COASTAL PHYSICIAN GROUP INC
10-Q, 1996-08-14
HELP SUPPLY SERVICES
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                        UNITED STATES
             SECURITIES AND EXCHANGE COMMISSION
                    WASHINGTON, DC  20549

                          Form 10-Q



  {X}    Quarterly Report Pursuant to Section 13 or 15(d) of
             the Securities Exchange Act of 1934
                              
        For the quarterly period ended JUNE 30, 1996
                              
                             OR
                              
   { }    Transition Report Pursuant to Section 13 or 15(d)
           of the Securities Exchange Act of 1934
                              
    For the transition period from           to _________
                              

              Commission File Number 001-13460


                  COASTAL PHYSICIAN GROUP, INC.
   (Exact name of registrant as specified in its charter)
                              
 DELAWARE                                         56-1379244
 (State or other jurisdiction of               (IRS Employer
incorporation or organization)           Identification No.)
                              
 2828 CROASDAILE DRIVE, DURHAM, NC                    27705
Address of principal executive offices)           (Zip Code)
                              
                       (919) 383-0355
     (Registrant's telephone number including area code)
                              
                            NONE
   (Former name, former address and former fiscal year, if
                 changed since last report)
                              
Indicate by check mark whether the registrant (1) has  filed
all  reports required to be filed by Section 13 or 15(d)  of
the Securities Exchange Act of 1934 during the preceding  12
months  (or for such shorter period that the registrant  was
required to file such reports), and (2) has been subject  to
such filing requirements for the past 90 days.
                              
                  { } Yes           {X} No
                              
As of July 31, 1996 there were outstanding 23,862,146 shares
         of common stock, par value $.01 per share.
                              



              COASTAL  PHYSICIAN  GROUP,  INC.
                            INDEX
                              
                              
                              
PART I - FINANCIAL INFORMATION

Item 1. Financial Statements
          Consolidated Balance Sheets at December
           31, 1995 and June 30, 1996 (Unaudited)
        Unaudited Consolidated Statements of
           Operations
        Unaudited Consolidated Condensed
           Statements of Cash Flows
        Notes to Consolidated Financial Statements
           (Unaudited)
Item 2.  Management's Discussion and Analysis of
           Financial Condition and Results of Operations

PART II - OTHER INFORMATION

Item 6.  Exhibits and Reports on Form 8-K                             11

SIGNATURES

                 COASTAL PHYSICIAN GROUP, INC.
                  Consolidated Balance Sheets
     (In thousands of U.S. dollars, except per share data)

                                          June 30,     December
                                            1996          31,
                                                         1995
                                         (unaudite    
                                             d)
                 Assets                               
Current assets:                                       
 Cash and cash equivalents                    11,455         8,147
 Marketable securities                         7,543         9,303
 Trade accounts receivable, net              135,550       149,891
 Accounts receivable, other                   16,298        11,315
 Notes receivable from shareholders            1,791         1,879
 Refundable income taxes                         ---        12,804
 Prepaid expenses and other current            9,584         3,882
assets
 Deferred income taxes                         4,265         4,265
      Total current assets                   186,486       201,486
Property and equipment, at cost, less                             
    accumulated depreciation                 25,036        33,441
Excess of cost over fair value of net                             
      assets acquired, net                   52,557        53,836
Deferred income taxes                          2,327         2,244
Other assets                                  20,231        22,050
      Total assets                           286,637       313,057
                                                                 
  Liabilities and Shareholders' Equity                           
Current liabilities:                                              
 Current maturities and other short-term                          
      borrowings                              46,892         5,210
 Accounts payable                             16,334        19,600
 Accrued physicians fees and medical          33,081        38,468
costs
 Accrued expenses                             21,894        26,138
     Total current liabilities              118,201        89,416
Long-term debt, excluding current             57,180        77,270
maturities
      Total liabilities                      175,381       166,686
Shareholders' equity:                                             
 Preferred stock $.01 par value; shares                           
      authorized 10,000; none issued or                           
      outstanding                                ---           ---
 Common stock $.01 par value; shares                              
      authorized 100,000; shares issued                           
      and outstanding 23,862 and 23,754,                          
respectively                                    239           238
 Additional paid-in capital                  142,945       142,345
Common stock warrants                           987           ---
 Retained earnings (accumulated deficit)    (32,964)         3,626
 Unrealized appreciation of available-                            
     for-sale securities                         49           162
      Total shareholders' equity             111,256       146,371
      Total liabilities and shareholders'                         
       equity                               286,637       313,057

  See accompanying notes to consolidated financial statements.

                 COASTAL PHYSICIAN GROUP, INC.
        Unaudited Consolidated Statements of Operations
     (In thousands of U.S. dollars, except per share data)

                                           Three months ended
                                                June 30,
                                           1996          1995
                                                      
Operating revenue, net                       146,038       211,342
                                                                  
Costs and expenses:                                               
                                                                  
 Physician and other provider services       114,127       161,250
 Medical support services                     23,094        35,761
 Selling, general and administrative          31,215        26,737
      Total costs and expenses               168,436       223,748
                                                                  
Operating loss                              (22,398)      (12,406)
                                                                  
Other income (expense):                                           
 Interest expense                            (2,124)       (1,886)
 Interest income                                  77           274
 Other, net                                    (415)       (2,302)
      Total other expense                    (2,462)       (3,914)
                                                                  
Loss before income taxes                    (24,860)      (16,320)
                                                                  
Benefit for income taxes                         ---       (5,829)
                                                                  
Net loss                                    (24,860)      (10,491)
                                                                  
Net loss per share                            (1.04)        (0.44)
                                                                  
Weighted average number of shares                                 
 outstanding                                  23,839        23,657

  See accompanying notes to consolidated financial statements.

                 COASTAL PHYSICIAN GROUP, INC.
        Unaudited Consolidated Statements of Operations
     (In thousands of U.S. dollars, except per share data)

                                            Six months ended
                                                June 30,
                                           1996          1995
                                                      
Operating revenue, net                       298,772       419,201
                                                                  
Costs and expenses:                                               
                                                                  
 Physician and other provider services       227,692       305,414
 Medical support services                     47,271        66,740
 Selling, general and administrative          56,116        48,073
      Total costs and expenses               331,079       420,227
                                                                  
Operating loss                              (32,307)       (1,026)
                                                                  
Other income (expense):                                           
 Interest expense                            (4,227)       (3,051)
 Interest income                                 202           467
 Other, net                                    (258)       (2,281)
      Total other expense                    (4,283)       (4,865)
                                                                  
Loss before income taxes                    (36,590)       (5,891)
                                                                  
Benefit for income taxes                         ---       (1,767)
                                                                  
Net loss                                    (36,590)       (4,124)
                                                                  
Net loss per share                            (1.54)        (0.17)
                                                                  
Weighted average number of shares                                 
 outstanding                                  23,815        23,598

  See accompanying notes to consolidated financial statements.




                 COASTAL PHYSICIAN GROUP, INC.
   Unaudited Consolidated Condensed Statements of Cash Flows
                 (In thousands of U.S. dollars)

                                            Six months ended
                                                June 30,
                                           1996          1995
                                                                  
Net cash used in operating activities       (27,417)       (2,887)
                                                                  
Cash flows from investing activities:                             
Sales of marketable securities and                                 
investments, net                              5,660         2,983
Sales (purchases) of property and                                   
equipment, net                                4,208      (16,689)
 Acquisition of subsidiaries, net of                              
    cash acquired                               ---      (41,458)
 Disposition of subsidiaries, net of                              
    cash disposed                              (82)           ---
          Net cash provided by (used                              
          in)investing activities             9,786      (55,164)
                                                                  
Cash flows from financing activities:                             
 Repayments of long-term debt                (8,786)       (5,523)
 Borrowings on long-term debt                 30,704        63,045
Cash payments for debt issue costs          (1,558)           ---
 Net proceeds from issuances of common                            
    stock                                       579         1,104
          Net cash provided by                                    
          financing activities               20,939        58,626
                                                                  
                  Net increase in cash and cash                            
equivalents                                   3,308           575
                                                                  
Cash and cash equivalents at beginning                            
    of period                                 8,147        14,286
Cash and cash equivalents at end of                               
    period                                   11,455        14,861
                                                                  
                                                                  
Supplemental disclosures of cash flow                             
      information:
      Cash payments (refunds) during                              
      the period for:
             Interest                          4,586         2,916
             Income taxes                   (12,993)       (1,722)
                                                                  
                                                                  

  See accompanying notes to consolidated financial statements.





                COASTAL PHYSICIAN GROUP, INC.
         NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                         (UNAUDITED)


(1)   Basis Of Presentation

The   accompanying  consolidated  financial  statements   of
Coastal  Physician Group, Inc. (the "Company") are unaudited
and,  in  the opinion of management, include all adjustments
which  are necessary for a fair presentation.  The unaudited
consolidated  financial  statements  should   be   read   in
conjunction   with   the   Company's  audited   consolidated
financial statements and the notes thereto included  in  the
Company's  Annual  Report on Form 10-K for  the  year  ended
December  31,  1995.   Operating  results  for  the  interim
periods  presented  are not necessarily  indicative  of  the
results  that  may  be expected for the fiscal  year  ending
December 31, 1996.

(2)   Commitments And Contingencies

The   Company  procures  professional  liability   insurance
coverage on behalf of its operating subsidiaries on a claims-
made  basis.  The insurance contracts specify that  coverage
is   available  only  during  the  term  of  each  insurance
contract.   Management of the Company presently  intends  to
renew  claims-made coverage annually and expects to be  able
to  obtain such coverage.  When coverage is not renewed, the
subsidiary  companies purchase an extended reporting  period
endorsement  to provide professional liability coverage  for
losses  incurred prior to, but reported subsequent  to,  the
termination of the claims-made policies.

The Company and its independent contractor physicians obtain
their   professional  liability  insurance  coverages   from
various insurance carriers.  Several insurance carriers  who
underwrote certain portions of these coverages from 1986  to
1992 have announced a moratorium on the payment of claims or
have established plans to pay claims in the future based  on
formal  plans  of  arrangement.  As of June  30,  1996,  the
Company had approximately $2,800,000 in receivables relating
to  certain claims for which reimbursement is still  pending
and anticipates that substantially all of these amounts will
be  collected  in  full  from  the  carriers.   The  Company
includes   these  receivables   in  other  assets   in   the
accompanying consolidated balance sheets.



