company and the Investors will use their
respective best efforts to obtain as promptly as practicable any consent or
approval of any Person, including any regulatory authority, required in
connection with the transactions contemplated hereby.

     12.9. Conduct of Business and Maintenance of Existence.

     The Company will continue to engage in business of the same general type as
now conducted by it, and preserve, renew and keep in full force and effect its
corporate existence and take all reasonable action to maintain all rights,
privileges and franchises necessary or desirable in the normal conduct of its
business. Without the consent of the Majority Holders, the Company shall not (i)
amend, alter or modify its Certificate of Incorporation or Bylaws, (ii) create
or authorize the issuance of any shares of preferred stock having rights as to
dividends or rights upon liquidation senior to the Series A Preferred stock or
(iii) issue any shares of Series A Preferred Stock to any Person other than upon
Exchange of the Notes; provided, however, that the Company may incorporate
itself as a domestic Tennessee corporation upon the terms and pursuant to the
proposals approved by the shareholders of the Company at the 1996 annual meeting
of the shareholders of the Company and, thereafter, may dissolve its domestic
existence in the State of Delaware; provided, further, that the Articles of
Incorporation of the Company filed with the 



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<PAGE>   72

Secretary of State of the State of Tennessee shall be substantially in the form
of the proposed Articles of Incorporation submitted to and approved by
shareholders at the 1996 annual meeting of shareholders or otherwise in form and
substance reasonably acceptable to the Majority Holders.

     12.10. Compliance with Laws.

     The Company and its Subsidiaries will comply in all material respects with
all applicable laws, rules, regulations and orders except where the failure to
comply would not have a material adverse effect on the business, properties,
operations, prospects or financial condition of the Company.

     12.11. Insurance.

     The Company will maintain insurance with responsible and reputable
insurance companies or associations in such amounts and covering such risks as
is usually carried by companies of similar size and credit standing engaged in
similar business and owning similar properties, provided that such insurance is
and remains available to the Company at commercially reasonable rates.

     12.12. Keeping of Books.

     The Company will keep proper books of record and account, in which full and
correct entries shall be made of all financial transactions and the assets and
business of the Company and its Subsidiaries in accordance with GAAP.

     12.13. Transfer; Lost, etc. Securities; Certificates Evidencing Securities
            (or Common Stock); Exchange.

     (a) The Notes are issuable as registered Notes transferable by endorsement
and delivery, each without coupons in the denominations of $1,000 and any larger
integral multiple of $1,000. The Company shall keep at its principal office a
register in which the Company shall provide for the registration of the Notes.
Upon surrender for registration of transfer of any registered Note at such
office, the Company shall, at its expense, execute and deliver one or more
replacing Notes of like tenor and of a like aggregate principal amount which
replacing Notes shall be registered Notes. At the option of the holder of 


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<PAGE>   73

any Note, such Note may be exchanged for other Notes of any authorized
denominations, of a like tenor and of a like aggregate principal amount, upon
surrender of such Note, to be exchanged at the office of the Company. Whenever
any Notes are so surrendered for exchange, the Company shall execute and
deliver, at its expense, the Notes which the holder thereof making the exchange
is entitled to receive. Every Note presented or surrendered for registration of
transfer shall be duly endorsed, or be accompanied by a written instrument of
transfer duly executed, by the holder of the Note, or his attorney duly
authorized in writing. Any Note or Notes issued in exchange for or upon transfer
shall carry the rights to unpaid interest and interest to accrue which were
carried by the Note so exchanged or transferred, so that neither gain nor loss
of interest shall result from any such transfer or exchange. Upon receipt of
written notice from any holder of a Note or other evidence reasonably
satisfactory to the Company of the loss, theft, destruction or mutilation of the
Note held by such holder and, in the case of any such loss, theft or
destruction, upon receipt of its unsecured indemnity agreement, or other
indemnity reasonably satisfactory to the Company, or in the case of any such
mutilation upon surrender and cancellation of such Note, the Company will make
and deliver a replacing Note of like tenor, in lieu of such lost, stolen,
destroyed or mutilated Note.

     (b) Upon receipt by the Company of evidence reasonably satisfactory to it
of the loss, theft, destruction or mutilation of any certificate evidencing any
Securities and (in the case of loss, theft or destruction) of an unsecured
indemnity satisfactory to it, and upon reimbursement to the Company of all
reasonable expenses incidental thereto, and upon surrender and cancellation of
such certificate, if mutilated, the Company will make and deliver in lieu of
such certificate a new certificate of like tenor and for the number of shares
evidenced by such certificate which remain outstanding. The Investors' agreement
of indemnity shall constitute indemnity satisfactory to the Company for purposes
of this Section 12.13. Upon surrender of any certificate representing any
Securities (or shares of Common Stock) for exchange at the office of the
Company, the Company at its expense will cause to be issued in exchange therefor
new certificates in such denomination or denominations as may be requested for
the same aggregate number of Securities or shares of Common Stock, as the case
may be, represented by the certificate so surrendered and registered as such
holder may 



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<PAGE>   74

request. The Company will also pay the cost of all deliveries of certificates
for such shares to the office of such Investor (including the cost of insurance
against loss or theft in an amount satisfactory to the holders) upon any
exchange provided for in this Section 12.13.

     12.14. Licenses.

     The Company shall use, and the Company shall cause each of its Subsidiaries
to use, its best efforts to obtain all licenses, authorizations, certificates
and permits set forth on Schedule 12.14 hereto.

SECTION 13.  EVENTS OF DEFAULT

     13.1. Events of Default.

     If any of the following events shall occur and be continuing for any reason
whatsoever (and whether such occurrence shall be voluntary or involuntary or
come about or be effected by operation of law or otherwise):

          (i) the Company defaults in the payment of any principal of the Notes
     or any mandatory prepayment of the Notes when the same shall become due,
     either by the terms thereof or otherwise as herein provided; or

          (ii) the Company defaults in the payment when due of any interest on
     the Notes and such default continues for five Business Days; or

          (iii) the Company makes an assignment for the benefit of creditors or
     is generally not paying its debts as such debts become due; or

          (iv) any decree or order for relief in respect of the Company is
     entered under any bankruptcy, reorganization, compromise, arrangement,
     insolvency, readjustment of debt, dissolution or liquidation or similar
     law, whether now or hereafter in effect (herein called the "Bankruptcy
     Law"), of any jurisdiction; or

          (v) the Company petitions or applies to any tribunal for, or consents
     to, the appointment of, or taking possession by, a trustee, receiver,
     custodian, liquidator or similar official of the Company, or of any
     substantial part 



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<PAGE>   75

     of the assets of the Company, or commences a voluntary case under the
     Bankruptcy Law of the United States or any proceedings relating to the
     Company under the Bankruptcy Law of any other jurisdiction; or

          (vi) any such petition or application is filed, or any such
     proceedings are commenced, against the Company and the Company by any act
     indicates its approval thereof, consent thereto or acquiescence therein, or
     an order, judgment or decree is entered appointing any such trustee,
     receiver, custodian, liquidator or similar official, or approving the
     petition in any such proceedings, and such order, judgment or decree
     remains unstayed and in effect for more than 30 days; or

          (vii) any order, judgment or decree is entered in any proceedings
     against the decreeing the dissolution of the Company and such order,
     judgment or decree remains unstayed and in effect for more than 60 days;

then (A) upon the occurrence of any Event of Default described in the foregoing
clauses (iii), (iv), (v), (vi) or (vii), the unpaid principal amount of and
accrued interest on the Notes outstanding shall automatically become immediately
due and payable, without presentment, demand, protest or other requirements of
any kind, all of which are hereby expressly waived by the Company, and (B) upon
the occurrence of any other Event of Default, the Majority Holders may, at their
option and in addition to any right, power or remedy permitted by law or equity,
by notice in writing to the Company, declare the Notes to be, and the Notes
shall thereupon be and become, forthwith due and payable together with interest
accrued thereon.

     13.2. Other Remedies.

     If any Event of Default shall occur and be continuing, (i) the aggregate
principal amount of the Notes then outstanding and any overdue interest thereon,
if any, shall bear interest (x) at the rate of 10.3% per annum if such Event of
Default shall have occurred on or prior to the second anniversary of the Closing
Date and (y) at the rate of 8.0% per annum if such Event of Default shall have
occurred after the second anniversary of the Closing Date, until such
outstanding amount and interest thereon has been paid in full, and (ii) each
holder of a Note may proceed to protect and enforce its rights under this
Agreement 



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<PAGE>   76

and its Note by exercising such remedies as are available to such holder in
respect thereof under applicable law, either by suit in equity or by action at
law, or both, whether for specific performance of any covenant or other
agreement contained in this Agreement or in aid of the exercise of any power
granted in this Agreement. No remedy conferred in this Agreement upon the holder
of a Note is intended to be exclusive of any other remedy, and each and every
such remedy shall be cumulative and shall be in addition to every other remedy
conferred herein or now or hereafter existing at law or in equity or by statute
or otherwise.

SECTION 14.  INTERPRETATION OF THIS AGREEMENT

     14.1. Terms Defined.

     As used in this Agreement, the following terms have the respective meanings
set forth below or set forth in the Section hereof following such term:

     Affiliate: means any Person or entity, directly or indirectly, controlling,
controlled by or under common control with such Person or entity.

     Agreements: shall have the meaning set forth in Section 4.6(d).

     Approvals: shall have the meaning set forth in Section 4.6.

     Bankruptcy Law: shall have the meaning set forth in Section 13.1.

     Benefit Arrangement: shall have the meaning set forth in Section 4.16.

     Board: shall mean the board of directors of the Company.

     Business Day: shall mean a day other than a Saturday, Sunday or other day
on which banks in the State of New York are not required or authorized to close.

     Certificate of Designation: shall have the meaning set forth in Section
1.3.


                                      -71-

<PAGE>   77

     Change of Control: shall mean any transaction or series of transactions in
which any Person purchases 50% or more of the Company's outstanding Common
Stock, whether by merger, consolidation, purchase of capital stock or otherwise,
(ii) the sale of all or substantially all of the Company's assets or (iii) the
liquidation, dissolution or winding up of the Company.

     Closing: shall have the meaning set forth in Section 2.1(b).

     Closing Date: shall have the meaning set forth in Section 2.2.

     Code: shall mean the Internal Revenue Code of 1986, as amended.

     Common Stock: shall have the meaning set forth in Section 1.2.

     Commission: the Securities and Exchange Commission.

     Commitment: shall have the meaning set forth in Section 4.8.

     Company SEC Reports: shall have the meaning set forth in Section 4.10.

     Convertible Security: shall have the meaning set forth in Section 10.

     Credit Agreement: shall mean the Third Amended and Restated Credit
Agreement, dated as of March 28, 1997, among the Company, the banks listed
therein and Morgan Guaranty Trust Company of New York, as Agent, as amended,
supplemented and restated from time to time.

     Debt: of any Person shall mean:

          (1) all indebtedness of such Person for borrowed money, including
     without limitation obligations evidenced by bonds, debentures, notes, or
     other similar instruments;

          (2) all indebtedness guaranteed in any manner by such Person, or in
     effect guaranteed by such Person through an agreement to purchase,
     contingent or otherwise (other 



                                      -72-


<PAGE>   78

     than endorsements for collections or deposits in the ordinary course of
     business); or

          (3) all indebtedness secured by any mortgage, lien, pledge, charge,
     security interest or other encumbrance upon or in property owned by such
     Person, even though such Person has not assumed or become liable for the
     payment of such indebtedness.

     Demanding Holders: shall have the meaning set forth in Section 11.3.

     DGCL: shall mean the General Corporation Law of the State of Delaware, as
amended.

     DOI Reports: shall have the meaning set forth in Section 4.6.

     Event of Default: shall mean the occurrence of any of the events set forth
in Section 13.1.

     Exchange: shall have the meaning set forth in Section 12.2.

     Exchange Act: shall mean the Securities Exchange Act of 1934, as amended.

     GAAP: shall have the meaning set forth in Section 4.10.

     Governmental Entity: shall mean any law, ordinance, regulation, offer or
writ of any governmental or regulatory authority, domestic or foreign.

     Government Contract: shall have the meaning set forth in Section 4.6.

     Hart-Scott Act: shall mean the Hart-Scott-Rodino Antitrust Improvements Act
of 1976, as amended.

     Indemnified Party: shall have the meaning set forth in Section 11.6.

     Intellectual Property: shall have the meaning set forth in Section 4.17.



                                      -73-


<PAGE>   79

     Interest Notes: shall have the meaning set forth in Section 1.1.

     Investor Threshold: shall have the meaning set forth in Section 6.6.

     Key Agreements and Instruments: shall have the meaning set forth in Section
4.9.

     Liquidating Dividend: shall have the meaning set forth in Section 10(c).

     Majority Holders: shall mean the holders of a majority of the aggregate
principal amount of the Notes then outstanding, the Common Stock issuable upon
conversion of the Notes or the Series A Preferred Stock issuable upon Exchange
of the Notes.

     Market Price: shall mean (a) if the Common Stock is traded on a national
securities exchange, the last reported sale price of a share of Common Stock,
regular way on such date or, in case no such sale takes place on such date, the
average of the closing bid and asked prices thereof regular way on such date, in
either case as officially reported on the principal national securities exchange
on which the Common Stock is then listed or admitted for trading, or, (b) if the
Common Stock is not then listed or admitted for trading on any national
securities exchange but is designated as a national market system security by
the NASD, the last reported trading price of the Common Stock on such date, or
(c) if not listed or admitted to trading on any national securities exchange or
designated as a national market system security, the average of the reported bid
and asked price of the Common Stock on such date in the over-the-counter market
as furnished by the National Quotation Bureau, Inc., or, if such firm is not
then engaged in the business of reporting such prices, as furnished by any
member of the National Association of Securities Dealers, Inc. selected by the
Company or, (d) if the shares of Common Stock are not so publicly traded, the
fair market value thereof, as determined in good faith by the Board.

     Material Adverse Effect: shall have the meaning set forth in Section
4.1(c).

     NCQA: shall have the meaning set forth in Section 4.6.


                                      -74-


<PAGE>   80

     Nominee: shall mean (i) a partner, officer or employee of Warburg or an
Affiliate, or (ii) a person who is not a member of the board of directors or an
employee of, or a consultant to, any company which owns, manages or provides
services to health maintenance organizations ("HMOs") or preferred provider
organizations ("PPOs") in any of the geographic markets in which the Company,
its Subsidiaries, or the HMOs and PPOs managed by the Company or its
Subsidiaries operate HMOs or PPOs as of the date such person agrees to be
designated by the Majority Holders to the Board.

     Notes: shall have the meaning set forth in Section 1.1.

     Notice: shall have the meaning set forth in Section 12.2.

     Options: shall have the meaning set forth in Section 10.

     Organizational Documents: shall have the meaning set forth in Section
4.1(a).

     Other Stockholders: shall have the meaning set forth in Section 11.2(b).

     Person: shall mean an individual, partnership, joint-stock company,
corporation, limited liability company, trust or unincorporated organization,
and a government, agency, regulatory authority or political subdivision thereof.

     Proposed Securities: shall have the meaning set forth in Section 6.4.

     Purchase Price: shall have the meaning set forth in Section 2.1(a).

     Purchase Rights: shall have the meaning set forth in Section 10(h).

     Purchased Securities: shall have the meaning set forth in Section 2.1(a).

     Rights Agreement: shall mean the Rights Agreement, dated February 7, 1996,
between the Company and Chemical Mellon Shareholder Services, L.L.C., as Rights
Agent, as amended.



                                      -75-


<PAGE>   81

     Securities: shall mean the Notes, the Warrants, the Series A Preferred
Stock and the shares of Common stock issuable upon conversion of the Notes, upon
exercise of the Warrants or upon conversion of the Series A Preferred Stock.

     Securities Act: shall mean the Securities Act of 1933, as amended.

     Series A Preferred Stock: shall have the meaning set forth in Section 1.3.

     SERP Plan: shall mean the Company's Supplemental Executive Retirement Plan.

     Subscription Securities: shall have the meaning set forth in Section 6.4.

     Subsidiary: shall mean a corporation of which a Person owns, directly or
indirectly, more than 50% of the Voting Stock.

     Takeover Statute: shall mean Section 203 of the DGCL, any corporate
takeover provision under laws of the State of Tennessee or any other state or
federal "fair price", "moratorium", "control share acquisition" or other similar
antitakeover statute or regulation except any state health maintenance
organization or insurance change of control statute set forth on Schedule 4.5.

     Transaction Documents: shall mean this Agreement, the Notes and the
Warrants.

     Triggering Transactions: shall have the meaning set forth in Section 10.

     Voting Stock: shall mean securities of any class or classes of a
corporation the holders of which are ordinarily, in the absence of
contingencies, entitled to elect a majority of the corporate directors (or
Persons performing similar functions).

     Warrants: shall have the meaning set forth in Section 1.2.

     14.2. Accounting Principles.

     Where the character or amount of any asset or amount of any asset or
liability or item of income or expense is required



                                      -76-


<PAGE>   82

to be determined or any consolidation or other accounting computation is
required to be made for the purposes of this Agreement, this shall be done in
accordance with GAAP at the time in effect, to the extent applicable, except
where such principles are inconsistent with the requirements of this Agreement.

     14.3. Directly or Indirectly.

     Where any provision in this Agreement refers to action to be taken by any
Person, or which such Person is prohibited from taking, such provision shall be
applicable whether such action is taken directly or indirectly by such Person.

     14.4. Governing Law.

     This Agreement shall be governed by and construed in accordance with the
laws of the State of New York applicable to contracts made and to be performed
entirely within such State.

     14.5. Paragraph and Section Headings.

     The headings of the sections and subsections of this Agreement are inserted
for convenience only and shall not be deemed to constitute a part thereof.

SECTION 15.  MISCELLANEOUS

     15.1. Payments.

     The Company agrees that it will make payments of principal of, premium (if
any), interest and redemption payments on the Notes not later than 12:00 o'clock
noon, New York time, on the date such payment is due, by transfer of immediately
available funds for credit to the holders of the Notes. Payments shall be made
to the account of each holder in the United States as such holder may designate
in writing, notwithstanding any contrary provision contained herein or in the
Notes with respect to the place of payment.

     15.2. Consent to Amendments.

     This Agreement may be amended and the Company may take any action herein
prohibited, or omit to perform any act herein required to be performed by it,
only if the Company shall have obtained the written consent to such amendment,
action or omission to act of the Majority Holders or if the Notes have been



                                      -77-


<PAGE>   83

Exchanged for Series A Preferred Stock, a majority of the holders of Series A
Preferred Stock or the Common Stock issuable upon conversion of such shares. The
Company shall promptly send copies of any amendment, waiver or consent (and any
request for any such amendment, waiver or consent) relating to this Agreement or
the Notes to each Investor and, to the extent practicable, shall consult with
each Investor in connection with each such amendment, consent and waiver. No
course of dealing between the Company and the Investors nor any delay in
exercising any rights hereunder shall operate as a waiver of any rights of any
holders of the Notes. As used herein and in the Securities, the term "this
Agreement" and references thereto shall mean this Agreement as it may, from time
to time, be amended or supplemented.

     15.3. Notices.

     (a) All communications under this Agreement shall be in writing and shall
be delivered by hand, by facsimile or mailed by overnight courier or by
registered mail or certified mail, postage prepaid:

     (1) if to Warburg, at 466 Lexington Avenue, New York, New York 10017
     (facsimile: (212) 878-9361), marked for attention of Patrick T. Hackett, or
     at such other address as Warburg may have furnished the Company and
     Franklin in writing (with a copy to Willkie Farr & Gallagher, 153 East 53rd
     Street, New York, NY 10022, Attention: Steven J. Gartner (facsimile:
     212-821-8111), or at such other address it may have furnished the Company
     and Franklin in writing), or

     (2) if to Franklin, at 237 Second Avenue South, Franklin, Tennessee 37064
     (facsimile: (615) 791-9636), marked for attention of James C. Hoffman, or
     at such other address as Franklin may have furnished the Company and
     Warburg in writing, or

     (3) if to the Company, at 53 Century Boulevard, Suite 250, Nashville,
     Tennessee 37214, (facsimile: (615) 391-2457) marked for attention of Chief
     Financial Officer, or at such other address as the Company may have
     furnished the Investors in writing (with a copy to Bass, Berry & Sims PLC,
     Attention: Bob F. Thompson (facsimile: 615-742-6298) or at such other
     address as it may have furnished in writing to the Investors).



                                      -78-


<PAGE>   84

     (b) Any notice so addressed shall be deemed to be given: if delivered by
hand, on the date of such delivery; if mailed by courier, on the first business
day following the date of such mailing; and if mailed by registered or certified
mail, on the third business day after the date of such mailing.

