COASTAL PHYSICIAN GROUP INC
10-K, 1998-06-08
SPECIALTY OUTPATIENT FACILITIES, NEC
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                                  United States
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-K

   [X]          ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF
               THE SECURITIES EXCHANGE ACT OF 1934 [FEE REQUIRED]

                   FOR THE FISCAL YEAR ENDED DECEMBER 31, 1997

   [ ]        TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF
              THE SECURITIES EXCHANGE ACT OF 1934 [NO FEE REQUIRED]

           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             (I.R.S. Employer Identification No.)
 incorporation or organization)



   2828 CROASDAILE DRIVE, DURHAM, NC                                    27705
- --------------------------------------------------------------------------------
(Address of principal executive offices)                              (Zip Code)


                                 (919) 383-0355
              ----------------------------------------------------
              (Registrant's telephone number, including area code)


           Securities registered pursuant to Section 12(b) of the Act:

                                                        Name of each exchange on
         Title of each class                                which registered
- --------------------------------------------------------------------------------
Common stock, par value $0.01 per share                  New York Stock Exchange
Preferred Share Purchase Rights                          New York Stock Exchange


        SECURITIES REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT: NONE


     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

     Indicate by check mark if disclosure of delinquent  filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best  of  the  registrant's   knowledge,  in  definitive  proxy  or  information
statements  incorporated  by  reference  in Part  III of this  Form  10-K or any
amendment to this Form 10-K. [ ]

     The aggregate  market value of voting stock held by  non-affiliates  of the
registrant  at March 31, 1998 was  $9,930,900.  The  aggregate  market value was
computed by reference  to the closing  price as of that date.  (For  purposes of
calculating this amount only, all directors, executive officers and greater than
10% shareholders of the Registrant are treated as affiliates.)

     The number of shares  outstanding  of the  Registrant's  common stock as of
February 28, 1998 was 37,493,283.

                       DOCUMENTS INCORPORATED BY REFERENCE
                       -----------------------------------

<PAGE>

                                     PART I

ITEM 1.  BUSINESS

GENERAL

         Coastal  Physician Group,  Inc.,  together with its  subsidiaries  (the
"Company", "Coastal" or the "Registrant"), is a provider of physician management
services  to   physicians,   hospitals,   government   agencies,   managed  care
organizations,  employers, and other health care organizations  nationwide.  The
Company provides services in more than 400 settings to physicians, hospitals and
governmental entities.

         Founded  in  1977 to  assist  hospitals  in  staffing  their  emergency
departments,  the  Company  expanded  in the  years  1991  to  1995  to  provide
hospital-based  physician  contract  services,  as  well as  physician  business
management  services such as practice  management,  billing and  collection.  In
addition, the Company acquired two health maintenance organizations ("HMOs") and
developed  another  HMO.  In 1993 and  1994,  the  Company,  through a series of
acquisitions and expansion efforts,  added  fee-for-service and capitated clinic
networks operating in New Jersey, Maryland, North Carolina, and Florida.

         Beginning  in the  fourth  quarter of 1995 and  continuing  in 1996 and
1997, the Company divested  certain of its health care  operations,  as detailed
below.  These  divestitures,  with the exception of the south Florida  capitated
primary care clinics  which were  divested in the fourth  quarter of 1995,  were
made  pursuant to the plan  approved by the Board of  Directors  in July 1996 to
focus on improving the Company's  operations in the areas of physician  contract
services and physician business  management  services.  The Company continues to
evaluate the  performance of all of its business  operating  units,  and also to
evaluate the possible sale of certain operations to increase  shareholder value,
reduce debt and provide capital to the Company.

         As of December 31, 1997, the Company's  operations  included  providing
physicians  to  staff  hospital  emergency  departments,   operating  two  HMOs,
providing  billing and  collection  services for emergency  room  physicians and
physician  groups,  as well as  contract  services  to a  number  of  government
agencies.  As more fully discussed below, the Company's North Carolina based HMO
was sold during the first quarter of 1998.

PRINCIPAL SERVICES

         A discussion of the  principal  services  provided by the Company,  the
methods by which it provides  such  services  and the market for each service is
set forth below.

PHYSICIAN CONTRACT SERVICES

         Under contracts principally with hospitals and government agencies, the
Company  identifies  and recruits  physicians as  candidates  for admission to a
client's  medical staff and coordinates  the on-going  scheduling of independent
contractor

                                       1
<PAGE>

physicians who provide clinical coverage in designated areas.  While the Company
also provides obstetrics, gynecology and pediatrics physician contract services,
the provision of contract management services to hospital emergency  departments
represents the Company's principal hospital-based service.

         To fulfill its obligations to clients, the Company obtains the services
of physicians  who, as independent  contractors,  agree to provide the necessary
clinical  coverage.  The Company maintains a proprietary data base of physicians
who might be available as independent  contractors in particular specialties and
locations.  To carry out contract management services such as the contracting of
physicians,  staffing  and  administration,  the  Company's  local and  regional
offices  are  generally  staffed  with a  manager,  often a  consulting  medical
officer,  and an  administrative  staff  consisting  of one or more  recruiters,
credentialers and staffing coordinators.

Emergency Department Services

         The  Company  contracts,  in  most  cases,  to  provide  all  necessary
physician coverage for hospital emergency departments on a 24-hour,  365-day per
year basis. The Company  believes that hospitals  utilize  physician  management
firms to help solve problems  associated with the  administration and management
of hospital emergency departments such as recruitment,  scheduling and retention
of emergency department physicians, the relief of other hospital physicians from
emergency  department  coverage,  budgetary  concerns,  risk shifting,  changing
patient  volumes  and  the  historically  extensive  use of  hospital  emergency
departments for routine primary care,  particularly at night and on weekends. In
addition to  obtaining  the services of  independent  contractor  physicians  to
provide emergency  department  coverage,  the Company also typically employs the
physician  whom the hospital  selects as the medical  director of the  emergency
department.  The medical director works directly with the hospital medical staff
and  administration  in such areas as quality  assurance,  risk  management  and
departmental accreditation.

Government Services

         The Company provides  physician  contract services to the United States
Army,  Navy,  Air Force and Coast Guard,  the  Department  of Veterans  Affairs,
Indian  Health  Services  and  county  and  state   agencies,   including  those
responsible for correctional facilities. Governmental agencies contract with the
Company to assist  such  agencies in  fulfilling  their  obligations  to provide
health care for active-duty and retired military personnel and their dependents,
veterans and correctional facility inmates. The Company presently has government
services  contracts  for the  operation,  staffing and  management of emergency,
obstetric,  gynecological and other primary care facilities,  and assists in the
implementation  of  quality  assurance,  quality  control  and  risk  management
programs  which  complement  medical  treatment.  Net  revenue  from  government
services contracts recognized in 1997 was $19,578,000.  The dollar amount of all
such contracts  through the end of the contract terms,  assuming all options are
exercised  by  the  government  (which  is  within  its  sole  discretion),  was
approximately $77,900,000 as of December 31, 1997.

                                       2
<PAGE>

PHYSICIAN BUSINESS MANAGEMENT SERVICES

         The Company provides a range of physician business management services,
principally  coding,  billing and collection  services,  to support  independent
contractor   physicians,   independent   practices   and   other   health   care
practitioners.  These  services  are  often  provided  as part of the  Company's
physician contract services and are also marketed  independently to unaffiliated
providers.  The Company provides these services to over 2,000 physicians in over
140  hospitals  in 18 states.  Net revenue  related to the  Company's  Physician
Business  Management  Services activities for the years ended December 31, 1997,
1996 and 1995  was  $27,424,000,  $41,317,000,  and  $50,975,000,  respectively,
representing 7% of the Company's net revenue in all three years.

         The Company codes,  bills and collects for  professional  services with
respect to over 3.1 million patient visits annually.  Approximately  half of the
Company's  billing and  collection  revenue is derived from providers with which
the  Company's  Physician  Contract  Services  group  does not  have a  contract
management relationship.

         The Company  specializes  in providing  physician  business  management
services to physicians in emergency  medicine  practices.  The Company estimates
that  approximately  97% of its net  billing  and  collection  revenue  for 1997
(including  work for  contract  management  clients and  contracted  health care
professionals)  was derived  from  emergency  room billing and  collections,  as
compared with 87% in 1996 and 70% in 1995. This change is primarily attributable
to the Company's  renewed focus on emergency  room billing with less emphasis on
billing for clinical settings.

PHYSICIAN CARE NETWORKS

         At the end of the fiscal year,  the Company's  Physician  Care Networks
group was  comprised  of the  Company's  two HMOs.  The  Company  sold its North
Carolina  based HMO,  Doctors  Health Plan,  Inc. in March 1998, as discussed in
more detail below. In addition, the Company is evaluating operational changes to
or a possible sale of its Florida based HMO, as more fully  described in Item 7,
Management's  Discussion  and  Analysis of  Financial  Condition  and Results of
Operations,  net  revenue  related  to the  Company's  Physician  Care  Networks
services for the years ended December 31, 1997, 1996 and 1995 was  $185,209,000,
$215,274,000,  and  $375,427,000,  respectively,  representing 43%, 39% and 46%,
respectively, of the Company's net revenue for such years.

         In November 1994, the Company acquired Health Enterprises, Inc. and its
wholly-owned  subsidiary,  HealthPlan  Southeast,  Inc. ("HPSE"), an independent
practice  association  ("IPA") model HMO based in  Tallahassee,  Florida.  As of
December 31, 1997, HPSE held contracts with approximately  1,573 employer groups
in north Florida and provided health care for  approximately  76,000  individual
members. HPSE's net revenue for the year ended December 31, 1997 was $97,336,000
representing 23% of the Company's net revenue.

         On August 9, 1997,  the Company  sold  Better  Health  Plan,  a Prepaid
Health Services Plan located in New York for $7,750,000. Net revenue included in
the year  ended  December  31,  1997 for  Better  Health  Plan was  $34,915,000,
representing 8% of the Company's net revenue.

                                       3
<PAGE>

         Doctors  Health  Plan,  Inc.  ("DHP"),  an IPA model HMO started by the
Company,  received its  Certificate  of  Authority  in September  1994 and began
enrolling  members  in May  1995.  DHP  offered  HMO  services  in all 100 North
Carolina counties and five counties in South Carolina.  As of December 31, 1997,
DHP held  contracts  with  approximately  400 employer  groups in North Carolina
serving  approximately  32,000  members in small and large employer  groups.  On
March 18,  1998,  the  Company  sold DHP for a purchase  price of  approximately
$6,000,000. Net revenue included in the year ended December 31, 1997 for DHP was
$32,795,000, representing 8% of the Company's net revenue. See "Item 13. Certain
Relationships and Related Transactions."

         In a series of  transactions,  the Company  disposed  of its  remaining
clinical  operations  during  1997.  Effective  May 31,  1997,  the Company sold
certain  assets  related to seven  primary care clinics.  Effective  November 1,
1997, the Company sold Integrated  Provider Networks,  Inc., Practice Solutions,
Inc., Sunlife OB-GYN Services of Broward County,  Inc., Ft. Lauderdale Perinatal
Associates,  and Physician Access Center. Net revenue included in the year ended
December 31, 1997 for these clinical operations was $18,595,000, representing 4%
of the Company's net revenue.  See "Item 13. Certain  Relationships  and Related
Transactions."

         The  Company has  relatively  limited  experience  with  capitated  fee
arrangements,  the  assumption of insurance  risks and the ownership of HMOs and
other managed care organizations.  Given this limited experience,  combined with
increasing pressures to restrain health care expenditures, increased competition
and the inherent  uncertainties  in insuring health care risks,  there can be no
assurances that the capitation  arrangements or insurance activities  associated
with the operation of HPSE, the Company's remaining HMO, will be profitable.

CONTRACTUAL ARRANGEMENTS AND CUSTOMERS

HOSPITAL CONTRACTS

         The  Company  provides  physician  contract   management   services  to
hospitals under two separate contractual  arrangements:  flat-rate contracts and
fee-for-service contracts. Hospitals entering into flat-rate contracts primarily
pay fees to the  Company  based on the  hours of  physician  coverage  provided.
Hospitals entering into fee-for-service contracts agree to authorize the Company
and  its  contracted   health  care   professionals  to  bill  and  collect  the
professional  component  of the  charges for  medical  services  rendered by the
Company's   contracted   health  care   professionals.   Under   fee-for-service
arrangements,  the Company  generally  receives  directed  reimbursement  of the
amounts collected and, depending on the hospital's patient volume and payor mix,
may  also  receive  an   availability   fee  from  the  hospital.   Pursuant  to
fee-for-service  contracts,  the Company accepts  responsibility for billing and
collection  and assumes the risks of  non-payment,  changes in patient volume or
payor mix and delays attendant to reimbursement  through government  programs or
third-party  payors. All of these factors generally are taken into consideration
by the  Company  in  arriving  at  contractual  arrangements  with  health  care
institutions  and  professionals.  While  the  term  of  the  Company's  service

                                       4
<PAGE>

contracts is generally one to three years, such contracts  typically provide for
termination without cause by either party on 60 to 180 days' prior notice.

         A significant  portion of the Company's net revenue in recent years has
been attributable to fee-for-service billing and collection  arrangements.  As a
result of increasing public and private sector pressures to restrain health care
costs and to restrict reimbursement rates for medical services,  fee-for-service
contracts  have  developed  less  favorable  cash  flow   characteristics   than
traditional flat-rate contracts, resulting in a need for increased liquidity and
capital resources.

PHYSICIAN CONTRACTS

         In its Physician  Contract Services  businesses,  the Company generally
contracts with physicians and certain other health care professionals to provide
services to fulfill the Company's  contractual  obligations to its clients.  The
Company  regards  its  contracted  health  care   professionals  as  independent
contractors  and,  therefore,  does not withhold income taxes or otherwise treat
such  professionals  as  employees.  Professional  fees from the  Company to the
physicians have historically been calculated on an hourly basis. Some physicians
may receive,  in addition to an hourly fee, certain incentive  payments based on
activity and performance. During the fourth quarter of 1997, the Company entered
into new agreements with certain  physicians that provide for the calculation of
professional fees based on the number of Relative Value Units (RVUs), as defined
by the  Health  Care  Finance  Administration,  billed  by the  Company  for the
professional services rendered.

         Under the Company's  contracts  with its hospital and other health care
clients, the physician is responsible for the provision of professional services
and is required to obtain professional  liability insurance with coverage limits
as  specified  in such  contracts.  The  Company's  agreements  with  physicians
typically  have one-year  terms (with options on the part of the  physicians for
renewal)  and  can be  terminated  by the  Company  at any  time  under  certain
circumstances  (including  termination of the Company's contract with the health
care facility) or by either party, typically upon 30 to 90 days' prior notice.

GOVERNMENT CONTRACTS

         Federal  government  contracts  are  usually  awarded for a base period
ranging  from one month to  twenty-four  months with  options on the part of the
contracting  governmental  agency for annual renewal for up to a five year total
contract term. Such renewals are dependent upon annual appropriations, budgetary
constraints,  applicable  governmental  requirements  and other  factors and are
subject to termination for convenience by the government.  If a contract were to
be terminated for convenience, the Company would be reimbursed for its allowable
costs to the date of termination and would be paid a proportionate amount of the
stipulated  profits or fees attributable to the work actually  performed and, in
certain  cases,  costs  incurred  in  connection  with  the  termination  of the
contract.

MANAGED CARE CONTRACTS

         HPSE has a one-year  contract  with the State of Florida,  which can be
renewed for a one-year  period,  to provide health care services to employees of
the State of Florida.

                                       5
<PAGE>

This contract accounts for  approximately  40% of HPSE's total  enrollment.  The
State of Florida  can  terminate  the  contract  upon HPSE losing its license or
other  evidence of default.  HPSE's  current  contract with the State of Florida
expires  December 31, 1998 and there can be no assurance  that the contract will
be renewed.  The  termination  or non-renewal of this contract with the State of
Florida would have a material adverse effect on both HPSE and the Company.

GOVERNMENT REGULATION

         The  businesses in which the Company is engaged are to varying  extents
subject to substantial regulation by federal and state governmental authorities.
The   regulatory   environment   in  which  the  Company   operates  may  change
significantly  as a result of federal and state health care reform  initiatives.
The  most  significant  regulatory  requirements  applicable  to  the  Company's
businesses are summarized below.

         A  substantial  portion of the  Company's  net revenue is derived  from
payments made by  government-sponsored  health care programs (primarily Medicare
and Medicaid). In addition, continuing budgetary constraints at both the federal
and  state  level  and  the  rapidly   escalating   costs  of  health  care  and
reimbursement programs may continue to lead to relatively significant reductions
in government and other third party  reimbursements for certain medical charges.
Any such reductions could have a material  adverse effect on the Company.  These
programs and activities are subject to substantial regulation by the federal and
state governments which are continually  reviewing and revising the programs and
their  regulations.  The Company's  operations are subject to periodic audits by
government reimbursement programs to determine the adequacy of coding procedures
and reasonableness of charges. Any determination of material  noncompliance with
such  regulatory  requirements  or  any  change  in  reimbursement  regulations,
policies,   practices,   interpretations   or  statutes  that  places   material
limitations on  reimbursement  amounts or practices could  adversely  affect the
operations of the Company.

         Business corporations are legally prohibited from providing, or holding
themselves out as providers of, medical care in many states. State laws prohibit
the  unlicensed  practice of medicine,  including the practice of medicine by an
unlicensed  corporation or other unlicensed  entity.  While the Company seeks to
structure its operations to comply with the corporate  practice of medicine laws
of each  state in which it  operates,  there  can be no  assurance  that,  given
varying and uncertain  interpretations  of such laws, the Company would be found
to be in compliance with restrictions on the corporate practice of medicine laws
in all states.  A  determination  that the Company is in violation of applicable
restrictions on the practice of medicine in any state in which it operates could
have a material  adverse  effect on the  Company if the  Company  were unable to
restructure its operations to comply with the requirements of such states.

         Many states have statutes or case law that govern the enforceability of
contractual provisions prohibiting or proscribing certain competitive activities
as  well  as  interference  with  contractual   rights  and  liquidated  damages
provisions in contracts.  Many states, primarily through regulatory or licensing
boards,  also  prohibit the  splitting or sharing of

                                       6
<PAGE>

professional  fees  between  physicians  and  non-physicians,   non-professional
corporations  or other  entities not  authorized to practice  medicine.  Several
states also have laws  prohibiting  referrals  by a physician  if the  physician
receives  improper  remuneration  for  the  referral,   including  referrals  to
facilities  or other  entities  in which the  physician  or an  affiliate  has a
financial or ownership interest.

         Recently,  the  Florida  Board  of  Medicine  has  interpreted  the fee
splitting   prohibitions   broadly   enough  to  cover  the   payment   of  many
percentage-based  management fee arrangements  between  physicians and physician
practice  management  companies.  This decision has been stayed pending  further
judicial review.  The Company has contractual  arrangements with its independent
contractor physicians,  including contracts in the State of Florida, pursuant to
which the Company  receives  compensation for its services that is calculated in
certain  instances  based  on  percentages  of  fees  billed  and  collected  by
physicians.  There can be no assurance that the contractual  arrangements of the
Company will not require  modification  depending upon the outcome of the review
of the action of the Florida  Board of Medicine by the Florida  courts,  or that
the Company will be able to modify such  contractual  arrangements in Florida or
in other states as needed based upon future judicial interpretations of laws and
regulatory decisions, or upon changes in the laws.

         HPSE is licensed and subject to periodic  examination  by  governmental
agencies and is subject to state and federal statutes which extensively regulate
the activities of health plans.  HPSE must file periodic  reports and is subject
to periodic review by the licensing  authorities that regulate health plans. The
loss of a health plan license would require the Company to cease offering health
plan services.  To remain licensed, it may be necessary for HPSE to make changes
from time to time in its services, procedures, structures and marketing methods.
Florida  requires  a health  plan to meet  minimum  capital  requirements  which
essentially  restrict a portion of the  health  plan's  assets to use within its
current operations.  In January 1998, HPSE was awarded a one-year  accreditation
by the National Committee for Quality  Assurance.  HPSE is subject to regulatory
review and approval  regarding the development of new products and the expansion
of its service  area.  Each  respective  application  may be subject to federal,
state and county government review.

         The  Company's  governmental  contracting  activities  are  subject  to
substantial  regulation by the applicable  contracting  agencies and federal law
and  regulation.  Contracts with  government  agencies are generally  complex in
nature and require contractors to comply with exacting technical  specifications
and numerous administrative  regulations.  Substantial penalties can result from
noncompliance with the technical  specifications of a contract.  Upon failure to
perform  or  violation  of  applicable  contract  or  statutory  provisions,   a
contractor  may be barred or  suspended  from  obtaining  future  contracts  for
specified periods of time. The Company is subject to periodic audits and reviews
in the ordinary course of business by appropriate  federal  government audit and
review  agencies,  which can result in adjustments to contract costs,  including
direct and indirect  expenses.  Under the Truth in Negotiations Act, the federal
government  is entitled  for three years after final  payment on any  negotiated
fixed-price  contract to examine all

                                       7
<PAGE>

of the Company's cost records with respect to such contract to determine whether
the Company used complete,  accurate and current cost and pricing information in
preparing bids on that contract or any amendment thereto. The federal government
also has the right for six years after final payment to adjust a contract  price
based upon such examination.  Section 31 of the Federal Acquisition  Regulations
governs the  allocation of costs  incurred by the Company in the  performance of
its  government  contracts  to  the  extent  such  costs  are  allocable  to its
government contracts.

         The  Company  believes  that  its  facilities  are in  compliance  with
federal,  state  and local  environmental  protection  regulations  and does not
anticipate  that its  compliance  with  regulations  concerning  the  packaging,
storage,  treatment  and  transportation  of  biohazardous  material will have a
material impact on the Company's earnings or competitive position.

CORPORATE LIABILITY AND INSURANCE

         Each of the Company's Physician Contract Services subsidiaries and HPSE
maintain  professional  liability  insurance in amounts  deemed  appropriate  by
management  based  upon  historical  claims  and the  nature  and  risks  of the
business.  There can be no  assurance  that a future  claim  will not exceed the
limits  of  available  insurance  or that  such  coverage  will  continue  to be
available.  Such insurance provides  coverage,  subject to policy limits, in the
event the Company's contracting subsidiary were held liable as a co-defendant in
a lawsuit against a contracted  health care  professional or hospital client. To
the extent health care  professionals  were regarded as agents of the Company in
the practice of medicine,  the Company could be held vicariously  liable for any
medical negligence of such health care professionals.  In addition,  the Company
and its contracting  subsidiaries  may be exposed to liability in cases in which
the Company's contracting subsidiary itself was negligent.

         In addition,  the Company's  contracts with hospital clients  generally
contain  provisions under which the Company's  contracting  subsidiary agrees to
indemnify  the client  for losses  resulting  from the  contracting  physician's
malpractice up to the limits of such contracting physician's liability insurance
(whether or not such losses are covered by insurance  policies),  and the client
agrees to indemnify the Company's contracting subsidiary up to the limits of the
client's  professional   liability  insurance  for  losses  resulting  from  the
negligence  of the client or client  personnel  (whether  or not such losses are
covered by insurance  policies).  In addition,  the Company's contracts with the
Department of Defense and the Department of Veterans Affairs  generally  provide
for the Company's  contracting  subsidiary to indemnify the government,  without
limitation as to amount,  for losses incurred under similar  circumstances.  The
Company's contracting subsidiary requires the contracted physicians to indemnify
the Company's  contracting  subsidiary for losses related to the  performance of
medical services and to obtain professional liability insurance.

COMPETITION

         The  businesses in which the Company  operates are highly  competitive.
The Company has both  national  and local  competitors  in its various  business
lines. The

                                       8
<PAGE>

Company  also  competes  with the more  traditional  structures  of health  care
delivery systems. Competition in the industry is based on the scope, quality and
cost of services provided. Many of the Company's actual or potential competitors
have substantially  greater financial,  personnel and other resources than those
of the Company.

EMPLOYEES

         At December 31, 1997, the Company had approximately 1,645 employees.

ITEM 2. PROPERTIES

         The Company's headquarters are located in Durham, North Carolina, where
the Company  subleases under a three year lease  effective July 1, 1997,  48,753
square feet of an office building from Century  American  Insurance  Company,  a
corporation  controlled by the Company's  Chairman and Chief Executive  Officer,
Steven M. Scott, M.D., who is also the largest shareholder of the Company.  This
space is occupied by the Company and by Coastal Physician Services, Inc. Doctors
Health Plan, Inc. which was sold by the Company in March 1998, also leases 9,663
square  feet in the  building  under a  separate  lease  for  three  years  also
effective July 1, 1997. These two leases comprise approximately 90% of the total
leasable space in the building.

          Healthcare  Business  Resources,  Inc.  (HBR),  a  subsidiary  of  the
Company,  leases and  occupies a 51,000  square foot office  building in Durham,
North  Carolina.  The office  space,  leased from an unrelated  third party,  is
utilized for billing operations and headquarters for HBR.

         The  Company  leases  and  partially  occupies  two  additional  office
buildings,  totaling  approximately 52,000 square feet, located in Durham, North
Carolina.  The  buildings,  leased  from  an  unrelated  third  party,  are  the
headquarters  for Coastal  Government  Services,  Inc.,  and  Medstaff  National
Medical Staffing,  Inc., subsidiaries of the Company. A portion of the building,
consisting of  approximately  13,000 square feet is sublet to an unrelated third
party.

         The Company's  operating  subsidiaries  generally lease office space in
locations  in which they do business.  Total rent  expenses for all office space
leased by the Company under  noncancelable  operating  leases was $1,556,000 for
the year ended December 31, 1997.

         Further  information  concerning  properties  is disclosed in "Item 13.
Certain Relationships and Related Transactions."

ITEM 3. LEGAL PROCEEDINGS

         Following the  announcement  of the Company's  first quarter  operating
results on April 27, 1995,  four class action lawsuits were commenced by certain
shareholders  against the Company and certain of its current and former officers
and directors in the United  States  District  Court for the Middle  District of
North Carolina.  These lawsuits were consolidated into a single consolidated and
amended  complaint  styled  In  re  Coastal

                                       9
<PAGE>

Physician  Group,  Inc.  Securities  Litigation,  and  class  certification  was
granted.  The  consolidated,  amended complaint sought  unspecified  damages for
alleged  violations  of the federal  securities  laws and common law  negligence
related  generally to the issuance of allegedly false and misleading  statements
about the Company's operations and present and future prospects. This litigation
was settled  following a  court-ordered  mediation  in which the Company and its
insurers  agreed to contribute  $1,000,000 and  $7,150,000,  respectively,  to a
settlement fund to be used to compensate the class members. The final settlement
is subject to Court approval and  contingent  upon not more than five percent of
the class members opting out of the settlement.

         The  Company  and  certain  of its  current  and  former  officers  and
directors  have been named  defendants in a purported  shareholder  class action
lawsuit  filed on November 20, 1996 in Superior  Court in Durham  County,  North
Carolina,  styled  Jerry  Krim,  on his own  behalf  and on behalf of all others
similarly  situated,  v. Coastal Physician Group,  Inc., Steven M. Scott,  M.D.,
Stephen D. Corman and  Jonathan  E.  Kennedy.  The  complaint  alleges  that the
defendants   committed   common  law  fraud  and   deceit  and  made   negligent
misrepresentations  that induced the plaintiff and other persons to purchase the
stock and seeks  unspecified  compensatory  and punitive  damages and costs.  On
August 27, 1997, the Court entered an Order denying class  certification and the
plaintiffs  have appealed this Order.  In a companion case, Mead Ann Krim on her
own behalf and on behalf of all others similarly  situated v. Coastal  Physician
Group,  Inc., Steven M. Scott,  M.D., Stephen D. Corman and Jonathan E. Kennedy,
the plaintiff  spouse of Jerry Krim,  filed a similar action on October 20, 1997
in United States District Court for the Middle  District of North Carolina.  The
Company has filed  motions to dismiss that are  currently  pending.  The Company
intends to vigorously defend its position,  but at this stage of the litigation,
exposure to the Company cannot be determined.

         On June  17,  1997,  Henry  J.  Murphy,  who was  President  and  Chief
Executive  Officer of the Company  from  November 1, 1996 to February  28, 1997,
filed a lawsuit  against the Company  alleging  that the Company  failed to make
certain incentive payments to him under his written employment agreement.  Under
the contract,  Mr. Murphy was entitled to receive certain incentive  payments or
stock warrants in the event that the Company either successfully  refinanced its
bank debt so as to reduce the amount of debt to  certain  target  levels or sold
more than half of its  assets  or  business.  Mr.  Murphy is  alleging  that the
Company's  transaction  with  National  Century  Financial   Enterprises,   Inc.
constituted a sale of more than half of the assets of the Company qualifying him
to receive  certain  payments.  The  Company  intends to  vigorously  defend its
position,  but at this stage of the  litigation,  the  exposure  to the  Company
cannot be determined.

         In June  1997,  after the  Company's  subsidiary,  Healthcare  Business
Resources,  Inc. ("HBR"), closed an office in Whitley City, Kentucky, a possible
overpayment from Medicare to Coastal Physician Services of the Midwest, Inc. was
discovered.  In August  1997,  the Company  voluntarily  disclosed  the possible
overpayment to representatives of the U. S. Department of Justice ("DOJ"). Since
the Company's  voluntary  disclosure  to the DOJ, the Company has  cooperated in
DOJ's review and the DOJ has referred the

                                       10
<PAGE>

matter for final  resolution  to the U. S.  Attorney's  Offices in Kentucky with
jurisdiction  over this matter.  The  Company's  counsel was invited by the U.S.
Attorney's  Offices in Kentucky  to fully  participate  in their  review and has
participated  in their  review  and  interviews  of current  and former  Company
employees.   The  Company  currently   estimates  that  its  liability  for  the
overpayment, fees and expenses related to the DOJ's review at this time has been
adequately provided for in its financial statements.  Since the DOJ's review has
not yet been completed, there can be no assurance, however, that the overpayment
liability will not exceed the Company's current estimate.

         In October and  November  1996,  three cases  styled  Ortiz v.  Coastal
Physician Services of Broward County, Inc., et al., Higgins v. Coastal Emergency
Services of Ft.  Lauderdale,  Inc.  et al.,  and  Dukenik v.  Coastal  Emergency
Services of Ft. Lauderdale, Inc. et al. were filed in the Circuit Court for Palm
Beach,  Florida  seeking  statutory  damages for alleged  violations  of Section
559.79 of the Florida Consumer Collection  Practices Act as a result of invoices
mailed for  medical  services  rendered  by  contract  physicians  in  emergency
departments for which the Company  provided  physician  staffing  services.  The
invoices contained language  indicating various actions that might be pursued in
the  event  of  non-payment,  including  references  to  the  Attorney  General.
Plaintiffs have amended their complaints and are seeking only statutory damages.
Plaintiffs  have  also  filed a  motion  seeking  class  certification  which is
currently  pending  before the court.  The Company  believes that it has several
defenses  and intends to  vigorously  defend the action but at this stage of the
litigation, the exposure to the Company cannot be determined.

         On February 4, 1998, Jacque J. Sokolov,  M.D., who previously served as
Chairman  of the  Company  and  President  of Advanced  Health  Plans,  Inc.,  a
subsidiary of the Company, filed a Demand for Arbitration with J*A*M*S/ENDISPUTE
in Los Angeles,  California  alleging various breaches of an Employment Contract
dated November,  1994 with the Company.  The Company has objected to the conduct
of the arbitration in California and has requested that the arbitration hearings
be held in  North  Carolina.  The  Company  intends  to  vigorously  defend  its
position, but at this stage of the litigation the exposure to the Company cannot
be determined.

         One of the Company's  subsidiaries,  Coastal Physician  Services of the
Southeast,  Inc.,  received  information  regarding  an inquiry by the Office of
Inspector  General,  U. S.  Department of Health and Human  Services  ("OIG") in
October 1997 at one of the Company's client  hospitals.  Representatives  of the
OIG's  Region IV  Office  were then  invited  by the  Company  and  visited  the
Company's  subsidiary,  Healthcare Business  Resources,  Inc., in November 1997.
Since the OIG's visit,  the Company has received no further  communication  from
the OIG.

         The  Company  and  its  subsidiaries  are  involved  in  various  legal
proceedings  incidental to their businesses,  substantially all of which involve
claims  related to the alleged  medical  malpractice  of contracted  physicians,
contractual and lease disputes or individual  employee relations matters. In the
opinion of the Company's  management,  no individual  item of this litigation or
group of similar items of litigation, taking into

                                       11
<PAGE>

account the  insurance  coverage  available to the Company,  is likely to have a
materially  adverse  effect on the  Company's  financial  position or results of
operations.

ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

         No matter was submitted to a vote of security holders during the fourth
quarter of 1997.

                                       12
<PAGE>

                                     PART II

ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

         The  Company's  common  stock is traded on the New York Stock  Exchange
under the symbol "DR." The following  table shows the range of market prices per
share for the Company's common stock in 1997 and 1996.

                                         1997                        1996

                                    High      Low             High       Low

         First Quarter              $4.63   $1.75             $ 13.75   $8.88

         Second Quarter             $2.63   $0.94             $  8.38   $6.75

         Third Quarter              $2.69   $1.38             $  7.25   $4.25

         Fourth Quarter             $2.19   $0.81             $  6.00   $2.75



         As  of  February  28,  1998,  the  Company  had   approximately   6,000
shareholders, of which approximately 1,000 were holders of record.

         The Company has not paid,  nor does it  currently  intend to pay,  cash
dividends  on its  common  stock  but,  rather,  it intends to retain any future
earnings for reinvestment in its business.

         In December 1997, the Company issued  1,000,000  shares of common stock
to National  Century  Financial  Enterprises  Inc.  ("NCFE") in  satisfaction of
approximately  $1,046,000 in fees related to financing arrangements entered into
between  the  Company,  NCFE  and  certain  of its  subsidiaries  in June  1997.
Additionally, 200,000 shares of common stock were issued to two of the Company's
vendors in lieu of cash payments for services provided.  These transactions were
not registered  under the  Securities Act pursuant to the exemption  provided by
Section 4(2) thereof for transactions not involving any public offering.

                                       13
<PAGE>

ITEM 6. SELECTED FINANCIAL DATA

(in thousands, except per share data)

<TABLE>
<CAPTION>
                                                    Years Ended December 31,

                                  1997          1996          1995         1994        1993
- ---------------------------------------------------------------------------------------------

Results of Operations:

<S>                            <C>           <C>           <C>           <C>         <C>     
Operating revenue, net         $ 424,841     $ 552,109     $ 810,387     $748,637    $640,702

Net income (loss)                (81,981)     (145,557)      (46,901)      20,668      24,303

Net income (loss) per share        (3.08)        (6.10)        (1.98)        0.92        1.27

Weighted average shares           26,623        23,844        23,656       22,418      19,135

<CAPTION>
                                                        at December 31,

                                  1997          1996          1995         1994        1993
- ---------------------------------------------------------------------------------------------

Balance Sheet at Year-End:

<S>                            <C>           <C>           <C>           <C>         <C>     
Total assets                   $  96,096     $ 181,841     $ 313,057     $328,980    $255,761

Short-term debt                    2,529        71,130         5,210        1,353       7,452

Long-term debt                 $  74,698         4,799        77,270       45,792      21,787

Total shareholders' equity /
       (deficit)               ($ 61,427)        3,503       146,371      186,893     146,600
</TABLE>

                                       14
<PAGE>

Item 7. Management's  Discussion and Analysis of Financial Condition and Results
of Operations

RESULTS OF OPERATIONS

GENERAL

Over the past three years, the Company has undergone  significant changes in its
business that have had a significant  adverse  financial  impact on the Company.
During this period,  management identified a number of operating units that were
either  underperforming  or were not deemed  critical to the  overall  operating
strategy.  As a result,  management decided to divest certain operating units in
1996 and 1997 and the Company  incurred  significant  decreases in net operating
revenues,  physician and other provider services costs, and selling, general and
administrative  expenses.  In addition,  the Company  experienced  a significant
reduction  in the number of locations  where the  Company's  Physician  Contract
Services operation provided physicians. While not all of the lost locations were
profitable,  these had a significant impact on net operating revenues, physician
and other  provider  services  costs,  and selling,  general and  administrative
costs.  For the past three years the Company has incurred net losses.  Discussed
below is a more detailed  review of the results of operations for the last three
years.

1997 COMPARED TO 1996

         Operating  Revenue,  Net.  Net  operating  revenue  for 1997 was $424.8
million representing a decrease of $127.3 million, or 23.1%, from 1996 operating
revenues  of  $552.1  million.   The  decrease  in  operating   revenue  due  to
dispositions  completed  during 1996 and 1997, for which prior periods'  results
were not restated,  was approximately $62.8 million. The dispositions  completed
in 1996 and 1997 that influence the comparison  between years included:  (i) the
sale of certain assets of Physicians  Planning Group,  Inc. ("PPG") in September
1996; (ii) the sale in November 1996 of the HealthNet  Medical Group  operations
of PPG and MedCost,  Inc.;  (iii) the sale in May 1997 of seven Florida clinics;
(iv) the sale in August 1997 of Better  Health Plan,  Inc.  ("BHP"),  a New York
state  prepaid  health  plan  servicing  Medicaid  enrollees;  and (v) the  sale
effective in November 1997 of  Integrated  Provider  Networks,  Inc. and certain
other  physician  practice  management  group  assets.  These  dispositions  are
discussed  in  more  detail  in  Note  3 of  "Notes  to  Consolidated  Financial
Statements." In addition to these sales,  the Company also sold other immaterial
operations in 1996. The remaining decrease of $64.5 million was primarily due to
contract  during  1996 and 1997 that  were not  offset  by the  addition  of new
contracts in the Company's hospital-based contract management group. The decline
was  partially  offset by  increases  in revenue  due to growth in the number of
enrollees in the Company's HMOs in North Carolina and Florida, and in BHP before
it was sold.

         Physician and Other Provider Services Costs and Expenses. Physician and
other  provider  services costs and expenses  consist  primarily of fees paid to
physicians  and other  health  care  providers.  Physician  and  other  provider
services  costs and expenses  decreased by $91.3  million,  or 20.3%,  to $359.2
million in 1997 from  $450.5  million in 1996.  Of the  decrease,  approximately
$37.3 million was directly related to those 

                                       15
<PAGE>

operations that were disposed of, as discussed  above,  for which prior periods'
results  were  not  restated.  The  remaining  decrease  was  attributable  to a
reduction in the number of contracts in the  Company's  hospital-based  contract
management  group.  These  decreases  were  offset  by an  increase  in costs of
approximately $33.2 million related to the growth in the number of enrollees, as
well as higher  utilization by  participants  in the Company's HMO operations in
North Carolina and Florida, and in BHP before it was sold.

         Medical Support  Services Costs and Expenses.  Medical support services
costs and  expenses  include  all other  direct  costs and  expenses of managing
clinics,  as well as  billing,  collection  and  physician  business  management
services  costs and  expenses.  Medical  support  services  costs  and  expenses
decreased  by $51.8  million,  or 56.0%,  to $40.7  million  in 1997 from  $92.5
million in 1996.  The decrease in medical  support  services  costs and expenses
related to disposed  operations,  as discussed  above,  for which prior periods'
results were not  restated,  was  approximately  $20.2  million.  The  remaining
decrease  in  medical  support  service  costs and  expenses  resulted  from the
termination of contracts with the Company's hospital- based contract management

         Selling,  General  and  Administrative  Costs  and  Expenses.  Selling,
general and  administrative  costs and expenses  decreased by $81.2 million,  or
47.2%,  to $90.7  million  in 1997 from  $171.9  million in 1996.  The  decrease
attributable  to  disposed  operations,  as  discussed  above,  for which  prior
periods' results were not restated,  was approximately  $30.1 million.  In 1997,
the  Company  recorded a charge for the  impairment  of goodwill  totaling  $4.3
million. See Note 2 of "Notes to Consolidated Financial Statements." The Company
incurred  legal and  professional  fees and related  costs  associated  with the
restructuring of its credit agreements and various  litigation  matters totaling
$12.9  million  in 1997  versus  $16.7  million  in 1996.  The 22.8%  decline in
professional  fees and  related  costs  resulted  from  management's  efforts to
minimize the costs  associated with  professional  fees after the Company's bank
debt was repaid. In 1997,  management also made reductions in personnel,  closed
offices in an effort to centralize  operations,  and sold certain  operations as
discussed  above. As a result of these efforts,  personnel costs were reduced by
33.8% from $72.4 million in 1996 to $47.9 million in 1997.

         Gain (Loss) on  Divested  Assets,  Net. In 1997,  the Company had a net
loss of $1.5 million on the divested  assets,  as more fully described in Note 3
of "Notes to Consolidated Financial Statements".

         Net Interest Expense. Net interest expense increased by $2.8 million to
$15.5  million in 1997 from $12.8 million in 1996 due primarily to the repayment
of the  Company's  bank  borrowings  in June 1997 which were  replaced  by funds
provided  by NCFE as  discussed  below.  The costs  associated  with the sale of
eligible  accounts  receivable in 1997, the proceeds of which were used to repay
the bank debt and to fund operations, have been included in selling, general and
administrative expenses.

         Other,  net. Other,  net decreased by $4.7 million from $6.0 million in
1996  to  $1.3  million  in  1997  due  primarily  to the  inclusion  in 1996 of
litigation and proxy costs which were not incurred in 1997.

         Benefit  (provision)  for income  taxes.  The benefit  (provision)  for
income  taxes  decreased  by $5.5  million to a benefit of $1.4  million  from a
provision  of $4.1  million in 1996.  This  change is due to the  reductions  in
accrued taxes as a result of continued net operating losses.

                                       16
<PAGE>

         Net  Loss.  Primarily  as  a  result  of  the  foregoing,  the  Company
experienced a net loss of $82.0 million in 1997 compared to a net loss of $145.6
million in 1996.

1996 COMPARED TO 1995

         Operating Revenue, Net. Net operating revenue decreased $258.3 million,
or 31.9%,  for 1996 to $552.1 million from $810.4 million for 1995. The decrease
in operating  revenue due to  dispositions  completed  during 1995 and 1996, for
which  prior  periods'  results  were not  restated,  was  approximately  $205.9
million,  or 25.4%.  This  decrease was  primarily  due to the sale of 47 of the
Company's south Florida clinics on November 30, 1995, (the "Florida sale").  The
remaining decrease was primarily due to higher contract attrition rates in 1996,
less new business development during the second half of 1995 and throughout 1996
in the Company's hospital-based contract management group, lower net collections
per patient  visit,  and  reimbursement  regulatory  changes  experienced by the
Company's  billing and accounts  receivable  management  group. The decrease was
partially  offset by an  increase  in  revenue  due to  growth in the  number of
enrollees in each of the Company's Health Plans in North Carolina,  New York and
Florida.

         Physician and Other Provider Services Costs and Expenses. Physician and
other  provider  services  costs and expenses  decreased by $153.4  million,  or
25.4%,  to $450.5  million in 1996 from $603.9  million in 1995. The decrease in
physician and other  provider  services  costs and expenses due to  dispositions
completed  during  1995 and 1996,  for which  prior  periods'  results  were not
restated, was approximately $173.2 million, or 28.7%. This decrease is primarily
due to the Florida  sale.  The  remaining  decrease was  primarily due to higher
contract  attrition  rates in 1996,  less new  business  development  during the
second half of 1995 and throughout 1996 in the Company's hospital-based contract
management  group,  and  reimbursement  regulatory  changes  experienced  by the
Company's  billing and accounts  receivable  management  group. The decrease was
partially  offset by an increase in costs  related to  terminated  contracts and
costs  arising  from  the  growth  in the  number  of  enrollees  in each of the
Company's Health Plans in North Carolina, New York and Florida.

         Medical  Support  Services  Costs and Expenses.  (previously  described
above) Medical support  services costs and expenses  decreased by $38.6 million,
or 29.4%,  to $92.5 million in 1996 from $131.1 million in 1995. The decrease in
medical support services costs and expenses due to dispositions completed during
1995  and  1996,  for  which  prior  periods'  results  were not  restated,  was
approximately  $33.1 million,  or 25.2%.  This decrease was primarily due to the
Florida sale. The remaining  decrease  resulted from higher  contract  attrition
rates in 1996, less new business  development during the second half of 1995 and
throughout 1996 in the Company's  hospital-based  contract management group, and
reimbursement  regulatory  changes  experienced  by the  Company's  billing  and
accounts receivable management group.

         Selling,  General  and  Administrative  Costs  and  Expenses.  Selling,
general and  administrative  costs and expenses  increased by $47.9 million,  or
38.6%, to $171.9 in 1996 from $124.0 in 1995. This increase was due primarily to
increased goodwill impairment adjustments, professional fees associated with the
restructuring of the Company's bank credit agreements,  increased investments in
information  technology,

                                       17
<PAGE>

the write-off of notes receivable,  and increased  expenses  associated with the
growth in the number of enrollees in each of the Company's Health Plans in North
Carolina, New York and Florida.

         Gain (loss) on divested assets, net consisted of the following in 1996:
(i)  net  gains  totaling  $36.2  million  resulting  from  the  divestiture  of
subsidiaries  throughout  the year,  including  PPG, a manager  of primary  care
provider networks located in Maryland, HealthNet, the Company's New Jersey-based
clinic  operations,  and MedCost,  Inc., a managed care entity  located in North
Carolina  and (ii) $1.6  million  of  additional  gain  recorded  in 1996 on the
Florida  sale which was  attributable  to those  clinics  which were  originally
acquired  and  recorded  under the purchase  method of  accounting  for business
combinations.  See "Item 8. Financial Statements and Supplemental Data" - Note 3
of "Notes to Consolidated Financial Statements". Gain (loss) on divested assets,
net  consisted of the  following in 1995: a loss of $20.2 million on the Florida
sale which was attributable to those clinics which were originally  acquired and
recorded under the purchase method of accounting for business combinations.

         Net Interest Expense. Net interest expense increased by $4.7 million to
$12.3 million in 1996 from $7.6 million in 1995 due primarily to the increase of
approximately  $3.6 million in amortization  expense related to debt issue costs
incurred to restructure the Company's bank credit facilities in May of 1996. The
remaining  increase  resulted  from  interest on  increased  borrowings  to fund
operating losses,  continuing investments in information technology initiatives,
and the sale of marketable  securities  resulting in lower interest  income.  In
addition,  net interest expense  increased as a result of rate increases charged
under  the  Company's  Bank  Credit  Agreements.   See  "Liquidity  and  Capital
Resources."

         Acquisition  and Related  Expenses.  Acquisition  and related  expenses
include  professional fees and other costs related to acquisitions.  Acquisition
and related expenses in 1995 were $1.5 million,.  Expenses  incurred during 1995
related primarily to potential acquisitions which did not materialize. See "Item
8.  Financial   Statements  and  Supplemental  Data"  -  Note  3  of  "Notes  to
Consolidated Financial Statements".

          Benefit  (Provision) for income taxes.  Benefit (provision) for income
taxes  changed  from a benefit of $17.1  million in 1995 to a provision  of $4.1
million in 1996 (a change of $21.2 million) primarily as a result of an increase
in the valuation  reserve for the Company's federal and state net operating loss
carry forwards.  See "Item 8. Financial Statements and Supplemental Data" - Note
8 of "Notes to Consolidated Financial Statements."

         Other,  net. Other,  net increased by $3.6 million from $2.4 million in
1995 to $6.0  million  in 1996,  as a result of  additional  costs  incurred  in
connection with the restructuring of the Company's bank debt.

         Net Loss. The Company  experienced a net loss of $145.6 million in 1996
compared to a net loss of $46.9 million in 1995. This change is due primarily to
the factors discussed above.

LIQUIDITY AND CAPITAL RESOURCES

         The Company has met its cash requirements during the periods covered by
the accompanying  consolidated  financial statements through the sale of certain
accounts

                                       18
<PAGE>

receivable,  as more  fully  discussed  below,  and the sale of  certain  of its
subsidiaries.  The  Company's  principal  uses of  cash  have  been  to  support
operating  activities and repay bank debt. Net cash used in operating activities
was  $25.3  million  and  $47.1  million  in 1997 and  1996,  respectively.  The
Company's net use of cash to support  operating  activities  resulted  primarily
from  operating  losses,  including  medical costs of providers,  administrative
expenses,   legal  and  professional  fees  associated  with  restructuring  the
Company's  credit  facilities,  proxy  and  litigation  costs,  and  information
technology  initiatives.  Net cash provided by investing  activities in 1997 was
$13.2  million which was derived  primarily  from cash received from the sale of
certain  subsidiaries,  net of cash disposed of $12.3 million. In 1996, net cash
provided by  investing  activities  amounted to $56.4  million,  which  resulted
primarily from cash received from the disposition of  subsidiaries,  net of cash
disposed  of  $46.2  million.  In  1997,  the net  cash  provided  by  financing
activities  was $10.8 million.  During 1997, the Company had debt  borrowings of
$99.0 million and debt  repayments of $97.7 million,  for net borrowings of $l.3
million.  In addition,  the Company  received an equity  infusion from Steven M.
Scott,  M.D., Chief Executive  Officer of the Company and the Company's  largest
shareholder  in the amount of $10.0  million.  Net cash  provided  by  financing
activities  in 1996 was $7.2 million and  consisted  primarily of net  borrowing
under the Company's bank credit agreements.  As a result of the  aforementioned,
cash and cash  equivalents  decreased from $10.2 million at December 31, 1996 to
$8.9 million at December 31, 1997.

         The Company's number of days of revenue in average outstanding accounts
receivable  for 1996 was 68.9  days.  As a result  of the sale of a  substantial
amount of accounts receivable in 1997, a meaningful  comparison is not available
for 1997.

         On  June 6,  1997,  the  Company  entered  into a  series  of sale  and
subservicing  agreements (the "Sale  Agreements")  with various  subsidiaries of
NCFE. The Sale Agreements provide for accounts receivable  purchase  commitments
totaling $151 million for the purchase of the Company's  healthcare  receivables
from third party payors that meet specified  eligibility  requirements.  Certain
Sale  Agreements  create  facilities  for the  purchase  of up to $36 million of
receivables  and  terminate on July 1, 1998. As a result of the sales of certain
operations  of the  Company in 1997,  the  facilities  have been  reduced to $23
million as of December 31, 1997.  The Company  entered into  amendments to these
facilities, whereby the commitment was extended until July 1, 2000. Another Sale
Agreement  creates  a  facility  for  the  purchase  of up to  $115  million  of
receivables and terminates on June 1, 2000. Pursuant to the Sale Agreement,  the
Company pays a program fee ranging from  approximately  10.94% to  approximately
12.50% per annum on the outstanding amount of uncollected purchased receivables.

         Pursuant to a separate  loan and  security  agreement,  an affiliate of
NCFE has agreed to provide the Company with a revolving  line of credit of up to
$40 million  through July 1, 1999.  Interest on  outstanding  amounts under this
line of  credit  is  payable  monthly  at prime  plus 4%.  The line of credit is
secured by substantially all of the Company's  assets,  including pledges of the
common stock of each of its  subsidiaries.  No borrowings were outstanding under
this facility during 1997.

         On June 10,  1997,  the  Company  used  proceeds of  approximately  $82
million from sales of its existing  receivables and rights to future receivables
to  repay  in full  outstanding  indebtedness  to its  lenders  and the  lenders
released all collateral.

                                       19
<PAGE>

         Simultaneously,  with  the NCFE  financing  transaction,  as  explained
above,  Dr.  Scott  invested  $10 million in cash in the  Company  and  received
1,000,000 shares of a new class of Series C Convertible Preferred Stock ("Series
C  Preferred").  In  addition,  Dr.  Scott  received  84,983  shares of Series C
Preferred  and  240,000  shares  of  common  stock in  satisfaction  of  certain
obligations owed to him by the Company of approximately $1.1 million. The Series
C Preferred  Stock was converted into shares of the Company's  common stock on a
10 for 1 basis in October 1997.

         The Company expects to satisfy its anticipated  demands and commitments
for cash in the next twelve months from the amounts  available under the various
agreements  with NCFE  discussed  above,  as well as a reduction in cash used in
operations.  The Company has implemented a management action plan which requires
a  continuing  review of all  aspects of the  Company's  business  units and the
implementation  of actions to improve cash flow  characteristics,  profitability
and contributions to the Company's  overall financial and strategic  objectives.
Among the key actions being implemented by the Company are changes in the method
of  compensating  its  independent  contractor  physicians  under  the  Practice
Partners Program(C), centralization of certain administrative tasks, and efforts
to expand its customer  base.  The primary  objectives  of these  actions are to
generate  increased  cash  flow to  repay  debt  and to  improve  the  Company's
financial  results.  If the Company is unable to achieve  these  objectives , it
will likely  experience a material  decrease in liquidity,  thus  increasing its
reliance on financing  under the revolving  line of credit  provided by NCFE. In
addition,  the Company is  dependent  upon the  continued  weekly  purchases  of
eligible accounts  receivable by NCFE under the NPF-XI programs in order to meet
the Company's obligations

OTHER TRENDS AND UNCERTAINTIES

         The Company operates in an industry characterized by consolidations and
combinations  led by a number  of  major  health  care  companies.  The  Company
completed  numerous  acquisitions  during 1994 and 1995 but is now directing its
primary  efforts to improvements  in its Physician  Contract  Services group and
related  operations.  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  clinic and HMO businesses,  debt  obligations,  as well as the
relative rising cost of, and potential limited access to, additional capital.

