BANQUE PARIBAS
SC 13D, 1998-07-10
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                                  ------------

                                  SCHEDULE 13D

                    Under the Securities Exchange Act Of 1934


                          BMJ Medical Management, Inc.
                                (Name of Issuer)


                    Common Stock, $0.001 par value per share
                         (Title of Class of Securities)

                                  055950 10 9
                                 (CUSIP Number)

 M. Steven Alexander                                 with copies to:
 Paribas                                             John M. Reiss, Esq.
 787 Seventh Avenue                                  White & Case LLP
 New York, NY  10019                                 1155 Avenue of the Americas
 212-841-2000                                        New York, NY 10036
                                                     212-819-8200

       (Name, Address and Telephone Number of Person Authorized to Receive
                          Notices and Communications)

                                  June 30, 1998
             (Date of Event which Requires Filing of this Statement)

If the filing person has previously  filed a statement on Schedule 13G to report
the  acquisition  which is the subject of this  Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box [  ].

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



<PAGE>


CUSIP No. 055950 10 9

- -------- -----------------------------------------------------------------------
1        NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

         Paribas                    I.R.S. Identification No. 132937443

- -------- -----------------------------------------------------------------------
      2         CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP        (a) [ ]

                                                                        (b) [X]
- -------- -----------------------------------------------------------------------
 3       SEC USE ONLY


- -------- -----------------------------------------------------------------------
 4       SOURCE OF FUNDS

         WC

- -------- -----------------------------------------------------------------------
 5       CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED          [  ]
         PURSUANT TO ITEMS 2(d) or 2(e)

- -------- -----------------------------------------------------------------------
 6       CITIZENSHIP OR PLACE OF ORGANIZATION

         Republic of France

- ----------------------------------- ------- ------------------------------------
NUMBER OF SHARES BENEFICIALLY        7      SOLE VOTING POWER
OWNED BY EACH REPORTING PERSON              340,000*
WITH                                        (see discussion in Items 4 & 5)

                                    ------- ------------------------------------
                                     8      SHARED VOTING POWER
                                            0
                                    ------- ------------------------------------
                                     9      SOLE DISPOSITIVE POWER
                                            340,000*  
                                            (see discussion in Items 4 & 5)
                                    ------- ------------------------------------
                                     10     SHARED DISPOSITIVE POWER
                                            0
- -------- -----------------------------------------------------------------------
 11      AGGREGATE AMOUNT  BENEFICIALLY  OWNED BY EACH REPORTING PERSON 
         340,000* (see discussion in Items 4 & 5)
- -------- -----------------------------------------------------------------------
12       CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
         CERTAIN SHARES                                                 [  ]
         

 ------- -----------------------------------------------------------------------
 13      PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)

         1.7% (see discussion in Items 4 & 5)
- -------- -----------------------------------------------------------------------
14       TYPE OF REPORTING PERSON

         BK
- -------- -----------------------------------------------------------------------

*    Paribas may be deemed to be the beneficial owner of the common stock of BMJ
     Medical  Management,  Inc. reported herein through its ownership of Paribas
     Principal Inc. Such shares of BMJ Medical Management, Inc. are not included
     above so as to avoid double counting.


<PAGE>




- -------- -----------------------------------------------------------------------
1        NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

         Paribas Principal Incorporated      I.R.S. Identification No. 133529118

- -------- -----------------------------------------------------------------------
 2             CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP        (a) [  ]

                                                                       (b) [X]
- -------- -----------------------------------------------------------------------
 3       SEC USE ONLY


- -------- -----------------------------------------------------------------------
 4       SOURCE OF FUNDS
         WC
- -------- -----------------------------------------------------------------------
 5       CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED          [  ]
         PURSUANT TO ITEMS 2(d) or 2(e)

- -------- -----------------------------------------------------------------------
 6       CITIZENSHIP OR PLACE OF ORGANIZATION

         State of New York

- ----------------------------------- ------- ------------------------------------
NUMBER OF SHARES BENEFICIALLY        7      SOLE VOTING POWER
OWNED BY EACH REPORTING PERSON              1,580,135 
WITH                                        (see discussion in Items 4 & 5)

                                    ------- ------------------------------------
                                     8      SHARED VOTING POWER
                                            0
                                    ------- ------------------------------------
                                     9      SOLE DISPOSITIVE POWER
                                            1,580,135 
                                            (see discussion In Items 4 & 5)
                                    ------- ------------------------------------
                                     10     SHARED DISPOSITIVE POWER
                                            0
- -------- -----------------------------------------------------------------------
 11      AGGREGATE AMOUNT  BENEFICIALLY OWNED BY EACH REPORTING PERSON 
         1,580,135 (see discussion in Items 4 & 5)
- -------- -----------------------------------------------------------------------
12       CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
         CERTAIN SHARES                                             [  ]
         
- -------- -----------------------------------------------------------------------
13       PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
         8.1%
- -------- -----------------------------------------------------------------------
14       TYPE OF REPORTING PERSON
         CO
- -------- -----------------------------------------------------------------------


<PAGE>


                                  SCHEDULE 13D

                          BMJ Medical Management, Inc.

Item 1.  Security and Issuer

          This statement on Schedule 13D relates to the common stock, $0.001 par
value per share  ("Common  Stock") of BMJ Medical  Management,  Inc., a Delaware
corporation  ("the  Company"),  the  principal  executive  offices  of which are
located at 4800 North Federal Highway, Suite 101-E, Boca Raton, Florida 33431.


Item 2.  Identity and Background

          This statement on Schedule 13D is being filed by (i) Paribas Principal
Incorporated  ("PPI"),  a  corporation  organized  under  New  York law and (ii)
Paribas,  a banking  organization  established under the laws of the Republic of
France  which  engages  in  activities  and  maintains  holdings  in a number of
jurisdictions.  PPI and Paribas are hereinafter sometimes  collectively referred
to as the "Reporting Persons."

          PPI is a wholly-owned  subsidiary of Paribas North America, Inc. which
in  turn is a  wholly-owned  subsidiary  of  Paribas.  PPI is a  Small  Business
Investment  Company ("SBIC") licensed by the U.S. Small Business  Administration
through which  Paribas holds  non-controlling  investments  in qualifying  small
businesses.  The  address of PPI's  principal  place of  business is 787 Seventh
Avenue, New York, New York 10019.

          Paribas  engages in banking  and  financial  services  world-wide.  In
addition,  Paribas holds operating subsidiaries that engage in a wide variety of
financial services,  manufacturing,  trading development and related activities.
The principal office address of Paribas is 3, rue d'Antin, 75002 Paris, France.

          The  attached  Schedule  I is a list  of the  executive  officers  and
directors of PPI and Paribas,  which  contains the  following  information  with
respect to each such person:  (i) name;  (ii)  business  address;  (iii) present
principal  occupation or employment and the name, principal business and address
of any corporation or other  organization in which such employment is conducted;
and (iv) place of citizenship.

          During the last five years,  neither PPI,  Paribas nor, to the best of
PPI's or  Paribas'  knowledge,  any person  named on  Schedule I hereto has been
convicted in a criminal  proceeding  (excluding  traffic  violations  or similar
misdemeanors)  or has  been a  party  to a civil  proceeding  of a  judicial  or
administrative  body of competent  jurisdiction as a result of which such person
was or is  subject  to a  judgment,  decree  or  final  order  enjoining  future
violations  of, or prohibiting  or mandating  activities  subject to, federal or
state securities laws or finding any violation with respect to such laws.


Item 3.  Source and Amount of Funds or Other Consideration

          Pursuant to a Credit  Agreement,  dated as of June 30, 1998, among the
Company,  Paribas (as agent) and various  financial  institutions  party thereto
(the "Credit Agreement"), Paribas and such other financial institutions provided
loans to the Company to effect,  in part,  certain  transactions.  In connection
therewith,  the Company,  issued to Paribas two common stock purchase  warrants,
dated June 30, 1998 (the "Paribas Warrants").  Pursuant to the Paribas Warrants,
certain  rights  were  granted to Paribas  relating  to the Common  Stock of the
Company  as  partial  consideration  to be paid in  connection  with the  Credit
Agreement.

          Pursuant to the Paribas Warrants,  the Company issued to Paribas (i) a
warrant to purchase 175,000 shares of Common Stock exercisable at any time on or
after the date thereof and prior to June 30, 2008 at an exercise price of $9.00,
and (ii) a warrant to purchase 165,000 shares of Common Stock exercisable at any
time on or after  the date  thereof  and prior to June 30,  2008 at an  exercise
price of $0.01.

          Pursuant to a Securities Purchase Agreement, dated as of June 30, 1998
(the "Securities  Purchase  Agreement") between the Company and PPI, the Company
sold to PPI for an aggregate consideration of $7,000,000 (i) 1,473,684 shares of
Series A Convertible  Preferred Stock (the "Preferred  Stock")  convertible into
Common  Stock at any time on or after  the  date of  issuance  thereof  with the
rights and  restrictions  set forth in the  Certificate of  Designation  for the
Preferred  Stock and (ii) certain  nominal  exercise price common stock purchase
Warrants (the "Initial  Warrants")  to purchase,  initially,  subject to certain
anti-dilution  provisions  set forth in the Warrant  Agreement (the "PPI Warrant
Agreement"),  dated as of June 30, 1998  between  the  Company and PPI,  106,451
shares of Common Stock.

          All cash payments  made or to be made in connection  with the purchase
of Initial  Warrants and the  Preferred  Stock have been and are (in the case of
the exercise price,  with respect to the Initial  Warrants)  expected to be from
working capital of Paribas or PPI, as the case may be.


Item 4.  Purpose of the Transaction

          The shares (or the rights to purchase shares pursuant to the Preferred
Stock, the Additional Preferred Stock and the Warrants),  the ownership of which
is reported hereby, were acquired for investment purposes. The Reporting Persons
reserve the right from time to time to acquire  additional shares, or to dispose
of some or all of their  shares.  The  Reporting  Persons  may from time to time
discuss with  management  of the Company  various ideas with a view to enhancing
the value of the shares.

          In  addition  to the  Preferred  Stock,  pursuant  to  the  Securities
Purchase  Agreement,  PPI  may,  subject  to the  provisions  of the  Securities
Purchase  Agreement and the Certificate of Designation for the Preferred  Stock,
acquire (i) $3,000,000 of shares of a new series of convertible  preferred stock
(the "Additional Preferred Stock") convertible into shares of Common Stock on or
before September 8, 1998, (ii) certain additional common stock purchase warrants
(the "Additional Warrants") on or before September 8, 1998, (iii) certain common
stock purchase warrants (the "Registration Warrants") for failure of the Company
to effect  certain  registration  rights and (iv) certain  common stock purchase
warrants for failure of the Company to achieve certain performance  targets. The
amount of all such  securities  which may be  purchased or received is dependent
upon  various  factors and cannot be  determined  at this time.  Pursuant to the
Certificate  of Designation  for the Preferred  Stock,  PPI may acquire  certain
common stock purchase warrants (the "Performance Warrants" and together with the
Additional   Warrants  and  Registration   Warrants,   the  "PPI  Warrants"  and
collectively  with the  Paribas  Warrants,  the  "Warrants")  for failure of the
Company  to  affect  a  redemption   of  the   Preferred   Stock  under  certain
circumstances.

          In  addition,  the Company  shall elect and  maintain an eight  member
Board of  Directors  of which  PPI has the  right to  elect  one  member  to the
Company's Board of Directors and a representative  ("Observer") or alternatively
two Observers.

          Except as described in this Item 4, none of the Reporting Persons nor,
to the best  knowledge of any of the Reporting  Persons,  any of the persons set
forth on Schedule I, has any current plans or proposals  that relate to or would
result in (a) the  acquisition  by any person of  additional  securities  of the
Company or the  disposition of securities of the Company;  (b) an  extraordinary
corporate  transaction,  such as a merger,  reorganization or liquidation of the
Company or any of its subsidiaries;  (c) a sale or transfer of a material amount
of assets  of the  Company  or any of its  subsidiaries;  (d) any  change in the
present board of directors or management of the Company,  including any plans or
proposals  to change the  number or term of  directors  or to fill any  existing
vacancies on the board; (e) any material change in the present capitalization or
dividend  policy of the Company;  (f) any other material change in the Company's
business or corporate structure;  (g) changes in the Company's charter,  by-laws
or  instruments  corresponding  thereto,  or other  actions which may impede the
acquisition  or  the  control  of the  Company  by any  person;  (h)  any of the
Company's  securities  being  delisted  from a national  securities  exchange or
ceasing to be authorized to be quoted in an inter-dealer  quotation  system of a
registered national securities exchange or association; (i) any of the Company's
securities becoming eligible for termination of registration pursuant to Section
12(g)(4) of the Securities  Exchange Act of 1934, as amended;  or (j) any action
similar to any of those enumerated above.


Item 5.  Interest in Securities of the Issuer

          (a) As of the date of this statement, Paribas' beneficial ownership of
340,000 shares of Common Stock constitutes  beneficial  ownership of 1.7% of the
total number of outstanding  Common Stock (all of which Paribas has the right to
acquire pursuant to the Paribas Warrants issued to it).

          PPI's beneficial ownership of 1,580,135 shares of Common Stock (all of
which PPI has the right to acquire  either  pursuant to the Initial  Warrants or
conversion of the Preferred Stock) constitutes  beneficial  ownership of 8.1% of
the total number of shares of outstanding Common Stock. Paribas may be deemed to
be the beneficial owner of the shares of Common Stock beneficially owned by PPI.

          (b)  Pursuant to the Initial  Warrants and  Preferred  Stock it holds,
which have  voting  rights  equal to the  number of shares of Common  Stock into
which each is convertible,  PPI has the sole power to vote or to direct the vote
of, and sole power to dispose or direct the disposition of,  1,580,135 shares of
Common Stock of the Company.

          (c) During the past sixty days,  neither PPI, Paribas nor, to the best
knowledge  of PPI or  Paribas,  any of the  persons set forth on Schedule I, has
effected any transactions in shares of Preferred or Common Stock except pursuant
to the Securities Purchase Agreement and the Warrant Purchase Agreement.

          (d) Not applicable.

          (e) Not applicable.


Item 6. Contracts, Arrangements, Understandings or Relationships with Respect to
        Securities of the Issuer

          Securities  Purchase  Agreement.  The Company and PPI entered into the
Securities Purchase Agreement, on June 30, 1998.

          Subject to the terms and conditions set forth therein, pursuant to the
Securities  Purchase  Agreement  (i)  the  Company  issued,  without  additional
consideration,  to PPI nominal  exercise price Warrants  exercisable for 106,451
shares of Common Stock of the Company, $0.001 par value, at an exercise price of
$0.01 per share and (ii) the Company sold, at $4.75 per share,  to PPI 1,473,684
shares of  Preferred  Stock,  $0.01 par value,  with each such  share  initially
convertible  into one share of Common Stock with a liquidation  preference equal
to $4.75 per share.

          PPI has customary  preemptive  rights with respect to all issuances of
Common  Stock and other  equity  securities  based on the  holdings of Preferred
Stock and Warrants  (each on an as converted  basis).  The foregoing  preemptive
rights  do not  apply to  issuances  of  securities  in the  ordinary  course of
business to  physicians in connection  with  entering  into  management  service
agreements  with physician  practices,  at no less than the fair market value at
such time.

          For so long as PPI holds  Preferred  Stock,  Warrants or Common  Stock
issuable  in respect  thereof,  PPI is entitled  to  comprehensive  information,
access and inspection rights.

          PPI is  entitled  to at least 1 board seat of an 8 member  board,  and
will retain such board representation so long as:

          (a) PPI continues to own at least 50% of the  investment  contemplated
     by the Securities Purchase Agreement (on an as converted basis),  either in
     the form of Preferred Stock, Warrants or Common Stock, or

          (b) PPI holds at least 5% of Common Stock, on a fully diluted basis.

          Pursuant to the Securities Purchase Agreement,  and for so long as PPI
holds  securities of the Company,  the Company is prohibited  from taking any of
the following actions without the prior
written approval of PPI:

          (a) Declare a  dividend,  distribution,  redemption  or make any other
     payment with respect to the equity of the Company  (other than with respect
     to the Preferred Stock).

          (b) Enter  into any line of  business  other  than the  management  of
     physician practices in the musculoskeletal services field;

          (c) Amend the  organizational  documents  of the Company in any manner
     which would be detrimental to PPI;

          (d) Enter into any transaction with affiliates  unless made on an arms
     length  basis (other than certain  material  transactions  set forth in the
     Securities  Purchase  Agreement and management  service  agreements entered
     into in the ordinary course of business and certain  transactions where the
     only affiliate is a subsidiary of the Company);

          (e) Voluntarily file for bankruptcy or commence any other liquidation,
     winding up or dissolution events;

          (f) Issue of any class of capital stock with rights to dividends or in
     liquidation  in parity  with,  or superior  to the rights of the  Preferred
     Stock or which  contains a conversion  price which is not fixed (other than
     the series B preferred stock); and

          (g) Allow any  subsidiary  of the  Company or  practice  with whom the
     Company has a management agreement,  to sell any financial interest in such
     person.

          PPI  has  certain  registration  rights  described  in the  Securities
Purchase  Agreement  (including  without  limitation  the right to  require  the
Company to effect a shelf registration  covering all of the securities  issuable
upon exercise or conversion  of the Preferred  Stock and the Initial  Warrants).
PPI is entitled to certain common stock  purchase  warrants if the Company fails
to cause a shelf  registration to become effective within 90 days of the date of
the Securities Purchase Agreement.

          Warrant  Agreement.  The  Company  and  PPI  entered  into  a  Warrant
Agreement, dated as of June 30, 1998.

          Subject  to  customary  put  rights  exceptions,  PPI has the right to
require  the  Company to  purchase  all or any part of the  Warrants at the fair
market value, upon the earliest to occur of the following events:

          (a) A change of control;

          (b) Any  merger  or  consolidation  of the  Company  resulting  in the
     transfer of beneficial ownership of 50% or more of the voting securities of
     the Company;

          (c) Any sale, lease or other  disposition of all or substantially  all
     of the  assets of the  Company  resulting  in the  transfer  of  beneficial
     ownership of 50% or more of the voting securities of the Company; and

          (d) The  occurrence  of the fifth  anniversary  of the Closing Date so
     long as the put does not violate the Credit Agreement.

          The  Warrants  have  certain  anti-dilution   protections  more  fully
described in the PPI Warrant Agreement. The PPI Warrants shall have the right to
vote (together as a single class with the Common Stock) and the right to receive
dividends  on an  as-converted  basis  each as more fully  described  in the PPI
Warrant Agreement.

          If the Company achieves certain performance  targets,  the Company has
the option to cancel up to 25% of the Warrants if,  within 12 months of the date
of the  acquisition,  the Company's  average  closing price for the Common Stock
exceeds a certain level set forth in the Warrant  Agreement over a period of not
less than thirty (30) consecutive  trading days (the "Cancellation  Period") and
the average daily trading volume exceeds 100,000 shares during such Cancellation
Agreement.

          Certificate  of  Designation.  The  Company  filed  a  Certificate  of
Designation with the Delaware Secretary of State on June 30, 1998.

          Pursuant to the  Certificate of Designation  for the Preferred  Stock,
PPI may  acquire  certain  common  stock  purchase  warrants  for failure of the
Company  to  affect  a  redemption   of  the   Preferred   Stock  under  certain
circumstances.

          Subject  to  customary  put  rights  exceptions,  PPI has the right to
require  the  Company to purchase  all or any part of the  Preferred  Stock at a
price  per  share  equal to the  Purchase  Price  plus all  accrued  and  unpaid
dividends, upon the earliest to occur of the following events:

          (a) A change of control;

          (b) Any  merger  or  consolidation  of the  Company  resulting  in the
     transfer of beneficial ownership of 50% or more of the voting securities of
     the Company;

          (c) Any sale, lease or other  disposition of all or substantially  all
     of the  assets of the  Company  resulting  in the  transfer  of  beneficial
     ownership of 50% or more of the voting securities of the Company; and

          (d) The  occurrence  of the fifth  anniversary  of the Closing Date so
     long as the put does not violate the Credit Agreement.

          The Company may repurchase any  outstanding  shares of Preferred Stock
upon written notice at any time following the earlier of (i) 6 years and 90 days
following  the  Closing  Date,  and (ii) the date on which the  market  value of
Common Stock of the Company  equals or exceeds  150% of the  purchase  price per
share of Preferred Stock.

          Common  Stock  Purchase  Warrants.  The Company  issued  Common  Stock
Purchase Warrants, dated as of June 30, 1998 to Paribas.

          Subject to the terms and  conditions  set forth  therein,  the Company
issued to Paribas (i) a Warrant  exercisable  for 175,000 shares of Common Stock
of the Company,  $0.001 par value per share,  at an exercise  price of $9.00 and
(ii) a Warrant  exercisable  for 165,000  shares of Common Stock of the Company,
$0.001 par value per share, at an exercise price of $0.01.  The Paribas Warrants
expire on the tenth anniversary of the date of issuance thereof.

          The  Warrants  have  certain  anti-dilution   protections  more  fully
described in the Paribas Warrants.

          Except as  described  in Item 4 above and in this Item 6, neither PPI,
Paribas  nor, to the best  knowledge of PPI or Paribas,  any of the  individuals
identified  in  Schedule  I has  any  contract,  arrangement,  understanding  or
relationship with any person with respect to any security of the Company.

          The  foregoing   description  of  each  of  the  Securities   Purchase
Agreement,  Warrant  Agreement,  Paribas Warrants and Certificate of Designation
for the Preferred  Stock is qualified on its entirety by the  provisions of each
such document, copies of which are attached hereto as exhibits.

Item 7.  Material to be filed as Exhibits

     1.   Joint Filing Agreement.

     2.   Securities Purchase Agreement,  dated as of June 30, 1998, between the
          Company and PPI.

     3.   Warrant Agreement,  dated as of June 30, 1998, between the Company and
          PPI.

     4.   Common Stock Purchase Warrant,  dated as of June 30, 1998, exercisable
          into 165,000 shares of Common Stock, between the Company and Paribas.

     5.   Common Stock Purchase Warrant,  dated as of June 30, 1998, exercisable
          into 175,000 shares of Common Stock, between the Company and Paribas.

     6.   Certificate of Designation, filed with the Delaware Secretary of State
          on June 29, 1998.

<PAGE>




                                    SIGNATURE


          After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated:  July ___, 1998




                                               PARIBAS



                                               By: /s/ M. Steven Alexander
                                                   -------------------------
                                                   Name:  M. Steven Alexander
                                                   Title: Managing Director

<PAGE>




                                    SIGNATURE


          After reasonable inquiry and to the best of my knowledge and belief, I
certify that the information  set forth in this statement is true,  complete and
correct.

Dated:  July ____, 1998




                                               PARIBAS PRINCIPAL INCORPORATED



                                               By: /s/ M. Steven Alexander
                                                   -------------------------
                                                   Name:  M. Steven Alexander
                                                   Title: President

<PAGE>

                                                                      SCHEDULE I

          The  following  tables  set  forth  for the  directors  and  executive
officers of PPI and Paribas (i) the name and  citizenship  of each such  person;
(ii) the present  principal  occupation or  employment of each such person;  and
(iii) the name,  principal  business and address of any business  corporation or
other organization in which such occupation or employment is conducted.

                                       A.
                     EXECUTIVE OFFICERS AND DIRECTORS OF PPI

<TABLE>
<CAPTION>

                                                               Present principal occupation or employment and
Name/Position                          Citizenship             name and business address of employer

<S>                                    <C>                     <C>                                    
M. Steven Alexander/                   United States           Managing Director of Paribas,
Director and President of                                      New York Branch
PPI                                                            787 Seventh Avenue
                                                               New York, New York 10019
                                                               
Philippe Blavier/                      United States and       Global Head of Corporate Banking of Paribas, 
Director of PPI                        French                  3 rue d'Antin 75002 Paris, France

Jeffrey Youle/                         United States           Managing Director of Paribas,
Director and Secretary of PPI                                  New York Branch
                                                               787 Seventh Avenue
                                                               New York, New York 10019
                                                               
Everett Schenk/                        United States           Managing Director of Paribas,
Director of PPI                                                New York Branch
                                                               787 Seventh Avenue
                                                               New York, New York  10019
                                                               
Herve Couffin/                         French                  Member of the Executive
Director of PPI                                                Committee of Paribas
                                                               Affaires Industrielles, 3 rue
                                                               d'Antin 75002 Paris, France

Gary Binning/                          United States           Managing Director of Paribas,
Director of PPI                                                New York Branch
                                                               787 Seventh Avenue
                                                               New York, New York 10019
                                                               
Stephen Eisenstein/                    United States           Managing Director of Paribas,
Director of PPI                                                New York Branch
                                                               787 Seventh Avenue
                                                               New York, New York 10019
                                                               
Donna Kiernan/                         United States           Chief Financial Officer of Paribas,
Chief Financial Officer of PPI                                 New York Branch
                                                               787 Seventh Avenue
                                                               New York, New York 10019
                                                               
</TABLE>




<PAGE>




                                       B.
                       EXECUTIVE OFFICERS AND DIRECTORS OF
                                     PARIBAS

          Except as  otherwise  noted,  the  address of each such person in this
Part C is 3, rue d'Antin, 75002 Paris, France.

<TABLE>
<CAPTION>


                                                                         Present Principal occupation or
                                                                         employment and name and business
Name/Position                                    Citizenship             address of employer

<S>                                             <C>                      <C>
Michel Francois-Poncet/                             French               President of Supervisory Board of PARIBAS
President of Supervisory Board                                           

Evan Baird/Member of Supervisory                United Kingdom           President
Board                                                                    SCHLUMBERGER
                                                                         42, rue Saint Dominique
                                                                         75007 Paris, France

Claude Bebear/Member of                             French               President
Supervisory Board                                                        AXA
                                                                         21/23, avenue de Matignon
                                                                         75008 Paris, France

Paul Desmarais/Member of Supervisory               Canadian              President
Board                                                                    Power Corporation of Canada
                                                                         751 Victoria Square
                                                                         Montreal, Quebec  Canada

Jean Gandois/Member of Supervisory                  French               President
Board                                                                    Cockerill Sambre
                                                                         4 Rue Quentin Bauchart
                                                                         75008 Paris, France

Antoine Jeancourt-Galignani/ Member                 French               President
of Supervisory Board                                                     ASSURANCES GENERALE
                                                                          DE FRANCE
                                                                         87, rue de Richelieu
                                                                         75002 Paris, France

Thierry Desmarest/Member of                         French               President
Supervisory Board                                                        COMPAGNIE FRANCAISE
                                                                          DES PETROLES TOTAL
                                                                         Tour Total
                                                                         24, Cours Michelet
                                                                         92080 Puteaux, France

Andre Levy-Lang/                                    French               President of Board of
President of Board of Management                                          Management of PARIBAS
                                                                         
Philippe Dulac/                                     French               Member of Board of
Member of Board of Management                                            Management of PARIBAS
                                                                         
Christian Manset/                                   French               Member of the Supervisory Board  of
Member of Supervisory Board                                              PARIBAS

Colette Neuville/Member of                          French               Representative of the Minority
Supervisory Board                                                        Shareholders Association
                                                                         4, rue Montescot
                                                                         28000 Chartres, France

Dennis Kessler/Member of Supervisory                French               Directeur General
Board                                                                    AXA
                                                                         21/23, Avenue de Matignon
                                                                         75008 Paris, France

Serge Tchuruk/Member of Supervisory                 French               Alcatel Alsthom
Board                                                                    33, rue Emeriau
                                                                         75015 Paris, France

Amaury-Daniel de Seze/                              French               Member of Board of
Member of Board of Management                                            Management of PARIBAS

Antonio Borges/                                   Portuguese             Dean of INSEAD Business School,
Member of the Supervisory Board                                          Boulvard de Constance
                                                                         77305 Fountainbleau Cedex

Philippe Degeilh/                                   French               Member of the Supervisory Board of
Member of the Supervisory Board                                          Paribas

Paul-Louis Halley/                                  French               Chairman
Member of the Supervisory Board                                          Promodes
                                                                         123 rue Jules Guesde
                                                                         12300 Levallois-Perret

Alexandre Lamfalussy/                              Belgian               President
Member of the Supervisory Board                                          Insitute of European Studies
                                                                         Place des Doyeus
                                                                         1348 Louvairre, Neuve
                                                                         Belgium

Jean Clamon/                                        French               Member of the Board of Management
Member of the Board of Management                                        of Paribas

Virin Moulin/                                       French               Member of the Supervisory Board of
Member of the Supervisory Board                                          Paribas

Pierre Nourrit/                                     French               Member of the Supervisory Board of
Member of the Supervisory Board                                          Paribas

Pierre Scohier/                                    Belgian               President
Member of the Supervisory Board                                          Compagnie Belge de                                         
                                                                         Particiaptions/Paribas
                                                                         World Trade Center  I, 162,
                                                                         Boulevard Emille Jacqmain,
                                                                         Boite postale 56 1210, Bruxelles

Dominique Hoenn/                                    French               Member of the Board of Management
Member of the Board of Management                                        of Paribas

Robert de Metz/                                     French               Member of the Board of Management
Member of the Board of Management                                        of Paribas

Bernard Muller/Member of the Board                  French               Member of the Board of Management
of Management                                                            of Paribas

</TABLE>



<PAGE>


                                  EXHIBIT INDEX


Exhibit No.                Description

     99.  Joint Filing Agreement

     4.1. Warrant Agreement,  dated as of June 30, 1998, between the Company and
          PPI.

     4.2. Certificate of  Designation  for the Preferred  Stock,  filed with the
          Delaware Secretary of State on June 29, 1998

     4.3. Securities Purchase Agreement,  dated as of June 30, 1998, between the
          Company and PPI.

     4.4. Common Stock Purchase Warrant,  dated as of June 30, 1998, exercisable
          into 165,000 shares of Common Stock, between the Company and Paribas.

     4.5. Common Stock Purchase Warrant,  dated as of June 30, 1998, exercisable
          into 175,000 shares of Common Stock, between the Company and Paribas.






                                    EXHIBIT 1

                             JOINT FILING AGREEMENT


          Pursuant to paragraph  (iii) of Rule  13d-1(f)(1)  promulgated  by the
Securities  and Exchange  Commission  (the  "Commission")  under the  Securities
Exchange Act of 1934, as amended, each of the undersigned hereby agrees that the
statement  on  Schedule  13D to which this  Agreement  shall be  attached  as an
exhibit, including all amendments thereto, shall be filed with the Commission on
behalf of each of the undersigned.


Dated:  July __, 1997


                                             PARIBAS



                                             By:  /s/  M. Steven Alexander
                                                  -----------------------------
                                                  Name:  M. Steven Alexander
                                                  Title:     Managing Director



                                             PARIBAS PRINCIPAL INCORPORATED INC.



                                             By:  /s/  M. Steven Alexander
                                                  -----------------------------
                                                  Name:  M. Steven Alexander
                                                  Title: President



                               WARRANT AGREEMENT


     THIS WARRANT AGREEMENT (this  "Agreement") is dated as of June 30, 1998 and
entered into by and between BMJ MEDICAL MANAGEMENT, INC., a Delaware corporation
(the  "Company")  and PARIBAS  PRINCIPAL  INCORPORATED,  a New York  corporation
(together with its successors and assignors, the "Purchaser").



                              W I T N E S S E T H:


     WHEREAS, the Company has agreed to issue to the Purchaser and the Purchaser
has agreed to purchase (i) on the date  hereof,  certain  common stock  purchase
warrants,   as  hereinafter  described  (the  "Initial  Warrants")  to  purchase
initially,  subject to the terms of Section 9 hereof,  106,451  shares of Common
Stock,  par value  $.001 per share,  of the  Company  ("Common  Stock") and (ii)
certain additional common stock purchase warrants, as hereinafter described (the
"Additional  Warrants",  and  together  with the Initial  Warrants and any other
common stock purchase  warrants  issued  pursuant to the terms of the Securities
Purchase  Agreement  (as  defined  below)  or  pursuant  to the  certificate  of
designation  governing the Series A Preferred Stock,  the  "Warrants"),  in each
case, pursuant to that certain securities  purchase agreement,  dated as of even
date  herewith,  by and between the Purchaser  and the Company (the  "Securities
Purchase Agreement");

     NOW, THEREFORE,  in consideration of the premises and the mutual agreements
herein set forth, the parties hereto agree as follows:

                                   SECTION 1.
                                  DEFINED TERMS

     (a) The following terms when used in this Agreement, including its preamble
and recitals, shall have the following meanings:

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

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

     "Additional  Shares" means any shares of Common Stock (including any shares
of Common Stock issued upon the  conversion of Series B Preferred  Stock) issued
after the date hereof  except (i) Common  Stock  issued upon the exercise of any
Warrant, (ii) securities issued upon the direct or indirect conversion, exchange
or exercise of any  securities  issued by the Company on or prior to the Closing
Date and set forth on Schedule I to this  Agreement,  (iii) up to 100,000 shares
of Common Stock issued upon the exercise of  non-qualified  stock options issued
to employees,  directors and  independent  contractors of the Company and/or its
Subsidiaries,  (iv) up to 200,000  shares of Common Stock  issued to  physicians
with whose practice the Company is affiliated  pursuant to commitments  existing
on the Closing Date and  described on Schedule II to this  Agreement,  (v) up to
291,461  shares of Common Stock issued upon the exercise of options issued after
the Closing Date  pursuant to the  Company's  1996  Amended and  Restated  Stock
Option Plan,  as in effect on the date hereof,  but only so long as the exercise
price of such  options  (1) is fixed and (2) equals or exceeds  the fair  market
value of a share of Common Stock  (determined as of the date of issuance of such
options),  (vi)  shares of  Common  Stock  issued  upon  conversion  of Series A
Preferred  Stock,  (vii)  shares of  Common  Stock  issued  upon  conversion  of
preferred  stock of the Company issued in connection with the Second Closing and
(viii) Equity Securities issued pursuant to Section 10 of this Agreement.

     "Additional  Warrants"  shall have the meaning  provided in the recitals of
this Agreement.

     "Adjustment Price" shall have the meaning provided in Section 9(b).

     "Affiliate" shall mean, as applied to any Person, any other Person directly
or  indirectly  controlling  (including,  but not limited to, all  directors and
officers of such  Person),  controlled  by, or under  direct or indirect  common
control with, such Person and shall include, for purposes of determining whether
a Person is an Affiliate of the Company,  any Person that directly or indirectly
owns more than 5% of any class of the  capital  stock of such  Person.  A Person
shall be deemed to "control" another Person if such Person  possesses,  directly
or indirectly,  the power to direct or cause the direction of the management and
policies  of  such  other  Person,  whether  through  the  ownership  of  voting
securities, by contract or otherwise.

     "Agreement"  shall  have  the  meaning  provided  in the  preamble  of this
Agreement.

     "Applicable Law" shall mean all provisions of laws,  statutes,  ordinances,
rules,  regulations,  permits  or  certificates  of any  Governmental  Authority
applicable to such Person or any of its assets or property,  and all  judgments,
injunctions,  orders and  decrees of all  courts,  arbitrators  or  Governmental
Authorities  in  proceedings  or actions  in which such  Person is a party or by
which any of its assets or properties are bound.

     "Base Purchase Price" shall mean $4.43.

     "Business Day" shall mean any day except Saturday, Sunday and any day which
in New York shall be a legal holiday or a day on which banking  institutions are
authorized or required by law or other government action to close.

     "Cancellation Period" shall have the meaning provided in Section 9(o).

     "Certificate"   shall  mean  the  Amended  and  Restated   Certificate   of
Incorporation  of the Company,  as amended  through the date hereof  (including,
without limitation, by the filing of any certificate of designation).

     "Change  of  Control"  shall  mean  the  occurrence  of one or  more of the
following:  (i) any  Person,  entity or "group"  (within  the meaning of Section
13(d) and 14(d) of the Securities Exchange Act of 1934, as amended) shall become
the  "beneficial  owner"  (as  defined  in Rules  13(d)  and  13(d)-5  under the
Securities Exchange Act, as amended except that a Person shall be deemed to have
"beneficial  ownership"  of all  securities  that such  Person  has the right to
acquire, whether such right is exercisable immediately or only after the passage
of time) of shares of any outstanding  class of capital stock of the Company and
as a result,  such  Person,  entity or "group"  has 50% or more of the  ordinary
voting  power in the  election of the Board of  Directors of the Company or (ii)
the Board of  Directors  of the Company  shall cease to consist of a majority of
Continuing Directors.

     "Closing Date" shall mean the initial date of issuance of Initial  Warrants
under this Agreement.

     "Commission" shall mean the Securities and Exchange Commission or any other
federal agency at the time administering the 1933 Act.

     "Common  Stock"  shall have the meaning  provided  in the  recitals of this
Agreement.

     "Common  Stock Per Share Market  Value" means the price per share of Common
Stock  obtained by dividing  (A) the Market Value by (B) the number of shares of
Common  Stock   outstanding   (on  a   Fully-Diluted   Basis)  at  the  time  of
determination.

     "Company"  shall  have  the  meaning  provided  in  the  preamble  of  this
Agreement.

     "Continuing  Directors"  shall  mean,  with  respect  to the  Company,  the
directors  of the Company on the Closing Date and each other  director,  if such
other  director's  nomination  for  election  to the Board of  Directors  of the
Company is recommended by a majority of the then Continuing Directors.

     "Credit  Agreement" shall mean the Credit  Agreement,  dated as of June 30,
1998,  among the Corporation,  the Lenders (as therein defined) and Paribas,  as
agent, as amended, amended and restated, supplemented, restructured or otherwise
modified  from time to time (in whole or in part and  without  limitation  as to
terms,  conditions  or  covenants  and without  regard to the  principal  amount
thereof)  and in effect,  including  all related  notes,  collateral  documents,
guaranties, instruments and agreements entered into in connection therewith, and
any successive restructurings,  renewals, extensions, refundings or refinancings
thereof.

     "Equity  Securities" shall mean all shares of capital stock of the Company,
all securities  convertible  into or exchangeable for shares of capital stock of
the  Company,  and all  options,  warrants,  and  other  rights to  purchase  or
otherwise  acquire from the Company shares of such capital stock,  or securities
convertible into or exchangeable for shares of such capital stock.

     "Equivalent  Nonvoting Security" means, with respect to any security issued
or to be issued by any Person,  a security of such Person that is  identical  in
rights and benefits to such security,  except that (a) the  equivalent  security
shall  not be  entitled  to  vote on any  matter  on  which  holders  of  voting
securities  of such  Person are  entitled  to vote,  other than as  required  by
Applicable  Law or with respect to any  amendment or repeal of any  provision of
the Organizational Documents of such Person or any other agreement or instrument
pursuant  to  which  the   equivalent   security  was  issued  which   provision
specifically  affects such equivalent  security,  (b) subject to such reasonable
restrictions  as any  affected  Regulated  Holder  may  request  (including  any
restriction  necessary to prevent the violation by such Regulated  Holder of any
provision of Applicable Law with respect to its ownership of voting securities),
the equivalent  security  shall be  convertible  in a one-to-one  ratio into the
first security and (c) the terms of the  equivalent  security shall include such
provisions  requested by any affected  Regulated  Holder as are  reasonable  and
equitable to ensure that (i) the  equivalent  security is treated  comparably to
the first  security  with respect to  dividends,  distributions,  stock  splits,
reclassifications,  capital reorganizations,  mergers,  consolidations and other
similar events and  transactions,  (ii) the conversion  right provided in clause
(b) above is equitably  protected and (iii) the  acquisition  of the  equivalent
security will not cause such Regulated Holder to violate Applicable Law.

     "Exercise Price" shall have the meaning provided in Section 5.

     "Expiration Date" shall have the meaning provided in Section 5.

     "Fully  Diluted  Basis" means,  as applied to the  calculation of the total
number of shares of Common Stock outstanding at any time, after giving effect to
(a) all shares of Common Stock  outstanding  at the time of  determination,  (b)
without  duplication,  all shares of Common Stock  issuable  upon the  exercise,
exchange or  conversion  of Equity  Securities  to purchase or  exchangeable  or
convertible into Common Stock which are outstanding at the time of determination
(it being agreed that for purposes of determining the number of shares of Common
Stock issuable upon the exercise of any shares of Series B Preferred Stock, such
number  shall be (A) from the date  hereof  until  such  time as such  shares of
Series B Preferred  Stock are no longer  subject to  "Optional  Conversion"  (as
defined in the  certificate of  designation  governing the terms of the Series B
Preferred  Stock),  the  higher  of (x) the  number of  shares  issuable  upon a
conversion  of such shares of Series B  Preferred  Stock at a  conversion  price
equal to the product of 1.25 and the "Market Price" (as defined in clause (b) of
the  definition of "Market  Price"  appearing in the  certificate of designation
governing the terms of the Series B Preferred  Stock and  determined at the time
of the  original  issuance  of the  shares of  Series B  Preferred  Stock  being
converted)  and (y) the  number of shares  issuable  upon a  conversion  of such
shares of Series B Preferred  Stock at a  conversion  price equal to the "Market
Price" (as defined in clause (a) of the definition of "Market  Price"  appearing
in the certificate of designation  governing the terms of the Series B Preferred
Stock but determined at the time of such  determination  of the number of shares
of Common Stock  outstanding on a "Fully-Diluted  Basis") or (B) after such time
as such shares of Series B Preferred  Stock are no longer  subject to  "Optional
Conversion" (as defined in the certificate of designation governing the terms of
the Series B Preferred  Stock),  the number of shares issuable upon a conversion
of such shares at the "Market Price" (as defined in clause (b) of the definition
of "Market Price"  appearing in the  certificate  of  designation  governing the
terms  of the  Series  B  Preferred  Stock  but  determined  at the time of such
determination  of  the  number  of  shares  of  Common  Stock  outstanding  on a
"Fully-Diluted  Basis")  and (c) all shares of Common  Stock  which the  Company
could  otherwise be required to issue in accordance  with agreements in place at
the time of determination.

     "Governmental  Authority"  means any  federal,  state,  municipal  or other
governmental department,  commission,  board, bureau, agency or instrumentality,
or any court, in each case whether of the United States of America or foreign.

     "Holder"  means the  Purchaser (so long as it holds any Warrants or Warrant
Shares)  and any other  registered  holder  of any of the  Warrants  or  Warrant
Shares.

     "Independent  Financial  Expert" means a nationally  recognized  investment
banking firm (a) that does not (and whose  directors,  officers,  employees  and
Affiliates do not) have a direct or indirect material  financial interest in the
Company,  (b) that has not been,  and, at the time it is called upon to serve as
an Independent  Financial  Expert under this Agreement is not (and none of whose
directors, officers, employees or Affiliates is) a promoter, director or officer
of the Company, (c) that has not been retained during the preceding two years by
the Company for any purpose,  and (d) that is otherwise qualified to serve as an
independent   financial   advisor.   Any  such  Person  may  receive   customary
compensation  and  indemnification  by the Company  for  opinions or services it
provides as an Independent Financial Expert.

     "Initial  Warrants" shall have the meaning provided in the recitals of this
Agreement.

     "Market  Price"  means,  with  respect  to a share of  Common  Stock on any
Business Day:

          (a)  if  the  Common   Stock  is  Publicly   Traded  at  the  time  of
     determination,  the average of the closing prices on such day of the Common
     Stock on all  domestic  securities  exchanges  on which the Common Stock is
     then listed,  or, if there have been no sales on any such  exchange on such
     day,  the average of the highest  bid and lowest  asked  prices on all such
     exchanges at the end of such day or, if on any such day the Common Stock is
     not so listed,  the average  closing  price quoted on NASDAQ as reported in
     the Wall Street  Journal,  or if on any day such  security is not quoted on
     NASDAQ,  the average of the highest bid and lowest asked prices on such day
     in the  domestic  over-the-counter  market  as  reported  by  the  National
     Quotation Bureau, Incorporated,  or any similar successor organization,  in
     each such case averaged over a period of 20 trading days  consisting of the
     day as of  which  "Market  Price"  is  being  determined  and the  nineteen
     consecutive trading days prior to such day; or

          (b) if the  Common  Stock  is  not  Publicly  Traded  at the  time  of
     determination, the Common Stock Per Share Market Value;

provided, however, that if Market Price is being determined in connection with a
Mandatory Conversion (as defined in the certificate of designation governing the
terms of the Series B Preferred  Stock) of Series B Preferred  Stock into Common
Stock and the  Market  Value of a share of Common  Stock is lower on the date of
such  conversion  than it was on the date of  original  issuance of the Series B
Preferred  Stock being  converted,  then Market  Price  shall be  determined  by
reference  to the  Market  Price at the time of the  original  issuance  of such
shares of Series B Preferred Stock; provided,  further, however, for purposes of
Section  9(b),  if  Market  Value  is being  determined  in  connection  with an
"Optional Conversion" (as defined in the Series B Certificate of Designation) of
Series B Preferred  Stock into Common Stock,  Market Value shall be equal to the
product of 1.25 and the "Market  Price" (as defined in the Series B  Certificate
of  Designation  and  determined as of the date of the original  issuance of the
Series B Preferred Stock being converted).

     "Market  Value"  means the highest  price that would be paid for the entire
common  equity  of the  Company  on a  going-concern  basis  in an  arm's-length
transaction  between a willing buyer and a willing seller  (neither acting under
compulsion),  using  valuation  techniques  then  prevailing  in the  securities
industry  (but  without  giving  effect to any discount in respect of a minority
interest and giving effect to any value  attributed to the rights of the Holders
to receive  dividends  and  distributions  as provided in Section 10 hereof) and
determined  in  accordance  with the  Valuation  Procedure,  and  assuming  full
disclosure and understanding of all relevant information and a reasonable period
of time for  effectuating  such sale. For the purposes of determining the Market
Value,  (a) the  exercise  price of options or warrants to acquire  Common Stock
which are  deemed to have been  exercised  for the  purpose of  determining  the
number of shares of Common Stock outstanding on a Fully-Diluted  Basis, shall be
deemed to have been received by the Company,  (b)(i) the liquidation  preference
or indebtedness,  as the case may be, represented by securities which are deemed
exercised for or converted into Common Stock for the purpose of determining  the
number of shares of Common Stock  outstanding on a Fully-Diluted  Basis and (ii)
any contractual  limitation in respect of the shares of Common Stock relating to
voting rights, shall be deemed to have been eliminated or canceled .

     "NASDAQ"  means the  National  Association  of  Securities  Dealers,  Inc.,
Automated Quotation System.

     "Organizational   Documents"  means,  with  respect  to  any  Person,  each
instrument  or other  document  that (a) defines the  existence  of such Person,
including its articles or  certificate  of  incorporation,  as filed or recorded
with an applicable Governmental Authority or (b) governs the internal affairs of
such Person,  including  its bylaws,  in each case as amended,  supplemented  or
restated.

     "Permitted  Transferee"  shall  mean any  Affiliate  of any  Holder  or any
officer, director or employee of any Holder.

     "Person" or "Persons"  means and includes  natural  persons,  corporations,
limited  partnerships,   general  partnerships,  joint  stock  companies,  joint
ventures, associations,  companies, trusts, banks, trust companies, land trusts,
business  trusts or other  organizations,  whether  or not legal  entities,  and
governments and agencies and political subdivisions thereof.

     "Publicly Traded" means,  with respect to any security,  that such security
is (a) listed on a  domestic  securities  exchange,  (b) quoted on NASDAQ or (c)
traded in the domestic over-the-counter market, which trades are reported by the
National Quotation Bureau, Incorporated.

     "Purchaser"  shall  have  the  meaning  provided  in the  preamble  of this
Agreement.

     "Put  Effective  Date" shall mean the  earliest to occur of (x) a Change of
Control,  (y) the date on which the Company  consolidates with or merges with or
into another Person or sells, assigns, conveys,  transfers,  leases or otherwise
disposes  of  substantially  all  of its  assets  to any  Person  or any  Person
consolidates  with or  merges  with or into,  the  Company,  in any  such  event
pursuant to a transaction in which the outstanding  voting equity  securities of
the  Company are  converted  into or  exchanged  for cash,  securities  or other
property  other  than  any such  transaction  in which  immediately  after  such
transaction no "person" or "group" (as such terms are used in Sections 13(d) and
14(d) of the  Securities  Exchange  Act of 1934) is the  "beneficial  owner" (as
defined in Rules 13(d) and 13(d)-5 under the Exchange Act,  except that a person
shall be deemed  to have  "beneficial  ownership"  of all  securities  that such
person has the right to acquire,  whether such right is exercised immediately or
only after the passage of time),  directly or indirectly of more than 50% of the
total voting securities of the surviving or transferee corporation or its parent
corporation and (z) the occurrence of the fifth anniversary of the Closing Date.

     "Put Notice" shall have the meaning provided in Section 11.1.

     "Put Option Purchase Price" shall mean, with respect to the exercise of any
option  to sell any  Warrants  or  Warrant  Shares  pursuant  to any Put  Notice
delivered  under  Section 11 hereof by any Holder of Warrants or Warrant  Shares
the fair market value of a share of Common Stock  (determined  by an independent
financial  appraiser chosen by the Requisite Holders and retained pursuant to an
agreement  acceptable  to the Company and the  Requisite  Holders) as of the Put
Repurchase Date, multiplied by the number of Warrants and Warrant Shares subject
to the Put  Notice,  and in the case of  Warrants  subject  to such Put  Notice,
multiplied  by the  Warrant  Number in effect on the date of delivery of the Put
Notice.

     "Put  Repurchase  Date" shall mean, with respect to the exercise of any put
option  pursuant  to  Section 11 of this  Agreement,  a date  designated  by the
Company which is not more than ninety (90) days after the date of receipt by the
Company of the Put Notice relating to the exercise of such put option.

     "Regulated Holder" shall have the meaning provided in Section 8.

     "Regulation Y" shall have the meaning provided in Section 8.

     "Reorganization" shall have the meaning provided in Section 9(g).

     "Requisite  Holders" means Holders  holding  Warrants and/or Warrant Shares
representing  at least a majority of all Warrant  Shares issued or issuable upon
exercise of Warrants outstanding on the date of determination.

     "Second  Closing  Date" shall have the meaning  provided in the  Securities
Purchase Agreement.

     "Securities  Purchase  Agreement"  shall have the  meaning  provided in the
recitals of this Agreement.

     "Series A Preferred  Stock" shall mean the Series A  Convertible  Preferred
Stock of the Company, par value $.01 per share.

     "Series B Preferred  Stock" shall mean the Series B  Convertible  Preferred
Stock of the Company, par value $.01 per share.

     "Series  B  Certificate  of  Designation"  shall  mean the  certificate  of
designation creating and governing the Series B Preferred Stock.

     "Valuation  Procedure"  means,  with  respect to the  determination  of any
amount or value required to be determined in accordance with such  procedure,  a
determination  (which shall be final and binding on the Company and the Holders)
made (i) by agreement among the Company and the Requisite Holders within 20 days
following the event requiring such  determination or (ii) in the absence of such
an agreement, by an Independent Financial Expert selected in accordance with the
further  provisions of this definition.  If required,  an Independent  Financial
Expert shall be selected within five days following the expiration of the 20-day
period  referred  to  above,  either by  agreement  among  the  Company  and the
Requisite  Holders or, in the absence of such  agreement,  by lot from a list of
four  potential  Independent  Financial  Experts  remaining  after  the  Company
nominates three, the Requisite  Holders nominate three, and each side eliminates
one potential  Independent  Financial Expert.  The Independent  Financial Expert
shall  be  instructed  by the  Company  and the  Requisite  Holders  to make its
determination  within  20 days of its  selection.  The fees and  expenses  of an
Independent Financial Expert selected hereunder shall be paid by the Company.

     "Warrant Certificates" shall have the meaning provided in Section 2.

     "Warrant Documents" means this Agreement,  the Warrant Certificates and the
Securities Purchase Agreement.

     "Warrant Number" shall have the meaning provided in Section 9.

     "Warrant  Shares"  means (a) the shares of Common  Stock issued or issuable
upon  exercise of a Warrant in  accordance  with Section 5 or upon exchange of a
Warrant in accordance with Section 5, (b) all other securities or other property
issued or issuable upon any such  exercise or exchange in  accordance  with this
Agreement and (c) any securities of the Company  distributed with respect to, or
issued upon the  conversion  of, the  securities  referred  to in the  preceding
clauses  (a) and (b).  As to any  particular  Warrant  Shares,  once issued such
securities  shall cease to be Warrant Shares when (A) a  registration  statement
with respect to the sale of such  securities  shall have become  effective under
the 1933 Act and such securities  shall have been disposed of in accordance with
such  registration  statement,  or (B) such  securities  shall have been sold in
accordance with Rule 144 (or any successor provision) under the 1933 Act.

     "Warrants"  shall  have  the  meaning  provided  in the  recitals  of  this
Agreement.


                                   SECTION 2.
                              WARRANT CERTIFICATES

     Concurrently  with the  execution  and delivery of this  Agreement  and the
Securities Purchase Agreement,  and upon the issuance of any additional Warrants
pursuant to the Securities  Purchase  Agreement or upon the transfer or exercise
of  all  or a  portion  of  the  Warrants  represented  by an  existing  Warrant
Certificate,  the Company will issue and deliver  certificates  evidencing  such
Warrants (the "Warrant Certificates") which certificates shall be in the form of
Exhibit A hereto.  Warrant  Certificates  shall be dated the date of issuance by
the Company.  The Warrant  Certificates may have such letters,  numbers or other
marks of identification or designation as may be required to comply with any law
or  rule  or  regulation  of  any  governmental  authority,  stock  exchange  or
self-regulatory organization.


                                   SECTION 3.
                       EXECUTION OF WARRANT CERTIFICATES;
                    MUTILATED OR MISSING WARRANT CERTIFICATES

     Warrant  Certificates  shall be  signed on  behalf  of the  Company  by its
Chairman of the Board or its President or a Vice President of the Company.  Each
Warrant  Certificate  shall also be manually  signed on behalf of the Company by
its Secretary or an Assistant Secretary of the Company.

     In case any of the Warrant Certificates shall be mutilated, lost, stolen or
destroyed,  the Company  shall,  upon  request of the Holder of any such Warrant
Certificate,  issue, in exchange and substitution  for and upon  cancellation of
the  mutilated  Warrant  Certificate,  or in  lieu of and  substitution  for the
Warrant Certificate lost, stolen or destroyed, a new Warrant Certificate of like
tenor and representing an equivalent  number of Warrants,  but only upon receipt
of  evidence  reasonably  satisfactory  to the  Company of such  loss,  theft or
destruction  of such Warrant  Certificate  and  indemnity,  if  requested,  also
reasonably satisfactory to the Company.


                                   SECTION 4.
                   REGISTRATION/RESERVATION OF WARRANT SHARES

     The  Company  shall  number and  register  the  Warrant  Certificates  in a
register  as they are  issued.  The  Company  may deem and treat the  registered
Holders  of  the  Warrant   Certificates   as  the   absolute   owners   thereof
(notwithstanding  any  notation of ownership  or other  writing  thereon made by
anyone)  for all  purposes  and  shall  not be  affected  by any  notice  to the
contrary.  The Warrants  shall be registered  initially in such name or names as
the Purchaser shall designate.

     The  Company  shall at all  times  reserve  and keep  available,  free from
preemptive  rights,  out of the aggregate of its authorized but unissued  Common
Stock, for the purpose of enabling it to satisfy any obligation to issue Warrant
Shares upon exercise of Warrants,  the maximum  number of shares of Common Stock
which may then be  deliverable  upon the  exercise of all  outstanding  options,
warrants  (including the Warrants) or other securities,  directly or indirectly,
convertible into or exchangeable for Common Stock.

     The Company covenants that all Warrant Shares and other securities issuable
upon exercise of Warrants will,  upon payment of the Exercise Price therefor and
issue thereof, be validly authorized and issued, fully paid, nonassessable, free
of  preemptive  rights  and free from all taxes,  liens,  charges  and  security
interests with respect to the issue thereof.

     So long as the  outstanding  Common  Stock may be listed on any  securities
exchange in the United  States,  the Company shall use its best efforts to cause
all reserved  Warrant  Shares to be listed on each such  exchange  upon official
notice of issuance upon such exercise.


                                   SECTION 5.
                         WARRANTS; EXERCISE OF WARRANTS

     Subject to the terms of this  Agreement,  each Holder shall have the right,
which may be  exercised  at any time or from time to time until  5:00 p.m.,  New
York time, on June 30, 2008 (the "Expiration  Date") to receive from the Company
the number of fully paid and  nonassessable  Warrant Shares which the Holder may
at the time be entitled to receive on exercise of such  Warrants  and payment of
the  Exercise  Price then in effect for such  Warrant  Shares.  Each Warrant not
exercised prior to 5:00 p.m., New York time, on the Expiration Date shall become
void and all rights  thereunder  and all rights in  respect  thereof  under this
Agreement  shall  cease as of such time;  provided  that the  occurrence  of the
Expiration  Date shall not relieve the Company of any  obligation  to any Holder
which arose pursuant to the terms of this Agreement prior to such date.

     The price at which each Warrant shall be exercisable  (as such price may be
adjusted from time to time, in accordance  with the terms hereof,  the "Exercise
Price")  shall  initially  be $.01 per share.  The Common Stock shall have a par
value of no greater than $.001 per share.

     A Warrant may be exercised upon surrender to the Company at its address set
forth on the  signature  pages  hereto of the  Warrant  Certificate  or  Warrant
Certificates  to be  exercised  with the form of election  to purchase  attached
thereto  duly  completed  and  signed,  and upon  payment to the  Company of the
Exercise  Price  for the  number of  Warrant  Shares in  respect  of which  such
Warrants are then  exercised.  Payment of the  aggregate  Exercise  Price may be
made, at the option of the  applicable  Holder,  (i) by cash,  certified or bank
cashier's check or wire transfer, (ii) by surrendering to the Company the number
of Warrants  which,  when  exercised,  would entitle the Holder  thereof to that
number of Warrant  Shares which is equal to (A) such  aggregate  Exercise  Price
divided  by (B) the excess of (x) the  product  of the number of Warrant  Shares
which may be  purchased  with one  Warrant,  multiplied  by the Market Price per
share of Common Stock minus (y) the Exercise Price, (iii) by surrendering to the
Company  the  number  of  shares  of  Common  Stock  which  is equal to (A) such
aggregate  Exercise  Price  divided by (B) the Market  Price per share of Common
Stock or (iv) any combination of the foregoing.

     Subject to the provisions of Section 6, upon such surrender of Warrants and
payment of the Exercise  Price the Company shall issue and cause to be delivered
with all  reasonable  dispatch to or upon the written order of the Holder and in
such name or names as such Holder may  designate a certificate  or  certificates
for the  number  of full  Warrant  Shares  issuable  upon the  exercise  of such
Warrants  (and such other  consideration,  if any,  as may be  deliverable  upon
exercise of such  Warrants)  together  with,  at the sole option of the Company,
cash for fractional Warrant Shares as provided in Section 7. Such certificate or
certificates shall be deemed to have been issued and the Person so named therein
shall be deemed to have become a holder of record of such  Warrant  Shares as of
the date of the  surrender of such  Warrants and payment of the Exercise  Price,
irrespective  of the date of delivery of such  certificate or  certificates  for
Warrant Shares.

     Each Warrant shall be  exercisable,  at the election of the Holder thereof,
either  in full or from time to time in part  and,  in the event  that a Warrant
Certificate  is  exercised  in respect of fewer than all of the  Warrant  Shares
issuable  on such  exercise at any time prior to the date of  expiration  of the
Warrants, a new certificate evidencing the remaining Warrant or Warrants will be
issued and delivered pursuant to the provisions of this Section 5 and of Section
2.

     All Warrant  Certificates  surrendered  upon exercise of Warrants  shall be
canceled and disposed of by the Company.  The Company  shall keep copies of this
Agreement and any notices given or received  hereunder  available for inspection
by the Holders  during normal  business  hours at its office  designated for the
receipt of notices pursuant to Section 17(a).


                                   SECTION 6.
                                PAYMENT OF TAXES

     The Company will pay all taxes and other  governmental  charges  (including
all documentary stamp taxes, but excluding all foreign,  federal, state or local
income taxes payable by a Holder) in connection with the issuance or delivery of
the Warrants  hereunder,  including all such taxes  attributable  to the initial
issuance or delivery of Warrant Shares upon the exercise of Warrants and payment
of the Exercise Price.  The Company shall not,  however,  be required to pay any
tax that may be payable in respect of any subsequent transfer of the Warrants or
any transfer  involved in the issuance and delivery of Warrant  Shares in a name
other  than that in which the  Warrants  to which  such  issuance  relates  were
registered,  and, if any such tax would otherwise be payable by the Company,  no
such issuance or delivery  shall be made unless and until the Person  requesting
such  issuance  has paid to the  Company  the  amount  of any such tax and it is
established to the reasonable  satisfaction of the Company that any such tax has
been paid.


                                   SECTION 7.
                              FRACTIONAL INTERESTS

     The Company shall not be required to issue fractional Warrant Shares on the
exercise of Warrants.  If more than one Warrant  shall be presented for exercise
in full at the same time by the same Holder,  the number of full Warrant  Shares
which shall be issuable upon the exercise thereof shall be computed on the basis
of the  aggregate  number of  Warrant  Shares  purchasable  on  exercise  of the
Warrants so presented.  If any fraction of a Warrant Share would, except for the
provisions  of this  Section 7, be issuable on the  exercise of any Warrants (or
specified portion thereof), the Company shall, at its sole option, pay an amount
in cash equal to the Market Price of the Warrant Share so issuable multiplied by
such fraction.


                                   SECTION 8.
                         LIMITATIONS ON CERTAIN HOLDERS

     Notwithstanding  anything in this  Agreement or any Warrant  Certificate to
the  contrary,  no Holder  which is subject to the  provisions  of  Regulation Y
promulgated by the Board of Governors of the Federal  Reserve,  or any successor
regulation  thereto  ("Regulation  Y"), or which is  affiliated  with any entity
subject to the provisions of Regulation Y (if such Affiliate holds securities of
the Company (any such Holder being referred to herein as a "Regulated  Holder"))
and no  transferee  of such  Regulated  Holder,  may exercise the Warrants for a
number of Warrant Shares which would permit such Regulated Holder, together with
its  Affiliates  and  transferees,  to own or control a number of Warrant Shares
greater than that  permitted by Applicable Law  including,  without  limitation,
Regulation Y.


                                   SECTION 9.
                   ADJUSTMENT OF THE NUMBER OF WARRANT SHARES
            ISSUABLE, THE BASE PURCHASE PRICE AND THE EXERCISE PRICE

     The number of shares of Common  Stock  issuable  upon the  exercise of each
Warrant (the "Warrant  Number") is initially  one. The Warrant Number is subject
to adjustment from time to time upon the occurrence of any event  enumerated in,
or as otherwise provided in this Section 9.

     (a) Adjustment for Change in Capital Stock. If the Company:

          (i) subdivides or reclassifies its outstanding  shares of Common Stock
     into a greater  number of shares or  declares a stock  dividend  payable in
     shares of Common Stock;

          (ii) combines or reclassifies  its outstanding  shares of Common Stock
     into a smaller number of shares; or

          (iii)issues by  reclassification of its Common Stock any shares of its
     capital stock;

then the Warrant  Number in effect  immediately  prior to such  action  shall be
adjusted so that the Holder of any Warrant thereafter  exercised may receive the
aggregate  number and kind of shares of capital  stock of the  Company  which it
would have owned  immediately  following  such  action if such  Warrant had been
exercised  immediately  prior  to  such  action.  The  adjustment  shall  become
effective immediately after the effective date thereof. Such adjustment shall be
made successively whenever any event listed above shall occur.

     (b)  Additional  Issuance.  (A) If the  Company at any time shall issue any
Additional Shares (including,  without limitation, shares of Common Stock issued
upon the conversion of shares of Series B Preferred  Stock) at a price less than
the  higher of (x) the Market  Price per share of Common  Stock and (y) the Base
Purchase Price in effect  immediately  prior to the issuance of such  Additional
Shares  (the  higher  of  (x)  and  (y)  being  hereinafter  referred  to as the
"Adjustment Price") or any other Equity Securities  (excluding any such issuance
for which the number of Warrant  Shares  purchasable  hereunder  shall have been
adjusted  pursuant to  subsection  (a) of this  Section 9 and  excluding  Equity
Securities which are (x) options or convertible  securities  described in clause
(iii) of the definition of Additional Shares or (y) shares of Series B Preferred
Stock or (z)  shares of Series A  Preferred  Stock),  which are  exercisable  or
convertible for Additional  Shares at an exercise or conversion  price less than
the Adjustment Price, the Warrant Number after such issuance shall be determined
by multiplying the Warrant Number in effect  immediately  prior to such issuance
by a  fraction,  (i) the  denominator  of which shall be the number of shares of
Common Stock on a Fully  Diluted Basis  immediately  prior to such issuance plus
the number of shares  that the  aggregate  consideration  to be  received by the
Company for the total  number of such  Additional  Shares  issued or issuable in
connection  with the  conversion  or  exercise of such other  Equity  Securities
(including the issue price of any such other Equity  Securities)  would purchase
at the  Adjustment  Price and (ii) the numerator of which shall be the number of
shares of Common Stock on a Fully Diluted Basis immediately after such issuance.
Shares of Common  Stock  owned by or held for the  account of the Company or any
subsidiary on such date shall not be deemed  outstanding  for the purpose of any
such  computation.  Such adjustment  shall be effective  immediately  after such
issuance.  Such adjustment  shall be made  successively  whenever any such event
shall occur.  If the Company at any time shall issue two or more securities as a
unit and one or more of such  securities  shall be  Additional  Shares  or other
Equity Securities subject to this subsection (b), the consideration allocated to
each such security shall be determined pursuant to the Valuation Procedure.

     (B) Notwithstanding anything to the contrary contained in (A) above, in the
event the Company  issues more than an  aggregate  (taking into account all such
issuances after the Closing Date) of $3,000,000  (determined by reference to the
Market  Price on the date of  issuance of such  Additional  Shares or the Market
Price of the Additional Shares into which such Equity Securities are convertible
rather  than the amount of  consideration  received by the Company in respect of
such issuance) of Additional Shares or Equity Securities,  without consideration
or for a  consideration  per share less than the Base  Purchase  Price in effect
immediately prior to such issuance,  the Warrant Number shall not be adjusted as
provided in (A) above, but rather,  the Warrant Number immediately prior to such
issuance shall be adjusted upon the occurrence of each subsequent issuance below
the Base  Purchase  Price  in  effect  immediately  prior  to such  issuance  by
multiplying the Warrant Number in effect immediately prior to such issuance by a
fraction  (x) the  numerator  of which is the  number of shares of Common  Stock
issuable  upon the  conversion  of a single  share of Series A  Preferred  Stock
immediately  after such  issuance  (after  giving  effect to any "full  ratchet"
anti-dilution   adjustments   made  pursuant  to  Section   4(c)(iv)(B)  of  the
certificate of designation  governing the Series A Preferred Stock, as in effect
on the date hereof) and (y) the  denominator of which is the number of shares of
Common  Stock  issuable  upon  the  conversion  of a single  share  of  Series A
Preferred Stock  immediately  prior to such issuance and  adjustment;  provided,
however,  notwithstanding anything to the contrary contained in this clause (B),
in the event the "Purchaser" (as defined in the Securities  Purchase  Agreement)
shall have exercised the preemptive  rights  provided for in Section 8.11 of the
Securities  Purchase  Agreement in connection  with any such issuance  below the
then Base Purchase Price, the "full-ratchet"  anti-dilution protection otherwise
provided in this clause (B) shall not apply with respect to such issuance (i.e.,
the anti-dilution protection provided for in Section 9(b)(A) shall apply to such
issuance and the Market Price of the  securities  issued in such issuance  shall
not count toward the $3,000,000 threshold described above).

     (C) With respect to any adjustment  made pursuant to this Section 9(b) upon
the issuance of any Equity  Securities which are convertible or exchangeable for
Additional  Shares,  (i) if such other Equity Securities by their terms provide,
with the passage of time or  otherwise,  for any  increase in the  consideration
payable to the Company, or decrease in the number of Additional Shares issuable,
upon the  exercise  or  conversion  thereof,  the  Warrant  Number,  as adjusted
pursuant  to this  Section  9(b),  shall,  upon any such  increase  or  decrease
becoming effective,  be recomputed in a manner consistent with this Section 9(b)
to reflect such  increase or decrease and (ii) upon the  expiration  of any such
other Equity  Securities or any rights or conversion or exchange  under any such
other Equity  Securities,  to the extent not previously  exercised or converted,
the  Warrant  Number,  as  adjusted  by  this  Section  9(b)  shall,  upon  such
expiration,  be recomputed in a manner consistent with this Section 9(b), taking
into account the number of Additional Shares actually issued upon the conversion
or exercise  thereof and the amount of  consideration  actually  received by the
Company in connection with the original  issuance of such Equity  Securities and
such conversion or exercise;  provided,  further,  however, that no readjustment
pursuant  to the  preceding  proviso,  shall have the effect of  decreasing  the
Warrant  Number (or  decreasing the Exercise Price or the Base Purchase Price in
connection  with any  corresponding  adjustment  made under  Section 9(k)) by an
amount in excess of the amount of the  adjustment  initially  made in respect of
the issuance of such other Equity Securities (calculated by adjusting the amount
of such  readjustment to account for all adjustments  made to the Warrant Number
(and  Exercise  Price and Base  Purchase  Price)  after the date of the  initial
adjustment).

