LIFEMARK CORP /DE/
DEF 14A, 1999-08-19
MANAGEMENT SERVICES
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                                 SCHEDULE 14A

 Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of
                                     1934
                            (Amendment No. _____)

FILED BY THE REGISTRANT [  X  ]
FILED BY A PARTY OTHER THAN THE REGISTRANT [    ]

[ ] Preliminary Proxy Statement      [ ] CONFIDENTIAL, FOR USE OF THE COMMISSION
[X] Definitive  Proxy  Statement         ONLY (AS PERMITTED BY RULE 14A-6(E) (2)
[ ] Definitive Additional Materials
[ ] Soliciting Material Pursuant to ss.240.14a-11(c) or ss.240.14a-12

                             LIFEMARK CORPORATION
________________________________________________________________________________
               (Name of Registrant as Specified In Its Charter)

________________________________________________________________________________
     (Name of Person(s) Filing Proxy Statement, if other than Registrant)

PAYMENT OF FILING FEE (Check the appropriate box):

[X]  No fee required
[ ]  $125 per Exchange Act Rule  0-11(c)(1)(ii), 14a-6(i)(1),  or 14a-6(j)(2) or
     item  22(a)(2)  of  Schedule  14A.
[ ]  $500 per each  party to the  controversy pursuant to Exchange Act
     Rule  14a-6(i)(3).
[ ]  Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

     1) Title of each class of securities to which transaction applies:

        ______________________________________________________________________

     2) Aggregate number of securities to which transaction applies:

        ______________________________________________________________________

     3) Per unit price or other  underlying  value of  transaction  computed
        pursuant  to Rule 0-11 (Set forth the amount on which the filing fee
        is calculated and state how it was determined):

        ______________________________________________________________________

     4) Proposed maximum aggregate value of transaction:

        ______________________________________________________________________

     5) Total fee paid:

        ______________________________________________________________________

[ ]  Fee paid previously with preliminary materials.

[ ]  Check box if  any  part of  the fee is offset as provided  by Exchange  Act
     Rule  0-11(a)(2)  and identify  the filing for which the offsetting fee was
     paid  previously.  Identify the previous filing  by registration  statement
     number, or the Form or Schedule and the date of its filing.

     1) Amount Previously Paid:

        ______________________________________________________________________

     2) Form, Schedule or Registration Statement No.:

        ______________________________________________________________________

     3) Filing Party:

        ______________________________________________________________________

     4) Date Filed:

        ______________________________________________________________________
<PAGE>

                             LIFEMARK CORPORATION
                   (FORMERLY MANAGED CARE SOLUTIONS, INC.)

                           NOTICE OF ANNUAL MEETING

                               OF STOCKHOLDERS

                              SEPTEMBER 13, 1999

      You are cordially  invited to attend the Annual Meeting of Stockholders of
Lifemark  Corporation  (the  "Company"  or  "Lifemark"),  formerly  Managed Care
Solutions, Inc., which will be held at the Lifemark corporate offices located at
7600   North   16th    Street,  Suite  150,   Phoenix,   Arizona   on    Monday,
September 13, 1999, at 4:00 p.m., Mountain Time, for the following purposes:

1.  To elect directors; and

2. To transact such other business as may properly come before the meeting.

      Only  stockholders  of record at the close of  business on August 23, 1999
are entitled to vote at the Annual Meeting or any adjournment thereof.

      A Proxy Statement and a proxy card solicited by the Board of Directors are
enclosed herewith. The Proxy Statement should be read carefully. It is important
that your shares be represented at the Annual Meeting  regardless of the size of
your holdings. Whether or not you intend to be present at the meeting in person,
we urge you to please mark,  date and sign the enclosed proxy card and return it
in the envelope  provided for that  purpose,  which does not require  postage if
mailed in the United  States.  If you attend the meeting,  you may, if you wish,
withdraw your proxy and vote in person.


                                    /s/ Stephen G. Smyth
                                    ---------------------------------
                                    Stephen G. Smyth
                                    SECRETARY

Phoenix, Arizona
August 24, 1999


<PAGE>

                             LIFEMARK CORPORATION

                               PROXY STATEMENT

                        ANNUAL MEETING OF STOCKHOLDERS

                              SEPTEMBER 13, 1999

      This Proxy Statement is furnished in connection  with the  solicitation by
the Board of Directors of Lifemark  Corporation  (the "Company" or  "Lifemark"),
formerly Managed Care Solutions,  Inc., of proxies for use at the Annual Meeting
of  Stockholders  of the Company to be held at the  Lifemark  corporate  offices
located at 7600  North  16th  Street,  Suite  150,  Phoenix,  Arizona on Monday,
September 13, 1999, at 4:00 p.m., Mountain Time, and at any adjournment thereof.

      Proxies properly executed and returned in a timely manner will be voted at
the Annual Meeting in accordance with the directions  specified  therein.  If no
direction  is  indicated,  they will be voted for the  election of the  nominees
named herein as directors and on other matters properly presented for a vote, in
accordance  with the  judgment  of the persons  acting  under the  proxies.  Any
stockholder  giving a proxy has the  power to  revoke  it any time  before it is
voted,  either in person at the meeting,  by written  notice to the Secretary of
the Company, or by delivery of a later-dated proxy.

      The  Company's  executive  offices are located at 7600 North 16th  Street,
Suite 150,  Phoenix,  Arizona  85020 and its telephone  number is  602-331-5100.
Proxy   materials  are  being  mailed  to  stockholders  beginning  on  or about
August 24, 1999.