                COASTAL PHYSICIAN GROUP, INC.
   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                         (UNAUDITED)


(3)  Litigation

The  Company is a defendant in certain lawsuits  by  certain
shareholders with respect to representations concerning  the
Company's  operations and prospects.  The  Company  believes
these  lawsuits  are  without merit, intends  to  vigorously
defend its position, and does not expect such litigation  to
have  a  material adverse effect on the Company's  financial
position or results of operations.

An  operating subsidiary of the Company is a defendant in  a
lawsuit  regarding billings to and collections from  certain
Federal government insurance programs.  The Company and  its
counsel  are  reviewing  this lawsuit  and,  at  this  time,
exposure to the Company is indeterminable.

Simultaneous with the initiation of a proxy contest, in July
1996, Dr. Steven M. Scott, a director and shareholder of the
Company  and who, until being placed on sabbatical leave  by
the Board of Directors in May of 1996, was the President and
Chief  Executive Officer of the Company, and Dr. Bertram  E.
Walls,  a  director of the Company, commenced, on their  own
behalf  and derivatively on behalf of the Company, an action
against  the  Company  and  certain  of  its  directors  and
officers.   The plaintiffs allege, among other things,  that
certain Board members and officers  breached their fiduciary
duties  and  wasted corporate assets by removing  Dr.  Scott
from  his position as President and Chief Executive  Officer
of  the  Company and by approving the entry by  the  Company
into  an  employment agreement with Mr. Joseph  G.  Piemont.
The  plaintiffs  allege  that these actions  were  taken  to
wrongfully remove Dr. Scott and to enrich the defendants  at
the  expense of the Company and its stockholders,  and  that
these  and  other recent actions of the Board of  Directors,
including  the approval of efforts to sell certain corporate
assets, were taken in breach of the Board of Directors' duty
of  care.  The Company believes the lawsuit is without merit
and intends to vigorously defend its position.

The  Company  has  filed  an  answer  and  counterclaims  in
response  to  the action.  The counterclaims  allege,  among
other  things, that Dr. Scott breached his fiduciary  duties
to  the  Company  and  engaged in  a  scheme  to  tortiously
interfere with and damage the Company's business.

                COASTAL PHYSICIAN GROUP, INC.
   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                         (UNAUDITED)


Although the Company believes the lawsuit commenced by  Drs.
Scott and Walls is without merit, it also believes that such
litigation,  even  if successfully defended,  is  likely  to
cause the Company to incur costs which would have an adverse
effect  on  the Company's financial position and results  of
operations.  Such litigation and related costs are currently
estimated at approximately $2.75 million.

In  addition, as of June 30, 1996, certain of the  Company's
operating   subsidiaries   were   defendants   in    various
malpractice  and other lawsuits.  Management  believes  that
these  lawsuits should not result in judgments which,  after
consideration   of   professional  liability   and   general
insurance coverage, would have a material  adverse effect on
the Company's financial position or results of operations.

(4)  Credit Facilities

During the first and second quarters (until May - see below)
of  1996,  the  Company had a senior credit facility  (  the
"Senior Credit Facility") with a group of commercial lenders
pursuant  to  which the Company could borrow (prior  to  the
restructuring   described   below)   up   to   $161,750,000,
consisting  of  a  $50,000,000 three-year  revolving  credit
facility  to  be  used  for working  capital  purposes  (the
"Working  Capital  Facility") and a $111,750,000  seven-year
reducing   revolving  credit  facility  to   be   used   for
acquisitions   (the  "Acquisition  Facility").    Borrowings
outstanding as of March 31, 1996 under these facilities were
$45,875,000 and $36,625,000, respectively.

Prior to the restructuring described below, due primarily to
the  operating  loss  generated for the three  months  ended
December  31, 1995, the Company was in violation of  certain
financial  covenants under the Senior  Credit  Facility.   A
number  of  temporary waivers of default and  any  resulting
events  of default were received by the Company, the  latest
through  May 31, 1996.  On May 29, 1996, the Company entered
into  new  credit agreements which restructured the existing
Acquisition and Working Capital facilities and which provide
the  Company  up  to  $40,000,000  of  additional  borrowing
availability under a new facility (the "Overline Facility").
Under  the terms of the restructured existing Senior  Credit
Facility (the "Restructured Facility"), outstanding  amounts
under the Working Capital Facility were transferred to the
                COASTAL PHYSICIAN GROUP, INC.
   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
                         (UNAUDITED)


Acquisition  Facility,  the  Working  Capital  Facility  was
canceled  and  no additional borrowings are permitted  under
the Acquisition Facility.  The Restructured Facility and the
Overline  Facility require total principal  payments  of  at
least  $40,000,000  by January 2, 1997, at  which  time  the
availability of additional working capital borrowings  under
the  Overline Facility declines to $10,000,000.  Outstanding
amounts  under  the Restructured Facility and  the  Overline
Facility  are due on July 1, 1997.  Interest on loans  under
the  Restructured  Facility and the Overline  Facility  will
accrue  at  the agent bank's prime rate plus 1.5% and  2.0%,
respectively,   payable  monthly  in   arrears.   Borrowings
outstanding  on the Restructured Facility and  the  Overline
Facility   as   of  June  30,  1996  were  $83,042,000   and
$10,500,000, respectively.

The  Overline  Facility  prohibits borrowings  for  purposes
other than working capital requirements, requires compliance
with  other  financial covenants and imposes limitations  on
certain  investments,  dispositions  of  assets,  additional
indebtedness  and capital expenditures.  As  collateral  for
the  loans,  the Company has granted a security interest  in
substantially  all of its assets, including  trade  accounts
receivable  and  contract rights and  the  common  stock  of
substantially  all of its subsidiaries, and has  provided  a
guaranty   from   substantially   all   of   the   Company's
subsidiaries   secured  by  the  assets  of  the   guarantor
subsidiaries.   The  Company has also granted  common  stock
purchase  warrants to the lenders entitling them to purchase
at  par value (over a vesting period) up to 5% of its  fully
diluted common stock, of which 10% had vested as of June 30,
1996.   A  portion of the remaining warrants may be canceled
by  repayment of certain loan principal amounts  by  certain
dates.











                COASTAL PHYSICIAN GROUP, INC.
           Management's Discussion And Analysis Of
        Financial Condition And Results Of Operations


INTRODUCTION

The  following  discussion provides  an  assessment  of  the
Company's  results  of  operations,  liquidity  and  capital
resources, and trends and uncertainties and should  be  read
in conjunction with the consolidated financial statements of
the  Company  and notes thereto included elsewhere  in  this
document.

RESULTS OF OPERATIONS

Second  Quarter Ended June 30, 1996 Compared to  the  Second
Quarter Ended June 30, 1995.

Net  operating revenue ("operating revenue") decreased 30.9%
for   the  second  quarter  of  1996  to  $146,038,000  from
$211,342,000 in the second quarter of 1995.  The decrease in
operating  revenue due to dispositions completed  since  the
first quarter of 1995 for which prior periods' results  were
not  restated was approximately $55,178,000 or 26.1%.   This
decrease  was  primarily  due to  the  sale  of  47  of  the
Company's  south Florida clinics on November 30, 1995.   The
increase  in operating revenue due to acquisitions completed
since  the  first quarter of 1995 for which  prior  periods'
results  were  not restated was approximately $3,962,000  or
1.9%.  This increase was primarily due to the acquisition of
Better  Health Plan, Inc. ("BHP") on May 5, 1995, which  was
accounted for as a purchase.  Operating revenue not  related
to  disposed  or  acquired entities decreased  approximately
$14,088,000  or 6.7%.  Higher contract attrition  rates  and
less new business development during the second half of 1995
in   the   Company's   hospital-based  contract   management
division, as well as lower net collections per patient visit
by  the Company's billing and accounts receivable management
services  division  in 1996, were the primary  factors  that
reduced  operating revenue in the second quarter of 1996  as
compared to the second quarter of 1995 when disposition  and
acquisition-related revenues are excluded.

Operating  expenses decreased 24.7% to $168,436,000  in  the
second  quarter  of  1996 from $223,748,000  in  the  second
quarter of 1995.  The net decrease in operating expenses due
to  dispositions and acquisitions completed since the  first
quarter  of 1995 for which prior periods' results  were  not
restated  was approximately $54,766,000 or 24.5%.  Operating
expenses  not  related  to  disposed  or  acquired  entities
decreased  approximately $546,000  or  0.2%.   This  minimal
change  was  a function of decreases due to higher  contract
attrition  and  lower  new business development  during  the
second  half  of  1995  (as  discussed  above),  offset   by
increased expenses associated with the growth in the  number
of  enrollees in each of the Company's health plans  in  New
York,   North   Carolina  and  Florida,  increased   medical
malpractice  costs,  increased  investments  in  information
technology,  increased professional fees and provisions  for
lease  terminations  and  severance  costs  related  to  the
closure of offices.

The  changes  in  operating revenue and  operating  expenses
described above resulted in an operating loss of $22,398,000
for  the  second quarter of 1996, compared to  an  operating
loss  of  $12,406,000  in the second  quarter  of  1995.  In
addition  to  the factors noted above, contributing  to  the
higher   operating  loss  was  the  increase  in   physician
compensation expense as a percentage of net revenues in  the
Company's hospital-based contract management division.

Other  expenses decreased 37.1% or $1,452,000 in the  second
quarter  of 1996 to $2,462,000 as compared to $3,914,000  in
the  second quarter of 1995.  A portion of this decline  was
due  to  a  decrease in acquisition and related expenses  of
$919,000, as there were no such expenses incurred during the
second  quarter of 1996.  Other, net expenses  decreased  an
additional  $968,000  due  primarily  to  the  write-off  of
capitalized computer software in the second quarter of 1995.
These  expense  reductions were offset  by  an  increase  in
interest  expense  of  $238,000 and a decrease  in  interest
income  of  $197,000.   The  increase  in  interest  expense
resulted  primarily from additional borrowings  required  to
fund  operating  activities, while the decline  in  interest
income  reflects  the decline in the balance  of  marketable
securities from June 30, 1995 to June 30, 1996.

There was no benefit for income taxes for the second quarter
of  1996,  as  compared to a benefit of $5,829,000  for  the
second  quarter of 1995.  The Company expects to  record  no
tax  expense  or  benefit  until  the  Company  returns   to
profitability in the future.

Overall,  the Company incurred a net loss of $24,860,000  in
the  second  quarter of 1996 as compared to a  net  loss  of
$10,491,000  in the second quarter of 1995 for  the  reasons
discussed above.

