LIFEMARK CORP /DE/
10-Q, 2000-01-14
MANAGEMENT SERVICES
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                                UNITED STATES
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C. 20549

                                  FORM 10-Q

         [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
                       SECURITIES EXCHANGE ACT OF 1934
               FOR THE QUARTERLY PERIOD ENDED NOVEMBER 30, 1999
                                      OR
         [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE
                       SECURITIES EXCHANGE ACT OF 1934
           FOR THE TRANSITION PERIOD FROM __________ TO __________

                        COMMISSION FILE NUMBER 0-19393


                             LIFEMARK CORPORATION
            (Exact name of registrant as specified in its charter)


            DELAWARE                                        36-3338328
 (State or other jurisdiction of incorporation or organization)(I.R.S. Employer
Identification No.)


                            7600 NORTH 16TH STREET
                                  SUITE 150
                            PHOENIX, ARIZONA 85020
                   (Address of principal executive offices)
                                  (Zip Code)

                                 602-331-5100
             (Registrant's telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the  preceding 12 months (or for such  shorter  period that the  registrant  was
required  to file  such  reports),  and  (2) has  been  subject  to such  filing
requirements for the past 90 days. Yes X No _______

There were 5,084,673 shares of common stock outstanding as of January 13, 2000.

<PAGE>

                              TABLE OF CONTENTS

                                                                            PAGE



Part I      Financial Information


     Item 1.Financial Statements


            Consolidated Balance Sheets.......................................3


            Consolidated Statements of Income.................................4


            Consolidated Statements of Cash Flows.............................5


            Notes to Unaudited Consolidated Financial Statements............6-9


     Item 2.Management's Discussion and Analysis of Financial Condition
            and Results of Operations.....................................10-13

     Item 3.Quantitative and Qualitative Disclosures About Market Risk.......13


Part II     OTHER INFORMATION


     Item 6.Exhibits and Reports on Form 8-K.................................14

                                       2
<PAGE>

      PART I - FINANCIAL INFORMATION

      ITEM 1.  FINANCIAL STATEMENTS

                                    LIFEMARK CORPORATION
                                 CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>
                                                              NOVEMBER 30,     MAY 31,
                                                                 1999           1999
                                                             -------------- -------------
<S>                                                          <C>            <C>
                                                             (UNAUDITED)
      ASSETS
      ------
      Current Assets:
       Cash and cash equivalents, including restricted
         cash of $9,355,000 and $9,713,000, respectively     $ 13,884,000   $ 13,792,000
       Short-term investments                                           -        501,000
       Accounts and notes receivable and unbilled services, net 5,362,000      5,886,000
       Deferred income taxes, net                               1,103,000      1,213,000
       Prepaid expenses and other current assets                1,214,000        882,000
                                                             ------------   ------------
         Total current assets                                  21,563,000     22,274,000

      Related party notes receivable                              387,000        568,000
      Property and equipment, net                               4,891,000      4,205,000
      Performance bonds                                         6,601,000      4,203,000
      Goodwill, net                                             2,279,000      2,462,000
      Other assets                                              1,014,000      1,108,000
                                                             ------------   ------------
         Total assets                                        $ 36,735,000   $ 34,820,000
                                                             ============   ============

      LIABILITIES AND STOCKHOLDERS' EQUITY
      ------------------------------------
      Current Liabilities:
       Accounts payable                                      $    468,000   $    659,000
       Accrued medical claims                                   9,250,000      8,662,000
       Risk pool payable                                          840,000        691,000
       Related party risk pool payable                            161,000        152,000
       Accrued compensation                                     2,273,000      2,464,000
       Other accrued expenses                                   2,455,000      1,750,000
       Current portion of related party interest payable           40,000        710,000
       Current portion of long-term debt                           84,000         23,000
                                                             ------------   ------------
         Total current liabilities                             15,571,000     15,111,000

      Long-term debt                                              717,000        211,000
      Related party long-term debt                              3,459,000      3,440,000
      Deferred income taxes, net                                  242,000        155,000
                                                             ------------ --------------
         Total liabilities                                     19,989,000     18,917,000
                                                             ------------   ------------

      Commitments and Contingencies                                     -              -

      Stockholders' Equity:
       Common stock, $0.01 par value
       Authorized - 10,000,000 shares
       Issued and outstanding 5,085,000 shares
         and 4,808,000 shares, respectively                        51,000         48,000
       Capital in excess of par value                          16,955,000     16,148,000
       Stockholder notes receivable                              (696,000)             -
       Retained earnings (accumulated deficit)                    436,000       (293,000)
                                                             ------------   ------------
         Total stockholders' equity                            16,746,000     15,903,000
                                                             ------------   ------------
                                                             $ 36,735,000   $ 34,820,000
                                                             ============   ============
</TABLE>
             THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE STATEMENTS.

                                           3
<PAGE>


                                        LIFEMARK CORPORATION
                                  CONSOLIDATED STATEMENTS OF INCOME
                                             (UNAUDITED)
<TABLE>
<CAPTION>
                                             THREE MONTHS ENDED               SIX MONTHS ENDED
                                         ---------------------------    --------------------------
                                          NOVEMBER        NOVEMBER       NOVEMBER       NOVEMBER
                                             30,             30,            30,            30,
                                            1999            1998           1999           1998
                                         ------------   ------------   ------------   ------------
<S>                                      <C>            <C>            <C>            <C>


Revenues                                 $ 24,574,000   $ 20,639,000   $ 48,183,000   $ 39,883,000
                                         ------------   ------------   ------------   ------------

Direct cost of operations                  18,764,000     15,822,000     36,614,000     30,122,000
Marketing, sales and administrative         5,073,000      4,217,000     10,608,000      8,604,000
                                         ------------   ------------   ------------   ------------

  Total costs and expenses                 23,837,000     20,039,000     47,222,000     38,726,000
                                         ------------   ------------   ------------   ------------

Operating income                              737,000        600,000        961,000      1,157,000
                                         ------------   ------------   ------------   ------------

Interest income                               266,000        233,000        521,000        486,000
Interest expense                              (93,000)       (90,000)      (193,000)      (180,000)
                                         ------------   ------------   ------------   ------------

  Net interest income                         173,000        143,000        328,000        306,000
                                         ------------   ------------   ------------   ------------

Income before income taxes                    910,000        743,000      1,289,000      1,463,000

Provision for income taxes                    395,000        251,000        560,000        549,000
                                         ------------   ------------   ------------   ------------

Net income                               $    515,000   $    492,000   $    729,000   $    914,000
                                         ============   ============   ============   ============

Net income per share--basic              $       0.11   $       0.10   $       0.15   $       0.19
                                         ============   ============   ============   ============

Weighted average common
  shares outstanding--basic                 4,808,000      4,720,000      4,808,000      4,707,000
                                         ============   ============   ============   ============

Net income per share--assuming dilution  $       0.10   $       0.09   $       0.14   $       0.17
                                         ============   ============   ============   ============
Weighted average common shares
outstanding--assuming dilution              5,683,000      5,780,000      5,700,000      5,891,000
                                         ============   ============   ============   ============



                     THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE STATEMENTS.
</TABLE>
                                                       4
<PAGE>


                             LIFEMARK CORPORATION
                    CONSOLIDATED STATEMENTS OF CASH FLOWS
                                 (UNAUDITED)

<TABLE>
<CAPTION>
                                                                SIX MONTHS ENDED
                                                        ------------------------------
                                                         NOVEMBER 30,     NOVEMBER 30,
                                                              1999            1998
                                                        -------------    -------------
<S>                                                     <C>              <C>

Cash flows from operating activities:
  Net income                                            $     729,000    $     914,000
  Adjustments to reconcile net income to net
   cash provided by operating activities:
   Bad debt expense                                             8,000                -
   Depreciation and amortization                            1,075,000        1,135,000
   Loss on sale of property and equipment                       5,000            2,000
   Deferred income taxes                                      197,000           49,000
   Interest on long-term debt                                 125,000          114,000
   Changes in assets and liabilities:
     Accounts receivable and unbilled services                516,000       (1,401,000)
     Prepaid expenses and other current assets               (332,000)           6,000
     Accounts payable                                        (191,000)         (64,000)
     Accrued medical claims                                   588,000          538,000
     Risk pool payable                                        149,000         (193,000)
     Related party risk pool payable                            9,000          (20,000)
     Accrued compensation                                    (191,000)         285,000
     Accrued expenses                                         705,000         (428,000)
     Other assets                                              94,000         (195,000)
                                                        -------------    -------------
Net cash provided by operating activities                   3,486,000          742,000
                                                        -------------    -------------

Cash flows from investing activities:
  Purchase of property and equipment                       (1,855,000)        (625,000)
  Proceeds from sale of property and equipment                285,000           56,000
  Purchase of short-term investments                                -       (1,645,000)
  Proceeds from maturity/sale of short-term investments       501,000                -
  Proceeds from related party notes receivable                181,000          117,000
  Proceeds from maturity of assets securing performance
    bond                                                    1,233,000        1,241,000
  Purchases of assets securing performance bond            (3,631,000)               -
                                                        -------------    -------------
Net cash used in investing activities                      (3,286,000)        (856,000)
                                                        -------------    -------------

Cash flows from financing activities:
  Proceeds from (payments on) long-term debt                  562,000         (184,000)
  Interest paid on long-term debt                            (784,000)               -
  Proceeds from common stock issuance                         114,000          197,000
                                                        -------------    -------------
Net cash provided (used) by financing activities             (108,000)          13,000
                                                        -------------    -------------
Net increase (decrease) in cash and cash equivalents           92,000         (101,000)
Cash and cash equivalents, beginning of period             13,792,000       12,764,000
                                                        -------------    -------------
Cash and cash equivalents, end of period                $  13,884,000    $  12,663,000
                                                        =============    =============
</TABLE>


        THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THESE STATEMENTS.


                                               5
<PAGE>

                              LIFEMARK CORPORATION
             NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 - FINANCIAL STATEMENTS

In management's  opinion,  the  accompanying  unaudited  consolidated  financial
statements  contain  all  adjustments   (consisting  of  only  normal  recurring
adjustments)  considered  necessary for a fair  statement of the results for the
interim  periods  presented.  The  results of  operations  for the period  ended
November 30, 1999 are not  necessarily  indicative of the results to be expected
for the full year. The interim consolidated  financial statements should be read
in  conjunction  with  the  Lifemark   Corporation   ("Lifemark"  or  "Company")
consolidated  financial  statements and notes thereto  included in the Company's
Form 10-K for the year ended May 31, 1999.

NOTE 2 - NET INCOME PER SHARE

Basic net income per share is computed by  dividing  net income by the  weighted
average number of common shares  outstanding  during each period. Net income per
share  assuming  dilution is computed  by  dividing  net income by the  weighted
average  number of common  shares  outstanding  during the period  after  giving
effect to dilutive  stock options and warrants and adjusted for dilutive  common
shares assumed to be issued on conversion of the Company's convertible loans.

The following is the  computation  of the  reconciliation  of the numerators and
denominators  of net income  per common  share - basic and net income per common
share - assuming  dilution in accordance with Statement of Financial  Accounting
Standards No. 128, "Earnings Per Share".

<TABLE>
<CAPTION>

                                                                       THREE MONTHS ENDED
                                           ---------------------------------------------------------------------------
                                                     NOVEMBER 30, 1999                      NOVEMBER 30, 1998
                                           -----------------------------------    ------------------------------------
                                             Income        Shares      Per Share    Income       Shares     Per Share
                                           (Numerator)  (Denominator)    Amount   (Numerator) (Denominator)   Amount
                                           -----------  -------------  ---------  -----------  ------------- ---------
<S>                                        <C>          <C>            <C>        <C>          <C>           <C>


Net income per common share:
  Income available to common stockholders  $   515,000      4,932,000             $   492,000     4,720,000
  Reduction in shares outstanding in
    connection with stockholder notes
    receivable                                  (3,000)      (124,000)                      -             -
                                           -----------      ---------             -----------  ------------
  Adjusted income available to common
    stockholders                               512,000      4,808,000  $   0.11       492,000     4,720,000  $   0.10

Effect of dilutive securities:
  Stock options and warrants                         -         18,000                       -       203,000
  Convertible notes                             40,000        857,000                  40,000       857,000
                                           -----------  -------------             -----------  ------------

Net income per common share,
  assuming dilution:
  Income available to common
    stockholders  and assumed conversions  $   552,000      5,683,000  $   0.10   $   532,000     5,780,000  $   0.09
                                           ===========  =============  ========   ===========  ============  ========


                                                                6
<PAGE>

                                                                         SIX MONTHS ENDED
                                           -----------------------------------------------------------------------
                                                     NOVEMBER 30, 1999                   NOVEMBER 30, 1998
                                           -------------------------------------- -----------------------------------
                                             Income        Shares      Per Share    Income        Shares      Per Share
                                           (Numerator)  (Denominator)    Amount    (Numerator)  (Denominator)   Amount
                                           -----------  -------------  ----------  -----------  -------------  ---------
<S>                                        <C>          <C>            <C>         <C>          <C>            <C>

Net income per common share:
  Income available to common stockholders  $   729,000      4,870,000              $   914,000      4,707,000
  Reduction in shares outstanding in
    connection with stockholder notes
    receivable                                  (3,000)       (62,000)                      -              -
                                           -----------  -------------              -----------  -------------
  Adjusted income available to common
    shareholders                               726,000      4,808,000  $     0.15      914,000      4,707,000  $   0.19

Effect of dilutive securities:
  Stock options and warrants                         -         35,000                        -        327,000
  Convertible notes                             79,000        857,000                   79,000        857,000
                                           -----------  -------------              -----------  -------------
Net income per common share,
  assuming dilution:
  Income available to common
    stockholders and assumed conversions   $   805,000      5,700,000  $     0.14  $   993,000      5,891,000  $   0.17
                                           ===========  =============  ==========  ===========  =============  ========
</TABLE>


NOTE 3 - RESTRICTIONS ON FUND TRANSFERS

Certain of the Company's operating subsidiaries are subject to state regulations
which  require   compliance   with  certain  net  worth,   reserve  and  deposit
requirements.  To the extent the operating  subsidiaries  must comply with these
regulations,  they may not have the financial  flexibility  to transfer funds to
the  parent   organization,   Lifemark.   Net  assets  of  subsidiaries   (after
inter-company  eliminations) which, at November 30, 1999, may not be transferred
to Lifemark by  subsidiaries  in the form of loans,  advances or cash  dividends
without the consent of a third party are referred to as "Restricted Net Assets".
Total Restricted Net Assets of these operating  subsidiaries were $10,208,000 at
November 30, 1999,  with deposit and reserve  requirements  (performance  bonds)
representing $6,601,000 of the Restricted Net Assets and net worth requirements,
in excess of  deposit  and  reserve  requirements,  representing  the  remaining
$3,607,000.

NOTE 4 - BUSINESS SEGMENTS

The Company's business segments consist of management  services,  long-term care
health services and acute care health services.  The management services segment
is engaged in the business of  administering  risk-based  managed care plans and
programs in seven states. Long-term care health services is comprised of Ventana
Health Systems, Inc. ("Ventana"), which is a long-term care Medicaid health plan
operating  in seven  counties in Arizona,  and  Lifemark  At Home,  Inc.,  which
provides in-home personal,  respite,  companionship  and homemaking  services to
recipients in Arizona.  Acute care health  services  consists of Arizona  Health
Concepts,  Inc. ("AHC"),  an acute care Medicaid health plan currently operating
in two counties in Arizona.

                                                        7
<PAGE>

Information concerning operations by business segment follows:
<TABLE>
<CAPTION>

                                               For the Three Months Ended November 30, 1999
                                          -----------------------------------------------------

                                           Management     Long-Term Care     Acute Care
                                            Services      Health Services  Health Services      Totals
                                            --------      ---------------  ---------------      ------
<S>                                        <C>            <C>              <C>                  <C>
Total revenues from reportable segments    $ 12,936,000   $    8,547,000   $   4,894,000    $  26,377,000
Intersegment revenues                        (1,443,000)        (360,000)              -       (1,803,000)
                                           ------------   --------------   -------------    -------------
   Total consolidated revenues             $ 11,493,000   $    8,187,000   $   4,894,000    $  24,574,000
                                           ============   ==============   =============    =============

Interest income                            $     64,000   $      134,000   $      69,000    $     267,000
Intersegment interest income                          -           (1,000)              -           (1,000)
Interest expense                                (94,000)               -               -          (94,000)
Intersegment interest expense                     1,000                -               -            1,000
                                           ------------   --------------   -------------    -------------
   Net interest income (expense)           $    (29,000)  $      133,000   $      69,000    $     173,000
                                           ============   ==============   =============    =============

Depreciation and amortization              $    538,000   $            -   $           -    $     538,000
                                           ============   ==============   =============    =============

Segment income (loss) before taxes         $  1,036,000   $      258,000   $    (384,000)   $     910,000

Income tax expense (benefit)                    443,000           98,000        (146,000)         395,000
                                           ------------   --------------   -------------    -------------
   Net income (loss)                       $    593,000   $      160,000   $    (238,000)   $     515,000
                                           ============   ==============   =============    =============

Expenditures for capital assets            $  1,088,000   $            -   $           -    $   1,088,000
                                           ============   ==============   =============    =============
</TABLE>




<TABLE>
<CAPTION>

                                             For the Three Months Ended November 30, 1998
                                             ---------------------------------------------

                                           Management      Long-Term Care     Acute Care
                                            Services       Health Services  Health Services      Totals
                                           ----------     ---------------- ----------------     --------
<S>                                        <C>            <C>              <C>                  <C>

Total revenues from reportable segments    $ 10,634,000   $    7,435,000   $   4,057,000    $  22,126,000
Intersegment revenues                        (1,223,000)        (264,000)              -       (1,487,000)
                                           ------------   --------------   -------------    -------------
   Total consolidated revenues             $  9,411,000   $    7,171,000   $   4,057,000    $  20,639,000
                                           ============   ==============   =============    =============

Interest income                            $     37,000   $      118,000   $      86,000    $     241,000
Intersegment interest income                          -           (8,000)              -           (8,000)
Interest expense                                (98,000)               -               -          (98,000)
Intersegment interest expense                     8,000                -               -            8,000
                                           ------------   --------------   -------------    -------------
   Net interest income(expense)            $    (53,000)  $      110,000   $      86,000    $     143,000
                                           ============   ==============   =============    =============

Depreciation and amortization              $    575,000   $            -   $           -    $     575,000
                                           ============   ==============   =============    =============

Segment income (loss) before taxes         $    507,000   $      336,000   $    (100,000)   $     743,000
Income tax expense (benefit)                    198,000          123,000         (70,000)         251,000
                                           ------------   --------------   -------------    -------------
   Net income (loss)                       $    309,000   $      213,000   $     (30,000)   $     492,000
                                           ============   ==============   =============    =============

Expenditures for capital assets            $    360,000   $            -   $           -    $     360,000
                                           ============   ==============   =============    =============
</TABLE>

                                                    8

<PAGE>

<TABLE>
<CAPTION>


                                                     For the Six Months Ended November 30, 1999
                                           --------------------------------------------------------------
                                           Management      Long-Term Care     Acute Care
                                            Services       Health Services  Health Services      Totals
                                           --------       ---------------  ---------------      ------
<S>                                        <C>            <C>              <C>                  <C>

Total revenues from reportable segments    $ 25,447,000   $   16,632,000   $   9,658,000    $  51,737,000
Intersegment revenues                        (2,842,000)        (712,000)              -       (3,554,000)
                                           ------------   --------------   -------------    -------------
   Total consolidated revenues             $ 22,605,000   $   15,920,000   $   9,658,000    $  48,183,000
                                           ============   ==============   =============    =============

Interest income                            $    128,000   $      264,000   $     133,000    $     525,000
Intersegment interest income                          -           (4,000)              -           (4,000)
Interest expense                               (197,000)               -               -         (197,000)
Intersegment interest expense                     4,000                -               -            4,000
                                           ------------   --------------   -------------    -------------
   Net interest income (expense)           $    (65,000)  $      260,000   $     133,000    $     328,000
                                           ============   ==============   =============    =============