     15.4. Expenses and Taxes.

     (a) Whether or not the Closing shall have occurred, the Company agrees to
pay the reasonable out-of-pocket fees and expenses incurred by the Investors
(including itemized fees and expenses of the Investors' counsel) in connection
with the negotiation, preparation, execution and delivery of this Agreement, the
Notes, the Warrants, the form of the Certificate of Designation and the other
instruments and agreements entered into pursuant to this Agreement, and any
amendments to the same, said payment to be made no later than 30 days after a
bill for such fees and/or expenses has been sent to the Company; provided,
however, that such fees and expenses shall not exceed $250,000.

     (b) The Company will pay, and save and hold the Investors harmless from any
and all liabilities (including interest and penalties) with respect to, or
resulting from any delay or failure in paying, stamp and other taxes (other than
income taxes), if any, which may be payable or determined to be payable on the
execution and delivery or acquisition of the Securities or the shares of Common
Stock issuable upon conversion or exchange of the Securities.

     15.5. Reproduction of Documents.

     This Agreement and all documents relating thereto, including, without
limitation, (a) consents, waivers and modifications which may hereafter be
executed, (b) documents received by the Investors on the Closing Date (except
for certificates evidencing the Securities themselves), and (c) financial
statements, certificates and other information previously or hereafter furnished
to the Investors, may be reproduced by the Investors by any photographic,
photostatic, microfilm, micro-card, miniature photographic or other similar
process and the Investors may destroy any original document so reproduced. All
parties hereto agree and stipulate that any such reproduction shall be
admissible in evidence as the original itself in any judicial or administrative
proceeding (whether or not the original is in existence and whether or not such



                                      -79-


<PAGE>   85

reproduction was made by an Investor in the regular course of business) and that
any enlargement, facsimile or further reproduction of such reproduction shall
likewise be admissible in evidence.

     15.6. Termination and Survival.

     Unless the Closing has occurred prior thereto, this Agreement and, except
as herein provided, all the rights of the parties hereto, shall terminate on
July 31, 1997 (unless such date is extended by mutual written consent).
Notwithstanding the foregoing, Section 15.4 hereof shall survive the termination
of this Agreement. All warranties, representations, and covenants made by the
Investors and the Company herein or in any certificate or other instrument
delivered by one of the Investors or the Company under this Agreement shall be
considered to have been relied upon by the Company or the Investors, as the case
may be, and shall survive all deliveries to the Investors of the Securities, or
payment to the Company for such Securities, regardless of any investigation made
by the Company or an Investor, as the case may be, or on the Company's or an
Investor's behalf. All statements in any such certificate or other instrument
shall constitute warranties and representation by the Company hereunder.

     15.7. Successors and Assigns.

     This Agreement shall inure to the benefit of and be binding upon the
successors and assigns of each of the parties.

     15.8. Entire Agreement; Amendment and Waiver.

     This Agreement and the agreements attached as Exhibits hereto constitute
the entire understandings of the parties hereto and supersede all prior
agreements or understandings with respect to the subject matter hereof among
such parties. This Agreement may be amended, and the observance of any term of
this Agreement may be waived, with (and only with) the written consent of the
Company and the Majority Holders.



                                      -80-


<PAGE>   86

     15.9. Severability.

     In the event that any part or parts of this Agreement shall be held illegal
or unenforceable by any court or administrative body of competent jurisdiction,
such determination shall not effect the remaining provisions of this Agreement
which shall remain in full force and effect.

     15.10. Limitation on Enforcement of Remedies.

     The Company hereby agrees that it will not assert against the limited
partners of either of the Investors any claim it may have under this Agreement
by reason of any failure or alleged failure by such Investor to meet its
obligations hereunder.



                                      -81-
<PAGE>   87




     15.11. Counterparts.

     This Agreement may be executed in one or more counterparts, each of which
shall be deemed an original and all of which together shall be considered one
and the same agreement.


                                          Very truly yours,

                                          COVENTRY CORPORATION


                                          By: /s/ Allen F. Wise
                                             ----------------------------
                                             Name: Allen F. Wise
                                             Title: President and Chief
                                                    Executive Officer

WARBURG, PINCUS VENTURES, L.P.

By:  WARBURG, PINCUS & CO.,
     General Partner


     By: /s/ Patrick T. Hackett
        ---------------------------
        Name: Patrick T. Hackett
        Title: Managing Director


FRANKLIN CAPITAL ASSOCIATES III L.P.

By:  FRANKLIN VENTURES III L.P.,
     General Partner


     By: /s/ James C. Hoffman
        --------------------------
        Name: James C. Hoffman
        Title: General Partner




                                      -82-
<PAGE>   88


                                                                      EXHIBIT A

            FORM OF CONVERTIBLE EXCHANGEABLE SENIOR SUBORDINATED NOTE

     THE SECURITIES EVIDENCED HEREBY HAVE NOT BEEN REGISTERED UNDER THE
SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"), OR ANY STATE SECURITIES LAW, AND
MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF EXCEPT PURSUANT TO AN
EFFECTIVE REGISTRATION UNDER THE ACT OR IN A TRANSACTION WHICH, IN THE OPINION
OF COUNSEL REASONABLY ACCEPTABLE TO COVENTRY CORPORATION, IS EXEMPT FROM SUCH
REGISTRATION.

                THIS NOTE IS SUBORDINATED TO CERTAIN SENIOR DEBT
               (AS DEFINED HEREIN) TO THE EXTENT PROVIDED HEREIN.

                              COVENTRY CORPORATION

             8.3% CONVERTIBLE EXCHANGEABLE SENIOR SUBORDINATED NOTE
                               DUE ________ , 2004


R-1
$
 ---------------


     FOR VALUE RECEIVED, the undersigned, COVENTRY CORPORATION, a corporation
organized and existing under the laws of the State of Delaware (herein called
the "Company"), hereby promises to pay to _____________________, a Delaware
limited partnership (the "Holder") or registered assigns, the principal sum of
___________ MILLION DOLLARS ($__________________) in scheduled payments as
provided in the Agreement (as hereinafter defined) until _______, 2004, with
interest on the unpaid balance hereof at the rate of 8.3% per annum (computed on
the basis of a 360-day year of twelve 30-day months) until the second
anniversary of the date hereof and at the rate of 5.0% per annum (computed on
the basis of a 360-day year of the twelve 30-day months) thereafter, until the
principal thereof shall become due and payable (whether at maturity, upon notice
of prepayment or otherwise). Interest will be payable semi-annually in arrears
on the last day of the applicable month, commencing six months from the Closing
Date, and if such date is not a Business Day on the next Business Day
thereafter; provided, however, that the Company shall issue interest notes
("Interest Notes" and individually called an "Interest Note") in payment of any
or all interest due on or 




<PAGE>   89

before the second anniversary of the Closing Date, as defined in the Agreement,
which Interest Notes shall bear interest on the unpaid balance thereof at the
rate of 8.3% per annum (computed on the basis of a 360-day year of twelve 30-day
months) from the date of issuance thereof until the second anniversary of the
Closing Date and at the rate of 5.0% per annum (computed on the basis of a
360-day year of twelve 30-day months) thereafter until the principal thereof
shall become due and payable (whether at maturity, upon notice of prepayment or
otherwise); and, provided, further, that the Company may, at its sole option,
issue Interest Notes in lieu of a cash payment of any or all interest due after
the second anniversary of the Closing Date, which Interest Notes shall bear
interest on the unpaid balance thereof from the date of issuance thereof at the
rate of 5.0% per annum (computed on the basis of a 360-day year of twelve 30-day
months) until the principal thereof shall become due and payable (whether at
maturity, upon notice of prepayment or otherwise). Interest on the Interest
Notes will be payable semi-annually in arrears on the last day of the applicable
month, commencing six months from the date of issuance thereof, and if such date
is not a Business Day on the next Business Day thereafter.

     Payments of both principal and interest are to be made at the address shown
on the Company's registry or at such other place as the holder hereof shall
designate to the Company in writing, in lawful money of the United States of
America.

     This Note is issued pursuant to a Securities Purchase Agreement dated as of
April 2, 1997 (the "Agreement") by and among the Company, Warburg, Pincus
Ventures, L.P. and Franklin Capital Associates III L.P. and is entitled to the
benefits of the Agreement. As provided in the Agreement, this Note is subject to
prepayment in whole or in part in certain cases as specified in the Agreement.

     This Note is a registered Note and, as provided in the Agreement, upon
surrender of this Note for registration of transfer, duly endorsed, or
accompanied by a written instrument of transfer duly executed, by the registered
holder hereof or his attorney duly authorized in writing, a new Note for a like
principal amount will be issued to, and registered in the name of, the
transferee. Prior to due presentment for registration of transfer, the Company
may treat the person in whose name this Note is registered as the owner hereof
for the purpose of 


                                      -2-


<PAGE>   90

receiving payment and for all other purposes, and the Company shall not be
affected by any notice to the contrary.

     The Company agrees to prepay this Note upon a Change of Control, as
specified in the Agreement.

     This Note shall be subordinate and junior in right of payment to all Senior
Debt (as hereinafter defined) to the extent and in the manner provided in this
Note.

     Senior Debt means the principal amount of, and accrued interest (including
interest accruing or that would have accrued after the commencement of
bankruptcy proceedings involving the Company as debtor, whether or not such
interest is allowed) on, the loans outstanding under the Third Amended and
Restated Credit Agreement, dated as of March 28, 1997, among the Company, the
Banks named therein and Morgan Guaranty Trust Company of New York, as Agent, as
the same shall be amended from time to time (the "Credit Agreement"), and any
fees or other amounts payable pursuant to the Credit Agreement or any related
agreement.

     No payment or prepayment of any principal of or interest on this Note shall
be due and payable, or paid, unless and until all Senior Debt shall have been
paid in full in cash; provided, that the foregoing shall not limit (x) the
payment of interest through increases in the principal amount of this Note in
accordance with the provisions of Section 1.1 and Section 3 of the Agreement,
(y) the Company's right to cause the Exchange of this Note for Series A
Preferred Stock pursuant to the provisions of Section 12.2 of the Agreement, or
(z) the holder of this Note's and the Majority Holders' right to convert this
Note into Common Stock pursuant to the provisions of Section 9 of the Agreement.
In furtherance of the foregoing, the holders of Senior Debt shall be entitled to
receive payments or distributions of any kind or character (other than those
permitted by the proviso to the preceding sentence), whether in cash or property
or securities, which may be payable or deliverable (including in any insolvency
or bankruptcy proceedings, or any receivership, liquidation, reorganization or
other similar proceedings, relative to the Company or to its creditors, as such,
or to its property, or in the event of any proceedings for voluntary
liquidation, dissolution or other winding up of the Company, whether or not
involving insolvency or bankruptcy) in respect of this Note.


                                      -3-


<PAGE>   91

     If, notwithstanding the provisions set forth above, any payment or
distribution of assets of the Company of any kind or character (other than as
permitted by the proviso to the first sentence of the preceding paragraph)
whether in cash, property or securities, shall be received by the holder of this
Note in respect of this Note before all Senior Debt is paid in full in cash,
such payment or distribution shall be held in trust for the benefit of, and
shall be paid over or delivered to the Agent under the Credit Agreement, for the
ratable account of the holders of such Senior Debt for application to the
payment of all Senior Debt remaining unpaid to the extent necessary to pay such
Senior Debt in full, in accordance with its terms, after giving effect to any
concurrent payment or distribution to the holders of such Senior Debt.

     No holder of Senior Debt shall be prejudiced in its right to enforce
subordination of this Note by any act or failure to act on the part of the
Company. The provisions of this Note are solely for the purpose of defining the
relative rights of the holders of Senior Debt, on the one hand, and the holder
of this Note, on the other hand, and nothing herein shall impair, as between the
Company and the holder of this Note, the obligation of the Company, which
(except as expressly stated above) is unconditional and absolute, to pay to the
holder of this Note the principal thereof and interest thereon in accordance
with its terms and the terms of the Agreement, nor shall anything herein prevent
the holder of this Note from exercising all remedies otherwise permitted by
applicable law, the Agreement or this Note upon default thereunder, subject to
the rights under this Note of holders of Senior Debt to receive cash, property
or securities otherwise payable or deliverable to the holder of this Note.

     The holders of Senior Debt shall be intended third-party beneficiaries of
the foregoing terms of this Note and shall have the direct right to enforce such
terms including the right to intervene in any action or proceeding relating to
the payment of amounts under this Note and to enjoin any such payment.

     Subject to the payment in full in cash of all Senior Debt, the holder of
this Note shall be subrogated to the rights of the holders of Senior Debt to
receive payments or distribution of assets of the Company payable or
distributable to the holders of Senior Debt and, as among the Company, its
creditors other than the holders of Senior Debt, and the holder of this Note, no



                                      -4-


<PAGE>   92

payments or distributions otherwise payable or deliverable in respect of this
Note but, by virtue of the provisions thereof and of this paragraph, paid or
delivered to the holders of Senior Debt shall be deemed to be a payment by the
Company on account of Senior Debt.

     This Note is exchangeable, at the option of the Company, into shares of
Series A Preferred Stock (as defined in the Agreement) and convertible, at the
option of the holder hereof, into shares of Common Stock, on the terms and
conditions set forth in the Agreement.

     Any voluntary or mandatory prepayment of this Note shall be applied first
to the payment of interest accrued and unpaid on this Note and second to the
payment of installments of principal of this Note in the inverse order of their
maturity.

     Upon the occurrence of an Event of Default (as defined in the Agreement),
(i) this Note shall become due and payable as set forth in the Agreement and
(ii) the aggregate principal amount of this Note then outstanding and any
overdue interest thereon, if any, shall bear interest (x) at the rate of 10.3%
per annum if such Event of Default occurs on or prior to the second anniversary
of the date hereof and (y) at the rate of 8.0% if such Event of Default occurs
after the second anniversary of the date hereof until such outstanding amount
and interest thereon has been paid in full.

     The Company agrees to pay the holder hereof all expenses incurred by such
holder, including reasonable attorneys' fees, in enforcing and collecting this
Note.

     The Company hereby forever waives presentment, demand, presentment for
payment, protest, notice of protest, notice of dishonor of this Note and all
other demands and notices in connection with the delivery, acceptance,
performance and enforcement of this Note.

     This Note shall be paid without deduction by reason of any set-off, defense
or counterclaim of the Company.


                                      -5-
<PAGE>   93


     This Note shall be governed and construed in accordance with the laws of
the State of New York applicable to agreements made and to be performed entirely
in such state and shall be binding upon the heirs or legal representatives of
the Maker and shall inure to the benefit of the successors and assigns of the
Holder.


                                           COVENTRY CORPORATION



                                           By:________________________________
                                              Name:
                                              Title:

ATTEST:___________________________

    



                                      -6-
<PAGE>   94
                                                                     Exhibit B


                                 FORM OF WARRANT

THIS WARRANT AND THE SECURITIES ISSUABLE UPON ITS EXERCISE HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"), OR ANY
STATE SECURITIES LAW, AND MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF
EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION UNDER THE ACT OR IN A TRANSACTION
WHICH, IN THE OPINION OF COUNSEL REASONABLY SATISFACTORY TO COVENTRY
CORPORATION, IS EXEMPT FROM SUCH REGISTRATION.

                              COVENTRY CORPORATION

                          COMMON STOCK PURCHASE WARRANT

     COVENTRY CORPORATION, a Delaware corporation (the "Company"), hereby
certifies that, for value received, ____________________, a Delaware limited
partnership, (the "Holder"), or its assigns, is entitled, subject to the terms
set forth below, to purchase from the Company, at any time and from time to time
during the period beginning on ______ __, 1997 and ending on _____ __, 2004 in
whole or in part, an aggregate of ______________________________________________
(_________) fully paid and non-assessable shares of the Common Stock of the 
Company at a purchase price, subject to the provisions of Paragraph 3 hereof, of
$10.625 per share (the "Purchase Price"). The Purchase Price and the number and
character of such shares are subject to adjustment as provided below, and the
term "Common Stock" shall mean, unless the context otherwise requires, the stock
or other securities or property at the time deliverable upon the exercise of
this Warrant. This Warrant is herein called the "Warrant."

     1. EXERCISE OF WARRANT.

     1.1. Exercise. The purchase rights evidenced by this Warrant shall be
exercised by the holder surrendering this Warrant, with the form of subscription
at the end hereof duly executed by such holder, to the Company at its office in
Nashville, Tennessee, accompanied by payment, of an amount (the "Exercise
Payment") equal to the Purchase Price multiplied by the number of shares being
purchased pursuant to such exercise, 



<PAGE>   95

payable as follows: (a) by payment to the Company in cash, by certified or
official bank check, or by wire transfer of the Exercise Payment, (b) by
surrender to the Company for cancellation of securities of the Company having a
Market Price (as hereinafter defined) on the date of exercise equal to the
Exercise Payment; (c) by surrender to the Company for cancellation of notes of
the Company having an aggregate principal amount plus accrued but unpaid
interest on the date of surrender equal to the Exercise Payment or (d) by a
combination of the methods described in clauses (a), (b) and (c) above. In lieu
of exercising the Warrant, the holder may elect to receive a payment equal to
the difference between (i) the average Market Price for the ten trading days
immediately preceding such payment multiplied by the number of shares as to
which the payment is then being elected and (ii) the Exercise Payment, payable
by the Company to the Holder only in shares of Common Stock valued at the
average Market Price for the ten trading days immediately preceding such payment
("Net Exercise"). For purposes hereof, the term "Market Price" shall mean (a) if
the Common Stock is traded on a national securities exchange, the last reported
sale price of a share of Common Stock, regular way on such date or, in case no
such sale takes place on such date, the average of the closing bid and asked
prices thereof regular way on such date, in either case as officially reported
on the principal national securities exchange on which the Common Stock is then
listed or admitted for trading, or, (b) if the Common Stock is not then listed
or aditted for trading on any national securities exchange but is designated as
a national market system security by the NASD, the last reported trading price
of the Common Stock on such date, or (c) if not listed or admitted to trading on
any national securities exchange or designated as a national market system
security, the average of the reported bid and asked price of the Common Stock on
such date in the over-the-counter market as furnished by the National Quotation
Bureau, Inc., or, if such firm is not then engaged in the business of reporting
such prices, as furnished by any member of the National Association of
Securities Dealers, Inc. selected by the Company or, (d) if the shares of Common
Stock are not so publicly traded, the fair market value thereof, as determined
in good faith by the Board of Directors of the Company.



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<PAGE>   96

     1.2. Optional Exercise.

     (a) Except as provided in Paragraph 1.2(b), this Warrant may not be
exercised at the option of the Company.

     (b) The Warrant may not be exercised before ________ __, 2000 at the
Company's option. Thereafter, this Warrant shall be subject to mandatory
exercise, in whole but not in part, at the option of the Company, if the Market
Price of the Common Stock on twenty (20) consecutive trading days during the
period ending within five days prior to the giving of written notice of exercise
by the Company is $17.00 per share (appropriately adjusted for any stock split,
stock dividend or similar event). In the event the Company delivers such notice
to the Holder pursuant to Paragraph 1.2(b), the Holder shall have ten days to
elect the manner in which the Exercise Payment shall be made. If the Holder
fails to notify the Company in writing as to the manner in which the Exercise
Payment is to be made within such ten-day period, the Holder shall be deemed to
have elected a Net Exercise.

     1.3. Partial Exercise. This Warrant may be exercised at the option of the
holder for less than the full number of shares of Common Stock, in which case
the number of shares receivable upon the exercise of this Warrant as a whole,
and the sum payable upon the exercise of this Warrant as a whole, shall be
proportionately reduced. Upon any such partial exercise, the Company at its
expense will forthwith issue to the holder hereof a new Warrant or Warrants of
like tenor calling for the number of shares of Common Stock as to which rights
have not been exercised, such Warrant or Warrants to be issued in the name of
the holder hereof or his nominee (upon payment by such holder of any applicable
transfer taxes).

     2. DELIVERY OF STOCK CERTIFICATES ON EXERCISE. As soon as practicable after
the exercise of this Warrant and payment of the Purchase Price, and in any event
within ten (10) days thereafter, the Company, at its expense, will cause to be
issued in the name of and delivered to the holder hereof a certificate or
certificates for the number of fully paid and



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<PAGE>   97

non-assessable shares or other securities or property to which such holder shall
be entitled upon such exercise, plus, in lieu of any fractional share to which
such holder would otherwise be entitled, cash in an amount determined in
accordance with Paragraph 3.9 hereof. The Company agrees that the shares so
purchased shall be deemed to be issued to the holder hereof as the record owner
of such shares as of the close of business on the date on which this Warrant
shall have been surrendered and payment made for such shares as aforesaid.

     3. ANTI-DILUTION PROVISIONS AND OTHER ADJUSTMENTS. In order to prevent
dilution of the right granted hereunder, the Purchase Price shall be subject to
adjustment from time to time in accordance with this Paragraph 3. Upon each
adjustment of the Purchase Price pursuant to this Paragraph 3, the registered
Holder of this Warrant shall thereafter be entitled to acquire upon exercise, at
the Purchase Price resulting from such adjustment, the number of shares of the
Company's Common Stock obtainable by multiplying the Purchase Price in effect
immediately prior to such adjustment by the number of shares of the Company's
Common Stock acquirable immediately prior to such adjustment and dividing the
product thereof by the Purchase Price resulting from such adjustment.