Weighted  average  shares outstanding  increased  0.8%  from
23,657,000  shares  in  the  second  quarter  of   1995   to
23,839,000  shares in the second quarter of 1996,  primarily
as  a  result of shares issued in connection with  both  the
exercise  of stock options and the Company's employee  stock
purchase plan.

Six  Months  Ended June 30, 1996 Compared to the Six  Months
Ended June 30, 1995.

Operating  revenue decreased 28.7% for the six months  ended
June 30, 1996 to $298,772,000 from $419,201,000 for the  six
months  ended  June  30,  1995.  The decrease  in  operating
revenue due to dispositions completed during 1995 for  which
prior  periods' results were not restated was  approximately
$109,695,000 or 26.2%.  This decrease was primarily  due  to
the  sale  of 47 of the Company's south Florida  clinics  on
November 30, 1995.  The increase in operating revenue due to
acquisitions completed during 1995 for which prior  periods'
results  were not restated was approximately $15,083,000  or
3.6%.  This increase was primarily due to the acquisition of
BHP  on  May 5, 1995, which was accounted for as a purchase.
Operating  revenue  not  related  to  disposed  or  acquired
entities   decreased  approximately  $25,817,000  or   6.1%.
Higher  contract  attrition  rates  and  less  new  business
development during the second half of 1995 in the  Company's
hospital-based  contract management  division,  as  well  as
lower  net  collections per patient visit by  the  Company's
billing and accounts receivable management services division
in  1996,   were the primary factors that reduced  operating
revenue in the first six months of 1996 as compared  to  the
first  six  months of 1995 when disposition and acquisition-
related revenues are excluded.

Operating expenses decreased 21.2% to $331,079,000  for  the
six months ended June 30, 1996 from $420,227,000 for the six
months  ended June 30, 1995.  The net decrease in  operating
expenses  due  to  dispositions and  acquisitions  completed
during  1995  for  which  prior periods'  results  were  not
restated  was approximately $93,755,000 or 22.3%.  Operating
expenses  not  related  to  disposed  or  acquired  entities
increased  approximately $4,607,000 or 1.1%.  This  increase
was  primarily  a  result of  increased expenses  associated
with  the growth in the number of enrollees in each  of  the
Company's  health  plans  in New York,  North  Carolina  and
Florida,  increased  medical  malpractice  costs,  increased
investments    in    information    technology,    increased
professional fees and provisions for lease terminations  and
severance  costs related to the closure of  offices.   These
increases  were partially offset by decreases  in  operating
expenses  due  to higher contract attrition  and  lower  new
business  development during the second  half  of  1995  (as
discussed above).

The  changes  in  operating revenue and  operating  expenses
described above resulted in an operating loss of $32,307,000
for  the  six  months ended June 30, 1996,  compared  to  an
operating  loss of $1,026,000 for the six months ended  June
30,   1995.   In  addition  to  the  factors  noted   above,
contributing  to the higher operating loss was the  increase
in  physician  compensation expense as a percentage  of  net
revenues in the Company's hospital-based contract management
division.

Other  expenses  decreased 12.0% or  $582,000  for  the  six
months ended June 30, 1996 to $4,283,000 from $4,865,000 for
the  six  months  ended June 30, 1995.  A  portion  of  this
decline  was  due to a decrease in acquisition  and  related
expenses  of  $919,000,  as  there  were  no  such  expenses
incurred  during the first six months of 1996.   Other,  net
expenses decreased an additional $1,104,000 due primarily to
the write-off of capitalized computer software in the second
quarter of 1995.  These expense reductions were offset by an
increase in interest expense of $1,176,000 and a decrease in
interest  income  of  $265,000.  The  increase  in  interest
expense   resulted  primarily  from  additional   borrowings
required to fund operating activities, while the decline  in
interest  income  reflects the decline  in  the  balance  of
marketable securities from June 30, 1995 to June 30, 1996.

There  was  no benefit for income taxes for the  six  months
ended  June 30, 1996, as compared to a benefit of $1,767,000
for the six months ended June 30, 1995.  The Company expects
to  record  no  tax  expense or benefit  until  the  Company
returns to profitability in the future.

Overall, the Company incurred a net loss of $36,590,000  for
the six months ended June 30, 1996 as compared to a net loss
of $4,124,000 for the six months ended June 30, 1995 for the
reasons discussed above.

Weighted  average  shares outstanding  increased  0.9%  from
23,598,000 shares for the six months ended June 30, 1995  to
23,815,000  shares for the six months ended June  30,  1996,
primarily  as  a result of shares issued in connection  with
both  the  exercise  of  stock  options  and  the  Company's
employee stock purchase plan.



LIQUIDITY AND CAPITAL RESOURCES

On  May  29,  1996,  the  Company entered  into  new  credit
agreements  which restructured the existing Acquisition  and
Working Capital facilities and which provide the Company  up
to $40,000,000 of additional borrowing availability under  a
new facility (the "Overline Facility").  Under the terms  of
the   restructured  existing  Senior  Credit  Facility  (the
"Restructured  Facility"),  outstanding  amounts  under  the
Working Capital Facility were transferred to the Acquisition
Facility, the Working Capital Facility was canceled  and  no
additional  borrowings are permitted under  the  Acquisition
Facility.   The  Restructured  Facility  and  the   Overline
Facility  require  total  principal  payments  of  at  least
$40,000,000   by  January  2,  1997,  at  which   time   the
availability of additional working capital borrowings  under
the  Overline Facility declines to $10,000,000.  Outstanding
amounts  under  the Restructured Facility and  the  Overline
Facility  are due on July 1, 1997.  Interest on loans  under
the  Restructured  Facility and the Overline  Facility  will
accrue  at  the agent bank's prime rate plus 1.5% and  2.0%,
respectively,   payable  monthly  in  arrears.    Borrowings
outstanding  on the Restructured Facility and  the  Overline
Facility   as   of  June  30,  1996  were  $83,042,000   and
$10,500,000, respectively.

The  Overline  Facility  prohibits borrowings  for  purposes
other than working capital requirements, requires compliance
with  other  financial covenants and imposes limitations  on
certain  investments,  dispositions  of  assets,  additional
indebtedness  and capital expenditures.  As  collateral  for
the  loans,  the Company has granted a security interest  in
substantially  all of its assets, including  trade  accounts
receivable  and  contract rights and  the  common  stock  of
substantially  all of its subsidiaries, and has  provided  a
guaranty   from   substantially   all   of   the   Company's
subsidiaries   secured  by  the  assets  of  the   guarantor
subsidiaries.   The  Company has also granted  common  stock
purchase  warrants to the lenders entitling them to purchase
at  par value (over a vesting period) up to 5% of its  fully
diluted common stock, of which 10% had vested as of June 30,
1996.   A  portion of the remaining warrants may be canceled
by  repayment of certain loan principal amounts  by  certain
dates.

Net  cash  used in operating activities for the  six  months
ended June 30, 1996 was $27,417,000 as compared to net  cash
used  in operating activities for the six months ended  June
30, 1995 of $2,887,000.  The net loss of $36,590,000 for the
six  months  ended June 30, 1996 was the primary reason  for
the significant increase in the use of cash.

The  Company expects to satisfy its anticipated demands  and
commitments for cash in the next twelve months from  amounts
available  under its Overline Facility, cash generated  from
operations and through divestitures.  On March 19, 1996, the
Board  of  Directors  approved  the  implementation   of   a
management  action plan (the "Management Action Plan")  that
provided for (i) a continuing review of all aspects  of  the
Company's  operations  and  business  units  and  (ii)   the
implementation  of  actions to improve  the  cash  flow  and
financial  results of the Company as a whole and to  improve
the  contribution  of each business unit  to  the  Company's
overall financial and strategic objectives. The Company  has
entered  into  a contract with a specialized unit  of  Price
Waterhouse LLP ("Price Waterhouse") to assist the Company in
implementing  the Management Action Plan under  which  named
representatives of Price Waterhouse have been designated  as
plan  managers.  The plan managers have broad  authority  to
implement  the  plan  and  affect  the  operations  of   the
Company's  businesses  and  report  directly  to  a  special
committee  composed of the independent members of the  Board
of Directors.  On July 8, 1996, complementing the Management
Action Plan, and following a study of alternatives available
to   the  Company  undertaken  in  conjunction  with   Price
Waterhouse and Morgan Stanley and Co., Incorporated ("Morgan
Stanley"),  the Board of Directors approved a  comprehensive
strategic  and financial plan (the "Strategic and  Financial
Plan,"  which  together  with the  Management  Action  Plan,
comprises  the  "Comprehensive Business Plan")  to  maximize
shareholder value.

If  the  Company is unable to achieve the objectives of  the
Comprehensive  Business Plan, it will  likely  experience  a
material decrease in liquidity, thus increasing its reliance
on  financing under the Overline Facility and decreasing the
likelihood of cancellation of part of the warrants.


TRENDS AND UNCERTAINTIES

The  Company experienced a decline in revenue for the  first
six  months of 1996 as compared to the first six  months  of
1995  when excluding revenues related to recent dispositions
and acquisitions.  The decline was primarily attributable to
higher contract attrition and lower new business development
during  the  second  half  of  1995  in  the  hospital-based
contract management division.

The Company has recently reorganized the management team  in
this  division.  Under the direction of the new  management,
many  unprofitable  contracts have  been  terminated  and  a
number  of others have been renegotiated to provide  a  fair
profit   margin   going   forward.    The   termination   of
unprofitable   contracts  is  expected  to  improve   future
earnings.  In addition, new business development during  the
first  six months of 1996 has been successful when  compared
with the same period in 1995.

The  Company believes successful competition in  the  health
care  industry will increasingly require information systems
to  rapidly  provide a broad range of data related  to  both
clinical  and  financial aspects of medical  practice.   The
Company  has committed to substantial investments  over  the
next ten years in information technology related to clinical
management   information   systems,   computerized   billing
operations,   and  its  own  internal  financial   reporting
systems.

The  Company  experienced  a decline  in  operating  margins
during  the first six months of 1996 compared to  the  first
six months of 1995.  The operating margin for the six months
ended  June  30, 1996 was  negative 10.8% versus a  negative
0.2% for the same period in the prior year.  These operating
margins  are  expected to improve to the extent the  Company
achieves the objectives of the Management Action Plan.