     (c) Adjustments for Certain Dividends; Distributions. If the Company at any
time  shall  declare  a  dividend  or fix a  record  date  for the  making  of a
distribution  to any holder of its Common Stock or other class of common  equity
(including any such  distribution  to be made in connection with a consolidation
or merger in which the Company is to be the continuing corporation) of evidences
of its indebtedness or assets  (excluding  dividends paid in or distributions of
Company  capital  stock for which the Warrant  Number  shall have been  adjusted
pursuant to subsection (a) of this Section 9 or dividends or distributions which
have been paid to the Holder  pursuant to Section 10) the Warrant  Number  after
such  record  date  shall  be  determined  by  multiplying  the  Warrant  Number
immediately  prior to such record date by a fraction,  of which the  denominator
shall be the Market Price per share of Common  Stock on such record  date,  less
the fair market value (as determined in accordance with the Valuation Procedure)
of the portion of the assets or evidences of indebtedness to be distributed to a
holder of one share of Common  Stock,  and the  numerator  shall be such  Market
Price per share of Common  Stock on such  record  date.  Such  adjustment  shall
become  effective  immediately  after such record date. Such adjustment shall be
made  whenever  such  a  record  date  is  fixed;  and in the  event  that  such
distribution is not so made, the number of Warrant Shares purchasable  hereunder
shall again be adjusted to be the number that was in effect immediately prior to
such record date (taking into account intervening adjustments).

     (d)  Consideration  Received.  For purposes of any  computation  respecting
consideration  received  pursuant to subsections  (b) and (c) of this Section 9,
the following shall apply:

          (i) in the case of an issuance of shares of Common Stock for cash, the
     consideration shall be the amount of such cash (without any deduction being
     made for any  commissions,  discounts  or other  expenses  incurred  by the
     Company  for any  underwriting  of the  issue or  otherwise  in  connection
     therewith);

          (ii) in the case of the  issuance  of  shares  of  Common  Stock for a
     consideration in whole or in part other than cash, the consideration  other
     than cash shall be deemed to be the fair market value thereof (irrespective
     of the accounting  treatment  thereof) as determined in accordance with the
     Valuation Procedure; and

          (iii)in  the case of the  issuance  of other  Equity  Securities,  the
     aggregate  consideration  received  therefor  shall  be  deemed  to be  the
     consideration  received by the Company for the issuance of such  securities
     plus the additional  minimum  consideration,  to be received by the Company
     upon the conversion,  exchange or exercise  thereof (the  consideration  in
     each case to be  determined  in the same  manner as provided in clauses (i)
     and (ii) of this subsection);

provided,  however,  any  Additional  Share issued in connection  with any legal
and/or equitable claim that has been asserted,  or could have been asserted,  by
plaintiffs Robert P. Lehmann,  M.D., Alan Baum, M.D., David A. Dewahl, Jr., John
Finlay, Janet G. Keats and Harry Near (collectively,  "Plaintiffs")  against the
Company  (the  "Claims") in the civil action  pending  before the United  States
District Court for the Southern District of Texas, Houston Division, docketed at
Civil Action No.  H-97-3317,  or any other  current or future legal or equitable
action  which any  Plaintiff  has  brought or might  bring  against  the Company
regarding,  relating to, or constituting any Claim, shall be deemed to have been
issued for a per share  consideration equal to the quotient of (A) $700,000 less
any cash or other property  (valued in accordance with (i) and (ii) above) which
is paid in  connection  with the  settlement  or other  resolution  of any Claim
divided by (B) the total number of Additional  Shares issued in connection  with
all such Claims.

     (e) When De Minimis  Adjustment  Deferred.  No  adjustment  in the  Warrant
Number need be made unless the adjustment  would require an increase or decrease
of at least one-tenth of one percent in the Warrant Number in effect immediately
prior to the event giving rise to a potential  adjustment.  Any adjustments that
are not made shall be carried  forward and taken into account in any  subsequent
adjustment,  provided that no such adjustment  shall be deferred beyond the date
on which a Warrant is exercised.  All calculations under this Section 9 shall be
made to the nearest 1/10th of a share.

     (f) Notice of Adjustment. In each case of any adjustment or readjustment in
the  Warrant  Number  pursuant  to Section 9, the  Company at its  expense  will
promptly deliver a certificate of its Chief Financial  Officer showing in detail
the  computation of such adjustment or readjustment in accordance with the terms
of Section 9 and the facts upon which such  adjustment or readjustment is based.
The Company shall also cause, upon request of the Requisite Holders,  at its own
expense,   independent  certified  public  accountants  of  recognized  national
standing  (which may be the  regular  auditors of the  Company)  selected by the
Company to verify  such  computation  and  prepare a report  setting  forth such
adjustment  or  readjustment  and  showing in detail  the method of  calculation
thereof and the facts upon which such adjustment or  readjustment is based.  The
Company  will  forthwith  (and in any  event  not later  than 10  Business  Days
following the occurrence of the event requiring such adjustment)  furnish a copy
of each such  report to each  Holder of  Warrants,  and will,  upon the  written
request at any time of any such Holder,  promptly  furnish to such Holder a like
report setting forth (i) such  adjustments and  readjustments,  (ii) the Warrant
Number  then in effect  and (iii) the  number of shares of Common  Stock and the
amount, if any, of other property which, as of the date of such report, would be
received  upon the  exercise of a Warrant.  The Company will also keep copies of
all such reports at its principal office and will cause the same to be available
for inspection at such office during normal  business hours by any holder or any
prospective purchaser of Warrants designated by any Holder of Warrants.

     (g) Reorganizations.  In case of any capital reorganization,  other than in
the  cases  referred  to  in  subsections  9(a),  (b)  or  (c)  hereof,  or  the
consolidation or merger of the Company with or into another Person (other than a
merger or  consolidation  in which the Company is the surviving entity and which
does not  result in any  reclassification  of the  outstanding  shares of Common
Stock into shares of other stock or other  securities or property),  or the sale
of the  property of the Company as an entirety or  substantially  as an entirety
other  than in the cases  referred  to in  Subsections  9(a),  (b) or (c) hereof
(collectively, such actions being hereinafter referred to as "Reorganizations"),
there shall  thereafter be deliverable  upon exercise of any Warrant (in lieu of
the  number of shares of Common  Stock  theretofore  deliverable)  the number of
shares of stock or other securities or property to which a holder, of the number
of shares of Common Stock that would  otherwise have been  deliverable  upon the
exercise of such Warrant,  would have been entitled upon such  Reorganization if
such   Warrant  had  been   exercised   in  full   immediately   prior  to  such
Reorganization.  In  case  of any  Reorganization,  appropriate  adjustment,  as
determined  in good  faith  by the  board of  directors  of the  Company,  whose
determination  shall be described in a duly adopted resolution  certified by the
Company's Secretary or Assistant Secretary,  shall be made in the application of
the  provisions  herein set forth with  respect to the rights and  interests  of
Holders so that the provisions set forth herein shall  thereafter be applicable,
as nearly as possible,  in relation to any shares or other  property  thereafter
deliverable  upon  exercise of Warrants.  The Company shall not effect or permit
any such  Reorganization  unless (i) the successor  entity  resulting  from such
Reorganization  or the  Person  purchasing  such  assets is a  corporation  duly
organized  and validly  existing  under the laws of a state of the United States
and (ii) prior to or simultaneously with the consummation of such Reorganization
the  successor   entity  (if  other  than  the  Company)   resulting  from  such
Reorganization or the Person purchasing such assets shall expressly assume, by a
supplemental Warrant Agreement or other acknowledgment executed and delivered to
the Holder(s) in form and substance  satisfactory to the Requisite Holders,  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,  and all other  obligations  and  liabilities  under this
Agreement.

     (h) Form of Warrants. Irrespective of any adjustments in the number or kind
of shares purchasable upon the exercise of the Warrants, Warrants theretofore or
thereafter  issued may continue to express the same price and number and kind of
shares as are stated in the Warrant Certificates  initially issuable pursuant to
this Agreement.

     (i) Adjustments in Other Securities. If as a result of any event or for any
other reason,  any  adjustment  is made which  increases the number of shares of
Common  Stock  issuable  upon  conversion,  exercise or  exchange  of, or in the
conversion or exercise  price or exchange ratio  applicable to, any  outstanding
Equity  Securities,  then a corresponding  adjustment shall be made hereunder to
adjust  the  number of shares of Common  Stock  issuable  upon  exercise  of the
Warrants,  but only to the extent that no such adjustment has been made pursuant
to  subsection  9(a),  (b) or (c) with  respect  to such event or for such other
reason.

     (j) Other Dilutive Events.  If any corporate action shall occur as to which
the provisions of this Section 9 are not strictly applicable but as to which the
failure to make any adjustment  would  adversely  affect the purchase  rights or
value  represented by the Warrants in accordance  with the essential  intent and
principles of this Section 9 then, in each such case,  the Company shall appoint
a firm of  independent  certified  public  accountants  of  recognized  national
standing  (which  may be the  regular  auditors  of the  Company)  to give their
opinion upon the  adjustment,  if any, on a basis  consistent with the essential
intent and  principles  established  in this  Section 9,  necessary to preserve,
without dilution,  the purchase rights represented by Warrants.  Upon receipt of
such opinion,  the Company will promptly mail a copy thereof to Holders and will
make the adjustments described therein.

     (k) Exercise Price and Base Purchase Price Adjustment. Whenever the Warrant
Number is adjusted as herein provided,  the Exercise Price payable upon exercise
of this  Warrant  and  the  Base  Purchase  Price  shall  each  be  adjusted  by
multiplying  such Exercise Price  immediately  prior to such  adjustment and the
Base Purchase Price immediately prior to such adjustment by a fraction, of which
the numerator shall be the Warrant Number  immediately prior to such adjustment,
and of which the denominator shall be the Warrant Number immediately thereafter.

     (l)  Dissolution,  Liquidation  or Winding  Up.  Notwithstanding  any other
provision  of this  Agreement,  in the  event of any  voluntary  or  involuntary
liquidation,  dissolution  or winding up of the  Company,  each Holder  shall be
entitled to share,  with respect to the Warrant Shares issuable upon exercise of
the Holder's Warrants, equally and ratably in any cash or non-cash distributions
payable to holders of Common Stock,  less the aggregate  Exercise  Price payable
upon the exercise of such Warrants. The Company shall give notice to each Holder
at the  earliest  practicable  time (and,  in any  event,  not less than 20 days
before the date of such dissolution,  liquidation or winding-up, as the case may
be) and each Holder of  outstanding  Warrants shall be entitled to share equally
and  ratably in any cash or noncash  distributions  payable to holders of Common
Stock. In case of any such voluntary or involuntary dissolution,  liquidation or
winding up of the Company,  the Company  shall hold in escrow any funds or other
property  which a Holder is  entitled  to receive  in  respect of such  Holder's
Warrant Shares at the time of any distribution.  No such Holder will be entitled
to receive  payment of any such  distribution  until such Holder has surrendered
the Warrant Certificates  evidencing such Warrant to the Company. From and after
such  voluntary  or  involuntary  dissolution,  liquidation  or  winding up with
respect to the Company,  all rights of the Holders,  except the right to receive
such  distribution,   without  interest,  upon  the  surrender  of  the  Warrant
Certificates,  shall cease and terminate and such Warrants  shall not thereafter
be transferred  (except with the consent of the Company) and such Warrants shall
not be  deemed  to be  outstanding  for any other  purpose  whatsoever.  For the
purposes of this  Agreement,  neither the  voluntary  sale,  lease,  conveyance,
exchange  or  transfer  (for  cash,   shares  of  stock,   securities  or  other
consideration)  of all or  substantially  all  the  property  or  assets  of the
Company,  nor the  consolidation or merger of the Company with one or more other
corporations,  shall be deemed to be a  liquidation,  dissolution or winding up,
voluntary or involuntary, with respect to the Company.

     (m)  Miscellaneous.  In the  event  that at any  time,  as a  result  of an
adjustment made pursuant to this Section 9, the Holders shall become entitled to
purchase any  securities of the Company other than, or in addition to, shares of
Common  Stock,  thereafter  the  number or amount of such  other  securities  so
purchasable  upon exercise of each Warrant  shall be subject to adjustment  from
time to time in a manner and on terms as nearly equivalent as practicable to the
provisions  with respect to the Warrant Shares  contained in this Section 9, and
the  provisions of Sections 5, 6, 7 and 8 with respect to the Warrant  Shares or
the Common Stock shall apply on like terms to any such other securities.

     (n)  Regulated  Holders.  If, in the  written  opinion  of  counsel  to any
Regulated Holder (which may be internal counsel),  the receipt by such Regulated
Holder of Warrant Shares (or any security included therein) upon any exercise or
exchange  pursuant  to  this  Section  9 or  the  receipt  of  any  dividend  or
distribution pursuant to Section 10 would cause such Regulated Holder to violate
any provision of  Applicable  Law with respect to its ownership of securities of
the Company,  then the Company will use its best  efforts  (including  using its
best efforts to cause its  Organizational  Documents to be amended) to create an
Equivalent  Nonvoting  Security  with  respect  to  Warrant  Shares (or any such
security  included therein) or any security received by such Regulated Holder in
connection with such dividend or  distribution  which would not cause the Holder
to violate any provision of Applicable  Law, and such Regulated  Holder shall be
entitled to receive upon such exercise or exchange or dividend or  distribution,
in lieu of such number (as it shall specify) of shares or other units of Warrant
Shares (or any such security  included  therein) or other  securities  otherwise
receivable by such Regulated Holder, the same number of shares or other units of
such Equivalent Nonvoting Security;  provided,  however, that if the creation of
such Equivalent Nonvoting Security is determined by such Regulated Holder not to
remedy such  violation  of  Applicable  Law,  the  Company  will take such other
actions that are reasonably  requested by such  Regulated  Holder to remedy such
violation,  including,  without limitation,  using its best efforts to sell such
Warrant  Shares or other  securities  or property and  remitting the proceeds of
such sale to such Regulated Holder.

     (o) Additional Reduction of the Warrant Number Under Certain Circumstances.
In order to reduce the number of shares of Common Stock  issuable  upon exercise
of the Warrants by 25%, the Company shall have the option, which option shall be
exerciseable  only during the twelve month period  following the Second  Closing
Date and shall be  exercised  by  delivery of a written  notice  thereof to each
Holder within 30 days following the completion of the  Cancellation  Period,  to
multiply  the  then-existing  Warrant  Number by 0.75 so long as: (w) the Second
Closing  Date shall have  occurred  without any wavier by the  Purchaser  of any
conditions to the Second Closing,  (x) the weighted  average (on a volume basis)
of the closing  price per share of Common Stock quoted on NASDAQ (as reported in
the Wall Street  Journal)  (or, if on any day such security is not quoted on the
NASDAQ  System,  the average of the highest bid and lowest  asked prices on such
day in  the  domestic  over-the-counter  market  as  reported  by  the  National
Quotation Bureau,  Incorporated,  or any similar successor  organization) over a
period of not less than thirty (30) consecutive  trading days (the "Cancellation
Period"), shall have equaled or exceeded $15.00 per share, (y) the average daily
trading volume for the Common Stock during the  Cancellation  Period above shall
have been  greater  than  100,000  shares and (z) all shares of Common Stock and
preferred  stock of the Company  issued  pursuant to the terms of the Securities
Purchase  Agreement  (or which would be received upon the exercise or conversion
of any Securities (as defined in the Securities Purchase  Agreement)) shall have
been and continue to be covered by an effective registration statement under the
1933 Act and freely tradeable for a minimum period of 30 days prior to the start
of the  Cancellation  Period and shall continue to be freely tradable during the
entire Cancellation Period.


                                   SECTION 10.
               PAYMENTS IN RESPECT OF DIVIDENDS AND DISTRIBUTIONS

     If the  Company  pays any  dividend or makes any  distribution  (whether in
cash,  property or  securities  of the Company) on its capital stock (other than
with respect to any series of preferred stock of the Company),  then the Company
shall simultaneously pay to each Holder of Warrants, other than to any Holder of
Warrants  delivering a written  notice to the Company within 10 Business Days of
the  notice  delivered  to such  Holder  in  connection  with such  dividend  or
distribution  pursuant to Section 14 hereof,  an amount equal to the dividend or
distribution  which would have been paid to such  Holder on the  Warrant  Shares
receivable upon the exercise in full of such Warrant had such Warrant been fully
exercised immediately prior to the record date for such dividend or distribution
or, if no record is taken,  the date as of which the record holders of shares of
Common Stock  entitled to such dividend or  distribution  are to be  determined;
provided however,  that in the event the receipt by any Holder of any such asset
distribution  would result in a violation of Applicable  Law  applicable to such
Holder,  such  Holder  shall be entitled to receive an amount of cash in lieu of
such asset  distribution  equal to the value  (determined in accordance with the
Valuation Procedure) of the asset distribution which would otherwise be received
by such Holder.


                                   SECTION 11.
                               HOLDERS' PUT RIGHTS

     11.1.  Granting  of  Put,  Put  Option  Purchase  Price.   Subject  to  the
limitations  set forth in Section 11.5 hereof,  at any time or from time to time
after the Put  Effective  Date but on or before the later of (x) the  Expiration
Date and (y) the date 10  business  days  after  the date on which  there are no
limitations  on the  Company's  obligation  to purchase  shares of Common  Stock
pursuant to this Section 11.1 of the type  described in Section 11.5, any Holder
of Warrants  and/or Warrant  Shares,  upon written notice to the Company (a "Put
Notice"),  shall be entitled  to sell,  and the Company  shall be  obligated  to
purchase  from such Holder,  all or any portion of the Warrants  and/or  Warrant
Shares held by such Holder at the Put Option Purchase Price.

     11.2. Put Notice.  Each Put Notice delivered pursuant to Section 11.1 shall
specify:

     (a) the name of the Holder of Warrants  and/or  Warrant  Shares  delivering
such Put Notice:

     (b) that such Holder is exercising its option, pursuant to this Section 11,
to sell the Warrants and/or Warrant Shares held by such Holder; and

     (c) the number of, and a description of, the Warrants and/or Warrant Shares
being tendered, including a statement, to the extent relevant, of:

          (i) the number of Warrant Shares sought to be sold by such Holder that
     were issued upon the exercise of any Warrant; and

          (ii) the total number of Warrants  and/or  Warrant Shares sought to be
     sold by such Holder that have not been exercised or canceled.

     11.3.  Company Notices.

     (a) The  Company,  within  thirty  (30) days of receipt of such Put Notice,
shall  deliver  to the  Holder or  Holders  exercising  its or their put  option
pursuant to this Section 11, a notice (i) specifying the Put Repurchase Date and
(ii) stating the type and number of the Warrants  and/or  Warrant Shares held by
each such other Holder.

     (b) The  Company,  not less than ten (10) days prior to the Put  Repurchase
Date, shall deliver to the Holder or Holders  exercising its or their put option
pursuant to this Section 11, a notice  containing a detailed  calculation of the
Put Option  Purchase  Price with respect to the Warrants  and/or  Warrant Shares
which are to be so repurchased from such Holder.

     11.4.   Obligation  to  Purchase  Warrant  Shares.  The  Company  shall  be
obligated,  subject to Section 11.5 hereof,  to purchase all of such Holder's or
Holders'  Warrants  and/or  Warrant  Shares  which are the  subject  of such Put
Notice, and shall pay the Put Option Purchase Price with respect to the exercise
of the put option  which is the subject of each such Put Notice  payable to such
Holder or Holders in cash, on the Put  Repurchase  Date with respect to such Put
Notice,  against  delivery by such Holder or Holders of any and all certificates
or other instruments evidencing the Warrants and/or Warrant Shares which are the
subject of such Put Notice,  together  with  appropriate  stock  powers or other
instruments of transfer or assignment duly endorsed in blank.

     11.5.  Limitations  on  Right  of  Repurchase.   Notwithstanding   anything
contained in this Section 11 to the contrary, the Company shall not be obligated
to purchase Warrants and/or Warrant Shares which are the subject of a Put Notice
or be obligated to pay the Put Option Purchase Price in respect of a Put Notice,
if:

          (a) at any time prior to the seventh  anniversary of the Closing Date,
     payment of the Put  Option  Purchase  Price at such time would  result in a
     breach  of, or  default  or event of  default  in  respect  of,  the Credit
     Agreement; or

          (b) at any time,  payment of the Put Option Purchase Price is, at such
     time, prohibited by Applicable Law;

provided,  however,  with respect to (a) and (b) above, if such breach, event of
default,  default or violation  would not result from the purchase of any number
of Warrant  Shares  which is less than the total number of shares the Company is
obligated to purchase on the Put Repurchase  Date, the Company shall purchase on
the Put  Repurchase  Date the  maximum  number  of  shares  it may so  purchase,
allocated  among the Holders  which have elected to have their  Warrants  and/or
Warrant Shares so repurchased  ratably according to the number of Warrant Shares
so tendered;  provided further,  however, with respect to (a) and (b) above, the
Company shall use its best efforts to cure such default or violation in a timely
matter  and  remove  any  associated   restrictions  or  limitations  which  are
applicable to the rights of the Holders contained in this Section 11.


                                   SECTION 12.
                                  VOTING RIGHTS

     Each  Holder of  Warrants  shall,  whether  or not such  Holder  shall have
exercised or exchanged any Warrants,  (i) be entitled to vote (as a single class
with the holders of the Common Stock and any other holders of equity  securities
entitled to vote as a single class with the holders of the Common Stock) on each
matter on which the  holders of Common  Stock shall be entitled to vote and (ii)
have, with respect to each Warrant held by such Holder on the applicable  record
date for determining such voting rights,  that number of votes which is equal to
the Warrant Number in effect on such date.


                                   SECTION 13.
                         REPRESENTATIONS AND WARRANTIES

     The  Company  hereby  represents  and  warrants  to the  Holders  that  the
representations  and warranties  contained in the Securities  Purchase Agreement
are incorporated  herein by reference as  representations  and warranties to the
Holders as though specifically set forth in therein).


                                   SECTION 14.
                                    COVENANTS

     (a) Notices of Certain Actions. In the event that the Company:

          (i) shall have authorized the issuance of capital stock of the Company
     or any Equity  Securities  or proposes  to issue any  capital  stock of the
     Company or any Equity  Securities  or  proposes  to commit  itself to issue
     capital  stock of the  Company  or any  Equity  Securities,  since the last
     notice  delivered  pursuant to this  Section  14(a)(i) or the date  hereof,
     whichever is later; or

          (ii) shall authorize a dividend or other  distribution of evidences of
     its  indebtedness,  capital  stock  or  Equity  Securities,  cash or  other
     property  or  assets  to  holders  of any type of  capital  stock or Equity
     Securities of the Company; or

          (iii)proposes  to become a party to any  consolidation  or merger  for
     which approval of any stockholders of the Company will be required, or to a
     conveyance  or  transfer  of the  properties  and  assets  of  the  Company
     substantially  as  an  entirety,  or  of  any  capital   reorganization  or
     reclassification or change of any type of capital stock of the Company; or

          (iv) commences a voluntary or involuntary dissolution,  liquidation or
     winding up; or

          (v) proposes to register securities with the Commission; or

          (vi) fails to comply with the provisions of this Agreement; or

          (vii)proposes  to  take  any  other  action  which  would  require  an
     adjustment pursuant to Section 9;

then the Company shall provide a written  notice to each Holder  stating (i) the
terms and  conditions of any such issuance  (including  price,  the terms of the
offered  securities and the proposed timing thereof),  (ii) the date as of which
the  holders  of record of capital  stock to be  entitled  to  receive  any such
rights, warrants or distribution are to be determined,  (iii) the material terms
of any such  consolidation  or merger and the expected  effective  date thereof,
(iv) the material  terms of any such  conveyance  or  transfer,  and the date on
which any such conveyance,  transfer, dissolution,  liquidation or winding up is
expected  to become  effective  or  consummated,  and the date as of which it is
expected  that  holders of record of capital  stock will be entitled to exchange
their shares for securities or other  property,  if any,  deliverable  upon such
reclassification,  conveyance, transfer, dissolution, liquidation or winding up,
(v) the  material  terms of any such public  offering  (including  a copy of any
prospectus,  registration  statement  or offering  statement)  and the  expected
effective  date  thereof,  (vi)  the  nature  of the  lack  of  compliance,  any
corrective action taken and any rights or remedies which such lack of compliance
has  bestowed on the  Holders or (vii) a notice as is required by Section  9(g).
Such  notice  shall  be given  not  later  than 10  Business  Days  prior to the
effective  date (or the  applicable  record date, if earlier) of such event (and
the Company shall promptly provide  amendments,  and/or  supplements to any such
notice to the extent  necessary to keep all of the information  contained in any
such notice (and each  amendment or supplement  thereto) true and correct in all
respects).

     (b) Certain  Restrictions.  The Company will not without the consent of the
Requisite Holders, take any action,  corporate or otherwise, the effect of which
would be to alter,  impair or affect  adversely either the rights of the Holders
or the duties and obligations of the Company under the Warrant Documents.

     (c)  Specific  Performance.  Each  Holder  shall have the right to specific
performance by the Company of the provisions of this  Agreement,  in addition to
any  other  remedies  it may  have  at  law or in  equity.  The  Company  hereby
irrevocably  waives,  to the extent that it may do so under  Applicable Law, any
defense  based on the adequacy of a remedy at law which may be asserted as a bar
to the remedy of specific  performance in any action brought against the Company
for  specific  performance  of this  Agreement  by any Holder of the Warrants or
Warrant Shares.


                                   SECTION 15.
                             AMENDMENTS AND WAIVERS

     (a) Consent of Holders. No amendment,  modification,  termination or waiver
of any provision of this  Agreement and the Warrant  Certificates  or consent to
any departure by the Company therefrom,  shall in any event be effective without
the written  concurrence  of the  Requisite  Holders;  provided,  however,  that
without  the  consent  of each  Holder  affected,  no  amendment,  modification,
termination or waiver may:

          (i) make any change to the definition of "Requisite Holders";

          (ii) make any  change to the  transfer  provisions  of Section 16 that
     adversely  affects the ability of a Holder to make any  transfer  described
     therein;

          (iii)make any change in the foregoing amendment and waiver provisions;
     or

          (iv) make any change to Section 11 hereof and the definitions relating
     thereto (insofar as such definitions relate to Section 11).

     After an amendment, modification,  termination or waiver under this Section
15 becomes  effective,  the Company shall mail to the Holders affected thereby a
notice briefly describing such amendment,  modification,  termination or waiver.
Any failure of the Company to mail such  notice,  or any defect  therein,  shall
not,  however,  in any way impair or affect the validity of any such  amendment,
modification, termination or waiver.

     In connection with any amendment, modification, termination or waiver under
this Section 15, the Company may offer,  but shall not be obligated to offer, to
any Holder who consents to such amendment, modification,  termination or waiver,
consideration  for  such  Holder's  consent,  so long as such  consideration  is
offered to all Holders.

     (b)  Solicitation  of  Holders.  The Company  will not effect any  proposed
amendment, modification,  termination or waiver of any of the provisions of this
Agreement or the Warrant  Certificates  unless each Holder  (irrespective of the
amount of Warrants or Warrant Shares then owned by it) shall be informed thereof
by the Company  prior to the  effectuation  thereof  (but only to the extent the
Company has been provided with  addresses for the Holders) and shall be afforded
the  opportunity  of  considering  the same and shall be supplied by the Company
with information which is sufficient in the Company's  reasonable  discretion to
enable such Holder to make an informed  decision with respect thereto.  Executed
or true and correct copies of any amendment, modification, termination or waiver
effected pursuant to the provisions of this Section 15 shall be delivered by the
Company to each  Holder of  outstanding  Warrants  or Warrant  Shares  forthwith
following  the date on which the same shall have been  executed and delivered by
the Holder or Holders of the requisite  percentage of outstanding Warrant Shares
(but only to the extent the Company has been provided with the addresses for the
Holders).

     (c)  Revocation and Effect of Consents.  Until an amendment,  modification,
termination  or  waiver  becomes  effective,  a  consent  to it by a Holder is a
continuing  consent by the Holder  and every  subsequent  Holder of a Warrant or
Warrant  Shares,  even if  notation  of the  consent is not made on any  Warrant
Certificate or stock certificate.  However, any such Holder or subsequent Holder
may revoke any such consent by notice to the Company received before the date on
which the Requisite  Holders have  consented (and not  theretofore  revoked such
consent) to such amendment, modification, termination or waiver.

     The Company may,  but shall not be obligated  to, fix a record date for the
purpose of  determining  the  Holders  entitled  to  consent  to any  amendment,
modification, termination or waiver, which record date shall be at least 10 days
prior to the first solicitation of such consent. If a record date is fixed, then
notwithstanding the last sentence of the immediately preceding paragraph,  those
Persons who were Holders at such record date (or their duly designated proxies),
and only those  Persons,  shall be  entitled  to revoke any  consent  previously
given,  whether or not such  Persons  continue  to be Holders  after such record
date.  No such consent  shall be valid or effective  for more than 90 days after
such record date.


                                   SECTION 16.
                                    TRANSFERS

     (a) Each Holder, subject to the provisions of subsection 16(c) below, shall
be permitted to transfer any Warrant or Warrant  Share (and the rights  relating
thereto under this  Agreement and the other Warrant  Documents) to any Permitted
Transferee.

     (b) In addition to the rights of transfer under Section 16(a), each Holder,
subject to the  provisions  of  subsection  16(c)  below,  shall be permitted to
transfer any Warrant or Warrant  Share (and the rights  relating  thereto  under
this  Agreement and the other Warrant  Documents) to any other Person;  provided
that:

          (i) such transfer is made pursuant to a registration  statement  under
     the 1933 Act (it being acknowledged that the Company shall not be obligated
     to  assist  in any  manner  in any such  registration)  or  pursuant  to an
     exemption from the registration requirements of the 1933 Act;

          (ii) if such transfer is being made pursuant to an exemption from such
     registration requirements and if requested by the Company, counsel for such
     Holder (which counsel may be internal counsel)  furnishes to the Company an
     opinion to the effect  that such  transfer is being made  pursuant  such an
     exemption;

          (iii)the applicable transferee (or, in the case of an account manager,
     the managed account on behalf of which the account manager is acting) is an
     "accredited investor" as defined in Regulation D promulgated under the 1933
     Act; and

          (iv) such  transferee  represents to the Company in writing that it is
     acquiring  such Warrant or Warrant  Share solely for its own account (or in
     the case of account  managers,  on behalf of managed  accounts)  and not as
     nominee  or agent  for any  other  Person  (other  than  for  such  managed
     accounts,  if  applicable)  and not with a view to, or for offer or sale in
     connection with, any  distribution  thereof (within the meaning of the 1933
     Act) that would be in violation of the securities laws of the United States
     of America or any state thereof,  without prejudice,  however, to its right
     at all  times  to  sell or  otherwise  dispose  of all or any  part of said
     Warrant or Warrant Shares  pursuant to a registration  statement  under the
     1933 Act or pursuant to an exemption from the registration  requirements of
     the 1933 Act, and subject, nevertheless, to the disposition of its property
     being at all times within its control.

     (c) The Company  shall  promptly  register the transfer of any  outstanding
Warrants in the Warrant register and any outstanding  Warrant Shares in a Common
Stock  register  to  be  maintained  by  the  Company  upon  surrender   thereof
accompanied  by  a  written  instrument  or  instruments  of  transfer  in  form
satisfactory to the Company,  duly executed by the registered  Holder or Holders
thereof  or by the duly  appointed  legal  representative  thereof  or by a duly
authorized  attorney.  Upon any such registration of transfer,  a new Warrant or
Warrant  Share,  as the case may be,  shall be  issued  and  delivered  with all
reasonable  dispatch to the transferee(s) and such transferee(s) shall be deemed
to have become the Holder(s) of record of such Warrant or Warrant Share,  as the
case may be, and the  surrendered  Warrant or Warrant Share, as the case may be,
shall be canceled and disposed of by the Company.


                                   SECTION 17.
                                  MISCELLANEOUS

     (a) Notices.  Unless otherwise  specifically provided herein, any notice or
other communication herein required or permitted to be given shall be in writing
and shall be made by personal service, telecopy, United States mail or reputable
courier service:

          (i) if to the  Purchaser  or  subsequent  Holder,  at the  address  or
     telecopy number set forth on the signature pages to this Agreement, or such
     other address as shall be designated in a written  notice  delivered to the
     Company; and

          (ii) if to the Company, at the address or telecopy number set forth on
     the signature  pages to this  Agreement,  or such other address as shall be
     designated in a written notice delivered to the other parties hereto.

     Unless  otherwise   specifically  provided  herein,  any  notice  or  other
communication  shall be deemed to have been given when delivered in person or by
courier  service,  upon  receipt  of  telecopy,  or three  Business  Days  after
depositing  it in the United  States  mail with  postage  prepaid  and  properly
addressed.

     (b) Failure or Indulgence Not Waiver:  Remedies  Cumulative.  No failure or
delay on the part of any Holder in the exercise of any power, right or privilege
hereunder or under any other Warrant Document shall impair such power,  right or
privilege or be construed to be a waiver of any default or acquiescence therein,
nor shall any single or partial  exercise of any such power,  right or privilege
preclude  other or  further  exercise  thereof or of any other  power,  right or
privilege.  All rights and remedies  existing under this Agreement and the other
Warrant  Documents  are  cumulative  to,  and not  exclusive  of,  any rights or
remedies otherwise available.

     (c)  Severability.  In case  any  provision  in or  obligation  under  this
Agreement or the Warrant Certificates shall be invalid, illegal or unenforceable
in any jurisdiction,  the validity, legality and enforceability of the remaining
provisions  or  obligations,  or of such  provision or  obligation  in any other
jurisdiction, shall not in any way be affected or impaired thereby.

     (d)  Headings.  Section  and  subsection  headings  in this  Agreement  are
included  herein for  convenience  of reference  only and shall not constitute a
part of this Agreement for any other purpose or be given any substantive effect.

     (e)  Applicable  Law.  THIS  AGREEMENT  SHALL BE GOVERNED  BY, AND SHALL BE
CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK.

     (f) Successors and Assigns.  This Agreement shall be binding on the parties
hereto and their  respective  successors  and  assigns  and shall  insure to the
benefit of the parties  hereto and the  successors  and  assigns  and  Permitted
Transferees  of the  Purchaser  (including  each Holder and its  successors  and
assigns and Permitted Transferees).

     (g) Counterparts.  This Agreement and any amendments,  waivers, consents or
supplements  hereto or in  connection  herewith may be executed in any number of
counterparts and by different parties hereto in separate  counterparts,  each of
which when so executed and delivered  shall be deemed an original,  but all such
counterparts  together  shall  constitute  but  one  and  the  same  instrument;
signature pages may be detached from multiple separate counterparts and attached
to a single  counterpart so that all signature pages are physically  attached to
the same document.

     (h)  Survival of  Representation  and  Warranties,  Entire  Agreement.  All
representations and warranties  contained herein or made in writing or on behalf
of the Company in connection  herewith  shall survive the execution and delivery
of this  Agreement  and the Warrant  Shares and the transfer by the Purchaser of
any Warrant Shares or any portion thereof on interest therein, and may be relied
upon by the Purchaser  regardless of any investigation made at any time by or on
behalf of any  Purchaser.  This  Agreement,  the  Warrant  Certificates  and the
Securities  Purchase  Agreement  embody the entire  agreement and  understanding
between  the   parties   hereto  and   supersede   all  prior   agreements   and
understandings, if any, relating to the subject matter hereof.



                                    * * * * *
<PAGE>




     IN WITNESS  WHEREOF,  the parties  hereto have caused this  Agreement to be
duly executed by their respective  officers  thereunto duly authorized as of the
day and year first above written.



     Notice Address:                                BMJ MEDICAL MANAGEMENT, INC.

     BMJ Medical Management, Inc.
     4800 N. Federal Highway
     Suite 101-E                                    By__________________________
     Boca Raton, Florida  33432                       Name:
     Attention:  David H. Fater,                      Title:
     Executive Vice President and
     Chief Financial Officer
     Telephone:  (561) 391-1311
     Telecopier:  (561) 391-1389

     With a copy to:

     Jones, Day, Reavis & Pogue
     901 Lakeside Avenue
     Cleveland, Ohio  44114
     Attention:  Chares W. Hardin, Jr.
     Telephone:  (216) 586-7276
     Telecopier:  (216) 579-0212


     Notice Address:                             PARIBAS PRINCIPAL INCORPORATED

    Paribas Principal Incorporated
    The Equitable Tower                          By__________________________
    787 Seventh Avenue                             Name:
    New York, New York  10019                      Title:
    Tel:  (212) 841-2047
    Fax:  (212) 841-2502
    Attention:  Eric Toizer

    with a copy to:

    White & Case LLP
    1155 Avenue of the Americas
    New York, New York 10036
    Tel: (212) 819-8200
    Fax: (212) 254-8113
    Attention: John M. Reiss, Esq.

<PAGE>


                                                                      Schedule I
                           Existing Equity Securities


<PAGE>


                                                                     Schedule II


                   Existing Commitments to Issue Common Stock



                          BMJ MEDICAL MANAGEMENT, INC.

                   _________________________________________


                           CERTIFICATE OF DESIGNATION

                     Pursuant to Section 151 of the General
                    Corporation Law of the State of Delaware

                   _________________________________________


                      Series A Convertible Preferred Stock

                   _________________________________________



     The undersigned,  Neil F. Luria, Secretary of BMJ Medical Management, Inc.,
a  Delaware  corporation  (the  "Corporation"),  does  hereby  certify  that the
following  resolution  has been duly  adopted by the Board of  Directors  of the
Corporation (the "Board of Directors"):

     RESOLVED, that pursuant to the authority expressly granted to and vested in
the Board of Directors by the provisions of the Amended and Restated Certificate
of Incorporation of the Corporation (the "Certificate of Incorporation"),  there
hereby is  created,  out of the  shares of  Preferred  Stock of the  Corporation
authorized in Article IV of the  Certificate of  Incorporation  (the  "Preferred
Stock"),  a series of the Preferred Stock  consisting of 1,473,684  shares,  par
value  $0.01  per  share,   which  series  shall  have  the  following   powers,
designations,  preferences  and  relative,  participating,  optional  and  other
rights,  and the following  qualifications,  limitations  and  restrictions  (in
addition to the powers, designations,  preferences and relative,  participating,
optional and other rights, and the qualifications, limitations and restrictions,
set  forth in the  Certificate  of  Incorporation  which are  applicable  to the
Preferred Stock generally):

1.   Designation and Amount; Ranking.

     (a) This  series of  Preferred  Stock shall be  designated  as the Series A
Convertible  Preferred  Stock  (the  "Convertible  Preferred  Stock"),  and  the
authorized  number of shares  constituting  such series shall be 1,473,684,  par
value  $0.01  per  share.  The  price and  liquidation  preference  of shares of
Convertible Preferred Stock shall be $4.75 per share (the "Liquidation Value").

     (b) The shares of  Convertible  Preferred  Stock  shall rank senior to each
other series of Preferred Stock and to all other classes of equity securities of
the  Corporation as to the payment of dividends and the  distribution  of assets
upon a liquidation, dissolution or winding up of the Corporation.

2.   Dividends.

     (a) Beginning on the date of issuance of the  Convertible  Preferred  Stock
(the "Issue Date"), each holder of outstanding Convertible Preferred Stock shall
be entitled to receive,  out of the assets of the Corporation  legally available
therefor,  dividends  ("Dividends") on each share of Convertible Preferred Stock
held by such holder at a per annum rate of six percent  (6%) (as the same may be
adjusted  pursuant to Section 7(k),  the "Dividend  Rate") on the sum of (A) the
Liquidation  Value of each  share of  Convertible  Preferred  Stock held by such
holder  plus  (B)  any  and  all  accrued  but  theretofore   unpaid   Dividends
(collectively,  the  "Preference  Amount").  From and after the Issue Date,  all
Dividends shall be cumulative,  whether or not earned or declared,  and shall be
payable  quarterly in arrears on the first Business Day of each January,  April,
July and October of each year (each a "Dividend Payment Date") commencing on the
first Dividend  Payment Date after the Issue Date  (excluding the first Business
Day of July 1998);  provided,  with respect to any Dividend  Payment  Date,  the
Board of  Directors  may  irrevocably  elect  not to pay cash  Dividends  on the
Convertible  Preferred  Stock,  in which  case,  the  amount of any such  unpaid
Dividends  shall be a dividend  arrearage to which the Dividend Rate shall apply
for purposes of determining the amount of Dividends accruing after such Dividend
Payment  (i.e.,  such amount shall be added to the  Preference  Amount in effect
immediately  prior to such Dividend Payment Date).  Dividends which are declared
and paid in full in cash shall not accumulate. The Board of Directors may fix in
advance a record date for the  determination of holders of shares of Convertible
Preferred Stock entitled to receive payment of a dividend thereon,  which record
date shall be no more than thirty (30) days nor less than ten (10) days prior to
the date fixed for the payment thereof.

     (b) All  Dividends  paid with  respect to shares of  Convertible  Preferred
Stock  pursuant  to  paragraph  2(a) above shall be paid pro rata to the holders
entitled thereto.

     (c) Dividends  payable on the  Convertible  Preferred  Stock for any period
less than a year shall be computed on the basis of a 360-day year and the actual
number of days elapsed in the period for which payable.

3.   Liquidation Rights.

     In the event of any voluntary or  involuntary  liquidation,  dissolution or
winding up of the affairs of the Corporation (a  "Liquidation"),  the holders of
Convertible  Preferred Stock shall be entitled to receive,  out of the remaining
assets of the Corporation  available for distribution to its stockholders,  with
respect to each share of  Convertible  Preferred  Stock held by such holder,  an
amount of cash equal to the  greater of (x) the then  Preference  Amount and (y)
the  amount  that such  holder  would  have been  entitled  to  receive  in such
Liquidation if such share of Convertible Preferred Stock had been converted into
Common Stock  immediately  prior to such Liquidation (the greater of (x) and (y)
the "Adjusted Preference Amount") before any payment or distribution of any type
may be made to the holders of Junior Stock. If upon any Liquidation,  the assets
of the Corporation  available for distribution to the holders of the Convertible
Preferred  Stock shall be  insufficient  to pay such  holders the full  Adjusted
Preference Amount,  the assets of the Corporation  available for distribution to
the holders of Convertible  Preferred Stock shall be distributed to such holders
who shall share pro rata in such  distribution  in accordance with the number of
shares of Convertible Preferred Stock held by such holders.

4.   Conversion Rights. The holder of any shares of Convertible  Preferred Stock
shall have conversion rights as follows (the "Conversion Rights"):

     (a) Right to Convert.  Each  issued and  outstanding  share of  Convertible
Preferred  Stock shall be  convertible,  without  the payment of any  additional
consideration by the holder thereof and at the option of the holder thereof,  at
any time after the date of issuance of such share,  upon  exercise in accordance
with  Section 4(b) into that number of fully paid and  non-assessable  shares of
Common Stock (excluding  fractional shares which shall be rounded to the nearest
full share) as is determined by dividing the Preference  Amount of such share by
the Conversion Price,  determined as hereinafter provided, in effect at the time
of such  conversion.  The conversion price at which shares of Common Stock shall
be  deliverable  upon  conversion  of  Convertible  Preferred  Stock without the
payment of any additional  consideration  by the holder thereof (the "Conversion
Price") shall initially be equal to $4.75.  Such initial  Conversion Price shall
be  subject  to  adjustment,  in order to adjust  the number of shares of Common
Stock into which the Convertible Preferred Stock is convertible,  as hereinafter
provided.

     (b) Mechanics of  Conversion.  Before any holder of  Convertible  Preferred
Stock shall be entitled  to convert  the same into  shares of Common  Stock,  he
shall surrender the certificate or certificates therefor,  duly endorsed, at the
principal  executive  office of the Corporation or of any transfer agent for the
Convertible  Preferred  Stock,  and shall  give  written  notice (a  "Conversion
Demand") to the Corporation at such principal executive office that he elects to
convert  the same and shall  state  therein his name or the name or names of his
nominees in which he wishes the certificate or certificates for shares of Common
Stock to be  issued,  the  number of shares  to be  converted  and the date (the
"Conversion  Date")  of such  conversion  which  shall be a  Business  Day.  The
Corporation shall, as soon as practicable thereafter,  issue and deliver at such
principal  executive office to such holder of such Convertible  Preferred Stock,
or to his nominee or nominees,  a certificate or certificates  for the number of
shares  of  Common  Stock  to which he shall  be  entitled  as  aforesaid  and a
certificate  or  certificates  for  such  Convertible  Preferred  Stock  as were
represented by the certificates  surrendered and not converted.  Such conversion
shall be deemed to have been made immediately  prior to the close of business on
the Conversion Date and the person or persons  entitled to receive the shares of
Common Stock issuable upon  conversion  shall be treated for all purposes as the
record holder or holders of such shares of Common Stock on such date.

     (c)  Adjustments  to the  Conversion  Price and the Base Purchase Price for
Diluting Issues:

     (i) No Adjustment of the Conversion  Price and the Base Purchase  Price. No
adjustment  in either  the  number of shares  of  Common  Stock  into  which the
Convertible  Preferred  Stock is convertible or the Base Purchase Price shall be
made pursuant to Section 4(c)(iv) hereof,  by adjustment of the Conversion Price
and Base  Purchase  Price in respect of the  issuance  of  Additional  Shares of
Common Stock, unless the consideration paid per share (or deemed to be paid) for
an  Additional  Share of  Common  Stock  issued  or  deemed  to be issued by the
Corporation  is less than the higher of (x) the Fair  Market  Value per share of
Common Stock and (y) the Base Purchase Price in effect  immediately prior to the
issuance of such Additional  Shares (the higher of (x) and (y) being hereinafter
referred to as the "Adjustment Price").

     (ii) Issue of Options and Convertible Securities Deemed Issue of Additional
Shares of Common Stock. In the event the Corporation at any time or from time to
time  after  the Issue  Date  shall  issue or sell any  Options  or  Convertible
Securities  (other than (w)  Performance  Warrants (as defined in the Securities
Purchase  Agreement),  (x) shares of Preferred Stock issued to Paribas Principal
Incorporated or its designee in connection  with the Second Closing,  (y) shares
of Series B Preferred Stock or (z) shares of Convertible  Preferred Stock issued
pursuant to Section 8.13 of the  Securities  Purchase  Agreement) or shall fix a
record date for the determination of holders of any class of securities entitled
to receive any such Options or Convertible  Securities,  then the maximum number
of shares (as set forth in the instrument relating thereto without regard to any
provisions  contained  therein for a  subsequent  adjustment  of such number) of
Common  Stock  issuable  upon the  exercise  of such  Options or, in the case of
Convertible  Securities  and Options  therefor,  issuable upon the conversion or
exchange of such Convertible Securities, shall be deemed to be Additional Shares
of Common  Stock  issued as of the time of such  issue or, in case such a record
date shall have been fixed,  as of the close of  business  on such record  date;
provided,  however, that in the case of the Registration Warrants (as defined in
the  Securities  Purchase  Agreement)  the  Additional  Shares of  Common  Stock
issuable upon the exercise of such Warrants will not be deemed issued until such
time as such Warrants are no longer subject to cancellation  pursuant to Section
8.14 of the Securities Purchase Agreement;  provided,  further, however, that in
any such  case in which  Additional  Shares of  Common  Stock  are  deemed to be
issued:

          (1) other than  adjustments  made in  connection  with a conversion of
     shares of Series B Preferred Stock into Common Stock, no further adjustment
     in the  Conversion  Price or Base  Purchase  Price  shall be made  upon any
     subsequent  issue of  Convertible  Securities  or shares  of  Common  Stock
     issuable  upon the  exercise of such Options or  conversion  or exchange of
     such Convertible Securities;

          (2) if such Options or Convertible  Securities by their terms provide,
     with  the  passage  of'  time  or  otherwise,   for  any  increase  in  the
     consideration  payable to the  Corporation,  or a decrease in the number of
     shares of Common Stock issuable, upon the exercise,  conversion or exchange
     thereof,  the  Conversion  Price and Base Purchase  Price computed upon the
     original  issue  thereof  (or upon the  occurrence  of a record  date  with
     respect thereto), and any subsequent adjustments based thereon, shall, upon
     any such increase or decrease becoming effective,  be recomputed to reflect
     such increase or decrease  insofar as it affects such Options or the rights
     of conversion or exchange under such Convertible Securities;

          (3)  upon  the  expiration  of  any  such  Options  or any  rights  of
     conversion or exchange under such  Convertible  Securities  which shall not
     have been exercised,  the Conversion Price and Base Purchase Price computed
     upon the original  issue  thereof (or upon the  occurrence of a record date
     with respect thereto), and any subsequent adjustments based thereon, shall,
     upon such expiration, be recomputed as if:

               (x) in the case of  Convertible  Securities or Options for Common
          Stock  the only  Additional  Shares of Common  Stock  issued  were the
          shares of Common Stock,  if any,  actually issued upon the exercise of
          such  Options  or the  conversion  or  exchange  of  such  Convertible
          Securities   and  the   consideration   received   therefor   was  the
          consideration  actually  received by the  Corporation for the issue of
          all such Options,  whether or not  exercised,  plus the  consideration
          actually  received by the Corporation  upon such exercise,  or for the
          issue of all such Convertible Securities which were actually converted
          or exchanged,  plus the  additional  consideration,  if any,  actually
          received by the Corporation upon such conversion or exchange; and

               (y) in the case of Options for  Convertible  Securities  only the
          Convertible  Securities,  if any,  actually  issued upon the  exercise
          thereof  were  issued  at the time of issue of such  Options,  and the
          consideration received by the Corporation for the Additional Shares of
          Common  Stock  deemed to have been then  issued was the  consideration
          actually  received  by the  Corporation  for  the  issue  of all  such
          Options,  whether or not exercised,  plus the consideration  deemed to
          have been received by the Corporation  (determined pursuant to Section
          4(c)(v)) upon the issue of the Convertible  Securities with respect to
          which such Options were actually exercised;

          (4) (a) no readjustment pursuant to clause (2) or (3) above shall have
     the effect of increasing  the  Conversion  Price to an amount which exceeds
     the lower of (x) the Conversion  Price on the original  adjustment date, or
     (y) the  Conversion  Price that would have  resulted  from any  issuance of
     Additional Shares of Common Stock between the original  adjustment date and
     such  readjustment  date without  taking into account the adjustment of the
     Conversion  Price  based  upon  the  issuance  of  Options  or  Convertible
     Securities which required such initial adjustment;

          (b) no readjustment pursuant to clause (2) or (3) above shall have the
     effect of increasing the Base Purchase Price to an amount which exceeds the
     lower of (x) the Base Purchase  Price on the original  adjustment  date, or
     (y) the Base  Purchase  Price that would have resulted from any issuance of
     Additional Shares of Common Stock between the original  adjustment date and
     such  readjustment  date without  taking into account the adjustment of the
     Base  Purchase  Price  based upon the  issuance  of Options or  Convertible
     Securities which required such initial adjustment;

          (5) in the case of any  Options  which  expire by their terms not more
     than thirty (30) days after the date of issue thereof, no adjustment of the
     Conversion Price and Base Purchase Price shall be made until the expiration
     or exercise of all such Options, whereupon such adjustment shall be made in
     the same manner provided in clause (3) above; and

          (6) if such  record  date shall  have been  fixed and such  Options or
     Convertible  Securities  are not  issued on the date  fixed  therefor,  the
     adjustment  previously  made in the Conversion  Price and the Base Purchase
     Price which  became  effective  on such record date shall be canceled as of
     the close of business on such record date,  and  thereafter  the Conversion
     Price and Base  Purchase  Price shall be adjusted  pursuant to this Section
     4(c)(ii) as of the actual date of their issuance.

     (iii) Stock Dividends, Stock and Subdivisions. In the event the Corporation
any time or from time to time  after  the  Issue  Date  shall  declare  or pay a
dividend or make any other  distribution  on the Common Stock  payable in Common
Stock,  or effect a subdivision  of the  outstanding  shares of Common Stock (by
reclassification  or otherwise  than by payment of a dividend in Common  Stock),
then and in any such event, Additional Shares of Common Stock shall be deemed to
have been issued:

          (A) in the  case of any such  dividend  or  distribution,  immediately
     after the close of  business on the record  date for the  determination  of
     holders of any class of  securities  entitled to receive  such  dividend or
     distribution, or

          (B) in the case of any such  subdivision,  at the close of business on
     the date  immediately  prior to the date upon which such  corporate  action
     becomes effective.

If such record date shall have been fixed and such dividend  shall not have been
fully paid on the date fixed  therefor,  the adjustment  previously  made in the
Conversion  Price and Base Purchase Price which became  effective on such record
date shall be canceled as of the close of  business  on such  record  date,  and
thereafter  the  Conversion  Price and Base  Purchase  Price  shall be  adjusted
pursuant  to this  Section  4(c)(iii)  as of the time of actual  payment of such
dividend.

     (iv)  Adjustment  of the  Conversion  Price and Base  Purchase  Price  Upon
Issuance of Additional  Shares of Common Stock. (A) In the event the Corporation
at any time or from  time to time  after  the  Issue  Date  shall  issue or sell
Additional Shares of Common Stock  (including,  without  limitation,  Additional
Shares of Common  Stock  deemed to be issued  pursuant to Section  4(c)(ii)  and
shares of Common  Stock  issued  upon the  conversion  of any shares of Series B
Preferred  Stock, but excluding  Additional  Shares of Common Stock deemed to be
issued  pursuant  to  Section  4(c)(iii),  which  event is dealt with in Section
4(c)(vi)),  without consideration or for a consideration per share less than the
Adjustment  Price,  then and in such  event,  the  Conversion  Price  in  effect
immediately prior to such issuance and Base Purchase Price in effect immediately
prior to such issuance  shall each be reduced,  concurrently  with such issue in
order to  increase  the  number  of  shares  of  Common  Stock  into  which  the
Convertible  Preferred  Stock  is  convertible,  to a price  (calculated  to the
nearest cent) determined by multiplying (i) in the case of the Conversion Price,
the Conversion Price in effect  immediately prior to such issuance by a fraction
(x) the  numerator  of which  shall be the sum of (1) the  number  of  shares of
Common Stock outstanding  immediately  prior to such issuance  (exclusive of any
treasury  shares)  plus (2) the  number  of shares  of  Common  Stock  which the
aggregate  consideration  received by the  Corporation  for the total  number of
Additional  Shares of Common  Stock so issued would  purchase at the  Adjustment
Price and (y) the  denominator  of which  shall be the sum of (1) the  number of
shares of Common Stock outstanding immediately prior to such issuance (exclusive
of treasury  shares),  plus (2) the number of such  Additional  Shares of Common
Stock  so  issued  and (ii) in the case of the  Base  Purchase  Price,  the Base
Purchase  Price in effect  immediately  prior to such issuance by a fraction (x)
the  numerator  of which  shall be the sum of (1) the number of shares of Common
Stock outstanding  immediately prior to such issuance (exclusive of any treasury
shares)  plus (2) the  number  of shares of  Common  Stock  which the  aggregate
consideration  received by the  Corporation  for the total number of  Additional
Shares of Common Stock so issued would purchase at the Adjustment  Price and (y)
the  denominator of which shall be the sum of (1) the number of shares of Common
Stock  outstanding  immediately  prior to such  issuance  (exclusive of treasury
shares),  plus (2) the  number of such  Additional  Shares  of  Common  Stock so
issued.

     (B) Notwithstanding anything to the contrary contained in (A) above, in the
event the  Corporation  issues more than an  aggregate  (taking into account all
such  issuances  after the Issue Date) of $3,000,000  (determined at the time of
issuance by  reference  to the Fair Market  Value of such  Additional  Shares of
Common  Stock so issued  and not the  amount of  consideration  received  by the
Corporation in respect of such  issuances) of Additional  Shares of Common Stock
(including all Additional Shares of Common Stock deemed to be issued pursuant to
Section  4(c)(ii)  except any  Additional  Shares of Common Stock deemed  issued
pursuant to Section 4(c)(ii) in connection with the issuance of any Registration
Warrants (as defined in the  Securities  Purchase  Agreement) or the issuance of
Warrants pursuant to Section 7(k)), without consideration or for a consideration
per share less than the Base Purchase Price in effect  immediately prior to such
issuance, the Conversion Price and the Base Purchase Price shall not be adjusted
as provided in (A) above,  but rather,  the Conversion  Price then in effect and
the Base  Purchase  Price  then in  effect  shall  each be  adjusted,  upon each
subsequent issuance (or deemed issuance) of Additional Shares (except Additional
Shares of Common Stock deemed issued pursuant to Section  4(c)(ii) in connection
with the issuance of any  Registration  Warrants  (as defined in the  Securities
Purchase  Agreement) or the issuance of Warrants pursuant to Section 7(k)) below
the Base Purchase Price occurring thereafter, by decreasing (but not increasing)
such  amounts  to an  amount  equal  to  the  quotient  of  (x)  the  amount  of
consideration  received or deemed  received by the Corporation in respect of any
such issuance of Additional  Shares of Common Stock below the then Base Purchase
Price divided by (y) the number of Additional  Shares of Common Stock so issued;
provided,  however,  notwithstanding  anything to the contrary contained in this
clause (B), in the event the "Purchaser" (as defined in the Securities  Purchase
Agreement)  shall have exercised the preemptive  rights  provided for in Section
8.11 of the  Securities  Purchase  Agreement in  connection  with an issuance of
Additional   Shares  below  the  Base  Purchase   Price  then  in  effect,   the
"full-ratchet"  anti-dilution  protection  otherwise provided in this clause (B)
shall not apply with  respect to such  issuance of  Additional  Shares of Common
Stock (i.e., the anti-dilution  protection  provided for in Section  4(c)(iv)(A)
shall apply to such issuance and the Fair Market Value of the Additional  Shares
of Common  Stock  shall not count  toward  the  $3,000,000  threshold  described
above).

     (v) Determination of Consideration.  For purposes of this Section 4(c), the
consideration received by the Corporation for the issue of any Additional Shares
of Common  Stock,  or in the case of a  dividend,  the  amount  received  by the
holders of capital stock of the Corporation, shall be computed as follows:

          (A)  Cash and Property. Such consideration or amount shall:

               (1) insofar as it  consists of cash be computed at the  aggregate
          amount of cash received (or distributed, in the case of a dividend) by
          the Corporation;

               (2)  insofar as it  consists  of  property  other  than cash,  be
          computed  at the fair  value  thereof at the time of such  issue,  (or
          distribution in the case of a dividend) as determined  pursuant to the
          Valuation Procedure; and

               (3) in the event  Additional  Shares of Common  Stock are  issued
          (or,  in the case of a  dividend,  distributed)  together  with  other
          shares  or  securities  or  other  assets  of  the   Corporation   for
          consideration which covers (or in a distribution which contains) both,
          be the proportion,  as determined  pursuant to the Valuation Procedure
          of such  consideration  so received (or amounts to be distributed,  as
          the case may be), computed as provided in clauses (1) and (2) above.

; provided,  however,  any Additional  Share issued in connection with any legal
and/or equitable claim that has been asserted,  or could have been asserted,  by
plaintiffs Robert P. Lehmann,  M.D., Alan Baum, M.D., David A. Dewahl, Jr., John
Finlay, Janet G. Keats and Harry Near (collectively,  "Plaintiffs")  against the
Corporation  (the "Claims") in the civil action pending before the United States
District Court for the Southern District of Texas, Houston Division, docketed at
Civil Action No.  H-97-3317,  and any other current or future legal or equitable
action of any sort  whatsoever  which any  Plaintiff  has brought or might bring
against the Corporation regarding, relating to, or constituting any Claim, shall
be  deemed  to have  been  issued  for a per  share  consideration  equal to the
quotient of (A) $700,000 less any cash or other  property  (valued in accordance
with (1) and (2) above) which is paid in connection with the settlement or other
resolution  of any Claim  divided by (B) the total number of  Additional  Shares
issued in connection with all such Claims.

          (B) Options and Convertible  Securities.  The  consideration per share
     received by the Corporation for Additional Shares of Common Stock deemed to
     have been  issued  pursuant  to Section  4(c)(ii),  relating to Options and
     Convertible Securities, shall be determined by dividing:

               (1) the total  amount,  if any,  received  or  receivable  by the
          Corporation  as  consideration  for  the  issue  of  such  Options  or
          Convertible   Securities,   plus  the  minimum   aggregate  amount  of
          additional  consideration  (as set forth in the  instruments  relating
          thereto,  without  regard to any  provision  contained  therein  for a
          subsequent   adjustment   of  such   consideration)   payable  to  the
          Corporation  upon the  exercise of such Options or the  conversion  or
          exchange of such Convertible Securities, or in the case of Options for
          Convertible  Securities,  the exercise of such Options for Convertible
          Securities  and  the  conversion  or  exchange  of  such   Convertible
          Securities, by

               (2) the maximum number of shares of Common Stock (as set forth in
          the  instruments  relating  thereto,  without  regard to any provision
          contained therein for a subsequent adjustment of such number) issuable
          upon the  exercise of such  Options or the  conversion  or exchange of
          such Convertible Securities.

     (vi) Adjustment for Dividends, Distributions, Subdivisions, Combinations or
Consolidation of Common Stock.

          (A) Stock Dividends,  Distributions or Subdivisions.  In the event the
     Corporation  shall  issue at any time or from  time to time and  after  the
     Issue Date Additional  Shares of Common Stock pursuant to Section 4(c)(iii)
     in a stock dividend,  stock  distribution  or  subdivision,  the Conversion
     Price  in  effect   immediately   prior  to  such  stock  dividend,   stock
     distribution   or  subdivision  and  the  Base  Purchase  Price  in  effect
     immediately prior to such stock dividend, stock distribution or subdivision
     shall each,  concurrently  with the  effectiveness  of such stock dividend,
     stock distribution or subdivision, be proportionately decreased.

          (B)  Combinations  or  Consolidations.  In the event  the  outstanding
     shares  of  Common  Stock  shall at any time or from  time to time from and
     after the Issue Date be combined or consolidated,  by  reclassification  or
     otherwise,  into a lesser number of shares of Common Stock,  the Conversion
     Price in effect  immediately prior to such combination or consolidation and
     the Base Purchase Price in effect  immediately prior to such combination or
     consolidation   shall,   concurrently   with  the   effectiveness  of  such
     combination or consolidation, be proportionately increased.

     (vii)  Adjustment  for  Merger  or  Reorganization,  etc.  In  case  of any
consolidation or merger of the Corporation  with or into another  corporation or
the conveyance of all or  substantially  all of the assets of the Corporation or
the Corporation and its subsidiaries taken as a whole to another corporation, in
each case,  occurring after the Issue Date (a "Transaction"),  as a condition to
the consummation of such  Transaction,  lawful and adequate  provisions shall be
made so that each share of the Convertible  Preferred Stock shall  thereafter be
convertible  into the number of shares of stock or other  securities or property
to which a holder of the  number of shares  of  Common  Stock  deliverable  upon
conversion  of such  Convertible  Preferred  Stock would have been entitled upon
such  consolidation,  merger or conveyance;  and, in any such case,  appropriate
adjustment  (as  determined  by the  Board  of  Directors)  shall be made in the
application  of the  provisions  herein set forth with respect to the rights and
interest  thereafter of the holders of the Convertible  Preferred  Stock, to the
end that the provisions set forth herein  (including  provisions with respect to
changes in and other  adjustments of, the Conversion  Price) shall thereafter be
applicable,  as nearly as reasonably  may be, in relation to any shares of stock
or other property thereafter  deliverable upon the conversion of the Convertible
Preferred  Stock;  provided  that  nothing  herein is  intended  to  increase or
decrease the rights of the holders of the Convertible  Preferred Stock set forth
in this Certificate of Designation. Notwithstanding anything contained herein to
the contrary, the Corporation shall not effect any such Transaction unless prior
to  the  consummation  thereof  each  corporation  or  entity  (other  than  the
Corporation)  that may be  required  to deliver  any  securities,  cash or other
property  upon the  conversion  of  shares  of  Convertible  Preferred  Stock as
provided herein shall assume, by written instrument delivered to, and reasonably
satisfactory to holders of shares of Convertible  Preferred Stock representing a
majority  of the shares of the  outstanding  Convertible  Preferred  Stock,  the
obligation to deliver to such holder such securities,  cash or other property as
to which,  in  accordance  with the  foregoing  provisions,  such  holder may be
entitled,  and such corporation or entity shall have similarly  delivered to the
holder of the shares of  Convertible  Preferred  Stock an opinion of counsel for
such  corporation or entity,  satisfactory  to the holders,  which opinion shall
state that the shares of Convertible  Preferred Stock and the provisions of this
certificate  of  designation,   including  without  limitation,  the  conversion
provisions,  shall  thereafter  continue  in full  force and effect and shall be
enforceable against the Corporation and such corporation or entity in accordance
with the terms  hereof and  thereof,  together  with such other  matters as such
holder may reasonably request.

     (viii) Adjustments In Other Securities.  If the purchase price provided for
in  any  Options,  the  additional  consideration,  if  any,  payable  upon  the
conversion or exchange of any Convertible  Securities,  or the rate at which any
Convertible  Securities are convertible  into or exchangeable  for Common Stock,
shall change at any time after the Issue Date, the Conversion Price in effect at
the time of such  change  and the Base  Purchase  Price in effect at the time of
such  change  shall  each be  readjusted  to the  Conversion  Price and the Base
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 changed conversion rate, as the case may be,
at the time initially granted, issued or sold.

     (ix)  No  Impairment.  The  Corporation  will  not,  by  amendment  of  its
Certificate of Incorporation or through any reorganization,  transfer of assets,
consolidation,  merger,  dissolution,  issue or sale of  securities or any other
voluntary action, avoid or seek to avoid the observance or performance of any of
the terms to be observed or performed  hereunder by the  Corporation but will at
all times in good faith assist in the carrying out of all the provisions of this
Section  4 and in the  taking  of  all  such  action  as  may  be  necessary  or
appropriate  in order to protect  the  Conversion  Rights of the  holders of the
Convertible Preferred Stock against impairment.

     (x) Certain Miscellaneous Events. If any corporate action shall occur as to
which the provisions of this Section 4(c) are not strictly  applicable but as to
which the failure to make any adjustment  would adversely  affect the Conversion
Rights in accordance  with the essential  intent and  principles of this Section
4(c)  then,  in  each  such  case,  the  Corporation  shall  appoint  a firm  of
independent  certified public accountants of recognized national standing (which
may be the regular  auditors of the  Corporation) to give their opinion upon the
adjustment,  if  any,  on a basis  consistent  with  the  essential  intent  and
principles  established  in this Section  4(c),  necessary to preserve,  without
dilution,  the Conversion Rights. Upon receipt of such opinion,  the Corporation
will  promptly mail a copy thereof to each holder of the  Convertible  Preferred
Stock and will make the adjustments described therein.

     (xi) Common Stock  Reserved.  The  Corporation  shall at all times when any
shares of Convertible  Preferred  Stock shall be  outstanding,  reserve and keep
available out of its authorized but unissued  Common Stock such number of shares
of Common  Stock free from  preemptive  rights and other  rights to  purchase or
subscribe as shall from time to time be sufficient  to effect  conversion of all
shares of Convertible  Preferred Stock (after giving effect to the conversion of
all other  securities  of the  Corporation  which are  convertible  into  Common
Stock).

     (xii) Par Value of Common Stock. Before taking any action which would cause
an  adjustment  reducing  the  Conversion  Price to an amount below the then par
value of the Common Stock, issuable upon conversion of the Convertible Preferred
Stock,  the  Corporation  will take any  action  which  may,  in the  opinion of
independent  counsel experienced in such matters, 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.