     3.1. Adjustment for Issue or Sale of Common Stock at Less than the Market
Price. Except as provided in Paragraph 3.2 or 3.5 below, if and whenever on or
after the date of issuance hereof the Company shall issue or sell, or shall in
accordance with subparagraphs 3.1(1) to (9), inclusive, be deemed to have issued
or sold, any shares of its Common Stock for a consideration per share less than
the average Market Price for the ten trading days immediately preceding such
issuance or sale, then forthwith upon such issue or sale (the "Triggering
Transaction"), the Purchase Price shall, subject to subparagraphs (1) to (9) of
this Paragraph 3.1, be reduced to the Purchase Price (calculated to the nearest
tenth of a cent) determined by multiplying the Purchase Price in effect
immediately prior to the time of such Triggering Transaction by a fraction, the
numerator of which shall be the sum of (x) the Number of Shares Deemed
Outstanding immediately prior to such Triggering Transaction and 


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<PAGE>   98


(y) the number of shares of Common Stock which the aggregate consideration
received by the Company upon such Triggering Transaction would purchase at the
average Market Price for the ten-day trading period immediately preceding such
Triggering Transaction, and the denominator of which shall be the Number of
Shares Deemed Outstanding immediately after such Triggering Transaction.

     For purposes of this Paragraph 3, the term "Number of Common Shares Deemed
Outstanding" at any given time shall mean the sum of (i) the number of shares of
the Company's Common Stock outstanding at such time, and (ii) the number of
shares of the Company's Common Stock deemed to be outstanding under
subparagraphs 3.1(1) to (9), inclusive, at such time.

     For purposes of determining the adjusted Purchase Price under this
Paragraph 3.1, the following subsections (1) to (9), inclusive, shall be
applicable:

          (1) In case the Company at any time shall in any manner grant (whether
     directly or by assumption in a merger or otherwise) any rights to subscribe
     for or to purchase, or any options for the purchase of, Common Stock or any
     stock or other securities convertible into or exchangeable for Common Stock
     (such rights or options being herein called "Options" and such convertible
     or exchangeable stock or securities being herein called "Convertible
     Securities"), whether or not such Options or the right to convert or
     exchange any such Convertible Securities are immediately exercisable and
     the price per share for which the Common Stock is issuable upon exercise,
     conversion or exchange (determined by dividing (x) the total amount, if
     any, received or receivable by the Company as consideration for the
     granting of such Options, plus the aggregate amount of additional
     consideration payable to the Company upon the exercise of all such Options,
     plus, in the case of such Options which relate to Convertible Securities,
     the aggregate amount of additional consideration, if any, payable upon the
     issue or sale of such Convertible Securities and upon the conversion or
     exchange thereof, by 



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<PAGE>   99

     (y) the total maximum number of shares of Common Stock issuable upon the
     exercise of such Options or the conversion or exchange of such Convertible
     Securities) shall be less than the average Market Price in effect for the
     ten-day trading period immediately prior to the time of the granting of
     such Option, then the total maximum amount of Common Stock issuable upon
     the exercise of such Options, or, in the case of Options for Convertible
     Securities, upon the conversion or exchange of such Convertible Securities,
     shall (as of the date of granting of such Options) be deemed to be
     outstanding and to have been issued and sold by the Company for such price
     per share. No adjustment of the Purchase Price shall be made upon the
     actual issue of such shares of Common Stock or such Convertible Securities
     upon the exercise of such Options, except as otherwise provided in
     subparagraph (3) below.

          (2) In case the Company at any time shall in any manner issue (whether
     directly or by assumption in a merger or otherwise) or sell any Convertible
     Securities, whether or not the rights to exchange or convert thereunder are
     immediately exercisable, and the price per share for which Common Stock is
     issuable upon such conversion or exchange (determined by dividing (x) the
     total amount received or receivable by the Company as consideration for the
     issue or sale of such Convertible Securities, plus the aggregate amount of
     additional consideration, if any, payable to the Company upon the
     conversion or exchange thereof, by (y) the total maximum number of shares
     of Common Stock issuable upon the conversion or exchange of all such
     Convertible Securities) shall be less than the average Market Price in
     effect for the ten-day trading period immediately prior to the time of such
     issue or sale, then the total maximum number of shares of Common Stock
     issuable upon conversion or exchange of all such Convertible Securities
     shall (as of the date of the issue or sale of such Convertible Securities)
     be deemed to be outstanding and to have been issued and sold by the Company
     for such price per share. No adjustment of the Purchase Price shall be made
     upon the actual issue of such Common Stock upon exercise of the rights to
     exchange or 



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<PAGE>   100

     convert under such Convertible Securities, except as otherwise provided in
     subparagraph (3) below.

          (3) If the purchase price provided for in any Options referred to in
     subparagraph (1), the additional consideration, if any, payable upon the
     conversion or exchange of any Convertible Securities referred to in
     subparagraphs (1) or (2), or the rate at which any Convertible Securities
     referred to in subparagraph (1) or (2) are convertible into or exchangeable
     for Common Stock shall change at any time (other than under or by reason of
     provisions designed to protect against dilution of the type set forth in
     Paragraph 3.1 or 3.3), the Purchase Price in effect at the time of such
     change shall forthwith be readjusted to the Purchase Price which would have
     been in effect at such time had such Options or Convertible Securities
     still outstanding provided for such changed purchase price, additional
     consideration or conversion rate, as the case may be, at the time initially
     granted, issued or sold. If the purchase price provided for in any Option
     referred to in subparagraph (1) or the rate at which any Convertible
     Securities referred to in subparagraphs (1) or (2) are convertible into or
     exchangeable for Common Stock, shall be reduced at any time under or by
     reason of provisions with respect thereto designed to protect against
     dilution, then in case of the delivery of Common Stock upon the exercise of
     any such Option or upon conversion or exchange of any such Convertible
     Security, the Purchase Price then in effect hereunder shall forthwith be
     adjusted to such respective amount as would have been obtained had such
     Option or Convertible Security never been issued as to such Common Stock
     and had adjustments been made upon the issuance of the shares of Common
     Stock delivered as aforesaid, but only if as a result of such adjustment
     the Purchase Price then in effect hereunder is hereby reduced.

          (4) On the expiration of any Option or the termination of any right to
     convert or exchange any Convertible Securities, the Purchase Price then in
     effect hereunder shall forthwith be increased to the Purchase Price which



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<PAGE>   101

     would have been in effect at the time of such expiration or termination had
     such Option or Convertible Securities, to the extent outstanding
     immediately prior to such expiration or termination, never been issued.

          (5) In case any Options shall be issued in connection with the issue
     or sale of other securities of the Company, together comprising one
     integral transaction in which no specific consideration is allocated to
     such Options by the parties thereto, such Options shall be deemed to have
     been issued without consideration.

          (6) In case any shares of Common Stock, Options or Convertible
     Securities shall be issued or sold or deemed to have been issued or sold
     for cash, the consideration received therefor shall be deemed to be the
     amount received by the Company therefor (before deduction for expenses or
     underwriters' discounts or commissions related to such issue or sale). In
     case any shares of Common Stock, Options or Convertible Securities shall be
     issued or sold for a consideration other than cash, the amount of the
     consideration other than cash received by the Company shall be the fair
     value of such consideration as determined in good faith by the Board of
     Directors of the Company. In case any shares of Common Stock, Options or
     Convertible Securities shall be issued in connection with any merger in
     which the Company is the surviving corporation, the amount of consideration
     therefor shall be deemed to be the fair value of such portion of the net
     assets and business of the non-surviving corporation as shall be attributed
     by the Board of Directors of the Company in good faith to such Common
     Stock, Options or Convertible Securities, as the case may be as determined
     in good faith by the Board of Directors of the Company.

          (7) The number of shares of Common Stock outstanding at any given time
     shall not include shares owned or held by or for the account of the
     Company, and the disposition of any shares so owned or held shall be
     considered an issue or sale of Common Stock for the purpose of this
     Paragraph 3.1.


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<PAGE>   102

          (8) In case the Company shall declare a dividend or make any other
     distribution upon the stock of the Company payable in Options or
     Convertible Securities, then in such case any Options or Convertible
     Securities, as the case may be, issuable in payment of such dividend or
     distribution shall be deemed to have been issued or sold without
     consideration.

          (9) For purposes of this Paragraph 3.1, in case the Company shall take
     a record of the holders of its Common Stock for the purpose of entitling
     them (x) to receive a dividend or other distribution payable in Common
     Stock, Options or in Convertible Securities, or (y) to subscribe for or
     purchase Common Stock, Options or Convertible Securities, then such record
     date shall be deemed to be the date of the issue or sale of the shares of
     Common Stock deemed to have been issued or sold upon the declaration of
     such dividend or the making of such other distribution or the date of the
     granting of such right or subscription or purchase, as the case may be.

     3.2. Dividends Not Paid Out of Earnings or Earned Surplus. In the event the
Company shall declare a dividend upon the Common Stock (other than a dividend
payable in Common Stock) payable otherwise than out of earnings or earned
surplus, determined in accordance with generally accepted accounting principles,
including the making of appropriate deductions for minority interests, if any,
in subsidiaries (herein referred to as "Liquidating Dividends"), then, as soon
as possible after the exercise of this Warrant, the Company shall pay to the
person exercising such Warrant an amount equal to the aggregate value at the
time of such exercise of all Liquidating Dividends (including but not limited to
the Common Stock which would have been issued at the time of such earlier
exercise and all other securities which would have been issued with respect to
such Common Stock by reason of stock splits, stock dividends, mergers or
reorganizations, or for any other reason). For the purposes of this Paragraph
3.2, a dividend other than in cash shall be considered payable out of earnings
or earned surplus only to the extent that such earnings or earned surplus are
charged an amount 



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<PAGE>   103

equal to the fair value of such dividend as determined in good faith by the
Board of Directors of the Company.

     3.3. Subdivisions and Combinations. In case the Corporation shall at any
time (i) subdivide the outstanding Common Stock or (ii) issue a stock dividend
on its outstanding Common Stock, the Purchase Price in effect immediately prior
to such subdivision or dividend shall be proportionately reduced by the same
ratio as the subdivision or dividend. In case the Corporation shall at any time
combine its outstanding Common Stock, Purchase Price in effect immediately prior
to such combination shall be proportionately increased by the same ratio as the
combination.

     3.4. Reorganization, Reclassification, Consolidation, Merger or Sale of
Assets. If any capital reorganization or reclassification of the capital stock
of the Company, or consolidation or merger of the Company with another
corporation, or the sale of all or substantially all of its assets to another
corporation shall be effected in such a way that holders of Common Stock shall
be entitled to receive stock, securities, cash or other property with respect to
or in exchange for Common Stock, then, as a condition of such reorganization,
reclassification, consolidation, merger or sale, lawful and adequate provision
shall be made whereby the holder of this Warrant shall have the right to acquire
and receive upon exercise of this Warrant such shares of stock, securities, cash
or other property issuable or payable (as part of the reorganization,
reclassification, consolidation, merger or sale) with respect to or in exchange
for such number of outstanding shares of the Company's Common Stock as would
have been received upon exercise of this Warrant at the Purchase Price then in
effect. The Company will not effect any such consolidation, merger or sale,
unless prior to the consummation thereof the successor corporation (if other
than the Company) resulting from such consolidation or merger or the corporation
purchasing such assets shall assume by written instrument mailed or delivered to
the holder of this Warrant at the last address of such holder appearing on the
books of the Company, the obligation to deliver to such holder such shares of
stock, securities or assets as, in 



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<PAGE>   104

accordance with the foregoing provisions, such holder may be entitled to
purchase. If a purchase, tender or exchange offer is made to and accepted by the
holders of more than 50% of the outstanding shares of Common Stock of the
Company, the Company shall not effect any consolidation, merger or sale with the
person having made such offer or with any Affiliate of such person, unless prior
to the consummation of such consolidation, merger or sale the holder of this
Warrant shall have been given a reasonable opportunity to then eect to receive
upon the exercise of this Warrant either the stock, securities or assets then
issuable with respect to the Common Stock of the Company or the stock,
securities or assets, or the equivalent, issued to previous holders of the
Common Stock in accordance with such offer. For purposes hereof the term
"Affiliate" with respect to any given person shall mean any person controlling,
controlled by or under common control with the given person.

     3.5. No Adjustment for Exercise of Certain Options, Warrants, Etc. The
provisions of this Section 3 shall not apply to any Common Stock issued,
issuable or deemed outstanding under subparagraphs 3.1(1) to (9) inclusive: (i)
to any person pursuant to any stock option, stock purchase or similar plan or
arrangement for the benefit of employees, consultants or directors of the
Company or its subsidiaries in effect on the date of issuance hereof or
thereafter adopted by the Board of Directors of the Company (or physicians or
providers contracting with the Company or any of its Subsidiaries), (ii)
pursuant to options, warrants and conversion rights in existence on the date of
issuance hereof or (iii) in connection with underwritten public offerings for
cash pursuant to a registration statement filed under the Securities Act of
Common Stock, Options or Convertible Securities.

     3.6. Notices of Record Date, Etc. In the event that:

          (1) the Company shall declare any cash dividend upon its Common Stock,
     or

          (2) the Company shall declare any dividend upon its Common Stock
     payable in stock or make any special dividend 


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<PAGE>   105

     or other distribution to the holders of its Common Stock, or

          (3) the Company shall offer for subscription pro rata to the holders
     of its Common Stock any additional shares of stock of any class or other
     rights, or

          (4) there shall be any capital reorganization or reclassification of
     the capital stock of the Company, including any subdivision or combination
     of its outstanding shares of Common Stock, or consolidation or merger of
     the Company with, or sale of all or substantially all of its assets to,
     another corporation, or

          (5) there shall be a voluntary or involuntary dissolution, liquidation
     or winding up of the Company;

then, in connection with such event, the Company shall give to the holder of
this Warrant:

          (i) at least twenty (20) days' prior written notice of the date on
     which the books of the Company shall close or a record shall be taken for
     such dividend, distribution or subscription rights or for determining
     rights to vote in respect of any such reorganization, reclassification,
     consolidation, merger, sale, dissolution, liquidation or winding up; and

          (ii) in the case of any such reorganization, reclassification,
     consolidation, merger, sale, dissolution, liquidation or winding up, at
     least twenty (20) days' prior written notice of the date when the same
     shall take place. Such notice in accordance with the foregoing clause (i)
     shall also specify, in the case of any such dividend, distribution or
     subscription rights, the date on which the holders of Common Stock shall be
     entitled thereto and the date on which the holders of Common Stock shall be
     entitled to exchange their Common Stock for securities or other property
     deliverable upon such reorganization, reclassification consolidation,
     merger, sale, dissolution, liquidation or winding up, as the case may be.
     Each such 



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<PAGE>   106

     written notice shall be given by first class mail, postage prepaid,
     addressed to the holder of this Warrant at the address of such holder as
     shown on the books of the Company.

     3.7. Grant, Issue or Sale of Options, Convertible Securities, or Rights. If
at any time or from time to time on or after the date of issuance hereof, the
Company shall grant, issue or sell any Options, Convertible Securities or rights
to purchase property (the "Purchase Rights") pro rata to the record holders of
any class of Common Stock of the Company and such grants, issuances or sales do
not result in an adjustment of the Purchase Price under Paragraph 3.1 hereof,
then the holder of this Warrant shall be entitled to acquire (within thirty (30)
days after the later to occur of the initial exercise date of such Purchase
Rights or receipt by such holder of the notice concerning Purchase Rights to
which such holder shall be entitled under Paragraph 3.6) and upon the terms
applicable to such Purchase Rights either:

          (i) the aggregate Purchase Rights which such holder could have
     acquired if it had held the number of shares of Common Stock acquirable
     upon exercise of this Warrant immediately before the grant, issuance or
     sale of such Purchase Rights; provided that if any Purchase Rights were
     distributed to holders of Common Stock without the payment of additional
     consideration by such holders, corresponding Purchase Rights shall be
     distributed to the exercising holder of this Warrant as soon as possible
     after such exercise and it shall not be necessary for the exercising holder
     of this Warrant specifically to request delivery of such rights; or

          (ii) in the event that any such Purchase Rights shall have expired or
     shall expire prior to the end of said thirty (30) day period, the number of
     shares of Common Stock or the amount of property which such holder could
     have acquired upon such exercise at the time or times at which the Company
     granted, issued or sold such expired Purchase Rights.

     3.8. Adjustment by Board of Directors. If any event 



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<PAGE>   107

occurs as to which, in the opinion of the Board of Directors of the Company, the
provisions of this Section 3 are not strictly applicable or if strictly
applicable would not fairly protect the rights of the holder of this Warrant in
accordance with the essential intent and principles of such provisions, then the
Board of Directors shall make an adjustment in the application of such
provisions, in accordance with such essential intent and principles, so as to
protect such rights as aforesaid, but in no event shall any adjustment have the
effect of increasing the Purchase Price as otherwise determined pursuant to any
of the provisions of this Section 3 except in the case of a combination of
shares of a type contemplated in Paragraph 3.3 and then in no event to an amount
larger than the Purchase Price as adjusted pursuant to Paragraph 3.3.

     3.9. Fractional Shares. The Company shall not issue fractions of shares of
Common Stock upon exercise of this Warrant or scrip in lieu thereof. If any
fraction of a share of Common Stock would, except for the provisions of this
Paragraph 3.9, be issuable upon exercise of this Warrant, the Company shall in
lieu thereof pay to the person entitled thereto an amount in cash equal to the
Market Price, calculated to the nearest one-hundredth (1/100) of a share.

     3.10. Officer's Statement as to Adjustments. Whenever the Purchase Price
shall be adjusted as provided in Section 3 hereof, the Company shall forthwith
file at each office designated for the exercise of this Warrant, a statement,
signed by the Chairman of the Board, the President, any Vice President or
Treasurer of the Company, showing in reasonable detail the facts requiring such
adjustment and the Purchase Price that will be effective after such adjustment.
The Company shall also cause a notice setting forth any such adjustments to be
sent by mail, first class, postage prepaid, to the record holder of this Warrant
at his or its address appearing on the stock register. If such notice relates to
an adjustment resulting from an event referred to in Paragraph 3.6, such notice
shall be included as part of the notice required to be mailed and published
under the provisions of Paragraph 3.6 hereof.



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<PAGE>   108

     4. NO DILUTION OR IMPAIRMENT. The Company will not, by amendment of its
charter or through reorganization, consolidation, merger, dissolution, sale of
assets or any other voluntary action, avoid or seek to avoid the observance or
performance of any of the terms of this Warrant, but will at all times in good
faith assist in the carrying out of all such terms and in the taking of all such
action as may be necessary or appropriate in order to protect the rights of the
holder hereof against dilution or other impairment. Without limiting the
generality of the foregoing, the Company will not increase the par value of any
shares of stock receivable upon the exercise of this Warrant above the amount
payable therefor upon such exercise, and at all times will take all such action
as may be necessary or appropriate in order that the Company may validly and
legally issue fully paid and non-assessable stock upon the exercise of this
Warrant.

     5. RESERVATION OF STOCK, ETC., ISSUABLE ON EXERCISE OF WARRANTS. The
Company shall at all times reserve and keep available out of its authorized but
unissued stock, solely for the issuance and delivery upon the exercise of this
Warrant and other similar Warrants, such number of its duly authorized shares of
Common Stock as from time to time shall be issuable upon the exercise of this
Warrant and all other similar Warrants at the time outstanding.

     6. REPLACEMENT OF WARRANT. Upon receipt of evidence reasonably satisfactory
to the Company of the loss, theft, destruction or mutilation of this Warrant and
(in the case of loss, theft or destruction) upon delivery of an indemnity
agreement (with surety if reasonably required) in an amount reasonably
satisfactory to it, or (in the case of mutilation) upon surrender and
cancellation thereof, the Company will issue, in lieu thereof, a new Warrant of
like tenor.

     7. REMEDIES. The Company stipulates that the remedies at law of the holder
of this Warrant in the event of any default by the Company in the performance of
or compliance with any of the terms of this Warrant are not and will not be
adequate, and that the same may be specifically enforced.



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<PAGE>   109

     8. NEGOTIABILITY, ETC. This Warrant is issued upon the following terms, to
all of which each taker or owner hereof consents and agrees:

     (a)  Subject to the legend appearing on the first page hereof, title to
          this Warrant may be transferred by endorsement (by the holder hereof
          executing the form of assignment at the end hereof including guaranty
          of signature) and delivery in the same manner as in the case of a
          negotiable instrument transferable by endorsement and delivery.

     (b)  Any person in possession of this Warrant properly endorsed is
          authorized to represent himself as absolute owner hereof and is
          granted power to transfer absolute title hereto by endorsement and
          delivery hereof to a bona fide purchaser hereof for value; each prior
          taker or owner waives and renounces all of his equities or rights in
          this Warrant in favor of every such bona fide purchaser, and every
          such bona fide purchaser shall acquire title hereto and to all rights
          represented hereby.