The  Company  operates  in  an  industry  characterized   by
consolidation  and  combination led by  a  number  of  major
health  care  companies.   The  Company  completed  numerous
acquisitions  during 1994 and 1995 but is now directing  its
efforts and resources to improvements in existing operations
(as   discussed   above)  and  the  execution   of   certain
divestitures (as more fully described below).   This  change
in  strategy is due to the deterioration in revenue  growth,
increases  in  costs  and  the associated  operating  losses
incurred in the Company's traditional lines of business,  as
well   as   the  principal  payment  requirements   of   the
Restructured  Facility and Overline Facility  as  previously
described.

Following  a study of alternatives available to the  Company
undertaken  in conjunction with Price Waterhouse and  Morgan
Stanley,  the Board of Directors approved the Strategic  and
Financial Plan to refocus the Company on its core operations
and  to  divest certain operating units to address its  debt
service requirements and improve the enterprise value of the
Company.   The Company has begun to actively market selected
assets,  including  the  Company's  clinical  operations  in
Florida,  Maryland,  New  Jersey  and  North  Carolina,  its
Preferred Provider Organization in North Carolina,  and  its
New  York-based  prepaid health services plan  for  Medicaid
recipients.

Citing  a potential conflict of interest resulting from  his
employer's  interest  in  acquiring  one  or  more  of   the
businesses  the  Company  has indicated  is  for  sale,  Dr.
Richard  Janeway  resigned  from  the  Company's  Board   of
Directors  on August 6, 1996.  The Company had  intended  to
nominate  Dr. Janeway, age 63, for re-election at  its  1996
Annual   Meeting.   The  Company  intends  to   announce   a
replacement nominee shortly to fill the vacancy on its nine-
member board.

On  August  8,  1996, the Company announced  that  Coastal's
management team and committee of independent directors  have
determined  to  actively pursue and evaluate  all  strategic
alternatives  to maximize shareholder value,  including  the
possible  sale or disposition of assets in addition  to  the
above-mentioned  assets  currently  slated  for   sale,   an
investment from strategic or financial partners or the  sale
of  the entire Company.  There can be no assurance that such
evaluation   or  discussions  will  lead  to  any   proposed
transaction, or that any proposed transaction,  which  would
be  subject to approval of the Board of Directors, would  be
consummated.

In   July  1996,  Dr.  Steven  M.  Scott,  a  director   and
shareholder  of the Company and who, until being  placed  on
sabbatical leave by the Board of Directors in May  of  1996,
was  the  President  and  Chief  Executive  Officer  of  the
Company,  announced  his intention  to  solicit  proxies  in
support of the election of two new independent directors  at
the  Company's 1996 annual meeting of shareholders.  Coastal
has  a  nine-member classified Board of Directors, of  which
three directors will be elected at this year's meeting.

In  addition, Dr. Scott intends to seek shareholder approval
of  a non-binding resolution requesting that a new committee
of  independent  directors be established  to  consider  and
recommend  the  best  available means by  which  shareholder
value may be maximized.

The  outcome  of the proxy contest initiated by  Dr.  Scott,
including  his proposed resolution for a new committee,  and
their  effect,  if  any,  on  the Company's  operations  and
strategic  alternatives, are not likely to  be  definitively
known  prior  to  the  Company's  annual  meeting  currently
scheduled for September 27, 1996.  Additional proxy costs to
be  incurred  by the Company due to the proxy contest  being
staged by Dr. Scott are estimated at approximately $750,000.

Simultaneous  with the initiation of the proxy contest,  Dr.
Scott  and  Dr.  Bertram E. Walls, another director  of  the
Company, commenced, on their own behalf and derivatively  on
behalf  of  the Company, an action against the  Company  and
certain  of  its  directors  and officers.   The  plaintiffs
allege,  among  other things, that certain  members  of  the
Board  breached their fiduciary duties and wasted  corporate
assets  by removing Dr. Scott from his position as President
and  Chief Executive Officer of the Company and by approving
the  entry by the Company into an employment agreement  with
Mr.  Joseph  G. Piemont.  The plaintiffs allege  that  these
actions  were  taken to wrongfully remove Dr. Scott  and  to
enrich the defendants at the expense of the Company and  its
stockholders, and that these and other recent actions of the
Board  of  Directors, including the approval of  efforts  to
sell  certain corporate assets, were taken in breach of  the
Board of Directors' duty of care.  The Company believes  the
lawsuit  is  without merit and intends to vigorously  defend
its position.

The  Company  has  filed  an  answer  and  counterclaims  in
response  to  the action.  The counterclaims  allege,  among
other  things, that Dr. Scott breached his fiduciary  duties
to  the  Company  and  engaged in  a  scheme  to  tortiously
interfere with and damage the Company's business.

Although the Company believes the lawsuit commenced by  Drs.
Scott and Walls is without merit, it also believes that such
litigation,  even  if successfully defended,  is  likely  to
cause the Company to incur costs which would have an adverse
effect  on  the Company's financial position and results  of
operations.  Such litigation and related costs are currently
estimated at approximately $2.75 million.

Forward-looking  Information  or  Statements:   Except   for
statements  of historical fact, statements made  herein  are
forward-looking  in  nature and are  inherently  subject  to
uncertainties.  The actual results of the Company may differ
materially  from  those  reflected  in  the  forward-looking
statements  based  on  a number of important  risk  factors,
including,   but  not  limited  to:  receipt  of  sufficient
proceeds  from  divested  assets,  and  the  timing  of  any
divestitures;  the level and timing of improvements  in  the
operational  efforts;  the  possibility  of  poor   accounts
receivable  collection and/or reimbursement experience;  the
possibility  of increased medical expenses due to  increased
utilization;  the possibility that the Company  may  not  be
able  to  improve  operations  or  execute  its  divestiture
strategy  as planned; and other important factors  disclosed
from time to time in the Company's Form 10-K, Form 10-Q  and
other Securities and Exchange Commission filings.


PART II - OTHER INFORMATION


Item 6. - Exhibits and Reports on Form 8-K

(a) Exhibits

10.1  Employment Agreement By and Between Coastal  Physician
      Group, Inc. and Joseph G. Piemont


(b) Reports on Form 8-K

One  report  on  Form 8-K was filed during the  quarter  for
which this report is filed:

1.  On June 15, 1996, the Company filed a report on Form 8-K
dated May 31, 1996, filing under Item 2 thereof.  The report
disclosed that on May 29, 1996, the Company entered into  an
amendment  to  its  existing Senior  Credit  Facility  which
reduced  the  borrowing  availability  thereunder   to   the
outstanding  balance of approximately $83 million  and  also
entered  into an agreement establishing a new facility  that
will  provide  up  to  $40 million of  additional  borrowing
availability.





                         SIGNATURES



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



                              COASTAL PHYSICIAN GROUP, INC.
                              (Registrant)



Date: August 14, 1996           By: /S/STEPHEN D. CORMAN
                                 Stephen D. Corman
                                   Director, Executive Vice
                                    President and Chief
                                    Financial Officer




Date: August 14, 1996           By: /S/TIMOTHY W. TROST
                                 Timothy W. Trost
                                   Vice President, Corporate
                                    Controller and Chief
                                    Accounting Officer





<TABLE> <S> <C>

<ARTICLE> 5
<LEGEND>
THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM
THE ACCOMPANYING BALANCE SHEET AS OF JUNE 30, 1996 AND STATEMENT OF
OPERATIONS FOR THE THREE MONTH PERIOD ENDED JUNE 30, 1996 AND FOR
THE SIX MONTH PERIOD FOR THE PERIOD ENDED JUNE 30, 1996, AND IS
QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-END>                               JUN-30-1996
<CASH>                                      11,455,000
<SECURITIES>                                 7,543,000
<RECEIVABLES>                              135,550,000
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                           186,486,000
<PP&E>                                      25,036,000
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                             286,637,000
<CURRENT-LIABILITIES>                      118,201,000
<BONDS>                                              0
                                0
                                          0
<COMMON>                                       239,000
<OTHER-SE>                                 111,017,000
<TOTAL-LIABILITY-AND-EQUITY>               286,637,000
<SALES>                                    298,772,000
<TOTAL-REVENUES>                           298,772,000
<CGS>                                                0
<TOTAL-COSTS>                              331,079,000
<OTHER-EXPENSES>                                56,000
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                           4,227,000
<INCOME-PRETAX>                           (36,590,000)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                       (36,590,000)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                              (36,590,000)
<EPS-PRIMARY>                                   (1.54)
<EPS-DILUTED>                                   (1.54)
        

</TABLE>

                      EMPLOYMENT AGREEMENT



      This  EMPLOYMENT AGREEMENT (this "Agreement") is  made  and
entered  into  as  of the 1st day of June, 1996  by  and  between
Coastal   Physician   Group,   Inc.,   a   Delaware   corporation
("Employer"), and Joseph G. Piemont ("Employee").
      WHEREAS, Employer currently employs Employee but desires to
retain  the  services of Employee as Chief Executive Officer  and
President of Employer ("Chief Executive Officer and President");
      WHEREAS,  subject  to  and upon the  terms  and  conditions
hereinafter  provided, Employer desires to  retain  Employee  and
Employee desires to continue in his employment with Employer.
      NOW,  THEREFORE, in consideration of the mutual  agreements
contained herein and the continued employment of Employee and the
compensation to be paid by Employer to Employee, Employee  hereby
accepts  employment hereunder subject to the terms and conditions
stated below, as follows:

