DYNAMIC ASSOCIATES INC
8-K, 1999-04-14
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                        SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549
                                   FORM 8-K

                                CURRENT REPORT


Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 
1934

Date of Report (Date of earliest event reported):  April 13, 1998


                            DYNAMIC ASSOCIATES, INC.
                          ---------------------------
            (Exact name of registrant as specified in its charter)
                                
                                
                                
   NEVADA         33-55254-03                87-0473323
- - ----------------  -------------------------  ---------------------
(State or other   (Commission File Number)   (IRS Employer
jurisdiction of	                           Identification Number)
incorporation)                           		


6955 E. Caballo Drive
Paradise Valley, Arizona                     85253
- - -------------------------                    --------------------
(Address of principal                        (Zip Code)
executive offices) 

Registrants telephone number, including area code (602) 483-8700
                                                  ---------------

6609 North Scottsdale Road
Suite B-150
Scottsdale, Arizona                          85251
- - --------------------------   	               --------------------
(Former name or former address,              (Zip Code)
if changed since last report.)

ITEM 1.  CHANGES IN CONTROL OF REGISTRANT

     None

ITEM 2.  ACQUISITION OR DISPOSITION OF ASSETS

On March 30, 1999, Dynamic Associates, Inc. (the "Company") 
entered into a Capital Contribution Agreement with ACS2, Inc. 
("ACS") and Advanced Clinical Systems, Inc. ("Advanced") under

<PAGE>
                            2

which the Company contributed its operating subsidiaries, Genesis 
Health Management Company ("Genesis") and Geriatric Care Centers 
of America, Inc. ("GCCA"), and ACS contributed its subsidiary, 
Advanced, and the operating subsidiaries of Advanced to a newly 
formed Nevada Limited Liability Company known as Advanced-Dynamic, 
LLC ("LLC").  In consideration of which, each of the Company and 
ACS received a fifty percent (50%) equity interest in the LLC. 
Genesis and GCCA are referred to together as the "Dynamic 
Subsidiaries" and Advanced and all of the subsidiaries of Advanced 
are referred to together as the "Advanced Subsidiaries". The 
Capital Contribution Agreement and the contributions to the LLC 
were completed contemporaneously on March 30, 1999 with the 
parties agreement to the LLC's Operating Agreement. The LLC's 
Operating Agreement sets forth the agreement of the Company and 
ACS with respect to the ownership and management of the LLC, the 
Dynamic Subsidiaries and the Advanced Subsidiaries pending 
consummation of a proposed merger of ACS into Dynamic Acquisition 
Corporation ("DAC"), a newly formed, wholly owned subsidiary of 
Dynamic (the "Merger").  The LLC's Operating Agreement also sets 
for the agreement of the Company and ACS to dissolve the LLC and 
return the subsidiaries to their respective companies in the event 
that the Merger (more fully described below) is not consummated by 
December 15, 1999.  All the terms and conditions of the Capital 
Contribution Agreement and the LLC Operating Agreement are 
attached hereto as Exhibits 1 and 3 respectively, and incorporated 
by this reference. 

On the same date (March 30, 1999), the Company, DAC, ACS and Advance
also entered into an agreement and plan of Merger (the "Merger
Agreement"). This Merger Agreement contemplated that upon approval by
the holders of a majority of the outstanding shares of common stock of 
the Company at the Annual Meeting of shareholders to be held on 
June 4, 1999 (and the satisfaction or waiver of the other 
conditions of the Merger and Contribution Agreements), a merger 
will take place between DAC and ACS.  Upon completion of the 
Merger, DAC will be the surviving company and will remain a 
wholly-owned subsidiary of the Company. ACS will cease to exist 
and the ACS shareholders will become shareholders of the Company 
based on an exchange of shares that will provide existing ACS 
shareholders with newly issued common stock representing 
approximately 55% of the outstanding shares of the Company.  
Thereafter, the Company will directly or indirectly, be the sole 
controlling shareholder of all the Advanced and Dynamic 
Subsidiaries.  All the terms and conditions upon which the Merger 
is to be effected are set forth in the Merger Agreement, attached 
hereto as Exhibit 2, and incorporated by this reference. 

The Company has also agreed to enter into a Registration Rights 
Agreement with the ACS Stockholders upon closing of the Merger 
(the "Registration Rights Agreement"). Under this agreement, the 
Company will grant registration rights to the ACS Stockholders 
covering 50% of the shares of the Company's common stock to be 
issued upon consummation of the Merger. These rights will require 
the Company to file a registration statement pursuant to the 
Securities Act of 1933 to qualify 25% of the shares issued to the 
ACS stockholders within 90 days of closing of the Merger, and an 
additional registration statement covering an additional 25% of 
the shares at the one year anniversary of the Merger.  The form of 
Registration Rights Agreement is attached as Exhibit 4 to this 
report, and incorporated by this reference.

The number of shares of the Company issued to the ACS Stockholders 
upon consummation of the Merger will be subject to adjustment 
based on the fiscal performance of the Advanced Subsidiaries and 
the Dynamic Subsidiaries for the year ending December 31, 1999. 
The Company and the ACS

<PAGE>

                            3

Stockholders will therefore also enter into an escrow agreement upon 
consummation of the Merger that sets forth the terms of this adjustment
(the "Escrow Agreement"). The terms of this agreement are contained
in full in the Escrow Agreement attached to this report as Exhibit 5,
and incorporated by this reference.

The terms and conditions of the Capital Contribution Agreement, 
the Operating Agreement, the Merger Agreement, the Registration 
Rights Agreement and the Escrow Agreement were determined through 
arms-length negotiations between the representatives of the 
Company and ACS.

The preceding information is qualified in its entirety by 
reference to the complete text of the Merger Agreement, a copy of 
which is included with this report as Exhibit 2, the Capital 
Contribution Agreement, a copy of which is included in this report 
as Exhibit 1, the LLC's Operating Agreement, a copy of which is 
included in this report as Exhibit 3, the Registration Rights 
Agreement, a copy of which is included in this report as Exhibit 
4, and the Escrow Agreement, a copy of which is included in this 
report as Exhibit 5.

ITEM 3. BANKRUPTCY OR RECEIVERSHIP

     None

ITEM 4. CHANGES IN REGISTRANT'S CERTIFYING ACCOUNTANT

     None

ITEM 5. OTHER EVENTS

     None

ITEM 6.  RESIGNATIONS OF REGISTRANT'S DIRECTORS

     None

ITEM 7.  FINANCIAL STATEMENTS AND EXHIBITS

No cash was exchanged in this transaction; nor will it.

The most recent financial information for the Company can be found 
in its Form 10K to be filed by April 15, 1999.  Such information
is incorporated by reference herein.

The consolidated financial statements of ACS, Advanced and their 
subsidiaries are not included in this report but shall be filed by 
amendment within the next sixty (60) days.

<PAGE>

                             4

Exhibit Number   Description

1 		     Capital Contribution Agreement
2                Agreement and Plan of Merger
3                Operating Agreement of Advanced-Dynamic, LLC
4                Registration Rights Agreement
5                Escrow Agreement

ITEM 8.  CHANGE IN FISCAL YEAR

     None

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 hereunto duly authorized. 

(Registrant)   DYNAMIC ASSOCIATES, INC.

/s/ Jan Wallace             
- - -----------------------------------
Jan Wallace, President*             

Date: April 13, 1998                    
      -------------------
*Print name and title of the signing officer under his/her 
signature.



                           EXHIBIT 1

                  CAPITAL CONTRIBUTION AGREEMENT


                              among


                            ACS2, INC.

                             "ACS2"


                  ADVANCED CLINICAL SYSTEMS, INC.

                            "Advanced"


                    DYNAMIC ASSOCIATES, INC.

                            "Dynamic"

                               and

                     ADVANCED-DYNAMIC, LLC

                            the "LLC"


<PAGE>

                                 2

                    TABLE OF CONTENTS


ARTICLE I.  THE CONTRIBUTION	                              1
1.1	The Capital Contribution	                        1
1.2	Effects of the Contribution	                        2
1.3	Resulting Ownership Structure of LLC	            2
1.4	Closing; Effective Time of Contribution	            2
1.5	Certificates of Incorporation and Bylaws	            2
1.6	Managers, Directors and Officers	                  2
1.7	Outstanding Stock Appreciation Rights, Options and 
      Warrants	                                          2
1.8	Securities Exemptions	                              3

ARTICLE II. REPRESENTATIONS AND WARRANTIES OF ACS2	      3
2.1	Organization; Authority	                              3
2.2	Absence of Default	                              3
2.3	Broker's or Finder's Fees	                        4

ARTICLE III. REPRESENTATIONS AND WARRANTIES OF ADVANCED	4
3.1	Organization, Qualification and Authority	            4
3.2	Capitalization and Stock Ownership	                  5
3.3	Absence of Default	                              5
3.4	Financial Statements.	                              5
3.5	Operations Since June 30, 1998	                  6
3.6	Licenses	                                          6
3.7	Medicare, Medicaid and Other Third-Party Payors	      7
3.8	Contracts	                                          7
3.9	Environmental Matters	                              7
3.10	Litigation	                                          8
3.11	Employees	                                          8
3.12	Insurance	                                          8
3.13	Broker's or Finder's Fee	                        8
3.14	Conflicts of Interest	                              8
3.15	Employee Benefit Plans	                              9
3.16	Compliance with Healthcare and Other Laws	            9
3.17	WARN Act	                                          9 
3.18	Tax Returns; Taxes	                              9
3.19	Tax Reorganization	                             10
3.20	Title to and Conditions of Assets	                 10
3.21	No Omissions or Misstatements	                       10

ARTICLE IV.   REPRESENTATIONS AND WARRANTIES REGARDING LLC 11
4.1	Organization, Qualification and Authority	           11
4.2	Capitalization and Stock Ownership	                 11
4.3	Absence of Default	                             11
4.4	Broker's or Finder's Fee	                       12

<PAGE>

                                 3

ARTICLE V. REPRESENTATIONS AND WARRANTIES OF DYNAMIC	     12
5.1	Organization, Qualification and Authority            12
5.2	Capitalization and Stock Ownership	                 13
5.3	Absence of Default	                             14
5.4	Operations Since December 31, 1997	                 14
5.5	Licenses	                                         15
5.6	Medicare, Medicaid and Other Third-Party Payors	     15
5.7	Contracts	                                         15
5.8	Environmental Matters	                             16
5.9	Litigation	                                         16
5.10	Employees	                                         17
5.11	Insurance	                                         17
5.12	Broker's or Finder's Fee	                       17
5.13	Conflicts of Interest	                             17
5.14	Employee Benefit Plans	                             18
5.15	Compliance with Healthcare and Other Laws	           18
5.16	WARN Act	                                         18
5.17	Tax Returns; Taxes	                             18
5.18	Tax Reorganization	                             19
5.19	Title to and Conditions of Assets                    19
5.20	SEC Information	                                   19
5.21	Absence of Appraisal Rights	                       20
5.22	No Omissions or Misstatements	                       20

ARTICLE VI. COVENANTS OF PARTIES	                       20
6.1	Preservation of Business and Assets	                 20
6.2	Retention of Assets of LLC	                       21
6.3	Absence of Material Change	                       21
6.4	Material Transactions	                             21
6.5	[Omitted.]	                                         22
6.6	Certain Tax Matters	                             23
6.7	Preserve Accuracy of Representations and Warranties  23
6.8	Notice of Subsequent Events	                       23
6.9	Medicare and Medicaid Reporting	                 23
6.10	Current Return Filing	                             24
6.11	Maintain Books and Accounting Practices	           24
6.12	Compliance with Laws and Regulatory Consents	     24
6.13	Maintain Insurance Coverage	                       24
6.14	Closing Deliveries	                             24

ARTICLE VII.   CONDITIONS TO CLOSING	                 26
7.1	Conditions to Each Party's Obligation to Effect the 
      Merger	                                         26
7.2	Further Conditions to Obligation of Dynamic and LLC
      to Effect the Contribution	                       26
7.3	Further Conditions to Obligation of ACS2 to Effect
      the Contribution	                                   27

ARTICLE VIII. TERMINATION; AMENDMENT; EXTENSION AND WAIVER 28

<PAGE>

                                 4

8.1	Termination by Mutual Consent	                       28
8.2	Termination by Either ACS2 or Dynamic	           28
8.3	Effect of Termination and Abandonment	           28
8.4	Failure to Consummate Merger	                       28
8.5	Extension; Waiver	                                   28

ARTICLE IX. SURVIVAL OF PROVISIONS AND INDEMNIFICATION     29
9.1	Survival	                                         29
9.2	Indemnification by Dynamic	                       29
9.3	Indemnification by ACS2	                             29
9.4	Indemnification by Advanced	                       29
9.5	Rules Regarding Indemnification	                 30
9.6	Exclusive Remedy	                                   31

ARTICLE X. MISCELLANEOUS	                             31
10.1	Expenses	                                         31
10.2	Notices	                                         31
10.3	Confidentiality; Prohibition on Trading	           32
10.4	Controlling Law	                                   32
10.5	Headings	                                         32
10.6	Benefit	                                         32
10.7	Partial Invalidity	                             32
10.8	Counterparts and Facsimiles	                       33
10.9	Interpretation	                                   33
10.10	Entire Agreement, Waivers	                       33
10.11	Legal Fees and Costs	                             33

<PAGE>

                                 1

                   CAPITAL CONTRIBUTION AGREEMENT

     THIS CAPITAL CONTRIBUTION AGREEMENT is entered into as of March 
30, 1999, by and among ACS2, INC., a Delaware corporation ("ACS2"), 
ADVANCED CLINICAL SYSTEMS, INC., a Delaware corporation and wholly 
owned subsidiary of ACS2 ("Advanced"), DYNAMIC ASSOCIATES, INC., a 
Nevada corporation ("Dynamic"), and ADVANCED-DYNAMIC, LLC, a newly-
formed Nevada limited liability company (the "LLC").

                           R E C I T A L S:

     WHEREAS, the parties believe that a business combination 
between ACS2 and Dynamic is in the best interest of the respective 
corporations and their shareholders; and

     WHEREAS, Dynamic has filed Articles of Organization in order 
to form the LLC; and

     WHEREAS, the parties intend to consummate a merger of ACS2 
with and into a wholly owned Dynamic subsidiary as soon as 
appropriate shareholder approval and other conditions are satisfied 
(the "Merger"), as set forth in that certain Agreement and Plan of 
Merger of even date herewith among the parties hereto (the "Merger 
Agreement"); and

     WHEREAS, the respective Boards of Directors of Dynamic and 
ACS2 have approved both the transactions contemplated hereunder and 
the Merger, upon the terms and conditions set forth in this 
Agreement and the Merger Agreement and in accordance with the 
Delaware General Corporation Law, and Chapter 78 "Private 
Corporations" and Chapter 92A "Mergers and Exchanges of Interest" 
of the Nevada Revised Statutes; and 

     WHEREAS, the parties intend the transactions contemplated 
under this Agreement are to be treated as tax-free contributions 
pursuant to Section 721 of the Internal Revenue Code of 1986, as 
amended (the "Code"), and further, wish to adopt  the Merger 
Agreement and appropriate Certificates of Merger and Articles  of 
Merger, as a "plan of reorganization" within the meaning of Section 
368(a) of the Code, and to cause the contemplated transactions to 
qualify as a reorganization under the provisions of Section  
368(a)(1)(A) of the Code.