Depreciation and amortization              $  1,074,000   $            -   $           -    $   1,074,000
                                           ============   ==============   =============    =============

Segment income (loss) before taxes         $  1,235,000   $      620,000   $    (566,000)   $   1,289,000
Income tax expense (benefit)                    539,000          236,000        (215,000)         560,000
                                           ------------   --------------   -------------    -------------
   Net income                              $    696,000   $      384,000   $    (351,000)   $     729,000
                                           ============   ==============   =============    =============

Expenditures for capital assets            $  1,855,000   $            -   $           -    $   1,855,000
                                           ============   ==============   =============    =============

Segment total assets                       $ 25,856,000   $   13,447,000   $   6,879,000    $  46,182,000
Intersegment assets                          (8,487,000)        (400,000)       (560,000)      (9,447,000)
                                           ------------   --------------   -------------    -------------
   Total assets                            $ 17,369,000   $   13,047,000   $   6,319,000    $  36,735,000
                                           ============   ==============   =============    =============
</TABLE>

<TABLE>
<CAPTION>

                              For the Six Months Ended November 30, 1998
                             ---------------------------------------------

                                          Management      Long-Term Care     Acute Care
                                           Services       Health Services  Health Services      Totals
                                           ---------      ---------------- ----------------     ------
<S>                                        <C>            <C>              <C>                  <C>

Total revenues from reportable segments    $  20,489,000  $   14,315,000   $   7,988,000    $  42,792,000
Intersegment revenues                         (2,376,000)       (533,000)              -       (2,909,000)
                                           -------------  --------------   -------------    -------------
   Total consolidated revenues             $  18,113,000  $   13,782,000   $   7,988,000    $  39,883,000
                                           =============  ==============   =============    =============

Interest income                            $      86,000  $      239,000   $     179,000    $     504,000
Intersegment interest income                           -         (18,000)              -          (18,000)
Interest expense                                (198,000)              -               -         (198,000)
Intersegment interest expense                     18,000               -               -           18,000
                                           -------------  --------------   -------------    -------------
   Net interest income (expense)           $     (94,000) $      221,000   $     179,000    $     306,000
                                           =============  ==============   =============    =============

Depreciation and amortization              $   1,135,000  $            -   $           -    $   1,135,000
                                           =============  ==============   =============    =============

Segment income (loss) before taxes         $     606,000  $      887,000   $     (30,000)   $   1,463,000
Income tax expense (benefit)                     255,000         337,000         (43,000)         549,000
                                           -------------  --------------   -------------    -------------
   Net income (loss)                       $     351,000  $      550,000   $      13,000    $     914,000
                                           =============  ==============   =============    =============

Expenditures for capital assets            $     625,000  $            -   $           -    $     625,000
                                           =============  ==============   =============    =============

Segment total assets                       $  22,761,000  $   10,963,000   $   7,500,000    $  41,224,000
Intersegment assets                           (7,725,000)       (511,000)        (54,000)      (8,290,000)
                                           -------------  --------------   -------------    -------------
   Total assets                            $  15,036,000  $   10,452,000   $   7,446,000    $  32,934,000
                                           =============  ==============   =============    =============

</TABLE>
                                                    9

<PAGE>

ITEM 2. MANAGEMENT'S  DISCUSSION  AND  ANALYSIS  OF  FINANCIAL  CONDITION  AND
        RESULTS OF OPERATIONS
INTRODUCTION

Lifemark  Corporation  ("Lifemark"  or the  "Company"),  formerly  Managed  Care
Solutions, Inc., is involved in a variety of health care programs, many of which
serve  indigent  and  Medicaid  populations.  Two  subsidiaries  of the Company,
Ventana Health  Systems,  Inc.  ("Ventana")  and Arizona Health  Concepts,  Inc.
("AHC"),  derive  substantially all of their revenues through contracts with the
Arizona  Health  Care Cost  Containment  System  Administration  ("AHCCCSA")  to
provide  specified  long-term and acute care health services,  respectively,  to
qualified  members.   The  contract  periods  expire  September  30,  2001   and
September 30, 2002 for Ventana and AHC,  respectively.  Each  contract  provides
for  fixed  monthly  premiums,  based  on  negotiated per capita enrollee rates.
Ventana and AHC subcontract  with  nursing  homes,  hospitals,  physicians,  and
other medical providers within Arizona to care for members.

The  Company  also  provides  contract  management  services to county and state
governmental units and other health care organizations.  The Company's contracts
typically have multi-year terms, with its existing contracts expiring at various
dates through the year 2002.

RESULTS OF OPERATIONS

Consolidated    revenues   for   the   three   and   six-month   periods   ended
November 30, 1999 increased  19%  and 21%,  respectively,  over  the  comparable
periods of the previous fiscal year.  For the three and six-month  periods ended
November  30,  1999,  direct   costs   of  operations  increased  19%  and  22%,
respectively, over the same periods of the previous  fiscal  year.  The increase
in both  revenues and expenses is a result of growth in enrollment under certain
management contracts, coupled  with an increase in  membership,  and  capitation
rate  received  from AHCCCSA, for both Ventana and AHC.

MANAGEMENT  SERVICES.  For the  three-month  period  ended  November  30,  1999,
revenues   generated  from  fees  for  management   services  increased  22%  to
$11,493,000 from $9,411,000 for the equivalent  period of the prior fiscal year.
For the six-month period ended November 30, 1999,  revenues  generated from fees
for management  services  increased 25% to $22,605,000  from $18,113,000 for the
corresponding  period of the prior fiscal year.  The increases are primarily due
to growth in  enrollment  in the  Community  Choice  Michigan and Rio Grande HMO
plans,  the  acquisition  of AdviNet,  Inc.  in March 1999 and the  renegotiated
administrative service agreement with AlohaCare.

                                     10
<PAGE>

Direct  costs  of  operations  for  the  three   and   six-month  periods  ended
November 30, 1999 included  $6,870,000  and  $13,678,000, respectively,  related
to fees generated from  management  services  of health plans and programs.  The
direct cost of operations for management  services  as  a  percentage of related
revenues for the three and six-month periods ended  November 30, 1999  decreased
3% and 1%, respectively, from the comparable periods of the previous year to 60%
and 61%, due in part to increased profitability from  the Company's renegotiated
agreement  with  AlohaCare, which  was  effective  August  1,  1999  and expires
July 31, 2000.

LONG-TERM CARE HEALTH  SERVICES.  Long-term  care health and personal  services,
which  consist of operations  of Ventana and Lifemark at Home,  Inc.,  generated
revenues of $8,187,000 and $15,920,000 for the three and six-month periods ended
November 30, 1999,  respectively,  as compared to $7,171,000 and $13,782,000 for
the corresponding  periods of the prior fiscal year. The revenues from long-term
care health services  experienced 14% and 16% growth for the three and six-month
periods ended November 30, 1999,  respectively,  over the comparable  periods of
the previous  fiscal year.  The  increases  are  primarily  due to the growth in
average monthly  membership in Ventana of approximately 8% and 11% for the three
and  six-month  periods  ended  November 30,  1999,  coupled with an increase of
approximately 4% in the capitation rate received from AHCCCSA by Ventana.

Direct costs of  operations  related to long-term  care health  services for the
three  and  six-month  periods  ended  November  30,  1999 were  $7,042,000  and
$13,581,000,  respectively,  versus  $6,066,000  and  $11,455,000  for the  same
periods of last fiscal year. As a percentage of related revenues, direct cost of
operations  related to long-term care health  services  increased to 86% and 85%
for the three and  six-month  periods  ended  November 30,  1999,  respectively,
versus 85% and 83% for the same periods of the previous  year. The increases are
primarily due to higher  pharmacy costs for Ventana  resulting from a terminated
capitation  contract with a pharmaceutical  company, an increase in hospital and
adult  care  home  expenses  resulting  from the  change in  patient  mix and an
increase of  approximately  2% in contracted  nursing home rates. The Company is
unable to determine if future patient mixes would significantly  differ from the
current patient mix to yield lower or higher operating costs.

Ventana was awarded  contracts  covering two additional rural Arizona  counties,
effective December 1, 1999. These additional counties will add approximately 550
members  to  Ventana's  current  enrollment  and  approximately  $15,000,000  in
additional revenues.

ACUTE CARE HEALTH SERVICES.  Acute care health  services,  which consists of the
operations of AHC, generated revenues of $4,894,000 and $9,658,000 for the three
and six-month periods ended November 30, 1999, respectively,  representing a 21%
increase over the comparable  periods of the  prior fiscal year.  The change was
caused by an increase in average monthly membership of 13% and 12% for the three
and  six-month  periods  ended  November 30, 1999,  respectively,  along with an
average increase of approximately 6% in the capitation rate received by AHC from
AHCCCSA.

Direct costs of operations  related to acute care health  services for the three
and six-month  periods ended November 30, 1999 were  $4,852,000 and  $9,355,000,
respectively,  versus  $3,815,000  and  $7,398,000  for the same  periods of the
previous  fiscal  year.  The  reason for the  increase  is the growth in average
monthly membership for AHC from 8,400 to 9,400 for the six months ended November
30, 1998 and 1999,  respectively.  Direct costs of operations as a percentage of
related  revenues  increased to 99% and 97% for the three and six-month  periods
ended  November  30, 1999 versus 94% and 93% for the  comparable  periods of the
prior  fiscal  year.  The  principal  reason for the rise is higher  utilization
of  AHC's  services  by  its  members coupled  with an increase in rates paid to
providers.  The  Company  is  unable  to  determine  if  future  utilization  of
healthcare  services  would differ from  the current utilization levels to yield
lower or higher operating costs.

MARKETING,  SALES  AND  ADMINISTRATIVE.   Marketing,  sales  and  administrative
expenses as a percentage of consolidated revenue were 21% and 22%, respectively,
for the three and six-month  periods ended November 30, 1999 versus 20% and 22%,
respectively,  for the  corresponding  periods of the previous year.  Marketing,
sales and  administrative  expenses for the three and  six-month  periods  ended
November 30, 1999 include the obligation to make severance  payments pursuant to
the terms of an employment  agreement with Michael D.  Hernandez,  the Company's
former Chief Executive Officer. In addition, marketing, sales and administrative
expenses  include  consulting  fees  related to  management  reorganization  and
process redesign intended to improve the Company's service delivery system.  The
Company  does  not  anticipate  significant  consulting  fees  related  to  this
initiative in the future.

INTEREST  INCOME.  Interest  income for the three and  six-month  periods  ended
November 30, 1999 was $266,000 and $521,000 versus $233,000 and $486,000 for the
same periods of the prior fiscal year. The additional income is due to growth of
interest bearing cash and cash equivalents.

                                       11
<PAGE>

INTEREST  EXPENSE.  Interest  expense was $93,000 and $193,000 for the three and
the six-month  periods  ended  November 30, 1999,  respectively,  as compared to
$90,000 and  $180,000  for the same  periods of the last fiscal  year.  Interest
expense is primarily  attributable to outstanding secured convertible term loans
in an aggregate  principal amount of $3,300,000 issued by the Company in October
1996,  along with an interim funding  agreement  obtained from a bank during the
fourth quarter of fiscal year 1999. The Company has borrowed $796,000 under this
funding agreement as of November 30, 1999.

INCOME  TAXES.   Income   tax  expense   was  $395,000  and   $560,000  for  the
three-month  and six-month  periods ended November 30, 1999,  respectively.  The
effective  tax rate for both  periods was 43%.  These rates were higher than the
statutory rates for the respective  periods primarily due to the amortization of
non-deductible  goodwill expenses.  During the three-month and six-month periods
ended November 30, 1998, the effective tax rates were 34% and 38%, respectively.
These  rates  were a result  of the  reduction  in the  deferred  tax  valuation
allowance  based on the Company's  assessment of the reliability of deferred tax
assets  partially  offset by  amortization of  non-deductible  goodwill expense.

NET  INCOME.    Net   income   for   the   three  and  six-month  periods  ended
November 30, 1999  was  $515,000  and  $729,000  as  compared  to  $492,000  and
$914,000 for the comparable periods of the previous fiscal year.  The reason for
the decrease in profitability  for the six-month period ended  November 30, 1999
is primarily due to the  increase in direct expenses as a percentage  of related
revenue   of  the  long-term  care  and  acute  care  health  service  segments.
This  decrease  is partially offset by enhanced profitability  in the management
services segment with the growth in enrollment in the Community Choice  Michigan
and Rio Grande HMO  plans  and  additional  profitability   resulting  from  the
renegotiated administrative service agreement with AlohaCare.


LIQUIDITY AND CAPITAL RESOURCES

The   Company's   cash   and   cash  equivalents  increased  to  $13,884,000  at
November  30,  1999  from  $13,792,000  at  May  31, 1999.  Operating activities
generated  $3,486,000  for  the  six-month period ended November 30, 1999 versus
$742,000 during the same period of the previous fiscal year. The primary reasons
for  the  change  in  cash  are  earnings  before non-cash charges, a refundable
deposit  of  $650,000  obtained  from  AlohaCare  pursuant  to  the terms of the
renegotiated  administrative   services   agreement,  a  decrease  in   accounts
receivable   related   to   Ventana   and   AHC  resulting  from  collection  of
reinsurance receivables of approximately $1,263,000 and an  increase  in accrued
medical  claims.  The  increase in accrued  medical claims is primarily  due  to
annual  increases in  fee-for-service  rates  paid  to  providers  along with an
increase in enrollment in both Ventana and AHC.

Investing  activities   used   $3,286,000   for  the  six-month   period   ended
November 30, 1999 as compared to $856,000 during the corresponding period of the
prior fiscal year.  Cash of $1,855,000 was used to purchase fixed  assets during
the   six-month   period   ended  November  30,  1999.    Additional   cash   of
$3,631,000 was used to increase the amount of performance bonds held by  Ventana
partially  offset by the maturity of a  previously  held performance bond in the
amount of $1,233,000.  The  increase  in  performance  bonds  was  necessary  to
satisfy  requirements established by AHCCCSA.  The required level of performance
bonds has increased due to the expansion of Ventana into two additional counties
in Arizona along with an increase  in  enrollment  in existing  counties.  Other
sources of cash for the six-month  period  ended  November  30,  1999  were  the
maturity  of  a  short-term  investment  held  by  Ventana of $501,000 and funds
received from the sale of fixed assets to  AlohaCare  for  $285,000  pursuant to
the terms of the  renegotiated administrative  services  agreement.   During the
six-month period ended November 30, 1998, cash was used to purchase  $625,000 of
fixed  assets   and  $1,645,000  was  used  to  purchase  additional  short-term
investments.

Financing  activities  used  $108,000 and  generated  $13,000 for the  six-month
periods ended November 30, 1999 and 1998, respectively.  The primary use of cash
for  the  current  period  was an  interest  payment  of  $784,000  relating  to
outstanding  convertible debt offset by $567,000 received pursuant to an interim
funding  agreement  and  $114,000  received  for common  stock  pursuant  to the
Company's  employee  stock  purchase  plan.  Issuance  of common stock  provided
$197,000 for the six-month  period ended  November 30, 1998, partially offset by
principal payments on long-term debt.

Certain of the Company's operating subsidiaries are subject to state regulations
which require compliance with net worth,  reserve and deposit  requirements.  To
the extent the operating  subsidiaries must comply with these regulations,  they
may not have the financial flexibility to transfer funds to Lifemark. Net assets
of subsidiaries (after inter-company  eliminations) which, at November 30, 1999,
may not be  transferred  to  Lifemark  by  subsidiaries  in the  form of  loans,
advances or cash dividends  without the consent of a third party are referred to
as  "Restricted  Net Assets".  Total  Restricted  Net Assets of these  operating
subsidiaries  was  $10,208,000  at November 30,  1999,  with deposit and reserve
requirements  (performance bonds) representing  $6,601,000 of the Restricted Net
Assets  and  net  worth   requirements,   in  excess  of  deposit   and  reserve
requirements,  representing  the  remaining  $3,607,000.  There  were  no  funds
provided by Ventana to Lifemark under loan agreements at November 30, 1999.

                                       12
<PAGE>

The Company believes that its existing capital resources and cash flow generated
from  future  operations  will  enable  it to  maintain  its  current  level  of
operations and its planned operations, including capital expenditures, in fiscal
year 2000.

YEAR 2000 ISSUES

Many  existing  computer  systems  did  not  recognize  or  process  dates after
December 31, 1999. Certain hardware and software, including that utilized by the
Company, had to be modified and/or reprogrammed to properly function in the year
2000 and beyond.  The Company's  year  2000 committee  assessed all internal-use
hardware, software,  non-information systems equipment, procedures and  business
processes.  An inventory of the  Company's  hardware and software was  obtained.
There were several computer systems  that  did  not  properly recognize the year
2000.  Therefore,  the  Company  replaced  several  older  critical  systems and
modified remaining systems prior to December 31, 1999.

The Company has spent  approximately  $137,000 to date  preparing  and analyzing
year 2000 issues.  The Company  systems were  unaffected  by the change from the
year 1999 to the year 2000 with some minor exceptions which have been addressed.
The Company does not anticipate significant problems or material expenditures in
the future related to the year 2000 issue.

The Company realizes that there are outside influences relative to its year 2000
efforts,  over which it has  little or no  control.  The  Company  continues  to
communicate  with state  agencies to assess their year 2000 issues.   As of  the
date of this report the Company has not been affected by any year  2000 problems
of other parties, but such problems could arise in the future.  The Company will
attempt to minimize the impact of other  parties'  failure to  resolve year 2000
problems.

FORWARD-LOOKING INFORMATION

This  report   contains  both   historical  and   forward-looking   information.
Forward-looking  statements  include,  but are not limited to, discussion of the
Company's strategic goals, new contracts,  possible expansion of existing plans,
expected increase in certain expenses,  and cash flow. These statements speak of
the  Company's  plans,  goals  or  expectations  and  refer  to  estimates.  The
forward-looking   statements  may  be   significantly   impacted  by  risks  and
uncertainties,  and are made  pursuant  to the  safe  harbor  provisions  of the
Private  Securities  Litigation Reform Act of 1995 (the "Reform Act"). There can
be no assurance that anticipated  future results will be achieved because actual
results  may differ  materially  from  those  projected  in the  forward-looking
statements.  Readers are cautioned that a number of factors, which are described
herein and in the  Company's  Form 10-K for the year ended May 31,  1999,  could
adversely  affect the Company's  ability to obtain these results.  These include
the effects of either federal or state health care reform or other  legislation;
changes in reimbursement system trends, the ability of care providers (including
physician practice management groups) to comply with current contract terms; and
renewal of the Company's  contracts  with various  state and other  governmental
entities.  Such  factors  also  include  the effects of other  general  business
conditions, including but not limited to, government regulation, competition and
general  economic  conditions.  The cautionary  statements  made pursuant to the
Reform  Act herein and  elsewhere  by the  Company  should not be  construed  as
exhaustive or as any admission regarding the adequacy of disclosures made by the
Company prior to the effective date of the Reform Act. The Company cannot always
predict what factors would cause actual results to differ  materially from those
indicated by the forward-looking  statements. In addition,  readers are urged to
consider  statements  that include the terms  "believes",  "belief",  "expects",
"plans", "objectives",  "anticipates", "intends" or the like to be uncertain and
forward-looking.


ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

The Company is subject to the risk of fluctuating interest rates in the ordinary
course of business on certain  assets and  liabilities  including  cash and cash
equivalents,  short-term  investments  and long-term  debt. The Company does not
expect changes in interest  rates to have a significant  effect on the Company's
operations, cash flow or financial position.

                                       13
<PAGE>


PART II - OTHER INFORMATION


ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K

(a)   Exhibits

               3.1  Conformed Bylaws
              10.1  Administrative Services  Agreement between  AlohaCare,  Inc.
                     and the registrant*
              10.2  Pledge  Agreement and Promissory Note between  Rhonda  Brede
                     and the registrant.
              10.3  Pledge  Agreement  and  Promissory   Note   between  Michael
                     Kennedy and the registrant.
              10.4  Pledge Agreement and  Promissory  Note  between Rick Jelinek
                     and the registrant.
              10.5  Pledge Agreement and Promissory Note between Dave Decker and
                     the registrant.
              10.6  Employment and Severance  Agreement between Rhonda Brede and
                     the registrant.
              10.7  Employment  Agreement   between   Rick   Jelinek   and   the
                     registrant.
              10.8  Employment Agreement between Dave Decker and the registrant.
              10.9  Employment  Agreement   between   Michael  Kennedy  and  the
                     registrant.
              10.10 Severance Agreement between Rick Jelinek and the registrant.
              10.11 Severance Agreement between Dave Decker and  the registrant.
              10.12 Severance   Agreement   between  Michael   Kennedy  and  the
                     registrant.
              27    Financial data schedule.