1.   Employment.  Employer shall continue to employ Employee, and
     Employee hereby accepts such employment effective as of June 1,
     1996 (the "Effective Date"). Employee shall be employed as Chief
     Executive Officer and President of Employer. During the Term of
     this Agreement, Employer's Board of Directors (the "Board") shall
     nominate Employee, if otherwise fit and qualified, for election
     to the Board as a member of the management slate at Employer's
     1996  annual  meeting of shareholders if a  directorship  is
     available to be filled on the Board (and if such directorship is
     not available, then the Board shall use its best efforts to elect
     Employee as a member of the Board as soon as such directorship
     shall be available) and at each annual and special meeting of
     shareholders thereafter at which his seat shall become open for
     election  and the Board shall use its best efforts to  cause
     Employee to be elected as a member of the Board.  Upon Employee's
     election to the Board, the Board shall use its best efforts to
     cause  Employee to be elected as  a member of the  Executive
     Committee of the Board.
2.   Term.   This Agreement shall commence on the Effective  Date
     and  shall continue until terminated in accordance with  the
     provisions set forth herein or, if not terminated, for a period
     extending through the close of business on December 31, 1996 (the
     "Initial Term").  Employer shall have the right to extend the
     term  of this Agreement for an additional term of six months
     through June 30, 1997 (the "Extended Term") by giving written
     notice to Employee on or before December 31, 1996.   If Employer
     exercises its right to extend the term of this Agreement for the
     Extended Term, Employer shall have the right to extend the term
     of this Agreement for an additional term of one year and eleven
     months  through May 31, 1999 (the "Renewal Term") by  giving
     written notice to Employee on or before May 1, 1997.  The term of
     this Agreement shall be automatically extended for a period of
     one year each June 1 beginning June 1, 1999 unless notice to the
     contrary  ("Notice of Nonrenewal") is given by either party on or
     before 90 days prior to the yearly renewal period.  As used in
     this Agreement the word "Term" shall include the Initial Term,
     the Extended Term, if any, the Renewal Term, if any, and all
     automatic extensions unless terminated by a Notice of Nonrenewal.
3.   Duties.   Employee shall perform the following duties
pursuant to this Agreement:
     a.   Employee shall serve as Employer's Chief Executive Officer
          and President and shall perform all duties and responsibilities
          and shall have all control, rights and authority which are
          normally associated with such position or as otherwise reasonably
          may be assigned to Employee by the Board, provided such duties
          are consistent with Employee's position as Chief Executive
          Officer and President.  Without limiting the generality of the
          foregoing, Employee shall, subject to the control and direction
          of the Board, be in charge of the operations of Employer with the
          power and authority to make decisions on behalf of Employer, to
          hire and terminate employees and consultants (other than officers
          appointed by the Board), to enter into agreements on behalf of
          Employer and generally to direct the activities of Employer.
          Employee's services shall be performed at the principal office of
          Employer in Durham, North Carolina or any office which is the
          headquarters of Employer and is less than thirty-five miles from
          such location.
b.   Employee understands that the Board has agreed to implement
a Management Action Plan (the "Plan") prepared by Price
Waterhouse LLP ("PW") and is a party to an Engagement Letter
pursuant to which PW has been engaged to implement such Plan
under the supervision and direction of the Board acting through
the Management Action Plan Committee of the Board (the "Plan
Committee").  In carrying out his duties under this Agreement,
Employee, subject to the provisions of Employer's Engagement
Letter with PW, as the same may be modified from time-to-time,
will use his best efforts to implement the provisions of the
Plan,   and will consult with the persons appointed by PW as its
representatives to carry out the Plan and with the Chairman of
the Board of Employer.  Should serious disagreements arise
between Employee and the persons appointed by PW with regard to
the operation of Employer or the implementation of the Plan,
Employee will bring such disagreements to the Plan Committee for
such resolution as the Plan Committee considers appropriate and
in the best interests of Employer, provided that such resolution
shall not change any of the provisions of this Agreement.
4.   Devotion of  Time During the Term of this Agreement.  During
     the Term, and excluding any periods of vacation and sick leave to
     which Employee is entitled, Employee shall devote his full time
     to  carrying out his duties under this Agreement, and to the
     extent necessary to discharge the responsibilities of Employee
     under this Agreement, to use Employee's reasonable best efforts
     to perform faithfully and efficiently such responsibilities.
     During the Term it shall not be a violation of this Agreement for
     Employee to
     a.   serve on corporate, civic, political or charitable boards or
          committees or perform services for charitable, civic or political
          organizations;
b.   deliver lectures, fulfill speaking engagements or teach at
educational institutions; and
c.   manage personal investments and those of members of his
family;
     so  long  as such activities do not significantly  interfere
     with  the performance of Employee's responsibilities  as  an
     employee of Employer in accordance with this Agreement.
5.   Compensation Package.  For all services provided by Employee
     as an employee of Employer, Employee shall be compensated as
     follows:
     a.   Annual Salary.  Effective as of the Effective Date, Employer
          shall pay Employee an annual base salary of Three Hundred Fifty
          Thousand Dollars ($350,000) ("Employee's Base Salary"), payable
          in equal monthly installments on the first day of each month.
          After the end of each fiscal year of Employer ("Fiscal Year")
          during the Term, upon the earlier of March 31st or the completion
          of Employer's audited financial statements, Employee's Base
          Salary shall be reviewed by the Compensation Committee of the
          Board (the "Compensation Committee") and shall be increased (but
          not decreased without Employee's written consent) at any time and
          from time to time at least in an amount as shall be substantially
          consistent with increases in base salary generally awarded in the
          ordinary course of business to other peer executives of Employer
          and its affiliated companies.  The term Employee's Base Salary as
          utilized in this Agreement shall refer to Employee's Base Salary
          as so increased.  Any increase in Employee's Base Salary shall
          not serve to limit or reduce any other obligation to Employee
          under this Agreement.   As used in this Agreement, the term
          "affiliated companies" shall include any company controlled by,
          controlling or under common control with Employer.
b.   Incentive Compensation.  On or before August 1, 1996 for the
1996 Fiscal Year and on or before January 31 of each Fiscal Year
thereafter during the Term, the Compensation Committee shall
formulate, following discussions with Employee, criteria for
assessing Employee's performance under this Agreement during such
Fiscal Year.  After the end of each such Fiscal Year during the
Term, upon the earlier of March 31st or the completion of
Employer's audited annual financial statements, Employee's
performance during the preceding Fiscal Year shall be reviewed by
the Compensation Committee in light of the criteria formulated
for such Fiscal Year. The Compensation Committee shall determine,
on or before April 30, based upon such review, the amount of
incentive compensation Employee shall receive for the Fiscal Year
just ended. Such incentive compensation, if any, shall be not
more than fifty percent (50%)  (the "Maximum Rate") of Employee's
Base Salary for the Fiscal Year just ended, prorated for each
portion of each year falling within such Fiscal Year, and shall
be paid as soon after the end of each Fiscal Year as is
reasonably practicable and, in any event, substantially
concurrently with similar payments to other peer executives of
Employer.
c.   Compensation for Serving on Boards.  Employee shall be
entitled to no extra compensation for serving on Employer's or
its affiliated companies' Boards of Directors or committees
thereof.
d.   Benefits.  During the Term Employee shall be entitled to
participate in all incentive, savings and retirement plans,
practices, policies and programs applicable generally to other
peer executives of Employer and its affiliated companies.  During
the Term Employee and/or Employee's family, as the case may be,
shall be eligible for participation in and shall receive all
benefits under welfare benefit plans, practices, policies and
programs provided by Employer and its affiliated companies
(including, without limitation, medical, prescription, dental,
disability, salary continuance, employee life, group life,
accidental death and travel accident insurance plans and
programs) to the extent applicable generally to other peer
executives of Employer and its affiliated companies.
     e.   Expenses.  During the Term, Employee shall be entitled to
          receive prompt reimbursement for (or Employer shall pay directly)
          all reasonable employment expenses incurred by Employee in
          accordance with the most favorable policies, practices and
          procedures of Employer and its affiliated companies in effect for
          other peer Executives of Employer and its affiliated companies.
          Employer shall pay Employee's reasonable attorneys' fees and
          expenses incurred in the negotiation, drafting and approval of
          this Agreement.
f.   Fringe Benefits.  During the Term, Employee shall be
entitled to fringe benefits in accordance with the most favorable
plans, practices, programs and policies of Employer and its
affiliated companies in effect for other peer executives of
Employer and its affiliated companies.
g.   Office and Support Staff.  During the Term, Employee shall
be entitled to an office or offices of a size and with
furnishings and other appointments, and to exclusive personal
secretarial and other assistance normally provided to a person
fulfilling the position of Chief Executive Officer and President.
h.   Vacation.  During the Term, Employee shall be entitled to
paid vacation of four weeks per year.
     i.   Stock Options.
          i.   As used in this Agreement, the term "Common Stock" refers to
               the $.01 par value common stock of Employer currently outstanding
               or as such stock may be hereafter changed by stock splits, stock
               dividends, recapitalizations, mergers, consolidations, etc.  As
               used in this Agreement the term "New York Stock Exchange" refers
               to the New York Stock Exchange or such other market as shall
               exist for the Common Stock if not traded on the New York Stock
               Exchange.  As used in this Agreement the term "Option Plan" shall
               mean Employer's 1987 Nonqualified Stock Option Plan, as amended
               and the Stock Option Agreement in the forms attached hereto as
               Exhibits A and B (such forms adjusted to conform to the terms of
               the option granted).
ii.  Employer shall immediately grant to Employee, under its
Option Plan (utilizing the Stock Option Agreement in the form
attached hereto as Exhibit A) options to purchase 200,000 shares
of Common Stock at the then fair market value of such stock, such
options to be exercisable for a period of ten years, to vest at
the rate of options to purchase 5,555 shares a month on the first
day of each month for 36 months beginning July 1, 1996 and  to be
on the other terms as set forth in the Option Plan.
iii. Employee presently holds options to purchase 71,751 shares
of Common Stock under the Option Plan, of which none have vested.
Employee shall retain such options.
iv.  If Employer exercises its option to extend the Term for the
Extended Term, Employer shall grant to Employee an additional
option, under the Option Plan (utilizing the Stock Option
Agreement in the form attached hereto as Exhibit B), to purchase
not more than 50,000 shares of Common Stock, in such amount, if
any, as the Compensation Committee shall determine on or before
the earlier of March 31, 1997 or the completion of Employer's
audited financial statements for the 1996 Fiscal Year, such
option to be exercisable for a period of ten years from the date
of grant at the closing price of Common Stock on the New York
Stock Exchange  on the last trading day immediately prior to the
date of grant, such option to be fully vested on December 31,
1997 and to be on the other terms as set forth in the Option
Plan.  In determining the number of shares which shall be subject
to the option to be granted to Employee pursuant to this Section
5(i)(iv), the Compensation Committee shall apply the criteria
considered in awarding incentive compensation pursuant to Section
5(b) and such other factors as the Compensation Committee deems
relevant.
          v.   If Employer exercises its option to extend the Term of this
               Agreement for the Renewal Term, each year during the Term,