     (c)  Until this Warrant is transferred on the books of the Company, the
          Company may treat the registered holder of this Warrant as the
          absolute owner hereof for all purposes without being affected by any
          notice to the contrary.

     (d)  Prior to the exercise of this Warrant, the holder hereof shall not be
          entitled to any rights of a shareholder of the Company with respect to
          shares for which this Warrant shall be exercisable, including, without
          limitation, the right to vote, to receive dividends or other
          distributions or to exercise any preemptive rights, and shall not be
          entitled to receive any notice of any proceedings of the Company,
          except as provided herein.



                                      -16-


<PAGE>   110

     (e)  The Company shall not be required to pay any Federal or state transfer
          tax or charge that may be payable in respect of any transfer involved
          in the transfer or delivery of this Warrant or the issuance or
          conversion or delivery of certificates for Common Stock in a name
          other than that of the registered holder of this Warrant or to issue
          or deliver any certificates for Common Stock upon the exercise of this
          Warrant until any and all such taxes and charges shall have been paid
          by the holder of this Warrant or until it has been established to the
          Company's satisfaction that no such tax or charge is due.

     9. SUBDIVISION OF RIGHTS. This Warrant (as well as any new warrants issued
pursuant to the provisions of this paragraph) is exchangeable, upon the
surrender hereof by the holder hereof, at the principal office of the Company
for any number of new warrants of like tenor and date representing in the
aggregate the right to subscribe for and purchase the number of shares of Common
Stock of the Company which may be subscribed for and purchased hereunder.

     10. MAILING OF NOTICES, ETC. All notices and other communications from the
Company to the holder of this Warrant shall be mailed by first-class certified
mail, postage prepaid, to the address furnished to the Company in writing by the
last holder of this Warrant who shall have furnished an address to the Company
in writing.

     11. HEADINGS, ETC. The headings in this Warrant are for purposes of
reference only, and shall not limit or otherwise affect the meaning hereof.

     12. CHANGE, WAIVER, ETC. Neither this Warrant nor any term hereof may be
changed, waived, discharged or terminated orally but only by an instrument in
writing signed by the party against which enforcement of the change, waiver,
discharge or termination is sought.



                                      -17-



<PAGE>   111


     13. GOVERNING LAW. THIS WARRANT SHALL BE CONSTRUED AND ENFORCED IN
ACCORDANCE WITH THE LAWS OF THE STATE OF [DELAWARE].


                                         COVENTRY CORPORATION


                                         By:__________________________________
                                            Name:
                                            Title:

Dated:  ____________  ____, 1997


Attest:


________________________________







                                      -18-


<PAGE>   112





                  [To be signed only upon exercise of Warrant]


To Coventry Corporation:

     The undersigned, the holder of the within Warrant, hereby irrevocably
elects to exercise the purchase right represented by such Warrant for, and to
purchase thereunder, shares of Common Stock of Coventry Corporation and 
herewith makes payment of $____________ therefor, and requests that the
certificates for such shares be issued in the name of, and be delivered to
______________________________, whose address is
_______________________________________________.


Dated:


___________________________



                                               _____________________________

(Signature must conform in all respects to name of Holder as specified on the
face of the Warrant)





                                               ______________________________  
                                                           Address





                                      -19-



<PAGE>   113





                  [To be signed only upon transfer of Warrant]


     FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers
unto _________________________________________________________________________
the right represented by the within Warrant to purchase the _____________ shares
of the Common Stock of Coventry Corporation to which the within Warrant relates,
and appoints ______________________ attorney to transfer said right on the 
books of Coventry Corporation with full power of substitution in the premises. 

Dated:


___________________________



(Signature must conform in all respects to name of Holder as specified on the
face of the Warrant)


                                                ____________________________
                                                           Address

In the presence of


________________________________

                                



                                      -20-
<PAGE>   114
                                                                      Exhibit C


                                     FORM OF
               CERTIFICATE OF DESIGNATIONS, NUMBER, VOTING POWERS,
                 PREFERENCES AND RIGHTS OF SERIES A CONVERTIBLE
                                 PREFERRED STOCK
                                       OF
                              COVENTRY CORPORATION


                         Pursuant to [Section 151 of the
                General Corporation Law of the State of Delaware]
               [Section 48-16-102 of the Business Corporation Act
                           of the State of Tennessee]

     The undersigned DOES HEREBY CERTIFY that the following resolution was duly
adopted by the Board of Directors of Coventry Corporation, a Delaware
corporation (hereinafter called the "Corporation"), with the preferences and
rights set forth therein relating to dividends, conversion, redemption,
dissolution and distribution of assets of the Corporation having been fixed by
the Board of Directors pursuant to authority granted to it under Article
__________ of the Corporation's Certificate of Incorporation and in accordance
with the provisions of [Section 151 of the General Corporation Law of the State
of Delaware]:

     RESOLVED: That, pursuant to authority conferred upon the Board of Directors
by the Certificate of Incorporation of the Corporation, the Board of Directors
hereby authorizes the issuance of 6,000,000 shares of Series A Convertible
Preferred Stock of the Corporation, and hereby fixes the designations, powers,
preferences and relative, participating, optional or other special rights, and
the qualifications, limitations or restrictions thereof, of such shares, in
addition to those set forth in the Certificate of Incorporation of the
Corporation, as follows:

     1. DESIGNATION AND AMOUNT. The shares of such series shall be designated
"Series A Convertible Preferred Stock" (the "Series A Preferred Stock") and the
number of shares constituting such series shall be 6,000,000.






<PAGE>   115

     2. DIVIDENDS.

     (a) From the date of issuance hereof, until ___________, 1999 [the second
anniversary of the Closing Date under the Purchase Agreement](the "Dividend
Payment Date"), the holders of Series A Preferred Stock shall be entitled to
receive, when and as declared, out of the net profits of the Corporation,
dividends at the rate of $0.83 per annum, payable in additional shares of Series
A Preferred Stock, before any dividends shall be set apart for or paid upon the
Common Stock or any other stock ranking on liquidation junior to the Series A
Preferred Stock (such stock being referred to hereinafter collectively as
"Junior Stock") in any year. The number of shares of Series A Preferred Stock to
be issued in payment of the dividend with respect to each outstanding share of
Series A Preferred Stock shall be determined by dividing the amount of the
dividend that would have been payable had such dividend been paid in cash by
$10.00. To the extent that any such dividend would result in the issuance of a
fractional share of Series A Preferred Stock (which shall be determined with
respect to the aggregate number of shares of Series A Preferred Stock held of
record by each holder) then the amount of such fraction multiplied by $10.00
shall be paid in cash (unless there are no legally available funds with which to
make such cash payment, in which event such cash payment shall be made as soon
as possible). All dividends declared upon Series A Preferred Stock shall be
declared pro rata per share.

     (b) Dividends on the Series A Preferred Stock through the Dividend Payment
Date shall be cumulative, whether or not in either fiscal year there shall be
net profits or surplus available for the payment of dividends in such fiscal
year, so that if in either fiscal year, dividends in whole or in part are not
paid upon the Series A Preferred Stock, unpaid dividends shall accumulate as
against the holders of the Junior Stock and no sums in that fiscal year or any
subsequent fiscal year shall be paid to the holders of Junior Stock unless and
until all dividends accrued and payable in respect of the Series A 



                                       2


<PAGE>   116

Preferred Stock have been paid or a sum sufficient for such payment shall have
been set apart.

     (c) At all times after the Dividend Payment Date, if, as and when the Board
of Directors of the Corporation declares any cash dividend on the shares of
Common Stock, the Board of Directors shall declare a cash dividend on each share
of Series A Preferred Stock equal to the dividend payable on each share of
Common Stock multiplied by the number of shares of Common Stock into which such
share of Series A Preferred Stock is convertible on the record date for such
dividend. Such dividend shall be payable at the same time and otherwise on the
same terms as any dividend paid on the Common Stock.

     3. LIQUIDATION, DISSOLUTION OR WINDING UP.

     (a) In the event of any voluntary or involuntary liquidation, dissolution
or winding up of the Corporation, the holders of shares of Series A Preferred
Stock then outstanding shall be entitled to be paid out of the assets of the
Corporation available for distribution to its stockholders, after and subject to
the payment in full of all amounts required to be distributed to the holders of
any other Preferred Stock of the Corporation ranking on liquidation prior and in
preference to the Series A hereinafter as "Senior Preferred Stock") upon such
liquidation, dissolution or winding up, but before any payment shall be made to
the holders of Junior Stock, an amount equal to $10.00 per share (subject to
adjustment in the event of any, dividend, stock split, stock distribution or
combination with respect to such shares), plus any accrued but unpaid dividends
as of the date of such liquidation, dissolution or winding-up. If upon any such
liquidation, dissolution or winding up of the Corporation the remaining assets
of the Corporation available for the distribution to its stockholders after
payment in full of amounts required to be paid or distributed to holders of
Senior Preferred Stock shall be insufficient to pay the holders of shares of
Series A Preferred Stock the full amount to which they shall be 



                                       3


<PAGE>   117

entitled, the holders of shares of Series A Preferred Stock, and any class of
stock ranking on liquidation on a parity with the Series A Preferred Stock,
shall share ratably in any distribution of the remaining assets and funds of the
Corporation in proportion to the respective amounts which would otherwise be
payable in respect to the shares held by them upon such distribution if all
amounts payable on or with respect to said shares were paid in full.

     (b) After the payment of all preferential amounts required to be paid to
the holders of Senior Preferred Stock and Series A Preferred Stock and any other
series of Preferred Stock upon the dissolution, liquidation or winding up of the
Corporation, the holders of shares of Common Stock then outstanding shall be
entitled to receive the remaining assets and funds of the Corporation available
for distribution to its stockholders.

     (c) The merger or consolidation of the Corporation into or with another
corporation, the merger or consolidation of any other corporation into or with
the Corporation, or the sale, conveyance, mortgage, pledge or lease of all or
substantially all the assets of the Corporation shall be deemed to be a
liquidation, dissolution or winding up of the Corporation for purposes of this
Section 3, unless waived by the holders of a majority of the then outstanding
shares of Series A Preferred Stock or unless, as of the date immediately
preceding such merger or consolidation, the Market Price is such that the
outstanding shares of Series A Preferred Stock would be otherwise redeemable
pursuant to Section 8(b) hereof, notwithstanding that the third anniversary of
the Closing Date may not yet have occurred.

     4. VOTING.

     (a) Each issued and outstanding share of Series A Preferred Stock shall be
entitled to the number of votes equal to the number of shares of Common Stock
into which each such share of Series A Preferred Stock is convertible (as
adjusted from time 



                                       4


<PAGE>   118

to time pursuant to Section 5 thereof), at each meeting of stockholders of the
Corporation with respect to any and all matters presented to the stockholders of
the Corporation for their action or consideration other than the election of
directors (as to which the Series A Preferred stock shall have rights voting
separately as a class as set out in paragraph (b) below). Except as provided by
law, by the provisions of paragraphs (b), (c) and (d) below, holders of Series A
Preferred Stock and of any other outstanding Preferred Stock shall vote together
with the holders of Common Stock as a single class.

     (b) For so long as at least 1,000,000 shares of Series A Preferred Stock
remain outstanding (subject to adjustment in the event of any stock dividend,
stock split, stock distribution or combination with respect to such shares), the
holders of Series A Preferred Stock shall have the exclusive right, voting
separately as a class, to elect two directors (herein referred to as the "Series
A Directors"). In the event the Board of Directors is increased to more than
nine directors, for so long as any shares of Series A Preferred Stock remain
outstanding, the holders of record of a majority of the outstanding shares of
Series A Preferred Stock shall be entitled to select the whole number of Series
A Directors obtained by multiplying (a) the number of directors on the Board of
Directors (including the Series A Directors) by (b) a fraction, the numerator of
which is equal to the number of shares of Series A Preferred Stock then
outstanding and the denominator of which is equal to the total number of shares
of capital stock of the Company then outstanding measured in each case on an as
converted to Common Stock basis. Each such Series A Director shall be (x)(i) a
partner, officer or employee of Warburg, Pincus Ventures, L.P. or any of its
affiliates or (ii) a person who is not a member of the board of directors or an
employee or consultant of any company which owns, manages or provides services
to health maintenance organizations ("HMOs") or preferred provider organizations
("PPOs") in any of the geographic markets in which the Corporation, its
subsidiaries, or the HMOs and PPOs managed by the Corporation or 



                                       5


<PAGE>   119

its subsidiaries operate HMOs or PPOs as of the date such person agrees to be
designated to the Board of Directors of the Corporation, and (y) elected by the
affirmative vote of the holders of record of a majority of the outstanding
shares of Series A Preferred Stock either at meetings of stockholders at which
directors are elected, a special meeting of holders of Series A Preferred Stock
or by written consent without a meeting in accordance with the [General
Corporation Law of Delaware]. Each Series A Director so elected shall serve for
a term of one year and until his successor is elected and qualified. Any vacancy
in the position of a Series A Director may be filled only by the holders of the
Series A Preferred Stock. Each Series A Director may, during his term of office,
be removed at any time, with or without cause, by and only by the affirmative
vote, at a special meeting of holders of Series A Preferred Stock called for
such purpose, or the written consent, of the holders of record of a majority of
the outstanding shares of Series A Preferred Stock. Any vacancy created by such
removal may also be filled at such meeting or by such consent.

     (c) In addition to any other rights provided by law, the Corporation shall
not, without first obtaining the affirmative vote or written consent of a
majority of the holders of Series A Preferred Stock:

          (i) amend, alter or repeal any provision of the Corporation's
     Certificate of Incorporation or amend, alter or repeal any provision of the
     By-Laws that would adversely affect the rights of the holders of Series A
     Preferred Stock, including, without limitation, any increase in the number
     of shares of Series A Preferred Stock;

          (ii) issue any shares of Series A Preferred Stock other than upon
     exchange of the Note (as defined in the Securities Purchase Agreement,
     dated as of April 2, 1997, by and among the Corporation, Franklin Capital
     Associates III 



                                       6


<PAGE>   120

     L.P. and Warburg, Pincus Ventures, L.P. (the "Purchase Agreement")); or

          (iii) amend, alter or repeal the preferences, special rights or other
     powers of the Series A Preferred Stock so as to affect adversely the Series
     A Preferred Stock. For this purpose, the authorization or issuance of any
     series of Preferred Stock with preference or priority over, or being on a
     parity with the Series A Preferred Stock as to the right to receive
     dividends or amounts distributable upon liquidation, dissolution or winding
     up of the Corporation shall be deemed so to affect adversely the Series A
     Preferred Stock.

     5. OPTIONAL CONVERSION. Each share of Series A Preferred Stock may be
converted at any time, at the option of the holder thereof, in the manner
hereinafter provided, into fully-paid and nonassessable shares of Common Stock,
provided, however, that on any redemption of any Series A Preferred Stock or any
liquidation of the Corporation, the right of conversion shall terminate at the
close of business on the full business day next preceding the date fixed for
such redemption or for the payment of any amounts distributable on liquidation
to the holders of Series A Preferred Stock.

     (a) The initial conversion rate for the Series A Preferred Stock shall be
one share of Common stock for each one share of Series A Preferred Stock
surrendered for conversion, representing an initial Conversion Price (for
purposes of Section 6) of $10.00 per share of the Corporation's Common Stock
plus a number of additional shares of Common Stock equal to the amount of
accrued but unpaid dividends (whether or not currently payable) through the date
of such conversion divided by the Conversion Price then in effect. The
applicable conversion rate and Conversion Price from time to time in effect is
subject to adjustment as hereinafter provided.



                                       7


<PAGE>   121

     (b) The Corporation shall not issue fractions of shares of Common Stock
upon conversion of Series A Preferred Stock or scrip in lieu thereof. If any
fraction of a share of Common Stock would, except for the provisions of this
paragraph (b), be issuable upon conversion of any Series A Preferred Stock, the
Corporation shall in lieu thereof pay to the person entitled thereto an amount
in cash equal to the average Market Price for the ten-day trading period
preceding such issuance and sale of such fraction, calculated to the nearest
one-hundredth (1/100) of a share. For purposes hereof, the term "Market Price"
shall mean (i) if the Common Stock is traded on a national securities exchange,
the last reported sale price of a share of Common Stock, regular way on such
date or, in case no such sale takes place on such date, the average of the
closing bid and asked prices thereof regular way on such date, in either case as
officially reported on the principal national securities exchange on which the
Common Stock is then listed or admitted for trading, or, (ii) if the Common
Stock is not then listed or admitted for trading on any national securities
exchange but is designated as a national market system security by the NASD, the
last reported trading price of the Common Stock on such date, or (iii) if not
listed or admitted to trading on any national securities exchange or designated
as a national market system security, the average of the reported bid and asked
price of the Common Stock on such date in the over-the-counter market as
furnished by the National Quotation Bureau, Inc., or, if such firm is not then
engaged in the business of reporting such prices, as furnished by any member of
the National Association of Securities Dealers, Inc. selected by the Corporation
or, (iv) if the shares of Common Stock are not so publicly traded, the fair
market value thereof, as determined in good faith by the Board of Directors of
the Corporation.

     (c) Whenever the Conversion Price shall be adjusted as provided in Section
6 hereof, the Corporation shall forthwith file at each office designated for the
conversion of Series A Preferred Stock, a statement, signed by the Chairman of
the Board, the President, any Vice President or Treasurer of the 



                                       8


<PAGE>   122

Corporation, showing in reasonable detail the facts requiring such adjustment.
The Corporation shall also cause a notice setting forth any such adjustments to
be sent by mail, first class, postage prepaid, to each record holder of Series A
Preferred Stock at his or its address appearing on the stock register. If such
notice relates to an adjustment resulting from an event referred to in paragraph
6(g), such notice shall be included as part of the notice required to be mailed
and published under the provisions of paragraph 6(g) hereof.

     (d) In order to exercise the conversion right, the holder of any Series A
Preferred Stock to be converted shall surrender his or its certificate or
certificates therefore to the principal office of the transfer agent for the
Series A Preferred Stock (or if no transfer agent be at the time appointed, then
the Corporation at its principal office), and shall give written notice to the
Corporation at such office that the holder elects to convert the Series A
Preferred Stock represented by such certificates, or any number thereof. Such
notice shall also state the name or names (with address) in which the
certificate or certificates for shares of Common Stock which shall be issuable
on such conversion shall be issued, subject to any restrictions on transfer
relating to shares of the Series A Preferred Stock or shares of Common Stock
upon conversion thereof. If so required by the Corporation, certificates
surrendered for conversion shall be endorsed or accompanied by written
instrument or instruments of transfer, in form reasonably satisfactory to the
Corporation, duly authorized in writing. The date of receipt by the transfer
agent (or by the Corporation if the Corporation serves as its own transfer
agent) of the certificates and notice shall be the conversion date. As soon as
practicable after receipt of such notice and the surrender of the certificate or
certificates for Series A Preferred Stock as aforesaid, the Corporation shall
cause to be issued and delivered at such office to such holder, or on his or its
written order, a certificate or certificates for the number of full shares of
Common Stock issuable on such conversion in accordance with the 


                                       9


<PAGE>   123

provisions hereof and cash as provided in paragraph (b) of this Section 5 in
respect of any fraction of a share of Common Stock otherwise issuable upon such
conversion.

     (e) The Corporation shall at all times when the Series A Preferred Stock
shall be outstanding reserve and keep available out of its authorized but
unissued stock, for the purposes of effecting the conversion of the Series A
Preferred Stock, such number of its duly authorized shares of Common Stock as
shall from time to time be sufficient to effect the conversion of all
outstanding Series A Preferred Stock. Before taking any action which would cause
an adjustment reducing the Conversion Price below the then par value of the
shares of Common Stock issuable upon conversion of the Series A Preferred Stock,
the Corporation will take any corporate action which may, in the opinion of its
counsel, be necessary in order that the Corporation may validly and legally
issue fully-paid and nonassessable shares of such Common Stock at such adjusted
Conversion Price.

     (f) All shares of Series A Preferred Stock which shall have been
surrendered for conversion as herein provided shall no longer be deemed to be
outstanding and all rights with respect to such shares, including the rights, if
any, to receive notices and to vote, shall forthwith cease and terminate except
only the right of the holder thereof to receive shares of Common Stock in
exchange therefor. Any shares of Series A Preferred Stock so converted shall be
retired and cancelled and shall not be reissued, and the Corporation may from
time to time take such appropriate action as may be necessary to reduce the
authorized Series A Preferred Stock accordingly.