(b)   Reports on Form 8-K

              None


          *Confidential Treatment Requested

                                       14
<PAGE>


SIGNATURES

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

                        LIFEMARK CORPORATION

                        By:   /S/ RHONDA E. BREDE
                              ----------------------------------------------
                              Rhonda E. Brede, President and Chief Executive
                              Officer (Principal Executive Officer)

                        By:   /S/ MICHAEL J. KENNEDY
                              ----------------------------------------------
                              Michael J. Kennedy, Vice President and Chief
                              Financial Officer (Principal Financial and
                              Accounting Officer)

                        Dated:January 13, 2000

                                       15

                                                                     EXHIBIT 3.1

                              LIFEMARK CORPORATION

                                CONFORMED BYLAWS
                       (as amended through July 21, 1999)


                                    ARTICLE I

                                CORPORATE OFFICES

      SECTION 1. DELAWARE  REGISTERED  OFFICE.  The  registered  office  of  the
Corporation  in  the  State  of  Delaware  shall  be  in   the  City  of  Dover,
County of Kent.

      SECTION 2. OTHER OFFICES.  The  Corporation  may also have offices at such
other  places,  both within and outside 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 1. TIME AND PLACE. A meeting of  stockholders  for any purpose may
be held at such time and place,  within or  outside  the state of  Delaware,  as
shall be stated in the  notice of the  meeting or in a duly  executed  waiver of
notice thereof.

      SECTION 2. ANNUAL MEETINGS.  Annual meetings of  stockholders,  commencing
with the 1985,  shall be held on the second  Monday of  September if not a legal
holiday,  or if a legal holiday,  then on the following business day, at 10 a.m.
local time, or at such other date and time as shall be  designated  from time to
time by the board of directors and stated in the notice of the meeting, at which
the  stockholders  shall  elect a board of  directors  and  transact  such other
business as may properly come before the meeting.

      SECTION 3. SPECIAL  MEETINGS.  Special meetings of  stockholders,  for any
purpose or purposes, unless otherwise prescribed by law or by the certificate of
incorporation,  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 whole
board of  directors,  or at the  request  in writing  of  stockholders  owning a
majority of the capital  stock of the  Corporation  outstanding  and entitled to
vote. Such request shall state the purpose or purposes of the proposed  meeting.
Business  transacted at any special meeting of stockholders  shall be limited to
the purposes stated in the notice.

      SECTION 4. NOTICE. Written notice of a meeting, annual or special, stating
the place,  date and hour of the meeting,  and the purpose or purposes for which
the meeting is called,  shall be given to each  stockholder  entitled to vote at
such  meeting,  not less  than ten nor more  than  sixty  days,  or if a vote of
stockholders on a merger or  consolidation  is one of the stated purposes of the
meeting,  not less than twenty nor more than sixty days,  before the date of the
meeting.

                                       1
<PAGE>

      SECTION  5.  STOCKHOLDER  LIST.  The  officer  who has charge of the stock
ledger of the  Corporation  shall  prepare or cause to be prepared and make,  at
least ten 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 of at least ten days prior to the meeting, either at a place
within the city where the meeting is to be held,  which place shall be specified
in the notice of the meeting,  or, if not so  specified,  at the place where the
meeting is to be held.  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.

      SECTION 6. QUORUM.  The holders of a majority of the stock outstanding and
entitled  to vote  thereat,  present in person or  represented  by proxy,  shall
constitute  a quorum at any  meeting  of  stockholders  for the  transaction  of
business,  except  as  otherwise  required  by  law  or by  the  certificate  of
incorporation. If, however, such quorum shall not be present or represented at a
meeting of stockholders,  the stockholders entitled to vote thereat,  present in
person or represented by proxy, shall have the 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 7.  REQUIRED  VOTE.  Each election of directors or others shall be
determined by a plurality vote,  and, except as otherwise  required by law or by
the certificate of  incorporation,  each other matter shall be determined by the
affirmative vote of a majority of the shares present in person or represented by
proxy.

      SECTION 8. VOTING.  Unless otherwise required by law or by the certificate
of incorporation, each stockholder shall at every meeting of the stockholders be
entitled to one vote in person or by proxy for each share of the  capital  stock
having  voting  power held by such  stockholder,  but no proxy shall be voted on
after three years from its date, unless the proxy provides for a longer period.

                                       2
<PAGE>

      SECTION 9. ACTION BY WRITTEN  CONSENT.  Unless  otherwise  provided in the
certificate of  incorporation,  any action required to be taken at any annual or
special meeting of  stockholders,  or any action that may be taken at any annual
or special  meeting of  stockholders,  may be taken  without a meeting,  without
prior  notice and  without a vote,  if a consent in  writing  setting  forth the
action so taken shall be signed by the holders of  outstanding  stock having not
less than the minimum  number of votes that would be  necessary  to authorize or
take such action at a meeting at which all shares  entitled to vote thereon were
present and voted. Prompt notice of the taking of the corporate action without a
meeting  by less  than  unanimous  written  consent  shall  be  given  to  those
stockholders who have not consented in writing.

                                   ARTICLE III

                                    DIRECTORS

      SECTION 1. NUMBER AND TERM. The number of directors that shall  constitute
the whole board shall be six.  Directors  shall be elected at annual meetings of
stockholders, except as provided in section 2 of this article, and each director
shall hold office  until a  successor  is elected  and  qualified  or until that
director's earlier resignation or removal. Directors need not be stockholders.

      SECTION  2.  VACANCIES.  Except  as  otherwise  required  by law or by the
certificate of incorporation, any vacancy on the board of directors, including a
newly-created directorship, may be filled by a majority of the directors then in
office,  although  less  than  a  quorum,  or  by  a  sole  remaining  director.
Notwithstanding  the  foregoing,  if any of the directors of the  Corporation in
office  (i)  immediately  following  the  distribution  to  stockholders  of the
Corporation  on a  share-for-share  basis of all of the  outstanding  shares  of
Medicus  Systems  Software,  Inc.  (the  "Distribution"),  and (ii) prior to the
mergers of  wholly-owned  subsidiaries  of the  Corporation  into  Managed  Care
Solutions,  Inc., Ventana Health Systems, Inc. and Arizona Health Concepts, Inc.
(the  "Mergers"),  shall  cease  for any  reason to serve as a  director  of the
Corporation at any time prior to the next annual meeting of  stockholders of the
Corporation  following  the  effective  date of the Mergers,  then the resulting
vacancy  shall be filled by a  majority  of the  directors  referred  to in this
sentence then serving as directors. If there are no directors in office, then an
election of directors may be held in the manner provided by law.

      SECTION 3. POWERS.  The business and affairs of the  Corporation  shall be
managed by or under the direction of the board of directors,  which may exercise
all such powers of the Corporation and do all such lawful acts and things as are
not by law or by the certificate of incorporation or by these bylaws directed or
required to be exercised or done by the stockholders.

      SECTION 4.  PLACE OF MEETINGS.  The board of directors of the  Corporation
may hold  meetings,  both  regular  and  special, either  within  or outside the
state of Delaware.

                                       3
<PAGE>

      SECTION 5. REGULAR  MEETINGS.  A regular meeting of the board of directors
shall be held without other notice than this bylaw immediately  following and at
the same place as the annual meeting of stockholders.  In the event such meeting
is not held at the time and  place  specified  in the  preceding  sentence,  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 or as shall be
specified  in written  waivers  signed by all of the  directors.  Other  regular
meetings of the board may be held without  notice at such time and at such place
as shall from time to time be determined by the board.

      SECTION 6. SPECIAL  MEETINGS.  Special  meetings of the board of directors
may be held by the  president  and shall be called by the president or secretary
on the written  request of two directors,  on two days' notice to each director,
either personally or by mail or by telegram.

      SECTION 7. QUORUM.  At any meeting of the board of directors a majority of
the whole board of 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
otherwise  required by law or by the certificate of  incorporation.  If there is
not a quorum at a meeting of the board, a majority of the directors  present may
adjourn the meeting from time to time without further notice.

      SECTION 8. ACTION BY WRITTEN CONSENT.  Unless otherwise  restricted by the
certificate of incorporation  or these bylaws,  any action required or permitted
to be taken at a 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 9. PARTICIPATION WITH COMMUNICATIONS  EQUIPMENT.  Unless otherwise
restricted  by law or by the  certificate  of  incorporation  or  these  bylaws,
members of the board of directors,  or of any committee  designated by the board
of directors,  may participate in a meeting of the board of directors, or of any
committee, by conference telephone or similar communications  equipment by means
of which all persons participating in the meeting can hear each other.

      SECTION  10.  COMMITTEES  OF  DIRECTORS.  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.  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.

                                       4
<PAGE>

      Any such committee,  to the extent provided in the resolution of the board
of directors, shall have and may exercise all of the powers and authority of the
board  of  directors  in the  management  of the  business  and  affairs  of the
Corporation,  and may authorize the seal of the Corporation to be affixed to all
papers which may require the seal; but no such committee shall have the power or
authority in reference to amending the certificate of incorporation, adopting an
agreement of merger or consolidation, recommending to the stockholders the sale,
lease or exchange of all or substantially all of the Corporation's  property and
assets,  recommending to the  stockholders a dissolution of the Corporation or a
revocation of a  dissolution,  or amending the bylaws of the  Corporation;  and,
unless the resolution or the certificate of incorporation  expressly so provide,
no such committee  shall have the power or authority to declare a dividend or to
authorize the issuance of stock.  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.

      SECTION 11. MINUTES OF MEETINGS. Each committee shall keep regular minutes
of its meetings and shall furnish them to the board of directors when required.

      SECTION 12. COMPENSATION OF DIRECTORS.  Unless otherwise restricted by the
certificate of incorporation, the board of directors shall have the authority to
fix the compensation of directors.  The receipt of such  compensation  shall not
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. The directors may
be reimbursed  for any expenses of attending  meetings of the board of directors
and of committees of the board.

                                   ARTICLE IV

                                     NOTICES

      SECTION 1. METHOD OF GIVING NOTICE.  Whenever,  under any provision of the
statutes or of the certificate of  incorporation  or of these bylaws,  notice is
required to be given to any director or  stockholder,  it shall not be construed
to mean  personal  notice,  but such  notice may be given in  writing,  by mail,
addressed  to such  director  or  stockholder,  at that  person's  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 the same is deposited in the
United States mail. Notice to directors may also be given by telegram.

      SECTION 2. WAIVER OF NOTICE. Whenever notice is required to be given under
any provision of law or of the certificate of  incorporation or of these bylaws,
a written  waiver of such  notice,  signed by the person or persons  entitled to
notice,  whether  before  or after  the time  stated  therein,  shall be  deemed
equivalent to such notice.  Attendance of a person at a meeting shall constitute
a waiver of notice of such meeting,  except when the person  attends the meeting
for the express  purpose of objecting,  at the beginning of the meeting,  to the
transaction  of any  business  because  the  meeting is not  lawfully  called or
convened.

                                       5
<PAGE>

                                    ARTICLE V

                                    OFFICERS

      SECTION 1. OFFICERS.  The officers of the Corporation  shall be elected by
the board of directors and shall be a chairman, a president, a vice-president, a
secretary  and a  treasurer.  In  addition,  the  board of  directors  may elect
additional  vice-presidents,  and one or more assistant  secretaries,  assistant
treasurers and other subordinate officers.  Any number of offices may be held by
the same  person,  unless  the  certificate  of  incorporation  or these  bylaws
otherwise provide.

      SECTION 2. ANNUAL  ELECTION.  The board of directors at its first  meeting
after each annual meeting of stockholders  shall elect a president,  one or more
vice-presidents,  a secretary and a treasurer. If the election of officers shall
not be held at such meeting,  such election shall be held as soon  thereafter as
conveniently may be.

      SECTION 3.  ADDITIONAL  OFFICERS.  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 4.  COMPENSATION OF OFFICERS.  The  compensation  of  all officers
and  agents of the  Corporation  shall  be  fixed  by  or  under  the  directio
of the board of directors.

      SECTION 5. TERM OF OFFICE AND  VACANCY.  Each  officer  shall hold  office
until a  successor  is  chosen  and  qualifies  or until the  officer's  earlier
resignation  or  removal.  Any  officer  elected  or  appointed  by the board of
directors  may be removed  at any time by the board of  directors.  Any  vacancy
occurring  in any  office  of the  Corporation  shall be  filled by the board of
directors.

      SECTION 6. CHAIRMAN.  The Chairman(a) shall be the chief executive officer
of the  corporation,  (b) shall preside at all meetings of the  stockholders and
the board of  directors,  (c) shall have  general and active  management  of the
business  and  affairs  of the  corporation,  (d) shall see that all  orders and
resolutions of the board of directors are carried into effect and (e) shall have
the power to  execute  bonds,  mortgages  and other  contracts,  agreements  and
instruments,  except where  required or permitted by law to be otherwise  signed
and  executed 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.

                                       6
<PAGE>

      SECTION  7.  PRESIDENT.  The  President  (a) shall be the chief  operating
officer of the corporation, (b) shall report to the Chairman of the corporation,
(c) shall have general and active  management of the business and affairs of the
Corporation,  (d) shall see that all orders of the Chairman and  resolutions  of
the board of  directors  are carried into effect and (e) shall have the power to
execute bonds, mortgages and other contracts, agreements and instruments, except
where required or permitted by law to be otherwise  signed and executed 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 the absence of
the Chairman, the President shall perform the duties of the Chairman and when so
acting shall have all the powers of and be subject to all the restrictions  upon
the Chairman.  The President shall perform such other duties and have such other
powers  as the  board  of  directors  or the  Chairman  may  from  time  to time
prescribe.

      SECTION 8.  VICE-PRESIDENTS.  In the  absence of the  president  or in the
event of the disability of the  president,  the  vice-president  (or if there be
more than one, the vice-presidents in the order designated, or in the absence of
any designation,  then in the order of their most recent election) shall perform
the duties of the  president and when so acting shall have all the powers of and
be subject to all the restrictions upon the president.  The vice-president shall
perform  such other  duties and have such other powers as the board of directors
or the president may from time to time prescribe.

      SECTION  9.  GENERAL   COUNSEL.   The  General  Counsel  shall  serve  the
Corporation  in the capacity of general  counsel and general  legal  adviser and
shall  perform  such other  duties  and have such  other  powers as the board of
directors or the chairman may from time to time prescribe.

      SECTION 10. SECRETARY.  The secretary shall (a) attend all meetings of the
board of directors  and all meetings of the  stockholders  and record all of the
proceedings of the meetings of the board of directors and of the stockholders in
a book to be kept for that  purpose  and perform  like  duties for the  standing
committees when required,  (b) give, or cause to be given, notice of all special
meetings of the board of directors and all meetings of the  stockholders and (c)
shall  perform such other duties as may be  prescribed by the board of directors
or the president,  under whose supervision he shall be. The secretary shall have
custody  of the  corporate  seal of the  Corporation  and the  secretary,  or an
assistant  secretary,  shall  have  authority  to  affix  it to  any  instrument
requiring  the  seal,  and when so  affixed,  the seal  may be  attested  by the
signature of such officer.  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 signature.

      SECTION 11. ASSISTANT SECRETARIES. 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 most
recent election or appointment) shall, in the absence of the secretary or in the
event of the  disability of the  secretary,  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  or the  president  may  from  time to time
prescribe.

                                       7
<PAGE>

      SECTION  12.  TREASURER.  The  treasurer  shall  (a) have  custody  of the
corporate funds and securities,  (b) keep full and accurate accounts of receipts
and disbursements in books belonging to the Corporation,  (c) deposit all moneys
and other valuable  effects in the name and to the credit of the  Corporation in
such  depositories as may be designated by the board of directors,  (d) disburse
the funds of the Corporation as may be ordered by the board of directors, taking
proper  vouchers for such  disbursements,  (e) render to the  president  and the
board of directors,  at its regular meetings,  or when the board of directors so
requests,  an  account  of all  the  transactions  of the  treasurer  and of the
financial  condition  of the  Corporation,  (f) if  requested  by the  board  of
directors,  give the Corporation a bond (which shall be renewed every six years)
in such sum and with such  surety or sureties  as shall be  satisfactory  to the
board of directors for the faithful  performance of the duties of office and for
the  restoration  to  the  Corporation,  in  case  of  the  death,  resignation,
retirement  or removal  from  office of the  treasurer,  of all  books,  papers,
vouchers,  money and other  property of whatever kind in his possession or under
his control belonging to the Corporation,  and (g) perform such other duties and
have such other powers as the board of directors or the  president may from time
to time prescribe.

      SECTION 13.  ASSISTANT  TREASURERS.  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  most  recent  election  or  appointment)  shall,  in the  absence  of the
treasurer or in the event of the disability of the treasurer, 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 or the  president may from time
to time prescribe.

      SECTION  14.  VICE  CHAIRMAN.  The vice  chairman,  in the  absence of the
chairman, shall preside at all meetings of stockholders and directors, and shall
have the  general  powers and duties of  supervision  of the  management  of the
business and affairs of the Corporation and its officers and agents.


                                   ARTICLE VI

                               STOCK CERTIFICATES

      SECTION 1. RIGHT OF HOLDER TO  CERTIFICATE.  Every  holder of stock in the
Corporation shall be entitled to have a certificate signed by, or in the name of
the  Corporation  by, the chairman,  the president or a  vice-president  and the
treasurer or an assistant treasurer,  or the secretary or an assistant secretary
of the  Corporation,  certifying the number of shares owned by the holder in the
Corporation.

      SECTION  2.  FACSIMILE  SIGNATURES.  Any or all of the  signatures  on the
certificate  may be facsimile.  In the event any officer who has signed or whose
facsimile  signature has been placed upon a certificate  shall have ceased to be
such officer before such certificate is issued, the certificate may be issued by
the  Corporation  with the same effect as if he were such officer at the date of
issue.

                                       8
<PAGE>

      SECTION  3. LOST  CERTIFICATES.  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 stock  to be  lost,  stolen  or  destroyed.  When
authorizing  such issuance 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 the legal representation of the owner, to advertise the same in
such manner as it shall require or to give the Corporation a bond in such sum as
it may  direct as  indemnity  against  any claim  that may be made  against  the
Corporation in connection with the certificate alleged to have been lost, stolen
or destroyed, or both.

      SECTION 4. REGISTRATION OF TRANSFERS. 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, the Corporation or its transfer agent shall issue a new certificate to
the  person  entitled  thereto,  cancel  the  old  certificate  and  record  the
transaction upon its stock records.

      SECTION 5. RECORD DATE.  In order that the  Corporation  may determine the
stockholders  entitled to notice of or to vote at any meeting of stockholders or
any adjournment  thereof,  or to express consent to corporate  action in writing
without a meeting,  or  entitled  to receive  payment of any  dividend  or other
distribution  or allotment of any rights,  or entitled to exercise any rights in
respect of any change, conversion or exchange of stock or for the purpose of any
other lawful action,  the board of directors may fix, in advance, a record date,
which  shall not be more than  sixty nor less than ten days  before  the date of
such  meeting,   nor  more  than  sixty  days  prior  to  any  other  action.  A
determination  of  stockholders  of record entitled to notice of or to vote at a
meeting of stockholders shall apply to any adjournment of the meeting; provided,
however, that the board of directors may fix a new record date for the adjourned
meeting.

      SECTION 6. REGISTERED  STOCKHOLDERS.  The Corporation shall be entitled to
recognize the exclusive right of a person registered in its stock records as the
owner of shares to receive  dividends,  and to vote as such  owner,  and 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 shares or shares on the part of any other person, whether or
not it shall have express or other notice thereof,  except as otherwise required
by law.