               beginning with the 1998 Fiscal Year, Employer shall grant to
               Employee, on or before the earlier of March 31 or the completion
               of Employer's audited financial statements for such year, an
               additional option under the Option Plan (utilizing the Stock
               Option Agreement in the form attached hereto as Exhibit B) to
               purchase not more than 50,000 shares of Common Stock, in such
               amounts as the Compensation Committee shall determine, such
               option to be exercisable for a period of ten years from the date
               of grant at the closing price of Common Stock on the New York
               Stock Exchange  on the last trading day immediately prior to the
               date of grant, such option to be fully vested on the following
               December 31 (provided that any option granted for the 1998 Fiscal
               Year (granted on or before March 31, 1999) shall be fully vested
               on May 31, 1999).  In determining the number of shares which
               shall be subject to the option granted pursuant to this Section
               5(i)(iv), the Compensation Committee shall apply the criteria
               considered in awarding incentive compensation pursuant Section
               5(b) and such other factors as the Compensation Committee deems
               relevant.
6.   Confidentiality.     Non-Disclosure   and    Ownership    of
     Confidential Information.
     a.   Employee acknowledges that during his employment, he will
          gain access to, or possession or knowledge of, numerous trade
          secrets, confidential information, other valuable properties not
          generally available to the public and proprietary information of
          Employer, including but not limited to, Employer's operating pro
          cedures, plans, strategies, prospects, lists of potential
          prospects or targets, plans for disposition of assets and/or
          other market and marketing data and plans, price books,
          promotional devices and methods, business methods, manuals and
          plans, business and sales techniques and research and development
          (collectively "Confidential Information"). Employee acknowledges
          that such Confidential Information is unique and a valuable asset
          which is owned solely by Employer and is to be used only for
          Employer's or its affiliated companies' benefit. Employee shall
          not, during or after the Term, disclose, divulge, reveal,
          transfer, reproduce, sell, capitalize upon or take advantage of
          such Confidential Information and, in addition, Employee shall
          exercise all reasonable efforts and precautions to protect such
          Confidential Information from misappropriation, rnisuse,
          disclosure, breach of confidentiality, or other conduct or action
          inconsistent with Employer's rights; provided, however, that
          Confidential Information may be disclosed to the extent
          i.   required by law or court order (but only if Employee has
               theretofore given Employer prior written notice of the proposed
               disclosure in a timely fashion so as to permit Employer, at
               Employer's own expense, to effectively contest the applicability
               of such law or court order to its Confidential Information) or
ii.  it is generally available to the public other than by
unauthorized disclosure by Employee or
iii. as is expressly permitted by Employer to be disclosed by
Employee or is disclosed in connection with arbitration or
litigation to resolve disputes between Employer and Employee.
          Upon termination of this Agreement, Employee shall return
          immediately to Employer all of Employer's property (including,
          without limitation; all tangible manifestations of the Con
          fidential Information) in Employee's possession or control,
          provided that Employee may retain one copy solely for archival
          purposes or in case of disputes between Employer and Employee.
     b.   The provisions of this Section 6 shall survive termination
          of this Agreement.
7.   Solicitation of Other Employees.
     a.   Except on behalf of Employer and in furtherance of  its
          interests, Employee shall not, for the period of his employment
          under this Agreement and for a one (1) year period after
          termination of this Agreement, without the prior consent of
          Employer, solicit or seek to influence, either directly or
          indirectly, any employee or any physician or healthcare provider
          under contract with Employer or any of its affiliated companies,
          or any person who was such an employee, physician or healthcare
          provider during Employee's employment under this Agreement, to
          enter into any employment agreement, independent contractor
          arrangement, or any other contractual arrangement whereby such
          individual would perform services for compensation, either
          directly or indirectly, for any person, firm, corporation or
          other entity or business that provides products or services in
          competition with Employer or any of its affiliated companies;
          provided, however, that upon termination of his employment with
          Employer, the solicitation by Employee of his personal secretary
          to work with or for him thereafter shall not violate the
          provisions of this Section 7.
b.   The provisions of this Section 7 shall survive the
termination of this Agreement.
8.   Breach and Remedies.
     a.   Employee acknowledges that the breach or threatened breach
          of any of the covenants set forth in Sections 6 and 7 may result
          in immediate and irreparable injury to Employer. Accordingly,
          Employee agrees that in addition to any rights or remedies
          available to Employer for a breach by Employee of Sections 6 or
          7, Employer shall be entitled to injunctive relief to enforce the
          obligations of Employee contained in such Sections. Nothing
          herein shall be construed as prohibiting Employer from pursuing
          any other legal or equitable remedies that may be available to it
          for any such breach or threatened breach, including the recovery
          of damages from Employee.
b.   The periods of time provided for in Sections 6 or 7 shall be
extended by any period of violation.
c.   Employee hereby acknowledges that the covenants set forth in
Sections 6 and 7 are reasonable in all respects and are necessary
to protect the legitimate business interests of Employer. In the
event that any of the provisions of this Agreement are found to
be unenforceable or void (either in whole or in part), then such
provision shall be construed as valid and enforceable only to the
extent permitted by law and the other provisions of this
Agreement will remain in full force and effect. It is the
intention of the parties to restrict the activities of Employee
only to the extent necessary to protect the legitimate business
interests of Employer and its affiliate companies, and not to
deprive Employee of the right to earn a livelihood.
d.   The provisions of this Section 8 shall survive the
termination of this Agreement.
9.   Insurance; No Additional Severance.
     a.   Employer  shall have the right and option, in its  sole
          discretion and at its cost and expense, to purchase "key man" or
          other life insurance with respect to Employee, and, in the event
          Employer elects to purchase such insurance, Employee shall
          cooperate as may be necessary in connection with the purchase of
          such insurance, including undergoing physical examinations in
          connection therewith.
b.   Employee acknowledges that he shall not be eligible to
participate in any severance plans or arrangements offered by
Employer to other employees, and that his rights set forth in
Section 11 of this Agreement are in lieu of all such plans and
arrangements.
10.  Indemnification: Director and Officer Liability Insurance.
     a.   During the Term of this Agreement and thereafter, Employer
          shall indemnify and hold harmless Employee to the maximum extent
          permitted by law in accordance with its Certificate  of
          Incorporation and bylaws and with applicable provisions of
          Delaware law as then in effect for liabilities, costs and
          expenses (including reasonable attorneys' fees) of Employee by
          reason of or arising out of Employee's service as a director,
          officer and employee of Employer or any of its affiliated
          companies.
b.   Throughout the Term and for a period of three years
thereafter, Employer shall maintain in effect directors and
officers liability insurance providing benefits at least as great
as those currently in force for the benefit of Employee against
any or all such liabilities, costs or expenses.
11.  Termination.   This Agreement may be terminated as follows:
     a.   Either party may terminate this Agreement without cause at
          any time upon ninety (90) days' prior written notice to the
          other. This ninety day period is hereafter referred to as the
          "Notice Period." In the event of such termination, the following
          provisions apply:
          i.   In the event that Employer terminates this Agreement without
               cause (as defined in Section 11(b)) or fails to exercise its
               right to extend the Term of this Agreement for the Extended Term
               or the Renewal Term or gives Notice of Nonrenewal or if Employee
               terminates this Agreement for Good Reason (as hereinafter
               defined) (each such event a "Without Cause Termination"),
               Employee, if requested by Employer, shall continue to perform his
               obligations and duties under this Agreement and assist with the
               transition of duties to a new Chief Executive Officer and
               President. Employer, at its option, may notify Employee at any
               time during the Notice Period that no further services are to be
               performed.
          ii.  In the event that Employer terminates this Agreement
               pursuant to Section 11(b) or Employee terminates this Agreement
               without Good Reason, Employee shall be entitled only to
               Employee's Base Salary accrued but unpaid through the effective
               date of termination, plus payment of any unpaid accrued but
               unused vacation time and any unpaid compensation previously
               deferred by Employee (together with any accrued interest or
               earnings thereon). In such event, all unvested options held by
               Employee to purchase Common Stock, if any, shall terminate on the
               effective date of termination. If requested by Employer, Employee
               will perform his regular duties during the Notice Period and
               assist in the transition of duties to a new Chief Executive
               Officer and President.
     b.   This Agreement may be terminated by Employer at any time for
          cause upon written notice to Employee (in the manner provided in
          Section 11(f).  For purposes of this Section 11(b), cause shall
          mean the following: fraud; dishonesty; substantial and continuing
          nonperformance of assigned duties which are consistent with
          Employee's position hereunder; failure to comply with any
          material written policy of Employer generally applicable to other
          peer executives of Employer; indictment or conviction of Employee
          of an offense involving moral turpitude in any jurisdiction of or
          within the United States; any other activity of an egregious
          nature which does or can  reasonably be anticipated to bring
          serious disrepute upon Employer based on its association with
          Employee; or material breach of this Agreement by Employee.
     c.   In the event of a Without Cause Termination pursuant to
          Section 11(a)(i), Employer shall pay to Employee, on the
          effective date of such Without Cause Termination, the following:
          i.   an amount equal to Employee's Base Salary and incentive
               compensation (at the rate of incentive compensation awarded
               during the year for services provided in the immediately
               preceding Fiscal Year) accrued but unpaid through the effective
               date of such termination, plus payment of any unpaid accrued but
               unused vacation time and any unpaid compensation previously
               deferred by Employee (together with any accrued interest or
               earnings thereon). In addition, Employer shall pay to Employee:
               1)   if such Without Cause Termination shall occur on or before
                    May 31, 1997, an amount equal to Employee's Base Salary for
                    remainder of the Term (including the Extended Term and the
                    Renewal Term) and the amount of the last incentive
                    compensation paid to Employee pursuant to Section 5(b) of
                    this Agreement multiplied by the number of years (and
                    portions thereof) remaining in the Term;
2)   if such Without Cause Termination shall occur after May 31,
1997,  an amount equal to two times Employee's Base Salary and
two times the amount of the incentive compensation paid to
Employee for services provided in the immediately preceding
Fiscal Year (if on the effective date of the Without Cause
Termination the incentive compensation for the immediately
preceding Fiscal Year has not as yet been determined, the payment
shall be two times the incentive compensation paid for the last
