PHYAMERICA PHYSICIAN GROUP INC
10-K, 2000-04-14
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

                   FOR THE FISCAL YEAR ENDED DECEMBER 31, 1999
                                       OR
            [ ] 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

                        PHYAMERICA PHYSICIAN GROUP, INC.
             (Exact name of registrant as specified in its charter)

             DELAWARE                                     56-1379244
- --------------------------------------------------------------------------------
  (State or other jurisdiction              (I.R.S. Employer Identification No.)
of 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: NONE

Securities registered pursuant to Section 12(g) of the Act:
                                   Common stock, par value $0.01 per share
                                   Preferred Share Purchase Rights

     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. [X]Yes [ ]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 February 29, 2000 was $4,011,000.  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 29, 2000 was 42,571,203.

                       DOCUMENTS INCORPORATED BY REFERENCE
                       -----------------------------------
                                      None

<PAGE>

                                     PART I

ITEM 1.  BUSINESS

GENERAL

     PhyAmerica  Physician  Group,  Inc.,  together with its  subsidiaries  (the
"Company",  "PhyAmerica"  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.  In July 1999, the Company changed its name from Coastal
Physician Group, Inc.

     Founded  in  1977  to  assist   hospitals  in  staffing   their   emergency
departments,  the  Company  expanded  in the  years  1991  to  1995  to  provide
hospital-based  emergency  physician  management,  as well as physician business
management   services  such  as  practice   management,   billing  and  business
management.   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 in New Jersey,  Maryland,  North  Carolina  and
Florida.

     Beginning in the fourth  quarter of 1995 and  continuing  through 1998, the
Company divested all of its non-core 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  emergency  physician
management and physician business management services.

     In July  1999,  in order  to  expand  its  Emergency  Physician  Management
business, the Company acquired the hospital emergency department staffing assets
of  Sterling  Healthcare,  Inc.  ("Sterling"),   a  subsidiary  of  FPA  Medical
Management,  Inc.,  which was in a Chapter 11 proceeding under the United States
Bankruptcy  Code,  for a purchase  price of  approximately  $69.3  million  plus
assumption of up to $18 million in operating liabilities.  This acquisition (the
"Sterling  Acquisition")  increased the number of emergency  department staffing
contracts in the Emergency Physician  Management business from approximately 151
to 280 (since  reduced to  approximately  241 as of December  31,  1999  through
contract attrition). In addition, on December 14, 1999 the Company increased the
size of its Billing and Business  Management  business by approximately 25% when
Healthcare  Business  Resources,  Inc.  ("HBR"),  a  subsidiary  of the Company,
acquired  from a  subsidiary  of Per Se  Technology,  Inc.  the  assets  used in
providing billing services for the hospital staffing  contracts  acquired in the
Sterling  Acquisition (the "Per Se Acquisition").  The Company paid $6.7 million
to terminate the billing agreement with Per Se Technologies, Inc. and to acquire
the billing operations  assets.  The Per Se Acquisition  increased the number of
patient  visits  billed in the Billing and  Business  Management  Business  from
approximately 3.8 million per year to approximately 5 million per year.

     As  of  December  31,  1999,  the  Company's  ongoing  businesses  included
providing physicians to staff hospital emergency departments,  providing billing
and  business  management  services  for  emergency  department  physicians  and
physician  groups,  as well as  contract  services  to a  number  of  government
agencies.  These operations comprise the Company's core businesses.  Information
about  industry  segments  is  included  the  Notes  to  Consolidated  Financial
Statements.

EMERGENCY PHYSICIAN MANAGEMENT

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

                                       1
<PAGE>

     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.  These  personnel are supported by a centralized  administrative  staff
consisting of recruiters, credentialers and staffing coordinators.

     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  medicine  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 contracts with
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 emergency physician management 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.  The
dollar  amount of all such  contracts  through the end of the contract  terms in
2004,  assuming all options are exercised by the  governmental  agency (which is
within its sole discretion),  was  approximately  $56,759,000 as of December 31,
1999.

BILLING AND BUSINESS MANAGEMENT SERVICES

     The Company provides a range of billing, collection and business management
services to support independent contractor physicians, independent practices and
other health care  practitioners.  These  services are often provided as part of
the  Company's  Emergency  Physician  Management  services and are also marketed
independently to unaffiliated providers.  The Company provides these services to
over 4,000  physicians  in over 240 hospitals in 25 states.  The Company  codes,
bills and  collects  for  professional  services  with respect to over 5 million
patient visits annually. Approximately 56% of the Company's billing and business
management  operations  serve  providers  with  which  the  Company's  emergency
physician management 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  99% of its net billing and  collection  revenue for 1999, and 97%
for 1998 and 1997 (including work for contract management clients and contracted
health care  professionals)  was derived  from  emergency  medicine  billing and
business  management  services.  This change is  primarily  attributable  to the
Company's  renewed  focus on emergency  medicine  billing with less  emphasis on
billing for clinical settings.

DIVESTED BUSINESSES

     During 1998, the Company sold its remaining HMOs, Doctors Health Plan, Inc.
and  HealthPlan  Southeast,  Inc. The Company sold Better  Health Plan,  Inc. in
1997.  During 1997 and 1996, the Company sold its clinic  operations and several
other  businesses.  Some minor operations of the divested  business carried over
into 1998.

                                       2
<PAGE>

CONTRACTUAL ARRANGEMENTS AND CUSTOMERS

     The Emergency Physician  Management business include the following types of
contracts:

     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
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 emergency physician management 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.  Beginning in the fourth
quarter of 1997,  the Company  has  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 24 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.

GOVERNMENT REGULATION

     Existing  governmental   regulation  can  adversely  affect  the  Company's
business  through,  among other  things,  its  potential to reduce the amount of
reimbursement  received  by the  Company's  clients  for health  care  services.
Substantially  all of the Company's revenue is derived from management fees that
are based upon a  percentage  of net  collections  of health  care  receivables.
During the past decade, federal and

                                       3
<PAGE>

state governments have implemented legislation designed to stimulate a reduction
in the increase in health care costs and it is anticipated that such legislative
initiatives  will  continue.  There can be no  assurance  that current or future
government  regulations  will  not  have a  material  adverse  effect  upon  the
Company's business.

     The Company may also be subject to applicable federal and state billing and
credit  collection agency laws and regulations.  In general,  these laws provide
for various fines,  penalties,  damages and other  assessments  for  violations,
including possible  exclusion from Medicare,  Medicaid and certain other federal
and state  health  care  programs.  A  majority  of the  Company's  clients  are
reimbursed by private  insurers as well as federal and state  medical  insurance
providers.  Since the beginning of 1995,  governmental  agencies have instituted
investigations of, and actions against,  at least two industry  participants for
improper  billing  practices.  Although  management  believes  that its  billing
practices  are in  material  compliance  with  applicable  laws  and  government
regulations,  given the highly  technical  nature of this area,  there can be no
assurance  that a change in  government  regulations,  industry  practice  or an
increased focus by governmental  agencies on billing  practices would not have a
material adverse effect on the industry and the Company.

     Certain  market  changes are  occurring  in the health care market that may
continue regardless of whether comprehensive federal or state health care reform
legislation  is adopted  and  implemented  and that could  adversely  affect the
accounts receivable  management  services provided by the Company.  These market
reforms  include  certain  employer  initiatives,  such as  creating  purchasing
cooperatives  and  contracting  for health care services for  employees  through
managed care companies  (including health  maintenance  organizations),  certain
provider  initiatives,  such as  risk-sharing  among health care  providers  and
managed care companies through capitated  contracts and integration of hospitals
and  physicians  into   comprehensive   delivery  systems,   and  certain  payor
initiatives, such as new alliances between health care providers and third party
payors in which the health  care  providers  are  employed  by such third  party
payors.  These changes may result in fixed fee  schedules or capitation  payment
arrangements  lower than standard charges.  Some of these changes may affect the
viability of certain  billing and business  management  operations.  Because the
Company  derives its revenue  largely based on the fees charged by its physician
clients,  reductions in payments to physicians  could have an adverse  affect on
the  Company's  operations.   Furthermore,  because  the  Company's  revenue  is
generally  based on its  clients'  net  collections,  any delay in its  clients'
receipt of medical claims reimbursement, including due to an economic recession,
could have a material adverse effect on the Company.

     Various  state and federal  laws may  regulate  the  Company's  business of
providing  business  management  services to  physicians.  The  Company  also is
subject to laws and  regulations  relating to business  corporations  generally.
Management  believes that the Company's  operations  are in material  compliance
with applicable laws. However, many aspects of the Company's business operations
have not been the  subject of state or federal  regulatory  interpretation,  and
certain  areas of the  Company's  business are highly  technical  in nature.  In
addition, as the Company's business expands by the addition of services provided
or  geographically,  it may  become  subject  to  additional  federal  or  state
regulations based on the services it provides or the states in which it conducts
business.

     Regulatory  authorities have broad discretion concerning how these laws and
regulations  are  interpreted  and how  they  are  enforced.  The  Company  may,
therefore,  be subject to lengthy and expensive  investigations  of its business
operations.  If the  Company  were  found to be in  violation  of these  laws or
regulations,  the Company  could be subject to criminal  and civil  penalties or
both,  which could limit or prevent the Company  from  providing  its  physician
business management services.

     In  accordance  with  Medicare  regulations,  physicians  and hospitals are
permitted to assign Medicare claims to a billing and collection  service only in
certain limited circumstances. The Medicare statutes that restrict assignment of
Medicare claims are  supplemented by Medicare  regulations and provisions in the
Medicare  Carrier's  Manual (the  "Manual").  The Medicare  regulations  and the
Manual  provide  that a billing  service  that  prepares  and send bills for the
provider or physician and does not receive and negotiate the checks made payable
to the provider or physician does not violate the  restrictions on assignment of
Medicare claims. Management believes that the Company's practices do not violate
the  restrictions  on  assignment  of Medicare  claims and that it operates in a
manner consistent with these provisions.

     The Social Security Act imposes criminal  penalties for paying or receiving
remuneration  (which is deemed a kickback,  bribe or rebate) in connection  with
Medicare or Medicaid programs. Violation of this

                                       4
<PAGE>

law is a felony, punishable by fines and imprisonment.  These anti-kickback laws
and rules have been broadly  interpreted to prohibit the payment,  solicitation,
offering or receipt of any form of  remuneration  in return for the  referral of
Medicare or Medicaid patients or any item or service that is covered by Medicare
or Medicaid reimbursement.  The Company believes that its business operations do
not put it in a position to make or induce the  referral of patients or services
reimbursed under government programs and, therefore, believes that its practices
do not violate the federal anti-kickback  statute. If, however, the Company were
found in violation of these laws,  the Company  could be subject to  substantial
civil monetary fines, criminal sanctions or both.

     The  Company  may also be subject  to  criminal,  civil and  administrative
penalties  under federal and state law  prohibitions  against  submitting  false
claims for payments.  Generally,  criminal penalties subjecting  participants to
fines and imprisonment require that the entity act knowingly, willfully, or with
fraudulent  intent.  Civil statues provide for monetary  penalties.  The Company
also may be  subject to  criminal  laws  regarding  failure  to  disclose  known
overpayments under Medicare or Medicaid.

     Various states  prohibit a physician from sharing or "splitting"  fees with
persons not  authorized  to practice  medicine.  The Company  believes  that its
charges to its clients do not violate applicable fee splitting prohibitions.  If
this  belief is  incorrect  and the Company is  determined  to be engaged in fee
splitting  arrangements  with its  clients,  those  clients  would be subject to
charges of  professional  misconduct  and  penalties  ranging  from  censure and
reprimand to  revocation  of their medical  licenses.  In addition,  the Company
could be  deprived  of  access  to the  courts to  collect  fees due from  those
clients,  thereby materially and adversely  affecting the Company's revenues and
prospects.

     Credit  collection  practices and  activities are regulated by both federal
and state law. The Federal Fair Debt Collection Practices Act (the "Federal Fair
Debt  Act")  sets  forth  various  provisions  designed  to  eliminate  abusive,
deceptive and unfair debt collection  practices by debt collectors.  The Federal
Fair Debt Act also provides for,  among other things,  a civil right against any
debt collector who fails to comply with the provisions  thereof.  Various states
have  also  promulgated  laws and  regulations  that  govern  credit  collection
practices.  In general,  these laws and regulations  prohibit certain fraudulent
and  oppressive  credit  collection  practices  and also may  impose  license or
registration  requirements upon collection agencies.  In addition,  state credit
collection laws and  regulations  generally  provide for criminal  fines,  civil
penalties,  injunctions and jail terms for collection  agency personnel who fail
to comply  with such laws and  regulations  and may  entitle  states to  recover
unclaimed  refunds  from  overcollections.  The accounts  receivable  management
services the Company  provides to its clients are not considered debt collection
services and the Company is not a "debt  collector"  under the Federal Fair Debt
Act.

     Various  states  regulate  the  provision  of  administrative  and business
services by third  parties to  physician-sponsored  health  plans.  In addition,
certain  federal or state  consumer  protection  laws may apply to the Company's
billing  activities  insofar as the Company bills patients directly for the cost
of physician services provided.

     The Company  anticipates  that various health care reform  proposals may be
introduced  at the  federal  or state  level.  The  Company is unable to predict
whether any such proposals will apply to the operation of the Company's business
or whether, if adopted, any such proposals would materially adversely affect the
Company.

CORPORATE LIABILITY AND INSURANCE

     Each of the Company's emergency physician management  subsidiaries 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.

                                       5
<PAGE>

     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 physician business  management services business is highly competitive.
The Company competes with national, regional and local physician business manage
services   organizations   and  physicians   that  provide  their  own  practice
management.  The Company's  success depends upon the continued  contributions of
its senior management.  The Company enters into confidentiality,  noncompete and
non-solicitation agreements with its key employees. In general, these agreements
contain  certain  covenants  on  the  part  of  the  key  employees   concerning
confidential  and  proprietary  information  of the Company and preclude the key
employees  from  soliciting  customers  or employees of the Company or competing
with the Company.

EMPLOYEES

     At December 31, 1999, the Company had approximately 1,750 employees.

ITEM 2.  PROPERTIES

     The Company's headquarters is located in Durham, North Carolina,  where the
Company  subleases,  under a sublease effective May 22, 1998, 48,753 square feet
of an office  building  from American  Alliance  Realty  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.  The sublease
provides  for a term  through  June 30, 2000 and is an  amendment  of a previous
three year sublease with the same  termination  date.  This space is occupied by
the Company and by  PhyAmerica  Physician  Services,  Inc., a subsidiary  of the
Company.  This lease comprises  approximately 70% 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
PhyAmerica  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  expense for all office space
leased by the Company under  noncancelable  operating  leases was $2,655,000 for
the year ended December 31, 1999.

     Further  information  concerning  properties leased from related parties is
disclosed in "Item 13--Certain Relationships and Related Transactions".

                                       6
<PAGE>

3.   LEGAL PROCEEDINGS

     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 County,
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 medicine for which
the Company  provided  practice  management  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 of $500 for each
alleged violation of the statute,  plus attorneys fees.  Plaintiffs also filed a
motion seeking class certification.  On June 22, 1998, plaintiffs filed a Fourth
Amended Complaint adding Edward Suggs,  President and Chief Executive Officer of
HBR and a  Director  of the  Company,  Terry  Blackwood,  formerly  Senior  Vice
President and Chief  Financial  Officer of HBR, and Edward  Gaines,  Senior Vice
President and General  Counsel to HBR, as  individual  defendants in the action.
All of the individual defendants filed motions to dismiss on the grounds of lack
of  personal  jurisdiction,  and an  Order  was  entered  dismissing  all of the
individual defendants. Plaintiffs have appealed this Order. On October 28, 1999,
the  trial  court  issued  its  ruling  denying  Plaintiffs'  Motion  for  Class
Certification,  and Plaintiffs  have filed an appeal of this ruling.  On October
21, 1999,  Plaintiffs  filed an  additional  civil action in the North  Carolina
state courts  against  Edward Suggs,  Terry  Blackwood,  and Ralph Durr, who was
formerly an officer of HBR.  The  allegations  and claims in the North  Carolina
civil  action are  substantially  similar to those filed in the Florida  action.
Following a mediation,  a comprehensive  settlement of all claims was reached in
February  2000,  resulting  in the  dismissal  of all  claims  and  suits in all
jurisdictions.

     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.  The lawsuit
was originally  filed in Forsyth County Superior Court and later  transferred to
Durham County  Superior  Court.  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.  ("NCFE")  constituted a sale of more than
half of the assets of the Company  qualifying him to receive  certain  payments.
After some initial  discovery,  there has been little  activity in this suit for
approximately two and a half years. The Company believes it has several defenses
to the lawsuit 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.  An arbitration was held in August 1999 in
Washington,  D.C. and the arbitrator  entered an award in favor of Dr.  Sokolov.
The arbitration  provisions of the Employment  Agreement provided that the award
of the arbitrator was reviewable by a court of law for errors of law made by the
arbitrator.  Following  the  award,  the  Company  filed an  action  in the U.S.
District  Court for the Middle  District  of North  Carolina  alleging  that the
arbitrator made errors of law. Dr. Sokolov has filed a Motion to Change Venue of
the court  proceeding to the U.S.  District  Court for the District of Columbia.
The Company is attempting to reach a settlement of this matter with Dr. Sokolov.
If it is not able to reach a settlement of this matter,  the Company  intends to
continue to vigorously  challenge the ruling of the arbitrator.  The Company has
provided a reserve for the amount of the award in its financial  statements with
respect to this matter.

     On January 8, 1999,  Century American  Insurance Company and its affiliate,
Century American  Casualty Company  ("Century"),  which had previously  provided
professional  liability  insurance  coverage to the  Company and to  independent
contractor  physicians  through Medical Group Purchasing  Association  ("MGPA"),
notified the Company and MGPA that it  considered  the purchase of  professional
liability insurance from an insurer other than Century to constitute a breach of
a Risk Management Agreement between the Company,  MGPA and Century.  Pursuant to
the terms of the Risk Management Agreement,

                                       7
<PAGE>

any dispute was required to be resolved by binding arbitration,  and on February
24,  1999,  Century  filed a Complaint  in  Arbitration  with  J*A*M*S/ENDISPUTE
against the Company and MGPA seeking  damages for the alleged breach and seeking
to  require  the  Company  and MGPA to  accept  insurance  written  by  Century.
Following an arbitration conducted in July 1999, the arbitrator entered an award
in favor of the Company finding it had no liability to Century.  The Company and
Century have since  entered into an agreement  terminating  the Risk  Management
Agreement.

     On March 23, 2000, two shareholders  filed a lawsuit styled Bosco, et al v.
Scott,  et al in  the U.  S.  District  Court  for  the  District  of  Delaware,
individually and on behalf of all those similarly situated,  and derivatively as
shareholders  of the Company,  alleging five claims for relief.  The first claim
alleges  breach of fiduciary  duty by the  directors,  primarily  related to the
sales of certain assets to Dr. Scott.  The second claim is brought  against NCFE
and Lance Poulsen,  Chairman and Chief Executive  Officer of NCFE,  alleging the
aiding and abetting the breach of fiduciary duty by the  individual  defendents.
The third claim is brought  derivatively against Dr. Scott, Mr. Poulsen and NCFE
alleging  violation of the Racketeer  Influenced and Corrupt  Organizations Act.
Count four is brought against the individual  directors for allegedly unlawfully
amending the Company's Certificate of Incorporation to restrict  transferability
of the Company's stock. Count five is brought individually against the directors
for breach of fiduciary duty in failing to disclose the reason for the delisting
of the  Company's  stock by the New York Stock  Exchange in December  1998.  The
Company believes that the actions taken by management and the Board of Directors
in  divesting  certain  operations  were  appropriate,  were  done  for fair and
adequate consideration and have been properly documented and publicly disclosed.
The Company  intends to  vigorously  defend the action and, at this stage of the
litigation, the exposure to the Company cannot be determined.

     The New York State  Department of Taxation and Finance has written a letter
to Better Health Plan, Inc.  ("BHP") stating that as a result of an audit of the
Corporation  Finance Tax return  filed by BHP for the period from May 2, 1995 to
May 5, 1995,  it has  determined  that an  adjustment is required to the BHP tax
liability for that period.  The Company has requested  additional time to review
the  findings.  Based on the limited  information  available  at this time,  the
exposure to the Company, if any, 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 this  litigation or group of
similar items of litigation 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 1999.

                                       8
<PAGE>

                                     PART II

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

     Beginning  January 4, 1999, the Company's  common stock was included on the
OTC  Bulletin  Board  System under the symbol  "ERDR."  Prior to that date,  the
Company's  common  stock was  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 1999 and 1998.

                                     1999                     1998
                                     ----                     ----
                                High       Low           High       Low
                                --------------           --------------

        First Quarter         $ 0.41     $ 0.19        $ 1.00     $ 0.63

        Second Quarter          0.72       0.22          0.75       0.19

        Third Quarter           0.56       0.27          1.44       0.31

        Fourth Quarter          0.44       0.25          0.75       0.38

     As of December 31, 1999, the Company had approximately  5,000 shareholders,
of which approximately 900 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.

     On March 3, 1998, Bertram E. Walls,  M.D., a Director of the Company,  made
an  investment  of $2.0  million in the Company in exchange  for a $2.0  million
convertible  debenture due July 1, 1998 bearing  interest at 10% per annum.  The
debenture,  including accrued interest, was convertible, at the holder's option,
into the  Company's  Common  Stock and a new  series  of  Preferred  Stock.  The
conversion price for the Common Stock was equal to the lower of: (i) the average
closing  price of the  Common  Stock on the New York Stock  Exchange  for the 10
trading days ending on March 3, 1998, the date of the issuance of the debenture,
or (ii) the  average  closing  price for the 10 trading  days ending on June 30,
1998. The conversion  price for the Preferred Stock was ten times the conversion
price for the Common Stock. On May 1, 1998, Steven M. Scott, M.D., the Company's
Chief  Executive  Officer,  a Director  and  largest  shareholder  acquired  the
debenture from Dr. Walls. On June 29, 1998, the debenture was amended to provide
for  conversion  solely into Series D  Convertible  Preferred  Stock  ("Series D
Preferred").  On June 30, 1998,  Dr. Scott elected to convert the debenture into
444,974  shares of Series D Preferred.  Subsequent to approval by the holders of
the Common  Stock in July 1999,  the Series D Preferred  was  converted  into 10
shares of Common Stock for each share of Preferred Stock, or 4,449,740 shares of
Common Stock,  in November 1999. This  transaction was not registered  under the
Securities  Act pursuant to the  exemption  provided by Section 4(2) thereof for
transactions not involving any public offering.

                                       9
<PAGE>

ITEM 6. SELECTED FINANCIAL DATA

<TABLE>
<CAPTION>
                                                 Years Ended December 31,
                                  ---------------------------------------------------------
                                     1999       1998        1997       1996        1995
                                  ----------- ---------- ----------- ---------- -----------
                                            (in thousands, except per share data)
Results of Operations:
<S>                                 <C>        <C>         <C>        <C>         <C>
Operating revenue, net              $264,710   $294,221    $424,841   $552,109    $810,387
Operating loss                       (15,231)   (11,576)    (67,188)  (125,029)    (68,775)
Loss from continuing operations      (32,663)   (20,138)    (81,981)  (147,421)    (63,138)
Loss per share from continuing         (0.84)     (0.53)      (3.08)     (6.18)      (2.67)
operations
Net loss                             (32,663)   (20,138)    (81,981)  (145,557)    (46,901)
Net loss per share                     (0.84)     (0.53)      (3.08)     (6.10)      (1.98)
Weighted average shares               38,697     37,676      26,623     23,844      23,656

                                                        December 31,
                                  ---------------------------------------------------------
                                     1999       1998        1997       1996        1995
                                  ----------- ---------- ----------- ---------- -----------
Balance Sheet at Year-End:
Total assets                         $88,783     55,074     $99,531   $181,841    $313,057
Short-term debt                        7,477        433       2,529     71,130       5,210
Long-term debt                       120,736     77,109      74,698      4,799      77,270
Total shareholders'                  (96,267)   (63,719)    (61,427)     3,503     146,371
  equity/(deficit)
</TABLE>

                                       10
<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, the Company identified a number of operating units
that were  either  underperforming  or were not deemed  critical  to the overall
operating strategy.  The Company sold Doctors Health Plan, Inc. ("DHP") in March
1998, and HealthPlan Southeast ("HPSE") in October 1998. The Company sold Better
Health Plan ("BHP") in August 1997. Collectively,  these businesses are referred
to as the HMOs.  During  1997,  the  Company  also  sold the last of its  clinic
operations.  The Company refers to the HMOs,  clinic operations and some smaller
related businesses as the divested businesses. The core businesses are comprised
of  emergency  medicine  practice  management,  government  services and medical
billing and business management services.

     In July  1999,  in order  to  expand  its  Emergency  Physician  Management
business, the Company acquired the hospital emergency department staffing assets
of  Sterling  Healthcare,  Inc.  ("Sterling"),   a  subsidiary  of  FPA  Medical
Management,  Inc.,  which was in a Chapter 11 proceeding under the United States
Bankruptcy  Code,  for a purchase  price of  approximately  $69.3  million  plus
assumption of up to $18 million in operating liabilities.  This acquisition (the
"Sterling  Acquisition")  increased the number of emergency  department staffing
contracts in the Emergency Physician  Management business from approximately 151
to 280 (since  reduced to  approximately  241 as of December  31,  1999  through
contract attrition). In addition, on December 14, 1999 the Company increased the
size of its Billing and Business  Management  business by approximately 25% when
Healthcare  Business  Resources,  Inc.  ("HBR"),  a  subsidiary  of the Company,
acquired  from a  subsidiary  of Per Se  Technologies,  Inc.  the assets used in
providing billing services for the hospital staffing  contracts  acquired in the
Sterling  Acquisition  (the  "Per  Se  Acquisition").  The  Per  Se  Acquisition
increased  the number of  patient  visits  billed in the  Billing  and  Business
Management  Business from  approximately 3.8 million per year to approximately 5
million per year. The  acquisitions  were  accounted for in accordance  with the
purchase method of accounting, and, therefore, the results of operations for the
acquired operations are included in the accompanying  financial statements since
the acquisition date.

     For the past three  years,  the Company  has  incurred  net losses.  A more
detailed  review of the results of  operations  for the last three years appears
below.

1999 COMPARED TO 1998

     OPERATING REVENUE,  NET. Net operating revenue for 1999 was $264.7 million,
representing  a  decrease  of $29.5  million,  or 10.0 %,  from  1998  operating
revenues of $294.2 million. The decreases in operating revenue among the various
businesses were as follows:

                                                          Increase
                                 1999          1998      (Decrease)        %
                            ----------------------------------------------------
    Core businesses             $264.7        $201.3         $63.4        31.5%

    Divested businesses            0.0          92.9        (92.9)       100.0%
                            ---------------------------------------
                                $264.7        $294.2       $(29.5)      (10.0)%
                            ====================================================

     The  increase in the revenue of the core  businesses  was due mostly to the
Sterling  Acquisition.  In 1999,  the emergency  physician  management  business
generated   approximately   $228.3  in   revenue,   which  was  an  increase  of
approximately  $63.6 million,  or 38.6%,  from  approximately  $164.7 million of
revenue  in 1998.  Approximately  $66.5 of this  increase  was  attributable  to
Sterling offset by a slight decrease in the non-Sterling  contracts,  related to
contract terminations. The government services group accounted for approximately
$17.8 million in 1999,  which was a decline of  approximately  $2.4 million,  or
11.9%,  from $20.2  million in 1998.  The decrease in revenue of the  government
services group was mainly due to

                                       11
<PAGE>

contract  terminations.  These decrease were partially  offset by an increase in
revenue of the billing and collections operations of approximately $2.5 million,
or 15.4%,  to $18.7  million in 1999 from $16.2 million in 1998 due to growth in
the billing contracts and fees.  Revenue of the billing and business  management
operations excludes  intersegment revenue of approximately $16.3 million in 1999
and  approximately  $12.7  million  in  1998  representing  fees  billed  to the
emergency physician management business.  Other miscellaneous  revenue decreased
by  approximately  $0.1  million  from  approximately  $0.2  million  in 1998 to
approximately $0.1 million in 1999.

     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 approximately  $34.2 million, or 14.6%,
to  approximately  $199.8 million in 1999 from  approximately  $234.0 million in
1998.  Physician and other  provider  services  costs and expenses  decreased as
follows:

                                                          Increase
                                 1999          1998      (Decrease)        %
                            ----------------------------------------------------
    Core businesses             $199.8        $145.5         $54.3        37.3%

    Divested businesses            0.0          88.5        (88.5)       100.0%
                            ---------------------------------------
                                $199.8        $234.0       $(34.2)      (14.6)%
                            ====================================================

     These  expenses for the core  businesses  increased  mostly  because of the
Sterling  acquisition.  In 1999, physician and other provider services costs and
expenses for the emergency physician  management group were approximately $185.6
million.  This represented an increase of $56.9 million,  or 44.2%,  from $128.7
million  in 1998.  Approximately  $61.3 of this  increase  was  attributable  to
Sterling offset by a slight decrease in the non-Sterling  contracts,  related to
contract   terminations.   The  government   services   group's   expenses  were
approximately  $14.2 million in 1999,  representing a decrease of  approximately
$2.6 million,  or 15.5%, from approximately  $16.8 million in 1998. The decrease
in physician and other  provider  services  costs and expenses of the government
services group was mainly due to contract terminations. The billing and business
management  operations did not incur physician and other provider services costs
and expenses.