     (xiii) Adjustment for Certain  Dividends;  Distributions.  In the event the
Corporation  shall,  at any time or from  time to time  after  the  Issue  Date,
declare a dividend or fix a record date for the making of any other distribution
of  evidences  of  indebtedness  or assets upon or to the Common  Stock or other
class of common  equity of the  Corporation  (other  than  dividends  payable in
shares of Common  Stock),  then,  (a) the  Conversion  Price shall be reduced by
multiplying the Conversion Price in effect immediately prior to such dividend by
the quotient  obtained by dividing (1) the Fair Market Value per share of Common
Stock  determined on a Fully-Diluted  Basis  immediately  prior to such dividend
minus the amount of such  dividend  in respect of each share of Common  Stock by
(2)  the  Fair  Market  Value  per  share  of  Common  Stock   determined  on  a
Fully-Diluted Basis immediately prior to such dividend and (b) the Base Purchase
Price  shall be  reduced  by  multiplying  the  Base  Purchase  Price in  effect
immediately  prior to such dividend by the quotient obtained by dividing (1) the
Fair Market Value per share of Common Stock determined on a Fully-Diluted  Basis
immediately  prior to such dividend minus the amount of such dividend in respect
of each share of Common  Stock by (2) the Fair Market  Value per share of Common
Stock determined on a Fully-Diluted  Basis  immediately  prior to such dividend.
Each such adjustment  shall be made whenever such a record date is fixed and, in
the event that such dividend or distribution  is not made, the Conversion  Price
and the Base  Purchase  Price  shall be  readjusted  to the  numbers  in  effect
immediately  prior  to  such  record  date  (taking  into  account   intervening
adjustments).

     (xiv)  Miscellaneous.  The Corporation  covenants that all shares of Common
Stock and other securities issuable upon conversion of the Convertible Preferred
Stock will, upon issue thereof,  be validly  authorized and issued,  fully paid,
nonassessable, free of preemptive rights and free from all taxes, liens, charges
and  security  interest  with  respect  to the  issue  thereof.  So  long as the
outstanding Common Stock may be listed on any securities  exchange in the United
States,  the Corporation shall use its best efforts to cause all reserved shares
of Common Stock and other  securities  reserved for issuance upon  conversion of
the Convertible Preferred Stock to be listed on each such exchange upon official
notice of issuance of such securities upon such conversion.

5.   Report or Certificate as to Adjustments.

     In each case of any  adjustment or  readjustment  in the  Conversion  Price
and/or Base Purchase Price pursuant to Section 4, the Corporation at its expense
will promptly  deliver a certificate of its Chief  Financial  Officer showing in
detail the computation of such adjustment or readjustment in accordance with the
terms of Section 4 and the facts upon which such  adjustment or  readjustment is
based.  The  Corporation  shall  also  cause,  upon the  request of holders of a
majority of the then outstanding  shares of Convertible  Preferred Stock, at its
own expense,  independent  certified public  accountants of recognized  national
standing (which may be the regular auditors of the Corporation)  selected by the
Corporation to verify such  computation  and prepare a report setting forth such
adjustment  or  readjustment  and  showing in detail  the method of  calculation
thereof and the facts upon which such adjustment or  readjustment is based.  The
Corporation  will  forthwith  (and in any event not later than 10 Business  Days
following the occurrence of the event requiring such adjustment)  furnish a copy
of each such report to each holder of  Convertible  Preferred  Stock,  and will,
upon the written  request at any time of any such  holder,  promptly  furnish to
such holder a like report setting forth (i) such adjustments and  readjustments,
(ii) the Conversion Price and Base Purchase Price and (iii) the number of shares
of Common Stock and the amount,  if any, of other property which, as of the date
of such  report,  would  be  received  upon  the  conversion  of a share  of the
Convertible  Preferred  Stock. The Corporation will also keep copies of all such
reports at its  principal  office and will  cause the same to be  available  for
inspection  at such office  during  normal  business  hours by any holder or any
prospective purchaser of shares of Convertible Preferred Stock designated by any
holder thereof.

6.   Notices of Certain Actions. In the event of:

     (a) any taking by the  Corporation  of a record of the holders of any class
of  securities  for the  purpose of  determining  the  holders  thereof  who are
entitled  to  receive  any  dividend  or  other  distribution,  or any  right to
subscribe for, purchase or otherwise acquire any shares of stock of any class or
any other securities or property, or to receive any other right, or

     (b) any capital reorganization of the Corporation,  any reclassification or
recapitalization  of the capital stock of the Corporation,  any consolidation or
merger  involving the Corporation and any other Person or any transfer of all or
substantially all the assets of the Corporation to any other Person, or

     (c) any voluntary or involuntary dissolution,  liquidation or winding-up of
the Corporation, or

     (d) authorization of an issuance of capital stock of the Corporation or any
Options or  Convertible  Securities  or a proposal to issue any capital stock of
the Corporation or any Options or Convertible Securities or a proposal to commit
the  Corporation  to issue  capital stock of the  Corporation  or any Options or
Convertible Securities; or

     (e) the  failure  to comply  with the  provisions  of this  Certificate  of
Designation; or

     (f) any plan or proposal by the  Corporation to register  securities of the
Corporation  with the  Securities  and  Exchange  Commission  (or any  successor
agency); or

     (g) any proposal to take any other action which would require an adjustment
pursuant to Section 4(c);

the Corporation  will deliver to the holder a notice  specifying (i) the date or
expected  date on which any such  record is to be taken for the  purpose of such
dividend,  distribution or right, and the amount and character of such dividend,
distribution  or  right,  (ii)  the  date or  expected  date on  which  any such
reorganization,  reclassification,   recapitalization,   consolidation,  merger,
transfer, dissolution,  liquidation or winding-up is to take place and the time,
if any such time is to be fixed,  as of which  the  holders  of record of Common
Stock (or other securities) shall be entitled to exchange their shares of Common
Stock (or other  securities)  for the securities or other  property  deliverable
upon such  reorganization,  reclassification,  recapitalization,  consolidation,
merger, transfer,  dissolution,  liquidation or winding-up,  (iii) the terms and
conditions  of any such  issuance  (including  price,  the terms of the  offered
securities  and the  proposed  timing  thereof),  (iv) the nature of the lack of
compliance,  any  corrective  action taken and any rights or remedies which such
lack of compliance has bestowed on the holders of Convertible  Preferred  Stock,
(v) the  date  or  expected  date of the  filing  of the  Corporation's  initial
registration  statement  with respect to such  offering  and the material  terms
thereof or (vi) the notice required by Section 5. Such notice shall be furnished
at  least  10  Business  Days  prior  to the  date  therein  specified  (and the
Corporation  shall promptly provide  amendments  and/or  supplements to any such
notice to the extent  necessary to keep all of the information  contained in any
such notice (and each  amendment or supplement  thereto) true and correct in all
respects).

7.   Redemption.

     (a) Redemption at the Option of the  Corporation.  At any time on and after
the Section 7(a) Redemption  Effective  Date, the  Corporation  may, at its sole
discretion, redeem all or less than all of the outstanding shares of Convertible
Preferred Stock at the Redemption Price (as defined below).

     (b)  Redemption  at the Option of the Holder.  At any time on and after the
Section 7(b) Redemption  Effective  Date, each Holder shall have the option,  in
its sole discretion, to require the Corporation,  upon written notice (a "Holder
Redemption  Notice") to redeem all or less than all of its outstanding shares of
Convertible Preferred Stock at the Redemption Price (as defined below).

     (c) The redemption price per share of the Convertible Preferred Stock shall
be paid in cash in an amount  equal to the  Preference  Amount as of the date of
redemption of such shares (the "Redemption Price").

     (d) Written  notice of any  redemption of shares of  Convertible  Preferred
Stock  pursuant  to  Section  7(a),  specifying  the  time  and  place  of  such
redemption,  shall be mailed by certified  mail,  return receipt  requested,  at
least 45, and not more than 60 days prior to the date  specified for  redemption
(the "Section 7(a) Redemption Date"), to each registered holder of the shares of
Convertible  Preferred  Stock at such holder's last address as it appears on the
Corporation's  books. On or after the Section 7(a) Redemption  Date, each holder
of shares of Convertible  Preferred Stock called for redemption  shall surrender
his or  her  certificates  for  such  shares  to the  Corporation  at the  place
specified in the notice and then the Corporation  shall pay the holder (or shall
cause such holder to be paid) the Redemption Price in cash.

     (e)  Receipt of a Section  7(a)  Notice of  Redemption  shall not prevent a
holder from  exercising  the conversion  rights  granted  pursuant to Section 4.
Notwithstanding the foregoing, any holder exercising such conversion rights must
make a Conversion  Demand not later than 15 Business  Days after receipt of such
Section 7(a) Notice of Redemption.

     (f) Each Holder Redemption Notice delivered  pursuant to Section 7(b) shall
specify:

          (1) the name of the holder of shares of  Convertible  Preferred  Stock
     delivering such Holder Redemption Notice;

          (2) that such holder is  exercising  its  option,  pursuant to Section
     7(b), to require the Corporation to redeem shares of Convertible  Preferred
     Stock held by such holder; and

          (3) the  number of, and a  description  of, the shares of  Convertible
     Preferred Stock to be subject to such redemption.

     (g) The  Corporation  shall,  within  thirty  (30) days of  receipt of such
Holder Redemption Notice, deliver to the holder exercising its rights to require
redemption of shares pursuant to Section 7(b), a notice  specifying the date set
for such redemption (the "Section 7(b) Redemption Date").

     (h) Notwithstanding anything contained in Section 7(b) to the contrary, the
Corporation  shall not be obligated to redeem  shares of  Convertible  Preferred
Stock which are the subject of a Holder Redemption Notice or be obligated to pay
the Redemption Price in respect of a Holder Redemption Notice, if:

          (1) at any time prior to the  seventh  anniversary  of the Issue Date,
     payment of the  Redemption  Price at such time would result in a breach of,
     or default or event of default in respect of, the Credit Agreement; or

          (2) at any time,  payment  of the  Redemption  Price is, at such time,
     prohibited by Applicable Law;

provided,  however,  with respect to (1) and (2) above, if such breach, event of
default,  default or violation  would not result from the purchase of any number
of shares of Convertible  Preferred Stock which is less than the total number of
shares the  Corporation  is obligated  to redeem on the Section 7(b)  Redemption
Date, the  Corporation  shall purchase on the Section 7(b)  Redemption  Date the
maximum  number of shares of  Convertible  Preferred  Stock it may so  purchase,
allocated  among  the  holders  which  have  elected  to have  their  shares  so
repurchased  ratably  according to the number of shares so  tendered;  provided,
further,  however,  with respect to (1) and (2) above, the Corporation shall use
its best efforts to cure such default or violation in a timely manner and remove
any associated restrictions or limitations which are applicable to the rights of
the holders of Convertible Preferred Stock contained in Section 7(b).

     (i) In the case of any  redemption  pursuant to this  Section 7, unless the
Corporation  defaults in the payment in full of the Redemption Price,  dividends
on the shares called for redemption  shall cease to accumulate on the applicable
redemption  date,  and all rights of the  holders  of the shares of  Convertible
Preferred  Stock subject to such redemption by reason of their ownership of such
shares  shall  cease on such  redemption  date,  except the right to receive the
Redemption   Price  on  surrender  to  the   Corporation  of  the   certificates
representing such shares. After the applicable redemption date, the shares shall
not be deemed to be outstanding  and shall not be  transferable  on the books of
the Corporation, except to the Corporation.

     (j) Any  shares of  Convertible  Preferred  Stock  redeemed,  converted  or
purchased  by the  Corporation  shall be  canceled  and shall have the status of
authorized and unissued  shares of preferred  stock,  without  designation as to
series.

     (k) In the event that a Holder  Redemption  Notice  and/or a Put Notice (as
defined in the Warrant  Agreement) is delivered to the  Corporation  on or after
July 29, 2003 and the Corporation is unable to comply with both Section 7(b) and
Section 11 of the Warrant  Agreement  by  affecting a  redemption  of all of the
shares of Convertible  Preferred Stock subject to such Holder  Redemption Notice
and honoring such put rights with respect to all Warrants  and/or Warrant Shares
subject to any such Put Notice  because  limitations  of the type  described  in
Section  7(h)(1) and 11.5 of the Warrant  Agreement then exist,  then, upon such
delivery of such Holder  Redemption Notice and/or Put Notice and until such time
as the Corporation shall have redeemed all such shares of Convertible  Preferred
Stock and repurchased all such Warrants and/or Warrant Shares:

          (1) the Dividend Rate shall be increased to twelve percent (12%);

          (2) the Corporation  shall use its best efforts to register all shares
     of Convertible Preferred Stock under the Securities Act of 1933 in a manner
     which  is  consistent  with  the   registration   rights  provided  to  the
     "Purchaser" (as defined in the Securities  Purchase  Agreement) pursuant to
     the Securities Purchase Agreement;

          (3) the Corporation  shall take any action necessary or appropriate to
     provide the holders of a majority of the outstanding  shares of Convertible
     Preferred Stock the right to elect not less than twenty-five  percent (25%)
     of the Board of Directors  (including,  without  limitation,  expanding the
     number of directors on the Board of Directors); and

          (4) the  Corporation  shall  issue  (on the five  year  and six  month
     anniversary of the Issue Date and each 180th day thereafter) to the holders
     of outstanding shares of Convertible  Preferred Stock (on a pro rata basis)
     that number of additional  Warrants  which is initially  exerciseable  into
     that number of shares of Common  Stock which is equal to the product of (x)
     0.02, (y) the number of shares of Common Stock then outstanding (determined
     on a  Fully-Diluted  Basis)  and (z)  the  quotient  of (A)  the  aggregate
     liquidation value of all shares of Preferred Stock outstanding at such time
     divided by (B) the aggregate  liquidation  value of all shares of Preferred
     Stock  outstanding  on the  Second  Closing  Date (or the Issue Date in the
     event the Second Closing Date shall not have occurred);

provided,  however,  notwithstanding  anything to the contrary  contained above,
should the  quotient  of (A) the  aggregate  liquidation  value of all shares of
Preferred  Stock   outstanding  at  such  time  divided  by  (B)  the  aggregate
liquidation  value of all shares of Preferred  Stock  outstanding  on the Second
Closing  Date (or the  Issue  Date if the  Second  Closing  Date  shall not have
occurred),  be less than 0.33,  the  Corporation  shall not be  obligated to (x)
register  shares  as  provided  in (2)  above  or (y)  provide  the  holders  of
Convertible  Preferred the increased  Board  representation  provided for in (3)
above.

8.   Voting Rights.

     The holders of shares of Convertible  Preferred Stock shall (i) be entitled
to vote as a single  class  (together  with the  holders of  Warrants  (on an as
converted  basis)  and the  holders  Common  Stock) on each  matter on which the
holders of Common Stock shall be entitled to vote and (ii) have, with respect to
each share of Convertible  Preferred Stock held by such holder on the applicable
record date for  determining  such voting rights,  that number of votes which is
equal to the  number of shares of Common  Stock  into  which  each such share of
Convertible Preferred Stock is convertible pursuant to Section 4.

9.   Consents Required of Holders of Convertible Preferred Stock.

     In  addition  to any  other  rights  provided  in the  Securities  Purchase
Agreement or otherwise, so long as any shares of Convertible Preferred Stock are
outstanding,  the  Corporation  shall not, by  amendment to its  Certificate  of
Incorporation,  by resolution of the Board of Directors, by consolidation of the
Corporation with, or merger of the Corporation with or into,  another Person, or
in any other  manner,  without  the consent of the holders of a majority of such
outstanding shares of Convertible  Preferred Stock voting together as one class,
either given by  affirmative  vote in person or by proxy at a meeting called for
that purpose or given in writing:

     (i) alter any provision of this Certificate of Designation;

     (ii) increase or decrease the  authorized  number of shares of  Convertible
Preferred Stock;

     (iii) authorize or issue any class or series of the  Corporation's  capital
stock (other than the "Additional Preferred Stock" (as defined in the Securities
Purchase  Agreement))  (or any securities  convertible or  exerciseable  into or
exchangeable  for any class or series of the  Corporation's  capital  stock) the
terms of which  provide that shares of such class or series rank senior to or on
parity  with  shares of the  Convertible  Preferred  Stock as to voting  rights,
redemptions,  distributions of dividends or other assets and distributions  upon
the Liquidation of the Corporation;

     (iv) reclassify any shares of capital stock of the Corporation  into shares
of any  class or series of the  Corporation's  capital  stock the terms of which
provide  that  shares of such class or series  rank  senior to or on parity with
shares of the  Convertible  Preferred  Stock as to voting  rights,  redemptions,
distributions  of  dividends  or  other  assets  and   distributions   upon  the
Liquidation of the Corporation;

     (v) (A) apply any of its or its subsidiaries' assets to or make any payment
on account of (other than dividends payable in shares of Junior Stock in respect
of shares of such class of Junior  Stock),  or set apart for payment money for a
sinking or other similar fund for, the purchase,  redemption,  retirement of, or
any other acquisition of, directly or indirectly,  any shares of Junior Stock or
(B) permit any corporation or other entity directly or indirectly  controlled by
the  Corporation  to purchase or redeem or  otherwise  acquire any shares of any
Junior Stock, whether directly or indirectly and whether in cash, obligations or
shares of the Corporation or other property;

     (vi)  amend or repeal  any  provision  of,  or add any  provision  to,  the
Corporation's  Certificate  of  Incorporation  or  Bylaws if such  action  would
adversely alter or change the preferences,  rights,  privileges or powers of, or
the  restrictions  provided for the benefit of the  Convertible  Preferred Stock
whether  pursuant to this  Certificate of Designation,  the Securities  Purchase
Agreement or otherwise;

     (vii) pay or declare  any  dividend or make any other  distribution  on any
shares of the Corporation's  capital stock (without limiting the right to accrue
dividends) other than (i) in respect of the Convertible  Preferred Stock or (ii)
dividends  payable in shares of Junior  Stock in respect of shares of such class
of Junior Stock;

     (viii) amend or change any provision of this Section 9; or

     (ix) agree to do any of the foregoing.


10.  Definitions.

     As used in this Certificate of Designation, and unless the context requires
a different meaning, the following terms have the meanings indicated:

          "Additional  Shares of Common  Stock"  shall mean all shares of Common
Stock (including any shares of Common Stock issued upon the conversion of Series
B Preferred  Stock)  issued  (or,  pursuant  to Section  4(c)(ii),  deemed to be
issued) by the Corporation  after the Issue Date,  except (i) securities  issued
upon the direct or indirect  conversion,  exchange or exercise of any securities
issued  by the  Corporation  on or prior to the  Issue  Date)  and set  forth on
Schedule I to this  Certificate  of  Designation,  (ii) up to 100,000  shares of
Common Stock issued upon the exercise of  non-qualified  stock options issued to
employees,  directors and independent  contractors of the Corporation and/or its
subsidiaries,  (iii) up to 200,000  shares of Common Stock issued to  physicians
with whose  practice  the  Corporation  is  affiliated  pursuant to  commitments
existing on the Issue Date and described on Schedule II to this  Certificate  of
Designation,  (iv) up to 291,461  shares of Common  Stock upon the  exercise  of
options issued after the Issue Date pursuant to the  Corporation's  1996 Amended
and Restated  Stock Option  Plan,  as in effect on the date hereof,  but only so
long as the  exercise  price of such  options,  (1) is fixed  and (2)  equals or
exceeds the fair market value of a share of Common Stock  (determined  as of the
date of issuance of such  options),  (v) shares of Common  Stock issued upon the
conversion of Convertible  Preferred  Stock,  (vi) shares of Common Stock issued
upon the  conversion  of Preferred  Stock issued in  connection  with the Second
Closing and (vii)  shares of Common Stock  issued upon  exercise of  Performance
Warrants (as defined in the Securities Purchase Agreement).

          "Adjusted  Preference  Amount"  shall  have the  meaning  set forth in
Section 3(a) of this Certificate of Designation.

          "Adjustment Price" shall have the meaning set forth in Section 4(c)(i)
of this Certificate of Designation.

          "Affiliate"  shall mean,  as applied to any Person,  any other  Person
directly or indirectly controlling (including, but not limited to, all directors
and officers of such Person),  controlled by, or under direct or indirect common
control with, such Person and shall include, for purposes of determining whether
a Person is an  Affiliate  of the  Corporation,  any  Person  that  directly  or
indirectly owns more than 5% of any class of the capital stock of such Person. A
Person shall be deemed to  "control"  another  Person if such Person  possesses,
directly  or  indirectly,  the power to direct  or cause  the  direction  of the
management and policies of such other Person,  whether  through the ownership of
voting securities, by contract or otherwise.

          "Applicable  Law"  shall  mean  all  provisions  of  laws,   statutes,
ordinances,  rules,  regulations,  permits or certificates  of any  Governmental
Authority  applicable  to such Person or any of its assets or property,  and all
judgments,  injunctions,  orders  and  decrees  of all  courts,  arbitrators  or
Governmental  Authorities  in  proceedings  or actions in which such Person is a
party or by which any of its assets or properties are bound.

          "Base Purchase Price" shall mean $4.43.

          "Board of  Directors"  shall have the  meaning  set forth in the first
paragraph of this Certificate of Designation.

          "Business Day" shall mean any day except Saturday,  Sunday and any day
which  in  New  York  shall  be a  legal  holiday  or a  day  on  which  banking
institutions  are  authorized or required by law or other  government  action to
close.

          "Certificate of Incorporation" shall have the meaning set forth in the
Resolved clause of this Certificate of Designation.

          "Change of Control"  shall mean the  occurrence  of one or more of the
following:  (i) any  Person,  entity or "group"  (within  the meaning of Section
13(d) and 14(d) of the Securities Exchange Act of 1934, as amended) shall become
the  "beneficial  owner"  (as  defined  in Rules  13(d)  and  13(d)-5  under the
Securities Exchange Act, as amended except that a Person shall be deemed to have
"beneficial  ownership"  of all  securities  that such  Person  has the right to
acquire,  whether  such  right is  exerciseable  immediately  or only  after the
passage  of time) of shares of any  outstanding  class of  capital  stock of the
Corporation and as a result,  such Person,  entity or "group" has 50% or more of
the ordinary  voting power in the election of the Board of Directors or (ii) the
Board of Directors shall cease to consist of a majority of Continuing Directors.

          "Claims"  shall have the meaning set forth in Section  4(c)(v) of this
Certificate of Designation.

          "Common  Stock"  shall mean the Common Stock of the  Corporation,  par
value $.001 per share.

          "Common  Stock Per Share Market  Value" shall mean the price per share
of Common  Stock  obtained by dividing (A) the Market Value by (B) the number of
shares of Common Stock  outstanding  (on a  Fully-Diluted  Basis) at the time of
determination.

          "Continuing  Directors"  shall mean, with respect to the  Corporation,
the directors of the Corporation on the Issue Date and each other  director,  if
such other  director's  nomination  for  election to the Board of  Directors  is
recommended by a majority of the then Continuing Directors.

          "Conversion  Date" shall have the meaning set forth in Section 4(b) of
this Certificate of Designation.

          "Conversion  Demand"  shall have the meaning set forth in Section 4(b)
of this Certificate of Designation.

          "Conversion Price" shall have the meaning set forth in Section 4(a) of
this Certificate of Designation.

          "Conversion  Rights"  shall  have the  meaning  set forth in the first
sentence of Section 4 of this Certificate of Designation.

          "Convertible  Preferred  Stock"  shall have the  meaning  set forth in
Section 1(a) of this Certificate of Designation.

          "Convertible  Securities"  shall mean any  evidences of  indebtedness,
capital  stock  (other  than  Common  Stock)  or other  securities  directly  or
indirectly convertible into or exchangeable for Common Stock.

          "Corporation"  shall have the meaning set forth in the first paragraph
of this Certificate of Designation.

          "Credit  Agreement" shall mean the Credit Agreement,  dated as of June
30, 1998, among the  Corporation,  the Lenders (as therein defined) and Paribas,
as agent,  as  amended,  amended and  restated,  supplemented,  restructured  or
otherwise modified from time to time (in whole or in part and without limitation
as to terms,  conditions or covenants and without regard to the principal amount
thereof)  and in effect,  including  all related  notes,  collateral  documents,
guaranties, instruments and agreements entered into in connection therewith, and
any successive restructurings,  renewals, extensions, refundings or refinancings
thereof.

          "Dividend  Payment  Date"  shall have the meaning set forth in Section
2(a) of this Certificate of Designation.

          "Dividend  Rate" shall have the  meaning set forth in Section  2(a) of
this Certificate of Designation.

          "Dividends"  shall have the meaning set forth in Section  2(a) of this
Certificate of Designation.

          "Fair  Market  Value"  shall mean,  with  respect to a share of Common
Stock on any Business Day:

          (1) if the  Common  Stock is not  Publicly  Traded at the time of such
          determination, the Common Stock Per Share Market Value; or

          (2) if the  Common  Stock  is  Publicly  Traded  at the  time  of such
          determination,  the closing  price on such day of the Common  Stock on
          all  domestic  securities  exchanges on which the Common Stock is then
          listed,  or, if there have been no sales on any such  exchange on such
          day,  the average of the highest  bid and lowest  asked  prices on all
          such  exchanges  at the end of such  day or,  if on any  such  day the
          Common  Stock is not so listed,  the average  closing  price quoted on
          NASDAQ as reported in the Wall Street  Journal,  on such day, or if on
          any day such security is not quoted on the NASDAQ System,  the average
          of the highest bid and lowest asked prices on such day in the domestic
          over-the-counter  market as reported by the National Quotation Bureau,
          Incorporated, or any similar successor organization, in each such case
          based on a weighted  average  (on a volume  basis) over a period of 20
          trading days  consisting of the day as of which "Fair Market Value" is
          being  determined and the nineteen  consecutive  trading days prior to
          such day;

provided,  however,  for purposes of Section  4(c)(iv),  if Fair Market Value is
being determined in connection with a "Mandatory  Conversion" (as defined in the
certificate of designation  governing the terms of the Series B Preferred Stock)
of Series B  Preferred  Stock into Common  Stock and the Fair Market  Value of a
share of Common Stock is lower on the date of such conversion than it was on the
date of the original  issuance of the Series B Preferred Stock being  converted,
then Fair Market Value shall be determined by reference to the Fair Market Value
of Common Stock at the time of the original  issuance of such shares of Series B
Preferred Stock; provided,  further,  however, for purposes of Section 4(c)(iv),
if Fair  Market  Value is  being  determined  in  connection  with an  "Optional
Conversion" (as defined in the certificate of designation governing the terms of
the Series B  Preferred  Stock) of Series B Preferred  Stock into Common  Stock,
Fair Market  Value shall be equal to the product of 1.25 and the "Market  Price"
(as defined in the certificate of designation  governing the terms of the Series
B Preferred  Stock and  determined  at the time of the original  issuance of the
shares of Series B Preferred Stock being converted).

          "Fully-Diluted  Basis"' shall mean, as applied to the  calculation  of
the total number of shares of Common Stock outstanding at any time, after giving
effect  to (a) all  shares  of  Common  Stock  outstanding  at the  time of such
determination,  (b) all shares of Common Stock issuable upon the exercise of any
rights to  subscribe  for or to  purchase,  or any  warrants  or options for the
purchase of, Common Stock or any evidences of  indebtedness  or capital stock or
other  securities  directly or indirectly  convertible  into or  exchangeable or
exerciseable for Common Stock outstanding at the time of such  determination (it
being  agreed that for  purposes of  determining  the number of shares of Common
Stock issuable upon the exercise of any shares of Series B Preferred Stock, such
number  shall be (A) from the date  hereof  until  such  time as such  shares of
Series B Preferred  Stock are no longer  subject to  "Optional  Conversion"  (as
defined in the  certificate of  designation  governing the terms of the Series B
Preferred  Stock),  the  higher  of (x) the  number of  shares  issuable  upon a
conversion  of such shares of Series B  Preferred  Stock at a  conversion  price
equal to the product of 1.25 and the "Market Price" (as defined in clause (b) of
the  definition of "Market  Price"  appearing in the  certificate of designation
governing the terms of the Series B Preferred  Stock and  determined at the time
of the  original  issuance  of the  shares of  Series B  Preferred  Stock  being
converted)  and (y) the  number of shares  issuable  upon a  conversion  of such
shares of Series B Preferred  Stock at a  conversion  price equal to the "Market
Price" (as defined in clause (a) of the definition of "Market  Price"  appearing
in the certificate of designation  governing the terms of the Series B Preferred
Stock but determined at the time of such  determination  of the number of shares
of Common Stock  outstanding on a "Fully-Diluted  Basis") or (B) after such time
as such shares of Series B Preferred  Stock are no longer  subject to  "Optional
Conversion" (as defined in the certificate of designation governing the terms of
the Series B Preferred  Stock),  the number of shares issuable upon a conversion
of such shares at the "Market Price" (as defined in clause (b) of the definition
of "Market Price"  appearing in the  certificate  of  designation  governing the
terms  of the  Series  B  Preferred  Stock  but  determined  at the time of such
determination  of  the  number  of  shares  of  Common  Stock  outstanding  on a
"Fully-Diluted  Basis") and (c) all shares of Common Stock which the Corporation
could  otherwise be required to issue in accordance  with agreements in place at
the time of determination.

          "Holder Redemption Notice" shall have the meaning set forth in Section
7(b) of this Agreement.

          "Independent  Financial  Expert"  shall mean a  nationally  recognized
investment  banking  firm (a) that  does not  (and  whose  directors,  officers,
employees and  Affiliates do not) have a direct or indirect  material  financial
interest in the  Corporation  or any of its  Affiliates,  (b) that has not been,
and, at the time it is called upon to serve as an Independent  Financial  Expert
is not (and none of whose  directors,  officers,  employees or Affiliates  is) a
promoter, director or officer of the Corporation, (c) that has not been retained
during the preceding two years by the  Corporation  or any of its Affiliates for
any  purpose,  and (d) that is otherwise  qualified  to serve as an  independent
financial  advisor.  Any such person shall receive  customary  compensation  and
indemnification  by the  Corporation  for opinions or services it provides as an
Independent Financial Expert.

          "Issue  Date" shall have the meaning set forth in Section 2(a) of this
Certificate of Designation.

          "Junior  Stock"  shall  mean (i) the Common  Stock,  (ii) the Series B
Preferred Stock and (iii) each other class of the Corporation's capital stock or
series of the Corporation's preferred stock.

          "Liquidation" shall have the meaning set forth in Section 3(a) of this
Certificate of Designation.

          "Liquidation  Value"  shall have the meaning set forth in Section 1(a)
of this Certificate of Designation.

          "Market  Value" shall mean the price that would be paid for the entire
common equity of the  Corporation on a  going-concern  basis in an  arm's-length
transaction  between a willing buyer and a willing seller  (neither acting under
compulsion),  using  valuation  techniques  then  prevailing  in the  securities
industry  (but  without  giving  effect to any discount in respect of a minority
interest)  and  determined  in  accordance  with the  Valuation  Procedure,  and
assuming full  disclosure and  understanding  of all relevant  information and a
reasonable  period of time for  effectuating  such  sale.  For the  purposes  of
determining  the Market Value,  (a) the exercise price of options or warrants to
acquire  Common Stock which are deemed to have been exercised for the purpose of
determining the number of shares of Common Stock  outstanding on a Fully-Diluted
Basis,  shall be deemed to have been  received  by the  Corporation,  (b)(i) the
liquidation  preference  or  indebtedness,  as the case may be,  represented  by
securities which are deemed exercised for or converted into Common Stock for the
purpose of  determining  the number of shares of Common Stock  outstanding  on a
Fully-Diluted Basis and (ii) any contractual limitation in respect of the shares
of  Common  Stock  relating  to  voting  rights,  shall be  deemed  to have been
eliminated or canceled and (c) no effect shall be given to any discount that may
arise as the result of the fact that the shares of Common Stock are not Publicly
Traded.

          "NASDAQ" means the National  Association of Securities Dealers,  Inc.,
Automated Quotation System.

          "Option"  shall mean  rights,  options or warrants to  subscribe  for,
purchase or otherwise acquire either Common Stock or Convertible Securities.

          "Person"   or   "Persons"   means  and   includes   natural   persons,
corporations, limited partnerships, general partnerships, joint stock companies,
joint ventures,  associations,  companies,  trusts, banks, trust companies, land
trusts,  business trusts or other organizations,  whether or not legal entities,
and governments and agencies and political subdivisions thereto

          "Plaintiffs"  shall have the meaning  set forth in Section  4(c)(v) of
this Certificate of Designation.

          "Preference  Amount"  shall have the meaning set forth in Section 2(a)
of this Certificate of Designation.

          "Preferred  Stock"  shall have the meaning  set forth in the  Resolved
clause of this Certificate of Designation.

          "Publicly Traded" shall mean, with respect to any security,  that such
security is (a) listed on a domestic securities  exchange,  (b) quoted on NASDAQ
or (c) traded in the domestic over-the-counter market, which trades are reported
by the National Quotation Bureau, Incorporated.

          "Redemption Price" shall have the meaning set forth in Section 7(c) of
this Certificate of Designation.

          "Second  Closing"  shall have the meaning set forth in the  Securities
Purchase Agreement.

          "Second  Closing  Date"  shall  have  the  meaning  set  forth  in the
Securities Purchase Agreement.

          "Section  7(a)  Redemption  Date"  shall have the meaning set forth in
Section 7(d) of this Certificate of Designation.

          "Section 7(a) Redemption  Effective Date" shall mean the ninetieth day
following the sixth anniversary of the Issue Date; provided,  however, if at any
time after the second  anniversary  of the Issue Date and prior to the ninetieth
day following the sixth  anniversary of the Issue Date the average closing price
quoted on NASDAQ as reported in the Wall Street  Journal (or, if on any day such
security is not quoted on the NASDAQ System,  the average of the highest bid and
lowest  asked  prices  on such day in the  domestic  over-the-counter  market as
reported  by  the  National  Quotation  Bureau,  Incorporated,  or  any  similar
successor   organization)   over  the  twenty  (20)  consecutive   trading  days
immediately  preceding the Section 7(a)  Redemption  Effective  Date,  equals or
exceeds the  product of (x) 1.50 and (y) the per share  Liquidation  Value,  the
Section 7(a) Redemption Effective Date shall be such earlier date.

          "Section  7(b)  Redemption  Date"  shall have the meaning set forth in
Section 7(f) of this Certificate of Designation.

          "Section 7(b)  Redemption  Effective  Date" shall mean the earliest to
occur  of (x) a  Change  of  Control,  (y) the  date on  which  the  Corporation
consolidates  with or mergers  with or into  another  Person or sells,  assigns,
conveys,  transfers,  leases or otherwise  disposes of substantially  all of its
assets to any Person or any Person  consolidates  with or mergers  with or into,
the  Corporation,  in any such  event  pursuant  to a  transaction  in which the
outstanding  voting equity  securities of the  Corporation are converted into or
exchanged for cash, securities or other property other than any such transaction
in which  immediately  after such  transaction  no  "person" or "group" (as such
terms are used in Sections  13(d) and 14(d) of the  Securities  Exchange  Act of
1934) is the "beneficial owner" (as defined in Rules 13(d) and 13(d)-5 under the
Exchange  Act,  except  that a  person  shall  be  deemed  to  have  "beneficial
ownership" of all securities that such person has the right to acquire,  whether
such right is exercised immediately or only after the passage of time), directly
or indirectly  of more than 50% of the total voting  securities of the surviving
or transferee  corporation or its parent  corporation  and (z) the occurrence of
the fifth anniversary of the Issue Date.

          "Securities  Purchase  Agreement"  shall mean the Securities  Purchase
Agreement,  dated as of even date  herewith by and between the  Corporation  and
Paribas Principal Incorporated, a New York corporation.

          "Series  B  Preferred  Stock"  shall  mean the  Series  B  Convertible
Preferred Stock of the Corporation, par value $.01 per share.

          "Transaction" shall have the meaning set forth in Section 4(c)(vii) of
this Certificate of Designation.

          "Valuation  Procedure"  shall mean, with respect to a determination of
any amount or value required to be determined in accordance with such procedure,
a  determination  (which shall be final and binding on the  Corporation  and the
holders of the  Convertible  Preferred  Stock) made (i) by  agreement  among the
Corporation  and  the  holders  of a  majority  of  the  outstanding  shares  of
Convertible  Preferred  Stock  within  twenty  (20)  days  following  the  event
requiring such determination or (ii) in the absence of such an agreement,  by an
Independent  Financial Expert selected in accordance with the further provisions
of this  definition.  If  required,  an  Independent  Financial  Expert shall be
selected within five days following the expiration of the 20-day period referred
to above,  either  by  agreement  among the  Corporation  and the  holders  of a
majority of the  outstanding  shares of Convertible  Preferred  Stock or, in the
absence  of such  agreement,  by lot from a list of four  potential  Independent
Financial Experts  remaining after the Corporation  nominates three, the holders
of a majority of the outstanding shares of Convertible  Preferred Stock nominate
three, and each side eliminates one potential  Independent Financial Expert. The
Independent  Financial  Expert shall be  instructed by the  Corporation  and the
holders of a majority of the outstanding  shares of Convertible  Preferred Stock
to make its determination within 20 days of its selection. The fees and expenses
of an  Independent  Financial  Expert  selected  hereunder  shall be paid by the
Corporation.

          "Warrant Agreement" shall mean the Warrant Agreement, dated as of even
date  herewith,   by  and  between  the   Corporation   and  Paribas   Principal
Incorporated, a New York corporation.

          "Warrants" shall have the meaning set forth in the Warrant Agreement.

11.  Remedies Cumulative.

     No failure or delay on the part of the holders of the Convertible Preferred
Stock in the exercise of any power, right or privilege under this Certificate of
Designation shall impair such power,  right or privilege or be construed to be a
waiver of any default or acquiescence  therein,  nor shall any single or partial
exercise  of any  such  power,  right or  privilege  preclude  other or  further
exercise  thereof  or of any other  right,  power or  privilege.  All rights and
remedies  existing under this  Certificate of Designation  are cumulative to and
not exclusive of any rights or remedies otherwise available.




                                                    BMJ MEDICAL MANAGEMENT, INC.



                                                    By:_________________________
                                                    Name:   Neil F. Luria
                                                    Title:  Secretary







<PAGE>


                                                                      SCHEDULE I



                   Existing Convertible Securities and Options









<PAGE>


                                                                     SCHEDULE II



                 Existing Commitments Relating to Common Stock








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


                          SECURITIES PURCHASE AGREEMENT


                            Dated as of June 30, 1998


                                  By and Among


                          BMJ MEDICAL MANAGEMENT, INC.

                                       and

                         PARIBAS PRINCIPAL INCORPORATED


================================================================================
<PAGE>

<TABLE>
<CAPTION>


                                TABLE OF CONTENTS

                                                                                                               Page

<S>                                                                                                            <C>
ARTICLE I DEFINITIONS..............................................................................................2

         1.0 Definitions...........................................................................................2

ARTICLE II REPRESENTATIONS OF THE COMPANY.........................................................................11

         2.0 Representations of the Company.......................................................................11
         2.1 Existence and Good Standing..........................................................................11
         2.2 Capital Stock........................................................................................12
         2.3 Authorization and Validity of the Documents..........................................................12
         2.4 Subsidiaries and Investments.........................................................................13
         2.5 SEC and Other Documents; Financial Statements; Undisclosed Liabilities...............................13
         2.6 Title to Properties; Encumbrances; Leases............................................................15
         2.7 Intellectual Property................................................................................15
         2.8 Material Contracts...................................................................................16
         2.9 Consents and Approvals; No Violations................................................................17
         2.10 Litigation..........................................................................................17
         2.11 Taxes...............................................................................................17
         2.12 Liabilities.........................................................................................18
         2.13 Compliance with Laws; Permits; Billing Practices....................................................19
         2.14 Employment Relations................................................................................20
         2.15 Employee Benefit Plans..............................................................................21
         2.16 Environmental Laws and Regulations..................................................................24
         2.17 Interests in Clients, Suppliers, Etc................................................................24
         2.18 Physician Relationships.............................................................................24
         2.19 Accounts Receivable.................................................................................25
         2.20 No Misstatements or Omissions; Projections..........................................................25
         2.21 Brokers or Finders Fees.............................................................................25
         2.22 Investment Company Act..............................................................................25
         2.23 Delaware Takeover Law...............................................................................25
         2.24 Year 2000 Reprogramming.............................................................................25
         2.25 Practice Management Agreements; Affiliations........................................................26
         2.26 Securities Law Compliance...........................................................................26
         2.27 Transactions with Affiliates........................................................................26
         2.28 Capital Stock Reserved..............................................................................26
         2.29 No Conflict of Rights...............................................................................26
         2.30 Other Representations and Warranties................................................................26
         2.31 SBIC Information....................................................................................26
         2.32 SBIC Eligibility....................................................................................26
         2.33 Company Awareness...................................................................................27
         2.34 Use of Proceeds.....................................................................................27
         2.35 Employee Licensing Matters..........................................................................27
         2.36 Representations Related to the Practices............................................................27

ARTICLE III REPRESENTATIONS OF THE PURCHASER......................................................................27

         3.0 Representations of the Purchaser.....................................................................27
         3.1 Existence and Good Standing; Power and Authority.....................................................27
         3.2 Restrictive Documents................................................................................27
         3.3 Purchase for Investment..............................................................................28
         3.4 Brokers or Finders Fees..............................................................................28

ARTICLE IV ISSUANCE OF SECURITIES; PAYMENT OF SUBSCRIPTION PRICE; CLOSINGS........................................28

         4.1 Issuance of Initial Securities.......................................................................28
         4.2 Issuance of Additional Securities....................................................................29
         4.3 Purchase Price.......................................................................................29
         4.4 Time and Place of Closings...........................................................................30
         4.5 Closing Deliveries...................................................................................30
         4.6 Issuance of Performance Warrants.....................................................................30
         4.7 Issuance of Registration Warrants....................................................................30

ARTICLE V CONDITIONS TO THE PURCHASERS OBLIGATIONS................................................................31

         5.0 Conditions to the Purchasers Obligations.............................................................31
         5.1 Opinions of Counsel..................................................................................31
         5.2 Good Standing and Other Certificates.................................................................31
         5.3 No Material Adverse Change...........................................................................31
         5.4 Truth of Representations and Warranties..............................................................32
         5.5 Performance of Agreements............................................................................32
         5.6 No Litigation Threatened.............................................................................32
         5.7 Third Party Consents; Governmental Approvals.........................................................32
         5.8 Proceedings..........................................................................................32
         5.9 Certificate of Designation...........................................................................32
         5.10 SBA Forms...........................................................................................33
         5.11 Due Diligence.......................................................................................33
         5.12 Warrant Agreement...................................................................................33
         5.13 Repayment of Indebtedness to Third Parties; Termination of Security Interests.......................33
         5.14 Credit Agreement Funding............................................................................33
         5.15 Additional Second Closing Condition.................................................................33

ARTICLE VI CONDITIONS TO THE COMPANYS OBLIGATIONS.................................................................33

         6.0 Conditions to the Companys Obligations...............................................................33
         6.1 Truth of Representations and Warranties..............................................................33
         6.2 Third Party Consents; Governmental Approvals.........................................................34
         6.3 Performance of Agreement.............................................................................34
         6.4 No Litigation Threatened.............................................................................34

ARTICLE VII REGISTRATION RIGHTS...................................................................................34

         7.1 Shelf Registration...................................................................................34
         7.2 Incidental Registrations.............................................................................36
         7.3 Registration Procedures..............................................................................37
         7.4 Requested Underwritten Offerings.....................................................................40
         7.5 Preparation; Reasonable Investigation................................................................40
         7.6 Indemnification......................................................................................41
         7.7 Rule 144.............................................................................................43

ARTICLE VIII POST-CLOSING AGREEMENTS..............................................................................43

         8.1 Accountants..........................................................................................43
         8.2 Financial Statements and Other Information...........................................................43
         8.3 Inspection...........................................................................................45
         8.4 Regulatory Sale or Disposition.......................................................................45
         8.5 Limitation on Dividend Restrictions..................................................................46
         8.6 SBIC Information.....................................................................................46
         8.7 Non-Discrimination...................................................................................47
         8.8 Reservation of Common Stock; Valid Issuance..........................................................47
         8.9 Prohibited Actions...................................................................................47
         8.10 Board of Directors..................................................................................48
         8.12 Second Closing......................................................................................50
         8.13 Post Closing Legal Opinion and Certificate..........................................................50
         8.14 Adjusted Deliveries.................................................................................50
         8.15 Stockholder Consent.................................................................................50

ARTICLE IX SURVIVAL..............................................................................................51

         9.1 Survival............................................................................................51

ARTICLE X INDEMNIFICATION........................................................................................51

         10.1 Indemnification.....................................................................................51
         10.2 Contribution........................................................................................51
         10.3 Remedies............................................................................................51
         10.4 Limitation on Indemnification.......................................................................52

ARTICLE XI MISCELLANEOUS.........................................................................................52

         11.1 Knowledge of the Transaction Parties................................................................52
         11.2 Expenses............................................................................................52
         11.3 Governing Law.......................................................................................52
         11.4 Captions............................................................................................52
         11.5 Publicity...........................................................................................53
         11.6 Notices.............................................................................................53
         11.7 Parties in Interest.................................................................................54
         11.8 Counterparts........................................................................................54
         11.9 Entire Agreement....................................................................................54
         11.10 Amendments.........................................................................................54
         11.11 Severability.......................................................................................54
         11.12 Third Party Beneficiaries..........................................................................54
         11.13 Jurisdiction.......................................................................................55


SCHEDULES

Schedule 1.0               Potential Affiliations
Schedule 2.2               Other Agreement Relating To Capital Stock
Schedule 2.4               Subsidiaries and Investments
Schedule 2.5(a)            Company Reports
Schedule 2.5(c)            Material Adverse Change
Schedule 2.7               Intellectual Property
Schedule 2.8               Material Contracts
Schedule 2.11              Tax Matters
Schedule 2.12              Liabilities
Schedule 2.15              Plans
Schedule 2.17              Interests in Clients, Suppliers, Etc.
Schedule 2.25              Practice Management Agreements
Schedule 2.28              Transactions with Affiliates
Schedule 2.29              Registration Rights
Schedule 5.14              Existing Indebtedness
Schedule 8.2               Transaction Summaries
Schedule 11.1              Officers

EXHIBITS

A                          Opinion of Jones Day Reavis & Pogue

</TABLE>


<PAGE>


                          SECURITIES PURCHASE AGREEMENT


                  SECURITIES PURCHASE AGREEMENT dated as of June 30, 1998 by and
among BMJ MEDICAL MANAGEMENT,  INC., a Delaware corporation (the "Company"), and
PARIBAS PRINCIPAL INCORPORATED, a New York corporation (the "Purchaser").


                              W I T N E S S E T H:


          WHEREAS,  the  Purchaser  desires to  subscribe  for,  and the Company
desires to issue, certain shares of Preferred Stock, par value $ 0.01 per share,
of the Company which after giving effect to the transactions contemplated hereby
shall  constitute  100% of the  Series A  Preferred  Stock of the  Company  (the
"Preferred Stock");

          WHEREAS,  on or prior to the execution and delivery of this Agreement,
the  Company  shall  have  filed  with the  Secretary  of State of the  State of
Delaware,  a certificate of designation setting forth the rights and obligations
relating to the Preferred  Stock (the  "Certificate of  Designation")  including
without limitation, provisions relating to the conversion of the Preferred Stock
into the  Company's  Common  Stock,  par value  $0.001  per share  (the  "Common
Stock");

          WHEREAS,  the Purchaser  wishes to purchase from the Company,  and the
Company wishes to sell to the Purchaser,  certain  Warrants (the  "Warrants" and
together with the Preferred  Stock and the Additional  Preferred  Stock, if any,
the  "Securities"),  which shall be  exercisable  into  shares of Common  Stock,
pursuant to the terms set forth in the warrant  agreement,  dated as of the date
hereof, by and between the Company and the Purchaser (the "Warrant  Agreement");
and

          WHEREAS,  simultaneously  with  the  execution  and  delivery  of this
Agreement,  the Company and Paribas, acting as Agent, have entered into a Credit
Agreement,  together with certain financial institutions from time to time party
thereto  (the  "Lenders")  (as  in  effect  on  the  date  hereof,  the  "Credit
Agreement")  and the Company and its  Subsidiaries  have  entered  into  related
agreements  with Paribas,  as Agent,  pursuant to which,  the Lenders shall make
loans to the Company and issue letters of credit pursuant to the terms contained
therein (the Credit  Agreement and all related  agreements,  as in effect on the
date hereof,  the "Senior Credit  Documents";  and together with this Agreement,
the Preferred Stock, the Certificate of Designation,  the Warrants,  the Warrant
Agreement and the Senior Credit Documents, collectively, the "Documents").

          NOW, THEREFORE, IT IS AGREED:


                                    ARTICLE I
                                   DEFINITIONS

          ss.1.0 Definitions.  As used in this Agreement, and unless the context
requires a different meaning, the following terms have the meanings indicated:

          "Additional  Preferred  Stock"  shall  have the  meaning  set forth in
Section 4.2(b) of this Agreement.

          "Additional  Preferred Stock Price Per Share" shall mean the lesser of
(i) $5.50 and (ii) the average closing price quoted on NASDAQ as reported in the
Wall Street Journal on the twenty consecutive  Business Days prior to the Second
Closing Date,  or if on any such day such security is not quoted on NASDAQ,  the
average of the highest bid and lowest  asked  prices on such day in the domestic
over-the-counter   market  as  reported  by  the  National   Quotation   Bureau,
Incorporated, or any similar successor organization.

          "Additional   Securities"  shall  mean  (i)  a  number  of  shares  of
Additional  Preferred  Stock equal to the quotient  obtained by dividing (A) the
Second Closing  Purchase Price by (B) the Additional  Preferred  Stock Price Per
Share and (ii) the Additional Warrants.

          "Additional  Warrants"  shall mean a number of  Warrants  equal to the
Gross Second Closing  Number minus the number of shares of Additional  Preferred
Stock issued pursuant to Section 4.2 of this Agreement.

          "Adjusted Price" shall mean the quotient  obtained by dividing (A) the
EBITDA Multiple Value at such time of  determination  by (B) the total number of
shares  of  Common  Stock  outstanding  at  such  time  of  determination,  on a
Fully-Diluted Basis.

          "Affiliate"  shall mean, with respect to any Person,  any other Person
directly or indirectly  controlling  (including but not limited to all directors
and officers of such Person),  controlled by, or under direct or indirect common
control with, such Person;  provided,  however, that, an Affiliate shall include
any entity that directly or indirectly  (including  through  limited  partner or
general  partner  interests) owns more than 5% of any class of the equity of any
other entity.

          "Affiliation Date" shall mean September 8, 1998.

          "Agreement"  shall mean this  Agreement,  as the same may be  amended,
supplemented or modified in accordance with the terms hereof, from time to time.

          "Anti-Kickback  Statute"  shall have the  meaning set forth in Section
2.13(a) of this Agreement.

          "Business Day" shall mean each Monday,  Tuesday,  Wednesday,  Thursday
and Friday which is not a day on which banking  institutions  in the City of New
York are authorized or obligated by law or executive order to close.

          "Certificate of  Designation"  shall have the meaning set forth in the
recitals of this Agreement.

          "Closing"  shall have the  meaning  set forth in  Section  4.4 of this
Agreement.

          "Closing  Date" shall mean either the Initial  Closing  Date or Second
Closing Date, as the case may be.

          "Code" shall mean the Internal  Revenue Code of 1986, as amended,  and
the regulations promulgated and rulings issued thereunder.

          "Collected  Revenues" shall mean, at any time,  actual  collected cash
revenues in the ordinary course of business for the preceding twelve months,  as
demonstrated to the reasonable satisfaction of the Purchaser.

          "Commission"  shall mean,  at any time,  the  Securities  and Exchange
Commission or any other Federal agency then administering the Securities Act and
other Federal securities laws.

          "Common  Stock"  shall have the meaning  set forth in the  recitals of
this Agreement.

          "Company"  shall have the meaning set forth in the first  paragraph of
this Agreement.

          "Company Notice" shall have the meaning set forth in Section 7.2(a) of
this Agreement.

          "Company  Property"  shall  mean any real  property  and  improvements
owned, leased, used, operated or occupied by any Transaction Party.

          "Company  Registration  Statement" shall have the meaning set forth in
Section 2.5 of this Agreement.

          "Company  Reports"  shall have the meaning set forth in Section 2.5 of
this Agreement.

          "Consolidated   EBITDA"   shall  mean,  as  to  the  Company  and  its
Subsidiaries  (but  not the  Practices)  and for any  period,  the  income  from
continuing  operations before income taxes and any extraordinary  items plus the
following  expenses to the extent deducted in the  determination  of income from
continuing operations before income taxes:

          (i) interest and

          (ii) depreciation and amortization.

          "Consolidated  Pro  Forma  EBITDA"  shall  mean  the  sum of  (i)  the
Consolidated  EBITDA of the Company for the fiscal  quarter ending June 30, 1998
multiplied  by four,  plus (ii) the sum of the  following,  with respect to each
Practice with which the Company has executed a management  service  agreement on
or after June 30, 1998, the product of (I) the Collected Revenues for the twelve
months ending on the date of execution of such management  service agreement for
each such Practice,  multiplied by (II) the "Applicable Percentage" set forth in
such  management  service  agreement  or  similar  amount set forth in each such
management service agreement, multiplied by (III) 0.85.

          "Copyrights"  shall have the  meaning set forth in Section 2.7 of this
Agreement.

          "Credit Agreement" shall have the meaning set forth in the recitals of
this Agreement.

          "Damages"  shall have the  meaning  set forth in Section  10.1 of this
Agreement.

          "Documents"  shall have the meaning set forth in the  recitals of this
Agreement.

          "EBITDA  Multiple  Value"  shall  mean,  on  any  date,  (i)  (A)  the
Consolidated  Pro Forma  EBITDA,  multiplied  by (B) nine,  minus (ii) the total
Indebtedness of the Company and its Subsidiaries outstanding as of such date.

          "Employee  Benefit  Plan"  shall have the meaning set forth in Section
2.15(a) of this Agreement.

          "Encumbrances" shall have the meaning set forth in Section 2.6 of this
Agreement.

          "Environmental  Claims" shall mean all  administrative,  regulatory or
judicial actions,  suits,  demands,  demand letters,  claims,  liens, notices of
non-compliance or violation,  investigations or proceedings  relating in any way
to any  Environmental  Law or any permit issued under any such Law  (hereinafter
"Claims"),  including (a) Claims by governmental  or regulatory  authorities for
enforcement,  cleanup, removal,  response,  remedial or other actions or damages
pursuant to any applicable  Environmental Law, and (b) Claims by any third party
seeking damages, contribution,  indemnification,  cost recovery, compensation or
injunctive  relief  resulting from  Hazardous  Materials or arising from alleged
injury or threat of injury to health, safety or the environment.

          "Environmental  Law" shall mean any federal,  state or local  statute,
law, rule, regulation,  ordinance,  code, policy or rule of common law in effect
and in each  case as  amended  as of the  Closing  Date,  and  any  judicial  or
administrative  interpretation  thereof as of the Closing  Date,  including  any
judicial or administrative  order,  consent decree or judgment,  relating to the
environment,  health, safety or Hazardous Materials, including the Comprehensive
Environmental Response,  Compensation, and Liability Act of 1980, as amended, 42
U.S.C. ss.9601 et seq.; the Resource  Conservation and Recovery Act, as amended,
42 U.S.C.  ss.6901 et seq.; the Federal Water Pollution Control Act, as amended,
33 U.S.C.  ss.1351 et seq.; the Toxic Substances Control Act, 15 U.S.C.  ss.3601
et seq.;  the Clean Air Act, 42 U.S.C.  ss.7401 et seq.; the Safe Drinking Water
Act, 42 U.S.C. ss.300f et seq.; the Oil Pollution Act of 1990, 33 U.S.C. ss.3701
et seq.; and their state and local counterparts and equivalents.

          "ERISA"  shall mean the  Employee  Retirement  Income  Security Act of
1974, as amended, and the regulations promulgated and rulings issued thereunder.

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

          "Fully-Diluted  Basis" shall mean the total number of shares of Common
Stock  outstanding  at any time,  after  giving  effect to (a) all Common  Stock
outstanding at the time of such  determination and (b) all Common Stock issuable
upon the exercise of any outstanding rights,  options and/or warrants to acquire
Common Stock and  outstanding  securities that are, or may be, pursuant to their
terms  convertible into or exchangeable for Common Stock or that may be required
to be issued pursuant to any other agreement, including, without limitation, any
agreements  to issue stock to  physicians  (it being agreed that for purposes of
determining  the number of shares of Common Stock  issuable upon the exercise of
any shares of Series B Preferred  Stock,  such number shall be (A) from the date
hereof until such time as such shares of Series B Preferred  Stock are no longer
subject to "Optional  Conversion"  (as defined in the certificate of designation
governing  the terms of the  Series B  Preferred  Stock),  the higher of (x) the
number of shares issuable upon a conversion of such shares of Series B Preferred
Stock at a conversion  price equal to the product of 1.25 and the "Market Price"
(as defined in clause (b) of the definition of "Market  Price"  appearing in the
certificate of designation  governing the terms of the Series B Preferred  Stock
and  determined  at the time of the original  issuance of the shares of Series B
Preferred  Stock being  converted) and (y) the number of shares  issuable upon a
conversion  of such shares of Series B  Preferred  Stock at a  conversion  price
equal to the  "Market  Price" (as  defined in clause  (a) of the  definition  of
"Market Price"  appearing in the certificate of designation  governing the terms
of the Series B Preferred Stock but determined at the time of such determination
of the number of shares of Common Stock outstanding on a "Fully-Diluted  Basis")
or (B) after such time as such shares of Series B Preferred  Stock are no longer
subject to "Optional  Conversion"  (as defined in the certificate of designation
governing  the terms of the  Series B  Preferred  Stock),  the  number of shares
issuable upon a conversion  of such shares at the "Market  Price" (as defined in
clause (b) of the definition of "Market Price"  appearing in the  certificate of
designation  governing the terms of the Series B Preferred  Stock but determined
at the time of such  determination  of the  number of  shares  of  Common  Stock
outstanding on a "Fully-Diluted Basis").

          "GAAP"  shall have the  meaning  set forth in  Section  2.5(b) of this
Agreement.

          "Governmental  Authority" shall mean any federal,  state, municipal or
other   governmental   department,   commission,   board,   bureau,   agency  or
instrumentality,  or any court,  in each case  whether  of the United  States of
America or foreign.

          "Gross Second Closing  Number" shall mean the Second Closing  Purchase
Price divided by the lesser of (i) $4.50 and (ii) the Additional Preferred Stock
Price Per Share multiplied by 0.85.

          "Hazardous  Materials"  shall  mean  (a) any  petroleum  or  petroleum
products,  radioactive  materials,  asbestos in any form that is  friable,  urea
formaldehyde  foam  insulation,  transformers  or other  equipment  that contain
dielectric fluid containing  polychlorinated  biphenyls,  and radon gas; and (b)
any chemicals,  materials or substances defined as or included in the definition
of "hazardous substances," "hazardous wastes," "hazardous materials," "extremely
hazardous wastes,"  "restricted  hazardous wastes," "toxic  substances,"  "toxic
pollutants,"   or  words  of  similar   import,   pursuant  to  any   applicable
Environmental Law.

          "Incidental  Registration" shall have the meaning set forth in Section
7.2(a) of this Agreement.

          "Indebtedness" of any Person shall mean, without duplication,  (i) all
indebtedness  for borrowed money or for the deferred  purchase price of property
or  services,  including,  without  limitation,  notes  issued to  Practices  or
physicians in connection  with  reconciliations  pursuant to management  service
agreements  (other  than  trade  payables  or  accrued  expenses  arising in the
ordinary  course of  business),  (ii) the maximum  amount  available to be drawn
under letters of credit,  (iii) all indebtedness of the type otherwise described
in this  definition  secured by any lien on any property owned by such Person or
any of its Subsidiaries,  (iv) capitalized lease obligations, (v) all guarantees
of any type of indebtedness  otherwise  described in this  definition,  (vi) all
obligations  of such  Person  to pay a  specified  purchase  price  for goods or
services,  whether or not delivered or accepted,  i.e.,  take-or-pay  or similar
obligations  and (vii) interest rate  protection  hedging  agreements,  currency
hedging agreements or commodity hedging agreements.

          "Initial  Closing  Date"  shall  mean the date  hereof,  on which  the
Purchaser shall purchase, and the Company shall issue, the Initial Securities.

          "Initial  Preferred  Stock" shall mean  1,473,684  shares of Preferred
Stock issued on the Initial Closing Date.

          "Initial  Purchase  Price" shall have the meaning  provided in Section
4.3(a) of this Agreement.

          "Initial  Securities"  shall mean the Initial  Preferred Stock and the
Initial Warrants.

          "Initial  Warrants" shall mean 106,451  Warrants issued on the Initial
Closing Date.

          "Intellectual  Property"  shall have the  meaning set forth in Section
2.7 of this Agreement.

          "Investment"  shall  mean  (i)  prior  to  the  Second  Closing,   the
$7,000,000  investment  by the  Purchaser  in the Company and (ii) on the Second
Closing, the $10,000,000 investment by the Purchaser in the Company.

          "IPA" shall mean an Independent  Physician  Association which provides
services  to  enrollees  of  healthcare   plans  and  other  specified   patient
populations pursuant to agreements with health care plans.

          "Leases"  shall  have the  meaning  set forth in  Section  2.6 of this
Agreement.

          "Lenders"  shall have the  meaning  set forth in the  recitals of this
Agreement.

          "Marks"  shall  have the  meaning  set  forth in  Section  2.7 of this
Agreement.

          "Material  Adverse Effect" shall have the meaning set forth in Section
2.1 of this Agreement.

          "Margin Stock" shall have the meaning set forth in Regulation U of the
Board of Governors of the Federal Reserve System.

          "NASDAQ" shall mean the National  Association  of Securities  Dealers,
Inc. Automatic Quotation System.

          "New Securities"  shall mean (i) any shares of Preferred  Stock;  (ii)
any shares of Common Stock;  (iii) any Warrants;  (iv) any other equity security
of the  Company,  (v) any debt  security  of the  Company  which by its terms is
convertible  into or exchangeable  for any equity security of the Company,  (vi)
any  security of the Company that is a  combination  of debt and equity or (vii)
any  option,  warrant or other right to  subscribe  for,  purchase or  otherwise
acquire any equity  security or any such debt security of the Company,  provided
that "New Securities" shall not include (I) securities sold pursuant to a public
offering  pursuant  to an  effecting  registration  statement  filed  under  the
Securities  Act, (II)  securities  issued in the ordinary  course of business to
physicians in connection with entering into management  service  agreements with
physician  practices and ancillary  businesses,  at no less than the fair market
value at such  time  (including,  without  limitation,  the  Series B  Preferred
Stock), (III) securities issued upon the direct or indirect conversion, exchange
or exercise of any  securities  issued by the Company on or prior to the Closing
Date and as set forth on  Schedule  2.2 of this  Agreement,  (IV) up to  100,000
shares of Common Stock issued upon the exercise of  non-qualified  stock options
issued to employees, directors and independent contractors of the Company and/or
its Subsidiaries, (V) securities issued to any Person who is not an Affiliate as
consideration  for  an  acquisition,   purchase  of  stock  or  assets,  merger,
consolidation,  recapitalization or similar transaction at no less than the fair
market value at such time,  (VI) Series B Preferred  Stock issued to Dr.  Naresh
Nagpal in exchange for certain  obligations  outstanding on the Initial  Closing
Date owing to Dr. Naresh  Nagpal,  which Series B Preferred  Stock shall have an
aggregate  liquidation   preference  equal  to  the  principal  amount  of  such
obligation,  and, in any event,  which shall not have an  aggregate  liquidation
preference in excess of $991,000,  (VII) up to 291,461 options  exercisable into
shares of Common  Stock issued  after the Initial  Closing Date  pursuant to the
Company's  1996 Amended and Restated Stock Option Plan, as in effect on the date
hereof,  and up to 291,461  shares of Common Stock issued upon  exercise of such
options  but only if the  exercise  price of such  options  (A) is fixed and (B)
equals or exceeds the fair market value per share of Common Stock (determined as
of the date of issuance of such  options)  and (VIII) any shares of Common Stock
issued as  consideration  in the  settlement or other  disposition in connection
with any legal and/or equitable claim that has been asserted, or could have been
asserted,  by plaintiffs  Robert P. Lehmann,  M.D.,  Alan Baum,  M.D.,  David A.
Dewahl, Jr., John Finlay,  Janet G. Keats and Harry Near against the Corporation
in the civil action  pending  before the United  States  District  Court for the
Southern  District of Texas,  Houston  Division,  docketed  at Civil  Action No.
H-97-3317.

          "Observer" shall have the meaning set forth in Section 8.10(c) of this
Agreement.

          "Patents"  shall have the  meaning  set forth in  Section  2.7 of this
Agreement.

          "Performance Target" shall mean the valid authorization, execution and
delivery by the Company and the other  parties  thereto of  management  services
agreements with Practices,  which Practices have, to the Purchaser's  reasonable
satisfaction,  at least $26,475,000, in the aggregate, of Collected Revenues for
the  twelve  months  ending on the date of  execution  of each  such  management
service  agreement or asset purchase  agreement;  so long as such agreements are
with Practices set forth on Schedule 1.0 (or such other Practices as are located
in  the  existing  markets  of  the  Company,  as  of  the  date  hereof),   are
substantially  on the terms and  conditions  set forth on Schedule  1.0, and are
otherwise  on terms and  conditions  reasonably  consistent  with the  Company's
previous  affiliation  agreements  (so  long  as no  such  agreement  has  early
termination rights).

          "Performance  Warrants" shall mean the number of Warrants equal to (i)
the quotient  obtained by dividing  (A) the Initial  Purchase  Price,  or if the
Second  Closing Date has occurred,  the Total Purchase Price by (B) the Adjusted
Price  minus  (ii) the  number  of  shares of  Preferred  Stock  and  Additional
Preferred  Stock,  if any purchased by the Purchaser  pursuant to this Agreement
and (ii) the number of the Initial  Warrants and  Additional  Warrants,  if any,
purchased by the Purchaser pursuant to this Agreement.

          "Permitted  Business" shall mean the management of physician Practices
in the  musculoskeletal  sector and the provision of ancillary  services related
thereto.

          "Permitted  Encumbrances"  shall have the meaning set forth in Section
2.6 of this Agreement.

          "Person" shall mean and include natural persons, corporations, limited
partnerships,  general  partnerships,  limited liability companies,  joint stock
companies,  joint  ventures,  associations,   companies,  trusts,  banks,  trust
companies,  land trusts, business trusts or other organizations,  whether or not
legal entities, and governments and agencies and political subdivisions thereof.

          "Practice" shall mean any physician practice.

          "Pre-Closing Periods" shall have the meaning set forth in Section 2.11
of this Agreement.

          "Preemptive  Notice"  shall have the meaning set forth in Section 8.11
of this Agreement.

          "Preemptive Price" shall mean the price equal to the fair market value
of the New Securities as determined in good faith by the Board of Directors.

          "Preferred  Stock" shall have the meaning set forth in the recitals of
this Agreement.

          "Pro Rata  Amount"  shall mean the  quotient  obtained by dividing the
number of shares of Common Stock owned by the Purchaser on a Fully-Diluted Basis
(assuming that the Second Closing has occurred) by the total number of shares of
Common Stock on a  Fully-Diluted  Basis  (assuming  that the Second  Closing has
occurred).

          "Purchaser" shall have the meaning set forth in the first paragraph of
this Agreement.

          "Registrable  Securities"  shall  mean  (i) any and all  Common  Stock
acquired by, or issuable to, the Purchaser or any of its  Affiliates on or after
the date hereof (ii) any and all  securities  issuable  upon the exercise of the
Warrants or conversion of the Preferred Stock and (iii) any securities issued or
issuable  with  respect to the Common Stock or other  securities  referred to in
clause (i) or (ii) by way of conversion, exchange, stock dividend or stock split
or in  connection  with  a  combination  of  shares,  recapitalization,  merger,
consolidation  or  other  reorganization  or  otherwise.  As to  any  particular
Registrable   Securities,   once  issued  such  securities  shall  cease  to  be
Registrable  Securities  when (A) a  registration  statement with respect to the
sale of such securities shall have become effective under the Securities Act and
such securities shall have been disposed of in accordance with such registration
statement,  or (B) such securities  shall have been sold in accordance with Rule
144 (or any successor provision) under the Securities Act.

          "Registration"  shall mean each Shelf Registration and each Incidental
Registration.