     NOW, THEREFORE, in consideration of the premises and mutual 
covenants contained in this Agreement and other good and valuable 
consideration, the receipt and sufficiency of which are hereby 
acknowledged, the parties, intending to be legally bound hereby, 
agree as follows:

                  ARTICLE I.  THE CONTRIBUTION

     1.1  	The Capital Contribution.  Prior to the date hereof, the 
LLC has been formed under Nevada law and Dynamic and ACS2 are its 
sole members.  At the Effective Time of the Contribution (as 
defined in Section 1.4 hereof) and subject to and upon the terms 
and conditions of this Agreement, Dynamic will contribute to the 
LLC as a capital

<PAGE>

                                 2

contribution all issued and outstanding common 
stock of the "Dynamic Subsidiaries" (as such term is defined in 
Section 5.1), and ACS2 will contribute to the LLC as a capital 
contribution all outstanding common stock of Advanced (the 
"Advanced Stock"), (collectively, the "Contribution").

     1.2 	Effects of the Contribution.  At the Effective Time of 
Contribution, the LLC will accept the Contribution and the Dynamic 
Subsidiaries and Advanced will become the direct, wholly-owned 
subsidiaries of the LLC, and each will, without any other action, 
continue to possess all its respective assets, rights, privileges, 
powers and franchises, of a public as well as of a private nature, 
and be subject to all its respective restrictions, disabilities, 
liabilities and duties as existed prior to the Contribution; and 
all rights, privileges, powers and franchises of each such 
corporation, and all property, real, personal and mixed of each 
such corporation, and all debts due to each such corporation, on 
whatever account, will remain vested in each such corporation.

     1.3  	Resulting Ownership Structure of LLC.  Immediately prior 
to the Contribution, the issued and outstanding units of the LLC 
(the "LLC Units") will consist of two (2) LLC Units, one of which 
will be held by each of ACS2 and Dynamic.  As of the Effective Time 
of the Contribution, Dynamic will receive an additional ninety-nine 
(99) LLC Units in consideration for its capital contribution to the 
LLC and ACS2 will receive ninety-nine (99) LLC Units in 
consideration for its capital contribution to the LLC.

     1.4  	Closing; Effective Time of Contribution.  The closing of 
the Contribution (the "Closing") will take place on the date of 
this Agreement, subject to satisfaction or waiver of the conditions 
set forth in this Agreement, at the offices of Harwell Howard Hyne 
Gabbert & Manner, P.C., Nashville, Tennessee.  The Contribution 
will be effective as of 12:01 a.m. on the first business day 
following the Closing (the "Effective Time of Contribution").

     1.5  	Certificates of Incorporation and Bylaws.  The Operating 
Agreement of the LLC as in effect prior to the Effective Time of 
Contribution will remain in effect following the Contribution, 
unless and until amended in accordance with the provisions of 
applicable law.  The "Charter" (which term as used throughout this 
Agreement will mean a corporation's charter, or comparable 
document, such as "Articles of Incorporation" or "Certificate of 
Incorporation") and Bylaws of each of the Dynamic Subsidiaries and 
of Advanced as in effect prior to the Effective Time of 
Contribution will remain in effect following the Contribution, 
unless and until amended in accordance with the provisions of 
applicable corporate law.

     1.6  Managers, Directors and Officers.  At the Effective Time 
of Contribution, the respective managers, directors and officers of 
each of the LLC, the Dynamic Subsidiaries and Advanced will be as 
noted on Exhibit 1.6 attached hereto, and will remain as such until 
their successors have been duly elected and qualified in accordance 
with applicable corporate law.  Each party will use its best 
efforts to retain its managers, directors and/or officers, as the 
case may be, until the Merger is consummated.

<PAGE>

                                 3

     1.7	 Outstanding Stock Appreciation Rights, Options and 
Warrants.  All outstanding Advanced Warrants, Advanced Options and 
Advanced SARs (as each is defined in Section 3.2(b)) will be 
canceled pursuant to certain cancellation agreements, the forms of 
which are attached hereto as Exhibit 1.7.

     1.8	 Securities Exemptions.  The LLC Units already issued and 
to be issued in connection with the Contribution are and will be 
issued pursuant to an exemption from registration provided by 
Section 4(2) of the Securities Act of 1933, as amended (the 
"Securities Act") and Section 90.530(1) of the Nevada Uniform 
Securities Act.


     ARTICLE II. REPRESENTATIONS AND WARRANTIES OF ACS2

     As an inducement to Dynamic and LLC to enter into this 
Agreement and to consummate the transactions contemplated 
hereunder, ACS2 represents and warrants to Dynamic and LLC, which 
representations will be true and correct at Closing, as follows:

     2.1	 Organization; Authority.  ACS2 is a corporation duly 
organized, validly existing and in good standing in the State of 
Delaware, and is not required to be duly qualified to do business 
as foreign corporation in any other jurisdiction.  Since the date 
of its organization and incorporation, ACS2 has consistently 
observed and operated within the corporate formalities of the 
jurisdiction in which it is incorporated, and has consistently 
observed and complied with the general corporation law of such 
jurisdiction.  ACS2 does not own stock or equity interest in and 
does not control, directly or indirectly, any corporation, 
partnership, joint venture, association or business organization 
other than those entities listed on Exhibit 2.1 attached hereto 
(collectively, the "ACS2 Subsidiaries").  Except for the Advanced 
Options, Advanced Warrants and Advanced SARs referred to elsewhere 
herein, all outstanding shares of capital stock of the entities 
listed on Exhibit 2.1 consist solely of common stock and are owned 
by either ACS2 or Advanced free and clear of all liens, charges and 
encumbrances.  Subject to obtaining certain third party consents, 
ACS2 has the full right, power and authority to execute, deliver 
and carry out the terms of this Agreement and all documents and 
agreements necessary to give effect to the provisions of this 
Agreement.  This Agreement and all other such agreements and 
documents executed in connection herewith by ACS2, upon due 
execution and delivery thereof, will constitute the valid and 
binding obligations of ACS2, enforceable in accordance with their 
respective terms, except as enforcement may be limited by 
bankruptcy, insolvency, reorganization or similar laws effecting 
creditors' rights generally and by general principles of equity. 
 The authorized capital stock of ACS2 consists of 10,000,000 shares 
of common stock.


     2.2  Absence of Default.  Subject to obtaining certain third 
party consents, the execution, delivery and consummation of this 
Agreement, and all other agreements and documents executed in 
connection herewith, by ACS2 will not constitute a violation of, be 
in conflict with, or, with or without the giving of notice or the 
passage of time, or both, result in a breach of, constitute a 
default under, or create (or cause the acceleration of the maturity 
of) any debt, indenture, obligation or liability or result in the 
creation or imposition of any security interest, lien, charge or 
other encumbrance upon any of the assets of ACS2

<PAGE>

                                 4

under (a) the Charter or Bylaws of ACS2; (b) any contract, lease,
purchase order, agreement, document or other commitment, oral
or written, to which ACS2 is a party or by which ACS2 is bound;
(c) any judgment, decree, order, writ, injunction or rule of any
court or regulatory authority; or (d) to the knowledge of ACS2,
any law, statute, rule or regulation to which ACS2 is subject.  

     2.3	 Broker's or Finder's Fees.  ACS2 has not employed, and 
is not liable for the payment of any fee to, any finder, broker or 
similar person in connection with the transactions contemplated 
under this Agreement.


        ARTICLE III. REPRESENTATIONS AND WARRANTIES OF ADVANCED

     As an inducement to Dynamic and LLC to enter into this 
Agreement and to consummate the transactions contemplated 
hereunder, Advanced represents and warrants to Dynamic and LLC, 
which representations will be true and correct at Closing, as 
follows.  Any representation, warranty or covenant of or relating 
to Advanced is hereby deemed to also be a representation, warranty 
or covenant of or relating to any and all of the other ACS2 
Subsidiaries, as applicable, but not of ACS2.

     3.1  Organization, Qualification and Authority.  Advanced is 
a corporation duly organized, validly existing and in good standing 
in the State of Delaware and is not required to be qualified as a 
foreign corporation in any other jurisdiction.  Each ACS2 
Subsidiary is a corporation duly organized, validly existing, in 
good standing and duly qualified as a foreign corporation in the 
respective jurisdictions set forth in Exhibit 3.1 attached hereto. 
 Since the date of its organization and incorporation, Advanced has 
consistently observed and operated within the corporate formalities 
of the jurisdictions in which it is incorporated and/or conducts 
its business, and has consistently observed and complied with the 
general corporation law of such jurisdictions.  True and complete 
copies of the Charter and Bylaws, as currently in effect, of each 
ACS2 Subsidiary have been previously delivered to Dynamic.  No 
amendments to any such Charter or Bylaws have been authorized.  
Advanced has the full corporate power and authority to own, lease 
and operate its properties and assets as presently owned, leased 
and operated and to carry on its business as it is now being 
conducted. Subject to obtaining certain third party consents, 
Advanced has the full right, power and authority to execute, 
deliver and carry out the terms of this Agreement and all documents 
and agreements necessary to give effect to the provisions of this 
Agreement. Subject to obtaining certain third party consents, the 
execution, delivery and consummation of this Agreement and all 
other agreements and documents executed in connection herewith by 
Advanced have been duly authorized by all necessary corporate 
action on the part of Advanced and no other action on the part of 
Advanced or any other person or entity is necessary to authorize 
the execution, delivery and consummation of this Agreement and all 
other agreements and documents executed in connection herewith.  
This Agreement and all other agreements and documents executed in 
connection herewith by Advanced, upon due execution and delivery 
thereof, will constitute the valid and binding obligations of ACS2, 
enforceable in accordance with their respective terms, except as 
enforcement may be limited by bankruptcy, insolvency, 

<PAGE>

                                 5

reorganization or similar laws affecting creditors' rights 
generally and by general principles of equity.


     3.2     Capitalization and Stock Ownership.

     (a)  Common Stock.  The authorized capital stock of Advanced, 
being ten million (10,000,000) shares, $0.01 par value, of common 
stock, along with the securities referenced in clause (b) below, 
constitutes all issued and outstanding securities of Advanced, and 
is duly authorized, validly issued, fully paid and nonassessable. 
 The Advanced Stock is not subject to preemptive or comparable 
rights.  The Advanced Stock has been issued in accordance with all 
applicable federal and state securities laws.

     (b)  Other Securities.  As of the date hereof, 138,000 shares 
of Advanced Stock (or shares of common stock of an ACS2 Subsidiary) 
are reserved for issuance upon the exercise of outstanding warrants 
(the "Advanced Warrants"), 386,000 shares of Advanced Stock are 
reserved for issuance upon exercise of outstanding options (the 
"Advanced Options"), and no other shares of Advanced Stock are or 
need to be reserved for any other purpose.  In addition, Advanced 
has issued the Stock Appreciation Rights more fully described in 
Exhibit 3.2(b) attached hereto (the "Advanced SARs").  Except for 
the Advanced Warrants, the Advanced Options and the Advanced SARs 
referenced in this clause (b), there are not any existing options, 
warrants, calls, subscriptions or other rights or agreements or 
commitments obligating Advanced to issue, transfer or sell any 
capital stock of it or any ACS2 Subsidiary or any other security 
convertible into or evidencing the right to subscribe for any such 
stock.

     (c)  Related Agreements.  There are no voting trusts, voting 
agreements, shareholders' agreements or other comparable 
commitments or understandings to which Advanced is a party or by 
which Advanced is bound with respect to the voting of any Advanced 
Stock or capital stock of any other ACS2 Subsidiary. 

     3.3  Absence of Default.  Except as set forth on Exhibit 3.3 
attached hereto, the execution, delivery and consummation of this 
Agreement, and all other agreements and documents executed in 
connection herewith by Advanced will not constitute a violation of, 
be in conflict with, or, with or without the giving of notice or 
the passage of time, or both, result in a breach of, constitute a 
default under, or create (or cause the acceleration of the maturity 
of) any debt, indenture, obligation or liability or result in the 
creation or imposition of any security interest, lien, charge or 
other encumbrance upon any of the assets of Advanced under:  (a) 
any term or provision of the Charter or Bylaws of Advanced; (b) any 
material contract, lease, purchase order, agreement, document or 
other commitment, oral or written, to which Advanced is a party or 
by which Advanced is bound (collectively, the "Advanced Contracts") 
(for purposes of categorizing contracts, "material" is defined to 
exclude any contract, lease, purchase order, agreement, document or 
commitment which both (y) in terms of payments, costs, services or 
other measure does not exceed $10,000.00 in the aggregate, and (z) 
is terminable without penalty upon ninety (90) days' written notice 
or less); (c) any judgment, decree, order, writ, injunction or rule 
of any court or regulatory authority; or (d)  to the knowledge of 
Advanced, any law, statute, rule or regulation to which Advanced is 
subject. 

<PAGE>

                                 6

     3.4  Financial Statements.  Attached hereto as Exhibit 3.4 
are true and correct copies of Advanced's audited balance sheets as 
of June 30, 1998, and its income statements for the year then 
ending (the "Advanced Fiscal Year Financial Statements"), and the 
interim unaudited balance sheet and income statement of ACS2 for 
the seven (7) month period ended January 31, 1999 (the "Advanced 
Interim Financial Statements" which with the Advanced Fiscal Year 
Financial Statements will be the "Advanced Financial Statements"). 
 The Advanced Financial Statements are based on the books and 
records of Advanced and present fairly and accurately the assets, 
liabilities and financial position of Advanced as of, and the 
results of its operations for, the respective periods specified. 
 Such financial statements do not pertain in any way to ACS2.  The 
Advanced Fiscal Year Financial Statements have been prepared in 
accordance with generally accepted accounting principles.

     3.5  Operations Since June 30, 1998.  Except as set forth on 
Exhibit 3.5 attached hereto, to the knowledge of Advanced, since 
June 30, 1998, there has been no:

          (1)  change in the assets, liabilities or financial 
condition of Advanced which has a material adverse effect on 
Advanced's assets or business;

          (2)  material loss, damage or destruction of or to any of 
the assets of Advanced, whether or not covered by insurance; 

          (3) sale, lease, transfer or other disposition by 
Advanced of, or mortgages or pledges of or the imposition of any 
lien, charge or encumbrance on, any material portion of the assets 
of Advanced, other than those made in the ordinary course of 
business;

          (4)  substantial increase in the compensation payable by 
Advanced to any of its employees, directors, independent 
contractors or agents, or increase in, or institution of, any 
bonus, insurance, pension, profit-sharing or other employee benefit 
plan or arrangements made to, for or with the employees, directors, 
independent contractors or agents of Advanced; 

          (5) payment by Advanced of any dividend or other 
distribution to its stockholders other than compensation as an 
employee of ACS2 or Advanced;

          (6) material change in the accounting methods or 
practices employed by Advanced or change in adopted depreciation or 
amortization policies; or

          (7)  strike, work stoppage or other labor dispute by or 
with Advanced employees which materially adversely affects 
Advanced's operations.