                     SHARES OUTSTANDING AND VOTING RIGHTS

      Only  stockholders  of record at the close of business on August 23, 1999,
are entitled to vote at the Annual Meeting. The only voting stock of the Company
outstanding is its Common Stock, of which 4,808,068  shares were  outstanding at
the close of business on August 18, 1999.  Each share of Common Stock issued and
outstanding is entitled to one vote. The six nominees for director receiving the
most votes will be elected as directors;  abstentions and broker  non-votes will
have no effect on the election of directors.  Votes will be tabulated,  using an
automated scanner, by the inspectors of election appointed by the Company.

                                       3
<PAGE>

                     COMMON STOCK OWNERSHIP BY MANAGEMENT

      The following table sets forth, as of June 30, 1999,  certain  information
regarding  the  beneficial  ownership of Common  Stock by each of the  Company's
directors,  executive officers named in the "Summary Compensation Table", and by
all  directors  and  executive  officers of the Company as a group,  and by each
person known by the Company to be the  beneficial  owner of 5 percent or more of
the outstanding Common Stock.

                                                  SHARES            PERCENT OF
            NAME(1)                         BENEFICIALLY OWNED     COMMON STOCK
            -------                         ------------------     ------------

      Rhonda E. Brede.....................        68,345  (2)          1.3%
      James A. Burns......................       175,500  (3)          3.5%
      William G. Brown....................       157,932  (2)(5)       3.0%
      Rogers K. Coleman...................            --                 *
      Richard C. Jelinek..................       726,320  (2)(4)(5)   14.1%
      Henry H. Kaldenbaugh................       575,204  (2)         11.3%
      Risa Lavizzo-Mourey.................        26,365  (2)            *
      John G. Lingenfelter................       479,919  (2)          9.4%
      Michael J. Kennedy..................        87,769  (2)          1.7%
      Michael D. Hernandez................       100,000  (2)          2.0%
      Hollybank Investments, LP...........       607,947  (6)         12.0%
      Blue Cross and Blue Shield of Texas,
        Inc.                                     879,221  (7)         14.8%

      All directors and executive officers
        as a group (10 persons)...........     2,231,510  (2)(5)      41.7%

      *Represents less than 1% of Common Stock beneficially owned.

(1) The  address  of  all  of the  persons  named  or  identified  above, except
    Hollybank  Investments,  LP,  Blue Cross and Blue Shield of Texas,  Inc. and
    James Burns, is c/o Lifemark Corporation, 7600 North 16th Street, Suite 150,
    Phoenix, Arizona 85020.

(2) Includes 32,500, 3,750, 3,750, 13,750, 41,250, 18,750, 65,250,  100,000, and
    269,000  shares  covered  by  options and/or warrants  held  by  Ms.  Brede,
    Dr.   Kaldenbaugh,    Dr.   Lingenfelter,    Mr.   Jelinek,    Mr.    Brown,
    Dr.  Lavizzo-Mourey, Mr.  Kennedy,  Mr.  Hernandez,  and all  directors  and
    officers as a group, respectively, which were exercisable within sixty  days
    of June 30, 1999. Such persons disclaim beneficial ownership of such shares.

(3) The address of James A. Burns is 75-5814  Neke  Place,  Kailua-Kona,  Hawaii
    96740.

(4) Includes 25,333 shares owned by Mr. Jelinek's wife.

(5) Includes 77,922 shares which may be acquired upon  conversion of $300,000 in
    principal  amount of a  Convertible  Note of the Company  and 10,000  shares
    covered  by  a  currently   exercisable  stock purchase  warrant.  Both  the
    Convertible  Note and Stock Purchase  Warrant are held by a trust created by
    Mr. Brown for the benefit of members of his family,  of which Mr. Jelinek is
    one of the co-trustees.

(6) Represents  shares  as of  June  23,  1999,  as  reported  on  Schedule 13D.
    Hollybank Investments, LP disclaims beneficial ownership with respect to all
    of the shares for all purposes other than for reporting purposes on Schedule
    13D. The address of Hollybank Investments, LP is One Financial Center, Suite
    1600, Boston, Massachusetts, 02111.

(7) Represents  779,221  shares  which  may  be  acquired  upon   conversion  of
    $3,000,000 in principal amount of a Convertible  Secured Note of the Company
    and  100,000  shares  covered  by  a  currently  exercisable stock  purchase
    warrant. The address of Blue Cross and Blue Shield of Texas, Inc. ("BCBSTX")
    is 901 S. Central Expressway, Richardson, Texas 75080.

                                       4
<PAGE>

           SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

      John  Lingenfelter  failed  to  timely  file a Form 5 with  respect  to 20
transactions  in which he gifted a certain  number of shares of Common Stock and
changed the form of ownership of certain other Common Stock.

                            ELECTION OF DIRECTORS

      Six directors are to be elected at the Annual  Meeting.  The persons named
below have been designated by the Board of Directors as nominees for election as
directors,  for terms expiring at the next Annual Meeting of  Stockholders.  All
nominees are currently serving as directors.

      Unless  authority  is  withheld,  signed  proxies  which are returned in a
timely  manner will be voted for the election of the six nominees for  director,
provided that if any of such nominees  should be unable to serve by virtue of an
unexpected  occurrence,  the  proxies  will be voted  for such  other  person or
persons as will be determined by the holders of the proxies in their discretion.
Nominees receiving a plurality of the votes of the shares present or represented
by  proxy  at the  Annual  Meeting  and  entitled  to vote  will be  elected  as
directors.

      Biographical information concerning the six nominees is presented below.