     MEDICAL SUPPORT SERVICES COSTS AND EXPENSES. Medical support services costs
and expenses include all other direct costs and expenses of practice  management
activities,  as well as billing,  collection and physician  business  management
services  costs and  expenses.  Medical  support  services  costs  and  expenses
increased by $1.3 million,  or 3.9%, to $34.7 million in 1999 from $33.4 million
in 1998. Medical support services costs and expenses increased as follows:

                                                          Increase
                                 1999          1998      (Decrease)        %
                            ----------------------------------------------------
    Core businesses              $34.6         $33.1          $1.5         4.5%

    Divested businesses            0.1           0.3         (0.2)        66.7%
                            ---------------------------------------
                                 $34.7         $33.4          $1.3         3.9%
                            ====================================================

     These expenses for the core  businesses  increased due to the growth in the
billing operations. In 1999, medical support services costs and expenses for the
emergency  physician  management  group were  approximately  $5.5 million.  This
represented a decrease of $0.2 million,  or 3.5%, from $5.7 million in 1998. The
government  services group's expenses were  approximately  $1.8 million in 1999,
representing  a  decrease  of  approximately   $0.5  million,   or  21.7%,  from
approximately $2.3 million in 1998. The billing and business  management group's
expenses were  approximately  $27.3 million in 1999  representing an increase of
approximately $2.2 million, or 8.8%, from approximately $25.1 million in 1998.

                                       12
<PAGE>

     SELLING,  GENERAL AND ADMINISTRATIVE COSTS AND EXPENSES.  Selling,  general
and administrative  costs and expenses  increased by $8.8 million,  or 25.0%, to
$44.0  million  in 1999  from  $35.2  million  in  1998.  Selling,  general  and
administrative costs and expenses increased as follows:

                                                          Increase
                                 1999          1998      (Decrease)        %
                            ----------------------------------------------------
    Core businesses              $43.9         $24.7         $19.2        77.7%

    Divested businesses            0.1          10.5        (10.4)       (99.0)
                            ---------------------------------------
                                 $44.0         $35.2          $8.8        25.0%
                            ====================================================


     Selling,  general  and  administrative  costs  and  expenses  for the  core
businesses  increased  because of the Sterling  acquisition.  In 1999,  selling,
general and  administrative  costs and expenses for the Physician Contract group
were  approximately  $ 33.4  million.  This  represented  an  increase  of $14.3
million,  or 74.7%, from $19.1 million in 1998.  Approximately  $11.6 million of
the  increase  is  attributable  to the  Sterling  acquisition.  The  government
services group's expenses were  approximately  $0.7 million in 1999 representing
an increase of approximately  $0.5 million,  or 250.0%,  from approximately $0.2
million in 1998.  The billing and  business  management  group's  expenses  were
approximately $1.8 million in 1999 representing a decrease of approximately $0.3
million, or 14.3%, from approximately $2.1 million in 1998. Selling, general and
administrative   costs  and  expenses  for  the  corporate  group  increased  to
approximately $8.0 million in 1999 representing a increase of approximately $4.7
million, or 142.4%,  from approximately $3.3 million in 1998.  Effective for the
third quarter of 1998, the Company received certain credits for certain selling,
general  and  administrative   fees  relating  to  its  sales  and  subservicing
agreements with National Century Financial Enterprises,  Inc. and its affiliates
("NCFE").  The credits arose from incentives negotiated by the Company with NCFE
and were earned by the  Company's  commitment to complete its  divestiture  plan
with  the sale of its  remaining  HMO.  Approximately  $765,000  related  to its
accounts receivable sales and subservicing  programs costs and was accounted for
as a reduction of selling,  general and  administrative  costs and expenses.  No
credits were received in 1999.

     RELATED PARTY EXPENSE,  NET. Related party expenses,  net decreased by $0.2
million,  or 12.5%,  to $1.4  million  in 1999 from $1.6  million  in 1998.  The
decrease is primarily due to an insurance company affiliate of the Company being
purchased  by an  unaffiliated  party in May 1998.  See  "Notes to  Consolidated
Financial Statements".

     GAIN (LOSS) ON DIVESTED ASSETS, NET. There were no gains on divested assets
during 1999.  Because the sales of the HMOs in 1998 were to a related party,  no
gains were recorded. Instead, the amounts that would have been recorded as gains
on  divested  assets if the  sales  were to an  unrelated  party  were  credited
directly  to  additional   paid-in  capital.   In  1998,  the  Company  recorded
adjustments  to notes  receivable  and to the purchase price of certain of those
assets resulting in an additional loss of approximately $1.6 million in 1998.

     INTEREST  EXPENSE.  Interest  expense  increased  by $5.8  million to $14.5
million  in 1999  from  $8.7  million  in 1998  due  primarily  to the  Sterling
Acquisition  resulting in higher  outstanding  amounts of debt during 1999.  The
costs associated with the sale of eligible accounts  receivable in 1999 and 1998
have been included in selling, general and administrative expenses.

     Effective  for the third  quarter of 1998,  the  Company  received  certain
credits for  interest  relating to its sales and  subservicing  agreements  with
NCFE. The credits arose from incentives  negotiated by the Company with NCFE and
were earned by the Company's  commitment to complete its  divestiture  plan with
the sale of its remaining HMO. Approximately $1.5 million was accounted for as a
reduction of interest expense. No credits were received in 1999.

     OTHER,  NET. Other expenses  increased by $2.7 million from $0.2 million in
1998  to  $2.9  million  in  1999  due  primarily  to  litigation  expenses  and
settlements in 1999.

     BENEFIT  (PROVISION) FOR INCOME TAXES. There was no benefit (provision) for
income taxes for 1999 and 1998. This is due to continued net operating losses.

                                       13
<PAGE>

     NET LOSS.  Primarily as a result of the foregoing,  the Company  reported a
net loss of $32.7  million in 1999  compared  to a net loss of $20.1  million in
1998.

1998 COMPARED TO 1997

     OPERATING REVENUE,  NET. Net operating revenue for 1998 was $294.2 million,
representing  a  decrease  of  $130.6  million,  or 30.7%,  from 1997  operating
revenues of $424.8 million. The decreases in operating revenue among the various
businesses were as follows:

                                1998      1997     (Decrease)     %
                            ------------------------------------------
    Core businesses            $201.3    $239.7     $(38.4)    (16.0)%

    Divested businesses          92.9     185.1      (92.2)    (49.8)
                            --------------------------------
                               $294.2    $424.8    $(130.6)    (30.7)%
                            ==========================================

     The  decrease in the revenue of the core  businesses  was due mostly to net
contract terminations during 1997 and 1998 in the emergency physician management
business  and the sale of most of the  OB/GYN  clinic  business.  In  1998,  the
emergency  physician  management  business  generated  approximately  $164.7  in
revenue,  which was a decrease of approximately  $37.5 million,  or 18.5%,  from
approximately  $202.2 million of revenue in 1997. The government  services group
accounted  for  approximately  $20.2  million  in 1998,  which was a decline  of
approximately  $2.9  million,  or  12.6%,  from  $23.1  million  in 1997.  These
decreases  were  partially  offset by an  increase in revenue of the billing and
business  management  operations of approximately  $2.1 million,  or 14.9%, from
$14.1  million  in 1997 to $16.2  million  in 1998 due to growth in the  billing
contracts and fees.  Revenue of the billing and business  management  operations
excludes  intersegment  revenue  of  approximately  $12.7  million  in 1998  and
approximately  $13.3 million in 1997  representing  fees billed to the emergency
physician  management  business.   Other  miscellaneous   revenue  decreased  by
approximately   $0.1  million  from   approximately  $0.3  million  in  1997  to
approximately $0.2 million in 1998.

     Revenue  from the  divested  operations  declined  because the Company sold
those  businesses  during the year.  BHP, which  generated  approximately  $34.9
million of  revenue in 1997,  was sold in August  1997.  DHP,  which was sold in
March 1998,  generated  approximately $10.0 million in 1998 versus $32.7 million
of revenue in 1997. HPSE, which was sold in October 1998,  generated  revenue in
1998 of approximately $82.8 million versus approximately $97.3 million in 1997.

     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 approximately $125.2 million, or 34.9%,
to  approximately  $234.0 million in 1998 from  approximately  $359.2 million in
1997.  Physician and other  provider  services  costs and expenses  decreased as
follows:

                                1998      1997     (Decrease)     %
                             -----------------------------------------
    Core businesses            $145.5    $186.4     $(40.9)    (21.9)%

    Divested businesses          88.5     172.8      (84.3)    (48.8)
                             -------------------------------
                               $234.0    $359.2    $(125.2)    (34.9)%
                             ==========================================

     These  expenses  for the core  businesses  decreased  because the number of
contracts  in the  emergency  physician  management  business  declined  and the
Company sold most of the OB/GYN clinic  business.  In 1998,  physician and other
provider  services  costs and expenses for the  emergency  physician  management
group were  approximately  $128.7 million.  This represented a decrease of $37.4
million,  or 22.5%, from $166.1 million in 1997. The government services group's
expenses were  approximately  $16.8 million in 1998,  representing a decrease of
approximately $3.5 million, or 17.2%, from approximately

                                       14
<PAGE>

$20.3 million in 1997.  The billing and business  management  operations did not
incur physician and other provider services costs and expenses.

     Physician  and  other  provider  services  costs and  expenses  of the HMOs
declined because the Company sold those  businesses  during the year. BHP, which
reported  approximately  $30.2 million of these costs and expenses in 1997,  was
sold in August 1997.  The winding down of BHP's  operations  resulted in $1.4 of
expenses in 1998. DHP reported approximately $9.0 million of physician and other
provider  services costs in 1998 versus expenses of approximately  $40.3 million
in 1997.  HPSE  reported  approximately  $78.1  million of  physician  and other
provider  services costs in 1998 versus expenses of approximately  $89.6 million
in 1997.

     MEDICAL SUPPORT SERVICES COSTS AND EXPENSES. Medical support services costs
and expenses include all other direct costs and expenses of practice  management
activities,  as well as billing,  collection and physician  business  management
services  costs and  expenses.  Medical  support  services  costs  and  expenses
decreased by $7.3 million, or 17.9%, to $33.4 million in 1998 from $40.7 million
in 1997. Medical support services costs and expenses decreased as follows:

                              1998     1997      Decrease       %
                             ----------------------------------------
    Core businesses           $33.1    $33.9      $(0.8)      (2.4)%

    Divested businesses         0.3      6.8       (6.5)     (95.6)
                             ----------------------------
                              $33.4    $40.7      $(7.3)     (17.9)%
                             ========================================

     These  expenses  for the core  businesses  decreased  because the number of
contracts  in the  emergency  physician  management  business  declined  and the
Company  sold most of the  OB/GYN  clinic  business.  In 1998,  medical  support
services costs and expenses for the emergency  physician  management  group were
approximately  $5.7 million.  This  represented  a decrease of $2.3 million,  or
28.8%, from $8.0 million in 1997. The government  services group's expenses were
approximately  $2.3 million in 1998,  representing  a decrease of  approximately
$0.4 million, or 14.8%, from approximately $2.7 million in 1997. The billing and
business  management group's expenses were  approximately  $25.1 million in 1998
representing  an  increase  of  approximately   $1.9  million,   or  8.2%,  from
approximately $23.2 million in 1997.

     SELLING,  GENERAL AND ADMINISTRATIVE COSTS AND EXPENSES.  Selling,  general
and administrative  costs and expenses decreased by $46.1 million,  or 56.7%, to
$35.2  million  in 1998  from  $81.3  million  in  1997.  Selling,  general  and
administrative costs and expenses decreased as follows:

                              1998     1997     Decrease       %
                             ----------------------------------------
    Core businesses           $24.7    $49.6     $(24.9)     (50.2)%

    Divested businesses        10.5     31.7      (21.2)     (66.9)
                             ----------------------------
                              $35.2    $81.3     $(46.1)     (56.7)%
                             ========================================

     Selling,  general  and  administrative  costs  and  expenses  for the  core
businesses  decreased because the number of contracts in the emergency physician
management  business  declined and the Company sold most of the OB/GYN business.
In  1998,  selling,  general  and  administrative  costs  and  expenses  for the
Physician  Contract group were approximately  $19.1 million.  This represented a
decrease of $3.1 million,  or 14.0%,  from $22.2 million in 1997. The government
services group's expenses were approximately $0.2 million in 1998 representing a
decrease of  approximately  $1.8  million,  or 90.0%,  from  approximately  $2.0
million in 1997.  The billing and  business  management  group's  expenses  were
approximately $2.1

                                       15
<PAGE>

million in 1998 representing a decrease of approximately $6.1 million, or 74.4%,
from  approximately  $8.2 million in 1997.  The decrease in billing and business
management  group's  selling,  general  and  administrative  costs and  expenses
resulted  primarily  from the  expenses  associated  with the  closing  of three
offices during 1997. Selling,  general and administrative costs and expenses for
the corporate group declined to approximately  $3.3 million in 1998 representing
a decrease of approximately  $13.9 million,  or 80.8%, from approximately  $17.2
million in 1997.  Effective for the third quarter of 1998, the Company  received
certain credits for certain selling, general and administrative fees relating to
its  sales  and  subservicing   agreements  with  National   Century   Financial
Enterprises, Inc. and its affiliates ("NCFE"). The credits arose from incentives
negotiated by the Company with NCFE and were earned by the Company's  commitment
to  complete  its  divestiture   plan  with  the  sale  of  its  remaining  HMO.
Approximately $765,000 related to its accounts receivable sales and subservicing
programs  costs and was  accounted  for as a reduction  of selling,  general and
administrative costs and expenses.

     Selling, general and administrative costs and expenses of the HMOs declined
because the Company sold those  businesses  during the year. BHP, which reported
approximately  $8.9  million of these costs and  expenses  in 1997,  was sold in
August 1997.  DHP reported  approximately  $0.7 million of selling,  general and
administrative  costs and expenses in 1998 versus expenses of approximately $8.2
million in 1997. HPSE reported  approximately  $9.8 million of selling,  general
and  administrative  costs and expenses in 1998 versus expenses of approximately
$12.1 million in 1997.

     GOODWILL  IMPAIRMENT.  The Company  recorded a charge for the impairment of
goodwill  totaling  $4.3  million  during  1997  relating  primarily  to BHP. No
goodwill  impairment charge was required during 1998. See "Notes to Consolidated
Financial Statements."

     RELATED PARTY EXPENSE,  NET. Related party expenses,  net decreased by $3.4
million,  or 68.0%,  to $1.6  million  in 1998 from $5.0  million  in 1997.  The
decrease is primarily due to an affiliate of the Company  being  purchased by an
unaffiliated   party  in  May  1998.  See  "Notes  to   Consolidated   Financial
Statements".

     GAIN (LOSS) ON DIVESTED ASSETS,  NET. Because the sales of the HMOs in 1998
were to a related party, no gains were recorded. Instead, the amounts that would
have been recorded as gains on divested assets if the sales were to an unrelated
party were credited directly to additional paid-in capital. In 1997, the Company
had a net loss of $1.5 million on the divested  assets,  as more fully described
in the  "Notes to  Consolidated  Financial  Statements".  In 1998,  the  Company
recorded adjustments to notes receivable and to the purchase price of certain of
those assets  resulting in an additional loss of  approximately  $1.6 million in
1998.

     INTEREST  EXPENSE.  Interest  expense  decreased  by $6.8  million  to $8.7
million in 1998 from $15.5 million in 1997 due primarily to higher costs in 1997
related 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 1998 and 1997, the proceeds of
which  were used to repay the bank debt in 1997 and to fund  operations  in 1998
and 1997, have been included in selling, general and administrative expenses.

     Effective  for the third  quarter of 1998,  the  Company  received  certain
credits for  interest  relating to its sales and  subservicing  agreements  with
NCFE. The credits arose from incentives  negotiated by the Company with NCFE and
were earned by the Company's  commitment to complete its  divestiture  plan with
the sale of its remaining HMO. Approximately $1.5 million was accounted for as a
reduction of interest expense.

     OTHER,  NET. Other expenses  decreased by $1.1 million from $1.3 million in
1997  to  $0.2  million  in  1998  due  primarily  to  litigation  expenses  and
settlements in 1997.

     BENEFIT  (PROVISION) FOR INCOME TAXES.  The benefit  (provision) for income
taxes for 1998 was $0.0 versus a benefit of $1.4 million in 1997. This change is
due to continued net operating losses.

     NET LOSS.  Primarily as a result of the foregoing,  the Company  reported a
net loss of $20.1  million in 1998  compared  to a net loss of $82.0  million in
1997.

                                       16
<PAGE>

LIQUIDITY AND CAPITAL RESOURCES

     The  Company's   primary   financing  source  consists  of  three  accounts
receivable  sale programs with affiliates of NCFE.  Under these  programs,  NCFE
purchases  qualified  receivables  generated  by the  Company or acquired by the
Company from independent  contractor  physicians.  The proceeds from these sales
are used to fund the Company's  working  capital  needs.  One program  purchases
receivables  generated by the hospital contracts of the Company other than those
acquired  in the  Sterling  Acquisition  (the  "Coastal  Program"),  one program
purchases  receivables  generated  by the  hospital  contracts  acquired  in the
Sterling  Acquisition (the "Sterling  Program"),  and a third program  purchases
receivables  generated in the  Government  Services  business  (the  "Government
Program").  The  Emergency  Physician  Management  business  and the  Government
Services business have not been able to generate sufficient  receivables to sell
to the  programs to finance the ongoing  working  capital  needs of the Company.
NCFE has supported the Company by funding the purchase of receivables  billed by
the Company and those to be billed in the future by the Company.  As of December
31, 1999, the Company had outstanding  advances of approximately $196 million of
receivables  financing,  of which  approximately  $79 million  related to billed
receivables  and  approximately  $117 of which  related  to future  receivables.
Financing  related  to the  purchase  of  future  receivables  is  reflected  as
long-term debt in the  accompanying  financial  statements.  The Coastal Program
provides for the purchase of up to $115 million of receivables and terminates on
June 30,  2001.  The  Sterling  Program  provides  for the purchase of up to $95
million of receivables  and terminates on June 30, 2003. The Government  Program
provides for the purchase of up to $50 million of receivables  and terminates on
June 30,  2001.  Of the total  purchase  commitments  of $260  million  on these
facilities,  the  remaining  availability  for  purchases is  approximately  $38
million at December 31, 1999. 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  current  and  future
receivables. The Company also borrowed $6.7 million from NCFE under a note dated
December 14, 1999. The funds were used to terminate the billing agreement with a
subsidiary of Per Se  Technologies,  Inc. and to acquire  certain of its billing
operations in December 1999. The note is repayable in nine monthly  installments
beginning January 14, 2000, including interest at 13% per annum.

     Under 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 $20
million through June 30, 2001.  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.  There is no outstanding balance as of December 31,
1999.  The Company  borrowed and repaid $1 million  under this  facility  during
1998.

     The Company has met its cash requirements during the periods covered by the
accompanying  consolidated  financial  statements  through  the sale of  certain
existing and future accounts 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.  Net cash used in operating activities was
$23.8  million and $17.2 million in 1999 and 1998,  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 and information  technology  initiatives.  Net cash
used in investing  activities  in 1999 was $71.4  million,  mainly  attributable
Sterling acquisition. Net cash provided by investing activities in 1998 was $5.9
million,  which was derived primarily from cash received from  divestitures.  In
1999, the net cash provided by financing  activities  was $95.1 million.  During
1999,  the Company had net  borrowings of $95.1  million.  In 1998, the net cash
provided by financing activities was $2.4 million.  During 1998, the Company had
net borrowings of $2.3 million. As a result of the aforementioned, cash and cash
equivalents  decreased  from $45 thousand at December 31, 1998 to $0 at December
31, 1999.

     On March 3, 1998,  Dr.  Bertram E. Walls made an investment of $2.0 million
in the Company in exchange for a $2.0 million convertible  debenture due July 1,
1998  bearing  interest  at 10% per  annum.  The  debenture,  including  accrued
interest,  was convertible,  at the holder's  option,  into the Company's Common
Stock and a new series of Preferred  Stock.  The conversion price for the Common
Stock was equal to the lower of:  (i) the  average  closing  price of the Common
Stock on the New York Stock  Exchange for the 10 trading days ending on March 3,
1998, the date of the issuance of the debenture, or (ii) the average closing

                                       17
<PAGE>

price for the 10 trading days ending on June 30, 1998. The conversion  price for
the Preferred Stock was ten times the conversion  price for the Common Stock. On
May 1, 1998, Dr. Scott acquired the debenture from Dr. Walls.  On June 29, 1998,
the  debenture  was  amended to provide  for  conversion  solely  into  Series D
Convertible Preferred Stock ("Series D Preferred").  On June 30, 1998, Dr. Scott
elected to convert the  debenture  into  444,974  shares of Series D  Preferred.
Subsequent  to  approval by the  holders of the Common  Stock in July 1999,  the
Series D Preferred was  converted  into 10 shares of Common Stock for each share
of Preferred Stock, or 4,449,740 shares of Common Stock, in November 1999.

     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  continues to review all aspects of the business  units
and  implement  actions to improve  cash flow and  profitability.  Among the key
actions  being  implemented  by  the  Company  are  changes  in  the  method  of
compensating the independent  contractor  physicians under the Practice Partners
Program(C).  The Company also centralized  certain  administrative  tasks and is
evaluating  ways of expanding its customer base.  The primary  objectives are to
increase  cash flow to  continue  to repay debt,  to improve  overall  financial
results and  improve  the  Company's  stock  price.  If the Company is unable to
achieve  these  objectives,  it will likely  experience  a material  decrease in
liquidity  which would cause the Company to increase  its  reliance on financing
under the revolving line of credit  provided by an affiliate of NCFE.  Until the
Company  significantly  improves  cash  flow,  it will  be  dependent  upon  the
continued weekly purchases of eligible accounts  receivable by NCFE and the line
of credit provided by an affiliate of NCFE in order to meet its obligations.

     For the  foreseeable  future,  to continue as a going concern,  the Company
will depend upon NCFE to fund its working  capital  needs either by purchases of
accounts  receivable  or through  the line of  credit.  The  Company's  accounts
receivables  sales  programs and line of credit with NCFE have been  extended to
June 30, 2001 and beyond.  Management believes that NCFE will be able to fulfill
the Company's needs. The  consolidated  financial  statements do not include any
adjustments to the financial  statements that might be necessary should NCFE not
provide  the  necessary  working  capital  or should  the  Company  be unable to
continue as a going concern.

OTHER TRENDS AND UNCERTAINTIES

     The health care industry has seen numerous  consolidations and combinations
led by a number of major health care  companies that are now  experiencing  some
financial  difficulties.  Many of those  companies  have embarked on divestiture
programs to eliminate unprofitable operations. The Company divested its non-core
businesses  during  1997 and  1998,  expanded  its  core  business  through  the
acquisition of Sterling in 1999 and focused its efforts on improving operations,
increasing  revenue and decreasing costs.  While there have been improvements in
operations within the Company's core businesses,  the Company continues to incur
significant losses.

     Although the Company has continued its marketing efforts, the number of new
contracts  obtained  has been lower than that  historically  experienced  by the
Company.  Management  attributes the reduced rate of new business development to
several factors, including increased competition from local and regional groups,
increased  payment and reimbursement  pressures on hospitals,  consolidation and
closures involving client hospitals and the Company's financial  condition.  The
Sterling  Acquisition  initially  increased  the number of contracts by 129. The
Company  anticipated there would be a loss of contracts once the operations were
out of bankruptcy and hospitals were no longer bound by the automatic stay under
the United States Bankruptcy Code. Since the acquisition,  30 contracts from the
Sterling Acquisition have been terminated.  While the Company believes it has an
excellent record in providing services, it believes that its financial condition
has been an impediment to the awarding of new contracts that it would  otherwise
have received.  Hospital  administrators  have expressed concerns about awarding
and renewing contracts both as to operational ability and financial viability of
companies operating in the Company's industry.  The Company believes its success
is dependent  upon retaining and renewing  existing  contracts and obtaining new
hospital contracts.  The Company has not been able to add new contracts or renew
existing  contracts at a rate that allows  continued  expansion of the Company's
business.

     The Emergency Physician Management business is under pressure industry-wide
as  government  reimbursement  programs and private  insurance  programs seek to
contain and reduce medical costs at the

                                       18
<PAGE>

same time that the costs of delivering those services  continue to rise. 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 took steps to individually enroll the independent  contractor physicians
and to modify the contractual arrangement with independent contractor physicians
in order to comply with HCFA's interpretation of the reimbursement  regulations.
Efforts to individually enroll the independent contractor physicians depend upon
their  cooperation.  To date, the Company has not  experienced  any  significant
problems in enrolling the  physicians  and, as of June 1999,  had  substantially
completed the individual enrollment process.

     Prior to July 1999,  Sterling  Healthcare  Group,  Inc. was also subject to
these enrollment  requirements,  but had not completed the individual enrollment
of  its  independent  contractor   physicians.   Effective  with  the  Company's
acquisition  of the  operations  of  Sterling  Healthcare  Group,  Inc.,  the US
Bankruptcy  Court  issued  orders that  allowed the Company  additional  time to
individually  enroll the  physicians,  continue to bill and collect  using group
provider numbers and to enter into new contractual  arrangements with the former
Sterling  independent  contractor  physicians  in order to  comply  with  HCFA's
interpretation of the reimbursement regulations.

     The Company is making progress in the re-enrollment  process for the former
Sterling  independent  contractors in order to bring the Company into compliance
with HCFA's  requirements.  Although the court orders have  provided the Company
some assurances that the  independent  contractors  will be reimbursed for their
services,  some  delays in  reimbursement  may occur and the  Company  may incur
additional costs to complete this process; however, the full financial impact is
not known at this time.

     In certain states,  the  interpretation  of laws  prohibiting a corporation
from providing  medical care may apply to the Company's  business.  This affects
the ability to contract directly with a hospital to provide  services.  In those
states, the Company forms a professional corporation or professional association
("PC/PA")  to  contract  with the  hospital.  Generally,  the  PC/PA  has a sole
shareholder who is a physician and, in most cases, is a Company shareholder. The
PC/PA,  as  well as the  sole  shareholder  of the  PC/PA,  enters  into a share
transfer agreement with the Company that allows the Company, among other things,
to change the sole shareholder at the Company's will with no more than a nominal
cost and no significant  adverse  impact on the Company or the PC/PA.  The PC/PA
also contracts with the Company via a services  agreement for various management
services such as physician  scheduling,  making  disbursements to physicians and
vendors,  or providing  accounting and tax services,  etc. In exchange for these
services,  the PC/PA assigns all accounts receivable to the Company. The Company
has evaluated these standardized agreements including their provisions as to the
10-year term of the contractual  relationship and termination provisions.  Based
on these provisions,  as well as the Company's control  established  through the
share  transfer  agreements,  and the  Company's  ability to reset the financial
terms of the  services  agreements  at will,  the  Company  believes  that these
standardized  agreements  meet the criteria  contained  in Emerging  Issues Task
Force Consensus 97-2 "Application of APB Opinion No. 16, Business  Combinations,
and FASB Statement No. 94, Consolidation of All Majority-Owned Subsidiaries,  to
Physician  Practice   Management   Entities  and  Certain  Other  Entities  with
Contractual Arrangements" that require consolidation.

     Successful  competition  in the industry will  increasingly  require better
information  systems to rapidly  provide more data and  analysis  related to the
practice of emergency  medicine.  The Company continues to evaluate  statistical
analysis software, scanning technology and expanded electronic claims submission
and remittance  processing to reduce use of paper charts and claims and to speed
up the claims reimbursement process. Increased use of information technology may
result in increased  costs as the Company  continues  to evaluate and  implement
technology products available in the market.

     The Company has  attempted to stabilize  its labor force,  limit the use of
temporary  personnel  and  non-physician  independent  contractors  and minimize
professional  fees. The Company has also reduced  overhead costs associated with
its Sterling Acquisition.  Sterling's headquarters office in Miami was closed in
January,  2000 and functions were transferred to the corporate office in Durham,
North  Carolina.  Various  administrative  and  support  functions  historically
provided  by the  corporate  office in Durham 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 certain key employees.

                                       19
<PAGE>

     Developments  in the health care  industry 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.  The Company may experience a reduction in
visits as a result of utilization policies of managed care plans.  Additionally,
the Company will be subject to changes in premiums  and levels of  reimbursement
from payors including HMOs, insurance companies, Medicare and Medicaid.

     Because the Company bills for a large number of emergency  medicine visits,
it will  always be subject to changes in  premiums  and levels of  reimbursement
from payors including HMOs, insurance companies,  Medicare and Medicaid. Efforts
by Medicare  and  Medicaid to reduce  costs,  including  costs  incurred  due to
inaccurate or fraudulent billing  practices,  continue to be an area of exposure
to all  organizations  that  render  medical  services  reimbursed  under  these
programs.  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 may undergo audits similar to those
that  have  been  initiated  against  other  healthcare  providers  and  billing
companies.  There can be no assurance that the Company's billing procedures,  if
subjected  to such an  audit,  would  be  found to  comply  with all  applicable
regulatory requirements.

     The billing  company  that  billed for  substantially  all of the  Sterling
contracts  prior to the Sterling  Acquisition  and after the  acquisition  until
December  14,  1999,  had  reached  agreements  to settle  claims  arising  from
investigations  by the United States Department of Justice and the United States
Attorney.  The billing company entered into a Corporate Integrity Agreement with
respect to its coding and  billing  practices  with the Office of the  Inspector
General of the  Department  of Health and Human  Services on  September 2, 1998.
This  Agreement,  which  has a term of  sixty-five  months,  provides  that  the
government  will not seek to exclude the billing company from  participation  in
governmental  health care programs and requires the billing  company to continue
its existing compliance  program,  augmented by an annual third-party review and
additional reporting requirements. If the billing company was not compliant with
its Corporate Integrity Agreement during the period of time it performed billing
services for the Company,  the Company could be liable for any  overpayments  it
received as reimbursement for claims submitted on behalf of the Company.

     In December 1998, the New York Stock Exchange ("NYSE") notified the Company
of their  decision to delist the Company  because it was not in compliance  with
certain of their listing requirements.  On January 4, 1999, the Company's common
stock did not open for  trading on the NYSE.  The common  stock is now quoted on
the OTC  Bulletin  Board  under  the  ticker  symbol  "ERDR."  Nearly  all stock
exchanges have minimum listing requirements.  At this time, the Company does not
meet those  requirements.  The Company expects its stock to be quoted on the OTC
Bulletin  Board until it meets the  requirements  of the Nasdaq or the NYSE. The
Company cannot determine the timing of an application for listing on Nasdaq, the
NYSE or another stock exchange at this time.