                                       9
<PAGE>

                                   ARTICLE VII

                                OTHER PROVISIONS

      SECTION 1. DIVIDENDS. Dividends upon the capital stock of the Corporation,
subject to the provisions of the  certificate of  incorporation,  if any, may be
declared by the board of directors at any regular or special  meeting,  pursuant
to law.  Dividends  may be paid in cash,  in  property,  or in shares of capital
stock,  subject  to the  provisions  of the  certificate  of  incorporation  and
requirements of law.

      SECTION 2. SIGNATURES ON CHECKS AND NOTES. All checks 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.

      SECTION   3.    FISCAL  YEAR.    The   fiscal   year  of  the  Corporation
shall end on the last day of May.

      SECTION 4. SEAL.  The corporate  seal shall be inscribed  with the name of
the Corporation and the words  "Corporate  Seal" and "Delaware." The seal may be
used by causing it or a facsimile  thereof to be  impressed or affixed or in any
other manner reproduced.

      SECTION 5. INDEMNIFICATION OF DIRECTORS,  OFFICERS AND OTHERS. Each person
who is or was a director or officer of the  Corporation  or a subsidiary  of the
Corporation  and  each  person  who  serves  or  served  at the  request  of the
Corporation  as a director of officer (or  equivalent)  of another  Corporation,
partnership, joint venture, trust or other enterprise (and the heirs, executors,
administrators  and estates of any such  persons),  shall be  indemnified by the
Corporation in accordance  with,  and to the fullest  extent  authorized by, the
provisions  of the  General  Corporation  Law of the State of Delaware as it may
from  time to time be  amended,  except  as to any  action,  suit or  proceeding
brought by or on behalf of the  director or officer of the  Corporation  without
prior approval of the board of directors.  Each person who is or was an employee
or agent of this  Corporation,  and each  person  who serves or has served as an
employee or agent of another corporation,  partnership,  joint venture, trust or
other enterprise, may be similarly indemnified at the discretion of the board of
directors.  The  indemnification  provided by this Section 5 shall not be deemed
exclusive of any other rights to which a person seeking  indemnification  may be
entitled  under any bylaw,  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. The Corporation shall have
power to purchase and maintain insurance on behalf of any person who is or was a
director, officer, employee or agent of the Corporation, or is or was serving at
the request of the  Corporation,  as a director,  officer,  employee or agent of
another  Corporation,  partnership,  joint  venture,  trust or other  enterprise
against  any  liability  asserted  against  him and  incurred by him in any such
capacity,  or arising out of his status as such,  whether or not the Corporation
would  have the  power  to  indemnify  him  against  such  liability  under  the
provisions of this bylaw or the Delaware General Corporation Law.

                                       10
<PAGE>

                                  ARTICLE VIII

                                   AMENDMENTS

      These  bylaws may be altered,  amended or  repealed  and new bylaws may be
adopted by the  stockholders  or by the board of  directors,  when such power is
conferred upon the board of directors by the  certificate of  incorporation,  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,  repeal or adoption of new bylaws was contained in
the notice of such special meeting.

                                       11


                                                                   Exhibit 10.1




                        ADMINISTRATIVE SERVICES AGREEMENT
                           BETWEEN ALOHACARE, INC. AND
                              LIFEMARK CORPORATION


      This Agreement (the  "Agreement") is entered into this 7th day of October,
1999 by AlohaCare,  Inc.  ("AlohaCare"),  a Hawaii  nonprofit  corporation,  and
Lifemark Corporation ("Lifemark"), a Delaware corporation.

                                    RECITALS

      A. Lifemark has provided  administrative  services to AlohaCare since 1994
pursuant to an  Administrative  Services  Agreement  dated  January 1, 1994,  as
amended  (the "First ASA",  for the purpose of  AlohaCare  operating as a health
care plan in the State of Hawaii's QUEST program; and,

B.    The parties wish to enter into a new administrative services agreement.

Now therefore,  in consideration  of the mutual covenants set forth herein,  the
parties agree as follows:


1.0   TERM AND TERMINATION.

      1.1 This  Agreement  shall be  effective  as of  August  1, 1999 and shall
terminate on July 31, 2000, unless earlier terminated pursuant to provisions set
forth below.

      1.2 This  Agreement may be terminated at any time upon the written  mutual
consent of both parties.

      1.3 Either party may terminate this Agreement for a material  breach which
has not been  cured  within 30 days  from the date on which  one party  receives
written notice of a material breach by the other party; provided however, if the
material breach involves failure to pay  Administrative  Fees when due, the Cure
Period shall be 10 days,  except if AlohaCare  withholds payment during the cure
period  when  Lifemark  has  failed  in  a  material  way  to  provide   certain
administrative   services,   AlohaCare  may  withhold  only  a  portion  of  the
Administrative  Fee  proportionate to the amount of services alleged not to have
been delivered. Upon completion of cure, AlohaCare shall pay the amount withheld
within 5 days.

                                       1
<PAGE>

      1.4 This Agreement shall be terminated in the event the existing  contract
or any  amendments  between DHS and AlohaCare are  terminated  for any reason or
AlohaCare's  participation in the Program is otherwise terminated, in which case
termination  shall  be  effective  as of the  termination  date  of  AlohaCare's
participation in the Program.

      1.5 This Agreement  shall be terminated  immediately  upon the filing of a
bankruptcy  petition  by either  party or upon the  failure  of either  party to
obtain any license, registration or approval required under state or federal law
that is material to the operation of AlohaCare.

      1.6 Upon termination of this Agreement,  Lifemark shall have the same duty
to cooperate as set forth in Section IV(C)(2) of the First ASA and to transition
those  administrative  services  for which it has  retained  responsibility  (as
further described in Section 6.0, below).  Such duty to cooperate shall include,
but not be limited to,  transferring all AlohaCare  financial records related to
the  administrative  services  provided pursuant to this Agreement and the First
ASA,  transmitting  all AlohaCare data in a readable  format,  and preparing and
transmitting  of HEDIS and QUEST  required  reports  due  during  the  reporting
periods prior to the termination date and the quarterly QUEST reports related to
the June 30, 2000 period end,  which are due August 15, 2000.  All other reports
shall  be the  responsibility  of  AlohaCare.  In  addition  to  the  foregoing,
following  the  termination  date,  Lifemark  will  provide  up to 50  hours  of
consulting on the following projects:

1.6.1     The RFA dispute with QUEST

1.6.2     The University  Health  Care  Associates  contract issues
1.6.3.    The litigation involving Vision Service Plan
1.6.4     The dispute  involving  Dr. Yuen
1.6.5     The WCCHC claims reconciliation
1.6.6     The University OB/GYN claims reconciliation


2.0 SERVICES.  Lifemark shall provide to AlohaCare all  administrative  services
described in the First ASA (a copy of which is attached  hereto as Attachment A;
all terms used in this Agreement  shall be defined as set forth in the First ASA
unless  otherwise  defined  herein) (the "Full  Services")  as of August 1, 1999
until the earlier of (a) July 31, 2000 or (b) the  Transfer  Date (as defined in
Paragraph  4 hereof) in the same  fashion and to the same extent as set forth in
the  First  ASA.  The  Full  Services  do not  include  consulting  services  in
connection  with  AlohaCare's  self  management,  preparation of a response to a
Request For Proposal from the State of Hawaii, or any other matter not described
in the First ASA. The time period referenced in the preceding  sentence shall be
known as the "Full  Service  Period."  The  period  beginning  the day after the
Transfer Date and ending July 31, 2000,  shall be known as the "Partial  Service
Period,"  during which  Partial  Services  (as defined in Paragraph  6.0 hereof)
shall be provided by Lifemark to AlohaCare.  In addition, if the Aged, Blind and
Disabled  population is added to AlohaCare's  membership pursuant to AlohaCare's
QUEST contract  during the Full Service  Period,  then Lifemark will provide the
same  administrative  services for these new members as it does for  AlohaCare's
existing members at the time that such new members are added.

                                       2
<PAGE>

3.0 PAYMENT FOR FULL SERVICES.  During the Full Service Period,  AlohaCare shall
pay to  Lifemark  a fee for the Full  Services  (the "Full  Service  Fee") in an
amount equal to [x]* of the capitation  paid to AlohaCare by the State of Hawaii
each month.  AlohaCare  agrees to pay to Lifemark [x]* of (i) payments,  if any,
denominated  as  Risk  Factor  Adjustment  ("RFA")  payments;  (ii)  payment  to
AlohaCare of amounts attributable to RFA withheld from monthly capitation during
the Full Service  Period(but not during periods before or after the Full Service
Period);  and (iii) payments to AlohaCare  resulting from a recalculation of RFA
pertaining to the Full Service Period, within 5 days of receipt of such payments
from the State of Hawaii for months during the Full Service  Period,  regardless
of when such  monies  are  finally  paid.  In the event that the State of Hawaii
requires   AlohaCare  to  repay  monies  based  upon  (i)  a  reconciliation  of
AlohaCare's enrollment during the term of this Agreement; or(ii) a recalculation
of the RFA  pertaining to the Full Service  Period (but not to periods before or
after the Full Service Period then Lifemark shall remit within 5 days receipt of
notice from AlohaCare(which shall include a full explanation of the basis of the
adjustment  and the  documentation  from the State of Hawaii  pertaining  to the
adjustment) [x]* of such amount due the State of Hawaii  regardless of when such
adverse adjustment is made. Upon request of Lifemark, AlohaCare shall respond to
Lifemark's request for an accounting of all capitation and RFA payments received
from the  State of Hawaii or for  other  pertinent  documents  from the State of
Hawaii.  Payment of the Full  Service  Fee shall be made  before the 10th day of
each month during the Full Service Period.


4.0 PARTIAL  PREPAYMENT OF THE FULL SERVICE FEE.  Immediately  upon execution of
the Agreement and as an absolute condition to Lifemark performing any obligation
hereunder,  AlohaCare shall pay Lifemark [$x]* (the "Advanced  Payment") by wire
transfer as a partial  prepayment of the Full Service Fee.  Lifemark shall repay
to AlohaCare the Advanced Payment, plus annual compounded interest of [x]*, less
[x]* which represents the parties' reasonable estimate of what Lifemark's share
of the RFA would be,

*CONFIDENTIAL TREATMENT REQUESTED

                                       3
<PAGE>

in full within 5 days of the termination date of this Agreement except for sums,
if any,  previously  and  properly  deducted  by  Lifemark.  Lifemark  shall pay
AlohaCare the difference  between the holdback  amount and the actual payment of
its RFA share within 5 days of payment of its RFA share. If Lifemark's  share of
the RFA exceeds the holdback  amount,  AlohaCare  shall pay to Lifemark within 5
days of payment of the RFA the difference  between the holdback  amount and [x]*
of the RFA.


5.0   EVENTS OCCURRING ON THE TRANSFER DATE OR UPON TERMINATION.

      5.1 DEFINITION OF "TRANSFER  DATE". The "Transfer Date" is the termination
date or the day that AlohaCare takes all of the following actions: (i) hires the
Lifemark employees  described in Paragraph 5.2 hereof; (ii) purchases the assets
described in Paragraph 5.3 hereof;  and (iii) assumes the leases,  contracts and
obligations  described in Paragraph  5.4 hereof.  The Transfer  Date shall occur
only on the first day of the month  except in the event that this  Agreement  is
terminated  pursuant to Paragraph 1.0,  above,  in which event the Transfer Date
shall be the same day as the day on which the Agreement is  terminated  pursuant
to Paragraph 1.0, above.  AlohaCare agrees to take the foregoing actions only on
a single day and shall not endeavor to accomplish  less than all of such actions
on days other than a single Transfer Date.

      5.2 TRANSFER OF  EMPLOYEES.  On the earlier of the Transfer Date or on the
date this  Agreement is terminated  pursuant to Paragraph  1.0 hereof,  Lifemark
will  terminate the employment of each of its employees in Hawaii (except on the
Transfer Date, Lifemark will not terminate its Technical Support Coordinator and
AlohaCare  agrees to hire such  employee  on the  termination  date,  subject to
satisfactory  performance as determined by AlohaCare in its sole discretion) and
AlohaCare  will hire such  employees  as it chooses  as of such  date;  provided
however that  AlohaCare will give Lifemark 15 business days notice of its intent
not to hire a current Lifemark employee.  AlohaCare hereby indemnifies  Lifemark
against  all  liability  arising out of or related to claims made by an employee
arising after the Transfer Date or the termination  date, as the case may be, in
connection with his or her employment by AlohaCare.  Lifemark hereby indemnifies
AlohaCare  against all liability  arising out of or related to claims made by an
employee  arising before the Transfer Date or the termination  date, as the case
may be, in  connection  with his or her  employment  by Lifemark.  AlohaCare and
Lifemark  shall  cooperate  with each other with  respect to the transfer of the
employees  and  neither  shall take any  action  with  respect to such  transfer
without the other's prior consent.

     *CONFIDENTIAL TREATMENT REQUESTED.

                                       4
<PAGE>

5.3 PURCHASE OF LIFEMARK ASSETS. On the earlier of the Transfer Date or the date
this Agreement is terminated pursuant to Paragraph 1.0 hereof,  AlohaCare shall,
at Net Book Value, purchase,  except for the assets described below, every asset
used by Lifemark in AlohaCare's offices or operations as of such date, including
but not  limited  to all  office  equipment  and  supplies,  computer  hardware,
telephone systems, furniture,  fixtures, leasehold improvements, and all prepaid
items listed in Attachment B, at the value set forth on Lifemark's  most current
balance sheet as of November 1, 1999 (the  contemplated  Transfer  Date) or such
other  Transfer  Date  or the  date  this  Agreement  is  terminated.  AlohaCare
acknowledges  that it is purchasing these assets "as is" and without warranty of
any kind from Lifemark as to the condition,  life  expectancy or utility of such
assets; provided however, that all computers are warranted to properly recognize
and process dates after  December 31, 1999.  Any computer sold to AlohaCare that
does not properly  recognized  and process dates after December 31, 1999 will be
deemed to have no net book value.  AlohaCare may not purchase the Sun Sparc 1000
server  and the  accompanying  tape  drive,  which  Lifemark  will  remove  from
AlohaCare's offices after July 31, 2000.

      5.4 ASSUMPTION OF LIFEMARK LEASES,  CONTRACTS AND HAWAII BASED OPERATIONAL
EXPENSES.  On the earlier of the  Transfer  Date or the date this  Agreement  is
terminated  pursuant to Paragraph  1.0 hereof,  AlohaCare  shall assume all real
property,  personal  property and equipment  leases as set forth on Attachment C
hereto and hereby indemnifies  Lifemark against all liability arising out of any
such  agreements  after the Transfer Date related to an event which occurs after
the Transfer Date.

6.0 POST-TRANSFER  DATE SERVICES.  During the period following the Transfer Date
until July 31, 2000 (the  "Partial  Service  Period"),  Lifemark  shall  provide
administrative  services  to  AlohaCare  (the  "Partial  Services")  in the same
fashion pursuant to the First ASA including, but not limited to,:

      6.1 PLAN FINANCE  SERVICES.  Plan  Finance  Services  include  third party
recovery services,  reinsurance filings, monthly, quarterly and annual financial
reporting,  regulatory  reporting  to  Department  of  Health  Services  and the
Department  of  Insurance,  risk  pool  reporting,  claim lag  reports,  medical
payables  functions,  including  capitation  and claims  payment (but not claims
processing),  cash management and  maintenance of bank and investment  accounts.
Plan  Finance  Services  during  the  Partial  Service  Period  do  not  include
non-medical related accounts payable, payroll services, human resources services
and employee benefits services

                                       5
<PAGE>

      6.2  INFORMATION  SYSTEM  SERVICES.  Lifemark  shall  provide  information
systems  services,  including  support and  maintenance  services,  to AlohaCare
through the software system Managed Care One in the same fashion and to the same
extent  as  during  the  term of the  First  ASA.  Lifemark  agrees  to make all
necessary  alterations or upgrades to Managed Care One to allow AlohaCare (i) to
provide covered  services to service (to the same extent and in the same fashion
as if such members  were added during the term of the First ASA) aged,  blind or
disabled  members that are added to  AlohaCare's  membership  during the term of
this Agreement and (ii) to comply with its QUEST  contract;  provided,  however,
that, in the event that  substantial  changes are required to Managed Care One's
systems  reporting  capability,  Lifemark  shall  discuss  with QUEST  officials
alternative means of providing the same information.

      6.3  CREDENTIALING.  Lifemark  shall  provide  credentialing  services  to
AlohaCare  in the same  fashion and to the same extent as during the term of the
First ASA provided,  however,  that Lifemark shall assist AlohaCare in complying
with the  corrective  action plan set forth in the letter  from QUEST  officials
listing deficiencies in AlohaCare's credentialing procedures in place as of July
1, 1999.

      6.4   SPECIAL   PROJECTS.   Lifemark   shall   continue   to  provide  all
administrative services necessary in order to complete certains pecial projects,
which  commenced  prior  to  the  expiration  of the  First  ASA,  prior  to the
termination of this Agreement on July 31, 2000. Such special projects are listed
in Attachment D.  Notwithstanding the foregoing,  if such special project(s) can
not be completed prior to July 31, 2000, then Lifemark shall continue to provide
administrative services to complete projects pursuant to Section 1.6, above.

      6.5 EXCLUSIONS FROM PARTIAL SERVICES. The following services, all of which
are included in Full  Services,  are  excluded  from  Partial  Services:  claims
processing and auditing  functions  performed in Hawaii on the effective date of
this Agreement, complaint or grievance coordination, utilization review, quality
management,   medical  management,   member  services,   provider  services  and
contracting (except the financial analysis necessary for such activities), human
resources,   benefits   administration,   insurance   administration   services,
consulting  services relating to the transition to self management,  preparation
of a response  to a Request  for  Proposal  issued by the State of  Hawaii,  all
accounting  functions,  including  administrative  accounts  payable and payroll
services.  Administrative  services not  enumerated in this Section 6.5 shall be
provided by Lifemark if such services had  previously  been  provided  routinely
under the First ASA.

      6.  SOFTWARE  LICENSES.  After the  Transfer  Date  until  July 31,  2000,
Lifemark will allow AlohaCare to use the licenses presently in place in personal
computers  that  were in the  AlohaCare  office as of July 31,  1999.  AlohaCare
agrees that after July 31, 2000 it will have  purchased all  necessary  licenses
from all applicable software vendors and will not rely on Lifemark's licenses.

                                       6
<PAGE>

7.0  PAYMENT  FOR PARTIAL  SERVICES.  During  each month of the Partial  Service
Period,  AlohaCare  shall pay  Lifemark an amount  equal to the Full Service Fee
less the amount  agreed to by the parties as further  described in Attachment E.
The Partial  Service Fee shall be paid before the 10th day of each month  during
the Partial  Service  Period.  AlohaCare  agrees to pay to  Lifemark  [x]* of(i)
payments,  if any, denominated as Risk Factor Adjustment ("RFA") payments;  (ii)
payment to AlohaCare of amounts withheld from monthly capitation attributable to
RFA during the Partial  Service  Period (but not during  periods before the Full
Service Period);  and (iii) payments to AlohaCare resulting from a recalculation
of RFA pertaining to the Partial  Service  Period of all previously  unpaid RFA,
within 5 days of  receipt  of such  monies  from the State of Hawaii  for months
during the Partial Service Period,  regardless of when payment is actually made.
In addition,  during the Partial Service Period, Lifemark shall remit payment to
AlohaCare for monies owed to the State of Hawaii as described in Paragraph  3.0,
above.

8.0  FAILURE TO PAY FEES.  If  AlohaCare  fails to pay any amount due  hereunder
(except as permitted in Paragraph 1.3,  hereof)within 10 days of notification of
such failure, Lifemark may terminate this Agreement, immediately cease providing
any services to AlohaCare and without  further  notice  terminate all electronic
connection with AlohaCare.