      Rhonda Brede,  age 42, has been President,  Chief Operating  Officer and a
director of the Company since July 1999.  Previously,  she was Lifemark's Senior
Vice  President  of  Health  Plan   Administration   and   Implementation   with
responsibility   for  all  of  the  Company's  owned  and  managed  health  plan
operations.  She also has been the Chief  Executive  Officer of  Ventana  Health
Systems,  Inc. ("Ventana") and Arizona Health Concepts,  Inc. ("AHC") since 1998
and Senior Vice  President of the Company since 1996.  During the period 1993 to
1996,  she was  Executive  Director for Ventana.  Ms. Brede has been involved in
management and operations of Ventana, a prepaid, fully capitated LTC health plan
since its inception in 1989.  She has 13 years of  experience in managed  health
care,  including  commercial,  Medicaid  Acute Care and  Long-Term  Care ("LTC")
environments.

      Richard C.  Jelinek,  age 62,  Chairman of the Board of the  Company,  was
co-founder of a predecessor of Medicus Systems Corporation in 1969 and served as
Chief  Executive  Officer and  Director of these corporations (the  "Predecessor
Corporation") from its incorporation in December 1984 until February 1996 and of
the  Company  since March  1996.  From 1983 to 1985 he was also  Chairman of the
Board and Chief  Executive  Officer of Mediflex  Systems  Corporation.  Prior to
1969, Mr. Jelinek was Associate Professor of Industrial Engineering and Hospital
Administration  and  Director,  Systems  Engineering  Group,  Bureau of Hospital
Administration  at The  University  of Michigan.  He has a Ph.D.  in  Industrial
Engineering from The University of Michigan.

      William G.  Brown,  age 56, is a partner of Bell,  Boyd & Lloyd,  Chicago,
Illinois,  counsel to the  Company,  and has been a director of the  Predecessor
Corporation since its incorporation in 1984 and of the Company since March 1996.
Mr.  Brown also served as  Secretary of the  Predecessor  Corporation  since its
incorporation  and of the Company from March 1996 until October 1998.  Mr. Brown
is  also  a  director  of  MYR  Group,  Inc., Dovenmuehle Mortgage, Inc. and CFC
International, Inc.

      Risa  Lavizzo-Mourey,  M.D.,  age 45, is the Sylvan  Eisman  Professor  of
Medicine  and  Health  Care   Systems  at   the   University   of  Pennsylvania.
Dr. Lavizzo-Mourey earned her medical degree  at Harvard Medical School followed
by  a  Masters  of Business  Administration at  the University of Pennsylvania's
Wharton School.  Dr.  Lavizzo-Mourey  has  served on  numerous Federal  advisory
committees and, most recently,  on President  Clinton's  Commission for Consumer
Protection and Quality in the Health Care  Industry.   She  is  a member of  the
Institute  of Medicine of the  National Academy of  Science.  Dr. Lavizzo-Mourey
joined  the  Predecessor  Corporation Board in  April 1994 and  has served  as a
director of  the  Company since  March 1996.  She is also  a director of Beverly
Enterprises and The Hangar Orthopedics Inc.

                                       5
<PAGE>

      Henry H.  Kaldenbaugh,  M.D., age 54, is a founder of two  subsidiaries of
the Company, Ventana and AHC, as well as Managed Care Solutions of Arizona, Inc.
("MCSAZ"), which was dissolved June 1997, and has been a director of the Company
since  March 1996.  He has been an officer  and board  member of Ventana and AHC
since  their  inception  and of MCSAZ  from  1993 to  1997.  He has had a family
medicine and pediatric  practice in northern Arizona since 1977. Dr. Kaldenbaugh
is board  certified in  pediatrics  and quality  assurance and  utilization  and
review. Dr. Kaldenbaugh served as medical director of AHC from 1992 through 1997
and has been an  officer  or  director  of AHC,  Ventana  and MCSAZ  (until  its
dissolution) since their inception. He served as Administrative Medical Director
for Health  Management  Associates,  Inc. from 1990 through  1991,  for Northern
Arizona  Family Health Plan from 1988 through 1991,  and for the Arbors  Nursing
Facility from 1984 through 1987.  Dr.  Kaldenbaugh  received his medical  degree
from Baylor University.

      John G.  Lingenfelter,  M.D.,  age 71, is the Vice Chairman of the Company
and a founder of AHC,  Ventana and MCSAZ.  He has been a director of the Company
since  March 1996,  and has been an officer and board  member of Ventana and AHC
since  their  inception  and of MCSAZ from 1993 to 1997.  Dr.  Lingenfelter  has
engaged in the general  practice of medicine in Kingman,  Arizona since 1961. He
served as Mohave  County,  Arizona  Health  Director  from 1966 through 1982 and
Medical  Director  of the Kingman  Health Care Center from 1985 to 1995.  He has
been serving as Mohave  County  Hospital  District  Board  Trustee since 1988 to
present.  He was a member  of the  Mohave  County  board of  education  and past
President of the Mohave County Union High School  District from 1979 to 1986. He
has  been  a director  since 1980  of  The Stockmen's  Bank,  Kingman,  Arizona.
Dr. Lingenfelter received his medical degree from the University of Iowa.

                     MEETINGS AND COMMITTEES OF THE BOARD

      During the fiscal year ended May 31,  1999,  the Board of  Directors  held
four meetings.  No director  attended fewer than  three-fourths of the aggregate
number of meetings of the Board and of the committees  described  below on which
he or she served during the past fiscal year.  The Board has designated an Audit
Committee,  whose functions include making  recommendations  to the Board on the
selection and retention of the Company's  auditors,  a  Compensation  Committee,
whose  functions  include  making  recommendations  to the Board  regarding  the
salaries and bonuses to be paid, and a Stock Option  Committee,  whose functions
include granting options under,  and  administering,  the Company's stock option
plans.  William  Brown and Henry  Kaldenbaugh  are  currently the members of the
Audit Committee;  Richard  Jelinek,  Mr. Brown and Dr. Risa  Lavizzo-Mourey  are
currently  the  members  of  the  Compensation  Committee;  and Mr.  Jelinek and
Dr. Lavizzo-Mourey  are  currently  the members of  the  Stock Option Committee.
During the fiscal year ended May 31, 1999, the Audit Committee  met three times,
the Compensation  Committee  met one time and the  Stock  Option  Committee  met
two times.