     3.6  Licenses.  Advanced has all local, state and federal 
licenses, permits, registrations, certificates, contracts, 
consents, accreditations and approvals (collectively, the 
"Licenses") necessary for it to occupy, operate and conduct its 
business, and there do not exist any waivers or exemptions relating 
thereto.  To the knowledge of Advanced, there is no material 
default on the part of Advanced under any of the Licenses and there 
exist no grounds for revocation, suspension or limitation of any of 
the Licenses.  Neither the

<PAGE>

                                 7

execution and delivery of this Agreement 
nor the consummation of any of the transactions contemplated 
hereunder will result in any revocation or termination of any 
License.

     III.7  Medicare, Medicaid and Other Third-Party Payors.  
Advanced is a party to contracts with parties who participate in 
and are "providers" under the Medicare and Medicaid and other third 
party payor Programs (the "Programs").  Advanced has materially 
complied with all rules and regulations of the Programs and with 
all statutes and regulations governing the Programs in the conduct 
of the business carried on by Advanced, including conduct under any 
Advanced Contracts related to the Programs.  Advanced, without 
inquiry, is not aware of any claims, actions or appeals pending or 
threatened with respect to any such providers or of any 
disallowances against any such providers which disallowances, in 
the aggregate, exceed Ten Thousand and No/100 Dollars ($10,000.00), 
including, but not limited to, material disallowances for any fees 
charged by Advanced to such providers; and Advanced is not aware of 
any such providers receiving notice of any pending, threatened or 
possible decertification or other loss of participation in any of 
the Programs.

     3.8  Contracts.

          (a)  Dynamic has had an opportunity to review copies of 
all written Advanced Contracts, including the contracts referenced 
in Section 3.7.  No Advanced Contract has been modified or amended 
from the form which has been provided to Dynamic for review.  No 
event or condition has happened or presently exists which 
constitutes a default or breach or, after notice or lapse of time 
or both, would constitute a default or breach by Advanced under any 
Advanced Contract provided that Advanced is in default under its 
credit agreement with Nations Credit and this transaction will be 
a default thereunder.  Except as listed in Exhibit 3.8(a) attached 
hereto, no Advanced Contract has been entered into with any 
affiliate of Advanced.  Subject to obtaining certain third party 
consents, consummation of the transactions contemplated hereunder 
will not default, alternate or terminate any of Advanced Contract.

          (b)  To its knowledge, Advanced has no claims as of the 
date hereof against Dynamic, its affiliates or representatives with 
regard to that certain Interim Management Agreement dated December 
7, 1998, as amended (the "Interim Management Contract") other than 
as set forth in Exhibit 3.8(b) attached hereto. 

     3.9  Environmental Matters.  

          (a)  Hazardous Substances.  As used in this Section, the 
term "Hazardous Substances" means any hazardous or toxic 
substances, materials or wastes, including but not limited to those 
substances, materials, and wastes defined in Paragraph 101 of the 
Comprehensive Environmental Response, Compensation and Liability 
Act of 1980, as amended ("CERCLA"), listed in the United States 
Department of Transportation Table (49 CFR 172.101) or by the 
Environmental Protection Agency as hazardous substances pursuant to 
40 CFR Part 302, or which are regulated under any other 
Environmental Law (as such term is defined herein), and any of the 
following: hydrocarbons, petroleum and

<PAGE>

                                 8

petroleum products, asbestos, polychlorinated biphenyls,
formaldehyde, radioactive substances (other than naturally
occurring materials in place), flammables and explosives.


          (b)  Compliance with Laws and Regulations.  All 
operations or activities of Advanced on, and any use or occupancy 
by Advanced of, the real estate necessary to operate the business 
of Advanced are in material compliance with any and all laws, 
regulations, orders, codes, judicial decisions, decrees, licenses, 
permits and other applicable requirements of governmental 
authorities with respect to Hazardous Substances, pollution or 
protection of human health and safety (collectively, "Environmental 
Law"), including but not limited to the release, emission, 
discharge, storage and removal of Hazardous Substances.  To the 
knowledge of Advanced, without inquiry, all prior owners, operators 
and occupants of such real estate complied with Environmental Law. 
Advanced is not aware of any pending or threatened claim, lawsuit, 
investigation or inquiry regarding non-compliance with 
Environmental Law pertaining to the operations of, or real estate 
leased by, Advanced.

     3.10  Litigation.  Except as set forth in Exhibit 3.10 
attached hereto, there are no lawsuits, proceedings, actions, 
arbitrations, governmental investigations, claims, inquiries or 
proceedings pending or, to the knowledge of Advanced,  threatened 
involving Advanced.  Advanced believes that none of the matters 
listed on Exhibit 3.10 would, singly or in the aggregate, 
reasonably be expected to materially adversely affect Advanced or 
its operations.

     3.11  Employees.

          (a)  Exhibit 3.11 attached hereto sets forth a complete 
list of all Advanced officers, with their rates of pay, job titles 
and employment start dates.

          (b) Advanced is not a party to any labor contract, 
collective bargaining agreement, contract, letter of understanding, 
or any other arrangement, formal or informal, with any labor union 
or organization which obligates it to compensate its employees at 
prevailing rates or union scale, nor are any of such employees 
represented by any labor union or organization.  There is no 
pending or, to the knowledge of Advanced, threatened labor dispute, 
work stoppage, unfair labor practice complaint, strike, 
administrative or court proceeding or order between Advanced and 
any of its employees. There is no pending or, to the knowledge of 
Advanced, threatened suit, action, investigation or claim between 
Advanced and any of its present or former employees.   Advanced 
knows of no labor union organizing activity at any location of 
Advanced within the last three (3) years.

     3.12  Insurance.  Advanced has in effect and has 
continuously maintained since February 22, 1998 insurance coverage 
for all of its operations, personnel and assets.  Exhibit 3.12 
attached hereto sets forth a summary of Advanced's current 
insurance coverage (listing type, carrier and limits), and includes 
a list of any pending insurance claims relating to Advanced. 

<PAGE>

                                 9

     3.13  Broker's or Finder's Fee.  Advanced has not employed, 
and is not liable for the payment of any fee to, any finder, broker 
or similar person in connection with the transactions contemplated 
under this Agreement.


     3.14  Conflicts of Interest.  To the knowledge of Advanced, 
none of the following is either a supplier of goods or services to 
Advanced (other than as an employee), or directly or indirectly 
controls or is a director or  officer of any corporation, firm, 
association, partnership or other business entity that is a 
supplier of goods or services to Advanced: (a) any director or 
officer of Advanced or, (b) any entity under common control with 
Advanced. 

     3.15  Employee Benefit Plans.  Other than health and 
comparable insurance, Advance does not maintain or contribute to, 
or is required to maintain or contribute to, any "employee welfare 
benefit plan" or any "employee pension benefit plan" as each is 
defined in the Employee Retirement Income Security Act of 1974 as 
amended.  Further, no such benefit plans covered employees of 
Advanced during the period of their employment with any predecessor 
of Advanced, including any multi-employer pension plan as defined 
under the Code.  Accordingly, there are no unfunded liabilities of 
Advanced under any benefit plans.

     3.16  Compliance with Healthcare and Other Laws.  The 
business of Advanced has been and is currently operated in material 
compliance with all applicable laws, rules and regulations of each 
jurisdiction in which the business of Advanced is conducted.  
Advanced has not made any kickback, bribe or payment to any person 
or entity, directly or indirectly, for referring, recommending or 
arranging business or patients with, to or for Advanced which 
action could have a material adverse effect on the business of 
Advanced.  No bulk sales or similar statute under the laws of the 
State of Tennessee applies to the transactions contemplated under 
this Agreement.  The transactions contemplated under this Agreement 
comply with any applicable antitrust or similar laws of the State 
of Tennessee.  To the knowledge of Advanced, none of the Advanced 
Contracts and no activity of Advanced violates Section 1877 of the 
Social Security Act or any similar provision of applicable state 
law in any material respect.  To the knowledge of Advanced, none of 
the Advanced Contracts and no activity of Advanced violates 
provisions of applicable state law relating to kickbacks, self-
referrals, fee-splitting or the corporate practice of medicine in 
any material respect. 

     3.17  WARN Act.  Since ninety (90) days prior to Closing, 
Advanced has not temporarily or permanently closed or shut down any 
single site of employment or any facility or any operating unit, 
department or service within a single site of employment, as such 
terms are used in the Worker Adjustment and Retraining Notification 
Act, 29 U.S.C.   2102, et seq. ("WARN"). 

     3.18  Tax Returns; Taxes.


          (a)  Advanced has filed all federal, state and local tax 
returns and tax reports required by such authorities to be filed as 
of the date hereof.  Advanced has paid all taxes, assessments, 
governmental charges, penalties, interest and fines due or claimed 
to be due as of the time of Closing (including, without limitation, 
taxes on properties,

<PAGE>

                                 10

income, franchises, licenses, sales and 
payrolls) by any federal, state or local authority.  Additionally, 
the reserves for taxes reflected in the Advanced Financial 
Statements are adequate to cover all tax liabilities accrued as of 
the respective dates thereof.  There is no pending tax examination 
or audit of, nor any action, suit, investigation or claim asserted 
or, to the knowledge of Advanced, threatened against Advanced by 
any federal, state or local authority; and Advanced has not 
requested or been granted any extension of the limitation period 
applicable to any tax claims.

          (b)  Advanced has complied with all applicable laws, 
rules and regulations relating to the payment and withholding of 
taxes and has timely withheld from employee wages and paid over to 
the proper governmental authorities all amounts required to be so 
withheld and paid over.  No agreements have been made by Advanced 
to waive the statute of limitations for the assessment or payment 
of any taxes.  To the knowledge of Advanced, Advanced has not 
committed any violation of any federal, state or local tax laws.

     3.19  Tax Reorganization.  Advanced has neither taken nor 
failed to take any action which would prevent the Contribution from 
being treated as tax-free contributions under Section 721 of the 
Code, or the Merger from constituting a reorganization within the 
meaning of Section 368(a)(1)(A) of the Code.

     3.20  Title to and Conditions of Assets.  Advanced is the 
sole legal and beneficial owner of the personal property used in 
operating its business, including all personal property reflected 
in the Advanced Financial Statements, and all such personal 
property is owned by Advanced free and clear of all liens, security 
interests, charges and encumbrances, except as disclosed in the 
Advanced Financial Statements or Exhibit 3.20(a) attached hereto. 
 Advanced owns no real property, but is in lawful possession of the 
real estate it leases. Advanced is in material compliance with 
respect to all leases of real estate entered into for the conduct 
of its business.  All equipment owned or leased by Advanced 
performs the respective functions they are supposed to perform and 
are in good working order, ordinary wear and tear accepted. The 
inventory of Advanced is, in the aggregate, of a quality and 
quantity customarily used in the ordinary course of business.  All 
trademarks, service marks, trade names, inventions, patents, 
processes, copyrights and applications therefor, registered or at 
common law (collectively, the "Intellectual Property") owned or 
used by Advanced are listed and described in Exhibit 3.20(b) 
attached hereto.  Advanced is the sole legal and beneficial owner 
of such Intellectual Property.  No proceedings have been instituted 
or pending or, to the knowledge of Advanced, threatened which 
challenge the validity of the ownership or use by Advanced of any 
such Intellectual Property. Advanced has not licensed a third party 
to use any such Intellectual Property, and Advanced has no 
knowledge of the unlawful use or infringement of any such 
Intellectual Property by any other person. Advanced possesses 
adequate and enforceable licences to use all Intellectual Property 
currently used but not owned by Advanced. 


     3.21  No Omissions or Misstatements.  There is no fact 
material to the assets, businesses, liabilities or prospects of 
Advanced as a whole which has not been set forth or described in 
this Agreement or in the Exhibits hereto and which is material to 
the conduct, prospects, operations or financial condition of the 
LLC.  None of the information included in this Agreement and 
Exhibits hereto, or other documents furnished or to be

<PAGE>

                                 11

furnished by Advanced contains any untrue statement of a material
fact or is misleading in any material respect or omits to state any
material fact necessary in order to make any of the statements herein
or therein not misleading in light of the circumstances in which they 
were made.  Copies of all documents referred to in any Exhibit 
hereto have been delivered or made available to Dynamic and 
constitute true, correct and complete copies thereof and include 
all amendments, exhibits, schedules, appendices, supplements or 
modifications thereto or waivers thereunder.


     ARTICLE IV.   REPRESENTATIONS AND WARRANTIES REGARDING LLC

     As an inducement to ACS2 and Advanced to enter into this 
Agreement and to consummate the transactions contemplated 
hereunder, Dynamic hereby represents and warrants to ACS2 and 
Advanced, which representations and warranties will be true and 
correct on the date of Closing, as follows with respect to the LLC:

     4.1	 Organization, Qualification and Authority.  The LLC is 
a limited liability company duly organized, validly existing and in 
good standing in the State of Nevada, and is not required to be 
qualified to do business as a foreign corporation in any other 
jurisdiction.  Since the date of its formation, LLC has 
consistently observed and operated within the corporate formalities 
of the jurisdictions in which it is formed and/or conducts its 
business, and has consistently observed and complied with the 
applicable law of such jurisdictions.  LLC does not own stock or 
equity interests in and does not control, directly or indirectly, 
any corporation, partnership, joint venture, association or 
business organization prior to the Effective Time of Contribution. 
LLC will conduct no operations, will enter into no agreements, and 
will own no assets prior to the Closing.  LLC has the full right, 
power and authority to execute, deliver and carry out the terms of 
this Agreement and all documents and agreements necessary to give 
effect to the provisions of this Agreement, to consummate the 
transactions contemplated on the part of LLC hereby, and to take 
all actions necessary to permit or approve the actions LLC takes in 
connection with this Agreement.  The execution, delivery and 
consummation of this Agreement and all other agreements and 
documents executed in connection herewith by LLC has been duly 
authorized by all necessary corporate action on the part of LLC. 
No other action on the part of LLC or any other person or entity 
is necessary to authorize the execution, delivery and consummation 
of this Agreement and all other agreements and documents executed 
in connection herewith.  This Agreement and all other agreements 
and documents executed in connection herewith by LLC, upon due 
execution and delivery thereof, will constitute the valid and 
binding obligations of LLC, enforceable in accordance with their 
respective terms, except as enforcement may be limited by 
bankruptcy, insolvency, reorganization or similar laws affecting 
creditors' rights generally and by general principles of equity.