9.0  CONSULTING  SERVICES.  AlohaCare  shall  pay  Lifemark  an  hourly  fee for
administrative,  technological  or consulting  services  beyond the scope of the
services  provided  pursuant  to  Paragraphs  1.6  and  2.0  above.  The  hourly
consulting  fees for various  Lifemark  personnel  are set forth on Attachment F
hereto.  To obtain consulting  services,  AlohaCare must submit to an authorized
officer  of  Lifemark  a written  request  describing  the  services  requested.
Lifemark will bill AlohaCare on a monthly basis for tasks completed  during that
month and  AlohaCare  agrees  to pay such  invoices  within 30 days of  receipt.
Lifemark  will  cease  providing  all  consulting  services  immediately  upon a
consulting invoice not being paid.

10.0  MUTUAL RELEASE.

     10.1  ALOHACARE  RELEASE  OF  LIFEMARK.  AlohaCare  releases  Lifemark, and
     its officers, directors, employees, agents and attorneys, and holds each of
     them harmless from all liability whatsoever arising out of losses,  claims,
     litigation, amounts

*CONFIDENTIAL TREATMENT REQUESTED.
                                       7
<PAGE>

     paid in settlement, judgments  or  other  liabilities,  including expenses,
     costs  and  attorneys'  fees  (regardless  of  whether they are incurred in
     investigation,  settlement  or  litigation), relating to (i) claims made by
     the State of  Hawaii  requiring  AlohaCare to return monies to the State or
     pay fines or penalties for any reason, including an  alleged miscalculation
     of the RFA; or (ii)  alleged  overpayments  to, or other losses incurred in
     connection with  the  contract  with,  University  Health  Care Associates.
     Notwithstanding  the foregoing, during the term of this Agreement, Lifemark
     shall assist AlohaCare  in  the ongoing negotiations  with QUEST  officials
     regarding  the  calculation  of  RFA  during  the  first two QUEST contract
     periods  as  well  as  assist  in any litigation  pertaining to RFA without
     additional compensation.

     10.2  LIFEMARK RELEASE OF ALOHACARE.  Lifemark releases AlohaCare  and  its
     officers,  directors,  employees,  agents  and attorneys, and holds each of
     them  harmless from  all  liability   whatsoever  arising  out  of  losses,
     claims,   litigation,   amounts   paid  in  settlement, judgments or  other
     liabilities, including  expenses, costs and attorneys' fees  (regardless of
     whether  they  are incurred in  investigation,  settlement or  litigation),
     relating  to  any  matter arising prior to July 31, 1999; provided however,
     nothing in Lifemark's release of AlohaCare shall  be construed  to  relieve
     AlohaCare from the obligation to pay all amounts due under this Agreement.

11.0 PAYMENT FOR PREPARATION OF RFP RESPONSE. Immediately upon execution of this
Agreement,   as  an  absolute  condition  to  Lifemark  performing  any  of  its
obligations hereunder, AlohaCare shall pay to Lifemark [x]* by wire transfer as
payment in full for Lifemark's preparation,  on AlohaCare's behalf, the response
to the State of Hawaii's Request For Proposal during 1998-9.

12.0  MISCELLANEOUS.

      12.1  CONFIDENTIALITY.  AlohaCare and Lifemark agree to incorporate herein
by reference the terms and conditions regarding  confidentiality as set forth in
Section V(B) of the First ASA.

      12.2  RELATIONSHIP OF THE PARTIES.  In the performance of the work, duties
and obligations of the parties pursuant to this Agreement,  the parties shall at
all times, be acting and performing as independent contractors.  No relationship
of employer  and  employee,  or  partners  or joint  ventures is created by this
Agreement,  and neither  party may  therefore  make any claim  against the other
party for social security benefits, workers' compensation benefits, unemployment
insurance  benefits,  vacation pay, sick leave or any other employee  benefit of
any kind. In

*CONFIDENTIAL TREATMENT REQUESTED.
                                       8
<PAGE>

addition,  neither  party  shall  have any power or  authority  to act for or on
behalf of, or to bind the other except as herein expressly granted, and no other
or greater  power or authority  shall be implied by the grant or denial of power
or authority specifically mentioned herein.

      12.3  ASSIGNMENT/SUBCONTRACTING.  Neither  party  shall  have the right to
assign,  delegate  or  subcontract  any of its rights or  obligations  hereunder
without the prior written  consent of the other party;  provided  however,  that
AlohaCare shall have the right to delegate and/or to subcontract with respect to
those administrative  service  responsibilities which it assumes on the Transfer
Date.

      12.4  NOTICES.  Except  as set  forth  herein,  all  notices  required  or
permitted to be given hereunder, shall be in writing and shall be sent by United
States mail, certified or registered, return receipt requested, postage prepaid,
to the parties hereto at their  respective  addresses set forth on the signature
page  hereto,  or such  other  address  as may be fixed in  accordance  with the
provisions hereof.  Except as set forth herein, if mailed in accordance with the
provisions of this  paragraph,  such notice shall be deemed to be received three
(3) business days after mailing.

      12.5 HEADINGS.  The headings of the various sections of this Agreement are
inserted  merely  for the  purpose of  convenience  and do not  expressly  or by
implication  limit,  define or  extend  the  specific  terms of the  section  so
designated.

      12.6 WAIVER OF BREACH. The waiver by either party of a breach or violation
of any provision of this Agreement  shall not operate as, nor be construed to be
a waiver of any subsequent breach thereof.

      12.7  APPLICABLE LAW.  This Agreement shall be governed in all respects
by the laws of the State of Hawaii.

      12.8  INVALID  PROVISIONS.  If,  for any  reason,  any  provision  of this
Agreement  is or  shall  be  hereafter  determined  by law,  act,  decision,  or
regulation  of a duly  constituted  body  or  authority,  to be in  any  respect
invalid,  such  determination  shall  not  nullify  any of the  other  terms and
provisions of this Agreement and, unless  otherwise  agreed to in writing by the
parties,  then,  in  order  to  prevent  the  invalidity  of such  provision  or
provisions of this Agreement,  the said provision or provisions  shall be deemed
automatically amended in such respect as may be necessary to conform this entire
Agreement with such applicable law, act, decision, rule or regulation.

                                       9
<PAGE>

      12.9 NO  THIRD-PARTY  BENEFICIARY.  This  Agreement is entered into by and
between  AlohaCare  and  Lifemark and for their  benefit.  There is no intent by
either party to create or establish third-party  beneficiary status or rights or
their equivalent in any Member, subcontractor, or other third party, and no such
third  party  shall  have any right to  enforce  any right or enjoy any  benefit
created or  established  under this  Agreement.  Notwithstanding  the foregoing,
Lifemark  assents to, and waives all claims,  whether  against  AlohaCare or any
other  party,  arising  from or  related  to:  (i) the  hiring of its  Executive
Director, John McComas by AlohaCare;  (ii) Mr. McComas' advice and assistance to
AlohaCare  in  negotiation  of this  Agreement;  and,  (iii) the  release of Mr.
McComas from his fiduciary obligations to Lifemark,  which impede his ability to
act on behalf of AlohaCare.

      12.10  ARBITRATION.  In the  event  that  any  dispute  relating  to  this
Agreement including,  but not limited to, any dispute arising from or related to
Lifemark's  provision of  administrative  services  arises between  Lifemark and
AlohaCare,  the dispute shall be resolved by binding  arbitration  in accordance
with  the  Rules  of  Commercial   Arbitration   of  the  American   Arbitration
Association.  In no event may the  arbitration  be initiated  more than one year
after the date one party first gave  written  notice of the dispute to the other
party.  The  arbitration  shall be held in  Honolulu,  Hawaii  or in such  other
location as the parties may mutually agree upon.  The  arbitrator  shall have no
power to award punitive or exemplary damages or vary the terms of this Agreement
and shall be bound by controlling law.

      12.11  REVIEW AND AUDIT.  Lifemark  will at all times make  available  for
review  and  audit  by  either  AlohaCare  or its  designee  its  files,  books,
procedures and records  (including  computer terminal access to same) pertaining
to AlohaCare  or the  services  provided by Lifemark  under this  Agreement.  In
addition,  Lifemark  shall make  available for interview  with the auditor those
personnel  with  material  involvement  or  responsibility  with  respect to the
services provided by Lifemark under this Agreement.

      12.12 ENTIRE AGREEMENT;  AMENDMENT. This Agreement and all exhibits hereto
shall  constitute  the entire  agreement  relating to the subject  matter hereof
between the parties  hereto,  and  supersedes all other  agreements,  written or
oral,  relating  to the  subject  matter  hereof  except as to those  referenced
herein.  This  Agreement  may be amended  by mutual  agreement  of the  parties,
provided that such amendment is reduced to writing and signed by both parties.

      12.13  EXHIBITS.  Any exhibits  attached to this Agreement are an integral
part of this Agreement and are incorporated herein by reference.

                                      10
<PAGE>


      12.14 REPRESENTATION ON BOARD OF DIRECTORS.  On the effective date of this
Agreement, the current Director who is employed by Lifemark shall resign. At the
next regularly scheduled meeting of the Board of Directors, the Board shall take
all action necessary for the appointment of a Lifemark  representative  as an ex
officio (nonvoting) member of the Board of Directors.  Lifemark shall choose the
individual to be appointed.  Upon  termination of this Agreement with or without
cause,  such Lifemark Director shall resign within five (5) business days of the
giving or receipt of notice of such termination.

IN WITNESS WHEREOF, the undersigned parties, through their officers who have the
authority to execute this Agreement,  have executed this Agreement  intending to
be bound thereby.




                                          AlohaCare, Inc.
                                          1357 Kapiolani Boulevard
                                          Suite 1250
                                          Honolulu, Hawaii 96814

                                          By:  /s/ KAWAHINE KAMAKEA-OHELO
                                               --------------------------

                                          Its: President
                                               --------------------------


                                          Lifemark Corporation
                                          7600 North Sixteenth Street
                                          Suite 150
                                          Phoenix, Arizona 85020

                                          By:  /s/ RHONDA BREDE
                                               ---------------------------

                                          Its: President
                                               ---------------------------



                                       11





                                                                    Exhibit 10.2

                                PLEDGE AGREEMENT


      THIS PLEDGE  AGREEMENT  (this  "Agreement")  is made and entered into this
14th day of October,  1999 by and between Rhonda Brede  ("Pledgor") and Lifemark
Corporation, a Delaware corporation ("Secured Party").

      1.    PLEDGE.   Pledgor  hereby  grants  to  Secured  Party  a  security
interest in the following described corporate stock:

            90,000  shares  of  common  stock,  $0.01  par  value,  of  Lifemark
            Corporation.

currently  represented by  Certificate  No.  6433  together  with  stock  powers
duly endorsed in blank (with  signature  guaranteed  by a qualified  member in a
Medallion  Guarantee  Program approved by the Securities  Transfer  Association,
Inc.) and herewith  delivered to Secured Party,  and all proceeds,  products and
increases  thereof and  substitutions  and replacements  therefor  (collectively
referred  to herein as the  "Pledged  Shares").  Secured  Party  shall  hold the
Pledged  Shares as security for payment of the Note (as defined below) and shall
not encumber or dispose of the Pledged Shares except in accordance with Sections
6 or 8 of this Agreement.

      2. SECURED INDEBTEDNESS.  This Agreement shall secure all indebtedness now
or hereafter incurred by Pledgor under the provisions of that certain Promissory
Note (the "Note") of even date  herewith made by Pledgor to Secured Party in the
original  principal  amount of two hundred  sixty four  thousand  three  hundred
thirty  ($264,330),  bearing interest at the rate per annum equal to 6.02%, with
accrued interest being due and payable on December 31, 1999 and each December 31
thereafter, and with all principal and accrued interest being due and payable on
October  14,  2008,  and any and all other  indebtedness  of the  Pledgor to the
Secured Party incurred in connection with the acquisition of common stock of the
Secured Party and the payment of any related withholding tax.

      3.  VOTING  RIGHTS.  During  the  term of this  Agreement,  and so long as
Pledgor  is not in  default  in the  performance  of any of the  terms  of  this
Agreement or in the payment of the  principal  or interest of the Note,  Pledgor
shall have the right to vote the Pledged Shares on all corporate questions,  and
Secured Party shall,  upon request,  execute due and timely  proxies in favor of
Pledgor to this end.

      4.  REPRESENTATIONS.  Pledgor  represents  and warrants  that there are no
restrictions  upon the  transfer  of any of the Pledged  Shares,  other than may
appear on the face of the  Certificate  referred to in Section 1, and other than
as may be imposed under Rule 144 under the  Securities Act of 1933, and that the
Pledgor  has the right to  transfer  such shares free and clear of all liens and
encumbrances,  except the lien of this Agreement,  and the Pledgor is delivering
herewith copies of Form 144 duly executed in blank.

                                       1
<PAGE>

      5. ADJUSTMENTS.  In the event that, during the term of this Agreement, any
share  dividend,  reclassification,  readjustment or other change is declared or
made in the capital structure of Lifemark Corporation,  all new, substituted and
additional  shares,  or other  securities,  issued by reason of any such  change
shall be held by Secured  Party  under the terms of this  Agreement  in the same
manner as the shares originally pledged hereunder.

      6. PAYMENT OF THE NOTE.  Upon  payment of all  outstanding  principal  and
accrued interest of the Note, less amounts  theretofore  received and applied by
Secured Party in reduction thereof,  Secured Party shall transfer to Pledgor all
the Pledged Shares and all rights  received by Secured Party as a result of this
pledge.

      7. EVENTS OF DEFAULT. Occurrence of any of the following events (each such
event  referred  to herein as an "Event of  Default")  shall,  at the  option of
Secured Party, constitute a default hereunder:

      (a)  Failure of Pledgor to pay when due any  indebtedness  secured by this
Agreement,  either principal or interest, if such failure shall continue uncured
for a period  of five  days;  provided,  however,  it  shall  not be an event of
default if Pledgor fails to pay, interest due on the Note if Secured Party fails
to pay  Pledgor the bonus  provided  for in the second  paragraph  of the letter
agreement dated October 14, 1999 between Pledgor and Secured Party;

      (b) Default by Pledgor  under any  agreements to which Pledgor and Secured
Party are, or may hereafter become, parties which secure indebtedness of Pledgor
to Secured Party; or

      (c) Any other event of default under the Note; or

      (d) Any  breach by  Pledgor  of (i) any duty to,  or (ii) any  employment,
severance,  non-disclosure or other material  agreement between the Pledgor and,
the Secured Party.

      8.  DEFAULT.  Upon the  occurrence  of an Event of Default,  Secured Party
shall have the rights and remedies  provided in the Uniform  Commercial  Code in
force  in the  State  of  Arizona  at the  date  of this  Agreement  and in this
connection,  Secured Party may, upon five days' written notice to Pledgor,  sent
by registered mail, and without  liability for any diminution in price which may
have occurred,  sell all the Pledged Shares in such manner and for such price as
Secured  Party  may  determine,  so long as any  such  sale  is  conducted  in a
commercially  reasonable  manner to obtain a fair and reasonable  sale price for
the Pledged Shares.  At any bona fide public sale Secured Party shall be free to
purchase all or any part of the Pledged Shares.  Out of the proceeds of any sale
Secured  Party may retain an amount equal to the principal and interest then due
on the Note,  plus the amount of the reasonable  expenses of the sale, and shall
pay any balance of such  proceeds to Pledgor.  In the event that the proceeds of
any sale are  insufficient  to cover the principal and interest of the Note plus
expenses  of the sale,  Pledgor  shall  remain  liable to Secured  Party for any
deficiency.

                                       2
<PAGE>

      9. NOTICES. Any notice, request, information or other document to be given
hereunder to either of the parties shall be in writing and delivered  personally
or sent by Federal Express,  Overnight  Delivery,  or United States General Post
Office Express Mail Next Day Service, to the addresses listed below:

PLEDGOR:                                    SECURED PARTY:

   Rhonda Brede                                Lifemark Corporation
   19870 N. 68th Drive                         7600 North 16th Street
   Glendale, AZ  85305                         Suite 150
                                               Phoenix, Arizona  85020

      IN WITNESS  WHEREOF,  the parties have executed this agreement on the date
first above written.

                                       PLEDGOR:


                                       By: /s/ RHONDA BREDE
                                           ----------------------------

                                       SECURED PARTY:

                                       LIFEMARK CORPORATION


                                       By: /s/ MICHAEL KENNEDY
                                           ----------------------------


                                       3
<PAGE>
                                                                    Exhibit 10.2

                                 PROMISSORY NOTE

$264,330                                                        October 14, 1999
 -------
                                                                Phoenix, Arizona

      FOR VALUE RECEIVED, the undersigned hereby promises to pay to the order of
Lifemark Corporation,  a Delaware corporation (the "Company"), the principal sum
of $264,330  with  interest  (computed on the basis of the actual number of days
elapsed over a 365-day year) on the unpaid balance  thereof at the rate of 6 and
02/100  percent  (6.02%)  per annum,  from the date hereof  until the  principal
amount of this Note is paid in full,  with accrued  interest on all  outstanding
principal due on December 31 of each year commencing with December 31, 1999, and
with all outstanding principal,  plus all accrued but unpaid interest, being due
and payable on October 14, 2008.

      Payments of  principal  and  interest on this Note shall be payable at the
offices of the Company, 7600 North 16th Street, Phoenix,  Arizona 85020, or such
other  place as the  holder  of this  Note may from  time to time  designate  in
writing.

      This Note has been issued in connection with the purchase of 90,000 shares
of common  stock,  $0.01 par value per share,  of the  Company  (the  "Shares"),
pursuant to the exercise of an option granted to the  undersigned  under a stock
option  agreement  dated  October 14,  1999.  The full amount of all  previously
unpaid principal,  together with all interest accrued thereon,  shall become due
and payable: (i) 180 days following termination of employment of the undersigned
by the Company  without cause or because of  disability;  (ii) 60 days after any
termination by the  undersigned of the  employment of the  undersigned  with the
Company (or; or (iii)  immediately upon any such  termination  which is for just
cause (as defined  below) or upon any breach by the  undersigned of (i) any duty
to the  Company,  or (ii) any  employment,  severance,  non-disclosure  or other
material  agreement  between the  undersigned  and the Company) the Standard Key
Employee Non-Disclosure  Agreement.  For purposes of this Note, termination "for
just cause" shall mean termination on account of gross  negligence,  dishonesty,
or any willful  material  violation of any reasonable  rule or regulation of the
Company of which the undersigned has been advised in writing.

      The  undersigned  shall have the right to prepay this Note, in whole or in
part, without premium or penalty.

      The undersigned hereby waives  presentment,  notice of dishonor or protest
of dishonor of this Note.

      This Note is fully negotiable and transferable by the Company.

      This Note is  secured  by the 90,000  Shares,  which  shall be held by the
Company  under  a  pledge  agreement  of  even  date  herewith  executed  by the
undersigned  and such other  security as may be pledged by the Payee and held by
the Company from time to time.  This Note shall be governed by and  construed in
accordance with the laws of the State of Arizona.



                                       /s/ RHONDA BREDE
                                       ----------------------------


                                       1




                                                                    Exhibit 10.3

                                PLEDGE AGREEMENT


      THIS PLEDGE  AGREEMENT  (this  "Agreement")  is made and entered into this
14th  day of  October,  1999 by and  between  Michael  Kennedy  ("Pledgor")  and
Lifemark Corporation, a Delaware corporation ("Secured Party").

      1.    PLEDGE.   Pledgor  hereby  grants  to  Secured  Party  a  security
interest in the following described corporate stock:

            60,000  shares  of  common  stock,  $0.01  par  value,  of  Lifemark
            Corporation.

currently  represented by Certificate  Nos.  6430  together  with  stock  powers
duly endorsed in blank (with  signature  guaranteed  by a qualified  member in a
Medallion  Guarantee  Program approved by the Securities  Transfer  Association,
Inc.) and herewith  delivered to Secured Party,  and all proceeds,  products and
increases  thereof and  substitutions  and replacements  therefor  (collectively
referred  to herein as the  "Pledged  Shares").  Secured  Party  shall  hold the
Pledged  Shares as security for payment of the Note (as defined below) and shall
not encumber or dispose of the Pledged Shares except in accordance with Sections
6 or 8 of this Agreement.