                                       6
<PAGE>

                                  COMPENSATION

      Set forth below is information  concerning  the executive  officers of the
Company as of May 31, 1999.
<TABLE>
<CAPTION>

                                     SUMMARY COMPENSATION TABLE
                                                                            LONG-TERM
                                         ANNUAL COMPENSATION              COMPENSATION
                               ----------------------------------------      AWARDS
                                                                             ------
                                                              OTHER        SECURITIES
                                                              ANNUAL       UNDERLYING     ALL OTHER
NAME AND PRINCIPAL             FISCAL    SALARY    BONUS   COMPENSATION   OPTIONS/SARS   COMPENSATION
   POSITION (1)                 YEAR      ($)       ($)        ($)             (#)         ($) (2)
- ------------------             ------    ------    -----   ------------   ------------   ------------
<S>                            <C>       <C>       <C>     <C>            <C>            <C>

Michael D. Hernandez (3)
  Former Chairman and
  Chief Executive Officer       1999    200,000   25,000            -               -             -
                                1998     78,030   25,000            -         400,000             -

James A. Burns
  Vice Chairman, President
  and Chief Operating Officer   1999     40,465   37,000      253,823 (4)           -         3,724
                                1998    175,000        -            -               -        10,987
                                1997    164,792        -            -               -         8,955

Michael J. Kennedy
  Chief Financial Officer       1999    143,125   47,125            -               -         3,978
                                1998    136,000   32,500       28,016 (5)           -         3,284
                                1997    125,000        -       31,809 (5)      87,000         1,458
</TABLE>

(1)   Includes each person who served as the Chief Executive  Officer during the
      most recent  fiscal year and the other most highly  compensated  executive
      officers as measured by salary and bonus meeting the disclosure  threshold
      requirements pursuant to Item 402 of S.E.C. Regulation S-K.

(2)   The amounts shown for Mr. Burns for fiscal 1999 represents  officer's life
      insurance of $665,  auto  allowance  of $1,300 and  computer  equipment of
      $1,759.  The amount  shown for Mr.  Kennedy for fiscal year 1999  includes
      officer's  disability  insurance of $598.  The Company has a  contributory
      retirement savings plan, which covers eligible employees who qualify as to
      age and length of service.  Participants may contribute 1% to 15% of their
      salaries,  subject  to  maximum  contribution  limitations  imposed by the
      Internal Revenue Service. The amount shown for Mr. Kennedy for fiscal year
      1999 include Company contributions to his account in the amount of $3,380.

(3)   Mr.  Hernandez was relieved of his duties as Chairman and Chief  Executive
      Officer  of the  Company  on July 15,  1999.  Pursuant  to his  employment
      contract,  200,000  options were cancelled on July 15, 1999 and 200,000 of
      his options are exercisable on or before December 12, 1999.

(4)   The amount shown for Mr. Burns represents a severance  payment of $169,823
      and  payments  in  excess  of the fair  market  value  for  75,000  shares
      purchased  by the Company  from Mr.  Burns of $84,000  during  fiscal year
      1999.

(5)   The amount shown for Mr.  Kennedy in each year  represents  moving expense
      related reimbursement.

                                       7
<PAGE>

OPTION / SAR GRANTS TABLE

      The  Company  did not make any grants to named  executives  during  fiscal
1999.
<TABLE>
<CAPTION>

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

                                                       NUMBER OF SECURITIES         VALUE OF UNEXERCISED
                                                      UNDERLYING UNEXERCISED        IN-THE-MONEY OPTIONS/
                                                      OPTIONS/SARS AT FY-END           SARS AT FY-END

                   SHARES ACQUIRED     VALUE
                   ON EXERCISE (1)   REALIZED (2)   EXERCISABLE   UNEXERCISABLE   EXERCISABLE   UNEXERCISABLE
NAME(#)                  ($)            (#)             (#)            ($)            ($)            ($)
- -------------------------------------------------------------------------------------------------------------
<S>                <C>               <C>            <C>           <C>             <C>           <C>

Michael D. Hernandez        -              -          100,000        300,000             -              -
James A. Burns         75,000         46,875                -              -             -              -
Michael J. Kennedy          -              -           65,250         21,750        48,938         16,313
</TABLE>

(1)    Number of securities underlying options/SAR exercised.
(2)    Market value of underlying  securities  on date of exercise,  minus the
       exercise or base price.

DIRECTOR COMPENSATION

      All  directors of the Company are paid an annual  retainer of $10,000.  In
addition,  under the Company's 1995  Directors'  Stock Option Plan, an option to
purchase  20,000  shares of Common  Stock is  granted  to each  director  of the
Company who is not an officer, employee or greater than five percent stockholder
of the  Company at the time of such  director's  initial  election to the Board.
Under  the  Company's  1996  Non-Employee   Director  Stock  Option  Plan,  each
non-employee  director  of the  Company  receives,  on the  date of each  annual
meeting of  stockholders,  an option to purchase  5,000 shares of Common  Stock.
Options  under  each of the  1995  Directors'  Stock  Option  Plan  and the 1996
Non-Employee  Director  Stock  Option  Plan are for a term of ten years,  become
exercisable  with  respect to 25% of the shares  covered  thereby on each of the
first four  anniversaries  of the date of grant and have an exercise price equal
to the fair market value on the date of grant.