YEAR 2000 ISSUES

     The Company places significant reliance upon information technology for day
to day operations.  The Company's reliance on non-Information Technology systems
is not significant. In 1997, the Company began a review of computer applications
and platforms to determine  that they were Year 2000 compliant  before  December
31,  1999.  The Company  completed  the review of all  applications  and has not
experienced  any  significant  problems or adverse  consequences  with its major
applications.  The costs of the  project  were not  material  and a  significant
reallocation of resources was not required to address Year 2000 issues.

     The  Company  relies on a number of outside  parties to process  claims for
emergency  department  visits.  The outside parties are computer  processing and
telecommunications  vendors, insurance companies, HMOs and entities that process
claims on behalf of Medicare  and state  Medicaid  programs.  The Company is not
aware of any  significant  problems or adverse  consequences  encountered by the
outside parties that have had, or may have, an adverse impact on the Company.

                                       20
<PAGE>

     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: the level
and timing of  improvements in the operations of the Company's  businesses;  the
possibility  that the Company may not be able to improve  operations as planned;
the inability to obtain continued and/or  additional  necessary  working capital
financing as needed;  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  periodic  reports  filed  with the  Securities  and
Exchange Commission.

                                       21
<PAGE>

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTAL DATA

Report of Independent Auditors                                                23

Consolidated Balance Sheets, December 31, 1999 and 1998                       24

Consolidated Statements of Operations, Years ended

December 31, 1999, 1998 and 1997                                              25

Consolidated Statements of Shareholders' Equity (Deficit)
  and Comprehensive Income (Loss), Years ended
  December 31, 1999, 1998 and 1997                                            26

Consolidated Statements of Cash Flows, Years ended

December 31, 1999, 1998 and 1997                                              27

Notes to Consolidated Financial Statements                                    28

                                       22
<PAGE>

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


     We have audited the accompanying  consolidated balance sheets of PhyAmerica
Physician Group, Inc. and subsidiaries as of December 31, 1999 and 1998, and the
related  consolidated  statements of operations,  shareholders' equity (deficit)
and  comprehensive  income  (loss),  and cash flows for each of the years in the
three-year period ended December 31, 1999. 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 PhyAmerica
Physician Group, Inc. and subsidiaries as of December 31, 1999 and 1998, and the
results  of their  operations  and their cash flows for each of the years in the
three-year period ended December 31, 1999, in conformity with generally accepted
accounting principles.


                                        KPMG LLP


Raleigh, North Carolina
April 14, 2000

                                       23
<PAGE>

PHYAMERICA PHYSICIAN GROUP, INC.
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT PER SHARE DATA)

<TABLE>
<CAPTION>
                                                         DECEMBER 31,   DECEMBER 31,
                                                             1999           1998
                                                          ----------     ----------
                    ASSETS
Current assets:
<S>                                                       <C>            <C>
   Cash and cash equivalents                              $        0     $       45
   Trade accounts receivable, net                             25,113         29,216
   Reserves held by NCFE                                      16,167          5,400
   Accounts receivable, other                                  2,329            686
   Receivables from related party                              1,129             54
   Prepaid expenses and other current assets                   7,194          5,411
                                                          ----------     ----------
Total current assets                                          51,932         40,812
                                                          ----------     ----------

Property and equipment, at cost, less accumulated              7,651          7,171
depreciation
Excess of cost over fair value of net assets acquired,        24,158          2,248
net
Other assets                                                   5,042          4,843
                                                          ----------     ----------
Total assets                                              $   88,783     $   55,074
                                                          ==========     ==========

         LIABILITIES AND SHAREHOLDERS' EQUITY (DEFICIT)
Current liabilities:
   Current maturities and other short-term borrowings     $    7,477     $      433
   Accounts payable                                           30,277         22,559
   Payables to related party                                       0          1,277
   Accrued physician fees and medical costs                   18,429          9,986
   Accrued expenses                                            8,191          7,429
                                                          ----------     ----------
Total current liabilities                                     64,374         41,684
                                                          ----------     ----------

Long-term debt, excluding current maturities                 120,736         77,109
                                                          ----------     ----------
Total liabilities                                            185,110        118,793
                                                          ----------     ----------

Shareholders' equity (deficit):
Preferred stock $.01 par value; shares authorized 10,000
    Series D convertible preferred stock shares
       authorized 1,200; shares issued and outstanding
       0 and 445, respectively                                     0              4
Additional paid-in capital preferred stock                         0          2,061
Common stock $.01 par value; shares authorized
  100,000; shares issued and outstanding 42,573
  and 37,832, respectively                                       426            378
Additional paid-in capital                                   178,285        176,197
Common stock warrants                                          1,675          1,691
Retained earnings (accumulated deficit)                     (276,713)      (244,050)
Accumulated other comprehensive income                             0              0
                                                          ----------     ----------
Total shareholders' equity (deficit)                         (96,327)       (63,719)
                                                          ----------     ----------
Total liabilities and shareholders' equity (deficit)      $   88,783     $   55,074
                                                          ==========     ==========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       24
<PAGE>

PHYAMERICA PHYSICIAN GROUP, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS, EXCEPT PER SHARE DATA)

<TABLE>
<CAPTION>
                                                        YEARS ENDED DECEMBER 31,
                                               ----------------------------------------
                                                  1999           1998           1997
                                               ----------     ----------     ----------
<S>                                            <C>            <C>            <C>
Operating revenue, net                         $  264,710     $  294,221     $  424,841

Costs and expenses:
  Physician and other provider services           199,812        234,038        359,165
  Medical support services                         34,734         33,374         40,720
  Selling, general and administrative              43,992         35,188         81,332
  Goodwill impairment                                   0              0          4,343
  Related party expense, net                        1,403          1,602          5,016
                                               ----------     ----------     ----------
Total costs and expenses                          279,941        304,202        490,576

Loss on divested assets, net (including
losses on divestitures to related parties
of $0, $1,595 and $1,179, respectively)                 0         (1,595)        (1,453)
                                               ----------     ----------     ----------

Operating loss                                    (15,231)       (11,576)       (67,188)
                                               ----------     ----------     ----------
Other income (expense):
  Interest expense                                (14,456)        (8,675)       (15,536)
  Interest income                                     258            116            628
  Other related party income (expense), net          (358)           203             15
  Other, net                                       (2,876)          (206)        (1,300)
                                               ----------     ----------     ----------
 Total other expense                              (17,432)        (8,562)       (16,193)
                                               ----------     ----------     ----------

Loss before income taxes                          (32,663)       (20,138)       (83,381)

Benefit for income taxes                                0              0          1,400
                                               ----------     ----------     ----------

Net loss                                       $  (32,663)    $  (20,138)    $  (81,981)
                                               ==========     ==========     ==========
Net loss per common share:
Basic and diluted loss per share               $    (0.84)    $    (0.53)    $    (3.08)
                                               ==========     ==========     ==========

Shares used to compute loss per share,             38,697         37,676         26,623
basic and diluted                              ==========     ==========     ==========
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       25
<PAGE>

PHYAMERICA PHYSICIAN GROUP, INC.
CONSOLIDATED STATEMENT OF CHANGES IN
SHAREHOLDERS' EQUITY (DEFICIT) AND COMPREHENSIVE INCOME (LOSS)
(In thousands)

<TABLE>
<CAPTION>
                                                    Shares of                     Additional     Shares of
                                    Comprehensive   Preferred      Preferred    Paid-in Capital   Common         Common
                                    Income (loss)     Stock          Stock      Preferred Stock    Stock          Stock
- --------------------------------------------------------------------------------------------------------------------------
<S>                                  <C>            <C>            <C>            <C>             <C>           <C>
Balance at December 31, 1996                                 0     $        0     $        0         24,126     $      241
                                                    ----------------------------------------------------------------------
Shares issued:
   Employee stock purchase for cash                          0              0              0             82              1
   Conversion of preferred stock                        (1,164)           (12)       (13,478)        11,638            116
   Issuance of stock related to receivable sales             0              0              0          1,000             10
   Directors' stock compensation                             0              0              0             14              0
   Exercise of common stock warrants                         0              0              0            187              2
   Payment of proxy contest costs                           33              1            982              0              0
   Payment of litigation costs                              46              1          1,657              0              0
   Payment of rent costs                                 1,085             10         10,839            240              3
   Payment of consulting costs                               0              0              0            200              2
   Issuance of common stock warrants                         0              0              0              0              0
   Employee stock compensation awards                        0              0              0              6              0
Comprehensive income (loss):
   Net loss                             (81,981)             0              0              0              0              0
   Other comprehensive income (loss),
      net of tax                             18              0              0              0              0              0
                                     ----------
Total comprehensive income (loss)       (81,963)
                                     ==========     ----------------------------------------------------------------------
Balance at December 31, 1997                                 0              0              0         37,493            375
                                                    ----------------------------------------------------------------------

Shares issued:
   Employee stock purchase for cash                          0              0              0            217              1
   Directors' stock compensation                             0              0              0            122              2
   Issuance of stock related
     to convertible debenture                              445              4          2,061              0              0
Comprehensive income (loss)
   Net loss                             (20,138)             0              0              0              0              0
   Other comprehensive income (loss),
     net of tax                              74              0              0              0              0              0
                                     ----------
Total comprehensive income (loss)       (20,064)
                                     ==========     ----------------------------------------------------------------------
Additional expense related
  to fair market value of warrants                           0              0              0              0              0
Gain on sale of divested assets                              0              0              0              0              0
                                                    ----------------------------------------------------------------------
Balance at December 31, 1998                               445              4          2,061         37,832            378
                                                    ----------------------------------------------------------------------
Shares issued:
   Employee stock purchase for cash                          0              0              0            230              2
   Exercise of warrants for stock                            0              0              0             61              1
   Conversion of preferred stock                          (445)            (4)        (2,061)         4,450             45
Comprehensive income (loss)
   Net loss                             (32,663)             0              0              0              0              0
   Other comprehensive income (loss),
     net of tax                               0              0              0              0              0              0

Total comprehensive income (loss)       (32,663)
                                     ==========     ----------------------------------------------------------------------
- ----------------------------
BALANCE AT DECEMBER 31, 1999                                 0     $        0     $        0         42,573     $      426
============================                        ======================================================================

<CAPTION>
                                                                                                Accumulated
                                                                                  Retained         other          Total
                                                    Additional      Common        Earnings     Comprehensive   Shareholders'
                                                     Paid-in         Stock      (Accumulated       income         Equity
                                                     Capital        Warrants       Deficit)        (loss)       (Deficit)
- --------------------------------------------------------------------------------------------------------------------------
<S>                                                 <C>            <C>            <C>             <C>           <C>
Balance at December 31, 1996                        $  144,070     $      987     $ (141,931)           136          3,503
                                                    ----------------------------------------------------------------------
Shares issued:
   Employee stock purchase for cash                         98              0              0              0             99
   Conversion of preferred stock                        13,371              0              0              0             (3)
   Issuance of stock related to receivable sales           928              0              0              0            938
   Directors' stock compensation                           228              0              0              0            228
   Exercise of common stock warrants                     1,245         (1,247)             0              0              0
   Payment of proxy contest costs                            0              0              0              0            983
   Payment of litigation costs                               0              0              0              0          1,658
   Payment of rent costs                                   237              0              0              0         11,089
   Payment of consulting costs                             186              0              0              0            188
   Issuance of common stock warrants                         0          1,842              0              0          1,842
   Employee stock compensation awards                       11              0              0              0             11
Comprehensive income (loss):
   Net loss                                                  0              0        (81,981)             0        (81,981)
   Other comprehensive income (loss),
      net of tax                                             0              0              0             18             18

Total comprehensive income (loss)
                                                    ----------------------------------------------------------------------
Balance at December 31, 1997                           160,374          1,582       (223,912)           154        (61,427)
                                                    ----------------------------------------------------------------------

Shares issued:
   Employee stock purchase for cash                         93              0              0              0             94
   Directors' stock compensation                           226              0              0              0            228
   Issuance of stock related
     to convertible debenture                                0              0              0              0          2,065
Comprehensive income (loss)
   Net loss                                                  0              0        (20,138)             0        (20,138)
   Other comprehensive income (loss),
     net of tax                                              0              0              0             74             74

Total comprehensive income (loss)                            0

Additional expense related
  to fair market value of warrants                           0            109              0              0            109
Gain on sale of divested assets                         15,504              0              0           (228)        15,276
                                                    ----------------------------------------------------------------------
Balance at December 31, 1998                           176,197          1,691       (244,050)             0        (63,719)
                                                    ----------------------------------------------------------------------
Shares issued:
   Employee stock purchase for cash                         53              0              0              0             55
   Exercise of warrants for stock                           15            (16)             0              0              0
   Conversion of preferred stock                         2,020              0              0              0              0
Comprehensive income (loss)
   Net loss                                                  0              0        (32,663)             0        (32,663)
   Other comprehensive income (loss),
     net of tax                                              0              0              0              0              0

Total comprehensive income (loss)
- ----------------------------                        ----------------------------------------------------------------------
BALANCE AT DECEMBER 31, 1999                        $  178,285     $    1,675     $ (276,713)             0        (96,327)
============================                        ======================================================================
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       26
<PAGE>

PHYAMERICA PHYSICIAN GROUP, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
<TABLE>
<CAPTION>
                                                                  YEARS ENDED DECEMBER 31,
                                                          ----------------------------------------
                                                             1999           1998           1997
                                                          ----------     ----------     ----------
Cash flows from operating activities:
<S>                                                       <C>            <C>            <C>
Net loss                                                  $  (32,663)    $  (20,138)    $  (81,981)
Adjustments to reconcile net loss to net
  cash used in operating activities:
Depreciation                                                   1,472          3,023          5,510
Amortization                                                   2,398            411            760
Loss on disposition of subsidiaries                                0              0          1,453
Loss on disposal of fixed assets, net                            333            137          2,211
(Gain) loss on sale of marketable
  securities and investments                                       0           (576)           576
Goodwill impairment loss                                           0              0          4,343
Write-down of related party receivables                            0          1,595              0
Change in assets and liabilities, net of effects
  from acquisitions and dispositions:
    Trade accounts receivable, net                             9,143         (2,725)        53,401
    Reserves held by NCFE                                       (524)           996         (6,396)
    Accounts receivable, notes receivable and other           (1,643)         8,841        (14,007)
    Receivables from related party                            (2,352)         8,478          8,850
    Refundable income taxes                                        0              0          2,498
    Prepaid expenses and other current assets                  3,952          2,395          6,076
    Other assets                                                (149)         1,286          3,959
    Accounts payable, accrued expenses
      and income taxes payable                                 3,137        (17,848)       (10,279)
    Accrued physicians fees and medical costs                 (6,935)        (3,083)        (2,278)
                                                          ----------     ----------     ----------
                    Total adjustments                          8,832          2,930         56,677
                                                          ----------     ----------     ----------
Net cash used in operating activities                        (23,831)       (17,208)       (25,304)
                                                          ----------     ----------     ----------

Cash flows from investing activities:
     Purchases of marketable securities
       and investments, net                                        0            (42)    $   (5,577)
     Proceeds from sale of marketable
       securities and investments                                  0              0          5,574
     Proceeds from maturity of marketable
       securities and investments                                  0            752          2,507
     Purchases of property and equipment, net                   (131)        (1,399)        (1,543)
     Acquisition of subsidiaries, net of cash acquired       (71,271)             0              0
     Disposition of subsidiaries, net of cash sold                 0          6,612         12,261
                                                          ----------     ----------     ----------
          Net cash (used in) provided by
             investing activities                            (71,402)         5,923         13,222
                                                          ----------     ----------     ----------

Cash flows from financing activities:
     Borrowing of debt                                        95,133          2,315          1,298
     Cash payments for debt issue costs                            0              0           (633)
     Net proceeds from issuances of preferred stock                0              0         10,000
     Net proceeds from issuances of common stock                  55             94             99
                                                          ----------     ----------     ----------
          Net cash provided by financing activities           95,188          2,409         10,764
                                                          ----------     ----------     ----------
          Net decrease in cash and cash equivalents              (45)        (8,876)        (1,318)
Cash and cash equivalents at beginning of year                    45          8,921         10,239
                                                          ----------     ----------     ----------
Cash and cash equivalents at end of year                  $        0     $       45     $    8,921
                                                          ==========     ==========     ==========

Supplemental disclosures of cash flow information:
     Cash payments during the period for:
          Interest                                        $   15,068     $    8,673     $    9,360
          Income taxes                                           401            180          2,479
</TABLE>

          See accompanying notes to consolidated financial statements.

                                       27
<PAGE>

                        PHYAMERICA PHYSICIAN GROUP, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1.   ORGANIZATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

A.   GENERAL

     PhyAmerica  Physician  Group,  Inc. (the  "Company" or  "PhyAmerica")  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,  and the  provision  of billing  and  collection  services to
various health care  practitioners.  The Company operates on a nationwide basis.
In July 1999, the Company changed its name from Coastal Physician Group, Inc.

     For the  foreseeable  future,  to continue as a going concern,  the Company
will depend upon National Century Financial  Enterprises,  Inc. ("NCFE") to fund
its working capital needs either by purchases of accounts  receivable or through
the line of credit. The Company's  accounts  receivables sales programs and line
of credit with NCFE have been  extended to June 30, 2001 and beyond.  Management
believes that NCFE will be able to fulfill the Company's needs. The consolidated
financial  statements do not include any adjustments to the financial statements
that might be necessary should NCFE not provide the necessary working capital or
should the Company be unable to continue as a going concern.

B.   PRINCIPLES OF CONSOLIDATION AND BASIS OF PRESENTATION

     The consolidated  financial  statements of the Company include the accounts
of  PhyAmerica  and  its  wholly-owned  subsidiary  companies.  All  significant
intercompany balances and transactions have been eliminated in consolidation. In
certain  states,  the  interpretation  of laws  prohibiting a  corporation  from
providing  medical care may apply to the  Company's  business.  This affects the
ability to  contract  directly  with a hospital  to provide  services.  In those
states, the Company forms a professional corporation or professional association
("PC/PA")  to  contract  with the  hospital.  Generally,  the  PC/PA  has a sole
shareholder who is a physician and, in most cases, is a Company shareholder. The
PC/PA,  as  well as the  sole  shareholder  of the  PC/PA,  enters  into a share
transfer agreement with the Company that allows the Company, among other things,
to change the sole shareholder at the Company's will with no more than a nominal
cost and no significant  adverse  impact on the Company or the PC/PA.  The PC/PA
also contracts with the Company via a services  agreement for various management
services such as physician  scheduling,  making  disbursements to physicians and
vendors,  or providing  accounting and tax services,  etc. In exchange for these
services,  the PC/PA assigns all accounts receivable to the Company. The Company
has evaluated these standardized agreements including their provisions as to the
10-year term of the contractual  relationship and termination provisions.  Based
on these provisions,  as well as the Company's control  established  through the
share  transfer  agreements,  and the  Company's  ability to reset the financial
terms of the  services  agreements  at will,  the  Company  believes  that these
standardized  agreements  meet the criteria  contained  in Emerging  Issues Task
Force Consensus 97-2 "Application of APB Opinion No. 16, Business  Combinations,
and FASB Statement No. 94, Consolidation of All Majority-Owned Subsidiaries,  to
Physician  Practice   Management   Entities  and  Certain  Other  Entities  with
Contractual Arrangements" that require consolidation.

                                       28
<PAGE>

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.

     Noncash investing and financing activities are as follows:

<TABLE>
<CAPTION>
                     (In Thousands)                     1999        1998        1997
                                                      --------    --------    --------
<S>                                                   <C>         <C>         <C>
     Conversion of debenture and related interest     $     --    $  2,065    $     --
     Issuance of stock under directors' deferred
        compensation plan                                   --         228         228
     Issuance of stock in lieu of cash for                  --          --       4,004
        expenses
     Issuance of warrants                                   --          --       1,842
     Conversion of warrants to common stock                 16          --       1,248
     Conversion of preferred stock to common stock       2,065          --      13,489
     Warrants purchase price adjustment                     --         109          --
     Unrealized appreciation of available for
        sale securities                                     --          74          18
     Disposition of subsidiaries                            --      15,504          --
</TABLE>

D.   ACCOUNTS RECEIVABLE AND RESERVES HELD BY NCFE

     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 5).  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 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.

     Reserves held by NCFE represent a portion of the proceeds from the sales of
accounts  receivable  to provide for  underpayments  by payors or other  payment
defaults.  The amount of the reserves are  determined by the various  agreements
and are a percentage of the net eligible  accounts  receivable sold. At the time
an account  receivable is fully collected by NCFE,  remaining  reserve  balances
applicable to the account receivable are returned to the Company.

E.   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

                                       29
<PAGE>

F.   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")  represent  amounts paid that exceed estimated
fair values  assigned to the assets and  liabilities of each acquired  business.
Such amounts are being amortized on a  straight-line  basis over periods ranging
from five to twenty  years,  depending  on the  specific  circumstances  of each
acquisition. Accumulated amortization of goodwill was $3,396,000 and $998,000 at
December 31, 1999 and 1998 respectively.

     Under  Statement of Financial  Accounting  Standards  No. 121 ("SFAS 121"),
"Accounting for the Impairment of Long-Lived  Assets and Long-Lived Assets to Be
Disposed  Of",  management  performs 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 1999, 1998 or 1997.  Management  considers the performance of
acquired  hospital  contracts  to be the most  important  indicator  of possible
impairment.

G.   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.

     During  1998 and 1997,  the  Company  recognized  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 coverage are accrued when
management  determines  that it is probable that the costs of providing  medical
care will exceed the premiums received.

H.   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 practice management activities,  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.

I.   PER SHARE DATA

     In accordance  with  Statement of Financial  Accounting  Standards No. 128,
"Earnings Per Share," 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.

                                       30
<PAGE>

J.   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.

K.   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.

L.   RECLASSIFICATIONS

     Certain reclassifications have been made to the 1997 consolidated financial
statements to conform to the 1998 presentation.  Such  reclassifications  had no
impact on net loss or shareholders' equity (deficit) as previously reported.

M.   RECENT ACCOUNTING PRONOUNCEMENTS

     Effective  for fiscal  quarters and fiscal years  beginning  after June 15,
2000,  the Company will be required to adopt  Statement of Financial  Accounting
Standards  No.  133,   "Accounting   for  Derivative   Instruments  and  Hedging
Activities" ("SFAS 133"). SFAS 133 requires entities to disclose information for
derivative financial instruments,  and to recognize all derivatives as assets or
liabilities  measured at fair  value.  The  Company  does not believe  that this
pronouncement  will have a material impact on its financial  position or results
of operations.

N.   FAIR VALUE OF FINANCIAL INSTRUMENTS

     Fair  value is  defined  as the  amount  at which the  instrument  could be
exchanged in a current  transaction  between  willing  parties,  other than in a
forced or liquidation  sale. The Company believes that the carrying value of its
financial  instruments (except for long term debt) approximates their fair value
due to the short  term  maturity  of these  instruments.  The fair  value of the
Company's long term debt approximates its carrying balance.

2.   ACQUISITIONS

     In July  1999,  in order  to  expand  its  Emergency  Physician  Management
business, the Company acquired the hospital emergency department staffing assets
of  Sterling  Healthcare,  Inc.  ("Sterling"),   a  subsidiary  of  FPA  Medical
Management,  Inc.,  which was in a Chapter 11 proceeding under the United States
Bankruptcy  Code,  for a purchase  price of  approximately  $69.3  million  plus
assumption of up to $18 million in operating liabilities.  This acquisition (the
"Sterling  Acquisition")  increased the number of emergency  department staffing
contracts in the Emergency Physician  Management business from approximately 151
to 280 (since  reduced to  approximately  241 as of December  31,  1999  through
contract attrition). In addition, on December 14, 1999 the Company acquired from
a subsidiary of Per Se Technology,  Inc.,  the assets used in providing  billing
services  for  the  hospital  staffing   contracts   acquired  in  the  Sterling
Acquisition  (the  "Per Se  Acquisition").  The  Company  paid $6.7  million  to
terminate the billing  agreement with Per Se  Technologies,  Inc. and to acquire
the billing operations assets. The acquisitions were accounted for in accordance
with  the  purchase  method  of  accounting,  and,  therefore,  the  results  of
operations  for  the  acquired  operations  are  included  in  the  accompanying
financial statements since the acquisition dates. The excess purchase price over
the estimated fair market value of the net assets acquired is being amortized on
a straight line basis over 5 years for the Sterling Acquisition and 10 years for
the  PerSe  Acquisition.  Unaudited  pro forma  results  of  operations  for the
Sterling  acquisition  are not  presented  because  the  historical  results  of
operations are not indicative of the results of operations of the business

                                       31
<PAGE>

going  forward due to the short term nature of the  contracts  and the financial
condition  during  bankruptcy  of the  business  acquired.  Unaudited  pro forma
results of operations for the Per Se acquisition  are not presented  because the
transaction was not a significant acquisition.

     As of December 31, 1999,  the Company had received funds from NCFE totaling
approximately  $117.4 million for which repayment has been waived until June 30,
2001,  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 $20 million revolving line of credit described above in order to fund its
operations.

3.   TRADE ACCOUNTS RECEIVABLE AND OPERATING REVENUE

Trade accounts receivable, net, consisted of the following:

                                                          As of December 31,
                                                        -----------------------
                     (In thousands)                       1999            1998
                                                          ----            ----
Gross trade receivables                                 $35,923         $31,460
Less allowance for contractual adjustments
and uncollectibles                                      (10,810)         (2,244)
                                                        -------         -------

Trade accounts receivable, net                          $25,113         $29,216
                                                        =======         =======

Operating revenues, net consisted of the following:

                                       For the years ended December 31,
                                    -----------------------------------------
            (In thousands)             1999            1998            1997
                                       ----            ----            ----

Gross non-capitated revenue         $ 558,900       $ 381,161       $ 451,596
Gross capitated revenue                     0          92,370         163,533
                                    ---------       ---------       ---------
Total gross revenue                   558,900         473,531         615,129
Less contractual adjustments and
uncollectibles                       (294,190)       (179,310)       (190,288)
                                    ---------       ---------       ---------
Operating revenue, net              $ 264,710       $ 294,221       $ 424,841
                                    =========       =========       =========

4.   PROPERTY AND EQUIPMENT

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

                                           December 31,
     (In Thousands)                     1999         1998
                                      --------     --------
     Land                             $  1,325     $  2,375
     Buildings                           3,427        3,184
     Leasehold improvements              2,373        2,350
     Construction in progress              282          112
     Furniture and equipment            17,724       17,033
     Automobiles                           143          143
                                      --------     --------

     Total                              25,274       25,197
     Less accumulated depreciation     (17,623)     (18,026)
                                      --------     --------

     Net property and equipment       $  7,651     $  7,171
                                      ========     ========

                                       32
<PAGE>

5.   BORROWINGS

     Long-term debt consisted of the following:

                                                               December 31,
     (In Thousands)                                         1999         1998
                                                         ---------     --------
     Funds received from NCFE:
     NPF-XI, base rate of 10.94%                         $  44,798     $ 47,036
     NPF-VI, base rate of 12.5%                             30,281       23,315
     NPF-WL, base rate of 10.94%                             3,921        3,817
     NPF-XII, base rate of 10.8%                            38,370           --
                                                         ---------     --------
        Total amounts due to NCFE                          117,370       74,168

     Term note payable in monthly installments
     through September 2000 bearing interest
     at 13.0%                                                6,738           --

     Obligations under capital leases                        3,426        3,231
     Other                                                     679          143
                                                         ---------     --------
     Total                                                 128,213       77,542
     Less current maturities                                (7,477)        (433)
                                                         ---------     --------
     Long term portion                                   $ 120,736     $ 77,109
                                                         =========     ========

     The  Company's   primary   financing  source  consists  of  three  accounts
receivable  sale programs with affiliates of NCFE.  Under these  programs,  NCFE
purchases  qualified  receivables  generated  by the  Company,  acquired  by the
Company from independent contractor physicians and advances funds for the rights
to future  receivables.  The proceeds  from these sales and advances are used to
fund the Company's working capital needs. Cash received for the rights to future
receivables  is  recorded as  long-term  debt in the  accompanying  consolidated
balance sheets.

     One program purchases  receivables  generated by the hospital  contracts of
the Company other than those acquired in the Sterling  Acquisition (the "Coastal
Program"), one program purchases receivables generated by the hospital contracts
acquired in the  Sterling  Acquisition  (the  "Sterling  Program"),  and a third
program purchases receivables generated in the Government Services business (the
"Government  Program").  The  Emergency  Physician  Management  business and the
Government   Services  business  have  not  been  able  to  generate  sufficient
receivables to sell to the programs to finance the ongoing working capital needs
of the  Company.  NCFE has  supported  the  Company by funding  the  purchase of
receivables  billed by the  Company  and those to be billed in the future by the
Company.  As of December  31,  1999,  the Company  had  outstanding  advances of
approximately $196 million of receivables financing,  of which approximately $79
million related to billed receivables and approximately $117 of which related to
future receivables.  The Coastal Program provides for the purchase of up to $115
million of receivables  and  terminates on June 30, 2001.  The Sterling  Program
provides for the purchase of up to $95 million of receivables  and terminates on
June 30, 2003.  The  Government  Program  provides for the purchase of up to $50
million of  receivables  and  terminates on June 30, 2001. Of the total purchase
commitments of $260 million on these facilities,  the remaining availability for
purchases is  approximately  $38 million at December  31, 1999.  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.  The Company also borrowed $6.7 million from NCFE under a
note dated  December  14,  1999.  The funds were used to  terminate  the billing
agreement with a subsidiary of Per Se Technologies,  Inc. and to acquire certain
of its  billing  operations  in December  1999.  The note is  repayable  in nine
monthly  installments  beginning January 14, 2000, including interest at 13% per
annum.