      2. SECURED INDEBTEDNESS.  This Agreement shall secure all indebtedness now
or hereafter incurred by Pledgor under the provisions of that certain Promissory
Note (the "Note") of even date  herewith made by Pledgor to Secured Party in the
original principal amount of one hundred seventy six thousand two hundred twenty
($176,220),  bearing interest at the rate per annum equal to 6.02%, with accrued
interest  being due and  payable  on  December  31,  1999 and each  December  31
thereafter, and with all principal and accrued interest being due and payable on
October  14,  2008,  and any and all other  indebtedness  of the  Pledgor to the
Secured Party incurred in connection with the acquisition of common stock of the
Secured Party and the payment of any related withholding tax.

      3.  VOTING  RIGHTS.  During  the  term of this  Agreement,  and so long as
Pledgor  is not in  default  in the  performance  of any of the  terms  of  this
Agreement or in the payment of the  principal  or interest of the Note,  Pledgor
shall have the right to vote the Pledged Shares on all corporate questions,  and
Secured Party shall,  upon request,  execute due and timely  proxies in favor of
Pledgor to this end.

      4.  REPRESENTATIONS.  Pledgor  represents  and warrants  that there are no
restrictions  upon the  transfer  of any of the Pledged  Shares,  other than may
appear on the face of the  Certificate  referred to in Section 1, and other than
as may be imposed under Rule 144 under the  Securities Act of 1933, and that the
Pledgor  has the right to  transfer  such shares free and clear of all liens and
encumbrances,  except the lien of this Agreement,  and the Pledgor is delivering
herewith copies of Form 144 duly executed in blank.

                                       1
<PAGE>

      5. ADJUSTMENTS.  In the event that, during the term of this Agreement, any
share  dividend,  reclassification,  readjustment or other change is declared or
made in the capital structure of Lifemark Corporation,  all new, substituted and
additional  shares,  or other  securities,  issued by reason of any such  change
shall be held by Secured  Party  under the terms of this  Agreement  in the same
manner as the shares originally pledged hereunder.

      6. PAYMENT OF THE NOTE.  Upon  payment of all  outstanding  principal  and
accrued interest of the Note, less amounts  theretofore  received and applied by
Secured Party in reduction thereof,  Secured Party shall transfer to Pledgor all
the Pledged Shares and all rights  received by Secured Party as a result of this
pledge.

      7. EVENTS OF DEFAULT. Occurrence of any of the following events (each such
event  referred  to herein as an "Event of  Default")  shall,  at the  option of
Secured Party, constitute a default hereunder:


      (a)  Failure of Pledgor to pay when due any  indebtedness  secured by this
Agreement,  either principal or interest, if such failure shall continue uncured
for a period  of five  days;  provided,  however,  it  shall  not be an event of
default if Pledgor fails to pay, interest due on the Note if Secured Party fails
to pay  Pledgor the bonus  provided  for in the second  paragraph  of the letter
agreement dated October 14, 1999 between Pledgor and Secured Party;


      (b) Default by Pledgor  under any  agreements to which Pledgor and Secured
Party are, or may hereafter become, parties which secure indebtedness of Pledgor
to Secured Party; or

      (c) Any other event of default under the Note; or

      (d) Any  breach by  Pledgor  of (i) any duty to,  or (ii) any  employment,
severance,  non-disclosure or other material  agreement between the Pledgor and,
the Secured Party.

      8.  DEFAULT.  Upon the  occurrence  of an Event of Default,  Secured Party
shall have the rights and remedies  provided in the Uniform  Commercial  Code in
force  in the  State  of  Arizona  at the  date  of this  Agreement  and in this
connection,  Secured Party may, upon five days' written notice to Pledgor,  sent
by registered mail, and without  liability for any diminution in price which may
have occurred,  sell all the Pledged Shares in such manner and for such price as
Secured  Party  may  determine,  so long as any  such  sale  is  conducted  in a
commercially  reasonable  manner to obtain a fair and reasonable  sale price for
the Pledged Shares.  At any bona fide public sale Secured Party shall be free to
purchase all or any part of the Pledged Shares.  Out of the proceeds of any sale
Secured  Party may retain an amount equal to the principal and interest then due
on the Note,  plus the amount of the reasonable  expenses of the sale, and shall
pay any balance of such  proceeds to Pledgor.  In the event that the proceeds of
any sale are  insufficient  to cover the principal and interest of the Note plus
expenses  of the sale,  Pledgor  shall  remain  liable to Secured  Party for any
deficiency.

                                       2
<PAGE>

      9. NOTICES. Any notice, request, information or other document to be given
hereunder to either of the parties shall be in writing and delivered  personally
or sent by Federal Express,  Overnight  Delivery,  or United States General Post
Office Express Mail Next Day Service, to the addresses listed below:

PLEDGOR:                                    SECURED PARTY:

   Michael Kennedy                             Lifemark Corporation
   5226 E. Anderson Dr.                        7600 North 16th Street
   Scottsdale, AZ  85254                       Suite 150
                                               Phoenix, Arizona  85020

      IN WITNESS  WHEREOF,  the parties have executed this agreement on the date
first above written.

                                       PLEDGOR:


                                       By: /s/ MICHAEL KENNEDY
                                           ---------------------------


                                       SECURED PARTY:

                                       LIFEMARK CORPORATION


                                       By: /s/ RHONDA BREDE
                                           ---------------------------


                                       3
<PAGE>


                                                                    Exhibit 10.3

                                 PROMISSORY NOTE

$176,220                                                        October 14, 1999
 -------
                                                                Phoenix, Arizona

      FOR VALUE RECEIVED, the undersigned hereby promises to pay to the order of
Lifemark Corporation,  a Delaware corporation (the "Company"), the principal sum
of $176,220  with  interest  (computed on the basis of the actual number of days
elapsed over a 365-day year) on the unpaid balance  thereof at the rate of 6 and
02/100  percent  (6.02%)  per annum,  from the date hereof  until the  principal
amount of this Note is paid in full,  with accrued  interest on all  outstanding
principal due on December 31 of each year commencing with December 31, 1999, and
with all outstanding principal,  plus all accrued but unpaid interest, being due
and payable on October 14, 2008.

      Payments of  principal  and  interest on this Note shall be payable at the
offices of the Company, 7600 North 16th Street, Phoenix,  Arizona 85020, or such
other  place as the  holder  of this  Note may from  time to time  designate  in
writing.

      This Note has been issued in connection with the purchase of 60,000 shares
of common  stock,  $0.01 par value per share,  of the  Company  (the  "Shares"),
pursuant to the exercise of an option granted to the  undersigned  under a stock
option  agreement  dated  October 14,  1999.  The full amount of all  previously
unpaid principal,  together with all interest accrued thereon,  shall become due
and payable: (i) 180 days following termination of employment of the undersigned
by the Company  without cause or because of  disability;  (ii) 60 days after any
termination by the  undersigned of the  employment of the  undersigned  with the
Company (or; or (iii)  immediately upon any such  termination  which is for just
cause (as defined  below) or upon any breach by the  undersigned of (i) any duty
to the  Company,  or (ii) any  employment,  severance,  non-disclosure  or other
material  agreement  between the  undersigned  and the Company) the Standard Key
Employee Non-Disclosure  Agreement.  For purposes of this Note, termination "for
just cause" shall mean termination on account of gross  negligence,  dishonesty,
or any willful  material  violation of any reasonable  rule or regulation of the
Company of which the undersigned has been advised in writing.

      The  undersigned  shall have the right to prepay this Note, in whole or in
part, without premium or penalty.

      The undersigned hereby waives  presentment,  notice of dishonor or protest
of dishonor of this Note.

      This Note is fully negotiable and transferable by the Company.

      This Note is  secured  by the 60,000  Shares,  which  shall be held by the
Company  under  a  pledge  agreement  of  even  date  herewith  executed  by the
undersigned  and such other  security as may be pledged by the Payee and held by
the Company from time to time.  This Note shall be governed by and  construed in
accordance with the laws of the State of Arizona.



                                       /s/ MICHAEL KENNEDY
                                       ------------------------------


                                       1




                                                                   Exhibit 10.4


                                PLEDGE AGREEMENT


      THIS PLEDGE  AGREEMENT  (this  "Agreement")  is made and entered into this
14th day of October,  1999 by and between Rick Jelinek  ("Pledgor") and Lifemark
Corporation, a Delaware corporation ("Secured Party").

      1.    PLEDGE.   Pledgor  hereby  grants  to  Secured  Party  a  security
interest in the following described corporate stock:

            60,000  shares  of  common  stock,  $0.01  par  value,  of  Lifemark
            Corporation.

currently  represented  by  Certificate  Nos. 6431 together  with  stock  powers
duly endorsed in blank (with  signature  guaranteed  by a qualified  member in a
Medallion  Guarantee  Program approved by the Securities  Transfer  Association,
Inc.) and herewith  delivered to Secured Party,  and all proceeds,  products and
increases  thereof and  substitutions  and replacements  therefor  (collectively
referred  to herein as the  "Pledged  Shares").  Secured  Party  shall  hold the
Pledged  Shares as security for payment of the Note (as defined below) and shall
not encumber or dispose of the Pledged Shares except in accordance with Sections
6 or 8 of this Agreement.

      2. SECURED INDEBTEDNESS.  This Agreement shall secure all indebtedness now
or hereafter incurred by Pledgor under the provisions of that certain Promissory
Note (the "Note") of even date  herewith made by Pledgor to Secured Party in the
original principal amount of one hundred seventy six thousand two hundred twenty
($176,220),  bearing interest at the rate per annum equal to 6.02%, with accrued
interest  being due and  payable  on  December  31,  1999 and each  December  31
thereafter, and with all principal and accrued interest being due and payable on
October  14,  2008,  and any and all other  indebtedness  of the  Pledgor to the
Secured Party incurred in connection with the acquisition of common stock of the
Secured Party and the payment of any related withholding tax.

      3.  VOTING  RIGHTS.  During  the  term of this  Agreement,  and so long as
Pledgor  is not in  default  in the  performance  of any of the  terms  of  this
Agreement or in the payment of the  principal  or interest of the Note,  Pledgor
shall have the right to vote the Pledged Shares on all corporate questions,  and
Secured Party shall,  upon request,  execute due and timely  proxies in favor of
Pledgor to this end.

      4.  REPRESENTATIONS.  Pledgor  represents  and warrants  that there are no
restrictions  upon the  transfer  of any of the Pledged  Shares,  other than may
appear on the face of the  Certificate  referred to in Section 1, and other than
as may be imposed under Rule 144 under the  Securities Act of 1933, and that the
Pledgor  has the right to  transfer  such shares free and clear of all liens and
encumbrances,  except the lien of this Agreement,  and the Pledgor is delivering
herewith copies of Form 144 duly executed in blank.

                                       1
<PAGE>

      5. ADJUSTMENTS.  In the event that, during the term of this Agreement, any
share  dividend,  reclassification,  readjustment or other change is declared or
made in the capital structure of Lifemark Corporation,  all new, substituted and
additional  shares,  or other  securities,  issued by reason of any such  change
shall be held by Secured  Party  under the terms of this  Agreement  in the same
manner as the shares originally pledged hereunder.

      6. PAYMENT OF THE NOTE.  Upon  payment of all  outstanding  principal  and
accrued interest of the Note, less amounts  theretofore  received and applied by
Secured Party in reduction thereof,  Secured Party shall transfer to Pledgor all
the Pledged Shares and all rights  received by Secured Party as a result of this
pledge.

      7. EVENTS OF DEFAULT. Occurrence of any of the following events (each such
event  referred  to herein as an "Event of  Default")  shall,  at the  option of
Secured Party, constitute a default hereunder:

      (a)  Failure of Pledgor to pay when due any  indebtedness  secured by this
Agreement,  either principal or interest, if such failure shall continue uncured
for a period  of five  days;  provided,  however,  it  shall  not be an event of
default if Pledgor fails to pay, interest due on the Note if Secured Party fails
to pay  Pledgor the bonus  provided  for in the second  paragraph  of the letter
agreement dated October 14, 1999 between Pledgor and Secured Party;

      (b) Default by Pledgor  under any  agreements to which Pledgor and Secured
Party are, or may hereafter become, parties which secure indebtedness of Pledgor
to Secured Party; or

      (c) Any other event of default under the Note; or

      (d) Any  breach by  Pledgor  of (i) any duty to,  or (ii) any  employment,
severance,  non-disclosure or other material  agreement between the Pledgor and,
the Secured Party.

      8.  DEFAULT.  Upon the  occurrence  of an Event of Default,  Secured Party
shall have the rights and remedies  provided in the Uniform  Commercial  Code in
force  in the  State  of  Arizona  at the  date  of this  Agreement  and in this
connection,  Secured Party may, upon five days' written notice to Pledgor,  sent
by registered mail, and without  liability for any diminution in price which may
have occurred,  sell all the Pledged Shares in such manner and for such price as
Secured  Party  may  determine,  so long as any  such  sale  is  conducted  in a
commercially  reasonable  manner to obtain a fair and reasonable  sale price for
the Pledged Shares.  At any bona fide public sale Secured Party shall be free to
purchase all or any part of the Pledged Shares.  Out of the proceeds of any sale
Secured  Party may retain an amount equal to the principal and interest then due
on the Note,  plus the amount of the reasonable  expenses of the sale, and shall
pay any balance of such  proceeds to Pledgor.  In the event that the proceeds of
any sale are  insufficient  to cover the principal and interest of the Note plus
expenses  of the sale,  Pledgor  shall  remain  liable to Secured  Party for any
deficiency.

                                       2
<PAGE>

      9. NOTICES. Any notice, request, information or other document to be given
hereunder to either of the parties shall be in writing and delivered  personally
or sent by Federal Express,  Overnight  Delivery,  or United States General Post
Office Express Mail Next Day Service, to the addresses listed below:

PLEDGOR:                                    SECURED PARTY:

   Rick Jelinek                                Lifemark Corporation
   8120 N. Dreamy Dr.                          7600 North 16th Street
   Phoenix, AZ  85020                          Suite 150
                                               Phoenix, Arizona  85020

      IN WITNESS  WHEREOF,  the parties have executed this agreement on the date
first above written.

                                       PLEDGOR:


                                       By: /s/ RICK JELINEK
                                           -----------------------------


                                       SECURED PARTY:

                                       LIFEMARK CORPORATION


                                       By: /s/ RHONDA BREDE
                                           -----------------------------



                                       3
<PAGE>
                                                                    Exhibit 10.4

                                 PROMISSORY NOTE

$176,220                                                        October 14, 1999
 -------
                                                                Phoenix, Arizona

      FOR VALUE RECEIVED, the undersigned hereby promises to pay to the order of
Lifemark Corporation,  a Delaware corporation (the "Company"), the principal sum
of $176,220  with  interest  (computed on the basis of the actual number of days
elapsed over a 365-day year) on the unpaid balance  thereof at the rate of 6 and
02/100  percent  (6.02%)  per annum,  from the date hereof  until the  principal
amount of this Note is paid in full,  with accrued  interest on all  outstanding
principal due on December 31 of each year commencing with December 31, 1999, and
with all outstanding principal,  plus all accrued but unpaid interest, being due
and payable on October 14, 2008.

      Payments of  principal  and  interest on this Note shall be payable at the
offices of the Company, 7600 North 16th Street, Phoenix,  Arizona 85020, or such
other  place as the  holder  of this  Note may from  time to time  designate  in
writing.

      This Note has been issued in connection with the purchase of 60,000 shares
of common  stock,  $0.01 par value per share,  of the  Company  (the  "Shares"),
pursuant to the exercise of an option granted to the  undersigned  under a stock
option  agreement  dated  October 14,  1999.  The full amount of all  previously
unpaid principal,  together with all interest accrued thereon,  shall become due
and payable: (i) 180 days following termination of employment of the undersigned
by the Company  without cause or because of  disability;  (ii) 60 days after any
termination by the  undersigned of the  employment of the  undersigned  with the
Company (or; or (iii)  immediately upon any such  termination  which is for just
cause (as defined  below) or upon any breach by the  undersigned of (i) any duty
to the  Company,  or (ii) any  employment,  severance,  non-disclosure  or other
material  agreement  between the  undersigned  and the Company) the Standard Key
Employee Non-Disclosure  Agreement.  For purposes of this Note, termination "for
just cause" shall mean termination on account of gross  negligence,  dishonesty,
or any willful  material  violation of any reasonable  rule or regulation of the
Company of which the undersigned has been advised in writing.

      The  undersigned  shall have the right to prepay this Note, in whole or in
part, without premium or penalty.

      The undersigned hereby waives  presentment,  notice of dishonor or protest
of dishonor of this Note.

      This Note is fully negotiable and transferable by the Company.

      This Note is  secured  by the 60,000  Shares,  which  shall be held by the
Company  under  a  pledge  agreement  of  even  date  herewith  executed  by the
undersigned  and such other  security as may be pledged by the Payee and held by
the Company from time to time.  This Note shall be governed by and  construed in
accordance with the laws of the State of Arizona.



                                      /s/ RICK JELINEK
                                      --------------------------

                                       1




                                                                    Exhibit 10.5

                                PLEDGE AGREEMENT


      THIS PLEDGE  AGREEMENT  (this  "Agreement")  is made and entered into this
14th day of October,  1999 by and between Dave Decker  ("Pledgor")  and Lifemark
Corporation, a Delaware corporation ("Secured Party").

      1.    PLEDGE.   Pledgor  hereby  grants  to  Secured  Party  a  security
interest in the following described corporate stock:

            25,000  shares  of  common  stock,  $0.01  par  value,  of  Lifemark
            Corporation.

currently  represented  by  Certificate  Nos.  6432  together  with stock powers
duly endorsed in blank (with  signature  guaranteed  by a qualified  member in a
Medallion  Guarantee  Program approved by the Securities  Transfer  Association,
Inc.) and herewith  delivered to Secured Party,  and all proceeds,  products and
increases  thereof and  substitutions  and replacements  therefor  (collectively
referred  to herein as the  "Pledged  Shares").  Secured  Party  shall  hold the
Pledged  Shares as security for payment of the Note (as defined below) and shall
not encumber or dispose of the Pledged Shares except in accordance with Sections
6 or 8 of this Agreement.

      2. SECURED INDEBTEDNESS.  This Agreement shall secure all indebtedness now
or hereafter incurred by Pledgor under the provisions of that certain Promissory
Note (the "Note") of even date  herewith made by Pledgor to Secured Party in the
original  principal  amount of seventy three  thousand four hundred  twenty five
($73,425),  bearing interest at the rate per annum equal to 6.02%,  with accrued
interest  being due and  payable  on  December  31,  1999 and each  December  31
thereafter, and with all principal and accrued interest being due and payable on
October  14,  2008,  and any and all other  indebtedness  of the  Pledgor to the
Secured Party incurred in connection with the acquisition of common stock of the
Secured Party and the payment of any related withholding tax.

      3.  VOTING  RIGHTS.  During  the  term of this  Agreement,  and so long as
Pledgor  is not in  default  in the  performance  of any of the  terms  of  this
Agreement or in the payment of the  principal  or interest of the Note,  Pledgor
shall have the right to vote the Pledged Shares on all corporate questions,  and
Secured Party shall,  upon request,  execute due and timely  proxies in favor of
Pledgor to this end.

      4.  REPRESENTATIONS.  Pledgor  represents  and warrants  that there are no
restrictions  upon the  transfer  of any of the Pledged  Shares,  other than may
appear on the face of the  Certificate  referred to in Section 1, and other than
as may be imposed under Rule 144 under the  Securities Act of 1933, and that the
Pledgor  has the right to  transfer  such shares free and clear of all liens and
encumbrances,  except the lien of this Agreement,  and the Pledgor is delivering
herewith copies of Form 144 duly executed in blank.

                                       1
<PAGE>

      5. ADJUSTMENTS.  In the event that, during the term of this Agreement, any
share  dividend,  reclassification,  readjustment or other change is declared or
made in the capital structure of Lifemark Corporation,  all new, substituted and
additional  shares,  or other  securities,  issued by reason of any such  change
shall be held by Secured  Party  under the terms of this  Agreement  in the same
manner as the shares originally pledged hereunder.