EMPLOYMENT AGREEMENTS

      The    Company   is   a   party   to   an    employment   agreement   with
Michael  D.   Hernandez  providing   for   his   employment  as   Chairman   and
Chief Executive Officer of the Company. Mr. Hernandez was relieved of his duties
as  Chairman  and  Chief Executive  Officer of  the  Company  and  each  of  its
subsidiaries  on  July  15,  1999.   The  agreement, which  was entered  into on
January 1998  and  had  an  initial  term of  four  years, provided  that during
Mr. Hernandez's  employment, he was to receive an annual salary of not less than
$200,000,  was  eligible to  participate  in the Company's  bonus  plan  with  a
targeted  bonus  of 25% of his  base  salary  in accordance  with  the Company's
customary  practices  and  formulae, and was to devote  not less than 75% of his
full time to the  business  and  affairs of the Company.  Upon execution of this
employment  agreement,  Mr.  Hernandez  received  a  signing  bonus of  $25,000.
Mr. Hernandez also received  options to purchase 400,000 shares of the Company's
Common  Stock,  subject  to   vesting  in  four  equal  increments   of  25%  on
January 12, 1999,  2000,  2001 and 2002. In the event of a change  in control of
the Company,  all of Mr.  Hernandez's outstanding  options would vest and become
exercisable  on the date of the  change in  control.  The Company agreed that if
Mr. Hernandez's employment was  terminated by  the Company other  than for cause
or,  without  his  consent,  the  Company  reduced his base salary  or  targeted
bonus  opportunity,   materially  changed   his  duties  or responsibilities  or
changed the  location of  his principal  place of work, and as  a result of such
change or changes he  voluntarily  terminated  his  employment, then,  in either
event, the 25% of Mr. Hernandez's  outstanding options scheduled to vest on  the
next January 12 would vest and become  exercisable on the date of termination of
his  employment,  and he would be  entitled  to  receive his base  salary for  a
period  of  12 months following  notice of termination,  as well  as a  pro rata
bonus.

                                       8
<PAGE>

      On March 1, 1996,  the Company  entered into an employment  agreement with
Mr.  Burns.  The  agreement  provided that he would receive a salary of at least
$175,000  annually,  and that if his  employment  was  terminated by the Company
(other  than for  cause),  he would  receive  severance  payments at the rate of
$175,000  annually (i) until March 1, 1999, in the event of termination prior to
March 1, 1998;  (ii) for a period of one year if  termination  occurred  between
March 1, 1998 and  March 1,  1999;  (iii)  until  March 1,  2000 if  termination
occurred  between March 1, 1999 and September 1, 1999;  and (iv) for a period of
six  months  if  termination  occurred  after  September  1,  1999.  Mr.  Burns'
employment  agreement  further  provided  that in no event would  severance  pay
exceed  six months if at the time of  termination  the  Company  had not had net
income after taxes during the  preceding 12 months of at least  $1,000,000.  The
agreement  also provided for the grant of options to purchase  150,000 shares of
Common Stock.  Effective  August 1, 1998,  Mr. Burns  resigned as an officer and
director of the Company and each of its  subsidiaries.  Pursuant to the terms of
his separation agreement,  Mr. Burns was paid $37,000 as a bonus for fiscal year
1998 and an  aggregate of $169,823 as  severance  payments  during the 12 months
ended  July  31, 1999.  The remaining  75,000  unvested  stock options  held  by
Mr. Burns were cancelled.

                COMPENSATION AND STOCK OPTION COMMITTEE REPORT

      The Company's  compensation  policies applicable to its executive officers
are  administered  by the  Compensation  Committee  and,  with  respect to stock
options, the Stock Option Committee of the Board of Directors.

COMPENSATION PHILOSOPHY

      The  Company's  compensation  programs  are  designed to link  executives'
compensation  to  the  performance  of  the  Company  and  provide   competitive
compensation for Company executives relative to a select group of peer companies
in order to attract and retain high caliber senior  executives  essential to the
long-term  prosperity of the Company. The compensation mix reflects a balance of
annual base salary,  bonus and equity-based  incentives.  Emphasis,  however, is
placed on the more strategic  equity-based  plans intended to build  shareholder
value and provide incentives to motivate executive behavior over the long term.

COMPENSATION PROGRAM

      Executive officer compensation consists of two key elements: (1) an annual
cash  component  comprised  of base salary and bonus and (2) a long-term  equity
component with respect to which existing holdings of Common Stock are recognized
and in appropriate cases stock options are granted. The policies with respect to
each of these elements are described below.

      (1)  Annual Compensation

      Base salaries for  executive  officers are  determined  by evaluating  the
responsibilities  of the position and comparing it with other executive  officer
positions in the Company and the  marketplace.  For this  purpose,  the "market"
consists of a broad range of companies  with which the Company feels it competes
for  executive  talent.  This  group is  different  than the peer group used for
comparison  purposes in the stock price performance graph that appears elsewhere
in this Proxy  Statement  because the Company  believes the market for executive
talent  extends to a broader range of companies than those included in the stock
price performance graph.

      Annual salary  adjustments are determined by a review of market  research,
Company  performance  (measured by earnings per share growth),  the individual's
contribution to that  performance,  and for executive  officers  responsible for
particular business units, the financial and operating results of their business
units. No specific weights are assigned to these factors.

                                       9
<PAGE>

      Annual  bonuses for  executive  officers  in  fiscal 1999 were  awarded in
accordance with the Company  Performance  Incentive  program,  a bonus incentive
program  based  on the  Company  meeting  or  exceeding  its  targeted  earnings
objective and is defined as a percentage of each executive's salary. The Company
Performance   Incentive   program  is  designed  to  link  compensation  to  the
performance  of the  Company.  Under this  program,  the Company  must produce a
minimum  target return to  shareholders  before Company  performance  awards are
generated.  At the minimum target level, 40% of the Company Performance award is
given. An additional award of 60% of the Company  Performance  award can be paid
should the Company  achieve  100% of the target  performance  level.  For fiscal
1999,  greater than the minimum target return to shareholders  was achieved  and
100% of Company Performance Incentive bonuses were awarded.