          "Registration  Expenses"  shall  mean  all  expenses  incident  to the
Company's  performance of or compliance with Article VII, inclusive,  including,
without  limitation,  all  registration  and filing  fees,  fees and expenses of
compliance  with  securities  or blue sky laws  (including  reasonable  fees and
disbursements  of  counsel in  connection  with blue sky  qualifications  of the
Registrable  Securities),  expenses of printing certificates for the Registrable
Securities  in a form  eligible  for  deposit  with  Depositary  Trust  Company,
messenger  and  delivery  expenses,   internal  expenses   (including,   without
limitation,  all salaries and expenses of its officers and employees  performing
legal or  accounting  duties),  and fees and  disbursements  of counsel  for the
Company and its independent certified public accountants (including the expenses
of any management review, cold comfort letters or any special audits required by
or incident to such  performance  and  compliance),  securities  acts  liability
insurance (if the Company elects to obtain such insurance),  the reasonable fees
and expenses of any special  experts  retained by the Company in connection with
such  registration,  fees and expenses of other Persons  retained by the Company
and  reasonable  fees and  expenses of counsel  (including  local  counsel)  for
holders of Registrable Securities,  selected by the holders of a majority of the
Registrable  Securities to be included in such  Registration;  but not including
any  underwriting  fees,  discounts or commissions  attributable  to the sale of
securities or fees.

          "Registration  Warrants"  shall have the  meaning set forth in Section
4.6 of this Agreement.

          "Returns"  shall have the  meaning  set forth in Section  2.11 of this
Agreement.

          "Rule 144" shall mean Rule 144 promulgated under the Securities Act.

          "SBA Forms"  shall have the meaning set forth in Section  5.10 of this
Agreement.

          "SBIA"  shall  have  the  meaning  set  forth in  Section  8.6 of this
Agreement.

          "Second  Closing"  shall have the  meaning set forth in Section 4.2 of
this Agreement.

          "Second  Closing Date" shall have the meaning set forth in Section 4.2
of this Agreement.

          "Second  Closing  Purchase  Price" shall have the meaning set forth in
Section 4.3(b) of this Agreement.

          "Second Closing Target" shall mean the valid authorization,  execution
and delivery by the Company and the other parties thereto of management  service
agreements with Practices,  which Practices have, to the Purchaser's  reasonable
satisfaction,  at least $18,000,000, in the aggregate, of Collected Revenues for
the  twelve  months  ending on the date of  execution  of each  such  management
service  agreement or asset purchase  agreement;  so long as such agreements are
with Practices set forth on Schedule 1.0 (or such other Practices as are located
in  the  existing  markets  of  the  Company,  as  of  the  date  hereof),   are
substantially  on the terms and  conditions  set forth on Schedule  1.0, and are
otherwise  on terms and  conditions  reasonably  consistent  with the  Company's
previous affiliation  agreements (provided no such agreement shall contain early
termination rights).

          "Securities"  shall have the meaning set forth in the recitals of this
Agreement.

          "Securities  Act" shall mean the  Securities  Act of 1933, as amended,
and the rules and regulations of the Commission thereunder.

          "Securities  Laws"  shall have the meaning set forth in Section 2.5 of
this Agreement.

          "Senior  Credit  Documents"  shall have the  meaning  set forth in the
recitals of this Agreement.

          "Series B  Preferred  Stock"  shall  mean the  preferred  stock of the
Company  issued or to be issued on the terms and conditions set forth on Exhibit
B attached hereto.

          "Shares" shall mean the Common Stock and Preferred Stock.

          "Shelf  Registration"  shall  have the  meaning  set forth in  Section
7.1(a) of this Agreement.

          "Stark  Amendments"  shall  have the  meaning  set  forth  in  Section
2.13(a).

          "Subsidiary"  shall have the  meaning  set forth in Section  2.4(a) of
this Agreement.

          "Taxes"  shall mean all taxes,  assessments,  charges,  duties,  fees,
levies  or  other  governmental  charges,  including,  without  limitation,  all
Federal,  state, local, foreign and other income,  franchise,  profits,  capital
gains,  capital stock,  transfer,  sales,  use,  occupation,  property,  excise,
severance,  windfall profits,  stamp,  license,  payroll,  withholding and other
taxes, assessments,  charges, duties, fees, levies or other governmental charges
of any kind whatsoever  (whether  payable directly or by withholding and whether
or not  requiring  the  filing of a Return),  all  estimated  taxes,  deficiency
assessments,  additions to tax,  penalties  and  interest and shall  include any
liability  for such amounts as a result  either of being a member of a combined,
consolidated,  unitary or  affiliated  group or of a  contractual  obligation to
indemnify any person or other entity.

          "Total  Purchase  Price"  shall have the  meaning set forth in Section
4.3(b) of this Agreement.

          "Transaction Party" shall have the meaning set forth in Section 2.1 of
this Agreement.

          "Warrant  Agreement"  shall have the meaning set forth in the recitals
of this Agreement.

          "Warrants"  shall have the meaning  provided  in the  recitals of this
Agreement and, in any event, shall include the Initial Warrants,  the Additional
Warrants, the Performance Warrants and the Registration Warrants.


                                   ARTICLE II
                         REPRESENTATIONS OF THE COMPANY

          ss.2.0  Representations  of  the  Company.  In  order  to  induce  the
Purchaser  to enter into this  Agreement  and to purchase  the  Securities,  the
Company  represents  and warrants to and agrees with the Purchaser  that on each
Closing Date:

          ss.2.1  Existence  and  Good  Standing.  The  Company  and each of its
Subsidiaries  (each a "Transaction  Party," and  collectively,  the "Transaction
Parties") is a Person,  duly  organized,  validly  existing and in good standing
under the laws of the jurisdiction of its  organization.  Each Transaction Party
has the requisite  power and authority to own,  lease and operate its properties
and to carry on its  business  as now  being  conducted  and as  proposed  to be
conducted.  Except as set forth in Schedule 2.1, each Transaction  Party is duly
qualified or licensed to do business and is in good  standing and is  authorized
to do business,  in each  jurisdiction in which the character or location of the
properties  owned,  leased  or  operated  by such  entity  or the  nature of the
business conducted by such entity makes such qualification or license necessary,
except  where any such  failure  to be duly  qualified  or  licensed  or in good
standing could not  reasonably be expected to have a material  adverse effect on
the  condition   (financial  or  otherwise),   properties,   assets,   business,
liabilities,  accounting  treatment,  results of  operations or prospects of the
Transaction  Parties,  taken as a whole,  or on the  ability of any  Transaction
Party to  perform  its  respective  obligations  under any of the  Documents  (a
"Material Adverse Effect").

          ss.2.2  Capital  Stock.  Immediately  prior to  giving  effect  to the
transactions  contemplated hereby, the Company had an authorized  capitalization
consisting  of  35,000,000  shares of Common  Stock,  par value $0.001 per share
("Common Stock") of which 17,669,002 shares of Common Stock were outstanding and
10,000,000  shares of  Preferred  Stock,  par value $0.01 per share  ("Preferred
Stock") of which zero shares were outstanding. All outstanding shares of capital
stock of the Company  (including,  without  limitation,  those  purchased by the
Purchaser  hereunder)  have  been,  and  will,  on each  Closing  Date,  be duly
authorized and validly issued and fully paid and  non-assessable.  Except as set
forth on Schedule  2.2,  and except for the Warrants  and the  Preferred  Stock,
there will be no outstanding  subscriptions,  options,  warrants, rights, calls,
commitments,  conversion rights,  rights of exchange,  plans or other agreements
(including,  without  limitation,   agreements  with  affiliated  physicians  or
Practices) or commitments,  contingent or otherwise,  of any character providing
for the purchase, redemption,  acquisition,  retirement, issuance or sale by any
Transaction  Party of any shares of capital  stock of any  Transaction  Party or
other  securities   exchangeable  or  convertible  into  capital  stock  of  any
Transaction  Party and there are no stock  appreciation  rights or phantom stock
plans outstanding.  Schedule 2.2 sets forth the number of shares of Common Stock
which the Company is obligated to issue in  connection  with each  specific item
set forth on Schedule 2.2 and described in the immediately  preceding  sentence,
after  giving  effect to the  transactions  contemplated  thereby.  In addition,
except as set forth herein,  in the Warrant Agreement and on Schedule 2.2, there
are no rights,  agreements,  restrictions  or  encumbrances  (such as preemptive
rights,  rights  of first  refusal,  rights  of  first  offer,  proxies,  voting
agreements,   voting  trusts,   registration  rights  agreements,   shareholders
agreements,  etc.,  whether or not any Transaction Party is a party thereto) nor
are there any restrictions on the  transferability or sale of such capital stock
pursuant to any  provision  of law,  contract or  otherwise  with respect to the
purchase, sale or voting of any shares of capital stock of any Transaction Party
(whether  outstanding or issuable upon  conversion,  exchange or exercise of any
other security of any  Transaction  Party).  Except as set forth in Schedule 2.2
and except for the Warrants,  the Company has no outstanding bonds,  debentures,
notes or other obligations the holders of which have the right to vote (or which
are convertible into or exercisable for securities the holders of which have the
right to vote). The shares of Company Common Stock to be issued upon exercise of
Warrants  are duly and  validly  authorized  and when  issued  upon  exercise of
Warrants,  will be duly and validly issued,  fully paid and  nonassessable,  and
free and clear of all Liens and preemptive or other similar rights.

          ss.2.3  Authorization and Validity of the Documents.  Each Transaction
Party has the requisite power and authority to execute and deliver the Documents
to which it is a party and to perform its obligations thereunder. The execution,
delivery and  performance  of the Documents by the  Transaction  Parties and the
performance  of their  obligations  hereunder  have  been  duly  authorized  and
approved by all necessary action (including,  without limitation,  all action of
the Board of Directors and  shareholders or other required  Persons of each such
Transaction  Party) and no other action on the part of such persons is necessary
to authorize the  execution,  delivery and  performance  of the Documents by the
Transaction Parties.  Each of the Documents has been duly executed and delivered
by the Transaction  Parties party thereto and, assuming due execution thereof by
the other parties thereto, is a valid and binding obligation of each Transaction
Party thereto  enforceable against such Transaction Party in accordance with its
terms, except to the extent that its enforceability may be subject to applicable
bankruptcy,  insolvency,  reorganization,  moratorium and similar laws affecting
the  enforcement  of  creditors'  rights  generally  and  by  general  equitable
principles  (regardless  of  whether  such  enforceability  is  considered  in a
proceeding brought in equity or at law).

          ss.2.4  Subsidiaries  and  Investments.  (a) Set forth in Schedule 2.4
attached hereto is a list of (i) each Person in which the Company owns, directly
or  indirectly,  any  equity  or debt  security  and the  extent  (expressed  in
percentage) of such ownership (each a "Subsidiary")  and (ii) each Practice with
whom the Company or any of the its  Subsidiaries  has entered  into a management
services agreement, acquisition agreement or affiliation agreement.

          (b) All of the  outstanding  shares of capital  stock or other  equity
interests  of each  Subsidiary  of the  Company  have been duly  authorized  and
validly issued, are fully paid and  nonassessable,  and are owned, of record and
beneficially,  directly or  indirectly,  by the Company or a  Subsidiary  of the
Company, free and clear of all liens,  encumbrances,  restrictions and claims of
every kind except for liens, encumbrances,  restrictions and claims set forth on
Schedule  2.4.  No capital  stock or other  equity  interest  of any  Subsidiary
constitutes Margin Stock.

          ss.2.5  SEC and Other  Documents;  Financial  Statements;  Undisclosed
Liabilities.  (a) The Company has  delivered or made  available to the Purchaser
the  registration  statement  of  the  Company  filed  with  the  Commission  in
connection with the Company's  initial public offering of Common Stock,  and all
exhibits,  amendments  and  supplements  thereto  (collectively,   the  "Company
Registration  Statement"),  and each registration statement,  report,  including
annual and quarterly reports, proxy statement or information statement which are
set forth in Schedule 2.5(a) attached hereto,  and all exhibits thereto prepared
by it or  relating to its  properties  since the  effective  date of the Company
Registration Statement,  each in the form (including exhibits and any amendments
thereto) filed with the Commission (and including the March 31, 1998 10-K of the
Company which has not yet been filed, collectively,  the "Company Reports"). The
Company  Reports were filed (or, in the case of the March 31, 1998 10-K, will be
filed) with the Commission in a timely manner and constitute all forms,  reports
and documents  required to be filed by the Company under the Securities Act, the
Exchange  Act and the  rules  and  regulations  promulgated  thereunder  and any
applicable state securities laws (the "Securities Laws"). As of their respective
dates (and, as of the date hereof, in the case of the March 31, 1998, 10-K), the
Company  Reports  (i)  complied in all  material  respects  with the  applicable
requirements  of the  Securities  Laws  and  (ii)  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 made therein, in the light of
the  circumstances  under  which they were  made,  not  misleading.  There is no
unresolved violation asserted by any Government Authority with respect to any of
the Company Reports.

          (b)  Each  of  the  balance  sheets  included  in or  incorporated  by
reference into the Company  Reports  (including any related notes and schedules)
fairly  presented the  financial  position of the entity or entities to which it
relates as of its date and each of the statements of  operations,  shareholders'
equity  (deficit) and cash flows included in or  incorporated  by reference into
the Company Reports (including any related notes and schedules) fairly presented
the results of operations,  retained earnings or cash flows, as the case may be,
of the entity or entities to which it relates for the periods set forth therein,
in each case in accordance  with United  States  generally  accepted  accounting
principles consistently applied during the periods involved ("GAAP"),  except as
may be  noted  therein  and  except,  in the case of the  unaudited  statements,
subject to normal  recurring  year-end  adjustments.  The Company has heretofore
furnished the Purchaser with a pro forma combined  balance sheet of the Company,
as of June 30, 1998,  giving effect to the issuance of the  Preferred  Stock and
Warrants.

          (c) Except as set forth on Schedule  2.5(c) attached hereto and except
in connection,  with the transactions  contemplated hereby and the Senior Credit
Documents,  since  December 31, 1997,  no  Transaction  Party has: (i) failed to
conduct its business in the  ordinary  course in a manner  consistent  with past
practice;  (ii)  experienced  any  change,  event  or  circumstance  that  could
reasonably be expected to have a Material  Adverse  Effect;  (iii) other than in
the ordinary course of business consistent with past practice,  purchased, sold,
leased, pledged,  encumbered or otherwise acquired or disposed of any properties
or assets relating to its business or operations;  (iv) experienced any material
damage,  destruction  or loss to or of any of its assets which are  necessary to
the  conduct of its  business;  (v) except in the  ordinary  course of  business
consistent  with  past  practice,  made or agreed  to make any  increase  in the
compensation or severance arrangement of any officer, director or employee; (vi)
paid (or committed to pay) any management fee or made (or committed to make) any
loan or distribution of its property or assets,  or declared,  paid or set aside
for payment any dividend or distribution with respect to its equity  securities,
or purchased or redeemed (or  committed to purchase or redeem) any of its equity
securities;  (vii) written down or canceled any material  Indebtedness or waived
or  released  any  right or claim  which  individually  or in the  aggregate  is
material;  (viii)  suffered any judgment with respect to, or made any settlement
of, any claim,  suit, action or proceeding which could reasonably be expected to
have, individually or in the aggregate, a Material Adverse Effect; (ix) effected
any material change in accounting  practices and procedures,  other than changes
required  as a  result  of  changes  in GAAP;  (x)  amended  its  organizational
documents;  (xi) incurred or assumed any Indebtedness or guaranteed or otherwise
become responsible for any such liabilities,  obligations or Indebtedness; (xii)
other than in the ordinary  course of business  consistent  with past  practice,
acquired or agreed to acquire by merging or consolidation with, or by purchasing
the assets or stock, of or by any other manner,  any Person or division  thereof
or otherwise acquire or agree to acquire any assets (other than inventory) which
are  material to any  Transaction  Party taken  together;  (xiii)  initiated  or
settled any material litigation to which any Transaction Party is a party; (xiv)
failed  to  preserve  intact  its  business  organization;  (xv)  failed to keep
available the services of its officers and employees; (xvi) adopted or increased
any profit sharing, bonus, deferred compensation,  savings, insurance,  pension,
retirement,  or other  employee  benefit plan for or with any of its  employees;
(xvii) failed to maintain its reserves in a manner  consistent with the policies
and  principles  used by the Company in connection  with the  preparation of the
balance  sheets  included  in or  incorporated  by  reference  into the  Company
Reports;  (xviii) other than shares or options issued to employees, as set forth
on  Schedule  2.2,  issued  or sold any  shares  of  capital  stock or any other
securities,  or issued any securities  convertible  into, or options warrants or
rights to purchase or subscribe to, or entering into any arrangement or contract
with  respect to the issue and sale of, any shares of its  capital  stock or any
other securities,  or made any other changes in its capital structure;  or (xix)
agreed to any of the foregoing.

          (d) Except as set forth on Schedule 2.5(c), after giving effect to the
transactions   contemplated   hereby,   neither  the  Company  nor  any  of  its
Subsidiaries  shall have any outstanding  Indebtedness  except for  Indebtedness
under the Credit Agreement.

          ss.2.6 Title to Properties;  Encumbrances; Leases. (a) The Transaction
Parties do not own, in fee or  otherwise,  any  interest  in any real  property,
other than leasehold interests. Except for such properties and assets which have
been sold or otherwise  disposed of in the ordinary course of business,  each of
the  Transaction  Parties  has good  title to all of its  properties  and assets
(whether  real,  personal,  mixed,  tangible  or  intangible),   subject  to  no
encumbrance,  lien,  charge  or  other  restriction  of any  kind  or  character
("Encumbrances"),  except for (i) Encumbrances for current taxes, assessments or
governmental  charges or levies on  property  not yet due and  delinquent,  (ii)
Encumbrances  arising by operation of law, (iii) other  Encumbrances which could
not  reasonably  be  expected  to  have  a  Material  Adverse  Effect  and  (iv)
Encumbrances arising under the Senior Credit Documents (Encumbrances of the type
described in clauses (i) - (iv) above are hereinafter  sometimes  referred to as
"Permitted  Encumbrances").  Each  Transaction  Party owns or otherwise  has the
right to use all of the property  now used and material to the  operation of the
business of the Transaction Parties taken as a whole, which personal property is
in good  operating  condition  and repair,  ordinary  wear and tear excepted and
substantially  fit for the  purpose  for  which  they  are  being  utilized  and
constitutes  all of the  property  necessary  to conduct  its  business as it is
presently being conducted.

          (b)  Schedule 2.6  attached  hereto  contains an accurate and complete
list of all  material  property  (whether  real,  personal,  mixed,  tangible or
intangible)  leased or  sub-leased  by the  Transaction  Parties,  including all
amendments,  extensions  and  other  modifications  (the  "Leases").  Except  as
otherwise set forth in Schedule 2.6 attached hereto, each Lease is in full force
and effect; the Transaction  Parties have a good and valid leasehold interest in
and to all of the leased property, subject to no Encumbrances,  except Permitted
Encumbrances;  all  rents  and  additional  rents  due to date  from  any of the
Transaction Parties in respect of each such Lease have been paid; no Transaction
Party has  received  notice that it is in default  under any Lease;  and, to the
knowledge of each of the Transaction Parties, there exists no event, occurrence,
condition or act (including the consummation of the Transaction) which, with the
giving of notice,  the lapse of time or the  happening  of any further  event or
condition, would become a default by any Transaction Party under any such Lease.

          ss.2.7 Intellectual Property. Schedule 2.7 attached hereto contains an
accurate  and  complete  description  of  all  (a)  registrations  for  material
trademarks and service marks and all pending applications for such registrations
owned by,  assigned  to or  subject to  assignment  to the  Transaction  Parties
anywhere in the world and all  material  unregistered  trademarks,  trade names,
service marks, brand names, and business names  (collectively "the Marks");  (b)
material copyrights,  whether registered or unregistered,  owned by, assigned to
or  subject to  assignment  to the  Transaction  Parties  anywhere  in the world
(collectively "the Copyrights");  and (c) patents and patent  applications owned
by, assigned to or subject to assignment to the Transaction  Parties anywhere in
the world  (collectively the "Patents").  Unless otherwise indicated on Schedule
2.6 or Schedule  2.7, the Company owns the entire  right,  title and interest in
and to the  Marks,  the  Copyrights  and  the  Patents  free  and  clear  of any
Encumbrances except for Permitted  Encumbrances.  Each item that is indicated as
registered on Schedule 2.7 has been duly registered, filed with or issued by the
appropriate  authorities  in the countries  indicated on Schedule 2.7 and to the
knowledge of each of the Transaction  Parties,  all such registrations,  filings
and issuances remain in full force and effect.  Except as otherwise indicated on
Schedule 2.7, none of the Marks,  the  Copyrights or the Patents are the subject
of any  pending,  or to the  knowledge  of  each  of  the  Transaction  Parties,
threatened opposition,  interference,  cancellation proceeding or other legal or
governmental  proceeding  before a  registration  or  issuing  authority  in any
jurisdiction.  Except as otherwise disclosed in Schedule 2.7, the conduct of the
Transaction Parties' business as presently conducted does not infringe, violate,
or  constitute  misappropriation  of  any  trademark,  service  mark,  copyright
(whether registered or unregistered),  patent, trade secret,  industrial design,
computer program,  data base,  know-how or other proprietary right (collectively
"Intellectual  Property") of any other Person,  nor,  during the past six years,
has any Transaction  Party received notice to the contrary from any Person.  The
Company owns or has the right to use through assignment, lease, license or other
agreement all Intellectual Property necessary for the conduct of the business as
presently  conducted.  Except as set forth in Schedule 2.7, there are no pending
or, to the knowledge of each of the  Transaction  Parties,  threatened  material
claims by any Person for  infringement  of any  Intellectual  Property or unfair
competition by any  Transaction  Party.  Except as set forth in Schedule 2.7, no
Person is infringing  upon the  Intellectual  Property owned by,  assigned to or
subject to assignment of, the Transaction  Parties,  and the Transaction Parties
are  aware of no  facts  that  would  support  such a claim  by the  Transaction
Parties. The consummation of the transaction contemplated hereby will not result
in the loss or impairment of the Transaction Parties' right to own or use any of
the Intellectual  Property necessary to the conduct of the Transaction  Parties'
business as presently  conducted  (including,  but not limited to the Marks, the
Copyrights and the Patents) nor will it require the consent of any  governmental
authority or third party.

          ss.2.8  Material  Contracts.  Except as set forth on Schedule  2.8 and
Schedule 2.2 attached hereto on the Initial  Closing Date, no Transaction  Party
is  bound  by (a)  any  material  agreement,  contract  or  commitment,  (b) any
agreement,  indenture  or other  instrument  which  contains  restrictions  with
respect to  payment of  dividends  or any other  distribution  in respect of its
capital  stock,  (c)  any  agreement,   indenture  or  instrument   relating  to
Indebtedness  (whether or not such  Indebtedness  is being repaid in  connection
with the transactions  contemplated  hereby), (d) any agreement or contract with
any Affiliate, (e) any management service agreement, consulting agreement (which
entitles any  Transaction  Party to over $50,000 per year) or any other  similar
type of contract, (f) any agreement, contract or commitment limiting the ability
of any  Transaction  Party to engage in any line of business or to compete  with
any Person or to otherwise  acquire  property or conduct business in any area or
(g) any effective management service agreement and asset purchase agreements and
any agreement,  arrangement or understanding executed or occurring since January
1, 1998,  relating to the purchase or affiliation  with, or proposed purchase or
affiliation with, or management of, any Practice.  Except as otherwise set forth
on Schedule  2.8,  each  contract  or  agreement  set forth on Schedule  2.8 (or
required to be set forth in Schedule  2.8) is in full force and effect and there
exists no material  default or material  event of default or to the knowledge of
each of the Transaction Parties, event, occurrence,  condition or act (including
the  consummation  of the sale  contemplated  hereby) which,  with the giving of
notice,  the  lapse of time or the  happening  of any  other  material  event or
condition,  could  become a  material  default  or  material  event  of  default
thereunder.

          ss.2.9  Consents and  Approvals;  No  Violations.  The  execution  and
delivery of this Agreement and the other Documents by the Transaction Parties to
which any such Person is a party and compliance by each  Transaction  Party with
the terms and  provisions  hereof and thereof and the issuance of the Securities
by the Company and the consummation of the transactions contemplated hereby does
not and will not (a) violate or contravene  any  provision of the  Certificates,
Articles of  Incorporation  or Bylaws of any Transaction  Party,  (b) violate or
contravene any statute, rule, regulation, licensing requirement, order or decree
of any court,  arbitrator  or any other  public body or  authority  by which any
Transaction  Party is bound or by which  any of its  properties  or  assets  are
bound,  (c)  require  any  filing  with,  or  permit,   consent   authorization,
qualification or approval of, or exemption from, or the giving of any notice to,
any governmental or regulatory body, agency or authority, or any other Person or
(d) result in a  violation  or breach of,  conflict  with,  constitute  (with or
without  due  notice  or lapse of time or both) a  default  (or give rise to any
right of termination, cancellation, payment or acceleration) under, or result in
the creation of any Encumbrance (except pursuant to the Senior Credit Documents)
upon any of the properties or assets of any Transaction  Party under, any of the
terms, conditions or provisions of any note, bond, mortgage, indenture, license,
franchise, permit, agreement, lease, franchise agreement or any other instrument
or obligation to which any Transaction  Party is bound, or by which it or any of
its properties or assets may be bound.

          ss.2.10 Litigation.  There is no action, suit, proceeding at law or in
equity,  arbitration or  administrative or other proceeding by or before (or, to
the knowledge of each of the  Transaction  Parties,  any  investigation  by) any
governmental or other instrumentality or agency pending, or, to the knowledge of
each  of  the  Transaction  Parties,   threatened,   against  or  affecting  any
Transaction  Party  or any  such  entity's  properties  or  rights  which  could
reasonably be expected to have a Material Adverse Effect.  No Transaction  Party
is subject to any judgment, order or decree entered in any lawsuit or proceeding
which could reasonably be expected to have a Material Adverse Effect.

          ss.2.11 Taxes.  (a) Tax Returns.  Each of the Transaction  Parties has
timely  filed or caused to be timely  filed or will  timely  file or cause to be
timely filed with the  appropriate  taxing  authorities  all  material  returns,
statements, forms and reports for Taxes ( each a "Return" and collectively,  the
"Returns") that are required to be filed by, or with respect to, the Transaction
Parties on or prior to the Closing Date. The Returns have  accurately  reflected
and will accurately  reflect all material liability for Taxes of the Transaction
Parties for the periods covered thereby.

          (b) Payment of Taxes. All Taxes and Tax liabilities of the Transaction
Parties for all taxable years or periods that end on or before each Closing Date
and,  with  respect to any taxable  year or period  beginning  before and ending
after any Closing Date, the portion of such taxable year or period ending on and
including  such Closing Date  ("Pre-Closing  Periods")  have been timely paid or
accrued  and  adequately  disclosed  and  fully  provided  for  pursuant  to the
financial  statements  which have been  provided to the Purchaser by the Company
and are in accordance with GAAP.

          (c) Other Tax Matters.  (i) Schedule 2.11  attached  hereto sets forth
(A) each taxable year or other  taxable  period of the  Transaction  Parties for
which an audit or other  examination of Taxes by the appropriate tax authorities
of any nation,  state or locality is currently  in progress (or  scheduled as of
the  Initial  Closing  Date to be  conducted)  together  with  the  names of the
respective  tax  authorities  conducting (or scheduled to conduct) such audit or
examination   and  a  description  of  the  subject  matter  of  such  audit  or
examination,  (B) the most recent taxable year or other taxable period for which
an  audit  or  other  examination  relating  to  Federal  income  taxes  of  any
Transaction  Party has been finally  completed and the disposition of such audit
or  examination,  (C)  the  taxable  years  or  other  taxable  periods  of  any
Transaction Party which will not be subject to the normally  applicable  statute
of limitations by reason of any waiver or extension of the applicable statute of
limitations  for  Taxes  entered  into  or  granted  by or  on  behalf  of  such
Transaction Party, (D) the amount of any proposed adjustments (and the principal
reason  therefor)  relating to any Returns for Tax liability of any  Transaction
Party which have been  proposed or  assessed by any taxing  authority  and (E) a
list of all notices received by any Transaction  Party from any taxing authority
relating to any issue which could affect the Tax  liability  of any  Transaction
Party,  which issue has not been finally  determined  and which,  if  determined
adversely to such Transaction Party, could result in a Tax liability.

          (ii) Except as set forth on Schedule  2.11, no  Transaction  Party has
been included in any "consolidated," "unitary" or "combined" Return provided for
under the law of the United  States,  any foreign  jurisdiction  or any state or
locality  with respect to Taxes for any taxable  period for which the statute of
limitations has not expired.

          (iii)All Taxes which any Transaction Party is (or was) required by law
to  withhold or collect  have been duly  withheld  or  collected,  and have been
timely paid over to the proper authorities to the extent due and payable.

          (iv) None of the Transaction Parties is a "United States real property
holding corporation" within the meaning of Section 897(c)(2) of the Code.

          (v) There are no tax sharing,  allocation,  indemnification or similar
agreements or  arrangements  in effect as between any  Transaction  Party or any
predecessor or affiliate  thereof and any other party under which the Purchaser,
or any of its Affiliates, or any Transaction Party could be liable for any Taxes
or other claims of any party.

          (vi) The  Transaction  Parties have not applied for, been granted,  or
agreed to any  accounting  method  change for which it will be  required to take
into  account  any  adjustment  under  Section  481 of the  Code or any  similar
provision  of the Code or the  corresponding  tax laws of any  nation,  state or
locality.

          (vii)No  indebtedness of any Transaction  Party consists of "corporate
acquisition indebtedness" within the meaning of Section 279 of the Code.

          (viii) The  Transaction  Parties are not a party to any agreement that
would  require  them to make  any  payment  that  would  constitute  an  "excess
parachute payment" for purposes of Sections 280G and 4999 of the Code.

          ss.2.12  Liabilities.  Except as set forth on Schedule  2.12  attached
hereto, no Transaction Party has any material outstanding claims, liabilities or
indebtedness,  contingent or otherwise, except as set forth in the balance sheet
included in the Company's March 31, 1998 audited financial statements except for
such as has been  incurred in the  ordinary  course of business and could not be
reasonably  expected to have a Material Adverse Effect and is not  Indebtedness.
No Transaction  Party is in default in respect of the terms or conditions of any
Indebtedness  other than such  defaults as could not  reasonably  be expected to
have, individually or in the aggregate, a Material Adverse Effect.

          ss.2.13 Compliance with Laws; Permits;  Billing Practices. (a) Each of
the Transaction Parties are in compliance with all applicable laws, regulations,
licensing  requirements  (including without limitation,  with respect to leasing
employees),  orders,  judgments  and  decrees  and have  obtained  all  required
governmental  approvals and permits in each jurisdiction in which they currently
do   business,   including   the  right  to  receive   Medicare   and   Medicaid
reimbursements, except where the failure to so comply or obtain, individually or
in the aggregate,  could not  reasonably be expected to have a Material  Adverse
Effect or give rise to criminal  liability.  Without  limiting the generality of
the foregoing:

          (i) Each of the  Company  and its  Subsidiaries  has timely  filed all
reports  required to be filed in connection with federal Medicare and applicable
state Medicaid programs and due on or before each Closing Date, and all required
reports are true and  complete in all  material  respects;  there are no claims,
actions or appeals pending (and neither the Company nor any of its  Subsidiaries
has filed anything that would result in any claims,  actions or appeals)  before
any commission, board or agency with respect to any state or federal Medicare or
Medicaid cost reports or claims filed by the Company or any of its  Subsidiaries
on or before  the date  hereof,  or with  respect  to any  disallowances  by any
intermediary,  carrier, other insurer, commission, board or agency in connection
with  any  audit  of any cost  reports  that,  if  adversely  determined,  could
reasonably be expected to have a Material Adverse Effect;  no validation  review
or program  integrity  review related to the Company or any of its  Subsidiaries
has been conducted with respect to the Company or any of its Subsidiaries by any
commission,  board or  agency  in  connection  with  federal  Medicare  or state
Medicaid  programs,  and no such  reviews  are  scheduled,  pending  or,  to the
Company's  knowledge,  threatened against or affecting the Company or any of its
Subsidiaries;  each of the Company  and its  Subsidiaries  has timely  filed all
material reports,  data and other information required by any other Governmental
Authority with authority to regulate the Company or any of its  Subsidiaries  or
its  business in any manner;  each of the  Company  and its  Subsidiaries  is in
compliance in all material respects with all rules, regulations and requirements
of all health  Governmental  Authorities,  except where such noncompliance would
not have a Material  Adverse Effect;  and the conduct of the business of each of
the Company and its  Subsidiaries  does not violate 42 U.S.C.  ss.1320a-7b  (the
"Anti-Kickback  Statute")  or 42  U.S.C.  ss.1395nn  (the  "Stark  Amendments"),
including all amendments thereto.

          (ii) Without limiting anything contained in Section  2.13(a)(i),  none
of the Company or any of its Subsidiaries, or any of the Company's or any of its
Subsidiaries' executive offers or directors, or Persons who provide professional
services on behalf of the Company or any of its Subsidiaries, has:

          (A)  knowingly  and  willfully  made  or  caused  to be  made a  false
statement  or  representation  of a  material  fact in any  application  for any
benefit or payment;

          (B)  knowingly  and  willfully  made or  caused  to be made any  false
statement or representation of a material fact for use in determining  rights to
any benefit or payment;

          (C)  presented  or caused to be  presented  a claim for  reimbursement
under CHAMPUS,  Medicare,  Medicaid,  or other state health care program that is
(1) for an item or service that the Person presenting or causing to be presented
knows or should know was not provided as claimed,  or (2) for an item or service
and the  Person  presenting  knows or  should  know  that the  claim is false or
fraudulent;  (D) failed to disclose  knowledge  of the  occurrence  of any event
affecting  the  initial  or  continuing  right of a claimant  to any  benefit or
payment on its own behalf or on behalf of another,  with intent to  fraudulently
secure such benefit or payment; or

          (E) knowingly  and  willfully  made or caused to be made or induced or
sought to induce the making of any false statement or representation (or omitted
to  state a fact  required  to be  stated  therein  or  necessary  to  make  the
statements  contained therein not misleading) of a material fact with respect to
(1) the  conditions  or  operations of a Practice in order that the Practice may
quality for  CHAMPUS,  Medicare,  Medicaid or other  state  health care  program
certification,  or (2)  information  required to be proved under ss.1124A of the
Social Security Act (42 U.S.C ss.1320a-3).

          (iii) Without limiting anything contained in Section 2.13(a)(i), there
are no Medicare,  Medicaid or CHAMPUS  recoupments  or  recoupments of any other
third-party  payor being sought,  threatened,  requested or claimed  against the
Company or any of its Subsidiaries.

          (b) Without limiting  anything  contained in Section  2.13(a)(i),  all
billing practices by the Company and its Subsidiaries to all third party payors,
including,  but not limited to, the federal  Medicare  program,  state  Medicaid
programs and private insurance  companies,  have been true, fair and correct and
in compliance  with all applicable  laws,  regulations  and policies of all such
third party payors.  Neither the Company nor any of its  Subsidiaries has billed
for or received  any payment or  reimbursement  in excess of amounts  allowed by
law.

          ss.2.14  Employment   Relations.   The  Transaction   Parties  are  in
compliance in all material respects, with all Federal, state or other applicable
laws, domestic or foreign, respecting employment and employment practices, terms
and  conditions  of employment  and wages and hours,  and have not, and are not,
engaged in any unfair labor practice;

          (a) No unfair labor practice  complaint  against any Transaction Party
is pending before the National Labor Relations Board;

          (b) There is no labor strike,  dispute,  slowdown or stoppage actually
pending or threatened against or involving any Transaction Party;

          (c) No material claim in respect of the employment of any employee has
been  asserted  in  writing  or,  to the  knowledge  of each of the  Transaction
Parties, asserted orally or threatened, against the Transaction Parties;

          (d) The  Transaction  Parties have not  experienced any material labor
difficulty in the past three years; and

          (e) There has not been since  December 31, 1997 any  material  adverse
change in the relations of the Transaction Parties with their employees.

          ss.2.15  Employee  Benefit  Plans.  (a) List of  Plans.  Set  forth in
Schedule 2.15  attached  hereto is an accurate and complete list of all domestic
and foreign (i) "employee  benefit plans," within the meaning of Section 3(3) of
ERISA; (ii) bonus, stock option,  stock purchase,  restricted stock,  incentive,
profit-sharing,  pension or retirement,  deferred  compensation,  medical, life,
disability,  accident, salary continuation,  severance, accrued leave, vacation,
sick pay, sick leave,  supplemental  retirement and unemployment  benefit plans,
programs,  arrangements,  commitments and/or practices (whether or not insured);
and  (iii)  employment,  consulting,  termination,  severance,   non-competition
contracts or agreements; in each case for active, retired or former employees or
directors/whether or not any such plans,  programs,  arrangements,  commitments,
contracts, agreements and/or practices (referred to in (i), (ii) or (iii) above)
are in writing or are otherwise  exempt from the provisions of ERISA;  that have
been  established,  maintained  or  contributed  to (or with respect to which an
obligation  to  contribute  has been  undertaken)  or with  respect to which any
potential  liability  is  borne  by the  Company  or  any  of  its  Subsidiaries
(including,  for this purpose and for the purpose of all of the  representations
in  this  Section  2.15,  any  predecessors  to  the  Company  or to  any of its
Subsidiaries and all employers  (whether or not incorporated) that are by reason
of  common  control  treated  together  with  the  Company,  and/or  any  of its
Subsidiaries  as a single  employer (i) within the meaning of Section 414 of the
Code or (ii) as a result of the Company or any Subsidiary being or having been a
general  partner  of any such  employer),  since  September  2, 1974  ("Employee
Benefit Plans"). Each Employee Benefit Plan is in writing.

          (b) Status of Plans.  Each Employee Benefit Plan complies in form with
the requirements of all applicable laws,  including,  without limitation,  ERISA
and the Code,  and has at all times been  maintained and operated in substantial
compliance  with  its  terms  and  the  requirements  of  all  applicable  laws,
including,  without  limitation,  ERISA and the Code.  No  complete  or  partial
termination  of any Employee  Benefit Plan has occurred or is expected to occur.
Neither the Company nor any of its Subsidiaries has any commitment, intention or
understanding to create,  modify or terminate any Employee Benefit Plan.  Except
as required to maintain the  tax-qualified  status of any Employee  Benefit Plan
intended  to  qualify  under  Section  401(a)  of  the  Code,  no  condition  or
circumstance  exists that would  prevent the  amendment  or  termination  of any
Employee  Benefit Plan.  No event has occurred and no condition or  circumstance
has existed  that could result in a material  increase in the benefits  under or
the expense of maintaining any Employee  Benefit Plan from the level of benefits
or expense incurred for the most recent fiscal year ended thereof.

          (c) No Pension Plans. No Employee Benefit Plan is an "employee pension
benefit plan"  (within the meaning of Section 3(2) of ERISA)  subject to Section
412 of the Code or  Section  302 or Title IV of  ERISA.  Except  as set forth on
Schedule 2.15, no Transaction  Party has ever  maintained or contributed  to, or
had any obligation to contribute to (or borne any liability with respect to) any
"multiple  employer  plan"  (within  the  meaning  of the Code or  ERISA) or any
"multiemployer plan" (as defined in Section 4001(a)(3) of ERISA).

          (d)  Liabilities.  Neither  the  Company  nor any of its  Subsidiaries
maintains any Employee Benefit Plan which is a "group health plan" (as such term
is defined in Section  607(1) of ERISA or Section  5000(b)(1)  of the Code) that
has not been  administered  and operated in all respects in compliance  with the
applicable requirements of Section 601 of ERISA and Section 4980B(f) of the Code
and neither the Company nor any of its  Subsidiaries  is subject to any material
liability,  including,  without  limitation,  additional  contributions,  fines,
taxes, penalties or loss of tax deduction as a result of such administration and
operation.  Neither  the  Company  nor  any of its  Subsidiaries  maintains  any
Employee Benefit Plan (whether  qualified or nonqualified  within the meaning of
Section 401(a) of the Code)  providing for  post-employment  or retiree  health,
life and/or other welfare benefits and having unfunded liabilities,  and neither
the Company nor any of its Subsidiaries  have any obligation to provide any such
benefits to any retired or former employees or active  employees  following such
employees' retirement or termination of service.  Neither the Company nor any of
its  Subsidiaries  maintains  any  Employee  Benefit  Plan which is an "employee
welfare  benefit  plan" (as such term is defined in Section  3(1) of ERISA) that
has  provided  any  "disqualified  benefit"  (as such term is defined in Section
4976(b) of the Code) with respect to which an excise tax could be imposed.

          Neither  the  Company  nor any of its  Subsidiaries  has any  unfunded
liabilities  pursuant to any  Employee  Benefit  Plan that is not intended to be
qualified under Section 401(a) of the Code.

          Neither the  Company  nor any of its  Subsidiaries  has  incurred  any
liability for any tax or excise tax arising under Chapter 43 of the Code, and no
event has occurred and no condition or circumstance  has existed that could give
rise to any such liability.

          There  are no  actions,  suits  or  claims  pending,  or,  to the best
knowledge and belief of each of the Transaction Parties, threatened, anticipated
or expected to be asserted  against any  Employee  Benefit Plan or the assets of
any such plan  (other than  routine  claims for  benefits  and appeals of denied
routine claims).  No civil or criminal action brought pursuant to the provisions
of Title I, Subtitle B, Part 5 of ERISA is pending,  threatened,  anticipated or
expected to be asserted  against the Company or any of its  Subsidiaries  or any
fiduciary of any Employee Benefit Plan, in any case with respect to any Employee
Benefit  Plan. No Employee  Benefit Plan or any  fiduciary  thereof has been the
direct or indirect  subject of an audit,  investigation  or  examination  by any
governmental or quasi-governmental agency.

          (e) Contributions. Full payment has been made of all amounts which the
Company or any of its  Subsidiaries is required,  under  applicable law or under
any Employee Benefit Plan or any agreement relating to any Employee Benefit Plan
to which the  Company  or any of its  Subsidiaries  is a party,  to have paid as
contributions  or premiums  thereto as of the last day of the most recent fiscal
year of such  Employee  Benefit  Plan ended prior to the date  hereof.  All such
contributions  and/or  premiums have been fully deducted for income tax purposes
and no such  deduction has been  challenged  or  disallowed by any  governmental
entity, and to the best knowledge and belief of each of the Transaction Parties,
no event has occurred and no  condition or  circumstance  has existed that could
give rise to any such challenge or  disallowance.  The Company has made adequate
provision  for  reserves  to meet  contributions  and  premiums  and  any  other
liabilities  that have not been paid or  satisfied  because they are not yet due
under  the  terms  of any  Employee  Benefit  Plan,  applicable  law or  related
agreements.  Benefits under all Employee  Benefit Plans are as  represented  and
have not been increased  subsequent to the date as of which  documents have been
provided.

          (f) Tax  Qualification.  Each  Employee  Benefit  Plan  intended to be
qualified  under  Section  401(a)  of  the  Code  is so  qualified.  Each  trust
established in connection with any Employee Benefit Plan which is intended to be
exempt from Federal  income  taxation  under Section 501(a) of the Code has been
determined to be so exempt by the Internal  Revenue  Service.  Since the date of
each most recent  determination  referred to in this paragraph (f), no event has
occurred and no condition or circumstance has existed that resulted or is likely
to result in the revocation of any such  determination  or that could  adversely
affect the  qualified  status of any such  Employee  Benefit  Plan or the exempt
status of any such trust.

          (g) Transactions.  Neither the Company nor any of its Subsidiaries nor
any of their respective directors, officers, employees or, to the best knowledge
and belief of each of the Transaction Parties,  other persons who participate in
the operation of any Employee  Benefit Plan or related trust or funding vehicle,
has engaged in any  transaction  with  respect to any  Employee  Benefit Plan or
breached any applicable fiduciary  responsibilities or obligations under Title I
of ERISA that would  subject  any of them to a tax,  penalty  or  liability  for
prohibited  transactions or breach of any obligations under ERISA or the Code or
would result in any claim being made under, by or on behalf of any such Employee
Benefit Plan by any party with standing to make such claim.

          (h)  Triggering  Events.  The  execution  of  this  Agreement  and the
consummation  of the  transactions  contemplated  hereby,  do not  constitute  a
triggering  event  under  any  Employee  Benefit  Plan,   policy,   arrangement,
statement,  commitment or agreement,  whether or not legally enforceable,  which
(either alone or upon the occurrence of any additional or subsequent event) will
or may result in any payment (whether of severance pay or otherwise), "parachute
payment"  (as such term is defined in Section  280G of the Code),  acceleration,
vesting or increase in benefits to any  employee or former  employee or director
of the Company or any of its Subsidiaries. No Employee Benefit Plan provides for
the  payment  of  severance,  termination,  change in  control  or  similar-type
payments or benefits.

          (i) Documents.  The Company has delivered or caused to be delivered to
the Purchaser and its counsel true and complete copies of all material documents
in connection with each Employee  Benefit Plan,  including,  without  limitation
(where  applicable):  (i) all  Employee  Benefit  Plans as in effect on the date
hereof,  together with all  amendments  thereto,  including,  in the case of any
Employee Benefit Plan not set forth in writing, a written  description  thereof;
(ii) all current summary plan descriptions, summaries of material modifications,
and material communications; (iii) all current trust agreements, declarations of
trust and other  documents  establishing  other  funding  arrangements  (and all
amendments thereto and the latest financial statements  thereof);  (iv) the most
recent Internal  Revenue Service  determination  letter obtained with respect to
each Employee  Benefit Plan intended to be qualified under Section 401(a) of the
Code or  exempt  under  Section  501(a) of the Code;  (v) the  annual  report on
Internal  Revenue Service Form  5500-series for each of the last three years for
each Employee  Benefit Plan  required to file such form;  (vi) the most recently
prepared  financial  statements  for each  Employee  Benefit Plan for which such
statements are required; and (vii) all contracts and agreements relating to each
Employee  Benefit  Plan,   including,   without  limitation,   service  provider
agreements,   insurance  contracts,  annuity  contracts,  investment  management
agreements, subscription agreements, participation agreements, and recordkeeping
agreements and collective bargaining agreements.

          ss.2.16  Environmental  Laws and  Regulations.  Except  as  could  not
reasonably be expected to have a Material Adverse Effect:

          (a) No Transaction  Party has generated,  used,  treated or stored any
Hazardous Materials and, to the knowledge of each of the Transaction Parties, no
Hazardous Materials have been generated, used, treated or stored, or released or
disposed  by any  Transaction  Party in each  case,  except in  compliance  with
Environmental Laws.

          (b) The Transaction Parties are in compliance in all material respects
with  Environmental  Laws and the terms and  conditions of permits  issued under
such Environmental Laws.

          (c)  There  are  no  pending  or,  to the  knowledge  of  each  of the
Transaction  Parties,  threatened  Environmental  Claims against any Transaction
Party or, to the knowledge of the Transaction Parties, any Company Property.

          (d) There  are no  facts,  circumstances,  conditions  or  occurrences
regarding any Company  Property that could reasonably be anticipated (i) to form
the basis of an Environmental Claim against the Company, any of its Subsidiaries
or any Company  Property or assets,  or (ii) to cause such  Company  Property or
assets to be subject to any  restrictions  on its ownership,  occupancy,  use or
transferability under any Environmental Law.

          ss.2.17 Interests in Clients,  Suppliers,  Etc. Except as set forth on
Schedule 2.17 attached hereto, no Transaction Party and none of their respective
officers,  directors  or  shareholders  possess,  directly  or  indirectly,  any
financial interest in, and is not a director, officer or employee of, any entity
which is a client, supplier, customer, lessor, lessee or competitor or potential
competitor of any Transaction Party.  Ownership of securities of a company whose
securities are  registered  under the Exchange Act of 1% or less of any class of
such securities  shall not be deemed to be a financial  interest for purposes of
this Section 2.17.

          ss.2.18 Physician Relationships.  The transactions contemplated hereby
will not have a material  adverse effect on the  relationship  of the Company or
any of its Subsidiaries  with any physician or Practice.  Except as set forth in
Schedule 2.18,  which is attached  hereto for  disclosure  purposes only and not
with a view  to  eliminate  the  indemnification  obligations  relating  to this
representation,  since December 31, 1997, no physician or Practice has indicated
to any  Transaction  Party  that  such  person  is  reasonably  likely  to  stop
practicing with any Practice and neither the Company nor any of its Subsidiaries
has any reason to believe that any  physician  or Practice has any  intention to
discontinue its affiliation with the Company.

          ss.2.19 Accounts  Receivable.  The amount of all accounts  receivable,
unbilled  invoices and other debts due or recorded in the accounting  records of
the Transaction  Parties as being due to the Transaction  Parties as at the date
hereof  (less the  amount  of any  provision  or  reserve  therefor  made in the
accounting  records of such Transaction  Party) represent sales actually made in
the ordinary course of business, represent or will represent actual indebtedness
incurred by the  applicable  account  debtors and were  calculated in accordance
with GAAP.  There has been no material adverse change since December 31, 1997 in
the amount, aging or collectibility of accounts receivable or other debts due to
any  Transaction  Party or the  allowances  with  respect  thereto,  or accounts
payable of any Transaction Party, from that reflected in the Company Reports.

          ss.2.20 No Misstatements or Omissions;  Projections. No representation
or  warranty  by any  Transaction  Party  contained  in  this  Agreement  and no
statement  contained in any certificate,  schedule,  exhibit or other instrument
specified  or  referred  to in this  Agreement  or any  other  Document  whether
heretofore  furnished to the  Purchaser or hereafter  furnished to the Purchaser
pursuant to this  Agreement  or any other  Document  contains as of each Closing
Date or will contain any untrue  statement  of a material  fact or omits or will
omit as of the date of such  document  any material  fact  necessary to make the
statements  contained  therein in light of the  circumstances  under  which such
statement was made, not misleading.  The financial  projections  provided by the
Company to the Purchaser were prepared in good faith using the best  information
available to  management of the Company and  represent  management's  good faith
estimates of the future  performance of the Company for the periods  referred to
therein.  The Company is not aware of any material facts or circumstances  which
would render such financial projections unreasonable or unobtainable;  provided,
however,  it being  recognized by the Purchaser  that actual  results may differ
from the projections and no  representation is made that the projections will in
fact be attained.

          ss.2.21  Broker's or Finder's Fees. No agent,  broker,  person or firm
acting on  behalf of any  Transaction  Party  is,  or will be,  entitled  to any
commission or broker's or finder's fees from any of the parties hereto,  or from
any Person  controlling,  controlled by or under common  control with any of the
parties hereto, in connection with any of the transactions contemplated hereby.

          ss.2.22 Investment Company Act. No Transaction Party is an "investment
company"  or a company  "controlled"  by an  "investment  company,"  within  the
meaning of the Investment Company Act of 1940, as amended.

          ss.2.23  Delaware  Takeover Law. The purchase of the Securities by the
Purchaser  has been  approved  by the Board of  Directors  and there shall be no
restriction on the Purchaser or any of its Affiliates pursuant to Section 203 of
the Delaware General Corporation Law.

          ss.2.24  Year 2000  Reprogramming.  The costs to the  Company  and its
Subsidiaries of reprogramming  required to permit the proper  functioning in and
following  the year  2000,  of the  Company's  or any of its  Subsidiaries'  (i)
computer systems and (ii) equipment  containing embedded  microchips  (including
systems and  equipment  supplied by others) and the testing of all such  systems
and  equipment  and of the  reasonably  foreseeable  consequences  of year  2000
(including, without limitation,  reprogramming errors and the failure of others'
systems or equipment) could, individually or in the aggregate, not reasonably be
expected to have a Material  Adverse Effect.  Except for the cost of such of the
reprogramming  referred to in the preceding  sentence as may be  necessary,  the
computer and management  information systems of the Company and its Subsidiaries
are  sufficient  to permit the  Company  and its  Subsidiaries  to  conduct  its
business without such conduct resulting in a Material Adverse Effect.

          ss.2.25  Practice  Management  Agreements;  Affiliations.  As  of  the
Initial  Closing Date, the Company is affiliated  with 28 Practices,  comprising
136 physicians,  in seven states, and operates 1 IPA,  comprising 42 physicians,
in Arizona and manages three outpatient ancillary surgery centers.

          ss.2.26 6Securities Law Compliance.  Assuming that the representations
set forth in Article  III are true and  correct in all  material  respects,  the
offering,  issuance,  sale and delivery of the  Securities  to the  Purchaser is
exempt from the registration requirements of the Securities Act. The Company has
complied  with,  or  is  exempt  from,  all  registration  requirements  of  all
applicable  state securities laws in connection with the offering,  issue,  sale
and delivery of the Securities.

          ss.2.27 Transactions with Affiliates.  Except as set forth on Schedule
2.27, none of the Transaction Parties has entered into any transaction or series
of related transactions, whether or not in the ordinary course of business, with
any Affiliate of any Transaction Party.

          ss.2.28  Capital Stock  Reserved.  Sufficient  shares of the Company's
Common Stock have been authorized and duly reserved for issuance upon conversion
of the Securities.

          ss.2.29  No  Conflict  of  Rights.  Set  forth on  Schedule  2.29 is a
description  of all  registration  rights held by any Person.  The  registration
rights granted to the Purchaser pursuant to Article VII do not conflict with any
other registration rights granted by the Company.

          ss.2.30   Other   Representations   and   Warranties.   Each   of  the
representations and warranties contained in the Credit Agreement as in effect on
the  Initial  Closing  Date  are  hereby  confirmed  and  restated,   each  such
representation and warranty, together with all related definitions and ancillary
provisions  and  any  information  contained  in  any  schedule  to  the  Credit
Agreement,  as in effect  on the date  hereof  relating  thereto,  being  hereby
incorporated  by  reference  into  this  Agreement  (without  duplication)  as a
representation  and warranty to the  Purchaser as if  specifically  set forth in
this  Section  2.30  (each such  document  referred  to  therein as having  been
delivered  to a "Lender"  thereunder  having  been  delivered  to the  Purchaser
hereunder).

          ss.2.31 SBIC  Information.  All information set forth in the SBA Forms
regarding  the  Company  and its  Affiliates  is  accurate  and  complete in all
material  respects.  Copies of such  forms  have  been,  on or prior to the date
hereof, completed and executed by the Company and delivered to the Purchaser.

          ss.2.32  SBIC  Eligibility.  The Company and its  Subsidiaries  do not
engage in any  activity  which would  render the Company  ineligible  to receive
financing  assistance from a Small Business Investment Company as provided in 13
CFR 107.720.

          ss.2.33 Company Awareness.  The Company is aware that the Purchaser is
a Federal licensee under the SBIA.

          ss.2.34  Use of  Proceeds.  All of the  proceeds  from the sale of the
Securities shall be used for general  corporate  purposes,  acquisitions and the
repayment of  Indebtedness  of the Company and not for any purposes  which would
violate 13 CFR 107.720.

          ss.2.35 Employee  Licensing  Matters.  The  transactions  contemplated
hereby  will not cause  any  adverse  change  (i) to the  Company's  "experience
modifier" as it relates to unemployment insurance in the various states in which
the Company or its Subsidiaries operate, or (ii) to the Company's  qualification
to  act as an  "employee  leasing  arrangement",  "employee  leasing  business",
"employee leasing company" or similar statutory qualification.

          ss.2.36 Representations  Related to the Practices.  The Company hereby
represents and warrants that the Practices set forth on Schedule 2.4 as required
by Section 2.4(b) of this  Agreement,  shall be deemed to be Subsidiaries of the
Company for the purposes of Sections 2.1,  2.5(c),  2.9, 2.10, 2.12, 2.13, 2.14,
2.15 (other than  relating  to the  disclosures  required to be made on Schedule
2.15),  2.16,  2.20,  2.21,  2.22 and  2.27;  provided,  however,  that any such
representation or warranty shall be deemed to be breached only in the event that
applying any such representation and warranty to such Practices could reasonably
be expected, individually or in the aggregate, to have a Material Adverse Effect
on the  Transaction  Parties  (but  without  regard to any other  "materiality",
"material  adverse  effect",   "substantial  compliance"  or  similar  exception
contained in such representations or warranties).


                                   ARTICLE III
                        REPRESENTATIONS OF THE PURCHASER

          ss.3.0  Representations  of the  Purchaser.  In  order to  induce  the
Company to enter into this Agreement and in order to induce the Company to issue
the Securities, the Purchaser represents, warrants and agrees as follows:

          ss.3.1 Existence and Good Standing; Power and Authority. The Purchaser
is duly organized,  validly  existing and in good standing under the laws of the
jurisdiction  of its  organization.  The Purchaser  has the requisite  power and
authority  to  execute  and  deliver  the  Documents  to which it is a party and
perform its obligations thereunder. Each of the Documents to which it is a party
has been duly  authorized  and  approved  by the  Purchaser,  and  assuming  due
execution by the other parties thereto is a valid and binding  obligation of the
Purchaser enforceable against the Purchaser in accordance with its terms, except
to the extent that its enforceability  may be subject to applicable  bankruptcy,
insolvency,  reorganization,  moratorium  and other  similar laws  effecting the
enforcement of creditors' rights generally and by general  equitable  principles
(regardless of whether such enforceability is considered in a proceeding brought
in equity or law).

          ss.3.2  Restrictive  Documents.  The  Purchaser  is not subject to any
mortgage,  lien, lease,  agreement,  instrument,  order, law, rule,  regulation,
judgment or decree,  or any other  restriction  of any kind or character,  which
would prevent  consummation  by the Purchaser of the  transactions  contemplated
hereby  or which  would  result in a  violation  of breach  of,  conflict  with,
constitute  (with or  without  due  notice  or lapse of time or both) a  default
under, or result in the creation of any Encumbrance on the Securities  under the
terms of any agreement to which the Purchaser is a party.

          ss.3.3  Purchase for  Investment.  (a) The Purchaser  will acquire the
Securities  for its own  account for  investment  and not with a view toward any
resale or distribution thereof;  provided,  however, that the disposition of the
Purchaser's  property  shall at all times remain  within the sole control of the
Purchaser.

          (b) The  Purchaser  understands  that  the  Securities  have  not been
registered  under the Securities Act or under any state  securities laws and may
not be sold or transferred  unless they are  subsequently  registered  under the
Securities  Act and any  applicable  state or other  securities  laws, or unless
exemptions from registration under such laws are available;

          (c) The  Purchaser  represents  that it is  experienced  in investment
matters, fully understands the transactions  contemplated by this Agreement, has
the knowledge and experience in financial matters as to be capable of evaluating
the  merits  and  risks of its  investment  and has the  financial  ability  and
resources to bear the economic risks of its investment;

          (d) The Purchaser  represents  and warrants that the Company has given
the Purchaser the  opportunity to ask questions and receive  answers  concerning
the Company,  and the Company has made available to the Purchaser an opportunity
to conduct such  investigations  and reviews as it has  requested to conduct and
all of those investigations and reviews have been completed;

          (e)  The  Purchaser  acknowledges  that  it has  received  no  general
solicitation or general  advertising,  and that the Purchaser's  representatives
have  attended no seminar or meeting with respect to the  Securities,  nor is it
aware of any such  solicitation or advertisement  that may have been received by
others;

          (f) The  Purchaser  is an  "accredited  investor"  as  defined in Rule
501(a) under the Securities Act.

          ss.3.4  Broker's or Finder's  Fees. No agent,  broker,  person or firm
acting on behalf of the Purchaser is, or will be,  entitled to any commission or
broker's  or  finder's  fees  from any  Transaction  Party,  or from any  Person
controlling,  controlled by or under common control with any Transaction  Party,
in connection with the transactions contemplated hereby.


                                   ARTICLE IV
         ISSUANCE OF SECURITIES; PAYMENT OF SUBSCRIPTION PRICE; CLOSINGS

          ss.4.1  Issuance  of  Initial  Securities.  Subject  to the  terms and
conditions set forth in this Agreement, on the Initial Closing Date, the Company
agrees  to sell to the  Purchaser,  and the  Purchaser  agrees to  purchase  the
Initial  Securities.  Delivery of the Initial  Securities to be purchased by the
Purchaser pursuant to this Agreement shall be made,  pursuant to Section 4.5, on
the Initial Closing Date by the Company to the Purchaser, against payment of the
Initial Purchase Price.

          ss.4.2 Issuance of Additional Securities. (a) Subject to the terms and
conditions set forth in this Agreement,  on the Second Closing Date, the Company
agrees  to sell to the  Purchaser,  and the  Purchaser  agrees to  purchase  the
Additional  Securities  (the  "Second  Closing").  Delivery  of  the  Additional
Securities to be purchased by the Purchaser  pursuant to this Agreement shall be
made,  pursuant to Section 4.5, on the Second Closing Date by the Company to the
Purchaser,  against  payment of the Second Closing  Purchase Price. In the event
the  condition  set forth in Section  5.15 hereof has not been  satisfied  on or
prior to July 30,  1998 (as such  date  may be  extended,  the  "Second  Closing
Date"), the Purchaser may waive the application of such condition, in which case
the  Company  agrees  to use its best  efforts  to  satisfy  such  condition  by
September  8,  1998.  The  Purchaser  shall  retain  the right to  purchase  the
Additional Securities through and until September 8, 1998 and, in any event, the
Purchaser may, in its sole discretion, waive any conditions to any Closing.

          (b) In connection with the Second Closing,  the Company shall create a
new  series  of  preferred  stock  (the  "Additional  Preferred  Stock"),  which
Additional  Preferred Stock shall contain  provisions  substantially the same as
the  Preferred  Stock  issued  as of  the  date  hereof  and  shall  have  (i) a
liquidation  preference  per share of  Additional  Preferred  Stock equal to the
Additional  Preferred  Stock Price Per Share,  (ii)  dividend  and  distribution
rights which shall be pari passu with the  Preferred  Stock,  based on the total
liquidation  preferences  (including accrued dividends) of the respective series
of  preferred  stock,  (iii)  voting  rights  which shall be pari passu with the
Preferred Stock, based on the total liquidation  preferences  (including accrued
dividends) of the respective  series of preferred stock,  (iv) rights to receive
distributions  upon the  occurrence of a  liquidation  which shall be pari passu
with the Preferred Stock, based on the total liquidation  preferences (including
accrued  dividends) of the  respective  series of preferred  stock and (v) shall
otherwise be in form and substance satisfactory to the Purchaser. The Additional
Preferred   Stock  shall  be   convertible   into  shares  of  Common  Stock  on
substantially  the same terms as the Preferred Stock,  except that the number of
shares of Common Stock  issuable  upon  conversion of the  Additional  Preferred
Stock  shall  be equal to the  Second  Closing  Purchase  Price  divided  by the
Additional  Preferred  Stock  Price  Per Share (as  adjusted  for  anti-dilutive
issuances,  in a manner substantially similar to the Preferred Stock (including,
without  limitation  events that occur  between the Closing  Date and the Second
Closing Date,  which result in the Preferred Stock  receiving any  anti-dilution
adjustment)).

          (c) In connection with the Second Closing, the Company shall amend the
Certificate of Designation to provide for pari passu treatment of the Additional
Preferred Stock as set forth in paragraph (b) above.

          ss.4.3  Purchase  Price.  (a) Subject to the terms and  conditions set
forth in this Agreement,  in full  consideration  for the sale by the Company of
the Initial  Securities to the  Purchaser,  the  Purchaser  shall deliver to the
Company  $7,000,000 (the "Initial  Purchase Price") on the Initial  Closing,  by
wire transfer of immediately  available  funds to the accounts  specified by the
Company.

          (b) Subject to the terms and conditions  set forth in this  Agreement,
in full  consideration for the sale by the Company of the Additional  Securities
to the Purchaser,  the Purchaser  shall deliver to the Company  $3,000,000  (the
"Second Closing Purchase Price", which when added to the Initial Purchase Price,
the "Total  Purchase  Price"),  on the Second  Closing Date, by wire transfer of
immediately available funds to the accounts specified by the Company.

          ss.4.4 Time and Place of Closings.  The deliveries made on the Initial
Closing  Date and  Second  Closing  Date (each a  "Closing"  and  together,  the
"Closings")  shall take place at 10:00 a.m. on the  applicable  Closing Date, at
the  offices of White & Case LLP,  1155  Avenue of the  Americas,  New York,  NY
10036,  or such other  place and time as the  Company  and the  Purchaser  shall
mutually  agree.  The Second  Closing  Date shall be the date  specified  by the
Purchaser no more than 5 Business Days following the  satisfaction  or waiver of
all conditions to the Second Closing contained in Article V.

          ss.4.5 Closing Deliveries.  At each Closing the Company shall deliver,
or cause to be  delivered,  to the  Purchaser the  following:  (i)  certificates
representing  the  number of shares of  Preferred  Stock,  Additional  Preferred
Stock,  and/or Warrants,  as the case may be, to be issued and delivered at such
Closing,  free and clear of all  Encumbrances  with all necessary share transfer
and other  documentary  stamps  attached  at the  expense of the  Company,  (ii)
evidence  or  copies  of  any  consents,   approvals,  orders,   qualifications,
agreements or waivers required pursuant to Article V, (iii) all certificates and
other  instruments  and documents  required by this Agreement to be delivered by
the  Company to the  Purchaser  at or prior to each  Closing and (iv) such other
documents  and  instruments  reasonably  requested by the  Purchaser,  as may be
necessary  or  appropriate  to  confirm  or  carry  out  the  provisions  of the
Documents.

          ss.4.6  Issuance of  Performance  Warrants.  If the  Company  does not
achieve the Performance  Target on or before the  Affiliation  Date, the Company
agrees to issue the  Performance  Warrants to the  Purchaser  within 10 Business
Days of the  Affiliation  Date,  without  any  further  consideration  from  the
Purchaser to the Company.

          ss.4.7 Issuance of Registration Warrants. In the event the Company has
not caused a Shelf  Registration  to have been  declared  effective  (or a Shelf
Registration   shall  be  the  subject  of  any  stop  order  or  suspension  of
effectiveness)  pursuant  to the terms of this  Agreement  prior to the date set
forth below, the Company agrees to issue to the Purchaser on each such date, the
number of Warrants (the  "Registration  Warrants") set forth below opposite such
date:

<TABLE>
<CAPTION>

Shelf Registration is not declared         If the Second Closing has not       If the Second Closing has occurred,
effective prior to:                           occurred, the Number of                     the Number of
                                          Registration Warrants shall be         Registration Warrants shall be
<S>                                       <C>                                  <C>         

90 days following the Initial                         17,126                                 24,466
Closing Date

120 days following the Initial                        17,502                                 25,002
Closing Date

150 days following the Initial                        17,890                                 25,556
Closing Date

180 days following the Initial                        18,290                                 26,129
Closing Date

each 30 day period thereafter            an additional 20,036 Warrants for      an additional 28,623 Warrants for
                                             every 30 days thereafter               every 30 days thereafter
</TABLE>


                                    ARTICLE V
                    CONDITIONS TO THE PURCHASER'S OBLIGATIONS

          ss.5.0 Conditions to the Purchaser's  Obligations.  The obligations of
the  Purchaser  to purchase the  Securities  contemplated  by this  Agreement is
conditioned upon satisfaction,  at or prior to each Closing (except as specified
in Section 5.15) of the following conditions:

          ss.5.1  Opinions of  Counsel.  The Company  shall have  furnished  the
Purchaser  with the opinion,  dated the  applicable  Closing  Date, of Jones Day
Reavis & Pogue,  counsel  to the  Company  to the  effect set forth in Exhibit A
hereto (with appropriate modifications for the Second Closing, if applicable).

          ss.5.2 Good Standing and Other Certificates.  The Purchaser shall have
received (a) a copy of the  articles of  incorporation  or other  organizational
documents of the Company,  including all  amendments  thereto,  certified by the
Secretary of State of Delaware, (b) a certificate from the Secretary of State or
other  appropriate  official of the respective State or country of incorporation
or formation to the effect that the Company is in good  standing and listing all
charter documents of such entity,  (c) a certificate from the Secretary of State
or other  appropriate  official in each State or country in which the Company is
qualified  to do business to the effect that such entity is in good  standing in
each such State or country  and (d) a copy of the Bylaws of the  Company and the
resolutions  of  the  Board  of  Directors  of  the  Company   authorizing   the
transactions  contemplated hereby,  certified by the Secretary of such Person as
being true and correct and in effect on such Closing Date.

          ss.5.3 No Material Adverse Change.  (a) Since December 31, 1997, there
shall have been no material adverse change in the business,  operations, assets,
nature of assets,  accounting  treatment,  liabilities,  condition (financial or
otherwise),   results  of  operations  or  prospects  of  the  Company  and  its
Subsidiaries  taken as a whole  and the  Company  shall  have  delivered  to the
Purchaser a  certificate  of an  executive  officer of the  Company,  dated such
Closing Date, to such effect.