     4.2  Capitalization and Stock Ownership.  The units of the 
LLC, being two (2) units, constituted all issued and outstanding 
securities of LLC.  These two (2) units, along with the additional 
units to be issued upon Closing of the Contribution (collectively, 
the "LLC Units"), are (or will be) duly authorized, validly issued, 
fully paid and nonassessable, and are (or will be ) owned free and 
clear of any liens, charges, encumbrances, security

<PAGE>

                                 12

interests, pledges or any other restrictions whatsoever. The LLC
Units are not, and will not be, subject to preemptive or comparable
rights. The LLC Units are and will be issued to Dynamic and ACS2 in 
accordance with all applicable federal and state securities laws, 
and will continue to be held solely by Dynamic and ACS2 through 
Closing. 

     4.3  Absence of Default.  The execution, delivery and 
consummation of this Agreement, and all other agreements and 
documents executed in connection herewith by LLC will not 
constitute a violation of, be in conflict with, or, with or without 
the giving of notice or the passage of time, or both, result in a 
breach of, constitute a default under, or create (or cause the 
acceleration of the maturity of) any debt, indenture, obligation or 
liability or result in the creation or imposition of any security 
interest, lien, charge or other encumbrance upon any of the assets 
of LLC under:  (a) any term or provision of the Operating Agreement 
of LLC; (b) any contract, lease, purchase order, agreement, 
document or other commitment, oral or written, to which LLC is a 
party or by which LLC is bound; (c) any judgment, decree, order, 
writ, injunction or rule of any court or regulatory authority; or 
(d), to the knowledge of LLC or Dynamic, any law, statute, rule or 
regulation to which LLC is subject.

     4.4	 Broker's or Finder's Fee.  LLC has not employed, and is 
not liable for the payment of any fee to, any finder, broker or 
similar person in connection with the transactions contemplated 
under this Agreement.


         ARTICLE V. REPRESENTATIONS AND WARRANTIES OF DYNAMIC

     As an inducement to ACS2 and Advanced to enter into this 
Agreement and to consummate the transactions contemplated 
hereunder, Dynamic hereby represents and warrants to ACS2 and 
Advanced, which representations and warranties will be true and 
correct on the date of Closing, as follows.  Any representation, 
warranty or covenant of or relating to Dynamic is hereby deemed to 
also be a representation, warranty or covenant of or relating to 
any and all of the Dynamic Subsidiaries (as defined in Section 
5.1), and the LLC, as applicable.


     5.1	 Organization, Qualification and Authority.  Dynamic is 
a corporation duly organized, validly existing and in good standing 
in the State of Nevada, and is not required to be qualified to do 
business as a foreign corporation in any other jurisdiction.  Since 
the date of its organization and incorporation, Dynamic has 
consistently observed and operated within the corporate formalities 
of the jurisdictions in which it is incorporated and/or conducts 
its business, and has consistently observed and complied with the 
general corporation law of such jurisdictions.  Dynamic does not 
own stock or equity interests in and does not control, directly or 
indirectly, any corporation, partnership, joint venture, 
association or business organization other than the LLC and the 
entities set forth on Exhibit 5.1 attached hereto (collectively, 
the "Dynamic Subsidiaries").  Each Dynamic Subsidiary is a 
corporation duly organized, validly existing, in good standing and 
duly qualified as a foreign corporation in the respective 
jurisdictions set forth in Exhibit 5.1.  All outstanding and 
securities of the Dynamic Subsidiaries consist solely of common 
stock and have been validly issued in accordance with all 
applicable federal, state and foreign securities laws

<PAGE>

                                 13

and are owned by Dynamic, free and clear of all liens, charges,
encumbrances, claims and options of any nature. True and complete
copies of the Charters and Bylaws, as currently in effect, of
Dynamic and each Dynamic Subsidiary have been previously delivered
to ACS2 and Advanced.  Other than the amendments attached hereto as
part of Exhibit 5.1, no amendments to any such Charters or Bylaws
have been authorized since January 1, 1998.  Dynamic has the full
corporate power and authority to own, lease and operate its
properties and assets as presently owned, leased and operated
and to carry on its business as it is now being conducted. 
Dynamic has the full right, power and authority to execute,
deliver and carry out the terms of this Agreement and all
documents and agreements necessary to give 
effect to the provisions of this Agreement, to consummate the 
transactions contemplated on the part of Dynamic hereby, and to 
take all actions necessary to permit or approve the actions Dynamic 
takes in connection with this Agreement.  The execution, delivery 
and consummation of this Agreement and all other agreements and 
documents executed in connection herewith by Dynamic (other than 
the Merger Agreement and documents related thereto, for which 
requisite shareholder approval must be obtained) has been duly 
authorized by all necessary corporate action on the part of 
Dynamic.  No other action on the part of Dynamic or any other 
person or entity is necessary to authorize the execution, delivery 
and consummation of this Agreement and all other agreements and 
documents executed in connection herewith (other than the Merger 
Agreement and documents related thereto, for which requisite 
shareholder approval must be obtained).  This Agreement and all 
other agreements and documents executed in connection herewith by 
Dynamic, upon due execution and delivery thereof, will constitute 
the valid and binding obligations of Dynamic, enforceable in 
accordance with their respective terms, except as enforcement may 
be limited by bankruptcy, insolvency, reorganization or similar 
laws affecting creditors' rights generally and by general 
principles of equity.

     5.2	 Capitalization and Stock Ownership.   

          (a)  Common Stock.  The authorized capital stock of 
Dynamic (the "Dynamic Stock"), consists of 100,000,000  shares, 
$0.001 par value, of common stock, of which 18,386,929 shares are 
issued and outstanding as of the date hereof.  These shares of 
Dynamic Stock, along with the securities referenced in clause (b) 
below and the original and replacement convertible notes referenced 
in Section 6.5, constitutes all past and current issued and 
outstanding securities of Dynamic, and are duly authorized, validly 
issued, fully paid and nonassessable.  Dynamic Stock is not subject 
to preemptive or comparable rights.  The Dynamic Stock and any 
other currently or previously outstanding securities of Dynamic 
have been issued in accordance with all applicable federal, state 
and foreign securities laws.


          (b)  Other Securities.  As of the date hereof, 8,575,000 
shares of Dynamic stock are reserved for issuance upon the exercise 
of outstanding warrants (the "Dynamic Warrants"), 117,500 shares of 
Dynamic Stock are reserved for issuance upon exercise of 
outstanding options (the "Dynamic Options"), all of which have been 
granted under the 1997 Stock Option Plan, 8,325,000 shares of 
Dynamic stock are reserved for issuance upon conversion of those 
certain replacement 7.5% convertible subordinated notes in the 
aggregate principal amount of $8,325,000 (the "Dynamic Secured 
Notes") and no other

<PAGE>

                                 14

shares of Dynamic Stock are or need to be 
reserved for any other purpose. Dynamic has issued the Dynamic 
Secured Notes in the aggregate principal amount of $8,325,000.00, 
which notes are convertible into that number of shares of Dynamic 
Common Stock equal to the principal amount of such notes divided by 
$1.00.  The redemption of the original notes and the issuance of 
the Dynamic Secured Notes in replacement thereof was effected in 
full compliance with law.  True and correct and fully executed 
copies of all documents regarding the redemption and issuance of 
the convertible notes by Dynamic have been provided to ACS2 and 
Advanced.  Except for the Dynamic Warrants, the Dynamic Options and 
the Dynamic Secured Notes referenced in this clause (b), there are 
not any existing options, warrants, calls, subscriptions, stock 
appreciation rights, or other rights or agreements or commitments 
obligating Dynamic to issue, transfer or sell any capital stock or 
other security of it or any Dynamic Subsidiary or any other 
security convertible into or evidencing the right to subscribe for 
any such stock or security.

          (c)  Related Agreements.  Other than the Operating 
Agreement of the LLC as currently in effect, there are no voting 
trusts, voting agreements, shareholders' agreements, registration 
rights agreements or other comparable commitments or 
understandings, oral or written, to which Dynamic is a party or by 
which Dynamic is bound with respect to the voting of any Dynamic 
Stock or the capital stock or securities of any Dynamic Subsidiary. 
 

          (d)  Sufficient Shares.  At the Effective Time of the 
Merger, Dynamic will have a sufficient number of authorized but 
unissued and/or treasury shares of Dynamic Stock available for 
issuance to the ACS2 Stockholders in accordance with the provisions 
of the Merger Agreement. Dynamic Stock to be issued pursuant to the 
Agreement will, when so delivered, be duly and validly issued in 
accordance with all applicable federal and state securities laws, 
will be fully paid and nonassessable, and will be free and clear of 
preemptive and similar rights.

     5.3  Absence of Default.  The execution, delivery and 
consummation of this Agreement, and all other agreements and 
documents executed in connection herewith by Dynamic, will not 
constitute a violation of, be in conflict with, or, with or without 
the giving of notice or the passage of time, or both, result in a 
breach of, constitute a default under, or create (or cause the 
acceleration of the maturity of) any debt, indenture, obligation or 
liability or result in the creation or imposition of any security 
interest, lien, charge or other encumbrance upon any of the assets 
of Dynamic under:  (a) any term or provision of the Charter or 
Bylaws of Dynamic; (b) any material contract, lease, purchase 
order, agreement, document or other commitment, oral or written, to 
which Dynamic is a party or by which Dynamic is bound (collectively 
the "Dynamic Contracts") (for purposes of categorizing contracts, 
"material" being defined to exclude any contract, lease, purchase 
order, agreement, document or commitment which both (y) in terms of 
payments, costs, services or other measure does not exceed 
$10,000.00 in the aggregate, and (z) is terminable without penalty, 
upon ninety (90) days' written notice or less); (c) any judgment, 
decree, order, writ, injunction or rule of any court or regulatory 
authority; or (d), to the knowledge of Dynamic, any law, statute, 
rule or regulation to which Dynamic is subject.

<PAGE>

                                 15

     5.4	 Operations Since December 31, 1997.  Except as set forth 
on Exhibit 5.4 attached hereto, to the knowledge of Dynamic, since 
 December 31, 1997, there has been no:

          (1)  change in the assets, liabilities or financial 
condition of Dynamic which has a material adverse effect on 
Dynamic' assets or business;

          (2)  material loss, damage or destruction of or to any of 
the assets of Dynamic, whether or not covered by insurance; 

          (3)  sale, lease, transfer or other disposition by 
Dynamic of, or mortgages or pledges of or the imposition of any 
lien, charge or encumbrance on, any material portion of the assets 
of Dynamic, other than those made in the ordinary course of 
business;

          (4)  substantial increase in the compensation payable by 
Dynamic to any of its employees, directors, independent contractors 
or agents, or increase in, or institution of, any bonus, insurance, 
pension, profit-sharing or other employee benefit plan or 
arrangements made to, for or with the employees, directors, 
independent contractors or agents of Dynamic; 

          (5)  payment by Dynamic of any dividend or other 
distribution to its stockholders other than compensation as an 
employee of Dynamic;

          (6)  material change in the accounting methods or 
practices employed by Dynamic or change in adopted depreciation or 
amortization policies; or

          (7)  strike, work stoppage or other labor dispute by or 
with Dynamic employees  which adversely affects Dynamic operations.

     5.5  Licenses.  Dynamic has all Licenses necessary for it to 
occupy, operate and conduct its business, and there do not exist 
any waivers or exemptions relating thereto.  To the knowledge of 
Dynamic, there is no material default on the part of Dynamic under 
any of the Licenses and there exist no grounds for revocation, 
suspension or limitation of any of the Licenses.  Neither the 
execution and delivery of this Agreement nor the consummation of 
any of the transactions contemplated hereunder will result in any 
revocation or termination of any License.

     5.6  Medicare, Medicaid and Other Third-Party Payors.  Dynamic 
is a party to contracts with parties who participate in and are 
"providers" under the Programs.  Dynamic has materially complied 
with all rules and regulations of the Programs and with all 
statutes and regulations governing the Programs in the conduct of 
the business carried on by Dynamic, including conduct under any 
Dynamic Contracts related to the Programs.  Dynamic, without 
inquiry, is not aware of any claims, actions or appeals pending 
with respect to any such providers or of any disallowances against 
any such providers, including which disallowances, in the 
aggregate, exceed Ten Thousand and No/100 Dollars ($10,000.00), but 
not limited to, material disallowances for any fees charged by 
Dynamic to such providers; and Dynamic is not aware of any such 
providers receiving notice of any

<PAGE>

                                 16

pending, threatened or possible decertification or other loss
of participation in any of the Programs.

     5.7  Contracts.

          (a)  ACS2 and Advanced have had an opportunity to review 
copies of all written Dynamic Contracts, including the contracts 
referenced in Section 5.6, and a list of all written Dynamic 
Contracts is attached hereof as Exhibit 5.7(a).  In addition, 
included in Exhibit 5.7(a) is a written synopsis of key terms of 
all oral Dynamic Contracts.  No Dynamic Contract has been modified 
or amended from the form which has been provided to ACS2 for 
review.  No event or condition has happened or presently exists 
which constitutes a default or breach or, after notice or lapse of 
time or both, would constitute a default or breach by any party 
under any Dynamic Contract.  Except as listed in Exhibit 5.7(a) 
attached hereto, no Dynamic Contract has been entered into with any 
affiliate of Dynamic.  Consummation of the Contribution will not 
default, alternate or terminate any Dynamic Contracts.  Neither 
Dynamic nor the Dynamic Subsidiaries have issued or granted any 
outstanding powers of attorney.

          (b)  To its knowledge, Dynamic has no claims as of the 
date hereof against Advanced, its affiliates or representatives 
with regard to the Interim Management Contract.

     5.8  Environmental Matters.

          (a)  Hazardous Substances.  As used in this Section, the 
term "Hazardous Substances" means any hazardous or toxic 
substances, materials or wastes, including but not limited to those 
substances, materials, and wastes defined in Paragraph 101 of the 
Comprehensive Environmental Response, Compensation and Liability 
Act of 1980, as amended ("CERCLA"), listed in the United States 
Department of Transportation Table (49 CFR 172.101) or by the 
Environmental Protection Agency as hazardous substances pursuant to 
40 CFR Part 302, or which are regulated under any other 
Environmental Law (as such term is defined herein), and any of the 
following: hydrocarbons, petroleum and petroleum products, 
asbestos, polychlorinated biphenyls, formaldehyde, radioactive 
substances (other than naturally occurring materials in place), 
flammables and explosives.

          (b)  Compliance with Laws and Regulations.   All 
operations or activities of Dynamic on, and any use or occupancy by 
Dynamic of, the real estate necessary to operate the business of 
Dynamic are in material compliance with any and all laws, 
regulations, orders, codes, judicial decisions, decrees, licenses, 
permits and other applicable requirements of governmental 
authorities with respect to Hazardous Substances, pollution or 
protection of human health and safety (collectively, "Environmental 
Law"), including but not limited to the release, emission, 
discharge, storage and removal of Hazardous Substances.  To the 
knowledge of Dynamic, without inquiry, all prior owners, operators 
and occupants of such real estate complied with Environmental Law. 
Dynamic is not aware of any pending or threatened claim, lawsuit, 
investigation or inquiry regarding non-compliance with 
Environmental Law pertaining to the operations of, or real estate 
leased by, Dynamic.