      (2)  Long-Term Compensation

      To align  shareholders' and executive officers'  interests,  the Company's
long-term  compensation  plan uses stock option grants whose value is related to
the value of Common Stock.  Grants of stock options are made under the Company's
1995 and 1996 Stock Option  Plans and 1998 CEO Stock  Option  Plan.  In granting
options, the Board takes into account existing holdings and options already held
by  each  executive.  The  size  of  each  option  grant  is  determined  by the
individual's   position   within  the  Company,   the   individual's   level  of
responsibility and the number of options currently held by the individual.

      Stock options are granted with an exercise  price equal to the fair market
value of the Common Stock on the date of grant.  Stock options generally vest in
four  annual  increments  and are  exercisable  up to ten  years  from  the date
granted.  Stock options provide  incentive for the creation of shareholder value
over the long term since the full benefit of the compensation  package cannot be
realized  unless an  appreciation  occurs in the  price of Common  Stock  over a
specified number of years.

CEO COMPENSATION

      Mr.  Hernandez   was  compensated   pursuant  to  his employment agreement
(described   above  under  "Employment   Agreements"),   which   was   effective
January 12, 1998.  Included in Mr. Hernandez's compensation was  a signing bonus
of $25,000. In determining the level of compensation, Mr. Hernandez's experience
in the health care industry was considered.

POLICY WITH REGARD TO THE $1 MILLION DEDUCTION LIMIT

      In 1993,  Section  162(m) was added to the  Internal  Revenue  Code.  This
section  generally limits to $1 million the tax deduction for compensation  paid
to executive officers of a publicly-held  corporation who are named in the proxy
statement,  subject to an exception for "performance - based" compensation plans
as defined under that section.  The Company's  1995 and 1996 Stock Option Plans,
as Amended  and 1998 CEO Stock  Option  Plan are each  intended  to qualify as a
"performance-based  plan".  The  Compensation  and Stock  Option  Committee  has
determined that the other compensation currently paid to the Company's executive
officers  is not  expected  to exceed  the  limitation  as set forth in  Section
162(m).

      The foregoing  report has been approved by all members of the Compensation
and Stock Option Committees.

                                       Richard C. Jelinek
                                       William G. Brown
                                       Risa Lavizzo-Mourey

                                       10
<PAGE>

                              PERFORMANCE GRAPH

      The  Company  as it  presently  exists  is the  result  of a  spinoff  and
subsequent  merger  transactions  which   occurred  on  March 1, 1996.  Prior to
March  1,  1996  the   Company  was   named  Medicus  Systems  Corporation  (the
"Predecessor Corporation").  On  March  1,  1996,  all  of  the  assets  of  the
Predecessor   Corporation,  other  than   those  related  to  its  managed  care
business,  were  transferred to a  wholly owned  subsidiary of  the  Predecessor
Corporation, and all of the shares of that company,  then named  Medicus Systems
Corporation   ("Medicus"),   were   distributed  (the   "Distribution")   on   a
share-for-share   basis   to   stockholders   of   the  Predecessor Corporation.
Immediately after the Distribution, the  Company, which then  consisted  only of
the   managed  care  business  of   the  Predecessor  Corporation,  effected   a
one-for-three reverse stock split. Also on March 1, 1996, immediately  after the
reverse stock split, the Company acquired three Arizona corporations engaged  in
the managed care business  through  merger transactions (the "Mergers") pursuant
to which each of the Arizona  corporations became a wholly owned  subsidiary  of
the Company, and the Company's name was changed to Managed Care  Solutions, Inc.
On July 12, 1999, the Company  changed its name to Lifemark Corporation.

      The following graph compares the cumulative  total  shareholder  return on
Common Stock since March 1, 1996 (the effective date of the Mergers and the date
on which the Common  Stock began  trading  under the symbol MCSX) to that of the
Nasdaq market index and Nasdaq Health Services  index.  The Company stock symbol
was  changed to LMRK  effective  with the  adoption of the  Company's  new name,
Lifemark Corporation.

                                                           MAY 31,
                                            ----------------------------------
                          MARCH 1, 1996     1996      1997       1998     1999
                          -------------     ----      ----       ----     ----
Lifemark Corporation           100           152        76        182       97
NASDAQ U.S.                    100           114       128        162      228
NASDAQ Health Services         100           113        94         95       82

                                       11
<PAGE>

      The following graph compares the cumulative  total  shareholder  return on
Predecessor Corporation (then known as Medicus Systems Corporation) Common Stock
from June 1, 1994 to  February  29,  1996  (the  last  trading  day prior to the
effective  date of the Mergers) to that of the Nasdaq  market index and an index
comprised  of  the  Common  Stock  of 13  peer  companies  that  compete  in the
healthcare   information  systems  industry.  In  calculating  cumulative  total
shareholder  return,  reinvestment  of dividends is assumed,  and the returns of
each member of the peer group are weighted for market capitalization.

                          JUNE 1, 1994     MAY 31, 1995     FEBRUARY 29, 1996
                          ------------     ------------     -----------------

            Medicus           100               60                  55
            NASDAQ U.S.       100              119                 151
            Peer Group        100              134                 171

      The peer group of  companies  was  selected  based upon their being in the
business of healthcare  information systems and related services.  The companies
in the peer group,  which for performance  graph purposes,  does not include the
Predecessor  Corporation,  are as follows:  Access Health Marketing,  First Data
Corporation,  GMIS, Inc.,  Health  Management  Systems,  Health Risk Management,
Keane, Inc., Medaphis Corporation, Medic Computer Systems, Mediware Informations
Systems, Policy Management Systems,  Shared Medical Systems,  Spacelabs Medical,
Inc. and US Services, Inc.