     6. ANTI-DILUTION PROVISIONS.

     (a) In order to prevent dilution of the right granted hereunder, the
Conversion Price shall be subject to adjustment from time to time in accordance
with this paragraph 6(a). At any given time the Conversion Price shall be that
dollar (or part of a dollar) amount the payment of which shall be sufficient at
the 



                                       10


<PAGE>   124

given time to acquire one share of the Corporation's Common Stock upon
conversion of shares of Series A Preferred Stock. Upon each adjustment of the
Conversion Price pursuant to Section 6, the registered Holder of shares of
Series A Preferred Stock shall thereafter be entitled to acquire upon exercise,
at the Conversion Price resulting from such adjustment, the number of shares of
the Corporation's Common Stock obtainable by multiplying the Conversion Price in
effect immediately prior to such adjustment by the number of shares of the
Corporation's Common Stock acquirable immediately prior to such adjustment and
dividing the product thereof by the Conversion Price resulting from such
adjustment. For purposes of this Section 6, the term "Number of Common Shares
Deemed Outstanding" at any given time shall mean the sum of (x) the number of
shares of the Corporation's Common Stock outstanding at such time, (y) the
number of shares of the Corporation's Common Stock issuable assuming conversion
at such time of the Corporation's other series of convertible preferred stock,
if any, and (z) the number of shares of the Corporation's Common Stock deemed to
be outstanding under subparagraphs 6(b)(1) to (9), inclusive, at such time.

     (b) Except as provided in paragraph 6(c) or 6(f) below, if and whenever on
or after the date of initial issuance of the Series A Preferred Stock (the
"Initial Issuance Date"), the Corporation shall issue or sell, or shall in
accordance with subparagraphs 6(b)(1) to (9), inclusive, be deemed to have
issued or sold any shares of its Common Stock for a consideration per share less
than the average Market Price for the ten trading days immediately preceding
such issuance or sale, then forthwith upon such issue or sale (the "Triggering
Transaction"), the Conversion Price shall, subject to subparagraphs (1) to (9)
of this paragraph 6(b), be reduced to the Conversion Price (calculated to the
nearest tenth of a cent) determined by multiplying the Conversion Price in
effect immediately prior to the time of such Triggering Transaction by a
fraction, the numerator of which shall be the sum of (x) the Number of Shares
Deemed Outstanding 



                                       11


<PAGE>   125

immediately prior to such Triggering Transaction and (y) the
number of shares of Common Stock which the aggregate consideration received by
the Corporation upon such Triggering Transaction would purchase at the average
Market Price for the ten-day period immediately preceding such Triggering
Transaction, and the denominator of which shall be the Number of Shares Deemed
Outstanding immediately after such Triggering Transaction.

     For purposes of determining the adjusted Conversion Price under this
paragraph 6(b), the following subsections (1) to (9), inclusive, shall be
applicable:

          (1) In case the Corporation at any time shall in any manner grant
     (whether directly or by assumption in a merger or otherwise) any rights to
     subscribe for or to purchase, or any options for the purchase of, Common
     Stock or any stock or other securities convertible into or exchangeable for
     Common Stock (such rights or options being herein called "Options" and such
     convertible or exchangeable stock or securities being herein called
     "Convertible Securities"), whether or not such Options or the right to
     convert or exchange any such Convertible Securities are immediately
     exercisable and the price per share for which the Common Stock is issuable
     upon exercise, conversion or exchange (determined by dividing (x) the total
     amount, if any, received or receivable by the Corporation as consideration
     for the granting of such Options, plus the aggregate amount of additional
     consideration payable to the Corporation upon the exercise of all such
     Options, plus, in the case of such Options which relate to Convertible
     Securities, the aggregate amount of additional consideration, if any,
     payable upon the issue or sale of such Convertible Securities and upon the
     conversion or exchange thereof, by (y) the total maximum number of shares
     of Common Stock issuable upon the exercise of such Options or the
     conversion or 



                                       12


<PAGE>   126

     exchange of such Convertible Securities) shall be less than the average
     Market Price in effect for the ten-day trading period immediately prior to
     the time of the granting of such Option, then the total maximum amount of
     Common Stock issuable upon the exercise of such Options or in the case of
     Options for Convertible Securities, upon the conversion or exchange of such
     Convertible Securities shall (as of the date of granting of such Options)
     be deemed to be outstanding and to have been issued and sold by the
     Corporation for such price per share. No adjustment of the Conversion Price
     shall be made upon the actual issue of such shares of Common Stock or such
     Convertible Securities upon the exercise of such Options, except as
     otherwise provided in subparagraph (3) below.

          (2) In case the Corporation at any time shall in any manner issue
     (whether directly or by assumption in a merger or otherwise) or sell any
     Convertible Securities, whether or not the rights to exchange or convert
     thereunder are immediately exercisable, and the price per share for which
     Common Stock is issuable upon such conversion or exchange (determined by
     dividing (x) the total amount received or receivable by the Corporation as
     consideration for the issue or sale of such Convertible Securities, plus
     the aggregate amount of additional consideration, if any, payable to the
     Corporation upon the conversion or exchange thereof, by (y) the total
     maximum number of shares of Common Stock issuable upon the conversion or
     exchange of all such Convertible Securities) shall be less than the average
     Market Price in effect for the ten-day trading period immediately prior to
     the time of such issue or sale, then the total maximum number of shares of
     Common Stock issuable upon conversion or exchange of all such Convertible
     Securities shall (as of the date of the issue or sale of such Convertible
     Securities) be deemed 




                                       13


<PAGE>   127

     to be outstanding and to have been issued and sold by the Corporation for
     such price per share. No adjustment of the Conversion Price shall be made
     upon the actual issue of such Common Stock upon exercise of the rights to
     exchange or convert under such Convertible Securities, except as otherwise
     provided in subparagraph (3) below.

          (3) If the purchase price provided for in any Options referred to in
     subparagraph (1), the additional consideration, if any, payable upon the
     conversion or exchange of any Convertible Securities referred to in
     subparagraphs (1) or (2), or the rate at which any Convertible Securities
     referred to in subparagraph (1) or (2) are convertible into or exchangeable
     for Common Stock shall change at any time (other than under or by reason of
     provisions designed to protect against dilution of the type set forth in
     paragraphs 6(b) or 6(d)), the Conversion Price in effect at the time of
     such change shall forthwith be readjusted to the Conversion Price which
     would have been in effect at such time had such Options or Convertible
     Securities still outstanding provided for such changed purchase price,
     additional consideration at the time initially granted, issued or sold. If
     the purchase price provided for in any Option referred to in subparagraph
     (1) or the rate at which any Convertible Securities referred to in
     subparagraphs (1) or (2) are convertible into or exchangeable for Common
     Stock, shall be reduced at any time under or by reason of provisions with
     respect thereto designed to protect against dilution, then in case of the
     delivery of Common Stock upon the exercise of any such Option or upon
     conversion or exchange of any such Convertible Security, the Conversion
     Price then in effect hereunder shall forthwith be adjusted to such
     respective amount as would have been obtained had such Option or
     Convertible 



                                       14


<PAGE>   128

     Security never been issued as to such Common Stock and had adjustments been
     made upon the issuance of the shares of Common Stock delivered as
     aforesaid, but only if as a result of such adjustment the Conversion Price
     then in effect hereunder is hereby reduced.

          (4) On the expiration of any Option or the termination of any right to
     convert or exchange any Convertible Securities, the Conversion Price then
     in effect hereunder shall forthwith be increased to the Conversion Price
     which would have been in effect at the time of such expiration or
     termination had such Option or Convertible Securities, to the extent
     outstanding immediately prior to such expiration or termination, never been
     issued.

          (5) In case any Options shall be issued in connection with the issue
     or sale of other securities of the Corporation, together comprising one
     integral transaction in which no specific consideration is allocated to
     such Options by the parties thereto, such Options shall be deemed to have
     been issued without consideration.

          (6) In case any shares of Common Stock, Options or Convertible
     Securities shall be issued or sold or deemed to have been issued or sold
     for cash, the consideration received therefor shall be deemed to be the
     amount received by the Corporation therefor (before deduction for expenses
     or underwriters discounts or commissions related to such issue or sale). In
     case any shares of Common Stock, Options or Convertible Securities shall be
     issued or sold for a consideration other than cash, the amount of the
     consideration other than cash received by the Corporation shall be the fair
     value of such consideration as determined in good faith by the Board of
     Directors of the Corporation. In case 



                                       15


<PAGE>   129

     any shares of Common Stock, Options or Convertible Securities shall be
     issued in connection with any merger in which the Corporation is the
     surviving corporation, the amount of consideration therefor shall be deemed
     to be the fair value of such portion of the net assets and business of the
     non-surviving corporation as shall be attributable to such Common Stock,
     Options or Convertible Securities, as the case may be as determined in good
     faith by the Board of Directors of the Corporation.

          (7) The number of shares of Common Stock outstanding at any given time
     shall not include shares owned or held by or for the account of the
     Corporation and the disposition of any shares so owned or held shall be
     considered an issue or sale of Common Stock for the purpose of this
     paragraph 6(b).

          (8) In case the Corporation shall declare a dividend or make any other
     distribution upon the stock of the Corporation payable in Common Stock,
     Options, or Convertible Securities, then in such case any Common Stock,
     Options or Convertible Securities, as the case may be, issuable in payment
     of such dividend or distribution shall be deemed to have been issued or
     sold without consideration.

          (9) For purposes of this paragraph 6(b), in case the Corporation shall
     take a record of the holders of its Common Stock for the purpose of
     entitling them (x) to receive a dividend or other distribution payable in
     Common Stock, Options or in Convertible Securities, or (y) to subscribe for
     or purchase Common Stock, Options or Convertible Securities, then such
     record date shall be deemed to be the date of the issue or sale of the
     shares of Common Stock deemed to have been issued or sold upon the
     declaration of such dividend or the 



                                       16


<PAGE>   130

     making of such other distribution or the date of the granting of such right
     or subscription or purchase, as the case may be.

     (c) In the event the Corporation shall declare a dividend upon the Common
Stock (other than a dividend payable in Common Stock covered by subparagraph
6(b)(8)) payable otherwise than out of earnings or earned surplus, determined in
accordance with generally accepted accounting principles, including the making
of appropriate deductions for minority interests, if any, in subsidiaries
(herein referred to as "Liquidating Dividends"), then, as soon as possible after
the conversion of any Series A Preferred Stock, the Corporation shall pay to the
person converting such Series A Preferred Stock an amount equal to the aggregate
value at the time of such exercise of all Liquidating Dividends (including but
not limited to the Common Stock which would have been issued at the time of such
earlier exercise and all other securities which would have been issued with
respect to such Common Stock by reason of stock splits, stock dividends, mergers
or reorganizations, or for any other reason). For the purposes of this paragraph
6(c), a dividend other than in cash shall be considered payable out of earnings
or earned surplus only to the extent that such earnings or earned surplus are
charged an amount equal to the fair value of such dividend as determined in good
faith by the Board of Directors of the Corporation.

     (d) In case the Corporation shall at any time subdivide (other than by
means of a dividend payable in Common Stock covered by paragraph 6(b)(8)) its
outstanding shares of Common Stock into a greater number of shares, the
Conversion Price in effect immediately prior to such subdivision shall be
proportionately reduced, and, conversely, in case the outstanding shares of
Common Stock of the Corporation shall be combined into a smaller number of
shares, the Conversion Price in effect immediately prior to such combination
shall be proportionately increased.



                                       17


<PAGE>   131

     (e) If any capital reorganization or reclassification of the capital stock
of the Corporation, or consolidation or merger of the Corporation with another
corporation, or the sale of all or substantially all of its assets to another
corporation shall be effected in such a way that holders of Common Stock shall
be entitled to receive stock, securities, cash or other property with respect to
or in exchange for Common Stock, then, as a condition of such reorganization,
reclassification, consolidation, merger or sale, lawful and adequate provision
shall be made whereby the holders of the Series A Preferred Stock shall have the
right to acquire and receive upon conversion of the Series A Preferred Stock,
which right shall be prior to the rights of the holders of Junior Stock (but
after and subject to the rights of holders of Senior Preferred Stock, if any),
such shares of stock, securities, cash or other property issuable or payable (as
part of the reorganization, reclassification, consolidation, merger or sale)
with respect to or in exchange for such number of outstanding shares of the
Corporation's Common Stock as would have been received upon conversion of the
Series A Preferred Stock at the Conversion Price then in effect. The Corporation
will not effect any such consolidation, merger or sale, unless prior to the
consummation thereof the successor corporation (if other than the Corporation)
resulting from such consolidation or merger or the corporation purchasing such
assets shall assume by written instrument mailed or delivered to the holders of
the Series A Preferred Stock at the last address of each such holder appearing
on the books of the Corporation, the obligation to deliver to each such holder
such shares of stock, securities or assets as, in accordance with the foregoing
provisions, such holder may be entitled to purchase. If a purchase, tender or
exchange offer is made to and accepted by the holders of more than 50% of the
outstanding shares of Common Stock of the Corporation, the Corporation shall not
effect any consolidation, merger or sale with the person having made such offer
or with any Affiliate of such person, unless prior to the consummation of such
consolidation, merger or sale the holders of the Series A Preferred Stock shall
have been given a reasonable 



                                       18


<PAGE>   132

opportunity to then elect to receive upon the conversion of the Series A
Preferred Stock either the stock, securities or assets then issuable with
respect to the Common Stock of the Corporation or the stock, securities or
assets, or the equivalent, issued to previous holders of the Common Stock in
accordance with such offer. For purposes hereof, the term "Affiliate" with
respect to any given person shall mean any person controlling, controlled by or
under common control with the given person.

     (f) The provisions of this Section 6 shall not apply to any Common Stock
issued, issuable or deemed outstanding under subparagraphs 6(b)(1) to (9)
inclusive: (i) to any person pursuant to any stock option, stock purchase or
similar plan or arrangement for the benefit of employees, consultants or
directors of the Corporation or its subsidiaries in effect on the Initial
Issuance Date or thereafter adopted by the Board of Directors of the Corporation
(or physicians or providers contracting with the Corporation or any of its
Subsidiaries) (ii) pursuant to options, warrants and conversion rights in
existence on the Initial Issuance Date, (iii) upon exercise of the Warrants
issued to Franklin Capital Associates, III L.P. ("Franklin") and Warburg, Pincus
Ventures, L.P. ("Warburg") pursuant to the Purchase Agreement, (v) on conversion
of the Series A Preferred Stock or the sale of any additional shares of Series A
Preferred Stock or (vi) in connection with underwritten public offerings for
cash pursuant to a registration statement filed under the Securities Act of
Common Stock, Options or Convertible Securities.

     (g) In the event that:

          (1) the Corporation shall declare any cash dividend upon its Common
     Stock, or

          (2) the Corporation shall declare any dividend upon its Common Stock
     payable in stock or make any special dividend or other distribution to the
     holders of its Common Stock, or



                                       19


<PAGE>   133

          (3) the Corporation shall offer for subscription pro rata to the
     holders of its Common Stock any additional shares of stock of any class or
     other rights, or

          (4) there shall be any capital reorganization or reclassification of
     the capital stock of the Corporation, including any subdivision or
     combination of its outstanding shares of Common Stock, or consolidation or
     merger of the Corporation with, or sale of all or substantially all of its
     assets to, another corporation, or

          (5) there shall be a voluntary or involuntary dissolution, liquidation
     or winding up of the Corporation;

then, in connection with such event, the Corporation shall give to the holders
of the Series A Preferred Stock:

          (i)  at least twenty (20) days prior written notice of the date on
               which the books of the Corporation shall close or a record shall
               be taken for such dividend, distribution or subscription rights
               or for determining rights to vote in respect of any such
               reorganization, reclassification, consolidation, merger, sale,
               dissolution, liquidation or winding up; and

          (ii) in the case of any such reorganization, reclassification,
               consolidation, merger, sale, dissolution, liquidation or winding
               up, at least twenty (20) days prior written notice of the date
               when the same shall take place. Such notice in accordance with
               the foregoing clause (i) shall also specify, in the case of any
               such dividend, distribution or subscription rights, the date on
               which the holders of Common Stock shall be entitled thereto, and
               such notice in accordance with the foregoing clause (ii) shall
               also specify the date on which the holders of Common Stock 



                                       20



<PAGE>   134

               shall be entitled to exchange their Common Stock for securities
               or other property deliverable upon such reorganization,
               reclassification consolidation, merger, sale, dissolution,
               liquidation or winding up, as the case may be. Each such written
               notice shall be given by first class mail, postage prepaid,
               addressed to the holders of the Series A Preferred Stock at the
               address of each such holder as shown on the books of the
               Corporation.

     (h) If at any time or from time to time on or after the Initial Issuance
Date, the Corporation shall grant, issue or sell any Options, Convertible
Securities or rights to purchase property (the "Purchase Rights") pro rata to
the record holders of any class of Common Stock of the Corporation and such
grants, issuances or sales do not result in an adjustment of the Conversion
Price under paragraph 6(b) hereof, then each holder of Series A Preferred Stock
shall be entitled to acquire (within thirty (30) days after the later to occur
of the initial exercise date of such Purchase Rights or receipt by such holder
of the notice concerning Purchase Rights to which such holder shall be entitled
under paragraph 6(g)) and upon the terms applicable to such Purchase Rights
either:

          (i)  the aggregate Purchase Rights which such holder could have
               acquired if it had held the number of shares of Common Stock
               acquirable upon conversion of the Series A Preferred Stock
               immediately before the grant, issuance or sale of such Purchase
               Rights; provided that if any Purchase Rights were distributed to
               holders of Common Stock without the payment of additional
               consideration by such holders, corresponding Purchase Rights
               shall be distributed to the exercising holders of the Series A
               Preferred Stock as soon as possible after such exercise and it
               shall not be necessary for 



                                       21


<PAGE>   135

               the exercising holder of the Series A Preferred Stock
               specifically to request delivery of such rights; or

          (ii) in the event that any such Purchase Rights shall have expired or
               shall expire prior to the end of said thirty (30) day period, the
               number of shares of Common Stock or the amount of property which
               such holder could have acquired upon such exercise at the time or
               times at which the Corporation granted, issued or sold such
               expired Purchase Rights.

     (i) If any event occurs as to which, in the opinion of the Board of
Directors of the Corporation, the provisions of this Section 6 are not strictly
applicable or if strictly applicable would not fairly protect the rights of the
holders of the Series A Preferred Stock in accordance with the essential intent
and principles of such provisions, then the Board of Directors shall make an
adjustment in the application of such provisions, in accordance with such
essential intent and principles, so as to protect such rights as aforesaid, but
in no event shall any adjustment have the effect of increasing the Conversion
Price as otherwise determined pursuant to any of the provisions of this Section
6 except in the case of a combination of shares of a type contemplated in
paragraph 6(d) and then in no event to an amount larger than the Conversion
Price as adjusted pursuant to paragraph 6(d).

     7. MANDATORY CONVERSION.

     (a) Each share of Series A Preferred Stock shall automatically be converted
into shares of Common Stock at the then effective Conversion Price for such
shares upon the vote to so convert of the holders of at least a majority of the
shares of Series A Preferred Stock then outstanding.



                                       22



<PAGE>   136

     (b) All holders of record of shares of Series A Preferred Stock will be
given at least 10 days' prior written notice of the date fixed and the place
designated for mandatory conversion of all of such shares of Series A Preferred
Stock pursuant to this Section 7. Such notice will be sent by mail, first class,
postage prepaid, to each record holder of shares of Series A Preferred Stock at
such holder's address appearing on the stock register. On or before the date
fixed for conversion each holder of shares of Series A Preferred Stock shall
surrender his or its certificates or certificates for all such shares to the
Corporation at the place designated in such notice, and shall thereafter receive
certificates for the number of shares of Common Stock to which such holder is
entitled pursuant to this Section 7. On the date fixed for conversion, all
rights with respect to the Series A Preferred Stock so converted will terminate,
except only the right of the holders thereof, upon surrender of their
certificate or certificates therefore, to receive certificates for the number of
shares of Common Stock into which such Series A Preferred Stock has been
converted. If so required by the Corporation, certificates surrendered for
conversion shall be endorsed or accompanied by written instrument or instruments
of transfer, in form satisfactory to the Corporation, duly executed by the
registered holder or by his attorneys duly authorized in writing. All
certificates evidencing shares of Series A Preferred Stock which are required to
be surrendered for conversion in accordance with the provisions hereof shall,
from and after the date such certificates are so required to be surrendered, be
deemed to have been retired and cancelled and the shares of Series A Preferred
Stock represented thereby converted into Common Stock for all purposes,
notwithstanding the failure of the holder or holders thereof to surrender such
certificates on or prior to such date. As soon as practicable after the date of
such mandatory conversion and the surrender of the certificate or certificates
for Series A Preferred Stock as aforesaid, the Corporation shall cause to be
issued and delivered to such holder, or on his or its written order, a
certificate or certificates for the number of 



                                       23


<PAGE>   137

full shares of Common Stock issuable on such conversion in accordance with the
provisions hereof and cash as provided in paragraph (b) of Section 5 in respect
of any fraction of a share of Common Stock otherwise issuable upon such
conversion.