<PAGE>

                                 17

     5.9  Litigation.  Except as set forth in Exhibit 5.9(a) 
attached hereto, there are no lawsuits, proceedings, actions, 
arbitrations, governmental investigations, claims, inquiries or 
proceedings pending or, to the knowledge of Dynamic,  threatened 
involving Dynamic.  Except as set forth in Exhibit 5.9(b), Dynamic 
knows of no basis for any lawsuits, proceedings, actions, 
arbitrations, governmental investigations, claims, inquiries or 
proceedings involving Dynamic.  Dynamic believes that none of the 
matters listed in Exhibit 5.9(a) or Exhibit 5.9(b) would, singly or 
in the aggregate, reasonably be expected to materially adversely 
affect Dynamic or its operations.  Except as set forth on Exhibit 
5.9(c) attached hereto, neither Dynamic nor the Dynamic 
Subsidiaries have any outstanding liabilities or obligations, 
contingent or otherwise, that individually exceed $5,000 or exceed 
$20,000 in the aggregate.

     5.10  Employees.

          (a)  Exhibit 5.10  attached hereto sets forth: (i) a 
complete list of all of Dynamic's employees, and rates of pay, (ii) 
the employment dates and job titles of each such person, and (iii) 
categorization of each such person as a full-time or part-time 
employee of Dynamic.  For purposes of this Section, "part-time 
employee" means an employee who is employed for an average of fewer 
than twenty (20) hours per week or who has been employed for fewer 
than six (6) of the twelve (12) months preceding the date on which 
notice is required pursuant to the WARN.

          (b)  Dynamic is not a party to any labor contract, 
collective bargaining agreement, contract, letter of understanding, 
or any other arrangement, formal or informal, with any labor union 
or organization which obligates it to compensate its employees at 
prevailing rates or union scale, nor are any of such employees 
represented by any labor union or organization.  There is no 
pending or, to the knowledge of Dynamic, threatened labor dispute, 
work stoppage, unfair labor practice complaint, strike, 
administrative or court proceeding or order between Dynamic and any 
of its employees. There is no pending or, to the knowledge of 
Dynamic, threatened suit, action, investigation or claim between 
Dynamic and any of its present or former employees.   Dynamic knows 
of no labor union organizing activity at any location of Dynamic 
within the last three (3) years.

     5.11  Insurance.  Dynamic has in effect and has continuously 
maintained since December 21, 1997 insurance coverage for all of 
its operations, personnel and assets.  Exhibit 5.11 attached hereto 
sets forth a summary of Dynamic's current insurance coverage 
(listing type, carrier and limits), and includes a list of any 
pending insurance claims relating to Dynamic.  Dynamic has complied 
with all provisions of its insurance policies, including but not 
limited to obligations to inform carriers of possible claims under 
such insurance coverage.

     5.12  Broker's or Finder's Fee.  Dynamic has not employed, and 
is not liable for the payment of any fee to, any finder, or similar 
person in connection with the transactions contemplated under this 
Agreement other than Genesis Merchant Group Securities LLC whose 
fees and expenses shall be paid by Dynamic.

<PAGE>

                                 18

     5.13  Conflicts of Interest.  Except as described in Exhibit 
5.13, to the knowledge of Dynamic, none of the following is either 
a supplier of goods or services to Dynamic, or directly or 
indirectly controls or is a director or  officer of any 
corporation, firm, association, partnership or other business 
entity that is a supplier of goods or services to Dynamic: (a) any 
director, officer, consultant or shareholder (indirect or direct) 
of Dynamic, or (b) any entity under common control with Dynamic. 

     5.14  Employee Benefit Plans.  Other than health and 
comparable insurance, Dynamic does not maintain or contribute to, 
or is required to maintain or contribute to, any "employee welfare 
benefit plan" or any "employee pension benefit plan" as each is 
defined in the Employee Retirement Income Security Act of 1974 as 
amended.  Further, no such benefit plans covered employees of 
Dynamic during the period of their employment with any predecessor 
of Dynamic, including any multi-employer pension plan as defined 
under the Code.  Accordingly, there are no unfunded liabilities of 
Dynamic under any benefit plans.

     5.15  Compliance with Healthcare and Other Laws.  The business 
of Dynamic has been and is currently operated in material 
compliance with all applicable laws, rules and regulations of each 
jurisdiction in which the business of Dynamic is conducted.  
Dynamic has not made any kickback, bribe or payment to any person 
or entity, directly or indirectly, for referring, recommending or 
arranging business or patients with, to or for Dynamic which action 
could have a material adverse effect on the business of Dynamic. 
No bulk sales or similar statute under the laws of the States of 
Nevada or Delaware applies to the transactions contemplated under 
this Agreement.  The transactions contemplated under this Agreement 
comply with any applicable antitrust or similar laws of the States 
of Nevada and Delaware.  To the knowledge of Dynamic, none of the 
Dynamic Contracts and no activity of Dynamic violates Section 1877 
of the Social Security Act or any similar provision of applicable 
state law in any material respect.  To the knowledge of Dynamic, 
none of the Dynamic Contracts and no activity of Dynamic violates 
provisions of applicable state law relating to kickbacks, self-
referrals, fee-splitting or the corporate practice of medicine in 
any material respect. 

     5.16  WARN Act.  Since ninety (90) days prior to Closing, 
Dynamic has not temporarily or permanently closed or shut down any 
single site of employment or any facility or any operating unit, 
department or service within a single site of employment, as such 
terms are used in WARN. 

     5.17  Tax Returns; Taxes.

          (a)  Dynamic has filed all federal, state and local tax 
returns and tax reports required by such authorities to be filed as 
of the date hereof.  Dynamic has paid all taxes, assessments, 
governmental charges, penalties, interest and fines due or claimed 
to be due as of the time of Closing (including, without limitation, 
taxes on properties, income, franchises, licenses, sales and 
payrolls) by any federal, state, local or other authority.  
Additionally, the reserves for taxes reflected in the "Dynamic 
Financial Statements" (as defined in Section 5.20) are adequate to 
cover all tax liabilities accrued as of the respective dates 
thereof.  There is no pending tax examination or audit of, nor

<PAGE>

                                 19

any action, suit, investigation or claim asserted or, to the knowledge 
of Dynamic, threatened against Dynamic by any federal, state, local 
or other authority; and there is no basis therefor.  Dynamic has 
not requested or been granted any extension of the limitation 
period applicable to any tax claims.

          (b)  Dynamic has complied with all applicable laws, rules 
and regulations relating to the payment and withholding of taxes 
and has timely withheld from employee wages and paid over to the 
proper governmental authorities all amounts required to be so 
withheld and paid over.  No agreements have been made by Dynamic to 
waive the statute of limitations for the assessment or payment of 
any taxes.  To the knowledge of Dynamic, Dynamic has not committed 
any violation of any federal, state, local or other tax laws.

     5.18  Tax Reorganization.  Dynamic has neither taken nor 
failed to take any action which would prevent the Contribution from 
being treated as a tax-free contribution under Section 721 of the 
Code, or the Merger from constituting a reorganization within the 
meaning of Section 368(a)(1)(A) of the Code. 

     5.19  Title to and Conditions of Assets.  Dynamic is the sole 
legal and beneficial owners of the personal property used in 
operating its business, including all personal property reflected 
in the Dynamic Financial Statements, and all such personal property 
is owned by Dynamic free and clear of all liens, security 
interests, charges and encumbrances, except as noted in Exhibit 
5.19(a) attached hereto.  Dynamic owns no real property, but is in 
lawful possession of the real estate it leases.  Dynamic is in 
material compliance with respect to all leases of real estate 
entered into for the conduct of its business.  All equipment owned 
or leased Dynamic performs the respective functions they are 
supposed to perform and are in good working order, ordinary wear 
and tear accepted. The inventory of Dynamic is, in aggregate, of a 
quality and quantity customarily used in the ordinary course of 
business.  All Intellectual Property owned or used by Dynamic is 
listed and described in Exhibit 5.19(b) attached hereto.  Dynamic 
is the sole legal and beneficial owner of such Intellectual 
Property.  No proceedings have been instituted or pending or, to 
the knowledge of Dynamic, threatened which challenge the validity 
of the ownership or use by Dynamic of any such Intellectual 
Property. Dynamic has not licensed a third party to use any such 
Intellectual Property, and Dynamic has no knowledge of the unlawful 
use or infringement of any such Intellectual Property by any other 
person.  Dynamic possesses adequate and enforceable licences to use 
all Intellectual Property currently used but not owned by Dynamic. 


     5.20  SEC Information.  Dynamic Stock is reported only on the 
Nasdaq O.T.C. Bulletin Board, the Frankfurt, Munich and Berlin 
Germany Exchanges. Dynamic has provided to ACS2 true and complete 
copies, as filed with the Securities Exchange Commission ("SEC") 
and applicable German authorities, of Dynamic's Annual Report on 
Form 10-K (or other form) for the fiscal year end December 31, 
1997, Quarterly Reports on Form 10-Q (or other form) for the fiscal 
quarters ended March 31, 1998, June 30, 1998, September 30, 1998 
and March 31, 1999, proxy materials for the 1998 and 1999 Annual 
Meeting of Stockholders, all other reports and other documents 
filed with either the SEC, the NASDAQ Stock Market, the Berlin, 
Munich and Frankfurt exchanges and all other German and foreign 
authorities, or distributed to Dynamic Stockholders since December

<PAGE>

                                 20

31, 1997, and all press releases issued since December 31, 1997 
(collectively, the "Dynamic Public Reports"). Each Dynamic Public 
Report is listed on Exhibit 5.20 attached hereto.  Dynamic has 
received an extension for the filing of its most recently due Form 
10-Q and will file such 10-Q in compliance with applicable law.  
Each of the Dynamic Public Reports, at the time it was filed with 
the appropriate authorities or otherwise issued or distributed, was 
prepared, filed and distributed timely and in accordance in all 
material respects with the applicable rules and regulations of such 
authorities and applicable requirements of the Securities Act, the 
Securities Exchange Act of 1934, as amended (the "Exchange Act") 
and other law, foreign or domestic, as the case may be, and did 
not, at the time they were so filed or mailed, contain any untrue 
statement of a material fact or omit to state a material fact 
required to be stated therein or necessary in order to make the 
statements therein, in the light of the circumstances under which 
they were made, not misleading. As of their respective dates, the 
financial statements of Dynamic contained in the Dynamic Public 
Reports (the "Dynamic Financial Statements")  were prepared in 
accordance with, and complied as to form in all material respects 
with, applicable accounting requirements and with the published 
rules and regulations of the applicable authorities with respect 
thereto, were prepared in accordance with generally accepted 
accounting principles applied on a consistent basis during the 
periods indicated except to the extent required by changes in 
generally accepted accounting principles and as may be indicated in 
the notes thereto and fairly presented the consolidated balance 
sheet and the consolidated assets, liabilities and financial 
position of Dynamic as at the dates thereof and the consolidated 
results of operations and cash flows of Dynamic for the periods 
then ended.  All intercompany charges or payments between Dynamic 
and any current or past affiliate are either set forth in the 
Dynamic Financial Statements or noted on Exhibit 5.20 attached 
hereto.

     5.21  Absence of Appraisal Rights.  No stockholders of Dynamic 
will have any rights of appraisal of their shares of Dynamic Stock, 
dissenters' rights or any comparable rights, as a result of the 
transactions contemplated under this Agreement or the Merger 
Agreement.

     5.22  No Omissions or Misstatements.  There is no fact 
material to the aggregate assets, business, stock, liabilities or 
prospects of Dynamic which has not been set forth or described in 
this Agreement or in the Exhibits hereto.  None of the information 
included in this Agreement and Exhibits hereto, or other documents 
furnished or to be furnished by Dynamic contains any untrue 
statement of a material fact or is misleading in any material 
respect or omits to state any material fact necessary in order to 
make any of the statements herein or therein not misleading in 
light of the circumstances in which they were made.  Copies of all 
documents referred to in any Exhibit hereto have been delivered or 
made available to ACS2 and constitute true, correct and complete 
copies thereof and include all amendments, exhibits, schedules, 
appendices, supplements or modifications thereto or waivers 
thereunder.


                   ARTICLE VI. COVENANTS OF PARTIES

<PAGE>

                                 21


     6.1  Preservation of Business and Assets.  From the date 
hereof until the Closing, each party will use its best efforts and 
will do or cause to be done all such acts and things as may be 
necessary to preserve, protect and maintain intact the operation of 
its respective business and assets as a going concern consistent 
with prior practice and not other than in the ordinary course of 
business, including preserving, protecting and maintaining the 
goodwill of the suppliers, employees, clientele, patients and 
others having business relations with such party.  Each party will 
use its best efforts to retain its employees in their current 
positions up to Closing.  Through Closing, no party will acquire or 
sell or agree to acquire or sell, by merging or consolidating with, 
or by purchasing or selling a substantial equity interest in or a 
substantial portion of the assets of, or by any other manner, any 
business or any corporation, partnership, association or other 
business organization or division thereof.  The execution, delivery 
and consummation of this Agreement and the transactions 
contemplated hereunder will not give rise to any obligation of any 
party hereto, or any right of any holder of any security of any 
party hereto to require such party, to purchase, offer to purchase, 
redeem or otherwise prepay or repay any capital stock or other 
security, or deposit any funds to effect the same. All parties will 
use their best efforts to facilitate the consummation of the 
Contribution as contemplated hereunder and the Merger as 
contemplated under the Merger Agreement, including obtaining 
requisite approval of shareholders and other third parties.  
Through Closing, with the exception of any shares of Advanced 
Common Stock issued pursuant to the cancellation agreements 
referenced in Section 1.7 and any shares of Dynamic Common Stock 
issued upon exercise of outstanding Dynamic Warrants, Dynamic 
Options or conversion of the Dynamic Secured Notes, no party will 
issue, deliver or sell, or authorize or propose to issue, deliver 
or sell, any shares of its capital stock of any class, any voting 
securities or any securities convertible into, or any rights, 
warrants or options to acquire, any such shares, voting securities 
or convertible securities.  Through Closing, no party will split, 
combine or reclassify any of its capital stock or issue or 
authorize or propose the issuance of any other securities in 
respect of, in lieu of or in substitution for shares of its capital 
stock, or repurchase, redeem or otherwise acquire any shares of its 
capital stock.  From the date hereof until the Closing, no party 
will pay any  dividend or distribution to its shareholders as such, 
and no party will, other than in the ordinary course of business, 
sell, discard or dispose of any of its assets.