         In late March 1997, the Health Care Financing  Administration  ("HCFA")
indicated  that it will no  longer  allow  companies  to obtain  group  provider
numbers to bill  Medicare  claims for  services  rendered  by their  independent
contractor  physicians.  The Company has taken steps to individually  enroll its
independent contractor physicians and to modify its contractual arrangement with
its   independent   contractor   physicians  in  order  to  comply  with  HCFA's
interpretation  of the  reimbursement  regulations.  Efforts  by the  Company to
individually enroll the independent contractor physicians are dependent upon the
cooperation the Company receives from the independent  contractor  physician and
the respective provider. To date the Company has not experienced any significant
problems in enrolling the physicians.  The Company believes that upon completion
of  the  re-enrollment  process  that  it  will  be in  compliance  with  HCFA's
requirements.  Because

                                       20
<PAGE>

of the required changes,  the Company may incur additional costs;  however,  the
full financial impact is not known at this time.

         As a result of the expected  future costs and  investments  required to
enable the Company's New York and North Carolina HMOs to become profitable,  the
Company   sold  these   operations   effective   August  1997  and  March  1998,
respectively.  In  addition,  the Company is  examining a number of  operational
changes to its Florida HMO,  that are designed to improve its  profitability  in
1998. These changes could include the termination of unprofitable  contracts and
renegotiation  with  providers  on  reimbursement  rates.  The  Company  is also
exploring the possible sale of HPSE. If the operational changes are not achieved
and the  Company  is unable to sell  HPSE,  it is likely  that  additional  cash
investment  in HPSE will be  required  in order to maintain  its  statutory  net
worth.  Additional  investments  in HPSE would have to come from  NCFE's line of
credit.

         The Company believes successful competition in the health care industry
will increasingly require sophisticated information systems to rapidly provide a
broad range of data related to both  clinical and  financial  aspects of medical
practice.  The  Company  is  continuing  to  evaluate  its  use  of  information
technology which may result in increased costs.

         The Company's  focus on its internal  operations has resulted in senior
management  changes in its contract  management and managed care operations.  In
addition  to  personnel  changes  in  its  operating   companies,   the  Company
significantly  reduced  staffing at its Durham  corporate  office during 1997 to
approximately 35 employees from over 65 at the beginning of 1997 and over 200 at
the beginning of 1996. Various administrative and support functions historically
provided by the corporate  office have been  significantly  reduced,  eliminated
completely or redeployed to the operating  companies  requiring those functions.
As a result of these reductions,  the Company is dependent upon the retention of
key employees.

         Developments  in the health care  industry in general are also expected
to impact the Company's  financial  performance  and operating  strategy.  These
developments  include  trends of medical  expenses in HMOs and other  businesses
where the risk of higher medical costs is assumed, as well as changing levels of
utilization in hospital-based and clinic operations.  Additionally,  the Company
will be subject to changes in premiums and levels of  reimbursement  from payors
including HMOs, insurance companies, Medicare and Medicaid.

         Continued  efforts by Medicare and Medicaid to reduce costs,  including
costs that are incurred  due to  inaccurate  or  fraudulent  billing  practices,
continues  to be an area of exposure to all  organizations  that render  medical
services that are  reimbursed  under these  programs.  In addition,  the Company
maintains  compliance  programs  and  procedures  in order to help  discover and
address any billing  practices  that may not comply with  Medicare  regulations.
However,  the Company  continues  to be exposed to audits  similar to those that
have been  initiated  against other  healthcare  providers,  and there can be no
assurance  that the  Company's  billing  procedures  upon such an audit would be
found to comply with all applicable regulatory requirements.

         The Company has voluntarily disclosed to the Department of Justice that
a possible  overpayment from Medicare  occurred.  Since the Company's  voluntary
disclosure,  the  company  has  cooperated  in the review by the  Department  of
Justice.  The

                                       21
<PAGE>

final resolution of this matter is pending; however, management believes that it
has made adequate provisions for the Company's liability in this matter.

         The Company has been  notified by the NYSE that it is not  currently in
compliance  with certain  listing  requirements  of the New York Stock Exchange.
Management is in discussions with representatives of the New York Stock Exchange
concerning the listing requirements but cannot, at this time, assess the outcome
of these discussions on the Company or its stock.

YEAR 2000 ISSUES

         The Company places  significant  reliance upon various computer systems
in order to run its day to day  operations..  The  Company has begun a review of
its computer  applications  and platforms to determine that they are "Year 2000"
compliant  before  December 31, 1999.  While this review has not been completed,
major applications covering billing and certain general ledger applications have
been reviewed and are "Year 2000"  compliant.  The balance of the system reviews
and modifications,  if any are required, are expected to be completed before the
Company would experience any adverse  consequences.  The costs of the project to
date and the estimated  costs to complete it by the year 2000,  are not expected
to be, nor have they been,  material  to the  Company's  consolidated  financial
position  or the results of  operations.  The  Company  believes  that Year 2000
issues, if not properly  addressed by entities that pay for services provided by
the Company,  would have a significant  impact upon the operating results of the
Company. The Company believes that its computer systems,  upon completion of the
systems reviews and  modifications;  if any are required,  will not be adversely
impacted.

         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 operations of the Company's  businesses;
         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; the
         inability  to obtain  continued  and/or  additional  necessary  working
         capital  financing  as needed;  potential  delisting  of the  Company's
         common  stock by the New  York  Stock  Exchange;  and  other  important
         factors  discussed  above under "Other  Trends and  Uncertainties"  and
         disclosed from time to time in the Company's  Form 10-K,  Form 10-Q and
         other Securities and Exchange Commission filings.

                                       22
<PAGE>

Item 8. Financial Statements and Supplemental Data

Report of Independent Auditors                                             24

Consolidated Balance Sheets, December 31, 1997 and 1996                    25
Consolidated Statements of Operations, Years ended
   December 31, 1997, 1996 and 1995                                        26
Consolidated Statements of Shareholders' Equity, Years ended
   December 31, 1997, 1996, and 1995                                       27
Consolidated Statements of Cash Flows, Years ended
   December 31, 1997, 1996 and 1995                                        28
Notes to Consolidated Financial Statements                                 29


                                       23
<PAGE>

THE BOARD OF DIRECTORS AND SHAREHOLDERS
COASTAL PHYSICIAN GROUP, INC.

     We have audited the  accompanying  consolidated  balance  sheets of Coastal
Physician Group, Inc. and subsidiaries as of December 31, 1997 and 1996, and the
related consolidated  statements of operations,  shareholders' equity (deficit),
and cash flows for each of the years in the three-year period ended December 31,
1997.  The  consolidated  financial  statements  are the  responsibility  of the
Company's  management.  Our  responsibility  is to  express  an opinion on these
consolidated financial statements based on our audits.

     We conducted  our audits in accordance  with  generally  accepted  auditing
standards.  Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the  accounting  principles  used and  significant  estimates  made by
management,  as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.

     In our opinion,  the consolidated  financial  statements  referred to above
present  fairly,  in all material  respects,  the financial  position of Coastal
Physician Group, Inc. and subsidiaries as of December 31, 1997 and 1996, and the
results  of their  operations  and their cash flows for each of the years in the
three-year period ended December 31, 1997, in conformity with generally accepted
accounting principles.

                                                     KPMG Peat Marwick LLP

Raleigh, North Carolina
June 3, 1998

                                       24
<PAGE>


                         COASTAL PHYSICIAN GROUP, INC.
                          CONSOLIDATED BALANCE SHEETS
                     (In thousands, except per share data)

<TABLE>
<CAPTION>
                                                                             December 31,
                                                                          1997          1996
- ----------------------------------------------------------------------------------------------
Assets
Current assets:
<S>                                                                    <C>           <C>      
   Cash and cash equivalents                                           $   8,921     $  10,239
   Marketable securities                                                   5,735         7,020
   Trade accounts receivable, net                                         23,612        87,410
   Reserves held by NCFE                                                   6,396            --
   Accounts receivable, other                                             12,684        11,187
   Receivables from related party                                          9,405            --
   Refundable income taxes                                                    --         2,498
   Prepaid expenses and other current assets                               7,923        10,923
- ----------------------------------------------------------------------------------------------
      Total current assets                                                74,676       129,277
- ----------------------------------------------------------------------------------------------
   Property and equipment, at cost, less accumulated depreciation         10,342        19,041
   Excess of cost over fair value of net assets acquired, net              2,450        19,305
   Other assets                                                            8,628        14,218
- ----------------------------------------------------------------------------------------------
      Total assets                                                     $  96,096     $ 181,841
==============================================================================================
Liabilities and Shareholders' Equity (Deficit)
Current liabilities:
   Current maturities and other short-term borrowings                  $   2,529     $  71,130
   Accounts payable                                                       31,364        46,307
   Accrued physicians fees and medical costs                              31,431        33,709
   Accrued expenses                                                       16,142        20,182
   Income taxes payable                                                    1,359         2,211
- ----------------------------------------------------------------------------------------------
      Total current liabilities                                           82,825       173,539
- ----------------------------------------------------------------------------------------------
   Long-term debt, excluding current maturities                           74,698         4,799
- ----------------------------------------------------------------------------------------------
      Total liabilities                                                  157,523       178,338
- ----------------------------------------------------------------------------------------------
Commitments and contingencies (Note 10)
Shareholders' equity (deficit):
   Preferred stock $.01 par value, authorized 10,000 shares;
      none issued and outstanding                                             --            --
   Common stock $.01 par value, authorized 100,000 shares;
      issued and outstanding 37,493 and 24,126 shares, respectively          375           241
   Additional paid-in-capital                                            160,374       144,070
   Common stock warrants                                                   1,582           987
   Accumulated deficit                                                  (223,912)     (141,931)
   Unrealized appreciation of available-for-sale securities                  154           136
- ----------------------------------------------------------------------------------------------
      Total shareholders' equity (deficit)                               (61,427)        3,503
- ----------------------------------------------------------------------------------------------
      Total liabilities and shareholders' equity (deficit)             $  96,096     $ 181,841
==============================================================================================
</TABLE>

See accompanying notes to consolidated financial statements.

                                       25
<PAGE>

                          COASTAL PHYSICIAN GROUP, INC.
                      CONSOLIDATED STATEMENTS OF OPERATIONS
                      (In thousands, except per share data)

<TABLE>
<CAPTION>
                                                                   Years Ended December 31,
                                                               1997          1996          1995
- -------------------------------------------------------------------------------------------------
<S>                                                         <C>           <C>           <C>      
Operating revenue, net                                      $ 424,841     $ 552,109     $ 810,387

Costs and expenses:
    Physician and other provider services                     359,165       450,526       603,881
    Medical support services                                   40,720        92,460       131,097
    Selling, general and administrative                        90,691       171,903       123,989
- -------------------------------------------------------------------------------------------------
        Total costs and expenses                              490,576       714,889       858,967
- -------------------------------------------------------------------------------------------------
Gain(loss) on divested assets, net                             (1,453)       37,751       (20,195)
- -------------------------------------------------------------------------------------------------
    Operating loss                                            (67,188)     (125,029)      (68,775)
- -------------------------------------------------------------------------------------------------
Other income (expense):
    Interest expense                                          (15,536)      (12,774)       (8,261)
    Interest income                                               628           500           671
    Acquisition and related expenses                               --            --        (1,535)
    Other, net                                                 (1,285)       (5,982)       (2,374)
- -------------------------------------------------------------------------------------------------
         Total other expense                                  (16,193)      (18,256)      (11,499)
- -------------------------------------------------------------------------------------------------
Loss before income taxes
    and extraordinary item                                    (83,381)     (143,285)      (80,274)

Benefit (provision) for income taxes                            1,400        (4,136)       17,136
- -------------------------------------------------------------------------------------------------
   Loss before extraordinary item                             (81,981)     (147,421)      (63,138)

Extraordinary item - gain on pooled portion of
   South Florida divestiture,  net of income taxes
   of $0,$647 and $9,796 for the years ended
   December 31, 1997, 1996, and 1995, respectively                 --         1,864        16,237
- -------------------------------------------------------------------------------------------------
  Net loss                                                  $ (81,981)    $(145,557)    $ (46,901)
=================================================================================================
Net loss per common share:
   Basic and diluted loss per share before
     extraordinary item                                     $   (3.08)        (6.18)        (2.67)
   Extraordinary gain, basic and diluted                           --          0.08          0.69
- -------------------------------------------------------------------------------------------------
         Net loss                                           $   (3.08)        (6.10)    $   (1.98)
=================================================================================================
Shares used to compute loss per share, basic and diluted       26,623        23,844        23,656
=================================================================================================
</TABLE>

See accompanying notes to consolidated financial statements.

                                       26
<PAGE>

COASTAL PHYSICIAN GROUP, INC.
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (DEFICIT)
(In thousands)

<TABLE>
<CAPTION>
                                                                          Additional
                                                                           Paid-In
                                                    Shares of              Capital   Shares of           Additional
                                                    Preferred  Preferred  Preferred   Common    Common    Paid-In
                                                      Stock      Stock      Stock      Stock    Stock     Capital
=================================================================================================================
- -----------------------------------------------------------------------------------------------------------------
<S>                                                  <C>         <C>      <C>          <C>       <C>     <C>
Balance at December 31, 1994                            --       $ --     $     --     23,418    $234    $136,550
- -----------------------------------------------------------------------------------------------------------------
Net loss                                                --         --           --         --      --          -- 
Shares issued:                                                  
   Stock options exercised                              --         --           --        149       2       1,593
   In connection with business                                  
      combinations                                      --         --           --        117       1       3,139
   Employee stock purchase plan                         --         --           --         70       1       1,063
Unrealized appreciation of available-                           
   for-sale securities, net of tax                      --         --           --         --      --          -- 
- -----------------------------------------------------------------------------------------------------------------
Balance at December 31, 1995                            --         --           --     23,754     238     142,345
- -----------------------------------------------------------------------------------------------------------------
Net loss                                                --         --           --         --      --          -- 
Shares issued:                                                  
   Stock options exercised                              --         --           --         63      --         425
   Employee stock purchase plan                         --         --           --         82       1         518
Payment of proxy contest costs                          --         --           --        227       2         678
Issuance of common stock warrants                       --         --           --         --      --          -- 
Employee stock compensation awards                      --         --           --         --      --          22
Stock options vested                                    --         --           --         --      --          82
Unrealized appreciation of available-                           
   for-sale securities, net of tax                      --         --           --         --      --          -- 
- -----------------------------------------------------------------------------------------------------------------
Balance at December 31, 1996                            --         --           --     24,126     241     144,070
- -----------------------------------------------------------------------------------------------------------------
Net loss                                                --         --           --         --      --          -- 
Shares issued:                                                  
   Employee stock purchase for cash                     --         --           --         82       1          98
   Conversion of preferred stock                    (1,164)       (12)     (13,478)    11,638     116      13,371
   Issuance of stock related to receivable sales        --         --           --      1,000      10         928
   Directors' stock compensation                        --         --           --         14      --         228
   Exercise of common stock warrants                    --         --           --        187       2       1,245
Payment of proxy contest costs                          33          1          982         --      --          -- 
Payment of litigation costs                             46          1        1,657         --      --          -- 
Payment of rent costs                                1,085         10       10,839        240       3         237
Payment of consulting costs                             --         --           --        200       2         186
Issuance of common stock warrants                       --         --           --         --      --          -- 
Employee stock compensation awards                      --         --           --          6      --          11
Unrealized appreciation of available-                           
   for-sale securities, net of tax                      --         --           --         --      --          -- 
- -----------------------------------------------------------------------------------------------------------------
Balance at December 31, 1997                            --       $ --     $     --     37,493    $375    $160,374
=================================================================================================================

<CAPTION>
                                                                              Unrealized                   
                                                                             Appreciation                  
                                                                 Retained   (Depreciation)                 
                                                     Common      Earnings    of Available       Total
                                                      Stock    (Accumulated    for-Sale     Shareholders'
                                                    Warrants     Deficit)     Securities   Equity (Deficit)
==========================================================================================================
- ----------------------------------------------------------------------------------------------------------
<S>                                                 <C>         <C>           <C>           <C>      
Balance at December 31, 1994                        $    --     $  50,527     $    (418)    $ 186,893
- ----------------------------------------------------------------------------------------------------------
Net loss                                                 --       (46,901)           --       (46,901)
Shares issued:
   Stock options exercised                               --            --            --         1,595
   In connection with business
      combinations                                       --            --            --         3,140
   Employee stock purchase plan                          --            --            --         1,064
Unrealized appreciation of available-
   for-sale securities, net of tax                       --            --           580           580
- ----------------------------------------------------------------------------------------------------------
Balance at December 31, 1995                          3,626           162       146,371       146,371
- ----------------------------------------------------------------------------------------------------------
Net loss                                                 --      (145,557)           --      (145,557)
Shares issued:
   Stock options exercised                               --            --            --           425
   Employee stock purchase plan                          --            --            --           519
Payment of proxy contest costs                           --            --            --           680
Issuance of common stock warrants                       987            --            --           987
Employee stock compensation awards                       --            --            --            22
Stock options vested                                     --            --            --            82
Unrealized appreciation of available-
   for-sale securities, net of tax                       --            --           (26)          (26)
- ----------------------------------------------------------------------------------------------------------
Balance at December 31, 1996                            987      (141,931)          136         3,503
- ----------------------------------------------------------------------------------------------------------
Net loss                                                 --       (81,981)           --       (81,981)
Shares issued:
   Employee stock purchase for cash                      --            --            --            99
   Conversion of preferred stock                         --            --            --            (3)
   Issuance of stock related to receivable sales         --            --            --           938
   Directors' stock compensation                         --            --            --           228
   Exercise of common stock warrants                 (1,247)           --            --            --
Payment of proxy contest costs                           --            --            --           983
Payment of litigation costs                              --            --            --         1,658
Payment of rent costs                                    --            --            --        11,089
Payment of consulting costs                              --            --            --           188
Issuance of common stock warrants                     1,842            --            --         1,842
Employee stock compensation awards                       --            --            --            11
Unrealized appreciation of available-
   for-sale securities, net of tax                       --            --            18            18
- ----------------------------------------------------------------------------------------------------------
Balance at December 31, 1997                        $ 1,582     $(223,912)    $     154     $ (61,427)
==========================================================================================================
</TABLE>

                                       27
<PAGE>

                          COASTAL PHYSICIAN GROUP, INC.
                      Consolidated Statements of Cash Flows
                                 (In thousands)

<TABLE>
<CAPTION>
                                                                               Years Ended December 31,

                                                                           1997         1996          1995
- -----------------------------------------------------------------------------------------------------------
Cash flows from operating actitivites:
<S>                                                                     <C>          <C>            <C>     
    Net loss                                                            $(81,981)    $(145,557)     (46,901)
    Adjustments to reconcile net loss to net cash
           used in operating activities:
       Depreciation                                                        5,510         7,157        7,062
       Amortization                                                          760         3,049        4,274
       Noncash interest expense                                               --            12           48
       Extraordinary gain                                                     --        (2,511)     (26,033)
       (Gain) loss on sale of purchased portion of south Florida
           divestiture                                                        --        (1,579)      16,943
       (Gain) loss on disposition of subsidiaries                          1,453       (36,172)          --
       Loss on disposal of fixed assets, net                               2,211         1,709          966
       (Gain) loss on sale of marketable securities an                       576          (288)          --
       Goodwill impairment loss                                            4,343        29,679       20,648
       Deferred income taxes                                                  --         6,407        2,272
       Other                                                                  --           124          263
       Change in assets and liabilities,
              net of effects from acquisitions and dispositions:
           Trade accounts receivable, net                                 56,281        59,730       (8,819)
           Reserves held by NCFE                                          (6,396)           --           --
           Accounts receivable, notes receivable and other                (5,157)       (1,001)      (5,528)
           Refundable income taxes                                         2,498        10,306       (4,227)
           Prepaid expenses and other current assets                       6,076        (2,322)       3,156
           Other assets                                                    3,959         2,188       (1,366)
           Accounts payable, accrued expenses and
               income taxes payable                                      (13,159)       26,668       (6,532)
           Accrued physicians fees and medical costs                      (2,278)       (4,653)       8,650
- -----------------------------------------------------------------------------------------------------------
                           Total adjustments                              56,677        98,503       11,777
- -----------------------------------------------------------------------------------------------------------
       Net cash used in operating activities                            $(25,304)    $ (47,054)    $(35,124)
- -----------------------------------------------------------------------------------------------------------
Cash flows from investing activities:
     Purchases of marketable securities and investments, net              (5,577)       (2,973)      (4,605)
     Proceeds from sale of marketable securities and investments           5,574         8,210       12,472
     Proceeds from maturity of marketable securities and investments       2,507         1,853           --
     Proceeds (purchases) of property and equipment, net                  (1,543)        3,074      (19,846)
     Acquisition of subsidiaries, net of cash acquired                        --            --      (43,788)
     Disposition of subsidiaries, net of cash sold                        12,261        46,189       48,275
- -----------------------------------------------------------------------------------------------------------
          Net cash provided by (used in) investing activities             13,222        56,353       (7,492)
- -----------------------------------------------------------------------------------------------------------
Cash flows from financing activities:
     Repayments of debt                                                  (97,691)      (76,610)     (36,846)
     Borrowings                                                           98,989        71,424       69,995
     Cash payments for debt issue costs                                     (633)       (3,048)          --
     Net proceeds from issuances of preferred stock                       10,000            --           --
     Net proceeds from issuances of common stock                              99         1,027        2,661
     Repayment of shareholder loans                                           --            --          667
- -----------------------------------------------------------------------------------------------------------
          Net cash provided by (used in) financing activities             10,764        (7,207)      36,477
- -----------------------------------------------------------------------------------------------------------
          Net increase (decrease) in cash and cash equivalents            (1,318)        2,092       (6,139)
Cash and cash equivalents at beginning of year                            10,239         8,147       14,286
- -----------------------------------------------------------------------------------------------------------
Cash and cash equivalents at end of year                                $  8,921     $  10,239     $  8,147
===========================================================================================================

Supplemental disclosures of cash flow information:
     Cash payments (refunds) during the period for:
          Interest                                                      $  9,360     $   9,327     $  7,699
          Income taxes                                                  $  2,479     $ (15,477)    $ (2,925)
</TABLE>

See accompanying notes to consolidated financial statements.

                                       28
<PAGE>

                          COASTAL PHYSICIAN GROUP, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

A. General

         Coastal  Physician  Group,  Inc.  (the  "Company"  or  "Coastal")  is a
physician  management  company  which  provides a broad range of health care and
administrative  services to physicians hospitals,  government agencies,  managed
care  programs  and other  health  care  organizations.  Such  services  consist
primarily  of the  provision of  physician  coverage to hospital and  government
facility  clients,  the provision of billing and collection  services to various
health  care  practitioners,   and  the  operation  of  two  health  maintenance
organizations ("HMOs"), one of which, Doctors Health Plan was sold in March 1998
(See Note 17, Subsequent Events) The Company operates on a nationwide basis.

B. Principles of Consolidation and Basis of Presentation

         The  consolidated  financial  statements  of the  Company  include  the
accounts of Coastal and its wholly-owned  subsidiary companies.  All significant
intercompany balances and transactions have been eliminated in consolidation.

C. Cash and Cash Equivalents and Regulatory Requirements

         Cash in excess of daily requirements invested in short-term investments
with  maturities of three months or less are  considered to be cash  equivalents
for financial statement purposes.

         The  Company's  HMOs  are  required  to  maintain   certain  levels  of
restricted deposits to satisfy certain regulatory  requirements.  These deposits
(included  in Other assets in the  accompanying  consolidated  balances  sheets)
totaled approximately $2,157,000 and $5,968,000 as of December 31, 1997 and 1996
respectively.  In addition,  the Company's HMOs are required to maintain certain
net worth levels which restrict the transfer of funds between companies.

         At December  31,  1997,  the  Company's  Doctors  Health Plan ("DHP") a
subsidiary  was not in compliance  with the  statutory  net worth  requirements.
Subsequent to year-end  investments were made by Coastal and the buyer of DHP in
order to bring its statutory net worth into compliance.

D. Marketable Securities

         Under Statement of Financial  Accounting Standards No. 115, "Accounting
for  Certain  Investments  in  Debt  and  Equity  Securities,"   securities  are
classified   either  as   held-to-maturity,   available-for-sale,   or  trading.
Securities  classified  as  held-to-maturity  are carried at  amortized  cost of
$3,334,000  and  $1,208,000  at  December  31, 1997 and 1996,  respectively  and
primarily  consisted  of  state  and  political  subdivision  securities,   U.S.
Government   securities   and   municipal   bonds.   Securities   classified  as
available-for-sale  are carried at fair values of $2,546,000  and  $6,017,000 at
December  31, 1997 and

                                       29
<PAGE>

1996,  respectively,  and primarily  consisted of equity securities.  Unrealized
gains and losses on such  securities  are  carried as a  separate  component  of
shareholders'  equity  (deficit).  Realized  investment  gains  and  losses  are
computed using specific costs of securities  sold.  Held-to-maturity  securities
included  in  other  assets  on the  accompanying  consolidated  balance  sheets
amounted to $145,000 and $205,000 at December 31, 1997 and 1996, respectively.

E. Accounts Receivable

         In June 1997, the Company and certain of its subsidiaries  entered into
a number of Sale and  Subservicing  Agreements with National  Century  Financial
Enterprises, Inc. ("NCFE") and its affiliates, whereby certain eligible accounts
receivable  were sold to NCFE (See Note 7).  Eligible trade accounts  receivable
are comprised  primarily of amounts due from hospitals under flat rate contracts
and   amounts   due   under    fee-for-service    contracts    from    patients,
government-sponsored  health care  programs and other third party payors such as
insurance  companies and  self-insured  employers.  Ineligible  receivables  are
comprised  primarily of amounts billed to  individuals  not covered by insurance
and certain other minor  fee-for-service  receivables deemed to be ineligible by
NCFE and are not sold. These receivables are geographically dispersed throughout
the United States.

         Accounts  receivable  due under  fee-for-service  contracts  include an
allowance for  contractual  adjustments and  uncollectibles  which is charged to
operations  based on evaluation  of potential  losses.  Contractual  adjustments
result from the differences  between the physician rates for physician  services
performed  and amounts  allowed by  government-sponsored  health care  programs,
insurance companies and other payors for such services. Uncollectibles represent
receivables  considered  unrecoverable.  The allowance  considered  necessary to
cover  contractual  adjustments  and  uncollectibles  is based on an analysis of
current  and past due  accounts,  collection  experience  in relation to amounts
billed and other relevant  information.  Although the Company  believes  amounts
provided are adequate,  the ultimate amounts uncollectible could be in excess of
the amounts provided.

F. Depreciation

         Depreciation of property and equipment is computed on the straight-line
method over the estimated useful lives of the assets as follows:

         Buildings                                   31 1/2 years
         Leasehold improvement                       5 years
         Furniture and equipment                     3 to 10 years
         Automobiles                                 3 years

G. Excess of Cost Over Fair Value of Net Assets Acquired

         The assets and liabilities of acquired entities accounted for under the
purchase  method of accounting are adjusted to their estimated fair values as of
the acquisition dates. The amounts recorded as excess of cost over fair value of
net assets acquired  ("goodwill")  represents amounts paid that exceed estimated
fair values  assigned to the

                                       30
<PAGE>

assets  and  liabilities  of each  acquired  business.  Such  amounts  are being
amortized on a straight-line basis over periods ranging from five to forty years
(1996 and  1995)  and five to twenty  years  (1997)  depending  on the  specific
circumstances  of each  acquisition.  Accumulated  amortization  of goodwill was
$1,504,000 and $3,581,000 at December 31, 1997 and 1996 respectively.

         During the fourth quarter of 1995,  the Company  elected early adoption
of Statement of Financial Accounting Standards No. 121 ("SFAS 121"), "Accounting
for the  Impairment of Long-Lived  Assets to Be Disposed Of." Prior to the early
adoption  of  SFAS  121,  the  Company   accounted  for  both  identifiable  and
unidentifiable  intangible  assets  that were  acquired in  accordance  with APB
Opinion No. 17 ("APB 17"),  "Intangible Assets". Under the provisions of APB 17,
management  periodically evaluates the carrying value and remaining amortization
periods of  unamortized  amounts based on an analysis of estimated  undiscounted
operating earnings from the operations of each specific  business.  In addition,
management  considers  any events and  circumstances  occurring  during the year
which  might have an impact on such  carrying  value or  remaining  amortization
periods. No such events or circumstances  indicating  impairment were identified
prior to 1995.

         Upon early adoption of SFAS 121, management  performed an evaluation of
the carrying value and remaining amortization periods of unamortized amounts. In
connection with the ongoing application of SFAS 121, management performs such an
evaluation whenever events or changes in circumstances occur which indicate such
carrying  values  may not be  recoverable.  With the  exception  of the  matters
related to goodwill impairment discussed in Note 2, no such events or changes in
circumstances were identified during 1997, 1996, or 1995.

H. Revenue and Medical Cost Recognition

         Contractual  arrangements  with  hospitals  are primarily (a) flat rate
contracts  whereby the Company  receives fees from  hospitals  based on hours of
physician  coverage  provided  and (b)  fee-for-service  contracts  whereby  the
Company  bills and  collects  the charges for medical  services  rendered by the
Company's  contracted health care  professionals and assumes the financial risks
related to patient volume, payor mix, reimbursement rates, and collection.

         The Company  recognizes  capitation  revenue from employers and prepaid
managed  care plans that  contract  with the Company for the  delivery of health
care  services  on  a  monthly  basis.   This  capitation   revenue  is  at  the
contractually agreed-upon per-member, per-month rates.

         Premium revenue for prepaid healthcare is recognized as earned on a pro
rata basis over the contract period.

         Costs of medical  services  are  recorded  as expenses in the period in
which they are incurred.  Accrued  medical  claims are based upon costs incurred
for services rendered prior to the balance sheet date. Incurred but not reported
medical  claims are  estimated by the Company  based on trends,  experience  and
judgment.  The ultimate  amount of such claims may differ from amounts  provided
and such  adjustment  will be reflected in the period in which such  differences
become apparent. Losses on contracts for fully insured

                                       31
<PAGE>

coverage are accrued when  management  determines  that it is probable  that the
costs of providing medical care will exceed the premiums received.

I. Presentation of Expenses

         Physician and other provider  services costs and expenses are comprised
primarily of fees paid to physicians and other healthcare  providers and include
medical supplies and pharmaceutical expenses in the clinic operations.

         Medical  support  services  costs and  expenses  include all the direct
costs and  expenses of managing  clinics,  as well as  billing,  collection  and
physician business management services costs and expenses.

         Selling,  general,  and  administrative  costs and expenses include all
other operating expenses.

J. Per Share Data

         In February 1997,  the Financial  Accounting  Standards  Board ("FASB")
issued Statement of Financial Accounting Standards No. 128, "Earnings Per Share"
("SFAS 128"). SFAS 128 simplifies the standards for computing earnings per share
and is effective for financial  statements  for both interim and annual  periods
ending after December 15, 1997. The Company has adopted SFAS 128, as of December
31,1997,  and has  restated  all prior  periods  presented  to conform  with the
requirements  of SFAS 128. Basic earnings  (loss) per common share  available to
common  shareholders  are based on the weighted  average number of common shares
outstanding.  Diluted  earnings  (loss) per  common  share  available  to common
shareholders  are  based  on  the  weighted  average  number  of  common  shares
outstanding  and the dilutive  potential  common shares,  such as dilutive stock
options and warrants.  The  computation  of diluted net loss per share of common
stock was antidilutive in each of the periods  presented;  therefore the amounts
reported for basic and diluted are the same.

K. Stock-based Compensation

         The  Company  applies APB  Opinion 25 and  related  Interpretations  in
accounting for its stock-based compensation plans. No compensation cost has been
recognized  for its fixed stock option plans and its stock  purchase  plan since
the options were granted at the stock's then current market value.  In addition,
no pro forma disclosure of net income and earnings per share, in accordance with
Statement of Financial  Accounting  Standards  No. 123, has been provided due to
the immaterial effect of the amount of stock-based compensation expense.

L. Use of Estimates

         The preparation of the consolidated  financial statements in conformity
with  generally  accepted  accounting  principles  requires  management  to make
estimates and assumptions  that affect the amounts  reported in the consolidated
financial  statements and the  accompanying  notes.  Actual results could differ
from those estimates.

                                       32
<PAGE>

M. Reclassifications

         Certain  reclassifications  have  been  made to the  1995  consolidated
financial  statements  to  conform  to the  1997  and  1996  presentation.  Such
reclassifications had no impact on net loss or shareholders' equity (deficit) as
previously reported.

N. Recent Accounting Pronouncements

         In June 1997, the FASB issued Statement of Financial Standards No. 130,
"Reporting  Comprehensive  Income" ("SFAS 130"). SFAS 130 establishes  standards
for the reporting and display of  comprehensive  income and its  components in a
full set of general purpose financial statements.  SFAS No. 130 is effective for
fiscal years beginning after December 15, 1997. The Company is in the process of
evaluating the specific requirements of SFAS 130.

         In June 1997, the FASB issued Statement of Financial Standards No. 131,
"Disclosure  about  Segments of an Enterprise  and Related  Information"  ("SFAS
131").  SFAS 131  establishes  standards  for the way in which  public  business
enterprises  report  information  about operating  segments in annual  financial
statements  and  interim  financial  reports  issued  to  shareholders.  It also
establishes  standards  for related  disclosures  about  products and  services,
geographic  areas, and major  customers.  SFAS 131 is effective for fiscal years
beginning  after  December  15,  1997.  Management  is  evaluating  the specific
requirements of SFAS 131.

2. GOODWILL IMPAIRMENT

         In accordance with Statement of Financial Accounting Standards No. 121,
"Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to
Be Disposed Of", the carrying amount of the long-lived  assets and  identifiable
intangibles associated with assets specifically identified for sale was compared
to the estimated fair value of the assets,  less estimated  costs to sell.  Fair
value was based on the  estimated  amount at which the assets could be sold in a
current  transaction based on management's  evaluations and discussions with the
Company's  outside  financial  advisors.   This  reevaluation   resulted  in  an
impairment  loss  recognized  in the second  quarter of 1997 of  $4,200,000  for
Better  Health Plan,  Inc.  ("BHP").  In  addition,  the Company  recognized  an
impairment loss of $143,000 in the fourth quarter of 1997.

         The  $4,200,000  impairment  loss is in addition to  impairment  losses
totaling  $13,562,000  recorded in 1996.  The primary  reason for the additional
impairment  loss  recorded in the second  quarter of 1997 was the decline in the
estimated amount at which BHP assets could be sold.

         During  1996,  the  Company  recognized  a  goodwill   impairment  loss
(included  in Selling,  general  and  administrative  costs and  expenses in the
accompanying  consolidated  statements of operations) of $29,679,000  related to
goodwill  associated with (i) certain  long-lived assets of entities  identified
for sale by the Company and (ii) certain acquired operations.

         Advanced   Health  Plans,   Inc.  -  The  primary   underlying   factor
contributing  to the  decision  to  reevaluate  the  carrying  value of goodwill
associated  with  Advanced  Health  Plans,  Inc.  ("AHP")  was  the  uncertainty
associated  with the time that AHP's founder and Chief  Executive  Officer,  Dr.
Sokolov,  may be able to continue to devote to AHP and his

                                       33
<PAGE>

continuing role with AHP. The reevaluation resulted in a $6,611,000 write-off of
AHP's goodwill balance in 1996.

         Coastal  Physician  Services , Inc.  - The  primary  underlying  factor
contributing  to the  decision  to  reevaluate  the  carrying  value of goodwill
associated with certain acquired operations of Coastal Physician Services,  Inc.
("CPS")  was  the  termination  of  a  significant  number  of  contracts.   The
reevaluation resulted in a $2,989,000 write-off of goodwill in 1996 and $143,000
in 1997. In determining the amount of the impairment loss, the Company developed
its best estimate of operating cash flows over the remaining business life cycle
of both AHP and CPS based on earnings history, market conditions and assumptions
reflected  in  internal  operating  plans and  strategies.  Future  cash  flows,
excluding interest charges, were discounted using the Company's weighted average
cost of capital.  These estimates reflected that the present value of the future
cash flows was not adequate to recover the existing carrying amount of goodwill.
Accordingly,  the goodwill impairment loss was recognized to adjust the carrying
amount to estimated fair value.

         During the fourth  quarter of 1995,  the Company  recognized a goodwill
impairment  loss  (included  in Selling,  general and  administrative  costs and
expenses  in  the  accompanying   consolidated   statements  of  operations)  of
$20,648,000  related to certain of its  acquired  operations  . Such  operations
included  HealthNet Corp., a New Jersey-based  clinic operation acquired in 1994
("HealthNet"),  the  clinics  in  south  Florida,  acquired  at  various  dates,
remaining after the divestiture  described in Note 3 ("south Florida  clinics"),
and Medi/Tab  Consulting Co., Inc., a New York-based  billing operation acquired
in 1992  ("Medi/Tab").  The impairment  loss was primarily the result of current
period,  as well as historical  and  projected,  operating and cash flow losses,
which resulted in strategic and operational  reviews of these  businesses and an
evaluation of the respective  goodwill carrying values for possible  impairment.
The  following is a summary by entity of the primary  reasons for the  operating
losses as well as the resulting goodwill write-downs.

         HealthNet  - The  underlying  factors  contributing  to the  decline in
financial  results  were  changes in the  marketplace  (increased  managed  care
penetration in New Jersey relating to both the commercial market and the workers
compensation  market)  and the fact that the  HealthNet  clinics are not primary
care  oriented.  This  resulted  in  declines  in  patient  volume  and  average
reimbursements  to  HealthNet's  primarily  fee-for-service  revenue  base.  The
evaluation resulted in a $12,588,000  write-down of HealthNet's goodwill balance
in the fourth quarter of 1995.

         South Florida  Clinics - The  underlying  factors  contributing  to the
decline in financial results included changes in the marketplace, as well as the
Company's  decision to divest the bulk of its south Florida  primary care clinic
operations  (as  discussed  in Note 3), thus  limiting  the  remaining  clinics'
ability to participate  in managed care  contracts as part of a larger  network.
The  evaluation  resulted in a  $7,388,000  write-down  of the  remaining  south
Florida clinics' goodwill balance in the fourth quarter of 1995.

         Medi/Tab - The primary underlying factor contributing to the decline in
financial  results  was  increased  competitiveness  in  Medi/Tab's  marketplace
resulting  in a  significant  deterioration  in its client  base and  decreasing
margins. The evaluation resulted in a $672,000 write-down of Medi/Tab's goodwill
balance  in the  fourth  quarter  of  1995.  On  March  15,  1996,  the  Company
consummated the sale of all of the outstanding common

                                       34
<PAGE>

stock of  Medi/Tab.  Such  divestiture  did not have a  material  effect on 1996
results of operations.

         In determining the amount of the impairment loss, the Company developed
its best estimate of operating cash flows over the remaining business life cycle
of each specific  operation  based on earnings  history,  market  conditions and
assumptions  reflected in internal  operating plans and strategies.  Future cash
flows,  excluding interest charges, were discounted using the Company's weighted
average cost of capital.  These projections  reflected that the present value of
the future cash flows was not adequate to recover the existing  carrying  amount
of goodwill.  Accordingly, the goodwill impairment loss was recognized to adjust
the carrying amount to estimated fair value.

3. SIGNIFICANT TRANSACTIONS

         A substantial portion of the Company's consolidated operations consists
of entities  acquired in a  succession  of  acquisitions  during the period from
January 1993 through  November  1995.  Additionally,  the Company  consummated a
number of significant divestitures from November 1995 through December 1997. The
following is a summary of certain  accounting  aspects of such  acquisitions and
divestitures, as well as a description of the more significant transactions.

         Certain of the  Company's  acquisitions  were  accounted  for under the
purchase method of accounting  ("purchases").  Under this method, the assets and
liabilities of the acquired  entity were recorded at their estimated fair market
values at the date of  acquisition,  any excess of the  purchase  price over the
respective  fair market value was accounted for as goodwill,  and the results of
operations of the acquired  company are included in the  Company's  consolidated
financial  statements  from the respective  date of  acquisition.  The remaining
acquisitions  were  accounted  for  under  the  pooling-of-interests  method  of
accounting  ("poolings").  Under this method,  the assets and liabilities of the
combined entity are recorded at their respective book values,  and the Company's
consolidated  financial  statements  are restated  for all periods  presented to
include the results of operations of the acquired entity.

A. South Florida
Original Acquisitions

         The Company's  south Florida  primary care clinic  operations  resulted
from a series of acquisitions  during the period from July 1993 through November
1995.  Certain of such acquisitions  were accounted for as purchases,  while the
remainder were accounted for as poolings.

         South  Florida   purchases   consisted   primarily  of  the  July  1993
acquisition of Gold Star Medical Group ("Gold Star"), a network  comprised of 13
primary care clinics.  The initial purchase price for Gold Star was $12,000,000,
with  additional  consideration  to be payable if certain  criteria were met. In
June 1994 the Gold Star  agreement  was modified  whereby the Company  issued an
additional   400,000  shares  of  its  common  stock  (increasing   goodwill  by
$11,220,000) and providing for additional consideration to be payable if certain
criteria were met. Additional consideration was paid in July 1995 (a combination
of cash and common stock) under the modified agreement,  resulting in $1,000,000
of additional goodwill. In addition to Gold Star, south Florida purchases

                                       35
<PAGE>

included a number of less  significant  acquisitions,  which are included in the
aggregate information under Other Acquisitions below.

         South Florida  poolings  consisted of the February 1994  acquisition of
Health Management Associates of America, Inc. and Medical Management Associates,
Inc. ("HMA/MMA") and the June 1994 acquisition of Southeast Health Systems, Inc.
and Medical Associates Systems, P.A.  ("SHS/MAS").  HMA/MMA and SHS/MAS together
operated a network of 21 primary  care  clinics.  The Company  issued  2,301,000
shares of its common stock in exchange for all of the outstanding  shares of the
companies  comprising  HMA/MMA  and  1,088,000  shares  of its  common  stock in
exchange for all of the outstanding shares of the companies comprising SHS/MAS.

1995 Divestiture

         On November 30, 1995 the Company sold 47 of its south  Florida  clinics
for  $51,300,000  in gross cash proceeds,  subject to $3,000,000  held in escrow
(included  in prepaid  expenses  and other  current  assets on the  accompanying
consolidated  balance  sheets).  The divested  entities  included both a portion
originally  accounted for as purchases (the  "purchased  portion") and a portion
originally  accounted  for as poolings  (the "pooled  portion").  The  purchased
portion  consisted  primarily of Gold Star,  as well as certain (but not all) of
the less significant  south Florida  purchases;  the pooled portion consisted of
HMA/MMA and SHS/MAS.

         In  1995,  the  Company  realized  (on an  aggregate  basis)  a gain on
disposal,  before applicable income taxes, of approximately  $5,840,000,  income
tax expense on the  transaction of $6,540,000,  and a loss on the disposal on an
after-tax  basis of  $700,000.  The  relationship  of income tax  expense on the
transaction to the pre-tax gain is due to the add back of nondeductible goodwill
related to the purchased portion.

1996 Settlement

         During the third quarter of 1996, the Company received additional gross
cash proceeds of  $2,800,000 as an adjustment to the original sale price.  These
proceeds  were based on the  settlement  of the final closing date balance sheet
and were  recorded as a gain on the sale  transaction.  The Company  realized an
additional gain of $1,290,000 resulting from other non-cash post-closing balance
sheet settlements.

         Because the disposal occurred within two years following acquisition of
the entities  comprising  the pooled  portion,  the  component of the total gain
applicable  to the  pooled  portion,  less  applicable  income tax  expense,  is
required  to  be  classified  as  an  extraordinary  item  in  the  accompanying
consolidated statements of operations.  The loss on the purchased portion, gross
of applicable income taxes, has been included in Gain (loss) on divested assets,
net in the accompanying  consolidated  statements of operations.  In determining
the breakdown of the  transaction  for purposes of disclosing the gain (loss) on
the sale of the respective portions, proceeds have been allocated based upon the
relative fair market values of the respective entities. The accounting bases for
the respective portions were based on a specific  identification of the entities
comprising each portion. Provisions and transaction-related expenses which could
not be specifically  identified with either the purchased or pooled portion were
allocated on a basis  consistent with the allocation of proceeds.  The direction
and magnitude of the net impact

                                       36
<PAGE>

of the respective  portions (loss on purchased portion,  gain on pooled portion)
is due to the allocation of a majority of the proceeds to the pooled portion and
the higher accounting basis which results under the purchase method.

B. Physicians Planning Group/Healthcare Automation Acquisition

         In August 1994,  the Company  issued 857,000 shares of its common stock
in exchange for all of the outstanding shares of Physicians Planning Group, Inc.
("PPG"), a manager of primary care provider networks, and Healthcare Automation,
Inc.  ("HCA"),  a  billing  services  and  network  management   company.   This
acquisition was accounted for as an immaterial  pooling  without  restatement of
prior results of operations. 1996 Divestiture

         Effective  September 30, 1996,  the Company sold certain  assets of PPG
and the common stock of HCA. The Company  realized a net gain on the sale of PPG
and HCA  (included in Gain (loss) on divested  assets,  net in the  accompanying
statements of operations), of approximately $15,692,000 before applicable income
taxes. Income tax expense on the transaction totaled $1,163,000,  resulting in a
gain on an after tax basis of $14,529,000.

C. Health Enterprises Acquisition

         In November  1994, the Company  issued  2,097,000  shares of its common
stock in exchange for all the  outstanding  shares of Health  Enterprises,  Inc.
("HEI"),  an  acquisition  accounted  for  as  a  pooling.   HEI's  wholly-owned
subsidiary,  HealthPlan  Southeast,  Inc., an independent  practice  association
("IPA") model HMO, had over 66,000  members  enrolled and insured  approximately
1,350 employer groups in north Florida as of December 31, 1996.

D. Better Health Plan Acquisition

         On May 5, 1995, the Company  acquired (and accounted for as a purchase)
Better Health Plan, Inc. ("BHP"),  a Medicaid managed care entity.  Incorporated
on February 4, 1993, BHP provided  prepaid health care to  approximately  40,000
Medicaid  recipients in five counties in New York State as of December 31, 1996.
The  initial  purchase  price was  $19,700,000  in cash and  $2,400,000  in loan
repayments  to  shareholders  and  banks.   Goodwill  totaling  $25,200,000  was
originally recorded in connection with the acquisition.  The Company recorded an
impairment  loss of $13,562,000  during 1996 relating to this goodwill  balance.
Pro forma  results of  operations  assuming this purchase had taken place at the
beginning  of 1995 have been  included in the  aggregate  pro forma  information
under Other  Acquisitions  below.  See Note 10  regarding  the  settlement  of a
contingent earnout payment in connection with the acquisition of BHP.

1997 Divestiture

         On August 19, 1997,  the Company sold certain  assets of Better  Health
Plan, Inc. to the New York State Catholic  Health Plan,  Inc. for  approximately
$7,750,000  in  cash.  Due  to the  $4,200,000  goodwill  impairment  adjustment
recorded in the second quarter of 1997, the loss was minimal.  Certain assets of
BHP were retained in order to satisfy

                                       37
<PAGE>

certain  liabilities.  As  of  December  31,  1997  the  amount  of  assets  and
liabilities were approximately equal.

E. Other Acquisitions

         In addition to the above described acquisitions,  Coastal made a number
of less  significant  acquisitions in 1995 and 1994. No  acquisitions  were made
during 1997 or 1996. Such acquisitions consisted of (in 1995) 18 practices,  two
hospital-based  contract  management firms, a practice  management company and a
physician  search  company  and (in  1994) 31  physician  practices,  a  billing
company,  a  consulting  company and a physician  placement  company.  Aggregate
consideration for these other acquisitions was (in 1995) $25,861,000 (consisting
of  $23,566,000  in cash and  $2,295,000 in the Company's  common stock) and (in
1994)  $20,898,000  (consisting of  $10,045,000  in cash and  $10,853,000 in the
Company's common stock). These acquisitions were all accounted for as purchases.
The following  unaudited pro forma results of operations (on an aggregate  basis
for all of these  acquisitions and BHP) assume all purchases  occurred as of the
beginning of the  respective  periods  presented  after giving effect to certain
adjustments,  including  the  amortization  of the  excess of cost over the fair
value of net assets acquired, increased interest expense on acquisition debt and
related income tax effects.

                      Year ended December 31, 1995
                  (In thousands, except per share data)

Operating revenue, net                                                $ 825,282
                                                                      ---------
Loss before extraordinary item                                          (64,339)
Extraordinary gain                                                       16,237
                                                                      ---------
Net loss                                                              $ (48,102)
                                                                      =========
Loss per share:

Loss before extraordinary item                                        $   (2.72)
Extraordinary gain                                                          .69
                                                                      ---------
Net loss                                                              $   (2.03)
                                                                      =========

F. Divestitures of Certain Practice Management Services and Clinics

         On December  31,  1997,  the Company  and certain  subsidiaries  of the
Company closed a transaction pursuant to which the Company sold to Scott Medical
Group,  LLC ("Scott  Medical") the following  assets:  (i) all of the issued and
outstanding  stock of  Integrated  Provider  Networks,  Inc.,  a North  Carolina
corporation ("IPN") which provides practice and physician management services to
professional  corporations;  (ii) all of the  issued  and  outstanding  stock of
Practice  Solutions,  Inc., a North Carolina  corporation ("PSI") which provides
billing  services to  freestanding  physician  practices and clinics,  including
those under management by IPN; (iii) all of the issued and outstanding  stock of
Sunlife  OB-GYN  Services  of  Broward  County,   Inc.,  a  Florida  corporation
("Sunlife");  (iv)  substantially all of the assets of Ft. Lauderdale  Perinatal
Associates, which operates

                                       38
<PAGE>

two physician  clinics  located in  Plantation,  Florida,  and Physician  Access
Center, which operates a clinic in San Francisco,  California  (collectively the
"Additional  Clinics");  and (v) certain  accounts  receivable  of Sunlife  (the
"Sunlife  Receivables")  which had previously been sold to NPF-XI, Inc. pursuant
to a series of  receivables  securitizations  and other  financing  arrangements
between the Company and subsidiaries of National Century Financial  Enterprises,
Inc.  Scott  Medical is a privately  held  limited  liability  company  which is
controlled by Steven M. Scott, M.D., the Chairman and Chief Executive Officer of
the Company (See Note 11 Related  Party  Transactions).  The purchase  price was
$10,100,000, paid $5,000,000 in cash at the closing with the balance paid with a
short term promissory note in the principal amount of $5,000,000 (the "IPN Note)
and a receivable  from the  purchaser  in the amount of $100,000,  both of which
were  paid  in  full  in  January  1998.  The  purchase  price  was  reduced  by
approximately  $192,000 due to an increase in the  liabilities of IPN (including
Prim Med, Inc.,  its wholly owned  subsidiary)  and PSI from the  liabilities as
shown on their  September  30,  1997  balance  sheets.  The loss on the sale was
approximately  $1.2 million.  The purchase  price may be further  reduced if the
actual collections of the outstanding accounts receivable of IPN, Prim Med, Inc.
and the professional corporations under management by IPN totaling $2.4 million,
varies five  percent  from the value of said  receivables  as agreed upon by the
parties.  Management  believes  that  it has  made  adequate  provision  for any
adjustments which may occur.

         In addition,  Scott  Medical gave a promissory  note (the  "Receivables
Purchase Note") as the consideration for Scott Medical's purchase of the Sunlife
Receivables.   The  principal  amount  of  the  Receivables   Purchase  Note  is
$1,000,727, the book value of the Sunlife Receivables.  The Receivables Purchase
Note is subject to  adjustment  if the actual  collections  with  respect to the
Sunlife  Receivables  varies  five  percent  from the  principal  amount  of the
Receivables  Purchase  Note.  Management  believes  that  it has  made  adequate
provision for any adjustments  which may occur.  The  Receivables  Purchase Note
bears  interest at the  applicable  federal rate,  payable  quarterly,  with all
principal and accrued but unpaid interest payable in full on October 31, 1998.

         The Company sold certain  assets  related to seven primary care clinics
operated by the Company (the "South  Florida  Clinics")  and the billed  medical
accounts  receivable from two additional  Clinics previously managed by IPN (the
"Clinic  Receivables") to Scott Medical.  Subsequent to that sale of assets, IPN
and PSI  provided  billing  services and some  management  services to the South
Florida Clinics for Scott Medical.  Subsequent to the May 31, 1997 closing,  IPN
advanced certain expenses for the benefit of Scott Medical with respect to these
clinics.  As part of the  December  31, 1997  closing  referred to above,  Scott
Medical  assumed  all  the  obligations  of a  lease  which  was  leased  by CHG
Properties,  Inc. for use by IPN and PSI as  administrative  and billing offices
from a  subsidiary  of the  Company  at 3000  Croasdaile  Drive,  Durham,  North
Carolina.  The landlord at 3000 Croasdaile  Drive is Chateau  Limited  Liability
Company  ("Chateau"),  a  privately  held  limited  liability  company  which is
controlled  by Steven M. Scott,  M.D. The  estimated  balance of the gross lease
payments  that  were due under the  Chateau  lease  after  October  31,  1997 is
$2,778,056.  The  parties  negotiated  a release  fee for the  Chateau  lease of
$750,000.  This amount was credited  against the amount  Scott  Medical owes the
Company  relating to the purchase of the South  Florida  clinics in May of 1997,
such that

                                       39
<PAGE>

the net  amount  owed to the  Company  and/or  affiliates  by Scott  Medical  is
$1,618,235.  At the closing of the December 31, 1997 transaction,  Scott Medical
delivered a promissory  note in the principal  amount of $810,283  payable to an
affiliate of the Company  bearing  interest at the applicable  federal rate with
interest payable quarterly and the entire balance due in one (1) year.