     8. REDEMPTION.

     (a) The Corporation shall redeem (to the extent that such redemption shall
not violate any applicable provisions of the laws of [the State of Delaware]) at
a price of $10.00 per share (subject to adjustment in the event of any stock
dividend, stock split, stock distribution or combination with respect to such
shares), plus an amount equal to any dividends accrued but unpaid thereon (such
amount is hereinafter referred to as the "Redemption Price"), on the
[anniversary of Closing Date] (the "Redemption Date") of each of the years 2002
through 2004 thirty-three and one-third percent (33 1/3%) of the shares of
Series A Preferred Stock outstanding on the first Redemption Date or such lesser
number of shares as shall then be outstanding. If the Corporation is unable at
any Redemption Date to redeem any shares of Preferred Stock then to be redeemed
because such redemption would violate the applicable laws of [the State of
Delaware], then the Corporation shall redeem such shares as soon thereafter as
redemption would not violate such laws.

     (b) The Series A Preferred Stock may not be redeemed before the third
anniversary of the Closing Date. Thereafter, the Series A Preferred Stock shall
be subject to redemption, in whole but not in part, at the option of the
Corporation, if the Market Price of the Common Stock on each of the twenty (20)
consecutive days on which there was a price for such shares during the period
ending within five days prior to the giving of written notice of redemption as
provided in paragraph (d) below is at least $17.00 per share (appropriately
adjusted for any stock split, stock dividend or similar event) at a price in
cash equal to the Redemption Price then in effect.



                                       24


<PAGE>   138

     (c) In the event of any redemption of only a part of the then outstanding
Series A Preferred Stock, the Corporation shall effect such redemption pro rata
among the holders thereof (based on the number of shares of Series A Preferred
Stock held on the date of notice of redemption).

     (d) At least thirty (30) days prior to each Redemption Date, written notice
shall be mailed, postage prepaid, to each holder of record of Series A Preferred
Stock to be redeemed, at his or its post office address last shown on the
records of the Corporation, notifying such holder of the number of shares so to
be redeemed, specifying the Redemption Date and the date on which such holder's
conversion rights (pursuant to Section 5 hereof) as to such shares terminate and
calling upon such holder to surrender to the Corporation, in the manner and at
the place designated, his or its certificate or certificates representing the
shares to be redeemed (such notice is hereinafter referred to as the "Redemption
Notice"). On or prior to each Redemption Date, each holder of Series A Preferred
Stock to be redeemed shall surrender his or its certificate or certificates
representing such shares to the Corporation, in the manner and at the place
designated in the Redemption Notice, and thereupon the Redemption Price of such
shares shall be payable to the order of the person whose name appears on such
certificate or certificates as the owner thereof and each surrendered
certificate shall be cancelled. In the event less than all the shares
represented by any such certificate are redeemed, a new certificate shall be
issued representing the unredeemed shares. From and after the Redemption Date,
unless there shall have been a default in payment of the Redemption Price, all
rights of the holders of the Series A Preferred Stock designated for redemption
in the Redemption Notice as holders of Series A Preferred Stock of the
Corporation (except the right to receive the Redemption Price without interest
upon surrender of their certificate or certificates) shall cease with respect to
such shares, and such shares shall not thereafter be transferred on the books of
the 



                                       25


<PAGE>   139

Corporation or be deemed to be outstanding for any purpose whatsoever.

     (e) Except as provided in paragraph (a) above, the Corporation shall have
no right to redeem the shares of Series A Preferred Stock. Any shares of Series
A Preferred Stock so redeemed shall be permanently retired, shall no longer be
deemed outstanding and shall not under any circumstances be reissued, and the
Corporation may from time to time take such appropriate corporate action as may
be necessary to reduce the authorized Series A Preferred Stock accordingly.
Nothing herein contained shall prevent or restrict the purchase by the
Corporation, from time to time either at public or private sale, of the whole or
any part of the Series A Preferred Stock at such price or prices as the
Corporation may determine, subject to the provisions of applicable law.




                                       26
<PAGE>   140


     IN WITNESS WHEREOF, Coventry Corporation has caused this Certificate of
Designations, Number, Voting Powers, Preferences and Rights of Series A
Convertible Preferred Stock to be duly executed by its [Vice President] this 
______ day of _______________________.


                                         COVENTRY CORPORATION

                                         By: ________________________________ 
                                             Name:
                                             Title:




                                       27
<PAGE>   141


                                   SCHEDULE I

                               NAMES OF INVESTORS


Warburg, Pincus Ventures, L.P.

Franklin Capital Associates III L.P.


<PAGE>   142


                                  SCHEDULE 2.1

                                    INVESTORS
<TABLE>
<CAPTION>

                                                PRINCIPAL                            AGGREGATE
                                                  AMOUNT           NUMBER OF         PURCHASE 
              INVESTOR NAME                     OF ITS NOTE         WARRANTS           PRICE
<S>                                              <C>                <C>             <C> 
(1)   Warburg, Pincus Ventures L.P.              $36,000,000        2,117,647       $38,117,647

(2)   Franklin Capital Associates III L.P.       $ 4,000,000          235,294       $ 4,235,294
</TABLE>




<PAGE>   143


                                  SCHEDULE 7.14

                                   AFFILIATES

Warburg, Pincus & Co.

<PAGE>   144


                                 SCHEDULE 12.14

                                LICENSES REQUIRED


<TABLE>
<CAPTION>
- -----------------------------------------------------------------------------------
           ENTITY                            LICENSE                    STATE
- -----------------------------------------------------------------------------------
<S>                                     <C>                            <C> 
HealthAmerica Pennsylvania, Inc.        Insurance Administrator        Pennsylvania
- -----------------------------------------------------------------------------------
HealthCare USA, Inc./                   Insurance Administrator        Pennsylvania
Pennsylvania
HealthCare USA, Inc.
- -----------------------------------------------------------------------------------
HealthCare USA, Inc.                    Third Party Administrator      Missouri
- -----------------------------------------------------------------------------------
Southern Health Benefits, Inc./         Administration (TPA)           California
Coventry HealthCare Management 
Corporation (VA)
- -----------------------------------------------------------------------------------
Pennsylvania HealthMate, Inc.           Insurance Administrator        Pennsylvania
- -----------------------------------------------------------------------------------
</TABLE>


                            NAME CORRECTION REQUIRED

In addition, the following license needs to be corrected:

1. Group Health Plan, Inc. holds a Third Party Administrator license in Missouri
under the name "Care Management Resources." The name on the license should be
changed to "Group Health Plan, Inc."






<PAGE>   1
                                                                      Exhibit 3

                          AGREEMENT AND PLAN OF MERGER


     This AGREEMENT AND PLAN OF MERGER (the "Agreement") is made as of the 14th
day of April, 1997 by and between Coventry Corporation, a Tennessee corporation
("New Coventry"), and Coventry Corporation, a Delaware corporation ("Old
Coventry") (collectively, the "Constituent Corporations").

                                    RECITALS

     WHEREAS, all of the issued and outstanding shares of capital stock of New
Coventry are owned beneficially and of record by Old Coventry;

     WHEREAS, the sole purpose of the Plan of Merger embodied herein is to
effect a migratory merger within the meaning of Section 368(a)(1)(F) of the
Internal Revenue Code of 1986, as amended; and

     WHEREAS, each of the Constituent Corporations has, subject to approval by
their respective shareholders, adopted the plan of merger embodied in this
Agreement, and the Constituent Corporations and their respective Boards of
Directors deem it advisable and in the best interest of each of the Constituent
Corporations that Old Coventry be merged with and into New Coventry pursuant to
the applicable corporation laws of Tennessee and Delaware.

                                    AGREEMENT

     NOW, THEREFORE, the Constituent Corporations do hereby agree to merge, on
the terms and conditions herein provided, as follows:

1.   THE MERGER.

          1.1 Governing Law. Old Coventry shall be merged into New Coventry in
     accordance with the applicable laws of the States of Tennessee and
     Delaware. New Coventry shall be the surviving corporation and shall be
     governed by the laws of the State of Tennessee.

          1.2 Effective Date. The "Effective Date" of the merger shall be, and
     such term as used herein shall mean the date on which Articles of Merger
     prepared in accordance herewith are filed in the office of the Secretary of
     State of Tennessee and a Certificate of Merger prepared in accordance
     herewith is filed in the office of the Secretary of State of Delaware, all
     after satisfaction of the requirements of applicable laws of the states
     prerequisite to such filings.

2.   SHARE CONVERSION.

          2.1 Stock of Old Coventry. On the Effective Date, each share of Common
     Stock of Old Coventry issued and outstanding immediately prior to the
     merger shall automatically be converted into and become, without further
     action by the holder thereof, one share of Common Stock of New Coventry. As
     of and after the Effective Date, each outstanding certificate which, prior
     to the Effective Date represented shares of Common Stock of Old Coventry
     shall be deemed for all purposes to evidence ownership of, and to represent
     an equal number of shares of Common Stock of New Coventry.

          2.2 Stock of New Coventry. Upon the Effective Date, by virtue of the
     merger and without any action on the part of the holder thereof, each share
     of Common Stock of New Coventry outstanding immediately prior thereto shall
     be cancelled and returned to the status of authorized but unissued shares.



<PAGE>   2



3.   EFFECT OF THE MERGER.

          3.1 Rights, Privileges, Etc. On the Effective Date, New Coventry,
     without further act, deed or other transfer, shall retain or succeed to, as
     the case may be, and possess and be vested with all the rights, privileges,
     immunities, powers, franchises and authority, of a public as well as of a
     private nature, of the Constituent Corporations; all property of every
     description and every interest therein and all debts and other obligations
     of or belonging to or due to the Constituent Corporations on whatever
     account shall thereafter be taken and deemed to be held by or transferred
     to, as the case may be, or vested in New Coventry without further act or
     deed; title to any real estate, or any interest therein, vested in the
     Constituent Corporations shall not revert or in any way be impaired by
     reason of this merger, and all of the rights of creditors of the
     Constituent Corporations shall be preserved unimpaired, and all liens upon
     the property of the Constituent Corporations shall be preserved unimpaired,
     and such debts, liabilities, obligations and duties of the Constituent
     Corporations shall thenceforth remain with or attach to, as the case may
     be, New Coventry and may be enforced against it to the same extent as if
     all of such debts, liabilities, obligations and duties had been incurred or
     contracted by it.

          3.2 Employee Benefit Plans. On the Effective Date, New Coventry will
     automatically assume all obligations of Old Coventry under any and all
     employee benefit plans in effect as of the Effective Date or with respect
     to which employee rights or accrued benefits are outstanding as of the
     Effective Date.

          3.3 Charter and Bylaws. The Charter of New Coventry as in effect on
     the Effective Date shall, from and after the Effective Date, be and
     continue to be the Charter of New Coventry without change or amendment
     until thereafter amended in accordance with the provisions thereof and
     applicable laws. The Bylaws of New Coventry as in effect on the Effective
     Date shall, from and after the Effective Date, be and continue to be the
     Bylaws of New Coventry without change or amendment until thereafter amended
     in accordance with the provisions thereof, the Charter of New Coventry and
     applicable laws.

          3.4 Directors and Officers. The directors and officers of Old Coventry
     shall be the directors and officers of New Coventry on the Effective Date,
     and such directors and officers shall serve until they are removed or
     replaced in accordance with the Charter and Bylaws of New Coventry.

          3.5 Options, Warrants and Rights. Each outstanding option, warrant or
     right to acquire shares of Common Stock of Old Coventry which are not
     exercised prior to the Effective Date shall, at the Effective Date, be
     converted into the right to acquire the same number of shares of Common
     Stock of New Coventry subject to the terms, conditions and provisions for
     adjustment to which such options, warrants or rights were previously
     subject.

          3.6 Further Action. From time to time, as and when requested by New
     Coventry, or by its successors or assigns, any party hereto shall execute
     and deliver or cause to be executed and delivered all such deeds and other
     instruments, and shall take or cause to be taken all such further or other
     actions, as New Coventry, or its successors or assigns, may deem necessary
     or desirable in order to vest in and confirm to New Coventry, and its
     successors or assigns, title to and possession of all the property, rights,
     privileges, powers and franchises referred to herein and otherwise to carry
     out the intent and purposes of this Agreement.




                                       2

<PAGE>   3

4.   TERMINATION; AMENDMENT.

          4.1 Termination Provision. Anything contained in this Agreement to the
     contrary notwithstanding, this Agreement may be terminated and the merger
     abandoned:

               (a) Upon written notice at any time prior to the Effective Date
          of the merger by either of the Constituent Corporations; or

               (b) If holders of at least a majority of the outstanding shares
          of Common Stock of Old Coventry shall not vote in favor of the merger.

          4.2 Amendment Provisions. Anything contained in this Agreement
     notwithstanding, this Agreement may be amended or modified in writing at
     any time prior to the Effective Date; provided that, an amendment made
     subsequent to the adoption of this Agreement by the shareholders of the
     Constituent Corporations shall not (1) alter or change the amount or kind
     of shares or other consideration to be received in exchange for or on
     conversion of all or any of the shares of Common Stock of the Constituent
     Corporations, (2) alter or change any term of the Charter of New Coventry,
     or (3) alter or change any of the terms and conditions of this Agreement if
     such alteration or change would adversely affect the holders of any class
     or series thereof of the Constituent Corporations; provided, however, the
     Constituent Corporations may by agreement in writing extend the time for
     performance of, or waive compliance with, the conditions or agreements set
     forth herein.

          4.3 Board Action. In exercising their rights under this Section 4,
     each of the Constituent Corporations may act by its Board of Directors, and
     such rights may be so exercised, notwithstanding the prior approval of this
     Agreement by the shareholders of the Constituent Corporations.




                                        3

<PAGE>   4


     IN WITNESS WHEREOF, this Agreement, having first been duly approved by
resolutions of the Board of Directors of each of the Constituent Corporations,
is hereby executed on behalf of each of the Constituent Corporations by their
respective officers hereunto duly authorized.



Attest:                               COVENTRY CORPORATION,
                                      a Delaware corporation

By: /s/ Shirley R. Smith              By: /s/ Allen F. Wise                  
    ----------------------------          --------------------------------------
Its: Secretary                        Its: President and Chief Executive Officer




Attest:                               COVENTRY CORPORATION,
                                      a Tennessee corporation

By: /s/ Shirley R. Smith              By: /s/ Allen F. Wise                  
    ----------------------------          --------------------------------------
Its: Secretary                        Its: President and Chief Executive Officer








                                       4


<PAGE>   1
                                                                   Exhibit 3(i)

                                     CHARTER

                                       OF

                              COVENTRY CORPORATION


     The undersigned natural person, having capacity to contract, and acting as
the Incorporator of a corporation under the Tennessee Business Corporation Act,
adopts the following Charter for Coventry Corporation (the "Company"):


                                   ARTICLE I.

                                      NAME

     The name of the Company is Coventry Corporation.


                                   ARTICLE II.

                  PRINCIPAL OFFICE; REGISTERED OFFICE AND AGENT

     1. The street address of the Company's principal office is:

                  53 Century Boulevard, Suite 250
                  Nashville, Tennessee 37214
                  County of Davidson

     2. The street address of the Company's initial registered office in the
State of Tennessee is:

                  53 Century Boulevard, Suite 250
                  Nashville, Tennessee 37214
                  County of Davidson

     3. The name of the Company's initial registered agent in the State of
Tennessee is Allen F. Wise.


                                  ARTICLE III.

                                     PURPOSE

     The Company is organized for profit. The purpose of the Company is to
engage in any lawful act or activity for which corporations may now or hereafter
be organized under the Tennessee Business Corporation Act, as amended from time
to time.



<PAGE>   2



                                   ARTICLE IV.

                                      STOCK

     The total number of shares of stock which the Company shall have authority
to issue is 100,000,000 shares of Common Stock, par value of $0.01 per share
(the "Common Stock").

     The shareholders of the Company shall not have preemptive rights.

     The designation, powers, preferences and rights, and the qualifications,
limitations and restrictions thereof in respect of shares of Common Stock are as
follows:

     1. Voting Rights. Except as set forth herein or otherwise required by law,
each outstanding share of Common Stock shall be entitled to vote on each matter
on which the stockholder of the Company shall be entitled to vote, and each
holder of Common Stock shall be entitled to one vote for each share of such
stock held by such holder.

     2. Dividends. The Board of Directors of the Company may cause dividends or
other distributions to be paid to holders of shares of Common Stock out of funds
legally available therefor.


                                   ARTICLE V.
                               BOARD OF DIRECTORS

     1. Former Employees or Officers as Directors. The Board of Directors of the
Company shall at all times contain a majority of members who are not present or
former officers or employees of the Company or any subsidiary of the Company and
are not members of the immediate family of, controlled by, or under common
control with any such officers or employee.

     2. Power to Adopt, Amend or Repeal Bylaws. The Board of Directors shall
have the power to adopt, amend or repeal the bylaws of the Company.

     3. Number, Election and Term. The number of directors shall be a number
(not less than three) as fixed from time to time by the affirmative vote of a
majority of the entire Board of Directors. The directors shall be divided into
three classes, designated Class I, Class II and Class III. All classes shall be
as nearly equal in number as possible. The term of the initial Class I Directors
shall expire on the date of the annual meeting of the shareholders of the
Company to be held in 1998. The term of the initial Class II Directors shall
expire on the date of the annual meeting of the shareholders of the Company to
be held in 1999. The term of the initial Class III Directors shall expire on the
date of the annual meeting of the shareholders of the Company to be held in
1997. At each annual meeting of the stockholders of the Company, the successors
of the class of directors whose term expires at that meeting shall be elected to
hold


                                        2

<PAGE>   3



office for a term expiring at the annual meeting of shareholders held in the
third year following the year of their election. Each director shall hold office
until the expiration of his or her term and until his or her successor is
elected and qualified or until his or her earlier death, resignation or removal.
If the number of directors is changed, any newly created directorships or any
decrease in directorships shall be so apportioned among the classes so as to
make all classes as nearly equal as possible. Election of directors need not be
by ballot unless the bylaws of the Company so provide.

     4. Newly Created Directorships and Vacancies. Newly created directorships
resulting from any increase in the number of directors and any vacancies on the
Board of Directors resulting from death, resignation, disqualification, removal
or other cause shall be filled by the affirmative vote of a majority of the
remaining directors then in office, even though less than a quorum of the Board
of Directors is present. Any director elected in accordance with the preceding
sentence shall hold office for the remainder of the full term of the class of
directors in which the new directorship was created or the vacancy occurred and
until such director's successor shall have been elected and qualified. No
decrease in the number of directors constituting the Board of Directors shall
shorten the term of any incumbent director.

     5. Removal. Any director may be removed from office for cause by the
affirmative vote of the holders of a majority of the combined voting power of
the then outstanding shares of stock entitled to vote generally in the election
of directors, voting together as a single class; provided, however, a director
may be removed "for cause" only upon a finding that (i) the director engaged in
fraudulent or dishonest conduct, or gross abuse of authority or discretion, with
respect to the Company, and (ii) removal is in the best interests of the
Company. Any director may be removed from office for any reason other than cause
only upon the affirmative vote of the holders of not less than two-thirds (2/3)
of the outstanding shares of capital stock of the Company entitled to vote
thereon.

     6. Special Meetings of Shareholders. Special Meetings of shareholders may
be called by the holders of not less than 50% of all shares entitled to vote at
the meeting, or by the Chief Executive Officer, the President or the Board of
Directors.

     7. Amendment or Repeal of this Article V. Notwithstanding anything
contained in this Charter to the contrary, the affirmative vote of the holders
of at least 75 percent of the voting power of all shares of stock entitled to
vote generally in the election of directors, voting together as a single class,
shall be required to alter, amend, adopt any provision inconsistent with, or
repeal any provision of this Article V.



                                        3

<PAGE>   4



                                   ARTICLE VI.
                                 INDEMNIFICATION

     To the fullest extent permitted by the Tennessee Business Corporation Act,
as amended from time to time, a person who is or was a director, officer,
employee or agent of the Company shall not be liable to the Company or its
stockholders for monetary damages for breach of fiduciary duty as a director,
officer, employee or agent and shall be indemnified against any liability or
expense incurred by reason of the fact that such person is or was a director,
officer, employee or agent of the Company, if such person acted in good faith
and in, or not opposed to, the best interests of the Company, and, with respect
to any criminal action, had no reasonable cause to believe his conduct was
unlawful. Notwithstanding anything contained in this Charter to the contrary,
the affirmative vote of the holders of at least 75 percent of the voting power
of all shares of stock entitled to vote generally in the election of directors,
voting together as a single class, shall be required to alter, amend, adopt any
provision inconsistent with, or repeal this Article VI.


                                  ARTICLE VII.
                                    AMENDMENT

     The Company reserves the right to amend this Charter in any manner
permitted by the Tennessee Business Corporation Act, as amended from time to
time, and not inconsistent herewith, and all rights and powers conferred herein
on shareholders, directors and officers, if any, are subject to this reserved
power.