                                       33
<PAGE>

     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 $20
million through June 30, 2001.  Interest on outstanding  amounts under this line
of credit is payable monthly at prime plus 4%. The  availability  under the line
of credit was reduced from $40 million on October 30,  1998,  by an amount equal
to one-half,  or $7.5 million,  of the net proceeds  received in connection with
the sale of HPSE and reduced to $20 million effective February 1, 2000. There is
no outstanding  balance as of December 31, 1999. The Company borrowed and repaid
$1 million under this facility  during 1998. On March 31, 2000,  the  expiration
date of the line of credit was extended from July 1, 2000 to June 30, 2001.  The
line of credit is  secured  by  substantially  all of the  assets of  PhyAmerica
Physician  Group,  Inc.,  including  pledges of the common  stock of each of its
subsidiaries.

     Effective  for the third  quarter of 1998,  the  Company  received  certain
credits for  interest  and certain  selling,  general  and  administrative  fees
relating  to  its  sales  and  subservicing  agreements  with  National  Century
Financial Enterprises,  Inc. and its affiliates ("NCFE"). The credits arose from
incentives  negotiated by the Company with NCFE and were earned by the Company's
commitment to complete its divestiture  plan with the sale of its remaining HMO.
Approximately $1.5 million was accounted for as a reduction of interest expense.
Approximately  $0.8  million  related  to  its  accounts  receivable  sales  and
subservicing  programs  costs and was  accounted  for as a reduction of selling,
general and administrative costs and expenses.

     As of December 31, 1999,  the Company had received funds from NCFE totaling
approximately  $117.4 million for which repayment has been waived until June 30,
2001,  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 $20 million revolving line of credit described above in order to fund its
operations.

     The  Company  has  received  waivers  from NCFE  related  to all  events of
non-compliance with debt covenants as of December 31, 1999.

     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 $843,000  and $746,000 as of December 31, 1999 and
1998, respectively.

     The  following is a schedule of  maturities  of long-term  debt and minimum
lease payments under capital leases as of December 31, 1999 (in thousands):

                                  Long term debt    Capital leases      Total
                                  --------------    --------------    --------
2000                                 $  7,043           $  498        $  7,541
2001                                  117,674              488         118,162
2002                                        5            3,392           3,397
2003                                        5               --               5
2004                                        6               --               6
Thereafter                                 54               --              54
                                     --------           ------        --------
Totals                               $124,787           $4,378        $129,165
                                     ========           ======

Less amount representing interest on capital leases                        952
                                                                      --------
                                                                       128,213
Less current maturities                                                  7,477
                                                                      --------
                                                                      $120,736
                                                                      ========

6.   DIVESTITURES

     In October 1998,  the Company sold Health  Enterprises,  Inc. whose primary
operating subsidiary is HealthPlan Southeast, Inc. ("HPSE"), to Steven M. Scott,
M.D.,  Chairman and Chief Executive  Officer of the Company.  In March 1998, the
Company sold Doctors Health Plan, Inc. to DHP Holdings LLC, an entity controlled
by Dr. Scott. 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") certain clinic assets.  See Note 12, "Related Party
Transactions."

                                       34
<PAGE>

     On August 19, 1997,  the Company sold certain assets of Better Health Plan,
Inc., which was acquired in a purchase  transaction in May 1995, to the New York
State Catholic  Health Plan, Inc. for  approximately  $7,750,000 in cash. Due to
the goodwill  impairment  adjustments of $4,200,000 and $13,562,000  recorded in
1997 and 1996, respectively, the loss on the sale was minimal. Certain assets of
BHP were retained in order to satisfy certain liabilities.

7.   SEGMENT INFORMATION

     During the years ended  December 31, 1999,  1998, and 1997, the Company had
four reportable segments:  emergency physician management,  government services,
billing and business management services and divested businesses.  The emergency
physician  management group contracts  principally with hospitals and government
agencies to identify and recruit  physicians  as  candidates  for admission to a
client's medical staff and to coordinate the on-going  scheduling of independent
contractor  physicians who provide clinical coverage in designated areas.  While
the Company  also  provides  obstetrics,  gynecology  and  pediatrics  emergency
physician management,  the provision of contract management services to hospital
emergency departments represents the Company's principal hospital-based service.
The  government  services  segment  provides  similar  services to  governmental
agencies such as the Department of Defense and state and local governments.  The
billing and business management services segment provides support to independent
contractor   physicians,   independent   practices   and   other   health   care
practitioners.  These  services  are  often  provided  as part of the  Company's
emergency   physician   management  and  are  also  marketed   independently  to
unaffiliated providers.  Divested businesses in 1998 consist of two health plans
which were divested during 1998 and the wrap up of businesses  divested prior to
1998.  Divested  businesses in 1997 consist of one health plan that was divested
in 1997 and the Company's clinic and other miscellaneous operations. The Company
also has a corporate group included in "All Other" that provides  administrative
services to the operating segments. "All other" also includes amounts related to
eliminations.

                                       35
<PAGE>

Information About Segment Profit/Loss and Segment Assets

     The Company  evaluates  performance based on profit or loss from operations
before  interest,  income taxes,  depreciation  and  amortization.  Intersegment
revenues are recorded at amounts  similar to revenues from  external  customers.
Intersegment  profits or losses  are  eliminated  in  consolidation.  Also,  the
Company does not allocate certain expenses such as certain  professional fees or
certain employee benefits to its segments. The Company's reportable segments are
business  units that are  responsible  for certain  quantitative  thresholds  of
revenue, profits or losses or assets.


YEAR ENDED DECEMBER 31, 1999

<TABLE>
<CAPTION>
                                 Emergency                                                Total
                                 Physician       Gov't                      Divested    Reportable        All
(In Thousands)                   Management     Services      Billing       Segments     Segments        Other         Totals
- ------------------------------------------------------------------------------------------------------------------------------
<S>                              <C>           <C>           <C>           <C>           <C>           <C>           <C>
Revenue from external sources    $ 228,291     $  17,752     $  18,689     $      --     $ 264,732     $     (22)    $ 264,710

Intersegment revenues                   --            --        16,274            --        16,274            --        16,274

Interest expense                    10,788         3,459             2            --        14,249           207        14,456

Depreciation and amortization        3,004            28           695             2         3,729           141         3,870

Segment profit (loss)              (24,361)       (2,482)        5,719          (204)      (21,328)      (11,335)      (32,663)

Segment assets                      67,542         3,682        15,819         2,411        89,454          (671)       88,783
</TABLE>

                                RECONCILIATIONS

     The following are reconciliations of reportable segment revenues, profit or
loss and assets to the Company's consolidated totals.

Revenues for the year ended December 31, 1999

Total external revenues for reportable segments                      $  264,732
Intersegment revenues for reportable segments                            16,274
Other revenue                                                               (22)
Elimination of intersegment revenues                                    (16,274)
                                                                     ----------
        Total consolidated revenues                                  $  264,710
                                                                     ==========

Profit or Loss for the year ended December 31, 1999

Total loss for reportable segments                                   $  (21,328)
Other profit or loss                                                    (11,335)
                                                                     ----------
        Loss before income taxes and extraordinary item              $  (32,663)
                                                                     ==========

Assets as of December 31, 1999

Total assets for reportable segments                                 $   89,454
Other assets                                                               (671)
                                                                     ----------
Total consolidated assets                                            $   88,783
                                                                     ==========

                                       36
<PAGE>

YEAR ENDED DECEMBER 31, 1998

<TABLE>
<CAPTION>
                                 Emergency                                                Total
                                 Physician       Gov't                     Divested     Reportable       All
(In Thousands)                   Management     Services      Billing      Segments      Segments       Other        Totals
- -----------------------------------------------------------------------------------------------------------------------------
<S>                              <C>           <C>           <C>          <C>           <C>           <C>           <C>
Revenue from external sources    $ 164,700     $  20,185     $  16,164    $  92,895     $ 293,944     $     277     $ 294,221

Intersegment revenues                   --            36        12,710           --        12,746            --        12,746

Interest expense                     6,065         2,599            --           65         8,729           (54)        8,675

Depreciation and amortization          591            55         1,331        1,132         3,109           325         3,434

Segment profit (loss)               (7,957)       (1,791)        1,492       (7,018)      (15,274)       (4,864)      (20,138)

Segment assets                      30,781         4,798        11,529        2,585        49,693         5,381        55,074
</TABLE>

Reconciliations
- ---------------

     The following are reconciliations of reportable segment revenues, profit or
loss and assets to the Company's consolidated totals.

Revenues for the year ended December 31, 1998

Total external revenues for reportable segments                      $  293,944
Intersegment revenues for reportable segments                            12,746
Other revenue                                                               277
Elimination of intersegment revenues                                    (12,746)
                                                                     ----------
        Total consolidated revenues                                  $  294,221
                                                                     ==========

Profit or Loss for the year ended December 31, 1998

Total loss for reportable segments                                   $  (15,274)
Other profit or loss                                                     (4,864)
                                                                     ----------
        Loss before income taxes and extraordinary item              $  (20,138)
                                                                     ==========

Assets as of December 31, 1998

Total assets for reportable segments                                 $   49,693
Other assets                                                              5,381
                                                                     ----------
Total consolidated assets                                            $   55,074
                                                                     ==========

                                       37
<PAGE>
YEAR ENDED DECEMBER 31, 1997

<TABLE>
<CAPTION>
                                 Emergency                                                 Total
                                 Physician       Gov't                      Divested     Reportable       All
(In Thousands)                   Management     Services      Billing       Segments      Segments       Other        Totals
- ------------------------------------------------------------------------------------------------------------------------------
<S>                              <C>           <C>           <C>           <C>           <C>           <C>           <C>
Revenue from external sources    $ 202,174     $  23,065     $  14,126     $ 185,071     $ 424,436     $     405     $ 424,841

Intersegment revenues                   --           621        13,298            --        13,919            22        13,941

Interest expense                     4,893           575             2           161         5,631         9,905        15,536

Depreciation and amortization        1,173           133         1,957         2,129         5,392           878         6,270

Segment profit (loss)              (17,187)       (2,098)       (4,178)      (32,226)      (55,689)      (27,692)      (83,381)

Segment assets                      29,223         2,078        13,088        50,200        94,589         4,942        99,531
</TABLE>

Reconciliations
- ---------------

     The following are reconciliations of reportable segment revenues, profit or
loss and assets to the Company's consolidated totals.

Revenues for the year ended December 31, 1997

Total external revenues for reportable segments                      $  424,436
Intersegment revenues for reportable segments                            13,919
Other revenue                                                               405
Elimination of intersegment revenues                                    (13,919)
                                                                     ----------
        Total consolidated revenues                                  $  424,841
                                                                     ==========

Profit or Loss for the year ended December 31, 1997

Total loss for reportable segments                                   $  (55,689)
Other profit or loss                                                    (27,692)
                                                                     ----------
        Loss before income taxes and extraordinary item              $  (83,381)
                                                                     ==========

Assets as of December 31, 1997

Total assets for reportable segments                                 $   94,589
Other assets                                                              4,942
                                                                     ----------
Total consolidated assets                                            $   99,531
                                                                     ==========

8.   GOODWILL IMPAIRMENT

     During  1997,  the  Company  recognized   goodwill   impairment  losses  of
$4,343,000 related to goodwill  associated with (i) certain long-lived assets of
entities   identified  for  sale  by  the  Company  and  (ii)  certain  acquired
operations. No goodwill impairment losses were recognized in 1999 or 1998.

     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.  Reevaluation  using  this  methodology
resulted  in  impairment  losses  recognized  in the  second  quarter of 1997 of
$4,200,000  for Better  Health Plan,  Inc.,  ("BHP") a New  York-based  Medicaid
managed care entity acquired in 1995.

                                       38
<PAGE>

        The primary underlying factor contributing to the decision to reevaluate
the carrying value of goodwill  associated with certain  acquired  operations of
CPS was the termination of a significant  number of contracts.  The reevaluation
resulted in a write-off of goodwill of $143,000 in the fourth quarter of 1997.

9.   INCOME TAXES

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


                                            Year Ended December 31,
(In Thousands)                            1999       1998       1997
                                        -------    -------    -------
Current:
     Federal                            $    --    $    --    $ 1,400
     State                                   --         --         --
Deferred:
     Federal                                 --         --         --
     State                                   --         --         --
                                        -------    -------    -------

Benefit (provision) for income taxes    $    --    $    --    $ 1,400
                                        =======    =======    =======

     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,
                                                   -------------------------
                                                      1999           1998
                                                   ----------     ----------
Deferred tax assets:
     Net operating loss carry forward              $   87,449     $   77,863

     Reserve for liabilities                            4,159          1,711

     Depreciation of equipment and amortization         2,227            356

     Other                                              2,571          2,473
                                                   ----------     ----------
Total gross deferred tax                               96,406         82,403

Less valuation allowance                              (95,611)       (81,407)
                                                   ----------     ----------

Net deferred tax assets                            $      795     $      996
                                                   ==========     ==========
Deferred tax liabilities:
     Deferred revenue and prepaid expenses         $      795     $      996
                                                   ----------     ----------
Total gross deferred tax liabilities               $      795     $      996
                                                   ==========     ==========
Net deferred tax assets                            $       --     $       --
                                                   ==========     ==========

     The  valuation  reserve for the year ended  December 31, 1999  increased by
$14,204,000 primarily due to current year loss carryforwards.  The net change in
the total valuation reserve for the year ended December 31, 1998 was an decrease
of  $4,926,000.  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, 1999 the Company  had  federal  loss  carryforwards  of
approximately  $205,000,000.  In addition,  as of December 31, 1999, the Company
had state loss carryforwards of approximately $254,000,000.  These net operating
loss carryforwards expire at various dates to 2015.

     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,
1999, the Company's cumulative ownership change since July 1996 was

                                       39
<PAGE>

approximately  32%.  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 to income (loss)
before income taxes is as follows:

                                                Years Ended December 31,
                                            1999          1998          1997
                                          --------      --------      --------
"Expected" benefit (provision)                34.0%         34.0%         34.0%
State income taxes, net of federal
  income tax effect                            5.3%          5.3%          8.1%
Nondeductible purchased goodwill               0.0%          0.4%          6.9%
Change in valuation reserve                  (39.3)%       (40.8)%       (46.5)%
Other                                          0.0%          1.1%         (0.8)%
                                          --------      --------      --------
"Actual" benefit (provision)                   0.0%          0.0%          1.7%
                                          ========      ========      ========

10.  CAPITAL STOCK

     In 1996,  the Company  granted  common stock  purchase  warrants to certain
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 and are exercisable through May 2001.

     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% 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.

                                       40
<PAGE>

     On October 23, 1997,  Dr. Scott  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 8. In addition,  the
Company  issued  200,000  shares  of  common  stock to  vendors  in lieu of cash
payments for services rendered in December 1997.

     In December 1998, the New York Stock Exchange  notified the Company that it
did not meet its continuing listing standards and,  therefore,  would delist its
common stock.  Effective  January 1999, the Company's stock is quoted on the OTC
Bulletin Board under the symbol ERDR.

     For additional  capital stock  transactions with related parties,  see Note
12.

11.  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 established  plans to pay claims in the future based on formal
plans of arrangement. The Company has receivables of approximately $1,938,000 at
December 31, 1999  (included in other  assets in the  accompanying  consolidated
balance  sheets)  related to certain  claims  for which  reimbursement  is still
pending.  Management  continues to evaluate the  collectibility of these amounts
through  communication with the various companies and regulators.  At this time,
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.

     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. No notice
has been received.

                                       41
<PAGE>

     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  property  upon 75 days'  notice.  No notice has been
received.

     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 County,
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 medicine for which
the Company  provided  practice  management  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 of $500 for each
alleged violation of the statute,  plus attorneys fees.  Plaintiffs also filed a
motion seeking class certification.  On June 22, 1998, plaintiffs filed a Fourth
Amended Complaint adding Edward Suggs,  President and Chief Executive Officer of
HBR and a  Director  of the  Company,  Terry  Blackwood,  formerly  Senior  Vice
President and Chief  Financial  Officer of HBR, and Edward  Gaines,  Senior Vice
President and General  Counsel to HBR, as  individual  defendants in the action.
All of the individual defendants filed motions to dismiss on the grounds of lack
of  personal  jurisdiction,  and an  Order  was  entered  dismissing  all of the
individual defendants. Plaintiffs have appealed this Order. On October 28, 1999,
the  trial  court  issued  its  ruling  denying  Plaintiffs'  Motion  for  Class
Certification,  and Plaintiffs  have filed an appeal of this ruling.  On October
21, 1999,  Plaintiffs  filed an  additional  civil action in the North  Carolina
state courts  against  Edward Suggs,  Terry  Blackwood,  and Ralph Durr, who was
formerly an officer of HBR.  The  allegations  and claims in the North  Carolina
civil  action are  substantially  similar to those filed in the Florida  action.
Following a mediation,  a comprehensive  settlement of all claims was reached in
February  2000,  resulting  in the  dismissal  of all  claims  and  suits in all
jurisdictions.

     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.  The lawsuit
was originally  filed in Forsyth County Superior Court and later  transferred to
Durham County  Superior  Court.  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.  After some
initial discovery, there has been little activity in this suit for approximately
two and a half  years.  The  Company  believes  it has  several  defenses to the
lawsuit 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.  An arbitration was held in August 1999 in
Washington, D.C. and the arbitrator entered an award of approximately $2,300,000
in favor of Dr. Sokolov. The arbitration  provisions of the Employment Agreement
provided that the award of the  arbitrator  was reviewable by a court of law for
errors of law made by the arbitrator.  Following the award, the Company filed an
action in the U.S.  District  Court for the Middle  District  of North  Carolina
alleging that the arbitrator  made errors of law. Dr. Sokolov has filed a Motion
to  Change  Venue of the court  proceeding  to the U.S.  District  Court for the
District of Columbia.  The Company is  attempting  to reach a settlement of this
matter with Dr. Sokolov. If it is not able to reach a settlement of this matter,
the  Company  intends to  continue  to  vigorously  challenge  the ruling of the
arbitrator.  The Company  has  provided a reserve for the amount of the award in
its financial statements with respect to this matter.

     On January 8, 1999,  Century American  Insurance Company and its affiliate,
Century American  Casualty Company  ("Century"),  which had previously  provided
professional liability insurance coverage to

                                       42
<PAGE>

the Company and to  independent  contractor  physicians  through  Medical  Group
Purchasing  Association  ("MGPA"),   notified  the  Company  and  MGPA  that  it
considered  the purchase of  professional  liability  insurance  from an insurer
other than Century to constitute a breach of a Risk Management Agreement between
the  Company,  MGPA and  Century.  Pursuant to the terms of the Risk  Management
Agreement,  any dispute was required to be resolved by binding arbitration,  and
on  February  24,  1999,   Century  filed  a  Complaint  in   Arbitration   with
J*A*M*S/ENDISPUTE  against the Company and MGPA seeking  damages for the alleged
breach and seeking to require the Company and MGPA to accept  insurance  written
by Century.  Following an  arbitration  conducted in July 1999,  the  arbitrator
entered an award in favor of the Company finding it had no liability to Century.
The Company and Century have since  entered into an  agreement  terminating  the
Risk Management Agreement.

     On March 23, 2000, two shareholders  filed a lawsuit styled Bosco, et al v.
Scott,  et al in  the U.  S.  District  Court  for  the  District  of  Delaware,
individually and on behalf of all those similarly situated,  and derivatively as
shareholders  of the Company,  alleging five claims for relief.  The first claim
alleges  breach of fiduciary  duty by the  directors,  primarily  related to the
sales of certain assets to Dr. Scott.  The second claim is brought  against NCFE
and Lance Poulsen,  Chairman and Chief Executive  Officer of NCFE,  alleging the
aiding and abetting the breach of fiduciary duty by the  individual  defendents.
The third claim is brought  derivatively against Dr. Scott, Mr. Poulsen and NCFE
alleging  violation of the Racketeer  Influenced and Corrupt  Organizations Act.
Count four is brought against the individual  directors for allegedly unlawfully
amending the Company's Certificate of Incorporation to restrict  transferability
of the Company's stock. Count five is brought individually against the directors
for breach of fiduciary duty in failing to disclose the reason for the delisting
of the  Company's  stock by the New York Stock  Exchange in December  1998.  The
Company believes that the actions taken by management and the Board of Directors
in  divesting  certain  operations  were  appropriate,  were  done  for fair and
adequate consideration and have been properly documented and publicly disclosed.
The Company  intends to  vigorously  defend the action and, at this stage of the
litigation, the exposure to the Company cannot be determined.

     The New York State  Department of Taxation and Finance has written a letter
to Better Health Plan, Inc. ("BHP") stating that, as a result of an audit of the
Corporation  Finance Tax return  filed by BHP for the period from May 2, 1995 to
May 5, 1995,  it has  determined  that an  adjustment is required to the BHP tax
liability for that period.  The Company has requested  additional time to review
the  findings.  Based on the limited  information  available  at this time,  the
exposure to the Company, if any, 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 this  litigation or group of
similar items of litigation is likely to have a materially adverse effect on the
Company's financial position or results of operations.

12.  RELATED PARTY TRANSACTIONS

     Included as related party expenses, net, or other related party, net in the
accompanying  Statements  of  Operations  are the  following  transactions.  The
Company  engaged in  transactions  with American  Alliance  Holding  Company and
certain  of  its  affiliates  ("Alliance"),   which  included  Century  American
Insurance  Company  ("Century  Insurance")  until Century  Insurance was sold by
Alliance to a purchaser  unaffiliated with the Company in May 1998. Dr. Scott is
the  beneficial  owner  of all of the  outstanding  shares  of  Common  Stock of
Alliance. Amounts paid by the Company to these entities,  including amounts paid
to  Century  Insurance  through  May 1998,  net of  amounts  received,  were net
payments of $2,275,000  for the year ended December 31, 1999 and net receipts of
$6,978,000  for the year ended  December 31, 1998 and payments of $4,186,000 for
the year ended  December 31, 1997.  These  transactions  and  relationships  are
described below.

     The  Company  and  certain of its  subsidiaries  sublease  office  space in
Durham,  North  Carolina,  consisting of  approximately  59,000 square feet in a
building owned by American  Alliance Realty Company  ("Alliance")  and leased to
Century Insurance. During the years ended December 31, 1999, 1998 and 1997,

                                       43
<PAGE>

the Company paid approximately  $758,000,  $676,000 and $562,000,  respectively,
under these sublease agreements. The Company, Alliance 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 Alliance with respect to the total  rentals,  and Alliance 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  1999,  1998,  and 1997 of  $73,000,
$33,000 and $286,000, respectively. As discussed below, the Company entered into
a termination of the remaining lease  obligations for certain office space under
lease through 2002.

     As of December 31, 1997,  the Company  held  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  from Scott Medical LLC. The promissory  notes and other  receivables
arose in connection with the acquisition of Integrated  Provider Networks,  Inc.
("IPN"),  Practice Solutions,  Inc. ("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. In accordance with the terms of the
notes,  the principal  amounts of the notes and accrued  interest were decreased
during 1998 by approximately  $937,000 due to lower than expected collections on
the related accounts receivable.  Additionally,  in accordance with the terms of
the purchase  agreement,  the purchase price for the sale of IPN was adjusted in
1998 by approximately $658,000 as a result of lower than expected collections on
the  related  accounts  receivable.  The  combined  balance of these notes as of
December  31, 1999 is  $1,620,000.  In addition,  the Company  made  payments of
approximately  $1,445,000  to  entities  controlled  by  Dr.  Scott  for  health
insurance  premiums and other  reimbursements  net of management  fees and other
receipts during 1999.

     On March 3, 1998, Bertram E. Walls,  M.D., a Director of the Company,  made
an  investment  of $2.0  million in the Company in exchange  for a $2.0  million
convertible  debenture due July 1, 1998 bearing  interest at 10% per annum.  The
debenture,  including accrued interest, was convertible, at the holder's option,
into the  Company's  Common  Stock and a new  series  of  Preferred  Stock.  The
conversion price for the Common Stock was equal to the lower of: (i) the average
closing  price of the  Common  Stock on the New York Stock  Exchange  for the 10
trading days ending on March 3, 1998, the date of the issuance of the debenture,
or (ii) the  average  closing  price for the 10 trading  days ending on June 30,
1998. The conversion  price for the Preferred Stock was ten times the conversion
price for the Common  Stock.  On May 1, 1998,  Dr. Scott  acquired the debenture
from Dr.  Walls.  On June 29,  1998,  the  debenture  was amended to provide for
conversion  solely  into  Series  D  Convertible   Preferred  Stock  ("Series  D
Preferred").  On June 30, 1998,  Dr. Scott elected to convert the debenture into
444,974  shares of Series D Preferred.  Subsequent to approval by the holders of
the Common  Stock in July 1999,  the Series D Preferred  was  converted  into 10
shares of Common Stock for each share of Preferred Stock, or 4,449,740 shares of
Common Stock, in November 1999.

     On March  18,  1998,  PhyAmerica  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 $5,993,532.  The Purchaser is a
privately held limited liability company  controlled by Dr. Scott. The Purchaser
acquired all of the outstanding stock of Doctors Health Plan in the transaction.
Because the sale was to a significant shareholder,  $7,619,000, representing the
difference  in the sales price and the negative  equity of the  subsidiary,  was
recorded  as a  contribution  to  capital.  For a period of 12  months  from the
closing,  the  Company had the right to market and sell  Doctors  Health Plan to
potential  third party  purchasers.  No third party  purchasers  were identified
prior to March 18, 1999.

     On October 30, 1998, the Company completed the sale of Health  Enterprises,
Inc., whose primary operating subsidiary is HealthPlan Southeast, Inc. ("HPSE"),
to Dr.  Scott.  Dr.  Scott  acquired all of the  outstanding  stock of HPSE in a
transaction  which is  effective as of October 1, 1998 for  financial  reporting
purposes.  The Purchase Price of $15 million was used to decrease debt.  Because
the  sale  was  to  a  significant  shareholder,  $7,885,000,  representing  the
difference in the sales price and the equity of the subsidiary,  was recorded as
a  contribution  to  capital.  For a period of 12 months from the  closing,  the
Company  had the  right  to  market  and  sell  HPSE to  potential  third  party
purchasers. No third party purchasers were identified prior to October 1, 1999.

                                       44
<PAGE>

     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.

     On January 21, 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.

     Simultaneous with the NCFE  transaction,  as explained in Note 8, 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.

13.  OPERATING LEASES

     The  Company  leases  office  space  (see  Note  12)  and  equipment  under
noncancelable  operating  leases which have terms of one to five years remaining
at December 31, 1999.  Rent expense  related to  noncancelable  office space and
equipment leases amounted to $3,408,000  $2,146,000 and $9,963,000 for the years
ended December 31, 1999, 1998 and 1997, respectively.

     Future minimum lease payments required under noncancelable operating leases
as of December 31, 1999, are as follows:  2000 - $2,906,340;  2001 - $2,206,086;
2002 - $992,303; 2003 - $180,339; and 2004 - $87,780.

14.  STOCK OPTIONS AND STOCK COMPENSATION

     At December 31, 1999, 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, 1999, 1998 and 1997.

     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 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. 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

                                       45
<PAGE>

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.

     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 230,000  shares,  217,000  shares,  and
82,000 shares to employees in 1999, 1998 and 1997, respectively.

     The Company may issue stock to  nonemployees  for  services  rendered.  The
value of the stock issued is based on the publicly  quoted  closing price of the
Company's  stock at a specified date or the average closing price during a short
period  surrounding  a date as  specified  by the Board of  Directors.  The date
specified is typically  the grant date or date of  authorization  of issuance by
the Board of  Directors.  The number of shares  issued may be  determined by the
estimated  fair value of the  services  rendered  or the number of shares may be
determined by agreement between the Company and the nonemployee.

     A summary of the status of the Company's  three fixed stock option plans as
of December  31, 1999,  1998,  and 1997,  and changes  during the years ended on
those dates is presented below:

<TABLE>
<CAPTION>
                                                           1999                      1998                      1997
                                                    Weighted-Average            Weighted-Average          Weighted-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              1,004     $   12.68        2,095     $   21.95        2,014    $   25.60
Granted                                          --            --            4          0.75          626         1.96
Exercised                                        --            --           --            --           --           --
Forfeited                                       (67)         6.66       (1,095)        30.39         (545)       12.46
                                          ----------------------------------------------------------------------------
Outstanding at end of year                      937     $   13.11        1,004     $   12.68        2,095    $   21.95
                                           ----------------------------------------------------------------------------
Options exercisable at year-end                 480     $   23.74          497     $   23.61          827    $   31.46

Weighted-average fair value of options
  granted during the year                               $      --                  $    0.75                 $    1.96
</TABLE>

                                       46
<PAGE>

The following table summarizes information about fixed stock options outstanding
at December 31, 1999.

<TABLE>
<CAPTION>
                                        Options Outstanding         Options Exercisable
                                      Weighted       Weighted                     Weighted
                                   Avg. Remaining      Avg.         Number          Avg.
                      Outstanding    Contractual     Exercise    Exercisable      Exercise
                      at 12/31/99       Life          Price      at 12/31/99        Price
Range of Exercise        (000)                                       (000)
<S>                        <C>          <C>           <C>             <C>          <C>
$  0.75 to 5.25            461          7.39           $1.98            4           $5.25
11.50 to 13.88             103          4.32           13.20          103           13.20
16.00 to 25.75             215          4.65           23.81          215           23.81
26.75 to 30.25             126          4.22           29.93          126           29.93
34.50 to 38.00              32          4.56           35.11           32           35.11
- ------------------------------------------------------------------------------------------
$  0.75 to 38.00           937          5.90          $13.11          480          $23.74
</TABLE>

15.  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, until September 1998,  required 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 $0, $431,000 and $760,000
to  the  plan  during  the  years  ended  December  31,  1999,  1998  and  1997,
respectively.