G. HealthNet Divestiture

         Effective  November  30, 1996 the Company  sold  certain  assets of the
HealthNet   Medical  group  operations  of  Physicians   Planning  Group,   Inc.
("HealthNet"),   the  Company's  New   Jersey-based   clinic   operations,   for
approximately  $10,500,000  in cash.  HealthNet  consisted  of nine primary care
sites in New Jersey and New York. The Company  realized a gain of  approximately
$8,300,000  which is  included in Gain  (loss) on  divested  assets,  net in the
accompanying statements of operations.

H. MedCost Divestiture

         Effective November 22, 1996 MedCost, Inc., one of the Company's managed
care  entities,  was sold for  approximately  $15,000,000 in gross cash proceeds
from the transaction and recorded a gain of approximately  $12,200,000  which is
included in Gain (loss) on divested assets,  net in the accompanying  statements
of operations.

4. TRADE ACCOUNTS RECEIVABLE AND OPERATING REVENUE

         Trade accounts receivable, net, consisted of the following:

                               As of December 31,

                              Dollars in thousands
                                                          1997           1996
                                                        --------      ---------
Gross trade receivables                                 $ 36,477      $ 184,579
                                                        --------      ---------
Less allowance for contractual adjustments and
uncollectibles                                           (12,865)       (97,169)
                                                        --------      ---------
Trade accounts receivable, net                          $ 23,612      $  87,410
                                                        ========      =========


Operating revenues, net consisted of the following:

                                            For the years ended December 31,
                                                 Dollars in thousands
                                           1997         1996            1995
                                        ---------     ---------     -----------
Gross non-capitated revenue             $ 451,596     $ 692,665     $   962,118

Gross capitated revenue                   163,533       145,105         101,420
                                        ---------     ---------     -----------
Total gross revenue                       615,129       837,770       1,063,538
Less contractual adjustments and
uncollectibles                           (190,288)     (285,661)       (253,151)
                                        ---------     ---------     -----------
Operating revenue, net                  $ 424,841     $ 552,109     $   810,387
                                        =========     =========     ===========


In June 1997,  the Company and certain of its  subsidiaries  entered into a Sale
and  Subservicing   agreement  with  NCFE,  whereby  certain  eligible  accounts
receivable and

                                       40
<PAGE>

rights to future  receivables were sold. The transaction is more fully discussed
in Note 7.  Receivables and rights to future  receivables sold were purchased at
their  approximate book value, and therefore no gain or loss was recorded on the
sale.  Gains or losses may be recognized in future periods,  depending upon cash
collections. The cash received for the rights to future receivables was recorded
under long-term debt in the accompanying consolidated balance sheets.

5. DERIVATIVE FINANCIAL INSTRUMENTS

         The Company has very  limited  involvement  with  derivative  financial
instruments and does not use them for trading purposes.  They are used to manage
interest rate risks.

         On March 31, 1995, the Company entered into a fixed interest rate hedge
contract  with a financial  institution.  Under the terms of the  contract,  the
Company  pays a fixed rate of 8.45% on a notional  amount of  $6,600,000,  which
amortizes quarterly by $235,714 beginning July 3, 1995. In return, the financial
institution  pays the Company a floating rate of interest  calculated  using the
three-month  LIBOR plus  1.125%.  The contract  expires on March 31,  2002.  The
difference  between the amounts paid and the amounts  received are recognized as
adjustments to interest expense.

6. PROPERTY AND EQUIPMENT

         The cost,  accumulated  depreciation,  and book value of  property  and
equipment are summarized as follows:

                                                               December 31,

(In Thousands)                                           1997               1996
                                                         ----               ----
Land                                                    2,511              2,511
Buildings                                               3,184              3,184
Leasehold improvements                                  3,088              6,009
Construction in progress                                  206                675
Furniture and equipment                                20,892             27,198
Automobiles                                               198                259
                                                     --------           --------
Total                                                 $30,079             39,836
Less accumulated depreciation                        (19,737)           (20,795)
                                                     --------           --------
Net property and equipment                           $ 10,342           $ 19,041
                                                     ========           ========

                                       41
<PAGE>

7. BORROWINGS

         Long-term debt consisted of the following:

                                                               December 31,
                                                               ------------
(In Thousands)                                              1997         1996
                                                          --------     --------
Borrowing under reducing revolving credit                 $     --     $ 43,069
facility
Borrowing under overline facility                               --       24,813
Funds received from NCFE                                    72,018           --
Term note payable in monthly installments through
     November 1998 bearing interest at 8.25%                 1,489        3,286

Obligations under capital leases                             3,022        2,900
Term note payable in quarterly installments
     through 1999 bearing interest at 8.0%                     611          935
Other                                                           87          926
                                                          --------     --------
Total                                                       77,227       75,929
Less current maturities                                     (2,529)     (71,130)
                                                          ========     ========
Long term portion                                         $ 74,698     $  4,799
                                                          ========     ========

         During 1994,  the Company  obtained an  extension of its Senior  Credit
Facility  with  its  bank  lenders  whereby  the  Company  could  borrow  up  to
$200,000,000, consisting of a $50,000,000 3-year revolving credit facility to be
used  for  working  capital  purposes   ("Working   Capital   Facility")  and  a
$150,000,000 7-year reducing revolving credit facility ("Acquisition  Facility")
to be used for acquisitions.

         The Senior  Credit  Facility  contained  covenants  that,  among  other
things,  required the Company to maintain  certain  financial ratios and imposed
certain  limitations and  prohibitions on the Company with respect to additional
indebtedness,  mergers or acquisitions, liens and encumbrances,  dispositions of
assets,  transactions  with  related  parties,  investments  and the  payment of
dividends.

         On June 30, 1995,  the Company was deemed to be in violation of certain
covenants  of the Senior  Credit  Facility.  The  Company  and its bank  lenders
entered into a number of amendments  and  agreements  over the period August 10,
1995 until  June 10,  1997 when the bank debt was  repaid in full.  During  this
period the Company at various times was in violation of certain of the covenants
of the Senior  Credit  Facility  and was required to pay interest at the default
rate, as defined in the Senior Credit Facility. In addition,  during this period
the  Company  was  required  to pay to the bank  lenders  certain  net  proceeds
received in connection with the sale of certain operations. In 1996, the Company
also granted  common stock  purchase  warrants to the lenders  entitling them to
purchase at par value up to 1,254,509  shares of its common stock.  A portion of
the warrants vested immediately,  with the balance subject to cancellation based
upon the Company's  compliance with a specified repayment schedule.  Warrants to
purchase  250,902  shares  were  canceled as a result of $40 million in payments
made by the Company prior to January 2, 1997.  Warrants  covering 186,789 shares
have been exercised.  The remaining  warrants,  covering  816,818  shares,  have
vested.

         On  June 6,  1997,  the  Company  entered  into a  series  of sale  and
subservicing  agreements (the "Sale  Agreements")  with various  subsidiaries of
NCFE. The Sale 

                                       42
<PAGE>

Agreements provide for accounts  receivable purchase  commitments  totaling $151
million for the  purchase of the  Company's  healthcare  receivables  from third
party  payors  that  meet  specified  eligibility  requirements.   Certain  Sale
Agreements  create  facilities  for  the  purchase  of  up  to  $36  million  of
receivables  and  terminate on July 1, 1998. As a result of the sales of certain
operations  of the  Company in 1997,  the  facilities  have been  reduced to $23
million as of December 31, 1997.  The Company  entered into  amendments to these
facilities, whereby the commitment was extended until July 1, 2000. Another Sale
Agreement  creates  a  facility  for  the  purchase  of up to  $115  million  of
receivables and terminates on June 1, 2000. Pursuant to the Sale Agreement,  the
Company pays a program fee ranging  from  approximately  10.9% to  approximately
12.5% per annum on the outstanding amount of uncollected purchased receivables.

         Pursuant to a separate  loan and  security  agreement,  an affiliate of
NCFE has agreed to provide the Company with a revolving  line of credit of up to
$40 million  through July 1, 1999.  Interest on  outstanding  amounts under this
line of credit is payable monthly at prime plus 4%. The  availability  under the
line of credit is reduced, at the option of NCFE, in an amount equal to one-half
of the net proceeds  received in connection  with the sale of specified  assets,
but not below $15 million. The line of credit expires June 15, 1999. The line of
credit is secured by substantially all of the assets of Coastal Physician Group,
Inc., including pledges of the common stock of each of its subsidiaries.

         On June 10,  1997,  the  Company  used  proceeds of  approximately  $82
million from sales of its existing  receivables and rights to future receivables
to repay outstanding balances under the restructured Senior Credit Facility with
its bank lenders  which  terminated  on that date.  All  collateral  held by the
lenders  under those  facilities  was  released.  As of December 31,  1997,  the
Company had received  funds from NCFE totaling  approximately  $72.5 million for
which repayment has been waived until July 1, 1999, provided the Company remains
in compliance with the terms and conditions of its various agreements with NCFE.
The  Company  remains  dependent  upon NCFE to  continue  to  purchase  eligible
accounts  receivable and to provide funds pursuant to the $40 million  revolving
line of credit described above in order to fund its operations.

         The assets  represented by the  obligations  under capital leases shown
above consist  primarily of one building  having a cost basis of $3,041,000  and
accumulated  depreciation  of $650,000  and $553,000 as of December 31, 1997 and
1996, respectively.

                                       43
<PAGE>

         The following is a schedule of maturities of long-term debt and minimum
lease payments under capital leases as of December 31, 1997 (in thousands):

                           Long term debt      Capital leases           Total

1998                              $ 2,103              $  434        $  2,537
1999                               72,022                 452          72,474
2000                                    4                 470             474
2001                                    4                 488             492
2002                                    5                 249             254
Thereafter                             66               3,023           3,089
                                  -------               -----         -------
Totals                            $74,204              $5,116         $79,320
                                  =======              ======         =======

Less amount representing interest on capital leases
                                                                        2,093
                                                                       77,227
                                                                      -------
Less current maturities                                                 2,529
                                                                      =======
                                                                      $74,698
                                                                      =======

8. INCOME TAXES

         Benefit (provision) for income taxes consisted of the following:

                                                  Years Ended December 31,
(In Thousands)                                1997         1996           1995
                                              ----         ----           ----
Current:
     Federal                                 $1,400      $ 4,452        $17,976
     State                                       --       (2,181)         1,432
Deferred:
     Federal                                     --       (5,638)          (973)
     State                                       --         (769)        (1,299)
                                             ======      =======        =======
Benefit (provision) for income
taxes                                        $1,400      $(4,136)       $17,136
                                             ======      =======        =======

The tax effects of temporary  differences  that give rise to deferred tax assets
and deferred tax liabilities are as follows:

(In Thousands)                                          Years Ended December 31,
                                                        -----------------------
                                                          1997           1996
                                                        --------       --------
Deferred tax assets:

   Net Operating loss carry forward                     $ 81,306       $ 37,235
   Reserve for liabilities                                 4,066         15,988
   Depreciation of property and equipment                    218            (39)
   Other                                                   2,427          4,167
                                                        --------       --------
Total gross deferred tax assets                         $ 88,017       $ 57,429
Less valuation allowance                                 (86,333)       (54,334)
                                                        --------       --------
Net deferred tax assets                                 $  1,684       $  3,056

Deferred tax liabilities:

   Deferred revenue and prepaid expenses                $  1,684       $  2,376
   State income taxes                                         --            162
   Other                                                      --            557
                                                        --------       --------
Total gross deferred tax liabilities                       1,684          3,056
                                                        --------       --------
Net deferred tax assets                                 $     --       $     --
                                                        ========       ========

                                       44
<PAGE>

         The  valuation  reserve for deferred tax assets as of December 31, 1995
was  $2,887,000.  The net change in the total  valuation  reserve  for the years
ended December 31, 1997 and 1996 was an increase of $31,999,000 and $51,447,000,
respectively. Due to the recent history of losses by the Company, it is the view
of management that a valuation  reserve is necessary for the net deferred assets
of the Company.

         As of December 31, 1997 the Company had federal loss  carryforwards  of
approximately  $186,000,000.  In addition,  as of December 31, 1997, the Company
had state loss carryforwards of approximately $256,000,000.  These net operating
loss  carryforwards  expire at various  dates to 2013.  As of December 31, 1997,
approximately  $14,000,000 of the company's federal loss carryforward is subject
to an annual limitation of $8,400,000, and $172,000,000 is not presently subject
to any limitations.  The federal and state loss carryforwards will be reduced by
approximately $16,000,000 and $19,000,000, respectively, as a result of the sale
of Doctors Health Plan in 1998 (See Note 17).

         The Company  experienced  a change in  ownership  within the meaning of
Section 382 of the Internal Revenue Code during July 1996. A change in ownership
occurs when there is a more than 50% change in ownership,  computed  using 5% or
more  shareholders,  over a period of time not to exceed 3 years. As of December
31,  1997,  the  Company's  cumulative  ownership  change  since  July  1996 was
approximately  28%.  Should future  ownership  cause a more that 50%  cumulative
change, the Company's ability to use federal and state loss carryforwards  could
be subject to significant limitation.

         A  reconciliation  of the benefit  (provision)  for income taxes to the
amount  computed by applying  the 34%  statutory  federal  income tax rate is as
follows:

<TABLE>
<CAPTION>
                                                         Years Ended December 31,
                                                         1997      1996      1995
                                                        -----     -----     -----
<S>                                                     <C>       <C>       <C>  
"Expected benefit" (provision)                           34.0%     34.0%     34.0%
State income taxes, net of federal income tax effect      8.1      (1.5)      0.1
Nondeductible purchased goodwill                          6.9      (7.7)    (13.5)
Change in valuation reserve                             (46.5)    (28.2)       --
Other                                                    (0.8)      0.5       0.7
                                                        -----     -----     -----
"Actual" benefit (provision)                              1.7%     (2.9%)    21.3%
                                                        =====     =====     =====
</TABLE>

9. CAPITAL STOCK

         On January  20,  1995,  the Board of  Directors  adopted a  Shareholder
Rights Plan,  under which the Company  distributed  a dividend of one  Preferred
Share  Purchase  Right (a "Right") for each  outstanding  share of the Company's
common stock.  Each Right  becomes  exercisable  upon the  occurrence of certain
events  for one  one-hundredth  of a share of  Junior  Participating  Cumulative
Preferred  Stock,  par value $.01 per share, at a purchase price of $120 subject
to  modification.  Under the Shareholder  Rights Plan,  500,000 shares of Junior
Participating  Cumulative  Preferred Stock have been reserved for issuance.  The
Rights  currently  are  not  exercisable.   Pursuant  to  an  amendment  to  the
Shareholder  Rights  Plan  (effective  June 3,  1997),  the Rights  will  become
exercisable  only if a person or group acquires  beneficial  ownership of 20% or
more of the Company's  outstanding  shares of common stock,  or in the case of a
group  consisting of Dr. Scott and his  associates  and  affiliates  (the "Scott
Group"),  more than 55% of the  Company's  outstanding  shares of common  stock.
Prior to December 27, 1996, the Rights were  exercisable  when a person or group
acquired beneficial ownership of 15% or more of the Company's outstanding shares
of common stock,  or in the case of the Scott Group,  33.2%

                                       45
<PAGE>

or more. The Rights,  which expire on February 3, 2005, are redeemable in whole,
but not in part, at the  Company's  option at any time for the price of $.01 per
Right.

         On January 21, 1997, the Company  authorized  47,500 shares of Series A
Convertible Preferred Stock ("Series A Preferred") and 32,500 shares of Series B
Convertible  Preferred  Stock  ("Series  B  Preferred"),  and on June  3,  1997,
authorized  1,200,000 shares of Series C Convertible  Preferred Stock ("Series C
Preferred"),  each series with a par value of $0.01 per share.  On February  21,
1997,  the  Company  increased  the  number  of  authorized  shares  of Series B
Preferred from 32,500 to 33,000.  Following the Trigger Date (as defined below),
shares of the  Series A  Preferred,  the  Series B  Preferred,  and the Series C
Preferred are convertible into common stock at an initial conversion rate of ten
shares of common stock for each share of Series A Preferred, Series B Preferred,
or Series C Preferred.  The Trigger Date means the date on which the  conversion
feature of each series of preferred  stock is approved by the  Company's  common
shareholders. On January 21, 1997, the Company reserved 800,000 shares of common
stock for  issuance  upon  conversion  of the  Series A  Preferred  and Series B
Preferred,  and on June 3, 1997,  reserved 12,000,000 shares of Common stock for
issuance upon conversion of the Series C Preferred.  The conversion  feature was
approved at the Company's annual meeting of shareholders on August 29, 1997.

         On October 23, 1997,  Dr. Steven M. Scott,  Coastal's  Chief  Executive
Officer,  a director and largest  shareholder,  converted  46,033  shares of the
Company's  Series A Preferred Stock into 460,330 shares of the Company's  common
stock,  32,739  shares of the  Company's  Series B Preferred  Stock into 327,930
shares of the Company's  common stock and the 1,084,983  shares of the Company's
Series C Preferred Stock into 10,849,830 shares of the Company's common stock.

         On December 30, 1997,  the Company  issued  1,000,000  shares of common
stock  (valued at  approximately  $938,000 at the time of  issuance)  to NCFE to
satisfy fees of $1,046,000  owed to NCFE in  connection  with the closing of the
June 6,  1997  Sale  and  Subservicing  Agreements  as  discussed  in Note 7. In
addition,  the Company  issued 200,000 shares of common stock to vendors in lieu
of cash payments for services rendered in December 1997.

         For additional  capital stock  transactions  with related parties,  see
Note 11.

10. 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  intends to renew the  existing
claims-made  policies  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 each of its independent  contractor  physicians  obtain
their  professional  liability  insurance  coverages  on their own  behalf  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

                                       46
<PAGE>

established  plans  to pay  claims  in the  future  based  on  formal  plans  of
arrangement. The Company has receivables of approximately $3,243,000 at December
31, 1997  (included in other  assets in the  accompanying  consolidated  balance
sheets)  related to certain  claims for which  reimbursement  is still  pending.
Management believes that this amount is collectable.

         The  Company  and  certain   independent   contractor   physicians  are
defendants in various medical malpractice lawsuits arising under the 1990 policy
year  for  medical  malpractice   insurance.   The  primary  layers  of  medical
malpractice insurance for that policy year have been exhausted,  and pending and
unasserted claims for that policy year are covered by a reinstatement  insurance
policy, with coverage that varies somewhat from the primary coverage.  Under the
reinstatement  insurance,  the  Company  must  advance  the costs of defense and
settlement  of  claims  and  seek  reimbursement  from  the  insurers.  Insurers
responsible  for  70% of the  reinstatement  insurance  are in  receivership  or
liquidation status and are not paying claims currently.

         In August  1995,  the Company  entered  into an  agreement  with a data
processing  service  provider  pursuant to which the Company  agreed to purchase
approximately  $58,000,000 in services through 2005. In August 1997, the Company
reached an agreement to terminate the contract effective  September 30, 1997 and
pay  approximately  $4.4  million for prior  services  rendered  and to obtain a
release from the contract.  In June 1997, the Company  entered into an agreement
with an alternative provider of data processing services. The agreement is for a
period of two years,  ending in June 1999.  Under  terms of the  agreement,  the
Company is obligated for monthly fees based upon usage,  with a minimum  monthly
fee of $50,900.

         The Company  entered into a long-term  contract for  telecommunications
services  which  initially  obligated  the  Company  to  purchase  approximately
$39,500,000  in services  through  2005. In December  1997,  the Company and the
service provider entered into a revised  agreement that provides for the Company
to use the  service  provider  as the  exclusive  voice and data  long  distance
provider.  The agreement expires on December 31, 2002 and provides for financial
penalties should the Company terminate the agreement prior to that date, without
cause.  Under terms of the  agreement  the Company is obligated to pay a monthly
fee that is adjusted based upon usage by the Company.

         The  Company  leases  and  occupies  two  office  buildings,   totaling
approximately 52,000 square feet, located in Durham,  North Carolina.  The lease
requires the Company to lease the  properties  until it purchases the properties
no later than June 30,  2002.  The  purchase  price  ranges from  $5,342,000  to
$6,131,000  depending  upon the date of  purchase.  The lessor has the option of
requiring  the  Company  to  purchase  the  properties  upon  75  days'  notice,
subsequent to January 1, 1998.

         The Company  leases an additional  building in Durham,  North  Carolina
that contains  approximately 21,600 square feet of space. The lease requires the
Company to purchase the leased  property,  prior to the termination of the lease
on June 30,  2002.  The  purchase  price ranges from  $3,142,000  to  $3,606,000
depending upon the date of purchase.  The lessor has the option of requiring the
Company to purchase the properties  upon 75 days' notice,  subsequent to January
1, 1998.

         Following the  announcement  of the Company's  first quarter  operating
results on April 27, 1995,  four class action lawsuits were commenced by certain
shareholders

                                       47
<PAGE>

against the Company and certain of its current and former officers and directors
in the United States  District Court for the Middle  District of North Carolina.
These  lawsuits  were  consolidated  into  a  single  consolidated  and  amended
complaint styled In re Coastal Physician Group, Inc. Securities Litigation,  and
class  certification  was granted.  The  consolidated,  amended complaint sought
unspecified  damages for alleged  violations of the federal  securities laws and
common law negligence  related  generally to the issuance of allegedly false and
misleading  statements  about the  Company's  operations  and present and future
prospects.  This litigation was settled  following a court ordered  mediation in
which  the  Company  and its  insurers  agreed  to  contribute  $8,150,000  to a
settlement  fund to be used to  compensate  the  class  members.  The  Company's
contribution to the settlement was $1,000,000 and was paid in February 1998. The
final  settlement is subject to Court  approval and is contingent  upon not more
than five percent of the class members opting out of the settlement.

         The  Company  and  certain  of its  current  and  former  officers  and
directors  have been named  defendants in a purported  shareholder  class action
lawsuit that was filed in North  Carolina  state court.  On August 27, 1997, the
Court entered an Order  denying  class  certification  and the  plaintiffs  have
appealed this order.  In a companion  case, a similar action was filed in United
States District Court for the Middle District of North Carolina  alleging common
law fraud and negligent  misrepresentation  against the Company. The Company has
filed  motions to dismiss that are  currently  pending.  The Company  intends to
vigorously defend its position, but at this stage of the litigation, exposure to
the Company cannot be determined.

         On October 31,  1996,  three cases were filed in the Circuit  Court for
Palm Beach,  Florida seeking statutory damages for alleged violations of Section
559.79 of the Florida Consumer  Collection  Practices Act statute as a result of
invoices  mailed  for  medical  services  rendered  by  contract  physicians  in
emergency   departments  for  which  the  Company  provided  physician  staffing
services.  Plaintiffs  have  amended  their  complaints  and  are  seeking  only
statutory   damages.   Plaintiffs   have  also  filed  a  motion  seeking  class
certification  which is currently pending before the court. The Company believes
that it has several  defenses and intends to  vigorously  defend the action.  At
this stage of the  litigation,  exposure  to the Company  cannot be  determined;
however,  it is possible  that there could be  liability  in excess of insurance
coverage available to the Company.

         The Company has voluntarily disclosed to the Department of Justice that
a possible  overpayment from Medicare  occurred.  Since the Company's  voluntary
disclosure,  the  company  has  cooperated  in the review by the  Department  of
Justice.  The final  resolution of this matter is pending;  however,  management
believes that it has made  adequate  provisions  for the Company's  liability in
this matter.

         On February 4, 1998, Jacques J. Sokolov, M.D., who previously served as
Chairman  of the  Company  and  President  of Advanced  Health  Plans,  Inc.,  a
subsidiary  of the  Company,  filed a Demand for  Arbitration  alleging  various
breaches of his employment contract dated November,  1994 with the Company.  The
Company has objected to the conduct of the  arbitration  in  California  and has
requested that the arbitration  hearings be held in North Carolina.  The Company
intends to vigorously defend its position,  but at this stage of the litigation,
exposure to the Company cannot be determined.

                                       48
<PAGE>

         On June  17,  1997,  Henry  J.  Murphy,  who was  President  and  Chief
Executive  Officer of the Company  from  November 1, 1996 to February  28, 1997,
filed a lawsuit against the Company alleging that the Company has failed to make
certain incentive payments to him under his prior written employment  agreement.
The Company intends to vigorously defend its position,  but at this stage of the
litigation, exposure to the Company cannot be determined.

         The  Company  and  its  subsidiaries  are  involved  in  various  legal
proceedings  incidental to their businesses,  substantially all of which involve
claims  related to the alleged  medical  malpractice  of contracted  physicians,
contractual and lease disputes or individual  employee relations matters. In the
opinion of the Company's  management,  no individual item of litigation or group
of similar  items of  litigation,  taking into  account the  insurance  coverage
available to the Company,  is likely to have a materially  adverse effect on the
Company's financial position or results of operations.

         The Company has been notified by the New York Stock  Exchange  ("NYSE")
that it is not currently in compliance with certain listing  requirements of the
NYSE.  Management is in discussions with  representatives  of the New York Stock
Exchange  concerning the listing  requirements but cannot,  at this time, assess
the outcome of these discussions on the Company or its stock.

11. RELATED PARTY TRANSACTIONS

         The Company  engages in  transactions  with American  Alliance  Holding
Company and its affiliates  ("Alliance"),  Century  American  Insurance  Company
("Century Insurance") and Quality Management  Consultants,  Inc., and affiliates
thereof.  Coastal's  principal  shareholder is the sole shareholder of Alliance.
Amounts paid by the Company to these  entities,  net of amounts  received,  were
$4,186,000,  $5,135,000,  and  $3,371,000 for the years ended December 31, 1997,
1996, and 1995, respectively.

         The Company and certain of its  subsidiaries  sublease  office space in
Durham,  North Carolina,  consisting of  approximately  59,000 square feet, from
Alliance under sublease  agreements.  The building is owned by American Alliance
Real Estate Corporation which leases the building to Century  Insurance.  During
the years ended December 31, 1997 and 1996,  the Company paid Century  Insurance
approximately  $562,000  and  $960,000,   respectively,   under  these  sublease
agreements. The Company, American Alliance Holding Company and Century Insurance
are all liable to the holder of a first  mortgage on the  property for the total
rentals specified in the prime lease;  however,  the Company has an agreement of
indemnity from American Alliance Holding Company,  and American Alliance Holding
Company has an agreement of indemnity  from Century  Insurance.  The prime lease
commenced in August 1988 and has a  fifteen-year  term  requiring  minimum lease
payments of approximately $788,000 per year for years one through five, $959,000
per year for years six  through  ten and  $1,166,000  per year for years  eleven
through fifteen.

         In addition,  on March 31, 1995, the Company purchased an airplane from
Alliance  Aviation,  Inc., a wholly-owned  subsidiary of Alliance.  The purchase
price was $6,600,000,  based upon a third-party  appraisal performed on March 6,
1995.  The  airplane  was sold to an  unrelated  third  party on May 9, 1996 for
$6,200,000.

                                       49
<PAGE>

         The Company  leased  office space from  corporations  controlled by the
principal  shareholder  of Coastal.  Rent paid during 1997,  1996,  and 1995 was
$286,000,  $1,513,000, and $517,000,  respectively.  As discussed in Notes 3 and
11, the Company  entered into a termination of the remaining  lease  obligations
for certain office space under lease through 2002.

         The Company holds several  unsecured  promissory notes bearing interest
at rates from 5.84% to 12% per annum in the aggregate  amount of $8,003,000,  as
well as several other receivables in the amount of $1,402,000 as of December 31,
1997 from Scott Medical LLC. The promissory notes and other receivables arose in
connection with the acquisition of IPN, PSI, Sunlife, the South Florida Clinics,
the Additional  Clinics,  the Sunlife  Receivables and the Clinic Receivables by
Scott Medical LLC in May and  December,  1997 as discussed in Note 3. In January
1998, the Company received  $5,000,000 from Scott Medical LLC in full payment of
the IPN Note and $100,000 in connection with the purchase of IPN.

         The Company holds unsecured notes receivable  bearing interest at rates
ranging  from  8.5%  to  10%  (prime  plus  1.5%)  from  shareholders   totaling
$1,963,000,  $1,651,000  and  $1,879,000  at December 31,  1997,  1996 and 1995,
respectively.  The Company has recorded an allowance of  $1,963,000,  $1,651,000
and $1,879,000  against the note receivable  balances at December 31, 1997, 1996
and 1995, respectively, pending the result of current litigation.

         In January 1997,  pursuant to a reimbursement  agreement dated December
31, 1996 between the Company and Dr. Steven M. Scott,  Coastal's Chief Executive
Officer, a director and largest  shareholder,  the Company issued 226,690 shares
of  common  stock  and  32,739  shares of  Series B  Preferred  to Dr.  Scott in
satisfaction of the Company's obligation to reimburse certain proxy solicitation
expenses incurred by Dr. Scott.

         On January 21, 1997, the Company,  Dr. Scott, and Dr. Bertram E. Walls,
a  director,  entered  into  a  dismissal  agreement  with  respect  to  certain
litigation  whereby the Company,  with court  approval,  agreed to reimburse Dr.
Scott  and Dr.  Walls  for  legal  fees  and  expenses  incurred  by them in the
litigation by issuing shares of Series A Preferred to Dr. Scott and Dr. Walls in
satisfaction  of the  Company's  obligation.  The  Company has issued a total of
46,033 shares of Series A Preferred Stock in payment of the aggregate  amount of
fees and expenses incurred by Dr. Scott and Dr. Walls.

         Simultaneous  with the NCFE  transaction,  as  explained in Note 7, Dr.
Scott invested $10 million in cash in the Company and received  1,000,000 shares
of Series C Preferred Stock. The Series C Preferred Stock subject to approval by
the Company's  common  stockholders,  is convertible  into 10,000,000  shares of
common  stock.  In  addition,  Dr.  Scott  received  84,983  shares  of Series C
Preferred  Stock and 240,000 shares of common stock in  satisfaction  of certain
obligations  owed to him by the Company of  approximately  $1.1  million.  After
approval at the Company's  annual meeting in August 1997, the Series C Preferred
Stock was converted into 10,000,000 shares of common stock.

         On March 3, 1998,  Dr. Walls made an  investment of $2.0 million in the
Company in exchange for a $2.0 million  convertible  debenture  due July 3, 1998
bearing interest at 10% per annum. The debenture is convertible at maturity into
shares of common and  preferred  stock.  The  debenture  is  convertible  at the
holder's option into the Company's

                                       50
<PAGE>

common  stock at a  conversion  rate equal to the lower of the 10  trading  days
average  closing price of the Company's  stock as of the date of the issuance of
the debenture or the average  closing price for the 10 trading days prior to the
maturity date of the debenture. The conversion price for the preferred shares is
ten times the conversion price for the common stock. The number of common shares
that can be acquired upon  conversion  of the debenture  cannot exceed 1% of the
common stock of the Company  outstanding on the conversion  date. The balance is
convertible  into a new series of preferred  stock that is  convertible  into 10
shares of  common  stock for each  share of  preferred  stock.  If  issued,  the
preferred  stock  would be  convertible  only  upon  approval  of the  Company's
shareholders.

         On May 1, 1998, the debenture was assigned to Dr. Scott.  Dr. Scott has
agreed not to demand  payment on the debenture  until 1999,  but is able to seek
conversion of the debenture in accordance with the terms set forth above.

12. OPERATING LEASES

         The  Company  leases  office  space (see Note 11) and  equipment  under
noncancelable  operating  leases which have terms of one to five years remaining
at December 31, 1997.  Rent expense  related to  noncancelable  office space and
equipment leases amounted to $9,963,000,  $15,614,000,  and $16,800,000, for the
years ended December 31, 1997, 1996, and 1995, respectively.

         Future minimum lease payments  required under  noncancelable  operating
leases as of December  31,  1997,  are as  follows:  1998 -  $3,664,000;  1999 -
$3,284,000, 2000 - $2,730,000, 2001 - $1,359,000; 2002 - $391,000 and thereafter
not material.

13. STOCK OPTIONS AND STOCK COMPENSATION

         At December 31,  1997,  the Company had four  stock-based  compensation
plans,  which are described below. The Company continues to apply APB Opinion 25
and related  Interpretations  in accounting for its plans. No compensation  cost
has been  recognized  for its  three  fixed  stock  option  plans  and its stock
purchase  plan since  options  were issued at the stocks'  then  current  market
value.  The Company did not adopt the new fair value based method of  accounting
for stock  compensation  plans.  Under FASB 123, companies that do not adopt the
fair value based method of accounting for stock  compensation plans and continue
to follow the  provisions  of APB  Opinion  25, are  required  to make pro forma
disclosures of net income and earnings per share as if they had adopted the fair
value  accounting   method.   Had  compensation  cost  for  the  Company's  four
stock-based  compensation  plans been  determined on the fair value at the grant
dates for awards under those plans  consistent with the method of FASB Statement
123, there would have been no material effect on the Company's net loss and loss
per share for the years ended December 31, 1997, 1996 and 1995.

         The Company  adopted,  on May 8, 1991,  an incentive  stock option plan
primarily for selected key employees.  Under the plan, options may be granted at
not less than the fair market  value of the stock at the date of grant.  Options
are  exercisable  at various times from the date of grant,  as determined by the
Compensation  Committee of the Board of Directors (the "committee"),  and expire
after ten years from the date of grant.  The  Company has  authorized  4,000,000
shares of common stock for grants of options under

                                       51
<PAGE>

the incentive  stock option plan. In 1987, the Company  adopted a  non-qualified
stock  option plan that allows for options to be granted at not less than 90% of
the estimated fair market value of the stock at the date of grant. These options
are  exercisable  at various times,  as determined by the committee,  and expire
after ten years from the date of grant.  The  Company has  authorized  4,000,000
shares of common  stock for  grants of  options  under the  non-qualified  stock
option plan.  Included in these non-qualified stock options (although not a part
of the 1987 non-qualified  stock option plan) were options held by HEI directors
and  officers  which  became  fully  vested and were  converted  into options to
acquire  169,000 shares of the Company's  common stock upon  consummation of the
merger.  The exercise price of the converted options ranged from $1.09 per share
to $2.73 per share.  All of the converted  options were exercised as of December
31, 1996. In 1994, the Company  adopted a stock option plan for its  independent
directors.  Under this plan, non-qualified stock options ("NSOs") may be granted
at not  less  than the fair  market  value of the  stock at the date of grant to
directors who are not employed by the Company.  The NSOs are  exercisable  after
one year from the date of grant  and  expire  after  ten years  from the date of
grant.  The Company has authorized  500,000 shares of common stock for grants of
NSOs under this stock option plan.

         On October 25, 1995,  the Company  approved the issuance of replacement
stock options in lieu of unexercised stock options previously granted to certain
employees under the 1991 incentive stock option plan and the 1987  non-qualified
stock  option  plan  between  January  1,  1994 and April  30,  1995.  Under the
replacement option procedure, such unexercised options could be replaced, at the
election of the optionee,  on a two existing for one  replacement  option basis.
The exercise price of the replacement  options was $13.88 per share, the closing
NYSE price on November 17, 1995. The exercise  dates and vesting  periods of the
replacement options remained the same as provided for in the original grants.

         Under an employee  stock  purchase plan adopted in 1994, the Company is
authorized  to issue up to  1,000,000  shares of common  stock to its  full-time
employees and part-time  employees  working 20 or more hours a week, all of whom
are eligible to participate after six months of service.  Under the terms of the
plan,  employees can choose to have from 1% to 10% of their annual base earnings
withheld to purchase the Company's common stock. The purchase price of the stock
is 90 percent of the  lesser of the market  price of the common  stock as of the
first or last day of each  quarter.  If no such price is reported  for that day,
the market price of the last  preceding  day for which such price is reported is
used.  Under the Plan, the Company sold 82,000 shares,  83,000 shares and 71,000
shares to employees in 1997, 1996 and 1995, respectively.

                                       52
<PAGE>

         A summary of the status of the Company's three fixed stock option plans
as of December 31, 1995,  1996,  and 1997, and changes during the years ended on
those dates is presented below:

<TABLE>
<CAPTION>
                                            1995                   1996                   1997
                                                Weighted-              Weighted-              Weighted-
                                                Average                Average                Average
                                      Shares    Exercise    Shares     Exercise    Shares     Exercise
Fixed Options                          (000)     Price       (000)      Price       (000)      Price
- -----------------------------------------------------------------------------------------------------
<S>                                   <C>       <C>          <C>       <C>          <C>       <C>    
Outstanding at beginning of
year                                  2,593     $ 28.67      3,145     $ 26.31      2,014     $ 25.60
Granted                               1,710       21.98        475        9.90        626        1.96
Exercised                              (149)       3.86        (63)       2.86         --          --
Reduction due to reprice in 1995       (462)      27.28         --          --         --          --
Forfeited                              (547)      27.24     (1,543)      23.23       (545)      12.46
                                      ---------------------------------------------------------------
Outstanding at end of year            3,145     $ 26.31      2,014     $ 25.60      2,095     $ 21.95
                                      ---------------------------------------------------------------
Options exercisable at year-end         368     $ 23.99        786     $ 22.60        827     $ 31.46
Weighted-average fair value of options
granted during the year                         $  9.60                $  2.70                $  1.96
</TABLE>

The following table summarizes information about fixed stock options outstanding
at December 31, 1997.

<TABLE>
<CAPTION>
                                                                                Number
                             Number of        Weighted-Avg.                   Exercisable      
                          Outstanding at        Remaining      Weighted-Avg.  at 12/31/97     Weighted-Avg.      
                          12/31/97 (000)    Contractual Life  Exercise Price     (000)       Exercise Price

   Range of Exercise                                                                      
<S>                           <C>                 <C>              <C>          <C>              <C>    
$      1.50 to 5.25             631               9.44              1.99        $   5            $  5.25
     11.50 to 13.88             154               6.67             13.32           55              12.54
     14.00 to 25.75             243               6.59             23.34           64              17.50
     26.75 to 30.75             630               6.69             30.47          426              30.50
     34.00 to 43.82             437               6.78             40.65          277              40.37
- -----------------------------------------------------------------------------------------------------------
$    1.50 to 43.82            2,095               7.52             21.95        $ 827            $ 31.46
</TABLE>

14. RETIREMENT PLAN

         The Company has a qualified  contributory savings plan as allowed under
Section  401(k) of the  Internal  Revenue  Code.  The plan  permits  participant
contributions and requires a minimum  contribution from the Company based on the
participant's  contribution.  Participants may elect to defer up to 12% of their
annual  compensation  by  contributing  the  deferred  amounts to the plan.  The
Company made contributions of

                                       53
<PAGE>

$760,000,  $1,265,000 and $1,492,000 to the plan during the years ended December
31, 1997, 1996 and 1995, respectively.

15. REVENUES FROM A MAJOR CUSTOMER

         Certain  subsidiaries  of the Company  (which were  divested in 1995 as
discussed  in Note 3)  provided  health  care  services  subject  to  affiliated
provider  agreements with entities  affiliated with one HMO. For the years ended
December 31, 1997, 1996 and 1995,  approximately 0%, 0%, and 24%,  respectively,
of the Company's revenues were derived from such agreements.  As of December 31,
1997 and 1996, the Company had no receivables from this HMO.

16. QUARTERLY FINANCIAL DATA (UNAUDITED) (IN THOUSANDS, EXCEPT PER SHARE DATA)

The following is a summary of the unaudited  quarterly results of
         operations:

<TABLE>
<CAPTION>
                                                                 First        Second         Third        Fourth
Year ended December 31, 1997                                   Quarter       Quarter       Quarter       Quarter
<S>                                                          <C>           <C>           <C>           <C>      
Operating revenue, net                                       $ 124,714     $ 111,496     $  99,595     $  89,036

Operating loss                                                  (8,300)      (16,015)      (12,896)      (29,977)

Loss before income taxes and
extraordinary item                                             (11,566)      (21,627)      (16,969)      (33,219)

Net loss                                                       (11,566)      (21,627)      (15,569)      (33,219)

Loss per share before income taxes and
extraordinary item                                               (0.48)        (0.89)        (0.70)        (0.99)

Net loss per share                                               (0.48)        (0.89)        (0.64)        (0.99)

Weighted average number of shares
outstanding                                                     24,129        24,385        24,415        33,483

<CAPTION>
                                                                 First        Second         Third        Fourth
Year ended December  31, 1996                                  Quarter       Quarter       Quarter       Quarter
<S>                                                            <C>           <C>           <C>           <C>    
Operating revenue, net                                         152,734       146,038       137,805       115,532

Operating loss                                                  (9,909)      (22,398)      (29,677)      (63,045)

Loss before income taxes and
extraordinary item                                             (11,730)      (24,860)      (40,319)      (70,512)

Net loss                                                       (11,730)      (24,860)      (38,455)      (70,512)

Loss per share before income taxes and
extraordinary item                                               (0.49)        (1.04)        (1.69)        (2.95)

Net loss per share                                               (0.49)        (1.04)        (1.61)        (2.95)

Weighted average number of shares
outstanding                                                     23,791        23,839        23,862        23,883
</TABLE>

                                       54
<PAGE>

17. SUBSEQUENT EVENTS

         In March 1998, the Company  announced the sale of Doctor's  Health Plan
to DHP Holdings LLC., an entity that is controlled by Dr. Steven M. Scott, Chief
Executive of Coastal  Physician Group,  Inc. for a purchase price of $5,993,000.
Under terms of the sale, the Company received cash of $993,000 and a note in the
amount of  $5,000,000,  bearing  interest at the rate of twelve  percent 12% per
annum  until  paid.  If the note is not paid in full  within the  earlier of (i)
ninety  (90) days from  March 18,  1998 or (ii)  forty-five  (45) days after the
Company gives the Purchaser notice that it intends to accept a Strike Price, the
note is to be secured by collateral acceptable to the Board of Directors.  For a
period of twelve  (12)  months  from the  closing,  the Company has the right to
market and sell Doctors Health Plan to potential third party purchasers.  If the
Company locates a third party purchaser  during the twelve (12) month period who
is willing to purchase  Doctors  Health Plan at a price that  exceeds the Strike
Price, then Coastal may elect to have the sale take place. If the Company elects
to sell to the third party, the Purchaser has the right to either (i) pay to the
Company an amount  equal to the amount  that  would  have been  received  by the
Company as a result of the sale to the third party or (ii) agree to consummate a
closing and sale to the third party purchaser.  The Strike Price is a price that
will yield net  proceeds of the sale  (after  payment of the costs to market and
sell to a third party) in an amount equal to the  Purchaser's  net investment in
Doctors  Health Plan plus a twelve  percent (12%)  annualized  return on the net
investment.  Purchaser's net investment  shall be equal to Purchaser's  purchase
price plus  Purchaser's  contributions  to Doctors Health Plan plus  Purchaser's
out-of-pocket  costs to acquire,  finance and operate  Doctors Health Plan minus
any distributions or dividends Purchaser receives from Doctors Health Plan.

         In April  1998,  the Company  entered  into an  agreement  with NCFE to
replace NPF-WL which was to expire on July 1, 1998 with a Sale and  Subservicing
Agreement  that is  under  similar  terms  and  conditions  as  NPF-WL.  The new
agreement  expires July 1, 2000 and provides a commitment  to purchase  eligible
accounts receivable up to $13 million.

         In May 1998, the Company  entered into an agreement with NCFE to extend
until June 15, 1999 and increase the availability to $40 million under a line of
credit.  This line of credit is secured by  substantially  all of the  Company's
assets and the stock of its subsidiaries.

                                       55
<PAGE>

ITEM  9.  CHANGES  IN AND  DISAGREEMENTS  WITH  ACCOUNTANTS  ON  ACCOUNTING  AND
FINANCIAL DISCLOSURE

         Not applicable.

                                    PART III

ITEM 10.  EXECUTIVE OFFICERS AND DIRECTORS OF THE REGISTRANT

EXECUTIVE OFFICERS AND DIRECTORS

         The following table sets forth certain  information with respect to the
executive  officers  and  directors  of the  Company and  executive  officers of
subsidiaries of the Company who have significant policy-making authority:

Name                               Age       Position
- --------------------------------------------------------------------------------



Steven M. Scott, M.D.              50        Chairman of the Board, President
and Chief Executive Officer

Charles F. Kuoni, III              46        Executive Vice President, Chief
Financial Officer and Treasurer

Mitchell W. Berger (1)(2)          42        Director

Charles E. Potter (1)(2)           54        Director

Bertram E. Walls, M.D.             46        Director

Eugene F. Dauchert, Jr.            44        Director, Secretary, Executive Vice
President

Edward L. Suggs, Jr.               46        Director, President and Chief
Executive Officer, Healthcare                Business Resources, Inc.

Sherman  M. Podolsky, M.D.         47        Director, President, Coastal
Physician Services of South                  Florida, Inc.

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

(1) Member of the Audit Committee of the Board of Directors

(2) Member of the Compensation Committee of the Board of Directors

         Dr.  Scott has been a director of the Company  since its  formation  in
1977.  Until he resigned  from the position on December 1, 1994,  Dr. Scott also
served as Chairman of the Board of Directors and from 1977 to May 29, 1996,  Dr.
Scott served as President and

                                       56
<PAGE>

Chief Executive Officer of the Company. Dr. Scott was re-elected Chairman of the
Board of Directors on January 14, 1997,  and  re-appointed  President  and Chief
Executive  Officer of the Company on March 1, 1997. Dr. Scott has obstetrics and
gynecology  practice  experience  and  clinical  and  administrative   emergency
department experience. He is board-certified in obstetrics and gynecology and is
a member of the clinical  faculty at Duke University  Medical Center.  Dr. Scott
received his undergraduate degree and medical education from Indiana University.
Dr. Scott completed his residency in the Department of Obstetrics and Gynecology
at Duke University Medical Center.

         Mr. Kuoni became Chief Financial  Officer on September 15, 1997.  Prior
to that,  Mr. Kuoni was a consultant  to the Company,  assisting  management  in
developing its strategic business plan, refinancing the Company and implementing
operational  changes.  For the period August 1994 to June 1996, Mr. Kuoni served
as President of Travelmasters, Inc., a privately-held travel management company.
From February 1990 until August 1994,  Mr. Kuoni held a number of positions with
the consulting  firm of Buccino & Associates,  Inc. His most recent position was
that of Vice President and Engagement Manager. Mr. Kuoni received his Bachelor's
degree in Accounting  from Texas  Christian  University and his Master's  degree
from  Northwestern  University's  Kellogg School of  Management.  Mr. Kuoni is a
Certified  Public  Accountant  and is a  member  of the  American  Institute  of
Certified  Public  Accountants  and the  Illinois  Society of  Certified  Public
Accountants.

         Mr. Berger has been a director of the Company since  September 1996. He
is the  President  and  Founder of Berger,  Davis &  Singerman,  a law firm with
offices located in Fort Lauderdale, Miami, and Tallahassee,  Florida. Mr. Berger
currently  serves on the Board of  Governors  of the Nova  University  School of
Business  and  was  a  Commissioner  on  the  Florida  Environmental  Regulation
Commission from 1991 to 1997. Mr. Berger was recently appointed by the Governor,
and approved by the Florida  Senate,  to serve on the Board of the South Florida
Water Management District and has been a member of the Board of the Student Loan
Marketing Association (Sallie Mae) since 1994.

         Dr. Walls, a director since 1991,  became President and Chief Executive
Officer of Doctors Health Plan,  Inc., a subsidiary of the Company,  in February
1998. On March 18, 1998,  the Company sold Doctors  Health Plan,  Inc. Dr. Walls
also served as President of Coastal Physician Contract Services Group, Inc. from
January through December 1994.  Effective  January 1, 1995, Dr. Walls became the
President and Chief  Executive  Officer of Century  American  Insurance  Company
("Century Insurance"). From 1992 to 1993, Dr. Walls was the President of Sunlife
OB/GYN Services, Inc., a subsidiary of the Company, as well as its Chief Medical
Officer from 1991 to 1993.  From 1981 through 1990, Dr. Walls was in the private
practice of  obstetrics  and  gynecology  with Valley  Women's  Center,  P.A. in
Fayetteville, North Carolina. He is board certified in obstetrics and gynecology
and is a member of the clinical faculty at Duke University  Medical Center.  Dr.
Walls received a B.S. degree in Science from North Carolina A&T State University
and his medical  degree from Duke  University.  He  completed  his  residency in
obstetrics and gynecology at Duke University  Medical Center.  In addition,  Dr.
Walls holds an MBA degree from the Duke Fuqua School of Business.

                                       57
<PAGE>

         Mr. Potter, a director of the Company since April 1997, is President of
The Potter  Financial  Group,  a small  independent  financial  planning firm in
central North Carolina and a Principal in The Potter  Financial  Advisory Group,
LLC, a Registered Investment Advisory firm. He graduated from St. Peters College
in Jersey City,  NJ with a BS degree in  Marketing  in 1966.  He has been in the
financial services industry since 1966. He holds four professional designations:
(CLU) Chartered Life Underwriter, (ChFC) Chartered Financial Consultant from the
American College,  Bryn Mawr, PA, (RFC) Registered Financial Consultant from the
International   Association  of  Registered  Financial   Consultants  and  (AEP)
Accredited  Estate  Planner from the  National  Association  of Estate  Planning
Councils.  He is also a member of the Association for Advanced Life Underwriters
and a  Qualifying  and  Life  Member  of the  Million  Dollar  Round  Table,  an
international sales organization.

         Mr.  Dauchert,  a director  since October 1996,  became  Executive Vice
President  in July 1997.  He has also served as  President  and Chief  Executive
Officer of  Coastal  Physician  Networks,  Inc.  ("CPN"),  a  subsidiary  of the
Company,  since January 1, 1996. Prior to that, Mr. Dauchert served as President
of Integrated Provider Networks, Inc., a subsidiary of CPN. Prior to joining the
Company,  Mr. Dauchert was a partner in the law firm of Moore & Van Allen,  PLLC
where he focused his practice on health care,  corporate  and tax matters for 16
years.  Mr.  Dauchert  received a B.A. from the  University of North Carolina at
Chapel Hill and a J.D.  degree with honors from the University of North Carolina
School  of  Law.  He  is a  member  of  the  North  Carolina  and  American  Bar
Associations,   and  is  active  in  numerous  health  care  sections  of  those
organizations.

         Mr.  Suggs,  a director  since  March  1997,  has been with  Healthcare
Business  Resources,  Inc.,  a  subsidiary  of the  Company,  since 1986 and its
President since 1987. Mr. Suggs  previously  served as a director of the Company
from 1989 to 1994.  Previously,  Mr. Suggs was  Assistant  Controller  of Oxford
Development  Company,  a real estate development firm, and a tax manager for the
accounting  firm of Ernst & Young LLP. He received a B.S.  degree in  Accounting
from the University of North Carolina at Charlotte. Mr. Suggs is a member of the
American  Institute  of  Certified  Public   Accountants,   the  North  Carolina
Association  of  Certified  Public  Accountants  and  the  Healthcare  Financial
Management Association.

         Dr.  Podolsky became a director on January 1, 1998, and is President of
Coastal  Physician  Services of South Florida Inc., a subsidiary of the Company.
Dr.  Podolsky has also served as Senior Vice  President of Medical and Corporate
Affairs  and Senior  Medical  Officer  for  Coastal  Emergency  Services  of Ft.
Lauderdale, Inc., a subsidiary of the Company, since 1991. He is a member of the
American College of Emergency Physicians. He received his medical education from
Chicago  Medical  School and completed his Emergency  Medicine  Residency at the
University of California,  San Francisco and is a member of the American College
of Emergency  Physicians.  Prior to joining the Company,  Dr.  Podolsky held the
position of Chairman of Emergency  Medicine at Albert Einstein Medical Center in
Philadelphia and also served on the faculty of UCLA and Stanford University.

                                       58
<PAGE>

SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

         Section 16(a) of the  Securities  and Exchange Act of 1934 requires the
Company's  officers and directors,  and persons who own more than ten percent of
the common stock, to file initial reports of ownership and reports of changes in
ownership of the common stock with the Securities and Exchange  Commission  (The
"Commission").  Officers,  directors,  and greater than ten percent shareholders
are required by Commission regulations to furnish the Company with copies of all
Section 16(a) forms they file.

         To the Company's knowledge, based solely on its review of the copies of
such reports  received by the Company and written  representations  from certain
reporting  persons that no other reports were required for those persons  during
1997,  all  Section  16(a)  filing  requirements  applicable  to  the  Company's
officers,  directors,  and greater than ten percent  shareholders  were complied
with.