     6.2  Retention of Assets of LLC.  Neither Dynamic nor ACS2 
intends or plan to dispose of, or to cause the LLC to dispose of, 
a significant part of any assets of the LLC, the Dynamic 
Subsidiaries or Advanced, now or hereafter owned or used, within 
five (5) years after Closing of the Merger, other than dispositions 
in the ordinary course of business.

     6.3  Absence of Material Change.  From the date hereof until 
the Closing, no party will make any material change in its business 
or in the utilization of its assets and will not enter into any 
contract or commitment or any other transaction with respect to its 
business or its assets which is contrary to its representations, 
warranties and obligations as set forth in this Agreement.

     6.4  Material Transactions.  Except as contemplated under 
this Agreement or the Merger, prior to the Effective Time of 
Contribution, each of ACS2, Advanced and the other

<PAGE>

                                 22

ACS2 Subsidiaries, on the one hand, and Dynamic, LLC and the Dynamic 
Subsidiaries, on the other hand, will not, without first obtaining 
the written consent of the other:

          (a)  dispose of or encumber any asset or enter into any 
transaction or make any contract commitment relating to the 
properties, assets and business of such entity, other than in the 
ordinary course of business or as otherwise disclosed herein;

          (b)  enter into any employment contract which is not at 
will or terminable upon notice of thirty (30) days or less without 
penalty;

          (c)  enter into any contract or agreement (i) which 
cannot be performed within three (3) months or less, or (ii) which 
involves the expenditure of over $10,000.00;
  
          (d)  except as expressly stipulated in Section 6.1, issue 
or sell, or agree to issue or sell, any shares of capital stock or 
other securities of such entity;

          (e)  make any payment or distribution under any bonus, 
pension, profit-sharing or retirement plan or incur any obligation 
to make any such payment or contribution which is not in accordance 
with such entities usual past practice, or make any payment or 
contributions or incur any obligation pursuant to or in respect of 
any other plan or contract or arrangement of providing for bonuses, 
executive incentive compensation, pensions, deferred compensation, 
retirement payments, profit-sharing or the like, establish or enter 
into any such plan, contract or arrangement, or terminate any plan;

          (f)  extend credit to anyone except in the ordinary 
course of business consistent with prior practice;

          (g)  guarantee the obligation of any person, firm or 
corporation;

          (h)  amend its Operating Agreement, Charter or Bylaws, or 
applicable organizational documents;

          (i)  set aside or pay any cash or stock dividend or any 
other distribution on or in respect of its capital stock or other 
securities or any redemption, retirement or purchase with respect 
to its capital stock or other securities or issue any additional 
shares of its capital stock or other securities; or engage in any 
stock split, recapitalization, reorganization or comparable 
transaction;

          (j)  discharge or satisfy any lien, charge, encumbrance 
or indebtedness outside the ordinary course of business;

          (k)  institute, settle or agree to settle any litigation, 
action or proceeding before any court or governmental body other 
than against or by former officers, directors and related parties;

          (l)  authorize any compensation increase of any kind 
whatsoever for any employee, consultant or other representative; or 

<PAGE>

                                 23

          (m)  engage in any extraordinary transaction. 

     6.5  [Omitted.]

     6.6  Certain Tax Matters.  

          (a)  During the period from the date hereof through the 
Effective Time of Contribution, no party will knowingly or 
negligently take or fail to take any action that would jeopardize 
the treatment of the Contribution as a tax-free contribution or the 
treatment of the Merger as a "reorganization" within the meaning of 
Section 368(a)(1)(A) of the Code (and any comparable provisions of 
applicable state law).  All parties shall report the Merger as a 
reorganization as in Section 368(a) of the Code, and shall not take 
any position inconsistent with this characterization except in the 
event of a contrary final determination of the Internal Revenue 
Service.  If any party receives notice of any contrary position by 
the Internal Revenue Service any party hereto may, at its option 
and sole expense, contest such position, in which event the other 
parties hereto shall cooperate with such contest as reasonably 
requested by the contesting party. 

          (b)  Each party shall provide to any other party, at the 
expense of the requesting party, with such assistance as may 
reasonably be requested by either of them in connection with the 
preparation of any tax return, any audit or other examination by 
any regulatory authority, or any judicial or administrative 
proceedings relating to liability for taxes, and each will retain 
and provide the requesting party with any records or information 
that may be relevant to any of the foregoing.

     6.7  Preserve Accuracy of Representations and Warranties.  
Each party will refrain from taking any action which would render 
any of its representations and warranties contained in this 
Agreement untrue, inaccurate or misleading as of Closing.  Through 
Closing, each party will promptly notify the other parties of any 
lawsuit, claim, audit, investigation, administrative action or 
other proceeding asserted or commenced against  such party that may 
involve or relate in any way to another party to this Agreement. 
Each party will promptly notify the other parties of any facts or 
circumstances that come to its attention and that cause, or through 
the passage of time may cause, any of a party's  representations, 
warranties or covenants to be untrue or misleading at any time from 
the date hereof through Closing.

     6.8  Notice of Subsequent Events.  Each party hereto shall 
notify the other parties in writing of any changes, additions or 
events of which it has knowledge which would cause any material 
change in or material addition to this Agreement or the Merger 
Agreement (including but not limited to the Exhibits attached 
hereto and thereto) promptly after occurrence of the same.  If the 
effect of such change or addition would, individually or in the 
aggregate with the effect of changes or additions previously 
disclosed pursuant to this Section, constitute a material adverse 
effect on the notifying party, the non-notifying party may, within 
(ten) 10 days after receipt of such written notice, elect to 
terminate this Agreement and the Merger Agreement.  If the non-
notifying party does not give written notice of such termination 
with such ten (10)-day period, the non-notifying party shall be

<PAGE>

                                 24

deemed to have consented to such change or addition and shall not 
be entitled to terminate this Agreement by reason thereof.


     6.9  Medicare and Medicaid Reporting.  Through Closing, the 
parties will timely file or cause to be filed all reports and 
claims of every kind, nature or description, required by law or by 
written or oral contract to be filed with respect to the purchase 
of services by third party payors, including, but not limited to, 
Medicare, Medicaid and Blue Cross.

     6.10  Current Return Filing.  Each party will continue to be 
responsible for the preparation and filing of all of such party's 
own tax returns which were due before, on or after the Closing, and 
the payment of all taxes due. 

     6.11  Maintain Books and Accounting Practices.  From the date 
hereof until the Closing, each party will maintain its books of 
account in the usual, regular and ordinary manner on a basis 
consistent with prior years and will make no change in its 
accounting methods or practices.

     6.12  Compliance with Laws and Regulatory Consents.  From the 
date hereof until the Closing, (a) each party will comply with all 
applicable statutes, laws, ordinances and regulations, (b) each 
party will keep, hold and maintain all of its Licenses, (c) each 
party will use its reasonable efforts and will cooperate fully with 
the other parties hereto  to obtain all consents, stockholder and 
other approvals, exemptions and authorizations of third parties, 
whether governmental or private, necessary to consummate the 
Contribution and Merger, and (d) each party will make and cause to 
be made all filings and give and cause to be given all notices 
which may be necessary or desirable on their part under all 
applicable laws and under their respective contracts, agreements 
and commitments in order to consummate the Contribution and Merger.

     6.13  Maintain Insurance Coverage.  From the date hereof 
until the Closing, each party will maintain and cause to be 
maintained in full force and effect all its currently existing 
insurance on such party's assets and the operations of such party's 
business and will provide at Closing written evidence satisfactory 
to each other party that such insurance continues to be in effect 
and that all premiums due have been paid.

     6.14  Closing Deliveries.  At Closing the parties will 
deliver or cause to be delivered the following in form and 
substance reasonably satisfactory to the other parties:

          (a) 	ACS2 will deliver to the LLC stock certificates 
evidencing all Advanced Stock, duly endorsed by ACS2 or with stock 
powers attached; provided, however, that ACS2 will not be deemed in 
breach of this Agreement if it fails to obtain the same from its 
shareholders.

          (b) 	Dynamic will deliver to the LLC stock certificates 
evidencing the outstanding capital stock of the Dynamic 
Subsidiaries duly endorsed by Dynamic or with stock powers 
attached.

<PAGE>

                                 25

          (c) 	Advanced, Dynamic and the LLC will each execute and 
deliver Acceptance and Contribution Contracts, the form of which is 
attached hereto as Exhibit 6.14(c).  The LLC will issue to Dynamic 
and ACS2 Contribution Consideration as contemplated under Section 
1.3.


          (d) 	ACS2 and Dynamic will execute and deliver the 
Operating Agreement regarding their ownership interests in the LLC, 
(in the form attached hereto as Exhibit 6.14(d).)

          (e) 	Advanced will deliver the cancellation agreements 
referenced in Section 1.7; provided, however, that Advanced will 
not be deemed in breach of this Agreement if it fails to obtain the 
same from the individual holders of Advanced Warrants, Advanced 
Options and Advanced SARs.  

          (f) 	Each party will deliver to the other parties a 
certificate of an officer of delivering party, dated as of Closing, 
certifying that (i) each covenant and obligation of such party 
hereunder has been complied with, (ii) each representation, 
warranty and covenant of such party hereunder is true and correct 
at the Closing as if made on and as of the Closing, and (iii) each 
representation, warranty and covenant of such party under the 
Merger Agreement is true and correct at the Closing as if made on 
and as of the Closing.

          (g) 	Each party will deliver an opinion of its legal 
counsel, in form and substance reasonably acceptable to the 
receiving party(ies).

          (h) 	Each party shall deliver such customary certificates 
of its officers and such other customary closing documentation as 
may be reasonably requested by the other parties, including without 
limitation:

               (i)	 Certificates of Existence and/or "Good 
Standing" regarding the delivering party and its subsidiaries, 
certified by the appropriate Secretary of State and dated 
within ten (10) business days of Closing;

               (ii)  Incumbency Certificates certifying the 
identity of the officers of the delivering party and its 
subsidiaries; and

               (iii)  Charters or Operating Agreements, as 
certified by the appropriate Secretary of State within ten (10) 
business days of Closing, and Bylaws, as certified by an 
appropriate officer as of Closing, of the delivering party and its 
subsidiaries.

               (iv)  copies of all resolutions and/or unanimous 
written consent actions adopted by or on behalf of the board of 
directors and, if applicable, the stockholders of each party 
authorizing the transactions contemplated hereunder, certified by 
an officer as of the date of Closing in form reasonably acceptable 
to the receiving party.

<PAGE>

                                 26

                ARTICLE VII.   CONDITIONS TO CLOSING


      7.1  Conditions to Each Party's Obligation to Effect the 
Merger.  The obligation of each party to effect the Contribution 
shall be subject to the fulfillment at or prior to the Closing of 
the following conditions:

          (a) 	No action or proceeding before a court or other 
governmental body by any governmental agency or public authority 
shall have been instituted or threatened to restrain or prohibit 
the transactions contemplated under this Agreement or the Merger 
Agreement or to obtain an amount of damages or other material 
relief in connection with the execution of this Agreement, the 
Merger Agreement or any related agreements or the consummation of 
the Contribution and/or Merger; and no governmental agency shall 
have given notice to any party hereto to the effect that 
consummation of the transactions contemplated under this Agreement 
would constitute a violation of any law or that it intends to 
commence proceedings to restrain consummation of the Contribution 
or Merger.

          (b) 	All consents, authorizations, orders and approvals 
of (or filings or registrations with) any governmental commission, 
board or other regulatory body or any other third party (including 
lenders and lessors) required in connection with the execution, 
delivery and performance of this Agreement shall have been obtained 
or made.

          (c) 	The parties shall have entered into a mutual release 
regarding the Interim Management Agreement dated December 7, 1998.

     7.2  Further Conditions to Obligation of Dynamic and LLC to 
Effect the Contribution.  The obligation of Dynamic and LLC to 
effect the Contribution shall also be subject to the fulfillment at 
or prior to the Closing of the following conditions:

          (a) 	ACS2 and Advanced shall each have performed its 
respective obligations contained in this Agreement, including but 
not limited to the deliveries stipulated in Section 6.14,  required 
to be performed on or prior to the Closing and the representations 
and warranties of ACS2 and Advanced contained in this Agreement and 
in any document delivered in connection herewith shall be true and 
correct as of the Closing.

          (b) 	From the date of this Agreement until the Effective 
Time of Contribution, there shall not have occurred any material 
change in the financial condition, business, operations or 
prospects of Advanced or the other ACS2 Subsidiaries that would 
have or would be reasonably likely to have a material adverse 
effect on the operation of Advanced or the other ACS2 Subsidiaries; 
provided, however, that for purposes of determining whether there 
shall have been any such material changes, any adverse change 
resulting from or relating to general industry or economic 
conditions shall be disregarded.

          (c) 	Dynamic and Kevin D. Lee shall have agreed to enter 
into an Employment Agreement and a Stock Option Agreement upon 
consummation of the Merger, each in the respective form attached 
hereto as Exhibit 7.2(c).

<PAGE>

                                 27

          (d) 	Dynamic and its representatives shall have had 
reasonable access of inspection of the business of ACS2 and the 
ACS2 Subsidiaries in connection with Dynamic's due diligence 
review, and the results of Dynamic's inspection and due diligence 
review shall be acceptable to it.  Further, should any such due 
diligence reveal a matter reasonably related to any representation, 
warranty or covenants herein or any exhibit hereto, Dynamic may 
require appropriate amendment(s) to address such matter.

     7.3  Further Conditions to Obligation of ACS2 to Effect the 
Contribution.  The obligations of ACS2 to effect the Contribution 
shall also be subject to the fulfillment at or prior to the Closing 
of the following conditions:

          (a)  Each of Dynamic and LLC shall have performed its 
respective obligations contained in this Agreement, including but 
not limited to the deliveries stipulated in Section 6.14, required 
to be performed on or prior to the Closing and the representations 
and warranties of Dynamic and the LLC contained in this Agreement 
and in any document delivered in connection herewith shall be true 
and correct as of the Closing.  In addition, the security holders 
of Advanced and its affiliates shall have executed and/or delivered 
the applicable documents noted in Section 6.14.

          (b)  From the date of this Agreement until the Effective 
Time of Contribution, there shall not have occurred any material 
change in the financial condition, business, operations or 
prospects of Dynamic or Dynamic Subsidiaries that would have or 
would be reasonably likely to have a material adverse effect on the 
operations of Dynamic or Dynamic Subsidiaries; provided, however, 
that for purposes of determining whether there shall have been any 
such material changes, any adverse change resulting from or 
relating to general industry or economic conditions shall be 
disregarded.

          (c)  Dynamic and Kevin D. Lee shall have agreed to enter 
into the employment and stock option agreements referenced in 
Section 7.2(c).

          (d)  ACS2, Advanced and their representatives shall have 
had reasonable access of inspection of the business of Dynamic and 
the Dynamic Subsidiaries in connection with ACS2' and Advanced's 
due diligence review, and the results of ACS2' and Advanced's 
inspection and due diligence review shall be acceptable to it.  
Further, should any such due diligence reveal a matter reasonably 
related to any representation, warranty or covenant herein or any 
exhibit hereto, ACS2 and/or Advanced may require appropriate 
amendment(s) to address such matter.