      6. PAYMENT OF THE NOTE.  Upon  payment of all  outstanding  principal  and
accrued interest of the Note, less amounts  theretofore  received and applied by
Secured Party in reduction thereof,  Secured Party shall transfer to Pledgor all
the Pledged Shares and all rights  received by Secured Party as a result of this
pledge.

      7. EVENTS OF DEFAULT. Occurrence of any of the following events (each such
event  referred  to herein as an "Event of  Default")  shall,  at the  option of
Secured Party, constitute a default hereunder:

      (a)  Failure of Pledgor to pay when due any  indebtedness  secured by this
Agreement,  either principal or interest, if such failure shall continue uncured
for a period  of five  days;  provided,  however,  it  shall  not be an event of
default if Pledgor fails to pay, interest due on the Note if Secured Party fails
to pay  Pledgor the bonus  provided  for in the second  paragraph  of the letter
agreement dated October 14, 1999 between Pledgor and Secured Party;

      (b) Default by Pledgor  under any  agreements to which Pledgor and Secured
Party are, or may hereafter become, parties which secure indebtedness of Pledgor
to Secured Party; or

      (c) Any other event of default under the Note; or

      (d) Any  breach by  Pledgor  of (i) any duty to,  or (ii) any  employment,
severance,  non-disclosure or other material  agreement between the Pledgor and,
the Secured Party.

      8.  DEFAULT.  Upon the  occurrence  of an Event of Default,  Secured Party
shall have the rights and remedies  provided in the Uniform  Commercial  Code in
force  in the  State  of  Arizona  at the  date  of this  Agreement  and in this
connection,  Secured Party may, upon five days' written notice to Pledgor,  sent
by registered mail, and without  liability for any diminution in price which may
have occurred,  sell all the Pledged Shares in such manner and for such price as
Secured  Party  may  determine,  so long as any  such  sale  is  conducted  in a
commercially  reasonable  manner to obtain a fair and reasonable  sale price for
the Pledged Shares.  At any bona fide public sale Secured Party shall be free to
purchase all or any part of the Pledged Shares.  Out of the proceeds of any sale
Secured  Party may retain an amount equal to the principal and interest then due
on the Note,  plus the amount of the reasonable  expenses of the sale, and shall
pay any balance of such  proceeds to Pledgor.  In the event that the proceeds of
any sale are  insufficient  to cover the principal and interest of the Note plus
expenses  of the sale,  Pledgor  shall  remain  liable to Secured  Party for any
deficiency.

                                       2
<PAGE>

      9. NOTICES. Any notice, request, information or other document to be given
hereunder to either of the parties shall be in writing and delivered  personally
or sent by Federal Express,  Overnight  Delivery,  or United States General Post
Office Express Mail Next Day Service, to the addresses listed below:

PLEDGOR:                                    SECURED PARTY:

   Dave Decker                                 Lifemark Corporation
   10833 E. Raintree Dr.                       7600 North 16th Street
   Scottsdale, AZ  85259                       Suite 150
                                               Phoenix, Arizona  85020

      IN WITNESS  WHEREOF,  the parties have executed this agreement on the date
first above written.

                                       PLEDGOR:


                                       By: /s/ DAVE DECKER
                                           ----------------------------


                                       SECURED PARTY:

                                       LIFEMARK CORPORATION


                                       By: /s/ RHONDA BREDE
                                           ----------------------------





                                       3
<PAGE>

                                                                    Exhibit 10.5

                                 PROMISSORY NOTE

$73,425                                                         October 14, 1999
 ------
                                                                Phoenix, Arizona

      FOR VALUE RECEIVED, the undersigned hereby promises to pay to the order of
Lifemark Corporation,  a Delaware corporation (the "Company"), the principal sum
of $73,425 with  interest  (computed  on the basis of the actual  number of days
elapsed over a 365-day year) on the unpaid balance  thereof at the rate of 6 and
02/100  percent  (6.02%)  per annum,  from the date hereof  until the  principal
amount of this Note is paid in full,  with accrued  interest on all  outstanding
principal due on December 31 of each year commencing with December 31, 1999, and
with all outstanding principal,  plus all accrued but unpaid interest, being due
and payable on October 14, 2008.

      Payments of  principal  and  interest on this Note shall be payable at the
offices of the Company, 7600 North 16th Street, Phoenix,  Arizona 85020, or such
other  place as the  holder  of this  Note may from  time to time  designate  in
writing.

      This Note has been issued in connection with the purchase of 25,000 shares
of common  stock,  $0.01 par value per share,  of the  Company  (the  "Shares"),
pursuant to the exercise of an option granted to the  undersigned  under a stock
option  agreement  dated  October 14,  1999.  The full amount of all  previously
unpaid principal,  together with all interest accrued thereon,  shall become due
and payable: (i) 180 days following termination of employment of the undersigned
by the Company  without cause or because of  disability;  (ii) 60 days after any
termination by the  undersigned of the  employment of the  undersigned  with the
Company (or; or (iii)  immediately upon any such  termination  which is for just
cause (as defined  below) or upon any breach by the  undersigned of (i) any duty
to the  Company,  or (ii) any  employment,  severance,  non-disclosure  or other
material  agreement  between the  undersigned  and the Company) the Standard Key
Employee Non-Disclosure  Agreement.  For purposes of this Note, termination "for
just cause" shall mean termination on account of gross  negligence,  dishonesty,
or any willful  material  violation of any reasonable  rule or regulation of the
Company of which the undersigned has been advised in writing.

      The  undersigned  shall have the right to prepay this Note, in whole or in
part, without premium or penalty.

      The undersigned hereby waives  presentment,  notice of dishonor or protest
of dishonor of this Note.

      This Note is fully negotiable and transferable by the Company.

      This Note is  secured  by the 25,000  Shares,  which  shall be held by the
Company  under  a  pledge  agreement  of  even  date  herewith  executed  by the
undersigned  and such other  security as may be pledged by the Payee and held by
the Company from time to time.  This Note shall be governed by and  construed in
accordance with the laws of the State of Arizona.



                                       /s/ DAVE DECKER
                                       -------------------------

                                       1




                                                                    Exhibit 10.6
Mrs. Rhonda Brede
October 14, 1999
Page 1








October 14, 1999


Mrs. Rhonda Brede
7600 North 16th Street
Suite 150
Phoenix, Arizona 85020

Dear Rhonda:

This letter confirms our agreement that Lifemark  Corporation  ("Lifemark")  has
agreed  to  employ  you and you have  agreed  to serve as  President  and  Chief
Executive Officer of Lifemark effective immediately.

Your base salary will be $200,000  annually (or in future years,  such increased
amount  as we  may  agree)  commencing  today.  You  will  also  participate  in
Lifemark's  bonus plan with a targeted  onus of 40% of your salary in accordance
with the Company's customary  practices and formulae.  You will also receive the
same  benefit  package  as other  Lifemark  employees  and  additional  benefits
described in this letter.

In addition to your regular bonus,  you will be entitled to receive on January 1
of each year  commencing on January 1, 2000,  an  additional  bonus equal to the
amount of  interest  due on any  Company  Loans (as  defined  below)  (provided,
however,  that if you have prepaid  interest in the prior  calendar year and the
Company has not  previously  paid you an additional  bonus in the amount of your
prepaid interest,  the bonus shall include the amount of such prepaid interest).
For this purpose, "Company Loans" shall mean and include loans by the Company to
you to purchase stock of the Company from the Company.

Concurrently  with the  execution of this  letter,  Lifemark has granted you ten
year stock options to purchase 150,000 shares of Lifemark common stock. Lifemark
has also agreed to permit you to exercise  your  150,000  options at the time of
their vesting accepting as payment your secured nine-year promissory note in the
full amount of your exercise  price.  90,000 of the options  granted to you vest
immediately  and 60,000 granted under the newly approved  Executive Stock Option
and  Ownership  Plan  will vest  immediately  upon  approval  of the Plan by the
Company's stockholders. You have agreed to exercise the options immediately upon
vesting.

                                       1
<PAGE>

The loans  provided for in the preceding  paragraph  will become due and payable
(including accrued interest) 180 days following termination of employment except
that they will become immediately due and payable if you breach the Key Employee
Non-Disclosure  Agreement  or if you are  terminated  for just cause (as defined
below) at any time.

For purposes of this letter, termination by Lifemark "for just cause" shall mean
termination on account of gross negligence,  dishonesty, or any willful material
violation of any  reasonable  rule or  regulation  of Lifemark of which you have
been advised in writing.

In the event of a Change in Control (as  defined  below) of  Lifemark,  Lifemark
agrees that if without your consent Lifemark  materially  changes your duties or
responsibilities or the location of your principal place of work and as a result
of such change or changes you voluntarily  terminate your  employment,  then, in
either such event, (i) all of your outstanding unexercised options will vest and
become  exercisable on the date of termination of your employment,  and (ii) you
will be entitled to the same severance payments as those provided for below with
respect to termination without cause.

For purposes of this letter,  "Change in Control"  shall mean the  occurrence of
any of the following events:

(i) The acquisition,  by new stockholders  (being any person or group of persons
other  than  the  current  directors  of  the  Company,  Dorsey  Gardner,  their
respective families, estates, trusts and other affiliates) acting in concert, of
a  beneficial  ownership  interest  in  the  Company,  resulting  in  the  total
beneficial  ownership of such persons or group of persons  equaling or exceeding
50% of the  outstanding  common  stock and  warrants of the  Company;  provided,
however, that no such person or group of persons shall be deemed to beneficially
own (i) any common stock or warrants  acquired directly from the Company or (ii)
any common stock or warrants held by the Company or any of its  subsidiaries  or
any  employee  benefit  plan  (or  any  related  trust)  of the  Company  or its
subsidiaries.  The  Change in  Control  shall be deemed to occur on the date the
beneficial ownership of the acquiring person or group of persons first equals or
exceeds 50% of the outstanding common stock and warrants of the Company.

(ii) A merger,  consolidation or other  reorganization  having substantially the
same effect, or the sale of all or substantially all the consolidated  assets of
the Company in each case,  with respect to which the persons or group of persons
who were the  respective  beneficial  owners  of the  outstanding  common  stock
immediately prior to such event do not, following such event,  beneficially own,
directly or indirectly,  more than 50% of,  respectively,  the then  outstanding
voting stock of the  corporation  resulting  from such event or the  corporation
purchasing or receiving assets pursuant to such event.

If more than one of the  foregoing  events  shall  occur,  each such event shall
constitute a separate Change in Control.

                                       2
<PAGE>

For purposes of this letter, a change in duty or responsibility shall be broadly
interpreted.  Thus,  by way of  example,  a change in your  autonomy  or role in
setting  strategy  and policies of the company  would be deemed to  constitute a
change in duty or  responsibility  even if you remained in title chief executive
officer  of the  Lifemark  business.  Similarly,  if you  were no  longer  chief
executive officer of a publicly traded company, your duties and responsibilities
would be deemed to have changed.

Lifemark  further  confirms that it will abide by both the letter and the spirit
of the adjustment  provisions  contained in its Stock Option Plans and the Stock
Option  Certificates  which you hold,  pursuant to which  Lifemark has agreed to
adjust the outstanding options appropriately in the event of a sale or merger of
the corporation.

In the event the Company  terminates your employment  other than for cause,  you
will be entitled to severance  pay equal to eighteen  months of your base salary
($300,000  or  an  appropriately  increased  amount  if  your  base  salary  has
increased).  In  addition,  you will be entitled to a pro rated  portion of your
targeted  bonus regular bonus,  and a pro rated portion of the additional  bonus
provided for in the third  paragraph  of this letter,  in each case pro rated on
the portion of the fiscal year prior to termination. The pro rated regular bonus
will be payable at the time other  Executive  bonuses are paid and will be based
on the entire year of Company  performance.  The pro rated additional bonus will
be paid within 30 days of  termination.  You will be entitled to payment in full
of any bonus for the last completed  fiscal year prior to termination  which has
not yet been paid as of the date of  termination,  with such bonus to be paid at
the time  other  Executive  bonuses  for such  year are  paid.  You will also be
entitled to continuing family medical coverage for a period of twelve months.

As a condition to your  employment,  you reconfirm  your execution of Lifemark's
Standard Key Employee Executive Nondisclosure Agreement.

Again, I would like to take this  opportunity to say how excited I am about your
taking on these new responsibilities.

The  substance  of the terms of this  letter  was  negotiated  and  agreed to in
Arizona and it is solely for the  convenience  of the  parties  that it is being
signed by facsimile outside of Arizona. Arizona law applicable to contracts made
and to be performed in Arizona shall  therefore  apply to and govern all aspects
of this Agreement.

                                       3
<PAGE>

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.

Sincerely,



/s/ RICHARD C. JELINEK
- ----------------------
Chairman


ACCEPTED AND AGREED:

/s/ RHONDA BREDE
- ----------------------------


                                       4



                                                                   Exhibit 10.7
Rick Jelinek
October 14, 1999
Page 1








October 14, 1999



Rick Jelinek
8120 N. Dreamy Dr.
Phoenix, AZ  85020

Dear Rick:

This letter  confirms  the  agreement  between us whereby  Lifemark  Corporation
("Lifemark")  has  agreed to employ  you and you have  agreed to serve as a Vice
President of Lifemark.  In this  capacity you will be a member of the  Executive
Strategy Team and will serve in accordance with the bylaws of Lifemark.

We also agreed that, in addition to your regular bonus,  you will be entitled to
receive on January 1 of each year during the term of your employment  commencing
on January 1, 2000, an  additional  bonus equal to the amount of interest due on
any  Company  Loans (as  defined  below)  (provided,  however,  that if you have
prepaid  interest in the prior  calendar year and the Company has not previously
paid you an additional bonus in the amount of your prepaid  interest,  the bonus
shall include the amount of such prepaid interest).  For this purpose,  "Company
Loans" shall mean and include  loans by the Company to you to purchase  stock of
the Company from the Company.

Concurrently  with the  execution of this  letter,  Lifemark has granted you ten
year stock options to purchase 100,000 shares of Lifemark common stock. Lifemark
has also agreed to permit you to exercise  your  100,000  options at the time of
their vesting accepting as payment your secured nine-year promissory note in the
full amount of your exercise  price.  60,000 of the options  granted to you vest
immediately  and 40,000 granted under the newly approved  Executive Stock Option
and  Ownership  Plan  will vest  immediately  upon  approval  of the Plan by the
Company's stockholders. You have agreed to exercise the options immediately upon
vesting.

The loans  provided for in the preceding  paragraph  will become due and payable
(including  accrued  interest)  60:  (i)  180  days  following   termination  of
employment  except  that they will  become  immediately  due and  payable if you
breach your  employment  agreement  by the Company  without  cause or because of
disability;  (ii) 60 days following  termination of employment by you; and (iii)
immediately if you breach the Standard Key Employee Non-Disclosure  Agreement or
if you are terminated for just cause (as defined below) at any time.

Except as may be  otherwise  explicitly  provided in another  written  agreement
between you and Lifemark,  your  employment  shall be subject to  termination by
either you or  Lifemark at any time  without  notice,  subject to the  severance
rules of Lifemark as they exist at the time of termination.

                                       1
<PAGE>

Notwithstanding  the foregoing,  in the event of a Change in Control (as defined
below) of Lifemark,  Lifemark agrees that if within two years following the date
of the change in control  either (a) your  employment  is terminated by Lifemark
without "just cause" (as defined  below),  or (b) without your consent  Lifemark
materially  changes  your  duties or  responsibilities  or the  location of your
principal  place  of  work  and as a  result  of  such  change  or  changes  you
voluntarily  terminate your  employment,  then, in either such event, (i) all of
your  outstanding  options  will  vest  and  become  exercisable  on the date of
termination  of your  employment,  and (ii) you will be  subject  to  Change  of
Control Severance as provided below.

For purposes of this letter,  "Change in Control"  shall mean the  occurrence of
any of the following events:

(i) The acquisition,  by new stockholders  (being any person or group of persons
other  than  the  current  directors  of  the  Company,  Dorsey  Gardner,  their
respective families, estates, trusts and other affiliates) acting in concert, of
a  beneficial  ownership  interest  in  the  Company,  resulting  in  the  total
beneficial  ownership of such persons or group of persons  equaling or exceeding
50% of the  outstanding  common  stock and  warrants of the  Company;  provided,
however, that no such person or group of persons shall be deemed to beneficially
own (i) any common stock or warrants  acquired directly from the Company or (ii)
any common stock or warrants held by the Company or any of its  subsidiaries  or
any  employee  benefit  plan  (or  any  related  trust)  of the  Company  or its
subsidiaries.  The  Change in  Control  shall be deemed to occur on the date the
beneficial ownership of the acquiring person or group of persons first equals or
exceeds 50% of the outstanding common stock and warrants of the Company.

(ii) A merger,  consolidation or other  reorganization  having substantially the
same effect, or the sale of all or substantially all the consolidated  assets of
the Company in each case,  with respect to which the persons or group of persons
who were the  respective  beneficial  owners  of the  outstanding  common  stock
immediately prior to such event do not, following such event,  beneficially own,
directly or indirectly,  more than 50% of,  respectively,  the then  outstanding
voting stock of the  corporation  resulting  from such event or the  corporation
purchasing or receiving assets pursuant to such event.

If more than one of the  foregoing  events  shall  occur,  each such event shall
constitute a separate Change in Control.

For purposes of this letter, Change of Control Severance shall be 12 months base
salary payable monthly subject to normal withholding plus a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided for in the second  paragraph  of this  letter,  in each case pro
rated on the  portion of the fiscal  year  prior to  termination.  The pro rated
regular bonus will be payable at the time other  Executive  bonuses are paid and
will  be  based  on the  entire  year of  Company  performance.  The  pro  rated
additional  bonus  will be paid  within  30 days  of  termination.  You  will be
entitled  to payment  in full of any bonus for the last  completed  fiscal  year
prior to termination  which has not yet been paid as of the date of termination,
with such bonus to be paid at the time other Executive bonuses for such year are
paid.

Lifemark  further  confirms that it will abide by both the letter and the spirit
of the adjustment  provisions  contained in its Stock Option Plans and the Stock
Option  Certificates  which you hold,  pursuant to which  Lifemark has agreed to
adjust the outstanding options appropriately in the event of a sale or merger of
the corporation.

                                       2
<PAGE>

For purposes of this letter, termination by Lifemark "for just cause" shall mean
a  termination  on  account  of gross  negligence,  dishonesty,  or any  willful
material  breach of an agreement with  Lifemark,  or violation of any reasonable
rule or regulation of Lifemark of which you have been advised in writing.

As a condition to your continued  employment and the vesting of options referred
to herein,  you have  executed  Lifemark's  Standard Key Employee  Nondisclosure
Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- ------------------------------
President



ACCEPTED AND AGREED:

/s/ RICK JELINEK
- ---------------------------------


                                       3


                                                                    Exhibit 10.8
Dave Decker
October 14, 1999
Page 1








October 14, 1999



Dave Decker
10833 E. Raintree Drive
Scottsdale, AZ  85259

Dear Dave:

This letter  confirms  the  agreement  between us whereby  Lifemark  Corporation
("Lifemark")  has  agreed to employ  you and you have  agreed to serve as a Vice
President of Lifemark.  In this  capacity you will be a member of the  Executive
Strategy Team and will serve in accordance with the bylaws of Lifemark.

We also agreed that, in addition to your regular bonus,  you will be entitled to
receive on January 1 of each year during the term of your employment  commencing
on January 1, 2000, an  additional  bonus equal to the amount of interest due on
any  Company  Loans (as  defined  below)  (provided,  however,  that if you have
prepaid  interest in the prior  calendar year and the Company has not previously
paid you an additional bonus in the amount of your prepaid  interest,  the bonus
shall include the amount of such prepaid interest).  For this purpose,  "Company
Loans" shall mean and include  loans by the Company to you to purchase  stock of
the Company from the Company.

Concurrently  with the  execution of this  letter,  Lifemark has granted you ten
year stock options to purchase 50,000 shares of Lifemark common stock.  Lifemark
has also  agreed to permit you to exercise  your  50,000  options at the time of
their vesting accepting as payment your secured nine-year promissory note in the
full amount of your exercise  price.  25,000 of the options  granted to you vest
immediately  and 25,000 granted under the newly approved  Executive Stock Option
and  Ownership  Plan  will vest  immediately  upon  approval  of the Plan by the
Company's stockholders. You have agreed to exercise the options immediately upon
vesting.