                                       59
<PAGE>

ITEM 11.  EXECUTIVE COMPENSATION

         The  following  table  sets  forth  the  compensation  received  by all
individuals  serving as the President and Chief Executive Officer of the Company
during 1997, its four other most highly compensated  executive officers who were
serving  as  executive  officers  at  December  31,  1997,  and  one  additional
individual who was one of the four most highly  compensated  executive  officers
during 1997 but was not an executive officer at December 31, 1997 (collectively,
the "Named  Executive  Officers"),  for services  rendered to the Company or its
subsidiaries  during  the years  ended  December  31,  1997,  1996 and 1995,  as
applicable:

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                                Long Term
                                                                              Compensation
                                                                              ------------
                                               Annual Compensation               Awards
                                               -------------------
                                                                Other Annual   Securities      All Other
                                          Salary      Bonus   Compensation(1)  Underlying    Compensation
Name and Principal Position         Year    ($)        ($)          ($)       Options/SARs(#)     ($)
- -------------------------------------------------------------------------------------------------------------------
<S>                                 <C>    <C>        <C>            <C>         <C>            <C>    
Steven M. Scott, M.D. (3)           1997   400,000         --            --           --          4,290
Chairman of the Board,              1996   333,333         --        12,806           --          5,296
President and Chief                 1995   333,333         --        51,492      103,529        165,818
Executive Officer of the
Company

Jacque J. Sokolov, M.D.             1997   233,333         --            --           --          2,817
Former Vice Chairman of the         1996   400,000    400,000            --           --          5,464
Board of the Company                1995   400,000    150,000            --        3,883          4,215
and Chief Executive
Officer, Advanced Health
Plans, Inc. (4)

Deborah L. Redd                     1997   228,154     63,563            --      100,000          4,167
Former Director and President,      1996   237,519     35,000            --       20,000          3,538
Coastal Managed Healthcare, Inc.    1995    47,163         --            --           --             70

Eugene F. Dauchert, Jr.             1997   160,000     54,745            --      100,000          4,405
Director and Executive Vice         1996   160,000      8,500            --           --          4,481
President                           1995   160,000         --            --       48,883          3,918

Edward L. Suggs, Jr.                1997   213,654     50,769            --      100,000          4,049
Director, President and             1996   190,000         --            --           --          2,442
Chief Executive Officer,            1995   188,539         --            --       40,000          3,754
Healthcare Business
Resources, Inc. (5)
</TABLE>

(1) No unexercised options were in the money at fiscal year-end.

                                       60
<PAGE>

<TABLE>
<CAPTION>
                                                                            Annual Compensation
                                                                            -------------------
                                                                Other Annual    Securities      All Other
                                           Salary      Bonus   Compensation(1)  Underlying     Compensation
Name and Principal Position         Year     ($)        ($)          ($)       Options/SARs(#)     ($)
- -----------------------------------------------------------------------------------------------------------

<S>                                 <C>     <C>       <C>                <C>      <C>               <C>
Henry J. Murphy(3)                  1997    60,000    100,000            --           --            725
Former President and                1996    69,130         --            --       100,000(6)         --
Chief Executive Officer

Raymond A. Spillman                 1997   123,077     34,473            --           --            960
Former Senior Vice                  1996    66,847     10,000            --           --            240
President and General Counsel
</TABLE>

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

(1) Reflects imputed income for personal use of the Company's aircraft.

(2) Includes for 1997: (i) contributions made under the Company's 401(k) plan of
$3,200,  $2,400, $3,398, $3,563 and $3,563 for Dr. Scott, Dr. Sokolov, Ms. Redd,
Mr. Dauchert and Mr. Suggs,  respectively,  and (ii) premiums paid for term life
insurance  policies of $1,090,  $417,  $769,  $842,  $487, $725 and $960 for Dr.
Scott,  Dr.  Sokolov,  Ms. Redd,  Mr.  Dauchert,  Mr. Suggs,  Mr. Murphy and Mr.
Spillman, respectively.

(3) Mr. Murphy served as President  and Chief  Executive  Officer of the Company
from October 24, 1996 to March 1, 1997.  Dr. Scott served as President and Chief
Executive  Officer of the Company from March 1, 1997 to December  31, 1997.  See
"Employment and Certain Other Agreements" below.

(4)  Advanced Health Plans, Inc. is a subsidiary of the Company.

(5)  Healthcare Business Resources, Inc. is a subsidiary of the Company.

(6) Mr.  Murphy was  granted  100,000  stock  appreciation  rights  ("SARs")  on
November 1, 1996.  12,000  SARs vested on each of November 1, 1996,  December 1,
1996,  January 1, 1997,  February  1, 1997 and  February  28,  1997.  Due to the
termination  of Mr.  Murphy's  employment  on March 1,  1997,  the  20,000  SARs
scheduled to vest on March 31, 1997, and an additional  20,000 SARs scheduled to
vest on April 30, 1997,  had Mr.  Murphy's  employment  extended  through  these
dates, were forfeited.

                                       61
<PAGE>

STOCK OPTION AND SAR GRANTS

         The following table provides certain  information with respect to stock
options and SARs granted during 1997 to the Named Executive Officers:

                      OPTION/SAR GRANTS IN LAST FISCAL YEAR

<TABLE>
<CAPTION>
                                                                                      Potential Realizable
                                                                                        Value at Assumed
                          Number of       Percent of Total                            Annual Rates of Stock
                          Securities        Options/SARs                              Price Appreciation for
                          Underlying         Granted to      Exercise                      Option Term
                         Options/SARs       Employees in      or Base    Expiration        -----------
Name                      Granted(#)       Fiscal Year(%)   Price($/Sh)     Date         5%($)     10%($)
- ---------------------------------------------------------------------------------------------------------

<S>                           <C>               <C>           <C>      <C>              <C>       <C>    
Deborah L. Redd               100,000           6.3           2.00     April 6,2007     81,500    243,200

Eugene F. Dauchert, Jr.       100,000           6.3           2.00     April 6,2007     81,500    243,200

Edward L. Suggs, Jr.          100,000           6.3           2.00     April 6,2007     81,500    243,200
</TABLE>

- -----------------
(1) Options vest and become fully exercisable on April 7, 2000.

AGGREGATED OPTION/SAR EXERCISES AND OPTION/SAR VALUES

         The following table provides certain information  concerning the number
of securities underlying unexercised options held by each of the Named Executive
Officers  and the value of such  officers'  unexercised  options at December 31,
1997:

               AGGREGATED OPTION/SAR EXERCISES IN LAST FISCAL YEAR
                      AND FISCAL YEAR-END OPTION/SAR VALUES

                                Unexercised at Fiscal Year-End
                                     Number of Securities
                                     --------------------

Name                            Exercisable      Unexercisable
- --------------------------------------------------------------
Steven M. Scott, M.D.                2,392           129,725

Jacque J. Sokolov, M.D.            363,000           543,883

Deborah L. Redd                         --           120,000

Edward L. Suggs, Jr.                22,976           231,316

Eugene F. Dauchert, Jr.                 --           173,883

                                       62
<PAGE>

COMPENSATION OF DIRECTORS

         Each  director  who is not an officer or  employee  of the  Company (an
"Independent Director") receives $20,000 annually for serving as a director plus
$1,200 for each meeting of the Board of Directors attended. The respective Chair
of the Audit and Compensation  Committees  receive an additional $1,200 annually
for  services   rendered  in  that  capacity.   At  each  director's   election,
compensation may be paid either currently, in cash, or deferred and paid in cash
or in  shares  of  common  stock  at  the  distribution  date  of  the  deferred
compensation. Pursuant to the Company's 1994 Independent Directors' Stock Option
Plan,  an  Independent  Director  who is  elected  to  the  Board  of  Directors
automatically  receives an option to purchase  3,000  shares of common stock and
any  Independent  Director  who  continues  to serve as a director  following an
annual meeting of shareholders automatically receives an option for 1,000 shares
of common stock. The respective  Chair of the Audit and Compensation  Committees
automatically  receive an additional  option to purchase  2,000 shares of common
stock  as of  the  first  committee  meeting  following  an  annual  meeting  of
shareholders.  The exercise  price of these  options is the fair market value of
the underlying  shares on the date of grant. The options become  exercisable one
year from the date of grant and have a ten year term.

EMPLOYMENT AND CERTAIN OTHER AGREEMENTS

Steven M. Scott, M.D.

         In April  1991,  Dr.  Scott and the  Company  entered  into a five-year
employment  agreement that renews  automatically  each year, unless either party
gives  notice of  non-renewable,  and  terminates  in any event  when Dr.  Scott
reaches age 70. The employment  agreement  provides for an annual base salary of
$400,000,  which is to be  reviewed  annually  by, and can be  increased  at the
discretion  of,  the  Compensation  Committee.  Dr.  Scott is also  entitled  to
incentive  compensation  in an  amount  determined  at  the  discretion  of  the
Compensation  Committee,  based on its consideration of the Company's  financial
results,  the development,  implementation  and attainment of strategic business
planning goals and objectives, increases in the Company's revenues and operating
profits,  and other factors  deemed  relevant by the  Compensation  Committee in
evaluating Dr. Scott's performance.  Although not a requirement,  the target for
Dr.  Scott's  incentive  compensation  is two percent of the Company's  earnings
before  interest and taxes,  not to exceed his annual base salary.  In addition,
the Compensation  Committee may grant Dr. Scott discretionary  bonuses from time
to time.

         In its discretion,  the Compensation  Committee may award any incentive
or  discretionary  bonus  compensation  payable to Dr.  Scott as an  immediately
payable cash payment, a deferred cash payment or in non-qualified stock options.
A  range  of  valuation  for  any  such  options  will  be  established  by  the
Compensation  Committee using the  Black-Scholes  or binomial  pricing model, or
other  recognized  pricing model, or using the  assumptions  and  specifications
adopted by the  Securities  and Exchange  Commission  (the  "Commission")  which
govern the disclosure of executive  compensation  in proxy  statements and other
Commission  filings.  Any such options will expire after the earlier to

                                       63
<PAGE>

occur of the tenth anniversary of the termination of Dr. Scott's employment, the
date of Dr.  Scott's 70th birthday or the expiration of the maximum term of such
options set forth in the stock  option plan  pursuant to which such  options are
granted.

         In the event of Dr. Scott's disability prior to the age of 70, he would
be entitled to base compensation,  incentive compensation and bonus compensation
for twelve months.  The bonus  compensation would equal the average of the bonus
compensation paid or payable to Dr. Scott during the thirty-six months preceding
the disability.  The incentive  compensation  would equal the greater of (i) the
average of the  incentive  compensation  paid or payable to Dr. Scott during the
thirty-six months preceding the disability or (ii) an amount equal to (x) 50% of
Dr.  Scott's  base  salary  for any year in which  the  Company's  revenues  and
operating profits increased 12% over the prior year, (y) 75% of Dr. Scott's base
salary if the Company's annual revenues and operating profits increased 17% over
the prior year or (z) 100% of Dr.  Scott's base salary if the  Company's  annual
revenues  and  operating  profits  increased  22% over the  prior  year.  If the
disability is continuous for a period of twelve  consecutive  months,  Dr. Scott
would be entitled  to receive  75% of his base  salary and the  averages of both
incentive  compensation  and  bonus  compensation  paid or  payable  during  the
thirty-six  months preceding the disability,  which amount shall be increased by
five percent annually. In the event of Dr. Scott's death prior to the age of 70,
his  surviving  spouse (or his  estate in the event of her death or  remarriage)
would be entitled to receive for ten years an amount  equal to Dr.  Scott's base
salary and the average of both  incentive  compensation  and bonus  compensation
paid or payable during the thirty-six  months preceding his death,  which amount
shall be increased by five percent annually.

         If the Company  terminates Dr. Scott without cause,  Dr. Scott would be
entitled to receive for the remainder of the then existing five-year term of the
agreement his base salary and the averages of both  incentive  compensation  and
bonus  compensation  paid or payable  during  the  thirty-six  months  preceding
termination,  which amount shall be increased by five percent  annually.  In the
event that Dr.  Scott  terminates  his  employment  agreement as a result of the
Company's  material  breach  thereof,  which breach remains  uncured for 60 days
after written notice, Dr. Scott would be entitled to receive  compensation equal
to that payable to him upon termination by the Company without cause.

         In order to facilitate  the December 31, 1997 purchase by Scott Medical
Group, LLC (see "Item 13. Certain Relationships and Related Transactions."), the
Company entered into a partial release of the non-compete agreements pursuant to
the employment  agreement between Dr. Scott and the Company.  The release allows
Scott Medical Group, LLC and any other Scott entity to own,  manage,  operate or
otherwise  provide physician  practice and management  services to physician and
clinic practices.

Jacque J. Sokolov, M.D.

         In connection with its  acquisition of Advanced  Health Plans,  Inc. in
November of 1994,  the Company  entered into an  employment  agreement  with Dr.
Sokolov.  During the five year term of the agreement,  the Company was obligated
to use its best efforts to

                                       64
<PAGE>

cause Dr.  Sokolov  to be  elected  Chairman  or Vice  Chairman  of the Board of
Directors.  In addition to serving as Chairman or Vice Chairman, Dr. Sokolov was
to serve in other  appropriate  management  positions  with the  Company  or its
subsidiaries and report directly to the Chief Executive  Officer.  Dr. Sokolov's
base salary under the  agreement  was $400,000 per year. He also was entitled to
receive  incentive cash compensation in the amount of not less than $150,000 per
year. In addition,  in the event the  compensation  paid to Dr. Sokolov by third
parties for speaking and specified consulting engagements was less than $450,000
per year, Dr. Sokolov was to receive from the Company the difference between the
amount  actually  paid  as a  result  of  such  engagements  and  $450,000.  The
employment  agreement  imposes  certain  confidentiality  obligations  upon  Dr.
Sokolov and  contains a covenant  not to compete with the Company or solicit its
employees for a specified period of time. The agreement was terminable by either
party upon 90 days' notice.  If Dr. Sokolov was terminated  without cause, he is
entitled to receive an ongoing  payment of his base  salary,  minimum  incentive
bonus and speaking and consulting  guarantees for the remainder of the unexpired
term.  Effective January 18, 1998, Dr. Sokolov resigned as a member of the Board
of  Directors  and as an officer  of the  Company,  pursuant  to a letter to the
Company dated January 18, 1998. Dr. Sokolov indicated in a letter to the Company
that he was resigning due to the fact that he would be commencing an arbitration
against the Company related to his employment agreement.

Deborah L. Redd

         In September  1996, Ms. Redd entered into an employment  agreement with
the Company  pursuant to which she became  employed as  President  of  Coastal's
Managed Care group,  as well as President of Coastal  Managed  Healthcare,  Inc.
("CMH")  and  an  officer  of  Health  Enterprises,   Inc.  ("HEI"),  HealthPlan
Southeast,  Inc.  ("HPSE") and served on the Board of  Directors  of HEI,  HPSE,
Better Health Plan,  Inc.  ("BHP") and Doctors Health Plan,  Inc.  ("DHP").  The
effective  date of the  agreement  was  September  1, 1996 with an initial  term
through  September  30,  1998.  Under the  agreement,  Ms. Redd was  entitled to
receive a base salary of $234,000  per year through  August 31, 1997,  which was
subject to annual  review and  adjustment  as of September 1 of each year during
the term of employment. Ms. Redd was eligible for performance bonuses based upon
certain  performance  criteria  up to a maximum of $90,000  per year.  Effective
February 19, 1998, Ms Redd submitted her resignation  from all positions held at
the  Company,  including  the  Company's  Board  of  Directors.  The  employment
agreement imposes certain confidentiality obligations upon Ms. Redd and contains
a covenant  not to compete  with the  Company or  solicit  its  employees  for a
specified period of time.

Edward L. Suggs, Jr.

         On March 1, 1997,  Mr. Suggs entered into an employment  agreement with
Healthcare  Business Resources,  Inc. ("HBR"), a subsidiary of the Company.  The
initial term of the  agreement is from March 1, 1997 through  February 29, 2000.
Under the agreement,  Mr. Suggs will serve as the President and Chief  Executive
Officer  of HBR and shall  serve on the Board of the  Company.  Mr.  Suggs  will
receive  an annual  base  salary of  $220,000,  subject  to  annual  review  and
adjustment  as of each March 1 during the term of the  agreement.  As an initial
signing bonus, the Company released Mr. Suggs

                                       65
<PAGE>

from any claim to the then  outstanding  indebtedness of  approximately  $16,000
evidenced by a promissory note in the original face amount of $25,000. Mr. Suggs
will be eligible for up to $20,000 each quarter in  performance  bonuses,  based
upon the financial  performance of HBR and other factors,  which may include the
discretion  of HBR or the Company.  The  employment  agreement  imposes  certain
confidentiality  obligations  upon Mr.  Suggs and  contains  a  covenant  not to
compete  with HBR or its  affiliates  or solicit its  employees  for a specified
period of time.

Eugene F. Dauchert, Jr.

         On July 1, 1997,  Mr.  Dauchert  entered  into a restated  and  amended
employment  agreement with the Company pursuant to which Mr. Dauchert will serve
as an Executive Vice President and Chief Administrative  Officer of the Company.
The effective date of the agreement was September 1, 1996 and terminates on June
30,  1998.  After June 30,  1998,  the term may be  extended on a month to month
basis.  Mr.  Dauchert will receive an annual base salary of $180,000 and will be
eligible  for an  incentive  or  performance  bonus  subject  to  his  continued
employment  through  June  30,  1998  and the  achievement  by the  Company,  of
specified cash flow goals for the second fiscal quarter of 1998. Mr. Dauchert is
also eligible for certain  divestiture  bonuses as described below. Mr. Dauchert
received a divestiture bonus, based upon the sale of the HealthNet Medical Group
operations of Physician  Planning Group,  Inc., of  approximately  $35,000 and a
divestiture  bonus of 0.5% of net proceeds as defined by the agreement  based on
the  sale  or  divestiture  of  Integrated  Provider  Networks,  Inc.,  Practice
Solutions,  Inc., and certain remaining clinics in south Florida. The employment
agreement  imposes  certain  confidentiality  obligations  upon Mr. Dauchert and
contains a covenant not to compete with the Company or its affiliates or solicit
its employees for a specified period of time.

Henry J. Murphy

         In November of 1996,  Mr. Murphy  entered into an employment  agreement
with the Company  pursuant to which Mr. Murphy became  employed as President and
Chief Executive Officer of the Company.  The effective date of the agreement was
November 1, 1996,  with an initial  term that ended on February  28,  1997.  The
agreement  was not renewed.  Under the  agreement,  Mr.  Murphy  received a base
salary of $30,000 per month.  Mr. Murphy received a $100,000  signing bonus upon
the execution of the  agreement.  In addition,  pursuant to the  agreement,  Mr.
Murphy became entitled to receive additional  compensation in the form of either
stock  appreciation  rights  (SARs),  a  debt  restructure  fee,  or a  business
combination transaction fee. Mr. Murphy had the right to receive an amount equal
to any  appreciation  occurring from and after November  1,1996 in up to 100,000
shares of the Company's common stock. As of the date of his termination,  60,000
of Mr.  Murphy's SARs had vested and 40,000 were  forfeited.  Mr. Murphy had the
right to  exercise  the SARs  which had vested at any time and from time to time
during the two-year period beginning March 1, 1997 and ending February 28, 1999.
At any  time on or  before  60 days  after  the  termination  of his  employment
agreement, Mr. Murphy had the right to make an election to retain the SARs or to
forfeit them and be eligible  instead to receive either the debt restructure fee
or the business combination transaction fee.

                                       66
<PAGE>

         On June 17,  1997,  Mr.  Murphy  filed a lawsuit  against  the  Company
alleging that the Company has failed to make certain  incentive  payments to him
under his prior written  employment  agreement.  Mr. Murphy is alleging that the
Company's  transaction  with  National  Century  Financial   Enterprises,   Inc.
constitutes a sale of more than half of the assets of the Company qualifying him
to receive  certain  payments.  The  Company  intends to  vigorously  defend its
position and at this stage of the litigation,  exposure to the Company cannot be
determined.

         Upon  presentation  in accordance  with Company  policies,  the Company
reimbursed  Mr.  Murphy  for all  reasonable  and  necessary  travel  and living
expenses and other disbursements incurred by Mr. Murphy on behalf of the Company
in the  performance of his duties under his employment  agreement.  These travel
and living  expenses  included Mr.  Murphy's  weekly plane trips to and from his
home in Atlanta,  Georgia,  and daily meal and living expenses in Durham,  North
Carolina, and other locations to which Mr. Murphy traveled on company business.

COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

         Mr. Berger and John P.  Mahoney,  M.D. were elected to serve as members
of the Compensation Committee on December 3, 1996. Dr. Mahoney resigned from the
Board of Directors  effective  December 31, 1997.  Mr. Potter became a member of
the Committee in April 1997.  Neither Mr. Berger nor Mr. Potter have ever served
as an officer or employee of the Company or any of its subsidiaries. Dr. Mahoney
served as President and Chief Executive Officer of HealthPlan Southeast, Inc., a
subsidiary of the Company, from December 1994 through December 1995.

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS

         Except as  indicated  under  "Security  Ownership of  Management,"  the
following are the only  shareholders  known to the Company to be the  beneficial
owners of more than five  percent of the  Company's  common stock as of February
28, 1998:

Name and Address                          Amount and Nature          Percent of
of Beneficial Owner                    of Beneficial Ownership      Common Stock
- --------------------------------------------------------------------------------

Heartland Advisors, Inc......................4,644,200(1)              12.39%
    790 North Milwaukee Street
    Milwaukee, Wisconsin 53202

(1) Includes  4,160,900  shares with respect to which the shareholder has voting
and investment  power and 483,300  shares with respect to which the  shareholder
has investment power only.

                                       67
<PAGE>

SECURITY OWNERSHIP OF MANAGEMENT

         The following table sets forth certain  information with respect to the
beneficial  ownership of the Company's  common stock as of February 28, 1998 by:
(i) each director of the Company;  (ii) each Named Executive Officer;  and (iii)
all current directors and executive  officers of the Company as a group.  Except
as otherwise  indicated,  each shareholder  named has sole voting and investment
power with respect to such shareholder's securities.

<TABLE>
<CAPTION>
                           Name and Address(1)              Amount and Nature              Percent of
Title of Class             of Beneficial Owner           of Beneficial Ownership             Class(2)
- ------------------------------------------------------------------------------------------------------

<S>                        <C>                                 <C>                             <C>  
Common Stock               Steven M. Scott, M.D.               18,146,792(3)                   48.4%
Common Stock               Bertram E. Walls, M.D.               1,457,238(4)                    3.9%
Common Stock               Edward L. Suggs, Jr.                    44,075(5)                     *
Common Stock               Sherman M. Podolsky, M.D.              41,630(6)                      *
Common Stock               Charles E. Potter                       37,632(7)                     *
Common Stock               Deborah L. Redd                            400                        *
Common Stock               Eugene F. Dauchert, Jr.                     --                        *
Common Stock               Mitchell W. Berger                          --                        *
Common Stock               Henry J. Murphy                             --                        *
Common Stock               Raymond A. Spillman                         --                        *
Shares of Common Stock
   owned by all directors and
   executive officers as a group
   (10 persons)                                                19,570,275(8)                   52.2%
</TABLE>

(1)  Except as otherwise indicated,  the address for all persons listed below is
     c/o Coastal Physician Group, Inc., 2828 Croasdaile Drive, Durham, NC 27705.

(2)  An asterisk (*) indicates less than one percent.

(3)  Includes  6,249,977  shares held by Scott Medical  Partners,  LLC, of which
     voting power is held by Dr. and Mrs.  Scott.  Also includes  535,766 shares
     held by a  partnership,  the  partners  of which are Dr.  Scott and certain
     trusts  established for the benefit of Dr. Scott's children.  Dr. Scott has
     sole  investment  power with respect to these  shares,  but has sole voting
     power with respect to only 390,666 shares. Voting power with respect to the
     remaining  145,100  shares is held by Dr. Walls,  as trustee of the trusts.
     Also includes  10,000 shares held by Mrs.  Scott which Dr. Scott  disclaims
     beneficial ownership and 2,392 shares subject to a presentable  exercisable
     option.. Also includes 1,703,334 shares held by Century

                                       68
<PAGE>

     Insurance over which Dr. Scott may be deemed to share voting and investment
     power.  Dr.  Scott  disclaims  beneficial  ownership  of the shares held by
     Century Insurance.  The remaining 9,645,323 shares are held directly by Dr.
     Scott.  Dr. Scott's address is 17020 Brookwood Drive,  Boca Raton,  Florida
     33496.

(4)  Includes  145,100  shares with  respect to which Dr. Walls has voting power
     and Dr. Scott has investment power. Such shares also are included under the
     beneficial  ownership of Dr. Scott. Also includes  1,171,695 shares held by
     certain trusts  established  for the benefit of Dr.  Scott's  children with
     respect to which Dr. Walls, as trustee,  holds voting and investment power.
     Includes  119,143 shares held by S&W Limited  Partnership  for which voting
     and investment power is held by Dr. Walls. Includes 5,000 shares subject to
     exercisable stock options and 14,300 shares reserved for issuance under the
     Deferred Compensation Plan.

(5)  Includes 22,976 shares subject to presently  exercisable  stock options and
     265  shares  owned by Mr.  Suggs'  wife.  Mr.  Suggs  disclaims  beneficial
     ownership of the shares held by his wife.

(6)  Includes 27,532 shares subject to exercisable stock options.

(7)  Includes  3,000 shares subject to presently  exercisable  stock options and
     23,630 shares reserved for issuance under the Deferred Compensation Plan.

(8)  Includes 55,808 shares subject to presently  exercisable  stock options and
     36,330 shares reserved for issuance under the Deferred Compensation Plan.

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

         The Company has entered into various  transactions  and has  continuing
relationships  with  American  Alliance  Holding  Company  and  certain  of  its
affiliates ("Alliance"),  including Century American Insurance Company ("Century
Insurance") Dr. Scott is the beneficial  owner of all of the outstanding  shares
of common stock of Alliance.  These transactions and relationships are described
below.

         The Company  engages in  transactions  with American  Alliance  Holding
Company  and  its  affiliates   ("Alliance"),   Century  Insurance  and  Quality
Management  Consultants,  Inc.,  and  affiliates  thereof.  Amounts  paid by the
Company to these entities, net of amounts received,  were $4,186,000 $5,135,000,
and  $3,371,000  for  the  years  ended  December  31,  1997,  1996,  and  1995,
respectively.

         On  January  1,  1998,  the  Company  entered  into a  Risk  Management
Agreement  with  Century  Insurance  and Medical  Group  Purchasing  Association
("MGPA") pursuant to which Century Insurance agrees to provide,  and the Company
and MGPA agree to purchase,  insurance policies providing professional liability
insurance  for the Company and the  physicians  and other  medical and  clinical
providers under contract with the Company.  The initial term of the agreement is
four years and the agreement thereafter  automatically renews for additional one
year terms unless  either party gives notice of  non-renewable  by July 1 of the
year  preceding the renewal term.  The terms and

                                       69
<PAGE>

conditions of the coverage are the same as has historically been provided to the
Company  and MGPA in the past.  The  premium  for the  coverage  is based on the
underwriting criteria and loss experience of the account. The agreement contains
a profit-sharing mechanism rewarding the insureds if the loss experience exceeds
expectations.  The  Company  and MGPA have the  ability to "opt out" of coverage
under the  policy in the event that a  competitive  policy is located at a price
less than 85% of the quoted premium from Century Insurance.  The policy may also
be canceled by the Company and MGPA by giving  notice by July 1 of a policy year
and paying a  termination  fee equal to 10 percent of the  insurance  premium in
effect if terminated in year two, 7.5 percent if terminated  during year 3 and 5
percent if terminated thereafter.

         The Company and certain of its  subsidiaries  sublease  office space in
Durham,  North Carolina,  consisting of  approximately  59,000 square feet, from
Alliance under sublease  agreements.  The building is owned by American Alliance
Real Estate Corporation which leases the building to Century  Insurance.  During
the years ended December 31, 1997 and 1996,  the Company paid Century  Insurance
approximately  $562,000  and  $960,000,   respectively,   under  these  sublease
agreements. The Company, American Alliance Holding Company and Century Insurance
are all liable to the holder of a first  mortgage on the  property for the total
rentals specified in the prime lease.  However,  the Company has an agreement of
indemnity  from  American  Alliance  Holding  Company  with respect to the total
rentals,,  and American  Alliance  Holding Company has an agreement of indemnity
from  Century  Insurance.  The prime  lease  commenced  in August 1988 and has a
fifteen-year term requiring minimum lease payments of approximately $788,000 per
year for years one through five, $959,000 per year for years six through ten and
$1,166,000 per year for years eleven through fifteen.

         The Company  leased  office space from  corporations  controlled by Dr.
Scott  and  paid  rent to such  corporations  during  1997,  1996,  and  1995 of
$286,000,  $1,513,000,  and  $517,000,  respectively.  As discussed  below,  the
Company  entered into a  termination  of the  remaining  lease  obligations  for
certain office space under lease through 2002.

         On January 21, 1997, the Company  authorized  47,500 shares of Series A
Convertible Preferred Stock ("Series A Preferred") and 32,500 shares of Series B
Convertible  Preferred  Stock  ("Series  B  Preferred"),  and on June  3,  1997,
authorized  1,200,000 shares of Series C Convertible  Preferred Stock ("Series C
Preferred"),  each series with a par value of $0.01 per share.  On February  21,
1997,  the  Company  increased  the  number  of  authorized  shares  of Series B
Preferred from 32,500 to 33,000.  The Company  reserved 800,000 shares of common
stock for  issuance  upon  conversion  of the  Series A  Preferred  and Series B
Preferred and 12,000,000  shares of common stock for issuance upon conversion of
the Series C Preferred.

         In January 1997,  pursuant to a reimbursement  agreement dated December
31, 1996 between the Company and Dr. Scott, the Company issued 226,690 shares of
common  stock  and  32,739  shares  of  Series  B  Preferred  to  Dr.  Scott  in
satisfaction of the Company's obligation to reimburse certain proxy solicitation
expenses incurred by Dr. Scott.

                                       70
<PAGE>

         Also in January 1997, the Company, Dr. Scott and Dr. Walls entered into
a dismissal  agreement with respect to certain  litigation  whereby the Company,
with court approval,  agreed to reimburse Dr. Scott and Dr. Walls for legal fees
and expenses  incurred by them in the  litigation by issuing  shares of Series A
Preferred  to  Dr.  Scott  and  Dr.  Walls  in  satisfaction  of  the  Company's
obligation.  The  Company  has  issued  a total of  46,033  shares  of  Series A
Preferred Stock in payment of the aggregate amount of fees and expenses incurred
by Dr. Scott and Dr. Walls.

         Simultaneously.  with the National Century  Financing  transaction,  as
explained in Note 7 of "Notes to Consolidated Financial  Statements",  Dr. Scott
invested  $10 million in cash in the Company and  received  1,000,000  shares of
Series C Preferred. The Series C Preferred, subject to approval by the Company's
common  stockholders,  is convertible into 10,000,000 shares of common stock. In
addition,  Dr. Scott  received  84,983  shares of Series C Preferred and 240,000
shares of common stock in satisfaction of certain obligations owed to him by the
Company of approximately $1.1 million.

          Following  the  Company's  annual  stockholders  meeting  at which the
stockholders approved the confidentiality of the Series A Preferred,  the Series
B  Preferred,  and the Series C  Preferred,  outstanding  shares of the Series A
Preferred,  the Series B Preferred, and the Series C Preferred were converted in
October  1997 into  common  stock at a  conversion  rate of ten shares of common
stock for each share of Series A  Preferred,  Series B  Preferred,  and Series C
Preferred.

         On December  31,  1997,  the  Company  and certain of its  subsidiaries
closed on a  transaction  pursuant  to which the Company  sold to Scott  Medical
Group LLC ("Scott  Medical")  the  following  assets:  (i) all of the issued and
outstanding  stock of  Integrated  Provider  Networks,  Inc.,  a North  Carolina
corporation ("IPN") which provides practice and physician management services to
professional  corporations;  (ii) all of the  issued  and  outstanding  stock of
Practice  Solutions,  Inc., a North Carolina  corporation ("PSI") which provides
billing  services to  freestanding  physician  practices and clinics,  including
those under management by IPN; (iii) all of the issued and outstanding  stock of
Sunlife  OB-GYN  Services  of  Broward  County,   Inc.,  a  Florida  corporation
("Sunlife");  (iv)  substantially all of the assets of Ft. Lauderdale  Perinatal
Associates, which operates two physician clinics located in Plantation,  Florida
and Fort  Lauderdale,  Florida,  and Physician  Access Center,  which operates a
clinic  in San  Francisco,  California  (collectively  the  "Clinics");  and (v)
certain  accounts  receivable of Sunlife (the "Sunlife  Receivables")  which had
previously  been  sold to  NPF-XI,  Inc.  pursuant  to a series  of  receivables
securitizations  and  other  financing  arrangements  between  the  Company  and
subsidiaries of National Century Financial Enterprises, Inc. (collectively,  the
Clinic  and  Receivable  sale").  Scott  Medical  is a  privately  held  limited
liability  company  which is  controlled  by Dr.  Scott.  The  December 31, 1997
transactions  were  adjusted  between  the parties so as to be  effective  as of
November 1, 1997. The purchase price was $10,100,000, paid $5,000,000 in cash at
the  closing  with the  balance  paid with a short term  promissory  note in the
principal amount of $5,000,000 and a receivable from the purchaser in the amount
of $100,000, both of which were paid in full in January 1998. The purchase price
was reduced by approximately $192,000 due to an increase in the

                                       71
<PAGE>

liabilities of IPN (including  Prim Med, Inc., its wholly owned  subsidiary) and
PSI from the  liabilities as shown on their  September 30, 1997 balance  sheets.
The  purchase  price may be further  reduced if the  actual  collections  of the
outstanding  accounts  receivable of IPN,  Prim Med,  Inc. and the  professional
corporations  under management by IPN varies five percent from the value of said
receivables as agreed upon by the parties.

         In addition,  Scott  Medical gave a promissory  note (the  "Receivables
Purchase Note") as the consideration for Scott Medical's purchase of the Sunlife
Receivables.   The  principal  amount  of  the  Receivables   Purchase  Note  is
$1,000,727, the book value of the Sunlife Receivables.  The Receivables Purchase
Note is subject to  adjustment  if the actual  collections  with  respect to the
Sunlife  Receivables  varies  five  percent  from the  principal  amount  of the
Receivables  Purchase Note. The Receivables  Purchase Note bears interest at the
applicable federal rate,  payable quarterly,  with all principal and accrued but
unpaid interest payable in full on October 31, 1998.

         Effective  May 31, 1997,  the Company sold  certain  assets  related to
seven primary care clinics operated by the Company to Scott Medical.  Subsequent
to that  sale  of  assets,  IPN  and PSI  provided  billing  services  and  some
management  services to the seven clinics for Scott  Medical.  After the May 31,
1997  closing,  IPN advanced  certain  expenses for the benefit of Scott Medical
with respect to these  clinics so that the net owed to Coastal by Scott  Medical
is $2,368,235.  The amount owed by Scott Medical pursuant to the purchase of the
May clinics is subject to final  verification  by both  parties.  As part of the
Clinic and Receivable Sale , Scott Medical assumed all of the lease  obligations
of a subsidiary of the Company Chateau Limited Liability Company ("Chateau"),  a
privately held limited  liability  company which is controlled by Dr. Scott. The
estimated  balance of the gross lease  payments  that were due under the Chateau
lease after October 31, 1997 is $2,778,056. The parties negotiated a release fee
for the Chateau  lease of  $750,000.  This  amount will be credited  against the
amount Scott Medical owes the Company relating to the purchase of the clinics in
May 1997,  such that the net  amount  owed to the  Company  by Scott  Medical is
$1,618,235.  At the  closing  of the Clinic and  Receivable  Sale Scott  Medical
delivered a promissory  note in the  principal  amount of $810,283  payable to a
subsidiary of the Company bearing  interest at the applicable  federal rate with
interest payable quarterly and the entire balance due in one (1) year.

         For a period of twelve (12) months from the  December  31, 1997 closing
of the Clinic and  Receivable  Sale,  the  company  has a call option (the "Call
Option") on the assets  sold  whereby  the  Company  may  repurchase  from Scott
Medical the entirety (but not less than the entirety) of the assets purchased on
December 31, 1997 by Scott  Medical.  If the Company  exercises the Call Option,
the Company  will pay Scott  Medical a purchase  price equal to Scott  Medical's
investment in the assets with a twelve  percent  (12%)  annualized  return.  If,
during the twelve (12) month period the Call Option is in effect,  Scott Medical
receives a bona fide offer to purchase  the assets from a third party  purchaser
other than the Company,  Scott Medical is required to notify the Company of such
offer and the Company has thirty  (30) days from such  notification  in which to
determine whether to exercise its Call Option. If the third party offer is for a
purchase price less than the purchase price computed pursuant to the Call Option
or upon more  favorable  terms than the Call Option,  the Company shall have the
right to exercise its

                                       72
<PAGE>

Call Option,  but only upon the more favorable terms and conditions of the third
party offer.  During the 12 month Call Option period,  the Company has the right
to market  the  assets  subject  to the Call  Option to  potential  third  party
purchasers.

         As part of the Clinic and  Receivable  Sale the Company  agreed that it
would not provide  Comprehensive  Services (as defined  below) to physicians and
clinic  practices,  whether  primary or  specialty  care  practices  and whether
free-standing  or  hospital-based,  in the locations and during the time periods
set forth in the Restricted Periods (as defined below). However, nothing in this
non-compete covenant would impair the Company's right or ability (i) to exercise
the Call  Option or (ii) to continue  to provide  Comprehensive  Services to any
medical  practice which is currently  receiving  services from the Company.  For
purposes  of  the  non-compete,  "Comprehensive  Services"  shall  mean  owning,
managing,  operating or otherwise  providing  physician  management services (i)
which  involve as a principal  component  the  provision of  site-based  medical
support personnel,  site-based  administrative  support  personnel,  medical and
office supplies, inventory and facilities, or (ii) pursuant to which the Company
or its undertakes  substantial  responsibility  for the overall operation of the
medical practice.  For the purposes of the non-compete covenant, the "Restricted
Period" means (i) with respect to the counties of Wake, Durham and Orange, North
Carolina  and with  respect to any area  within a fifty (50) mile  radius of any
Clinic or within a fifty (50) mile radius of any medical  practice  owned by IPN
or Sunlife on the closing  date, a period of two (2) years from the closing date
and thereafter  until the Company  terminates the Restricted  Period at any time
following the second  anniversary of the closing date by giving ninety (90) days
prior written notice to Scott Medical;  and (ii) with respect to the rest of the
United States, a period of one (1) year from the closing date, provided that the
Company may,  with (80) days prior  written  notice,  terminate  the  Restricted
Period  with  respect  to the  rest of the  United  States  prior  to the  first
anniversary of the closing date.

         In  order  to  facilitate  the  Clinic  and  Receivables  Sale to Scott
Medical,  the Company  also entered  into a partial  release of the  non-compete
agreements under the Employment Agreement between Dr. Scott and the Company. The
release allows Scott Medical and any other Scott entity to own, manage,  operate
or otherwise provide physician practice and management services to physician and
clinic practices.

         The Company  had  received  prior  expressions  of interest  from third
parties regarding the purchase of IPN, a substantial  portion of the assets sold
in the Clinic and  Receivables  Sale.  The sale of IPN to Scott  Medical  was on
financial terms comparable to these third party offers.  The Company was able to
sell IPN to Scott Medical  without the  possibility of disruption of the clinics
managed by IPN, which was a concern in any possible sale to other  parties.  The
Company  received a fairness  opinion  relating to the financial  aspects of the
purchase of IPN, a substantial portion of the assets sold in the Clinic December
31, 1997 transaction.

         On March 18,  1998,  Coastal  Physician  Group,  Inc.  (the  "Company")
completed the sale of Doctors Health Plan, Inc.  ("Doctors  Health Plan") to DHP
Holdings,  LLC (the "Purchaser") for a price of $5,993,000.  The Purchaser was a
privately held

                                       73
<PAGE>

limited liability company controlled by Dr. Scott. The Purchaser acquired all of
the outstanding stock of Doctors Health Plan in the transaction,

         Doctors  Health Plan is a commercial  Health  Maintenance  Organization
licensed to operate in the State of North Carolina and certain counties in South
Carolina with  approximately  41,000  members.  Doctors Health Plan  experienced
substantial growth in membership in 1997 and reported revenues of $32,734,000 in
1997, but also reported  losses of $15,702,000 for the 1997 calendar year in its
annual  statement  filed with the North  Carolina  Department of  Insurance.  In
addition,  Doctors  Health  Plan  reported a loss of  $994,000  on  revenues  of
$5,045,000  for  January  1998 in its  monthly  statement  filed  with the North
Carolina  Department of Insurance.  As a result of these losses, the Company was
required to make  significant  capital  contributions  to Doctors Health Plan in
1997 and in 1998 prior to its sale, and the Company anticipated that substantial
additional capital contributions would be required during the balance of 1998.

         Doctors Health Plan was the subject of a Market  Practices  Examination
as of October  22,  1997  conducted  by  representatives  of the North  Carolina
Department of Insurance  that was finalized in February  1998.  The  examination
disclosed 51  regulatory  violations  and resulted in a fine of $500,000 and the
requirement  that  Doctors  Health Plan make an  additional  capital  deposit of
$1,000,000 with the North Carolina Commissioner of Insurance.  The obligation to
pay the fine has been deferred by the North Carolina  Commissioner  of Insurance
and will be the  responsibility  of Doctors Health Plan and the Purchaser  after
closing.

         After a thorough  review of the  operations of Doctors  Health Plan and
the  anticipated  funding  that would likely be required in the balance of 1998,
the Company  determined  that the best course of action was to divest the asset.
The Company retained the investment  banking firm of Advest,  Inc. to advise the
Company,  to assist in  completing  the sale and to  render a  fairness  opinion
regarding  the  financial  aspects of the  transaction.  The purchase  price was
determined by negotiation  between the Company and Purchaser,  and Advest,  Inc.
advised the Company on the fairness of financial aspects of the transaction.

         The North  Carolina  Commissioner  of  Insurance  issued an order dated
March 11, 1998  exempting the transfer from the provisions of North Carolina law
that  pertain  to  acquisition  of control  of a  domestic  insurer.  This order
required  the  Company to complete  the  transaction  within  thirty days and to
convert to equity a $1,100,000  loan made by the Company to Doctors  Health Plan
on March 2, 1998.

         Immediately  prior to the closing of the sale of Doctors  Health  Plan,
transaction  the Company  made an  additional  equity  contribution  required by
regulatory  authorities  in the amount of $993,532 to Doctors  Health Plan. As a
result the purchase price of $5,000,000 was increased to $5,993,532 to take into
account this equity contribution.  The purchase price was paid $993,532 in cash,
with the balance paid pursuant to a $5,000,000  promissory note (the "DHP Note")
due and payable by March 28, 1998.  The DHP Note bears  interest after March 28,
1998 at the rate of twelve  percent  (12%) per annum until paid. If the DHP Note
is not paid in full within the earlier of (i) ninety (90) days from

                                       74
<PAGE>

March 18, 1998 or (ii)  forty-five  (45) days after the Company gives  Purchaser
notice  that it  intends  to  accept a Strike  Price  (as  defined  below).  The
purchaser has agreed to provide collateral to secure the DHP Note.

         For a period of twelve (12) months  from the  closing,  the Company has
the right to market  and sell  Doctors  Health  Plan to  potential  third  party
purchasers.  If the Company  locates a third party  purchaser  during the twelve
(12) month period who is willing to purchase Doctors Health Plan at a price that
exceeds the Strike Price, then Coastal may elect to have the sale take place. If
the Company  elects to sell to the third party,  the  Purchaser has the right to
either (i) pay to the Company an amount equal to the amount that would have been
received by the Company as a result of the sale to the third party or (ii) agree
to consummate a closing and sale to the third party purchaser.  The Strike Price
is a price that will yield net proceeds of the sale (after  payment of the costs
to market and sell to a third party) in an amount equal to the  Purchaser's  net
investment in Doctors Health Plan plus a twelve percent (12%) annualized  return
on the net  investment.  Purchaser's  net investment is equal to the Purchaser's
purchase price plus the  Purchaser's  contributions  to Doctors Health Plan plus
Purchaser's  out-of-pocket costs to acquire,  finance and operate Doctors Health
Plan minus any distributions or dividends Purchaser receives from Doctors Health
Plan.

         If the Company enters into a definitive agreement to sell Doctors Heath
Plan at a price  greater  than the Strike  Price before the earlier of (i) April
17, 1998 or (ii) the date the  Purchaser has  contributed  $2,000,000 to Doctors
Health Plan, the net proceeds  (after payment of marketing  expenses of the sale
to the third party) of the sale will be divided  between the  Purchaser  and the
Company.  In  such  event,  Purchaser  will  receive  an  amount  equal  to  the
Purchaser's net investment plus a twelve percent (12%) annualized  return on the
net investment, and the Company will receive the balance of the net proceeds. If
the sale is subsequent to the earlier of the above events, the Purchaser will be
entitled to receive from net proceeds  (after  payment of marketing  expenses of
the sale to the third party) the greater of (i) the  Purchaser's  net investment
plus a twelve percent (12%) annualized  return on such amounts or (ii) an amount
equal  to the  Purchaser's  net  investment  plus  fifty  percent  (50%)  of the
difference  between  (x) the  amount  of the net  proceeds  less  the  Company's
investment  banker  fees and  expenses  in selling  Doctors  Health  Plan to the
Purchaser minus (y) the  Purchaser's  net investment.  In all potential sales to
third party  purchasers,  the  Purchaser  has the right to retain  ownership  of
Doctors  Health  Plan and pay the  Company  an amount  equal to the  amount  the
Company would have received as a result of the sale to the third party.

         As part of the transaction, the Company agreed to continue to offer the
employees  of the Company and its  affiliates  the option to use Doctors  Health
Plan under the  Company's  health  benefits  program for one year  following the
closing and to not offer employees an option to use any other health maintenance
organization, preferred provider organization or similar health plan during that
one year period in the State of North  Carolina or in any area of South Carolina
where Doctors Health Plan is licensed.

         As part of the transaction,  the Company agreed to a partial release of
its non-compete agreement with Dr. Scott . This partial release allows Dr. Scott
to operate health

                                       75
<PAGE>

maintenance  organizations  and similar  organizations in all areas,  other than
those  areas in Florida  and Georgia  where the  Company  and/or its  affiliates
operate health maintenance  organizations.  In addition, the Company agreed that
for a one year period following the closing date, the Company will not engage in
the business of providing health maintenance organization or similar services in
the  State of North  Carolina  and  those  service  areas in the  State of South
Carolina served by Doctors Health Plan.

         For the year ended  December 31, 1997,  the Company paid  approximately
$236,000 to Berger, Davis & Singerman, a law firm of which Mr. Berger has been a
partner since 1985.  Berger,  Davis & Singerman  also provides legal services to
Dr. Scott and business entities controlled by Dr. Scott.

         Prior to his employment by the Company as Chief Financial Officer,  Mr.
Kuoni served as a consultant to the Company.  Consulting  fees and expenses paid
to Mr. Kuoni during the year ended  December 31, 1997 amounted to  approximately
$228,000. The Company also paid temporary housing expenses incurred by Mr. Kuoni
on behalf of the Company in the  performance  of his duties under his consulting
agreement.


                                       76
<PAGE>

                                     PART IV

ITEM 14.  EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K

                                                                 PAGE NUMBER
(A)  1. FINANCIAL STATEMENTS:                                  IN THIS FORM 10-K

        Report of Independent Auditors.............................    24
        Consolidated Balance Sheets, December 31, 1997 and 1996 ...    25
        Consolidated Statements of Operations, Years Ended
        December 31, 1997, 1996 and 1995...........................    26
        Consolidated Statements of Shareholders' Equity (Deficit),
        Years Ended December 31, 1997, 1996 and 1995...............    27
        Consolidated Statements of Cash Flows, Years Ended
        December 31, 1997, 1996 and 1995...........................    28
        Notes to Consolidated Financial Statements.................    29

                                                                 PAGE NUMBER
     2. FINANCIAL STATEMENT SCHEDULES                          IN THIS FORM 10-K

        Report of Independent Auditors.............................   S-1
        Schedule II--Valuation and Qualifying Accounts.............   S-2

     3. EXHIBITS
        The  exhibits  which are filed  with this Form 10-K are set forth in the
        Exhibit Index, which immediately precedes the exhibits to this report.

(B)     REPORTS ON FORM 8-K
        No reports on Form 8-K were filed during the last quarter for the period
        covered by this report.

                                       77
<PAGE>

                                   SIGNATURES

         Pursuant to the  requirements  of Section 13 or 15(d) 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.

Date: June 5, 1998

                                       COASTAL PHYSICIAN GROUP, INC.

                                       By: /S/ Steven M. Scott, M.D.
                                           -------------------------------------
                                           Steven M. Scott, M.D.
                                           Chairman of the Board of Directors,
                                           President and Chief Executive Officer

         Pursuant to the  requirements  of the Securities  Exchange Act of 1934,
this report has been signed by the following  persons in the  capacities  and on
the dates indicated.

<TABLE>
<CAPTION>
                                                Title                            Date
<S>                               <C>                                         <C>
/S/ Steven M. Scott, M.D.         Chairman of the Board of Directors          June 5, 1998
- ------------------------------    President and Chief Executive Officer
    Steven M. Scott, M.D.        

/S/ Charles F. Kuoni, III         Executive Vice President                    June 5, 1998
- ------------------------------    Chief Financial Officer and
    Charles F. Kuoni, III         Chief Accounting Officer

/S/ Edward L. Suggs, Jr.          Director                                    June 5, 1998
- ------------------------------
    Edward L. Suggs, Jr.

/S/ Eugene F. Dauchert, Jr.       Director                                    June 5, 1998
- ------------------------------
    Eugene F. Dauchert, Jr.

/S/ Mitchell W. Berger            Director                                    June 5, 1998
- ------------------------------
    Mitchell W. Berger

/S/ Bertram E. Walls, M.D.        Director                                    June 5, 1998
- ------------------------------
    Bertram E. Walls, M.D.

/S/ Sherman M. Podolsky, M.D.     Director                                    June 5, 1998
- ------------------------------
    Sherman M. Podolsky, M.D.

/S/ Charles E. Potter             Director                                    June 5, 1998
- ------------------------------
    Charles E. Potter
</TABLE>

                                       78
<PAGE>

Report of Independent Auditors

The Board of Directors and Shareholders

Coastal Physician Group, Inc.:

Under the date of, June 3, 1998, we reported on the consolidated  balance sheets
of Coastal  Physician  Group,  Inc. and subsidiaries as of December 31, 1997 and
1996,  and the related  consolidated  statements  of  operations,  shareholders'
equity (deficit),  and cash flows for each of the years in the three-year period
ended December 31, 1997, as contained in the 1997 annual report to shareholders.
These consolidated  financial statements and our report thereon are incorporated
by reference in the annual  report on Form 10-K for the year 1997. In connection
with our audits of the aforementioned consolidated financial statements, we also
have  audited  the  related  financial  statement  schedule  as  listed  in  the
accompanying  index. This financial  statement schedule is the responsibility of
the Company's  management.  Our  responsibility is to express an opinion on this
financial statement schedule based on our audits.

In our opinion,  such financial statement schedule,  when considered in relation
to the  basic  consolidated  financial  statements  taken as a  whole,  presents
fairly, in all material respects, the information set forth therein.


                                        KPMG Peat Marwick, LLP

Raleigh, North Carolina

June 3, 1998

                                       S-1
<PAGE>

SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS

(In thousands)

<TABLE>
<CAPTION>
                                                          Additions
                                   Balance at     Charged to      Charged to                   Balance
                                    Beginning      Costs and         Other                     at End
Description                         of Period      Expenses        Accounts      Deductions   of Period
<S>                                 <C>            <C>              <C>          <C>            <C>     
Year ended December 31, 1997        $ 97,169       $ 190,288        $56,079      $ 330,671      $ 12,865
Allowance for contractual
adjustments and uncollectibles

Year ended December 31, 1996          97,932         285,661            ---        286,424        97,169
Allowance for contractual
adjustments and uncollectibles

Year ended December 31, 1995          93,631         253,151            ---        248,850        97,932
Allowance for contractual
adjustments and uncollectibles
</TABLE>

                                      S-2
<PAGE>

                                  EXHIBIT INDEX

Exhibit
Number   Description
- ------   -----------
2.1      Asset Purchase  Agreement  between  Physicians  Planning Group,  Inc.,:
         HealthNet Medical Group of New Jersey, P.A.; HealthNet Medical Services
         of New Your, P.C.; Coastal Physician Networks,  Inc.; Coastal Physician
         Group, Inc. and Valley Care Corporation Dated October 29, 1996 (1)

2.2      Asset Purchase  Agreement by and among New York State  Catholic  Health
         Plan,  Inc.  d/b/a  Fidelis  Care New York,  a New York  not-for-profit
         corporation,  Coastal Physician Group, Inc., a Delaware corporation and
         Better Health Plan,  Inc., a New York  corporation  and a  wholly-owned
         subsidiary of Coastal Physician Group, Inc. Dated: August 8, 1997 (10)

2.3      Stock Purchase by and Among Coastal  Physician  Networks,  Inc. Coastal
         Physician  Group of Florida,  Inc. and Scott Medical Group,  Inc. Dated
         May 31, 1997

2.4      Agreement By And Among Coastal Physician Group, Inc., Coastal Physician
         Networks,  Inc.,  Coastal  Physician  Services  Of The West,  Inc.  And
         Coastal  Physician  Services Of South  Florida,  Inc. and Scott Medical
         Group LLC. Dated December 31, 1997 (11)

2.5      Stock  Purchase  Agreement  As Of January 1, 1998 By And Among  Coastal
         Physician  Group,  Inc.,  Coastal  Managed  Healthcare,  Inc.,  and DHP
         Holdings, LLC

4.1      Amendment to Rights  Agreement  dated as of December 27, 1996,  between
         Coastal  Physician  Group,  Inc. and First Union National Bank of North
         Carolina (9)

4.1(a)   Amendment to Rights Agreement dated as of May 12, 1997, between Coastal
         Physician  Group,  Inc. and First Union National Bank of North Carolina
         (13)

4.1(b)   Amendment to Rights Agreement dated as of June 3, 1997, between Coastal
         Physician  Group,  Inc. and First Union National Bank of North Carolina
         (13)

4.2      Certificate  of  Designations,  Preferences  and  Rights  of  Series  A
         Convertible  Preferred  Stock of Coastal  Physician  Group,  Inc. Dated
         January 21, 1997 (4)

4.3      Certificate  of  Designations,  Preferences  and  Rights  of  Series  B
         Convertible  Preferred  Stock of Coastal  Physician  Group,  Inc. Dated
         January 21, 1997 (4)

4.3(a)   Amendment of Certificate  of  Designations,  Preferences  and Rights of
         Series B Convertible  Preferred Stock of Coastal  Physician Group, Inc.
         Dated January 30, 1997 (4)

4.4      Certificate Of Designation Of Coastal Physician Group, Inc. Designating
         The Rights And Preferences Of The Series C Convertible  Preferred Stock
         Of Coastal Physician Group, Inc. Dated June 3, 1997.