Fiscal Year for which incentive compensation was paid).
3)   If the payment provided for in this Section 11(c)(i) would
violate or cause Employer to be in violation of or in default
under any material loan agreement between Employer and a bank or
other financial institution, such payment shall be made to the
extent that such payment will not so result.  The remaining
unpaid amount shall be represented by a negotiable promissory
note containing such terms as Employee shall reasonably request
which shall provide for interest on the declining principal
balance at the rate of two percent over the prime or reference
rate announced by First Union Bank on or for the day immediately
preceding the effective date of the termination, with interest to
be adjusted for changes in the prime or reference rate on the
first day of each calendar quarter of Employer's Fiscal Year.
Monthly payments shall be made on such promissory note, beginning
one month from the effective date of the Without Cause
Termination, in an amount equal to twice the monthly amount of
Employee's Base Salary on the day immediately preceding the
effective date of the Without Cause Termination;
          ii.  All unvested options to purchase shares of Common Stock held
               by Employee immediately prior to such Without Cause Termination
               shall be fully vested on the effective date of the Without Cause
               Termination and be exercisable in accordance with their terms
               without regard to such Without Cause Termination;
iii. For the remainder of the Term (including the Extended Term
and the Renewal Term as if such Without Cause Termination had not
occurred), or such longer period as any plan, program, practice
or policy may provide, Employer shall continue benefits to
Employee and/or Employee's family at least equal to those which
would have been provided to them from time-to-time in accordance
with the plans, programs, practices and policies described in
Section 5(d) if Employee's employment had not been terminated in
accordance with the most favorable plans, practices, programs or
policies of Employer and its affiliated companies as in effect
and applicable generally to other peer executives and their
families; provided, however, that if Employee becomes reemployed
with another employer and is eligible to receive medical or other
welfare benefits under another employer provided plan, the
medical and other welfare benefits described herein shall be
secondary to those provided under such other plan during such
applicable period of eligibility.   For purposes of determining
eligibility of Employee for retiree benefits, if any, pursuant to
such plans, practices, programs and policies, Employee shall be
considered to have remained employed until the end of the Term
and to have retired on the last day of such period; and
iv.  to the extent not theretofore paid or provided, Employer
shall timely pay or provide to Employee and/or Employee's family
any other amounts or benefits required to be paid or provided or
which Employee and/or Employee's family are eligible to receive
pursuant to this Agreement and under any plan, program, policy or
practice or contract or agreement of Employer and its affiliated
companies as from time-to-time in effect and applicable generally
to other peer executives and their families for the remainder of
the Term (including the Extended Term and the Renewal Term) as if
such Without Cause Termination had not occurred.
     d.   Employee's employment may be terminated by Employee during
          the Term for Good Reason. For purposes of this Agreement, "Good
          Reason" shall mean
          i.   the assignment to Employee of any duties inconsistent in any
               respect with Employee's position as Chief Executive Officer and
               President (including status, offices, titles and reporting
               requirements), or the authority, duties or responsibilities as
               contemplated by Section 3(a) or any other action by Employer
               which supplants, reduces, replaces or diminishes such position,
               rights, authority, duties or responsibilities, excluding for this
               purpose an isolated, insubstantial and inadvertent action not
               taken in bad faith and which is remedied by Employer promptly
               after receipt of notice thereof given by Employee;
ii.  Employer's appointing a person who does not report to
Employee and is not subject to the direction and control of
Employee to share or hold any part of the control, duties,
responsibilities, rights or authority granted to Employee by this
Agreement;
iii. the members of the Board who were not employed by or
affiliated (except as directors) with Employer on April 4, 1996
(the "Current Independent Directors") do not continue to serve as
members of the Board or any new member is elected to the Board or
appointed to fill a vacancy on the Board (whether created by a
resignation, expansion of the Board or otherwise) whose election
or appointment is not approved by a majority of the Current
Independent Directors;
iv.  any failure by Employer to comply with or any breach by
Employer of any of the terms of this Agreement, other than an
isolated, insubstantial and inadvertent failure or breach not
occurring in bad faith and which is remedied by Employer promptly
after receipt of notice thereof given by Employee;
v.   Employer's requiring Employee to be based at any office or
location other than that described in Section 3(a);
vi.  any purported termination by Employer of Employee's
employment otherwise than as expressly permitted by this
Agreement; or
vii. any failure by Employer to comply with and satisfy Section
18(b), provided that such successor has received at least ten
(10) days prior written notice from Employer or Employee of the
requirements of Section 18(b).
          For  purposes  of this Section 11(d),  any  good  faith
          determination of "Good Reason" made by Employee shall be
          conclusive.
     e.   Employee's employment shall terminate upon the death or
          total and permanent disability of Employee. The term "total and
          permanent disability" shall have the meaning set forth in
          Employer's Long Term Disability Plan, if any.  Should Employer
          not maintain a Long Term Disability Plan, Employee shall be
          deemed to be totally and permanently disabled in the event that
          Employee's personal physician certifies to that fact and Employee
          is unable to regularly and consistently perform his normal duties
          as contemplated hereunder for a continuous period of six months.
          In the event that this Agreement terminates due to Employee's
          death or total and permanent disability, Employer shall pay upon
          such termination to Employee Employee's Base Salary, incentive
          compensation (at the Maximum Rate) accrued but unpaid through the
          date of Employee's death or the end of the six month period
          during which he becomes totally and permanently disabled, as the
          case may be, and any unpaid accrued but unused vacation time and
          any unpaid compensation previously deferred by Employee (together
          with any accrued interest or earnings thereon).  In addition,
          Employer shall pay to Employee, in a lump sum upon such
          termination, an amount equal to Employee's Base Salary and
          incentive compensation (at the rate of incentive compensation
          awarded during the year for services rendered in the immediately
          succeeding Fiscal Year) for one year.  Options held by Employee
          to purchase Common Stock which are vested on the date of
          Employee's death or the end of the six month period during which
          he becomes totally and permanently disabled, as the case may be,
          shall continue in effect as provided in the Option Plan.
     f.   Any termination by Employer for cause, or by Employee for
          Good Reason, shall be communicated by Notice of Termination to
          the other party hereto given in accordance with Section 19.  For
          purposes of this Agreement, a "Notice of Termination" means a
          written notice which
          i.   indicates the specific termination provision in this
               Agreement relied upon,
ii.  to the extent applicable, sets forth in reasonable detail
the facts and circumstances claimed to provide a basis for
termination of Employee's employment under the provision so
indicated and
iii. if the effective date of termination is other than the date
of receipt of such notice, specifies the effective date of
termination (which date shall be not more than fifteen (15) days
after the giving of such notice).
          The failure by Employee or Employer to set forth in the
          Notice of Termination any fact or circumstance which contributes
          to a showing of Good Reason or cause shall not waive any right of
          Employee or Employer hereunder or preclude Employee or Employer
          from asserting such fact or circumstance in enforcing Employee's
          or Employer's rights hereunder.
     g.   The  provisions  of this Section 11 shall  survive  the
          termination of this Agreement.
12.  Full Settlement; Resolution of Disputes.
     a.   Employer's obligation to make the payments provided for in
          this Agreement and otherwise to perform its obligations hereunder
          shall not be affected by any set-off, counterclaim, recoupment,
          defense or other claim, right or action which Employer may have
          against Employee or others.  In no event shall Employee be
          obligated to seek other employment or take any other action by
          way of mitigation of the amounts payable to Employee under any of
          the provisions of this Agreement and such amounts shall not be
          reduced whether or not Employee obtains other employment.
          Employer agrees to pay promptly as incurred, to the full extent
          permitted by law, all legal fees and expenses which Employee may
          reasonably incur as a result of any arbitration hereunder or any
          contest (regardless of the outcome thereof) by Employer, Employee
          or others of the validity or enforceability of, or liability
          under, any provision of this Agreement or any guarantee of
          performance thereof (including as a result of any contest by
          Employee about the amount of any payment pursuant to this
          Agreement), plus in each case interest on any delayed payment, at
          the applicable Federal rate provided for in Section 7872 of the
          Internal Revenue Code of 1986, as amended (the "Code").
b.   If there shall be any dispute between Employer and Employee
(i) in the event of any termination of Employee's employment by
Employer, whether such termination was for cause, or (ii) in the
event of any termination of employment by Employee, whether Good
Reason existed, then, unless and until there is a final,
nonappealable judgment by a court of competent jurisdiction
declaring that such termination was for cause or that the
determination by Employee of the existence of Good Reason was not
made in good faith, Employer shall pay all amounts, and provide
all benefits, to Employee and/or Employee's family or other
beneficiaries, as the case may be, that Employer would be
required to pay or provide pursuant to Sections 5 and 11 as
though such termination were by Employer without cause or by
Employee with Good Reason; provided, however, that Employer shall
not be required to pay any disputed amounts pursuant to this
Section 12(b) except upon receipt of an undertaking by or on
behalf of Employee to repay all such amounts to which Employee is
ultimately adjudged by such court not to be entitled.
13.  Certain Additional Payments by Employer.
     a.   Anything in this Agreement to the contrary notwithstanding,
          in the event it shall be determined that any payment or
          distribution by Employer to or for the benefit of Employee
          (whether paid or payable or distributed or distributable pursuant
          to the terms of this Agreement or otherwise, but determined
          without regard to any additional payments required under this
          Section 13) (a "Payment") would be subject to the excise tax
          imposed by Section 4999 of the Code or any interest or penalties
          are incurred by Employee with respect to such excise tax (such
          excise tax, together with any such interest and penalties, are
          hereinafter collectively referred to as the "Excise Tax"), then
          Employee shall be entitled to receive an additional payment (a
          "Gross-Up Payment") in an amount such that after payment by
          Employee of all taxes (including any interest or penalties
          imposed  with respect to such taxes), including without
          limitation, any income taxes (and any interest and penalties
          imposed with respect thereto) and Excise Tax imposed upon the
          Gross-Up Payment, Employee retains an amount of the Gross-Up
          Payment equal to the Excise Tax imposed upon the Payments.
b.   Subject to the provisions of Section 13(c), all
determinations required to be made under this Section 13,
including whether and when a Gross-Up Payment is required and the
amount of such gross-Up Payment and the assumptions to be
utilized in arriving at such determination, shall be made by the
independent accountants then engaged to audit Employer's
financial statements (the "Accounting Firm") which shall provide
detailed supporting calculations both to Employer and Employee
within fifteen business days of the receipt of notice from
Employee that there has been a Payment, or such earlier time as
is requested by Employer. All fees and expenses of the Accounting
Firm shall be borne solely by Employer.  Any Gross-Up Payment, as