The loans  provided for in the preceding  paragraph  will become due and payable
(including  accrued  interest)  60:  (i)  180  days  following   termination  of
employment  except  that they will  become  immediately  due and  payable if you
breach your  employment  agreement  by the Company  without  cause or because of
disability;  (ii) 60 days following  termination of employment by you; and (iii)
immediately if you breach the Standard Key Employee Non-Disclosure  Agreement or
if you are terminated for just cause (as defined below) at any time.

Except as may be  otherwise  explicitly  provided in another  written  agreement
between you and Lifemark,  your  employment  shall be subject to  termination by
either you or  Lifemark at any time  without  notice,  subject to the  severance
rules of Lifemark as they exist at the time of termination.

                                       1
<PAGE>

Notwithstanding  the foregoing,  in the event of a Change in Control (as defined
below) of Lifemark,  Lifemark agrees that if within two years following the date
of the change in control  either (a) your  employment  is terminated by Lifemark
without "just cause" (as defined  below),  or (b) without your consent  Lifemark
materially  changes  your  duties or  responsibilities  or the  location of your
principal  place  of  work  and as a  result  of  such  change  or  changes  you
voluntarily  terminate your  employment,  then, in either such event, (i) all of
your  outstanding  options  will  vest  and  become  exercisable  on the date of
termination  of your  employment,  and (ii) you will be  subject  to  Change  of
Control Severance as provided below.

For purposes of this letter,  "Change in Control"  shall mean the  occurrence of
any of the following events:

(i) The acquisition,  by new stockholders  (being any person or group of persons
other  than  the  current  directors  of  the  Company,  Dorsey  Gardner,  their
respective families, estates, trusts and other affiliates) acting in concert, of
a  beneficial  ownership  interest  in  the  Company,  resulting  in  the  total
beneficial  ownership of such persons or group of persons  equaling or exceeding
50% of the  outstanding  common  stock and  warrants of the  Company;  provided,
however, that no such person or group of persons shall be deemed to beneficially
own (i) any common stock or warrants  acquired directly from the Company or (ii)
any common stock or warrants held by the Company or any of its  subsidiaries  or
any  employee  benefit  plan  (or  any  related  trust)  of the  Company  or its
subsidiaries.  The  Change in  Control  shall be deemed to occur on the date the
beneficial ownership of the acquiring person or group of persons first equals or
exceeds 50% of the outstanding common stock and warrants of the Company.

(ii) A merger,  consolidation or other  reorganization  having substantially the
same effect, or the sale of all or substantially all the consolidated  assets of
the Company in each case,  with respect to which the persons or group of persons
who were the  respective  beneficial  owners  of the  outstanding  common  stock
immediately prior to such event do not, following such event,  beneficially own,
directly or indirectly,  more than 50% of,  respectively,  the then  outstanding
voting stock of the  corporation  resulting  from such event or the  corporation
purchasing or receiving assets pursuant to such event.

If more than one of the  foregoing  events  shall  occur,  each such event shall
constitute a separate Change in Control.

For purposes of this letter,  Change of Control Severance shall be 6 months base
salary payable monthly subject to normal withholding plus a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided for in the second  paragraph  of this  letter,  in each case pro
rated on the  portion of the fiscal  year  prior to  termination.  The pro rated
regular bonus will be payable at the time other  Executive  bonuses are paid and
will  be  based  on the  entire  year of  Company  performance.  The  pro  rated
additional  bonus  will be paid  within  30 days  of  termination.  You  will be
entitled  to payment  in full of any bonus for the last  completed  fiscal  year
prior to termination  which has not yet been paid as of the date of termination,
with such bonus to be paid at the time other Executive bonuses for such year are
paid.

Lifemark  further  confirms that it will abide by both the letter and the spirit
of the adjustment  provisions  contained in its Stock Option Plans and the Stock
Option  Certificates  which you hold,  pursuant to which  Lifemark has agreed to
adjust the outstanding options appropriately in the event of a sale or merger of
the corporation.

                                       2
<PAGE>

For purposes of this letter, termination by Lifemark "for just cause" shall mean
a  termination  on  account  of gross  negligence,  dishonesty,  or any  willful
material  breach of an agreement with  Lifemark,  or violation of any reasonable
rule or regulation of Lifemark of which you have been advised in writing.

As a condition to your continued  employment and the vesting of options referred
to herein,  you have  executed  Lifemark's  Standard Key Employee  Nondisclosure
Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- -------------------------------
President



ACCEPTED AND AGREED:

/s/ DAVE DECKER
- ---------------------------------


                                       3



                                                                    Exhibit 10.9
Michael Kennedy
October 14, 1999
Page 1







October 14, 1999



Michael Kennedy
5226 E. Anderson Dr.
Scottsdale, AZ  85254

Dear Michael:

This letter  confirms  the  agreement  between us whereby  Lifemark  Corporation
("Lifemark")  has  agreed to employ  you and you have  agreed to serve as a Vice
President of Lifemark.  In this  capacity you will be a member of the  Executive
Strategy Team and will serve in accordance with the bylaws of Lifemark.

We also agreed that, in addition to your regular bonus,  you will be entitled to
receive on January 1 of each year during the term of your employment  commencing
on January 1, 2000, an  additional  bonus equal to the amount of interest due on
any  Company  Loans (as  defined  below)  (provided,  however,  that if you have
prepaid  interest in the prior  calendar year and the Company has not previously
paid you an additional bonus in the amount of your prepaid  interest,  the bonus
shall include the amount of such prepaid interest).  For this purpose,  "Company
Loans" shall mean and include  loans by the Company to you to purchase  stock of
the Company from the Company.

Concurrently  with the  execution of this  letter,  Lifemark has granted you ten
year stock options to purchase 100,000 shares of Lifemark common stock. Lifemark
has also agreed to permit you to exercise  your  100,000  options at the time of
their vesting accepting as payment your secured nine-year promissory note in the
full amount of your exercise  price.  60,000 of the options  granted to you vest
immediately  and 40,000 granted under the newly approved  Executive Stock Option
and  Ownership  Plan  will vest  immediately  upon  approval  of the Plan by the
Company's stockholders. You have agreed to exercise the options immediately upon
vesting.

The loans  provided for in the preceding  paragraph  will become due and payable
(including  accrued  interest)  60:  (i)  180  days  following   termination  of
employment  except  that they will  become  immediately  due and  payable if you
breach your  employment  agreement  by the Company  without  cause or because of
disability;  (ii) 60 days following  termination of employment by you; and (iii)
immediately if you breach the Standard Key Employee Non-Disclosure  Agreement or
if you are terminated for just cause (as defined below) at any time.

Except as may be  otherwise  explicitly  provided in another  written  agreement
between you and Lifemark,  your  employment  shall be subject to  termination by
either you or  Lifemark at any time  without  notice,  subject to the  severance
rules of Lifemark as they exist at the time of termination.

                                       1
<PAGE>

Notwithstanding  the foregoing,  in the event of a Change in Control (as defined
below) of Lifemark,  Lifemark agrees that if within two years following the date
of the change in control  either (a) your  employment  is terminated by Lifemark
without "just cause" (as defined  below),  or (b) without your consent  Lifemark
materially  changes  your  duties or  responsibilities  or the  location of your
principal  place  of  work  and as a  result  of  such  change  or  changes  you
voluntarily  terminate your  employment,  then, in either such event, (i) all of
your  outstanding  options  will  vest  and  become  exercisable  on the date of
termination  of your  employment,  and (ii) you will be  subject  to  Change  of
Control Severance as provided below.

For purposes of this letter,  "Change in Control"  shall mean the  occurrence of
any of the following events:

(i) The acquisition,  by new stockholders  (being any person or group of persons
other  than  the  current  directors  of  the  Company,  Dorsey  Gardner,  their
respective families, estates, trusts and other affiliates) acting in concert, of
a  beneficial  ownership  interest  in  the  Company,  resulting  in  the  total
beneficial  ownership of such persons or group of persons  equaling or exceeding
50% of the  outstanding  common  stock and  warrants of the  Company;  provided,
however, that no such person or group of persons shall be deemed to beneficially
own (i) any common stock or warrants  acquired directly from the Company or (ii)
any common stock or warrants held by the Company or any of its  subsidiaries  or
any  employee  benefit  plan  (or  any  related  trust)  of the  Company  or its
subsidiaries.  The  Change in  Control  shall be deemed to occur on the date the
beneficial ownership of the acquiring person or group of persons first equals or
exceeds 50% of the outstanding common stock and warrants of the Company.

(ii) A merger,  consolidation or other  reorganization  having substantially the
same effect, or the sale of all or substantially all the consolidated  assets of
the Company in each case,  with respect to which the persons or group of persons
who were the  respective  beneficial  owners  of the  outstanding  common  stock
immediately prior to such event do not, following such event,  beneficially own,
directly or indirectly,  more than 50% of,  respectively,  the then  outstanding
voting stock of the  corporation  resulting  from such event or the  corporation
purchasing or receiving assets pursuant to such event.

If more than one of the  foregoing  events  shall  occur,  each such event shall
constitute a separate Change in Control.

For purposes of this letter, Change of Control Severance shall be 12 months base
salary payable monthly subject to normal withholding plus a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided for in the second  paragraph  of this  letter,  in each case pro
rated on the  portion of the fiscal  year  prior to  termination.  The pro rated
regular bonus will be payable at the time other  Executive  bonuses are paid and
will  be  based  on the  entire  year of  Company  performance.  The  pro  rated
additional  bonus  will be paid  within  30 days  of  termination.  You  will be
entitled  to payment  in full of any bonus for the last  completed  fiscal  year
prior to termination  which has not yet been paid as of the date of termination,
with such bonus to be paid at the time other Executive bonuses for such year are
paid.

Lifemark  further  confirms that it will abide by both the letter and the spirit
of the adjustment  provisions  contained in its Stock Option Plans and the Stock
Option  Certificates  which you hold,  pursuant to which  Lifemark has agreed to
adjust the outstanding options appropriately in the event of a sale or merger of
the corporation.

                                       2
<PAGE>

For purposes of this letter, termination by Lifemark "for just cause" shall mean
a  termination  on  account  of gross  negligence,  dishonesty,  or any  willful
material  breach of an agreement with  Lifemark,  or violation of any reasonable
rule or regulation of Lifemark of which you have been advised in writing.

As a condition to your continued  employment and the vesting of options referred
to herein,  you have  executed  Lifemark's  Standard Key Employee  Nondisclosure
Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- ---------------------------------
President



ACCEPTED AND AGREED:


/s/ MICHAEL KENNEDY
- ---------------------------------

                                       3





                                                                   Exhibit 10.10
Rick Jelinek
October 14, 1999
Page 1






October 14, 1999


Rick Jelinek
7600 North 16th Street
Suite 150
Phoenix, Arizona 85020

Dear Rick:

This  letter  serves  as an  addendum  to our  letter  agreement  that  Lifemark
Corporation  ("Lifemark")  has agreed to employ you and you have agreed to serve
as Executive Vice President of Lifemark effective immediately.

In the event the Company  terminates  your  employment  other than for cause, as
defined in your  employment  letter of October 14, 1999, you will be entitled to
severance pay equal to the nine months of your base salary in effect at the time
of this termination.  In the event the Company  terminates your employment other
than for cause,  as defined in your  employment  letter of October 14, 1999, you
will be entitled to  severance  pay equal to the nine months of your base salary
in effect at the time of this termination.  In addition,  a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided  for in the second  paragraph  of your  employment  letter dated
October 14,1999,  in each case pro rated on the portion of the fiscal year prior
to  termination.  The pro rated  regular bonus will be payable at the time other
Executive  bonuses  are paid and will be  based on the  entire  year of  Company
performance.  The pro  rated  additional  bonus  will be paid  within 30 days of
termination.  You will be  entitled to payment in full of any bonus for the last
completed fiscal year prior to termination which has not yet been paid as of the
date of  termination,  with such  bonus to be paid at the time  other  Executive
bonuses for such year are paid.  You will also be entitled to continuing  family
medical coverage for the same period of time.

In addition, if you secure new employment within the time frame indicated below,
you will receive additional months of pay and pro-rated bonuses:

            --------------------------------------------------------
              NEW EMPLOYMENT SECURED      ADDITIONAL SEVERANCE &
                      WITHIN:                PRO-RATED BONUS:
            --------------------------------------------------------
            --------------------------------------------------------
                     7 months                    3 months
            --------------------------------------------------------
            --------------------------------------------------------
                     8 months                    2 months
            --------------------------------------------------------
            --------------------------------------------------------
                     9 months                     1 month
            --------------------------------------------------------
                                       1
<PAGE>

The  substance  of the terms of this  letter  was  negotiated  and  agreed to in
Arizona and it is solely for the  convenience  of the  parties  that it is being
signed by facsimile outside of Arizona. Arizona law applicable to contracts made
and to be performed in Arizona shall  therefore  apply to and govern all aspects
of this Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- -------------------------------------
President and Chief Executive Officer


ACCEPTED AND AGREED:


/s/ RICK JELINEK
- -------------------------------------


                                        2




                                                                   Exhibit 10.11
Dave Decker
October 14, 1999
Page 1




October 14, 1999


Dave Decker
7600 North 16th Street
Suite 150
Phoenix, Arizona 85020

Dear Dave:

This  letter  serves  as an  addendum  to our  letter  agreement  that  Lifemark
Corporation  ("Lifemark")  has agreed to employ you and you have agreed to serve
as Chief Information Officer of Lifemark effective immediately.

In the event the Company  terminates  your  employment  other than for cause, as
defined in your  employment  letter of October 14, 1999, you will be entitled to
severance pay equal to the nine months of your base salary in effect at the time
of this termination.  In the event the Company  terminates your employment other
than for cause,  as defined in your  employment  letter of October 14, 1999, you
will be entitled to  severance  pay equal to the nine months of your base salary
in effect at the time of this termination.  In addition,  a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided  for in the second  paragraph  of your  employment  letter dated
October 14,1999,  in each case pro rated on the portion of the fiscal year prior
to  termination.  The pro rated  regular bonus will be payable at the time other
Executive  bonuses  are paid and will be  based on the  entire  year of  Company
performance.  The pro  rated  additional  bonus  will be paid  within 30 days of
termination.  You will be  entitled to payment in full of any bonus for the last
completed fiscal year prior to termination which has not yet been paid as of the
date of  termination,  with such  bonus to be paid at the time  other  Executive
bonuses for such year are paid.  You will also be entitled to continuing  family
medical coverage for the same period of time.

In addition, if you secure new employment within the time frame indicated below,
you will receive additional months of pay and pro-rated bonuses:

            --------------------------------------------------------
              NEW EMPLOYMENT SECURED      ADDITIONAL SEVERANCE &
                      WITHIN:                PRO-RATED BONUS:
            --------------------------------------------------------
            --------------------------------------------------------
                     7 months                    3 months
            --------------------------------------------------------
            --------------------------------------------------------
                     8 months                    2 months
            --------------------------------------------------------
            --------------------------------------------------------
                     9 months                     1 month
            --------------------------------------------------------

                                       1
<PAGE>

The  substance  of the terms of this  letter  was  negotiated  and  agreed to in
Arizona and it is solely for the  convenience  of the  parties  that it is being
signed by facsimile outside of Arizona. Arizona law applicable to contracts made
and to be performed in Arizona shall  therefore  apply to and govern all aspects
of this Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- ----------------------------
President and Chief Executive Officer


ACCEPTED AND AGREED:

/s/ DAVE DECKER
- ----------------------------



                                       2





                                                                   Exhibit 10.12
Michael Kennedy
October 14, 1999
Page 1




October 14, 1999


Michael Kennedy
7600 North 16th Street
Suite 150
Phoenix, Arizona 85020

Dear Mike:

This  letter  serves  as an  addendum  to our  letter  agreement  that  Lifemark
Corporation  ("Lifemark")  has agreed to employ you and you have agreed to serve
as Chief Financial Officer of Lifemark effective immediately.

In the event the Company  terminates  your  employment  other than for cause, as
defined in your  employment  letter of October 14, 1999, you will be entitled to
severance pay equal to the nine months of your base salary in effect at the time
of this termination.  In the event the Company  terminates your employment other
than for cause,  as defined in your  employment  letter of October 14, 1999, you
will be entitled to  severance  pay equal to the nine months of your base salary
in effect at the time of this termination.  In addition,  a pro rated portion of
your targeted  bonus regular  bonus,  and a pro rated portion of the  additional
bonus  provided  for in the second  paragraph  of your  employment  letter dated
October 14,1999,  in each case pro rated on the portion of the fiscal year prior
to  termination.  The pro rated  regular bonus will be payable at the time other
Executive  bonuses  are paid and will be  based on the  entire  year of  Company
performance.  The pro  rated  additional  bonus  will be paid  within 30 days of
termination.  You will be  entitled to payment in full of any bonus for the last
completed fiscal year prior to termination which has not yet been paid as of the
date of  termination,  with such  bonus to be paid at the time  other  Executive
bonuses for such year are paid.  You will also be entitled to continuing  family
medical coverage for the same period of time.

In addition, if you secure new employment within the time frame indicated below,
you will receive additional months of pay and pro-rated bonuses:

            --------------------------------------------------------
              NEW EMPLOYMENT SECURED      ADDITIONAL SEVERANCE &
                      WITHIN:                PRO-RATED BONUS:
            --------------------------------------------------------
            --------------------------------------------------------
                     7 months                    3 months
            --------------------------------------------------------
            --------------------------------------------------------
                     8 months                    2 months
            --------------------------------------------------------
            --------------------------------------------------------
                     9 months                     1 month
            --------------------------------------------------------

                                       1
<PAGE>

The  substance  of the terms of this  letter  was  negotiated  and  agreed to in
Arizona and it is solely for the  convenience  of the  parties  that it is being
signed by facsimile outside of Arizona. Arizona law applicable to contracts made
and to be performed in Arizona shall  therefore  apply to and govern all aspects
of this Agreement.

Please  confirm your  agreement  with and  acceptance of the  provisions of this
letter  by  signing  and  returning  the  enclosed  copy  of this  letter  where
indicated.


Sincerely,


/s/ RHONDA BREDE
- ----------------------------
President and Chief Executive Officer


ACCEPTED AND AGREED:

/s/ MICHAEL KENNEDY
- ----------------------------

                                       2
<PAGE>


<TABLE> <S> <C>


<ARTICLE>                     5

<S>                                                          <C>
<PERIOD-TYPE>                                                6-MOS
<FISCAL-YEAR-END>                                            MAY-31-2000
<PERIOD-START>                                               JUN-01-1999
<PERIOD-END>                                                 NOV-30-1999
<CASH>                                                        13,884,000
<SECURITIES>                                                           0
<RECEIVABLES>                                                  5,397,000
<ALLOWANCES>                                                      35,000
<INVENTORY>                                                            0
<CURRENT-ASSETS>                                              21,563,000
<PP&E>                                                        10,133,000
<DEPRECIATION>                                                 5,242,000
<TOTAL-ASSETS>                                                36,735,000
<CURRENT-LIABILITIES>                                         15,571,000
<BONDS>                                                                0
                                                  0
                                                            0
<COMMON>                                                          51,000
<OTHER-SE>                                                    16,695,000
<TOTAL-LIABILITY-AND-EQUITY>                                  36,735,000
<SALES>                                                       48,183,000
<TOTAL-REVENUES>                                              48,183,000
<CGS>                                                                  0
<TOTAL-COSTS>                                                 47,222,000
<OTHER-EXPENSES>                                                       0
<LOSS-PROVISION>                                                       0
<INTEREST-EXPENSE>                                               193,000
<INCOME-PRETAX>                                                1,289,000
<INCOME-TAX>                                                     560,000
<INCOME-CONTINUING>                                              729,000
<DISCONTINUED>                                                         0
<EXTRAORDINARY>                                                        0
<CHANGES>                                                              0
<NET-INCOME>                                                     729,000
<EPS-BASIC>                                                         0.15
<EPS-DILUTED>                                                       0.14


</TABLE>


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