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

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

                                        First    Second      Third     Fourth
Year ended December 31, 1999           Quarter   Quarter    Quarter    Quarter
                                      --------- ---------  ---------  ---------
Operating revenue, net                 $50,695   $49,186   $ 80,032    $84,797

Operating income (loss)                     17    (1,789)    (8,140)    (5,319)

Loss before income taxes                (2,336)   (4,760)   (15,176)   (10,391)

Net loss                                (2,336)   (4,760)   (15,176)   (10,391)

Basic and diluted loss per share         (0.06)    (0.13)     (0.40)     (0.26)

Weighted average number of shares
outstanding                             37,832    37,943     37,989     40,237

                                        First    Second      Third     Fourth
Year ended December 31, 1998           Quarter   Quarter    Quarter    Quarter
                                      --------- ---------  ---------  ---------
Operating revenue, net                 $87,877   $78,692   $ 79,392    $48,260

Operating loss                          (2,659)   (3,468)      (347)    (5,102)

                                       47
<PAGE>

Loss before income taxes                (4,593)   (6,115)    (2,445)    (6,985)

Net loss                                (4,593)   (6,115)    (2,445)    (6,985)

Basic and diluted loss per share         (0.12)    (0.16)     (0.06)     (0.19)

Weighted average number of shares
outstanding                             37,516    37,665     37,700     37,791

                                       48
<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.               52         Chairman of the Board, President
                                               and Chief Executive Officer
Bertram E. Walls, M.D.  (1)         48         Director
Eugene F. Dauchert, Jr.             46         Director, Secretary, Executive
                                               Vice President
Edward L. Suggs, Jr.                48         Director, President and Chief
                                               Executive Officer, Healthcare
                                               Business Resources, Inc.
Charles E. Potter (1)               56         Director
Sherman M. Podolsky, M.D.           49         Director, President, PhyAmerica
                                               Physician Services of South
                                               Florida, Inc.
W. Randall Dickerson                46         Executive Vice President and
                                               Chief Financial Officer
- -------------------------

(1)  Member of the Audit  Committee and  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 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  medicine  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.

     Dr. Walls,  an independent  consultant,  has been a director since 1991. He
served as President and Chief Executive  Officer of Doctors Health Plan, Inc., a
former  subsidiary of the Company,  through September 30, 1999. The Company sold
Doctors Health Plan,  Inc. on March 18, 1998. Dr. Walls also served as President
of Coastal  Emergency  Physician  Management  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

                                       49
<PAGE>

Officer from 1991 to 1993. 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.

     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.

     Mr. Potter, a director of the Company since April 1997, is President of The
Potter Financial Group, an 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.

     Dr.  Podolsky  became a director on January 1, 1998,  and is  President  of
PhyAmerica  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.

     Mr.  Dickerson  became Chief  Financial  Officer on September  21, 1998. He
previously  served as Interim Chief Financial  Officer from March 17, 1997 until
September  1,  1997.  He  joined  the  Company  in 1993 and has  served as Chief
Financial Officer of Healthcare  Business  Resources,  Inc., a subsidiary of the
Company, as Corporate  Controller and as Corporate  Treasurer.  Prior to joining
the Company,  Mr.  Dickerson was a partner with the  accounting  firm of Ernst &
Young LLP. He is a certified public  accountant and a graduate of the University
of South Carolina.

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

                                       50
<PAGE>

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
1999,  all  Section  16(a)  filing  requirements  applicable  to  the  Company's
officers,  directors,  and greater than ten percent  shareholders  were complied
with.

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 1999
and its four other most highly  compensated  executive officers who were serving
as executive officers at December 31, 1999  (collectively,  the "Named Executive
Officers"),  for services rendered to the Company or its subsidiaries during the
years ended December 31, 1999, 1998 and 1997, as applicable:

                           SUMMARY COMPENSATION TABLE

<TABLE>
<CAPTION>
                                                                        Long-term
                                                                      Compensation
                                 Annual Compensation                     Awards
                                 -------------------     Other Annual  Securities      All Other
                                      Salary    Bonus    Compensation  Underlying    Compensation
Name and Principal Position    Year     ($)      ($)         ($)      Options/SARs(#)   ($) (1)
- -------------------------------------------------------------------------------------------------
<S>                            <C>    <C>       <C>        <C>           <C>             <C>
Steven M. Scott, M.D.          1999   433,333      ---          ---           ---        2,016
Chairman of the Board,         1998   400,000      ---          ---           ---        5,416
President and Chief            1997   400,000      ---          ---           ---        4,290
Executive Officer of the
Company

Eugene F. Dauchert, Jr.        1999   193,500   82,487          ---           ---          452
Director and Executive Vice    1998   190,000      ---          ---       100,000        3,645
President.                     1997   160,000   54,745          ---           ---        4,405

Edward L. Suggs, Jr.           1999   220,000      ---          ---           ---          592
Director, President and        1998   228,462      ---          ---           ---        4,342
Chief Executive Officer,       1997   213,654   50,769          ---       100,000        4,049
Healthcare Business
Resources, Inc. (2)

Sherman M. Podolsky, M.D.      1999   260,000   48,900          ---           ---          661
Director, President,           1998   242,430   28,800          ---           ---        4,411
PhyAmerica Physician           1997   176,667   50,000          ---           ---        3,563
Services of South Florida,
Inc. (3)

W. Randall Dickerson           1999   180,000   20,000          ---           ---          452
Executive Vice President and   1998   154,734      ---          ---           ---          273
Chief Financial Officer        1997   126,182   80,000          ---           ---           97
</TABLE>

- -----------------
(1)  Includes,  for 1999,  premiums  paid for group life  insurance  policies of
$2,016,  $452, $592, $661, and $452 for Dr. Scott, Mr. Dauchert,  Mr. Suggs, Dr.
Podolsky, and Mr. Dickerson, respectively.

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

(3) PhyAmerica Physician Services of South Florida,  Inc. is a subsidiary of the
Company.

                                       51
<PAGE>

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,
1999:

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

                                       Unexercised at Fiscal Year-End (1)
                                             Number of Securities
Name                                     Unexercisable    Exercisable
- ----                                     -------------    -----------
Eugene F. Dauchert, Jr.                        73,883       100,000
Edward L. Suggs, Jr.                          154,292       100,000
Sherman M. Podolsky, M.D.                      23,939        50,000
W. Randall Dickerson                            5,012        20,000
- -----------------------

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

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
$500,000,  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

                                       52
<PAGE>

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 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.

     In order to  facilitate  the  purchase by Dr. Scott of DHP and HPSE in 1998
(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 Dr.
Scott and any other Scott entity to own,  manage,  operate or otherwise  provide
services to HMOs. Dr. Scott and any other Scott entity are 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.

Eugene F. Dauchert, Jr.

     On  July  1,  1997,  Mr.  Dauchert  entered  into a  restated  and  amended
employment  agreement  pursuant to which Mr.  Dauchert  serves as Executive Vice
President and Chief Administrative Officer of the

                                       53
<PAGE>

Company.  The initial term of the  Agreement  was from July 1, 1997 through June
30, 1998.  Thereafter,  the Agreement  continues until and unless  terminated by
either party.  The agreement  provides for an annual  increase in base salary of
7.5% on July 1 unless other terms are agreed upon between the parties. Under the
agreement,  Mr. Dauchert received an annual base salary of $180,000 in 1998, and
was  eligible  for  certain  incentive  or  performance  bonuses  based upon the
achievement of certain cash flow goals during the second fiscal quarter of 1998,
and for certain other incentive or divestiture bonuses based upon the successful
divestiture of certain  operating  subsidiaries.  Certain of these  subsidiaries
were divested in 1998, and Mr.  Dauchert was entitled to a divestiture  bonus of
$56,387.

     Effective January 1, 1999, Mr. Dauchert entered into an amended  employment
agreement  which  provided  for the  divestiture  bonus and the increase in base
salary for the period  July 1, 1998  through  December  31,  1998 to be deferred
until  January  1,  1999 and paid  during  the first  six  months  of 1999.  The
amendment  deferred  the annual  increase  in base  salary  from July 1, 1999 to
January 1, 2000 and provides for certain  incentive  bonuses as follows:  (i) an
incentive   bonus  payable  based  upon   significant   mergers,   acquisitions,
divestitures,  recoveries or refinancings being successfully  completed,  (ii) a
bonus equal to 2.5% of base salary per quarter based upon the net  profitability
of the Company,  (iii) a discretionary bonus of up to 15% of annual base salary,
and (iv) an  aggregate  cap on all  bonuses  during any one year equal to 40% of
base salary.

     The  employment  agreement  continues  to  impose  certain  confidentiality
obligations  on Mr.  Dauchert  and  contains a covenant  not to compete with the
Company or its  affiliates for a specified time in the event of a termination of
the agreement.

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  serves as the  President  and Chief  Executive
Officer of HBR and on the Board of the  Company.  Mr.  Suggs  receives 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 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.

Sherman M. Podolsky, M.D.

     On January 1, 1998, Dr. Podolsky entered into an employment  agreement with
Coastal  Physician  Services of South  Florida,  Inc.  (now known as  PhyAmerica
Physician Services of South Florida,  Inc.,"PPS of South Florida"), a subsidiary
of the  Company.  The  initial  term of the  agreement  is from  January 1, 1998
through  December 31, 2000.  Under the  agreement,  Dr.  Podolsky  serves as the
President and Chief  Executive  Officer of PPS of South  Florida.  Dr.  Podolsky
receives  an annual  base  salary of  $300,000,  subject  to annual  review  and
adjustment as of each January 1 during the term of the agreement.  Dr.  Podolsky
will be eligible for  incentive  bonuses  based upon  certain  cash  improvement
target  quotas and other  factors  which are  established  by the  President  of
PhyAmerica  Physician  Services,  Inc. The employment  agreement imposes certain
confidentiality  obligations  upon Dr.  Podolsky  and contains a covenant not to
compete with PPS of South Florida or its affiliates or solicit its employees for
a specified period of time.

W. Randall Dickerson

     In March 1999, Mr. Dickerson entered into an employment  agreement with the
Company  pursuant  to  which  Mr.  Dickerson  will  serve as an  Executive  Vice
President and Chief Financial Officer of the

                                       54
<PAGE>

Company.  The initial term of the agreement is November 1, 1998 through  October
31, 1999. Under the agreement,  Mr. Dickerson  receives an annual base salary of
$180,000  and  will be  eligible  for an  incentive  bonus  based  upon  certain
performance  goals.  The employment  agreement  imposes certain  confidentiality
obligations  upon Mr.  Dickerson and contains a covenant not to compete with the
Company or its  affiliates or solicit its  employees  for a specified  period of
time.

ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS

     Except as indicated under "Security  Ownership of Management," there are no
shareholders  known to the Company to be the beneficial owners of more than five
percent of the Company's common stock as of December 31, 1999.

SECURITY OWNERSHIP OF MANAGEMENT

     The  following  table sets forth  certain  information  with respect to the
beneficial  ownership  of the Common  Stock as of December 31, 1999 by: (i) each
director of the Company;  (ii) the  Company's  Chief  Executive  Officer and its
three other most highly compensated  executive  officers;  and (iii) all current
directors and executive officers of the Company as a group.  Except as otherwise
indicated,  each  stockholder  named has sole voting and  investment  power with
respect to such stockholder's securities.


 Name and Address (1)                Amount and Nature               Percent of
 of Beneficial Owner              of Beneficial Ownership             Class (2)
- --------------------------------------------------------------------------------
Steven M. Scott, M.D.                     22,782,383  (3)               53.6
Bertram E. Walls, M.D.                     1,648,564  (4)                3.9
Charles E. Potter                            191,277  (5)                  *
Edward L. Suggs, Jr.                         135,391  (6)                  *
Sherman M. Podolsky, M.D.                     69,415  (7)                  *
Eugene F. Dauchert, Jr.                        8,883  (8)                  *
W. Randall Dickerson                           5,012  (9)                  *
Shares owned by all
directors and executive
officers as a group
(7 persons):                              24,696,825  (10)              58.1
- ------------------------

(1)  The address for all persons listed is c/o PhyAmerica Physician Group, Inc.,
     2828 Croasdaile Drive, Durham, NC 27705.
(2)  An asterisk (*) indicates less than one percent.
(3)  Includes share held by entities that are controlled by Dr. Scott, including
     5,434,977 shares held by Scott Medical Partners LLC,  1,703,334 shares held
     by American  Alliance  Holding  Company,  1,500,000  shares held by Doctors
     Health Plan, Inc., 815,000 shares held by Scott Medical Partners II Limited
     Partnership,  7,150,000 share held by S & B Investors,  995,223 shares held
     by SMS Revocable Trusts dated December 15, 1993, and 119,143 shares held by
     S and W Limited  Partnership.  Dr. Scott disclaims  beneficial ownership of
     shares held by Doctors Health Plan, Inc. 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  79,100  shares  held by Mrs.  Scott as to which  Dr.  Scott
     disclaims  beneficial  ownership.   Dr.  Scott  also  disclaims  beneficial
     ownership  of the shares held by American  Alliance  Holding  Company.  The
     remaining 4,449,840 shares are held by Dr. Scott directly.

                                       55
<PAGE>

(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 2,000 shares owned directly by Dr. Walls,  7,000 shares subject to
     presently  exercisable  stock  options  and  177,669  shares  reserved  for
     issuance under the Deferred Compensation Plan.
(5)  Includes  5,000 shares subject to presently  exercisable  stock options and
     186,277 shares reserved for issuance under the Deferred Compensation Plan.
(6)  Includes 114,292 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.
(7)  Includes 23,939 shares subject to presently exercisable stock options.
(8)  Includes 3,883 shares subject to presently exercisable stock options.
(9)  Includes 5,012 shares subject to presently exercisable stock options.
(10) Includes 159,126 shares subject to presently  exercisable stock options and
     363,946 shares reserved for issuance under the Deferred Compensation Plan.

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

     The Company  engaged in  transactions  with entities owned or controlled by
Dr.  Scott  including  American  Alliance  Holding  Company  and  certain of its
affiliates  ("Alliance"),  which included  Century  American  Insurance  Company
("Century  Insurance")  until  Century  Insurance  was  sold  by  Alliance  to a
purchaser unaffiliated with the Company in May 1998. Dr. Scott is the beneficial
owner of all of the outstanding shares of common stock of Alliance. Amounts paid
by the Company to these entities,  including  amounts paid to Century  Insurance
through May 1998, net of amounts  received,  were net payments of $2,275,000 for
the year ended  December 31, 1999, net receipts of $6,978,000 for the year ended
December 31, 1998 and net payments of $4,186,000 for the year ended December 31,
1997. These transactions and relationships are described below.

     On January 1, 1998,  the Company and Medical Group  Purchasing  Association
("MGPA")  entered  into a  Risk  Management  Agreement  with  Century  Insurance
pursuant to which Century Insurance agreed to provide,  and the Company and MGPA
agreed  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 was
four years and the agreement thereafter automatically renewed for additional one
year terms unless either party give notice of  non-renewal by July 1 of the year
preceding the renewal term. The Company and MGPA had the ability to "opt out" of
coverage under the policy in the event that a competitive  policy was located at
a price less than 85% of the quoted premium from Century  Insurance for coverage
on  substantially  the same terms and  conditions.  The agreement  could 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.

     Effective  December 31, 1998, the Company and the MGPA elected to "opt out"
of coverage under the policy and agreed to purchase  insurance  policies from an
unaffiliated company to provide professional liability insurance for the Company
and the physicians and other medical and clinical  providers under contract with
the Company.  In February  1999,  Century  Insurance  instituted an  arbitration
procedure   against  the  Company  (see  Legal   proceedings).   Following   the
arbitration,  an award was  entered  in favor of the  Company,  and the  parties
thereafter agreed to terminate the Risk Management Agreement.

     The  Company  and  certain of its  subsidiaries  sublease  office  space in
Durham,  North  Carolina,  consisting of  approximately  59,000 square feet in a
building owned by American Alliance Realty Company ("Alliance  Realty").  During
the year ended December 31, 1999, the Company paid approximately  $758,000 under
these lease  agreements.  The Company and Alliance  Realty 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
Alliance Realty with respect to the total rentals.  The prime lease commenced in
August 1988 and has a fifteen-year term requiring minimum lease payments of

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<PAGE>

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 1999 of $73,000.  As discussed below,
the Company  entered into a termination of the remaining  lease  obligations for
certain office space under lease through 2002.

     Effective May 31, 1997,  the Company sold certain  assets  related to seven
primary  care clinics  operated by the Company (the "May Clinic  Sale") to Scott
Medical Group LLC ("Scott  Medical").  Scott Medical is a privately held limited
liability  company which is controlled by Dr. Scott.  The purchase price for the
assets of the seven clinics was $388,657 paid pursuant to a promissory  note due
May 31,  1998,  with  interest  at 12% per  annum,  which  was paid in full.  In
addition,  Scott  Medical gave a  promissory  note in the amount of $803,088 for
certain other assets, primarily accounts receivable, related to two other clinic
locations previously sold to unrelated third parties. This note was also due May
31, 1998 with  interest at 10% per annum.  On June 2, 1998,  Scott  Medical paid
principal  and  interest of  $252,591  of the  balance due under the note.  As a
result of lower than expected  collections on the accounts  receivable sold, the
principal amount of the note was reduced by $571,252 leaving a balance of $2,208
at December 31, 1998.  Interest was recalculated based on the adjusted principal
amount.

     On December 31, 1997, the Company and certain of its subsidiaries closed on
a  transaction  (the "IPN Sale")  pursuant  to which the  Company  sold to 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 NCFE.

     As part of the IPN Sale, Scott Medical assumed all of the lease obligations
of a subsidiary of the Company to 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  which was credited  against the amount Scott
Medical  owes the Company for expenses  advanced  with respect to the May Clinic
Sale such that the net balance owed was $810,283, which was paid pursuant to the
terms of a promissory  note due December  31, 1998,  plus  interest at an annual
rate of 5.84%.

     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  was
$1,000,727, the book value of the Sunlife Receivables.  The Receivables Purchase
Note  provided  for  interest  at 5.68%  through  October  31,  1998 and  10.94%
thereafter,  payable  quarterly,  with all  principal  and  accrued  but  unpaid
interest payable in full on October 31, 1998. The Receivables  Purchase Note was
subject to  adjustment  if the actual  collections  with  respect to the Sunlife
Receivables  varied five percent from the  principal  amount of the  Receivables
Purchase  Note.  The resulting  adjustment  retroactively  reduced the principal
amount of the note by $687,857 to $312,870 upon which interest was recalculated.

     The IPN Sale transaction was negotiated between the parties 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. Pursuant to
the

                                       57
<PAGE>

terms of the Agreement, 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.  During the period from November 1, 1997 to
December 31, 1997, the Company operated the  subsidiaries and advanced  expenses
for such operations.  The advances totaled $1,302,016.  Pursuant to the terms of
the purchase  agreement,  $150,000 was paid in cash and the balance added to the
Receivables  Purchase Note.  Effective December 31, 1998, the purchase price was
further reduced by $657,558 based upon the actual collections of the outstanding
accounts  receivable of IPN, Prim Med,  Inc. and the  professional  corporations
under management by IPN as agreed upon by the parties.

     On March 18, 1998,  the Company  completed the sale of DHP to DHP Holdings,
LLC ("DHP Holdings") for a price of $5,993,532. DHP Holdings is a privately held
limited liability company  controlled by Dr. Scott. DHP Holdings acquired all of
the outstanding stock of DHP in the transaction.

     After a  thorough  review  of the  operations  of DHP  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 DHP Holdings,  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 of DHP 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 DHP on March 2, 1998.

     Immediately  prior to the closing of the sale of DHP,  the Company  made an
additional equity contribution required by regulatory  authorities in the amount
of $993,532 to DHP. 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 12% per annum until paid. The
original DHP Note provided that if it was not paid in full within the earlier of
(i) 90 days from  March 18,  1998 or (ii) 45 days  after  the  Company  gave DHP
Holdings  notice that it intended to accept a Strike  Price (as defined  below),
DHP Holdings  agreed to provide  collateral  to secure the DHP Note.  On June 7,
1998, the Board approved an amendment to the DHP Note providing for an extension
of the due date until June 8, 2001,  quarterly  interest  payments and principal
payments of  $1,000,000  on June 8, 1999,  $1,000,000  on June 8, 2000,  and the
balance on June 8, 2001. DHP Holdings  entered into a Pledge  Agreement with the
Company dated June 8, 1998,  pledging all of the issued and outstanding stock of
Alliance  as security  for the  repayment  of the  amended  DHP Note.  Effective
October 30, 1998, the principal  amount of the DHP note and accrued  interest of
$396,164 were paid and all collateral was released. Proceeds were used to reduce
debt of the Company.

     For a period of 12 months  from the  closing,  the Company had the right to
market  and  sell DHP to  potential  third  party  purchasers.  No  third  party
purchasers were identified prior to March 18, 1999.

     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 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 DHP.

     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 1, 1998
bearing interest at 10% per annum. The debenture,  including  accrued  interest,
was convertible, at the holder's option, into Common Stock and a new series of

                                       58
<PAGE>

preferred  stock.  The  conversion  price for the Common  Stock was equal to the
lower of: (i) the  average  closing  price of the  Common  Stock on the New York
Stock  Exchange for the 10 trading days ending on March 3, 1998, the date of the
issuance of the debenture,  or (ii) the average closing price for the 10 trading
days ending on June 30, 1998. The conversion  price for the preferred  stock was
ten times the conversion  price for the Common Stock.  On May 1, 1998, Dr. Scott
acquired the  debenture  from Dr.  Walls.  On June 29, 1998,  the  debenture was
amended to provide for  conversion  solely into Series D  Convertible  Preferred
Stock ("Series D Preferred"). On June 30, 1998, Dr. Scott elected to convert the
debenture into 444,974  shares of Series D Preferred.  Subsequent to approval by
the  holders  of the  Common  Stock in July 1999,  the  Series D  Preferred  was
converted into 10 shares of Common Stock for each share of Preferred  Stock,  or
4,449,740  shares of Common Stock,  in November 1999.  This  transaction was not
registered  under the  Securities  Act  pursuant  to the  exemption  provided by
Section 4(2) thereof for transactions not involving any public offering.

     On October 30, 1998, the Company completed the sale of Health  Enterprises,
Inc., whose primary operating  subsidiary HPSE, to Dr. Scott. Dr. Scott acquired
all of the outstanding  stock of HPSE in a transaction  which is effective as of
October 1, 1998 for  financial  reporting  purposes.  The purchase  price of $15
million was used to decrease debt.

     HPSE  is  an  HMO  licensed  to  operate  in  the  State  of  Florida  with
approximately  80,000  members.  For the nine months ended  September  30, 1998,
Health   Enterprises,   Inc.,  reported  unaudited   consolidated   revenues  of
approximately  $82,815,000  and net  losses of  approximately  $5,181,000.  As a
result of these  losses,  the Company was required to make  significant  capital
contributions  to HPSE in 1998 prior to its sale,  and the  Company  anticipated
that substantial  additional capital  contributions would be required during the
balance of 1998.

     The Company retained the investment banking firm of Salomon Smith Barney to
advise the Company,  to assist in completing  the sale and advise the Company on
the  financial  aspects  of the  transaction.  After a  thorough  review  of the
operations of HPSE 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 purchase price was  determined by negotiation  between
the Company and Dr. Scott.

     The Florida  Department of Insurance issued a consent granting  approval of
the Purchaser's acquisition of the outstanding voting securities of HPSE.

     As part of the transaction,  the Company agreed to a partial release of its
non-compete agreement with Dr. Scott. See "Item 11. Executive Compensation."

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<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..............................  23
          Consolidated Balance Sheets, December 31,
          1999 and 1998 ..............................................  24
          Consolidated Statements of Operations, Years Ended
          December 31, 1999, 1998 and 1997............................  25
          Consolidated Statements of Shareholders' Equity
          (Deficit) and Comprehensive Income (Loss), Years
          Ended December 31, 1999, 1998 and 1997......................  26
          Consolidated Statements of Cash Flows, Years Ended
          December 31, 1999, 1998 and 1997............................  27
          Notes to Consolidated Financial Statements..................  28

                                                                  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.

                                       60
<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: April 14, 2000

                                    PHYAMERICA 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>
Name                                      Title                                  Date
- -------------------------------------------------------------------------------------------
<S>                               <C>                                        <C>
/S/ Steven M. Scott, M.D.         Chairman of the Board of Directors,        April 14, 2000
- ----------------------------      President and Chief Executive Officer
    Steven M. Scott, M.D

/S/ W. Randall Dickerson          Executive Vice President,                  April 14, 2000
- ----------------------------      Chief Financial Officer and Chief
    W. Randall Dickerson          Accounting Officer

/S/ Bertram E. Walls, M.D.        Director                                   April 14, 2000
- ----------------------------
    Bertram E. Walls, M.D.

/S/ Eugene F. Dauchert, Jr.       Director                                   April 14, 2000
- ----------------------------
    Eugene F. Dauchert, Jr.

/S/ Edward L. Suggs, Jr.          Director                                   April 14, 2000
- ----------------------------
    Edward L. Suggs, Jr.

/S/ Sherman M. Podolsky, M.D.     Director                                   April 14, 2000
- ----------------------------
    Sherman M. Podolsky, M.D.

/S/ Charles E. Potter             Director                                   April 14, 2000
- ----------------------------
    Charles E. Potter
</TABLE>

                                       61
<PAGE>

Report of Independent Auditors

The Board of Directors and Shareholders
PhyAmerica Physician Group, Inc.

Under the date of April 14, 2000, we reported on the consolidated balance sheets
of PhyAmerica Physician Group, Inc. and subsidiaries as of December 31, 1999 and
1998,  and the related  consolidated  statements  of  operations,  shareholders'
equity (deficit) and comprehensive income (loss), and cash flows for each of the
years in the three-year period ended December 31, 1999, as contained in the 1999
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  1999.  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 LLP

Raleigh, North Carolina
April 14, 2000

                                      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, 1999      $  2,244     $294,190     $189,226   $474,850    $ 10,810
Allowance for contractual
adjustments and uncollectibles

Year ended December 31, 1998      $ 12,865     $179,310     $ 76,573   $266,504    $  2,244
Allowance for contractual
adjustments and uncollectibles


Year ended December 31, 1997      $ 97,169    $ 190,288     $ 56,079   $ 330,671   $ 12,865
Allowance for contractual
adjustments and uncollectibles
</TABLE>

                                       S-2
<PAGE>

                                  EXHIBIT INDEX

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

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

2.2       Asset  Purchase  Agreement,  dated May 24,  1999,  by and  between the
          Company and Sterling Healthcare, Inc. (2)

2.3       Amendment to Asset  Purchase  Agreement,  dated June 21, 1999,  by and
          between the Company and Sterling Healthcare, Inc. (2)

2.4       Promissory Note and Security Interest  Agreement,  dated June 4, 1999,
          by and between the Company and Sterling Healthcare, Inc. (2)

2.5       Sales and Subservicing Agreement,  dated June 30, 1999, by and between
          the Company and Sterling Healthcare, Inc. (2)

3.1       Amended and  Restated  Certificate  of  Incorporation  (the  "Restated
          Certificate")

3.2       Amendment, dated August 14, 1998 to the Restated Certificate

3.3       Amendment, dated August 2, 1999 to the Restated Certificate

3.5       Amendment to the By-laws (3)

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 (4)

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 (5)

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 (5)

4.2       Certificate  Of  Designations,  Preferences  and  Rights  of  Series D
          Convertible  Preferred Stock Of Coastal  Physician  Group,  Inc. Dated
          August 13,1998 (6)

10.1      Employment Agreement By and Between Coastal Physician Group, Inc., and
          Steven M. Scott, M.D. Dated April 1, 1991 (7)

10.2      Partial  Release Of  Non-Compete  Provisions Of  Employment  Agreement
          Between Steven M. Scott,  M.D. And Coastal Physician Group, Inc. Dated
          December 31, 1997 (8)

10.3      Partial  Release Of  Non-Compete  Provisions Of  Employment  Agreement
          Between Steven M. Scott,  M.D. And Coastal Physician Group, Inc. Dated
          March 18, 1998 (8)

10.4      Second  Amendment to  Employment  Agreement by and between  Phyamerica
          Physician Group, Inc., f/k/A Coastal Healthcare Group, Inc. and Steven
          M. Scott, M.D.

<PAGE>

10.5      Restated  and  Amended  Employment  By and Between  Coastal  Physician
          Group, Inc., and Eugene F. Dauchert, Jr. Dated January 15, 1997 (3)

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

10.7      First Amendment to Employment  Between Coastal  Physician Group,  Inc.
          and Eugene F. Dauchert, Jr. Dated January 1, 1999 (10)

10.8      Employment  Agreement By and Between  Healthcare  Business  Resources,
          Inc., and Edward L. Suggs, Jr. Dated March 1, 1997 (3)

10.9      Employment  Agreement  Between  Coastal  Physician  Services  Of South
          Florida, Inc. and Sherman Podolsky, M.D. (1)

10.10     First  Amendment  to  Employment  Between  Coastal  Services  Of South
          Florida, Inc. and Sherman Podolsky, M.D. Dated January 1, 1999

10.11     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 (9)

10.12     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 (9)

10.13     First Amended and Restated Sale and Subservicing Agreement dated as of
          April 1, 1998 by and among Coastal Correctional Healthcare,  Inc., NPF
          VI, Inc., and National Premier Financial Services,  Inc., as Servicer.
          (10)

10.14     First Amended and Restated Sale and Subservicing Agreement dated as of
          April 1, 1998 by and among Coastal Government Services,  Inc., NPF VI,
          Inc., and National Premier Financial Services, Inc., as Servicer. (10)

10.15     Loan and Security Agreement by and among Coastal Physician Group, Inc.
          and NPF X, Inc. Dated June 6, 1997 (9)

10.16     Pledge Agreement, Dated June 6, 1997 (9)

10.17     Employment  Agreement By and Between Coastal Physician Group, Inc. And
          W. Randall Dickerson dated November 1, 1998. (10)

21        Subsidiaries of the Registrant

27        Financial Data Schedule

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

(1)  Incorporated  by  reference to the December 31, 1997 Form 10-K filed by the
     Company on June 5, 1998. (File No. 001-13460)

(2)  Incorporated  by reference  to the  Company's  Current  Report on Form 8-K,
     filed July 23, 1999.