determined pursuant to this Section 13, shall be paid by Employer
to Employee within five days of the receipt of the Accounting
Firm's determination.  If the Accounting Firm determines that no
Excise Tax is payable by Employee, it shall furnish Employee with
a written opinion that failure to report the Excise Tax on
Employee's applicable federal income tax return would not result
in the imposition of a negligence or similar penalty.  Any
determination by the Accounting Firm shall be binding upon
Employer and Employee.  As a result of the uncertainty in the
application of Section 4999 of the Code at the time of the
initial determination by the Accounting Firm hereunder, it is
possible that Gross-Up Payments which will not have been made by
Employer should have been made ("Underpayment"), consistent with
the calculations required to be made hereunder.  In the event
that Employer exhausts its remedies pursuant to Section 13(c) and
Employee thereafter is required to make a payment of any Excise
Tax, the Accounting Firm shall determine  the amount of the
Underpayment that has occurred and any such Underpayment shall be
promptly paid by Employer to or for the benefit of Employee.
c.   Employee shall notify Employer in writing of any claim by
the Internal Revenue Service that, if successful, would require
the payment by Employer of the Gross-Up Payment.  Such
notification shall be given as soon as practicable but no later
than ten business days after Employee is informed in writing of
such claim and shall apprise Employer of the nature of such claim
and the date on which such claim is requested to be paid.
Employee shall not pay such claim prior to the expiration of the
30-day period following the date on which it gives such notice to
Employer (or such shorter period ending on the date that any
payment of taxes with respect to such claim is due). If  Employer
notifies Employee in writing prior to the expiration of such
period that it desires to contest such claim, Employee shall:
          i.   give Employer any information reasonably requested by
               Employer relating to such claim,
ii.  take such action in connection with contesting such claim as
Employer shall reasonably request in writing from time to time,
including, without limitation, accepting legal representation
with respect to such claim by an attorney reasonably selected by
Employer,
iii. cooperate with Employer in good faith in order effectively
to contest such claim, and
iv.  permit Employer to participate in any proceedings relating
to such claim;
     provided, however, that Employer shall bear and pay directly
          all costs and expenses (including additional interest and
          penalties) incurred in connection with such contest and shall
          indemnify and hold Employee harmless, on an after-tax basis, for
          any Excise Tax or income tax (including interest and penalties
          with respect thereto) imposed as a result of such representation
          and payment of costs and expenses.  Without limitation on the
          foregoing provisions of this Section 13(c), Employer shall
          control all proceedings taken in connection with such contest
          and, at its sole option, may pursue or forgo any and all
          administrative appeals, proceedings, hearings and conferences
          with the taxing authority in respect of such claim and may, at
          its sole option, either direct Employee to pay the tax claimed
          and sue for a refund or contest the claim in any permissible
          manner, and Employee agrees to prosecute such contest to a
          determination before any administrative tribunal, in a court of
          initial jurisdiction and in one or more appellate courts, as
          Employer shall determine; provided, however, that if Employer
          directs Employee to pay such claim and sue for a refund, Employer
          shall advance the amount of such payment to Employee, on an
          interest-free basis and shall indemnify and hold Employee
          harmless, on the after-tax basis, from any Excise Tax or income
          tax (including interest or penalties with respect thereto)
          imposed with respect to such advance or with respect to any
          imputed income with respect to such advance; and further provided
          that any extension of the statute of limitations relating to
          payment of taxes for the taxable year of Employee with respect to
          which such contested amount is claimed to be due is limited
          solely to such contested amount.  Furthermore, Employer's control
          of the contest shall be limited to issues with respect to which a
          Gross-Up Payment would be payable hereunder and Employee shall be
          entitled to settle or contest, as the case may be, any other
          issue raised by the Internal Revenue Service or any other taxing
          authority.
     d.   If, after the receipt by Employee of an amount advanced by
          Employer pursuant to Section 13(c), Employee becomes entitled to
          receive any refund with respect to such claim, Employee shall
          (subject to Employer's complying with the requirements of Section
          13(c)) promptly pay to Employer the amount of such refund
          (together with any interest paid or credited thereon after taxes
          applicable thereto).  If, after the receipt by Employee of an
          amount advanced by Employer pursuant to Section 13(c), a
          determination is made that Employee shall not be entitled to any
          refund with respect to such claim and Employer does not notify
          Employee in writing of its intent to contest such denial of
          refund  prior to the expiration of 30 days  after  such
          determination, then such advance shall be forgiven and shall not
          be required to be repaid and the amount of such advance shall
          offset, to the extent thereof, the amount of Gross-Up Payment
          required to be paid.
e.   Any claim by a state taxing authority of the type referred
to in this Section 13 shall be resolved, and Employee shall be
made whole, in the manner provided for federal taxes in this
Section 13 with the state taxing authority substituted for the
Internal Revenue Service and the state taxing statutes
substituted for the Code.
14.  Compliance with Securities Laws.   Employee agrees to comply
     with all applicable federal and state securities laws, and with
     all applicable policies of Employer concerning the buying and
     selling  of  the stock and other securities of  Employer  by
     employees.
15.  Entire Agreement.  This Agreement and the Option Plan
contain the entire understanding between the parties with respect
to the subject matter hereof and thereof and supersede and cancel
any prior oral and written understanding and/or agreements
between them respecting the subject matter of this Agreement and
the Option Plan. This Agreement may be amended or modified only
in writing signed by both parties.  Notwithstanding the
foregoing, Employee participates and may participate in employee
and executive benefit plans maintained by Employer, and the terms
of such plans with respect to the benefits provided thereunder to
Employee are not superseded by this Agreement but shall remain in
full force and effect.
16.  Severability.   If any provision, term, condition, or clause
of this Agreement or the application thereof shall be invalid or
unenforceable to any extent, the remainder of this Agreement
shall not be affected thereby and this Agreement shall be
enforced to the greatest extent permitted by law.
17.  Governing Law.  This Agreement is made and entered into in
the State of North Carolina and is to be construed in accordance
with and take effect under the laws of the State of North
Carolina without regard to principles of conflicts of laws.
18.  Assignment.
     a.   Except with respect to transfers on death by will or the
          laws of descent and distribution, neither party shall have any
          right to assign, transfer (by merger, consolidation  or
          otherwise), convey, mortgage, pledge, hypothecate or encumber
          this Agreement, in whole or in part, or any benefit or any right
          accruing hereunder, without in any such case first obtaining the
          prior written consent of the other party hereto.  All rights
          hereunder are personal to Employer and Employee and shall cease
          upon the termination of this Agreement unless otherwise stated
          herein: provided, however that the provisions hereof shall inure
          to  the  benefit  of the successors, assigns,  personal
          representative, heirs and legatees of Employer and Employee.
          Notwithstanding the foregoing, Employee may assign his rights and
          benefits hereunder, in whole or in part, to a living trust of
          which Employee is settlor provided the trustee agrees to be bound
          by this Agreement.
b.   Employer will require any successor (whether direct or
indirect, by purchase, merger, consolidation or otherwise) to all
or substantially all of the business and/or assets of Employer to
assume expressly and agree to perform this Agreement in the same
manner and to the same extent that Employer would be required to
perform it if no such succession had taken place.  As used in
this Agreement, "Employer" shall mean Employer as hereinbefore
defined and any successor to its business and/or assets as
aforesaid which assumes and agrees to perform this Agreement by
operation of law, or otherwise.
19.  Notice.   Any notice, or other written communication  to  be
     given pursuant to this Agreement for whatever reason shall be
     deemed duly given and received (a) if delivered personally, from
     the date of delivery, or (b) by certified mail, postage pre-paid,
     return  receipt requested, three (3) days after the date  of
     mailing, addressed: in the case of Employer, to its principal
     office and marked "Attention: Chairman of the Board," and in the
     case of Employee, to his last known permanent address according
     to the books and records of Employer.
20.  Arbitration.  Any controversy, dispute or claim of whatever
nature arising out of, in connection with, or in relation to the
interpretation, performance or breach of this Agreement,
including any claims based on contract, tort, or statute, shall
be resolved at the request of either party to this Agreement, by
final and binding arbitration conducted at a location  in or as
close as practicable to Durham, North Carolina as determined by
the arbitrator(s) administered by and in accordance with the then
existing Rules of Practice and Procedure of Judicial Arbitration
& Mediation Services, Inc. (J*A*M*S), and judgment upon any award
rendered by the arbitrator(s) may be entered by any State or
Federal Court having jurisdiction thereof. Either party may
commence such proceeding by giving notice to the other party in
the manner set forth in Section 19 hereof. The arbitrator(s) in
any such proceeding shall apply substantive law and rules of
evidence applicable to civil suits to the proceeding. The parties
shall have all rights of discovery applicable to civil suits. The
arbitrator(s) shall have the power to grant all legal and
equitable remedies and award compensatory damages provided by
law, but shall not have the power to award punitive damages. The
arbitrator(s) shall render his decision within 120 days of the
commencement of arbitration.  The arbitrator(s) shall prepare in
writing and provide to the parties an award including factual
findings and reasons on which the decision is based. The
arbitrators shall not have the power to commit errors of law or
legal reasoning, and the award may be vacated or corrected for
any such error. The costs and expenses (including reasonable
attorneys' fees) incurred in preparation for and prosecution of
such action and enforcement of or securing recovery under any
order or judgment rendered therein shall be paid in accordance
with Section 12(a) of this Agreement.
21.  Miscellaneous.  Any protection, benefits, rights or other
provisions given to Employer in this Agreement shall also be
deemed to apply to, protect and inure to the benefit of its
affiliated companies. All rights of Employer and Employee
expressed in this Agreement are in addition to any rights
available under the common law or other legal principles. Section
or paragraph titles or captions contained in this Agreement are
inserted only as a matter of convenience and for reference and in
no way define, limit, extend or describe the scope of this
Agreement or the intent of any provision hereof.   All pronouns
and any variation thereof shall be deemed to refer to the
masculine, feminine, neuter, singular or plural as the identity
of person or persons, firm or firms, corporation or corporations,
and as context may require.  This Agreement was the subject of
negotiation between Employer and Employee and shall not be
construed against either as the drafter thereof.  Employee's or
Employer's failure to insist upon strict compliance with any
provision of this Agreement or the failure to assert any right
Employee or Employer may have under this Agreement, including
without limitation, the right of Employee to terminate employment
for Good Reason pursuant to Section 11(d), shall not be deemed to
be a waiver of such provision or right or any other provision or
right of this Agreement.
      IN WITNESS WHEREOF, the parties sign and seal below, effec-
tive the date first written in this Agreement.
                              COASTAL PHYSICIAN GROUP, INC.
                              
                              By:________________________________
                      Jacque J. Sokolov, MD
                      Chairman of the Board
                              
                              ___________________________________
                        Joseph G. Piemont





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