DATED: April 14, 1997

                                         /s/ N. KATHRYN SEVIER
                                         ---------------------------------------
                                             N. KATHRYN SEVIER, INCORPORATOR



                                        4

<PAGE>   1
                                                                  Exhibit 3(ii)

                                    BYLAWS OF

                              COVENTRY CORPORATION


                               ARTICLE 1. OFFICES

     1.1 Principal Offices. The principal offices of the Corporation shall be
established by the Board of Directors from time to time.

     1.2 Other Offices. The Corporation also may have offices at such other
places, both within and without the State of Tennessee, as the Board of
Directors may from time to time decide are necessary or proper for the business
of the Corporation.


                             ARTICLE 2. SHAREHOLDERS

     2.1 Place of Meetings. All meetings of the shareholders for any purpose
shall be held at such time and place, within or without the State of Tennessee,
as shall be stated in the notice of the meeting or in a duly executed waiver of
notice thereof. If no place is fixed by the Board of Directors, the meeting
shall be held at the principal office of the Corporation.

     2.2 Annual Meetings. Annual meeting of the shareholders shall be held on
the third Thursday of June of each year (unless such day shall fall on a legal
holiday, in which event such meeting shall be held on the next full business day
following such legal holiday) or at such time as shall be designated by the
Chairman of the Board of Directors and stated in the notice of such meeting. At
each such annual meeting, the shareholders shall elect a Board of Directors and
transact such other business as properly may be brought before the meeting.

     2.3 Special Meetings. Special meetings of the shareholders may be called
for any purpose at any time by the Chief Executive Officer, the President, the
Board of Directors, or the holders of a majority in amount of the shares
entitled to vote at the meeting.

     2.4 Notice of Meetings. Written notice stating the place, day and hour of
the meeting and, in the case of a special meeting, the purpose for which the
meeting is called, shall be delivered not less than ten (10) days nor more than
sixty (60) days before the date of the meeting, either personally or by mail.

     2.5 Quorum of Shareholders. The holders of a majority of the shares issued
and outstanding and entitled to vote at such meeting, present in person or
represented by proxy shall constitute a quorum for the transaction of business
at all meetings of the shareholders.



<PAGE>   2



     2.6 Action by Shareholders. When a quorum is present at any meeting, the
vote of the holders of a majority of the shares having voting power, present in
person or represented by proxy, shall decide any question brought before such
meeting.

     2.7 Voting. Each outstanding share having voting power shall be entitled to
one vote on each matter submitted to a vote at a meeting of the shareholders.
Such votes may be cast in person or by written proxy executed in writing by the
shareholder or his duly authorized attorney-in-fact.

     Once a share is represented for any purpose at a meeting, it is deemed
present for quorum purposes for the remainder of the meeting and for any
adjournment of that meeting unless a new record date is or must be set for that
adjourned meeting.

     If a quorum of a voting group shall not be present or represented at any
meeting, the shares entitled to vote thereat shall have power to adjourn the
meeting to a different date, time or place without notice other than
announcement at the meeting of the new time, date or place to which the meeting
is adjourned. At any adjourned meeting at which a quorum of any voting group
shall be present or represented, any business may be transacted by such voting
group which might have been transacted at the meeting as originally called.

     (a) Voting of Shares. Unless otherwise provided by the Act or the Charter,
each outstanding share is entitled to one (1) vote on each matter voted on at a
shareholders' meeting. Only shares are entitled to vote.

     If a quorum exists, approval of action on a matter (other than the election
of directors) by a voting group entitled to vote thereon is received if the
votes cast within the voting group favoring the action exceed the votes cast
opposing the action, unless the Charter or the Act requires a greater number of
affirmative votes. Unless otherwise provided in the Charter, directors are
elected by a plurality of the votes cast by the shares entitled to vote in the
election at a meeting at which a quorum is present.

     (b) Proxies. A shareholder may vote his shares in person or by proxy. A
shareholder may appoint a proxy to vote or otherwise act for him by signing an
appointment either personally or by his attorney-in-fact. An appointment of a
proxy is effective when received by the Secretary or other officer or agent
authorized to tabulate votes. An appointment is valid for eleven (11) months
unless another period is expressly provided in the appointment form. An
appointment of a proxy is revocable by the shareholder unless the appointment
form conspicuously states that it is irrevocable and the appointment is coupled
with an interest.

     (c) Acceptance of Shareholder Documents. If the name signed on a
shareholder document (a vote, consent, waiver, or proxy appointment) corresponds
to the name of a shareholder, the Corporation, if acting in good faith, is
entitled to accept such shareholder document and give it effect as the act of
the shareholder. If the name signed on such shareholder



                                        2

<PAGE>   3



document does not correspond to the name of a shareholder, the Corporation, if
acting in good faith, is nevertheless entitled to accept such shareholder
document and to give it effect as the act of the shareholder if:

          (i) the shareholder is an entity and the name signed purports to be
     that of an officer or agent of the entity;

          (ii) the name signed purports to be that of a fiduciary representing
     the shareholder and, if the Corporation requests, evidence of fiduciary
     status acceptable to the Corporation has been presented with respect to
     such shareholder document;

          (iii) the name signed purports to be that of a receiver or trustee in
     bankruptcy of the shareholder and, if the Corporation requests, evidence of
     this status acceptable to the Corporation has been presented with respect
     to the shareholder document;

          (iv) the name signed purports to be that of a pledgee, beneficial
     owner or attorney-in-fact of the shareholder and, if the Corporation
     requests, evidence acceptable to the Corporation of the signatory's
     authority to sign for the shareholder has been presented with respect to
     such shareholder document; or

          (v) two or more persons are the shareholder as co-tenants or
     fiduciaries and the name signed purports to be the name of at least one (1)
     of the co-owners and the person signing appears to be acting on behalf of
     all the co-owners.

     The Corporation is entitled to reject a shareholder document if the
Secretary or other officer or agent authorized to tabulate votes, acting in good
faith, has a reasonable basis for doubt about the validity of the signature on
such shareholder document or about the signatory's authority to sign for the
shareholder.

     2.8 Consents of Absentees. No defect in the calling or noticing of a
shareholders' meeting will affect the validity of any action at the meeting if a
quorum was present, and if each shareholder not present in person or by proxy
signs a written waiver of notice, consent to the holding of the meeting, or
approval of the minutes, either before or after the meeting, such waivers,
consents, or approvals shall be filed with the corporate records or made a part
of the minutes of the meeting.

     2.9 Record Date Closing Transfer Books. The Board of Directors shall fix in
advance a record date for the purpose of determining shareholders entitled to
notice of or to vote at a meeting of the shareholders. The record date shall not
precede the date upon which the resolution fixing the record date is adopted,
and shall not be not less than ten (10) nor more than sixty (60) days prior to
said meeting.



                                        3

<PAGE>   4



     2.10 Shareholder List. A complete list of the shareholders entitled to vote
at the meeting, arranged in alphabetical order, with the address of each and the
number of voting shares held by each, shall be prepared. Such list, for a period
of ten (10) days prior to the meeting, shall be kept on file at a place within
the city where the meeting is to be held and shall be subject to inspection by
any shareholder, for any purpose germane to the meeting, during usual business
hours. Such list shall be kept open at the meeting and shall be subject to the
inspection of any shareholder.

     2.11 Order of Business. The order of business of each meeting of the
shareholders of the Corporation shall be determined by the chairman of the
meeting. The chairman of the meeting shall have the right and authority to
prescribe such rules, regulations, and procedures and to do all such acts and
things as are necessary or desirable for the conduct of the meeting, including,
without limitation, the establishment of procedures for the dismissal of
business not properly presented, the maintenance of order and safety,
limitations on the time allotted to questions or comments on the affairs of the
Corporation, restrictions on entry to such meetings after the time prescribed
for commencement thereof, and opening and closing of the voting polls.

     2.12 Notice of Shareholder Business. At an annual or special meeting of the
shareholders, only such business shall be conducted as shall have been brought
before the meeting (a) by or at the direction of the Board of Directors or (b)
by any shareholder of the Corporation entitled to vote at such annual or special
meeting who complies with the notice procedures set forth in this Section 2.12.
For business to be properly brought before an annual or special meeting by a
shareholder, the shareholder must have given timely notice thereof in writing to
the Secretary of the Corporation. To be timely, a shareholder's notice must be
delivered to or mailed and received at the principal executive offices of the
Corporation, not less than thirty (30) days nor more than sixty (60) days prior
to the meeting; provided, however, that in the event that less than forty (40)
days' notice or prior public disclosure of the date of the meeting is given or
made to the shareholders, notice by the shareholder to be timely must be
received not later than the close of business on the tenth (10th) day following
the day on which such notice of the date of the annual or special meeting was
mailed or such public disclosure was made. Such shareholder's notice to the
Secretary shall set forth as to each matter the shareholder proposes to bring
before the annual or special meeting (a) a brief description of the business
desired to be brought before the annual or special meeting and the reasons for
conducting such business at the annual or special meeting; (b) the name and
address, as they appear on the Corporation's books, of such shareholder; (c) the
class and number of each class or series of the shares of the Corporation which
are beneficially owned by such shareholder; and (d) any material interest of
such shareholder in such business. Notwithstanding anything in these bylaws to
the contrary, no business shall be conducted at an annual or special meeting
except in accordance with the procedures set forth in this Section 2.12. The
chairman of a annual or special meeting shall, if the facts warrant, determine
that business was not properly brought before the meeting and in accordance with
the provisions of this Section 2.12, and if he should so determine, he shall so
declare to the meeting and any such business not properly brought before the
meeting shall not be transacted. Notwithstanding the foregoing provisions of
this Section 2.12, a shareholder seeking to have a proposal included in the
Corporation's proxy statement shall comply with the



                                        4

<PAGE>   5



requirements of Regulation 14A under the Securities Exchange Act of 1934, as
amended (including, but not limited to, Rule 14a-8 or its successor provision).

     (a) Action Without Meeting. Action required or permitted by the Act to be
taken at a shareholders' meeting may be taken without a meeting. If all
shareholders entitled to vote on the action consent to taking such action
without a meeting, the affirmative vote of the number of shares that would be
necessary to authorize or take such action at a meeting is the act of the
shareholders.

     The action must be evidenced by one (1) or more written consents describing
the action taken, at least one of which is signed by each shareholder entitled
to vote on the action in one (1) or more counterparts, indicating such signing
shareholder's vote or abstention on the action and delivered to the Corporation
for inclusion in the minutes or for filing with the corporate records.

     If the Act or the Charter requires that notice of a proposed action be
given to nonvoting shareholders and the action is to be taken by consent of the
voting shareholders, then the Corporation shall give its nonvoting shareholders
written notice of the proposed action at least ten (10) days before such action
is taken. Such notice shall contain or be accompanied by the same material that
would have been required to be sent to nonvoting shareholders in a notice of a
meeting at which the proposed action would have been submitted to the
shareholders for action.

     2.13 Notice of Shareholder Nominees. Only persons who are nominated in
accordance with the procedures set forth in these bylaws shall be eligible for
election as directors. Nominations of persons for election to the Board of
Directors of the Corporation may be made at a meeting of shareholders (a) by or
at the direction of the Board of Directors or (b) by any shareholder of the
Corporation entitled to vote for the election of directors at the meeting who
complies with the notice procedures set forth in this Section 2.13. Nominations
by shareholders shall be made pursuant to timely notice in writing to the
Secretary of the Corporation. To be timely, a shareholder's notice shall be
delivered to or mailed and received at the principal executive offices of the
Corporation not less than thirty (30) days nor more than sixty (60) days prior
to the meeting; provided, however, that in the event that less than forty (40)
days' notice or prior public disclosure of the date of the meeting is given or
made to shareholders, notice by the shareholder to be timely must be so received
not later than the close of business on the tenth (l0th) day following the day
on which such notice of the date of the meeting was mailed or such public
disclosure was made. Such shareholder's notice shall set forth (a) as to each
person whom the shareholder proposes to nominate for election or reelection as a
director, all information relating to such person that is required to be
disclosed in solicitations of proxies for election of directors, or is otherwise
required, in each case pursuant to Regulation 14A under the Securities Exchange
Act of 1934, as amended (including such person's written consent to being named
in the proxy statement as a nominee and to serving as a director if elected);
and (b) as to the shareholder giving-the notice (i) the name and address, as
they appear on the Corporation's books, of such shareholder and (ii) the class,
series and number of shares of the Corporation which are beneficially owned by
such shareholder. At the request of the Board of Directors, any person



                                        5

<PAGE>   6



nominated by the Board of Directors for election as a director shall furnish to
the Secretary of the Corporation that information required to be set forth in a
shareholder's notice of nomination which pertains to the nominee. No person
shall be eligible for election as a director of the Corporation unless nominated
in accordance with the procedures set forth in these bylaws. The chairman of the
meeting shall, if the facts warrant, determine that a nomination was not made in
accordance with the procedures prescribed by these bylaws, and if he should so
determine, he shall so declare to the meeting and the defective nomination shall
be disregarded.

     2.14 Presiding Officer and Secretary. Meetings of the shareholders shall be
presided over by the President, or if the President is not present, by a
chairman chosen by a majority of the shareholders entitled to vote at such
meeting. The Secretary or, in his absence, an Assistant Secretary shall act as
secretary of every meeting, but if neither the Secretary nor an Assistant
Secretary is present, a majority of the shareholders entitled to vote at such
meeting shall choose any person present to act as secretary of the meeting.


                              ARTICLE 3. DIRECTORS

     3.1 Powers of Directors. The business and affairs of the Corporation shall
be managed by its Board of Directors, which may exercise all powers of the
Corporation and do all lawful acts and things as are not by statute or by the
Articles of Incorporation or by these bylaws directed or required to be
exercised or done by the shareholders. The Board of Directors shall constitute
the governing body of the Corporation and shall be responsible to the
shareholders for setting policy, long range planning and providing oversight of
the management of the Corporation.

     3.2 Number and Qualification. The number of directors, which shall
constitute the Board of Directors, shall be not less than three or more than 11
as the Board shall from time to time determine; provided however, if all the
shares of the Corporation are owned of record by less than three shareholders,
the number of directors may be less than three, but not less than the number of
shareholders of record. No decrease shall have the effect of shortening the term
of any incumbent director.

     3.3 Election and Term. The directors shall be classified with respect to
the time for which they shall severally hold office by dividing them into three
(3) classes, Class I, Class II, and Class III, each consisting of approximately
one-third (1/3) of the whole number of the Board of Directors, and each director
of the Corporation shall hold office until his successor is elected and
qualified or until his death, resignation, or removal. Each class of directors
shall be as nearly equal in number of directors as possible and shall be
denominated in such manner as the Board of Directors may determine. The term of
office of those of Class I will expire at the first annual meeting of
shareholders following their election; of Class II one year thereafter; of Class
III two years thereafter; and at each annual election held after such
classification and election, the successors to the class of directors whose
terms shall expire that year shall be elected to hold office for a term of three
(3) years, so that the term of office for one class of directors shall expire



                                        6

<PAGE>   7



in each year. Directors need not be shareholders of the Corporation or residents
of the State of Tennessee.

     3.4 Filling Vacancies. Any vacancy occurring in the Board of Directors by
reason of death, resignation, or removal shall be filled by the affirmative vote
of a majority of the remaining directors entitled to vote although less than a
quorum of the Board of Directors. A director elected to fill a vacancy shall be
elected for the unexpired term of his predecessor in office. Any directorship to
be filled by reason of an increase in the number of directors may be filled by
election at a regular meeting or a special meeting of the Board of Directors
called for that purpose, or at an annual meeting or a special meeting of
shareholders called for that purpose.

     3.5 Resignation of Directors. Any director may resign from his office at
any time by delivering his written resignation to the Secretary, and such
resignation shall be effective immediately upon delivery to the Secretary.

     3.6 Removal of Directors. Any director may be removed from the Board of
Directors at any time for cause by the affirmative vote of the holders of a
majority of the outstanding shares of capital stock of the Corporation entitled
to be cast for the election of directors; provided, however, a director may be
removed "for cause" only upon a finding that (i) the director engaged in
fraudulent or dishonest conduct, or gross abuse of authority or discretion, with
respect to the Corporation, and (ii) removal is in the best interests of the
Corporation. Directors of the Corporation may be removed for any reason other
than cause only upon the affirmative vote of the holders of not less than
two-thirds (2/3) of the outstanding shares of capital stock of the Corporation
entitled to vote thereon.

     (a) Vacancies. Unless the Charter otherwise provides, if a vacancy occurs
on the Board of Directors, including a vacancy resulting from an increase in the
number of directors or a vacancy resulting from the removal of a director with
or without cause, either the shareholders or the Board of Directors may fill
such vacancy. If the directors remaining in office constitute fewer than a
quorum of the Board of Directors, they may fill such vacancy by the affirmative
vote of a majority of all the directors remaining in office. If the vacant
office was held by a director elected by a voting group of shareholders, only
the holders of shares of that voting group shall be entitled to vote to fill the
vacancy if it is filled by the shareholders.

     3.7 Place of Meetings. Regular or special meetings of the Board of
Directors may be held either within or without the State of Tennessee.

     3.8 Chairman of the Board. The Chairman of the Board of Directors, if one
be elected by the Board of Directors, shall preside at all meetings of the Board
of Directors and shall have such other powers and duties as may from time to
time be prescribed by the Board of Directors, upon written direction given to
such Chairman pursuant to resolution duly adopted by the Board of Directors.



                                        7

<PAGE>   8



     3.9 Regular Meetings. Regular meetings of the Board of Directors may be
held without notice at such time and place as shall from time to time be
determined by the Board of Directors. The Board shall meet at least annually. At
such meetings, the Board shall ensure that the officers or other management
personnel of the Corporation report on management's progress in carrying out the
policies of the Board and shall discuss management's recommendations for changes
in policy.

     3.10 Special Meetings. Special meetings of the Board of Directors may be
called by the Chairman of the Board of Directors, the Chief Executive Officer or
the President and shall be called by the Secretary on the written request of two
(2) directors. Notice of any special meeting of the Board of Directors shall be
given to each director at least three (3) days before the date of the meeting.

     3.11 Quorum of Directors. At all meetings of the Board of Directors, a
majority of the directors shall constitute a quorum for the transaction of
business and the act of a majority of the directors present at any meeting at
which there is a quorum shall be the act of the Board of Directors. If a quorum
shall not be present at any meeting of the directors, the directors present
thereat may adjourn the meeting from time to time, without notice other than
announcement at the meeting, until a quorum shall be present.

     3.12 Committees. The Board of Directors by resolution passed by a majority
of the entire Board of Directors, may from time to time designate members of the
Board of Directors to constitute committees, including an executive committee,
which shall in each case consist of such number of directors, not less than two
(2), and shall have and may exercise such powers as the Board of Directors may
determine and specify in the respective resolutions appointing them. A majority
of all the members of any such committee may determine its action and fix the
time and place of any meeting, unless the Board of Directors shall otherwise
direct. The Board of Directors shall have power at any time to change the number
and the members of any such committee, to fill vacancies and to discharge any
such committee.

     3.13 Action by Unanimous Written Consent. Any action required or permitted
to be taken at a meeting of the Board of Directors or any committee may be taken
without a meeting if a consent in writing, setting forth the actions so taken,
is signed by all the members of the Board of Directors or such committee, as the
case may be.

     3.14 Compensation of Directors. By resolution of the Board of Directors,
the directors may be paid their expenses, if any, for attending each meeting of
the Board of Directors and may be paid a fixed sum for attending each meeting of
the Board of Directors and may be paid a fixed sum for attending each meeting of
the Board of Directors or a stated salary for serving as a director. No such
payment shall preclude any director from serving the Corporation in any other
capacity and receiving compensation therefore. Members of the executive
committee or of special or standing committees may, by resolution of the Board
of Directors, be allowed like compensation for attending committee meetings.



                                        8

<PAGE>   9



     3.15. Minutes of Meetings. The Board of Directors shall keep regular
minutes of its proceedings and such minutes shall be placed in the minute book
of the Corporation. Committees of the Board of Directors shall maintain a
separate record of the minutes of their proceedings.


                        ARTICLE 4. NOTICES AND MEETINGS.

     4.1. Method of Giving Notice. Any notice to directors or shareholders shall
be in writing and shall be delivered personally or mailed to the directors or
shareholders at their respective addresses appearing on the books of the
Corporation. Notice by mail shall be deemed to be given at the time when the
same shall be deposited in the United States mail, postage paid.

     4.2. Waiver of Notice. Any notice required to be given may be subject to a
waiver thereof in writing signed by the person or persons entitled to receive
such notice, whether before or after the time stated therein, and such waiver
shall be deemed equivalent to the giving of such notice in a timely manner. Any
such signed waiver of notice, or a signed copy thereof, shall be placed in the
minute book of the Corporation. Attendance of such persons at any meeting shall
constitute a waiver of notice of such meetings, except where there persons
attend for the express purpose of objecting that the meeting is not lawfully
convened.