<PAGE>

Exhibit
Number   Description
- ------   -----------

10.1     Employment  Agreement By and Between Coastal Physician Group, Inc., and
         Steven M. Scott, M.D. Dated April 1, 1991 (2)

10.1(a)  Partial  Release Of  Non-Compete  Provisions  Of  Employment  Agreement
         Between Steven M. Scott,  M.D. And Coastal  Physician Group, Inc. Dated
         December 31, 1997

10.1(b)  Partial  Release Of  Non-Compete  Provisions  Of  Employment  Agreement
         Between Steven M. Scott,  M.D. And Coastal  Physician Group, Inc. Dated
         March 18__, 1998

10.2     Employment  Agreement By and Between Coastal Physician Group, Inc., and
         Jacque J. Sokolov, M.D. Dated November 30, 1994 (3)

10.2(a)  Amendment to Dr. Sokolov's Employment Agreement dated November 30, 1995
         (4)

10.3     Separation   Agreement  and  Mutual  Release  By  and  Between  Coastal
         Physician Services,  Inc., Performance Partners,  Inc. and John G. Ball
         Dated March 10, 1997 (5)

10.4     Third Amendment and Limited Waiver to Credit Agreement, Dated as of May
         29, 1996 (5)

10.5(a)  Secured Overline Credit Agreement Dated as of May 29, 1996 (5)

10.5(b)  Form of Warrant to Purchase Common Stock at $.01 Per Share (5)

10.5(c)  Security Agreement, Dated as of May 29, 1996 (5)

10.5(d)  Amended and Restated Pledge Agreement, Dated as of May 29, 1996 (5)

10.5(e)  Form of Amended and Restated Subsidiaries Pledge Agreement, Dated as of
         May 29, 1996 (5)

10.5(f)  Form of Amended and Restated  Guaranty  Agreement,  Dated as of May 29,
         1996 (5)

<PAGE>

Exhibit
Number   Description
- ------   -----------

10.5(g)  Form of Subsidiaries Security Agreement, Dated as of May 29, 1996 (5)

10.6     Employment  Agreement By and Between Coastal Physician Group, Inc., and
         Joseph G. Piemont Dated June 1, 1996 (6)

10.7     Employment  Agreement By and Between Coastal Physician Group, Inc., and
         Deborah L. Redd Dated September 1, 1996 (4)

10.8     Employment  Agreement By and Between Coastal  Physician Group, Inc. and
         Henry J. Murphy Dated November 1, 1996 (4)

10.9     Release and Settlement  Agreement By and Between Steven M. Scott, M.D.,
         Bertram E. Walls,  M.D.,  M.B.A.,  and Coastal Physician Group, Inc. on
         the one hand and Stephen D. Corman on the other hand, Dated November 6,
         1996 (4)

10.10    Reimbursement  Agreement By and Between Coastal  Physician Group,  Inc.
         and Steven M. Scott, M.D., Dated December 31, 1996 (4)

10.11    Restated and Amended Employment By and Between Coastal Physician Group,
         Inc., and Eugene F. Dauchert, Jr. Dated January 15, 1997 (4)

10.13(a) Amended And Restated  Employment  Between Coastal Physician Group, Inc.
         and Eugene F. Dauchert, Jr. Dated July 1, 1997

10.14    Release and Settlement  Agreement By and Between Steven M. Scott, M.D.,
         Bertram E. Walls,  M.D.,  M.B.A.,  and Coastal Physician Group, Inc. on
         the one hand and Joseph G. Piemont on the other hand, Dated January 21,
         1997 (4)

10.15    Coastal  Physician Group, Inc.  Settlement  Agreement Dated January 21,
         1997 (4)

10.16    Employment  Agreement  By and Between  Healthcare  Business  Resources,
         Inc., and Edward L. Suggs, Jr. Dated March 1, 1997 (4)

10.17    Employment  Agreement by and between Coastal  Physician Group, Inc. and
         Charles F. Kuoni, III

10.18    Employment  Agreement  Between  Coastal  Physician  Services  Of  South
         Florida, Inc. and Sherman Podolsky, M.D.

10.19    Sale and Subservicing  Agreement by and among Coastal  Receivables LLC,
         as Seller,  Coastal Physician Group, Inc. as subservicer,  NPF-XI, Inc.
         as  Purchaser,   and  National  Premier  Financial  Services,  Inc.  as
         Servicer. Dated June 6, 1997 (12)

10.20    Form  of  Sale  and  Subservicing  Agreement  by and  among  HealthPlan
         Southeast,  Incorporated,  Better Health Plan, Inc., Coastal Government
         Services,  Inc. Coastal  Correctional  Healthcare,  Inc. and Integrated
         Provider Networks,  Inc. as Sellers and Subservicers,  NPF-WL, Inc., as
         Purchaser,  and National Premier Financial Services,  Inc. as Servicer.
         Dated June 6, 1997 (12)

10.21    Loan and Security  Agreement by and among Coastal Physician Group, Inc.
         and NPF X, Inc. Dated June 6, 1997 (12)

<PAGE>

Exhibit
Number   Description
- ------   -----------

10.22    Pledge Agreement, Dated June 6, 1997 (12)

10.23    Pledge Agreement by and between BHP Acquisition  Company,  Inc. and NPF
         X, Inc. Dated June 6, 1997 (12)

21.1     Subsidiaries of the Registrant

23.1     Consent of KPMG Peat Marwick LLP

27.1     Financial Data Schedule

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

(1)  Incorporated  by reference to the Form 8-K for the event dated November 30,
     1996, filed by the Company on December 16, 1996. (File No. 001-13460)

(2)  Incorporated by reference to the S-1  registration  statement,  as amended,
     filed by the Company on June 20, 1991. (File No. 33-40490)

(3)  Incorporated by referenced to the post-effective  amendment number 1 to the
     Form S-3 registration  statement filed by the Company on February 23, 1995.
     (File No. 33-86434)

(4)  Incorporated  by  reference to the December 31, 1996 Form 10-K filed by the
     Company on June 15, 1997. (File No. 001-13460)

(5)  Incorporated by reference to the Form 8-K for the event dated May 31, 1996,
     filed by the Company on June 17, 1996. (File No. 001-13460)

(6)  Incorporated  by  reference  to the June 30,  1996 Form  10-Q  filed by the
     Company on July 14, 1996. (File No. 001-13460)

(7)  Incorporated by reference to the Form 8-K for the event dated July 9, 1996,
     filed by the Company on July 19, 1996. (File No. 001-13460)

(8)  Incorporated  by  reference  to the Form 8-K for the event  dated  July 26,
     1996, filed by the Company on July 29, 1996. (File No. 001-13460)

(9)  Incorporated  by reference  to the Form 8-A/A for the event dated  December
     27, 1996, filed by the Company on December 30, 1996. (File No. 001-13460)

(10) Incorporated  by  reference  to the Form 8-K for the event dated August 19,
     1997, filed by the Company on September 3, 1997. (File No. 001-13460)

(11) Incorporated  by reference to the Form 8-K for the event dated  January 15,
     1998, filed by the Company on February __3, 1998. (File No. 001-13460)

(12) Incorporated  by  reference  to the Form 8-K for the event  dated  June 10,
     1997, filed by the Company on June 25, 1997. (File No. 001-13460)

(13) Incorporated  by  reference  to the Form 8-A/A for the event  dated May 12,
     1997, filed by the Company on June 24, 1997. (File No. 001-13460)


<PAGE>

DIRECTORS
Steven M. Scott, M.D.
Chairman of the Board,
President & Chief Executive Officer

Edward L. Suggs Jr., CPA
President and Chief Executive
Officer, Healthcare Business
Resources, Inc.*

Eugene F. Dauchert, Jr.
Secretary and Executive Vice President

Mitchell W. Berger+
Partner, Berger & Davis

Bertram E. Walls, M.D.
President and Chief Executive
Officer, Century American
Insurance Company, Inc.

Charles E. Potter +
President and Chief Executive
Officer, The Potter Financial Group

Sherman M. Podolsky, M.D.
President, Coastal Physician Services
of South Florida, Inc.*

+ Member of Audit and
  Compensation Committees

OFFICERS
Steven M. Scott, M.D.
Chairman of the Board,
President & Chief Executive Officer

Charles F. Kuoni, III
Executive Vice President,
Treasurer and Chief Financial Officer

Edward L. Suggs Jr., CPA
President and Chief Executive Officer, Healthcare Business
Resources, Inc.*

Eugene F. Dauchert, Jr.
Secretary and Executive Vice President

Bertram E. Walls, M.D.
President and Chief Executive
Officer, Doctors Health Plan, Inc.

Sherman M. Podolsky, M.D.
President, Coastal Physician Services
of South Florida, Inc.*

Lewis D. Sanders
Chief Executive Officer,
Coastal Government Services, Inc.*

* A subsidiary of Coastal
  Physician Group, Inc.

CORPORATE INFORMATION
LEGAL COUNSEL
Moore & Van Allen, PLLC
Charlotte, NC

INDEPENDENT AUDITORS
KPMG Peat Marwick LLP
Raleigh, NC

REGISTRAR AND TRANSFER AGENT
First Union National Bank
Shareholder Administration
230 South Tryon Street, 10th Floor
Charlotte, NC 28288-1154
800-829-8432

FORM 10-K
A copy of the  Coastal  Physician  Group  1997  Form  10-K  as  filed  with  the
Securities and Exchange  Commission is available to any stockholder upon written
request to:

Investor Relations Department
2828 Croasdaile Drive
Post Office Box 15309
Durham, NC  27704

STOCK INFORMATION
Coastal Physician Group Common
Stock trades on the New York
Exchange under the symbol "DR"





                            STOCK PURCHASE AGREEMENT


     THIS STOCK PURCHASE  AGREEMENT (the "Agreement") made as of the ____ day of
______,  1997 by and among COASTAL  PHYSICIAN  NETWORKS,  INC., a North Carolina
corporation  ("CPN"),  COASTAL  PHYSICIAN  GROUP OF  FLORIDA,  INC.,  a  Florida
corporation ("CPG") (collectively, CPN and CPG may be referred to as "Sellers"),
and   SCOTT   MEDICAL   GROUP   LLC,   a  North   Carolina   limited   liability
company("Purchaser").

                              W I T N E S S E T H:
                              - - - - - - - - - -

     WHEREAS,  CPN owns all of the issued  and  outstanding  stock (the  "Valley
Women's Center Stock") of Valley Women's Center, Inc. ("Valley Women's Center");
and

     WHEREAS,  CPG owns all of the issued and outstanding stock (the "CPG Clinic
Stock") of Minor Emergency Center of North Broward,  Inc.  ("Minor  Emergency"),
Lehigh  Medical  Associates,   Inc.   ("Lehigh"),   Springs   Pediatrics,   Inc.
("Springs"), and Plantation Pediatrics, Inc. ("Plantation")(collectively,  Minor
Emergency,  Lehigh,  Springs,  and  Plantation  may be  referred  to as the "CPG
Clinics," and,  together with the Valley Women's Center,  the "Clinics;" and the
Valley  Women's  Center  Stock  and the CPG  Clinic  Stock  may be  referred  to
collectively as the "Stock"); and

     WHEREAS, the parties hereto have reached an understanding pursuant to which
the Sellers will sell and the  Purchaser  will  purchase  all of the Stock,  all
pursuant to the terms and conditions more fully set forth herein.

     NOW,  THEREFORE,  in consideration of the premises and the mutual covenants
herein contained, the parties hereto agree as follows:

                                    ARTICLE I
                                    ---------
                           PURCHASE AND SALE OF STOCK
                           --------------------------

     Section  1.1  Purchase  and Sale of the  Stock.  Subject  to the  terms and
conditions  contained herein,  the Purchaser agrees to purchase from the Sellers
and the  Sellers  agree to sell,  assign and  transfer to the  Purchaser  on the
Closing Date provided for in Section 1.2 hereof,  the Stock, which is all of the
issued  and  outstanding  capital  stock of Valley  Women's  Center  and the CPG
Clinics.

     Section 1.2 Closing Date. The closing date (the "Closing Date") shall be on
a date  mutually  acceptable to the parties and shall be effective as of May 31,
1997 (the "Effective  Date"). The parties will use their best efforts to satisfy
all conditions  precedent referred to in this Agreement by the Closing Date. The
closing of this  transaction  (the  "Closing")  shall be held at the  offices of
Moore & Van  Allen,  PLLC,  2200 West Main  Street,  Suite  800,  Durham,  North
Carolina 27705, or such other place as the parties may agree.

<PAGE>

     Section 1.3 Purchase Price. This Agreement is being executed in conjunction
with two Asset  Purchase  Agreements  of even date through  which four direct or
indirect  subsidiaries of Coastal Physician Group, Inc.  ("Coastal"),  including
Sellers,  Integrated  Provider  Networks,  Inc. and Sunlife  OB/GYN  Services of
Broward County, Inc. (the "Combined Sellers"), will sell the stock and/or assets
of the seven  clinics  listed in Section 1.5 (the  "Combined  Clinics") to three
related entities,  including Purchaser,  Mebane Medical Center of North Carolina
LLC and Women's & Children's Centers of Florida LLC (the "Combined Purchasers").
The aggregate purchase price to be paid to the Combined Sellers for the Combined
Clinics (the "Purchase  Price") shall be an amount equal to the greater of fifty
thousand dollars ($50,000.00) or the Appraised Value (as defined below).  Within
thirty (30) days of the Closing Date, the parties shall have an appraisal of the
Combined  Clinics  performed  by  an  independent  third  party  appraiser  (the
"Appraiser").  If the  total  net  fair  market  value of the  Combined  Clinics
according to the Appraiser (the  "Appraised  Value") is in excess of $50,000.00,
the Purchase Price shall be the Appraised Value.

     Section 1.4 Payment of Purchase Price. Fifty thousand dollars  ($50,000.00)
shall be paid by the Combined Purchasers at Closing in cash or other immediately
available  funds.  If the Appraised Value is greater than  $50,000.00,  then the
balance shall be paid to the Combined Sellers by the Combined  Purchasers in the
form of a promissory  note payable over one year,  with an  annualized  interest
rate of twelve percent (12%).

     Section 1.5  Allocation  of Purchase  Price.  The Combined  Sellers and the
Combined  Purchasers  agree to allocate the Purchase  Price among the  following
seven Combined  Clinics in accordance  with the Appraised  Value after receiving
the appraisal  described in Section 1.3:  Valley Women's  Center,  Inc.,  Lehigh
Medical Associates, Inc., Springs Pediatrics, Inc., Plantation Pediatrics, Inc.,
Minor Emergency Center of North Broward,  Inc.,  Mebane Medical Center (assets),
and Women & Children's  Center  (assets).  The parties  hereto agree to use such
allocation for the purpose of preparing tax returns and reports.

                                   ARTICLE II
                                   ----------
                 REPRESENTATIONS AND WARRANTIES WITH RESPECT TO
                 ----------------------------------------------
                              VALLEY WOMEN'S CENTER
                              ---------------------

     In order to induce  the  Purchaser  to enter  into this  Agreement  and the
transactions  contemplated  hereby,  CPN hereby  represents  and warrants to the
Purchaser as follows:

     Section 2.1 Corporate Organization and Authority. CPN is a corporation duly
organized,  validly existing and in good standing under the laws of the State of
North Carolina,  with full corporate power and authority to conduct its business
as now conducted,  own its assets, own or lease and operate its properties,  and
enter into and perform its  obligations  under this  Agreement.  This  Agreement
constitutes, and all assignments, agreements and other instruments and documents
to be executed and  delivered  by CPN will  constitute,  CPN's legal,  valid and
binding obligations, enforceable against CPN in accordance with their respective
terms.

     CPN, by all appropriate corporate action, has duly authorized the execution
and  delivery  of this  Agreement,  the  documents  of transfer  and  assignment
contemplated hereby in consummation

<PAGE>

of  all  the  transactions  contemplated  herein  and  the  performance  of  all
obligations of CPN pursuant to this Agreement.

     Section 2.2 Title to Stock of Valley  Women's  Center.  CPN is the true and
lawful beneficial and record owner of all the stock of the Valley Women's Center
Stock and has good and marketable  title  thereto,  free and clear of mortgages,
pledges, liens, security interests or other encumbrances (other than a pledge of
the Valley  Women's  Center Stock to First Union National Bank, as agent for the
lenders,  that will be released at closing).  Subject to obtaining such release,
which CPN agrees to use its best efforts to obtain, CPN has full right and power
and authority to sell,  transfer and deliver such Valley  Women's  Center Stock,
and upon delivery of such Valley Women's Center Stock,  and upon delivery of the
certificate or certificates therefor as contemplated in this Agreement, CPN will
transfer to the  Purchaser  valid and  marketable  title  thereto  including all
voting and other rights to such Valley Women's  Center Stock,  free and clear of
all claims, liens, charges, encumbrances and equities whatsoever. The failure by
Seller to obtain the release of First Union National Bank ("FUNB"), as agent for
that certain bank group with loans outstanding to Coastal (the "Lenders"), shall
not constitute a default hereunder by Seller.

     Section  2.3  Financial  Statements.  The  financial  statements  of Valley
Women's Center attached hereto as Schedule 2.3 accurately and completely reflect
the  assets  and  liabilities  of Valley  Women's  Center as of the date of such
financial  statements.  Since the date of the financial  statements,  there have
been no changes in the assets,  liabilities,  financial  condition,  business or
affairs of Valley Women's Center which would, in the aggregate,  have a material
adverse effect on Valley Women's  Center,  its assets,  liabilities or financial
condition.

                                   ARTICLE III
                                   -----------
           REPRESENTATIONS AND WARRANTIES WITH RESPECT TO CPG CLINICS
           ----------------------------------------------------------

     In order to induce  the  Purchaser  to enter  into this  Agreement  and the
transactions  contemplated hereby, the CPG hereby represents and warrants to the
Purchaser as follows:

     Section 3.1 Corporate Organization and Authority. CPG is a corporation duly
organized,  validly existing and in good standing under the laws of the State of
Florida,  with full corporate power and authority to conduct its business as now
conducted,  own its assets,  own or lease and operate its properties,  and enter
into  and  perform  its  obligations   under  this  Agreement.   This  Agreement
constitutes, and all assignments, agreements and other instruments and documents
to be executed and  delivered  by CPG will  constitute  CPG's  legal,  valid and
binding obligations, enforceable against CPG in accordance with their respective
terms.

     CPG, by all appropriate  corporate action has duly authorized the execution
and  delivery  of this  Agreement,  the  documents  of transfer  and  assignment
contemplated hereby in consummation of all the transactions  contemplated herein
and the performance of all obligations of CPG pursuant to this Agreement.

     Section  3.2  Title  to  CPG  Clinic  Stock.  CPG is the  true  and  lawful
beneficial  and record  owner of all the stock of the CPG  Clinic  Stock and has
good and marketable title thereto, free and clear of mortgages,  pledges, liens,
security interests or other encumbrances (other than a pledge

<PAGE>

of the CPG Clinic Stock to FUNB, as agent for the Lenders, that will be released
at closing). Subject to obtaining such release, which CPG agrees to use its best
efforts to obtain, CPG has full right and power and authority to sell,  transfer
and deliver such CPG Clinic  Stock,  and upon delivery of such CPG Clinic Stock,
and upon delivery of the certificate or certificates therefor as contemplated in
this Agreement,  CPG will transfer to the Purchaser  valid and marketable  title
thereto,  including all voting and other rights to such CPG Clinic  Stock,  free
and clear of all claims, liens, charges, encumbrances and equities whatsoever.

     Section 3.3  Financial  Statements.  The  financial  statements  of the CPG
Clinics  attached  hereto as Schedule 3.3 accurately and completely  reflect the
assets  and  liabilities  of the CPG  Clinics  as of the date of such  financial
statements.  Since  the date of the  financial  statements,  there  have been no
changes in the assets, liabilities,  financial condition, business or affairs of
the CPG Clinics which would, in the aggregate, have a material adverse effect on
the CPG Clinics, their assets, liabilities or financial condition.

                                   ARTICLE IV
                                   ----------
                   REPRESENTATIONS AND WARRANTIES OF PURCHASER
                   -------------------------------------------

     In order to  induce  the  Sellers  to enter  into  this  Agreement  and the
transactions  contemplated  hereby,  Purchaser hereby represents and warrants to
Seller as follows:

     Section 4.1 Company  Organization  and  Authority.  Purchaser  is a limited
liability  company duly organized,  validly  existing and in good standing under
the laws of the State of North  Carolina,  with  full  power  and  authority  to
conduct its business as now conducted,  own its assets, own or lease and operate
its properties, and enter into and perform its obligations under this Agreement.
This  Agreement  constitutes,  and all  agreements  and  other  instruments  and
documents to be executed and delivered by Purchaser will constitute  Purchaser's
legal,  valid  and  binding   obligations,   enforceable  against  Purchaser  in
accordance with their respective terms.

     Purchaser,  by all appropriate  limited liability company action,  has duly
authorized  the  execution  and  delivery of this  Agreement,  the  documents of
transfer  and  assignment   contemplated  hereby  in  consummation  of  all  the
transactions  contemplated  herein and the  performance  of all  obligations  of
Purchaser pursuant to this Agreement.

                                    ARTICLE V
                                    ---------
                COVENANTS AND AGREEMENTS OF SELLERS AND PURCHASER
                -------------------------------------------------

     Section 5.1  Assignment  of Real  Property  Leases.  To the extent that any
leases of office or other space  occupied by the Clinics  have been entered into
in the name of  Coastal,  or any  affiliates  of Coastal,  such leases  shall be
assigned to the appropriate Clinic or Purchaser at Closing.  Purchaser shall use
their its efforts to obtain any required consents to or approvals for assignment
of the leases to the  appropriate  Clinic or  Purchaser,  and Sellers  agrees to
fully cooperate in having the leases assigned. If such consents or approvals are
obtained,  the leases  shall be  assigned to the  Clinics or  Purchaser  and the
Clinics and Purchaser shall, jointly and severally,  indemnify and hold harmless
Coastal, the Sellers and any affiliate of the Sellers, against and in respect of
any and all claims  arising  under or out of said leases after the Closing Date.
In the event consents or approvals

<PAGE>

are not obtained with respect to any lease, Coastal or its affiliate will remain
as the tenant on such lease and the Clinic  will  continue to use and occupy the
space in the manner in which the space is now used and occupied through the term
of the lease and the Clinics or Purchaser will pay to or on behalf of Coastal or
its affiliate all rent and other sums due under such lease.

     Section 5.2 Management  Contract.  On or before the Closing Date, Purchaser
and Coastal, or an entity related to or controlled by Coastal, including but not
limited to CPG or IPN,  shall enter into a management  services  agreement  (the
"Management  Services  Agreement"),  whereby  Coastal shall  provide  management
services for the Clinics in return for a management  fee equal to eight  percent
(8%) of the defined revenues of the Clinics.  The Management  Services Agreement
shall be terminable by either party upon thirty (30) days written notice.

     Section 5.3 Failure to Pay-off Lenders. In the event that Coastal's current
debt to the Lenders is not repaid in full on or before June 30,  1997,  then the
transactions   described  in  this   Agreement  and  the  related   transactions
contemplated  in the two Asset  Purchase  Agreements  discussed  in Section  1.3
herein shall be automatically  rescinded,  retroactive to the Effective Date. In
the event such a rescission occurs,  Coastal or the Combined Sellers shall repay
to the Combined Purchasers the $50,000 payment called for under Section 1.4, and
the  Combined  Purchasers  and the  Combined  Sellers  shall  take  all  actions
(including the payment of monies) necessary to restore the relative positions of
the Combined  Sellers and the Combined  Purchasers to the  respective  positions
they would be in if the transactions  contemplated herein and those transactions
discussed in Section 1.3 never occurred.  The parties agree to promptly  execute
and deliver any  contracts,  instruments  and  documents  and take such  further
action as are necessary to effect such rescission.

     Section 5.4 Call Option.

     (a) Coastal will retain for a period of twelve (12) months from the date of
Closing a call  option  (the "Call  Option") on the  Combined  Clinics,  whereby
Coastal or an  affiliate of Coastal may  repurchase  all (but not less than all,
except as provided in  Subsection  (b) below) of the  Combined  Clinics from the
Combined  Purchasers.  In the event Coastal notifies the Combined  Purchasers of
its  intention  to  exercise  this  option,  Coastal  will  repay  the  Combined
Purchasers  their Investment (as defined below) in the Combined Clinics together
with a twelve percent (12%) annualized  return on such Investment.  The Combined
Purchasers'  Investment  in the  Combined  Clinics  shall  equal  the sum of the
Purchase Price and any capital  contributed  or loaned to the Combined  Clinics'
operations during the period of Combined Purchasers' ownership.  Upon receipt of
notice  of  Coastal's  intention  to  exercise  its Call  Option,  the  Combined
Purchasers shall repay to the Combined Clinics, on or before the date of closing
of the re-sale,  any distributions  received by the Combined Purchasers from the
Combined  Clinics,  whether received in the form of dividends,  distributions or
proceeds from loans or sale of assets. The Combined  Purchasers shall also cause
the release of any liens and  encumbrances  incurred against any of the Combined
Clinics during the period of Purchaser's ownership thereof. The parties agree to
execute  any and all  agreements  or other  documents  necessary  to effect  the
repurchase under the Call Option.

     (b) If within  twelve  (12)  months from the  Closing  Date,  Purchaser  is
presented with a bona fide offer to purchase one or more of the Combined Clinics
by a third party purchaser other than Coastal, Purchaser shall notify Coastal in
writing of its the existence of such an offer.  From the date such  notification
is received,  Coastal shall have thirty (30) days (the "Notification Period") in
which to  determine  whether to  exercise  its Call Option  under this  section,
provided  that the  Notification  Period shall in no way extend the twelve month
period during which the Call Option is in effect.  In the event Coastal does not
elect to exercise its Call Option within the Notification Period,  Purchaser may
sell any or all of the Combined  Clinics that were a part of the bona fide offer
of which  Coastal  was  notified to such third  party  purchaser  making such an
offer.  The Call Option shall remain in effect with respect to any  remaining of
the Combined  Clinics for the balance of the original twelve month period,  and,
if exercised, the Purchaser's Investment required to be paid by Coastal shall be
that applicable to such remaining of the Combined Clinics.

     Section 5.5  Marketing of Clinics.  For a period of twelve (12) months from
the date of Closing,  Coastal shall have a right to market,  in its  discretion,
any or all of the  Clinics  to  potential  third  party  purchasers  ("Potential
Purchasers").  Purchaser  agrees to  cooperate  with  Coastal in such  marketing
activities  and to provide  access and  information  in regard to the Clinics to
Coastal or Potential Purchasers as reasonably requested.

     Section 5.6 Lehigh Clinic  Provisions.  The parties hereto acknowledge that
CPG has signed a term sheet dated March 11, 1997 as of March 14, 1997 (the "Term
Sheet) with a third party  purchaser,  Leonard  Edelman,  M.D.  ("Edelman")  and
negotiations  have  taken  place  concerning  the  sale of  Lehigh  to  Edelman.
Purchaser  hereby agrees to assume any and all  obligations  or  liabilities  of
Coastal or CPG under the Term Sheet and to indemnify and hold  harmless  Coastal
and CPG from any loss or damages resulting from any claims, litigation, actions,
suits, proceedings,  judgments,  counsel fees, costs and expenses related to the
Term Sheet or any other  binding  written  or oral  agreements  between  CPG and
Edelman relating to the sale of Lehigh to Edelman.

     Section 5.7 Insurance.  Sellers and each Clinic shall bear the risk of loss
from fire or other casualty through the Effective Date. In the event of any fire
or casualty  through the Effective  Date causing any material loss of a Clinic's
assets,  Purchaser  shall have the right to terminate  this Agreement and all of
Purchaser's obligations hereunder.

     Section 5.8 Professional  Liability Provisions.  The Purchaser shall obtain
professional  liability  coverage  for  the  physicians  and  providers  who are
employees,  agents or independent  contractors of all Clinics  subsequent to the
Effective  Date,  with limits of no less than those limits which exist as of the
Effective  Date.  Purchaser  shall  maintain,  in  full  force  and  effect  and
uninterrupted, such professional liability coverage for a period of one (1) year
following the Effective Date. Such professional liability insurance shall at all
times name  Sellers (as  necessary  and  appropriate),  as an  additional  named
insured party and shall require the insurance company to provide at least thirty
(30)  days  written  notice  to  Sellers  of  any  reduction,   modification  or
termination of such coverage.  The Sellers shall be responsible for professional
liability  insurance  coverage with respect to their respective  Clinics through
the Effective  Date. The Sellers may, but shall have no obligation to,  purchase
an extended reporting endorsement or "tail" insurance for the

<PAGE>

professional   liability  coverage  if  each  respective  Seller,  in  its  sole
discretion,  shall deem such to be in its best interest.  Each respective Seller
represents  that it is not currently  aware of any threatened or pending claims,
suits or  litigation  with  respect  to their  respective  Clinic  or any of the
physicians  or employees  of their  respective  Clinic.  The  Purchaser  and the
Clinics  shall  indemnify  and hold  harmless the Seller from any and all costs,
claims and expenses,  including without  limitation,  reasonable  attorneys fees
arising out of  accidents or claims made by patients of the  respective  Clinics
against the Sellers,  the Clinic or any or their physicians occurring subsequent
to the Effective Date.

     Section 5.9 Employee  Benefits.  For a transition  period of up to 30 days,
each respective Seller will continue to provide those employee benefits which it
is lawfully able to provide to those  employees of the respective  Clinics which
remain  employees of the respective  Clinics  subsequent to the Effective  Date;
provided,  Purchaser shall  reimburse each  respective  Seller for all costs and
expenses of providing said benefits.

                                   ARTICLE VI
                                   ----------
                     CONDITIONS TO OBLIGATIONS OF PURCHASER
                     --------------------------------------

     The  obligations of the Purchaser to consummate the  transactions  provided
for herein on the Closing Date are subject to the  fulfillment  of the following
conditions:

     Section  6.1  Representations  and  Warranties.   The  representations  and
warranties  of the  Sellers  herein  contained  shall  be true  in all  material
respects on and as of the Closing Date with the same force and effect as if made
on and as of such date and the  covenants  of the Sellers set forth herein shall
have been complied with to the Closing  Date,  and a certificate  to such effect
shall be  executed  and  delivered  to the  Purchaser  by the  Sellers as of the
Closing Date.

     Section 6.2 Stock  Certificates.  The  Purchaser  shall have duly  endorsed
stock  transfer  powers.  The Sellers will deliver duly endorsed  certificate(s)
representing the Stock upon receipt of the certificates from FUNB.

     Section 6.3 Consents and  Approvals.  The Sellers  shall have  obtained all
consents and approvals, including without limitation, all consents and approvals
required by any lender, required for the transfer of the Purchased Assets by the
Sellers to the Purchaser.

     Section  6.4  Closing  of  Related  Transactions.  The two  Asset  Purchase
Agreements  referred to in Section 1.3 and a Receivables  Purchase  Agreement of
even date shall be executed in conjunction with this Agreement, and the sales of
the other Combined Clinics and the Receivables  contemplated therein shall close
contemporaneously with the sale of the Clinics contemplated herein.

     Section  6.5  Sellers'  Documents.  The  Sellers  shall  have  caused to be
delivered to Purchaser, at or before the Closing, the following:

<PAGE>

     (a) Good Standing  Certificates.  Good standing  certificates issued by the
appropriate  official  of the states of  incorporation  of the  Sellers  and the
Clinics.

     (b) Articles of Incorporation and Bylaws. The Sellers and the Clinics shall
have  delivered  to  Purchaser  a true and  complete  copy of their  Articles of
Incorporation and Bylaws.

     (c) Corporate  Resolutions.  True and correct  copies of resolutions of the
shareholders  and board of directors of the Sellers  authorizing  the execution,
delivery and  performance  of this Agreement and the  transactions  contemplated
hereby.

     (d) Assignment of Real Estate Lease.  An Assignment of real property leases
as provided in Section 5.1.

     Section  6.6 Other  Assurances.  The  Sellers  and each  Clinic  shall have
delivered to the Purchaser such other and further  certificates,  assurances and
documents as Purchaser may reasonably  request in order to evidence the accuracy
of the  representations and warranties made pursuant to Article II, Article III,
the performance of covenants and agreements to be performed  pursuant to Article
V at or  prior  to  the  Closing,  and  the  fulfillment  of the  conditions  to
Purchaser's obligations.

     Section 6.7 FUNB and Lenders. At or prior to Closing, Sellers shall provide
a written release from FUNB, as agent for the Lenders,  of the Clinics in a form
satisfactory to Purchaser.  In addition,  FUNB, as agent for the Lenders,  shall
also  provide  at  Closing a UCC-3  Termination  Statement  for any  outstanding
Financing  Statement on record  against any of the Clinics in any  jurisdiction.
Purchaser,  to its satisfaction  and in its discretion,  must be satisfied that,
after  Closing,  the Clinics will have no liability or obligation to FUNB or the
Lenders and FUNB and the  Lenders  will have no lien on the Stock or the assets,
rights, or interests of the Clinics.

                                   ARTICLE VII
                                   -----------
                      CONDITIONS TO OBLIGATIONS OF SELLERS
                      ------------------------------------

     The obligations of the Sellers to consummate the transactions  provided for
herein on the  Closing  Date are  subject to the  fulfillment  of the  following
conditions on the Closing Date:

     Section  7.1  Representations  and  Warranties.   The  representations  and
warranties  of the  Purchaser  herein  contained  shall be true in all  material
respects on and as of the Closing Date with the same force and effect as if made
on and as of such date,  and the  covenants  of the  Purchaser  set forth herein
shall have been complied with to the Closing Date.

     Section 7.2 Payment of Purchase  Price.  The Purchaser  shall have paid the
Purchase Price in the manner described in Sections 1.3 and 1.4 hereof.

     Section  7.3  Closing  of  Related  Transactions.  The two  Asset  Purchase
Agreements  referred to in Section 1.3 and a Receivables  Purchase  Agreement of
even date shall be executed in conjunction with this Agreement, and the sales of
the other Combined Clinics and the Receivables  contemplated therein shall close
contemporaneously with the sale of the Clinics as contemplated herein.

<PAGE>

     Section 7.4 Purchaser's  Documents.  The Purchaser shall have performed and
complied, in all material respects with its covenants and agreements made herein
to be  performed  by or  complied  with by it on or prior to the  Closing  Date.
Purchaser  shall  have  caused to be  delivered  to  Sellers,  at or before  the
Closing, the following:

     (a) Articles of Organization and Operating Agreement.  Purchaser shall have
delivered  to Sellers a true and complete  copy of its Articles of  Organization
and Operating Agreement.

     (b) Company  Resolutions.  True and complete  copies of  resolutions of the
managers of Purchaser  authorizing  the execution,  delivery and  performance of
this Agreement and the transactions contemplated hereby.

     Section 7.5 Other  Assurances.  The Purchaser  shall have  delivered to the
Sellers such other and further certificates, assurances and documents as Sellers
may reasonably request in order to evidence the accuracy of the  representations
and  warranties  made pursuant to Article IV, the  performance  of covenants and
agreements to be performed pursuant to Article V at or prior to the Closing, and
the fulfillment of the conditions to Sellers' obligations.

                                  ARTICLE VIII
                                  ------------
                                 INDEMNIFICATION
                                 ---------------

     In addition to the indemnities  included  elsewhere in this Agreement,  the
parties hereto agree to indemnify and hold each other harmless as follows:

     Section 8.1 Indemnification by the Sellers. The Sellers agrees to indemnify
and hold the  Purchaser  harmless at all times after the date of this  Agreement
from, against and in respect of:

     (a) Any and all loss,  liability,  damage or deficiency  resulting from any
misrepresentation,  breach of warranty or  nonfulfillment  of any  covenants  or
agreements on the part of the Sellers  contained herein or in any certificate or
document  furnished  by the  Sellers  pursuant  hereto  and any  loss or  damage
resulting from any claims, litigation,  actions, suits, proceedings,  judgments,
counsel fees, costs and expenses incident to such  misrepresentation,  breach or
nonfulfillment;

     (b) Any obligation or liability, contingent or otherwise, of the Sellers in
respect  of any  profit  derived  from the sale of the  Stock  pursuant  to this
Agreement;

     (c) Any liability or obligation, whether assessed or unassessed, of Clinics
for  federal,  state or  local  taxes  owed and due  through  the  Closing  Date
(provided  that for local ad valorem  taxes,  such taxes shall not be considered
due for  purposes of this  subsection  until the last date upon which such taxes
can be paid without penalty);

     (d) Any liability or obligation  for the  preparation  or filing of any tax
returns to be filed  through the Closing  Date and the payment of any taxes,  or
charges or levies in the nature of a tax,  assessed  or  imposed  upon  Clinics'
business or property that are required to be paid through the

<PAGE>

Closing  Date  (Sellers  shall  assume  all   liabilities  for  filing  and  the
correctness of returns filed and payment of all taxes reported or to be reported
through the Closing Date).

     (e) All  liabilities  incurred by Sellers  arising out of or in  connection
with the operation of the Valley Women's Center and the CPG Clinics  through the
Closing  Date,  provided  that,  within  twenty-four  (24) months  following the
Closing Date,  Purchaser  provides  written  notice to the Sellers,  pursuant to
which Purchaser asserts a claim,  stating with  particularity all material facts
relating to such claim.

     Section  8.2  Indemnification  by the  Purchaser.  The  Purchaser  agree to
indemnify  and hold the  Sellers  harmless  at all times  after the date of this
Agreement  from and against any and all loss,  liability,  damage or  deficiency
resulting from (i) any  misrepresentation,  breach of warranty or nonfulfillment
of any covenants or agreements on the part of the Purchaser  contained herein or
in any  certificate or document  furnished by the Purchaser  pursuant hereto and
any loss or  damage  resulting  from any  claims,  litigation,  actions,  suits,
proceedings,  judgments,  counsel  fees,  costs and  expenses  incident  to such
misrepresentation,  breach or nonfulfillment;  and (ii) all liabilities  arising
out of or in  connection  with the  operation  of the  Clinics by the  Purchaser
subsequent to the Closing Date.

     Section 8.3 Third Party Claims.  Should any claim be made by a person not a
party to this  Agreement  with  respect  to any  matter to which  the  foregoing
indemnity  relates,   the  party  against  whom  such  claim  is  asserted  (the
"Indemnified  Party"),  within a reasonable  period of time,  shall give written
notice to the other party (the "Indemnifying  Party") of any such claim, and the
Indemnifying Party shall thereafter defend or settle any such claim, at its sole
expense, on its own behalf and with counsel of its selection. In such defense or
settlement  of any  claims,  the  Indemnified  Party  shall  cooperate  with the
Indemnifying  Party to the  maximum  extent  reasonably  possible.  Any  payment
resulting  from such  defense or  settlement,  together  with the total  expense
thereof,  shall be binding  on Sellers  and  Purchaser  for the  purpose of this
Article VIII.

     Section 8.4 Settlement.  Notwithstanding the foregoing, should any claim be
made by a person  not a party to this  Agreement  with  respect to any matter to
which the foregoing  indemnity relates,  the Indemnified Party, on not less than
thirty (30) days' notice to the Indemnifying  Party, may make settlement of such
claim, and such settlement  shall be binding on the  Indemnifying  Party and the
Indemnified Party for the purposes of this Article VIII; provided, however, that
if within  said  thirty  (30) day  period  the  Indemnifying  Party  shall  have
requested the Indemnified  Party not to settle such claim and to deny such claim
at the expense of the Indemnifying  Party,  the Indemnified  Party will promptly
comply  and the  Indemnifying  Party  shall have the right to defense on its own
behalf with counsel of its selection.  Any payment or settlement  resulting from
such  contest,  together  with the total  expense  thereof,  shall be binding on
Sellers and Purchaser for the purposes of this Article VIII.

                                   ARTICLE IX
                                   ----------
                                    BROKERAGE
                                    ---------

     The Sellers and the  Purchaser  represent and warrant to the other that the
negotiations  relative  to this  Agreement  have been  carried on by the Sellers
directly with the Purchaser and by the

<PAGE>

Purchaser directly with the Sellers, without the intervention of any person. The
Sellers shall  indemnify the  Purchaser  and the Purchaser  shall  indemnify the
Sellers and hold the other party or parties  harmless  against and in respect of
any claim for brokerage or other commissions  relative to this Agreement,  or to
the transactions contemplated hereby, and also in respect of all expenses of any
character incurred by the Purchaser, on the one hand, and by the Sellers and any
of the Clinics,  on the other hand,  in connection  with this  Agreement or such
transactions,  arising  out of  any  claim  for  any  such  brokerage  or  other
commissions  alleged  to be due as a result of the  actions  or  conduct  of the
indemnifying party.

                                    ARTICLE X
                                    ---------
                               FURTHER ASSURANCES;
                               -------------------
                             ACCESS AND INFORMATION
                             ----------------------

     Section  10.1  Further  Assurances.  The Sellers and  Purchaser  all hereby
covenant  and agree  that at any time and from  time to time they will  promptly
execute and deliver to the others such further  instruments  and  documents  and
take such further action as the parties may from time to time reasonably request
in order to further carry out the intent and purpose of this Agreement.

     Section 10.2 Access and Information.  Through the Closing Date, the Sellers
shall cause the Clinics to give Purchaser and its agents, attorneys, accountants
and representatives  full access,  during normal working hours of the Clinics to
each  of  the  Clinics'  properties,  affairs,  books,  records,  contracts  and
documents,  including,  without limitation,  all contracts,  leases, evidence of
indebtedness and audit work papers of the internal  auditors of the Clinics,  as
Purchaser may reasonably  request;  provided,  however,  that until the Closing,
Purchaser shall not disclose and shall cause its agents, attorneys,  accountants
and  representatives not to disclose to any other party any confidential data or
information  secured  from the  Clinics,  and, if the Closing  does not occur as
herein provided,  Purchaser will promptly return to the Clinics,  at Purchaser's
expense,  all books,  records and other  documents and papers  obtained from the
Clinics and all copies thereof.

                                   ARTICLE XI
                                   ----------
                     NATURE AND SURVIVAL OF REPRESENTATIONS
                     --------------------------------------

     All statements  contained in any certificate or other instrument  delivered
by or on  behalf of the  Sellers  pursuant  hereto,  or in  connection  with the
transactions contemplated hereby, shall be deemed representations and warranties
by the Sellers hereunder. All representations,  warranties,  and agreements made
by the  Sellers in this  Agreement,  or  pursuant  hereto,  except as  otherwise
expressly  stated,  shall survive the Closing and any  investigation at any time
made by or on behalf of the Sellers as follows:

     (a) The  representations,  warranties and covenants  regarding title to the
Stock, contained in Sections 2.2 and 3.2 hereof, shall survive forever;

     (b) All other  representations,  warranties,  and covenants  made hereunder
shall be effective for a period of eighteen (18) months  following the Effective
Date.

<PAGE>

                                   ARTICLE XII
                                   -----------
                                  MISCELLANEOUS
                                  -------------

     Section 12.1 Third Party Beneficiary.  Coastal,  its successors and assigns
are intended to be direct third-party  beneficiaries of the covenants  contained
in this Agreement and may enforce the same in their own name, as applicable.

     Section 12.2 Notices;  Addresses. All notices, requests, demands, and other
communications  hereunder shall be in writing,  and shall be deemed to have been
duly given if delivered or mailed,  first class  postage  prepaid,  addressed as
follows:

         CPN:             Coastal Physician Networks, Inc.
                          2828 Croasdaile Drive
                          Durham, North Carolina  27704
                          Attention: President

         CPG:             Coastal Physician Group of Florida, Inc.
                          2828 Croasdaile Drive
                          Durham, North Carolina  27704
                          Attention: President



         PURCHASER:       Scott Medical Group LLC
                          2828 Croasdaile Drive
                          Durham, North Carolina  27704
                          Attention: Manager

     Section  12.3  Expenses.  The  parties  hereto  shall  pay all of their own
expenses relating to the transactions contemplated by this Agreement, including,
without limitation,  the fees and expenses of their respective legal counsel and
financial advisors.

     Section 12.4 Counterparts. This Agreement may be executed simultaneously in
two or more counterparts,  each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument.

     Section  12.5  Severability.  Any  provision  of this  Agreement  which  is
prohibited or unenforceable in any jurisdiction,  shall as to such jurisdiction,
be ineffective to the extent of such  prohibition  or  unenforceability  without
invalidating  the  remaining  provisions  hereof,  and any such  prohibition  or
unenforceability   in  any   jurisdiction   shall  not   invalidate   or  render
unenforceable such provision in any other jurisdiction.

     Section 12.6 Assigns. This Agreement shall be binding upon and inure to the
benefit of any and all successors,  assigns,  or other successors in interest of
the Purchaser, Coastal and Sellers.

<PAGE>

     Section 12.7 Public Announcement.  Prior to Closing, no party will make any
public  announcements  with respect to this transaction  without the approval of
the other  parties,  except as  otherwise  required  by law,  by the  Securities
Exchange  Commission,   or  that  are  recommended  by  legal  counsel.  In  any
announcements  after Closing,  all parties agree to avoid any  disparagement  of
another party.

     Section  12.8  Remedies.  In the event that any party  defaults or fails to
perform any of the  conditions or obligations of such party under this Agreement
or any other agreement,  document or instrument executed in connection with this
Agreement,  or in the event that any such party's  representations or warranties
contained herein or in any such other agreement,  document or instrument are not
true and correct as of the date hereof and as of the Closing,  the other parties
shall be entitled to exercise any and all rights and remedies  available to them
by or pursuant to this Agreement or at law or in equity.

     Section  12.9  Captions.  The  captions  and  headings  set  forth  in this
Agreement are for  convenience of reference only and shall not be construed as a
part of this Agreement.

     Section 12.9 Merger Clause. This Agreement contains the final, complete and
exclusive  statement  of the  agreement  between the parties with respect to the
transactions  contemplated  herein and all prior or  contemporaneous  written or
oral agreements with respect to the subject matter hereof are merged herein.

     Section  12.10   Amendments.   No  change,   amendment,   qualification  or
cancellation  hereof shall be effective unless in writing and executed by all of
the parties hereto by their duly authorized officers.

     Section  12.11  Governing  Law.  This  Agreement  shall be  governed by and
construed in accordance with the laws of the State of North Carolina.


                            (Signature Page Follows)

<PAGE>

     IN WITNESS  WHEREOF,  the parties have duly executed this  Agreement  under
seal as of the date first above written.

                                       COASTAL PHYSICIAN NETWORKS, INC.

                                       By:
                                          --------------------------------
                                       Its:
                                           -------------------------------
ATTEST:

By:
   --------------------------
           Secretary

        [Corporate Seal]

                                       COASTAL PHYSICIAN GROUP
                                       OF FLORIDA, INC.

                                       By:
                                          --------------------------------
                                       Its:
                                           -------------------------------
By:
   --------------------------
           Secretary

        [Corporate Seal]

                                       SCOTT MEDICAL GROUP LLC

                                       By:                                (SEAL)
                                          --------------------------------
                                          Steven M. Scott, M.D., Manager



                            STOCK PURCHASE AGREEMENT


     THIS STOCK PURCHASE AGREEMENT (the "Agreement") is made and entered into as
of  January  1, 1998 by and among  COASTAL  PHYSICIAN  GROUP,  INC.,  a Delaware
Corporation  ("Coastal"),  COASTAL  MANAGED  HEALTHCARE,  INC., a North Carolina
corporation  ("CMH" or the  "Seller") and DHP  HOLDINGS,  LLC, a North  Carolina
limited liability company ("Purchaser").

                              W I T N E S S E T H:
                              - - - - - - - - - -

     WHEREAS, CMH owns all of the issued and outstanding stock of Doctors Health
Plan, Inc., a North Carolina corporation ("DHP"); and

     WHEREAS,  concurrently  with the execution and delivery of this  Agreement,
CMH is selling and the Purchaser is purchasing all of the issued and outstanding
stock of DHP (the "DHP Stock"),  all pursuant to the terms and  conditions  more
fully set forth herein.

     NOW,  THEREFORE,  in consideration of the premises and the mutual covenants
herein contained, the parties hereto agree as follows:

                                    ARTICLE I
                                PURCHASE AND SALE

     Section  1.1  Purchase  and Sale of DHP  Stock.  Subject  to the  terms and
conditions  contained  herein,  at a Closing taking place  concurrently with the
execution and delivery of this  Agreement,  the Purchaser is purchasing from CMH
and CMH is selling,  assigning and transferring to the Purchaser,  the DHP Stock
which is all of the issued and outstanding capital stock of DHP.

     Section 1.2 Closing Date. The closing of this  transaction  (the "Closing")
shall be held at the offices of Moore & Van Allen,  PLLC, 2200 West Main Street,
Suite 800, Durham,  North Carolina 27705, or such other place as the parties may
agree on or before  March 4, 1998 or such other time as the  parties  may agree;
provided,  the transactions  contemplated  herein shall be effective as of 12:01
a.m. on January 1, 1998 (the "Effective Date").

     Section 1.3  Purchase  Price and Payment of Purchase  Price.  The  purchase
price,  subject to  adjustments  described  below,  to be paid by Purchaser (the
"Purchase Price") will be an amount equal to $5,000,000.  The Purchaser will pay
the Purchase Price at Closing in cash or immediately available funds;  provided,
however,  Purchaser  shall have the right to elect to pay the Purchase  Price in
the form of a promissory  note in the amount of $5,000,000  (the "Note") due and
payable  within ten (10) days from the Closing Date.  The  Promissory  Note will
bear interest  after default at the per annum rate of twelve percent (12%) until
paid. In addition,  in the event the Note is not paid in full within the earlier
of ninety (90) days from the date hereof or forty-five  days after Coastal gives
Purchaser  notice under  Section 5.6 that it intends to accept a price below the
Strike Price (as defined in Section 5.6), Purchaser agrees to provide collateral
to secure the Note that is  determined  to be adequate by the Board of Directors
of Coastal, and Purchaser agrees to execute and deliver any security agreements,
deeds of trust, pledge agreements,  financing statements and other documentation
necessary  to evidence or perfect a security  interest in such  collateral.  The
form of Note is attached  hereto as Exhibit A. Seller may be entitled to receive
additional  amounts  under  Section 5.6,  which  amounts  shall be treated as an
adjustment to the Purchase Price.

     Section 1.4 Post Effective Date Cooperation.  The parties  acknowledge that
after the  Effective  Date,  cash may be  received  by one  party but  belong to
another  party  and/or  trade  payables  may be  paid  by one  party  yet be the
responsibility  of another party. The parties agree to cooperate to reconcile in
a timely manner all post Effective Date transactions.  Upon such reconciliation,
any party owing money to another  party shall pay the amount owed within  thirty
(30) days of said reconciliation.

     Section 1.5 Responsibility  for Tax Liability.  Seller shall be responsible
for and shall indemnify  Purchaser from, against and in respect of any liability
for taxes imposed on DHP with respect to any taxable period,

<PAGE>

or portion thereof, ending on or prior to or which includes the date immediately
prior to the Effective Date (including any liability  under Section  1.1502-6 of
the Treasury Regulations or similar provisions of state law). Purchaser shall be
responsible for and shall indemnify  Seller from,  against and in respect of any
liability  for taxes  imposed on DHP with  respect  to any  taxable  period,  or
portion  thereof,  for which Seller is not liable to  Purchaser  pursuant to the
terms of the  immediately  preceding  sentence  (other than any liability  under
Section 1.1502-6 of the Treasury Regulations or similar provision of state law).

                                   ARTICLE II
                REPRESENTATIONS AND WARRANTIES OF CMH AND COASTAL

     In order to induce  the  Purchaser  to enter  into this  Agreement  and the
transactions  contemplated  hereby, CMH and Coastal hereby represent and warrant
to the Purchaser as follows:

     Section 2.1 Corporate Organization and Authority. CMH is a corporation duly
organized,  validly existing and in good standing under the laws of the State of
North Carolina,  with full corporate power and authority to conduct its business
as now conducted,  own its assets, own or lease and operate its properties,  and
enter into and perform its  obligations  under this  Agreement.  This  Agreement
constitutes, and all assignments, agreements and other instruments and documents
to be executed  and  delivered by CMH in  connection  with this  Agreement  will
constitute, CMH's legal, valid and binding obligations,  enforceable against CMH
in accordance with their respective terms.