(3)  Incorporated  by reference to the Company's  Annual Report on Form 10-K for
     the year ended December 31, 1996.

<PAGE>

(4)  Incorporated  by reference  to the Form 8-A/A for the event dated  December
     27, 1996, filed by the Company on December 30, 1996.

(5)  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)

(6)  Incorporated  by  reference  to the June 30,  1998 Form  10-Q  filed by the
     Company on August 13, 1998.

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

(8)  Incorporated  by reference to the Company's  Annual Report on Form 10-K for
     the year ended December 31, 1997.

(9)  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)

(10) Incorporated  by reference to the Company's  Annual Report on Form 10-K for
     the year ended December 31, 1998.



EXHIBIT 3.1

                              AMENDED AND RESTATED
                         CERTIFICATE OF INCORPORATION OF
                         COASTAL HEALTHCARE GROUP, INC.

          Coastal  Healthcare  Group,  Inc.,  a  Delaware  corporation,   hereby
certifies as follows:

          The  name  of  the  corporation  is  Coastal  Healthcare  Group,  Inc.
(hereinafter, the "Corporation").

          The date of filing of its original  certificate of incorporation  with
the Secretary of State was April 13, 1992.

          This  restated  certificate  of  incorporation  amends,  restates  and
integrates the provisions of the certificate of incorporation of the Corporation
and has been duly adopted in accordance  with the provisions of Sections 242 and
245 of the General  Corporation  Law of the State of Delaware by the vote of the
majority of the  outstanding  stock entitled to vote thereon in accordance  with
the provisions of Section 216 of the Delaware General  Corporation Law, and upon
filing with the Secretary of State in accordance with Section 103 of the General
Corporation  Law of the  State of  Delaware,  shall  thenceforth  supersede  the
original certificate of incorporation and shall, as it may thereafter be amended
in  accordance  with its  terms,  be the  certificate  of  incorporation  of the
Corporation.

          The text of the  certificate  of  incorporation  is hereby amended and
restated to read herein as set forth in full:

     1. The name of the Corporation is:

        COASTAL PHYSICIAN GROUP, INC.

     2. The  address  of its  registered  office  in the  State of  Delaware  is
Corporation Trust Center, 1209 Orange Street, in the City of Wilmington,  County
of New  Castle.  The  name  of its  registered  agent  at  such  address  is The
Corporation Trust Company.

     3. The purposes for which the Corporation is organized are:

          (a) to purchase, own, and hold the stock of other corporations, and to
do  every  act  and  thing  covered  generally  by  the  denomination   "holding
corporation,"  and  especially to direct the  operations  of other  corporations
through the ownership of stock therein;  to purchase,  subscribe  for,  acquire,
own, hold, sell, exchange,  assign, pledge or otherwise dispose of shares of the
capital stock,  or any bonds,  notes,  securities,  or evidences of indebtedness
created by any other  corporation;  to issue in exchange  therefor shares of the
capital stock,  bonds,  notes or other  obligations of the Corporation and while
the owner  thereof,  to  exercise  all the  rights,  powers  and  privileges  of
ownership,  and to do any acts  and  things  permitted  by law and  designed  to
protect,

<PAGE>

preserve,  improve  or  enhance  the  value of any such  bonds,  stocks or other
securities or evidences of indebtedness or property of the Corporation; and

          (b) to engage in any  business  whatsoever,  either as principal or as
agent or both, or as a syndicate,  which the  Corporation may been convenient or
proper in furtherance of any of the purposes hereinabove mentioned or otherwise;
to conduct its business in North Carolina,  in other states,  in the District of
Columbia,  in the  territories  and  possessions  of the United  States,  and in
foreign countries; and to have and to exercise all powers authorized by the laws
of the  State of  Delaware  under  which  the  Corporation  is  formed,  whether
expressly  set forth in this  third  paragraph  or not,  as such laws are now in
effect or may at any time hereafter be amended; and

          (c) to acquire by lease, purchase, contract, concession, or otherwise,
and to own, develop,  explore, exploit, improve, operate, lease, enjoy, control,
manage, or otherwise turn to account,  mortgage, grant, sell, exchange,  convey,
or otherwise dispose of either within or without the State of North Carolina and
in any country,  domestic or foreign, any and all real estate,  lands,  options,
concessions,  grants, land patents, franchises,  rights, privileges,  easements,
tenements,   estates,   hereditaments,   interests,   and  properties  of  every
description and nature whatsoever which the Corporation may deem wise and proper
in connection with the conduct of any business or businesses herein  enumerated;
and

          (d) to engage in any other lawful activity, including, but not limited
to, constructing,  manufacturing,  raising or otherwise producing and repairing,
servicing,  storing or  otherwise  caring for any type of structure or commodity
whatsoever;  processing, selling, brokering, factoring,  distributing,  lending,
borrowing  or  investing  in any type of  propoerty  whether  real or  personal,
tangible  or   intangible;   extracting  and   processing   natural   resources;
transporting  freight  or  passengers  by  land,  sea,  or air;  collecting  and
disseminating  information  or  advertisement  through  any  medium  whatsoever;
performing  personal services of any nature; and entering into or serving in any
type of management, investigative, advisory, promotional, protective, insurance,
guarantyship,  suretyship,  fiduciary or representative capacity or relationship
for any persons or corporations whatsoever; and

          (e) the purposes  specified herein shall be construed both as purposes
and powers and shall be in no wise limited or  restricted  by  reference  to, or
inference from, the terms of any other clause in this or any other article,  but
the  purposes  and  powers  specified  in each of the  clauses  herein  shall be
regarded as  independent  purposes and powers,  and the  enumeration of specific
purposes  and powers  shall not be  construed to limit or restrict in any manner
the meaning of general terms or of the general  powers of the  Corporation;  nor
shall the expression of one thing be deemed to exclude  another,  although it be
of like nature not expressed.

     4.   (a) The Corporation  shall have authority to issue One Hundred Million
(100,000,000)  shares of common  stock with a par value of One Cent  ($0.01) per
share.

          (b) The Corporation shall also have the authority to issue Ten Million
(10,000,000)  shares of preferred stock with a par value of One Cent ($0.01) per
share in one or more series with such  preferences,  limitations,  and  relative
rights as may be determined by the

<PAGE>

Board of  Directors  prior to the  issuance  of such stock.  Attached  hereto as
Exhibit A is a copy of the Certificate of  Designations,  Preferences and Rights
of the Junior Participating Cumulative Preferred Stock of the Corporation.

     5. The name and mailing address of the incorporator is as follows:

        NAME                    MAILING ADDRESS
        ----                    ---------------

        David G. Odrich         o/c LeBoeuf, Lamb, Leiby & MacRae
                                520 Madison Avenue
                                New York, New York  10022

     6. The Corporation  shall have nine (9) Directors who shall serve staggered
three-year terms.

     7. Any Director or the entire Board of Directors may be removed,  for cause
only, by the holders of a majority of shares  entitled to vote at an election of
Directors.

     8. A  Director  of the  Corporation  shall  not be  personally  liable  for
monetary damages for breach of his duty as a Director,  except for liability (i)
for any  breach of the  Director's  duty of loyalty  to the  Corporation  or its
stockholders,  (ii) for acts or  omissions  not in good  faith or which  involve
intentional misconduct or a knowing violation of law, (iii) under Section 174 of
the Delaware General Corporation Law, or (iv) for any transaction from which the
Director derived an improper personal benefit.

     9. In furtherance and not in limitation of the powers conferred by statute,
the Board of Directors of the Corporation  shall have the power to adopt,  amend
or repeal the By-Laws of the Corporation.

     10. Section 203 of the Delaware General Corporation Law shall be applicable
to the Corporation.

     11. The Corporation  reserves the right to amend,  alter,  change or repeal
any provision contained in this Certificate of Incorporation,  in the manner now
or hereafter  prescribed by statute,  and all rights conferred upon stockholders
herein  are  granted  subject  to  this  reservation;  provided,  however,  that
notwithstanding any provisions of law which might otherwise permit a lesser vote
or no vote,  the  stockholders  may only  alter,  amend,  change or  repeal  the
provisions  of  Sections 6, 7, 9, 10 and 11 hereof by the vote of the holders of
at least 75% of the shares entitled to vote thereon.

<PAGE>

     IN  WITNESS  WHEREOF,  Coastal  Healthcare  Group,  Inc.  has  caused  this
certificate  to be signed by Steven M.  Scott,  M.D.,  its  President  and Chief
Executive   Officer,   and  attested  by  Joseph  G.   Piemont,   its  Executive
Vice-President, Assistant Secretary and General Counsel, on the 18th day of May,
1995.

                                         COASTAL HEALTHCARE GROUP, INC.

                                         By  __________________________________
                                                   Steven M. Scott, M.D.

Attest:

By  ________________________
           Joseph G. Piemont



                            CERTIFICATE OF AMENDMENT
                                       OF
                              AMENDED AND RESTATED
                          CERTIFICATE OF INCORPORATION
                                       OF
                          COASTAL PHYSICIAN GROUP, INC.

     The undersigned  Corporation hereby executes and certifies this Certificate
of Amendment  for purposes of amending its Amended and Restated  Certificate  of
Incorporation under the General Corporation Law of the State of Delaware:

     1. The name of the Corporation is Coastal Physician Group, Inc.

     2. The Amended and Restated  Certificate of Incorporation is hereby amended
by adding a new paragraph 12 which shall read in its entirety as follows:

          12(a) Certain Definitions. As used in this Paragraph 12, the following
     terms shall have the following respective meanings:

               (1) "Acquiring Person" means

                    (A) any Person who Acquires Stock of the Corporation  (other
               than by reason  of  death,  gift,  divorce,  separation  or other
               circumstance described in section 382(1)(3)(B) of the Code) if:

                         (I) (i) such  Person (or any Person  having a direct or
                    indirect  ownership  interest  in  such  Person)  was  a  5%
                    Stockholder  at  any  time  during  the  applicable  Testing
                    Period,  (ii) such Person (or any Person  having a direct or
                    indirect  ownership  interest in such  Person)  becomes a 5%
                    Stockholder as a result of such  Acquisition,  (iii) any new
                    "public   group"  (as  such  term  is  defined  in  Treasury
                    regulation ss. 1.382-2T(f)(13)) is created under section 382
                    of the Code and the  Treasury  regulations  thereunder  as a
                    result of such Acquisition, or (iv) the Person from whom the
                    Stock was Acquired in such Acquisition (or any Person having
                    a direct or indirect  ownership interest in such Person) was
                    a 5% Stockholder  at any time during the applicable  Testing
                    Period; and

                         (II)  immediately  after the date of such  Acquisition,
                    the aggregate Percentage Interest of all 5% Stockholders has
                    increased by at least 45

<PAGE>

                    percentage  points  over  the  aggregate  lowest  Percentage
                    Interest  owned by such 5%  Stockholders  at any time during
                    the applicable Testing Period; or

                    (B) any  Person who  Acquires  Stock of the  Corporation  in
               circumstances in which the Corporation reasonably determines that
               such   Acquisition   could   limit  or   adversely   affect   the
               Corporation's  past,  present or future ability to use or benefit
               from any Section 382 Attributes.

               (2)  "Acquisition"  means any  transaction  or event  which,  for
          purposes  of  section  382 of the  Code and the  Treasury  regulations
          thereunder,  results in an increase in the Percentage  Interest of any
          Person.  "Acquirer" means the Person whose  Percentage  Interest is so
          increased.  "Acquire,"  "Acquires,"  "Acquired" and "Acquiring"  shall
          have similar meanings.

               (3) "Act" means the Securities Exchange Act of 1934, as amended.

               (4) "Affiliate" and "Associate"  shall have the meaning  ascribed
          to them in the Rule 12b-2 of the General Rules and  Regulations  under
          the Act.

               (5) "Code" means the Internal Revenue Code of 1986, as amended.

               (6) "5% Stockholder"  shall have the meaning ascribed to the term
          "5-percent  shareholder"  in section 382 of the Code and the  Treasury
          regulations  thereunder  and  shall  include,  for  example:  (i)  any
          individual  whose  Percentage  Interest in the Corporation at any time
          during the applicable Testing Period equals or exceeds 5 percent; (ii)
          any "public group"  (including any  "segregated"  public group) of the
          Corporation;  and (iii) any "public group" (including any "segregated"
          public group) of any "first tier entity" or "higher tier entity" whose
          Percentage  Interest  in  the  Corporation  at  any  time  during  the
          applicable  Testing Period equals or exceeds 5 percent.  (For purposes
          of the preceding sentence, the terms in quotation marks shall have the
          meanings  ascribed  to such terms in  section  382 of the Code and the
          Treasury regulations thereunder.)

               (7) "Percentage Interest" means, with respect to a Person:

                    (A) the fair market value of the Stock beneficially owned by
               such Person  (including  Stock  indirectly owned by virtue of any
               direct or indirect ownership interest in an

<PAGE>

               entity  which  directly  owns  Stock  of  the   Corporation)   as
               determined  under  section  382  of the  Code  and  the  Treasury
               regulations  thereunder,   including  the  attribution  rules  of
               section  382(1)(3)  of the  Code  and  the  Treasury  regulations
               thereunder  and the  option  rules  of  Treasury  regulation  ss.
               1.382-4(d)(2);

               calculated as a percentage of

                    (B)  the  sum  of (i)  the  fair  market  value  of all  the
               outstanding  Stock of the Corporation,  plus (ii) the fair market
               value of any outstanding Pure Preferred Stock of the Corporation.

               (8)   "Person"   means   any   individual,   firm,   corporation,
          partnership, joint venture or other entity and shall include any group
          comprised of such Person and any other  Person who is a parent,  child
          or sibling of such Person or with whom such Person or any Affiliate or
          Associate   of  such  Person  has  any   agreement,   arrangement   or
          understanding,  directly or indirectly,  for the purpose of Acquiring,
          holding,  voting or disposing of Stock,  and any other Person who is a
          member of such  group,  but does not  include  any  underwriter  which
          participates in an underwritten  public offering of the  Corporation's
          Stock,  provided that such underwriter shall not own such Stock on the
          last day of any fiscal year.

               (9) "Pure Preferred  Stock" means stock issued by the Corporation
          that is described in section  1504(a)(4)  of the Code,  as modified by
          Treasury regulation ss. l.382-2(a)(3)(i).

               (10)  "Section  382  Attribute"  means  any "net  operating  loss
          carryforward,"   "capital  loss  carryover,"   "excess  foreign  taxes
          carryover,"  "general business credit carryover,"  "minimum tax credit
          carryover"  or "net  unrealized  built-in  loss"  (as such  terms  are
          defined in the Code).

               (11) "Stock" means any interest in the Corporation  that would be
          treated  as stock  for  purposes  of  section  382 of the Code and the
          Treasury regulations thereunder,  including for example, shares of the
          Corporation's common stock, par value $.01 per share ("Common Stock"),
          shares of any other class issued by the  Corporation  and any options,
          warrants,  convertible  debt or securities or other rights (whether or
          not  subject to any  contingencies  or  limitations)  to Acquire  such
          shares;  provided,  that Stock  shall not  include  any shares of Pure
          Preferred Stock.

<PAGE>

               (12) "Testing Period" means, with respect to any Acquisition, the
          period of time beginning on July 11, 1996 (or on the day following any
          subsequent  "ownership  change"  under Section 382 of the Code and the
          regulations   thereunder,   as  determined  by  the  Corporation)  and
          concluding  on the  date of  such  Acquisition;  provided  that if the
          preceding clause would result in a Testing Period having a duration in
          excess of three years,  then the Testing Period shall be the period of
          three years concluding on the date of such Acquisition.

               (13)  "Transfer  Agent" means the transfer  agent with respect to
          the  Corporation's  common  stock,  par value $.01 per share  ("Common
          Stock"),  appointed by the  Corporation  and, in the case of any other
          securities of the Corporation,  "Transfer Agent" means the Corporation
          or such other transfer agent with respect to such securities as may be
          appointed by the Corporation.

          (b)  Acquisition  Restrictions.  For so  long as the  Corporation  has
     Section 382 Attributes (the "Restriction Period"), any Acquisition of Stock
     or  attempted  Acquisition  of Stock,  or any  agreement  to Acquire  Stock
     entered into prior to the expiration of the  Restriction  Period,  shall be
     prohibited  and void ab initio to the extent that,  as a result of any such
     transaction, any Person would become an Acquiring Person.

          (c) Certain  Exceptions.  The  restrictions  set forth in subparagraph
     12(b) hereof shall not apply if:

               (1) the  Acquisition  of Stock occurs  pursuant to a  transaction
          approved  in advance by a majority  of the Board of  Directors  of the
          Corporation (the "Board"),  including, but not limited to, a merger or
          consolidation transaction,  in which all holders of outstanding shares
          of Stock receive,  or are offered the opportunity to receive,  cash or
          other  consideration  for such shares,  and upon the  consummation  of
          which the  Acquirer of such shares will own at least a majority of the
          outstanding shares of Stock;

               (2) The Board determines,  in its absolute  discretion,  that the
          Person who Acquires Stock is not an Acquiring Person; or

               (3) The Board determines, in its absolute discretion,  that it is
          not in the best interests of the Corporation  and its  stockholders at
          such time to protect the Corporation's  ability to use or benefit from
          any Section 382 Attributes.

          (d) Treatment of Excess Shares.

<PAGE>

               (1) Any  transfer  or  purported  transfer  of Stock  that is the
          subject of an Acquisition of Stock, an attempted  Acquisition of Stock
          or agreement to Acquire  Stock that is  prohibited  and void under the
          provisions  of  subparagraph  12(b) hereof (a  "Prohibited  Transfer")
          shall not be recorded by any employee or agent of the Corporation, and
          the purported transferee of such a Prohibited Transfer (the "Purported
          Transferee")  shall not  acquire  any rights as a  stockholder  of the
          Corporation  for any  purpose  whatsoever  in respect of the shares of
          Stock  which  would  cause  the  Purported  Transferee  to  become  an
          Acquiring  Person (the "Excess  Shares").  Until the Excess Shares are
          transferred  to  another  Person  in  a  transaction  that  is  not  a
          Prohibited  Transfer,  (A)  the  Purported  Transferee  shall  not  be
          entitled  with  respect  to such  Excess  Shares  to any  rights  as a
          stockholder of the Corporation,  including,  without  limitation,  the
          right  to  vote  such  Excess  Shares  and  to  receive  dividends  or
          distributions,  whether liquidating or otherwise,  in respect thereof,
          if any, and (B) the Board may, in its absolute  discretion,  institute
          proceedings to enjoin or rescind any attempted transfer or transfer of
          Excess Shares to the Purported Transferee. Once the Excess Shares have
          been transferred in a transaction  that is not a Prohibited  Transfer,
          the Stock that is the  subject of such  transaction  shall cease to be
          Excess Shares.

               (2) If  the  Board  determines  that a  Prohibited  Transfer  has
          occurred, then, upon written demand by the Corporation,  the Purported
          Transferee  shall transfer or cause to be transferred  any certificate
          or other  evidence  of  ownership  of the  Excess  Shares  within  the
          Purported  Transferee's  possession  or  control,  together  with  any
          dividends or other  distributions  that were received by the Purported
          Transferee  from the  Corporation  with  respect to the Excess  Shares
          ("Prohibited Distributions"), to an agent designated by the Board (the
          "Agent").  The Agent shall proceed to sell to a buyer or buyers, which
          may include the  Corporation,  the Excess Shares  transferred to it in
          one or  more  arm's-length  transactions  (over  the  New  York  Stock
          Exchange, if possible); provided, however, that the Agent shall effect
          such sale or sales in an orderly  fashion and shall not be required to
          effect any such sale within any specific time frame if, in the Agent's
          discretion, such sale or sales would disrupt the market for the Common
          Stock  or other  securities  of the  Corporation  or  otherwise  would
          adversely  affect  the  value  of  the  Common  Stock  or  such  other
          securities.  If the Purported  Transferee has resold the Excess Shares
          before  receiving  the  Corporation's  demand to surrender  the Excess
          Shares to the Agent, the Purported  Transferee shall be deemed to have
          sold the  Excess  Shares  for the  Agent,  and  shall be  required  to
          transfer to the Agent

<PAGE>

          the proceeds of such resale and any Prohibited  Distributions,  except
          to  the  extent  that  the  Agent  grants  written  permission  to the
          Purported  Transferee  to  retain  a  portion  of  such  proceeds  not
          exceeding the amount that the Purported Transferee would have received
          from the Agent pursuant to subparagraph (d)(3) of this paragraph 12 if
          the Agent rather than the Purported  Transferee  had resold the Excess
          Shares.

               (3) The Agent shall apply any  proceeds of a sale by it of Excess
          Shares and, if the  Purported  Transferee  has  previously  resold the
          Excess  Shares,  any  amounts  received  by the Agent from a Purported
          Transferee,  as follows:  (A) first, such amounts shall be paid to the
          Agent to the extent necessary to cover its costs and expenses incurred
          in connection  with its duties  hereunder;  (B) second,  any remaining
          amounts  shall be paid to the Purported  Transferee,  up to the amount
          paid by the Purported  Transferee for the Excess Shares,  which amount
          shall be determined in the discretion of the Board; and (C) third, any
          remaining  amounts  shall  be  paid  to  one  or  more   organizations
          qualifying  under  Section  501(c)(3) of the Code (and any  comparable
          successor provision) ("Section  501(c)(3)") selected by the Board, and
          if the Excess  Shares  (including  any Excess  Shares  arising  from a
          previous  Prohibited Transfer not sold by the Agent in a prior sale or
          sales),  represent a 5% or greater Percentage Interest in any class of
          Stock, then any such remaining  amounts to the extent  attributable to
          the disposition of the portion of such Excess Shares  exceeding a 4.99
          Percentage  Interest  in such class shall be paid to one or more other
          organizations  qualifying  under  Section  501(c)(3)  selected  by the
          Board.  The  recourse of any  Purported  Transferee  in respect of any
          Prohibited  Transfer  shall be limited  to the  amount  payable to the
          Purported Transferee pursuant to clause (B) of the preceding sentence.
          In no event shall the proceeds of any sale of Excess  Shares  pursuant
          to this subparagraph 12(d)(3) inure to the benefit of the Corporation.

               (4) If the  Purported  Transferee  fails to surrender  the Excess
          Shares or the proceeds of a sale  thereof to the Agent  within  thirty
          business  days from the date on which the  Corporation  makes a demand
          pursuant to  subparagraph  (d)(2),  then the Corporation may institute
          legal proceedings to compel the surrender.

               (5)  The   Corporation   shall  make  the  demand   described  in
          subparagraph (d)(2) hereof within thirty days of the date on which the
          Board  determines that a Prohibited  Transfer has occurred;  provided,
          however, that if the Corporation makes such demand at a

<PAGE>

          later  date,   the   provisions  of  this  paragraph  12  shall  apply
          nonetheless.

          (e) Reliance on Certain Information. In determining whether any Person
     has become or would become an Acquiring  Person under this paragraph 12, to
     the  extent  permitted  by  section  382  of  the  Code  and  the  Treasury
     regulations thereunder:

               (1) the  Corporation  shall be entitled to rely on the  existence
          and absence, as of the date of the relevant Acquisition, of filings of
          Schedules  13D and 13G (or any  similar  schedules)  under  the Act to
          identify any 5% Stockholder of the Corporation; and

               (2) in the  case of any  "first  tier  entity"  or  "higher  tier
          entity"  (as  such  term  is  defined  in  Treasury   regulation   ss.
          1.382-2T(f)(14))  whose Percentage  Interest in the Corporation equals
          or exceeds 5 percent,  the Corporation may rely on a statement  signed
          under  oath or an  affirmation  by an  authorized  officer  or similar
          responsible  person on behalf of such entity, to establish the extent,
          if any, to which the Percentage Interests of such entity's owners have
          changed as of the date of the relevant Acquisition;  provided that the
          Corporation  may not rely on a  statement  of such  entity  if (i) the
          Corporation  knows that the  statement is false,  or (ii) the entity's
          Percentage Interest in the Corporation equals or exceeds 50 percent.

          (f) Legend.  All  certificates  representing  Stock  issued  after the
     effectiveness of paragraph 12 shall bear a conspicuous legend as follows:

               "THE TRANSFER OF THE SECURITIES  REPRESENTED HEREBY IS SUBJECT TO
          RESTRICTIONS  PURSUANT TO  PARAGRAPH  12 OF THE  AMENDED AND  RESTATED
          CERTIFICATE  OF  INCORPORATION  OF  COASTAL   PHYSICIAN  GROUP,   INC.
          REPRINTED IN ITS ENTIRETY ON THE BACK OF THIS CERTIFICATE.

          (g)  Procedures.  The Board may, to the extent  permitted by law, from
     time to time establish,  modify,  amend or rescind, by by-law or otherwise,
     procedures not inconsistent  with the express  provisions of this paragraph
     12, the Code,  the Treasury  Regulations  thereunder,  and Delaware law for
     determining   whether  any  Acquisition  of  Stock  would   jeopardize  the
     Corporation's  ability to preserve and use its Section 382 Attributes,  and
     for the  orderly  application,  administration  and  implementation  of the
     provisions of this  paragraph 12. Such  procedures as may be adopted by the
     Board shall be kept on file with the Secretary of the

<PAGE>

     Corporation  and shall be made  available for inspection by the public and,
     upon request, shall be mailed to any holder of Stock of the Corporation.

          (h)  General  Authorization.  The purpose of this  paragraph  12 is to
     facilitate  the  Corporation's  ability to preserve and use its Section 382
     Attributes and to that end the Board is authorized to take such action,  to
     the extent permitted by law and not inconsistent with this paragraph 12, as
     it may deem  necessary  or  advisable  to protect the  Corporation  and the
     interests of its  stockholders in preserving the  Corporation's  ability to
     preserve and use its Section 382 Attributes.

          (i) Full  Protection  of Board.  In  administering  the  provisions of
     paragraph  12  hereof  and  determining  whether  a Person  is or may be an
     Acquiring Person, the Board and any committee designated by the Board shall
     be fully protected in relying in good faith upon the information, opinions,
     reports or  statements  provided to the Board or any such  committee by the
     Corporation's  executive  officers or the  Corporation's  legal  counsel or
     independent accountants.

          (j) Notice to  Corporation.  Any Person who Acquires Stock or attempts
     to Acquire Stock in a transaction  that  constitutes a Prohibited  Transfer
     shall immediately give, or cause to be given, written notice thereof to the
     Corporation  of such event and shall  provide  the  Corporation  such other
     information as the  Corporation may request to determine the status of such
     Person as an Acquiring Person or a Purported Transferee of Excess Shares.

          (k) No Claim Against  Transferor.  The Purported  Transferee of Excess
     Shares  shall  have no  claim,  cause  of  action,  or any  other  recourse
     whatsoever  against  the  purported  transferor  of  Excess  Shares  to the
     Purported Transferee. The Purported Transferee's sole right with respect to
     such  shares  shall be  limited  to the  amount  payable  to the  Purported
     Transferee pursuant to subparagraph 12(d)(3) hereof.

          (l) Partial  Invalidity.  If any provision of this paragraph 12 or any
     application  of any such  provision  is  determined  to be  invalid  by any
     federal or state court having jurisdiction over the issues, the validity of
     the remaining  provisions  shall not be affected and other  applications of
     such  provision  shall be affected  only to the extent  necessary to comply
     with the determination of such court.

     3. The  foregoing  amendment  to the Amended and  Restated  Certificate  of
Incorporation   herein  certified  was  duly  adopted  in  accordance  with  the
applicable  provisions of Section 242 of the General Corporation Law of State of
Delaware.

     Signed on the _____ day of August 1998.

<PAGE>

                                         COASTAL PHYSICIAN GROUP, INC.

                                         By:______________________________
                                            Steven M. Scott, M.D.
                                            Chairman and Chief Executive Officer



EXHIBIT 3.3

                            CERTIFICATE OF AMENDMENT
                                       OF
                      RESTATED CERTIFICATE OF INCORPORATION
                                       OF
                          COASTAL PHYSICIAN GROUP, INC.

     Coastal Physician Group,  Inc., a corporation  organized and existing under
and by virtue of the  General  Corporation  Law of the State of  Delaware,  does
hereby certify:

FIRST:  That at a duly  held  meeting  of the  Board  of  Directors  of  Coastal
Physician  Group,  Inc.,  resolutions  were duly adopted  setting forth proposed
amendments to the Restated  Certificate of  Incorporation  of said  corporation,
declaring  said  amendments  to be  advisable  and  calling  a  meeting  of  the
stockholders of said  corporation  for  consideration  thereof.  The resolutions
setting forth the proposed amendments are as follows:

RESOLVED,  that the Restated Certificate of Incorporation of this corporation be
amended by changing Section 1 thereof so that, as amended, said section shall be
and read as follows:

     "1. The name of the corporation (the "Corporation") is PhyAmerica Physician
Group, Inc."

RESOLVED,  that the Restated  Certificate of Incorporation of the corporation be
amended by changing  Section 4(a) thereof so that, as amended said section shall
be and read as follows:

          "4(a) The  Corporation  shall have the  authority to issue Two Hundred
     Million  (200,000,000)  shares of common stock with a par value of One Cent
     ($0.01)  per share.  One  Hundred  Million  (100,000,000)  shares  shall be
     designated as 'Common  Stock.' Holders of Common Stock shall be entitled to
     cast one (1) vote in person or by proxy for each share of Common Stock upon
     all  matters  upon  which  shareholders  are  entitled  to vote or to which
     shareholders   are   entitled  to  give   consent.   One  Hundred   Million
     (100,000,000)  shares shall be designated  as  'Non-Voting  Common  Stock.'
     Except as may  otherwise  be  required by law,  the  holders of  Non-Voting
     Common  Stock  shall have no voting  rights and shall not vote.  Holders of
     Common Stock and Non-Voting Common Stock shall be entitled to share ratably
     in all such dividends or  distributions,  payable in cash or otherwise,  as
     may be declared  thereon by the Board of Directors from time to time out of
     assets or funds of the Corporation legally available therefor."