          (b) Since the date  hereof,  there  shall  have not  occurred  (i) any
general suspension in trading in securities on any national  securities exchange
or the over-the-counter market or the establishment of minimum or maximum prices
on any such  exchange;  (ii) a declaration  of a banking  moratorium;  (iii) any
material  change in the United States or any other currency  exchange rates or a
suspension  of, or  limitation  on, the  markets  therefor;  (iv) an outbreak or
escalation of hostilities  between the United States and any foreign  power,  an
outbreak or escalation of any other insurrection or armed conflict involving the
United States or any other national or international  calamity or emergency,  or
any material change in the general financial  markets of the United States;  (v)
any decline in either the Dow Jones Industrial  Average or the Standard & Poor's
Index of 400 Industrial  Companies or in the New York Stock  Exchange  Composite
Index in excess of 15%  measured  from the close of  business on the trading day
next preceding the date of this  Agreement;  or (vi) any reasonably  significant
decline in the  public  market  price of public  physician  practice  management
companies.

          ss.5.4  Truth  of   Representations   and  Warranties.   Each  of  the
representations  and  warranties of the Company  contained in this Agreement and
the other Documents,  shall be true and correct in all material  respects on and
as of such Closing Date other than such  representations  and warranties made as
of a specific date, which shall be true and correct in all material  respects as
of such date, with the same effect as though such representations and warranties
had been made on and as of such date,  and the Company  shall have  delivered to
the  Purchaser a certificate  of an executive  officer of the Company dated such
Closing Date, to such effect. In addition,  with respect to any  representations
and  warranties  made as of a specific date, the Company shall be deemed to have
remade such  representations  and  warranties  as of the Second  Closing and the
Company shall be permitted to provide any additional disclosure to the Purchaser
which the Company believes is necessary to make such representations accurate on
the Second Closing and the Purchaser shall be satisfied with all such additional
disclosure.

          ss.5.5  Performance of Agreements.  The Company shall be in compliance
with the  Documents,  shall have  performed all of its  agreements and covenants
thereunder  and shall  have  delivered  to the  Purchaser  a  certificate  of an
executive officer of the Company to such effect.

          ss.5.6 No Litigation  Threatened.  No action or proceedings shall have
been  instituted  or,  to the  knowledge  of  each of the  Transaction  Parties,
threatened before a court or other government body or by any public authority to
restrain or prohibit any of the transactions  contemplated by the Documents, and
the Company shall have  delivered to the Purchaser a certificate of an executive
officer of the Company dated such Closing Date, to such effect.

          ss.5.7 Third Party  Consents;  Governmental  Approvals.  All consents,
approvals, authorizations, exemptions or waivers required in connection with the
consummation of the  transactions  contemplated by the Documents shall have been
received.

          ss.5.8 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 Purchaser and its counsel,
and the  Purchaser  shall have received  copies of all such  documents and other
evidences as it or its counsel may reasonably  request in order to establish the
consummation  of  such  transactions  and  the  taking  of  all  proceedings  in
connection therewith.

          ss.5.9  Certificate of  Designation.  The Company shall deliver to the
Purchaser evidence that the Certificate of Designation of the Company shall have
been duly filed with the  Secretary  of State of  Delaware  and shall be in full
force and effect.

          ss.5.10 SBA Forms.  On each Closing  Date,  the  Purchaser  shall have
received from the Company,  fully executed Small Business  Administration  Forms
480 and 652 and Small  Business  Administration  Form  1031  with  Parts A and B
thereof fully executed (the "SBA Forms").

          ss.5.11 Due Diligence. At or prior to the first Closing, the Purchaser
shall have completed its business,  legal and accounting due diligence and shall
be satisfied with the results thereof.

          ss.5.12  Warrant  Agreement.  At or prior to the  first  Closing,  the
Company shall have executed and delivered the Warrant Agreement.

          ss.5.13  Repayment of  Indebtedness  to Third Parties;  Termination of
Security Interests.  Except as set forth on Schedule 2.5(c), and except pursuant
to the Credit  Agreement,  all  Indebtedness  for borrowed  money of the Company
shall have been repaid in full and canceled and all guarantees by the Company of
other person's  obligations  shall have been released.  All security  interests,
liens,  mortgages,  claims  or  other  encumbrances  of any kind  securing  such
indebtedness shall be released.

          ss.5.14  Credit  Agreement  Funding.  At least $22 million of proceeds
shall be received from  borrowings  under the Credit  Agreement and all material
conditions to the borrowing  thereof shall have been met,  without any waiver by
the Lenders or the Agent named therein,  and the Purchaser shall have received a
reliance letter with respect to all legal opinions  delivered in connection with
the Credit  Agreement.  There shall exist no Default under and as defined in the
Credit Agreement,  as in effect on the date hereof, without giving effect to any
amendments  or  waivers  thereof  (both  before and after  giving  effect to the
transactions contemplated hereby on such Closing Date).

          ss.5.15 Additional Second Closing Condition.  Notwithstanding anything
to the contrary  contained  herein,  the obligation of the Purchaser to purchase
the  Additional  Securities  and  pay  the  Second  Closing  Purchase  Price  as
consideration  therefor  shall be  conditioned  upon the Second  Closing  Target
having been satisfied on or prior to July 30, 1998.


                                   ARTICLE VI
                     CONDITIONS TO THE COMPANY'S OBLIGATIONS

          ss.6.0  Conditions to the Company's  Obligations.  The issuance of the
Securities by the Company is conditioned upon satisfaction,  at or prior to each
Closing, of the following conditions:

          ss.6.1 Truth of Representations  and Warranties.  The  representations
and warranties of the Purchaser  contained in this  Agreement  shall be true and
correct  on and as of such  Closing  Date other  than such  representatives  and
warranties  made as of a specific  date,  which shall be true and correct in all
material  respects  as of such  date,  with  the  same  effect  as  though  such
representations and warranties had been made on and as of such date.

          ss.6.2 Third Party  Consents;  Governmental  Approvals.  All consents,
approvals authorizations,  exemptions or waivers, if any, required in connection
with the consummation of the  transactions  contemplated by this Agreement shall
have been received.

          ss.6.3 Performance of Agreement. The Purchaser shall have performed in
all material respects, its obligations under this Agreement.

          ss.6.4 No  Litigation  Threatened.  No action or  proceeding  shall be
instituted or, to the knowledge of the Purchaser,  threatened  before a court or
other government body or any public authority to restrain or prohibit any of the
transactions  contemplated hereby, and the Purchaser shall have delivered to the
Company a certificate, dated on such Closing Date, to such effect.


                                   ARTICLE VII
                               REGISTRATION RIGHTS

          ss.7.1 Shelf  Registration.  (a) Obligation to File and Maintain.  The
Company  shall file a  registration  statement  covering all of the  Registrable
Securities  and which shall include a number of shares of Common Stock  issuable
upon the exercise of all of the shares of Preferred Stock issued hereunder,  the
Warrants  issued or which may be issued  hereunder  and the  number of shares of
Common  Stock  issuable  upon  conversion  of  any  Additional  Preferred  Stock
(assuming that the Additional Preferred Stock Price Per Share multiplied by 0.85
equals  $4.50),  on a  continuous  or delayed  basis in the future  (the  "Shelf
Registration").  The Shelf  Registration  shall be amended  from time to time to
include a number of shares of Common Stock  sufficient  to include all shares of
Common Stock  issuable  upon  exercise or  conversion  of all equity  securities
issued  pursuant  to  this  Agreement  or upon  conversion  or  exercise  of the
Warrants,  the Preferred  Stock or the Additional  Preferred  Stock.  The Common
Stock registered under the Shelf  Registration  shall be reserved for the Common
Stock issuable upon the exercise or conversion of the securities issued pursuant
to this  Agreement  or  exercise of the  Warrants,  the  Preferred  Stock or the
Additional  Preferred Stock. The Shelf  Registration  shall be on an appropriate
form and  such  Registration  and any form of  prospectus  included  therein  or
prospectus  supplement  relating thereto shall reflect such plan of distribution
or method of sale as the holders of Registrable Securities may from time to time
notify the  Company,  including  (I) the sale of some or all of the  Registrable
Securities  in a public  offering  or,  (II) if  requested  by the any holder of
Registrable  Securities,  subject to receipt by the Company of such  information
(including  information  relating to purchasers)  as the Company  reasonably may
require,  (i) a transaction  constituting an offering  outside the United States
which is exempt from the  registration  requirements  of the  Securities  Act in
which any holder of  Registrable  Securities  undertakes to effect  registration
after the  completion  of such  offering  in order to permit  such  shares to be
freely tradable in the United States, (ii) a transaction  constituting a private
placement  under Section 4(2) of the Securities Act in connection with which any
holder of Registrable  Securities  undertakes to effect a registration after the
conclusion of such placement to permit such shares to be freely  tradable by the
purchasers thereof, or (iii) a transaction under Rule 144A of the Securities Act
in  connection  with which any holder of  Registrable  Securities  undertakes to
effect a registration  after the  conclusion of such  transaction to permit such
shares to be freely tradable by the purchasers thereof.

          (b) Time for Filing and Effectiveness.  On or before the date which is
30 days after the date hereof,  the Company shall file with the  Commission  the
Shelf Registration with respect to all Registrable  Securities and shall use its
best efforts to cause such Shelf Registration to become effective as promptly as
practicable  after filing thereon,  but in no event later than the date which is
90 days after the date  hereof.  The Company  shall keep the Shelf  Registration
filed  pursuant to this  Section 7.1  continuously  effective  until the date of
termination  set forth in Section  7.1(i) of this  Agreement.  During the period
during which the Shelf  Registration is effective,  the Company shall supplement
or make amendments to the Shelf Registration,  if required by the Securities Act
and the policies, rules and regulations of the Commission as announced from time
to time,  or if requested  by the  Purchaser or an  underwriter  of  Registrable
Securities,  including to reflect any specific plan of distribution or method of
sale,  and shall use its best efforts to have such  supplements  and  amendments
declared effective, if required, as soon as practicable after filing.

          (c)  Black-Out  Periods  of the  Purchaser.  Notwithstanding  anything
herein to the  contrary,  (i) the Company shall have the right from time to time
to  require  any  holder  of  Registrable  Securities  not to  sell  Registrable
Securities  pursuant to any Shelf  Registration or to suspend the  effectiveness
thereof during the period  starting with the date 30 days prior to the Company's
good faith  estimate,  as certified  in writing by an  executive  officer of the
Company to the holders of Registrable Securities, of the proposed date of filing
of a registration  statement or a preliminary  prospectus supplement relating to
an  underwritten  public  offering of equity  securities  of the Company for the
account of the Company,  and ending on the date 120 days  following the delivery
of such  estimate and (ii) the Company  shall be entitled to require the holders
of Registrable  Securities not to sell  Registrable  Securities  pursuant to any
Shelf Registration or to suspend the effectiveness thereof (but not for a period
exceeding  90 days) if the  Company  determines,  based on the  opinion of legal
counsel, that such offering or continued  effectiveness would interfere with any
material financing, acquisition,  disposition, corporate reorganization or other
material  transaction  involving the Company or any of its subsidiaries  because
public  disclosure  thereof would be required prior to the time such  disclosure
might  otherwise be required.  The Company shall not be entitled to exercise the
rights granted to the Company  pursuant to this Section 7.1(c) (either  pursuant
to clauses (i) or (ii)) at any time prior to two years following the date of the
latest Closing to occur,  and then only to the extent the Purchaser shall not be
deemed to be an  "affiliate"  of the  Company  for  purposes of Rule 144. In any
event,  the Company shall not be entitled to exercise the rights  granted to the
Company pursuant to this Section 7.1(c) more than once in any one year period.

          (d)  Black-Out  Periods of the Company.  Subject to the  conditions of
this Section 7.1(d), each holder of Registrable  Securities shall have the right
to require  the Company  not to sell,  and to use its best  efforts to cause any
employee,  director,  agent or  representative,  who is also a holder  of common
equity securities or securities convertible into common equity securities of the
Company not to sell,  any equity  securities  of the  Company or any  securities
convertible  into  equity  securities  of the  Company  under  any  registration
statement or prospectus  supplement,  or to suspend the  effectiveness  thereof,
during the period  starting  with the date 30 days prior to such  holders'  good
faith estimate,  as certified in writing by an executive  officer of such holder
to the  Company,  of the  proposed  date of filing of a  preliminary  prospectus
supplement  relating to a Shelf  Registration  filed pursuant to Section 7.1(a),
pertaining to an underwritten offering of Registrable Securities,  and ending on
the  date  90  days  following  the  date  of  filing  of the  final  prospectus
supplement,  but in no event on a date later than 90 days  following the date of
filing of the preliminary prospectus supplement.

          (e) Priority on Shelf  Registrations.  If the managing underwriter for
any  underwritten  offering  contemplated  by this  Section 7.1 shall advise the
Company in writing that, in such underwriter's opinion, the amount of securities
requested to be included in such Shelf  Registration  would adversely affect the
offering and sale  (including  pricing) of such securities then the Company will
include in such Shelf Registration, the number of securities that the Company is
so advised can be sold in such offering, in the following priority:

          (i) first,  all Registrable  Securities  requested to be sold pro rata
     among such  holders on the basis of the  number of  Registrable  Securities
     requested to be sold by such holders pursuant to this Section 7.1;

          (ii) second, securities proposed to be sold by the Company for its own
     account; and

          (iii)  third,  any other  securities  requested to be included in such
     Registration in such manner as the Company may determine.

          (f)  Notice.  The  Company  shall  give  each  holder  of  Registrable
Securities  prompt notice in the event that the Company has  suspended  sales of
Registrable Securities under Section 7.1(c).

          (g)  Selection  of  Underwriters.  Any and all  underwriters  or other
agents  involved  in any  sale of  Registrable  Securities  pursuant  to a Shelf
Registration  shall  include  one  or  more  underwriting  firms  of  nationally
recognized standing selected by the Purchaser.

          (h) Expenses.  All Registration  Expenses  incurred in connection with
any Shelf Registration shall be borne by the Company.  The Company shall, in any
event, bear its internal costs (including,  without limitation, all salaries and
expenses of its officers and employees  performing legal or accounting  duties),
the  expenses  of any  annual  audit and the fees and  expenses  of any  Person,
including special experts, retained by the Company.

          (i)  Termination.  The provisions of this Section 7.1 shall  terminate
upon the latest to occur of (A) the date which is the second  anniversary of the
latest  Closing to occur and (B) the date on which the Purchaser  owns less than
20% of the  Common  Stock  (on an as  converted  basis)  owned by the  Purchaser
immediately after the Initial Closing Date.

          ss.7.2 7.2 Incidental  Registrations.  (a) Notification and Inclusion.
If the Company  proposes  to register  for its own account or the account of any
other  securityholder,  any equity  securities of the Company or any  securities
convertible  into equity  securities  of the Company  under the  Securities  Act
(other than  pursuant to a  registration  on Form S-4 or Form S-8 or any similar
form), the Company shall, at each such time after the date hereof, promptly give
notice to each holder of Registrable  Securities (the "Company  Notice") of such
registration  and of such holder's  rights under this Section  7.2(a).  Upon the
written  request of any holder of  Registrable  Securities  given within 20 days
after receipt of a Company Notice by such holder of Registrable Securities,  the
Company shall include in such proposed registration such Registrable  Securities
as such  holders  shall  request  and  shall  use its  best  efforts  to cause a
registration  statement  covering all of the  Registrable  Securities  that such
holders have requested to be registered to become effective under the Securities
Act (an "Incidental Registration").

          (b) Priority on Incidental Registration. If an Incidental Registration
pursuant to this Section 7.2  involves an  underwritten  offering,  the managing
underwriter  of such  underwritten  offering shall advise the Company in writing
that, in such underwriter's  opinion,  the amount of securities  requested to be
included in such Incidental  Registration,  would adversely  affect the offering
and sale (including price) of such securities,  then the Company will include in
such  Incidental  Registration,  the number of securities that the Company is so
advised can be sold in such offering, in the following priority:

          (i)    first, all the securities of the Company which the Company
     proposes to sell for its own account;

          (ii) second, all Registrable  Securities requested to be sold pro rata
     among such  holders on the basis of the  number of  Registrable  Securities
     requested to be sold by such holders pursuant to this Section 7.2; and

          (iii)  third,  any other  securities  requested to be included in such
     Registration, in such manner as the Company may determine.

          (c) Expenses.  All Registration  Expenses  incurred in connection with
any Incidental Registration shall be borne by the Company. The Company shall, in
any event, bear its internal costs (including,  without limitation, all salaries
and  expenses of its  officers  and  employees  performing  legal or  accounting
duties),  the  expenses  of any annual  audit and the fees and  expenses  of any
Person, including special experts, retained by the Company.

          (d)  Duration  of  Effectiveness.  At the request of a majority of the
Registrable  Securities,  the  Company  shall use its best  efforts  to keep any
registration  statement  for which  Registrable  Securities  are  included in an
Incidental  Registration  effective and usable for not less than 180 days unless
the distribution of securities registered thereunder has been earlier completed.

          7.3  Registration  Procedures.  In  connection  with the filing of any
registration statement as provided in Section 7.1 or 7.2 of this Agreement,  the
Company  shall use its best  efforts  to  effect  the  Registration  and sale of
Registrable  Securities in accordance  with the intended  method of  disposition
thereof, and pursuant thereto, the Company will as expeditiously as possible:

          (a)  prepare  and  (within 60 days after the end of the period  within
     which requests for  registration may be given to the Company) file with the
     Commission  the requisite  registration  statement  (including a prospectus
     therein) to effect such Registration and use its best efforts to cause such
     registration  statement to become  effective,  provided  that before filing
     such registration  statement or any amendments or supplements  thereto, the
     Company will furnish to the counsel selected by the Purchaser copies of all
     such documents proposed to be filed, which documents will be subject to the
     review of such counsel before any such filing is made, and the Company will
     comply with any reasonable  request made by such counsel to make changes in
     any information  contained in such documents relating to such holders,  and
     upon filing such  documents,  the Company shall promptly  notify in writing
     such  counsel  of  the  receipt  by the  Company  of  any  comments  by the
     Commission with respect to such registration statement or prospectus or any
     amendment or supplement  thereto or any request by the  Commission  for the
     amending  or  supplementing  thereof  or for  additional  information  with
     respect thereto;

          (b)  prepare  and  file  with  the  Commission   such  amendments  and
     supplements  to such  registration  statement  and the  prospectus  used in
     connection  therewith as may be necessary to maintain the  effectiveness of
     such  registration  and to comply with the provisions of the Securities Act
     with respect to the  disposition of all Registrable  Securities  covered by
     such  registration  statement  until,  in the  case  of  Section  7.1,  the
     termination of the period during which the Shelf  Registration  is required
     to be kept  effective,  or, in the case of Section 7.2, the earlier of such
     time as all of such  securities have been disposed of and the date which is
     180 days  after  the date of  initial  effectiveness  of such  registration
     statement;

          (c) furnish to each  holder of  Registrable  Securities  included in a
     Registration hereunder and the underwriter or underwriters, if any, without
     charge,  at least one signed  copy of the  registration  statement  and any
     post-effective  amendments  thereto,  and  upon  request,  such  number  of
     conformed copies of such registration  statement and of each such amendment
     and supplement  thereto (in each case including all exhibits),  such number
     of copies  of the  prospectus  contained  in such  registration  statements
     (including each preliminary prospectus, complete prospectus and any summary
     prospectus)  and any  other  prospectus  filed  under  Rule 424  under  the
     Securities Act, in conformity with the  requirements of the Securities Act,
     and such other documents, including documents incorporated by reference, as
     such holders and the underwriters may request (it being understood that the
     Company  consents  to the  use of  the  prospectus  and  any  amendment  or
     supplement thereto by each holder of Registrable Securities covered by such
     registration statement and the underwriters, if any, in connection with the
     offering and sale of the Registrable  Securities  covered by the prospectus
     or any amendment or supplement thereto);

          (d) register or qualify all  Registrable  Securities  under such other
     securities or blue sky laws of such  jurisdictions  as the Purchaser  shall
     request,  to keep such  registration or qualification in effect for so long
     as such registration statement remains in effect, and take any other action
     which may be necessary  or  advisable to enable such holders to  consummate
     the  disposition  in such  jurisdictions  of the  securities  owned by such
     holders, except that the Company shall not for any such purpose be required
     to  qualify  generally  to do  business  as a  foreign  corporation  in any
     jurisdiction  wherein  it  would  not  but  for  the  requirements  of this
     paragraph be obligated to be so qualified, or to consent to general service
     of  process in any such  jurisdiction,  or to  subject  the  Company to any
     material tax in any such jurisdiction where it is not then so subject;

          (e) cause all  Registrable  Securities  covered  by such  registration
     statement  to be  registered  with or  approved  by such  other  government
     authority  as may be  necessary  to enable  such holder to  consummate  the
     disposition of such Registrable Securities;

          (f) furnish to each  holder of  Registrable  Securities  included in a
     Registration hereunder a signed counterpart, addressed to such holders (and
     the  underwriters,  if any),  of (i) an opinion of counsel for the Company,
     dated the  effective  date of such  registration  statement  (and,  if such
     Registration  includes an underwritten  public offering,  dated the date of
     the closing under the underwriting  agreement),  reasonably satisfactory in
     form and  substance to the  Purchaser,  and (ii) a "cold  comfort"  letter,
     dated the  effective  date of such  registration  statement  (and,  if such
     registration  includes an underwritten  public offering,  dated the date of
     the closing under the  underwriting  agreement),  signed by the independent
     public  accountants who have certified the Company's  financial  statements
     included in such registration  statement,  covering  substantially the same
     matters with respect to such  registration  statement  (and the  prospectus
     included therein) and, in the case of the accountants' letter, with respect
     to events subsequent to the date of such financial  statements,  all as are
     customarily  covered in opinions of  issuer's  counsel and in  accountants'
     "cold comfort" letters delivered to the underwriters in underwritten public
     offerings of securities;

          (g) immediately notify each holder of Registrable  Securities included
     in a registration  statement hereunder at any time when the Company becomes
     aware that a prospectus  relating thereto is required to be delivered under
     the  Securities  Act,  upon  discovery  that,  or upon the discovery 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 any material  fact required to be stated
     therein or necessary to make the  statements  therein not misleading in the
     light of the  circumstances  under which they were made, and at the request
     of such holders  promptly  prepare and furnish to such holders a reasonable
     number of copies of a supplement  to or an amendment of such  prospectus as
     may be necessary so that, as thereafter delivered to the purchasers of such
     securities,  such  prospectus  shall not include an 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 not misleading in the
     light of the circumstances under which they were made;

          (h) comply or continue  to comply in all  material  respects  with the
     Securities Act and the Exchange Act and with all applicable policies, rules
     and regulations of the Commission, as announced from time to time, and make
     available to its security holders,  as soon as reasonably  practicable,  an
     earnings  statement covering the period of at least 12 months, but not more
     than 18 months,  beginning  with the first full  calendar  month  after the
     effective date of such  registration  statement,  which earnings  statement
     shall satisfy the  provisions of Section 11(a) of the  Securities  Act, and
     not file any  amendment or  supplement  to such  registration  statement or
     prospectus to which the  Purchaser  shall have  reasonably  objected on the
     grounds that such  amendment or supplement  does not comply in all material
     respects with the requirements of the Securities Act, having been furnished
     with a copy  thereof  at least  five  business  days  prior  to the  filing
     thereof;

          (i)  provide  a  transfer  agent  and  registrar  for all  Registrable
     Securities  covered  by such  registration  statement  not  later  than the
     effective date of such registration statement;

          (j) list  all  Registrable  Securities  covered  by such  registration
     statement  on any  securities  exchange on which any shares of Common Stock
     are then listed;

          (k) in connection with any sale pursuant to a Registration,  cooperate
     with the holders of Registrable  Securities and the managing underwriter or
     underwriters,  if any, to facilitate the timely preparation and delivery of
     certificates (not bearing any restrictive legends) representing  securities
     to be sold under such  Registration,  and enable such  securities  to be in
     such denominations and registered in such names as the managing underwriter
     or underwriters, if any, or such holders may request;

          (l) enter into such agreements (including  underwriting  agreements in
     customary  form)  and  take  such  other  actions  as the  Purchaser  shall
     reasonably  request in order to expedite or facilitate  the  disposition of
     such Registrable Securities; and

          (m) cause its  employees  and  personnel  to use their best efforts to
     support the marketing of the  Registrable  Securities  (including,  without
     limitation,  the  participation  in "road  shows,"  at the  request  of the
     underwriters or the Purchaser).

          7.4 Requested Underwritten Offerings. If requested by the underwriters
for any  Registration,  the  Company  will enter into a  customary  underwriting
agreement with such  underwriters  for such  offering,  which shall contain such
representations  and  warranties  by the  Company  and such  other  terms as are
customarily  contained in agreements of this type, including  indemnities to the
effect  and to the  extent  provided  in  Section  7.6  hereof.  Each  holder of
Registrable Securities may be a party to such underwriting agreement and may, at
its  option,  require  that  any  or  all of  the  conditions  precedent  to the
obligations of such underwriters under such underwriting agreement be conditions
precedent  to the  obligations  of such  holders.  The  holders  of  Registrable
Securities  included  in an  underwritten  registration  hereunder  shall not be
required to (i) make any  representations or warranties to or agreement with the
Company or the underwriters other than representations, warranties or agreements
regarding such holder and such holder's intended method of distribution and (ii)
undertake any indemnification or contribution  obligations to the Company or the
underwriters with respect thereto,  except such  indemnification or contribution
obligations otherwise provided in Section 7.6 hereof.

          7.5  Preparation;  Reasonable  Investigation.  In connection  with the
preparation and filing of any  registration  statement under the Securities Act,
the  Company  will  give the  Purchaser,  its  underwriters,  if any,  and their
respective  counsel,  the  opportunity to participate in the preparation of such
registration  statement,  each  prospectus  included  therein  or filed with the
Commission, and each amendment thereof or supplement thereto, and will give each
of them such access to its books and records and such  opportunities  to discuss
the business of the Company with its officers,  its counsel and the  independent
public  accountants  who have  certified  its  financial  statements as shall be
necessary,  in the  opinion  of  the  Purchaser,  such  underwriters  and  their
respective counsel, to conduct a reasonable  investigation within the meaning of
the Securities Act.

          7.6 Indemnification.  (a) Indemnification by the Company. In the event
of any  registration  of any  Registrable  Securities  of the Company  under the
Securities  Act, the Company will, and hereby does,  indemnify and hold harmless
the holders of such securities, their officers,  directors,  members, employees,
agents, representatives,  stockholders and general and limited partners and each
Person who controls such holder  (within the meaning of the  Securities  Act and
Exchange  Act)  against  any losses,  claims,  damages,  liabilities,  costs and
expenses (or actions or proceedings, whether commenced or threatened, in respect
thereof),   joint  or  several,   insofar  as  such  losses,  claims,   damages,
liabilities, costs and expenses (or actions or proceedings, whether commenced or
threatened,  in respect thereof) arise out of, are based upon or are incurred in
connection  with,  any untrue  statement  or  alleged  untrue  statement  of any
material  fact  contained  in  the  registration   statement  under  which  such
Registrable Securities were registered under the Securities Act, any preliminary
prospectus,  final prospectus or summary prospectus  contained  therein,  or any
amendment or supplement  thereto,  or any omission or alleged  omission to state
therein 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,  and the Company will reimburse such indemnified persons for any
legal or any other expenses incurred by them in connection with investigating or
defending any such loss,  claim,  liability,  action or  proceedings;  provided,
however,  that the  Company  shall  not be  liable  to a holder  of  Registrable
Securities  in any such case to the extent  that any such loss,  claim,  damage,
liability (or action or proceeding in respect thereof),  costs or expense arises
out of, is based upon or are incurred in connection with, an untrue statement or
alleged  untrue   statement  or  omission  or  alleged  omission  made  in  such
registration  statement,  any such  preliminary  prospectus,  final  prospectus,
summary  prospectus,  amendment or supplement in reliance upon and in conformity
with written information  furnished to the Company by such holder of Registrable
Securities  specifically  stating that it is for use in the preparation thereof.
Such  indemnity  shall  remain  in  full  force  and  effect  regardless  of any
investigation made by or on behalf of each holder of Registrable  Securities and
shall survive the transfer of such securities by such holders.

          (b)  Indemnification  by the  Holder of  Registrable  Securities.  The
Company may require,  as a condition to including any Registrable  Securities in
any registration  statement pursuant to Section 7.1, that the Company shall have
received  an  undertaking  satisfactory  to it from each  holder of  Registrable
Securities  to indemnify  and hold  harmless (in the same manner and to the same
extent as set forth in paragraph  (a) of this  Section  7.6) the  Company,  each
director of the Company,  each officer of the Company and each other person,  if
any,  who  controls the Company  within the meaning of the  Securities  Act with
respect to any untrue  statement or alleged untrue  statement of a material fact
in or  omission  or  alleged  omission  to  state  a  material  fact  from  such
registration statement, any preliminary prospectus,  final prospectus or summary
prospectus  contained therein,  or any amendment or supplement  thereto, if such
untrue statement or alleged untrue statement or omission or alleged omission was
made in reliance upon and in conformity  with written  information  furnished to
the  Company  by such  holders  specifically  stating  that it is for use in the
preparation  of  such  registration  statement,  preliminary  prospectus,  final
prospectus,  summary prospectus,  amendment or supplement.  Such indemnity shall
remain in full force and effect  regardless of any  investigation  made by or on
behalf of the Company or any such director,  officer,  or controlling person and
shall  survive the  transfer of such  securities  by the holders of  Registrable
Securities;  provided,  however,  that  the  obligation  to  indemnify  will  be
individual,  not joint and  several,  for each holder and will be limited to the
net amount of proceeds  received  by such  holder  from the sale of  Registrable
Securities pursuant to such registration statement.

          (c) Notices of Claims,  etc.  Promptly after receipt by an indemnified
party of notice of the  commencement  of any action or  proceeding  involving  a
claim  referred  to in the  preceding  paragraphs  of  this  Section  7.6,  such
indemnified  party will, if a claim in respect  thereof is to be made against an
indemnifying  party,  give written notice to the latter of the  commencement  of
such action;  provided,  however,  that the failure of any indemnified  party to
give notice as provided herein shall not relieve the  indemnifying  party of its
obligations  under the preceding  paragraphs of this Section 7.6,  except to the
extent that the  indemnifying  party is actually  prejudiced  by such failure to
receive such notice.  In case any such action is brought  against an indemnified
party,  unless in such  indemnified  party's  reasonable  judgment a conflict of
interest between such indemnified and indemnifying  parties may exist in respect
of such claim, the indemnifying party shall be entitled to participate in and to
assume the defense thereof,  jointly with any other indemnifying party similarly
notified to the extent that it may wish, with counsel reasonably satisfactory to
such indemnified  party,  and after notice from the  indemnifying  party to such
indemnified  party  of its  election  so to  assume  the  defense  thereof,  the
indemnifying party shall not be liable to the indemnified party for any legal or
other  expenses  subsequently  incurred  by the  latter in  connection  with the
defense  thereof  other  than  reasonable   costs  of   investigation   and  the
indemnifying  party shall not,  without the  consent of the  indemnified  party,
consent to entry of any  judgment  or enter into any  settlement  which does not
include as an  unconditional  term  thereof,  a release  from all  liability  in
respect of such claim or  litigation  provided by the  claimant or  plaintiff to
such indemnified party.

          (d)  Contribution.  If, for any reason,  the  foregoing  indemnity  is
unavailable,  or is insufficient to hold harmless an indemnified party, then the
indemnifying  party  shall  contribute  to the  amount  paid or  payable  by the
indemnified party as a result of such expenses, losses, damages,  liabilities or
expenses,  (i) in such  proportion  as is  appropriate  to reflect the  relative
benefits received by the indemnifying  party on the one hand and the indemnified
party on the other (determined by reference to, among other things,  whether the
untrue or alleged  untrue  statement of a material  fact or omission  relates to
information  supplied by the indemnifying party or the indemnified party and the
parties'  relative intent,  knowledge,  access to information and opportunity to
correct or prevent such untrue statement or omission), or (ii) if the allocation
provided by clause (i) above is not  permitted by  applicable  law or provides a
lesser sum to the indemnified party than the amount hereinafter  calculated,  in
the  proportion  as is  appropriate  to reflect not only the  relative  benefits
received by the indemnifying  party on the one hand and the indemnified party on
the other, but also the relative fault of the indemnifying party on the one hand
and the indemnified party on the other, as well as any other relevant  equitable
considerations.   Notwithstanding  the  foregoing,   no  holder  of  Registrable
Securities  shall be required to  contribute  any amount in excess of the amount
such  holder  would have been  required  to pay to an  indemnified  party if the
indemnity  under Section  7.6(b) was available.  No indemnified  party guilty of
fraudulent  misrepresentation  (within  the  meaning  of  Section  11(f)  of the
Securities Act) shall be entitled to contribution  from any  indemnifying  party
who was not guilty of such fraudulent  misrepresentation.  The obligation of any
Person to  contribute  pursuant  to this  Section  7.6 shall be several  and not
joint.

          ss.7.7  Rule 144.  With a view to making  available  the  benefits  of
certain rules and  regulations of the Commission that may at any time permit the
sale of the  Registrable  Securities  to the public  without  registration,  the
Company shall:

          (a) use its best  efforts to  facilitate  the sale of the  Registrable
     Securities to the public,  without  registration  under the Securities Act,
     pursuant to Rule 144;

          (b) make and keep  public  information  available,  as those terms are
     understood and defined in Rule 144 at all times;

          (c) use its best efforts to then file with the  Commission in a timely
     manner all reports and other  documents  required of the Company  under the
     Securities Act and the Exchange Act; and

          (d) deliver a written  statement  as to whether it has  complied  with
     such requirements of this section, to the holders of Registrable Securities
     upon any such holder's request.


                                  ARTICLE VIII
                             POST-CLOSING AGREEMENTS

                  ss.8.1  Accountants.  The Company shall at
all times retain a "Big Six" or "Big Four"  independent,  accounting firm as its
auditors.

          ss.8.2 Financial  Statements and Other Information.  The Company shall
deliver to each holder of Securities:

          (i) within 30 days after the end of each  fiscal  month of the Company
     other  than the last  such  month of any  fiscal  quarter  of the  Company,
     consolidated statements of earnings and shareholders' equity of the Company
     for such fiscal month,  and a consolidated  balance sheet of the Company as
     of the end of such fiscal month,  setting forth, in each case,  comparisons
     to  comparable   budgeted   figures,   and   comparable   figures  for  the
     corresponding  fiscal month for the  preceding  fiscal year all prepared in
     accordance  with GAAP,  consistently  applied,  subject to normal  year-end
     adjustments,  and certified by the chief financial officer or controller of
     the Company.

          (ii) within 45 days after the end of each of the first three quarterly
     accounting  periods  in  each  fiscal  year,   consolidated  statements  of
     earnings,  shareholders'  equity  and cash  flows of the  Company  for such
     fiscal quarter,  and a consolidated  balance sheet of the Company as of the
     end of such fiscal  quarter,  setting forth,  in each case,  comparisons to
     comparable  budgeted figures and comparable  figures for the  corresponding
     quarter of the preceding fiscal year, all prepared in accordance with GAAP,
     consistently applied, subject to normal year-end adjustments, and certified
     by the chief financial officer or controller of the Company.

          (iii)  within  90 days  after  the end of each  fiscal  year,  audited
     consolidating and consolidated statements of earnings, shareholders' equity
     and cash flows of the Company for such fiscal year,  and  consolidated  and
     consolidating  balance  sheets of the  Company as of the end of such fiscal
     year, setting forth in each case comparisons to comparable budgeted figures
     and  comparable  figures for the  preceding  fiscal  year,  all prepared in
     accordance  with GAAP,  consistently  applied,  and  certified by, (a) with
     respect to the  consolidated  portions of such  statements,  an independent
     accounting  firm  of  national   recognition  (such   certification  to  be
     accompanied  by a copy of  such  firm's  annual  management  letter  to the
     management  of the  Company)  and (b)  with  respect  to the  consolidating
     portions of such statements,  the chief financial  officer or controller of
     the  Company  and  the  financial  statements  shall  be  accompanied  by a
     statement from the Company's accountants and the chief financial officer of
     the Company that no Transaction  Party is in default under any provision of
     the Documents or any other agreement  evidencing  Indebtedness to which any
     Transaction  Party is a party and if any  default  exists,  specifying  the
     nature and the period of existence thereof;

          (iv) promptly upon receipt thereof, any additional reports, management
     letters or other detailed information concerning significant aspects of the
     Company's  operations  or  financial  affairs  of each  of the  Transaction
     Parties prepared by Company's  independent  accountants and provided to any
     Transaction Party (and not otherwise  contained in other materials provided
     hereunder);

          (v) as soon as available but in no event later than 15 days after each
     fiscal  quarter and fiscal year, a quarterly and an annual  budget,  as the
     case may be, of the  Transaction  Parties for the  following  period  (such
     budget to include, without limitation,  budgeted statements of earnings and
     sources  and uses of cash and balance  sheets)  and,  in  addition,  to the
     extent  delivered to any of the Company's  lenders or prepared for internal
     use,  any  other  significant  budgets  prepared  by the  Company,  and any
     revisions  of such  budgets each  prepared  and in  reasonable  detail with
     appropriate  presentation and discussion of the principle  assumptions upon
     which such  budgets are based  accompanied  by a  certificate  of the chief
     financial  officer or  controller of the Company to the effect that, to the
     best of his or her knowledge,  such budget is a reasonable estimate for the
     period  covered  thereby,  and within 30 days after any  monthly  period in
     which there is a material  adverse  deviation  from the annual  budget,  an
     officer's certificate explaining the deviation and what actions the Company
     has taken and proposes to take with respect thereto;

          (vi) promptly (but in any event within three  Business Days) after the
     discovery  or  receipt  of notice  of (a) any  default  under any  material
     agreement to which any Transaction Party is a party, or (b) any other event
     or  circumstance  affecting  any  Transaction  Party  (including,   without
     limitation,  the filing of any material  litigation against any Transaction
     Party or the  existence  of any dispute  with any Person  which  involves a
     reasonable  likelihood of such material  litigation  being commenced) which
     event or  circumstance  could  reasonably  be  expected  to have a Material
     Adverse Effect, an officer's  certificate  specifying the nature and period
     of existence thereof and what actions the Company has taken and proposes to
     take with respect thereto;

          (vii)promptly  (but in any event  within  three  Business  Days) after
     transmission thereof, copies of all financial statements, proxy statements,
     reports and any other  information,  documents or communications  which any
     Transaction Party sends to its equityholders or which any Transaction Party
     sends its lenders  (including,  without  limitation,  the lenders under the
     Credit  Agreement)  and  copies  of all  registration  statements  and  all
     regular,  special or periodic  reports  which it files with respect to such
     Transaction  Party, with the Commission or with any securities  exchange on
     which  any of its  securities  are then  listed,  and  copies  of all press
     releases and other  statements made available  generally by any Transaction
     Party to the public concerning material developments in the business of the
     Transaction Parties;

          (viii) at least three Business Days prior to the execution of, any new
     management  services  agreement,  asset  purchase  agreement  and any other
     agreements  related  thereto  (including,  without  limitation,  agreements
     relating  to  the  provision  of  ancillary  services)  with  Practices  or
     physicians  (or, if earlier,  when  delivered to the agent under the Credit
     Agreement),  the  Purchaser  shall  receive  a summary  of the  transaction
     covering the matters set forth on Schedule  8.2 and a detailed  description
     of the  consideration  (purchase  price  per  share,  conversion  price and
     otherwise)  paid in connection  therewith;  and the Purchaser shall receive
     copies  of  all  such  management  services   agreements,   asset  purchase
     agreements and other agreements relating thereto,  executed in any month on
     the third Business Day of the next succeeding month;

          (ix) except as required by item  (viii)  above,  promptly  (but in any
     event  within two Business  Days) any document  relating to any issuance of
     securities by the Company; and

          (x) with reasonable  promptness,  such other information and financial
     data concerning any  Transaction  Party that any person entitled to receive
     information under this Section 8.2 may reasonably request.

          ss.8.3  Inspection.  The  Company  covenants  and agrees  that it will
permit each holder of  Securities  and its  representatives  (including  without
limitation, its legal counsel, accountants and examiners from the Small Business
Administration),  upon reasonable notice during normal business hours to inspect
the properties of the  Transaction  Parties and to examine and make extracts and
copies from the books and records of the  Transaction  Parties and discuss  with
management  and the  Company's  accountants  the  business  and  affairs  of the
Transaction Parties.

          ss.8.4 Regulatory Sale or Disposition. Anything herein to the contrary
notwithstanding,  in the event that the Purchaser or any of its Affiliates shall
determine that if the Purchaser or such  Affiliate,  shall continue to hold some
or all of the  Securities  or any other  securities  of the Company  held by it,
there is a material risk that such ownership will result in the violation of any
statute,  regulation or rule of any governmental  authority (including,  without
limitation, Regulation Y) or the cost of continuing to hold such securities has,
in the  reasonable  judgment of such  Purchaser,  significantly  increased,  the
Purchaser or such  Affiliate,  may sell,  exchange or otherwise  dispose of such
securities  or other  securities,  in as  prompt  and  orderly  a  manner  as is
reasonably  necessary.  In connection with the preceding  sentence,  the Company
shall  cooperate  with the Purchaser or such  Affiliate in (i) disposing of such
securities to a third party or (ii) exchanging all or any portion of such voting
Securities on a share-for-share  basis for a non-voting  security of the Company
(such  non-voting  security  to be  identical  in all  respects  to such  voting
Securities,  except that they shall be non-voting  and shall be  convertible  or
exercisable  into voting  securities on such  conditions as are requested by the
Purchaser  in  light  of  the  regulatory  considerations  prevailing).  Without
limiting the forgoing,  at the request of the Purchaser or such  Affiliate,  the
Company  shall  provide  (and  authorize  the  Purchaser or such  Affiliate,  to
provide)  financial  and  other  information   concerning  the  Company  to  any
prospective  purchaser  of  such  securities  owned  by the  Purchaser  or  such
Affiliate,  and shall amend this Agreement,  the certificate of incorporation of
the  Company,  the  bylaws  of the  Company,  and  any  related  agreements  and
instruments  and shall take such  additional  actions in order to effectuate and
reflect the  foregoing.  The  Company  shall not be required to provide any such
information  unless the  recipient  thereof  signs a  confidentiality  agreement
reasonably satisfactory to the Company.

          ss.8.5 Limitation on Dividend Restrictions.  The Company will not, and
will not permit any of its  Subsidiaries  to directly or  indirectly,  create or
otherwise  cause or suffer  to exist or  become  effective  any  encumbrance  or
restriction  on  the  ability  of the  Company  or any  such  Subsidiary  to pay
dividends  or make  any  other  distributions  on its  equity,  except  for such
encumbrances  or  restrictions  existing under or by reason of applicable law or
restrictions  existing under the Credit  Agreement (and for the purposes of this
Section 8.5 only, any amendments, restatements, or refinancings thereto, so long
as such  amendments,  restatements or  refinancings do not adversely  affect the
"put" rights or the rights to cause a redemption  of the holders of the Warrants
and the  Preferred  Stock,  other  than in a  manner  which  allows  the  Credit
Agreement  to  prohibit  the Company  from  making any such "put" or  redemption
payments prior to the seventh anniversary of the date hereof).

          ss.8.6 SBIC Information. In addition, the Company covenants and agrees
to provide the Purchaser any other  information  which the Purchaser  reasonably
requests, including without limitation, at least annually,  sufficient financial
and other information necessary to allow the Purchaser to evaluate the financial
condition of the Company for the purpose of valuing the Purchaser's  interest in
the Company,  to determine  the continued  eligibility  of the Company under the
Small  Business  Investment  Act of  1958,  as  amended  (the  "SBIA")  and  the
regulations  thereunder,  including 13 CFR 121.301, and to verify the use of the
proceeds  received by the Company from the purchase of the Securities.  All such
information  shall be  certified  by the  President,  Chief  Executive  Officer,
Treasurer or Chief  Financial  Officer of the  Company.  Prior to February 28 of
each year,  the Company shall  provide to the Purchaser a written  assessment in
form and substance  satisfactory  to the Purchaser of the economic impact of the
financing  assistance  provided to the Company by the Purchaser,  specifying the
full time equivalent  jobs created or retained,  and the impact of the financing
on the  revenues  and profits of the  business and on taxes paid by the business
and its  employees.  Upon the request of the  Purchaser,  the Company  will also
provide all  information  requested by the  Purchaser in order for it to prepare
and file SBA Form 468 and any other  information  requested  or  required by any
governmental agency asserting jurisdiction over the Purchaser.

          ss.8.7  Non-Discrimination.  The Company will at all times comply with
the nondiscrimination requirements of 13 CFR, Parts 112, 113 and 117.

          ss.8.8 Reservation of Common Stock; Valid Issuance. a)" \* MERGEFORMAT
(a) The Company  shall at all times  reserve for issuance  free from  preemptive
rights  and other  rights to  preempt  or  subscribe,  (i) a number of shares of
Common  Stock at least  equal to the number of shares of Common  Stock  issuable
upon  conversion or exercise of the Securities and (ii) all other  securities of
the Company  convertible into Common Stock including  anti-dilution  adjustments
then in effect.

          (b) The shares of Common Stock issuable upon conversion or exercise of
the Securities,  when issued in accordance with their respective  terms, will be
validly issued, fully paid and nonassessable,  free of all preemptive or similar
rights, and shall be delivered free and clear of all Encumbrances.

          ss.8.9 Prohibited  Actions.  Without the prior written approval of the
holders of the Securities, the Company shall not, and shall not allow any of its
Subsidiaries to:

          (i) engage in any business other than a Permitted Business;

          (ii) Except as set forth on Schedule 2.27,  enter into any transaction
     or series of related transactions, whether or not in the ordinary course of
     business,  with any  Affiliate  of the  Company,  or any  Affiliate  of any
     Subsidiary of the Company,  other than transactions on terms and conditions
     as favorable to the Company or such Subsidiary, as would be obtainable in a
     comparable third-party transaction negotiated on an arm's length basis with
     a person other than an Affiliate;  provided, however, that the Company will
     not, nor will the Company allow any of its  Subsidiaries to, enter into any
     of the following  transactions or series of related  transactions  with any
     Affiliate of the Company:  (i) any sale or purchase of a material amount of
     assets made between the Company or any of its Subsidiaries and any of their
     Affiliates (by sale, lease, merger, consolidation or otherwise) or (ii) any
     issuance of equity  securities of the Company or any of its Subsidiaries to
     any of their Affiliates;  provided,  further,  that nothing in this Section
     8.5 shall  prohibit  or  otherwise  restrict  transactions  (i) between the
     Company and its wholly owned  Subsidiaries  or (ii)  relating to management
     service agreements entered into the ordinary course of business.

          (iii) allow any Person (other than the Company,  physicians,  physical
     therapists and  orthoticists)  including  without  limitation  employees or
     directors  of the  Company and its  Subsidiaries,  to acquire any equity or
     financial  interest  or enter  into any  other  transaction  or  series  of
     transactions with, any Subsidiary or other physician Practice with whom the
     Company had entered into a management service agreement (including, without
     limitation, any entity that provides ancillary services);

          (iv) amend any of the  organizational  documents of the Company in any
     manner that would be adverse to the Purchaser;

          (v) wind up, dissolve or liquidate any Transaction Party;

          (vi) commence a voluntary case concerning any Transaction  Party under
     Title  11 of  the  United  States  Code  entitled  "Bankruptcy",  as now or
     hereafter in effect, or any successor  thereto,  or the general  assignment
     for the benefit of creditors by the Company or any of its Subsidiaries;

          (vii) sell,  assign or otherwise  dispose of any equity  securities of
     any  Transaction  Party or any  option,  warrant or right to  purchase,  or
     instrument  convertible  into,  any such  equity  security  (other than the
     warrants issued to Paribas on the date hereof in connection with the Credit
     Agreement) with (i) rights to receive dividends or other distributions on a
     pari passu or senior basis to the  Preferred  Stock,  or (ii) a liquidation
     preference  on a pari passu or senior  basis to the  holders  of  Preferred
     Stock or (iii) which  contains a conversion  price that is not fixed at the
     time of  issuance  of such  securities  (other  than the Series B Preferred
     Stock);

          (viii) declare or make any dividend, distribution,  redemption or make
     any other payment with respect to any capital  stock of the Company  (other
     than with respect to the Preferred Stock and Series B Preferred Stock).

          ss.8.10 Board of  Directors.  (a) The Company shall take all necessary
or desirable  action  within its control in order to elect and maintain an eight
member Board of Directors which,  unless  otherwise  requested by the Purchaser,
shall include one director designated by the Purchaser.

          (b) Subject to Section 8.10(d) the removal of any director  designated
by the Purchaser may be only at the written request of the Purchaser.

          (c) The  Purchaser  shall have the right to  appoint a  representative
(the "Observer"); provided, however, that if the Purchaser elects not to appoint
a member  of the  Board of  Directors  pursuant  to  Section  8.10(a),  then the
Purchaser  shall  have the  right  to  appoint  two  representatives  (each  an,
"Observer"),  to attend each  meeting of the Board of  Directors  of the Company
including  by  telephone  at the  request of the  Purchaser.  The Company or any
member of the Board of Directors  will give each Observer oral or written notice
of each  meeting of the Board of  Directors  (whether  annual or special) at the
same  time and in the same  manner  as oral or  written  notice  is given to the
applicable members of the Board of Directors (which notice may be waived by each
Observer).  The Company shall  provide each Observer with all written  materials
and other information (including copies of meeting minutes) given to the members
of the Board of Directors in  connection  with any such meeting at the same time
as such  information  is delivered to the members of the Board of Directors and,
if any Observer does not attend (or, in the case of a telephonic  meeting,  does
not listen by telephone to) a meeting of the Board of  Directors,  each Observer
will entitled, upon request, to receive a written or oral summary of the meeting
from the Secretary of the Company. If the Company proposes to take any action by
written  consent of the Board of  Directors in lieu of a meeting of the Board of
Directors,  then the Company  shall give  written  notice of such action to each
Observer.

          (d) The Company shall pay the reasonable out-of-pocket expenses of any
Observer or Board Member  incurred in connection with the attendance at any such
meeting.

          (e) The Purchaser's  rights under this Section 8.10 shall terminate if
(i) the  Purchaser  owns  less  than 50% of the  shares  of  Common  Stock to be
purchased  by the  Purchaser  on the Initial  Closing  Date (on an as  converted
basis,  either  through its  ownership  of Preferred  Stock,  Warrants or Common
Stock) and (ii) the Purchaser holds less than 5% of the Common Stock,  (assuming
exercise and  conversion of all  Securities  held by the Purchaser but excluding
any other exercises or conversions by other Persons).

          ss.8.11  Grant of  Preemptive  Rights.  (a) In the event  (and on each
occasion)  that the  Company  shall  decide  to  undertake  an  issuance  of New
Securities,  the  Company  will  give  to  the  Purchaser,   written  notice  (a
"Preemptive Notice") of the Company's decision,  describing the amount, type and
terms of such New Securities, the purchase price to be paid by the purchasers of
such New  Securities and the general terms upon which the Company has decided to
issue the New Securities (including,  without limitation, the expected timing of
such  issuance  which will in no event be more than  ninety  (90) days after the
date  upon  which  such  Preemptive  Notice is given or less  than  twenty  (20)
Business Days after the date upon which such  Preemptive  Notice is given).  The
Purchaser  shall  have  twenty  (20)  Business  Days  from  the date on which it
receives the Preemptive  Notice to agree to purchase its Pro Rata Amount of such
New Securities for the Preemptive  Price and upon the general terms specified in
the  Preemptive  Notice by giving  written  notice to the  Company  and  stating
therein the quantity of New  Securities to be purchased by any such Person.  If,
in connection  with such a proposed  issuance of New  Securities,  the Purchaser
shall for any reason fail or refuse to give such  written  notice to the Company
within such 20- Business Day period,  the Purchaser  shall,  for all purposes of
this Section 8.11, be deemed to have refused (in that particular  instance only)
to purchase any of such New  Securities  and to have waived (in that  particular
instance only) all of its rights under this Section 8.11 to purchase any of such
New  Securities and the Company may issue such New  Securities  without  further
compliance  with this  Section  8.11 for a period of thirty (30) days  beginning
immediately after such 20-Business Day period.

          (b) In the event the Purchaser has the right to acquire any voting New
Securities under this Section 8.11, but is prohibited from exercising such right
under applicable law, the Company, at the Purchaser's request,  offer to sell to
the Purchaser,  New Securities that do not have voting rights but otherwise have
the same terms as such voting New Securities and which shall be convertible into
voting Securities on terms reasonably requested by the Purchaser.

          (c) The  provisions of this Section 8.11 shall  terminate  upon on the
date on which the  Purchaser  owns less than 10% of the  Common  Stock (on an as
converted  basis) owned by the Purchaser  immediately  after the Initial Closing
Date.

          ss.8.12 Second Closing.  The Company shall take all actions  necessary
to cause all of the conditions to the Second  Closing  described in Article V to
be satisfied on or prior to July 31, 1998.

          ss.8.13 Post Closing Legal Opinion and Certificate.  The Company shall
furnish the Purchaser  with a legal opinion within two weeks of the date hereof,
of Jones Day Reavis & Pogue,  setting forth the outstanding capital stock of the
Company as of the Initial  Closing  Date. In the event that the number of shares
of outstanding capital stock set forth in such opinion (or the certification set
forth  below) is  greater  than  20,476,193  shares  of Common  Stock on a Fully
Diluted  Basis,  excluding the look-back  obligations  set forth on Schedule 2.2
under the heading,  "Lookbacks," then the Company shall issue to the Purchaser a
number of shares of Preferred  Stock which when added to the Initial  Securities
shall  represent  7.71693% of the  outstanding  Common Stock on a Fully  Diluted
Basis,  excluding the look-back  obligations set forth on Schedule 2.2 under the
heading,  "Lookbacks".  In the event that the Company  does not  deliver  such a
legal  opinion  within such time  period,  in lieu of the  delivery of the legal
opinion  set  forth in the  preceding  sentence,  the  Company  shall  cause its
auditors to prepare a certification of such outstanding shares, and deliver such
certification to the Purchaser.

          ss.8.14 Adjusted Deliveries.  In the event that after giving effect to
any  purchase  and  delivery  of  any  securities  pursuant  to  this  Agreement
(including  without  limitation,  in connection  with the Second  Closing),  the
Purchaser  would own over 10% of the  outstanding  Common  Stock of the  Company
(assuming  that any  convertible  securities  held by the  Purchaser  have  been
converted or  exercised,  and the  convertible  securities  of all other persons
shall not have been so converted or exercised),  or at the time of such delivery
the Purchaser has appointed a director on the Board of Directors of the Company,
then the  Company  shall  deliver a number of  Performance  Warrants  reasonably
acceptable  to  the  Purchaser,   based  on  the  Company's   acquisitions   and
affiliations  completed  up  through  such  date and the  number  of  reasonably
anticipated  acquisitions and other  affiliations,  and a number of Registration
Warrants  (assuming  that the Shelf  Registration  is  effected on the 181st day
after the Initial Closing) to the Purchaser at the time of such delivery. In the
event that Performance Target is achieved on or before the Affiliation Date, any
such delivered  Performance  Warrants shall be  automatically  canceled  without
further  act or deed.  In the event that Shelf  Registration  is  effected on or
prior to the 180th day after the  Initial  Closing,  a number of such  delivered
Registration  Warrants shall be  automatically  canceled  without further act or
deed,  such that the  Purchaser  shall only  receive the number of  Registration
Warrants to which it is entitled pursuant to Section 4.7, if any. As promptly as
reasonably  practicable  following  the foregoing  determination,  the Purchaser
shall  deliver to the  Company all such  canceled  Warrants.  Nothing  contained
herein  shall (i) waive the  rights of the  Purchaser  to  receive  Registration
Warrants relating to the initial  effectiveness of the Shelf Registration taking
place after the 181st day  following  the  Initial  Closing or (ii) grant to the
Purchaser  any  further or greater  rights to the  Performance  Warrants  or the
Registration  Warrants beyond those set forth herein. The Registration  Warrants
and the Performance  Warrants  delivered pursuant to this Section 8.14 shall not
be  entitled to vote and shall not be  transferable  until to time at which such
Warrants are no longer cancelable pursuant to this Section 8.14.

          ss.8.15   Stockholder   Consent.  If  the  Purchaser  is  entitled  to
Securities  pursuant  to this  Agreement  in excess of 19.9% of the  outstanding
Common  Stock,  and to the  extent  required  by NASDAQ or any other  securities
exchange  on which  the  Company's  Common  Stock is then  listed  (the  Company
agreeing  to use its best  efforts to seek  waiver with  respect  thereto),  the
Company  shall  obtain  the  consent of a majority  of the  stockholders  of the
Company  with  respect  thereto.  If  required by NASDAQ or such  exchange,  the
Company  shall not  deliver  Securities  representing  in excess of 19.9% of the
outstanding  Common  Stock to the  Purchaser  without  the  prior  consent  of a
majority of the  stockholders  of the Company;  provided,  however,  that if the
Purchaser  is entitled to  Securities  pursuant to this  Agreement  in excess of
19.9% of the  outstanding  Common  Stock and the  Company has not  received  the
consent of a majority of the stockholders,  then the Purchaser shall be entitled
to an amount of cash equal to the fair market value of the Common Stock issuable
upon  exercise of any  Securities  to which the  Purchaser  is entitled  are not
delivered as a result of this Section 8.15.


                                   ARTICLE IX
                                    SURVIVAL

          ss.9.1 Survival. The representations,  warranties and covenants of the
Company and the  Purchaser  contained in this  Agreement  and the  schedules and
certificates  delivered in connection herewith shall survive the Closing and may
be relied upon by the Purchaser regardless of any investigation made at any time
by or on behalf of the Purchaser.


                                    ARTICLE X
                                 INDEMNIFICATION

          ss.10.1 Indemnification.  The Company agrees to indemnify and hold the
Purchaser and its officers, directors, employees, Affiliates and agents, and any
successors  thereto (and any  officers,  directors,  employees,  Affiliates  and
agents  of such  successors)  harmless  from  any  liability  (whether  fixed or
unfixed,   liquidated  or   unliquidated),   actual  or  consequential   damage,
deficiency,  demand,  claim,  suit, action, or cause of action,  fine,  penalty,
loss, cost,  expense,  including without  limitation,  reasonable  attorney fees
("Damages")  incurred or suffered as a result of, in connection with, or arising
out of, the transactions contemplated hereby, including without limitation,  any
Damages  incurred or suffered as a result of, or in connection  with, or arising
out of, the  failure  of any  representation  or  warranty  made by the  Company
pursuant to this  Agreement,  any  schedule or exhibit to this  Agreement or any
other  Transaction  Document  or any  certificates  delivered  pursuant  thereto
(without regard to any  "materiality",  "material adverse effect",  "substantial
compliance"  or  similar  exception  or  qualifier  and  without  regard  to any
knowledge or similar  exception or  qualifier)  to be true and correct as of the
date hereof and on each Closing Date.

          ss.10.2 Contribution. To the extent that the undertaking to indemnify,
pay or hold  harmless the Purchaser  pursuant to Section 10.1 of this  Agreement
may be  unenforceable,  the Company shall make the maximum  contribution  to the
payment  and  satisfaction  of  each of the  indemnified  liabilities  which  is
permissible under applicable law.

          ss.10.3 Remedies. The rights and remedies of the Purchaser arising out
of,  incurred or suffered as a result of, or in connection  with, or arising out
of, the failure of any  representation  or warranty made by the Company pursuant
to this Agreement,  shall be limited to indemnification pursuant to this Article
X. The rights and remedies of the  Purchaser  resulting  from the failure of the
Shelf Registration being effected as a result of the Commission shall be limited
to the  agreements  set  forth in  Section  4.7 (it being  understood  that such
limitation shall not affect the rights of the Purchaser to enforce its equitable
rights to have a Shelf  Registration  effected).  The rights and remedies of the
Purchaser  resulting from the failure of the Company to meet its obligations set
forth in Section 8.13 shall be limited to those  contained in such Section 8.13.
To the extent permitted by law, the Purchaser hereby waives all other rights and
remedies with respect to any such breach of any  representation or warranty that
may arise under law or otherwise.

          ss.10.4 Limitation on Indemnification. The Company shall not be liable
under this Article X unless the aggregate  amount of Damages  exceeds  $100,000;
provided,  however,  that in the event the amount of Damages exceeds $100,000 in
the aggregate,  the Company shall be  responsible  for the entire amount of such
Damages and not only for the amount in excess of $100,000. In no event shall the
amount  of  Company's   obligation   under  this  Article  X  for  a  breach  of
representations  or  warranties,  exceed the Initial  Purchase Price and, in the
event that the Second Closing has occurred, the Total Purchase Price.


                                   ARTICLE XI
                                  MISCELLANEOUS

          ss.11.1 Knowledge of the Transaction Parties. Where any representation
or  warranty  made by the  Company  contained  in this  Agreement  is  expressly
qualified by reference to its knowledge, such knowledge shall be deemed to exist
if the matter should be within the knowledge of any director,  executive officer
or other senior member of management of the Company after due inquiry.

          ss.11.2  Expenses.  The Company  agrees to pay the costs and  expenses
incurred by the  Purchaser  in  connection  with the  transactions  contemplated
hereby  and  the  Purchaser's  investment  in  the  Company  (including  without
limitation,  reasonable attorney's fees and expenses incurred in connection with
the (a)  preparation,  execution  and delivery of this  Agreement  and the other
Documents,  (b) any subsequent  amendments,  modifications  or waivers  relating
thereto and (c) any regulatory  filings) and all costs and expenses  incurred by
the Purchaser (including without limitation,  the reasonable attorney's fees and
expenses and the fees and expenses of any experts  retained by the Purchaser) in
connection  with the  exercise or  enforcement  of any rights  contained in this
Agreement and the other Documents.

          ss.11.3  Governing Law. The  interpretation  and  construction of this
Agreement, and all matters relating hereto, shall be governed by the laws of the
State of New York applicable to agreements  executed and to be performed  solely
within such State.

          ss.11.4 Captions. The Article and Section captions used herein are for
reference  purposes  only,  and  shall  not in any way  affect  the  meaning  or
interpretation of this Agreement.

          ss.11.5  Publicity.  Except as otherwise  required by law, none of the
parties hereto shall issue any press release or make any other public statement,
in each case relating to, connected with or arising out of this Agreement or the
matters contained herein or therein, without obtaining the prior approval of the
Purchaser  and the Company to the  contents and the manner of  presentation  and
publication  thereof. No references to the Purchaser shall be made in any public
statement without the Purchaser's consent.

          ss.11.6  Notices.  Any  notice  or  other  communication  required  or
permitted  under this  Agreement  shall be  sufficiently  given if  delivered in
person or sent by telecopy or by registered or certified mail,  postage prepaid,
addressed as follows:

          if to the Company:

          Notice Address:

          BMJ Medical Management, Inc.
          4800 N. Federal Highway
          Suite 101-E
          Boca Raton, Florida  33432
          Attention:  David H Fater,
          Executive Vice President and
          Chief Financial Officer
          Telephone:  (561) 391-1311
          Telecopier: (561) 391-1389

          With a copy to:

          Jones, Day, Reavis & Pogue
          901 Lakeside Avenue
          Cleveland, Ohio  44114
          Attention:  Charles W. Hardin, Jr.
          Telephone:  (216) 586-7084
          Telecopier: (216) 579-0212


          and if to the Purchaser:

          Paribas Principal Incorporated
          787 Seventh Avenue
          New York, New York 10019
          Attention:  Eric Toizer
          Telephone:  (212) 841-2000
          Telecopier: (212) 841-2502

          with a copy to its counsel,

          White & Case LLP
          1155 Avenue of the Americas
          New York, New York 10036
          Attention:  John Reiss, Esq.
          Telephone:  (212) 819-8200
          Telecopier: (212) 354-8113

or such  other  address or number as shall be  furnished  in writing by any such
party, and such notice or communication  shall be deemed to have been given upon
automatic   confirmation  of  receipt  by  the  receiving  machine  if  sent  by
telecopier, upon delivery if delivered in person, and upon mailing if mailed.

          ss.11.7 Parties in Interest.  The Company may not transfer,  assign or
pledge  any of its rights  in, or  otherwise  grant any rights to any Person in,
this Agreement.  The Purchaser may transfer any of its rights  hereunder and any
assignee or transferee of the Securities  (other than transferees  receiving the
Securities  pursuant to a registered  sale or a sale pursuant to Rule 144) shall
have all the rights of the Purchaser hereunder;  provided, however, that (i) the
ability of any transferee (other than an Affiliate of the Purchaser) to exercise
the rights set forth in Section 8.10 of this  Agreement  shall be subject to the
consent of the Company (such consent not to be  unreasonably  withheld) and (ii)
the Purchaser  shall not assign the rights set forth in Sections 8.2, 8.3 or 8.9
to a direct competitor of the Company.  This Agreement shall be binding upon and
shall  inure to the benefit of the parties  hereto and their  respective  heirs,
executors, administrators, successors and permitted assigns.

          ss.11.8  Counterparts.  This  Agreement may be executed in two or more
counterparts, all of which taken together shall constitute one instrument.

          ss.11.9  Entire   Agreement.   This  Agreement,   the  Certificate  of
Designation and the Warrant Agreement,  including the exhibits,  schedules,  and
other  documents  referred  to herein and  therein  which form a part hereof and
thereof,  contain the entire understanding of the parties hereto with respect to
the subject matter contained herein and therein. This Agreement, the Certificate
of  Designation  and the Warrant  Agreement  supersede all prior  agreements and
understandings between the parties with respect to such subject matter.

          ss.11.10  Amendments.  This Agreement may not be changed  orally,  but
only by an agreement in writing signed by the Purchaser and the Company.

          ss.11.11  Severability.  In case any provision in this Agreement shall
be  held  invalid,  illegal  or  unenforceable,   the  validity,   legality  and
enforceability  of the  remaining  provisions  hereof  will  not  in any  way be
affected or impaired thereby.

          ss.11.12  Third Party  Beneficiaries.  Each party hereto  intends that
this Agreement shall not benefit or create any right or cause of action in or on
behalf of any Person  other than the  parties  hereto  (and,  in the case of the
Purchaser,  its  transferees)  and those  Persons  entitled  to  indemnification
pursuant to Article X hereof.  ss.11.13" \* MERGEFORMAT 11.13 Jurisdiction.  a)"
\* MERGEFORMAT  (a) Each of the parties hereto hereby  irrevocably  acknowledges
and consents that any legal action or proceeding  brought with respect to any of
the  obligations  arising under or relating to this  Agreement may be brought in
the courts of the State of New York or in the United  States  Southern  District
Court of New York, as the party bringing such action or proceeding may elect and
each of the parties hereto hereby irrevocably submits to and accepts with regard
to any such  action  proceeding,  for itself  and in  respect  of its  property,
generally and  unconditionally,  the jurisdiction of the aforesaid courts.  Each
party  hereby  further  irrevocably  waives any claim that any such  courts lack
jurisdiction  over such  party,  and agrees not to plead or claim,  in any legal
action  or  proceeding  with  respect  to  this  Agreement  or the  transactions
contemplated  hereby brought in any of the aforesaid courts, that any such court
lacks jurisdiction such party. Each party irrevocably consents to the service of
process in any such action or  proceeding  by the  mailing of copies  thereof by
registered or certified mail, postage prepaid, to such party, at its address for
notices set forth in Section  11.6,  such  service to become  effective  10 days
after such mailing.  Each party hereby  irrevocably waives any objection to such
service of process  and  further  irrevocably  waives and agrees not to plead or
claim in any  action  or  proceeding  commenced  hereunder  or under  any  other
documents  contemplated hereby that service of process was in any way invalid or
ineffective.  The  foregoing  shall not  limit the  rights of any party to serve
process  in any  other  manner  permitted  by law.  The  foregoing  consents  to
jurisdiction shall not constitute general consents to service of process for any
purpose except as provided above and shall not be deemed to confer rights on any
Person other than the respective parties to this Agreement.

          (b) To the fullest  extent  permitted by  applicable  law, each of the
parties  hereto  hereby  irrevocably  waives the  objection  which it may not or
hereafter  have to the  laying of the venue of any  suit,  action or  proceeding
arising out of or relating to this  Agreement or the  transactions  contemplated
hereby in any of the Courts  referred to in Section  11.13(a) and hereby further
irrevocably waives and agrees not to plead or claim that any such court is not a
convenient forum for any such suit, action or proceeding.

          (c) The parties  hereto agree that any judgment  obtained by any party
hereto or its successors or assigns in any action,  suit or proceeding  referred
to above may, in the discretion of such party (or its  successors,  or assigns),
be enforced in any jurisdiction, to the extent permitted by applicable law.


                                    * * * * *



<PAGE>


          IN WITNESS WHEREOF the Purchaser has signed this  Securities  Purchase
Agreement  and  the  Company  has  caused  its  corporate  name  to be  hereunto
subscribed by its officers thereunto duly authorized, all as of the day and year
first above written.