     4.3 Voting. If a quorum is present when a vote is taken, the affirmative
vote of a majority of directors present is the act of the Board of Directors,
unless the Charter or these Bylaws require the vote of a greater number of
directors. A director who is present at a meeting of the Board of Directors when
corporate action is taken is deemed to have assented to such action unless:

          (i) he objects at the beginning of the meeting (or promptly upon his
     arrival) to holding the meeting or transacting business at the meeting;

          (ii) his dissent or abstention from the action taken is entered in the
     minutes of the meeting; or

          (iii) he delivers written notice of his dissent or abstention to the
     presiding officer of the meeting before its adjournment or to the
     Corporation immediately after adjournment of the meeting. The right of
     dissent or abstention is not available to a director who votes in favor of
     the action taken.

     4.4. Telephone Meetings. Subject to the requirements of the Tennessee
Business Corporation Act, as amended, or these bylaws for notice, shareholders,
members of the Board of Directors, or members of any committee designated by
such Board of Directors, may participate in and hold a meeting of such
shareholders, Board of Directors, or committee by means of a conference
telephone or similar communications equipment by means of which all persons



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<PAGE>   10



participating in the meeting can hear each other, and participation in a meeting
pursuant to this Section 4.3 of Article 4 shall constitute presence in person at
such meeting.

     4.5. Place of Meetings. All meetings of the shareholders shall be held at
the registered office of the Corporation, or any other place within or without
this State, as may be designated for that purpose from time to time by the Board
of Directors.


                               ARTICLE 5. OFFICERS

     5.1. Qualifications. The officers of the Corporation need not be
shareholders of the Corporation or residents of the State of Tennessee. The
Board of Directors shall elect a President, a Treasurer and a Secretary and such
other officers, including a Chairman of the Board of Directors, and assistant
officers as the Board of Directors may deem desirable to have to conduct the
affairs of the Corporation. Any two (2) or more offices may be held by the same
person, except that the offices of President and Secretary may not be held by
the same person.

     5.2. Compensation of Officers. The salaries of all officers of the
Corporation shall be fixed by the Board of Directors. The Board of Directors
shall have the power to enter into contracts for the employment and compensation
of officers on such terms as the Board of Directors deems advisable. No officer
shall be disqualified from receiving a salary or other compensation by reason of
the fact that he is also a director of the Corporation.

     5.3. Term and Vacancies. The officers of the Corporation shall hold office
until their successors are elected or appointed and qualified, or until their
death, resignation, or removal from office. Any vacancy occurring in any office
of the Corporation by death, resignation, removal, or otherwise, may be filled
by the Board of Directors.

     5.4. Resignation and Removal of Officers. An officer may resign at any time
by delivering notice to the Corporation. Such resignation is effective when such
notice is delivered unless such notice specifies a later effective date. An
officer's resignation does not affect the Corporation's contract rights, if any,
with the officer. Any officer elected or appointed by the Board of Directors may
be removed at any time by the Board of Directors.

     5.5. General Authority of Officers. The Board of Directors, except as
otherwise provided in these bylaws, may authorize any officer to enter into any
contract or execute and deliver any instrument in the name of and on behalf of
the Corporation, and such authority may be general or confined to specific
instances. Unless so authorized, no officer, agent or employee shall have any
power or authority to bind the Corporation by any contract or engagement or to
pledge its credit or to render it liable pecuniarily for any purpose or in any
amount.

     5.6. Duties of President. The President shall have general and active
management control of the business and affairs of the Corporation and shall see
that all orders and resolutions



                                       10

<PAGE>   11



of the Board of Directors are carried into effect. The President shall call
regular and special meetings of the shareholders and directors in accordance
with law and these bylaws and shall preside at such meetings. The President
shall appoint, discharge and fix the compensation of officers, agents and
employees other than those appointed by the Board of Directors. The President
shall sign all certificates representing shares of stock in the Corporation. The
President shall perform such other duties as may be prescribed from time to time
by the Board of Directors.

     5.7. Duties of Vice President. The Vice Presidents, in the order of their
seniority, unless otherwise determined by the Board of Directors, shall, in the
absence or disability of the President, perform the duties and have the
authority and exercise the powers of the President. They shall perform such
other duties and have such other authority and powers as the Board of Directors
may from time to time prescribe, or as the President may from time to time
delegate.

     5.8. Duties of Secretary. The Secretary shall attend all meetings of the
Board of Directors and of the shareholders and record all business transacted at
such meetings in a minute book to be kept for that purpose and shall perform
like duties for the standing committee when required. The Secretary shall give,
or cause to be given, notice of all meetings of the shareholders and special
meetings of the Board of Directors, and shall perform such other duties as may
be prescribed by the Board of Directors, or President, under whose supervision
the Secretary shall be. The Secretary shall take and keep custody of the seal of
the Corporation and, when authorized by the Board of Directors, shall affix the
same to any instrument requiring it and, when so affixed, is shall be attested
by the signature of the Secretary or by the signature of an assistant Secretary
or of the Treasurer.

     5.9. Duties of Assistant Secretaries. The assistant secretaries, in the
order of their seniority, unless otherwise determined by the Board of Directors,
shall, in the absence or disability of the Secretary, perform the duties and
have the authority and exercise the powers of the Secretary. They shall perform
such other duties and have such other powers as the Board of Directors may from
time to time prescribe or as the President or Secretary from time to time may
delegate.

     5.10. Duties of the Treasurer. The Treasurer shall have the custody of the
Corporation's funds and securities, shall keep full and accurate accounts and
records of receipts, disbursements and other transactions in books belonging to
the Corporation and shall deposit all funds and other valuable effects in the
name and to the credit of the Corporation in such depositories as may be
designated by the Board of Directors. The Treasurer shall disburse funds of the
Corporation as may be ordered by the Board of Directors, taking proper vouchers
for such disbursements, and shall render to the President and the Board of
Directors at the regular meetings of the Board, or whenever they may require it,
an account of all the Treasurer's transactions as Treasurer and of the financial
conditions of the Corporation. The Treasurer shall perform such other duties and
have such other authority as the Board of Directors may from time to time
prescribe, or as the President may from time to time delegate.



                                       11

<PAGE>   12



     5.11. Duties of Assistant Treasurer. The assistant treasurers in the order
of their seniority, unless otherwise determined by the Board of Directors,
shall, in the absence or disability of the Treasurer, perform the duties and
have the authority and exercise the powers of the Treasurer. They shall perform
such other duties and have such other powers as the Board of Directors may from
time to time prescribe or as the President or Treasurer may from time to time
delegate.

     5.12. Execution of Instruments. All documents, instruments or writings of
any nature shall be signed, executed, verified, acknowledged and delivered by
such officer or officers or such agents of the Corporation and in such manner as
the Board of Directors from time to time may determine. All notes, drafts,
acceptances, checks, endorsements, and all evidence of indebtedness of the
Corporation whatsoever, shall be signed by such officers or officers or such
agent or agents of the Corporation and in such manner as the Board of Directors
from time to time may determine. Endorsements for deposit to the credit of the
Corporation in any of its duly authorized depositories shall be made in such
manner as the Board of Directors may from time to time determine.


                    ARTICLE 6. CERTIFICATES AND SHAREHOLDERS

     6.1. Forms of Certificates. Certificates shall be delivered representing
all shares of stock in the Corporation to which shareholders are entitled.
Certificates for shares of the stock of the Corporation shall be in such form as
shall be required by law and as shall be approved by the Board of Directors.
Every certificate for shares issued by the Corporation must be signed by the
Chairman of the Board of Directors or the President, or a Vice President, and
the Secretary, or an assistant Secretary. Such certificates shall bear a legend
or legends in the form and containing the restrictions required to be stated
thereon by the Tennessee Business Corporation Act, other provisions of law, the
Articles of Incorporation or these bylaws. Certificates shall be consecutively
numbered and shall be entered into the books of the Corporation as they are
issued. Each certificate shall state on the face thereof the holder's name, the
number of class of shares, the par value of such shares, and such other matters
as may be required by law, the Articles of Incorporation or these bylaws.

     6.2. Transfer of Shares. Shares of stock shall be transferable only on the
books of the Corporation by the holder thereof in person or by such holder's
duly authorized attorney. Upon surrender to the Corporation or its transfer
agent of a certificate representing shares properly endorsed or accompanied by
proper evidence of succession, assignment or authority to transfer, the
Corporation or its transfer agent shall issue a new certificate to the person
entitled thereto, cancel the old certificate and record the transaction upon its
books.

     6.3 Subscriptions for Shares. Subscriptions for shares of the Corporation
shall be valid only if they are in writing. Unless the subscription agreement
provides otherwise, subscriptions for shares, regardless of the time when they
are made, shall be paid in full at such time, or in such 



                                       12

<PAGE>   13


installments and at such periods, as shall be determined by the Board of
Directors. All calls for payment on subscriptions shall be uniform as to all
shares of the same class or of the same series, unless the subscription
agreement specifies otherwise.

     6.4. Record Ownership Conclusive. The Corporation shall be entitled to
treat the holder of any share or shares of stock in the Corporation as the
holder in fact thereof and, accordingly, shall not be bound to recognize any
equitable or other claim to or interest in such share or shares on the part of
any person, whether or not it has express or other notice thereof, except as
otherwise provided by law or by any stock purchase and redemption agreement to
which the stock may be subject, if such agreement has been formally executed or
accepted by the Corporation.

     6.5. Replacement of Certificates. No new certificates shall be issued until
the former certificates of the shares represented thereby shall have been
surrendered and canceled, except in the case of lost or destroyed certificates
for which the Board of Directors may order new certificates to be issued upon
such terms, conditions, and guarantees as the Board may see fit to impose,
including the filing of sufficient indemnity.


                           ARTICLE 7. OTHER PROVISIONS

     7.1. Dividends. Dividends may be declared by the Board of Directors at any
regular or special meeting and may be paid in cash, in property, or in shares of
the Corporation, subject to the provisions of the Certificate of Incorporation,
as amended, and to the laws of the State of Tennessee. The declaration and
payment of dividends shall be at the discretion of the Board of Directors.

     7.2. Records. The Corporation shall keep correct and complete books and
records of account and shall keep minutes of the proceedings of its shareholders
and Board of Directors, and shall keep at its registered office or principal
place of business, or at the office of its transfer agent or registrar, a record
of its shareholders, giving the name and addresses of all shareholders and the
number and class of the shares held by each.

     7.3. Fiscal Year. The fiscal year of the Corporation shall be fixed by
resolution of the Board of Directors.

     7.4. Seal. The Corporation's seal shall be in such form as may be
prescribed by the Board of Directors. The seal may be used by causing it or a
facsimile thereof to be impressed or affixed or in any manner reproduced.

     7.5 Contracts. Unless otherwise required by the Board of Directors, the
President or any Vice President shall execute contracts or other instruments on
behalf of and in the name of the Corporation. The Board of Directors may from
time to time authorize any other officer, assistant officer or agent to enter
into any contract or execute any instrument in the name of and



                                       13

<PAGE>   14



on behalf of the Corporation as it may deem appropriate, and such authority may
be general or confined to specific instances.

     7.6 Loans. No loans shall be contracted on behalf of the Corporation and no
evidence of indebtedness shall be issued in its name unless authorized by the
President or the Board of Directors. Such authority may be general or confined
to specific instances.

     7.7 Checks, Drafts, Etc. Unless otherwise required by the Board of
Directors, all checks, drafts, bills of exchange and other negotiable
instruments of the Corporation shall be signed by either the President, a Vice
President or such other officer, assistant officer or agent of the Corporation
as may be authorized so to do by the Board of Directors. Such authority may be
general or confined to specific business, and, if so directed by the Board, the
signatures of two or more such officers may be required.

     7.8 Deposits. All funds of the Company not otherwise employed shall be
deposited from time to time to the credit of the Corporation in such banks or
other depositories as the Board of Directors may authorize.

     7.9 Voting Securities Held by the Corporation. Unless otherwise required by
the Board of Directors, the President shall have full power and authority on
behalf of the Corporation to attend any meeting of security holders, or to take
action on written consent as a security holder, of other corporations in which
the Corporation may hold securities. In connection therewith the President shall
possess and may exercise any and all rights and powers incident to the ownership
of such securities which the Corporation possesses. The Board of Directors may,
from time to time, confer like powers upon any other person or persons.


                    ARTICLE 8. INDEMNIFICATION OF DIRECTORS,
                  OFFICERS AND OTHER AUTHORIZED REPRESENTATIVES

     8.1. Third Party Proceedings. The Corporation shall indemnify any person
who was or is a party or was or is threatened to be made a party to any
threatened, pending or completed action, suit or proceeding, whether civil,
criminal, administrative or investigative t other than an action by or in the
right of the Corporation) by reason of the fact that the person is or was a
director, officer, employee or agent (including without limitation members of
advisory boards of health care organizations and other facilities owned by the
Corporation and physicians serving on medical staff committees of such
healthcare organizations) of the Corporation, or is or was serving at the
request of the Corporation as a director, officer, employee or agent of another
corporation, partnership, joint venture, trust or other enterprise, or by reason
of any action alleged to have been taken or not taken by such person while
acting in any such capacity, against expenses (including attorneys' fees),
judgments, fines and amounts paid in settlement (whether with or without court
approval) actually and reasonably incurred by such person in connection with
such action, suit Or proceeding if he acted in good faith and in a manner the
person reasonably believed


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<PAGE>   15



to be in or not opposed to the best interests of the Corporation, and with
respect to any criminal action or proceeding, had no reasonable cause to believe
his conduct was unlawful. The termination of any action, suit or proceeding by
judgment, order, settlement, conviction, or upon a plea of nolo contendere or
its equivalent, shall not, of itself, create a presumption that the person did
not act in good faith and in a manner which he reasonably believed to be in or
not opposed to the best interests of the Corporation, and, with respect to any
criminal action or proceeding, had reasonable cause to believe that his conduct
was unlawful.

     8.2. Actions By or In the Right of the Corporation. The Corporation shall
indemnify any person who is or was a party or is or was threatened to be made a
party to any threatened, pending or completed action or suit by or in the right
of the Corporation to procure a judgment in its favor by reason of the fact that
such person is or was a director, officer, employee or agent (including without
limitation members of advisory boards of hospitals and other facilities owned by
the Corporation and physicians serving on medical staff committees of such
hospitals) of the Corporation, or is or was serving at the request of the
Corporation as a director, officer, employee or agent of another corporation,
partnership, joint venture, trust or other enterprise, or by reason of any
action alleged to have been taken or not taken by him while acting in any such
capacity, against expenses (including attorneys' fees) actually and reasonably
incurred by him in connection with the defense or settlement of such action or
suit if he acted in good faith and in a manner he reasonably believed to be in
or not opposed to the best interests of the Corporation. The termination of any
such threatened or actual action or suit by a settlement or by an adverse
judgment or order shall not of itself, create a presumption that the person did
not act in good faith and in a manner which he reasonably believed to be in, or
not opposed to, the best interests of the Corporation. Nevertheless, there shall
be no indemnification with respect to expenses incurred in connection with any
claim, issue or matter as to which such person shall have been adjudged to be
liable 'or negligence or misconduct in the performance of his duty to the
Corporation unless, and only to the extent that, the Court of Chancery or the
court in which such action or suit was brought shall determine upon application
that, despite the adjudication of liability but in view of all the circumstances
of the case, such person is fairly and reasonably entitled to indemnity for such
expenses which the Court of Chancery or such other court shall deem proper.

     8.3. Absolute Right. To the extent that a director, officer, employee or
agent of the Corporation, or a person serving in any other enterprises at the
request of the Corporation, shall have been successful on the merits or
otherwise in defending against any threatened or actual action, suit or
proceeding referred to in Section 8.1 hereof or any threatened or actual action
or suit referred to in Section 8.2 hereof, or in defense of any claim, issue-or
matter therein, he shall be indemnified against all expenses (including
attorneys' fees) actually and reasonably incurred by him in connection
therewith.

     8.4. Determination of Conduct. Any indemnification under Sections 8.1 or
8.2 hereof (unless ordered by a court), shall be made by the Corporation only as
authorized in the specific cases upon a determination that indemnification is
proper in the circumstances because the person claiming indemnification has met
the applicable standard of conduct set forth in such Sections.



                                       15

<PAGE>   16



Such determination shall be made (i) by the Board of Directors by a majority
vote of a quorum consisting of directors who were not parties to such action,
suit, or proceeding, or (ii) if such quorum is not obtainable, or even if
obtainable a quorum of disinterested directors so directs, by independent legal
counsel in a written opinion, or (iii) by the shareholders.

     8.5. Payment of Expenses in Advance.

          (1)  Expenses incurred in defending a civil or criminal action, suit
               or proceeding may be paid by the Corporation in advance of the
               final disposition of such action, suit or proceeding as
               authorized by the Board of Directors in the specific case upon
               receipt of an undertaking by or on behalf of a director, officer,
               employee or agent to repay such amount unless it shall ultimately
               be determined that he is entitled to be indemnified by the
               Corporation as authorized in this Article 8.

          (2)  Expenses actually and reasonably incurred in defending a third
               party or corporate proceeding shall be paid on behalf of an
               authorized representative other than a director by the
               Corporation in advance of the final disposition of such third
               party or corporate proceeding as authorized by the Board of
               Directors upon receipt of an undertaking by or on behalf of such
               authorized representative to repay if it shall ultimately be
               determined that such person is not entitled to be indemnified by
               the Corporation as authorized in this Article 8.

          (3)  The financial ability of any authorized representative to make a
               repayment contemplated by this Section shall not be a
               prerequisite to the making of an advance.

     8.6. Insurance. The Corporation shall have power to purchase and maintain
insurance on behalf of any person who is or was a director, officer, employee or
agent of the Corporation, or is or was serving at the request of the Corporation
as a director, officer, employee or agent of another corporation, partnership,
joint venture, trust or other enterprise against any liability asserted against
him and incurred by him in any such capacity, or arising out of his status as
such, whether or not the Corporation would have the power to indemnify him
against such liability under the provisions of this Article 8.

     8.7. Indemnity Not Exclusive. The indemnification provided hereunder shall
not be deemed exclusive of any other rights to which those seeking
indemnification may be entitled under any other bylaw, agreement, vote of
shareholders or disinterested directors or otherwise, both as to action in his
official capacity and as to action in another capacity while holding such
office, and shall continue as to a person who has ceased to be a director,
officer, employee or agent of the Corporation or engaged in any other enterprise
at the request of the Corporation and shall inure to the benefit of the heirs,
executors and administrators of such a person.



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<PAGE>   17



     8.8. Reliance on Provisions. Each person who shall act as an authorized
representative of the Corporation shall be deemed to be doing so in reliance
upon rights of indemnification provided by this Article 8.

     8.9. Definitions. For purposes of this Article:

          (1)  "authorized representative" shall mean a director or officer of
               the Corporation, or a person serving at the request of the
               Corporation as a director, officer, or trustee, of another
               corporation, partnership, joint venture, trust or other
               enterprise;

          (2)  "corporation" shall include, in addition to the resulting
               corporation, any constituent corporation (including any
               constituent of a constituent) absorbed in a consolidation or
               merger which, if its separate existence had continued, would have
               had power and authority to indemnify its directors, officers,
               employees or agents, so that any person who is or was a director,
               officer, employee or agent of such constituent corporation, or is
               or was serving at the request of such constituent corporation as
               a director, officer, employee or agent of another corporation,
               partnership, joint venture, trust or other enterprise, shall
               stand in the same position under the provisions of this Article 8
               with respect to the resulting or surviving corporation as such
               person would have with respect to such constituent corporation if
               its separate existence had continued;

          (3)  "corporate proceeding" shall mean any threatened, pending or
               completed action or suit by or in the right of the Corporation to
               procure a judgment in its favor or investigative proceeding by
               the Corporation;

          (4)  "criminal third party proceeding" shall include any action or
               investigation which could or does lead to a criminal third party
               proceeding;

          (5)  "expenses" shall include attorneys' fees and disbursements;

          (6)  "fines" shall include any excise taxes assessed on a person with
               respect to an employee benefit plan;

          (7)  "not opposed to the best interests of the Corporation" shall
               include actions taken in good faith and in a manner the
               authorized representative reasonably believed to be in the
               interest of the participants and beneficiaries of an employee
               benefit plan;

          (8)  "other enterprises" shall include employee benefit plans;



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<PAGE>   18



          (9)  "party" shall include the giving of testimony or similar
               involvement;

          (10) "serving at the request of the Corporation" shall include any
               service as a director, officer or employee of the Corporation
               which imposes duties on, or involves services by, such director,
               officer or employee with respect to an employee benefit plan, its
               participants, or beneficiaries; and

          (ll) "third party proceeding" shall mean any threatened, pending or
               completed action, suit or proceeding, whether civil, criminal,
               administrative, or investigative, other than an action by or in
               the right of the Corporation.


                      ARTICLE 9. AMENDMENT AND CONSTRUCTION

     9.1. Amendment. The power to alter, amend, or repeal these bylaws or adopt
new bylaws shall be vested in the Board of Directors. The shareholders may not
amend, delete or otherwise alter these bylaws except upon the affirmative vote
of the holders of not less than 75% of the outstanding capital stock of the
Corporation entitled to vote thereon.



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