          (e)  Documentation, in form and substance reasonably 
acceptable to ACS2, will have been executed and delivered electing 
the officers and directors of the LLC and the other Dynamic 
Subsidiaries as contemplated under Section 1.6.

<PAGE>

                                 28


     ARTICLE VIII. TERMINATION; AMENDMENT; EXTENSION AND WAIVER

     8.1  Termination by Mutual Consent.  This Agreement may be 
terminated and the Contribution and Merger may be abandoned at any 
time prior to the Effective Time of Contribution, by the mutual 
consent of the Boards of Directors of ACS2 and Dynamic.

     8.2  Termination by Either ACS2 or Dynamic.  This Agreement 
may be terminated and the Contribution and Merger may be abandoned 
by action of the Board of Directors of ACS2 or Dynamic if (a) the 
Contribution shall not have been consummated by March 31, 1999, (b) 
there has been a breach by the other party (or an affiliate of the 
other party) of any representation or warranty contained in this 
Agreement which would have or would be reasonably likely to have a 
material adverse effect on the operations of the other party, or 
(c) there has been a breach of any of the covenants or agreements 
set forth in this Agreement on the part of the other party (or an 
affiliate of the other party), which breach is not curable or, if 
curable, is not cured within thirty (30) days after written notice 
of such breach is given by the terminating party.

     8.3  Effect of Termination and Abandonment.  Upon 
termination of this Agreement pursuant to Section 8.1 or 8.2, this 
Agreement and the Merger Agreement, along with all agreements and 
documents (including opinion of counsel) related thereto, shall be 
void and of no force or effect, and there shall be no liability by 
reason of this Agreement or the Merger Agreement, or the 
termination thereof, on the part of any party hereto, or on the 
part of the respective directors, officers, employees, agents, 
representatives or shareholders of any of them; provided that this 
Section 8.3 will not relieve any party from liability for damages 
incurred as a result of any willful breach by such party of any of 
its representations, warranties, covenants or agreements set forth 
in this Agreement.

     8.4  Failure to Consummate Merger.  If the Merger is not 
consummated as contemplated under the Merger Agreement, either 
party may cause a liquidation and dissolution of the LLC to occur 
pursuant to the terms of Article XII of the Operating Agreement of 
the LLC and Section 8.5(2) of the Merger Agreement, the effect of 
which will be to reverse the transactions consummated pursuant to 
the terms of this Agreement.  In such event, there shall be no 
liability by reason of this Agreement, the Merger Agreement  or the 
termination hereof or thereof, on the part of any party hereto, or 
on the part of the respective directors, officers, employees or 
shareholders of any of them, except as stipulated in said Section 
8.5(b) of the Merger Agreement.	

     8.5  Extension; Waiver.  At any time prior to the Closing, 
any party hereto, by action taken by its Board of Directors 
evidenced in writing, may, to the extent legally allowed, (a) 
extend the time for the performance of any of the obligations or 
other acts of the other parties hereto, (b) waive any inaccuracies 
in the representations and warranties made to such party contained 
herein or in any document delivered pursuant hereto, and (c) waive 
compliance with any of the agreements or conditions for the benefit 
of such party contained herein.  Any agreement on the part of a 
party hereto to a waiver shall be valid only if set forth in an 
instrument in writing signed on behalf of such party.

<PAGE>

                                 29

     ARTICLE IX. SURVIVAL OF PROVISIONS AND INDEMNIFICATION

     9.1  Survival.  The covenants, obligations, representations 
and warranties of ACS2 and Advanced, Dynamic and the LLC contained 
in this Agreement, or in any certificate or document delivered 
pursuant to this Agreement, will be deemed to be material and to 
have been relied upon by the parties hereto notwithstanding any 
investigation prior to the Closing, will survive the Closing, will 
not be merged into any documents delivered in connection with the 
Closing and will terminate two (2) years after Closing; provided 
however, that if a notice claiming indemnity is properly delivered 
pursuant to Section 9.4, the indemnification obligations will not 
expire with respect to such claim(s) until the same are resolved as 
contemplated hereunder.

     9.2  Indemnification by Dynamic.  Subject to the provisions 
of Section 8.3 and Section 9.5, Dynamic and the LLC shall jointly 
and severally indemnify, defend and hold ACS2, Advanced and the 
other ACS2 Subsidiaries, their officers, directors, employees and 
representatives, and the ACS2 stockholders harmless against any and 
all losses, costs and expenses (including reasonable cost of 
investigation, court costs and legal fees actually incurred) and 
other damages resulting from (a) any breach by Dynamic or LLC of 
any of its covenants, obligations, representations or warranties or 
breach or untruth of any representation, warranty, fact or 
conclusion pertaining to Dynamic, the LLC and/or the Dynamic 
Subsidiaries contained in this Agreement, the Merger Agreement or 
any certificate or document of Dynamic or LLC delivered pursuant to 
this Agreement, and (b) any claim that is brought or asserted by 
any third party(ies) arising out of the ownership, licensing, 
operation or conduct of Dynamic, LLC and the Dynamic Subsidiaries 
through the Closing.

      9.3  Indemnification by ACS2.  Subject to the provisions of 
Section 8.3 and Section 9.5, ACS2 shall indemnify, defend and hold 
Dynamic, the Dynamic Subsidiaries, their officers, directors, 
employees and representatives, and the Dynamic stockholders 
harmless against any and all losses, costs and expenses (including 
reasonable cost of investigation, court costs and legal fees 
actually incurred) and other damages resulting from (a) any breach 
by ACS2 of any of its covenants, obligations, representations or 
warranties or breach or untruth of any representation, warranty, 
fact or conclusion pertaining to ACS2 contained in this Agreement, 
the Merger Agreement or any certificate or document of ACS2 
delivered pursuant to this Agreement, and (b) any claim that is 
brought or asserted by any third party(ies) arising out of the 
ownership, licensing, operation or conduct of ACS2 and the ACS2 
Subsidiaries through the Closing.

     9.4  Indemnification by Advanced.  Subject to the provisions 
of Section 8.3 and Section 9.5, Advanced shall indemnify, defend 
and hold Dynamic, the Dynamic Subsidiaries, their officers, 
directors, employees and representatives, and the Dynamic 
stockholders harmless against any and all losses, costs and 
expenses (including reasonable costs of investigation, court costs 
and legal fees actually incurred) and other damages resulting from 
(a) any breach by Advanced of any of its covenants, obligations, 
representations or warrants or breach or untruth of any 
representation, warranty, affect or conclusion pertaining to 
Advanced and/or the ACS2 Subsidiaries contained in this Agreement, 
the Merger Agreement or any certificate or document of Advanced 
delivered

<PAGE>

                                 30

pursuant to this Agreement, and (b) any claim that is 
brought or asserted by any third party(ies) arising out of the 
ownership, licensing, operation or conduct of Advanced and the 
other ACS2 Subsidiaries through the Closing.

     9.5  Rules Regarding Indemnification.  The obligations and 
liabilities of each party hereto (the "indemnifying party") which 
may be subject to indemnification liability hereunder to the other 
party(ies) (the "indemnified party") will be subject to the 
following terms and conditions:

          (1)  Claims by Non-Parties.  The indemnified party will 
give written notice to the indemnifying party, within such time as 
not to prejudice unduly the indemnifying party's ability to defend 
against the underlying claim, of any written claim by a third party 
which is likely to give rise to a claim by the indemnified party 
against the indemnifying party based on the indemnity agreements 
contained in this Article, stating with reasonable specificity the 
nature of said claim and the amount thereof, to the extent known. 
The indemnified party will give notice to the indemnifying party 
that pursuant to the indemnity, the indemnified party is asserting 
against the indemnifying party a claim with respect to a potential 
loss from the third party claim, and such notice will constitute 
the assertion of a claim for indemnity by the indemnified party. 
If, within ten (10) days after receiving such notice, the 
indemnifying party advises the indemnified party that it will 
provide indemnification and assume the defense at its expense, then 
so long as such defense is being conducted, the indemnified party 
will not settle or admit liability with respect to the claim 
without the consent of the indemnifying party and will afford to 
the indemnifying party and defending counsel reasonable assistance 
in defending against the claim.  If the indemnifying party assumes 
the defense, counsel reasonably acceptable to the indemnified party 
will be selected by such party and if the indemnified party then 
retains its own counsel, it will do so at its own expense.  If the 
indemnified party does not receive a written objection to the 
notice from the indemnifying party within ten (10) days after the 
indemnifying party's receipt of such notice, the claim for 
indemnity will be conclusively presumed to have been assented to 
and approved, and in such case the indemnified party may control 
the defense of the matter or case and, at its sole discretion, 
settle or admit liability.  If within the aforesaid ten (10) day 
period the indemnified party will have received written objection 
to a claim (which written objection will briefly describe the basis 
of the objection to the claim or the amount thereof, all in good 
faith), then for a period of thirty (30) days after receipt of such 
objection the parties will attempt to settle the dispute as between 
the indemnified party and indemnifying parties.  If they are unable 
to settle the dispute, the unresolved issue or issues will be 
settled by a court of competent jurisdiction located in Nashville, 
Tennessee.  During the pendency of any such dispute, the 
indemnified party may control all aspects of the defense of the 
matter or case.

          (2)  Claims by a Party.  The determination of a claim 
asserted by a party hereunder (other than as set forth in 
subsection (1) above) pursuant to this Article will be made as 
follows: the indemnified party will give written notice to the 
indemnifying party, within such time as not to prejudice unduly the 
indemnifying party's ability to defend against the underlying 
claim, of any claim by the indemnified party which has not been 
made pursuant to subsection (1) above, stating with reasonable 
specificity the nature of such claim and the amount thereof, to the 
extent known.  The claim will be deemed to have

<PAGE>

                                 31

resulted in a determination in favor of the indemnified party and
to have resulted in a liability of the indemnifying party in an amount 
equal to the amount of such claim estimated pursuant to this clause 
(2) if within thirty (30) days after the indemnifying party's 
receipt of the claim the indemnified party will not have received 
written objection to the claim.  In such event, the claim will be 
conclusively presumed to have been assented to and approved.  If 
within the aforesaid thirty (30)-day period the indemnified party 
will have received written objection to a claim (which written 
objection will briefly describe the basis of the objection to the 
claim or the amount thereof, all in good faith), then for a period 
of sixty (60) days after receipt of such objection the parties will 
attempt to settle the disputed claim as between the indemnified and 
indemnifying parties.  If they are unable to settle the dispute, 
the unresolved issue or issues will be settled by a court of 
competent jurisdiction located  in Nashville, Tennessee.

     9.6  Exclusive Remedy.  The indemnification obligations under 
this Article IX are the sole and exclusive remedies available to 
ACS2, Advanced, Dynamic and the LLC with respect to this Agreement 
and the transactions contemplated hereunder.  The parties hereto 
expressly acknowledge and agree that they may make no claim nor 
institute any action against any security holder of ACS2 with 
respect to this Agreement, any related agreement or the 
transactions contemplated hereunder and thereunder.


                    ARTICLE X. MISCELLANEOUS

     10.1  Expenses.  Except as otherwise provided in this 
Agreement, each party will pay all of its expenses in connection 
with the negotiation, execution, and implementation of the 
transactions contemplated under this Agreement.

     10.2  Notices.  All notices, requests, demands, waivers and 
other communications required or permitted to be given under this 
Agreement will be in writing and will be deemed to have been duly 
given: (a) if delivered personally or sent by facsimile, on the 
date received, (b) if delivered by overnight courier, on the day 
after mailing, and (c) if mailed, five (5) days after mailing with 
postage prepaid. Any such notice will be sent as follows:

          To ACS2 or Advanced:

          Advanced Clinical Systems, Inc.
          49 Music City West, Suite 502
          Nashville, TN 37203-3272
          Attn: Kevin D. Lee

<PAGE>

                                 32

          with a courtesy copy to:

          Lauren Anderson
          Harwell Howard Hyne Gabbert & Manner, P.C.
          1800 First American Center
          315 Deaderick Street
          Nashville, Tennessee  37238

          To Dynamic and LLC:

          Dynamic Associates, Inc.
          Suite B-169
          7373 N. Scottsdale
          Scottsdale, Arizona 85253

          with courtesy copies to:
          
          Michael H. Taylor                 Michael A. Cane
          O'Neill & Company                 Cane & Company
          Suite 1880, Royal Centre          Suite 1200
          1055 West Georgia Street,         101 Convention Center Dr
          Box 11122                         Las Vegas, Nevada 
          Vancouver, British Columbia       89109
          V6E 3P3                            

     10.3  Confidentiality; Prohibition on Trading.  All parties 
agree to maintain the confidentiality of the existence of this 
Agreement and the Merger Agreement and the transactions 
contemplated hereunder and thereunder, unless disclosure is 
required by law and except for disclosures to be made in connection 
with obtaining shareholder approval and other third party consents, 
and actions required to consummate the contemplated transactions. 
 ACS2, Advanced and the other ACS2 Subsidiaries agree not to trade 
in the securities of Dynamic based upon any nonpublic information.

     10.4  Controlling Law.  This Agreement will be construed, 
interpreted and enforced in accordance with the substantive laws of 
the State of Delaware, without giving effect to its conflicts of 
laws provisions.

     10.5  Headings.  Any table of contents and Section headings in 
this Agreement are for convenience of reference only and will not 
be considered or referred to in resolving questions of 
interpretation.

     10.6  Benefit.  This Agreement will be binding upon and will 
inure to the benefit of the parties hereto and their successors and 
assigns; however, no party may assign any rights or delegate any 
duties hereunder without the prior written consent of the other 
parties hereto.  Any prohibited assignment or delegation will be 
deemed null and void.


     10.7  Partial Invalidity.  The invalidity or unenforceability 
of any particular provision of this Agreement will not affect the 
other provisions hereof, and this Agreement will be

<PAGE>

                                 33

construed in all respects as if such invalid or unenforceable
provisions were omitted. Further, there will be automatically 
substituted for such invalid or unenforceable provision a
provision as similar as possible which is valid and enforceable.

     10.8  Counterparts and Facsimiles.  This Agreement may be 
executed simultaneously in two (2) or more counterparts each of 
which will be deemed an original and all of which together will 
constitute but one and the same instrument.  The signature page to 
this Agreement and all other documents required to be executed at 
Closing may be delivered by facsimile and the signatures thereon 
will be deemed effective upon receipt by the intended receiving 
party.

     10.9  Interpretation.  All pronouns and any variation thereof 
will be deemed to refer to the masculine, feminine, neuter, 
singular or plural as the identity of the person or entity, or the 
context, may require. Further, it is acknowledged by the parties 
that this Agreement has undergone several drafts with the 
negotiated suggestions of both; and, therefore, no presumptions 
will arise favoring either party by virtue of the authorship of any 
of its provisions or the changes made through revisions.