                                             BMJ MEDICAL MANAGEMENT, INC.


                                             By:_______________________________
                                                Name:
                                                Title:



                                             THE PURCHASER:


                                             PARIBAS PRINCIPAL INCORPORATED


                                             By:_______________________________
                                                Name:
                                                Title:










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


                          BMJ MEDICAL MANAGEMENT, INC.


                          Common Stock Purchase Warrant



                            Dated as of June 30, 1998




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



         This Warrant and any shares  acquired upon the exercise of this Warrant
         have not been registered  under the Securities Act of 1933, as amended,
         and may not be transferred,  sold or otherwise disposed of except while
         a registration  under such Act is in effect or pursuant to an exemption
         therefrom  under  such  Act.  This  Warrant  and  such  shares  may  be
         transferred  only in compliance  with the conditions  specified in this
         Warrant.



<PAGE>

<TABLE>
<CAPTION>

                                TABLE OF CONTENTS

                                                                                                 Page
<S>                                                                                              <C>
1.            Exercise of Warrant....................................................................1
              1.1. Manner of Exercise................................................................1
              1.2. When Exercise Effective...........................................................2
              1.3. Delivery of Stock Certificates, etc...............................................2
              1.4. Company to Reaffirm Obligations...................................................2
              1.5. Payment by Application of Notes...................................................2
              1.6  Payment by Application of Shares Otherwise Issuable...............................3

2.            Adjustment of Common Stock Issuable Upon Exercise......................................3
              2.1. General; Warrant Price............................................................3
              2.2. Adjustment of Warrant Price.......................................................4
              2.2.1 Issuance of Additional Shares of Common Stock....................................4
              2.2.2 Extraordinary Dividends and Distributions........................................4
              2.3. Treatment of Options and Convertible Securities...................................5
              2.4. Treatment of Stock Dividends, Stock Splits, etc...................................8
              2.5. Computation of Consideration......................................................8
              2.6. Adjustments for Combinations, etc................................................10
              2.7. Dilution in Case of Other Securities.............................................10
              2.8. Minimum Adjustment of Warrant Price..............................................10

3.            Consolidation, Merger, etc............................................................11
              3.1. Adjustments for Consolidation, Merger, Sale of Assets, Reorganization, etc.......11
              3.2. Assumption of Obligations........................................................12

4.            Other Dilutive Events.................................................................12

5.            No Dilution or Impairment.............................................................12

6.            Accountants' Report as to Adjustments.................................................13

7.            Notices of Corporate Action...........................................................14

8.            Registration of Common Stock..........................................................15

9.            Restrictions on Transfer..............................................................15
              9.1. Restrictive Legends..............................................................15
              9.2. Notice of Proposed Transfer; Opinions of Counsel.................................16
              9.3. Termination of Restrictions......................................................17

10.           Availability of Information...........................................................18

11.           Reservation of Stock, etc.............................................................19

12.           Registration and Transfer of Warrants, etc............................................19
              12.1. Warrant Register; Ownership of Warrants.........................................19
              12.2. Transfer and Exchange of Warrants...............................................19
              12.3. Replacement of Warrants.........................................................19

13.           Registration under Securities Act, etc................................................20
              13.1. Registration on Request.........................................................20
              13.2. Incidental Registration.........................................................22
              13.3. Registration Procedures.........................................................24
              13.4. Underwritten Offerings..........................................................30
              13.5. Preparation; Reasonable Investigation...........................................33
              13.6. Rights of Holders...............................................................33
              13.7. Indemnification.................................................................34

14.           Definitions...........................................................................38

15.           Remedies..............................................................................44

16.           No Rights or Liabilities as Stockholder. .............................................44

17.           Notices...............................................................................44

18.           Amendments............................................................................45

19.           Expiration............................................................................45

20.           Descriptive Headings..................................................................45

21.           GOVERNING LAW.........................................................................45

22.           Judicial Proceedings; Waiver of Jury..................................................45


</TABLE>



<PAGE>

                          BMJ MEDICAL MANAGEMENT, INC.
                          Common Stock Purchase Warrant


                                                              ------------------
                                                                   June 30, 1998


          BMJ MEDICAL MANAGEMENT,  INC. (the "Company"), a Delaware corporation,
for value received,  hereby certifies that Paribas,  or registered  assigns,  is
entitled to purchase from the Company 165,000 of the Company's  shares of Common
Stock, par value $.001 per share (the "Common Stock"), at the purchase price per
share of $.01,  at any time or from time to time  prior to 5:00  p.m.,  New York
City  time,  on  June 30,  2008,  all  subject  to  the  terms,  conditions  and
adjustments set forth below in this Warrant.

          This  Warrant  is one of  the  Common  Stock  Purchase  Warrants  (the
"Warrants",  such term to  include  any such  warrants  issued  in  substitution
therefor)  originally  issued in connection  with the issuance by the Company of
Notes  representing  the  obligations  of the  Company  pursuant  to the  Credit
Agreement  (the "Credit  Agreement"),  dated June 30, 1998,  among  Paribas (the
"Purchaser"),  the other Lenders named therein, the Company and Paribas,  acting
in its capacity as agent for the  Lenders.  The  Warrants  originally  so issued
evidence  rights to purchase an aggregate of not less than 2.0% of the Company's
fully diluted shares of Common Stock (determined as of June 30, 1998) subject to
adjustment as provided herein.  Certain  capitalized  terms used in this Warrant
are defined in section 14;  references  to an "Exhibit"  are,  unless  otherwise
specified,  to one of the Exhibits  attached to this Warrant and references to a
"section"  are,  unless  otherwise  specified,  to one of the  sections  of this
Warrant.


          1. Exercise of Warrant.  1.1. Manner of Exercise.  This Warrant may be
exercised by the holder  hereof,  in whole or in part,  during  normal  business
hours on any  Business  Day, by  surrender of this Warrant to the Company at its
principal  office,  accompanied  by a  subscription  in  substantially  the form
attached to this Warrant (or a reasonable  facsimile  thereof)  duly executed by
such holder and  accompanied by payment,  in cash, by certified or official bank
check payable to the order of the Company,  or in the manner provided in section
1.5 or  section  1.6 (or by any  combination  of such  methods),  in the  amount
obtained by multiplying (a) the number of shares of Common Stock (without giving
effect to any  adjustment  thereof)  designated  in such  subscription  (up to a
maximum of 165,000  shares) by (b) $0.01,  and such holder  shall  thereupon  be
entitled to receive the number of duly  authorized,  validly issued,  fully paid
and  nonassessable  shares of Common Stock (or Other  Securities)  determined as
provided in sections 2 through 4.

          1.2.  When Exercise  Effective.  The exercise of this Warrant shall be
deemed to have been effected  immediately  prior to the close of business on the
Business Day on which this Warrant shall have been surrendered to the Company as
provided in section 1.1, and at such time the Person or Persons in whose name or
names any  certificate  or  certificates  for  shares of Common  Stock (or Other
Securities)  shall be  issuable  upon such  exercise  as provided in section 1.3
shall be deemed to have become the holder or holders of record thereof.

          1.3. Delivery of Stock Certificates, etc. As soon as practicable after
the  exercise  of  this  Warrant  and in any  event  within  ten  Business  Days
thereafter,  the Company at its  expense  will cause to be issued in the name of
and  delivered  to the holder  hereof or,  subject to section 9, as such  holder
(upon payment by such holder of any  applicable  transfer  taxes) may direct,  a
certificate or certificates for the number of duly  authorized,  validly issued,
fully paid and  nonassessable  shares of Common Stock (or Other  Securities)  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 equal to the same  fraction of the Market Price per share on the Business
Day next preceding the date of such exercise.

          1.4. Company to Reaffirm Obligations. The Company will, at the time of
the exercise of this Warrant, upon the request of the holder hereof, acknowledge
in  writing  its  continuing  obligation  to afford to such  holder  all  rights
(including,  without  limitation,  any rights to  registration  of the shares of
Common Stock or Other Securities issued upon such exercise) to which such holder
shall continue to be entitled  after such exercise in accordance  with the terms
of this Warrant,  provided that if the holder of this Warrant shall fail to make
any such request, such failure shall not affect the continuing obligation of the
Company to afford such rights to such holder.

          1.5.  Payment  by  Application  of Notes.  Upon the  exercise  of this
Warrant, the holder hereof may, at its option,  instruct the Company, by written
notice  accompanying the surrender of this Warrant at the time of such exercise,
to apply to the  payment  required  by section 1.1 all or any part of the unpaid
principal  amount of any one or more Notes at the time held by such holder which
is at such time due, in which case the Company will accept the principal  amount
specified in such notice in satisfaction of a like amount of such payment absent
manifest error. In case less than the entire unpaid principal amount of any Note
shall be so specified,  the principal amount so specified shall be credited,  as
of the date of such exercise, against the required prepayments of principal then
remaining unpaid on such Note in the inverse order of their maturity dates. Upon
any partial  application of a Note,  the Company at its expense shall  forthwith
issue and deliver to or upon the order of the holder thereof a new Note or Notes
in principal  amount equal to the unpaid  principal  amount of such  surrendered
Note which has not been applied against such payment,  such new Note or Notes to
be dated and to bear interest  from the date to which  interest has been paid on
such  surrendered  Note.  The  Company's  obligation to issue any such new Notes
shall be expressly conditioned upon the simultaneous  surrender by the holder of
any existing  Notes to be replaced by such new Notes.  Within two Business  Days
after  receipt of any such  notice,  the  Company  will pay to the holder of the
Notes giving such notice,  in the manner provided in the Notes and in the Credit
Agreement,  all unpaid  interest on the  principal  amount so  specified in such
notice, accrued to the date of the exercise of such Warrant.

          1.6 Payment by  Application  of Shares  Otherwise  Issuable.  Upon the
exercise of this  Warrant,  the holder  hereof may, at its option,  instruct the
Company,  by written  notice  accompanying  the surrender of this Warrant at the
time of such  exercise,  to apply to the  payment  required  by section 1.1 such
number of the shares of Common Stock otherwise issuable to such holder upon such
exercise as shall be specified in such notice,  in which case an amount equal to
the excess of the aggregate  Current  Market Price of such  specified  number of
shares on the date of  exercise  over the  portion of the  payment  required  by
section 1.1 attributable to such shares shall be deemed to have been paid to the
Company and the number of shares issuable upon such exercise shall be reduced by
such specified number.

          2.  Adjustment of Common Stock Issuable Upon Exercise.  2.1.  General;
Warrant  Price.  The number of shares of Common  Stock  which the holder of this
Warrant  shall  be  entitled  to  receive  upon  the  exercise  hereof  shall be
determined  by  multiplying  the number of shares of Common  Stock  which  would
otherwise  (but for the  provisions  of this  section 2) be  issuable  upon such
exercise,  as designated  by the holder  hereof  pursuant to section 1.1, by the
fraction  of which (a) the  numerator  is $0.01 and (b) the  denominator  is the
Warrant Price in effect on the date of such exercise.  The "Warrant Price" shall
initially be $0.01 per share, shall be adjusted and readjusted from time to time
as provided in this section 2 and, as so adjusted or readjusted, shall remain in
effect until a further  adjustment or  readjustment  thereof is required by this
section 2.

          2.2. Adjustment of Warrant Price.

          2.2.1  Issuance  of  Additional  Shares of Common  Stock.  In case the
Company at any time or from time to time after the date  hereof  shall  issue or
sell Additional  Shares of Common Stock (including  Additional  Shares of Common
Stock deemed to be issued pursuant to section 2.3 or 2.4) without  consideration
or for a  consideration  per share less than the greater of the  Current  Market
Price and the Warrant Price in effect  immediately  prior to such issue or sale,
then, and in each such case, subject to section 2.8, such Warrant Price shall be
reduced,  concurrently  with such issue or sale, to a price  (calculated  to the
nearest  .001 of a cent)  determined  by  multiplying  such  Warrant  Price by a
fraction

          (a) the numerator of which shall be (i) the number of shares of Common
     Stock (including,  without limitation, the number of shares of Common Stock
     convertible  or  exchangeable  to  shares  of  Common  Stock)   outstanding
     immediately  prior to such  issue or sale plus (ii) the number of shares of
     Common Stock which the aggregate  consideration received by the Company for
     the total  number of such  Additional  Shares of Common  Stock so issued or
     sold would  purchase at the greater of such  Current  Market Price and such
     Warrant Price, and

          (b) the  denominator  of which shall be the number of shares of Common
     Stock (including,  without limitation, the number of shares of Common Stock
     convertible  or  exchangeable  to  shares  of  Common  Stock)   outstanding
     immediately after such issue or sale,

provided that, for the purposes of this section 2.2.1, (x) immediately after any
Additional  Shares of Common  Stock are deemed to have been  issued  pursuant to
section 2.3 or 2.4, such  Additional  Shares shall be deemed to be  outstanding,
and (y) treasury shares shall not be deemed to be outstanding.

          2.2.2 Extraordinary  Dividends and Distributions.  In case the Company
at any time or from time to time after the date hereof shall declare, order, pay
or make a dividend or other distribution  (including,  without  limitation,  any
distribution  of other or  additional  stock or other  securities or property or
Options by way of dividend or spin-off,  reclassification,  recapitalization  or
similar corporate  rearrangement) on the Common Stock, other than (a) a dividend
payable in Additional  Shares of Common Stock or (b) a dividend  payable in cash
or other  property and  declared out of the earned  surplus of the Company as at
the date hereof as increased by any credits (other than credits resulting from a
revaluation  of property)  and  decreased by any debits made thereto  after such
date or (c) a regular  periodic cash dividend at a rate not in excess of 110% of
the rate of the last regular periodic cash dividend  theretofore paid, then, and
in each  such  case,  subject  to  section  2.8,  the  Warrant  Price in  effect
immediately  prior to the close of  business  on the  record  date fixed for the
determination  of holders of any class of  securities  entitled to receive  such
dividend or distribution shall be reduced, effective as of the close of business
on such record  date,  to a price  (calculated  to the  nearest  .001 of a cent)
determined by multiplying such Warrant Price by a fraction

          (x) the numerator of which shall be the Current Market Price in effect
     on such record date or, if the Common Stock trades on an ex-dividend basis,
     on the date prior to the  commencement  of  ex-dividend  trading,  less the
     amount of such dividend or distribution (as determined in good faith by the
     Board of Directors of the Company) applicable to one share of Common Stock,
     and

          (y) the denominator of which shall be such Current Market
Price.

          2.3.  Treatment  of Options and  Convertible  Securities.  In case the
Company  at any time or from time to time  after the date  hereof  shall  issue,
sell,  grant or  assume,  or shall fix a record  date for the  determination  of
holders  of any  class  of  securities  entitled  to  receive,  any  Options  or
Convertible  Securities (other than (i) the issuance of any equity securities of
the Company in  connection  with the  conversion  of the Nagpal  Note,  (ii) the
Series A  Preferred  Stock,  (iii) the Series B Preferred  Stock  issued at fair
market  value,  (iv) the Series C Preferred  Stock,  (v) any stock  dividends on
(ii), (iii) or (iv) above,  (vi) any convertible  promissory notes issued by the
Company existing on the date hereof, and (vii) Options or Convertible Securities
issued,  sold or granted  to  employees,  officers,  directors,  consultants  or
affiliated physicians of or to the Company pursuant to one or more benefit plans
or arrangements approved by a disinterested  committee of the Board of Directors
of the Company;  provided,  however, that such Options or Convertible Securities
may only be issued (A) pursuant to such benefit plans or arrangements,  (B)up to
a maximum of 15% of the Company's fully diluted  capitalization  and (C) at fair
market  value on the date of grant),  then,  and in each such case,  the maximum
number of  Additional  Shares of  Common  Stock (as set forth in the  instrument
relating  thereto,  without  regard to any  provisions  contained  therein for a
subsequent adjustment of such number) issuable upon the exercise of such Options
or, in the case of Convertible  Securities and Options therefor,  the conversion
or exchange of such  Convertible  Securities,  shall be deemed to be  Additional
Shares  of Common  Stock  issued as of the time of such  issue,  sale,  grant or
assumption or, in case such a record date shall have been fixed, as of the close
of  business  on  such  record  date  (or,  if the  Common  Stock  trades  on an
ex-dividend  basis,  on the  date  prior  to  the  commencement  of  ex-dividend
trading),  provided  that such  Additional  Shares of Common  Stock shall not be
deemed  to have been  issued  unless  the  consideration  per share  (determined
pursuant to section  2.5) of such  shares  would be less than the greater of the
Current  Market  Price  and the  Warrant  Price  in  effect  on the  date of and
immediately prior to such issue,  sale, grant or assumption or immediately prior
to the close of business on such record date (or, if the Common  Stock trades on
an  ex-dividend  basis,  on the date prior to the  commencement  of  ex-dividend
trading),  as the case may be, and provided,  further,  that in any such case in
which Additional Shares of Common Stock are deemed to be issued

          (a) no further  adjustment of the Warrant Price shall be made upon the
     subsequent  issue or sale of  Convertible  Securities  or  shares of Common
     Stock upon the  exercise of such Options or the  conversion  or exchange of
     such  Convertible  Securities  , except in the case of any such  Options or
     Convertible  Securities which contain  provisions  requiring an adjustment,
     subsequent  to the date of the  issue or sale  thereof,  of the  number  of
     Additional  Shares of  Common  Stock  issuable  upon the  exercise  of such
     Options or the  conversion  or exchange of such  Convertible  Securities by
     reason of (x) a change of control of the Company,  (y) the  acquisition  by
     any Person or group of Persons of any specified number or percentage of the
     Voting  Securities of the Company or (z) any similar  event or  occurrence,
     each such case to be deemed  hereunder  to involve a separate  issuance  of
     Additional Shares of Common Stock,  Options or Convertible  Securities,  as
     the case may be;

          (b) if such Options or Convertible  Securities by their terms provide,
     with  the  passage  of  time  or   otherwise,   for  any  increase  in  the
     consideration  payable  to  the  Company,  or  decrease  in the  number  of
     Additional Shares of Common Stock issuable,  upon the exercise,  conversion
     or exchange  thereof (by change of rate or  otherwise),  the Warrant  Price
     computed upon the original  issue,  sale,  grant or assumption  thereof (or
     upon the  occurrence of the record date, or date prior to the  commencement
     of ex-dividend trading, as the case may be, with respect thereto),  and any
     subsequent  adjustments  based  thereon,  shall,  upon any such increase or
     decrease  becoming  effective,  be  recomputed  to reflect such increase or
     decrease insofar as it affects such Options, or the rights of conversion or
     exchange under such Convertible  Securities,  which are outstanding at such
     time;

          (c) upon the expiration  (or purchase by the Company and  cancellation
     or  retirement)  of any such Options which shall not have been exercised or
     the  expiration  of any rights of  conversion  or  exchange  under any such
     Convertible  Securities  which (or purchase by the Company and cancellation
     or retirement of any such  Convertible  Securities the rights of conversion
     or exchange under which) shall not have been  exercised,  the Warrant Price
     computed upon the original  issue,  sale,  grant or assumption  thereof (or
     upon the  occurrence of the record date, or date prior to the  commencement
     of ex-dividend trading, as the case may be, with respect thereto),  and any
     subsequent adjustments based thereon,  shall, upon such expiration (or such
     cancellation or retirement, as the case may be), be recomputed as if:

               (i) in the  case of  Options  for  Common  Stock  or  Convertible
          Securities,  the only Additional Shares of Common Stock issued or sold
          were the Additional Shares of Common Stock, if any, actually issued or
          sold upon the exercise of such Options or the  conversion  or exchange
          of such Convertible Securities and the consideration received therefor
          was the consideration  actually received by the Company for the issue,
          sale,  grant  or  assumption  of  all  such  Options,  whether  or not
          exercised,  plus the  consideration  actually  received by the Company
          upon such exercise,  or for the issue or sale of all such  Convertible
          Securities  which  were  actually  converted  or  exchanged,  plus the
          additional  consideration,  if any,  actually  received by the Company
          upon such conversion or exchange, and

               (ii) in the case of Options for Convertible Securities,  only the
          Convertible  Securities,  if any,  actually  issued  or sold  upon the
          exercise of such Options  were issued at the time of the issue,  sale,
          grant or assumption of such Options, and the consideration received by
          the Company for the  Additional  Shares of Common Stock deemed to have
          then  been  issued  was the  consideration  actually  received  by the
          Company for the issue,  sale, grant or assumption of all such Options,
          whether or not exercised,  plus the consideration  deemed to have been
          received by the Company  (pursuant  to section  2.5) upon the issue or
          sale of such Convertible Securities with respect to which such Options
          were actually exercised;

          (d) no  readjustment  pursuant to  subdivision  (b) or (c) above shall
     have the effect of  increasing  the Warrant Price by an amount in excess of
     the  amount of the  adjustment  thereof  originally  made in respect of the
     issue, sale, grant or assumption of such Options or Convertible Securities;
     and

          (e) in the case of any such  Options  which  expire by their terms not
     more  than 30 days  after  the date of  issue,  sale,  grant or  assumption
     thereof,  no  adjustment  of the  Warrant  Price  shall be made  until  the
     expiration or exercise of all such Options, whereupon such adjustment shall
     be made in the manner provided in subdivision (c) above.

          2.4.  Treatment of Stock  Dividends,  Stock  Splits,  etc. In case the
Company at any time or from time to time after the date hereof shall  declare or
pay any dividend on the Common Stock payable in Common Stock,  or shall effect a
subdivision of the  outstanding  shares of Common Stock into a greater number of
shares of Common Stock (by  reclassification  or otherwise  than by payment of a
dividend in Common  Stock),  then, and in each such case,  Additional  Shares of
Common  Stock  shall be deemed to have been  issued  (a) in the case of any such
dividend,  immediately  after the close of  business  on the record date for the
determination  of holders of any class of  securities  entitled to receive  such
dividend,  or (b) in the case of any such subdivision,  at the close of business
on the day immediately prior to the day upon which such corporate action becomes
effective.

          2.5. Computation of Consideration. For the purposes of this section 2,

          (a) the  consideration  for the issue or sale of any Additional Shares
     of Common Stock shall,  irrespective  of the  accounting  treatment of such
     consideration,

               (i)  insofar as it  consists  of cash,  be  computed at the gross
          amount of cash received by the Company, without deducting any expenses
          paid or incurred by the Company or any  commissions  or  compensations
          paid or concessions or discounts  allowed to underwriters,  dealers or
          others  performing  similar  services in connection with such issue or
          sale,

               (ii)  insofar as it consists of property  (including  securities)
          other than cash,  be computed at the fair value thereof at the time of
          such  issue or  sale,  as  determined  in good  faith by the  Board of
          Directors of the Company, and

               (iii) in case  Additional  Shares of Common  Stock are  issued or
          sold  together  with other stock or  securities or other assets of the
          Company for a consideration  which covers both, be the portion of such
          consideration  so  received,  computed  as provided in clauses (i) and
          (ii) above,  allocable to such Additional  Shares of Common Stock, all
          as determined in good faith by the Board of Directors of the Company;

          (b)  Additional  Shares of  Common  Stock  deemed to have been  issued
     pursuant to section 2.3,  relating to Options and  Convertible  Securities,
     shall  be  deemed  to  have  been  issued  for a  consideration  per  share
     determined by dividing

               (i) the total  amount,  if any,  received and  receivable  by the
          Company as consideration  for the issue,  sale, grant or assumption of
          the Options or  Convertible  Securities in question,  plus the minimum
          aggregate  amount  of  additional  consideration  (as set forth in the
          instruments   relating  thereto,   without  regard  to  any  provision
          contained therein for a subsequent adjustment of such consideration to
          protect against  dilution) payable to the Company upon the exercise in
          full of such Options or the conversion or exchange of such Convertible
          Securities or, in the case of Options for Convertible Securities,  the
          exercise of such Options for Convertible Securities and the conversion
          or exchange of such  Convertible  Securities,  in each case  computing
          such consideration as provided in the foregoing subdivision (a),

         by

               (ii) the maximum  number of shares of Common  Stock (as set forth
          in the instruments  relating thereto,  without regard to any provision
          contained  therein  for a  subsequent  adjustment  of such  number  to
          protect against  dilution)  issuable upon the exercise of such Options
          or the conversion or exchange of such Convertible Securities; and

          (c)  Additional  Shares of  Common  Stock  deemed to have been  issued
     pursuant to section 2.4, relating to stock dividends,  stock splits,  etc.,
     shall be deemed to have been issued for no consideration.

          2.6. Adjustments for Combinations, etc. In case the outstanding shares
of Common  Stock shall be  combined  or  consolidated,  by  reclassification  or
otherwise,  into a lesser number of shares of Common Stock, the Warrant Price in
effect   immediately   prior  to  such  combination  or   consolidation   shall,
concurrently  with the  effectiveness of such combination or  consolidation,  be
proportionately increased.

          2.7.  Dilution  in  Case  of  Other  Securities.  In  case  any  Other
Securities shall be issued or sold or shall become subject to issue or sale upon
the conversion or exchange of any stock (or Other Securities) of the Company (or
any issuer of Other  Securities or any other Person referred to in section 3) or
to subscription, purchase or other acquisition pursuant to any Options issued or
granted by the Company (or any such other issuer or Person) for a  consideration
such as to dilute,  on a basis consistent with the standards  established in the
other provisions of this section 2, the purchase rights granted by this Warrant,
then, and in each such case, the  computations,  adjustments  and  readjustments
provided for in this  section 2 with respect to the Warrant  Price shall be made
as nearly as  possible in the manner so provided  and applied to  determine  the
amount of Other Securities from time to time receivable upon the exercise of the
Warrants,  so as to protect  the holders of the  Warrants  against the effect of
such dilution.

          2.8.  Minimum  Adjustment  of  Warrant  Price.  If the  amount  of any
adjustment  of the Warrant  Price  required  pursuant to this section 2 would be
less than one tenth (1/10) of one percent (1%) of the Warrant Price in effect at
the time such  adjustment is otherwise so required to be made, such amount shall
be carried  forward and adjustment  with respect thereto made at the time of and
together with any subsequent adjustment which, together with such amount and any
other amount or amounts so carried  forward,  shall aggregate at least one tenth
(1/10) of one percent (1%) of such Warrant Price.

          3.  Consolidation,  Merger,  etc. 3.1.  Adjustments for Consolidation,
Merger, Sale of Assets, Reorganization,  etc. In case the Company after the date
hereof (a) shall  consolidate  with or merge into any other Person and shall not
be the continuing or surviving  corporation of such  consolidation or merger, or
(b) shall permit any other Person to consolidate  with or merge into the Company
and the Company shall be the  continuing or surviving  Person but, in connection
with such consolidation or merger, the Common Stock or Other Securities shall be
changed into or exchanged  for stock or other  securities of any other Person or
cash or any other property,  or (c) shall transfer all or  substantially  all of
its  properties  or assets to any other  Person,  or (d) shall  effect a capital
reorganization  or  reclassification  of the  Common  Stock or Other  Securities
(other than a capital reorganization or reclassification  resulting in the issue
of Additional  Shares of Common Stock for which  adjustment in the Warrant Price
is  provided  in  section  2.2.1 or 2.2.2),  then,  and in the case of each such
transaction,  proper  provision  shall be made so that,  upon the  basis and the
terms and in the manner  provided in this  Warrant,  the holder of this Warrant,
upon the exercise hereof at any time after the consummation of such transaction,
shall be entitled to receive (at the  aggregate  Warrant  Price in effect at the
time of such consummation for all Common Stock or Other Securities issuable upon
such exercise  immediately  prior to such  consummation),  in lieu of the Common
Stock  or  Other   Securities   issuable  upon  such  exercise   prior  to  such
consummation,  the highest amount of securities, cash or other property to which
such  holder  would  actually  have been  entitled  as a  shareholder  upon such
consummation if such holder had exercised the rights represented by this Warrant
immediately   prior  thereto,   subject  to  adjustments   (subsequent  to  such
consummation) as nearly  equivalent as possible to the adjustments  provided for
in sections 2 through 4, provided that if a purchase,  tender or exchange  offer
shall  have been made to and  accepted  by the  holders  of more than 50% of the
outstanding  shares of Common  Stock,  and if the  holder  of such  Warrants  so
designates  in a notice  given to the Company on or before the date  immediately
preceding the date of the consummation of such  transaction,  the holder of such
Warrants shall be entitled to receive the highest amount of securities,  cash or
other  property  to which such holder  would  actually  have been  entitled as a
shareholder  if the holder of such Warrants had exercised such Warrants prior to
the  expiration  of such  purchase,  tender or exchange  offer and accepted such
offer, subject to adjustments (from and after the consummation of such purchase,
tender or exchange  offer) as nearly  equivalent as possible to the  adjustments
provided for in sections 2 through 4.

          3.2. Assumption of Obligations.  Notwithstanding anything contained in
the Warrants or in the Credit  Agreement to the  contrary,  the Company will not
effect any of the  transactions  described in clauses (a) through (d) of section
3.1 unless,  prior to the  consummation  thereof,  each  Person  (other than the
Company)  which may be  required  to  deliver  any  stock,  securities,  cash or
property upon the exercise of this Warrant as provided  herein shall assume,  by
written instrument  delivered to, and reasonably  satisfactory to, the holder of
this Warrant,  (a) the obligations of the Company under this Warrant (and if the
Company shall survive the  consummation  of such  transaction,  such  assumption
shall be in addition to, and shall not release the Company from,  any continuing
obligations of the Company under this Warrant) and (b) the obligation to deliver
to such  holder  such  shares  of stock,  securities,  cash or  property  as, in
accordance  with the foregoing  provisions of this section 3, such holder may be
entitled to receive,  and such Person  shall have  similarly  delivered  to such
holder an opinion of counsel for such Person,  which counsel shall be reasonably
satisfactory to such holder, stating that this Warrant shall thereafter continue
in full force and effect and the terms hereof  (including,  without  limitation,
all of the  provisions  of this  section  3) shall be  applicable  to the stock,
securities,  cash or property  which such Person may be required to deliver upon
any  exercise of this  Warrant or the  exercise of any rights  pursuant  hereto.
Nothing in this section 3 shall be deemed to authorize the Company to enter into
any transaction not otherwise permitted by the Credit Agreement.

          4. Other  Dilutive  Events.  In case any event shall occur as to which
the  provisions  of section 2 or section 3 are not strictly  applicable  but the
failure to make any  adjustment  would not fairly  protect the  purchase  rights
represented  by this  Warrant  in  accordance  with  the  essential  intent  and
principles of such sections,  then, in each such case, the Company shall appoint
a firm of  independent  certified  public  accountants  of  recognized  national
standing  (which may be the regular  auditors of the Company),  which shall give
their  opinion  upon the  adjustment,  if any,  on a basis  consistent  with the
essential  intent and  principles  established in sections 2 and 3, necessary to
preserve,  without  dilution,  the purchase rights  represented by this Warrant.
Upon receipt of such  opinion,  the Company will promptly mail a copy thereof to
the holder of this Warrant and shall make the adjustments described therein.

          5. No Dilution or  Impairment.  The Company  will not, by amendment of
its  certificate  of  incorporation  or  through  any   consolidation,   merger,
reorganization,  transfer of assets, dissolution, issue or sale of securities 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 of
this  Warrant  against  dilution  or  other  impairment.  Without  limiting  the
generality  of the  foregoing,  the Company (a) will not permit the par value of
any shares of stock  receivable  upon the exercise of this Warrant to exceed the
amount payable therefor upon such exercise, (b) will take all such action as may
be  necessary or  appropriate  in order that the Company may validly and legally
issue  fully  paid and  nonassessable  shares  of stock on the  exercise  of the
Warrants  from  time to time  outstanding,  (c) will not take any  action  which
results in any  adjustment of the Warrant Price if the total number of shares of
Common Stock (or Other  Securities)  issuable after the action upon the exercise
of all of the  Warrants  would exceed the total number of shares of Common Stock
(or  Other   Securities)  then  authorized  by  the  Company's   certificate  of
incorporation and available for the purpose of issue upon such exercise, and (d)
will not issue any capital stock of any class which is preferred as to dividends
or as to the  distribution of assets upon voluntary or involuntary  dissolution,
liquidation  or  winding-up,  unless the rights of the holders  thereof shall be
limited  to a fixed  sum or  percentage  of par  value  or a sum  determined  by
reference to a formula based on a published index of interest rates, an interest
rate publicly  announced by a financial  institution  or a similar  indicator of
interest  rates in respect of  participation  in dividends and to a fixed sum or
percentage of par value in any such distribution of assets.

          6.  Accountants'  Report  as to  Adjustments.  In  each  case  of  any
adjustment or readjustment  in the shares of Common Stock (or Other  Securities)
issuable  upon the  exercise of this  Warrant,  the Company at its expense  will
promptly compute such adjustment or readjustment in accordance with the terms of
this  Warrant  and, at the  written  request of the  holder,  cause  independent
certified public  accountants of recognized  national standing (which may be the
regular  auditors  of the  Company)  selected  by the  Company  to  verify  such
computation  (other  than any  computation  of the fair  value  of  property  as
determined in good faith by the Board of Directors of the Company) and prepare a
report setting forth such adjustment or  readjustment  and showing in reasonable
detail  the  method  of  calculation  thereof  and the  facts  upon  which  such
adjustment  or  readjustment  is  based,   including  a  statement  of  (a)  the
consideration  received or to be  received  by the  Company  for any  Additional
Shares of Common  Stock  issued or sold or deemed to have been  issued,  (b) the
number of shares of Common Stock  outstanding or deemed to be  outstanding,  and
(c) the Warrant Price in effect  immediately  prior to such issue or sale and as
adjusted  and  readjusted  (if  required by section 2) on account  thereof.  The
Company  will  forthwith  mail a copy of each such  report  to each  holder of a
Warrant  and  will,  upon the  written  request  at any time of any  holder of a
Warrant, furnish to such holder a like report setting forth the Warrant Price at
the time in effect and showing in reasonable  detail how it was calculated.  The
Company  will also keep copies of all such reports at its  principal  office and
will cause the same to be available for  inspection at such office during normal
business  hours by any holder of a Warrant  or any  prospective  purchaser  of a
Warrant designated by the holder thereof.

          7. Notices of Corporate Action. In the event of

               (a) any taking by the  Company of a record of the  holders of any
          class of securities for the purpose of determining the holders thereof
          who are  entitled  to  receive  any  dividend  (other  than a  regular
          periodic  dividend  payable in cash out of earned surplus in an amount
          not exceeding the amount of the  immediately  preceding  cash dividend
          for such period) or other distribution, or any right to subscribe for,
          purchase or otherwise  acquire any shares of stock of any class or any
          other securities or property, or to receive any other right, or

               (b)   any   capital    reorganization   of   the   Company,   any
          reclassification  or  recapitalization  of the  capital  stock  of the
          Company or any  consolidation  or merger involving the Company and any
          other Person or any transfer of all or substantially all the assets of
          the Company to any other Person, or

               (c) any  voluntary or  involuntary  dissolution,  liquidation  or
          winding-up of the Company,

the Company  will mail to each holder of a Warrant a notice  specifying  (i) the
date or expected date on which any such record is to be taken for the purpose of
such  dividend,  distribution  or right,  and the amount and  character  of such
dividend, distribution or right, and (ii) the date or expected date on which any
such reorganization, reclassification,  recapitalization, consolidation, merger,
transfer, dissolution,  liquidation or winding-up is to take place and the time,
if any such time is to be fixed,  as of which  the  holders  of record of Common
Stock (or Other Securities) shall be entitled to exchange their shares of Common
Stock (or Other  Securities)  for the securities or other  property  deliverable
upon such  reorganization,  reclassification,  recapitalization,  consolidation,
merger, transfer,  dissolution,  liquidation or winding-up. Such notice shall be
mailed at least 30 days prior to the date therein specified.

          8.  Registration  of Common  Stock.  If any  shares  of  Common  Stock
required  to be reserved  for  purposes  of  exercise  of this  Warrant  require
registration with or approval of any governmental authority under any federal or
state law (other than the Securities  Act) before such shares may be issued upon
exercise, the Company will, at its expense and as expeditiously as possible, use
its best efforts to cause such shares to be duly registered or approved,  as the
case  may be.  At any  such  time as  Common  Stock is  listed  on any  national
securities  exchange,  the Company  will,  at its expense,  obtain  promptly and
maintain the approval for listing on each such exchange, upon official notice of
issuance,  the  shares  of  Common  Stock  issuable  upon  exercise  of the then
outstanding  Warrants  and  maintain  the  listing of such  shares  after  their
issuance;  and the Company will also list on such national securities  exchange,
will  register  under the  Exchange Act and will  maintain  such listing of, any
Other Securities that at any time are issuable upon exercise of the Warrants, if
and at the time that any  securities  of the same class  shall be listed on such
national securities exchange by the Company.

          9.  Restrictions  on Transfer.  9.1.  Restrictive  Legends.  Except as
otherwise  permitted  by this section 9, each  Warrant  (including  each Warrant
issued upon the transfer of any Warrant) shall be stamped or otherwise imprinted
with a legend in substantially the following form:

          "This  Warrant  and any  shares  acquired  upon the  exercise  of this
     Warrant  have not been  registered  under the  Securities  Act of 1933,  as
     amended,  and may not be transferred,  sold or otherwise disposed of except
     while  a  registration  under  such  Act is in  effect  or  pursuant  to an
     exemption  therefrom  under such Act.  This  Warrant and such shares may be
     transferred  only in  compliance  with  the  conditions  specified  in this
     Warrant."

Except as otherwise  permitted by this  section 9, each  certificate  for Common
Stock (or Other  Securities)  issued upon the exercise of any Warrant,  and each
certificate  issued  upon  the  transfer  of any such  Common  Stock  (or  Other
Securities),   shall  be  stamped  or  otherwise  imprinted  with  a  legend  in
substantially the following form:

          "The shares  represented by this  certificate have not been registered
     under the  Securities Act of 1933 and may not be transferred in the absence
     of such registration or an exemption  therefrom under such Act. Such shares
     may be transferred only in compliance with the conditions specified in that
     certain Common Stock  Purchase  Warrant,  dated June 30, 1998,  between BMJ
     Medical  Management,  Inc. and Paribas.  A complete and correct copy of the
     form of such Warrant is available for inspection at the principal office of
     BMJ Medical  Management,  Inc. or at the office or agency maintained by BMJ
     Medical Management, Inc. as provided in such Warrants and will be furnished
     to the holder of such shares upon written request and without charge."

          9.2. Notice of Proposed  Transfer;  Opinions of Counsel.  Prior to any
transfer  of any  Restricted  Securities  which  are  not  registered  under  an
effective  registration  statement  under the Securities Act, the holder thereof
will give  written  notice to the Company of such  holder's  intention to effect
such  transfer and to comply in all other  respects  with this section 9.2. Each
such notice (a) shall  describe  the manner and  circumstances  of the  proposed
transfer in sufficient  detail to enable counsel to render the opinions referred
to below, and (b) shall designate counsel for the holder giving such notice (who
may be house counsel for such holder). The holder giving such notice will submit
a copy  thereof to the counsel  designated  in such notice and the Company  will
promptly submit a copy thereof to its counsel.  The following  provisions  shall
then apply:

               (i) If (A) in the  opinion  of such  counsel  for the  holder the
          proposed  transfer  may  be  effected  without  registration  of  such
          Restricted  Securities  under the Securities  Act, and (B) counsel for
          the Company  shall not have  rendered an opinion  within 15 days after
          the  receipt  by  the  Company  of  such  written   notice  that  such
          registration  is required,  such holder shall thereupon be entitled to
          transfer such  securities  in accordance  with the terms of the notice
          delivered by such holder to the Company.  Each warrant or certificate,
          if any, representing such securities issued upon or in connection with
          such transfer shall bear the appropriate  restrictive  legend required
          by section 9.1, unless in the opinion of each such counsel such legend
          is no longer required to insure compliance with the Securities Act. If
          for any reason  counsel for the Company  (after having been  furnished
          with the  information  required to be  furnished by clause (a) of this
          section  9.2) shall  fail to  deliver  an  opinion  to the  Company as
          aforesaid,  then for all  purposes  of this  Warrant  the  opinion  of
          counsel for the Company  shall be deemed to be the same as the opinion
          of counsel for such holders.

               (ii) If in the  opinion  of either of or both  such  counsel  the
          proposed transfer may not legally be effected without  registration of
          such Restricted  Securities  under the Securities Act (such opinion or
          opinions to state the basis of the legal conclusions reached therein),
          the Company will promptly so notify the holder  thereof and thereafter
          such  holder  shall  not  be  entitled  to  transfer  such  Restricted
          Securities until either (x) receipt by the Company of a further notice
          from such holder pursuant to the foregoing  provisions of this section
          9.2 and  fulfillment of the provisions of clause (i) above or (y) such
          shares have been effectively registered under the Securities Act.

Notwithstanding the foregoing  provisions of this section 9.2(ii), the purchaser
of the Warrants  shall be permitted to transfer any  Restricted  Securities to a
limited number of institutional investors,  provided that (A) each such investor
represents  in writing  that it is  acquiring  such  Restricted  Securities  for
investment and not with a view to the distribution thereof (subject, however, to
any requirement of law that the disposition thereof shall at all times be within
the control of such transferee),  (B) each such investor agrees in writing to be
bound  by all  the  restrictions  on  transfer  of  such  Restricted  Securities
contained in this section 9.2 and (C) the purchaser of the Warrants  delivers to
the Company an opinion of counsel satisfactory to the Company, stating that such
transfer may be effected  without  registration  under the  Securities  Act. The
holder  of  Restricted  Securities  will pay all fees and  disbursements  of its
counsel and the Company shall pay all fees and  disbursements  of its counsel in
connection  with all opinions  rendered by them pursuant to this section 9.2 and
pursuant to section 9.3.

          9.3.  Termination of Restrictions.  The  restrictions  imposed by this
section 9 upon the  transferability  of  Restricted  Securities  shall cease and
terminate as to any particular  Restricted  Securities (a) when such  securities
shall have been effectively registered under the Securities Act, or (b) when, in
the opinions of both counsel for the holder thereof and counsel for the Company,
such  restrictions are no longer required in order to insure compliance with the
Securities Act. Whenever such  restrictions  shall cease and terminate as to any
Restricted Securities,  the holder thereof shall be entitled to receive from the
Company,  without  expense (other than  applicable  transfer taxes, if any), new
securities of like tenor not bearing the applicable  legends required by section
9.1.

          10. Availability of Information. So long as the Company shall not have
filed a registration  statement  pursuant to section 12 of the Exchange Act or a
registration  statement  pursuant to the requirements of the Securities Act, the
Company shall, at any time and from time to time, upon the request of any holder
of Registrable  Securities and upon the request of any Person designated by such
holder as a  prospective  purchaser of any  Registrable  Securities,  furnish in
writing  to such  holder or such  prospective  purchaser,  as the case may be, a
statement  as of a date not  earlier  than 12  months  prior to the date of such
request  of the nature of the  business  of the  Company  and the  products  and
services it offers and copies of the  Company's  most recent  balance  sheet and
profit  and  loss  and  retained  earnings  statements,  together  with  similar
financial  statements  for such part of the two  preceding  fiscal  years as the
Company  shall  have been in  operation,  all such  financial  statements  to be
audited to the extent  audited  statements are  reasonably  available,  provided
that,  in any event the most recent  financial  statements  so  furnished  shall
include  a balance  sheet as of a date less than 16 months  prior to the date of
such  request,  statements  of profit and loss and retained  earnings for the 12
months  preceding the date of such balance sheet,  and, if such balance sheet is
not  as of a date  less  than 6  months  prior  to the  date  of  such  request,
additional  statements  of profit and loss and retained  earnings for the period
from the date of such  balance  sheet to a date less than 6 months  prior to the
date of such request.  If the Company shall have filed a registration  statement
pursuant to the requirements of section 12 of the Exchange Act or a registration
statement  pursuant to the requirements of the Securities Act, the Company shall
timely file the reports  required to be filed by it under the Securities Act and
the Exchange Act (including but not limited to the reports under sections 13 and
15(d) of the Exchange Act referred to in subparagraph (c) of Rule 144 adopted by
the Commission  under the Securities Act) and the rules and regulations  adopted
by the  Commission  thereunder  (or, if the Company is not required to file such
reports,  will, upon the request of any holder of Registrable  Securities,  make
publicly  available other  information) and will take such further action as any
holder of  Registrable  Securities  may  reasonably  request,  all to the extent
required from time to time to enable such holder to sell Registrable  Securities
without  registration  under the  Securities  Act within the  limitation  of the
exemptions  provided by (a) Rule 144 under the Securities  Act, as such Rule may
be amended from time to time,  or (b) any similar rule or  regulation  hereafter
adopted  by the  Commission.  Upon the  request  of any  holder  of  Registrable
Securities,  the Company will  deliver to such holder a written  statement as to
whether it has complied with the requirements of this section 10.

          11.  Reservation of Stock,  etc. The Company will at all times reserve
and keep  available,  solely for  issuance  and  delivery  upon  exercise of the
Warrants,  the number of shares of Common Stock (or Other  Securities) from time
to time  issuable  upon  exercise of all Warrants at the time  outstanding.  All
shares of Common  Stock (or Other  Securities)  issuable  upon  exercise  of any
Warrants shall be duly authorized and, when issued upon such exercise,  shall be
validly issued and, in the case of shares,  fully paid and nonassessable with no
liability on the part of the holders thereof.

          12. Registration and Transfer of Warrants, etc.

          12.1. Warrant Register;  Ownership of Warrants.  The Company will keep
at its  principal  office a register in which the Company  will  provide for the
registration  of Warrants and the  registration  of  transfers of Warrants.  The
Company  may treat the Person in whose name any  Warrant is  registered  on such
register as the owner thereof for all other purposes,  and the Company shall not
be affected by any notice to the contrary,  except that, if and when any Warrant
is properly  assigned in blank,  the Company may (but shall not be obligated to)
treat the bearer thereof as the owner of such Warrant for all purposes.  Subject
to section 9, a Warrant, if properly assigned,  may be exercised by a new holder
without a new Warrant first having been issued.

          12.2. Transfer and Exchange of Warrants. Upon surrender of any Warrant
for  registration  of transfer or for  exchange to the Company at its  principal
office,  the Company at its expense will (subject to compliance  with section 9,
if  applicable)  execute  and  deliver in  exchange  therefor  a new  Warrant or
Warrants  of like  tenor,  in the name of such  holder or as such  holder  (upon
payment by such holder of any applicable transfer taxes) may direct,  calling in
the  aggregate  on the face or faces  thereof for the number of shares of Common
Stock called for on the face or faces of the Warrant or Warrants so surrendered.

          12.3.  Replacement  of Warrants.  Upon receipt of evidence  reasonably
satisfactory to the Company of the loss, theft, destruction or mutilation of any
Warrant and, in the case of any such loss,  theft or destruction of any Warrant,
upon delivery of an indemnity bond in such reasonable  amount as the Company may
determine  (or, in the case of any Warrant held by any  Institutional  Holder or
its nominee, of an indemnity agreement from such Institutional Holder reasonably
satisfactory to the Company),  or, in the case of any such mutilation,  upon the
surrender  of such  Warrant for  cancellation  to the  Company at its  principal
office,  the Company at the expense of the  requesting  holder will  execute and
deliver, in lieu thereof, a new Warrant of like tenor.

          13. Registration under Securities Act, etc.

          13.1. Registration on Request.

          (a)  Request.  At any time after the date on which the  Company  shall
     become  eligible to utilize Form S-3 in effecting  sales of its securities,
     upon the written  request of the Initiating  Holders,  requesting  that the
     Company effect the registration  under the Securities Act of all or part of
     such Initiating Holders' Registrable Securities and specifying the intended
     method of disposition  thereof, the Company will, on a one-time only basis,
     subject to the terms of this  Agreement,  promptly  give written  notice of
     such  requested  registration  to all  registered  holders  of  Registrable
     Securities,  and thereupon the Company will effect the  registration  under
     the  Securities  Act on Form S-3 if the Company is eligible to utilize such
     form and otherwise on Form S-1 of

               (i) the  Registrable  Securities  which the  Company  has been so
          requested to register by such  Initiating  Holders for  disposition in
          accordance  with the  intended  method of  disposition  stated in such
          request, and

               (ii) all other Registrable  Securities the holders of which shall
          have made a written  request to the Company for  registration  thereof
          within 30 days after the giving of such written  notice by the Company
          (which  request shall specify the intended  method of  disposition  of
          such Registrable Securities), and

               (iii) all shares of Common  Stock  which the Company may elect to
          register in  connection  with the offering of  Registrable  Securities
          pursuant to this section 13.1,

all to the extent  requisite to permit the  disposition  (in accordance with the
intended  methods  thereof as aforesaid) of the  Registrable  Securities and the
additional shares of Common Stock, if any so to be registered.

          (b) Registration Statement Form. Registrations under this section 13.1
     shall be on such appropriate  registration  form of the Commission as shall
     permit the  disposition of such  Registrable  Securities in accordance with
     the intended method or methods of disposition  specified in the request for
     such  registration.  The Company agrees to include in any such registration
     statement all  information  which holders of Registrable  Securities  being
     registered shall reasonably request.

          (c)  Expenses.  The  Company  will pay all  Registration  Expenses  in
     connection with any registration requested pursuant to this section 13.1 by
     any Initiating Holders of Registrable Securities;  provided,  however, that
     for any  registration,  any selling holder of Registrable  Securities shall
     pay its own legal and  accounting  fees and expenses  and any  underwriting
     spreads or discounts associated with its shares.

          (d)  Effective   Registration   Statement.  A  registration  requested
     pursuant to this section 13.1 shall not be deemed to have been effected (i)
     unless a registration  statement with respect thereto has become effective,
     provided  that a  registration  which does not become  effective  after the
     Company has filed a registration  statement with respect  thereto solely by
     reason of the refusal to proceed of the  Initiating  Holders  (other than a
     refusal to proceed  based upon the advice of counsel  relating  to a matter
     with respect to the Company)  shall be deemed to have been  effected by the
     Company at the request of such  Initiating  Holders  unless the  Initiating
     Holders shall have elected to pay all  Registration  Expenses in connection
     with  such  registration,  (ii) if,  after it has  become  effective,  such
     registration  becomes subject to any stop order,  injunction or other order
     or requirement of the Commission or other governmental  agency or court for
     any reason,  or (iii) the  conditions to closing  specified in the purchase
     agreement or  underwriting  agreement  entered into in connection with such
     registration  are not  satisfied,  other  than  by  reason  of some  act or
     omission by such Initiating Holders.

          (e) Selection of Underwriters. If a requested registration pursuant to
     this section 13.1 involves an  underwritten  offering,  the  underwriter or
     underwriters  thereof  shall  be  selected  by the  holders  of at  least a
     majority (by number of shares) of the  Registrable  Securities  as to which
     registration has been requested.  (f) Priority in Requested  Registrations.
     If a requested  registration  pursuant  to this  section  13.1  involves an
     underwritten  offering,  and the  managing  underwriter  shall  advise  the
     Company in writing  (with a copy to each holder of  Registrable  Securities
     requesting  registration)  that,  in its opinion,  the number of securities
     requested to be included in such registration  exceeds the number which can
     be sold in such offering within a price range  acceptable to the holders of
     a majority of the Registrable  Securities  requested to be included in such
     registration,  the Company will include in such registration, to the extent
     of the number which the Company is so advised can be sold in such offering,
     Registrable  Securities  (and any securities  owned by any affiliate of the
     Purchaser)  requested to be included in such  registration by the holder or
     holders of Registrable Securities,  pro rata among the holders thereof such
     holders  requesting  such  registration  on the basis of the number of such
     securities requested to be included by such holders.

          13.2. Incidental Registration.

          (a) Right to Include  Registrable  Securities.  If the  Company at any
     time proposes to register any of its  securities  under the  Securities Act
     (other  than  (A) a  registration  on Form S-4 or S-8 or any  successor  or
     similar  forms,  (B) a  registration  pursuant to section 13.1, (C) a shelf
     registration for shares of the Company's Series A Preferred Stock issued to
     an  affiliate  of the  Purchaser  and (D) any  registration  of the  shares
     underlying the Company's Series B Preferred Stock), whether or not for sale
     for its own account,  it will each such time give prompt  written notice to
     all holders of Registrable Securities of its intention to do so and of such
     holders'  rights under this section 13.2.  Upon the written  request of any
     such holder made within 20 days after the receipt of any such notice (which
     request shall specify the Registrable Securities intended to be disposed of
     by such holder and the intended method of disposition thereof), the Company
     will, subject to the terms of this Agreement, effect the registration under
     the Securities Act of all Registrable Securities which the Company has been
     so requested to register by the holders thereof, to the extent requisite to
     permit the disposition (in accordance with the intended  methods thereof as
     aforesaid) of the Registrable Securities so to be registered,  by inclusion
     of such Registrable  Securities in the registration  statement which covers
     the securities which the Company proposes to register, provided that if, at
     any time after  giving  written  notice of its  intention  to register  any
     securities  and prior to the effective date of the  registration  statement
     filed in connection with such registration, the Company shall determine for
     any  reason  either  not to  register  or to  delay  registration  of  such
     securities,  the Company may, at its election,  give written notice of such
     determination to each holder of Registrable Securities and, thereupon,  (i)
     in the case of a  determination  not to register,  shall be relieved of its
     obligation to register any  Registrable  Securities in connection with such
     registration (but not from its obligation to pay the Registration  Expenses
     in connection therewith),  without prejudice, however, to the rights of any
     holder or holders of  Registrable  Securities  entitled to do so to request
     that such  registration  be effected as a registration  under section 13.1,
     and (ii) in the case of a  determination  to  delay  registering,  shall be
     permitted to delay  registering  any Registrable  Securities,  for the same
     period as the delay in registering such other  securities.  No registration
     effected  under  this  section  13.2  shall  relieve  the  Company  of  its
     obligation to effect any  registration  upon request under section 13.1 nor
     shall any such  registration  hereunder  be  deemed  to have been  effected
     pursuant to section 13.1. The Company will pay all Registration Expenses in
     connection  with each  registration  of  Registrable  Securities  requested
     pursuant  to  this  section   13.2;   provided,   however,   that  for  any
     registration,  any selling holder of Registrable  Securities  shall pay its
     own legal and accounting fees and expenses and any underwriting  spreads or
     discounts associated with its shares.

          (b)  Priority  in  Incidental  Registrations.  If  (i) a  registration
     pursuant to this  section  13.2  involves an  underwritten  offering of the
     securities so being registered,  whether or not for sale for the account of
     the Company,  to be distributed (on a firm commitment  basis) by or through
     one or more underwriters of recognized  standing under  underwriting  terms
     appropriate  for such a  transaction,  (ii) the  Registrable  Securities so
     requested  to be  registered  for  sale  for  the  account  of  holders  of
     Registrable  Securities  are not also to be included  in such  underwritten
     offering  (either  because the Company has not been requested so to include
     such Registrable Securities pursuant to section 13.4(b) or, if requested to
     do so, is not  obligated  to do so under  section  13.4(b)),  and (iii) the
     managing underwriter of such underwritten offering shall inform the Company
     and holders of the Registrable  Securities  requesting such registration by
     letter of its belief that the  distribution of all or a specified number of
     such  Registrable   Securities   concurrently  with  the  securities  being
     distributed  by such  underwriters  would  interfere  with  the  successful
     marketing of the securities being  distributed by such  underwriters  (such
     writing  to state the basis of such  belief and the  approximate  number of
     such Registrable  Securities which may be distributed without such effect),
     then  the  Company  may,  upon  written  notice  to  all  holders  of  such
     Registrable  Securities,  reduce pro rata (if and to the  extent  stated by
     such  managing  underwriter  to be necessary to eliminate  such effect) the
     number of such Registrable  Securities the registration of which shall have
     been  requested  by each  holder  of  Registrable  Securities  so that  the
     resultant  aggregate number of such  Registrable  Securities so included in
     such  registration  shall be equal to the  number of shares  stated in such
     managing underwriter's letter.

          13.3. Registration Procedures. If and whenever the Company is required
to effect the  registration of any Registrable  Securities  under the Securities
Act as provided in sections 13.1 and 13.2, the Company shall,  as  expeditiously
as possible:

               (i)  prepare  and  (within  60 days  after the end of the  period
          within which requests for  registration may be given to the Company or
          in any  event  as soon  thereafter  as  possible)  (in  the  case of a
          registration  pursuant to section 13.1,  such filing to be made within
          60 days after the initial request of one or more Initiating Holders of
          Registrable Securities or in any event as soon thereafter as possible)
          file with the  Commission  the  requisite  registration  statement  to
          effect such registration  (including such audited financial statements
          as may be required by the Securities Act or the rules and  regulations
          promulgated  thereunder)  and thereafter use its best efforts to cause
          such registration statement to become and remain effective,  provided,
          however,  that the Company may  discontinue  any  registration  of its
          securities  which  are not  Registrable  Securities  (and,  under  the
          circumstances  specified in section 13.2(a),  its securities which are
          Registrable Securities) at any time prior to the effective date of the
          registration statement relating thereto;

               (ii) prepare and file with the  Commission  such  amendments  and
          supplements to such registration  statement and the prospectus used in
          connection  therewith as may be  necessary  to keep such  registration
          statement   effective  and  to  comply  with  the  provisions  of  the
          Securities  Act with  respect  to the  disposition  of all  securities
          covered by such registration  statement until the earlier of such time
          as all of such securities have been disposed of in accordance with the
          intended  methods of disposition by the seller or sellers  thereof set
          forth  in  such  registration  statement  or  (i)  in  the  case  of a
          registration  pursuant to section  13.1,  the  expiration  of 180 days
          after such registration  statement becomes  effective,  or (ii) in the
          case of a registration  pursuant to section 13.2, the expiration of 90
          days after such registration statement becomes effective;

               (iii) furnish to each seller of Registrable Securities covered by
          such  registration  statement  and each  underwriter,  if any,  of the
          securities  being sold by such seller such number of conformed  copies
          of  such  registration  statement  and  of  each  such  amendment  and
          supplement thereto (in each case including all exhibits),  such number
          of copies of the prospectus  contained in such registration  statement
          (including each preliminary prospectus and any summary prospectus) and
          any other prospectus filed under Rule 424 under the Securities Act, in
          conformity with the requirements of the Securities Act, and such other
          documents,  as such seller and  underwriter,  if any,  may  reasonably
          request in order to facilitate the public sale or other disposition of
          the Registrable Securities owned by such seller;

               (iv) use its  reasonable  best efforts to register or qualify all
          Registrable   Securities   and  other   securities   covered  by  such
          registration  statement  under such other  securities laws or blue sky
          laws of such  jurisdictions  as any seller thereof and any underwriter
          of the securities being sold by such seller shall reasonably  request,
          to keep such  registrations or qualifications in effect for so long as
          such  registration  statement  remains in  effect,  and take any other
          action which may be  reasonably  necessary or advisable to enable such
          seller  and   underwriter  to  consummate  the   disposition  in  such
          jurisdictions of the securities owned by such seller,  except that the
          Company  shall  not  for any  such  purpose  be  required  to  qualify
          generally to do business as a foreign  corporation in any jurisdiction
          wherein it would not but for the requirements of this subdivision (iv)
          be obligated to be so qualified,  to subject itself to taxation in any
          such  jurisdiction  or to consent to general service of process in any
          such jurisdiction;

               (v) use its  reasonable  best  efforts  to cause all  Registrable
          Securities  covered by such  registration  statement to be  registered
          with or approved by such other governmental agencies or authorities as
          may be necessary to enable the seller or sellers thereof to consummate
          the disposition of such Registrable Securities;

               (vi)  furnish to each seller of  Registrable  Securities a signed
          counterpart, addressed to such seller and the underwriters, if any of

          (x) an opinion of counsel for the Company, dated the effective date of
     such  registration   statement  (or,  if  such  registration   includes  an
     underwritten  public  offering,  an opinion  dated the date of the  closing
     under the  underwriting  agreement),  reasonably  satisfactory  in form and
     substance to such seller, and

          (y) a "comfort"  letter (or, in the case of such Person which does not
     satisfy  the  conditions  for receipt of a "comfort"  letter  specified  in
     Statement  on  Auditing  Standards  No.  72, an  "agreed  upon  procedures"
     letter),  dated the effective date of such registration  statement (and, if
     such registration  includes an underwritten public offering, a letter dated
     the date of the closing under the  underwriting  agreement),  signed by the
     independent public  accountants who have certified the Company's  financial
     statements included in such registration statement,

covering  substantially  the same  matters  with  respect  to such  registration
statement  (and  the  prospectus  included  therein)  and,  in the  case  of the
accountants'  letter,  with  respect  to events  subsequent  to the date of such
financial statements, as are customarily covered in opinions of issuer's counsel
and in accountants' letters delivered to the underwriters in underwritten public
offerings  of  securities  (with,  in the case of an  "agreed  upon  procedures"
letter,  such  modifications  or deletions as may be required under Statement on
Auditing  Standards No. 35) and, in the case of the  accountants'  letter,  such
other financial matters, and, in the case of the legal opinion, such other legal
matters, as such seller (or the underwriters, if any) may reasonably request;

               (vii)  notify  the  holders  of  Registrable  Securities  and the
          managing  underwriter or  underwriters,  if any,  promptly and confirm
          such advice in writing promptly thereafter:

          (v) when the registration statement,  the prospectus or any prospectus
supplement  related  thereto or  post-effective  amendment  to the  registration
statement has been filed, and, with respect to the registration statement or any
post-effective amendment thereto, when the same has become effective;

          (w) of any request by the  Commission for amendments or supplements to
the registration statement or the prospectus or for additional information;

          (x) of the issuance by the Commission of any stop order suspending the
effectiveness of the registration statement or the initiation of any proceedings
by any Person for that purpose;

          (y) if at any time the  representations  and warranties of the Company
made as contemplated by section 13.4 below cease to be true and correct;

          (z) of the receipt by the Company of any notification  with respect to
the suspension of the qualification of any Registrable Securities for sale under
the securities or blue sky laws of any  jurisdiction or the initiation or threat
of any proceeding for such purpose;

               (viii) notify each seller of  Registrable  Securities  covered by
          such registration  statement,  at any time when a prospectus  relating
          thereto is required to be delivered under the Securities Act, upon the
          Company's  discovery  that,  or upon 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  any  material  fact  required  to be
          stated  therein  or  necessary  to make  the  statements  therein  not
          misleading in the light of the circumstances then existing under which
          they were made, and at the request of any such seller promptly prepare
          and furnish to such seller and each underwriter,  if any, a reasonable
          number of copies of a supplement to or an amendment of such prospectus
          as may be necessary so that, as thereafter delivered to the purchasers
          of such  securities,  such  prospectus  shall  not  include  an 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 not
          misleading in the light of the circumstances then existing under which
          they were made;

               (ix) otherwise use its reasonable best efforts to comply with all
          applicable rules and regulations of the Commission, and make available
          to its  security  holders,  as  soon  as  reasonably  practicable,  an
          earnings  statement covering the period of at least twelve months, but
          not more than  eighteen  months,  beginning  with the first day of the
          Company's  first full calendar  month quarter after the effective date
          of such registration statement, which earnings statement shall satisfy
          the  provisions  of Section 11(a) of the  Securities  Act and Rule 158
          thereunder,  and will  furnish  to each  such  seller  at least  three
          Business  Days prior to the filing  thereof a copy of any amendment or
          supplement to such registration  statement or prospectus and shall not
          file any  thereof  to which  any such  seller  shall  have  reasonably
          objected on the grounds  that such  amendment or  supplement  does not
          comply  in  all  material   respects  with  the  requirements  of  the
          Securities Act or of the rules or regulations thereunder;

               (x)  make  available  for  inspection  by  a  representative   or
          representatives  of the holders of Registrable  Securities , each such
          representative representing the holders of not less than a majority of
          the  Registrable   Securities   included  in  the  registration,   any
          underwriter   participating   in  any  disposition   pursuant  to  the
          registration statement and any attorney or accountant retained by such
          selling holders or underwriter  (each, an "Inspector"),  all financial
          and other records, pertinent corporate documents and properties of the
          Company (the "Records"),  and cause the Company's officers,  directors
          and employees to supply all  information  reasonably  requested by any
          such Inspector in connection with such registration in order to permit
          a  reasonable  investigation  within the  meaning of Section 11 of the
          Securities  Act,  provided  that the Company  shall not be required to
          comply with this subdivision (x) if there is a reasonable  likelihood,
          in the judgment of the Company, that such delivery could result in the
          loss of any  attorney-client  privilege related thereto;  and provided
          further that Records which the Company  determines,  in good faith, to
          be confidential  and which it notifies the Inspectors are confidential
          shall not be disclosed by the Inspectors  (other than to any holder of
          Registrable  Securities) unless (x) such Records have become generally
          available to the public or (y) the  disclosure  of such Records may be
          necessary  or  appropriate  (A) in  compliance  with  any  law,  rule,
          regulation  or order  applicable  to any such  Inspectors or holder of
          Registrable Securities, (B) in response to any subpoena or other legal
          process  or (C) in  connection  with  any  litigation  to  which  such
          Inspectors or any holder of Registrable Securities is a party;

               (xi)  provide  and cause to be  maintained  a transfer  agent and
          registrar for all Registrable  Securities covered by such registration
          statement  from and after a date not later than the effective  date of
          such registration statement;

               (xii) enter into such  agreements  and take such other actions as
          sellers of such Registrable Securities holding 51% of the shares so to
          be sold shall  reasonably  request in order to expedite or  facilitate
          the disposition of such Registrable Securities;

               (xiii) use its  reasonable  best efforts to list all  Registrable
          Securities  covered by such  registration  statement on any securities
          exchange  on which  any of the  securities  of the  same  class as the
          Registrable Securities are then listed; and

               (xiv) use its best  efforts  to  provide a CUSIP  number  for the
          Registrable  Securities,  not  later  than the  effective  date of the
          registration statement.

The Company may require each seller of  Registrable  Securities  as to which any
registration is being effected to furnish the Company such information regarding
such seller and the distribution of such securities as the Company may from time
to time reasonably request in writing.

          Each holder of  Registrable  Securities  agrees by acquisition of such
Registrable  Securities that, upon receipt of any notice from the Company of the
occurrence  of any  event of the kind  described  in  subdivision  (vii) of this
section 13.3, such holder will forthwith  discontinue such holder's  disposition
of Registrable  Securities  pursuant to the registration  statement  relating to
such  Registrable  Securities  until such holder's  receipt of the copies of the
supplemented or amended  prospectus  contemplated  by subdivision  (vii) of this
section 13.3 and, if so directed by the Company, will deliver to the Company (at
the Company's  expense) all copies,  other than permanent  file copies,  then in
such  holder's  possession  of  the  prospectus  relating  to  such  Registrable
Securities  current  at the time of  receipt  of such  notice.  In the event the
Company shall give any such notice,  the period  mentioned in paragraph  (ii) of
this  section  13.3  shall be  extended  by the  length of the  period  from and
including  the date when each seller of any  Registrable  Securities  covered by
such registration statement shall have received such notice to the date on which
each such  seller  has  received  the  copies  of the  supplemented  or  amended
prospectus contemplated by paragraph (vii) of this section 13.3.

          If any such registration or comparable  statement refers to any holder
of  Registrable  Securities by name or otherwise as the holder of any securities
of the  Company  then  such  holder  shall  have the  right to  require  (i) the
insertion  therein  of  language,  in form and  substance  satisfactory  to such
holder,  to the effect that the holding by such holder of such securities is not
to be construed as a recommendation by such holder of the investment  quality of
the Company's  securities  covered  thereby and that such holding does not imply
that such holder will assist in meeting any future financial requirements of the
Company,  or (ii) in the event  that such  reference  to such  holder by name or
otherwise is not required by the Securities Act or any similar  federal  statute
then in force, the deletion of the reference to such holder.

          13.4. Underwritten Offerings.

          (a) Requested Underwritten Offerings. If requested by the underwriters
     for any underwritten offering by holders of Registrable Securities pursuant
     to a registration requested under section 13.1, the Company will enter into
     an underwriting  agreement with such  underwriters for such offering,  such
     agreement to be  satisfactory  in substance  and form to the Company,  each
     such holder and the underwriters,  and to contain such  representations and
     warranties by the Company and such other terms as are generally  prevailing
     in agreements of this type, including,  without limitation,  indemnities to
     the effect and to the extent  provided in section 13.7.  The holders of the
     Registrable  Securities  will cooperate with the Company in the negotiation
     of the underwriting agreement and will give consideration to the reasonable
     suggestions  of the  Company  regarding  the form  thereof,  provided  that
     nothing herein  contained  shall diminish the foregoing  obligations of the
     Company.  The holders of  Registrable  Securities to be distributed by such
     underwriters  shall be parties to such  underwriting  agreement and may, at
     their option, require that any or all of the representations and warranties
     by, and the other  agreements  on the part of,  the  Company to and for the
     benefit of such  underwriters  shall also be made to and for the benefit of
     such  holders  of  Registrable  Securities  and  that  any  or  all  of the
     conditions  precedent to the  obligations of such  underwriters  under such
     underwriting  agreement be conditions  precedent to the obligations of such
     holders  of  Registrable   Securities.   Any  such  holder  of  Registrable
     Securities shall not be required to make any  representations or warranties
     to  or  agreements  with  the  Company  or  the  underwriters   other  than
     representations  and  warranties  contained in a writing  furnished by such
     holder  expressly  for use in such  registration  statement  or  agreements
     regarding  such  holder,  such  holder's  Registrable  Securities  and such
     holder's  intended  method of  distribution  and any  other  representation
     required by law.