SECOND: That thereafter,  pursuant to resolution of its Board of Directors,  the
annual meeting of the  stockholders of said corporation was duly called and held
on July 29,  1999,  upon notice in  accordance  with  Section 222 of the General
Corporation  Law of the State of Delaware at which meeting the necessary  number
of shares as required by statute were voted in favor of the amendments.

<PAGE>

THIRD:  That said amendments were duly adopted in accordance with the provisions
of Section 242 of the General Corporation Law of the State of Delaware.

IN  WITNESS  WHEREOF,  said  COASTAL  PHYSICIAN  GROUP,  INC.  has  caused  this
certificate to be signed by W. Randall Dickerson,  its Executive Vice President,
this 2nd day of August, 1999 .

COASTAL PHYSICIAN GROUP, INC.

By:______________________________
     W. Randall Dickerson
     Executive Vice President

                                       2



EXHIBIT 3.4

                                     BY-LAWS

                          COASTAL PHYSICIAN GROUP, INC.
                  (AMENDED AND RESTATED AS OF DECEMBER 3, 1996)

                                    ARTICLE I
                                     OFFICES

     Section 1.1 The  principal  office of the  Corporation  shall be located in
North Carolina.

     Section  1.2  Except  as  otherwise  required  by the laws of the  State of
Delaware, the Corporation may also have offices at such other places both within
and without the State of  Delaware  as the Board of  Directors  may from time to
time determine or the business of the Corporation may require.

                                   ARTICLE II
                            MEETINGS OF STOCKHOLDERS

     Section 2.1 All meetings of the stockholders shall be held at the principal
office of the  Corporation or at such other place,  either within or without the
State of  Delaware,  as shall be  designated  from  time to time by the Board of
Directors and stated in the notice of the meeting.

     Section  2.2 The annual  meetings of  stockholders  shall be held not later
than 180 days after the end of each  fiscal  year for the  purpose  of  electing
Directors and transacting any and all business that may properly come before the
meeting.  If the annual meeting of  stockholders is not held on a day designated
above, any business,  including the election of Directors,  which might properly
have  been  acted  upon at that  meeting  may be  acted  upon at any  subsequent
stockholders'  meeting held pursuant to these bylaws or held pursuant to a court
order requiring a substitute annual meeting.

     Section 2.3 Written  notice of the annual meeting  stating the place,  date
and hour of the meeting shall be given to each  stockholder  entitled to vote at
such  meeting  not less than ten nor more than sixty days before the date of the
meeting.

     Section  2.4  The  officer  who  has  charge  of the  share  ledger  of the
Corporation  shall prepare and make, at least ten (10) days before every meeting
of  stockholders,  a complete list of the  stockholders  entitled to vote at the
meeting,  arranged  in  alphabetical  order  and  showing  the  address  of each
stockholder and the number of shares registered in the name of each stockholder.
Such list shall be open to the examination of any  stockholder,  for any purpose
germane to the meeting,  during ordinary  business hours,  for a period at least
ten (10) days prior to the meeting, at a place within the city where the meeting
is to be held, which place shall be specified in the notice of the meeting.  The
list shall also be produced and kept at the time and place of the meeting during
the whole time thereof, and may be inspected by any stockholder who is present.

<PAGE>

     Section  2.5  Special  meetings  of the  stockholders,  for any  purpose or
purposes, including, but not limited to, a special meeting in lieu of the annual
meeting,  may be called by the President and shall be called by the President or
Secretary  at the  request in writing of a majority  of the Board of  Directors.
Such request shall state the purpose or purposes of the proposed meeting.

     Section 2.6 Written notice of a special  meeting,  stating the place,  date
and hour of the meeting  and the  purpose or  purposes  for which the meeting is
called,  shall be given not less than ten nor more than  sixty  days  before the
date of the meeting to each stockholder entitled to vote at such meeting.

     Section  2.7 The  Corporation  shall  solicit  proxies  and  provide  proxy
statements for all meetings of stockholders.  Each proxy  solicitation and proxy
statement shall conform to all applicable state and federal statutes,  rules and
regulations.  All proxies  shall be in writing,  signed by the  stockholder.  No
proxy  shall be voted on after  three  years  from its  date,  unless  the proxy
expressly provides for a longer period.

     Section 2.8  Business  transacted  at any special  meeting of  stockholders
shall be limited to the purposes stated in the notice.

     Section 2.9 The holders of a majority of the shares issued and  outstanding
and entitled to vote thereat,  present in person or represented by proxy,  shall
constitute a quorum at all meetings of the  stockholders  for the transaction of
business  except as  otherwise  provided  by  statute or by the  certificate  of
incorporation.  If, however,  such quorum shall not be present or represented at
any meeting of the  stockholders,  the  stockholders  entitled to vote  thereat,
present in person or  represented  by proxy,  shall  have  power to adjourn  the
meeting  from  time to time,  without  notice  other  than  announcement  at the
meeting,  until a quorum  shall be present  or  represented.  At such  adjourned
meeting at which a quorum  shall be present or  represented  any business may be
transacted  which  might  have been  transacted  at the  meeting  as  originally
notified.  If the  adjournment  is for more than  thirty  days,  or if after the
adjournment  a new record date is fixed for the adjourned  meeting,  a notice of
the adjourned  meeting shall be given to each  stockholder of record entitled to
vote at the meeting.

     Section  2.10  When a quorum is  present  at any  meeting,  the vote of the
holders of a majority of the shares entitled to vote thereat,  present in person
or represented  by proxy shall decide any question  brought before such meeting,
unless the question is one upon which, by express provision of the statutes, the
certificate of incorporation,  or these bylaws, a different vote is required, in
which case such express  provision shall govern and control the decision of such
question.

     Section 2.11 The stockholders at a meeting at which a quorum is present may
continue to do business  until  adjournment,  notwithstanding  the withdrawal of
enough stockholders to leave less than a quorum.

                                       2
<PAGE>

     Section 2.12 Unless otherwise provided in the certificate of incorporation,
each holder of common  stock shall,  at every  meeting of the  stockholders,  be
entitled to one vote for each share of the capital  shares  having  voting power
held by such stockholder.

     Section 2.13 Except as limited by the General  Corporation Law of Delaware,
as amended from time to time,  any action  required to be taken at any annual or
special  meeting of  stockholders  of the Corporation or any action which may be
taken at any annual or special meeting of such stockholders may be taken without
a meeting,  without prior notice,  and without a vote if one or more consents in
writing,  setting  forth the action so taken,  shall be signed by the holders of
all outstanding shares entitled to vote on such action.

     Section  2.14  Except as herein  excepted,  stockholder  approval  shall be
required for any plan or arrangement (under (a) below) or, prior to the issuance
of designated securities (under (b), (c), or (d) below) when:

          (a) A stock  option or  purchase  plan is to be  established  or other
     arrangement  made  pursuant  to which  stock may be acquired by officers or
     directors,  except for  warrants  or rights  issued  generally  to security
     holders of the Corporation or broadly based plans or arrangements including
     other  employees  (e.g.,  ESOPs).  In a case where the  Corporation,  as an
     inducement  essential  to the  individual's  entering  into  an  employment
     contract with the Corporation,  stockholder  approval will generally not be
     required.

          The  establishment of a plan or arrangement  under which the amount of
     securities  which may be issued  does not  exceed  the  lesser of 1% of the
     number of shares of common stock,  1% of the voting power  outstanding,  or
     25,000 shares will not generally require stockholder approval.

          (b) The issuance will result in a change of control of the issuer.

          (c) In  connection  with the  acquisition  of the  stock or  assets of
     another corporation if:

               (i) any  director,  officer  or  substantial  stockholder  of the
          issuer has a 5% or greater interest (or such persons collectively have
          a 10% or greater interest), directly or indirectly, in the Corporation
          or assets to be  acquired  or in the  consideration  to be paid in the
          transaction  or series of  related  transactions  and the  present  or
          potential issuance of common stock, or securities  convertible into or
          exercisable  for  common  stock,   could  result  in  an  increase  in
          outstanding common shares or voting power of 5% or more; or

               (ii) where the present or potential  issuance of common stock, or
          securities  convertible  into or exercisable  for common stock,  other
          than a public  offering for cash, if the common stock has or will have
          upon issuance  voting power equal to or in excess of 20% of the voting
          power   outstanding   before  the  issuance  of  stock  or  securities
          convertible into or exercisable for common stock, or

                                       3
<PAGE>

          the number of shares of common  stock to be issued is or will be equal
          to or in  excess  of 20% of the  number  of  shares  or  common  stock
          outstanding before the issuance of the stock or securities.

          (d) In  connection  with a  transaction  other  than  a  public  offer
     involving:

               (i) the sale or  issuance  by the  issuer  of  common  stock  (or
          securities  convertible  into or  exercisable  for common  stock) at a
          price less than the  greater of book or market  value  which  together
          with sales by officers,  directors, or substantial stockholders of the
          Corporation  equals 20% or more of common  stock or 20% or more of the
          voting power outstanding before the issuance; or

               (ii) the sale or issuance by the  Corporation of common stock (or
          securities  convertible into or exercisable for common stock) equal to
          20% or more of the  common  stock or 20% or more of the  voting  power
          outstanding  before the  issuance for less than the greater of book or
          market value of the stock.

          (e) Exceptions may be made when (1) the delay in securing  stockbroker
     approval  would  seriously   jeopardize  the  financial  viability  of  the
     enterprise  and  (2)  reliance  by the  Corporation  on this  exception  is
     expressly  approved  by the Audit  Committee  of the Board or a  comparable
     body.

     Section  2.15  Only  persons  who are  nominated  in  accordance  with  the
procedures  set forth in this  paragraph  shall be eligible to be  nominated  as
directors at any meeting of the stockholders of the Corporation.  At any meeting
of the stockholders of the  Corporation,  nominations of persons for election to
the Board of  Directors  may be made (1) by or at the  direction of the Board of
Directors or (2) by any stockholder of the corporation who is a holder of record
at the time of giving the notice  provided for in this  paragraph,  who shall be
entitled to vote at the meeting, and who complies with the notice procedures set
forth in this  paragraph.  For a  nomination  to be  properly  brought  before a
stockholders'  meeting by a stockholder,  timely written notice shall be made to
the Secretary of the Corporation.  The  stockholder's  notice shall be delivered
to, or mailed and received at, the principal  office of the  Corporation no less
than 45 days nor more than 60 days prior to the meeting;  provided,  however, in
the event that less than 45 days notice or prior public  disclosure  of the date
of the meeting is given or made to  stockholders,  notice by the stockholders to
be timely must be received not later than the close of business on the tenth day
following  the day on which the notice of the date of the  meeting was mailed or
the public disclosure was made;  provided further,  notice by the stockholder to
be timely  must be received in any event not later than the close of business on
the  seventh  day  preceding  the day on which the  meeting  is to be held.  The
stockholder's  notice shall set forth (1) as to each person whom the stockholder
proposes to nominate for election or reelection as a director,  all  information
relating to such person that is required to be  disclosed  in  solicitations  of
proxies for election of directors,  or is otherwise  required by applicable  law
(including  the  person's  written  consent to being  named as a nominee  and to
serving as a director  if  elected),  and (2)(a) the name and  address,  as they
appear on the Corporation's books, of the stockholder,  (b) the class and number
of shares of capital stock of the Corporation owned by the stockholder and (c) a

                                       4
<PAGE>

description of all  arrangements or  understandings  between the stockholder and
each  nominee and any other  person or persons  (naming  such person or persons)
pursuant  to  which  the  nomination  or  nominations  are  to be  made  by  the
stockholder.  The stockholder shall also comply with all applicable requirements
of the  Securities  Exchange  Act of 1934,  as amended  (the "1934 Act") and the
rules and  regulations  thereunder with respect to the matters set forth in this
paragraph.  If the chairman of the meeting,  shall  determine and declare at the
meeting  that a  nomination  was not  made in  accordance  with  the  procedures
prescribed by this paragraph, the nomination shall not be accepted.

     Section 2.16 At any meeting of the  stockholders of the  Corporation,  only
such business  shall be conducted as shall have been brought  before the meeting
(1) by or at the  direction of the Board of Directors or (2) by any  stockholder
of the  Corporation  who is a holder of record at the time of giving  the notice
provided  for in this  paragraph,  who shall be entitled to vote at the meeting,
and who complies with the notice  procedures  set forth in this  paragraph.  For
business to be properly brought before a stockholders' meeting by a stockholder,
timely  written  notice shall be made to the Secretary of the  Corporation.  The
stockholder's  notice  shall be  delivered  to, or mailed and  received  at, the
principal  office of the Corporation not less than 45 days nor more than 60 days
prior to the  meeting;  provided  however,  in the event  that less than 45 days
notice or prior public disclosure of the date of the meeting is given or made to
stockholders, notice by the stockholders to be timely must be received not later
than the  close of  business  on the tenth  day  following  the day on which the
notice of the date of the meeting was mailed or the public  disclosure was made;
provided further, notice by the stockholder to be timely must be received in any
event not later than the close of business on the seventh day  preceding the day
on which the meeting is to be held. The stockholder's notice shall set forth (1)
a brief description of the business desired to be brought before the meeting and
the reasons for  considering the business,  and (2)(a) the name and address,  as
they appear on the  Corporation's  books, of the stockholder,  (b) the class and
number of shares of capital stock of the  Corporation  owned by the  stockholder
and (c) any material interest of the stockholder in the proposed  business.  The
stockholder  shall also comply with all applicable  requirements of the 1934 Act
and the rules and  regulations  thereunder with respect to the matters set forth
in this paragraph. If the chairman of the meeting shall determine and declare at
the meeting  that the proposed  business  was not brought  before the meeting in
accordance with the procedures prescribed by this paragraph,  the business shall
not be considered.

     The notice  procedures  set forth in this Article II do not change or limit
any procedures the  Corporation  may require in accordance  with  applicable law
with respect to the inclusion of matters in the Corporation's proxy statement.

                                   ARTICLE III
                                    DIRECTORS

     Section 3.1 The  business of the  Corporation  shall be managed by or under
the  direction of its Board of Directors or by such  Executive  Committee as the
Board of Directors may establish pursuant to these bylaws.

                                       5
<PAGE>

     Section 3.2 The Corporation  shall have a Board of Directors  consisting of
nine (9)  Directors  who  shall  serve  staggered  three-year  terms.  Three (3)
Directors  shall be elected for a three-year  term at each annual meeting of the
stockholders,  except as  provided  in  Section  3.3 of this  Article,  and each
Director  elected  shall hold office until his death,  retirement,  resignation,
removal or  disqualification,  or until his successor is elected and  qualified.
Directors need not be residents of Delaware or stockholders of the  Corporation.
At least two  Directors  shall be  Independent  Directors.  For purposes of this
section,  "Independent  Director"  shall mean a person  other than an officer or
employee of the Corporation or its subsidiaries or any other individual having a
relationship  which,  in the opinion of the Board of Directors,  would interfere
with the exercise of independent  judgment in carrying out the  responsibilities
of a Director.  In the event of an increase or decrease in the authorized number
of Directors  or any  vacancies in the Board,  the newly  created or  eliminated
directorships  resulting  from such increase or decrease shall be apportioned by
the Board of Directors  among the classes of  Directors  so as to maintain  such
classes as nearly equal in number as possible.

     Section 3.3  Vacancies,  including  vacancies  caused by the failure of the
stockholders  to elect  the fully  authorized  number  of  directors,  and newly
created  directorships  resulting from any increase, in the authorized number of
Directors  may be filled by a majority of the Directors  then in office,  though
less than a quorum, or by a sole remaining Director, and the Directors so chosen
shall hold office until the next annual  meeting and until their  successors are
duly  elected  and  shall  qualify,  unless  sooner  displaced.  If there are no
Directors  in office,  then an election of  Directors  may be held in the manner
provided by statute.  A Director  elected to fill a vacancy shall be elected for
the unexpired term of his predecessor in office.

     Section 3.4 The President,  or such other individual as may be appointed by
the Board of Directors of the Corporation,  shall serve as Chairman of the Board
of Directors.  Subject to the provisions of Section 3.11, the President,  or the
Chairman if the President and Chairman are  different  people,  shall preside at
all meetings of the Board of  Directors  and perform such other duties as may be
directed by the Board.

                       MEETINGS OF THE BOARD OF DIRECTORS

     Section 3.5 The Board of Directors of the  Corporation  may hold  meetings,
both regular and special, either within or without the State of Delaware.

     Section  3.6 The first  meeting of each newly  elected  Board of  Directors
shall be held  immediately  after the annual meeting of  stockholders or at such
other  time and place as shall be fixed by the vote of the  stockholders  at the
annual  meeting and no notice of such meeting  shall be necessary to the elected
Directors in order legally to constitute the meeting, provided a quorum shall be
present.   In  the  event  such  meeting  is  not  held  immediately  after  the
stockholders  meeting or at the time and place  fixed by the  stockholders,  the
meeting  may be held at such  time and place as shall be  specified  in a notice
given as hereinafter provided for special meetings of the Board of Directors, or
as shall be specified in a written waiver signed by all of the Directors.

                                       6
<PAGE>

     Section 3.7 Regular  meetings of the Board of Directors may be held without
notice at such time and at such place as shall  from time to time be  determined
by the Board.

     Section 3.8 Special meetings of the Board may be called by the President on
three  days'  notice  to  each  Director,  either  personally  or by  mail or by
telegram; special meetings shall be called by the President or Secretary in like
manner and on like notice on the  written  request of two  Directors  unless the
Board  consists of only one Director;  in which case special  meetings  shall be
called by the  President  or  Secretary in like manner and on like notice on the
written  request  of the sole  Director.  Notice of  special  meetings  need not
specify the purpose for which the meeting is called.

     Section 3.9 At all meetings of the Board, a majority of the Directors shall
constitute a quorum for the transaction of business and the act of a majority of
the Directors present at any meeting at which there is a quorum shall be the act
of the Board of Directors,  except as may be otherwise  specifically provided by
statute or by the certificate of incorporation. If a quorum shall not be present
at any meeting of the Board of  Directors,  the  Directors  present  thereat may
adjourn the meeting from time to time, without notice other than announcement at
the meeting, until a quorum shall be present. The vote of a majority of the duly
elected  or  appointed  and  qualified  Directors  of the  Corporation  shall be
required to adopt a resolution constituting the Executive Committee. The vote of
a majority of the  Directors  then  holding  office  shall be required to adopt,
amend or repeal a bylaw.

     Section  3.10  Unless   otherwise   restricted   by  the   certificate   of
incorporation  or these bylaws,  any action required or permitted to be taken at
any meeting of the Board of Directors or of any  committee  thereof may be taken
without a meeting, if all members of the Board or committee, as the case may be,
consent  thereto in  writing,  and the  writing or  writings  are filed with the
minutes of proceedings of the Board or committee.

     Section  3.11  Unless   otherwise   restricted   by  the   certificate   of
incorporation  or  these  bylaws,  members  of the  Board of  Directors,  or any
committee designated by the Board of Directors,  may participate in a meeting of
the Board of Directors, or any committee, by conference telephone or other means
by which all persons  participating in the meeting can hear each other, and such
participation in a meeting shall  constitute  presence in person at the meeting.
If members of the Board of Directors are participating in a meeting of the Board
of  Directors  by  conference  telephone  or other means and are not  physically
present at a single location,  and if the Chairman,  or such other person as has
been  designated  to preside at the meeting,  is not  physically  present at the
location where the greatest number of members are physically  present,  then the
President,  if different than the Chairman and present at such  location,  shall
preside at the meeting. If neither the Chairman nor the President are physically
present at such  location,  then the Board of Directors  shall select from among
the  members  at the  location  where  the  greatest  number  of  directors  are
physically present a person to preside at the meeting.

                                       7
<PAGE>

                             COMMITTEES OF DIRECTORS

     Section 3.12 The Board of Directors may, by resolution passed by a majority
of the whole Board, designate one or more committees,  each committee to consist
of one or more of the Directors of the Corporation and any officers or employees
of the Corporation as named by the Board. Such committee shall have at least two
members.  Such  committee or committees  shall have such name or names as may be
determined  from time to time by  resolution  adopted by the Board of Directors.
The Board may  designate  one or more  Directors  as  alternate  members  of any
committee,  who may replace any absent or disqualified  member at any meeting of
the committee.  In the absence or  disqualification  of a member of a committee,
the member or members thereof present at any meeting and not  disqualified  from
voting,  whether or not he or they constitute a quorum, may unanimously  appoint
another  member of the Board of  Directors to act at the meeting in the place of
any such  absent or  disqualified  member.  Except as  prohibited  by law,  each
committee shall have the authority set forth in the resolution establishing such
committee.

     Section 3.13 The Board shall establish an Audit Committee.  The majority of
the members of the Audit Committee shall be Independent  Directors as defined in
Section 3.2. Where  appropriate,  the Audit Committee shall review related party
transactions for potential conflict of interest situations.

     Section 3.14 Each committee  shall keep regular minutes of its meetings and
report the same to the Board of Directors when required.

                            COMPENSATION OF DIRECTORS

     Section  3.15  Unless   otherwise   restricted   by  the   certificate   of
incorporation  or these bylaws,  the Board of Directors shall have the authority
to fix the compensation of Directors.  The Directors may be paid their expenses,
if any, of  attendance at each meeting of the Board of Directors and may be paid
a fixed sum for attendance at each meeting of the Board of Directors or a stated
salary as Director. No such payment shall preclude any Director from serving the
Corporation in any other capacity and receiving compensation  therefor.  Members
of special or standing committees may be allowed like compensation for attending
committee meetings.

                                   ARTICLE IV
                                     NOTICES

     Section  4.1  Whenever,  under the  provisions  of the  statutes  or of the
certificate of incorporation or of these bylaws,  notice is required to be given
to any Director or  stockholders,  such notice may be given in writing,  by mail
addressed to such Director or  stockholder,  at his address as it appears on the
records of the Corporation,  with postage thereon prepaid, and such notice shall
be deemed to be given at the time when the same shall be deposited in the United
States  mail.  Notice  to  Directors  may also be given  by any  usual  means of
communication.

     Section  4.2  Whenever  any  notice  is  required  to be  given  under  the
provisions  of a statute  or of the  certificate  of  incorporation  or of these
bylaws, a waiver thereof in writing, signed

                                       8
<PAGE>

by the person or persons  entitled to said notice,  whether  before or after the
time stated therein, shall be deemed equivalent thereto.

                                    ARTICLE V
                                    OFFICERS

     Section  5.1  The  Corporation  shall  have a  President,  a  Secretary,  a
Treasurer and such  Assistant  Secretaries  and Assistant  Treasurers  and other
officers  as the  Board of  Directors  may from time to time  appoint,  and such
Vice-Presidents  as may be  appointed  from  time to time  by the  Board  or the
President.  Any two or more offices may be held by the same  person,  except the
office  of  President  and  Secretary.   However,   no  officer  shall  execute,
acknowledge,  or  verify  any  instrument  in more  than  one  capacity  if such
instrument is required by law, by the certificate of incorporation,  or by these
bylaws to be executed, acknowledged, or verified by two or more officers.

     Section 5.2 The officers of the  Corporation,  other than  Vice-Presidents,
shall be appointed by the Board of Directors;  in addition,  Vice-Presidents may
be appointed by the President.  Such  appointments may be made at any regular or
special  meeting of the Board.  Each officer  shall hold office until his death,
resignation,  retirement, removal,  disqualification,  or until his successor is
elected an qualified,  unless otherwise  specified by the Board of Directors (or
in the case of Vice-Presidents, by the President).

     Section 5.3 The Board of  Directors  may appoint  such other  officers  and
agents as it shall deem  necessary  who shall hold their  offices for such terms
and shall  exercise  such powers and perform such duties as shall be  determined
from time to time by the Board.

     Section 5.4 The  compensation of all officers and agents of the Corporation
shall  be  fixed  by the  Board  of  Directors  or by a  Compensation  Committee
appointed by the Board.

     Section 5.5 The officers of the  Corporation  shall hold office until their
successors are chosen and qualify. Any officer elected or appointed by the Board
of Directors may be removed at any time by the affirmative vote of a majority of
the Board of Directors;  however, such removal shall be without prejudice to the
contract rights, if any, of the person so removed.  Any vacancy occurring in any
office of the Corporation  may be filled by the Board of Directors;  except that
vacant Vice-Presidencies may be filled by the President.

                                  THE PRESIDENT

     Section  5.6 The  President  shall be the Chief  Executive  Officer  of the
Corporation,  and shall  preside  (subject to the  provisions of Section 3.4 and
Section  3.11) at all meetings of the  stockholders  and the Board of Directors;
shall have general and active  management of the business of the Corporation and
shall see that all orders and  resolutions of the Board of Directors are carried
into effect.  Subject to the direction and control of the Board of Directors and
the Executive Committee,  if created, he shall have general charge and authority
over the business of

                                       9
<PAGE>

the Corporation.  He shall make reports regarding the business and activities of
the Corporation for the preceding fiscal year to the stockholders at each annual
meeting.

     Section  5.7  The  President  shall  execute  bonds,  mortgages  and  other
contracts requiring a seal, under the seal of the Corporation, except where such
documents  are  required  or where the signing and  execution  thereof  shall be
expressly  delegated by the Board of Directors to some other officer or agent of
the Corporation.  In general, he shall perform all duties incident to the office
of  President  and  such  other  duties  as may be  prescribed  by the  Board of
Directors from time to time.

                               THE VICE-PRESIDENT

     Section 5.8 If there be more than one Vice-President,  the President or the
Board or the Executive  Committee thereof may designate their seniority (such as
First Vice-President,  Senior Vice-President,  Executive  Vice-President,  etc.)
and/or the  particular  department of the  Corporation  of which they shall have
charge. The Vice-President, or if there be more than one, the Vice-Presidents in
order of their seniority by designation,  or if not so designated,  in the order
of their seniority by appointment,  shall perform the duties of the President in
his absence or during his disability to act. The Vice-Presidents shall have such
other duties and powers as may be assigned to or vested in them by the President
or by the job description relating to any duties associated with management of a
particular department.

                      THE SECRETARY AND ASSISTANT SECRETARY

     Section  5.9 The  Secretary  shall  attend  all  meetings  of the  Board of
Directors and all meetings of the stockholders and record all the proceedings of
the  meetings of the  Corporation  and of the Board of Directors in a book to be
kept for that purpose and shall perform like duties for the standing  committees
when  required.  He shall give, or cause to be given,  notice of all meetings of
the  stockholders  and  special  meetings of the Board of  Directors,  and shall
perform such other duties as may be  prescribed by the Board of Directors or the
President,  under whose  supervision  he shall be. He shall have  custody of the
corporate seal of the Corporation and he, or an assistant secretary,  shall have
authority to affix the same to any instrument requiring it and, when so affixed,
it may be  attested  by his  signature  or by the  signature  of such  assistant
secretary.  The  Board of  Directors  may give  general  authority  to any other
officer to affix the seal of the  Corporation  and to attest the affixing by his
signature .

     Section  5.10 The  Assistant  Secretary,  or if there be more than one, the
Assistant  Secretaries in the order  determined by the Board of Directors (or if
there be no such determination,  then in the order of their election), shall, in
the absence of the Secretary or in the event of his inability or refusal to act,
perform the duties and exercise the powers of the  Secretary  and shall  perform
such other duties and have such other powers as the Board of Directors  may from
time to time prescribe.

                                       10
<PAGE>

                     THE TREASURER AND ASSISTANT TREASURERS

     Section 5.11 The Treasurer  shall have the custody of the  corporate  funds
and  securities  belonging to the  Corporation  and shall receive,  deposit,  or
disburse the same under the direction of the Board of Directors or the Executive
Committee.  He shall keep full and  accurate  accounts  of the  finances  of the
Corporation in books specifically  provided for that purpose; and he shall cause
a true  statement of its assets and  liabilities  as of the close of each fiscal
year and of the  results of its  operations  and of changes in surplus  for each
fiscal year, all in reasonable detail,  including  particulars as to convertible
securities then  outstanding,  to be made and filed within four months after the
end of such fiscal  year.  The  statement so filed shall be kept  available  for
inspection for a period of ten (10) years;  and the Treasurer shall, in general,
perform  all duties  incident  to his  office  and such  other  duties as may be
assigned to him from time to time by the President,  the Board of Directors,  or
the Executive Committee.

     Section 5.12 The Assistant  Treasurer,  or if there shall be more than one,
the Assistant  Treasurers in the order  determined by the Board of Directors (or
if there be no such determination,  then in the order of their election), shall,
in the absence of the  Treasurer or in the event of his  inability or refusal to
act,  perform  the duties and  exercise  the powers of the  Treasurer  and shall
perform  such other  duties and have such other powers as the Board of Directors
may from time to time prescribe.

     Section  5.13 The  Treasurer or in his absence,  the  Assistant  Treasurer,
shall  vote  the  Corporation's  shares  of  stock  in its  subsidiaries  at any
stockholders' meeting of such subsidiaries.

     Section 5.14 The Board of Directors  may by  resolution  require any or all
officers,  agents,  and  employees  of  the  Corporation  to  give  bond  to the
Corporation,  with sufficient sureties,  conditioned on the faithful performance
of the duties of their respective offices or positions,  and to comply with such
other conditions as may from time to time be required by the Board of Directors.

                                   ARTICLE VI
                               SHARE CERTIFICATES

     Section 6.1 The par value and the maximum  number of shares of any class of
the Corporation which may be issued and outstanding shall be set forth from time
to time in the certificate of  incorporation  of the  Corporation.  The Board of
Directors may increase or decrease the number of issued and  outstanding  shares
of  the  Corporation  within  the  maximum  authorized  by  the  certificate  of
incorporation  and the minimum  requirements of the certificate of incorporation
of Delaware law.