 COMPENSATION AND STOCK OPTION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

      Mr. Jelinek,  Mr. Brown and Dr.  Lavizzo-Mourey are  currently  members of
the  Compensation   Committee  and   Mr. Jelinek   and   Dr. Lavizzo-Mourey  are
currently  members  of  the  Stock  Option  Committee.   None  of the  Company's
directors have  interlocking or other  relationships  with  other boards  or the
Company  that require  disclosure  under Item 402(j) of  S.E.C.  Regulation S-K,
except as described below.

      For the fiscal year ended May 31, 1999,  the Company  incurred  legal fees
for general legal services of $48,600 to the law firm of Bell,  Boyd & Lloyd, of
which  William G. Brown,  a director of the  Company,  is a partner.  During the
fiscal year ended May 31, 1999,  Dr.  Kaldenbaugh  was paid  consulting  fees of
$84,000 by the Company.

                                       12
<PAGE>

CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

      THE  COMPANY.  As of May 31,  1999,  Dr.  Kaldenbaugh  owed $10,526 to the
Company  pursuant  to a  promissory  note in the  original  principal  amount of
$94,000, with interest at the rate of 3%. The highest balance outstanding during
fiscal year 1999 was $33,760.  The note was originally  payable to Ventana,  and
was  transferred  to the Company  during the fiscal year ended May 31, 1997. The
note  is  payable  upon  demand.   The  purpose  of  this  loan  was to  provide
Dr. Kaldenbaugh funds to settle litigation in 1992 concerning  a covenant not to
compete to which he was subject.

      During fiscal year 1999, the Company  received  $7,711,755 from Rio Grande
HMO, Inc. ("RGHMO"), a subsidiary of BCBSTX, pursuant to administrative services
agreements between the Company and RGHMO.

      In October 1996, the Company signed an agreement  whereby BCBSTX  invested
$3,000,000  in the Company in the form of a convertible  secured loan.  The loan
has an  original  term of three years with a renewal  option for two  additional
one-year  periods,  if certain  conditions are met. The loan bears interest at a
rate of 8% per  annum.  Principal  and  interest  are  payable at the end of the
initial  three-year term and,  thereafter,  at the end of each annual extension.
The loan is  convertible  into Common Stock at a  conversion  price of $3.85 per
share. BCBSTX also received a warrant to purchase 100,000 shares of Common Stock
at an exercise  price of $4.45 per share.  BCBSTX has the right of first refusal
to participate as an equity partner in future Lifemark funding requirements.  On
May 31, 1999,  $3,710,000 was due to BCBSTX  pursuant to the note  consisting of
$3,000,000 in principal and $710,000 of accrued interest.

      In a separate transaction, a trust created by William G. Brown, a director
of  the  Company,  for  the  benefit of  members  of  his  family,  and of which
Richard  C. Jelinek,  Chairman  and  Director,  is  one   of  the   co-trustees,
(the "Brown GST Trust")  invested  $300,000 in the Company through a convertible
unsecured loan and received a warrant to purchase 10,000 shares of Common Stock.
The interest rate,  term,  conversion  price, and warrant exercise price are the
same for the Brown GST Trust as for  BCBSTX,  except  that  interest on the loan
is  payable monthly.  During  the fiscal year  ended May 31, 1999,  the  Company
paid an aggregate of $24,000 in interest to the Brown GST Trust.

      MCSAZ. In October 1995, MCSAZ borrowed  $155,000 from a trust  established
by Dr. Lingenfelter and $52,000 from a trust established by Dr. Kaldenbaugh. The
notes,  due December 31, 2000,  provide for interest  income to be accrued at 8%
per annum.  MCSAZ then  loaned  from these  funds  $118,000  to Dr.  Kaldenbaugh
pursuant to a  promissory  note,  due  December 31,  2000,  also  providing  for
interest  to accrue at 8% per  annum.  The notes are  secured by a pledge of the
Company Common Stock received by Dr.  Kaldenbaugh in the Mergers in exchange for
their stock in MCSAZ.  The stock pledge also secures the above  described  loans
from the trusts to MCSAZ. The purpose of the loan was to provide Dr. Kaldenbaugh
funds to pay taxes  incurred  as a result of his  owning  shares in AHC,  then a
Subchapter S corporation.  In June 1998,  the Company made a $97,000  payment to
Dr.  Lingenfelter's trust. On May 31, 1999, $87,000 and $66,000 were outstanding
on   notes   payable  to   the  trusts  established  by   Dr.  Lingenfelter  and
Dr. Kaldenbaugh,  respectively,  and  $158,000  was  outstanding  on  the   note
receivable from Dr. Kaldenbaugh.

      VENTANA.  In October 1995, Dr.  Kaldenbaugh  borrowed $95,055 from Ventana
pursuant to a promissory  note due December 31, 2000  providing  for interest to
accrue at 8% per annum. The note is secured by a pledge of Common Stock received
by Dr.  Kaldenbaugh  in the Mergers in exchange for their stock in Ventana.  The
purpose  of the loan  was to  provide  Dr.  Kaldenbaugh  funds  to pay  taxes as
described  in  the  preceding  paragraph.  As of  May  31,  1999,  $122,938  was
outstanding under the loan to Dr. Kaldenbaugh.

      During  fiscal year 1999,  Dr.  Lingenfelter  received  total  payments of
$126,600 under risk sharing  contracts  between Dr.  Lingenfelter and Ventana in
Mohave  County,  Arizona.  As of May  31,  1999,  Dr.  Lingenfelter  is  owed an
additional $26,841 pursuant to such contracts.