     CMH, by all appropriate corporate action, has duly authorized the execution
and  delivery  of this  Agreement,  the  documents  of transfer  and  assignment
contemplated hereby in consummation of all the transactions  contemplated herein
and the performance of all obligations of CMH pursuant to this Agreement.

     Section 2.2 Title to Stock of DHP. Except as disclosed on Schedule 2.2, CMH
is the true and lawful  beneficial and record owner of all the DHP Stock and has
good and marketable  title thereto,  free and clear of claims,  pledges,  liens,
security  interests,  charges or other  encumbrances.  Subject to obtaining  all
required  consents  disclosed on Schedule 2.14, CMH has full right and power and
authority to sell,  transfer and deliver the DHP Stock. Upon delivery of the DHP
Stock as  contemplated  in this  Agreement,  CMH will  transfer to the Purchaser
valid and marketable title thereto  including all voting and other rights to the
DHP Stock free and clear of all  claims,  pledges,  liens,  security  interests,
charges, or other encumbrances.

     Section 2.3 Financial Statements. The unaudited financial statements of DHP
are attached hereto as Exhibit C and have been prepared by management. Since the
date of the  financial  statements,  management  believes  that DHP has incurred
continuing  substantial  operating  losses.  DHP has  been  cited  by the  North
Carolina   Department  of  Insurance   ("NCDOI")  for  numerous   violations  of
regulations  with respect to its  operations  and has been  notified that a fine
which is likely to be substantial  will be levied and will be payable by DHP. As
a result  of the  operational  losses of DHP  prior to the  closing,  management
believes  that  DHP does not have the  statutory  minimum  capital  and  surplus
required  by the laws of the  State of North  Carolina  or the NCDOI in order to
maintain  its  license  to  operate a health  maintenance  organization  in good
standing.  Management  believes  that  substantial  capital  infusions  will  be
required  to be made  to DHP in  order  to pay the  fine  levied  by the  NCDOI,
maintain  statutory  minimum capital and surplus,  fund ongoing operating losses
and meet other capital  requirements that will be imposed on DHP by the NCDOI as
a condition to continuing operations.  DHP has experienced  significant employee
attrition  and turnover over the past twelve to eighteen  months,  including the
resignation of the President and Chief  Executive  Officer in January,  1998. In
addition,  other  officers  and  directors  have  resigned.  Additional  matters
regarding DHP and its financial statements are disclosed on Schedule 2.14. Other
than as set forth above and as disclosed on Schedule 2.14,  Coastal and CMH make
no  representations  regarding the financial  condition,  business or affairs of
DHP.

     Section  2.4  No  Subsidiaries.  DHP  does  not  own,  either  directly  or
indirectly,   or  have  any  investment  in,  own,  or  otherwise  control,  any
corporation or other entity, or is a party to any partnership  agreement,  joint
venture, or similar agreement.

     Section 2.5 Other Business Names.  Other than as disclosed on Schedule 2.5,
DHP and its predecessors and any companies  acquired by or merged into them have
not used any other business names.

                                       2
<PAGE>

     Section 2.6 Sites.  Except as disclosed on Schedule  2.14, DHP has complied
in all  material  respects  with all  municipal,  state  and  federal  statutes,
ordinances,  rules  and  regulations  applicable  to  its  respective  business,
included but not limited to, zoning,  building,  environmental and occupational,
safety and health regulations.

     Section 2.7 Leases.  Schedule 2.7 contains an accurate and complete list of
all space leases with respect to space leased by DHP. Other than as disclosed on
Schedule  2.7,  DHP is not in default  under any lease or  subject to  obtaining
necessary  consents nor will they be in default as a result of the  execution of
this Agreement or closing of the transactions contemplated hereby.

     Section 2.8 Tangible Personal  Property.  Schedule 2.8 contains an accurate
and complete  list of all equipment  leases and equipment  leased by DHP. DHP is
not in  default  under any such  equipment  leases  and is not aware of any fact
which, with notice and/or passage of time, would constitute such a default.

     Section 2.9 Intangible Personal Properties;  Computer Programs. DHP has set
forth a list of any and all franchises or licenses,  any registered  trademarks,
trademark applications,  service marks, copyrights,  trade names,  formulations,
customer lists and computer  programs held or used by DHP on Schedule 2.9. Other
than as set forth on Schedule 2.14,  neither  Coastal,  CMH or DHP have received
written notice of any claims or demands with respect to such items of intangible
personal property and, to Coastal's,  CMH's and DHP's best knowledge,  there are
no claims or  demands  against  CMH or DHP with  respect to any of such items of
intangible  personal  property.  No  proceedings  have been  instituted,  or are
pending against Coastal, CMH or DHP, or to the knowledge of Coastal, CMH or DHP,
have been  threatened  against CMH or DHP to challenge  the rights of CMH or DHP
with respect to any such assets. Neither CMH or DHP have received written notice
of any claims or demands  relating to their right to use all trade names,  trade
secrets,  patient  records and patient  lists which they have used or which they
are now using in connection with their respective businesses. Each of CMH or DHP
have the  unrestricted  right to use,  free from any rights or claims of others,
all trade names,  trade  secrets,  patient  records and patient lists which they
have  used or which  they are now  using in  connection  with  their  respective
businesses.

     Section  2.10  Assets.  Except as set  forth on  Schedule  2.10,  as of the
Closing Date each of CMH and DHP have good and marketable title in and to all of
their  respective  assets,  which  property  is free and  clear of any  security
interests, consignments, liens, judgments, encumbrances, restrictions, or claims
of any kind, other than as expressly provided in this Agreement.

     Section 2.11 Current Employees and Employment  Practices.  All employees of
DHP  (other  than  those  listed  on the  attached  Schedule  2.11(a)  as having
employment agreements) are employees at will who may be terminated by DHP at any
time,  with or without cause,  with no obligation to make any payment other than
salary and wages through the date of  termination,  plus any notice period,  and
severance payments in accordance with DHP's standard corporate policy. Except as
described on Schedule  2.11(b),  no  employment  discrimination  or unfair labor
practice,  charge or complaint  against DHP has been filed, nor to the knowledge
of CMH or DHP,  threatened  to be filed with any court,  agency or other  entity
having  jurisdiction over DHP. Other than as disclosed on Schedule  2.11(b),  to
the knowledge of CMH and DHP, DHP has not been threatened by any former employee
with any suit alleging wrongful termination or other discriminatory  wrongful or
tortuous  conduct  in  connection  with the  employment  relationship.  Schedule
2.11(a)  attached hereto and made a part hereof lists all employment  agreements
of DHP. None of the employees of DHP are represented by any labor  organization,
nor to the  knowledge  of CMH or DHP is there  currently  any  union  organizing
activities  with  respect  to  such  employees,  nor has  there  been  any  such
organizing  activity  within the past three  years.  DHP has not  engaged in any
collective bargaining or similar agreement with any labor organization.

     Section 2.12 ERISA.  All  "employee  benefit  plans," as defined in Section
3(3)  of the  Employee  Retirement  Income  Security  Act of  1974,  as  amended
("ERISA"),  maintained  or  contributed  to by DHP are in  compliance  with  all
applicable  provisions  of ERISA  and the  Internal  Revenue  Code of  1986,  as
amended, (the "Code"), and DHP does not have any liabilities or obligations with
respect to any such employee benefit plan, whether or not accrued, contingent or
otherwise,  except for instances of  noncompliance or liabilities or obligations
that would not, individually or in the aggregate, have a material adverse effect
on the business of DHP.  Other than as specified  in any  employment  agreements
listed in Schedule 2.11(a), no employee of DHP will be entitled to any

                                       3
<PAGE>

additional benefits or any acceleration of the time of payment or vesting of any
benefits under any employee incentive or benefit plan, program or arrangement as
a result of the transactions contemplated by this Agreement,  either alone or in
combination  with another event.  DHP does not separately  maintain any plans or
other compensation arrangements which provide deferred or incentive compensation
or severance benefits.

     Section 2.13  Insurance.  DHP shall deliver prior to closing  copies of the
originals of any and all  insurance  policies  which DHP has in effect  covering
itself or its employees,  officers or directors,  including  error and omissions
policies.  DHP has had  general  liability  insurance  and errors and  omissions
liability  insurance  policies  in full force and  effect  from the date DHP was
formed through the Closing Date as part of the coverage  afforded under a policy
written to Coastal.  The insurance  coverage from Allianz Life Insurance Company
of North  America for coverage  related to  insolvency  of DHP was scheduled for
renewal on January 1, 1998, but the NCDOI has held up the issuance of the policy
due to the department's efforts to have certain policy language modified.

     Section  2.14  Compliance  with  Applicable  Laws.  Except  as set forth in
Section 2.3 and on Schedule 2.14, DHP is in compliance in all material  respects
with all federal,  state,  county and municipal laws,  ordinances,  regulations,
judgments, orders or decrees applicable to the conduct of its business or to the
assets owned, used, or occupied by DHP, and has not received notice or advice to
the contrary.  Except as set forth on Schedule 2.14,  neither this Agreement nor
the  consummation of the  transactions  contemplated  herein will (a) violate an
order, writ,  injunction,  statute,  rule or regulation applicable to DHP or (b)
require the consent,  approval,  authorization  or permission  of, or the filing
with or the notification of any federal, state or local government agency.

     Section 2.15 Environmental and Medical Waste Compliance.

     (a) DHP is not in violation of any federal,  state or local laws, statutes,
codes,  ordinances,  rules,  regulations,  permits  or  orders  relating  to  or
addressing  the  environment,  health,  medical  waste or safety  (collectively,
"Environmental  Laws"),  which  shall  include,  but not be limited to, the use,
handling  or  disposal  of or the record  keeping,  notification  and  recording
requirements   respecting  any  pollutant,   hazardous  substance,   radioactive
substance,  toxic  substance,  solid  waste,  hazardous  waste,  medical  waste,
radioactive  waste,  special waste,  petroleum or petroleum derived substance or
waste,  asbestos,  or any hazardous or toxic constituent  thereof  (collectively
"Hazardous Substances") or work place or worker safety and health, nor have they
received  any written  notices  alleging  that they are in violation of any such
Environmental  Laws;  nor are they  subject to any  administrative  or  judicial
proceeding alleging any violation of any such Environmental Laws, federal, state
or local laws, statutes, codes, ordinances, rules, regulations, permits relating
to the environment, health, medical waste or safety.

     (b) There is no pending lawsuit or  administrative  proceeding or, to CMH's
or DHP's  knowledge,  threatened  claim  alleging  that DHP is liable  under any
Environmental Law, including,  without limitation, any Environmental Law related
to the  on-site  or  off-site  disposal  of  Hazardous  Substances.  DHP has not
received  written  notice  from any  person,  including  but not  limited to any
federal,  state, or local governmental agency, alleging that DHP is liable under
any  applicable   Environmental   Law,   including   without   limitation,   any
Environmental  Law  related to the on-site or  off-site  disposal  of  Hazardous
Substances.

     (c) To CMH's and DHP's  knowledge,  there have been no releases,  spills or
discharges of Hazardous  Substances  on or  underneath  any of the real property
leased by DHP and DHP has not disposed of Hazardous  Substances  on, at or under
such properties.

     Section 2.16 Taxes. No assessments or additional tax liabilities (including
all federal,  state and local taxes, charges,  penalties and interest) have been
proposed or to the best of CMH and DHP's knowledge threatened against DHP or any
of its assets,  and, except as disclosed on Schedule 2.16, none of Coastal,  CMH
or DHP has executed any waiver of the statute of  limitations  on the assessment
or collection of such tax liabilities.  There are no federal, state or local tax
liens upon any of DHP's assets other than  inchoate  liens for taxes not yet due
and payable. There are no past, pending or to CMH or DHP's knowledge, threatened
audits  against  DHP,  except  that  Coastal is subject to a federal  income tax
examination  for 1992 through and including  1996 (DHP was not operating and was
not part of the  consolidated  returns of Coastal for 1992 and 1993).  Except as
set forth on Schedule  2.16,  all tax returns for DHP have been timely filed and
are complete and accurate. All returns, declarations, reports, estimates,

                                       4
<PAGE>

information  returns and statements  ("Returns")  required to be filed under any
federal,  state,  local  or  foreign  authority  by  Coastal,  CMH,  DHP  or the
affiliated,  combined or unitary group of which any such corporation is or was a
member have been filed and were in all material respects (and, as to Returns not
yet due and filed on the date hereof, will be) true, complete, correct and filed
on a timely  basis.  All taxes  due and  owing or  required  to be  withheld  or
collected  by CMH and DHP have  been  fully  paid and CMH and DHP have  adequate
reserves to pay all taxes not yet due,  including any taxes  resulting  from the
transactions contemplated hereunder. Coastal has included DHP as a member of its
consolidated  group for federal  income tax  purposes  for all taxable  years in
which DHP was  properly so  includible  and will  include DHP as a member of its
consolidated  group for the taxable period beginning  January 1, 1998 and ending
on the Closing Date.

     Except as may be required by the Internal  Revenue Service (or state taxing
authority)  to clearly  reflect  the income or loss of Coastal or any members of
its  consolidated  group,  Coastal  will not take any action or fail to take any
action  that could have the effect of reducing  the amount of any net  operating
loss or other tax  attribute  attributable  to DHP  pursuant  to the Code or any
similar law of any other taxing jurisdiction, including, without limitation, the
filing of any amended return or the reattribution of any net operating losses or
similar items from DHP, or any affiliate of Coastal  under Treas.  Reg.  Section
1.1502-20  or any similar law of any other taxing  jurisdiction.  If the Coastal
"consolidated group" is subject to a "consolidated  section 382 limitation" as a
result of transactions  prior to those  contemplated in this Agreement,  Coastal
will file an election under Treas.  Reg. Section  1.1502-95T(c)  apportioning to
DHP an  amount of the  "consolidated  section  382  limitation"  of the  Coastal
"consolidated  group"  equal to the lesser of (a) the sum of (i) the  product of
the "consolidated  section 382 limitation" of the Coastal  "consolidated  group"
and the DHP  Percentage  (as defined  herein) plus (ii) the net  operating  loss
incurred for tax purposes by the Coastal  consolidated  group  subsequent to the
event triggering the consolidated  section 382 limitation  multiplied by the DHP
Percentage (as defined  herein)  multiplied by the long term  tax-exempt rate in
effect as of the Closing  Date,  and (b) the Purchase  Price  multiplied  by the
long-term  tax-exempt  rate in effect as of Closing Date. The " DHP  Percentage"
shall mean Ten Percent (10%) multiplied by a fraction, the numerator or which is
the Purchase Price (as adjusted  pursuant to this Agreement) and the denominator
of which is  $8,714,000.  Such election will be timely and properly  filed under
Treas. Reg. Section  1.1502-95T(e).  For purposes of this Section 2.16, the term
"net operating loss" shall have the meaning ascribed to such term in section 172
of  the  Code,  and  the  terms   "consolidated   section  382  limitation"  and
"consolidated  group"  shall  have the  meaning  ascribed  to such  terms in the
Treasury Regulations to Section 1502 of the Code.

     Section 2.17 Litigation. Except as set forth on Schedule 2.17, there are no
actions,  suits or proceedings pending or to their knowledge  threatened against
CMH or DHP which  materially  affect the  ability  of CMH to perform  under this
Agreement.

     Section 2.18 Jurisdictions Doing Business. Attached hereto as Schedule 2.18
is a complete list of all  jurisdictions  in which DHP has done business as well
as any and all trade names or other names they have used in those jurisdictions.
DHP is duly qualified or registered to do business as a foreign  corporation and
are in good standing in each jurisdiction in which the character of the business
conducted  by it or the location of the  properties  owned or leased by it makes
such  qualification  necessary  and where the failure to so qualify would have a
material adverse effect upon its respective business.

                                   ARTICLE III
                  LIMITATIONS ON REPRESENTATIONS AND WARRANTIES

     Section 3.1 Limitation on Representations and Warranties.  The Seller shall
not be deemed to have made to Purchaser  any  representation  or warranty  other
than those expressly made by the Seller in Article II hereof.  Without  limiting
the  generality of the  foregoing,  and  notwithstanding  any otherwise  express
representations  and warranties made by the Seller in Article II hereof,  Seller
makes no representation or warranty to Purchaser with respect to:

     (a) any projections,  estimates, or budgets heretofore delivered to or made
available to Purchaser of future  revenues,  expenses or  expenditures or future
results of operations; or

                                       5
<PAGE>

     (b) except as expressly covered by a representation  and warranty contained
in  Article  II  hereof,  any  other  information  or  documents  (financial  or
otherwise)  made available to Purchaser or its counsel,  accountants or advisors
with respect to DHP;  notwithstanding the foregoing,  the Seller shall be liable
if  Seller  has  knowingly  furnished  any other  information  or  documents  to
Purchaser which is materially incomplete or materially false.

     Section 3.2 Due Diligence Investigation. Purchaser acknowledges that:

     (a)  it  has  had  the   opportunity  to  visit  with  DHP  and  meet  with
representatives  of DHP to discuss the  business  and the  assets,  liabilities,
financial condition, cash flow and operations of the business; and

     (b) all materials and information requested by Purchaser have been provided
to Purchaser to Purchaser's reasonable satisfaction.

     Purchaser  acknowledges  that it has made its own independent  examination,
investigation,  analysis and evaluation DHP. Purchaser  acknowledges that it has
had full and complete  access to all of the books,  records and assets of Seller
and has had the  opportunity  to personally  inspect the assets,  operations and
talk with the  personnel  employed  by DHP to the extent it has desired to do so
with respect to this transaction.

     Purchaser acknowledges that it has undertaken such due diligence (including
a review of the assets,  liabilities,  books,  records and  contracts of DHP) as
Purchaser deems adequate, including that described above.

                                   ARTICLE IV
                   REPRESENTATIONS AND WARRANTIES OF PURCHASER

     In order  to  induce  the  Seller  to enter  into  this  Agreement  and the
transactions  contemplated  hereby,  Purchaser hereby represents and warrants to
Seller as follows:

     Section 4.1 Company  Organization  and  Authority.  Purchaser  is a limited
liability  company,  validly existing and in good standing under the laws of the
State of North  Carolina,  with full power and authority to conduct its business
as now conducted,  own its assets, own or lease and operate its properties,  and
enter into and perform its  obligations  under this  Agreement.  This  Agreement
constitutes,  and all  agreements  and other  instruments  and  documents  to be
executed and delivered by Purchaser will constitute,  Purchaser's  legal,  valid
and binding obligations,  enforceable against Purchaser in accordance with their
respective terms.

     Purchaser,  by all appropriate  limited liability company action,  has duly
authorized  the  execution  and  delivery of this  Agreement,  the  documents of
transfer  and  assignment  contemplated  hereby  and  consummation  of  all  the
transactions  contemplated  herein and the  performance  of all  obligations  of
Purchaser pursuant to this Agreement.

                                    ARTICLE V
                COVENANTS AND AGREEMENTS OF SELLER AND PURCHASER

     Section 5.1 Assignment of Leases.  To the extent any real estate leases for
facilities utilized by DHP or equipment leases for equipment used by DHP are not
currently  in the name of DHP, at the Closing  such leases  shall be assigned to
and assumed by  Purchaser,  and the Seller and  Purchaser  agree to cooperate to
obtain  releases  of the  Seller,  Coastal  or any  affiliates  of  Coastal  for
liability in connection with such leases. All rent and any pass through expenses
payable  by the  tenant  under  any  such  leases  shall be  prorated  as of the
Effective Date between the Seller and Purchaser.  Security  deposits on all real
estate and equipment  leases shall remain on deposit pursuant to the leases and,
to the  extent not  currently  held in the name of DHP shall be  transferred  to
Purchaser  or DHP at Closing.  Any expenses  chargeable  to the tenant or lessee
under such leases (such as taxes,  insurance and maintenance)  shall be prorated
as of the Effective Date and adjusted between the Purchaser and the Seller.

     Section 5.2 Accounting Services; Cooperation of Parties. Purchaser shall be
entitled to continue  to have access to and utilize the  accounting  and general
ledger systems of Coastal including use of hardware and related software through
the end of 1998 for no charge other than  reimbursement  of out of pocket costs,
including

                                       6
<PAGE>

telecommunications  expenses. The out-of-pocket costs shall be billed by Coastal
to Purchaser  monthly,  and Purchaser  shall timely pay said  invoices.  Coastal
shall not be obligated to provide any special programming or support services to
Purchaser in connection with Purchaser's use of these systems. Coastal shall not
be obligated to continue to use the present  accounting systems through 1998 and
Coastal will not be in breach of this  Agreement if it  discontinues  use of the
present systems or modifies them so as to make continued  access and utilization
by  Purchaser  impractical;  provided,  in such  event,  Coastal  shall  provide
Purchaser  with at least  ninety (90) days  advance  notice of any change in its
present  systems which will make continued  access and  utilization by Purchaser
impractical  and Coastal  shall assist  Purchaser in the  transition  to another
system.

     In  consideration  of the aforesaid,  Purchaser will assist Coastal and the
Seller  in the  production  of  information  for the  preparation  of  financial
statements and tax returns of the Seller.

     Section 5.3 Employees.  For a transition period through and including March
31, 1998,  the  employees  of DHP will  continue to  participate  in all Coastal
sponsored  benefit  plans in which they  participated  immediately  prior to the
Closing,  and will be paid  through the Coastal  master  payroll  services.  The
Purchaser will offer employment to all current employees of DHP at their current
rate of pay,  although  Purchaser  shall not be  obligated  to  employ  any such
persons for any specific  length of time.  Purchaser will be obligated to pay to
Coastal  all  direct  costs  of the  payroll  (salary,  bonus,  overtime,  shift
differential) paid by Coastal during the transition period,  plus 17.5% to cover
the cost of employee benefits and payroll processing and benefit administration.
The  Purchaser  shall remit these amounts to Coastal  immediately  prior to each
payroll period.

     Section 5.4 Insurance.  The Seller shall bear the risk of loss from fire or
other  casualty  through the Closing  Date. In the event of any fire or casualty
through the Closing Date causing any material  loss of DHP's  assets,  Purchaser
shall  have  the  right  to  terminate  this  Agreement  and all of  Purchaser's
obligations hereunder.  Upon such termination,  CMH will reimburse Purchaser for
Purchaser's  actual  out-of-pocket  expenses  (up to a maximum  of  $50,000)  in
connection  with  the  negotiation  and  preparation  of this  Agreement  and in
connection  with  advice  relating  to  the  transactions  contemplated  hereby,
provided that Purchaser shall provide reasonable documentation of such expenses.

     Coastal will  exercise  reasonable  efforts to cause the  businesses  being
purchased by Purchaser to be covered under Coastal's  insurance policies through
March 31, 1998 with respect to (i) general liability insurance and (ii) fire and
casualty insurance. Coastal will bill Purchaser for the incremental cost of such
insurance and Purchaser  shall promptly pay such costs.  Such insurance shall be
subject to such terms,  conditions,  limitations  and  exclusions  as  Coastal's
insurers may impose.

     Section 5.5 Reserved.

     Section 5.6 Marketing of DHP. For a period of twelve (12) months  following
the Closing,  Coastal  shall have the right to market DHP for sale.  During this
period,  Purchaser  agrees  that it will not do  anything to impede the right of
Coastal to market DHP;  provided that Purchaser may bring in minority  investors
to DHP so long as Steven M.  Scott,  M.D. or his  affiliates  continue to retain
control of DHP,  and  further  provided  that this  sentence  shall not  require
Purchaser  to maintain  any  particular  level of funding of DHP  operations  or
prevent  Purchaser  from  selling  DHP for a price  less than the  Strike  Price
(defined  below)  during  the period  when  Coastal  has a right to market  DHP.
Following  the Closing,  the parties  agree to undertake an effort to market DHP
for sale to a third party  purchaser.  The timing and  logistics  of such a sale
shall be discussed and agreed to by the parties.  Coastal has previously entered
into an agreement with Advest, Inc.  contemplating the marketing and sale of DHP
following the Closing.  Purchaser agrees to give Coastal and its representatives
(including investment bankers,  accountants and legal counsel) full and complete
access  to  the  books,  records,  facilities  and  personnel  of DHP  and  full
cooperation  that in either case is necessary or  appropriate  to market DHP for
sale.  Such  access  shall  also be  granted  to  potential  purchasers  for due
diligence  purposes  (subject to the  execution  of  appropriate  and  customary
confidentiality  agreements).  In the event that Coastal or Purchaser  locates a
third party  purchaser  for DHP during  this period at a price that  exceeds the
Strike Price, then Coastal may elect to have the sale take place;  provided that
if the Note is  outstanding  Coastal  may  elect to sell for a price  below  the
Strike  Price if either (i) the offer to  purchase  is made  ninety (90) days or
more after the date hereof and  Purchaser  has  defaulted in its  obligation  to
secure the Note by posting adequate collateral in accordance with Section 1.3 or
(ii) the offer to purchase is made within  ninety (90) days of the date  hereof,
Coastal has given notice to the Purchaser it intends to accept the

                                       7
<PAGE>

offer,  and Purchaser fails to pay the Note in full or post adequate  collateral
in accordance  with Section 1.3 by the earlier of (x) forty-five (45) days after
such notice or (y) ninety (90) days after the date hereof.  If Coastal elects to
sell, Purchaser shall have the right to pay an amount to Coastal that equals the
amount that would have been received by Coastal  hereunder as a result of a sale
to such third party  purchaser  or to agree to  consummate a closing and sale to
such third party  purchaser.  If Purchaser elects to pay such amount to Coastal,
the right to market under this Section 5.6 shall terminate upon such payment. In
addition,  if a definitive agreement with a third party purchaser is not entered
into within the twelve (12) month period, the right to market under this Section
5.6 shall terminate.

     The following definitions shall apply for purposes of this Section 5.6:

          (i)  "Purchaser's  Base  Cost"  shall  be an  amount  equal to (i) the
     purchase price  Purchaser paid for the DHP Stock pursuant to this Agreement
     plus (ii) Purchaser's  out-of-pocket  costs relating to the acquisition and
     financing  of the  DHP  Stock  and the  operations  of the  business  being
     acquired,  including  interest and finance fees relating thereto plus (iii)
     any  additional  capital  contributed  to DHP  after  March 1, 1998 and any
     additional capital  contributed to finance the operation of DHP, minus (iv)
     the amount of any  distributions in the nature of dividends,  redemption of
     capital stock or similar payments made to shareholders of DHP.

          (ii) "Purchaser's  Total Cost" shall be an amount equal to Purchaser's
     Base Cost plus an amount  calculated to be a twelve percent (12%) per annum
     return on the contributions, payments or costs that make up the Purchaser's
     Base Cost, taking into account any reduction in the outstanding amount as a
     result of the  receipt  of  distributions,  dividends  or net  proceeds  by
     Purchaser.

          (iii)  "Seller's  Selling  Expenses"  shall be an amount  equal to the
     investment banker fees and expenses paid by Seller or Coastal in connection
     with the sale of the DHP Stock to Purchaser.

          (iv)  "Marketing  Expenses"  shall  be  the  out-of-pocket  costs  and
     expenses of Coastal and  Purchaser  incurred or  reasonably  expected to be
     incurred in connection  with the sale of DHP to a third party purchaser (or
     incurred  in  preparing  for  such  sale),   including  without  limitation
     investment banker fees and expenses.

          (v) "Strike Price" shall be an amount equal to Purchaser's  Total Cost
     plus Marketing Expenses.

     Upon a sale to a third party,  the parties agree to distribute the proceeds
of sale as follows:

          (i) If the third party purchaser is located and a definitive agreement
     entered  into  before the earlier of (A) the date thirty days from the date
     of  closing or (B) the date by which  Purchaser  has  contributed  at least
     $2,000,000  to the capital of DHP,  then all  Marketing  Expenses  shall be
     paid, Purchaser's Total Cost shall be paid to Purchaser,  and all remaining
     proceeds of the sale shall be paid to Coastal.

          (ii)  For  all  sales,  Marketing  Expenses  shall  first  be  paid or
     reimbursed. The remaining proceeds shall be paid as follows:

               (A)  Purchaser  shall be  entitled  to receive the greater of (A)
          Purchaser's  Total Cost or (B) the amount  equal to  Purchaser's  Base
          Cost plus fifty percent (50%) of the difference between (x) the amount
          of the remaining  proceeds less Seller's  Selling  Expenses  minus (y)
          Purchaser's Base Cost.

               (B) Any  portion  of the  sales  proceeds  not paid as  Marketing
          Expenses  or  paid to  Purchaser  under  (A)  above  shall  be paid to
          Coastal.

     In the  event  that the Note is not paid in full at the time of the sale or
if any cash  advances or loans made by Coastal or CMH  subsequent to February 1,
1998 remain outstanding,  the outstanding amounts of such obligations (including
accrued  but  unpaid  interest  thereon)  shall be paid  directly  to Coastal at
closing out of the proceeds  Purchaser would otherwise  receive.  If the Note is
outstanding  at the time of the sale  and the sale is for less  than the  Strike
Price,

                                       8
<PAGE>

then the proceeds of the sale shall be paid in the following order to the extent
available:  All Marketing Expenses shall be paid, then the Note shall be paid in
full, then any remaining portion of shall be applied to Purchaser's Total Cost.

     If there is income tax  liability to Purchaser  arising from the receipt by
Seller or Coastal of the  amounts  Seller  and/or  Coastal  are is  entitled  to
receive  under this  Section,  Coastal  agrees to  indemnify  and hold  harmless
Purchaser from any such income tax liability  (grossed up to account for the tax
liabilities associated with such indemnification).

     The  parties  acknowledge  that any  subsequent  transfer  of DHP  Stock or
substantially  all of its assets will  require  the consent and  approval of the
NCDOI and the South Carolina Department of Insurance.

     Section  5.7  Financial  Information.  For a period of twelve  (12)  months
following  the  Closing,  or so long as  Coastal  has the right to  market  DHP,
Purchaser shall cause DHP to deliver monthly financial statements and reports to
Coastal  and shall  provide  such other  information  concerning  the  financial
condition,  business  operations  and prospects of DHP as Coastal may reasonably
request.

     Section  5.8  Release of Scott from  Non-Compete.  As part of the  Closing,
Coastal  and Dr.  Steven M.  Scott  agree to enter into the  Partial  Release of
Non-Compete Agreement attached hereto as Exhibit B.

     Section 5.9  Non-Compete  Agreement  of Coastal.  In  consideration  of the
transactions  provided  for in this  Agreement,  Coastal  and Seller  agree that
during the one year  period  following  the  Closing  Date (as  defined  below),
neither  they nor any of their  subsidiaries  will  engage  in the  business  of
providing health  maintenance  organization or similar services in (i) the State
of North  Carolina and (ii) those service  areas in the State of South  Carolina
served by DHP as of the Effective Date.

     Section 5.10 Use of DHP.  Coastal and its affiliates  currently offer their
employees the option of using DHP for the  employees'  health plan.  Coastal and
its  affiliates  agree to continue to offer DHP as an option to their  employees
and as part of  their  employer  sponsored  health  insurance  for one (1)  year
following the Closing.  Coastal and its affiliates further agree not to offer to
their employees any other health  maintenance  organization,  preferred provider
organization  or similar  organizations  in (i) the State of North  Carolina and
(ii)  those  service  areas in the State of South  Carolina  served by DHP for a
period of one (1) year following the Closing.

     Section  5.11  Payment  of Fines and  Penalties.  In the event the NCDOI or
South Carolina Department of Insurance or other regulatory  authorities levy any
fines or  penalties on DHP for  operations  prior to the Closing Date other than
the fine  disclosed in Schedule  2.14,  Seller will pay such fines and penalties
and  indemnify  and hold  harmless  Purchaser and DHP against any such fines and
penalties.

                                   ARTICLE VI
                         DELIVERIES OF SELLER AT CLOSING

     The Seller shall deliver the following at the Closing:

     Section 6.1 Stock  Certificates.  CMH will  deliver to the  Purchaser  duly
endorsed stock transfer powers and certificate(s) with respect to the DHP Stock.

     Section 6.2 Consents and  Approvals.  CMH shall have  obtained all consents
and approvals required for the transfer of the DHP Stock to the Purchaser.

     Section  6.3  Seller's  Documents.  The  Seller  shall  have  caused  to be
delivered to Purchaser, at the Closing, the following:

     (a) Good Standing  Certificates.  Good standing  certificates issued by the
appropriate official of the states of incorporation of DHP and CMH;

     (b)  Articles of  Incorporation  and Bylaws.  DHP shall have  delivered  to
Purchaser a true and complete copy of its Articles of Incorporation and Bylaws;

                                       9
<PAGE>

     (c) Corporate  Resolutions.  True and correct  copies of resolutions of the
board of directors of CMH authorizing the execution, delivery and performance of
this Agreement and the transactions contemplated hereby; and

     (d) Assignment of Leases. Assignments of leases as provided in Section 5.1.

     Section  6.4 Other  Assurances.  The  Seller  shall have  delivered  to the
Purchaser  such other and further  certificates,  assurances  and  documents  as
Purchaser  may  reasonably  request in order to  evidence  the  accuracy  of the
representations  and warranties made pursuant to Articles II, the performance of
covenants and  agreements  to be performed  pursuant to Article V at or prior to
the Closing, and the fulfillment of the conditions to Purchaser's obligations.

                                   ARTICLE VII
                       DELIVERIES OF PURCHASER AT CLOSING

     The Purchaser shall deliver the following at Closing:

     Section 7.1 Payment of Purchase  Price.  The Purchaser  shall have paid the
Purchase Price in the manner  described in Section 1.3 hereof.  If the Purchaser
elects to pay the Purchase Price by assumption of debt in an amount equal to the
Purchase  Price,  the  Purchaser  shall  provide  a  written  release  from  the
lender(s),  releasing  Coastal and all affiliates from the debt in the amount of
the Purchase Price.

     Section  7.2  Purchaser's  Documents.  Purchaser  shall  have  caused to be
delivered to Seller, at or before the Closing, the following:

     (a) Good Standing  Certificate.  Purchaser shall have delivered to Seller a
good standing certificate issued by the State in which Purchaser is organized.

     (b) Company  Resolutions.  True and complete  copies of  resolutions of the
Board of Directors of the  Purchaser  authorizing  the  execution,  delivery and
performance of this Agreement and the transactions contemplated hereby.

     Section 7.3 Other  Assurances.  The Purchaser  shall have  delivered to the
Seller such other and further  certificates,  assurances and documents as Seller
may reasonably request in order to evidence the accuracy of the  representations
and  warranties  made pursuant to Article IV, and, the  performance of covenants
and agreements to be performed pursuant to Article V at or prior to the Closing,
and the fulfillment of the conditions to Seller's obligations.

                                  ARTICLE VIII
                                 INDEMNIFICATION

     In addition to the indemnities  included  elsewhere in this Agreement,  the
parties hereto agree to indemnify and hold each other harmless as follows:

     Section 8.1  Indemnification  by the Seller. The Seller agrees to indemnify
and hold the  Purchaser  harmless at all times after the date of this  Agreement
from, against and in respect of:

     (a) Any and all loss,  liability,  damage or deficiency  resulting from any
misrepresentation,  breach of warranty or  nonfulfillment  of any  covenants  or
agreements on the part of the Seller  contained  herein or in any certificate or
document  furnished  by the  Seller  pursuant  hereto  and any  loss  or  damage
resulting from any claims, litigation,  actions, suits, proceedings,  judgments,
counsel fees, costs and expenses incident to such  misrepresentation,  breach or
nonfulfillment;

                                       10
<PAGE>

     (b) Any  fines and  penalties  levied  on DHP for  operations  prior to the
Closing Date by the North Carolina or South Carolina  Department of Insurance or
other regulatory authorities other than the fine disclosed in Schedule 2.14;

     (c) Any tax or other obligation or liability,  contingent or otherwise,  of
the Seller in respect of the sale or any profit derived from the sale of the DHP
Stock;

provided,  however,  that the  indemnification  obligations  of Seller  shall be
limited to the amount of the Purchase Price.

     Section 8.2  Indemnification  by the  Purchaser.  The  Purchaser  agrees to
indemnify  and hold the  Seller  harmless  at all  times  after the date of this
Agreement  from and against any and all loss,  liability,  damage or  deficiency
resulting from (i) any  misrepresentation,  breach of warranty or nonfulfillment
of any covenants or agreements on the part of the Purchaser  contained herein or
in any  certificate or document  furnished by the Purchaser  pursuant hereto and
any loss or  damage  resulting  from any  claims,  litigation,  actions,  suits,
proceedings,  judgments,  counsel  fees,  costs and  expenses  incident  to such
misrepresentation,  breach or nonfulfillment;  and (ii) all liabilities  arising
out of or in connection  with the  operation of DHP  subsequent to the Effective
Date.

     Section 8.3 Third Party Claims.  Should any claim be made by a person not a
party to this  Agreement  with  respect  to any  matter to which  the  foregoing
indemnity  relates,   the  party  against  whom  such  claim  is  asserted  (the
"Indemnified  Party"),  within a reasonable  period of time,  shall give written
notice to the other party (the "Indemnifying  Party") of any such claim, and the
Indemnifying Party shall thereafter defend or settle any such claim, at its sole
expense, on its own behalf and with counsel of its selection. In such defense or
settlement  of any  claims,  the  Indemnified  Party  shall  cooperate  with the
Indemnifying  Party to the  maximum  extent  reasonably  possible.  Any  payment
resulting  from such  defense or  settlement,  together  with the total  expense
thereof,  shall be  binding  on Seller  and  Purchaser  for the  purpose of this
Article VIII.

     Section 8.4 Settlement.  Notwithstanding the foregoing, should any claim be
made by a person  not a party to this  Agreement  with  respect to any matter to
which the foregoing  indemnity relates,  the Indemnified Party, on not less than
thirty (30) days' notice to the Indemnifying  Party, may make settlement of such
claim, and such settlement  shall be binding on the  Indemnifying  Party and the
Indemnified Party for the purposes of this Article VIII; provided, however, that
if within  said  thirty  (30) day  period  the  Indemnifying  Party  shall  have
requested the Indemnified  Party not to settle such claim and to deny such claim
at the expense of the Indemnifying  Party,  the Indemnified  Party will promptly
comply  and the  Indemnifying  Party  shall have the right to defense on its own
behalf with counsel of its selection.  Any payment or settlement  resulting from
such claim, together with the total expense thereof,  shall be binding on Seller
and Purchaser for the purposes of this Article VIII.

     Section  8.5  Mediation/Arbitration.  In the event of any claim or  dispute
between the parties arising out of this Agreement,  the parties agree to resolve
any such dispute or  disagreement  by submitting such dispute first to mediation
and second to arbitration pursuant to the following procedures:

     (a) Mediation.  The parties shall mediate any dispute or disagreement  upon
the written  demand of any party with the  mediator  appointed  by the  Judicial
Arbitration  & Mediation  Services,  Inc.  ("JAMS") or another party upon mutual
agreement of all parties in  disagreement,  pursuant to the following  terms and
conditions.

          (1) Best  Efforts.  The  parties  agree to use their  best  efforts to
resolve their dispute by mediation before proceeding to binding arbitration.

          (2) Hearings,  Scheduling and Parties Present.  After the mediator has
been  appointed,  the parties shall  promptly agree upon a date and time for the
initial  conference with the mediator,  but no later than thirty (30) days after
the date the mediator was selected.  The location of the  mediation  shall be in
Durham, North Carolina.  The parties understand and agree that, besides counsel,
a representative from each side with full settlement  authority shall be present
at all mediation conferences unless excused by the mediator. Each party may have
other  representatives,  agents or witnesses present at the mediation to respond
to questions, contribute

                                       11
<PAGE>

information and participate in the mediation.  The number of additional  parties
may be agreed upon in advance with the assistance and advice of the mediator.

          (3)  Discovery.  In the event that a party has a substantial  need for
information  in the  possession  of another  party to prepare for the  mediation
conference, the parties shall use their best efforts to agree upon the procedure
for  expeditious  exchange of information  and, if required,  the mediator shall
assist in such efforts.

          (4) Position Papers. Each party shall deliver to the mediator and each
party to the mediation a concise written  summary of its position  together with
any appropriate  documents supporting such position no later than seven (7) days
before the scheduled  mediation  session,  including a proposed  solution to the
matters in controversy.

          (5)  Mediator's  Role.  Once familiar with the issues  involved in the
mediation,  the mediator  shall,  if  requested by both of the parties,  give an
opinion of the probable  outcome of the case and a range of settlement value and
trial value if the case were  litigated.  The mediator  shall, in the absence of
instructions from the parties to the contrary,  give  recommendations  regarding
the possible  settlement terms and conditions.  The opinions and recommendations
of the mediator are not binding on the parties.

          (6) Fees and Costs.  The fees and costs of the mediation shall conform
to the then current fee schedule of JAMS.  Fees and costs of the mediation shall
be borne  equally by  Purchaser  and the Seller and each party shall pay its own
professional fees and costs.

          (7) Confidentiality of Proceedings.  The mediation shall be considered
settlement  negotiations for the purpose of all state and federal rules and laws
protecting  disclosures made during such conferences from later discovery or use
in evidence.  The mediation shall be  confidential  and no stenographic or other
written records shall be made except the  memorialized  settlement  record.  All
conduct,  promises,  offers,  views,  opinions or  statements,  whether  oral or
written,  by any party,  the party's  agent,  employee,  or  representative  are
confidential and, where appropriate,  considered work product and privileged and
the same shall not be subject to discovery or voluntary disclosure or admissible
for any  purpose,  including  impeachment  in  litigation  between the  parties,
provided, however, that evidence otherwise subject to discovery or admissible is
not  excluded  from  discovery  or admission in evidence as a result of the same
being used in connection with the mediation.

          (8)  Termination of the Mediation.  The mediation shall continue until
the matter is  resolved  or the  mediator  makes a good faith  finding  that all
settlement  possibilities  have  been  exhausted  and  there  is  no  reasonable
likelihood of resolution through mediation.

     (b) Binding  Arbitration.  After  attempting to resolve the dispute in good
faith through  mediation,  the parties shall,  upon written request of either or
all parties,  submit any dispute or disagreement to binding  arbitration by JAMS
in  accordance  with the  foregoing  rules and  procedures  regarding  mediation
specified above in paragraph (a), with the following exceptions:

          (1) Selection of the Arbitrator.  The arbitrator  shall be selected by
JAMS and a single arbitrator shall conduct the arbitration.

          (2) Position Papers. Each party shall be entitled to submit a reply to
the other party's position paper to the arbitrator.

          (3)  Arbitrator's  Role. The decision of the arbitrator shall be final
and  binding  on the  parties,  and  shall  be  enforceable  under  the  Uniform
Arbitration Act of the state in which the arbitration is conducted and the terms
of that Act shall apply.

          (4) Fees and Costs.  The  arbitrator  shall be allowed,  in his or her
discretion,  to require the losing party to pay the reasonable  attorney's  fees
and  costs of the  prevailing  party  provided  the  arbitrator  finds  that the
assessment  of such fees and costs  serves  substantial  justice;  such fees and
costs shall not otherwise be awardable

                                       12
<PAGE>

in any mediation between the parties The award of the arbitrator,  including the
assessment of reasonable  attorney's fees and costs, if any, shall bear interest
at the legal rate until the date when the awarded  fees and costs,  if any,  are
paid in full.

     (c)  Except  where  specifically   modified  above,  all  other  terms  and
procedures  specified  for the  mediation  in  paragraph  (a) shall apply in the
arbitration.

     Section 8.6  Adjustment to the Purchase  Price.  For all tax purposes,  any
payment by Purchaser or Seller under this Agreement will be an adjustment to the
Purchase Price.

                                   ARTICLE IX
                                    BROKERAGE

     The Seller and the  Purchaser  represent  and warrant to the other that the
negotiations  relative  to this  Agreement  have been  carried  on by the Seller
directly  with the  Purchaser  and by the  Purchaser  directly  with the Seller,
without the intervention of any person other than Advest,  Inc.; Coastal and the
Seller shall be responsible for  compensating  Advest,  Inc. and shall indemnify
and hold  Purchaser  harmless from and against all such  obligations  to Advest,
Inc. The Seller shall  indemnify the Purchaser and the Purchaser shall indemnify
the Seller and hold the other party or parties  harmless  against and in respect
of any claim for  brokerage  or other  commissions  relative  to this  Agreement
(other than the aforesaid  Advest,  Inc.  compensation),  or to the transactions
contemplated  hereby,  and also in  respect  of all  expenses  of any  character
incurred by the  Purchaser,  on the one hand,  and by the  Seller,  on the other
hand, in connection with this Agreement or such transactions, arising out of any
claim for any such brokerage or other commissions  alleged to be due as a result
of the actions or conduct of the indemnifying party.

                                    ARTICLE X
        FURTHER ASSURANCES; ACCESS AND INFORMATION; CONDITIONS PRECEDENT

     Section  10.1  Further  Assurances.  The  Seller and  Purchaser  all hereby
covenant  and agree  that at any time and from  time to time they will  promptly
execute and deliver to the others such further  instruments  and  documents  and
take such further action as the parties may from time to time reasonably request
in order to further carry out the intent and purpose of this Agreement.

     Section 10.2 Access and Information.  Purchaser and its agents,  attorneys,
accountants  and  representatives   have  had  full  access  to  the  respective
properties,  affairs, books, records, contracts and documents of DHP, including,
without limitation,  all contracts,  leases,  evidence of indebtedness and audit
work papers of the internal auditors of the respective businesses,  as Purchaser
has reasonably  requested.  Until the Closing,  Purchaser shall not disclose and
shall  cause its  agents,  attorneys,  accountants  and  representatives  not to
disclose to any other party any confidential data or information  secured,  and,
if the Closing does not occur as herein provided, Purchaser will promptly return
at  Purchaser's  expense,  all books,  records  and other  documents  and papers
obtained and all copies thereof.

     Section  10.3  Conditions  Precedent.  The  obligations  of the  Seller and
Purchaser to consummate  the  transactions  contemplated  by this  Agreement are
subject to the following conditions precedent:

     (a)  approval of the  transactions  contemplated  by this  Agreement by the
NCDOI and South Carolina Department of Insurance;

     (b)  approval  of the  material  terms of this  Agreement  by the  Board of
Directors of Coastal;

     (c) the obtaining of financing  satisfactory to Purchaser to consummate the
transactions contemplated under this Agreement; and

     (d) completion and approval by the Seller and Purchaser of all Exhibits and
Schedules to this Agreement.

                                       13
<PAGE>

                                   ARTICLE XI
                     NATURE AND SURVIVAL OF REPRESENTATIONS

     All representations,  warranties, and agreements made by the Seller in this
Agreement,  except as otherwise expressly stated,  shall survive the Closing and
any investigation at any time made by or on behalf of the Seller as follows:

     (a) The  representations,  warranties  and covenants  contained in Sections
2.1, 2.2 and 5.11 hereof shall survive forever;

     (b) The representations, warranties and covenants contained in Section 2.16
hereof shall survive for a period of six months  following the expiration of the
relevant statue of limitations;

     (c)  The   representation,   warranties  and  covenants   relating  to  all
liabilities  retained by Seller or not  specifically  assumed by Purchaser shall
survive forever; and

     (d) All other representations,  warranties, and covenants made hereunder by
Seller  shall be  effective  for a period of twelve  (12) months  following  the
Closing Date.  Within said twelve month period,  Purchaser must provide  written
notice to the Seller of the breach of any representation,  warranty or covenant,
pursuant to which  Purchaser  asserts a claim  stating  with  particularity  all
material facts then known to Purchaser relating to such claim.

                                   ARTICLE XII
                                  MISCELLANEOUS

     Section 12.1 Third Party Beneficiary.  Coastal,  its successors and assigns
and Steven M. Scott, M.D., his successors and assigns, are intended to be direct
third-party  beneficiaries of the covenants  contained in this Agreement and may
enforce the same in their own respective name, as applicable.

     Section 12.2 Notices;  Addresses. All notices, requests, demands, and other
communications  hereunder shall be in writing,  and shall be deemed to have been
duly given if delivered or mailed,  first class  postage  prepaid,  addressed as
follows:

         COASTAL:        Coastal Physician Group, Inc.
                         2828 Croasdaile Drive
                         Durham, North Carolina  27704
                         Attention: President

         CMH:            Coastal Managed Healthcare, Inc.
                         2828 Croasdaile Drive
                         Durham, North Carolina  27704
                         Attention: President

         PURCHASER:      DHP Holdings, LLC
                         2828 Croasdaile Drive
                         Durham, North Carolina  27704
                         Attention: Steven M. Scott, M.D., President

     Section 12.3 Expenses.  Except as otherwise  provided  herein,  the parties
hereto  shall  pay  all of  their  own  expenses  relating  to the  transactions
contemplated  by this Agreement,  including,  without  limitation,  the fees and
expenses of their respective legal counsel and financial advisors.

     Section 12.4 Counterparts. This Agreement may be executed simultaneously in
two or more counterparts,  each of which shall be deemed an original, but all of
which together shall constitute one and the same instrument.

                                       14
<PAGE>

     Section  12.5  Severability.  Any  provision  of this  Agreement  which  is
prohibited or unenforceable in any jurisdiction,  shall as to such jurisdiction,
be ineffective to the extent of such  prohibition  or  unenforceability  without
invalidating  the  remaining  provisions  hereof,  and any such  prohibition  or
unenforceability   in  any   jurisdiction   shall  not   invalidate   or  render
unenforceable such provision in any other jurisdiction.

     Section 12.6 Assigns/Assignments.  This Agreement shall be binding upon and
inure to the benefit of the parties hereto any and all successors,  assigns,  or
other successors in interest of the Purchaser,  Coastal and the Seller.  Neither
the Seller nor the Purchaser  shall be entitled to assign this  Agreement or any
rights hereunder without the written consent of the other party.

     Section 12.7 Public Announcement.  Prior to Closing, no party will make any
public  announcements  with respect to this transaction  without the approval of
the other  parties,  except as otherwise  required by law, by the Securities and
Exchange Commission, or that are recommended by legal counsel.

     Section 12.8 Confidentiality. Except to the extent the parties agree or are
required by law to make information public pursuant to Section 12.7, the parties
agree to keep the terms of this Agreement  confidential  and not to disclose the
contents  of this  Agreement  to any party other than  employees  of a party who
agree  to  maintain  such  confidentiality  and the  professional  advisors  and
representatives of the parties.

     Section  12.9  Remedies.  In the event that any party  defaults or fails to
perform any of the  conditions or obligations of such party under this Agreement
or any other agreement,  document or instrument executed in connection with this
Agreement,  or in the event that any such party's  representations or warranties
contained herein or in any such other agreement,  document or instrument are not
true and correct as of the date hereof and as of the Closing,  the other parties
shall be entitled to exercise any and all rights and remedies  available to them
by or pursuant to this Agreement or at law or in equity.

     Section  12.10  Captions.  The  captions  and  headings  set  forth in this
Agreement are for  convenience of reference only and shall not be construed as a
part of this Agreement.

     Section 12.11 Merger Clause.  This Agreement  contains the final,  complete
and exclusive statement of the agreement between the parties with respect to the
transactions  contemplated  herein and all prior or  contemporaneous  written or
oral agreements with respect to the subject matter hereof are merged herein.

     Section  12.12   Amendments.   No  change,   amendment,   qualification  or
cancellation  hereof shall be effective unless in writing and executed by all of
the parties hereto by their duly authorized officers.

     Section  12.13  Governing  Law.  This  Agreement  shall be  governed by and
construed in accordance with the laws of the State of North Carolina.

                                       15
<PAGE>

     IN WITNESS WHEREOF, the parties have duly executed this Agreement as of the
_____ day of March, 1998, effective as of January 1, 1998.


                                       COASTAL MANAGED HEALTHCARE, INC.

                                       By:
                                          --------------------------------
                                       Its:
                                           -------------------------------

ATTEST:

By:
   --------------------------
           Secretary

        [Corporate Seal]


                                       COASTAL PHYSICIAN GROUP, INC.


                                       By:
                                          --------------------------------
                                       Its:
                                           -------------------------------

ATTEST:

By:
   --------------------------
           Secretary

        [Corporate Seal]

                                       DHP HOLDINGS, LLC


                                       By:
                                          --------------------------------
                                                      Manager

                                       16
<PAGE>

                                    EXHIBIT A

                                 PROMISSORY NOTE


$5,000,000.00                                                    March ___, 1998


     FOR VALUE RECEIVED,  DHP HOLDINGS,  LLC, a North Carolina limited liability
company, (the "Borrower") hereby promises to pay to the order of COASTAL MANAGED
HEALTHCARE,  INC., a North Carolina corporation (the "Lender"), at such place or
places as the  Lender  may  designate  the  principal  sum of FIVE  MILLION  and
NO/DOLLARS  ($5,000,000.00).  The full principal amount shall be payable in full
on or before the date ten days after the date  hereof (the "Due Date") and shall
accrue no interest so long as the full  balance is paid by the Due Date.  If the
full  balance  is not paid by the Due Date,  any unpaid  portion of the  balance
shall bear  interest  from the Due Date at the per annum rate of twelve  percent
(12%).

     The  principal  balance  of this Note is given as  partial  payment  of the
purchase  price for the  purchase  of stock of  Doctors  Health  Plan,  Inc.  by
Borrower from Lender and is issued in  accordance  with Section 1.3 of the Stock
Purchase  Agreement by and between  Borrower,  Coastal Physician Group, Inc. and
the Lender (the "Purchase Agreement").