          (b)  Incidental  Underwritten  Offerings.  If the  Company at any time
     proposes to register  any of its  securities  under the  Securities  Act as
     contemplated  by section 13.2 and such  securities are to be distributed by
     or through one or more underwriters,  the Company will, if requested by any
     holder of Registrable Securities as provided in section 13.2 and subject to
     the  provisions  of section  13.2(b),  use its  reasonable  best efforts to
     arrange for such underwriters to include all the Registrable  Securities to
     be offered and sold by such holder among the  securities to be  distributed
     by  such  underwriters.   The  holders  of  Registrable  Securities  to  be
     distributed  by such  underwriters  shall be  parties  to the  underwriting
     agreement  between  the  Company  and such  underwriters  and may, at their
     option,  require that any or all of the  representations and warranties by,
     and the other agreements on the part of, the Company to and for the benefit
     of such  underwriters  shall  also be made to and for the  benefit  of such
     holders of  Registrable  Securities  and that any or all of the  conditions
     precedent to the obligations of such  underwriters  under such underwriting
     agreement be  conditions  precedent to the  obligations  of such holders of
     Registrable Securities. Any such holder of Registrable Securities shall not
     be required to make any representations or warranties to or agreements with
     the Company or the underwriters other than  representations,  warranties or
     agreements regarding such holder, such holder's Registrable  Securities and
     such holder's intended method of distribution and any other  representation
     required by law.

          (c) Holdback Agreements.

               (i) Each holder of Registrable  Securities  agrees by acquisition
          of  such  Registrable  Securities,  if so  required  by  the  managing
          underwriter,  not to sell,  make any short  sale of,  loan,  grant any
          option for the purchase of, effect any public sale or  distribution of
          or otherwise dispose of any equity  securities of the Company,  during
          the  seven  days  prior to and the 135  days  after  any  underwritten
          registration  pursuant to section  13.1 or 13.2 has become  effective,
          except as part of such underwritten registration.  Notwithstanding the
          foregoing sentence,  each holder of Registrable  Securities subject to
          the foregoing  sentence shall be entitled to sell during the foregoing
          period securities in a private sale.

               (ii)  The  Company  agrees  (x) if so  required  by the  managing
          underwriter  not to sell,  make any  short  sale of,  loan,  grant any
          option for the purchase of, effect any public sale or  distribution of
          or  otherwise   dispose  of  its  equity   securities   or  securities
          convertible  into  or  exchangeable  or  exercisable  for  any of such
          securities  during  the seven days prior to and the 135 days after any
          underwritten  registration pursuant to section 13.1 or 13.2 has become
          effective, except as part of such underwritten registration and except
          pursuant to registrations on Form S-4, S-8 or any successor or similar
          forms thereto,  and (y) to cause each holder of its equity  securities
          or any securities  convertible into or exchangeable or exercisable for
          any of such  securities,  in each  case  purchased  directly  from the
          Company at any time after the date of this Agreement  (other than in a
          public  offering) to agree not to sell,  make any short sale of, loan,
          grant any option for the purchase  of,  effect any such public sale or
          distribution of or otherwise  dispose of such  securities  during such
          period except as part of such underwritten registration.

          (d) Participation in Underwritten Offerings. No Person may participate
in any  underwritten  offering  hereunder  unless such Person (i) agrees to sell
such Person's securities on the basis provided in any underwriting  arrangements
approved,  subject to the terms and  conditions  hereof,  by the Company and the
holders  of a  majority  of  Registrable  Securities  to  be  included  in  such
underwritten  offering  and (ii)  completes  and  executes  all  questionnaires,
indemnities,  underwriting  agreements and other documents (other than powers of
attorney)   required  under  the  terms  of  such   underwriting   arrangements.
Notwithstanding the foregoing,  no underwriting agreement (or other agreement in
connection   with  such  offering)  shall  require  any  holder  of  Registrable
Securities to make any  representations  or warranties to or agreements with the
Company or the underwriters other than  representations and warranties contained
in a  writing  furnished  by  such  holder  expressly  for  use in  the  related
registration  statement  or  agreements  regarding  such holder,  such  holder's
Registrable Securities and such holder's intended method of distribution and any
other representation required by law.

          13.5. Preparation;  Reasonable  Investigation.  In connection with the
preparation and filing of each  registration  statement under the Securities Act
pursuant to this  Agreement,  the Company  will give the holders of  Registrable
Securities registered under such registration statement, their underwriters,  if
any,  and  their  respective   counsel  and  accountants,   the  opportunity  to
participate in the preparation of such registration  statement,  each prospectus
included  therein or filed with the  Commission,  and each amendment  thereof or
supplement  thereto,  and will give  each of them  such  access to its books and
records and such  opportunities  to discuss the business of the Company with its
officers and the independent public accountants who have certified its financial
statements  as shall be  necessary,  in the  opinion of such  holders'  and such
underwriters'  respective counsel, to conduct a reasonable  investigation within
the meaning of the Securities Act.

          13.6.  Rights of  Holders.  If any  registration  statement  under the
Securities  Act refers to any holder by name or  otherwise  as the holder of any
securities of the Company,  then such holder shall have the right to require (a)
the insertion  therein of language,  in form and substance  satisfactory to such
holder,  to the effect that the holding by such holder of such  securities  does
not  necessarily  make such holder a "controlling  person" of the Company within
the meaning of the Securities  Act and is not to be construed as  recommendation
by such  holder  of the  investment  quality  of the  Company's  debt or  equity
securities covered thereby and that such holding does not imply that such holder
will assist in meeting any future financial  requirements of the Company, or (b)
in the event that such  reference  to such  holder by name or  otherwise  is not
required  by the  Securities  Act  or  any  rules  and  regulations  promulgated
thereunder, the deletion of the reference to such holder. 13.7. Indemnification.

          (a)  Indemnification  by the Company.  In the case of any registration
     statement  filed  pursuant to Section 13.1 or 13.2,  the Company will,  and
     hereby does,  indemnify  and hold  harmless  the holder of any  Registrable
     Securities  covered  by such  registration  statement,  its  directors  and
     officers,  each other  Person who  participates  as an  underwriter  in the
     offering or sale of such  securities  and each other  Person,  if any,  who
     controls  such  holder or any such  underwriter  within the  meaning of the
     Securities Act, against any losses, claims,  damages or liabilities,  joint
     or  several,  to which  such  holder or any such  director  or  officer  or
     underwriter or  controlling  person may become subject under the Securities
     Act or otherwise,  insofar as such losses,  claims,  damages or liabilities
     (or actions or  proceedings,  whether  commenced or threatened,  in respect
     thereof)  arise out of or are based  upon any untrue  statement  or alleged
     untrue  statement  of any  material  fact  contained  in  any  registration
     statement under which such securities were registered  under the Securities
     Act, any preliminary  prospectus,  final  prospectus or summary  prospectus
     contained therein,  or any amendment or supplement thereto, or 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, and the
     Company  will  reimburse  such  holder  and each  such  director,  officer,
     underwriter  and  controlling  person  for any legal or any other  expenses
     reasonably  incurred by them in connection with  investigating or defending
     any such loss, claim,  liability,  action or proceeding,  provided that the
     Company  shall not be liable in any such case to the  extent  that any such
     loss, claim, damage, liability (or action or proceeding in respect thereof)
     or expense  arises out of or is based upon an untrue  statement  or alleged
     untrue statement or omission or alleged omission made in such  registration
     statement,  any such  preliminary  prospectus,  final  prospectus,  summary
     prospectus, amendment or supplement in reliance upon and in conformity with
     written  information  furnished to the Company  through an instrument  duly
     executed  by such  holder  specifically  stating  that it is for use in the
     preparation  thereof and,  provided,  further that the Company shall not be
     liable to any Person who participates as an underwriter, in the offering or
     sale of Registrable Securities or to any other Person, if any, who controls
     such underwriter within the meaning of the Securities Act, in any such case
     to the extent that any such loss,  claim,  damage,  liability (or action or
     proceeding  in  respect  thereof)  or expense  arises out of such  Person's
     failure to send or give a copy of the final prospectus,  as the same may be
     then  supplemented  or amended,  within the time required by the Securities
     Act to the Person asserting an untrue statement or alleged untrue statement
     or omission or alleged omission at or prior to the written  confirmation of
     the sale of  Registrable  Securities  to such Person if such  statement  or
     omission  was  corrected in such final  prospectus.  Such  indemnity  shall
     remain in full force and effect regardless of any investigation  made by or
     on behalf of such  holder or any such  director,  officer,  underwriter  or
     controlling  person and shall  survive the transfer of such  securities  by
     such holder.

          (b)  Indemnification  by the Sellers.  The Company may  require,  as a
     condition to  including  any  Registrable  Securities  in any  registration
     statement  filed  pursuant to section  13.3,  that the  Company  shall have
     received an undertaking  satisfactory to it from the prospective  seller of
     such  Registrable  Securities,  to indemnify and hold harmless (in the same
     manner  and to the same  extent  as set  forth in  subdivision  (a) of this
     section 13.7) the Company,  each  director of the Company,  each officer of
     the Company and each other person,  if any, who controls the Company within
     the meaning of the Securities Act, with respect to any statement or alleged
     statement  in or  omission  or  alleged  omission  from  such  registration
     statement,   any  preliminary  prospectus,   final  prospectus  or  summary
     prospectus  contained therein,  or any amendment or supplement  thereto, if
     such  statement or alleged  statement  or omission or alleged  omission was
     made in reliance upon and in conformity with written information  furnished
     to  the  Company  through  an  instrument  duly  executed  by  such  seller
     specifically  stating  that  it is  for  use  in the  preparation  of  such
     registration statement,  preliminary prospectus, final prospectus,  summary
     prospectus,  amendment or supplement.  Any such  indemnity  shall remain in
     full force and effect, regardless of any investigation made by or on behalf
     of the  Company or any such  director,  officer or  controlling  person and
     shall survive the transfer of such securities by such seller.

          (c) Notices of Claims,  etc.  Promptly after receipt by an indemnified
     party of notice of the commencement of any action or proceeding involving a
     claim referred to in the preceding  subdivisions of this section 13.7, such
     indemnified party will, if a claim in respect thereof is to be made against
     an  indemnifying   party,   give  written  notice  to  the  latter  of  the
     commencement  of such action,  provided that the failure of any indemnified
     party to give notice as provided herein shall not relieve the  indemnifying
     party of its obligations  under the preceding  subdivisions of this section
     13.7,  except  to the  extent  that  the  indemnifying  party  is  actually
     prejudiced  by such  failure  to give  notice.  In case any such  action is
     brought against an indemnified  party,  unless in such indemnified  party's
     reasonable  judgment a conflict of interest  between such  indemnified  and
     indemnifying  parties may exist in respect of such claim,  the indemnifying
     party  shall be  entitled  to  participate  in and to  assume  the  defense
     thereof,  jointly with any other indemnifying party similarly notified,  to
     the extent that the  indemnifying  party may wish, with counsel  reasonably
     satisfactory  to  such  indemnified   party,  and  after  notice  from  the
     indemnifying  party to such indemnified  party of its election so to assume
     the defense  thereof,  the  indemnifying  party shall not be liable to such
     indemnified party for any legal or other expenses  subsequently incurred by
     the latter in connection  with the defense  thereof  other than  reasonable
     costs of investigation. No indemnifying party shall, without the consent of
     the indemnified  party,  consent to entry of any judgment or enter into any
     settlement  of any such action  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, or a covenant not to sue, in respect
     to such claim or litigation. No indemnified party shall consent to entry of
     any judgment or enter into any settlement of any such action the defense of
     which has been assumed by an indemnifying party without the consent of such
     indemnifying party.

          (d) Other Indemnification.  Indemnification  similar to that specified
     in the  preceding  subdivisions  of this  section  13.7  (with  appropriate
     modifications) shall be given by the Company and each seller of Registrable
     Securities with respect to any required registration or other qualification
     of  securities  under  any  Federal  or  state  law  or  regulation  of any
     governmental authority, other than the Securities Act.

          (e) Indemnification  Payments.  The  indemnification  required by this
     section  13.7 shall be made by  periodic  payments  of the  amount  thereof
     during the course of the  investigation  or defense,  as and when bills are
     received or expense, loss, damage or liability is incurred.

          (f) Contribution. If the indemnification provided for in the preceding
     subdivisions of this section 13.7 is unavailable to an indemnified party in
     respect of any  expense,  loss,  claim,  damage or  liability  referred  to
     therein,  then  each  indemnifying  party,  in  lieu of  indemnifying  such
     indemnified  party,  shall contribute to the amount paid or payable by such
     indemnified  party as a result  of such  expense,  loss,  claim,  damage or
     liability (i) in such  proportion as is appropriate to reflect the relative
     benefits  received  by the  Company  on the  one  hand  and the  holder  or
     underwriter,  as the case may be, on the other from the distribution of the
     Registrable  Securities  or (ii) if the  allocation  provided by clause (i)
     above  is not  permitted  by  applicable  law,  in  such  proportion  as is
     appropriate to reflect not only the relative benefits referred to in clause
     (i) above but also the relative fault of the Company on the one hand and of
     the holder or  underwriter,  as the case may be, on the other in connection
     with the  statements or omissions  which  resulted in such  expense,  loss,
     damage   or   liability,   as  well  as  any   other   relevant   equitable
     considerations.  The relative  benefits  received by the Company on the one
     hand and the  holder  or  underwriter,  as the case may be, on the other in
     connection with the  distribution of the  Registrable  Securities  shall be
     deemed to be in the same  proportion as the total net proceeds  received by
     the Company  from the initial  sale of the  Registrable  Securities  by the
     Company to the  purchasers  pursuant  to the Credit  Agreement  bear to the
     gain, if any, realized by the selling holder or the underwriting  discounts
     and  commissions  received  by the  underwriter,  as the case  may be.  The
     relative  fault  of the  Company  on the  one  hand  and of the  holder  or
     underwriter,  as the case may be,  on the  other  shall  be  determined  by
     reference  to,  among other  things,  whether the untrue or alleged  untrue
     statement of a material  fact or omission to state a material  fact relates
     to information supplied by the Company, by the holder or by the underwriter
     and the parties'  relative  intent,  knowledge,  access to information  and
     opportunity to correct or prevent such statement or omission, provided that
     the foregoing  contribution agreement shall not inure to the benefit of any
     indemnified  party  if   indemnification   would  be  unavailable  to  such
     indemnified  party by  reason  of the  provisions  contained  in the  first
     sentence of subdivision (a) of this section 13.7, and in no event shall the
     obligation of any  indemnifying  party to contribute under this subdivision
     (f)  exceed  the  amount  that  such  indemnifying  party  would  have been
     obligated to pay by way of indemnification if the indemnification  provided
     for under  subdivisions  (a) or (b) of this section 13.7 had been available
     under the circumstances.

          The Company and the holders of  Registrable  Securities  agree that it
     would  not  be  just  and  equitable  if  contribution   pursuant  to  this
     subdivision (f) were determined by pro rata allocation (even if the holders
     and any underwriters were treated as one entity for such purpose) or by any
     other  method of  allocation  that does not take  account of the  equitable
     considerations  referred to in the  immediately  preceding  paragraph.  The
     amount paid or payable by an  indemnified  party as a result of the losses,
     claims,  damages and liabilities  referred to in the immediately  preceding
     paragraph shall be deemed to include,  subject to the limitations set forth
     in the preceding  sentence and  subdivision  (c) of this section 13.7,  any
     legal or other expenses  reasonably  incurred by such indemnified  party in
     connection with investigating or defending any such action or claim.

          Notwithstanding  the provisions of this  subdivision (f), no holder of
     Registrable  Securities or underwriter  shall be required to contribute any
     amount in excess of the amount by which (i) in the case of any such holder,
     the net  proceeds  received  by such  holder  from the sale of  Registrable
     Securities or (ii) in the case of an underwriter,  the total price at which
     the  Registrable  Securities  purchased by it and distributed to the public
     were  offered to the public  exceeds,  in any such case,  the amount of any
     damages that such holder or underwriter  has otherwise been required to pay
     by reason of such untrue or alleged untrue statement or omission. No Person
     guilty of fraudulent misrepresentation (within the meaning of Section 11(f)
     of the Securities  Act) shall be entitled to  contribution  from any person
     who was not guilty of such fraudulent misrepresentation.

          14.  Definitions.  Capitalized  terms used but not defined herein have
the  meanings  ascribed to such terms in the Credit  Agreement.  As used herein,
unless the context  otherwise  requires,  the following terms have the following
respective meanings:

          Acquiring  Person:  With reference to the transactions  referred to in
clauses (a) through (d) of section 3.1, the continuing or surviving  corporation
of a consolidation  or merger with the Company (if other than the Company),  the
transferee  of  substantially  all  of  the  properties  of  the  Company,   the
corporation consolidating with or merging into the Company in a consolidation or
merger in  connection  with which the Common  Stock is changed into or exchanged
for stock or other securities of any other Person or cash or any other property,
or, in the case of a capital  reorganization or  reclassification,  the Company.
Acquisition  Price: As applied to the Common Stock,  (a) the Market Price on the
date immediately  preceding the date on which any transaction to which section 3
applies is consummated,  or (b) if a purchase,  tender or exchange offer is made
by the  Acquiring  Person (or by any of its  affiliates)  to the  holders of the
Common  Stock and such offer is  accepted by the holders of more than 50% of the
outstanding  shares of Common Stock,  the greater of (i) the price determined in
accordance with the provisions of the foregoing  clause (a) of this sentence and
(ii) the Market Price on the date  immediately  preceding the acceptance of such
offer by the holders of more than 50% of the outstanding shares of Common Stock.

          Additional  Shares of Common  Stock:  All shares  (including  treasury
shares) of Common  Stock  issued or sold (or,  pursuant  to section  2.3 or 2.4,
deemed to be  issued)  by the  Company  after the date  hereof,  whether  or not
subsequently reacquired or retired by the Company.

          Business  Day:  Any day other than a Saturday  or a Sunday or a day on
which commercial banking  institutions in the City of New York are authorized by
law to be closed.  Any reference to "days" (unless  Business Days are specified)
shall mean calendar days.

          Commission:  The  Securities  and  Exchange  Commission  or any  other
federal agency at the time administering the Securities Act.

          Common Stock:  As defined in the  introduction  to this Warrant,  such
term to include any stock into which such Common  Stock shall have been  changed
or any stock resulting from any  reclassification  of such Common Stock, and all
other  stock of any class or classes  (however  designated)  of the  Company the
holders of which have the right, without limitation as to amount,  either to all
or to a share of the  balance of current  dividends  and  liquidating  dividends
after the  payment of  dividends  and  distributions  on any shares  entitled to
preference.

          Company: As defined in the introduction to this Warrant,  such term to
include any corporation  which shall succeed to or assume the obligations of the
Company hereunder in compliance with section 3.

          Convertible Securities: Any evidences of indebtedness, shares of stock
(other than Common Stock) or other securities directly or indirectly convertible
into or exchangeable for Additional Shares of Common Stock.

          Credit Agreement: As defined in the introduction to this Warrant.

          Current Market Price: On any date specified herein,  the average daily
Market Price during the period of the most recent 20 days,  ending on such date,
on which the national securities exchanges were open for trading, except that if
no Common Stock is then listed or admitted to trading on any national securities
exchange or quoted in the  over-the-counter  market,  the Current  Market  Price
shall be the Market Price on such date.

          Exchange  Act: The  Securities  Exchange  Act of 1934,  or any similar
federal statute, and the rules and regulations of the Commission thereunder, all
as the same shall be in effect at the time.

          Initiating  Holders:  Any holder or holders of Registrable  Securities
holding at least 25% of the  Registrable  Securities (by number of shares at the
time issued and outstanding),  and initiating a request pursuant to section 13.1
for the  registration  of all or part of such  holder's or holders'  Registrable
Securities.

          Institutional  Holder:  Any original  purchaser  of any  Warrant,  any
insurance company,  pension fund, mutual fund, investment company, bank, savings
bank,  savings  and  loan  association,   broker-dealer,   investment   adviser,
investment banking company,  trust company or any finance or credit company, any
portfolio  or any  investment  fund managed by any of the  foregoing,  any other
institutional investor and any nominee of any of the foregoing.

          Market Price:  On any date specified  herein,  the amount per share of
the Common Stock, equal to (a) the last sale price of such Common Stock, regular
way, on such date or, if no such sale takes  place on such date,  the average of
the  closing  bid and  asked  prices  thereof  on  such  date,  in each  case as
officially  reported on the principal national securities exchange on which such
Common Stock is then listed or admitted to trading,  or (b) if such Common Stock
is not then listed or admitted to trading on any  national  securities  exchange
but is designated as a national  market  system  security by the NASD,  the last
trading  price of the Common Stock on such date, or (c) if there shall have been
no trading on such date or if the Common Stock is not so designated, the average
of the closing bid and asked prices of the Common Stock on such date as shown by
the NASD  automated  quotation  system,  or (d) if such Common Stock is not then
listed  or  admitted  to  trading  on any  national  exchange  or  quoted in the
over-the-counter  market, the higher of (x) the book value thereof as determined
by any firm of independent public accountants of recognized standing selected by
the Board of  Directors  of the  Company as of the last day of any month  ending
within 60 days preceding the date as of which the determination is to be made or
(y) the fair value thereof determined in good faith by the Board of Directors of
the  Company  as of a date  which is  within 18 days of the date as of which the
determination is to be made.

          Market  Value:  Per  share  of  common  stock  (or  equivalent  equity
interests) of the Acquiring  Person or its Parent on any date specified  herein,
(a) the average of the last sale  prices,  regular  way,  on the 20  consecutive
business days  immediately  preceding  such date or, if there shall have been no
sale on any such day,  the average of the  closing bid and asked  prices on such
date, in each case as officially  reported on the principal national  securities
exchange  on which  such  common  stock is at the time  listed  or  admitted  to
trading,  or (b) if such common  stock is not then listed or admitted to trading
on any national  securities  exchange,  but is designated  as a national  market
system  security by the NASD, the last trading price of the common stock on such
date, or if there shall have been no trading on such date or if the common stock
is not so designated,  the average of the reported  closing bid and asked prices
on such 20 days as shown by the NASD automated quotation system.

          NASD: The National Association of Securities Dealers, Inc.

          Notes:  Collectively,  the Tranche A Term Notes, due June 30, 2003, of
the Company originally issued in the aggregate  principal amount of $25 million,
the Tranche B Term Notes, due June 30, 2004, of the Company originally issued in
the aggregate amount of $25 million,  and the Revolving Notes, issued originally
due June 30, 2001,  of the Company in the  aggregate  amount of $10 million,  in
each case issued pursuant to the Credit Agreement,  and such term to include any
such notes issued in substitution for such notes.

          Options:  Rights,  options or warrants to subscribe  for,  purchase or
otherwise  acquire  either  Additional  Shares  of Common  Stock or  Convertible
Securities.

          Other  Securities:  Any stock  (other  than  Common  Stock)  and other
securities of the Company or any other Person (corporate or otherwise) which the
holders of the Warrants at any time shall be entitled to receive,  or shall have
received, upon the exercise of the Warrants, in lieu of or in addition to Common
Stock,  or which at any time  shall be  issuable  or shall  have been  issued in
exchange for or in replacement of Common Stock or Other  Securities  pursuant to
section 3 or otherwise.

          Parent:  As to any Acquiring Person any corporation which (a) controls
the Acquiring Person directly or indirectly through one or more  intermediaries,
(b) is required to include the Acquiring  Person in the  consolidated  financial
statements  contained in such Parent's Annual Report on Form 10-K and (c) is not
itself  included in the  consolidated  financial  statements of any other person
(other than its consolidated subsidiaries).

          Person:  A  corporation,  an  association,  a  partnership,  a limited
liability company, an organization,  a business, an individual,  a government or
political subdivision thereof or a governmental agency.

          Purchaser: As defined in the introduction to this Warrant.

          Registrable  Securities:  (a) Any  shares  of  Common  Stock  or Other
Securities  issued  or  issuable  upon  exercise  of  this  Warrant  and (b) any
securities issued or issuable with respect to any securities  referred to in the
foregoing  subdivision  by way of stock dividend or stock split or in connection
with a combination of shares,  recapitalization,  merger, consolidation or other
reorganization or otherwise. As to any particular Registrable  Securities,  once
issued such  securities  shall  cease to be  Registrable  Securities  when (a) a
registration  statement with respect to the sale of such  securities  shall have
become  effective under the Securities Act and such  securities  shall have been
disposed of in accordance with such registration statement,  (b) they shall have
been distributed to the public pursuant to Rule 144 (or any successor provision)
under the Securities  Act, (c) they shall have been otherwise  transferred,  new
certificates  for them not bearing a legend  restricting  further transfer shall
have been delivered by the Company and subsequent  disposition of them shall not
require  registration or  qualification  of them under the Securities Act or any
similar  state  law  then  in  force,  or  (d)  they  shall  have  ceased  to be
outstanding.

          Registration   Expenses:   All  expenses  incident  to  the  Company's
performance of or compliance with section 13, including, without limitation, all
registration,  filing and NASD fees,  all fees and  expenses of  complying  with
securities  or blue sky laws,  all word  processing,  duplicating  and  printing
expenses, messenger and delivery expenses, the fees and disbursements of counsel
for  the  Company  and of its  independent  public  accountants,  including  the
expenses of any special audits or "cold comfort" letters required by or incident
to such  performance  and  compliance,  premiums  and other costs of policies of
insurance  issued to the Company against  liabilities  arising out of the public
offering  of the  Registrable  Securities  being  registered  and any  fees  and
disbursements  of underwriters  retained by the Company and customarily  paid by
issuers or sellers of  securities,  but  excluding  underwriting  discounts  and
commissions  and  transfer  taxes,  if any,  provided  that,  in any case  where
Registration  Expenses are not to be borne by the Company,  such expenses  shall
not include salaries of Company  personnel or general  overhead  expenses of the
Company,  auditing  fees,  premiums  or other  expenses  relating  to  liability
insurance  required by  underwriters  of the Company or other  expenses  for the
preparation  of  financial  statements  or other data  normally  prepared by the
Company in the ordinary  course of its business or which the Company  would have
incurred in any event.

          Restricted Securities:  (a) Any Warrants bearing the applicable legend
set forth in section 9.1,  (b) any shares of Common Stock (or Other  Securities)
issued upon the exercise of Warrants  which are  evidenced by a  certificate  or
certificates  bearing the applicable  legend set forth in such section,  (c) any
shares of Common Stock (or Other  Securities)  issued subsequent to the exercise
of any of the Warrants as a dividend or other  distribution  with respect to, or
resulting from a subdivision of the outstanding shares of Common Stock (or Other
Securities) into a greater number of shares by reclassification, stock splits or
otherwise,  or in exchange for or in  replacement  of the Common Stock (or Other
Securities)  issued upon such exercise,  which are evidenced by a certificate or
certificates  bearing the applicable  legend set forth in such section,  and (d)
unless the  context  otherwise  requires,  any shares of Common  Stock (or Other
Securities) issuable upon the exercise of Warrants,  which, when so issued, will
be evidenced by a certificate or certificates  bearing the applicable legend set
forth in such section.

          Securities  Act: The  Securities  Act of 1933, or any similar  federal
statute, and the rules and regulations of the Commission thereunder,  all as the
same shall be in effect at the time.

          Series A Preferred Stock: The Company's Series A Convertible Preferred
Stock, par value $.01 per share.

          Series B Preferred Stock: The Company's Series B Convertible Preferred
Stock, par value $.001 per share.

          Series C Preferred Stock: The Company's Series C Convertible Preferred
Stock, par value $.01 per share.

          Transfer:  Any sale,  assignment,  pledge or other  disposition of any
security,  or of any interest  therein,  which could constitute a "sale" as that
term is defined in section 2(3) of the Securities Act. Voting Securities:  Stock
of any class or classes (or equivalent  interests),  if the holders of the stock
of such  class or classes  (or  equivalent  interests)  are  ordinarily,  in the
absence of contingencies, entitled to vote for the election of the directors (or
persons performing  similar functions) of such business entity,  even though the
right so to vote has been suspended by the happening of such a contingency.

          Warrant Price: As defined in section 2.1.

          Warrants: As defined in the introduction to this Warrant.

          Weighted  Average  Warrant  Price:  As to  any  holder  of  Restricted
Securities,  the  price  determined  by  dividing  (a) the sum of the  aggregate
consideration  previously paid by such holder upon the exercise of Warrants plus
the consideration  payable upon the exercise of all Warrants held by such holder
by (b) the sum of (i) the aggregate number of shares previously received by such
holder upon the exercise of Warrants  plus (ii) the number of shares which would
be  received  by such holder  upon the  exercise  of all  Warrants  held by such
holder,  based upon the  Warrant  Price in effect on the  effective  date of the
registration statement in respect of which the Weighted Average Warrant Price is
being determined.

          15. Remedies.  The Company  stipulates that the remedies at law of the
holder of this Warrant in the event of any default or threatened  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,  to the  fullest  extent
permitted by law,  such terms may be  specifically  enforced by a decree for the
specific  performance  of any  agreement  contained  herein or by an  injunction
against a violation of any of the terms hereof or otherwise.

          16. No Rights or Liabilities as Stockholder. Nothing contained in this
Warrant shall be construed as conferring  upon the holder hereof any rights as a
stockholder  of the  Company or as  imposing  any  obligation  on such holder to
purchase  any  securities  or as imposing  any  liabilities  on such holder as a
stockholder of the Company,  whether such obligation or liabilities are asserted
by the Company or by creditors of the Company.

          17. Notices.  All notices and other  communications under this Warrant
shall be in writing and shall be delivered, or mailed by registered or certified
mail, return receipt requested,  by a nationally  recognized  overnight courier,
postage  prepaid,  addressed  (a)  if to  any  holder  of  any  Warrant,  at the
registered  address  of such  holder  as set forth in the  register  kept at the
principal office of the Company,  or (b) if to the Company,  to the attention of
its President at its principal office, provided that the exercise of any Warrant
shall be effective in the manner provided in section 1.

          18.  Amendments.  This  Warrant  and any term  hereof may be  changed,
waived,  discharged or terminated only by an instrument in writing signed by the
party against which enforcement of such change, waiver, discharge or termination
is sought.

          19.  Expiration.  The right to exercise  this Warrant  shall expire at
5:00 p.m., New York City time, on June 30, 2008.

          20.  Descriptive  Headings.  The  headings in this  Agreement  are for
purposes of reference  only and shall not limit or otherwise  affect the meaning
hereof.

          21.  GOVERNING  LAW.  THIS WARRANT  SHALL BE CONSTRUED AND ENFORCED IN
ACCORDANCE  WITH, AND THE RIGHTS OF THE PARTIES SHALL BE GOVERNED BY, THE LAW OF
THE STATE OF NEW YORK, WITHOUT REGARD TO PRINCIPLES OF CONFLICT OF LAWS.

          22.  Judicial  Proceedings;  Waiver of Jury.  Any judicial  proceeding
brought  against the Company  with respect to this Warrant may be brought in any
court of competent jurisdiction in the State of New York or of the United States
of America for the Southern  District of New York and, by execution and delivery
of this Agreement, the Company (a) accepts,  generally and unconditionally,  the
nonexclusive  jurisdiction of such courts and any related  appellate  court, and
irrevocably  agrees to be bound by any judgment  rendered  thereby in connection
with this Warrant,  subject to any rights of appeal,  and (b) irrevocably waives
any objection the Company may now or hereafter  have as to the venue of any such
suit,  action or  proceeding  brought  in such a court or that such  court is an
inconvenient  forum.  The Company hereby waives personal  service of process and
consents, that service of process upon it may be made by certified or registered
mail,  return  receipt  requested,  at its address  specified or  determined  in
accordance  with the  provisions  of section  17,  and  service so made shall be
deemed  completed  on the third  Business Day after such service is deposited in
the mail or, if earlier,  when delivered.  Nothing herein shall affect the right
to serve  process in any other manner  permitted by law or shall limit the right
of any holder of any  Warrant to bring  proceedings  against  the Company in the
courts of any other jurisdiction. THE COMPANY HEREBY WAIVES TRIAL BY JURY IN ANY
JUDICIAL  PROCEEDING  INVOLVING,  DIRECTLY,  OR INDIRECTLY,  ANY MATTER (WHETHER
SOUNDING IN TORT,  CONTRACT OR OTHERWISE) IN ANY WAY ARISING OUT OF, RELATED TO,
OR CONNECTED WITH THIS WARRANT OR THE RELATIONSHIP ESTABLISHED HEREUNDER.


                                                    BMJ MEDICAL MANAGEMENT, INC.



                                                    By:_________________________
                                                       Name:
                                                       Title:


<PAGE>


                              FORM OF SUBSCRIPTION


                 [To be executed only upon exercise of Warrant]


To [NAME OF ISSUER]

The  undersigned  registered  holder of the within  Warrant  hereby  irrevocably
exercises  such Warrant for, and purchases  thereunder,  ______ shares of Common
Stock of [NAME OF ISSUER] and herewith makes payment of $             therefor, 
and requeststhat the certificates for such shares be issued in the name of, and 
delivered to               , whose address is                         .

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


                                            ____________________________________
                                                        (Street Address)

                                            ____________________________________
                                                     (City)(State)(Zip Code)


<PAGE>



                               FORM OF ASSIGNMENT

                 [To be executed only upon transfer of Warrant]


For value  received,  the  undersigned  registered  holder of the within Warrant
hereby sells,  assigns and transfers unto              the right  represented by
such Warrant to purchase              shares of [Common  Stock] of [NAME OF     
ISSUER] to which such Warrant relates,  and appoints             Attorney to    
 make such  transfer on the books of [NAME OF ISSUER]  maintained  for such     
 purpose,  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 Warrant)


                                             ___________________________________
                                                        (Street Address)


                                             ___________________________________
                                                     (City)(State)(Zip Code)

Signed in the presence of:






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


                          BMJ MEDICAL MANAGEMENT, INC.


                          Common Stock Purchase Warrant


                            Dated as of June 30, 1998


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



         THIS WARRANT AND ANY SHARES  ACQUIRED UPON THE EXERCISE OF THIS WARRANT
         HAVE NOT BEEN REGISTERED  UNDER THE SECURITIES ACT OF 1933, AS AMENDED,
         AND MAY NOT BE TRANSFERRED,  SOLD OR OTHERWISE DISPOSED OF EXCEPT WHILE
         A REGISTRATION  UNDER SUCH ACT IS IN EFFECT OR PURSUANT TO AN EXEMPTION
         THEREFROM  UNDER  SUCH  ACT.  THIS  WARRANT  AND  SUCH  SHARES  MAY  BE
         TRANSFERRED  ONLY IN COMPLIANCE  WITH THE CONDITIONS  SPECIFIED IN THIS
         WARRANT.

<PAGE>


1.  Exercise of Warrant..................................................1
   1.1.  Manner of Exercise..............................................1
   1.2.  When Exercise Effective.........................................2
   1.3.  Delivery of Stock Certificates, etc.............................2
   1.4.  Company to Reaffirm Obligations.................................2
   1.5.  Payment by Application of Notes.................................2
   1.6.  Payment by Application of Shares Otherwise Issuable.............3
2.  Adjustment of Common Stock Issuable Upon Exercise....................3
   2.1.  General; Warrant Price..........................................3
   2.2.  Adjustment of Warrant Price.....................................4
     2.2.1  Issuance of Additional Shares of Common Stock................4
     2.2.2  Extraordinary Dividends and Distributions....................5
   2.3.  Treatment of Options and Convertible Securities.................5
   2.4.  Treatment of Stock Dividends, Stock Splits, etc.................8
   2.5.  Computation of Consideration....................................9
   2.6.  Adjustments for Combinations, etc..............................10
   2.7.  Dilution in Case of Other Securities...........................10
   2.8.  Minimum Adjustment of Warrant Price............................11
3.  Consolidation, Merger, etc..........................................11
   3.1.   Adjustments for Consolidation, Merger, Sale 
          of Assets, Reorganization,
          etc...........................................................11
   3.2.  Assumption of Obligations......................................12
4.  Other Dilutive Events...............................................12
5.  No Dilution or Impairment...........................................13
6.  Accountants' Report as to Adjustments...............................14
7.  Notices of Corporate Action.........................................14
8.  Registration of Common Stock........................................15
9.  Restrictions on Transfer............................................15
   9.1.  Restrictive Legends............................................15
   9.2.  Notice of Proposed Transfer; Opinions of Counsel...............16
   9.3.  Termination of Restrictions....................................18
10.  Availability of Information........................................18
11.  Reservation of Stock, etc..........................................19
12. Registration and Transfer of Warrants, etc..........................19
   12.1. Warrant Register; Ownership of Warrants........................19
   12.2.  Transfer and Exchange of Warrants.............................20
   12.3.  Replacement of Warrants.......................................20
13.  Registration under Securities Act, etc.............................20
   13.1.  Registration on Request.......................................20
   13.2.  Incidental Registration.......................................23
   13.3.  Registration Procedures.......................................25
   13.4.  Underwritten Offerings........................................31
   13.5.  Preparation; Reasonable Investigation.........................34
   13.6.  Rights of Holders.............................................34
   13.7.  Indemnification...............................................35
14.  Definitions........................................................39
15.  Remedies...........................................................45
16.  No Rights or Liabilities as Stockholder............................46
17.  Notices............................................................46
18.  Amendments.........................................................46
19.  Expiration.........................................................46
20.  Descriptive Headings...............................................46

FORM OF SUBSCRIPTION................................................... 53

FORM OF ASSIGNMENT..................................................... 53

<PAGE>

                                     BMJ MEDICAL MANAGEMENT, INC.
                                     Common Stock Purchase Warrant


                                                              ------------------
No. W-2                                                            June 30, 1998


          BMJ MEDICAL MANAGEMENT,  INC. (the "Company"), a Delaware corporation,
for value received,  hereby certifies that Paribas,  or registered  assigns,  is
entitled to purchase from the Company 175,000 of the Company's  shares of Common
Stock, par value $.001 per share (the "Common Stock"), at the purchase price per
share of $9.00,  at any time or from time to time prior to 5:00  p.m.,  New York
City  time,  on  June 30,  2008,  all  subject  to  the  terms,  conditions  and
adjustments set forth below in this Warrant.

          This  Warrant  is one of  the  Common  Stock  Purchase  Warrants  (the
"Warrants",  such term to  include  any such  warrants  issued  in  substitution
therefor)  originally  issued in connection  with the issuance by the Company of
Notes  representing  the  obligations  of the  Company  pursuant  to the  Credit
Agreement  (the "Credit  Agreement"),  dated June 30, 1998,  among  Paribas (the
"Purchaser"),  the other Lenders named therein, the Company and Paribas,  acting
in its capacity as agent for the  Lenders.  The  Warrants  originally  so issued
evidence  rights to purchase an aggregate of not less than 2.0% of the Company's
fully diluted shares of Common Stock (determined as of June 30, 1998) subject to
adjustment as provided herein.  Certain  capitalized  terms used in this Warrant
are defined in section 14;  references  to an "Exhibit"  are,  unless  otherwise
specified,  to one of the Exhibits  attached to this Warrant and references to a
"section"  are,  unless  otherwise  specified,  to one of the  sections  of this
Warrant.


          1. Exercise of Warrant.  1.1. Manner of Exercise.  This Warrant may be
exercised by the holder  hereof,  in whole or in part,  during  normal  business
hours on any  Business  Day, by  surrender of this Warrant to the Company at its
principal  office,  accompanied  by a  subscription  in  substantially  the form
attached to this Warrant (or a reasonable  facsimile  thereof)  duly executed by
such holder and  accompanied by payment,  in cash, by certified or official bank
check payable to the order of the Company,  or in the manner provided in section
1.5 or  section  1.6 (or by any  combination  of such  methods),  in the  amount
obtained by multiplying (a) the number of shares of Common Stock (without giving
effect to any adjustment  thereof)  designated in such subscription by (b) $9.00
(up to a maximum of 175,000 shares), and such holder shall thereupon be entitled
to  receive  the  number of duly  authorized,  validly  issued,  fully  paid and
nonassessable  shares  of  Common  Stock (or  Other  Securities)  determined  as
provided in sections 2 through 4.

          1.2.  When Exercise  Effective.  The exercise of this Warrant shall be
deemed to have been effected  immediately  prior to the close of business on the
Business Day on which this Warrant shall have been surrendered to the Company as
provided in section 1.1, and at such time the Person or Persons in whose name or
names any  certificate  or  certificates  for  shares of Common  Stock (or Other
Securities)  shall be  issuable  upon such  exercise  as provided in section 1.3
shall be deemed to have become the holder or holders of record thereof.

          1.3. Delivery of Stock Certificates, etc. As soon as practicable after
the  exercise  of  this  Warrant  and in any  event  within  ten  Business  Days
thereafter,  the Company at its  expense  will cause to be issued in the name of
and  delivered  to the holder  hereof or,  subject to section 9, as such  holder
(upon payment by such holder of any  applicable  transfer  taxes) may direct,  a
certificate or certificates for the number of duly  authorized,  validly issued,
fully paid and  nonassessable  shares of Common Stock (or Other  Securities)  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 equal to the same  fraction of the Market Price per share on the Business
Day next preceding the date of such exercise.

          1.4. Company to Reaffirm Obligations. The Company will, at the time of
the exercise of this Warrant, upon the request of the holder hereof, acknowledge
in  writing  its  continuing  obligation  to afford to such  holder  all  rights
(including,  without  limitation,  any rights to  registration  of the shares of
Common Stock or Other Securities issued upon such exercise) to which such holder
shall continue to be entitled  after such exercise in accordance  with the terms
of this Warrant,  provided that if the holder of this Warrant shall fail to make
any such request, such failure shall not affect the continuing obligation of the
Company to afford such rights to such holder.

          1.5.  Payment  by  Application  of Notes.  Upon the  exercise  of this
Warrant, the holder hereof may, at its option,  instruct the Company, by written
notice  accompanying the surrender of this Warrant at the time of such exercise,
to apply to the  payment  required  by section 1.1 all or any part of the unpaid
principal  amount of any one or more Notes at the time held by such holder which
is at such time due, in which case the Company will accept the principal  amount
specified in such notice in satisfaction of a like amount of such payment absent
manifest error. In case less than the entire unpaid principal amount of any Note
shall be so specified,  the principal amount so specified shall be credited,  as
of the date of such exercise, against the required prepayments of principal then
remaining unpaid on such Note in the inverse order of their maturity dates. Upon
any partial  application of a Note,  the Company at its expense shall  forthwith
issue and deliver to or upon the order of the holder thereof a new Note or Notes
in principal  amount equal to the unpaid  principal  amount of such  surrendered
Note which has not been applied against such payment,  such new Note or Notes to
be dated and to bear interest  from the date to which  interest has been paid on
such  surrendered  Note.  The  Company's  obligation to issue any such new Notes
shall be expressly conditioned upon the simultaneous  surrender by the holder of
any existing  Notes to be replaced by such new Notes.  Within two Business  Days
after  receipt of any such  notice,  the  Company  will pay to the holder of the
Notes giving such notice,  in the manner provided in the Notes and in the Credit
Agreement,  all unpaid  interest on the  principal  amount so  specified in such
notice, accrued to the date of the exercise of such Warrant.

          1.6.  Payment by Application of Shares  Otherwise  Issuable.  Upon the
exercise of this  Warrant,  the holder  hereof may, at its option,  instruct the
Company,  by written  notice  accompanying  the surrender of this Warrant at the
time of such  exercise,  to apply to the  payment  required  by section 1.1 such
number of the shares of Common Stock otherwise issuable to such holder upon such
exercise as shall be specified in such notice,  in which case an amount equal to
the excess of the aggregate  Current  Market Price of such  specified  number of
shares on the date of  exercise  over the  portion of the  payment  required  by
section 1.1 attributable to such shares shall be deemed to have been paid to the
Company and the number of shares issuable upon such exercise shall be reduced by
such specified number.

          2.  Adjustment of Common Stock Issuable Upon Exercise.  2.1.  General;
Warrant  Price.  The number of shares of Common  Stock  which the holder of this
Warrant  shall  be  entitled  to  receive  upon  the  exercise  hereof  shall be
determined  by  multiplying  the number of shares of Common  Stock  which  would
otherwise  (but for the  provisions  of this  section 2) be  issuable  upon such
exercise,  as designated  by the holder  hereof  pursuant to section 1.1, by the
fraction  of which (a) the  numerator  is $9.00 and (b) the  denominator  is the
Warrant Price in effect on the date of such exercise.  The "Warrant Price" shall
initially be $9.00 per share, shall be adjusted and readjusted from time to time
as provided in this section 2 and, as so adjusted or readjusted, shall remain in
effect until a further  adjustment or  readjustment  thereof is required by this
section 2.

          2.2. Adjustment of Warrant Price.

          2.2.1  Issuance  of  Additional  Shares of Common  Stock.  In case the
Company at any time or from time to time after the date  hereof  shall  issue or
sell Additional  Shares of Common Stock (including  Additional  Shares of Common
Stock deemed to be issued pursuant to section 2.3 or 2.4) without  consideration
or for a  consideration  per share less than the greater of the  Current  Market
Price and the Warrant Price in effect  immediately  prior to such issue or sale,
then, and in each such case, subject to section 2.8, such Warrant Price shall be
reduced,  concurrently  with such issue or sale, to a price  (calculated  to the
nearest  .001 of a cent)  determined  by  multiplying  such  Warrant  Price by a
fraction

          (a) the numerator of which shall be (i) the number of shares of Common
     Stock (including,  without limitation, the number of shares of Common Stock
     convertible  or  exchangeable  to  shares  of  Common  Stock)   outstanding
     immediately  prior to such  issue or sale plus (ii) the number of shares of
     Common Stock which the aggregate  consideration received by the Company for
     the total  number of such  Additional  Shares of Common  Stock so issued or
     sold would  purchase at the greater of such  Current  Market Price and such
     Warrant Price, and

          (b) the  denominator  of which shall be the number of shares of Common
     Stock (including,  without limitation, the number of shares of Common Stock
     convertible  or  exchangeable  to  shares  of  Common  Stock)   outstanding
     immediately after such issue or sale,

provided that, for the purposes of this section 2.2.1, (x) immediately after any
Additional  Shares of Common  Stock are deemed to have been  issued  pursuant to
section 2.3 or 2.4, such  Additional  Shares shall be deemed to be  outstanding,
and (y) treasury shares shall not be deemed to be outstanding.

          2.2.2 Extraordinary  Dividends and Distributions.  In case the Company
at any time or from time to time after the date hereof shall declare, order, pay
or make a dividend or other distribution  (including,  without  limitation,  any
distribution  of other or  additional  stock or other  securities or property or
Options by way of dividend or spin-off,  reclassification,  recapitalization  or
similar corporate  rearrangement) on the Common Stock, other than (a) a dividend
payable in Additional  Shares of Common Stock or (b) a dividend  payable in cash
or other  property and  declared out of the earned  surplus of the Company as at
the date hereof as increased by any credits (other than credits resulting from a
revaluation  of property)  and  decreased by any debits made thereto  after such
date or (c) a regular  periodic cash dividend at a rate not in excess of 110% of
the rate of the last regular periodic cash dividend  theretofore paid, then, and
in each  such  case,  subject  to  section  2.8,  the  Warrant  Price in  effect
immediately  prior to the close of  business  on the  record  date fixed for the
determination  of holders of any class of  securities  entitled to receive  such
dividend or distribution shall be reduced, effective as of the close of business
on such record  date,  to a price  (calculated  to the  nearest  .001 of a cent)
determined by multiplying such Warrant Price by a fraction

          (x) the numerator of which shall be the Current Market Price in effect
     on such record date or, if the Common Stock trades on an ex-dividend basis,
     on the date prior to the  commencement  of  ex-dividend  trading,  less the
     amount of such dividend or distribution (as determined in good faith by the
     Board of Directors of the Company) applicable to one share of Common Stock,
     and

          (y) the denominator of which shall be such Current Market Price.

          2.3.  Treatment  of Options and  Convertible  Securities.  In case the
Company  at any time or from time to time  after the date  hereof  shall  issue,
sell,  grant or  assume,  or shall fix a record  date for the  determination  of
holders  of any  class  of  securities  entitled  to  receive,  any  Options  or
Convertible  Securities (other than (i) the issuance of any equity securities of
the Company in  connection  with the  conversion  of the Nagpal  Note,  (ii) the
Series A  Preferred  Stock,  (iii) the Series B Preferred  Stock  issued at fair
market  value,  (iv) the Series C Preferred  Stock,  (v) any stock  dividends on
(ii), (iii) or (iv) above,  (vi) any convertible  promissory notes issued by the
Company existing on the date hereof, and (vii) Options or Convertible Securities
issued,  sold or granted  to  employees,  officers,  directors,  consultants  or
affiliated physicians of or to the Company pursuant to one or more benefit plans
or arrangements approved by a disinterested  committee of the Board of Directors
of the Company;  provided,  however, that such Options or Convertible Securities
may only be issued (A) pursuant to such benefit plans or arrangements,  (B)up to
a maximum of 15% of the Company's fully diluted  capitalization  and (C) at fair
market  value on the date of grant),  then,  and in each such case,  the maximum
number of  Additional  Shares of  Common  Stock (as set forth in the  instrument
relating  thereto,  without  regard to any  provisions  contained  therein for a
subsequent adjustment of such number) issuable upon the exercise of such Options
or, in the case of Convertible  Securities and Options therefor,  the conversion
or exchange of such  Convertible  Securities,  shall be deemed to be  Additional
Shares  of Common  Stock  issued as of the time of such  issue,  sale,  grant or
assumption or, in case such a record date shall have been fixed, as of the close
of  business  on  such  record  date  (or,  if the  Common  Stock  trades  on an
ex-dividend  basis,  on the  date  prior  to  the  commencement  of  ex-dividend
trading),  provided  that such  Additional  Shares of Common  Stock shall not be
deemed  to have been  issued  unless  the  consideration  per share  (determined
pursuant to section  2.5) of such  shares  would be less than the greater of the
Current  Market  Price  and the  Warrant  Price  in  effect  on the  date of and
immediately prior to such issue,  sale, grant or assumption or immediately prior
to the close of business on such record date (or, if the Common  Stock trades on
an  ex-dividend  basis,  on the date prior to the  commencement  of  ex-dividend
trading),  as the case may be, and provided,  further,  that in any such case in
which Additional Shares of Common Stock are deemed to be issued

          (a) no further  adjustment of the Warrant Price shall be made upon the
     subsequent  issue or sale of  Convertible  Securities  or  shares of Common
     Stock upon the  exercise of such Options or the  conversion  or exchange of
     such  Convertible  Securities  , except in the case of any such  Options or
     Convertible  Securities which contain  provisions  requiring an adjustment,
     subsequent  to the date of the  issue or sale  thereof,  of the  number  of
     Additional  Shares of  Common  Stock  issuable  upon the  exercise  of such
     Options or the  conversion  or exchange of such  Convertible  Securities by
     reason of (x) a change of control of the Company,  (y) the  acquisition  by
     any Person or group of Persons of any specified number or percentage of the
     Voting  Securities of the Company or (z) any similar  event or  occurrence,
     each such case to be deemed  hereunder  to involve a separate  issuance  of
     Additional Shares of Common Stock,  Options or Convertible  Securities,  as
     the case may be;

          (b) if such Options or Convertible  Securities by their terms provide,
     with  the  passage  of  time  or   otherwise,   for  any  increase  in  the
     consideration  payable  to  the  Company,  or  decrease  in the  number  of
     Additional Shares of Common Stock issuable,  upon the exercise,  conversion
     or exchange  thereof (by change of rate or  otherwise),  the Warrant  Price
     computed upon the original  issue,  sale,  grant or assumption  thereof (or
     upon the  occurrence of the record date, or date prior to the  commencement
     of ex-dividend trading, as the case may be, with respect thereto),  and any
     subsequent  adjustments  based  thereon,  shall,  upon any such increase or
     decrease  becoming  effective,  be  recomputed  to reflect such increase or
     decrease insofar as it affects such Options, or the rights of conversion or
     exchange under such Convertible  Securities,  which are outstanding at such
     time;

          (c) upon the expiration  (or purchase by the Company and  cancellation
     or  retirement)  of any such Options which shall not have been exercised or
     the  expiration  of any rights of  conversion  or  exchange  under any such
     Convertible  Securities  which (or purchase by the Company and cancellation
     or retirement of any such  Convertible  Securities the rights of conversion
     or exchange under which) shall not have been  exercised,  the Warrant Price
     computed upon the original  issue,  sale,  grant or assumption  thereof (or
     upon the  occurrence of the record date, or date prior to the  commencement
     of ex-dividend trading, as the case may be, with respect thereto),  and any
     subsequent adjustments based thereon,  shall, upon such expiration (or such
     cancellation or retirement, as the case may be), be recomputed as if:

               (i) in the  case of  Options  for  Common  Stock  or  Convertible
          Securities,  the only Additional Shares of Common Stock issued or sold
          were the Additional Shares of Common Stock, if any, actually issued or
          sold upon the exercise of such Options or the  conversion  or exchange
          of such Convertible Securities and the consideration received therefor
          was the consideration  actually received by the Company for the issue,
          sale,  grant  or  assumption  of  all  such  Options,  whether  or not
          exercised,  plus the  consideration  actually  received by the Company
          upon such exercise,  or for the issue or sale of all such  Convertible
          Securities  which  were  actually  converted  or  exchanged,  plus the
          additional  consideration,  if any,  actually  received by the Company
          upon such conversion or exchange, and

               (ii) in the case of Options for Convertible Securities,  only the
          Convertible  Securities,  if any,  actually  issued  or sold  upon the
          exercise of such Options  were issued at the time of the issue,  sale,
          grant or assumption of such Options, and the consideration received by
          the Company for the  Additional  Shares of Common Stock deemed to have
          then  been  issued  was the  consideration  actually  received  by the
          Company for the issue,  sale, grant or assumption of all such Options,
          whether or not exercised,  plus the consideration  deemed to have been
          received by the Company  (pursuant  to section  2.5) upon the issue or
          sale of such Convertible Securities with respect to which such Options
          were actually exercised;

          (d) no  readjustment  pursuant to  subdivision  (b) or (c) above shall
     have the effect of  increasing  the Warrant Price by an amount in excess of
     the  amount of the  adjustment  thereof  originally  made in respect of the
     issue, sale, grant or assumption of such Options or Convertible Securities;
     and

          (e) in the case of any such  Options  which  expire by their terms not
     more  than 30 days  after  the date of  issue,  sale,  grant or  assumption
     thereof,  no  adjustment  of the  Warrant  Price  shall be made  until  the
     expiration or exercise of all such Options, whereupon such adjustment shall
     be made in the manner provided in subdivision (c) above.

          2.4.  Treatment of Stock  Dividends,  Stock  Splits,  etc. In case the
Company at any time or from time to time after the date hereof shall  declare or
pay any dividend on the Common Stock payable in Common Stock,  or shall effect a
subdivision of the  outstanding  shares of Common Stock into a greater number of
shares of Common Stock (by  reclassification  or otherwise  than by payment of a
dividend in Common  Stock),  then, and in each such case,  Additional  Shares of
Common  Stock  shall be deemed to have been  issued  (a) in the case of any such
dividend,  immediately  after the close of  business  on the record date for the
determination  of holders of any class of  securities  entitled to receive  such
dividend,  or (b) in the case of any such subdivision,  at the close of business
on the day immediately prior to the day upon which such corporate action becomes
effective.

          2.5. Computation of Consideration. For the purposes of this section 2,

          (a) the  consideration  for the issue or sale of any Additional Shares
     of Common Stock shall,  irrespective  of the  accounting  treatment of such
     consideration,

               (i)  insofar as it  consists  of cash,  be  computed at the gross
          amount of cash received by the Company, without deducting any expenses
          paid or incurred by the Company or any  commissions  or  compensations
          paid or concessions or discounts  allowed to underwriters,  dealers or
          others  performing  similar  services in connection with such issue or
          sale,

               (ii)  insofar as it consists of property  (including  securities)
          other than cash,  be computed at the fair value thereof at the time of
          such  issue or  sale,  as  determined  in good  faith by the  Board of
          Directors of the Company, and

               (iii) in case  Additional  Shares of Common  Stock are  issued or
          sold  together  with other stock or  securities or other assets of the
          Company for a consideration  which covers both, be the portion of such
          consideration  so  received,  computed  as provided in clauses (i) and
          (ii) above,  allocable to such Additional  Shares of Common Stock, all
          as determined in good faith by the Board of Directors of the Company;

          (b)  Additional  Shares of  Common  Stock  deemed to have been  issued
     pursuant to section 2.3,  relating to Options and  Convertible  Securities,
     shall  be  deemed  to  have  been  issued  for a  consideration  per  share
     determined by dividing

               (i) the total  amount,  if any,  received and  receivable  by the
          Company as consideration  for the issue,  sale, grant or assumption of
          the Options or  Convertible  Securities in question,  plus the minimum
          aggregate  amount  of  additional  consideration  (as set forth in the
          instruments   relating  thereto,   without  regard  to  any  provision
          contained therein for a subsequent adjustment of such consideration to
          protect against  dilution) payable to the Company upon the exercise in
          full of such Options or the conversion or exchange of such Convertible
          Securities or, in the case of Options for Convertible Securities,  the
          exercise of such Options for Convertible Securities and the conversion
          or exchange of such  Convertible  Securities,  in each case  computing
          such consideration as provided in the foregoing subdivision (a),

by

               (ii) the maximum  number of shares of Common  Stock (as set forth
          in the instruments  relating thereto,  without regard to any provision
          contained  therein  for a  subsequent  adjustment  of such  number  to
          protect against  dilution)  issuable upon the exercise of such Options
          or the conversion or exchange of such Convertible Securities; and

          (c)  Additional  Shares of  Common  Stock  deemed to have been  issued
     pursuant to section 2.4, relating to stock dividends,  stock splits,  etc.,
     shall be deemed to have been issued for no consideration.

          2.6. Adjustments for Combinations, etc. In case the outstanding shares
of Common  Stock shall be  combined  or  consolidated,  by  reclassification  or
otherwise,  into a lesser number of shares of Common Stock, the Warrant Price in
effect   immediately   prior  to  such  combination  or   consolidation   shall,
concurrently  with the  effectiveness of such combination or  consolidation,  be
proportionately increased.

          2.7.  Dilution  in  Case  of  Other  Securities.  In  case  any  Other
Securities shall be issued or sold or shall become subject to issue or sale upon
the conversion or exchange of any stock (or Other Securities) of the Company (or
any issuer of Other  Securities or any other Person referred to in section 3) or
to subscription, purchase or other acquisition pursuant to any Options issued or
granted by the Company (or any such other issuer or Person) for a  consideration
such as to dilute,  on a basis consistent with the standards  established in the
other provisions of this section 2, the purchase rights granted by this Warrant,
then, and in each such case, the  computations,  adjustments  and  readjustments
provided for in this  section 2 with respect to the Warrant  Price shall be made
as nearly as  possible in the manner so provided  and applied to  determine  the
amount of Other Securities from time to time receivable upon the exercise of the
Warrants,  so as to protect  the holders of the  Warrants  against the effect of
such dilution.

          2.8.  Minimum  Adjustment  of  Warrant  Price.  If the  amount  of any
adjustment  of the Warrant  Price  required  pursuant to this section 2 would be
less than one tenth (1/10) of one percent (1%) of the Warrant Price in effect at
the time such  adjustment is otherwise so required to be made, such amount shall
be carried  forward and adjustment  with respect thereto made at the time of and
together with any subsequent adjustment which, together with such amount and any
other amount or amounts so carried  forward,  shall aggregate at least one tenth
(1/10) of one percent (1%) of such Warrant Price. 

          3.  Consolidation,  Merger,  etc. 3.1.  Adjustments for Consolidation,
Merger, Sale of Assets, Reorganization,  etc. In case the Company after the date
hereof (a) shall  consolidate  with or merge into any other Person and shall not
be the continuing or surviving  corporation of such  consolidation or merger, or
(b) shall permit any other Person to consolidate  with or merge into the Company
and the Company shall be the  continuing or surviving  Person but, in connection
with such consolidation or merger, the Common Stock or Other Securities shall be
changed into or exchanged  for stock or other  securities of any other Person or
cash or any other property,  or (c) shall transfer all or  substantially  all of
its  properties  or assets to any other  Person,  or (d) shall  effect a capital
reorganization  or  reclassification  of the  Common  Stock or Other  Securities
(other than a capital reorganization or reclassification  resulting in the issue
of Additional  Shares of Common Stock for which  adjustment in the Warrant Price
is  provided  in  section  2.2.1 or 2.2.2),  then,  and in the case of each such
transaction,  proper  provision  shall be made so that,  upon the  basis and the
terms and in the manner  provided in this  Warrant,  the holder of this Warrant,
upon the exercise hereof at any time after the consummation of such transaction,
shall be entitled to receive (at the  aggregate  Warrant  Price in effect at the
time of such consummation for all Common Stock or Other Securities issuable upon
such exercise  immediately  prior to such  consummation),  in lieu of the Common
Stock  or  Other   Securities   issuable  upon  such  exercise   prior  to  such
consummation,  the highest amount of securities, cash or other property to which
such  holder  would  actually  have been  entitled  as a  shareholder  upon such
consummation if such holder had exercised the rights represented by this Warrant
immediately   prior  thereto,   subject  to  adjustments   (subsequent  to  such
consummation) as nearly  equivalent as possible to the adjustments  provided for
in sections 2 through 4, provided that if a purchase,  tender or exchange  offer
shall  have been made to and  accepted  by the  holders  of more than 50% of the
outstanding  shares of Common  Stock,  and if the  holder  of such  Warrants  so
designates  in a notice  given to the Company on or before the date  immediately
preceding the date of the consummation of such  transaction,  the holder of such
Warrants shall be entitled to receive the highest amount of securities,  cash or
other  property  to which such holder  would  actually  have been  entitled as a
shareholder  if the holder of such Warrants had exercised such Warrants prior to
the  expiration  of such  purchase,  tender or exchange  offer and accepted such
offer, subject to adjustments (from and after the consummation of such purchase,
tender or exchange  offer) as nearly  equivalent as possible to the  adjustments
provided for in sections 2 through 4.

          3.2. Assumption of Obligations.  Notwithstanding anything contained in
the Warrants or in the Credit  Agreement to the  contrary,  the Company will not
effect any of the  transactions  described in clauses (a) through (d) of section
3.1 unless,  prior to the  consummation  thereof,  each  Person  (other than the
Company)  which may be  required  to  deliver  any  stock,  securities,  cash or
property upon the exercise of this Warrant as provided  herein shall assume,  by
written instrument  delivered to, and reasonably  satisfactory to, the holder of
this Warrant,  (a) the obligations of the Company under this Warrant (and if the
Company shall survive the  consummation  of such  transaction,  such  assumption
shall be in addition to, and shall not release the Company from,  any continuing
obligations of the Company under this Warrant) and (b) the obligation to deliver
to such  holder  such  shares  of stock,  securities,  cash or  property  as, in
accordance  with the foregoing  provisions of this section 3, such holder may be
entitled to receive,  and such Person  shall have  similarly  delivered  to such
holder an opinion of counsel for such Person,  which counsel shall be reasonably
satisfactory to such holder, stating that this Warrant shall thereafter continue
in full force and effect and the terms hereof  (including,  without  limitation,
all of the  provisions  of this  section  3) shall be  applicable  to the stock,
securities,  cash or property  which such Person may be required to deliver upon
any  exercise of this  Warrant or the  exercise of any rights  pursuant  hereto.
Nothing in this section 3 shall be deemed to authorize the Company to enter into
any transaction not otherwise permitted by the Credit Agreement.

          4. Other  Dilutive  Events.  In case any event shall occur as to which
the  provisions  of section 2 or section 3 are not strictly  applicable  but the
failure to make any  adjustment  would not fairly  protect the  purchase  rights
represented  by this  Warrant  in  accordance  with  the  essential  intent  and
principles of such sections,  then, in each such case, the Company shall appoint
a firm of  independent  certified  public  accountants  of  recognized  national
standing  (which may be the regular  auditors of the Company),  which shall give
their  opinion  upon the  adjustment,  if any,  on a basis  consistent  with the
essential  intent and  principles  established in sections 2 and 3, necessary to
preserve,  without  dilution,  the purchase rights  represented by this Warrant.
Upon receipt of such  opinion,  the Company will promptly mail a copy thereof to
the holder of this Warrant and shall make the adjustments described therein.

          5. No Dilution or  Impairment.  The Company  will not, by amendment of
its  certificate  of  incorporation  or  through  any   consolidation,   merger,
reorganization,  transfer of assets, dissolution, issue or sale of securities 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 of
this  Warrant  against  dilution  or  other  impairment.  Without  limiting  the
generality  of the  foregoing,  the Company (a) will not permit the par value of
any shares of stock  receivable  upon the exercise of this Warrant to exceed the
amount payable therefor upon such exercise, (b) will take all such action as may
be  necessary or  appropriate  in order that the Company may validly and legally
issue  fully  paid and  nonassessable  shares  of stock on the  exercise  of the
Warrants  from  time to time  outstanding,  (c) will not take any  action  which
results in any  adjustment of the Warrant Price if the total number of shares of
Common Stock (or Other  Securities)  issuable after the action upon the exercise
of all of the  Warrants  would exceed the total number of shares of Common Stock
(or  Other   Securities)  then  authorized  by  the  Company's   certificate  of
incorporation and available for the purpose of issue upon such exercise, and (d)
will not issue any capital stock of any class which is preferred as to dividends
or as to the  distribution of assets upon voluntary or involuntary  dissolution,
liquidation  or  winding-up,  unless the rights of the holders  thereof shall be
limited  to a fixed  sum or  percentage  of par  value  or a sum  determined  by
reference to a formula based on a published index of interest rates, an interest
rate publicly  announced by a financial  institution  or a similar  indicator of
interest  rates in respect of  participation  in dividends and to a fixed sum or
percentage of par value in any such distribution of assets.

          6.  Accountants'  Report  as to  Adjustments.  In  each  case  of  any
adjustment or readjustment  in the shares of Common Stock (or Other  Securities)
issuable  upon the  exercise of this  Warrant,  the Company at its expense  will
promptly compute such adjustment or readjustment in accordance with the terms of
this  Warrant  and, at the  written  request of the  holder,  cause  independent
certified public  accountants of recognized  national standing (which may be the
regular  auditors  of the  Company)  selected  by the  Company  to  verify  such
computation  (other  than any  computation  of the fair  value  of  property  as
determined in good faith by the Board of Directors of the Company) and prepare a
report setting forth such adjustment or  readjustment  and showing in reasonable
detail  the  method  of  calculation  thereof  and the  facts  upon  which  such
adjustment  or  readjustment  is  based,   including  a  statement  of  (a)  the
consideration  received or to be  received  by the  Company  for any  Additional
Shares of Common  Stock  issued or sold or deemed to have been  issued,  (b) the
number of shares of Common Stock  outstanding or deemed to be  outstanding,  and
(c) the Warrant Price in effect  immediately  prior to such issue or sale and as
adjusted  and  readjusted  (if  required by section 2) on account  thereof.  The
Company  will  forthwith  mail a copy of each such  report  to each  holder of a
Warrant  and  will,  upon the  written  request  at any time of any  holder of a
Warrant, furnish to such holder a like report setting forth the Warrant Price at
the time in effect and showing in reasonable  detail how it was calculated.  The
Company  will also keep copies of all such reports at its  principal  office and
will cause the same to be available for  inspection at such office during normal
business  hours by any holder of a Warrant  or any  prospective  purchaser  of a
Warrant designated by the holder thereof.