                                       13
<PAGE>

      ARIZONA HEALTH  CONCEPTS.   Dr.  Kaldenbaugh  received  payment of $22,989
pursuant to  risk  sharing  contracts  with AHC, and Dr.  Lingenfelter  received
capitation  payments  of  $115,863  from  AHC during  fiscal year 1999.   As  of
May 31,  1999,  Dr. Lingenfelter  was owed  $124,047,  pursuant  to risk sharing
contracts.

                             CERTAIN TRANSACTIONS

      For  descriptions  of   certain  transactions  involving   Mr.  Brown  and
Drs. Kaldenbaugh and  Lingenfelter and  BCBSTX, see the  information  under  the
caption  "Compensation  and  Stock  Option  Committee  Interlocks  and   Insider
Participation."

                           INDEPENDENT ACCOUNTANTS

      PricewaterhouseCoopers  LLP has been selected by the Board of Directors of
the Company, upon the recommendation of its Audit Committee,  to continue to act
as auditors in fiscal year 2000. A representative of PricewaterhouseCoopers  LLP
will be present at the Annual  Meeting.  He will have the  opportunity to make a
statement,  if he  desires  to do so,  and  will  be  available  to  respond  to
appropriate questions.

                                ANNUAL REPORT

      The Annual  Report of the  Company on Form 10-K for the fiscal  year ended
May 31, 1999 is enclosed with this Proxy Statement. Stockholders are referred to
this report for  financial  and other  information  about the Company,  but such
report is not  incorporated  in this  Proxy  Statement  and is not a part of the
proxy soliciting material.

                          PROPOSALS BY STOCKHOLDERS

      Any proposals by stockholders  intended to be presented at the 2000 Annual
Meeting  of  Stockholders  must  be  received  by  the  Company  no  later  than
April 26, 2000 in order to be considered by the Board of Directors for inclusion
in the Company's Proxy materials for that meeting.  The Company will be entitled
to exercise  discretionary  proxy authority with respect to any other  proposals
presented by stockholders at that meeting unless the Company is notified of such
proposals no later than July 10, 2000.

                                OTHER MATTERS

      Brokerage  firms,  banks,  fiduciaries,  voting trustees or other nominees
will be requested to forward the soliciting material to each beneficial owner of
stock held of record by them, and the Company will, upon request, reimburse them
for the reasonable expense of doing so. The entire cost of the solicitation will
be borne by the Company.

      The Board of Directors  does not intend to present,  and does not have any
reason to believe that others will  present,  any item of business at the Annual
Meeting  other than those  specifically  set forth in the notice of the meeting.
However, if other matters are properly presented for a vote, the proxies will be
voted  with  respect to such  matters in  accordance  with the  judgment  of the
persons acting under the proxies.

                                       By Order of the Board of Directors


                                       Stephen G. Smyth
                                       SECRETARY

                                       14
<PAGE>

- --------------------------------------------------------------------------------
PROXY                                                                    PROXY
                             LIFEMARK CORPORATION
                   (FORMERLY MANAGED CARE SOLUTIONS, INC.)

                      ANNUAL MEETING, SEPTEMBER 13, 1999

             PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

Rhonda E. Brede and Richard C.  Jelinek or either of them,  each with full power
of  substitution,  is hereby  authorized  to vote all shares of Common  Stock of
Lifemark  Corporation  which  the  undersigned  would  be  entitled  to  vote if
personally present at the Annual Meeting of Stockholders of Lifemark Corporation
to be held on September 13, 1999, and at any adjournment  thereof,  as indicated
herein.

THE SHARES REPRESENTED BY THIS PROXY WILL BE VOTED AS DIRECTED HEREIN, BUT IF NO
DIRECTION IS GIVEN, THE SHARES WILL BE VOTED FOR ALL NOMINEES LISTED IN ITEM 1.

       PLEASE MARK THIS PROXY AND SIGN AND DATE IT ON THE REVERSE SIDE AND
                       RETURN IT IN THE ENCLOSED ENVELOPE.

                (CONTINUED AND TO BE SIGNED ON REVERSE SIDE.)
- --------------------------------------------------------------------------------
<PAGE>

- --------------------------------------------------------------------------------
                               LIFEMARK CORPORATION
                     (formerly Managed Care Solutions, Inc.)

      PLEASE MARK VOTE IN THE FOLLOWING MANNER USING DARK INK ONLY. /X/

[                                                                              ]

The Board of Directors Recommends a Vote "FOR" each Listed Proposal.

                                                                         FOR ALL
                                                     FOR ALL   WITHHOLD   EXCEPT
1. ELECTION OF DIRECTORS--

   NOMINEES:  RHONDA E. BREDE, RICHARD C. JELINEK,
   JOHN G. LINGENFELTER, M.D., WILLIAM G. BROWN,
   HENRY M. KALDENBAUGH, M.D.,
   RISA LAVIZZO-MOUREY, M.D.                          /  /       /  /     /  /

   -----------------------------------------------
   (EXCEPT NOMINEE(S) WRITTEN ABOVE)


                                                DATED: ___________________, 1999

                                      SIGNATURE (S)_____________________________

                                      __________________________________________
                                      PLEASE  SIGN  EXACTLY  AS  YOUR  NAME  (OR
                                      NAMES)    APPEARS    HEREIN.    EXECUTORS,
                                      ADMINISTRATORS,    TRUSTEES   AND   OTHERS
                                      SIGNING  IN  A   REPRESENTATIVE   CAPACITY
                                      SHOULD INDICATE THE CAPACITY IN WHICH THEY
                                      SIGN.  WHERE THERE IS MORE THAN ONE OWNER,
                                      EACH SHOULD SIGN.
- --------------------------------------------------------------------------------


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