     This Note may be prepaid in whole or in part at any time without penalty or
premium.

     Upon the occurrence of any of the following events (each a "default"):

          c.  failure to pay any  principal  or interest  under this Note as the
     same becomes due;

          d. the filing of a  voluntary  petition  by the  Borrower  seeking the
     protection  of the  bankruptcy  court  under any  chapter or section of the
     Bankruptcy Code, as amended, or any state insolvency laws, by the Borrower,
     or if the Borrower has an  involuntary  petition filed against it under any
     chapter  or  section  of the  Bankruptcy  Code,  as  amended,  or any state
     insolvency  laws, and such petition is not dismissed within sixty (60) days
     of its filing; or

          e. by the order of a court of  competent  jurisdiction,  a trustee  or
     receiver  of a  material  portion of the  assets of the  Borrower  shall be
     appointed and such order shall not be discharged or dismissed  within sixty
     (60) days;

then in any such  event the holder  may  without  further  notice,  declare  the
remainder of the  principal  sum due.  Failure to exercise this option shall not
constitute a waiver of the right to exercise the same at any other time.

     Upon  default the holder of this Note may employ an attorney to enforce the
holder's rights and remedies and the maker and any principal,  surety, guarantor
and  endorser  of  this  Note  hereby  agree  to pay to  the  holder  reasonable
attorney's  fees plus all other  reasonable  expenses  incurred by the holder in
exercising any of the holder's rights and remedies upon default.

     All parties to this Note,  including the Borrower and any surety,  endorser
or guarantor hereby waive protest,  presentment,  notice of dishonor, and notice
of  acceleration  of  maturity  and agree to  continue  to remain  bound for the
payment  of  principal,  interest  and  all  other  sums  due  under  this  Note
notwithstanding  any change or changes by way of release,  surrender,  exchange,
modification  or  substitution  of any  security  for this Note or by way of any
extension or extensions  of time for the payment of principal and interest;  and
all such  parties  waive all and every kind of notice of such  change or changes
and agree that the same may be made without notice or consent of any of them.

     This Note shall be governed and  construed in  accordance  with the laws of
the State of North Carolina.

<PAGE>

     IN TESTIMONY  WHEREOF,  the Borrower has signed,  sealed and delivered this
Note as of the date first above written.

                                       DHP HOLDINGS, LLC


                                       By:                                (SEAL)
                                          --------------------------------
                                                       Manager

                                       18
<PAGE>

                                    EXHIBIT B

        Partial Release of Non-Compete Provisions of Employment Agreement
                          between Steven M. Scott, M.D.
                                       and
                          Coastal Physician Group, Inc.

     This Partial Release of Non-Compete  Provisions of Employment  Agreement is
made and entered into this the ____ day of  ____________,  1998,  by and between
Steven M. Scott, M.D. ("Scott") and Coastal Physician Group, Inc. ("Coastal").

     Scott and  Coastal are parties to an  Employment  Agreement  dated April 1,
1991,  ("Agreement")  pursuant  to which  Scott is  employed  by  Coastal as its
President and Chief Executive Officer; and

     The Agreement  contains certain provisions  restricting  Scott's activities
that are in competition with Coastal or its subsidiaries; and

     An  affiliate  of Scott,  Coastal  and  certain of its  subsidiaries,  have
entered  into an  agreement  dated the date  hereof (the  "Purchase  Agreement")
pursuant to which such  affiliate of Scott,  known as DHP  Holdings,  LLC,  will
purchase the stock of Doctors Health Plan, Inc. ("DHP"); and

     The  parties  are  desirous of  amending  the  Agreement  in order that the
ownership,  operation and potential expansion of DHP into certain areas by Scott
or  any  of  his  affiliates  shall  not  be  deemed  to be a  violation  of the
non-competition or any other provisions of the Agreement.

     NOW,  THEREFORE,  in  consideration  of the  purchase  of the  stock of DHP
referred to above, the parties agree as follows:

     1.  Partial  Release  of  Non-Compete   Provisions.   Notwithstanding   the
non-compete or any other provisions of the Agreement,  and  notwithstanding  any
provisions of any other agreement  between Scott or any of his affiliates  other
than  Coastal  or its  subsidiaries  (collectively,  the "Scott  Entities")  and
Coastal or any of its subsidiaries (collectively, the "Coastal Entities"),

          a. except as provided in c. below,  the Scott  Entities may  hereafter
enter into the business of owning,  managing,  operating or otherwise  providing
services to health maintenance  organizations,  preferred provider organizations
or similar organizations (collectively "HMOs");

          b.  except  as  provided  in c.  below,  the Scott  Entities  shall be
permitted to increase and expand their ownership,  management,  and operation of
HMOs,  including  without  limitation  creating  start up locations or acquiring
additional HMOs in any geographic location; and

          c.  notwithstanding  the  foregoing,  so long as  Coastal  and/or  its
affiliates operate HMOs in the States of Florida and Georgia, the Scott Entities
shall  not  manage,  operate,  own or  provide  any  services  to any HMO in any
counties in which such HMOs operated by Coastal  and/or its  affiliates  provide
services or any county contiguous to such counties.

     For so long as the  Coastal  Entities'  non-compete  agreement  pursuant to
Section 5.9 of the  Purchase  Agreement  remains in effect,  the Scott  Entities
shall not be  required to first offer the  Coastal  Entities  any  opportunities
which  the Scott  Entities  may have to  increase  or  expand  their  ownership,
management or operation  of, or other  business  relationships  with HMOs (other
than  opportunities  in the  counties in Florida  and  Georgia in which  Coastal
and/or its  affiliates  operate HMOs and  contiguous  counties,  which the Scott
Entities are prohibited from pursuing). Upon expiration of the Coastal Entities'
non-compete  agreement in accordance with Section 5.9 of the Purchase Agreement,
if any  opportunities to own,  operate,  manage or otherwise provide services to
HMOs are made available to Scott or any of the other Scott Entities by reason of
Scott's position as an officer, employee, director or

<PAGE>

shareholder  of  Coastal,  then Scott  shall  first make  reasonable  efforts to
determine  whether  Coastal  desires  to avail  itself of such  opportunity.  If
Coastal informs Scott that it intends to avail itself of such opportunity,  then
Scott and the other Scott  Entities  shall not pursue such  opportunity or enter
into any transaction with respect to such  opportunity  unless and until Coastal
shall advise Scott that no Coastal  Entity has any further  interest in pursuing
such opportunity.

     2. Ratification of Remainder of Agreement.  Except as specifically modified
herein,  the remaining terms of the Agreement are hereby  specifically  ratified
and confirmed in all respects.

     IN WITNESS WHEREOF,  the parties have executed this agreement as of the day
and year first above written.

                                       COASTAL PHYSICIAN GROUP, INC.

                                       By:
                                          --------------------------------
                                       Title:
                                             -----------------------------


                                       -----------------------------------
                                              Steven M. Scott, M.D.

                                       2
<PAGE>

                                    EXHIBIT C

               Financial Statements for Doctors Health Plan, Inc.

<PAGE>

                                  SCHEDULE 2.5
                                  ------------

                              Other Business Names

                                      None

<PAGE>

                                  SCHEDULE 2.7
                                  ------------

                                  RENTAL LEASES


Sublease Agreement by and between DHP as "Subtenant" and Sea-Land Service,  Inc.
as  "Sublandlord"  dated December 5, 1997 for the Charlotte sales office for the
period from  December  20, 1997  through June 30, 2001, a copy of which has been
previously delivered to Purchaser.

Sublease  Agreement  by and between  DHP as  "Subtenant"  and  Century  American
Insurance  Company as  "Sublandlord"  dated July 1, 1997 for the period  July 1,
1997 through June 30, 2000 for administrative  offices at 2828 Croasdaile Drive,
Durham,  North  Carolina,  a copy of which  has  been  previously  delivered  to
Purchaser.

<PAGE>

                                  SCHEDULE 2.8
                                  ------------

                                EQUIPMENT LEASES

<PAGE>

                                  SCHEDULE 2.9
                                  ------------

                          Intangible Personal Property

     Certificate of Authority  pursuant to N.C. Gen. State.  Chapter 58, Article
67 to operate a North Carolina Health Maintenance Organization.

     South Carolina license to operate a health maintenance organization.

<PAGE>

                                  SCHEDULE 2.10
                                  -------------

                                 Liens on Assets


                                      None

<PAGE>

                                SCHEDULE 2.11(A)
                                ----------------

                          Written Employment Agreements


                                      None

<PAGE>

                                SCHEDULE 2.11(B)
                                ----------------

                       List of Employment Claims and Suits


                                      None

<PAGE>

                                  SCHEDULE 2.14
                                  -------------

                       Non-Compliance with Applicable Laws
                       -----------------------------------

     (i)  Commissioner's  Summary  Order of the  North  Carolina  Department  of
Insurance  dated February 6, 1997,  effective  February 7, 1997, (ii) Additional
Instructions  effective February 26, 1997 to the February 7, 1997 Commissioner's
Summary  Order,  and (iii)  Revocation of February 7, 1997 List of  Transactions
Expressly Approved,  Amendment to February 7, 1997 Commissioner's  Summary Order
and Additional  Instructions to February 7, 1997  Commissioner's  Summary Order,
effective  January 21, 1998,  copies of which have  previously been furnished to
Purchaser.

     Report on Market  Practices  Examination  of Doctors  Health Plan,  Inc. by
Representatives of the North Carolina  Department of Insurance as of October 22,
1997 and letter relating  thereto dated December 23, 1997,  copies of which have
previously  been  furnished to  Purchaser.  The report  requires DHP to submit a
Statement of Corrective Actions to the Department of Insurance.

     The  capital of DHP is less than the  amount  required  by statute  per the
statutory  financial  statements  filed on March 2, 1998 prepared as of December
31, 1997.  Purchaser will be required to invest  additional  capital into DHP in
order to be in  compliance  with  the  minimum  capital  and  surplus  statutory
requirements.

     Proposed Consent Decree presented to  representatives of DHP and Coastal on
February 27, 1998 by the North Carolina  Department of Insurance providing for a
$500,000 fine and requiring additional capital infusions.


                           Consents/Approvals Required
                           ---------------------------

     Approval of the North Carolina Department of Insurance.

     Approval of the South Carolina Department of Insurance.

<PAGE>

                                  SCHEDULE 2.16
                                  -------------

                             Delinquent Tax Returns

Coastal,  on behalf of DHP,  has  consented  to an  extension  of the statute of
limitations  through  December,  1999 for federal income tax returns for DHP for
1992, 1993, 1994, 1995 and 1996.

<PAGE>

                                  SCHEDULE 2.17
                                  -------------

                                   Litigation


                                      None

<PAGE>

                                  SCHEDULE 2.18
                                  -------------

                    Jurisdictions in which business conducted

                                 North Carolina

                                 South Carolina




        PARTIAL RELEASE OF NON-COMPETE PROVISIONS OF EMPLOYMENT AGREEMENT
                          BETWEEN STEVEN M. SCOTT, M.D.
                                       AND
                          COASTAL PHYSICIAN GROUP, INC.

     This Partial Release of Non-Compete  Provisions of Employment  Agreement is
made and entered into this the 31st day of December, 1997, by and between Steven
M. Scott. M.D. ("Scott") and Coastal Physician Group, Inc. ("Coastal").

     Scott and  Coastal are parties to an  Employment  Agreement  dated April 1,
1991,  ("Agreement")  pursuant  to which  Scott is  employed  by  Coastal as its
President and Chief Executive Officer; and

     The Agreement  contains certain provisions  restricting  Scott's activities
that are in competition with Coastal or its subsidiaries; and

     An affiliate of Scott,  and Coastal and certain of its  subsidiaries,  have
entered  into an  agreement  dated the date  hereof (the  "Purchase  Agreement")
pursuant to which such affiliate of Scott known as Scott Medical  Partners,  LLC
will  purchase  (i) the  stock  of  three  operating  subsidiaries  of  Coastal,
Integrated Provider Networks, Inc., Provider Solutions,  Inc. and Sunlife OB/GYN
Services  of  Broward  County,  Inc.,  and  (ii)  the  operating  assets  of Ft.
Lauderdale Perinatal Associates with office locations in Plantation, Florida and
Ft.  Lauderdale,  Florida  and the  Physician  Access  Center in San  Francisco,
California, all of which assets are owned by subsidiaries of Coastal (and all of
the foregoing,  together with certain previous acquisitions by Scott's affiliate
involving  clinical and  physician  practice  operations  in North  Carolina and
Florida, are hereafter referred to as the "Clinic Acquisitions"); and

     The  parties  are  desirous of  amending  the  Agreement  in order that the
ownership, operation and potential expansion of the Clinic Acquisitions by Scott
or  any  of  his  affiliates  shall  not  be  deemed  to be a  violation  of the
non-competition or any other provisions of the Agreement.

     NOW, THEREFORE, in consideration of the purchase of the stock and assets of
Coastal's subsidiaries referred to above as the Clinic Acquisitions, the parties
agree as follows:

     1.  Partial  Release  of  Non-Compete   Provisions.   Notwithstanding   the
non-compete or any other provisions of the Agreement,  and  notwithstanding  any
provisions of any other agreement  between Scott or any of his affiliates  other
than  Coastal  or its  subsidiaries  (collectively,  the "Scott  Entities")  and
Coastal or any of its subsidiaries (collectively, the "Coastal Entities"),

          a. the Scott Entities may hereafter enter into the business of owning,
managing,   operating  or  otherwise  providing  physician  practice  management
services to physician and clinic  practices,  whether  primary or specialty care
practices and whether  free-standing or hospital-based  (collectively,  "Medical
Practices"),   whether  such  Medical  Practices  are  Clinic   Acquisitions  or
otherwise.  The right of the Scott  Entities  to  engage in the  foregoing  with
respect

<PAGE>

to Medical Practices shall include,  without limitation,  the ability to provide
management administrative,  staffing, financial,  billing, collecting,  business
and other  similar  services  to  Medical  Practices,  and to  recruit  and hire
personnel necessary for the orderly and efficient operation of Medical Practices
and  generally  to do all things  necessary or  appropriate  with respect to the
Medical Practices; and

          b. the Scott  Entities shall be permitted to increase and expand their
ownership,  management,  operation  or other  physician  management  services to
Medical Practices,  including without limitation  creating start up locations or
acquiring  additional  Medical Practices in any geographic  location;  provided,
however,  the Scott  Entities  shall not engage in the foregoing with respect to
any Medical Practices (except for the Clinic Acquisitions and natural extensions
thereof) if such  Medical  Practices  would  reasonably  be expected to directly
compete with a clinic or medical  practice which currently is owned by a Coastal
Entity or  currently  is  managed,  operated  or  serviced  by a Coastal  Entity
pursuant to a contractual arrangement.

     For so long as the  Coastal  Entities'  non-compete  agreement  pursuant to
Section 6.12 of the Purchase  Agreement  remains in effect,  the Scott  Entities
shall not be  required to first offer the  Coastal  Entities  any  opportunities
which  the Scott  Entities  may have to  increase  or  expand  their  ownership,
management  or  operation  of, or other  business  relationships  with,  Medical
Practices.  Upon expiration of the Coastal  Entities'  non-compete  agreement in
accordance with Section 6.12 of the Purchase Agreement,  if any opportunities to
own,  operate,  manage or otherwise  provide  physician  management  services to
Medical  Practices (other than Medical Practices which, at such time, are owned,
managed,  operated or otherwise  serviced by any of the Scott Entities) are made
available  to Scott or any of the other  Scott  Entities  by  reason of  Scott's
position as an officer, employee, director or shareholder of Coastal, then Scott
shall first make  reasonable  efforts to determine  whether  Coastal  desires to
avail itself of such  opportunity.  If Coastal  informs Scott that it intends to
avail itself of such opportunity,  then Scott and the other Scott Entities shall
not pursue such  opportunity or enter into any transaction  with respect to such
opportunity  unless and until Coastal shall advise Scott that no Coastal  Entity
has any further interest in pursuing such opportunity.

     In the event that a Scott Entity desires to make a proposal with respect to
any Medical  Practice that is currently  owned,  operated,  managed or otherwise
serviced by a Coastal  Entity  pursuant to a contractual  arrangement to provide
billing  or  staffing  services,  then Scott  shall  first  obtain  the  written
acknowledgment  from Coastal or other involved  Coastal Entity that it no longer
desires to continue the  relationship  or does not intend to make a proposal for
such Medical  Practice.  In the event there shall be any conflict or question as
to the appropriateness of the senior management of Coastal or such other Coastal
Entity  to  make  such a  decision,  then  the  decision  shall  be  made by the
independent  members of the Board of Directors of Coastal at a duly held meeting
of such Board.

     2. Ratification of Remainder of Agreement.  Except as specifically modified
herein,  the remaining terms of the Agreement are hereby  specifically  ratified
and confirmed in all respects.

                                       2
<PAGE>

     IN WITNESS WHEREOF,  the parties have executed this agreement as of the day
and year first above written.

                                       COASTAL PHYSICIAN GROUP, INC.

                                       By:
                                          --------------------------------
                                       Title:
                                             -----------------------------


                                       -----------------------------------
                                       Steven M. Scott, M.D.

                                       3


        PARTIAL RELEASE OF NON-COMPETE PROVISIONS OF EMPLOYMENT AGREEMENT
                          BETWEEN STEVEN M. SCOTT, M.D.
                                       AND
                          COASTAL PHYSICIAN GROUP, INC.


     This Partial Release of Non-Compete  Provisions of Employment  Agreement is
made and entered into this the ____ day of March, 1998, by and between Steven M.
Scott, M.D. ("Scott") and Coastal Physician Group, Inc. ("Coastal").

     Scott and  Coastal are parties to an  Employment  Agreement  dated April 1,
1991,  ("Agreement")  pursuant  to which  Scott is  employed  by  Coastal as its
President and Chief Executive Officer; and

     The Agreement  contains certain provisions  restricting  Scott's activities
that are in competition with Coastal or its subsidiaries; and

     An  affiliate  of Scott,  Coastal  and  certain of its  subsidiaries,  have
entered  into an  agreement  dated the date  hereof (the  "Purchase  Agreement")
pursuant to which such  affiliate of Scott,  known as DHP  Holdings,  LLC,  will
purchase the stock of Doctors Health Plan, Inc. ("DHP"); and

     The  parties  are  desirous of  amending  the  Agreement  in order that the
ownership,  operation and potential expansion of DHP into certain areas by Scott
or  any  of  his  affiliates  shall  not  be  deemed  to be a  violation  of the
non-competition or any other provisions of the Agreement.

     NOW,  THEREFORE,  in  consideration  of the  purchase  of the  stock of DHP
referred to above, the parties agree as follows:

     1.  Partial  Release  of  Non-Compete   Provisions.   Notwithstanding   the
non-compete or any other provisions of the Agreement,  and  notwithstanding  any
provisions of any other agreement  between Scott or any of his affiliates  other
than  Coastal  or its  subsidiaries  (collectively,  the "Scott  Entities")  and
Coastal or any of its subsidiaries (collectively, the "Coastal Entities"),

          a. except as provided in c. below,  the Scott  Entities may  hereafter
enter into the business of owning,  managing,  operating or otherwise  providing
services to health maintenance  organizations,  preferred provider organizations
or similar organizations (collectively "HMOs");

          b.  except  as  provided  in c.  below,  the Scott  Entities  shall be
permitted to increase and expand their ownership,  management,  and operation of
HMOs,  including  without  limitation  creating  start up locations or acquiring
additional HMOs in any geographic location; and

<PAGE>

          c.  notwithstanding  the  foregoing,  so long as  Coastal  and/or  its
affiliates operate HMOs in the States of Florida and Georgia, the Scott Entities
shall  not  manage,  operate,  own or  provide  any  services  to any HMO in any
counties in which such HMOs operated by Coastal  and/or its  affiliates  provide
services or any county contiguous to such counties.

     For so long as the  Coastal  Entities'  non-compete  agreement  pursuant to
Section 5.9 of the  Purchase  Agreement  remains in effect,  the Scott  Entities
shall not be  required to first offer the  Coastal  Entities  any  opportunities
which  the Scott  Entities  may have to  increase  or  expand  their  ownership,
management or operation  of, or other  business  relationships  with HMOs (other
than  opportunities  in the  counties in Florida  and  Georgia in which  Coastal
and/or its  affiliates  operate HMOs and  contiguous  counties,  which the Scott
Entities are prohibited from pursuing). Upon expiration of the Coastal Entities'
non-compete  agreement in accordance with Section 5.9 of the Purchase Agreement,
if any  opportunities to own,  operate,  manage or otherwise provide services to
HMOs are made available to Scott or any of the other Scott Entities by reason of
Scott's  position as an officer,  employee,  director or shareholder of Coastal,
then Scott shall first make  reasonable  efforts to  determine  whether  Coastal
desires to avail itself of such  opportunity.  If Coastal  informs Scott that it
intends to avail  itself of such  opportunity,  then  Scott and the other  Scott
Entities shall not pursue such  opportunity or enter into any  transaction  with
respect to such opportunity  unless and until Coastal shall advise Scott that no
Coastal Entity has any further interest in pursuing such opportunity.

     2. Ratification of Remainder of Agreement.  Except as specifically modified
herein,  the remaining terms of the Agreement are hereby  specifically  ratified
and confirmed in all respects.

     IN WITNESS WHEREOF,  the parties have executed this agreement as of the day
and year first above written.

                                       COASTAL PHYSICIAN GROUP, INC.

                                       By:
                                          --------------------------------
                                       Title:
                                             -----------------------------


                                       -----------------------------------
                                       Steven M. Scott, M.D.

                                       2



                              EMPLOYMENT AGREEMENT


     THIS EMPLOYMENT AGREEMENT (this "Agreement") is made and entered into as of
the  1st day of  July,  1997  (the  "Effective  Date")  by and  between  COASTAL
PHYSICIAN GROUP, INC. (the "Employer" or "Coastal"), a Delaware corporation with
its  principal  place of  business  in  Durham,  North  Carolina  and  EUGENE F.
DAUCHERT, JR. ("Employee"), a resident of Durham, North Carolina.

                              W I T N E S S E T H:
                              - - - - - - - - - -

     WHEREAS,  Employee is  currently  an  employee  of  Employer  pursuant to a
Restated and Amended Employment Agreement dated as of January 15, 1997, the term
of which has been extended on a month-to-month basis since the expiration of its
initial term on April 30, 1997; and

     WHEREAS,  Employer  and Employee  desire to  substantially  and  materially
modify the  existing  terms of  employment  of Employee in order to, among other
matters, provide for an extended term of employment and to provide for different
and additional duties and other matters; and

     WHEREAS, subject to the terms and conditions hereinafter provided, Employer
desires to restate and amend the existing  employment  arrangement and to employ
Employee,  and  Employee  desires to accept  such  employment,  on the terms and
conditions hereinafter set forth.

     NOW,  THEREFORE,  in  consideration  of the  employment of Employee and the
compensation  to be paid by Employer to Employee,  and the  covenants  set forth
herein,  Employee hereby accepts  employment  hereunder subject to the terms and
conditions  stated below,  including the agreement of Employee not to enter into
certain competitive activities with the Employer, as follows:

     1.  Employment.  Employer  hereby  employs  Employee,  and Employee  hereby
accepts such employment, subject to the terms and conditions stated herein. This
Agreement shall amend, restate and supersede the existing employment  agreements
and  arrangements  applicable  to Employee,  including  without  limitation  the
Restated and Amended Employment Agreement dated January 15, 1997.

     2. Term.  This Agreement  shall commence  effective as of July 1, 1997 (the
"Effective  Date") and shall  continue  through and including June 30, 1998 (the
"Initial Term"), unless this Agreement is (a) otherwise terminated in accordance
with the provisions  contained  herein,  or (b) extended by mutual  agreement of
Employer and Employee.  After the Initial Term, this Agreement may be renewed or
extended upon mutual agreement of the parties. If the parties do not agree to an
extension on other terms,  then this Agreement  shall  automatically  renew on a
month-to-month  basis until  either  Employer or Employee  gives at least thirty
(30)  days  notice  that it or he will not  extend  the term past the end of the
following calendar month.

     3. Duties.  Employee  shall perform the following  duties  pursuant to this
Agreement:

<PAGE>

          (a) Employee  shall serve as an  Executive  Vice  President  and Chief
Administrative  Officer of  Employer.  Employee  is  currently  serving and will
continue to serve on the Board of Directors of Employer. Employee may be removed
at anytime  from any board seat as deemed  appropriate  by the  shareholders  of
Employer,  and such removal  shall not be considered a breach by the Employer of
this Agreement.  Removal of Employee from the office of Executive Vice President
and Chief  Administrative  Officer shall be considered a material  breach of the
terms of this Agreement by Employer.

          (b) As the Chief Administrative Officer of Employer, Employee shall be
principally  responsible  for the  administrative  and  operational  affairs  of
Employer and shall  coordinate  and supervise the legal affairs of the Employer,
reporting to the Chief Executive Officer of Employer. In addition Employee shall
be available to assist Employer and its related  entities in connection with the
management and operation of their respective businesses.  Employee shall perform
all  duties  and  responsibilities  normally  associated  with his  officer  and
director  positions  and shall carry out such other duties and  responsibilities
and as otherwise may be reasonably  assigned to Employee by the Chief  Executive
Officer of Employer.  Employee  shall  continue to serve as President  and Chief
Executive  Officer of Coastal Provider  Networks,  Inc. and shall be principally
responsible for managing the operation and/or sale of that business unit.

               Without  limiting the generality of the foregoing  Employer shall
have the following  specific  duties and  responsibilities  during the third and
fourth fiscal quarters of 1997:

               (i) Third Quarter.  During the third fiscal quarter of 1997 (July
     1, 1997 to September 30. 1997), Employee shall:

               A. Work with Hassenger  Management  Strategies,  Inc., Charles F.
          Kuoni III, Ltd., and Bradford C. Walker (the "Consultants"),  who have
          been engaged by Coastal, to develop a transition plan;

               B.  Work  with the  Consultants  to  develop  a  corporate  group
          reduction  plan to reduce  expenses  and  functions of Employer as the
          holding company for its various subsidiaries;

               C.  Develop  cash  management  and  reporting  systems  needed in
          connection with the financing being provided by affiliates of National
          Century Financial Enterprises, Inc.;

               D. Continue to provide  oversight of the operations of Integrated
          Provider  Networks,  Inc.  and  Practice  Solutions,  Inc.  and  their
          affiliates;

               E. Oversee and direct the divestiture of Better Health Plan, Inc.
          if approved by the Board of Directors of Employer;

                                       2
<PAGE>

               F.  Oversee and direct the  divestiture,  closure or retention of
          other business units as appropriate;

               G. Participate  with the Consultants and other senior  management
          of the  Company in the  development  of the 1998  budget and cash flow
          projections and strategies.

               (ii) Fourth  Quarter.  During the fourth  fiscal  quarter of 1997
     (October 1, 1997 to December 31, 1997), Employee shall:

               A.  Continue  and  complete  matters   described  in  (i)  above,
          including  completion of the transition  plan and the corporate  group
          reduction plan;

               B. Develop  specific cash  management and operating  improvements
          plans for specific significant business units ("SBUs");

               C. Develop and implement incentive  compensation programs for SBU
          leaders;

               D. Working with the Chief Financial Officer, review and recommend
          financial and management reporting systems for Employer and the SBUs;

               E.  Develop  and  implement a real  estate/facilities  management
          plan;

               F. Develop a corporate  compliance plan for all  subsidiaries and
          holding  companies of Coastal,  similar to that  currently in place at
          Healthcare Business Resources, Inc.

          (c) Employee shall at all times abide and observe Employer's  policies
and procedures as are in effect from time to time.  Employee  acknowledges  that
Employer is an equal opportunity employer and that Employer's established policy
is not to discriminate on the basis of age, marital status,  race,  color,  sex,
religion   or   national   origin,   or  to   violate   any   federal  or  state
anti-discrimination  law.  Employee  shall be  responsible  for carrying out and
implementing  the foregoing  policy  throughout the operations and activities of
Employer.

     4.  Compensation.  For the services  provided by Employee as an employee of
Employer, Employer shall pay Employee the annual base salary (the "Base Salary")
and other compensation identified on Exhibit A.

     5.  Additional  Benefits.  Commencing on or about the Effective  Date,  and
thereafter during the Initial Term of this Agreement, Employee shall be entitled
to and Employer  shall  provide to Employee all  employment  benefits  which are
generally  provided to senior  executive  officers  of  Employer.  In  addition,
Employer will provide Employee an office and administrative  support appropriate
to  Employee's  position,  and Employer  will pay the cost of  continuing  legal
education  required  to  maintain  the  law  license  of  Employee  and  provide
reimbursement of usual and customary dues and license fees consistent with other
senior management.

                                       3
<PAGE>

     6.  Devotion of Time.  During the term of this  Agreement,  Employee  shall
devote  his  full  time  and  attention  to the  business  of  Employer  and its
affiliates  in a manner and to an extent  commensurate  with the  commitment  of
other executive officers of Employer, to fulfill his duties and responsibilities
under the Agreement and to advance the business interests and good reputation of
Employer and the direct and indirect subsidiaries of Employer.

     7. Confidentiality and Non-Disclosure.  Employee  acknowledges that, during
this 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,  including but not limited
to,  hospital and healthcare  facility  client lists,  client files and records,
lists of  potential  clients,  prospects  or targets,  and/or  other  market and
marketing data and plans, price books, promotional devices and methods, business
methods,  manuals and plans,  business and sales  techniques,  strategic  plans,
computer  programs,   hospital  and  physician   contracts,   and  research  and
development    (hereinafter    referred   to   collectively   as   "Confidential
Information").  Employee  acknowledges  that such  Confidential  Information  is
unique and a valuable  asset which is owned solely by Employer (or affiliates of
Employer) and is to be used only for Employer's or its  affiliates'  (other than
any natural  persons)  benefit.  Employee shall not, during or after the term of
this Agreement, 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
against such Confidential Information from misappropriation, misuse, 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 or (ii)  generally
available to the public other than by unauthorized disclosure.  Upon termination
of  this  Agreement,  Employee  shall  return  immediately  to  Employer  all of
Employer's  (or  its  affiliates)  property   (including,   without  limitation,
Confidential  Information) in Employee's  possession or control.  Any materials,
manuals, documents or records developed, written, edited or designed by Employee
while employed by Employer are the exclusive property of Employer.

     8. Covenant Not To Compete.  Employee will, as a result of this employment,
be  responsible  for the  executive  management  and  direction  of  substantial
business  resources and assets of Employer and its  affiliates  and will develop
additional  contacts and relationships  with numerous  individuals,  executives,
companies,  insurers,  providers and health maintenance  organizations which are
also  involved  in  the  managed  healthcare  business.   Such  individuals  and
organizations will have business and contractual  relationships with Employer or
its affiliates that will be a valuable asset thereof.  Employee therefore agrees
as follows:

          (a)  Employee  agrees  that  for a  period  of six  (6)  months  after
termination  of this  Agreement,  Employee  will not become  employed  by,  own,
operate,  manage, or provide  consulting  services to any business that provides
the same type of  services as Employer  currently  provides in the states  where
Employer is providing services as of the date of termination of this Agreement.

          (b)  Employee  agrees  for  a  period  of  twelve  (12)  months  after
termination of this Agreement, not to solicit any hospital,  clinic,  healthcare
facility or other client having a

                                       4
<PAGE>

contractual  or business  relationship  with  Employer or of any  subsidiary  of
Employer,  or of any prospect or potential client to which a marketing  proposal
or  presentation  was made  within six (6) months of  termination,  and of which
Employee was aware,  involving  the  provision  of  healthcare  services,  which
solicitation  would be for the purpose of  providing  healthcare  or  healthcare
related services.

          (c)  Employee  further  agrees to refrain  for a period of twelve (12)
months  following the  termination of this  Agreement,  from any activity of any
nature  intended  or  reasonably  calculated  to  result in the  termination  or
cancellation of any contractual or business  arrangement between the Employer or
any subsidiary of Employer, and any insurer,  client, facility or other business
or entity.

          (d) Employee  agrees to notify any entity or  organization of which he
is a director, significant shareholder (or other equity owner), manager, general
partner, executive officer or as to which he is otherwise a controlling party or
over whom he exerts significant  influence (an "Affiliate") of the provisions of
Sections  7, 8 and 9 of this  Agreement,  and  Employee  agrees that he will not
cause  or  permit  such  Affiliate  to  engage  in any  activity  that  would be
prohibited for Employee personally under this Agreement.

          (e)  Nothing in this  Agreement  shall  prevent  Employee  from making
passive  investments in third parties so long as such investments do not require
Employee to perform any services in connection with any such investments in such
third parties.

     9. Solicitation of Other Employees.

          (a)  Employee  agrees  that he shall not,  for a period of twelve (12)
months after the  termination of this  Agreement,  solicit or seek to influence,
either  directly or  indirectly,  any employee or any  physician  or  healthcare
provider under contract with Employer at any time during  Employee's  employment
by  Employer  or any of its  subsidiaries  or  affiliates,  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 subsidiaries or affiliates.

          (b) Employee  further agrees that neither he nor any Affiliate  shall,
for a period of twelve  (12) months  after the  termination  of this  Agreement,
hire,  employ,  enter  into any  employment  agreement,  independent  contractor
arrangement,  or any other contractual  arrangement whereby a "Coastal Employee"
(as defined below) would perform  services for compensation for Employee or such
entity.  For the purposes hereof,  "Coastal  Employee" shall mean any person who
has been  employed by Coastal or any or its direct or indirect  subsidiaries  at
any time during the six (6) month period  immediately  preceding the termination
of this Agreement.

                                       5
<PAGE>

     10. Breach and Remedies.

          (a) Employee  acknowledges that the breach or threatened breach of any
of the  covenants  set forth in Sections 7, 8 or 9 may result in  immediate  and
irreparable injury to Employer or its affiliates.  Accordingly,  Employee agrees
the  provisions  of Sections 7, 8 and 9 shall inure to the benefit of and may be
enforced  by  Employer  or any if its  affiliates.  In addition to any rights or
remedies  available  to Employer for a breach by Employee of Sections 7, 8 or 9,
Employer and its  affiliates  shall be entitled to injunctive  relief to enforce
the obligations of Employee contained in such Sections.  Nothing herein shall be
construed as  prohibiting  Employer or its  affiliates  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 7, 8 or 9 shall be
extended by any period of  violation  or periods of time  required to resolve by
arbitration,  not to  exceed  45 days,  any  dispute  regarding  the  provisions
thereof.

          (c)  Employee  hereby  acknowledges  that the  covenants  set forth in
Sections 7, 8 and 9 are  reasonable in all respects and are necessary to protect
the legitimate  business interests of Employer and its affiliates.  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 the offending portion shall be construed
as valid and enforceable  only to the extent permitted by law and the balance of
this  Agreement  will remain in full force and effect.  It is the  intention  of
parties to restrict the  activities of Employee only to the extent  necessary to
protect the legitimate  business interests of Employer,  its subsidiaries and/or
affiliates,  and not to  deprive  Employee  of the  right or  ability  to earn a
livelihood.

     11.  Vacation and Sick Leave.  All earned,  accrued and unused vacation and
any unused sick pay,  upon  termination,  will be governed  by  Employer's  then
current policies.

     12. Termination. This Agreement may be terminated as follows:

          (a) Employer may terminate  this  Agreement  without cause at any time
upon  thirty (30) days' prior  written  notice to  Employee,  and  Employee  may
terminate this  Agreement  without cause at any time upon sixty (60) days' prior
written notice to Employer.  This thirty or sixty day period (as  applicable) is
hereafter  referred to as the "Notice Period." In the event of such 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  employee  during the Notice  Period.  Employer,  at its option,  may notify
Employee at any time during the Notice Period that no further services are to be
performed.  In the event that this  Agreement  is  terminated  without  cause by
either party,  the covenants set forth in Sections 7, 8 and 9 shall  continue in
effect,  and the applicable  start date for the periods of time in Sections 7, 8
or 9 shall be the later of the date that notice of  termination  is given or the
last date upon which services are performed.

                                       6
<PAGE>

          (b)  Upon  expiration  of  the  Initial  Term  or  any  extended  term
(including  month to month  extensions)  of this  Agreement  without  renewal or
extension or if this  Agreement is  terminated  without cause by Employer at any
time during the term  hereof,  Employer  shall pay  Employee an amount  equal to
one-half of the annual  Base  Salary  then in effect (see  Exhibit A), all to be
paid out in equal  installments  over the six (6) months  following  the date of
termination, beginning thirty (30) days from the date of termination.

          (c) This Agreement may be terminated by Employer at any time for cause
upon  written  notice to Employee,  which  notice  shall  specify the reason for
termination.  For purposes of this Subsection  12(c),  cause shall include,  but
shall not be limited  to, the  following:  fraud;  dishonesty;  substantial  and
continuous  nonperformance of assigned duties; failure to comply with a material
written policy of Employer; failure by Employee to perform or meet objective and
measurable  standards;  unlawful  activities  for which  Employee is indicted or
convicted in a jurisdiction  of the United States;  and material  breach of this
Agreement.

          (d)  This  Agreement  shall  terminate  upon the  death  or total  and
permanent  disability of Employee.  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 accrued through the
date  of  Employee's  death  or the  date he  becomes  totally  and  permanently
disabled,  as the  case  may  be.  Permanent  disability  for  purposes  of this
Agreement  shall mean the  inability  to perform  the  functions  of  Employee's
position for a continuous period of six (6) months.

          (e) This  Agreement  may be  terminated  by  Employee  upon a material
breach of the terms of this  Agreement  by  Employer,  and if this  Agreement is
terminated at any time during the term hereof by Employer under this subsection,
then Employer  shall pay Employee an amount equal to one-half of the annual Base
Salary then in effect (see Exhibit A), all to be paid out in equal  installments
over the six (6) months following the date of termination, beginning thirty (30)
days from the date of termination.

          (f)  Except  as  expressly  set  forth   herein,   all  of  Employer's
obligations  for  compensation  or  other  benefits  shall  terminate  upon  the
effective date of the termination of this Agreement.

     13. 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 stock of Employer by employees to
the extent such policies do not restrict  Employee's  express  rights under this
Agreement.

     14. Entire  Agreement.  This  Agreement  contains the entire  understanding
between  the  parties  and  supersedes  and  cancels  any prior oral and written
understanding  and/or  agreements  between them respecting the subject matter of
this Agreement. This Agreement may be amended or modified only in writing signed
by both parties.

     15. 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

                                       7
<PAGE>

Agreement  shall not be affected  thereby and shall be enforced to the  greatest
extent permitted by law.

     16. 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.

     17. Assignment. No party shall have any right to assign, 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,  except that Employer may assign this
Agreement to one of its affiliates or wholly-owned  subsidiaries,  provided that
in the event of such an assignment,  Employer shall remain primarily responsible
for its obligations hereunder. All rights hereunder are personal to the 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 personal representatives, heirs and legatees of Employee.

     18. 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:  President," and in the case of Employee,  to his last known
permanent address according to the books and records of Employer.

     19. 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 Employer's  affiliates and subsidiaries.  All rights
of Employer  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.

                                       8
<PAGE>

     IN WITNESS  WHEREOF,  the parties sign and seal below,  effective  the date
first written in this Agreement.


                                    EMPLOYEE:

                                                                          (SEAL)
                                    --------------------------------------
                                    Eugene F. Dauchert, Jr.


                                    EMPLOYER:

                                    COASTAL PHYSICIAN GROUP, INC.


                                    By:
                                       -----------------------------------
                                    Steven M. Scott, President and
                                    Chief Executive Officer
ATTEST:


By:
   --------------------------
     Assistant Secretary


      [CORPORATE SEAL]

                                       9
<PAGE>

                                    EXHIBIT A
                                    ---------

                                  COMPENSATION
                                  ------------


1. Base Salary. For services provided as an employee of Employer, Employee shall
receive,  beginning on the  Effective  Date, a base salary of $180,000 per annum
(the "Base  Salary")  payable in  accordance  with  Employer's  current  payroll
practices;  provided that during the Initial Term,  the Base Salary will be paid
monthly at a rate of $160,000 per annum with  $10,000  (one-half of the balance)
paid December 31, 1997 and $10,000 (one-half of the balance) paid June 30, 1998.
The Base Salary shall be subject to annual review and adjustment as of each July
1 during the term of this Agreement (or such other times as may be determined by
Employer),  but if renewed by  agreement of Employer and Employee for the period
from July 1, 1998 through  June 30,  1999,  the Base Salary shall be expected to
increase by seven and one-half  percent (7.5%) or by an amount intended to bring
Employee's  Base Salary in line with other  senior  executives  (this  provision
shall not create any right or  obligation  of Employer or Employee to extend the
term of this  Agreement or to prevent  Employer and Employee from extending upon
such terms and conditions as they determine by mutual agreement).

2.  Incentive  Bonus.  Employee shall be entitled to an incentive or performance
bonus (the  "Incentive  Bonus") equal to $90,000  (one-half of annual base pay),
based on the following:

     (a)  Employee  must be  employed  by  Employer  on  June  30,  1998  unless
Employee's  employment has been  terminated (i) by Employer  without cause under
Section 12(a), (ii) by death or disability of Employee under Section 12(d) where
such death or disability  occurs within the last four months of the Initial Term
or (iii) by  Employee  because of a material  breach by  Employer as provided in
Section 12(e);

     (b)  Employer  and its  consolidated  subsidiaries  must  have  achieved  a
positive  Consolidated  Cash Flow for the second  fiscal  quarter  of 1998.  For
purposes of this Agreement,  the following  definitions and  calculations  shall
apply:

          (i) "Consolidated  Cash Flow" for any period shall mean the sum of (A)
     Consolidated Net Income (or minus Consolidated Net Loss) for that period of
     Coastal and its  subsidiaries,  (B) provisions for taxes based on income or
     profit  that  reduced  that  Consolidated  Net  Income (or  increased  that
     Consolidated   Net  Loss)  for  that  period,   and  (C)  depreciation  and
     amortization   expenses   and  other   noncash   items  that  reduced  that
     Consolidated Net Income (or increased that  Consolidated Net Loss) for that
     period.

          (ii)  "Consolidated  Net  Income" or  "Consolidated  Net Loss" for any
     period  means the  consolidated  net income or net loss of Coastal  and its
     subsidiaries,   excluding  intercompany  items  and  after  deductions  for
     minority  interests,  as determined in accordance  with generally  accepted
     accounting principles; provided that there shall be excluded

<PAGE>

               (A) gain or loss  resulting  from the sale,  conversion  or other
          disposition of capital assets (i.e, assets other than current assets),

               (C) any gain or loss resulting from the write-up or write-down of
          any assets, and

               (D) any other gains or losses of any non-operating, non-recurring
          or extraordinary nature.

     (c) Calculations of Consolidated  Cash Flow shall be made as promptly as is
reasonable  after  the  end of  the  Initial  Term  by  the  independent  public
accountants of Employer.

     (d) If earned,  the Incentive  Bonus may be paid by the Employer either (i)
in cash or (ii) so long as  Employer  has  common  stock  traded  on a  national
securities exchange, in the form of registered common stock of Employer that may
be freely traded (subject to trading blackouts that apply to Employee because of
his position as a director  and officer of  Employer)  on a national  securities
exchange, with the number of shares to be equal to 90,000 divided by the closing
price of such stock on June 30, 1998 (or the last  trading day prior to June 30,
1998 if June 30, 1998 is not a trading  date),  provided that the Employer shall
issue cash in lieu of any fractional shares. In the event the Employer elects to
pay in stock but does not have  registered  common  stock  available  to pay the
Incentive  Bonus,  then  Employer  shall pay  one-third of the  Incentive  Bonus
($30,000)  in cash and shall  issue to  Employee  unregistered  shares of common
stock of  Employer  for the  balance,  with the  number of shares to be equal to
60,000  divided by the closing price of such stock on June 30, 1998 (or the last
trading  day prior to June 30,  1998 if June 30,  1998 is not a  trading  date),
provided that the Employer shall issue cash in lieu of any fractional shares. In
the event the Employer issues  unregistered  shares,  Employee  understands that
such  shares  will be issued by  Employer  in a private  placement  pursuant  to
Section 4(2) of the  Securities  Act of 1933,  as amended (the "Act").  Employee
warrants and  represents to Employer that he is acquiring the shares for his own
account  for  investment  purposes  and without a view to  distributing  them to
subsequent  purchasers,  and Employee understands that legends will be placed on
the  certificates  evidencing  the shares  restricting  their  transfer or other
disposition  without  registration  under  the  Act  or the  availability  of an
exemption from registration under the Act.

3. Divestiture Bonus. The Restated and Amended  Employment  Agreement which this
Agreement  replaces  provides  for a  Divestiture  Bonus  (in  Section  8 of the
Restated and Amended Employment  Agreement).  The only remaining assets to which
the  Divestiture  Bonus applies as of the date of this  Agreement are Integrated
Provider Networks, Inc. ("IPN") and Practice Solutions,  Inc. ("PSI").  Employee
shall be entitled to any unpaid  Divestiture  Bonus for assets disposed of prior
to the date of this Agreement, such Divestiture Bonuses to be paid in accordance
with the terms of the Restated and Amended  Employment  Agreement.  In addition,
upon sale or  divestiture of IPN and/or PSI during the term of this Agreement or
within ninety (90) days of the termination of Employee's  employment  under this
Agreement unless employment is terminated by Employer for cause,  Employee shall
be entitled to receive a Divestiture Bonus equal to 0.5% of the Net Proceeds, as
hereinafter  defined.  The  Divestiture  Bonus shall be earned  upon  Employer's
receipt of the sales proceeds from a sale or  divestiture.  For purposes of this
paragraph, Net Proceeds shall have the same meaning as the term

                                       2
<PAGE>

"Transaction Consideration" set forth in the engagement letter with Advest, Inc.
dated November 22, 1996 (or the equivalent term if another  investment banker is
engaged).  Payment of any  Divestiture  Bonus will be made in two equal  monthly
installments commencing within thirty days of the receipt of the Net Proceeds by
Coastal for the company for which the Divestiture Bonus is earned.

4. Stock  Options or Awards.  Employee  shall be eligible for stock  options and
awards available to other senior  management of Employer and its affiliates from
time to time. This subsection shall not be a guarantee of any awards or options,
and Employee  recognizes  that the awarding of such  compensation is governed by
plans adopted by the Board of Directors of Employer from time to time.

                                       3



                              EMPLOYMENT AGREEMENT


      THIS EMPLOYMENT  AGREEMENT (this  "Agreement") is made and entered into as
of the 15th day of September, 1997 (the "Effective Date") by and between COASTAL
PHYSICIAN GROUP, INC. (the "Employer" or "Coastal"), a Delaware corporation with
its principal place of business in Durham,  North Carolina and CHARLES F. KUONI,
III ("Employee"), a resident of Durham, North Carolina.

                              W I T N E S S E T H:
                              - - - - - - - - - -

     WHEREAS, subject to the terms and conditions hereinafter provided, Employer
desires to directly  employ  Employee for a term described  below,  and Employee
desires to accept such employment,  on the terms and conditions  hereinafter set
forth.

     NOW,  THEREFORE,  in  consideration  of the  employment of Employee and the
compensation  to be paid by Employer to Employee,  and the  covenants  set forth
herein,  Employee hereby accepts  employment  hereunder subject to the terms and
conditions  stated below,  including the agreement of Employee not to enter into
certain competitive activities with the Employer, as follows:

     1.  Employment.  Employer  hereby  employs  Employee,  and Employee  hereby
accepts such employment, subject to the terms and conditions stated herein.

     2. Term. This Agreement  shall commence  effective as of September 15, 1997
(the "Effective  Date") and shall continue through and including August 31, 1999
(the  "Initial  Term"),  unless this  Agreement is (a)  otherwise  terminated in
accordance  with the  provisions  contained  herein,  or (b)  extended by mutual
agreement of Employer and Employee.  After the Initial Term,  this Agreement may
be renewed or extended upon mutual  agreement of the parties.  If the parties do
not  agree  to  an  extension  on  other  terms,   then  this  Agreement   shall
automatically renew on a month-to-month  basis until either Employer or Employee
gives at least  thirty  (30) days  notice that it or he will not extend the term
past the end of the following calendar month.

     3. Duties.  Employee  shall perform the following  duties  pursuant to this
Agreement:

          (a) Employee  shall serve as an Executive Vice President and the Chief
Financial Officer ("CFO") of Employer.

          (b) As the CFO  Employee  shall  be  principally  responsible  for the
financial  affairs of  Employer,  reporting  to the Chief  Executive  Officer of
Employer.  In addition  Employee  shall be available to assist  Employer and its
related  entities in  connection  with the  management  and  operation  of their
respective  businesses.  Employee shall perform all duties and  responsibilities
normally  associated  with his officer  position  and shall carry out such other
duties and  responsibilities,  not inconsistent with the responsibilities of his
office,  as  otherwise  may be  reasonably  assigned  to  Employee  by the Chief
Executive Officer of Employer.

<PAGE>

          (c) Employee shall at all times abide and observe Employer's  policies
and procedures as are in effect from time to time.  Employee  acknowledges  that
Employer is an equal opportunity employer and that Employer's established policy
is not to discriminate on the basis of age, marital status,  race,  color,  sex,
religion   or   national   origin,   or  to   violate   any   federal  or  state
anti-discrimination  law.  Employee  shall be  responsible  for carrying out and
implementing  the foregoing  policy  throughout the operations and activities of
Employer.

     4.  Compensation.  For the services  provided by Employee as an employee of
Employer, Employer shall pay Employee the annual base salary (the "Base Salary")
and other  compensation  identified  on Exhibit A. In  addition,  Employer  will
reimburse  Employee  for  all  reasonable  out-of-pocket  expenses  incurred  in
performing duties during the term of this Agreement,  including normal and usual
relocation  expenses  incurred in  relocating  Employee  and his family to North
Carolina.

     5.  Additional  Benefits.  Commencing on or about the Effective  Date,  and
thereafter during the term of this Agreement,  Employee shall be entitled to and
Employer shall provide to Employee all  employment  benefits which are generally
provided to senior executive  officers of Employer.  In addition,  Employer will
provide Employee an office and administrative  support appropriate to Employee's
position,  and Employer will provide  reimbursement  of usual and customary dues
and license fees consistent with other senior management.

     6.  Devotion of Time.  During the term of this  Agreement,  Employee  shall
devote his best efforts and normal  business time and attention  (excluding sick
leave and  vacation) to the business of Employer and its  affiliates in a manner
and to an extent commensurate with the commitment of other executive officers of
Employer, to fulfill his duties and responsibilities  under the Agreement and to
advance the business  interests  and good  reputation of Employer and the direct
and indirect subsidiaries of Employer.

     7. Confidentiality and Non-Disclosure.  Employee  acknowledges that, during
this 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,  including but not limited
to,  hospital and healthcare  facility  client lists,  client files and records,
lists of  potential  clients,  prospects  or targets,  and/or  other  market and
marketing data and plans, price books, promotional devices and methods, business
methods,  manuals and plans,  business and sales  techniques,  strategic  plans,
computer  programs,   hospital  and  physician   contracts,   and  research  and
development    (hereinafter    referred   to   collectively   as   "Confidential
Information").  Employee  acknowledges  that such  Confidential  Information  is
unique and a valuable  asset which is owned solely by Employer (or affiliates of
Employer) and is to be used only for Employer's or its  affiliates'  (other than
any natural  persons)  benefit.  Employee shall not, during or after the term of
this Agreement, 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
against such Confidential Information from misappropriation, misuse, 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 or (ii)  generally
available to the public other than by unauthorized disclosure.  Upon termination
of this

                                       2
<PAGE>

Agreement,  Employee shall return  immediately to Employer all of Employer's (or
its  affiliates)   property   (including,   without   limitation,   Confidential
Information)  in  Employee's  possession  or control.  Any  materials,  manuals,
documents or records  developed,  written,  edited or designed by Employee while
employed by Employer are the exclusive property of Employer.

     8. Covenant Not To Compete.  Employee will, as a result of this employment,
be  responsible  for the  executive  management  and  direction  of  substantial
business  resources and assets of Employer and its  affiliates  and will develop
additional  contacts and relationships  with numerous  individuals,  executives,
companies,  insurers,  providers and health maintenance  organizations which are
also  involved  in  the  managed  healthcare  business.   Such  individuals  and
organizations will have business and contractual  relationships with Employer or
its affiliates that will be a valuable asset thereof.  In  consideration  of the
Signing  Bonus,  the grant of  options  and the  incentive  bonuses  granted  to
Employee under this Agreement, Employee agrees as follows:

          (a)  Employee  agrees  that  for a  period  of six  (6)  months  after
termination  of this  Agreement,  Employee  will not become  employed  by,  own,
operate,  manage, or provide  consulting  services to any business that provides
the same type of  services as Employer  currently  provides in the states  where
Employer is providing services as of the date of termination of this Agreement.

          (b)  Employee  agrees  for  a  period  of  twelve  (12)  months  after
termination of this Agreement, not to solicit any hospital,  clinic,  healthcare
facility or other client  having a  contractual  or business  relationship  with
Employer or any  subsidiary  of Employer at the time of  termination,  or of any
prospect or potential  client to which a marketing  proposal or presentation was
made  within six (6) months of  termination,  and of which  Employee  was aware,
involving the provision of healthcare services,  which solicitation would be for
the purpose of providing healthcare or healthcare related services.