          7. Notices of Corporate Action. In the event of

          (a) any taking by the  Company of a record of the holders of any class
     of securities  for the purpose of determining  the holders  thereof who are
     entitled to receive any dividend  (other than a regular  periodic  dividend
     payable in cash out of earned surplus in an amount not exceeding the amount
     of the  immediately  preceding  cash  dividend  for such  period)  or other
     distribution,  or any right to subscribe for, purchase or otherwise acquire
     any shares of stock of any class or any other securities or property, or to
     receive any other right, or

          (b) any capital reorganization of the Company, any reclassification or
     recapitalization  of the capital stock of the Company or any  consolidation
     or merger involving the Company and any other Person or any transfer of all
     or substantially all the assets of the Company to any other Person, or

          (c)  any  voluntary  or   involuntary   dissolution,   liquidation  or
     winding-up of the Company,

the Company  will mail to each holder of a Warrant a notice  specifying  (i) the
date or expected date on which any such record is to be taken for the purpose of
such  dividend,  distribution  or right,  and the amount and  character  of such
dividend, distribution or right, and (ii) the date or expected date on which any
such reorganization, reclassification,  recapitalization, consolidation, merger,
transfer, dissolution,  liquidation or winding-up is to take place and the time,
if any such time is to be fixed,  as of which  the  holders  of record of Common
Stock (or Other Securities) shall be entitled to exchange their shares of Common
Stock (or Other  Securities)  for the securities or other  property  deliverable
upon such  reorganization,  reclassification,  recapitalization,  consolidation,
merger, transfer,  dissolution,  liquidation or winding-up. Such notice shall be
mailed at least 30 days prior to the date therein specified.

          8.  Registration  of Common  Stock.  If any  shares  of  Common  Stock
required  to be reserved  for  purposes  of  exercise  of this  Warrant  require
registration with or approval of any governmental authority under any federal or
state law (other than the Securities  Act) before such shares may be issued upon
exercise, the Company will, at its expense and as expeditiously as possible, use
its best efforts to cause such shares to be duly registered or approved,  as the
case  may be.  At any  such  time as  Common  Stock is  listed  on any  national
securities  exchange,  the Company  will,  at its expense,  obtain  promptly and
maintain the approval for listing on each such exchange, upon official notice of
issuance,  the  shares  of  Common  Stock  issuable  upon  exercise  of the then
outstanding  Warrants  and  maintain  the  listing of such  shares  after  their
issuance;  and the Company will also list on such national securities  exchange,
will  register  under the  Exchange Act and will  maintain  such listing of, any
Other Securities that at any time are issuable upon exercise of the Warrants, if
and at the time that any  securities  of the same class  shall be listed on such
national securities exchange by the Company.

          9.  Restrictions  on Transfer.  9.1.  Restrictive  Legends.  Except as
otherwise  permitted  by this section 9, each  Warrant  (including  each Warrant
issued upon the transfer of any Warrant) shall be stamped or otherwise imprinted
with a legend in substantially the following form:

          "This  Warrant  and any  shares  acquired  upon the  exercise  of this
     Warrant  have not been  registered  under the  Securities  Act of 1933,  as
     amended,  and may not be transferred,  sold or otherwise disposed of except
     while  a  registration  under  such  Act is in  effect  or  pursuant  to an
     exemption  therefrom  under such Act.  This  Warrant and such shares may be
     transferred  only in  compliance  with  the  conditions  specified  in this
     Warrant."

Except as otherwise  permitted by this  section 9, each  certificate  for Common
Stock (or Other  Securities)  issued upon the exercise of any Warrant,  and each
certificate  issued  upon  the  transfer  of any such  Common  Stock  (or  Other
Securities),   shall  be  stamped  or  otherwise  imprinted  with  a  legend  in
substantially the following form:

          "The shares  represented by this  certificate have not been registered
     under the  Securities Act of 1933 and may not be transferred in the absence
     of such registration or an exemption  therefrom under such Act. Such shares
     may be transferred only in compliance with the conditions specified in that
     certain Common Stock  Purchase  Warrant,  dated June 30, 1998,  between BMJ
     Medical  Management,  Inc. and Paribas.  A complete and correct copy of the
     form of such Warrant is available for inspection at the principal office of
     BMJ Medical  Management,  Inc. or at the office or agency maintained by BMJ
     Medical Management, Inc. as provided in such Warrants and will be furnished
     to the holder of such shares upon written request and without charge."

          9.2. Notice of Proposed  Transfer;  Opinions of Counsel.  Prior to any
transfer  of any  Restricted  Securities  which  are  not  registered  under  an
effective  registration  statement  under the Securities Act, the holder thereof
will give  written  notice to the Company of such  holder's  intention to effect
such  transfer and to comply in all other  respects  with this section 9.2. Each
such notice (a) shall  describe  the manner and  circumstances  of the  proposed
transfer in sufficient  detail to enable counsel to render the opinions referred
to below, and (b) shall designate counsel for the holder giving such notice (who
may be house counsel for such holder). The holder giving such notice will submit
a copy  thereof to the counsel  designated  in such notice and the Company  will
promptly submit a copy thereof to its counsel.  The following  provisions  shall
then apply:

               (i) If (A) in the  opinion  of such  counsel  for the  holder the
          proposed  transfer  may  be  effected  without  registration  of  such
          Restricted  Securities  under the Securities  Act, and (B) counsel for
          the Company  shall not have  rendered an opinion  within 15 days after
          the  receipt  by  the  Company  of  such  written   notice  that  such
          registration  is required,  such holder shall thereupon be entitled to
          transfer such  securities  in accordance  with the terms of the notice
          delivered by such holder to the Company.  Each warrant or certificate,
          if any, representing such securities issued upon or in connection with
          such transfer shall bear the appropriate  restrictive  legend required
          by section 9.1, unless in the opinion of each such counsel such legend
          is no longer required to insure compliance with the Securities Act. If
          for any reason  counsel for the Company  (after having been  furnished
          with the  information  required to be  furnished by clause (a) of this
          section  9.2) shall  fail to  deliver  an  opinion  to the  Company as
          aforesaid,  then for all  purposes  of this  Warrant  the  opinion  of
          counsel for the Company  shall be deemed to be the same as the opinion
          of counsel for such holders.

               (ii) If in the  opinion  of either of or both  such  counsel  the
          proposed transfer may not legally be effected without  registration of
          such Restricted  Securities  under the Securities Act (such opinion or
          opinions to state the basis of the legal conclusions reached therein),
          the Company will promptly so notify the holder  thereof and thereafter
          such  holder  shall  not  be  entitled  to  transfer  such  Restricted
          Securities until either (x) receipt by the Company of a further notice
          from such holder pursuant to the foregoing  provisions of this section
          9.2 and  fulfillment of the provisions of clause (i) above or (y) such
          shares have been effectively registered under the Securities Act.

Notwithstanding the foregoing  provisions of this section 9.2(ii), the purchaser
of the Warrants  shall be permitted to transfer any  Restricted  Securities to a
limited number of institutional investors,  provided that (A) each such investor
represents  in writing  that it is  acquiring  such  Restricted  Securities  for
investment and not with a view to the distribution thereof (subject, however, to
any requirement of law that the disposition thereof shall at all times be within
the control of such transferee),  (B) each such investor agrees in writing to be
bound  by all  the  restrictions  on  transfer  of  such  Restricted  Securities
contained in this section 9.2 and (C) the purchaser of the Warrants  delivers to
the Company an opinion of counsel satisfactory to the Company, stating that such
transfer may be effected  without  registration  under the  Securities  Act. The
holder  of  Restricted  Securities  will pay all fees and  disbursements  of its
counsel and the Company shall pay all fees and  disbursements  of its counsel in
connection  with all opinions  rendered by them pursuant to this section 9.2 and
pursuant to section 9.3.

          9.3.  Termination of Restrictions.  The  restrictions  imposed by this
section 9 upon the  transferability  of  Restricted  Securities  shall cease and
terminate as to any particular  Restricted  Securities (a) when such  securities
shall have been effectively registered under the Securities Act, or (b) when, in
the opinions of both counsel for the holder thereof and counsel for the Company,
such  restrictions are no longer required in order to insure compliance with the
Securities Act. Whenever such  restrictions  shall cease and terminate as to any
Restricted Securities,  the holder thereof shall be entitled to receive from the
Company,  without  expense (other than  applicable  transfer taxes, if any), new
securities of like tenor not bearing the applicable  legends required by section
9.1.

          10. Availability of Information. So long as the Company shall not have
filed a registration  statement  pursuant to section 12 of the Exchange Act or a
registration  statement  pursuant to the requirements of the Securities Act, the
Company shall, at any time and from time to time, upon the request of any holder
of Registrable  Securities and upon the request of any Person designated by such
holder as a  prospective  purchaser of any  Registrable  Securities,  furnish in
writing  to such  holder or such  prospective  purchaser,  as the case may be, a
statement  as of a date not  earlier  than 12  months  prior to the date of such
request  of the nature of the  business  of the  Company  and the  products  and
services it offers and copies of the  Company's  most recent  balance  sheet and
profit  and  loss  and  retained  earnings  statements,  together  with  similar
financial  statements  for such part of the two  preceding  fiscal  years as the
Company  shall  have been in  operation,  all such  financial  statements  to be
audited to the extent  audited  statements are  reasonably  available,  provided
that,  in any event the most recent  financial  statements  so  furnished  shall
include  a balance  sheet as of a date less than 16 months  prior to the date of
such  request,  statements  of profit and loss and retained  earnings for the 12
months  preceding the date of such balance sheet,  and, if such balance sheet is
not  as of a date  less  than 6  months  prior  to the  date  of  such  request,
additional  statements  of profit and loss and retained  earnings for the period
from the date of such  balance  sheet to a date less than 6 months  prior to the
date of such request.  If the Company shall have filed a registration  statement
pursuant to the requirements of section 12 of the Exchange Act or a registration
statement  pursuant to the requirements of the Securities Act, the Company shall
timely file the reports  required to be filed by it under the Securities Act and
the Exchange Act (including but not limited to the reports under sections 13 and
15(d) of the Exchange Act referred to in subparagraph (c) of Rule 144 adopted by
the Commission  under the Securities Act) and the rules and regulations  adopted
by the  Commission  thereunder  (or, if the Company is not required to file such
reports,  will, upon the request of any holder of Registrable  Securities,  make
publicly  available other  information) and will take such further action as any
holder of  Registrable  Securities  may  reasonably  request,  all to the extent
required from time to time to enable such holder to sell Registrable  Securities
without  registration  under the  Securities  Act within the  limitation  of the
exemptions  provided by (a) Rule 144 under the Securities  Act, as such Rule may
be amended from time to time,  or (b) any similar rule or  regulation  hereafter
adopted  by the  Commission.  Upon the  request  of any  holder  of  Registrable
Securities,  the Company will  deliver to such holder a written  statement as to
whether it has complied with the requirements of this section 10.

          11.  Reservation of Stock,  etc. The Company will at all times reserve
and keep  available,  solely for  issuance  and  delivery  upon  exercise of the
Warrants,  the number of shares of Common Stock (or Other  Securities) from time
to time  issuable  upon  exercise of all Warrants at the time  outstanding.  All
shares of Common  Stock (or Other  Securities)  issuable  upon  exercise  of any
Warrants shall be duly authorized and, when issued upon such exercise,  shall be
validly issued and, in the case of shares,  fully paid and nonassessable with no
liability on the part of the holders thereof.

          12. Registration and Transfer of Warrants, etc.

          12.1. Warrant Register;  Ownership of Warrants.  The Company will keep
at its  principal  office a register in which the Company  will  provide for the
registration  of Warrants and the  registration  of  transfers of Warrants.  The
Company  may treat the Person in whose name any  Warrant is  registered  on such
register as the owner thereof for all other purposes,  and the Company shall not
be affected by any notice to the contrary,  except that, if and when any Warrant
is properly  assigned in blank,  the Company may (but shall not be obligated to)
treat the bearer thereof as the owner of such Warrant for all purposes.  Subject
to section 9, a Warrant, if properly assigned,  may be exercised by a new holder
without a new Warrant first having been issued.

          12.2. Transfer and Exchange of Warrants. Upon surrender of any Warrant
for  registration  of transfer or for  exchange to the Company at its  principal
office,  the Company at its expense will (subject to compliance  with section 9,
if  applicable)  execute  and  deliver in  exchange  therefor  a new  Warrant or
Warrants  of like  tenor,  in the name of such  holder or as such  holder  (upon
payment by such holder of any applicable transfer taxes) may direct,  calling in
the  aggregate  on the face or faces  thereof for the number of shares of Common
Stock called for on the face or faces of the Warrant or Warrants so surrendered.

          12.3.  Replacement  of Warrants.  Upon receipt of evidence  reasonably
satisfactory to the Company of the loss, theft, destruction or mutilation of any
Warrant and, in the case of any such loss,  theft or destruction of any Warrant,
upon delivery of an indemnity bond in such reasonable  amount as the Company may
determine  (or, in the case of any Warrant held by any  Institutional  Holder or
its nominee, of an indemnity agreement from such Institutional Holder reasonably
satisfactory to the Company),  or, in the case of any such mutilation,  upon the
surrender  of such  Warrant for  cancellation  to the  Company at its  principal
office,  the Company at the expense of the  requesting  holder will  execute and
deliver, in lieu thereof, a new Warrant of like tenor.

          13. Registration under Securities Act, etc.

          13.1. Registration on Request.

          (a)  Request.  At any time after the date on which the  Company  shall
     become  eligible to utilize Form S-3 in effecting  sales of its securities,
     upon the written  request of the Initiating  Holders,  requesting  that the
     Company effect the registration  under the Securities Act of all or part of
     such Initiating Holders' Registrable Securities and specifying the intended
     method of disposition  thereof, the Company will, on a one-time only basis,
     subject to the terms of this  Agreement,  promptly  give written  notice of
     such  requested  registration  to all  registered  holders  of  Registrable
     Securities,  and thereupon the Company will effect the  registration  under
     the  Securities  Act on Form S-3 if the Company is eligible to utilize such
     form and otherwise on Form S-1 of

               (i) the  Registrable  Securities  which the  Company  has been so
          requested to register by such  Initiating  Holders for  disposition in
          accordance  with the  intended  method of  disposition  stated in such
          request, and

               (ii) all other Registrable  Securities the holders of which shall
          have made a written  request to the Company for  registration  thereof
          within 30 days after the giving of such written  notice by the Company
          (which  request shall specify the intended  method of  disposition  of
          such Registrable Securities), and

               (iii) all shares of Common  Stock  which the Company may elect to
          register in  connection  with the offering of  Registrable  Securities
          pursuant to this section 13.1,

          all to the extent  requisite to permit the  disposition (in accordance
with the intended  methods thereof as aforesaid) of the  Registrable  Securities
and the additional shares of Common Stock, if any so to be registered.

          (b) Registration Statement Form. Registrations under this section 13.1
shall be on such appropriate registration form of the Commission as shall permit
the disposition of such  Registrable  Securities in accordance with the intended
method or methods of disposition specified in the request for such registration.
The Company agrees to include in any such registration statement all information
which  holders of  Registrable  Securities  being  registered  shall  reasonably
request.

          (c)  Expenses.  The  Company  will pay all  Registration  Expenses  in
connection with any registration  requested pursuant to this section 13.1 by any
Initiating Holders of Registrable  Securities;  provided,  however, that for any
registration,  any selling  holder of Registrable  Securities  shall pay its own
legal and accounting fees and expenses and any underwriting spreads or discounts
associated with its shares.

          (d)  Effective   Registration   Statement.  A  registration  requested
pursuant  to this  section  13.1 shall not be deemed to have been  effected  (i)
unless a  registration  statement  with  respect  thereto has become  effective,
provided that a registration  which does not become  effective after the Company
has filed a registration  statement with respect thereto solely by reason of the
refusal to proceed of the  Initiating  Holders  (other than a refusal to proceed
based  upon the  advice of  counsel  relating  to a matter  with  respect to the
Company)  shall be deemed to have been effected by the Company at the request of
such Initiating  Holders unless the Initiating Holders shall have elected to pay
all Registration  Expenses in connection with such registration,  (ii) if, after
it has become effective,  such  registration  becomes subject to any stop order,
injunction or other order or requirement of the Commission or other governmental
agency or court for any reason,  or (iii) the conditions to closing specified in
the purchase agreement or underwriting agreement entered into in connection with
such  registration  are not  satisfied,  other  than by  reason  of some  act or
omission by such Initiating Holders.

          (e) Selection of Underwriters. If a requested registration pursuant to
this  section  13.1  involves  an  underwritten  offering,  the  underwriter  or
underwriters thereof shall be selected by the holders of at least a majority (by
number of shares) of the  Registrable  Securities as to which  registration  has
been  requested.  

          (f) Priority in Requested  Registrations.  If a requested registration
pursuant  to this  section  13.1  involves  an  underwritten  offering,  and the
managing  underwriter  shall advise the Company in writing  (with a copy to each
holder of Registrable Securities requesting  registration) that, in its opinion,
the number of securities  requested to be included in such registration  exceeds
the number which can be sold in such offering within a price range acceptable to
the holders of a majority of the Registrable Securities requested to be included
in such  registration,  the Company  will include in such  registration,  to the
extent  of the  number  which  the  Company  is so  advised  can be sold in such
offering,  Registrable  Securities (and any securities owned by any affiliate of
the Purchaser)  requested to be included in such  registration  by the holder or
holders of  Registrable  Securities,  pro rata among the  holders  thereof  such
holders  requesting  such  registration  on the  basis  of the  number  of  such
securities requested to be included by such holders.

          13.2. Incidental Registration.

          (a) Right to Include  Registrable  Securities.  If the  Company at any
time proposes to register any of its securities  under the Securities Act (other
than (A) a  registration  on Form S-4 or S-8 or any successor or similar  forms,
(B) a registration pursuant to section 13.1, (C) a shelf registration for shares
of  the  Company's  Series  A  Preferred  Stock  issued  to  Paribas   Principal
Incorporated or its affiliate and (D) any registration of the shares  underlying
the  Company's  Series B Preferred  Stock),  whether or not for sale for its own
account,  it will each such time give  prompt  written  notice to all holders of
Registrable  Securities of its  intention to do so and of such  holders'  rights
under this section 13.2. Upon the written request of any such holder made within
20 days after the receipt of any such notice  (which  request  shall specify the
Registrable  Securities  intended  to be  disposed  of by  such  holder  and the
intended method of disposition thereof),  the Company will, subject to the terms
of this  Agreement,  effect the  registration  under the  Securities  Act of all
Registrable  Securities  which the Company has been so  requested to register by
the holders  thereof,  to the extent  requisite  to permit the  disposition  (in
accordance  with the intended  methods  thereof as aforesaid) of the Registrable
Securities so to be registered,  by inclusion of such Registrable  Securities in
the  registration  statement  which  covers  the  securities  which the  Company
proposes to register,  provided that if, at any time after giving written notice
of its intention to register any  securities  and prior to the effective date of
the  registration  statement  filed in connection  with such  registration,  the
Company  shall  determine  for any  reason  either not to  register  or to delay
registration of such securities,  the Company may, at its election, give written
notice of such  determination  to each  holder of  Registrable  Securities  and,
thereupon, (i) in the case of a determination not to register, shall be relieved
of its obligation to register any Registrable Securities in connection with such
registration  (but not from its obligation to pay the  Registration  Expenses in
connection therewith),  without prejudice,  however, to the rights of any holder
or holders of  Registrable  Securities  entitled  to do so to request  that such
registration  be effected as a registration  under section 13.1, and (ii) in the
case of a  determination  to  delay  registering,  shall be  permitted  to delay
registering  any  Registrable  Securities,  for the same  period as the delay in
registering such other securities.  No registration  effected under this section
13.2 shall relieve the Company of its obligation to effect any registration upon
request under section 13.1 nor shall any such  registration  hereunder be deemed
to have been  effected  pursuant  to  section  13.1.  The  Company  will pay all
Registration  Expenses  in  connection  with each  registration  of  Registrable
Securities requested pursuant to this section 13.2; provided,  however, that for
any registration, any selling holder of Registrable Securities shall pay its own
legal and accounting fees and expenses and any underwriting spreads or discounts
associated with its shares.

          (b)  Priority  in  Incidental  Registrations.  If  (i) a  registration
pursuant  to  this  section  13.2  involves  an  underwritten  offering  of  the
securities so being  registered,  whether or not for sale for the account of the
Company,  to be distributed  (on a firm  commitment  basis) by or through one or
more underwriters of recognized  standing under  underwriting  terms appropriate
for such a  transaction,  (ii) the  Registrable  Securities  so  requested to be
registered for sale for the account of holders of Registrable Securities are not
also to be included in such  underwritten  offering  (either because the Company
has not been  requested so to include such  Registrable  Securities  pursuant to
section  13.4(b)  or, if  requested  to do so, is not  obligated  to do so under
section  13.4(b)),  and  (iii) the  managing  underwriter  of such  underwritten
offering  shall  inform the Company and  holders of the  Registrable  Securities
requesting such  registration  by letter of its belief that the  distribution of
all or a specified number of such Registrable  Securities  concurrently with the
securities  being  distributed  by such  underwriters  would  interfere with the
successful  marketing of the securities being  distributed by such  underwriters
(such  writing to state the basis of such belief and the  approximate  number of
such Registrable  Securities which may be distributed without such effect), then
the  Company  may,  upon  written  notice  to all  holders  of such  Registrable
Securities,  reduce  pro  rata (if and to the  extent  stated  by such  managing
underwriter  to be  necessary  to  eliminate  such  effect)  the  number of such
Registrable  Securities the  registration  of which shall have been requested by
each holder of Registrable  Securities so that the resultant aggregate number of
such Registrable  Securities so included in such registration  shall be equal to
the number of shares stated in such managing underwriter's letter.

          13.3. Registration Procedures. If and whenever the Company is required
to effect the  registration of any Registrable  Securities  under the Securities
Act as provided in sections 13.1 and 13.2, the Company shall,  as  expeditiously
as possible:

               (i)  prepare  and  (within  60 days  after the end of the  period
          within which requests for  registration may be given to the Company or
          in any  event  as soon  thereafter  as  possible)  (in  the  case of a
          registration  pursuant to section 13.1,  such filing to be made within
          60 days after the initial request of one or more Initiating Holders of
          Registrable Securities or in any event as soon thereafter as possible)
          file with the  Commission  the  requisite  registration  statement  to
          effect such registration  (including such audited financial statements
          as may be required by the Securities Act or the rules and  regulations
          promulgated  thereunder)  and thereafter use its best efforts to cause
          such registration statement to become and remain effective,  provided,
          however,  that the Company may  discontinue  any  registration  of its
          securities  which  are not  Registrable  Securities  (and,  under  the
          circumstances  specified in section 13.2(a),  its securities which are
          Registrable Securities) at any time prior to the effective date of the
          registration statement relating thereto;

               (ii) prepare and file with the  Commission  such  amendments  and
          supplements to such registration  statement and the prospectus used in
          connection  therewith as may be  necessary  to keep such  registration
          statement   effective  and  to  comply  with  the  provisions  of  the
          Securities  Act with  respect  to the  disposition  of all  securities
          covered by such registration  statement until the earlier of such time
          as all of such securities have been disposed of in accordance with the
          intended  methods of disposition by the seller or sellers  thereof set
          forth  in  such  registration  statement  or  (i)  in  the  case  of a
          registration  pursuant to section  13.1,  the  expiration  of 180 days
          after such registration  statement becomes  effective,  or (ii) in the
          case of a registration  pursuant to section 13.2, the expiration of 90
          days after such registration statement becomes effective;

               (iii) furnish to each seller of Registrable Securities covered by
          such  registration  statement  and each  underwriter,  if any,  of the
          securities  being sold by such seller such number of conformed  copies
          of  such  registration  statement  and  of  each  such  amendment  and
          supplement thereto (in each case including all exhibits),  such number
          of copies of the prospectus  contained in such registration  statement
          (including each preliminary prospectus and any summary prospectus) and
          any other prospectus filed under Rule 424 under the Securities Act, in
          conformity with the requirements of the Securities Act, and such other
          documents,  as such seller and  underwriter,  if any,  may  reasonably
          request in order to facilitate the public sale or other disposition of
          the Registrable Securities owned by such seller;

               (iv) use its  reasonable  best efforts to register or qualify all
          Registrable   Securities   and  other   securities   covered  by  such
          registration  statement  under such other  securities laws or blue sky
          laws of such  jurisdictions  as any seller thereof and any underwriter
          of the securities being sold by such seller shall reasonably  request,
          to keep such  registrations or qualifications in effect for so long as
          such  registration  statement  remains in  effect,  and take any other
          action which may be  reasonably  necessary or advisable to enable such
          seller  and   underwriter  to  consummate  the   disposition  in  such
          jurisdictions of the securities owned by such seller,  except that the
          Company  shall  not  for any  such  purpose  be  required  to  qualify
          generally to do business as a foreign  corporation in any jurisdiction
          wherein it would not but for the requirements of this subdivision (iv)
          be obligated to be so qualified,  to subject itself to taxation in any
          such  jurisdiction  or to consent to general service of process in any
          such jurisdiction;

               (v) use its  reasonable  best  efforts  to cause all  Registrable
          Securities  covered by such  registration  statement to be  registered
          with or approved by such other governmental agencies or authorities as
          may be necessary to enable the seller or sellers thereof to consummate
          the disposition of such Registrable Securities;

               (vi)  furnish to each seller of  Registrable  Securities a signed
          counterpart, addressed to such seller and the underwriters, if any of

          (x) an opinion of counsel for the Company, dated the effective date of
     such  registration   statement  (or,  if  such  registration   includes  an
     underwritten  public  offering,  an opinion  dated the date of the  closing
     under the  underwriting  agreement),  reasonably  satisfactory  in form and
     substance to such seller, and

          (y) a "comfort"  letter (or, in the case of such Person which does not
     satisfy  the  conditions  for receipt of a "comfort"  letter  specified  in
     Statement  on  Auditing  Standards  No.  72, an  "agreed  upon  procedures"
     letter),  dated the effective date of such registration  statement (and, if
     such registration  includes an underwritten public offering, a letter dated
     the date of the closing under the  underwriting  agreement),  signed by the
     independent public  accountants who have certified the Company's  financial
     statements included in such registration statement,

covering  substantially  the same  matters  with  respect  to such  registration
statement  (and  the  prospectus  included  therein)  and,  in the  case  of the
accountants'  letter,  with  respect  to events  subsequent  to the date of such
financial statements, as are customarily covered in opinions of issuer's counsel
and in accountants' letters delivered to the underwriters in underwritten public
offerings  of  securities  (with,  in the case of an  "agreed  upon  procedures"
letter,  such  modifications  or deletions as may be required under Statement on
Auditing  Standards No. 35) and, in the case of the  accountants'  letter,  such
other financial matters, and, in the case of the legal opinion, such other legal
matters, as such seller (or the underwriters, if any) may reasonably request;

               (vii)  notify  the  holders  of  Registrable  Securities  and the
          managing  underwriter or  underwriters,  if any,  promptly and confirm
          such advice in writing promptly thereafter:

          (v) when the registration statement,  the prospectus or any prospectus
     supplement related thereto or post-effective  amendment to the registration
     statement has been filed,  and, with respect to the registration  statement
     or  any  post-effective   amendment  thereto,  when  the  same  has  become
     effective;

          (w) of any request by the  Commission for amendments or supplements to
     the registration statement or the prospectus or for additional information;

          (x) of the issuance by the Commission of any stop order suspending the
     effectiveness  of  the  registration  statement  or the  initiation  of any
     proceedings by any Person for that purpose;

          (y) if at any time the  representations  and warranties of the Company
     made as contemplated by section 13.4 below cease to be true and correct;

          (z) of the receipt by the Company of any notification  with respect to
     the suspension of the qualification of any Registrable  Securities for sale
     under the securities or blue sky laws of any jurisdiction or the initiation
     or threat of any proceeding for such purpose;

               (viii) notify each seller of  Registrable  Securities  covered by
          such registration  statement,  at any time when a prospectus  relating
          thereto is required to be delivered under the Securities Act, upon the
          Company's  discovery  that,  or upon 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  any  material  fact  required  to be
          stated  therein  or  necessary  to make  the  statements  therein  not
          misleading in the light of the circumstances then existing under which
          they were made, and at the request of any such seller promptly prepare
          and furnish to such seller and each underwriter,  if any, a reasonable
          number of copies of a supplement to or an amendment of such prospectus
          as may be necessary so that, as thereafter delivered to the purchasers
          of such  securities,  such  prospectus  shall  not  include  an 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 not
          misleading in the light of the circumstances then existing under which
          they were made;

               (ix) otherwise use its reasonable best efforts to comply with all
          applicable rules and regulations of the Commission, and make available
          to its  security  holders,  as  soon  as  reasonably  practicable,  an
          earnings  statement covering the period of at least twelve months, but
          not more than  eighteen  months,  beginning  with the first day of the
          Company's  first full calendar  month quarter after the effective date
          of such registration statement, which earnings statement shall satisfy
          the  provisions  of Section 11(a) of the  Securities  Act and Rule 158
          thereunder,  and will  furnish  to each  such  seller  at least  three
          Business  Days prior to the filing  thereof a copy of any amendment or
          supplement to such registration  statement or prospectus and shall not
          file any  thereof  to which  any such  seller  shall  have  reasonably
          objected on the grounds  that such  amendment or  supplement  does not
          comply  in  all  material   respects  with  the  requirements  of  the
          Securities Act or of the rules or regulations thereunder;

               (x)  make  available  for  inspection  by  a  representative   or
          representatives  of the holders of Registrable  Securities , each such
          representative representing the holders of not less than a majority of
          the  Registrable   Securities   included  in  the  registration,   any
          underwriter   participating   in  any  disposition   pursuant  to  the
          registration statement and any attorney or accountant retained by such
          selling holders or underwriter  (each, an "Inspector"),  all financial
          and other records, pertinent corporate documents and properties of the
          Company (the "Records"),  and cause the Company's officers,  directors
          and employees to supply all  information  reasonably  requested by any
          such Inspector in connection with such registration in order to permit
          a  reasonable  investigation  within the  meaning of Section 11 of the
          Securities  Act,  provided  that the Company  shall not be required to
          comply with this subdivision (x) if there is a reasonable  likelihood,
          in the judgment of the Company, that such delivery could result in the
          loss of any  attorney-client  privilege related thereto;  and provided
          further that Records which the Company  determines,  in good faith, to
          be confidential  and which it notifies the Inspectors are confidential
          shall not be disclosed by the Inspectors  (other than to any holder of
          Registrable  Securities) unless (x) such Records have become generally
          available to the public or (y) the  disclosure  of such Records may be
          necessary  or  appropriate  (A) in  compliance  with  any  law,  rule,
          regulation  or order  applicable  to any such  Inspectors or holder of
          Registrable Securities, (B) in response to any subpoena or other legal
          process  or (C) in  connection  with  any  litigation  to  which  such
          Inspectors or any holder of Registrable Securities is a party;

               (xi)  provide  and cause to be  maintained  a transfer  agent and
          registrar for all Registrable  Securities covered by such registration
          statement  from and after a date not later than the effective  date of
          such registration statement;

               (xii) enter into such  agreements  and take such other actions as
          sellers of such Registrable Securities holding 51% of the shares so to
          be sold shall  reasonably  request in order to expedite or  facilitate
          the disposition of such Registrable Securities;

               (xiii) use its  reasonable  best efforts to list all  Registrable
          Securities  covered by such  registration  statement on any securities
          exchange  on which  any of the  securities  of the  same  class as the
          Registrable Securities are then listed; and

               (xiv) use its best  efforts  to  provide a CUSIP  number  for the
          Registrable  Securities,  not  later  than the  effective  date of the
          registration statement.

The Company may require each seller of  Registrable  Securities  as to which any
registration is being effected to furnish the Company such information regarding
such seller and the distribution of such securities as the Company may from time
to time reasonably request in writing.

          Each holder of  Registrable  Securities  agrees by acquisition of such
Registrable  Securities that, upon receipt of any notice from the Company of the
occurrence  of any  event of the kind  described  in  subdivision  (vii) of this
section 13.3, such holder will forthwith  discontinue such holder's  disposition
of Registrable  Securities  pursuant to the registration  statement  relating to
such  Registrable  Securities  until such holder's  receipt of the copies of the
supplemented or amended  prospectus  contemplated  by subdivision  (vii) of this
section 13.3 and, if so directed by the Company, will deliver to the Company (at
the Company's  expense) all copies,  other than permanent  file copies,  then in
such  holder's  possession  of  the  prospectus  relating  to  such  Registrable
Securities  current  at the time of  receipt  of such  notice.  In the event the
Company shall give any such notice,  the period  mentioned in paragraph  (ii) of
this  section  13.3  shall be  extended  by the  length of the  period  from and
including  the date when each seller of any  Registrable  Securities  covered by
such registration statement shall have received such notice to the date on which
each such  seller  has  received  the  copies  of the  supplemented  or  amended
prospectus contemplated by paragraph (vii) of this section 13.3.

          If any such registration or comparable  statement refers to any holder
of  Registrable  Securities by name or otherwise as the holder of any securities
of the  Company  then  such  holder  shall  have the  right to  require  (i) the
insertion  therein  of  language,  in form and  substance  satisfactory  to such
holder,  to the effect that the holding by such holder of such securities is not
to be construed as a recommendation by such holder of the investment  quality of
the Company's  securities  covered  thereby and that such holding does not imply
that such holder will assist in meeting any future financial requirements of the
Company,  or (ii) in the event  that such  reference  to such  holder by name or
otherwise is not required by the Securities Act or any similar  federal  statute
then in force, the deletion of the reference to such holder.

          13.4. Underwritten Offerings.

          (a) Requested Underwritten Offerings. If requested by the underwriters
     for any underwritten offering by holders of Registrable Securities pursuant
     to a registration requested under section 13.1, the Company will enter into
     an underwriting  agreement with such  underwriters for such offering,  such
     agreement to be  satisfactory  in substance  and form to the Company,  each
     such holder and the underwriters,  and to contain such  representations and
     warranties by the Company and such other terms as are generally  prevailing
     in agreements of this type, including,  without limitation,  indemnities to
     the effect and to the extent  provided in section 13.7.  The holders of the
     Registrable  Securities  will cooperate with the Company in the negotiation
     of the underwriting agreement and will give consideration to the reasonable
     suggestions  of the  Company  regarding  the form  thereof,  provided  that
     nothing herein  contained  shall diminish the foregoing  obligations of the
     Company.  The holders of  Registrable  Securities to be distributed by such
     underwriters  shall be parties to such  underwriting  agreement and may, at
     their option, require that any or all of the representations and warranties
     by, and the other  agreements  on the part of,  the  Company to and for the
     benefit of such  underwriters  shall also be made to and for the benefit of
     such  holders  of  Registrable  Securities  and  that  any  or  all  of the
     conditions  precedent to the  obligations of such  underwriters  under such
     underwriting  agreement be conditions  precedent to the obligations of such
     holders  of  Registrable   Securities.   Any  such  holder  of  Registrable
     Securities shall not be required to make any  representations or warranties
     to  or  agreements  with  the  Company  or  the  underwriters   other  than
     representations  and  warranties  contained in a writing  furnished by such
     holder  expressly  for use in such  registration  statement  or  agreements
     regarding  such  holder,  such  holder's  Registrable  Securities  and such
     holder's  intended  method of  distribution  and any  other  representation
     required by law.

          (b)  Incidental  Underwritten  Offerings.  If the  Company at any time
     proposes to register  any of its  securities  under the  Securities  Act as
     contemplated  by section 13.2 and such  securities are to be distributed by
     or through one or more underwriters,  the Company will, if requested by any
     holder of Registrable Securities as provided in section 13.2 and subject to
     the  provisions  of section  13.2(b),  use its  reasonable  best efforts to
     arrange for such underwriters to include all the Registrable  Securities to
     be offered and sold by such holder among the  securities to be  distributed
     by  such  underwriters.   The  holders  of  Registrable  Securities  to  be
     distributed  by such  underwriters  shall be  parties  to the  underwriting
     agreement  between  the  Company  and such  underwriters  and may, at their
     option,  require that any or all of the  representations and warranties by,
     and the other agreements on the part of, the Company to and for the benefit
     of such  underwriters  shall  also be made to and for the  benefit  of such
     holders of  Registrable  Securities  and that any or all of the  conditions
     precedent to the obligations of such  underwriters  under such underwriting
     agreement be  conditions  precedent to the  obligations  of such holders of
     Registrable Securities. Any such holder of Registrable Securities shall not
     be required to make any representations or warranties to or agreements with
     the Company or the underwriters other than  representations,  warranties or
     agreements regarding such holder, such holder's Registrable  Securities and
     such holder's intended method of distribution and any other  representation
     required by law.

          (c) Holdback Agreements.

               (i) Each holder of Registrable  Securities  agrees by acquisition
          of  such  Registrable  Securities,  if so  required  by  the  managing
          underwriter,  not to sell,  make any short  sale of,  loan,  grant any
          option for the purchase of, effect any public sale or  distribution of
          or otherwise dispose of any equity  securities of the Company,  during
          the  seven  days  prior to and the 135  days  after  any  underwritten
          registration  pursuant to section  13.1 or 13.2 has become  effective,
          except as part of such underwritten registration.  Notwithstanding the
          foregoing sentence,  each holder of Registrable  Securities subject to
          the foregoing  sentence shall be entitled to sell during the foregoing
          period securities in a private sale.

               (ii)  The  Company  agrees  (x) if so  required  by the  managing
          underwriter  not to sell,  make any  short  sale of,  loan,  grant any
          option for the purchase of, effect any public sale or  distribution of
          or  otherwise   dispose  of  its  equity   securities   or  securities
          convertible  into  or  exchangeable  or  exercisable  for  any of such
          securities  during  the seven days prior to and the 135 days after any
          underwritten  registration pursuant to section 13.1 or 13.2 has become
          effective, except as part of such underwritten registration and except
          pursuant to registrations on Form S-4, S-8 or any successor or similar
          forms thereto,  and (y) to cause each holder of its equity  securities
          or any securities  convertible into or exchangeable or exercisable for
          any of such  securities,  in each  case  purchased  directly  from the
          Company at any time after the date of this Agreement  (other than in a
          public  offering) to agree not to sell,  make any short sale of, loan,
          grant any option for the purchase  of,  effect any such public sale or
          distribution of or otherwise  dispose of such  securities  during such
          period except as part of such underwritten registration.

          (d) Participation in Underwritten Offerings. No Person may participate
in any  underwritten  offering  hereunder  unless such Person (i) agrees to sell
such Person's securities on the basis provided in any underwriting  arrangements
approved,  subject to the terms and  conditions  hereof,  by the Company and the
holders  of a  majority  of  Registrable  Securities  to  be  included  in  such
underwritten  offering  and (ii)  completes  and  executes  all  questionnaires,
indemnities,  underwriting  agreements and other documents (other than powers of
attorney)   required  under  the  terms  of  such   underwriting   arrangements.
Notwithstanding the foregoing,  no underwriting agreement (or other agreement in
connection   with  such  offering)  shall  require  any  holder  of  Registrable
Securities to make any  representations  or warranties to or agreements with the
Company or the underwriters other than  representations and warranties contained
in a  writing  furnished  by  such  holder  expressly  for  use in  the  related
registration  statement  or  agreements  regarding  such holder,  such  holder's
Registrable Securities and such holder's intended method of distribution and any
other representation required by law.

          13.5. Preparation;  Reasonable  Investigation.  In connection with the
preparation and filing of each  registration  statement under the Securities Act
pursuant to this  Agreement,  the Company  will give the holders of  Registrable
Securities registered under such registration statement, their underwriters,  if
any,  and  their  respective   counsel  and  accountants,   the  opportunity  to
participate in the preparation of such registration  statement,  each prospectus
included  therein or filed with the  Commission,  and each amendment  thereof or
supplement  thereto,  and will give  each of them  such  access to its books and
records and such  opportunities  to discuss the business of the Company with its
officers and the independent public accountants who have certified its financial
statements  as shall be  necessary,  in the  opinion of such  holders'  and such
underwriters'  respective counsel, to conduct a reasonable  investigation within
the meaning of the Securities Act.

          13.6.  Rights of  Holders.  If any  registration  statement  under the
Securities  Act refers to any holder by name or  otherwise  as the holder of any
securities of the Company,  then such holder shall have the right to require (a)
the insertion  therein of language,  in form and substance  satisfactory to such
holder,  to the effect that the holding by such holder of such  securities  does
not  necessarily  make such holder a "controlling  person" of the Company within
the meaning of the Securities  Act and is not to be construed as  recommendation
by such  holder  of the  investment  quality  of the  Company's  debt or  equity
securities covered thereby and that such holding does not imply that such holder
will assist in meeting any future financial  requirements of the Company, or (b)
in the event that such  reference  to such  holder by name or  otherwise  is not
required  by the  Securities  Act  or  any  rules  and  regulations  promulgated
thereunder, the deletion of the reference to such holder. 

          13.7. Indemnification.

          (a)  Indemnification  by the Company.  In the case of any registration
     statement  filed  pursuant to Section 13.1 or 13.2,  the Company will,  and
     hereby does,  indemnify  and hold  harmless  the holder of any  Registrable
     Securities  covered  by such  registration  statement,  its  directors  and
     officers,  each other  Person who  participates  as an  underwriter  in the
     offering or sale of such  securities  and each other  Person,  if any,  who
     controls  such  holder or any such  underwriter  within the  meaning of the
     Securities Act, against any losses, claims,  damages or liabilities,  joint
     or  several,  to which  such  holder or any such  director  or  officer  or
     underwriter or  controlling  person may become subject under the Securities
     Act or otherwise,  insofar as such losses,  claims,  damages or liabilities
     (or actions or  proceedings,  whether  commenced or threatened,  in respect
     thereof)  arise out of or are based  upon any untrue  statement  or alleged
     untrue  statement  of any  material  fact  contained  in  any  registration
     statement under which such securities were registered  under the Securities
     Act, any preliminary  prospectus,  final  prospectus or summary  prospectus
     contained therein,  or any amendment or supplement thereto, or 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, and the
     Company  will  reimburse  such  holder  and each  such  director,  officer,
     underwriter  and  controlling  person  for any legal or any other  expenses
     reasonably  incurred by them in connection with  investigating or defending
     any such loss, claim,  liability,  action or proceeding,  provided that the
     Company  shall not be liable in any such case to the  extent  that any such
     loss, claim, damage, liability (or action or proceeding in respect thereof)
     or expense  arises out of or is based upon an untrue  statement  or alleged
     untrue statement or omission or alleged omission made in such  registration
     statement,  any such  preliminary  prospectus,  final  prospectus,  summary
     prospectus, amendment or supplement in reliance upon and in conformity with
     written  information  furnished to the Company  through an instrument  duly
     executed  by such  holder  specifically  stating  that it is for use in the
     preparation  thereof and,  provided,  further that the Company shall not be
     liable to any Person who participates as an underwriter, in the offering or
     sale of Registrable Securities or to any other Person, if any, who controls
     such underwriter within the meaning of the Securities Act, in any such case
     to the extent that any such loss,  claim,  damage,  liability (or action or
     proceeding  in  respect  thereof)  or expense  arises out of such  Person's
     failure to send or give a copy of the final prospectus,  as the same may be
     then  supplemented  or amended,  within the time required by the Securities
     Act to the Person asserting an untrue statement or alleged untrue statement
     or omission or alleged omission at or prior to the written  confirmation of
     the sale of  Registrable  Securities  to such Person if such  statement  or
     omission  was  corrected in such final  prospectus.  Such  indemnity  shall
     remain in full force and effect regardless of any investigation  made by or
     on behalf of such  holder or any such  director,  officer,  underwriter  or
     controlling  person and shall  survive the transfer of such  securities  by
     such holder.

          (b)  Indemnification  by the Sellers.  The Company may  require,  as a
     condition to  including  any  Registrable  Securities  in any  registration
     statement  filed  pursuant to section  13.3,  that the  Company  shall have
     received an undertaking  satisfactory to it from the prospective  seller of
     such  Registrable  Securities,  to indemnify and hold harmless (in the same
     manner  and to the same  extent  as set  forth in  subdivision  (a) of this
     section 13.7) the Company,  each  director of the Company,  each officer of
     the Company and each other person,  if any, who controls the Company within
     the meaning of the Securities Act, with respect to any statement or alleged
     statement  in or  omission  or  alleged  omission  from  such  registration
     statement,   any  preliminary  prospectus,   final  prospectus  or  summary
     prospectus  contained therein,  or any amendment or supplement  thereto, if
     such  statement or alleged  statement  or omission or alleged  omission was
     made in reliance upon and in conformity with written information  furnished
     to  the  Company  through  an  instrument  duly  executed  by  such  seller
     specifically  stating  that  it is  for  use  in the  preparation  of  such
     registration statement,  preliminary prospectus, final prospectus,  summary
     prospectus,  amendment or supplement.  Any such  indemnity  shall remain in
     full force and effect, regardless of any investigation made by or on behalf
     of the  Company or any such  director,  officer or  controlling  person and
     shall survive the transfer of such securities by such seller.

          (c) Notices of Claims,  etc.  Promptly after receipt by an indemnified
     party of notice of the commencement of any action or proceeding involving a
     claim referred to in the preceding  subdivisions of this section 13.7, such
     indemnified party will, if a claim in respect thereof is to be made against
     an  indemnifying   party,   give  written  notice  to  the  latter  of  the
     commencement  of such action,  provided that the failure of any indemnified
     party to give notice as provided herein shall not relieve the  indemnifying
     party of its obligations  under the preceding  subdivisions of this section
     13.7,  except  to the  extent  that  the  indemnifying  party  is  actually
     prejudiced  by such  failure  to give  notice.  In case any such  action is
     brought against an indemnified  party,  unless in such indemnified  party's
     reasonable  judgment a conflict of interest  between such  indemnified  and
     indemnifying  parties may exist in respect of such claim,  the indemnifying
     party  shall be  entitled  to  participate  in and to  assume  the  defense
     thereof,  jointly with any other indemnifying party similarly notified,  to
     the extent that the  indemnifying  party may wish, with counsel  reasonably
     satisfactory  to  such  indemnified   party,  and  after  notice  from  the
     indemnifying  party to such indemnified  party of its election so to assume
     the defense  thereof,  the  indemnifying  party shall not be liable to such
     indemnified party for any legal or other expenses  subsequently incurred by
     the latter in connection  with the defense  thereof  other than  reasonable
     costs of investigation. No indemnifying party shall, without the consent of
     the indemnified  party,  consent to entry of any judgment or enter into any
     settlement  of any such action  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, or a covenant not to sue, in respect
     to such claim or litigation. No indemnified party shall consent to entry of
     any judgment or enter into any settlement of any such action the defense of
     which has been assumed by an indemnifying party without the consent of such
     indemnifying party.

          (d) Other Indemnification.  Indemnification  similar to that specified
     in the  preceding  subdivisions  of this  section  13.7  (with  appropriate
     modifications) shall be given by the Company and each seller of Registrable
     Securities with respect to any required registration or other qualification
     of  securities  under  any  Federal  or  state  law  or  regulation  of any
     governmental authority, other than the Securities Act.

          (e) Indemnification  Payments.  The  indemnification  required by this
     section  13.7 shall be made by  periodic  payments  of the  amount  thereof
     during the course of the  investigation  or defense,  as and when bills are
     received or expense, loss, damage or liability is incurred.

          (f) Contribution. If the indemnification provided for in the preceding
     subdivisions of this section 13.7 is unavailable to an indemnified party in
     respect of any  expense,  loss,  claim,  damage or  liability  referred  to
     therein,  then  each  indemnifying  party,  in  lieu of  indemnifying  such
     indemnified  party,  shall contribute to the amount paid or payable by such
     indemnified  party as a result  of such  expense,  loss,  claim,  damage or
     liability (i) in such  proportion as is appropriate to reflect the relative
     benefits  received  by the  Company  on the  one  hand  and the  holder  or
     underwriter,  as the case may be, on the other from the distribution of the
     Registrable  Securities  or (ii) if the  allocation  provided by clause (i)
     above  is not  permitted  by  applicable  law,  in  such  proportion  as is
     appropriate to reflect not only the relative benefits referred to in clause
     (i) above but also the relative fault of the Company on the one hand and of
     the holder or  underwriter,  as the case may be, on the other in connection
     with the  statements or omissions  which  resulted in such  expense,  loss,
     damage   or   liability,   as  well  as  any   other   relevant   equitable
     considerations.  The relative  benefits  received by the Company on the one
     hand and the  holder  or  underwriter,  as the case may be, on the other in
     connection with the  distribution of the  Registrable  Securities  shall be
     deemed to be in the same  proportion as the total net proceeds  received by
     the Company  from the initial  sale of the  Registrable  Securities  by the
     Company to the  purchasers  pursuant  to the Credit  Agreement  bear to the
     gain, if any, realized by the selling holder or the underwriting  discounts
     and  commissions  received  by the  underwriter,  as the case  may be.  The
     relative  fault  of the  Company  on the  one  hand  and of the  holder  or
     underwriter,  as the case may be,  on the  other  shall  be  determined  by
     reference  to,  among other  things,  whether the untrue or alleged  untrue
     statement of a material  fact or omission to state a material  fact relates
     to information supplied by the Company, by the holder or by the underwriter
     and the parties'  relative  intent,  knowledge,  access to information  and
     opportunity to correct or prevent such statement or omission, provided that
     the foregoing  contribution agreement shall not inure to the benefit of any
     indemnified  party  if   indemnification   would  be  unavailable  to  such
     indemnified  party by  reason  of the  provisions  contained  in the  first
     sentence of subdivision (a) of this section 13.7, and in no event shall the
     obligation of any  indemnifying  party to contribute under this subdivision
     (f)  exceed  the  amount  that  such  indemnifying  party  would  have been
     obligated to pay by way of indemnification if the indemnification  provided
     for under  subdivisions  (a) or (b) of this section 13.7 had been available
     under the circumstances.

          The Company and the holders of  Registrable  Securities  agree that it
     would  not  be  just  and  equitable  if  contribution   pursuant  to  this
     subdivision (f) were determined by pro rata allocation (even if the holders
     and any underwriters were treated as one entity for such purpose) or by any
     other  method of  allocation  that does not take  account of the  equitable
     considerations  referred to in the  immediately  preceding  paragraph.  The
     amount paid or payable by an  indemnified  party as a result of the losses,
     claims,  damages and liabilities  referred to in the immediately  preceding
     paragraph shall be deemed to include,  subject to the limitations set forth
     in the preceding  sentence and  subdivision  (c) of this section 13.7,  any
     legal or other expenses  reasonably  incurred by such indemnified  party in
     connection with investigating or defending any such action or claim.

          Notwithstanding  the provisions of this  subdivision (f), no holder of
     Registrable  Securities or underwriter  shall be required to contribute any
     amount in excess of the amount by which (i) in the case of any such holder,
     the net  proceeds  received  by such  holder  from the sale of  Registrable
     Securities or (ii) in the case of an underwriter,  the total price at which
     the  Registrable  Securities  purchased by it and distributed to the public
     were  offered to the public  exceeds,  in any such case,  the amount of any
     damages that such holder or underwriter  has otherwise been required to pay
     by reason of such untrue or alleged untrue statement or omission. No Person
     guilty of fraudulent misrepresentation (within the meaning of Section 11(f)
     of the Securities  Act) shall be entitled to  contribution  from any person
     who was not guilty of such fraudulent misrepresentation.

          14.  Definitions.  Capitalized  terms used but not defined herein have
the  meanings  ascribed to such terms in the Credit  Agreement.  As used herein,
unless the context  otherwise  requires,  the following terms have the following
respective meanings:

          Acquiring  Person:  With reference to the transactions  referred to in
clauses (a) through (d) of section 3.1, the continuing or surviving  corporation
of a consolidation  or merger with the Company (if other than the Company),  the
transferee  of  substantially  all  of  the  properties  of  the  Company,   the
corporation consolidating with or merging into the Company in a consolidation or
merger in  connection  with which the Common  Stock is changed into or exchanged
for stock or other securities of any other Person or cash or any other property,
or, in the case of a capital  reorganization or  reclassification,  the Company.
Acquisition  Price: As applied to the Common Stock,  (a) the Market Price on the
date immediately  preceding the date on which any transaction to which section 3
applies is consummated,  or (b) if a purchase,  tender or exchange offer is made
by the  Acquiring  Person (or by any of its  affiliates)  to the  holders of the
Common  Stock and such offer is  accepted by the holders of more than 50% of the
outstanding  shares of Common Stock,  the greater of (i) the price determined in
accordance with the provisions of the foregoing  clause (a) of this sentence and
(ii) the Market Price on the date  immediately  preceding the acceptance of such
offer by the holders of more than 50% of the outstanding shares of Common Stock.

          Additional  Shares of Common  Stock:  All shares  (including  treasury
shares) of Common  Stock  issued or sold (or,  pursuant  to section  2.3 or 2.4,
deemed to be  issued)  by the  Company  after the date  hereof,  whether  or not
subsequently reacquired or retired by the Company.

          Business  Day:  Any day other than a Saturday  or a Sunday or a day on
which commercial banking  institutions in the City of New York are authorized by
law to be closed.  Any reference to "days" (unless Business Days
are specified) shall mean calendar days.

          Commission:  The  Securities  and  Exchange  Commission  or any  other
federal agency at the time administering the Securities Act.

          Common Stock:  As defined in the  introduction  to this Warrant,  such
term to include any stock into which such Common  Stock shall have been  changed
or any stock resulting from any  reclassification  of such Common Stock, and all
other  stock of any class or classes  (however  designated)  of the  Company the
holders of which have the right, without limitation as to amount,  either to all
or to a share of the  balance of current  dividends  and  liquidating  dividends
after the  payment of  dividends  and  distributions  on any shares  entitled to
preference.

          Company: As defined in the introduction to this Warrant,  such term to
include any corporation  which shall succeed to or assume the obligations of the
Company hereunder in compliance with section 3.

          Convertible Securities: Any evidences of indebtedness, shares of stock
(other than Common Stock) or other securities directly or indirectly convertible
into or exchangeable for Additional Shares of Common Stock.

          Credit  Agreement:  As defined in the  introduction  to this  Warrant.

          Current Market Price: On any date specified herein,  the average daily
Market Price during the period of the most recent 20 days,  ending on such date,
on which the national securities exchanges were open for trading, except that if
no Common Stock is then listed or admitted to trading on any national securities
exchange or quoted in the  over-the-counter  market,  the Current  Market  Price
shall be the Market Price on such date.

          Exchange  Act: The  Securities  Exchange  Act of 1934,  or any similar
federal statute, and the rules and regulations of the Commission thereunder, all
as the same shall be in effect at the time.

          Initiating  Holders:  Any holder or holders of Registrable  Securities
holding at least 25% of the  Registrable  Securities (by number of shares at the
time issued and outstanding),  and initiating a request pursuant to section 13.1
for the  registration  of all or part of such  holder's or holders'  Registrable
Securities.

          Institutional  Holder:  Any original  purchaser  of any  Warrant,  any
insurance company,  pension fund, mutual fund, investment company, bank, savings
bank,  savings  and  loan  association,   broker-dealer,   investment   adviser,
investment banking company,  trust company or any finance or credit company, any
portfolio  or any  investment  fund managed by any of the  foregoing,  any other
institutional investor and any nominee of any of the foregoing.

          Market Price:  On any date specified  herein,  the amount per share of
the Common Stock, equal to (a) the last sale price of such Common Stock, regular
way, on such date or, if no such sale takes  place on such date,  the average of
the  closing  bid and  asked  prices  thereof  on  such  date,  in each  case as
officially  reported on the principal national securities exchange on which such
Common Stock is then listed or admitted to trading,  or (b) if such Common Stock
is not then listed or admitted to trading on any  national  securities  exchange
but is designated as a national  market  system  security by the NASD,  the last
trading  price of the Common Stock on such date, or (c) if there shall have been
no trading on such date or if the Common Stock is not so designated, the average
of the closing bid and asked prices of the Common Stock on such date as shown by
the NASD  automated  quotation  system,  or (d) if such Common Stock is not then
listed  or  admitted  to  trading  on any  national  exchange  or  quoted in the
over-the-counter  market, the higher of (x) the book value thereof as determined
by any firm of independent public accountants of recognized standing selected by
the Board of  Directors  of the  Company as of the last day of any month  ending
within 60 days preceding the date as of which the determination is to be made or
(y) the fair value thereof determined in good faith by the Board of Directors of
the  Company  as of a date  which is  within 18 days of the date as of which the
determination is to be made.

          Market  Value:  Per  share  of  common  stock  (or  equivalent  equity
interests) of the Acquiring  Person or its Parent on any date specified  herein,
(a) the average of the last sale  prices,  regular  way,  on the 20  consecutive
business days  immediately  preceding  such date or, if there shall have been no
sale on any such day,  the average of the  closing bid and asked  prices on such
date, in each case as officially  reported on the principal national  securities
exchange  on which  such  common  stock is at the time  listed  or  admitted  to
trading,  or (b) if such common  stock is not then listed or admitted to trading
on any national  securities  exchange,  but is designated  as a national  market
system  security by the NASD, the last trading price of the common stock on such
date, or if there shall have been no trading on such date or if the common stock
is not so designated,  the average of the reported  closing bid and asked prices
on such 20 days as shown by the NASD automated quotation system.

          NASD: The National Association of Securities Dealers, Inc.

          Notes:  Collectively,  the Tranche A Term Notes, due June 30, 2003, of
the Company originally issued in the aggregate  principal amount of $25 million,
the Tranche B Term Notes, due June 30, 2004, of the Company originally issued in
the aggregate amount of $25 million,  and the Revolving Notes, issued originally
due June 30, 2001,  of the Company in the  aggregate  amount of $10 million,  in
each case issued pursuant to the Credit Agreement,  and such term to include any
such notes issued in substitution for such notes.

          Options:  Rights,  options or warrants to subscribe  for,  purchase or
otherwise  acquire  either  Additional  Shares  of Common  Stock or  Convertible
Securities.

          Other  Securities:  Any stock  (other  than  Common  Stock)  and other
securities of the Company or any other Person (corporate or otherwise) which the
holders of the Warrants at any time shall be entitled to receive,  or shall have
received, upon the exercise of the Warrants, in lieu of or in addition to Common
Stock,  or which at any time  shall be  issuable  or shall  have been  issued in
exchange for or in replacement of Common Stock or Other  Securities  pursuant to
section 3 or otherwise.

          Parent:  As to any Acquiring Person any corporation which (a) controls
the Acquiring Person directly or indirectly through one or more  intermediaries,
(b) is required to include the Acquiring  Person in the  consolidated  financial
statements  contained in such Parent's Annual Report on Form 10-K and (c) is not
itself  included in the  consolidated  financial  statements of any other person
(other than its consolidated subsidiaries).

          Person:  A  corporation,  an  association,  a  partnership,  a limited
liability company, an organization,  a business, an individual,  a government or
political subdivision thereof or a governmental agency.

          Purchaser: As defined in the introduction to this Warrant.

          Registrable  Securities:  (a) Any  shares  of  Common  Stock  or Other
Securities  issued  or  issuable  upon  exercise  of  this  Warrant  and (b) any
securities issued or issuable with respect to any securities  referred to in the
foregoing  subdivision  by way of stock dividend or stock split or in connection
with a combination of shares,  recapitalization,  merger, consolidation or other
reorganization or otherwise. As to any particular Registrable  Securities,  once
issued such  securities  shall  cease to be  Registrable  Securities  when (a) a
registration  statement with respect to the sale of such  securities  shall have
become  effective under the Securities Act and such  securities  shall have been
disposed of in accordance with such registration statement,  (b) they shall have
been distributed to the public pursuant to Rule 144 (or any successor provision)
under the Securities  Act, (c) they shall have been otherwise  transferred,  new
certificates  for them not bearing a legend  restricting  further transfer shall
have been delivered by the Company and subsequent  disposition of them shall not
require  registration or  qualification  of them under the Securities Act or any
similar  state  law  then  in  force,  or  (d)  they  shall  have  ceased  to be
outstanding.

          Registration   Expenses:   All  expenses  incident  to  the  Company's
performance of or compliance with section 13, including, without limitation, all
registration,  filing and NASD fees,  all fees and  expenses of  complying  with
securities  or blue sky laws,  all word  processing,  duplicating  and  printing
expenses, messenger and delivery expenses, the fees and disbursements of counsel
for  the  Company  and of its  independent  public  accountants,  including  the
expenses of any special audits or "cold comfort" letters required by or incident
to such  performance  and  compliance,  premiums  and other costs of policies of
insurance  issued to the Company against  liabilities  arising out of the public
offering  of the  Registrable  Securities  being  registered  and any  fees  and
disbursements  of underwriters  retained by the Company and customarily  paid by
issuers or sellers of  securities,  but  excluding  underwriting  discounts  and
commissions  and  transfer  taxes,  if any,  provided  that,  in any case  where
Registration  Expenses are not to be borne by the Company,  such expenses  shall
not include salaries of Company  personnel or general  overhead  expenses of the
Company,  auditing  fees,  premiums  or other  expenses  relating  to  liability
insurance  required by  underwriters  of the Company or other  expenses  for the
preparation  of  financial  statements  or other data  normally  prepared by the
Company in the ordinary  course of its business or which the Company  would have
incurred in any event.

          Restricted Securities:  (a) Any Warrants bearing the applicable legend
set forth in section 9.1,  (b) any shares of Common Stock (or Other  Securities)
issued upon the exercise of Warrants  which are  evidenced by a  certificate  or
certificates  bearing the applicable  legend set forth in such section,  (c) any
shares of Common Stock (or Other  Securities)  issued subsequent to the exercise
of any of the Warrants as a dividend or other  distribution  with respect to, or
resulting from a subdivision of the outstanding shares of Common Stock (or Other
Securities) into a greater number of shares by reclassification, stock splits or
otherwise,  or in exchange for or in  replacement  of the Common Stock (or Other
Securities)  issued upon such exercise,  which are evidenced by a certificate or
certificates  bearing the applicable  legend set forth in such section,  and (d)
unless the  context  otherwise  requires,  any shares of Common  Stock (or Other
Securities) issuable upon the exercise of Warrants,  which, when so issued, will
be evidenced by a certificate or certificates  bearing the applicable legend set
forth in such section.

          Securities  Act: The  Securities  Act of 1933, or any similar  federal
statute, and the rules and regulations of the Commission thereunder,  all as the
same shall be in effect at the time.

          Series A Preferred Stock: The Company's Series A Convertible Preferred
Stock, par value $.01 per share.

          Series B Preferred Stock: The Company's Series B Convertible Preferred
Stock, par value $.001 per share.

          Series C Preferred Stock: The Company's Series C Convertible Preferred
Stock, par value $.01 per share.

          Transfer:  Any sale,  assignment,  pledge or other  disposition of any
security,  or of any interest  therein,  which could constitute a "sale" as that
term  is  defined  in  section  2(3)  --------  of the  Securities  Act.  

          Voting  Securities:  Stock of any  class  or  classes  (or  equivalent
interests),  if the holders of the stock of such class or classes (or equivalent
interests) are ordinarily, in the absence of contingencies, entitled to vote for
the election of the directors (or persons  performing similar functions) of such
business  entity,  even  though the right so to vote has been  suspended  by the
happening of such a contingency.

          Warrant Price: As defined in section 2.1.

          Warrants: As defined in the introduction to this Warrant.

          Weighted  Average  Warrant  Price:  As to  any  holder  of  Restricted
Securities,  the  price  determined  by  dividing  (a) the sum of the  aggregate
consideration  previously paid by such holder upon the exercise of Warrants plus
the consideration  payable upon the exercise of all Warrants held by such holder
by (b) the sum of (i) the aggregate number of shares previously received by such
holder upon the exercise of Warrants  plus (ii) the number of shares which would
be  received  by such holder  upon the  exercise  of all  Warrants  held by such
holder,  based upon the  Warrant  Price in effect on the  effective  date of the
registration statement in respect of which the Weighted Average Warrant Price is
being determined.

          15. Remedies.  The Company  stipulates that the remedies at law of the
holder of this Warrant in the event of any default or threatened  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,  to the  fullest  extent
permitted by law,  such terms may be  specifically  enforced by a decree for the
specific  performance  of any  agreement  contained  herein or by an  injunction
against a violation of any of the terms hereof or otherwise.

          16. No Rights or Liabilities as Stockholder. Nothing contained in this
Warrant shall be construed as conferring  upon the holder hereof any rights as a
stockholder  of the  Company or as  imposing  any  obligation  on such holder to
purchase  any  securities  or as imposing  any  liabilities  on such holder as a
stockholder of the Company,  whether such obligation or liabilities are asserted
by the Company or by creditors of the Company.

          17. Notices.  All notices and other  communications under this Warrant
shall be in writing and shall be delivered, or mailed by registered or certified
mail, return receipt requested,  by a nationally  recognized  overnight courier,
postage  prepaid,  addressed  (a)  if to  any  holder  of  any  Warrant,  at the
registered  address  of such  holder  as set forth in the  register  kept at the
principal office of the Company,  or (b) if to the Company,  to the attention of
its President at its principal office, provided that the exercise of any Warrant
shall be effective in the manner provided in section 1.

          18.  Amendments.  This  Warrant  and any term  hereof may be  changed,
waived,  discharged or terminated only by an instrument in writing signed by the
party against which enforcement of such change, waiver,  discharge or
termination is sought.

          19.  Expiration.  The right to exercise  this Warrant  shall expire at
5:00 p.m., New York City time, on June 30, 2008.

          20.  Descriptive  Headings.  The  headings in this  Agreement  are for
purposes of reference  only and shall not limit or otherwise  affect the meaning
hereof.

          21.  GOVERNING  LAW.  THIS WARRANT  SHALL BE CONSTRUED AND ENFORCED IN
ACCORDANCE  WITH, AND THE RIGHTS OF THE PARTIES SHALL BE GOVERNED BY, THE LAW OF
THE STATE OF NEW YORK, WITHOUT REGARD TO PRINCIPLES OF CONFLICT OF LAWS.

<PAGE>

          22.  Judicial  Proceedings;  Waiver of Jury.  Any judicial  proceeding
brought  against the Company  with respect to this Warrant may be brought in any
court of competent jurisdiction in the State of New York or of the United States
of America for the Southern  District of New York and, by execution and delivery
of this Agreement, the Company (a) accepts,  generally and unconditionally,  the
nonexclusive  jurisdiction of such courts and any related  appellate  court, and
irrevocably  agrees to be bound by any judgment  rendered  thereby in connection
with this Warrant,  subject to any rights of appeal,  and (b) irrevocably waives
any objection the Company may now or hereafter  have as to the venue of any such
suit,  action or  proceeding  brought  in such a court or that such  court is an
inconvenient  forum.  The Company hereby waives personal  service of process and
consents, that service of process upon it may be made by certified or registered
mail,  return  receipt  requested,  at its address  specified or  determined  in
accordance  with the  provisions  of section  17,  and  service so made shall be
deemed  completed  on the third  Business Day after such service is deposited in
the mail or, if earlier,  when delivered.  Nothing herein shall affect the right
to serve  process in any other manner  permitted by law or shall limit the right
of any holder of any  Warrant to bring  proceedings  against  the Company in the
courts of any other jurisdiction. THE COMPANY HEREBY WAIVES TRIAL BY JURY IN ANY
JUDICIAL  PROCEEDING  INVOLVING,  DIRECTLY,  OR INDIRECTLY,  ANY MATTER (WHETHER
SOUNDING IN TORT,  CONTRACT OR OTHERWISE) IN ANY WAY ARISING OUT OF, RELATED TO,
OR CONNECTED WITH THIS WARRANT OR THE RELATIONSHIP ESTABLISHED HEREUNDER.

                                                    BMJ MEDICAL MANAGEMENT, INC.



                                                     By:________________________
                                                        Name:
                                                        Title:

<PAGE>



                                                                                
                              FORM OF SUBSCRIPTION


          [To be executed only upon exercise of Warrant]


To [NAME OF ISSUER]

The  undersigned  registered  holder of the within  Warrant  hereby  irrevocably
exercises  such Warrant for, and purchases  thereunder,  ______ shares of Common
Stock of [NAME OF ISSUER] and herewith makes payment of $ therefor, and requests
that the certificates for such shares be issued in the name of, and delivered to
                , whose address is .

Dated:                                       ___________________________________
                                             (Signature must conform in all 
                                             respects to name of holder as 
                                             specified on the face of Warrant)

                                             ___________________________________
                                                        (Street Address)

                                             ___________________________________
                                                     (City)(State)(Zip Code)


<PAGE>



                               FORM OF ASSIGNMENT

          [To be executed only upon transfer of Warrant] For value received, the
undersigned  registered  holder of the within Warrant hereby sells,  assigns and
transfers  unto  __________  the right  represented  by such Warrant to purchase
______  shares of  [Common  Stock] of [NAME OF  ISSUER]  to which  such  Warrant
relates,  and appoints  _______  Attorney to make such  transfer on the books of
[NAME OF ISSUER] maintained for such purpose, 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 Warrant)


                                            ____________________________________
                                                        (Street Address)


                                            ____________________________________
                                                     (City)(State)(Zip Code)

Signed in the presence of:




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