     Section 6.2 Certificates  representing  shares of the Corporation  shall be
issued  in such  form  as the  Board  of  Directors  shall  determine  to  every
stockholder for the fully paid shares owned by him. These  certificates shall be
signed by the President or any  Vice-President  and by the Secretary,  Assistant
Secretary,  Treasurer,  or  Assistant  Treasurer.  They  shall be  consecutively
numbered  or  otherwise  identified;  and the name and address of the persons to
whom they are

                                       11
<PAGE>

issued,  with the  number of shares  and date of issue,  shall be entered on the
stock transfer books of the Corporation.

     Section  6.3  Any or all of the  signatures  on the  certificate  may be by
facsimile.  In case any officer,  transfer  agent or registrar who has signed or
whose facsimile  signature has been placed upon a certificate  shall have ceased
to be such  officer,  transfer  agent or registrar  before such  certificate  is
issued,  it may be issued by the Corporation  with the same effect as if he were
such officer, transfer agent or registrar at the date of issue.

                                LOST CERTIFICATES

     Section  6.4 The  Board  of  Directors  may  direct  a new  certificate  or
certificates   to  be  issued  in  place  of  any  certificate  or  certificates
theretofore  issued by the  Corporation  alleged  to have been  lost,  stolen or
destroyed,  upon the making of an affidavit of that fact by the person  claiming
the certificate of shares to be lost; stolen or destroyed. When authorizing such
issue of a new certificate or  certificates,  the Board of Directors may, in its
discretion  and as a condition  precedent to the issuance  thereof,  require the
owner of such lost,  stolen or destroyed  certificate  or  certificates,  or his
legal  representative,  to advertise the same in such manner as it shall require
and/or  to give the  Corporation,  in such sum as it may  direct,  an  indemnity
against any claim that may be made against the  Corporation  with respect to the
certificate alleged to have been lost, stolen or destroyed.

                               TRANSFER OF SHARES

     Section 6.5 Upon surrender to the  Corporation or the transfer agent of the
Corporation of a certificate for shares,  duly endorsed or accompanied by proper
evidence of succession,  assignation  or authority to transfer,  it shall be the
duty of the  Corporation  to  issue a new  certificate  to the  person  entitled
thereto, cancel the old certificate and record the transaction upon its books.

                             REGISTERED STOCKHOLDERS

     Section 6.6 The  Corporation  shall be entitled to recognize  the exclusive
right of a person  registered  on its books as the  owner of  shares to  receive
dividends,  and to vote as such owner,  and shall be entitled to hold liable for
calls and  assessments a person  registered on its books as the owner of shares,
and shall not be bound to recognize  any equitable or other claim to or interest
in such share or shares on the part of any other person, whether or not it shall
have express or any other notice; provided, however, that the Board of Directors
may  establish a procedure by which the  beneficial  owner of shares held in the
name of a nominee is recognized as the stockholder.

                                       12
<PAGE>

                                   ARTICLE VII
                               GENERAL PROVISIONS
                                    DIVIDENDS

     Section 7.1 Dividends upon the outstanding shares of the Corporation may be
declared by the Board of Directors at any regular or special meeting and paid in
cash or property only as authorized by the law of Delaware.

     Section 7.2 Before payment of any dividend, there shall be set aside out of
any funds of the  Corporation  available for  dividends  such sum or sums as the
Directors  from time to time, in their  absolute  discretion,  think proper as a
reserve or reserves to meet contingencies,  or for equalizing dividends,  or for
repairing  or  maintaining  any property of the  Corporation,  or for such other
purpose  as  the  Directors  shall  think  conducive  to  the  interests  of the
Corporation,  and the  Directors  may modify or abolish any such  reserve in the
manner in which it was created.

                                ANNUAL STATEMENT

     Section 7.3 The Board of Directors shall present at each annual meeting,  a
full and clear statement of the business and condition of the Corporation.

                                CHECKS AND DRAFTS

     Section  7.4 All  checks,  drafts  or  demands  for  money and notes of the
Corporation  shall be signed by such officer or officers or such other person or
persons as the Board of Directors may from time to time designate.

                                   FISCAL YEAR

     Section  7.5 The  fiscal  year of the  Corporation  shall be  January  1 to
December 31 of each calendar year.

                                      SEAL

     Section  7.6 The  corporate  seal shall be in such form as  approved by the
Board of Directors and may be altered at their  discretion.  The corporate  seal
may be used by causing it or a facsimile  thereof to be  impressed or affixed or
otherwise reproduced.

                                    CONTRACTS

     Section 7.7 The Board of Directors or Executive Committee may authorize any
officer or officers,  agent or agents, to enter into any contract or execute and
deliver any instrument on behalf of the  Corporation,  and such authority may be
general or confined to specific instances.

                                       13
<PAGE>

                                    DEPOSITS

     Section 7.8 All funds of the Corporation,  not otherwise employed, shall be
deposited  from  time  to  time  to  the  credit  of  the  Corporation  in  such
depositories as the Board of Directors shall direct.

                                      LOANS

     Section 7.9 No loans shall be contracted on behalf of the Corporation,  and
no  evidence  of  indebtedness  shall be  issued  in its name  unless  otherwise
authorized by  resolution of the Board of Directors or the Executive  Committee.
Such authority may be general or confined to specific instances.

                                  ARTICLE VIII
                                 INDEMNIFICATION

     Section 8.1 NATURE OF INDEMNITY. The Corporation shall indemnify any person
who was or is a party or is  threatened  to be made a party  to any  threatened,
pending or  completed  action,  suit or  proceeding,  whether  civil,  criminal,
administrative or investigative  (other than an action by or in the right of the
Corporation),  by reason of the fact that he is or was or has agreed to become a
Director  or officer of the  Corporation,  or is or was serving or has agreed to
serve at the  request of the  Corporation  as a  Director  or officer of another
corporation, partnership, joint venture, trust or other enterprise, or by reason
of any action  alleged to have been taken or omitted in such  capacity,  and may
indemnify  any person who was or is a party or is  threatened to be made a party
to such an action, suit or proceeding by reason of the fact that he is or was or
has  agreed to  become an  employee  or agent of the  Corporation,  or is or was
serving or has agreed to serve at the request of the  Corporation as an employee
or agent of another  corporation,  partnership,  joint  venture,  trust or other
enterprise,  against expenses, (including attorneys' fees), judgments, fines and
amounts paid in  settlement  actually and  reasonably  incurred by him or on his
behalf in  connection  with  such  action,  suit or  proceeding  and any  appeal
therefrom,  if he acted in good faith and in a manner he reasonably  believed to
be in or not opposed to the best interests of the Corporation, and, with respect
to any criminal  action or  proceeding,  had no reasonable  cause to believe his
conduct was unlawful;  except that in the case of an action or suit by or in the
right  of  the  Corporation  to  procure  a  judgment  in  its  favor  (1)  such
indemnification  shall  be  limited  to  expenses  (including  attorneys'  fees)
actually and reasonably  incurred by such person in the defense or settlement of
such action or suit, and (2) no indemnification  shall be made in respect of any
claim,  issue or matter as to which such person  shall have been  adjudged to be
liable to the Corporation  unless and only to the extent that the Delaware Court
of  Chancery  or the  court in which  such  action  or suit  was  brought  shall
determine upon  application  that,  despite the adjudication of liability but in
view of all the  circumstances of the case, such person is fairly and reasonably
entitled to indemnity for such expenses  which the Delaware Court of Chancery or
such other court shall deem proper.

     The  termination  of any action,  suit or  proceeding  by judgment,  order,
settlement,  conviction,  or upon a plea of nolo  contendere or its  equivalent,
shall not, of itself, create a

                                       14
<PAGE>

presumption  that the person did not act in good faith and in a manner  which he
reasonably  believed  to be in or not  opposed  to  the  best  interests  of the
Corporation,  and,  with  respect  to any  criminal  action or  proceeding,  had
reasonable cause to believe that his conduct was unlawful.

     Section 8.2  SUCCESSFUL  DEFENSE.  To the extent that a Director,  officer,
employee  or agent of the  Corporation  has been  successful  on the  merits  or
otherwise in defense of any action,  suit or  proceeding  referred to in Section
8.1 of this Article VIII or in defense of any claim, issue or matter therein, he
shall be indemnified against expenses  (including  attorneys' fees) actually and
reasonably incurred by him in connection therewith.

     Section   8.3   DETERMINATION   THAT   INDEMNIFICATION   IS   PROPER.   Any
indemnification of a Director or officer of the Corporation under Section 8.1 of
this Article VIII (unless  ordered by a court) shall be made by the  Corporation
unless a determination is made that  indemnification  of the Director or officer
is not  proper  in the  circumstances  because  he has not  met  the  applicable
standard of conduct set forth in Section 8.1. Any indemnification of an employee
or agent of the Corporation under Section 8.1 (unless ordered by a court) may be
made  by  the  Corporation  upon a  determination  that  indemnification  of the
employee  or  agent  is  proper  in the  circumstances  because  he has  met the
applicable  standard of conduct set forth in Section 8.1. Any such determination
shall  be made (1) by the  Board of  Directors  by a  majority  vote of a quorum
consisting of Directors who were not parties to such action, suit or proceeding,
or (2) if such  quorum is not  obtainable,  or, even if  obtainable  a quorum of
disinterested  Directors so directs,  by independent  legal counsel in a written
opinion, or (3) by the stockholders.

     Section 8.4 ADVANCE PAYMENT OF EXPENSES. Expenses incurred by a Director or
officer in defending a civil or criminal  action,  suit or  proceeding  shall be
paid by the Corporation in advance of the final disposition of such action, suit
or proceeding  upon receipt of an undertaking by or on behalf of the Director or
officer to repay such amount if it shall ultimately be determined that he is not
entitled to be  indemnified  by the  Corporation  as  authorized in this Article
VIII.  Such expenses  incurred by other employees and agents may be so paid upon
such terms and conditions,  if any, as the Board of Directors deems appropriate.
The  Board of  Directors  may  authorize  the  Corporation's  legal  counsel  to
represent  such  Director,  officer,  employee or agent in any  action,  suit or
proceeding,  whether or not the  Corporation is a party to such action,  suit or
proceeding.

     Section  8.5  SURVIVAL;   Preservation  of  Other  Rights.   The  foregoing
indemnification  provisions  shall  be  deemed  to  be a  contract  between  the
Corporation  and each  Director,  officer,  employee and agent who serves in any
such  capacity  at any  time  while  these  provisions  as well as the  relevant
provisions of the Delaware General  Corporation Law are in effect and any repeal
or  modification  thereof shall not affect any right or obligation then existing
with  respect to any state of facts then or  previously  existing or any action,
suit, or proceeding  previously  or  thereafter  brought or threatened  based in
whole or in part upon any such state of facts.  Such a contract right may not be
modified retroactively without the consent of such Director,  officer,  employee
or agent.

                                       15
<PAGE>

     The  indemnification  provided  by this  Article  VIII  shall not be deemed
exclusive of any other rights to which those  indemnified  may be entitled under
any by-law,  agreement,  vote of  stockholders  or  disinterested  Directors  or
otherwise,  both as to  action  in his  official  capacity  and as to  action in
another  capacity  while holding such office,  and shall continue as to a person
who has ceased to be a Director,  officer,  employee or agent and shall inure to
the benefit of the heirs, executors and administrators of such a person.

     Section 8.6 SEVERABILITY.  If this Article VIII or any portion hereof shall
be  invalidated on any ground by any court of competent  jurisdiction,  then the
Corporation  shall  nevertheless  indemnify  each  Director  or officer  and may
indemnify  each employee or agent of the  Corporation  as to costs,  charges and
expenses  (including  attorneys'  fees),  judgment,  fines and  amounts  paid in
settlement  with  respect to any  action,  suit or  proceeding,  whether  civil,
criminal,  administrative  or  investigative,  including  an action by or in the
right of the  Corporation,  to the fullest  extent  permitted by any  applicable
portion of this  Article  VIII that shall not have been  invalidated  and to the
fullest extent permitted by applicable law.

     Section 8.7  INSURANCE.  The  Corporation  may maintain  insurance,  at its
expense, to protect itself and any Director,  officer,  employee or agent of the
Corporation or another corporation,  partnership,  joint venture, trust or other
enterprise  against  such  expense,  liability  or  loss,  whether  or  not  the
Corporation  would have the power to indemnify such person against such expense,
liability or loss under the Delaware General Corporation Law.

                                   ARTICLE IX
                                   AMENDMENTS

     Section 9.1 Except as set forth in the next  sentence,  these Bylaws may be
altered, amended or repealed or new Bylaws adopted by the stockholders or by the
Board of Directors at any regular meeting of the stockholders or of the Board of
Directors,  or at any  special  meeting of the  stockholders  or of the Board of
Directors if notice of such  alteration,  amendment or repeal or adoption of new
Bylaws be contained in the notice of such special meeting.  Notwithstanding  any
other  provisions of these Bylaws or any provisions of law which might otherwise
permit a lesser vote or no vote, the stockholders may only alter,  amend, change
or repeal the provisions of Sections 2.5,  2.13,  2.15,  2.16,  3.2, 3.3 and 9.1
hereof by the vote of the holders of at least 75% of the shares entitled to vote
thereon.

                                       16



NORTH CAROLINA                                                SECOND AMENDMENT
                                                                     TO
DURHAM COUNTY                                               EMPLOYMENT AGREEMENT

     THIS SECOND  AMENDMENT TO EMPLOYMENT  AGREEMENT (this  "Amendment") is made
and  entered  into  effective  the 1st  day of  September,  1999 by and  between
PHYAMERICA  PHYSICIAN  GROUP,  INC.,  f/k/a COASTAL  HEALTHCARE  GROUP,  INC., a
Delaware corporation ("Corporation"), and STEVEN M. SCOTT, M.D. ("Employee").

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

     WHEREAS,   Corporation  and  Employee  have  previously   entered  into  an
employment  agreement dated April 1, 1991, and an amendment  thereto dated April
1, 1994  (collectively,  the  "Employment  Agreement")  under which  Employee is
currently employed by Corporation; and

     WHEREAS,  Corporation  and Employee  desire to modify the existing terms of
employment of Employee to increase his annual salary;

     NOW,  THEREFORE,  for and in  consideration  of the  mutual  covenants  and
agreements  hereinafter  set forth,  the  receipt and  sufficiency  of which are
hereby acknowledged, the parties agree as follows:

     1. Paragraph 3(a) of the Employment Agreement shall be amended effective as
of September 1, 1999, to read as follows:

          (a) An  annual  salary of Five  Hundred  Thousand  Dollars  ($500,000)
     payable  in  twelve  equal  monthly  installments  in  accordance  with the
     Corporation's  payroll  policies.  The  annual  salary  shall  be  reviewed
     annually,  and  may be  increased  in the  discretion  of the  Compensation
     Committee of the Corporation's Board of Directors.

          2.  Except as  specifically  modified as set forth  above,  all of the
     remaining  terms,  conditions  and  covenants of the  Employment  Agreement
     between  Corporation  and Employee are hereby ratified and confirmed in all
     respects.

<PAGE>

IN WITNESS  WHEREOF,  Corporation has caused this Amendment to be executed under
its  seal  and by  its  duly  authorized  officers,  upon  the  approval  by the
Compensation Committee of the Board of Directors,  and Employee has hereunto set
his hand and seal as of the day and year first above written.

                                         PHYAMERICA PHYSICIAN GROUP, INC.

                                         By:________________________________

ATTEST:

- ----------------------
Secretary

[Corporate Seal]

                                         EMPLOYEE:

                                         _______________________________(SEAL)
                                         Steven M. Scott, M.D.

<PAGE>

NORTH CAROLINA

DURHAM COUNTY

     I,  __________________________________,  a Notary  Public of the  aforesaid
County and State,  do hereby  certify  that  _______________________  personally
appeared before me this day and acknowledged that (s)he is the ______________ of
PhyAmerica Physician Group, Inc., a Delaware corporation,  and that by authority
duly given and as an act of the corporation, the foregoing instrument was signed
in  its  name  by  its   ___________,   and  attested  by   herself/himself   as
____________________, and sealed with its common corporate seal.

     Witness my hand and notarial seal this ____ day of _____________, 1999.


                                         ----------------------------
                                                Notary Public

My Commission Expires:

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


NORTH CAROLINA

DURHAM COUNTY

     I, _______________________________, a Notary Public of the aforesaid County
and State,  do hereby  certify that Steven M. Scott,  M.D.  personally  appeared
before me this day and acknowledged the execution of the foregoing instrument.

     Witness my hand and notarial seal this ____ day of _________, 1999.

                                         ------------------------------
                                                Notary Public

My Commission Expires:

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



STATE OF NORTH CAROLINA                                       FIRST AMENDMENT
                                                                    TO
COUNTY OF DURHAM                                            EMPLOYMENT AGREEMENT

     THIS FIRST AMENDMENT TO EMPLOYMENT AGREEMENT (this "Amendment") is made and
entered into effective the 1st day of September,  1999 by and between PHYAMERICA
PHYSICIAN  SERVICES OF SOUTH FLORIDA,  INC., f/k/a Coastal Physician Services of
South Florida,  Inc. ("the "Employer" or "PhyAmerica"),  a Florida  corporation,
and SHERMAN PODOLSKY, M.D. ("Employee").

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

     WHEREAS,  Employer and Employee have previously  entered into an employment
agreement  dated  January 1, 1998 (the  "Agreement")  under  which  Employee  is
currently employed by Employer; and

     WHEREAS,  Employer  and  Employee  desire to modify the  existing  terms of
employment of Employee to increase his Base Salary;

     NOW,  THEREFORE,  in consideration of the terms and conditions set forth in
this  Amendment,  the parties hereby agree that the Agreement is hereby modified
as follows:

     1. AMENDMENT TO EXHIBIT A. Section 1 of EXHIBIT A,  Compensation,  attached
to the Agreement is hereby amended as of September 1, 1999, to increase the Base
Salary of Employee from $240,000 per annum to $300,000 per annum.

     2. This Amendment  shall be an amendment and  modification to the Agreement
and shall  become  part of the  Agreement  and  employment  arrangement  between
Employee and Employer from and after the date of this Amendment. All capitalized
terms  not  defined  herein  shall  have the same  meaning  as set  forth in the
Agreement.  Any conflict  between terms of this Amendment and the Agreement will
be resolved in favor of this Amendment.  Except as amended herein,  all terms of
the Agreement shall remain in full force and effect.

<PAGE>

IN WITNESS  WHEREOF,  the parties have  executed  this  Amendment as of the date
first above written.

                                         PHYAMERICA PHYSICIAN SERVICES
                                         OF SOUTH FLORIDA, INC.

                                         By:_____________________________

                                         Its:____________________________

ATTEST:

- ----------------------
Secretary

[Corporate Seal]

                                         ____________________________(SEAL)
                                         Sherman
                                         Podolsky,
                                         M.D.

<PAGE>

NORTH CAROLINA

DURHAM COUNTY

     I,  __________________________________,  a Notary  Public of the  aforesaid
County and State,  do hereby  certify  that  _______________________  personally
appeared before me this day and acknowledged that (s)he is the ______________ of
PHYAMERICA PHYSICIAN SERVICES OF SOUTH FLORIDA, INC., a Florida corporation, and
that by authority  duly given and as an act of the  corporation,  the  foregoing
instrument  was  signed  in  its  name  by  its  ___________,  and  attested  by
herself/himself  as  ____________________,  and sealed with its common corporate
seal.

     Witness my hand and notarial seal this ____ day of _____________, 1999.


                                         ----------------------------
                                                Notary Public

My Commission Expires:

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

NORTH CAROLINA

DURHAM COUNTY

     I, _______________________________, a Notary Public of the aforesaid County
and State, do hereby certify that SHERMAN  PODOLSKY,  M.D.  personally  appeared
before me this day and acknowledged the execution of the foregoing instrument.

     Witness my hand and notarial seal this ____ day of _________, 1999.


                                         ------------------------------
                                                Notary Public

My Commission Expires:

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




EXHIBIT 21.1                                                              Page 1
SUBSIDIARIES OF THE REGISTRANT AS OF 12-31-99

Subsidiary                                                State of Incorporation
- --------------------------------------------------------------------------------

Adrian Emergency Services, LLC                                North Carolina
Amory Emergency Services I, LLC                               North Carolina
Amory Emergency Services II, LLC                              North Carolina
Ashland Emergency Services, LLC                               North Carolina
Augusta Emergency Services I, LLC                             North Carolina
Augusta Emergency Services II, LLC                            North Carolina
Baltimore Emergency Services I, LLC                           North Carolina
Baltimore Emergency Services II, LLC                          North Carolina
Bay City Emergency Services, LLC                              North Carolina
Better Health Plan, Inc                                       New York
Booneville Emergency Services, LLC                            North Carolina
Bowling Green Emergency Services, LLC                         North Carolina
Brookhaven Emergency Services, LLC                            North Carolina
Brunswick Emergency Services, LLC                             North Carolina
Canton Emergency Services I, LLC                              North Carolina
Canton Emergency Services II, LLC                             North Carolina
Carbondale Emergency Services, LLC                            North Carolina
Clinton Emergency Services, LLC                               North Carolina
Coastal Receivables, LLC                                      Delaware
Coastal SPC Member Corp.                                      Delaware
Coral Gables Emergency Services, LLC                          North Carolina
CPS/PhyAmerica Physician Services, Inc.                       North Carolina
Crestview Emergency Services, LLC                             North Carolina
Crystal City Emergency Services, LLC                          North Carolina
Daytona Beach Emergency Services, LLC                         North Carolina
Decatur Emergency Services, II, LLC                           North Carolina
Edgefield Emergency Services, LLC                             North Carolina
Effingham Emergency Services, LLC                             North Carolina
Enid Emergency Services, LLC                                  North Carolina
Fairmont Emergency Services, LLC                              North Carolina
Fayetteville Emergency Services, LLC                          North Carolina
FirstCollect, Inc.                                            North Carolina
Ft. Walton Beach Emergency Services, LLC                      North Carolina
Fulton Emergency Services, LLC                                North Carolina
Galesburg Emergency Services, LLC                             North Carolina
Greenville Emergency Services, LLC                            North Carolina
Hartselle Emergency Services, LLC                             North Carolina
Healthcare Business Resources, Inc.                           North Carolina
Henderson Emergency Services I, LLC                           North Carolina
Henderson Emergency Services II, LLC                          North Carolina
Herrin Emergency Services, LLC                                North Carolina
Hickory Emergency Services, LLC                               North Carolina
Highland Park Emergency Services, LLC                         North Carolina
Ironwood Emergency Services, LLC                              North Carolina
Jonesboro Emergency Services, LLC                             North Carolina
Kosciusko Emergency Services, LLC                             North Carolina
Lansing Emergency Services, LLC                               North Carolina
Lauderdale Lakes Emergency Services, LLC                      North Carolina
Lawrenceburg Emergency Services, LLC                          North Carolina
Lexington Emergency Services I, LLC                           North Carolina

<PAGE>

EXHIBIT 21.1                                                              Page 2
SUBSIDIARIES OF THE REGISTRANT AS OF 12-31-99

Subsidiary                                                State of Incorporation
- --------------------------------------------------------------------------------

Madison Emergency Services, LLC                               North Carolina
Mayfield Emergency Services, LLC                              North Carolina
Mckenzie Emergency Services, LLC                              North Carolina
Mcminnville Emergency Services, LLC                           North Carolina
Medstaff National Medical Staffing, Inc                       North Carolina
Mesa Emergency Services, LLC                                  North Carolina
Mt. Sterling Emergency Services, LLC                          North Carolina
Mt. Vernon Emergency Services, LLC                            North Carolina
Nevada Emergency Services, LLC                                North Carolina
New Albany Emergency Services, LLC                            North Carolina
Newnan Emergency Services, LLC                                North Carolina
Niceville Emergency Services, LLC                             North Carolina
Oregon Emergency Services, LLC                                North Carolina
Orlando Emergency Services, LLC                               North Carolina
Ormond Beach Emergency Services, LLC                          North Carolina
Palatka Emergency Services, LLC                               North Carolina
Passaic Emergency Physicians, LLC                             North Carolina
Paulding Emergency Services, LLC                              North Carolina
Pediatric Consultants of Broward County, Inc.                 Florida
Pediatric Healthcare, Inc.                                    Florida
Phoenix Emergency Services I, LLC                             North Carolina
Phoenix Emergency Services II, LLC                            North Carolina
PhyAmerica Correctional Healthcare, Inc.                      North Carolina
PhyAmerica Emergency Services of Dade County, Inc.            Florida
PhyAmerica Emergency Services of Ft. Lauderdale, Inc.         Florida
PhyAmerica Emergency Services of Hollywood, Inc.              Florida
PhyAmerica Emergency Services of Orlando, Inc.                Florida
PhyAmerica Government Services Management Group, Inc.         North Carolina
PhyAmerica Government Services, Inc.                          North Carolina
PhyAmerica Physician Group of Florida, Inc.                   Florida
PhyAmerica Physician Networks, Inc.                           North Carolina
PhyAmerica Physician Services of Broward County, Inc          Florida
PhyAmerica Physician Services of Florida, Inc.                Florida
PhyAmerica Physician Services of Orlando, Inc.                Florida
PhyAmerica Physician Services of South Florida, Inc.          Florida
PhyAmerica Physician Services of the Midwest, Inc.            Tennessee
PhyAmerica Physician Services of the Southeast, Inc.          North Carolina
PhyAmerica Physician Services of the West, Inc.               Texas
PhyAmerica Physician Services, Inc.                           North Carolina
PhyAmerica Practice Services of the Northeast, Inc.           New York
PhyAmerica Receivables LLC                                    Delaware
PhyAmerica SPC Member Corp.                                   Delaware
Physicians Planning Group, Inc.                               Maryland
Pontiac Emergency Services, LLC                               North Carolina
Premier Credentialing Resources, Inc.                         North Carolina
Princeton Emergency Services, LLC                             North Carolina
Reidsville Emergency Services, LLC                            North Carolina
Richmond Emergency Services, LLC                              North Carolina
Rock Hill Emergency Services, LLC                             North Carolina
Rolla Emergency Services, LLC                                 North Carolina

<PAGE>

EXHIBIT 21.1                                                              Page 3
SUBSIDIARIES OF THE REGISTRANT AS OF 12-31-99

Subsidiary                                                State of Incorporation
- --------------------------------------------------------------------------------

Rutherfordton Emergency Services, LLC                         North Carolina
Sanford Emergency Services, LLC                               North Carolina
Scottsburg Emergency Services, LLC                            North Carolina
Sedalia Emergency Services, LLC                               North Carolina
Shelby Emergency Services, LLC                                North Carolina
SHG/PhyAmerica Physician Services, Inc.                       North Carolina
Signum Primary Care, Inc.                                     North Carolina
Skokie Emergency Services, LLC                                North Carolina
Smithfield Emergency Services, LLC                            North Carolina
Specialty Services Group, Inc.                                Pennsylvania
Springfield Emergency Services I, LLC                         North Carolina
Springfield Emergency Services II, LLC                        North Carolina
St. Petersburg Emergency Services, LLC                        North Carolina
Sullivan Emergency Services, LLC                              North Carolina
Sunlife OB/GYN Servcies of Alexandria, LLC                    Virginia
Sunlife OB/GYN Services of Hollywood, Florida, Inc.           Florida
Sunlife OB/GYN Services of Maryland, Inc.                     Maryland
Sunlife OB/GYN Services of New Jersey, LLC                    New Jersey
Tawas City Emergency Services, LLC                            North Carolina
Terre Haute Emergency Services, LLC                           North Carolina
Thomasville Emergency Services I, LLC                         North Carolina
Tiffin Emergency Services, LLC                                North Carolina
Troy Emergency Services, LLC                                  North Carolina
Tuscon Emergency Services, LLC                                North Carolina
Union Emergency Services, LLC                                 North Carolina
Waimea Emergency Services, LLC                                North Carolina
Washington Emergency Services, LLC                            North Carolina
West Birmingham Emergency Services, LLC                       North Carolina
West Plains Emergency Services, LLC                           North Carolina
Willard Emergency Services, LLC                               North Carolina
Winter Park Emergency Services, LLC                           North Carolina
Wooster Emergency Services, LLC                               North Carolina
Wynne Emergency Services, LLC                                 North Carolina
Wytheville Emergency Services, LLC                            North Carolina


<TABLE> <S> <C>

<ARTICLE>                                 5
<MULTIPLIER>                              1,000

<S>                                       <C>
<PERIOD-TYPE>                             Year
<FISCAL-YEAR-END>                         Dec-31-1999
<PERIOD-START>                            Jan-31-1999
<PERIOD-END>                              Dec-31-1999
<CASH>                                                    0
<SECURITIES>                                              0
<RECEIVABLES>                                        44,738
<ALLOWANCES>                                              0
<INVENTORY>                                               0
<CURRENT-ASSETS>                                     51,932
<PP&E>                                                7,651
<DEPRECIATION>                                            0
<TOTAL-ASSETS>                                       88,783
<CURRENT-LIABILITIES>                                64,374
<BONDS>                                                   0
                                     0
                                               0
<COMMON>                                                426
<OTHER-SE>                                           96,753
<TOTAL-LIABILITY-AND-EQUITY>                         95,901
<SALES>                                             264,710
<TOTAL-REVENUES>                                    264,710
<CGS>                                               279,941
<TOTAL-COSTS>                                       279,941
<OTHER-EXPENSES>                                          0
<LOSS-PROVISION>                                          0
<INTEREST-EXPENSE>                                   14,456
<INCOME-PRETAX>                                     (32,663)
<INCOME-TAX>                                              0
<INCOME-CONTINUING>                                 (32,663)
<DISCONTINUED>                                            0
<EXTRAORDINARY>                                           0
<CHANGES>                                                 0
<NET-INCOME>                                        (32,663)
<EPS-BASIC>                                           (0.84)
<EPS-DILUTED>                                         (0.84)


</TABLE>


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