          (c)  Employee  further  agrees to refrain  for a period of twelve (12)
months  following the  termination of this  Agreement,  from any activity of any
nature  intended  or  reasonably  calculated  to  result in the  termination  or
cancellation of any contractual or business  arrangement between the Employer or
any subsidiary of Employer, and any insurer,  client, facility or other business
or entity.

          (d) Employee  agrees to notify any entity or  organization of which he
is a director, significant shareholder (or other equity owner), manager, general
partner, executive officer or as to which he is otherwise a controlling party or
over whom he exerts significant  influence (an "Affiliate") of the provisions of
Sections  7, 8 and 9 of this  Agreement,  and  Employee  agrees that he will not
cause  or  permit  such  Affiliate  to  engage  in any  activity  that  would be
prohibited for Employee personally under this Agreement.

          (e)  Nothing in this  Agreement  shall  prevent  Employee  from making
passive  investments in third parties so long as such investments do not require
Employee to perform any services in connection with any such investments in such
third parties.

                                       3
<PAGE>

     9. Solicitation of Other Employees.

          (a)  Employee  agrees  that he shall not,  for a period of twelve (12)
months after the  termination of this  Agreement,  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  subsidiaries  or affiliates
at the time of  termination  of 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 subsidiaries or affiliates.

          (b) Employee  further agrees that neither he nor any Affiliate  shall,
for a period of twelve  (12) months  after the  termination  of this  Agreement,
hire,  employ,  enter  into any  employment  agreement,  independent  contractor
arrangement,  or any other contractual  arrangement whereby a "Coastal Employee"
(as defined below) would perform  services for compensation for Employee or such
entity.  For the purposes hereof,  "Coastal  Employee" shall mean any person who
has been  employed by Coastal or any or its direct or indirect  subsidiaries  at
any time during the six (6) month period  immediately  preceding the termination
of this Agreement.

     10. Breach and Remedies.

          (a) Employee  acknowledges that the breach or threatened breach of any
of the  covenants  set forth in Sections 7, 8 or 9 may result in  immediate  and
irreparable injury to Employer or its affiliates.  Accordingly,  Employee agrees
the  provisions  of Sections 7, 8 and 9 shall inure to the benefit of and may be
enforced  by  Employer  or any if its  affiliates.  In addition to any rights or
remedies  available  to Employer for a breach by Employee of Sections 7, 8 or 9,
Employer and its  affiliates  shall be entitled to injunctive  relief to enforce
the obligations of Employee contained in such Sections.  Nothing herein shall be
construed as  prohibiting  Employer or its  affiliates  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 7, 8 or 9 shall be
extended by any period of  violation  or periods of time  required to resolve by
arbitration,  not to  exceed  45 days,  any  dispute  regarding  the  provisions
thereof, whichever period is lesser.

          (c)  Employee  hereby  acknowledges  that the  covenants  set forth in
Sections 7, 8 and 9 are  reasonable in all respects and are necessary to protect
the legitimate  business interests of Employer and its affiliates.  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 the offending portion shall be construed
as valid and enforceable  only to the extent permitted by law and the balance of
this  Agreement  will remain in full force and effect.  It is the  intention  of
parties to restrict the  activities of Employee only to the extent  necessary to
protect the legitimate  business interests of Employer,  its subsidiaries and/or
affiliates,  and not to  deprive  Employee  of the  right or  ability  to earn a
livelihood.

                                       4
<PAGE>

     11.  Vacation and Sick Leave.  All earned,  accrued and unused vacation and
any unused sick pay,  upon  termination,  will be governed  by  Employer's  then
current policies.

     12. Termination. This Agreement may be terminated as follows:

          (a) Employer may terminate  this  Agreement  without cause at any time
upon  ninety (90) days' prior  written  notice to  Employee,  and  Employee  may
terminate this Agreement  without cause at any time upon ninety (90) days' prior
written notice to Employer.  This ninety day period is hereafter  referred to as
the "Notice Period." In the event of such 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 employee  during the
Notice Period.  Employer,  at its option, may notify Employee at any time during
the Notice  Period that no further  services are to be  performed,  but Employer
shall  continue to pay  Employee's  Base Salary (as defined on Exhibit A through
the end of the Notice  Period.  In the event that this  Agreement is  terminated
without  cause by either  party,  the covenants set forth in Sections 7, 8 and 9
shall continue in effect,  and the applicable start date for the periods of time
in Sections 7, 8 or 9 shall be the later of the date that notice of  termination
is given or the last date upon which services are performed.

          (b) This Agreement may be terminated by Employer at any time for cause
upon  written  notice to Employee,  which  notice  shall  specify the reason for
termination.  For purposes of this Subsection  12(b),  cause shall include,  but
shall not be limited  to, the  following:  fraud;  dishonesty;  substantial  and
continuous  nonperformance  of  assigned  duties  after  Employer  has  provided
Employee  with written  notice of  non-compliance  and at least thirty (30) days
thereafter to cure; failure to comply with a material written policy of Employer
after Employer has provided Employee with written notice of  non-compliance  and
at least thirty (30) days thereafter to cure;  failure by Employee to perform or
meet objective and  measurable  standards of which Employee has been notified in
advance in  writing;  criminal  activities  for which  Employee  is  indicted or
convicted in a jurisdiction  of the United States;  and material  breach of this
Agreement  provided that Employer has provided  Employee with written  notice of
breach and at least thirty (30) days thereafter to cure.

          (c)  This  Agreement  shall  terminate  upon the  death  or total  and
permanent  disability of Employee.  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 accrued through the
date  of  Employee's  death  or the  date he  becomes  totally  and  permanently
disabled,  as the  case  may  be.  Permanent  disability  for  purposes  of this
Agreement  shall mean the  inability  to perform  the  functions  of  Employee's
position for a continuous period of six (6) months.

          (d)  Except  as  expressly  set  forth   herein,   all  of  Employer's
obligations  for  compensation  or  other  benefits  shall  terminate  upon  the
effective date of the termination of this  Agreement.  In  consideration  of the
Signing Bonus provided for in Exhibit A, Employee agrees that he is not entitled
to any severance payment upon termination other than severance pay per

                                       5
<PAGE>

Employer's  general  severance  policy  that is based on years of  service  (and
payment of Base Salary and benefits through the end of the Notice Period).

     13.  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 stock of Employer by employees.

     14. Entire  Agreement.  This  Agreement  contains the entire  understanding
between  the  parties  and  supersedes  and  cancels  any prior oral and written
understanding  and/or  agreements  between them respecting the subject matter of
this Agreement. This Agreement may be amended or modified only in writing signed
by both parties.

     15.  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 shall
be enforced to the greatest extent permitted by law.

     16.  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.

     17. Assignment. No party shall have any right to assign, 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,  except that Employer may assign this
Agreement to one of its affiliates or wholly-owned  subsidiaries,  provided that
in the event of such an assignment,  Employer shall remain primarily responsible
for its obligations hereunder. All rights hereunder are personal to the 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 personal representatives, heirs and legatees of Employee.

     18. 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:  President," and in the case of Employee,  to his last known
permanent address according to the books and records of Employer.

     19.  Arbitration.  Any  differences,  claims or matters in dispute  arising
between the  parties  hereto out of this  Agreement  shall be  submitted  by the
parties to arbitration as mutually agreed upon.  Article 45A of Chapter 1 of the
General Statutes of North Carolina shall apply to such arbitration. In the event
the parties  cannot  agree upon the means of  submission  to  arbitration,  they
thereby agree that any  controversy  or claim arising out of or relating to this
Agreement or the breach  thereof  shall be  submitted  by them in Durham,  North
Carolina,  to  arbitration  by  the  American  Arbitration  Association  or  its
successor;  and the determination of the American Arbitration Association or its
successors shall be final and absolute. The arbitrator

                                       6
<PAGE>

shall be governed by the duly promulgated  rules and regulations of the American
Arbitration  Association or its successor,  and the pertinent  provisions of the
laws of the State of North Carolina relating to arbitration. The decision of the
arbitrator  may be  entered  as a  judgment  in any  court of the State of North
Carolina or elsewhere.  The parties further agree that any differences,  claims,
or matters in dispute  arising  between the parties  hereto shall be governed by
the laws of the State of North Carolina.

     20.  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 Employer's  affiliates and subsidiaries.  All rights
of Employer  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.

     IN WITNESS  WHEREOF,  the parties sign and seal below,  effective  the date
first written in this Agreement.


                                    EMPLOYEE:

                                                                          (SEAL)
                                    --------------------------------------
                                    Charles F. Kuoni, III


                                    EMPLOYER:

                                    COASTAL PHYSICIAN GROUP, INC.


                                    By:
                                       -----------------------------------
                                       Steven M. Scott, President and
                                       Chief Executive Officer
ATTEST:


By:
   --------------------------
       Assistant Secretary

        [CORPORATE SEAL]

                                       7
<PAGE>

                                    EXHIBIT A
                                    ---------

                                  COMPENSATION
                                  ------------

     1. Signing  Bonus.  Employee  shall  receive a signing  bonus (the "Signing
Bonus")  of Fifty  Thousand  and  No/100  Dollars  ($50,000),  payable  upon the
relocation  of  Employee's  family  to North  Carolina.  Employer  and  Employee
acknowledge  that  Employee has  previously  received a bonus of $50,000 paid to
Employee  as a  consultant  prior to the  execution  of this  Agreement  and the
commencement of Employee's employment with Employer.

     2. Base Salary. For services provided as an employee of Employer,  Employee
shall  receive,  beginning on the Effective  Date, a base salary of $200,000 per
annum (the "Base Salary") payable in accordance with Employer's  current payroll
practices.  The Base Salary shall be subject to annual review and  adjustment as
of each August 1 during the term of this  Agreement  (or such other times as may
be determined by Employer,  but the annual review and adjustment  shall occur no
less than once per calendar year).

     3.  Options.  As an  inducement  essential to Employee  entering  into this
Agreement,  Employer shall  recommend that the  Compensation  Committee issue to
Employee  options (the "Options") for one hundred  thousand  (100,000) shares of
the Employer's  common stock (the "Stock"),  with an exercise price based on the
market  price of the  Employer's  common  stock on the date  this  Agreement  is
executed,  or the next preceding  trading day is such date is not a trading day.
The Options shall vest over three (3) years,  with 33,333 shares  vesting on the
first  anniversary  date of the  signing  of this  Agreement  (the  "Anniversary
Date"),  33,333 shares vesting on the second Anniversary Date, and 33,334 shares
vesting on the third  Anniversary  Date;  provided that on each such Anniversary
Date, the above Options shall only vest if Employee is a full-time time employee
of Employer on such Anniversary Date.

     Employer  understands  that if the Options are  exercised  the Stock issued
will be issued by Employer in a private  placement  pursuant to Section  4(2) of
the  Securities  Act of 1933,  as amended  (the  "Act").  Employee  warrants and
represents  to Employer  that he is acquiring  the Stock for his own account for
investment  purposes  and  without  a view to  distributing  them to  subsequent
purchasers. Employee understands that legends will be placed on the certificates
evidencing the Stock  restricting  their transfer or other  disposition  without
registration under the Act or the availability of an exemption from registration
under the Act.

     4.  Incentive  Bonus.  Employee  shall  be  entitled  to  an  incentive  or
performance  bonus (the  "Incentive  Bonus") of up to $80,000  per annum  (forty
percent  of annual  Base  Salary),  based on cash  flow,  audit and  timely  SEC
reporting, as well as the following:

     (a) Employee must be employed by Employer at the end of the fiscal  quarter
for which the Incentive Bonus is calculated;

     (b)  Employer  and its  consolidated  subsidiaries  must  have  achieved  a
positive  Consolidated  Cash  Flow  for the  fiscal  quarter(s)  for  which  the
Incentive  Bonus is calculated.  For purposes of this  Agreement,  the following
definitions and calculations shall apply:

<PAGE>

     (i)  "Consolidated  Cash  Flow" for any  period  shall  mean the sum of (A)
     Consolidated Net Income (or minus Consolidated Net Loss) for that period of
     Coastal and its  subsidiaries,  (B) provisions for taxes based on income or
     profit  that  reduced  that  Consolidated  Net  Income (or  increased  that
     Consolidated   Net  Loss)  for  that  period,   and  (C)  depreciation  and
     amortization   expenses   and  other   noncash   items  that  reduced  that
     Consolidated Net Income (or increased that  Consolidated Net Loss) for that
     period.

     (ii)  "Consolidated  Net Income" or "Consolidated  Net Loss" for any period
     means  the  consolidated  net  income  or  net  loss  of  Coastal  and  its
     subsidiaries,   excluding  intercompany  items  and  after  deductions  for
     minority  interests,  as determined in accordance  with generally  accepted
     accounting principles; provided that there shall be excluded

          (A)  gain or  loss  resulting  from  the  sale,  conversion  or  other
          disposition of capital assets (i.e, assets other than current assets),

          (C) any gain or loss  resulting from the write-up or write-down of any
          assets, and

          (D) any other gains or losses of any  non-operating,  non-recurring or
          extraordinary nature.

     (c) Calculations of Consolidated  Cash Flow shall be made as promptly as is
reasonable  after the end of the  relevant  fiscal  quarter  by the  independent
public accountants of Employer.

     (d) If earned,  the Incentive  Bonus may be paid by the Employer either (i)
in cash or (ii) so long as  Employer  has  common  stock  traded  on a  national
securities exchange, in the form of registered common stock of Employer that may
be freely traded (subject to trading blackouts that apply to Employee because of
his position as an officer of Employer) on a national securities exchange,  with
the number of shares to be equal to the  dollar  amount of the  Incentive  Bonus
divided by the closing price of such stock on the last trading day of the fiscal
quarter for which the  Incentive  Bonus is earned,  provided  that the  Employer
shall issue cash in lieu of any  fractional  shares.  In the event the  Employer
elects to pay in stock but does not have  registered  common stock  available to
pay the Incentive Bonus, then Employer shall pay one-half of the Incentive Bonus
in cash and shall  issue to  Employee  unregistered  shares  of common  stock of
Employer for the  balance,  with the number of shares to be equal to one half of
the dollar  amount of the  Incentive  Bonus divided by the closing price of such
stock on the last trading day of the fiscal quarter,  provided that the Employer
shall issue cash in lieu of any  fractional  shares.  In the event the  Employer
issues unregistered shares, Employee understands that such shares will be issued
by Employer in a private  placement  pursuant to Section 4(2) of the  Securities
Act of 1933,  as amended  (the  "Act").  Employee  warrants  and  represents  to
Employer  that he is  acquiring  the shares for his own account  for  investment
purposes and without a view to distributing them to subsequent  purchasers,  and
Employee understands that legends will be placed on the certificates  evidencing
the shares restricting their transfer or other disposition without  registration
under the Act or the  availability of an exemption from  registration  under the
Act.

                                       2
<PAGE>

     5. Stock  Options or Awards.  Employee  shall be eligible for stock options
and awards  available to other senior  management of Employer and its affiliates
from time to time.  This  subsection  shall not be a guarantee  of any awards or
options,  and  Employee  recognizes  that the awarding of such  compensation  is
governed by plans  adopted by the Board of  Directors  of Employer  from time to
time.

                                       3



                              EMPLOYMENT AGREEMENT


     THIS EMPLOYMENT  AGREEMENT (this "Agreement") is made and entered into this
the 1st day of  January,  1998 (the  "Effective  Date") by and  between  COASTAL
PHYSICIAN  SERVICES OF SOUTH FLORIDA,  INC.,  (the  "Employer" or "Coastal"),  a
Florida corporation, and SHERMAN PODOLSKY, M.D. ("Employee").

                              W I T N E S S E T H:

     WHEREAS,  Employee is currently  employed by Coastal Physician  Services of
South Florida, Inc. and Coastal Physician Services of the Southeast, Inc., which
are  affiliates  of Employer,  pursuant to an Employment  Agreement  dated as of
April 2, 1997, which will be terminated in connection with the execution of this
Agreement;

     WHEREAS, subject to the terms and conditions hereinafter provided, Employer
desires to employ Employee,  and Employee desires to accept such employment,  on
the terms and conditions hereinafter set forth.

     NOW,  THEREFORE,  in  consideration  of the  employment of Employee and the
compensation  to be paid by Employer to Employee,  and the  covenants  set forth
herein,  Employee hereby accepts  employment  hereunder subject to the terms and
conditions  stated below,  including the agreement of Employee not to enter into
certain competitive activities with the Employer, as follows:

     1.  Employment.  Employer  hereby  employs  Employee,  and Employee  hereby
accepts such employment, subject to the terms and conditions stated herein. This
Agreement shall amend, restate and supersede any existing employment  agreements
and arrangements applicable to Employee,  including the agreement dated April 2,
1997 with affiliates of Employer.

     2. Term. This Agreement shall commence effective as of January 1, 1998 (the
"Effective  Date") and shall  continue  through and including  December 31, 2000
(the  "Initial  Term"),  unless this  Agreement is (a)  otherwise  terminated in
accordance  with the  provisions  contained  herein,  or (b)  extended by mutual
agreement of Employer and Employee. After the Initial Term, this Agreement shall
automatically  renew on a year-to-year basis until terminated in accordance with
Section 12 of this Agreement.

     3. Duties.  Employee  shall perform the following  duties  pursuant to this
Agreement:

          (a) Employee shall serve as President and Chief  Executive  Officer of
Employer.  Employee is currently serving and will continue to serve on the Board
of Directors of Employer (the "Board of Directors").  Employee may be removed at
anytime  from any  board  seat as  deemed  appropriate  by the  shareholders  of
Employer,  and such removal  shall not be considered a breach by the Employer of
this  Agreement.  Removal  of  Employee  from the office of  President  shall be
considered a material breach of the terms of this Agreement by Employer.

<PAGE>

          (b) As the President and Chief Executive Officer of Employer, Employee
shall be  principally  responsible  for all  operational  affairs  of  Employer,
reporting  to the Board of  Directors.  Employee  shall  perform  all duties and
responsibilities normally associated with his officer and director positions and
shall carry out such other duties and  responsibilities  and as otherwise may be
reasonably assigned to Employee by the Board of Directors.

          (c) Employee shall at all times abide and observe Employer's  policies
and procedures as are in effect from time to time.  Employee  acknowledges  that
Employer is an equal opportunity employer and that Employer's established policy
is not to discriminate on the basis of age, marital status,  race,  color,  sex,
religion   or   national   origin,   or  to   violate   any   federal  or  state
anti-discrimination  law.  Employee  shall be  responsible  for carrying out and
implementing  the foregoing  policy  throughout the operations and activities of
Employer.

     4.  Compensation.  For the services  provided by Employee as an employee of
Employer, Employer shall pay Employee the annual base salary (the "Base Salary")
and other compensation identified on Exhibit A.

     5. Additional Benefits.  During the term of this Agreement,  Employee shall
be entitled to and Employer  shall provide to Employee,  at no cost to Employee,
all  employment  benefits  which are  generally  provided  to  senior  executive
officers  of Employer  and its  affiliates,  including  without  limitation  the
following:

          (a)  Comprehensive  major medical,  dental and other health  insurance
covering  Employee's medical expenses and the medical expenses of his spouse and
children;

          (b)  Disability  insurance  with  no  more  than  a  ninety  (90)  day
elimination  period  providing  for payment to age 65 in the event that Employee
becomes unable to perform his responsibilities hereunder. Employer agrees to pay
Employee's  compensation in accordance with Employer's  usual policy  throughout
any elimination period;

          (c) Term life insurance in the amount of Five Hundred Thousand Dollars
($500,000.00);

          (d) Usual  and  customary  sick  leave  benefits  in  accordance  with
Employer's standard policy for senior level executives;

          (e) A total of four (4) weeks per year  vacation  and two (2) weeks of
continuing medical education;

          (f)  Eligibility  to  participate  in the 401(k)  Plan  maintained  by
Coastal  Physician Group,  Inc. ("CPG") for the benefit of its employees as well
as in any other tax qualified or unqualified  retirement  program  maintained by
Employer or CPG for the benefit of its employees on the same basis as the senior
executive officers of Employer are entitled to participate therein; and

                                       2
<PAGE>

          (g) Five Thousand and no/100's Dollars  ($5,000.00) per year allowance
for dues, licenses, professional associations and CME expenses.

     6.  Devotion of Time.  During the term of this  Agreement,  Employee  shall
devote all  necessary  time and  attention  to the  business of Employer and its
affiliates  in a manner and to an extent  commensurate  with the  commitment  of
other executive officers of Employer, to fulfill his duties and responsibilities
under the Agreement and to advance the business interests and good reputation of
Employer and the direct and  indirect  subsidiaries  of  Employer.  Employee may
provide medical consulting  services consistent with those Employee is currently
providing  to Scott  Medical  Group,  LLC, so long as (i) the  provision of such
services do not interfere with the rendering of services  under this  Agreement,
and (ii) such  services  relate to the  provision  of clinic  services  and such
services are not in any way connected with the rendering of emergency department
staffing services.

     7. Confidentiality and Non-Disclosure.  Employee  acknowledges that, during
this 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,  including but not limited
to,  hospital and healthcare  facility  client lists,  client files and records,
lists of  potential  clients,  prospects  or targets,  and/or  other  market and
marketing data and plans, price books, promotional devices and methods, business
methods,  manuals and plans,  business and sales  techniques,  strategic  plans,
computer  programs,   hospital  and  physician   contracts,   and  research  and
development    (hereinafter    referred   to   collectively   as   "Confidential
Information").  Employee  acknowledges  that such  Confidential  Information  is
unique and a valuable  asset which is owned solely by Employer (or affiliates of
Employer) and is to be used only for Employer's or its  affiliates'  (other than
any natural  persons)  benefit.  Employee shall not, during or after the term of
this Agreement, 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
against such Confidential Information from misappropriation, misuse, 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 or (ii)  generally
available to the public other than by unauthorized disclosure.  Upon termination
of  this  Agreement,  Employee  shall  return  immediately  to  Employer  all of
Employer's  (or  its  affiliates)  property   (including,   without  limitation,
Confidential  Information) in Employee's  possession or control.  Any materials,
manuals, documents or records developed, written, edited or designed by Employee
while employed by Employer are the exclusive property of Employer.

     8. Covenant Not To Compete.  Employee will, as a result of this employment,
be  responsible  for the  executive  management  and  direction  of  substantial
business  resources and assets of Employer and its  affiliates  and will develop
additional  contacts and relationships  with numerous  individuals,  executives,
companies,  insurers,  providers and health maintenance  organizations which are
also  involved  in  the  managed  healthcare  business.   Such  individuals  and
organizations will have business and contractual  relationships with Employer or
its affiliates that will be a valuable asset thereof.  Employee therefore agrees
as follows:

                                       3
<PAGE>

          (a)  Employee  agrees that for a period of twelve  (12)  months  after
termination  of this  Agreement,  Employee  will not become  employed  by,  own,
operate,  manage, or provide  consulting  services to any business that provides
the same type of physician management services as Employer currently provides to
emergency departments in the State of Florida.

          (b)  Employee  agrees  for  a  period  of  twelve  (12)  months  after
termination of this Agreement, not to solicit any hospital,  clinic,  healthcare
facility or other client  having a  contractual  or business  relationship  with
Employer or of any  subsidiary  of  Employer,  or of any  prospect or  potential
client to which a  marketing  proposal or  presentation  was made within six (6)
months of termination,  and of which Employee was aware, involving the provision
of physician management services for emergency  departments,  which solicitation
would  be for  the  purpose  of  providing  physician  management  services  for
emergency departments.

          (c)  Employee  further  agrees to refrain  for a period of twelve (12)
months  following the  termination of this  Agreement,  from any activity of any
nature  intended  or  reasonably  calculated  to  result in the  termination  or
cancellation of any contractual or business  arrangement between the Employer or
any subsidiary of Employer, and any insurer,  client, facility or other business
or entity.

          (d) Employee  agrees to notify any entity or  organization of which he
is a director, significant shareholder (or other equity owner), manager, general
partner, executive officer or as to which he is otherwise a controlling party or
over whom he exerts significant  influence (an "Affiliate") of the provisions of
Sections  7, 8 and 9 of this  Agreement,  and  Employee  agrees that he will not
cause  or  permit  such  Affiliate  to  engage  in any  activity  that  would be
prohibited for Employee personally under this Agreement.

          (e) Nothing in this Agreement  shall prevent  Employee,  either during
the term hereof or after  termination,  from (i) making  passive  investments in
third parties so long as such investments do not require Employee to perform any
services in connection  with any such  investments in such third  parties,  (ii)
providing consulting services to Scott Medical Group, LLC of the type and nature
that  Employee  currently  provides to Scott Medical  Group,  LLC so long as the
provision of such services is in accordance with the  restrictions in Section 6,
or (iii) providing clinical medical services,  including working as an emergency
department physician.

     9. Solicitation of Other Employees.

          (a)  Employee  agrees  that he shall not,  for a period of twelve (12)
months after the  termination of this  Agreement,  solicit or seek to influence,
either  directly or  indirectly,  any employee or any  physician  or  healthcare
provider under contract with Employer at any time during  Employee's  employment
by  Employer  or any of its  subsidiaries  or  affiliates,  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 subsidiaries or affiliates.

                                       4
<PAGE>

          (b) Employee  further agrees that neither he nor any Affiliate  shall,
for a period of twelve  (12) months  after the  termination  of this  Agreement,
hire,  employ,  enter  into any  employment  agreement,  independent  contractor
arrangement,  or any other contractual  arrangement whereby a "Coastal Employee"
(as defined below) would perform  services for compensation for Employee or such
entity.  For the purposes hereof,  "Coastal  Employee" shall mean any person who
has been  employed by Coastal or any or its direct or indirect  subsidiaries  at
any time during the six (6) month period  immediately  preceding the termination
of this Agreement.

     10. Breach and Remedies.

          (a) Employee  acknowledges that the breach or threatened breach of any
of the  covenants  set forth in Sections 7, 8 or 9 may result in  immediate  and
irreparable injury to Employer or its affiliates.  Accordingly,  Employee agrees
the  provisions  of Sections 7, 8 and 9 shall inure to the benefit of and may be
enforced  by  Employer  or any if its  affiliates.  In addition to any rights or
remedies  available  to Employer for a breach by Employee of Sections 7, 8 or 9,
Employer and its  affiliates  shall be entitled to injunctive  relief to enforce
the obligations of Employee contained in such Sections.  Nothing herein shall be
construed as  prohibiting  Employer or its  affiliates  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 7, 8 or 9 shall be
extended by any period of violation  or periods of time,  not to exceed 45 days,
required to resolve by arbitration any dispute regarding the provisions thereof.

          (c)  Employee  hereby  acknowledges  that the  covenants  set forth in
Sections 7, 8 and 9 are  reasonable in all respects and are necessary to protect
the legitimate  business interests of Employer and its affiliates.  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 the offending portion shall be construed
as valid and enforceable  only to the extent permitted by law and the balance of
this  Agreement  will remain in full force and effect.  It is the  intention  of
parties to restrict the  activities of Employee only to the extent  necessary to
protect the legitimate  business interests of Employer,  its subsidiaries and/or
affiliates,  and not to  deprive  Employee  of the  right or  ability  to earn a
livelihood.

          (d) The covenants and restrictions contained in Sections 8 and 9 shall
terminate in the event Employer or CPG files a voluntary petition in bankruptcy,
has an involuntary petition filed against it which is not dismissed within sixty
(60) days of filing, makes a general assignment for the benefit of creditors, or
consents to the  appointment of a receiver for all or  substantially  all of its
assets.

     11.  Vacation and Sick Leave.  All earned,  accrued and unused vacation and
any unused sick pay,  upon  termination,  will be governed  by  Employer's  then
current policies.

                                       5
<PAGE>

     12. Termination. This Agreement may be terminated as follows:

          (a) Employer may terminate  this  Agreement  without cause at any time
upon  ninety (90) days' prior  written  notice to  Employee,  and  Employee  may
terminate this Agreement  without cause at any time upon ninety (90) days' prior
written notice to Employer.  This ninety day period is hereafter  referred to as
the "Notice Period." In the event of such 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 employee  during the
Notice Period.  Employer,  at its option, may notify Employee at any time during
the Notice  Period that no further  services are to be  performed.  In the event
that this Agreement is terminated  without cause by either party,  the covenants
set forth in Sections 7, 8 and 9 shall  continue in effect,  and the  applicable
start date for the  periods of time in  Sections 7, 8 or 9 shall be the later of
the date  that  notice  of  termination  is given or the last  date  upon  which
services are performed.

          (b) If this  Agreement is terminated  without cause by Employer at any
time during the term hereof,  Employer shall pay Employee  regular  compensation
during the Notice  Period as provided  in  subsection  (a),  plus an amount (the
"Severance  Benefit")  equal to three  fourths of the annual Base Salary then in
effect (see Exhibit A), all to be paid out in equal  installments  over the nine
(9) months  following  the date of expiration  of the Notice  Period,  beginning
thirty (30) days from the date of expiration of the Notice Period (so that there
will be a total equal to the annual Base Salary paid during the three  months of
the Notice Period as salary plus the nine months following the Notice Period).

          (c) This Agreement may be terminated by Employer at any time for cause
upon  written  notice to Employee,  which  notice  shall  specify the reason for
termination.  For purposes of this Subsection 12(c),  cause shall consist of the
following: fraud; material and meaningful dishonesty; substantial and continuous
nonperformance  of material  assigned duties;  failure to comply with a material
written policy of Employer; failure by Employee to perform or meet objective and
measurable  standards agreed upon by Employer and Employee;  unlawful activities
for which  Employee is convicted in a  jurisdiction  of the United  States;  and
material and meaningful breach of this Agreement.

          (d)  This  Agreement  shall  terminate  upon the  death  or total  and
permanent  disability of Employee.  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 accrued through the
date  of  Employee's  death  or the  date he  becomes  totally  and  permanently
disabled,  as the  case  may  be.  Permanent  disability  for  purposes  of this
Agreement  shall mean the  inability  to perform  the  functions  of  Employee's
position for a continuous period of six (6) months.

          (e) This  Agreement  may be  terminated  by  Employee  upon a material
breach of the terms of this  Agreement  by  Employer,  and if this  Agreement is
terminated at any time during the term hereof by Employee under this subsection,
then Employer  shall pay Employee an amount equal to the annual Base Salary then
in effect  (see  Exhibit A), all to be paid out in equal  installments  over the
twelve (12) months following the date of termination, beginning thirty (30) days
from the date of termination.

                                       6
<PAGE>

          (f)  Except  as  expressly  set  forth   herein,   all  of  Employer's
obligations  for  compensation  or  other  benefits  shall  terminate  upon  the
effective date of the termination of this Agreement.

          (g) Upon  termination  of employment,  Employee  agrees to resign as a
director of CPG and as an officer and director of Employer and any affiliates of
Employer  and CPG.  In that  regard,  Employee  agrees to execute and deliver to
Moore & Van Allen,  PLLC, as escrow agent,  an undated  resignation  letter with
respect to CPG, which escrow agent is authorized to date and deliver to CPG upon
receipt of notice from Employer that Employee's employment has terminated.

     13. Dispute  Resolution.  The parties shall attempt in good faith to settle
any dispute or controversy  arising under,  out of, or in connection  with or in
relation to this Agreement,  or any amendment  hereof,  or the breach hereof, by
negotiation and mutual  agreement;  provided that if the parties are not able to
agree within a reasonable  period of time, then any such dispute or disagreement
shall be resolved by  submitting  such dispute  first to mediation and second to
arbitration in Broward County or such other location within or outside the State
of Florida as may be agreed on by the  parties.  Either  party may make  written
demand for  mediation,  in which case the parties  shall  mediate the dispute or
disagreement with the mediator appointed by the Judicial Arbitration & Mediation
Services,  Inc.  ("JAMS") or another party upon mutual agreement of Employer and
Employee.  Fees and costs of the mediation shall be borne equally by the parties
and each party shall pay its own professional  fees and costs. If the dispute or
disagreement  is not settled by mediation  within a  reasonable  period of time,
then  either  party  may  demand  arbitration,  in  which  case the  dispute  or
disagreement  shall be  arbitrated  in  accordance  with  rules  and  procedures
established by JAMS. The arbitrator shall be allowed,  in his or her discretion,
to require the losing party to pay the reasonable  attorney's  fees and costs of
the prevailing  party.  Any award rendered by the arbitrator  shall be final and
binding  upon each of the  parties  and  judgment  thereof may be entered in any
court having  jurisdiction  thereof.  The costs of the arbitrator shall be borne
equally by both parties.

     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 stock of Employer by employees to
the extent such policies do not restrict  Employee's  express  rights under this
Agreement.

     15. Entire  Agreement.  This  Agreement  contains the entire  understanding
between  the  parties  and  supersedes  and  cancels  any prior oral and written
understanding  and/or  agreements  between them respecting the subject matter of
this Agreement. This Agreement may be amended or modified only in writing signed
by both parties.

     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 shall
be enforced to the greatest extent permitted by law.

                                       7
<PAGE>

     17.  Governing Law. This Agreement is made and entered into in the State of
Florida and is to be construed in accordance with and take effect under the laws
of the State of Florida without regard to principles of conflicts of laws.

     18. Assignment. No party shall have any right to assign, 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,  except that Employer may assign this
Agreement to one of its affiliates or wholly-owned  subsidiaries,  provided that
in the event of such an assignment,  Employer shall remain primarily responsible
for its  obligations  hereunder and the obligations of Employer shall be binding
upon any  successor-in-interest.  Employee  acknowledges  that  Employer and its
affiliates  which are direct or indirect  wholly-owned  subsidiaries  of Coastal
Physician  Group,  Inc.  may  restructure  their  corporate  structure  in South
Florida,  and as a result,  Employer may be merged into or with one or more such
affiliates, and Employer and Employee agree that this Agreement shall be binding
upon and inure to the benefit of any successor entity.  All rights hereunder are
personal to the 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 personal  representatives,  heirs and legatees
of Employee.

     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 2828  Croasdaile  Drive,
Durham, North Carolina 27705 and marked "Attention:  Steven M. Scott, M.D.," and
in the case of Employee,  to his last known permanent  address  according to the
books and records of Employer.

     20.  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 Employer's  affiliates and subsidiaries.  All rights
of Employer  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.

                                       8
<PAGE>

     IN WITNESS  WHEREOF,  the parties sign and seal below,  effective  the date
first written in this Agreement.


                                    EMPLOYEE:


                                                                          (SEAL)
                                    --------------------------------------
                                    Sherman Podolsky, M.D.


                                    EMPLOYER:

                                    COASTAL PHYSICIAN SERVICES OF 
                                    SOUTH FLORIDA, INC.


                                    By:
                                       -----------------------------------
                                    Name:
                                         ---------------------------------
                                    Title:
                                          --------------------------------
ATTEST:

By:
   -------------------------
      Assistant Secretary

        [CORPORATE SEAL]

                                       9
<PAGE>

                                    EXHIBIT A
                                    ---------

                                  COMPENSATION
                                  ------------


     1. Base Salary. For services provided as an employee of Employer,  Employee
shall  receive,  beginning on the Effective  Date, a base salary of $240,000 per
annum (the "Base Salary") payable in accordance with Employer's  current payroll
practices.  The Base Salary shall be subject to annual review and  adjustment as
of each January 1 during the term of this  Agreement (or such other times as may
be determined by Employer).  Upon any annual review and adjustment,  the minimum
increase in the Base Salary  shall be equal to the Base Salary in effect for the
previous year multiplied by one-half of the percentage  increase (if any) in the
Consumer  Price Index (the "Index") for All Items,  All Groups  published by the
United States  Department of Labor,  Bureau of labor Statistics for the one year
period  ending on the last day of November  preceding  the  adjustment  date. If
publication of the Index is discontinued or computation of the Index  materially
altered,  Employer  and  Employee  shall use a  comparable  index  computed  and
published  by  an  agency  of  the  United  States  or a  responsible  financial
periodical of recognized authority.

     2. Incentive Bonus. Employee shall be eligible for bonuses to be determined
from time to time,  which shall  include but not be limited to bonuses under the
1997-1998  Cash  Improvement  Incentive  Program  outlined in the  memorandum of
September 10, 1997 from Steven M. Scott, M.D. and Steven Newell, a copy of which
is attached as Exhibit B; provided  that the target quotas shall be  established
by the President of Coastal Physician Services, Inc.

     3. Stock  Options or Awards.  Employee  shall be eligible for stock options
and awards  available to other senior  management of Employer and its affiliates
from time to time.  This  subsection  shall not be a guarantee  of any awards or
options,  and  Employee  recognizes  that the awarding of such  compensation  is
governed by plans  adopted by the Board of  Directors  of Employer  from time to
time.



03/18/98

                   COASTAL PHYSICIAN GROUP, INC. SUBSIDIARIES
                                   AT 12-31-97


Advanced Health Plans, Inc.
BHP Acquisition Company, Inc.
Better Health Plan, Inc.
Birth Centers of America, Inc.
Birth Centers of Florida, Inc.
CHG Properties, Inc.
Coastal Correctional Healthcare, Inc.
Coastal Emergency Services of Dade County, Inc.
Coastal Emergency Services of Ft. Lauderdale, Inc.
Coastal Emergency Services of Hollywood, Inc.
Coastal Emergency Services of Orlando, Inc.
Coastal Government Services Management Group, Inc.
Coastal Government Services, Inc.
Coastal Managed Healthcare, Inc.
Coastal Medical Management Services, Inc.
Coastal Physician Group of Florida, Inc.
Coastal Physician Group, Inc.
Coastal Physician Networks, Inc.
Coastal Physician Services of Orlando, Inc.
Coastal Physician Services of South Florida, Inc.
Coastal Physician Services of the Midwest, Inc.
Coastal Physician Services of the Southeast, Inc.
Coastal Physician Services of the West, Inc.
Coastal Physician Services, Inc.
Coastal Physicians Services of Broward County, Inc.
Coastal Practice Services of the Northeast, Inc.
Coastal Receivables LLC
Coastal SPC Member Corp.
Doctors Health Plan, Inc.
FirstCollect, Inc.
Health Enterprises, Inc.
Health Management Southeast, Inc.
Healthcare Business Resources, Inc.
Healthplan Southeast, Incorporated
Medical Data Solutions, Inc.
Medstaff National Medical Staffing, Inc.
Pediatric Consultants of Broward County, Inc.
Physicians Planning Group, Inc.
Premier Credentialing Resources, Inc.
Signum Primary Care, Inc.
Specialty Services Group, Inc.
Sunlife OB/GYN Services of Hollywood, Florida, Inc.
Sunlife OB/GYN Services of Maryland, Inc.



                           CERTIFICATE OF DESIGNATION
                                       OF
                          COASTAL PHYSICIAN GROUP, INC.


     I, Eugene F. Dauchert,  Jr.,  Secretary of Coastal Physician Group, Inc., a
Delaware corporation, do hereby certify as of the date of this Certificate, that
the  resolutions  attached  hereto  as  Exhibit A  designating  the  rights  and
preferences  of the Series C Convertible  Preferred  Stock of Coastal  Physician
Group,  Inc.  were duly  adopted  on June 3, 1997 by the Board of  Directors  of
Coastal Physician Group, Inc. and that such resolutions have not been amended or
revoked.

     Witness my hand and seal of the Corporation this 4th day of June, 1997.


                                       -----------------------------------
                                       Eugene F. Dauchert, Jr.
                                       Secretary

<PAGE>

                                    EXHIBIT A
                                    ---------

                          COASTAL PHYSICIAN GROUP, INC.

                             RESOLUTIONS DESIGNATING
                      SERIES C CONVERTIBLE PREFERRED STOCK


     WHEREAS,  the Board of Directors,  pursuant to the authority conferred upon
the Board of Directors by the Amended and Restated  Certificate of Incorporation
of the  Company,  and pursuant to the  provisions  of Section 151 of the General
Corporation Law of the State of Delaware, desires to adopt resolutions providing
for the designation, preferences and relative, participating,  optional or other
rights,  and the  qualifications,  limitations or restrictions  thereof,  of the
Series C Convertible Preferred Stock;

     NOW, THEREFORE,  BE IT RESOLVED,  that pursuant to the authority granted to
and  vested in the Board of  Directors  of the  Company in  accordance  with the
provisions of the Amended and Restated  Certificate of Incorporation,  the Board
of Directors hereby creates a series of convertible  preferred stock, with a par
value of $0.01 per share,  of the Company and hereby states the  designation and
number of shares,  and fixes the relative  rights,  preferences  and  limitation
thereof (in addition to the  provisions in the Amended and Restated  Certificate
of  Incorporation  that are applicable to the preferred  stock of all series) as
follows:

                      Series C Convertible Preferred Stock

     Section 1.  Designation  and  Amount.  The shares of such  series  shall be
designated as Series C Convertible  Preferred  Stock,  with a par value of $0.01
per share (the "Series C Convertible Preferred Stock"), and the number of shares
constituting such series shall be one million two hundred thousand (1,200,000).

     Section  2.  Dividends.  The  holders  of shares  of  Series C  Convertible
Preferred Stock shall be entitled to receive dividends, when, as and if declared
by the Board of Directors or a duly authorized  committee thereof,  out of funds
legally available for the payment of dividends.  The amount of dividends payable
in respect of each share of Series C Convertible  Preferred Stock shall be equal
to the  result  obtained  by  multiplying  (a) the  number of shares  (including
fractions) of the Company's Common Stock, $0.01 par value per share (the "Common
Stock"),  into which such share of Series C Convertible  Preferred Stock is then
convertible in accordance with Section 4 hereof (whether or not the Trigger Date
(as  defined  in  Section  4K  hereof)  has yet  occurred)  by (b) the amount of
dividends declared and paid on each share of the Common Stock. No dividend shall
be paid or declared on any share of the Common Stock, unless a dividend, payable
in the same consideration and manner, is simultaneously paid or declared, as the
case may be, on each share of Series C Convertible  Preferred Stock in an amount
determined  as set forth above nor shall any dividend be paid or declared on any
share of Series C Convertible Preferred Stock unless a dividend,  payable in the
same consideration and manner, is simultaneously  paid or declared,  as the case
may be, on each share of the Common  Stock,  in each case without  preference or
priority of any kind. For purposes of this Section 2, the term "dividends" shall
include any pro rata distribution by the Company of cash,  property,  securities
(including, but not limited to, rights, warrants or options) or

                                       2
<PAGE>

other property or assets to the holders of the Common Stock, whether or not paid
out of capital, surplus or earnings.

     Section 3. Liquidation  Preferences.  Upon any liquidation,  dissolution or
winding  up of the  Company,  no  distribution  shall be made to the  holders of
shares of stock  ranking  junior to the  Series C  Convertible  Preferred  Stock
unless, prior thereto,  the holders of shares of Series C Convertible  Preferred
Stock shall have  received an amount  equal to $10.00 per share.  Following  the
payment  of the  full  amount  of such  liquidation  preference,  no  additional
distributions  shall be made to the  holders  of shares of Series C  Convertible
Preferred  Stock.  If, upon any  liquidation,  dissolution  or winding up of the
Company, the assets of the Company, or proceeds thereof, distributable among the
holders of shares of Series C Convertible  Preferred  Stock or any capital stock
ranking on a par with the Series C Convertible Preferred Stock upon liquidation,
dissolution or winding up of the Company,  shall be  insufficient to pay in full
the  preferential  amounts  to which  such stock  would be  entitled,  then such
assets,  or the  proceeds  thereof,  shall be  distributable  among such holders
ratably in accordance with the respective amounts which would be payable on such
shares if all amounts payable thereon were payable in full.

     Section 4. Conversion Rights, Antidilution Provisions.

     A. Following the Trigger Date (as defined in subparagraph K of this Section
4), shares of the Series C Convertible Preferred Stock shall be convertible,  in
whole or in part, at the option of either the holder or the Company, into Common
Stock,  at any time or from time to time,  subject  to the  following  terms and
conditions.  The Series C Convertible  Preferred  Stock shall not be convertible
into any shares of Common Stock unless and until the Trigger Date has occurred.

     B.  Following  the  Trigger  Date,  the shares of the Series C  Convertible
Preferred Stock shall be convertible at the principal  executive  offices of the
Company,  and at such other office or offices, if any, as the Board of Directors
may designate,  into fully paid and nonassessable  shares of Common Stock of the
Company,  at an initial  conversion  rate of ten (10) shares of Common Stock for
each share of Series C  Convertible  Preferred  Stock,  subject to adjustment as
described in this Section 4.

     C. In order to convert shares of the Series C Convertible  Preferred  Stock
into Common Stock, the holder thereof shall  surrender,  after the Trigger Date,
at any office  hereinabove  mentioned the certificate or certificates  therefor,
duly endorsed or assigned to the Company or in blank, and give written notice to
the  Company at such  office that such  holder  elects to convert  such  shares.
Shares of the Series C Convertible  Preferred Stock shall be deemed to have been
converted immediately prior to the close of business on the day of the surrender
of such shares for conversion in accordance with the foregoing  provisions,  and
the person or persons  entitled to receive the Common Stock  issuable  upon such
conversion  shall be treated for all purposes as the record holder or holders of
such  Common  Stock at such time.  As promptly  as  practicable  on or after the
conversion  date,  the Company  shall  issue and shall  deliver at such office a
certificate  or  certificates  for the  number of full  shares  of Common  Stock
issuable upon such conversion,  together with payment in lieu of any fraction of
a share, as hereinafter  provided,  to the person or persons entitled to receive
the same.

                                       3
<PAGE>

     D. At any time after the Trigger Date the Company, by written notice to any
or all holders of the Series C  Convertible  Preferred  Stock,  may require such
holder or  holders to  convert,  in whole or in part,  the Series C  Convertible
Preferred Stock into Common Stock.  Within thirty days after the receipt of such
written notice,  the holder or holders thereof shall cause that number of shares
of Series C Convertible  Preferred  Stock as specified in such written notice to
be converted  into Common Stock in the manner  described  in, and subject to the
provisions of, subparagraph C of this Section 4.

     E. If at any time the Company  shall  subdivide or combine its  outstanding
shares of Common Stock into a different  number of shares of Common Stock,  each
share of Series C Convertible  Preferred  Stock shall  thereafter be convertible
into the same  number  of shares  of  Common  Stock to which the  holder of such
shares  of Series C  Convertible  Preferred  Stock  would  thereafter  have been
entitled had such shares of Series C Convertible  Preferred Stock been converted
into Common Stock immediately prior to the effective date of such subdivision or
combination.

     F. If there occurs any capital  reorganization or any  reclassification  of
the capital stock of the Company or  consolidation or merger of the Company with
or into  another  corporation  or  entity,  each  share of Series C  Convertible
Preferred Stock shall  thereafter be convertible  into, in lieu of Common Stock,
the same kind and amounts of  securities or other  assets,  or both,  which were
issuable or distributable  to the holders of shares of outstanding  Common Stock
of the Company  upon such  reorganization,  reclassification,  consolidation  or
merger in respect of that number of shares of Common Stock into which such share
of Series C Convertible Preferred Stock would have been converted had such share
of Series C  Convertible  Preferred  Stock  been  converted  into  Common  Stock
immediately  prior to such  reorganization,  reclassification,  consolidation or
merger.

     G. Upon any event described in subparagraphs E and F of this Section 4, the
Company shall  promptly  mail to each holder of Series C  Convertible  Preferred
Stock a notice which shall  describe  such event and the change in the number of
shares or other assets or securities  issuable  upon the  conversion of Series C
Convertible  Preferred Stock,  setting forth in reasonable  detail the method of
calculation and the facts upon which such calculation is based.

     H. The Company  shall at all times  reserve and keep  available,  free from
pre-emptive  rights,  out of its authorized but unissued  Common Stock,  for the
purpose of effecting the conversion of the Series C Convertible Preferred Stock,
the full number of shares of Common Stock then issuable  upon the  conversion of
all shares of Series C Convertible  Preferred  Stock then  outstanding and shall
take all such action and obtain all such  permits or orders as may be  necessary
to enable the Company lawfully to issue such Common Stock upon such conversion.

     I. No  fractional  shares of Common Stock shall be issued upon  conversion,
but,  instead of any fraction of a share which would otherwise be issuable,  the
Company shall pay a cash adjustment in respect of such fraction.

     J. The Company  will pay any and all taxes  (excluding  federal,  state and
local  income  taxes) that may be payable in respect of the issue or delivery of
shares of Common Stock upon  conversion  of the Series C  Convertible  Preferred
Stock pursuant hereto.  The Company shall not,  however,  be required to pay any
tax which may be payable in respect of any transfer involved in the

                                       4
<PAGE>

issue and  delivery of shares of Common Stock in a name other than that in which
the shares of Series C Convertible Preferred Stock so converted were registered,
and no such  issue or  delivery  shall  be made  unless  and  until  the  person
requiring  such issue has paid to the Company the amount of any such tax, or has
established to the satisfaction of the Company that such tax has been paid.

     K.  As  used  herein,  the  term  "Trigger  Date"  means  the  date  of the
certification  of the vote of  stockholders of the Company held at any annual or
special  meeting of stockholders of the Company at which a quorum is present and
at  which  the  issuance  of  Common  Stock  upon  conversion  of the  Series  C
Convertible  Preferred  Stock is  approved  by the  holders of a majority of the
shares of Common Stock voted at such meeting,  provided that the total vote cast
on the proposal  represents  over 50% in interest of all securities  entitled to
vote on the proposal.

     Section 5. No Redemption.  The Series C Convertible  Preferred  Stock shall
not be redeemable.

     Section 6. Voting Rights. The holders of the Series C Convertible Preferred
Stock  shall  be  entitled  to that  number  of  votes  per  share  of  Series C
Convertible  Preferred  Stock equal to the number of shares of Common Stock into
which such share of Series C Convertible  Preferred Stock is then convertible in
accordance  with  Section  4 hereof  (whether  or not the  Trigger  Date has yet
occurred) at all meetings of stockholders  of the Company;  provided that shares
of the Series C Convertible Preferred Stock shall not be entitled to vote on the
approval  of the  issuance  of Common  Stock  upon  conversion  of the  Series C
Convertible Preferred Stock referred to in subparagraph K of Section 4.

     Section  7.  Exchange.  Certificates  representing  shares of the  Series C
Convertible  Preferred  Stock and, if converted in accordance with the terms and
conditions  hereof,  after  conversion  thereof into Common Stock,  certificates
representing  such shares,  shall be exchangeable,  at the option of the holder,
for a new  certificate or  certificates  of the same or different  denominations
representing  in the aggregate the same number of shares of Series C Convertible
Preferred Stock or shares of Common Stock, as the case may be.

     Section  8.  Shares to be  Retired.  All  shares  of  Series C  Convertible
Preferred Stock which are converted into Common Stock shall revert to the status
of authorized  but unissued  shares of preferred  stock of the Company but shall
not thereafter be reissued as shares of Series C Convertible Preferred Stock.

     RESOLVED FURTHER,  that, the Chief Executive  Officer,  the Chief Financial
Officer  and each other  Senior  Officer  of the  Company  (each an  "Authorized
Officer")  and the  Secretary are hereby  authorized  and  directed,  for and on
behalf of the Company,  to file promptly with the Secretary of State of Delaware
the  Certificate  of  Designation,  Preferences  and  rights  of  the  Series  C
Convertible Preferred Stock (the "Certificate");

     RESOLVED FURTHER,  that,  simultaneously with the filing of the Certificate
with the  Secretary of the State of Delaware,  there is hereby  reserved and set
aside out of the  Company's  authorized  but unissued  Common  Stock  12,000,000
shares of Common Stock for issuance upon  conversion of the Series C Convertible
Preferred Stock.

                                       5
<PAGE>

     RESOLVED  FURTHER,  that all  prior  resolutions  adopted  by the  Board of
Directors in April and May 1997  relating to the  designation  of the  Company's
Series C Convertible Preferred Stock are hereby rescinded.

                                       6


<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
This  schedule  contains  summary  financial   information  extracted  from  the
financial  statements  of Coastal  Physian  Group,  Inc. for the 12 months ended
December  31,  1997,  and is  qualified  in its  entirety by  reference  to such
financial Statements.
</LEGEND>
<MULTIPLIER>                                     1,000
       
<S>                             <C>
<PERIOD-TYPE>                   12-MOS
<FISCAL-YEAR-END>                              DEC-31-1997
<PERIOD-START>                                 JAN-01-1997
<PERIOD-END>                                   DEC-31-1997
<CASH>                                               8,921
<SECURITIES>                                         5,735
<RECEIVABLES>                                       23,612
<ALLOWANCES>                                             0
<INVENTORY>                                              0
<CURRENT-ASSETS>                                    74,676
<PP&E>                                              10,342
<DEPRECIATION>                                           0
<TOTAL-ASSETS>                                      96,096
<CURRENT-LIABILITIES>                               82,825
<BONDS>                                                  0
                                    0
                                              0
<COMMON>                                               375
<OTHER-SE>                                          61,802
<TOTAL-LIABILITY-AND-EQUITY>                        96,096
<SALES>                                            424,841
<TOTAL-REVENUES>                                   424,841
<CGS>                                              490,576
<TOTAL-COSTS>                                      489,123
<OTHER-EXPENSES>                                    15,536
<LOSS-PROVISION>                                         0
<INTEREST-EXPENSE>                                   1,285
<INCOME-PRETAX>                                    (83,381)
<INCOME-TAX>                                        (1,400)
<INCOME-CONTINUING>                                (81,981)
<DISCONTINUED>                                           0
<EXTRAORDINARY>                                          0
<CHANGES>                                                0
<NET-INCOME>                                       (81,981)
<EPS-PRIMARY>                                        (3.08)
<EPS-DILUTED>                                        (3.08)
        


</TABLE>


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