     10.10  Entire Agreement, Waivers.  This Agreement, including 
the Exhibits and Attachments hereto, constitutes the entire 
Agreement between the parties hereto with regard to the matters 
contained herein and it is understood and agreed that all previous 
undertakings, negotiations, letter of intent and agreements between 
the parties, other than the Merger Agreement and documents related 
thereto, are merged herein. This Agreement may not be modified 
orally, but only by an agreement in writing signed by the parties 
hereto.  The failure of any party to this agreement, or the failure 
of any stockholder of ACS2,  to assert any of its rights under this 
Agreement or otherwise will not constitute a waiver of such rights. 
Neither the failure nor any delay on the part of any party hereto 
in exercising any rights, power or remedy hereunder will operate as 
a waiver thereof, or of any other right, power or remedy; nor will 
any single or partial exercise of any right, power or remedy 
preclude any further or other exercise thereof, or the exercise of 
any other right, power or remedy. 

     10.11  Legal Fees and Costs.  In the event any party hereto 
incurs legal expenses to enforce or interpret any provision of this 
Agreement, the prevailing party will be entitled to recover such 
legal expenses, including, without limitation, attorney's fees, 
costs and disbursements, in addition to any other relief to which 
such party will be entitled.

<PAGE>

                                 34

     IN WITNESS WHEREOF, the parties hereto have executed this 
Capital Contribution Agreement as of the date first above written.

"ACS2":

ACS2, INC.

By: /s/ Kevin D. Lee		
Title: President
	


"ADVANCED":

ADVANCED CLINICAL SYSTEMS, INC.

By: /s/ Kevin D. Lee		
Title: President


"DYNAMIC":

DYNAMIC ASSOCIATES, INC.

By: /s/ Jan Wallace		
Title: President, CEO


"LLC"

ADVANCED-DYNAMIC, LLC

By: Kevin D. Lee		
Title: Chief Manager

 


                                  EXHIBIT 2

                         AGREEMENT AND PLAN OF MERGER



                                    among



                           DYNAMIC ASSOCIATES, INC.

                                  "Dynamic"



                        DYNAMIC ACQUISITION CORPORATION
	
                                    "DAC"




                                  ACS2, INC.

                                   "ACS2"



                                    and


                        ADVANCED CLINICAL SYSTEMS, INC.

                                "Advanced"
<PAGE>

                                     2

                        AGREEMENT AND PLAN OF MERGER


THIS AGREEMENT AND PLAN OF MERGER (the "Agreement") is entered 
into as of March 30, 1999, by and among DYNAMIC ASSOCIATES, INC., a 
Nevada corporation ("Dynamic"), DYNAMIC ACQUISITION CORPORATION, a 
Nevada corporation ("DAC"), ACS2, INC., a Delaware corporation 
("ACS2") and ADVANCED CLINICAL SYSTEMS, INC., a Delaware 
corporation ("Advanced").

                              R E C I T A L S:

WHEREAS, the parties believe that a business combination 
between ACS2 and the DAC is in the best interest of the parties to 
this Agreement and their respective stockholders; and

WHEREAS, the parties hereto have entered into that certain 
Capital Contribution Agreement of even date herewith (the 
"Contribution Agreement") pursuant to which ACS2 and Dynamic 
contributed on a tax-free basis under Section 721 of the Internal 
Revenue Code of 1986, as amended (the "Code"), their respective 
subsidiaries to Advanced-Dynamic, LLC (the "Contribution"); and

WHEREAS, the respective Boards of Directors and shareholders 
of the parties have approved, or will meet to consider and approve, 
the merger of ACS2 with and into DAC, upon the terms and conditions 
set forth in this Agreement and Plan of Merger and in accordance 
with the Delaware General Corporation Law and Chapter 78 "Private 
Corporations" and Chapter 92A "Mergers and Exchanges of Interest" 
of the Nevada Revised Statutes; and

WHEREAS, each party hereto wishes to adopt this Agreement and 
Plan of Merger, together with the forms of Certificates of Merger 
attached hereto as Exhibit A (the "Certificates of Merger") as a 
"plan of reorganization" within the meaning of Section 368(a) of 
the Code, and to cause the Merger to qualify as a reorganization 
under the provision of Section 368(a)(1)(A) of the Code, whereby 
each share of capital stock of ACS2 (the "ACS2 Common Stock") will 
be canceled and whereby DAC will be the surviving entity of a 
merger with ACS2.

NOW, THEREFORE, in consideration of the premises and mutual 
covenants contained in this Agreement and other good and valuable 
consideration, the receipt and sufficiency of which are hereby 
acknowledged, the parties, intending to be legally bound hereby, 
agree as follows:


     ARTICLE I.  THE MERGER

1.1  The Merger.  At the Effective Time (as defined in Section 
1.3 hereof) and subject to and upon the terms and conditions of 
this Agreement, ACS2 will be merged with and into DAC (the 
"Merger").  Following the Merger, DAC will continue as the 
surviving

<PAGE>

                               3

entity under the name "Dynamic Acquisition Corporation" 
and the separate corporate existence of ACS2 will cease. (DAC and 
ACS2 are sometimes referred to collectively herein as the 
"Constituent Companies").

1.2  Effects of the Merger.  At the Effective Time, DAC will 
be a wholly owned subsidiary of Dynamic.  At the Effective Time, 
DAC will, without any other action, possess all the rights, 
privileges, powers and franchises, of a public as well as of a 
private nature, and be subject to all the restrictions, 
disabilities and duties of each of the Constituent Companies; and 
all rights, privileges, powers and franchises of each of the 
Constituent Companies, and all property, real, personal and mixed, 
and all debts due to either of the Constituent Companies on 
whatever account, will be vested in DAC; and all property, rights, 
privileges, powers and franchises, and all and every other interest 
will be thereafter as effectually the property of DAC as they were 
of the Constituent Companies, and the title to any real estate 
vested by deed or otherwise in the Constituent Companies will not 
revert or be in any way impaired by reason of the Merger; but all 
rights of creditors and all liens upon any property of either of 
the Constituent Companies will be preserved unimpaired, and all 
debts, liabilities and duties of either of the Constituent
Companies will thenceforth attach to DAC, and may be enforced 
against it to the same extent as if said debts, liabilities and 
duties had been incurred or contracted by it.  

1.3  Closing; Effective Time and Transaction Effective Date. 
The closing of the Merger (the "Closing") will take place on a 
date to be specified by the parties, but in no event more than ten 
(10) business days following approval of the Merger by the 
shareholders of Dynamic (the "Closing Date"), subject to 
satisfaction or waiver of the conditions set forth in this 
Agreement, at the offices of Harwell Howard Hyne Gabbert & Manner, 
P.C., Nashville, Tennessee.  The Merger will become effective at 
the time of the filing of the Certificates of Merger with the 
offices of the Secretaries of State of the States of Delaware and 
Nevada in accordance with the provisions of applicable law, which 
Certificates of Merger will be so filed as soon as practicable 
after the Closing. The date and time when the Merger will become 
effective shall be at such time as the Certificates of Merger are 
duly filed with the Delaware and Nevada Secretaries of State or 
such later date as mutually agreeable to the Constituent Companies 
and specified in the Certificates of Merger (the "Effective Time"). 
 
1.4  Certificate of Incorporation.  The Articles of 
Organization and Bylaws of DAC in effect immediately prior to the 
Effective Time will remain the Articles of Organization and Bylaws 
of DAC until amended in accordance with the provisions of the 
applicable corporate law.

1.5  Directors and Officers.  The officers and directors of 
DAC immediately prior to the Effective Time will, after the 
Effective Time, continue to be the officers and directors of DAC 
without change, until their successors have been duly elected and 
qualified in accordance with the Articles of Incorporation and 
Bylaws of DAC.

<PAGE>

                               4

     ARTICLE II.  STATUS AND CONVERSION OF SECURITIES; 
                        MERGER CONSIDERATION

2.1  Conversion of Securities.  At the Effective Time, each 
share of ACS2 Common Stock issued and outstanding immediately prior 
to the Effective Time will, by virtue of the Merger and without any 
action on the part of the holders thereof, automatically be 
canceled, retired and extinguished, and each outstanding share of 
ACS2 Common Stock will be converted into the right to receive an 
aliquot portion of the Merger Consideration (as defined in Section 
2.2 hereof) as described below.

2.2  Merger Consideration.

(a)  As of the Effective Time, each issued and outstanding 
share of ACS2 Common Stock held by the Stockholders of ACS2 
(collectively, the "Original ACS2  Stockholders"), comprising all 
of the issued and outstanding shares of ACS2 Common Stock as of the 
Effective Time, will be converted into a right to receive a pro-
rata portion of the "Merger Consideration", which is defined as 22, 
473, 413 shares of the Common Stock of Dynamic plus a number of 
shares of Dynamic Common Stock equal to 55% of the number of shares 
of Dynamic Common Stock held by or issuable to Genesis (defined 
below) pursuant to Section 2.2(b).  Each Original ACS2  Stockholder 
will be entitled to receive a percentage of the Merger 
Consideration equal to the number of shares of ACS2 Common Stock 
owned by such holder prior to Closing of the Merger divided by the 
total number of shares of ACS2 Common Stock issued and outstanding 
at such Closing.  Since as of the Effective Time all shares of the 
ACS2 Common Stock will no longer be outstanding, will automatically 
be cancelled and retired, and will cease to exist, each holder of 
shares of ACS2 Common Stock will cease to have any rights with 
respect thereto, except the right to receive the Merger 
Consideration and any cash in lieu of fractional shares of Dynamic 
Common Stock to be issued or paid in consideration therefor upon 
surrender of such certificate in accordance with Section 2.3.  The 
parties intend and agree that upon Closing, the Merger 
Consideration due to the Original ACS2  Stockholders will 
constitute, in the aggregate, a number of shares of Dynamic Common 
Stock equal to fifty-five percent (55%) of the total Dynamic Common 
Stock issued and outstanding immediately after the Effective Time 
plus 55% of any Dynamic Stock issued to Genesis or to which Genesis 
may be entitled pursuant to Section 2.2(b).

(b)  Dynamic is a party to that certain May 19, 1998 letter 
agreement with Genesis Merchant Group Securities LLC ("GMGS") 
pursuant to which Dynamic may owe GMGS a fee upon consummation of 
the transactions contemplated by the Contribution Agreement and 
this Agreement.  Dynamic has issued a Warrant for the Purchase of 
Shares of Common Stock to GMGS covering 250,000 shares of Dynamic 
Common Stock and subject to adjustment (the "Genesis Warrant").  
Dynamic is party to that certain July 13, 1998 letter agreement 
with JWGenesis Capital Markets ("JWG") pursuant to which Dynamic 
may owe JWG a fee upon consummation of the transactions 
contemplated by the Contribution Agreement and this Agreement.  
GMGS, JWG and their affiliates are collectively referred to in this 
Agreement as "Genesis".  Dynamic shall, in consultation with ACS2, 
attempt to settle its obligations to Genesis prior to Closing on 
terms and conditions acceptable to Dynamic and ACS2.  The parties 
anticipate that such settlement will include the payment

<PAGE>

                               5

of a fee to Genesis and the cancellation of the Genesis Warrant and
any other obligation to issue securities of Dynamic to Genesis. Any 
fee payable to Genesis shall be payable by Dynamic and shall not 
affect the Merger Consideration.  In the event the Genesis Warrant 
is not canceled or Genesis is or becomes entitled to any Dynamic 
Common Stock, the Merger Consideration shall be increased by that 
number of shares of Dynamic Common Stock equal to 55% of the number 
of shares of Dynamic Common Stock to which Genesis is or becomes 
entitled.

2.3  Delivery of Merger Consideration.  Dynamic shall deliver 
the Merger Consideration to each holder of ACS2 Common Stock within 
five (5) business days of Closing or within five (5) business days 
after surrender of certificates (the "Certificates") representing 
all shares of ACS2 Common Stock owned by such individual, whichever 
is later.  By accepting delivery of the Merger Consideration, each 
such holder will be deemed to have represented to Dynamic that such 
stockholder has no present intention of selling or otherwise 
disposing of any of its interest in the Dynamic Common Stock 
received as part of the Merger Consideration, except as 
contemplated under that certain Registration Rights Agreement 
referenced in Section 2.8.

(1)  Certificates.  The Certificates shall forthwith be 
canceled upon surrender.  Until surrendered as contemplated by this 
Section 2.3, each such Certificate shall be deemed at any time 
after the Effective Time to represent only the right to receive 
upon such surrender that pro rata portion of the Merger 
Consideration applicable thereto.  No interest will be paid or will 
accrue on any portion of the Merger Consideration.  In the event 
any such Certificate is not duly surrendered within six (6) months 
of Closing, the holder thereof will automatically forfeit all 
rights therein, including the right to receive any Merger 
Consideration, and any obligation of Dynamic or either Constituent 
Company with respect to such Certificate will be rendered null and 
void.

(2)  No Further Ownership Rights in ACS2 Common Stock. 
All shares of Dynamic Common Stock issued upon the surrender for 
exchange of the Certificates in accordance with the terms of this 
Article II shall be deemed to have been issued (and paid) in full 
satisfaction of all rights pertaining to ACS2 Common Stock 
theretofore represented by such Certificates, and there shall be no 
further registration or transfer of the shares of ACS2 Common Stock 
after the Effective Time. 

(3)  No Fractional Shares. No certificates or scrip 
representing fractional shares of Dynamic Common Stock shall be 
issued upon the surrender of certificates of ACS2 Common Stock for 
exchange, and such fractional share interests will not entitle the 
owner thereof to vote or to any rights as a stockholder of Dynamic. 
Notwithstanding any other provision of this Agreement, each holder 
of ACS2 Common Stock exchanged pursuant to the Merger who would 
otherwise have been entitled to receive a fraction of a share of 
Dynamic Common Stock (after taking into account all Certificates 
delivered by such holder) will promptly receive, in lieu thereof, 
cash (without interest) in an amount equal to such fractional part 
of a share of Dynamic Common Stock multiplied by the per share 
closing price of such Dynamic Common Stock as reported on the 
Nasdaq Over-The-Counter Bulletin Board on the date of the Effective 
Time.

<PAGE>

                               6

(4)  Lost Certificates.  In the event any Certificates 
have been lost, stolen or destroyed, upon the making of an 
affidavit of that fact, in form and substance reasonably 
satisfactory to Dynamic, by the person claiming such certificate to 
be lost, stolen or destroyed, Dynamic will issue in exchange for 
such lost, stolen or destroyed Certificate the shares of Dynamic 
Common Stock and cash in lieu of fractional shares, deliverable in 
respect thereof pursuant to this Agreement.

2.4  Escrow.  Notwithstanding anything to the contrary 
contained in this Article II,  4,086,073 shares of Dynamic Common 
Stock (the "Escrow Stock") will not be distributed to the Original 
ACS2  Stockholders, but will, instead, be placed in escrow subject 
to the terms of that certain escrow agreement to be entered into at 
Closing among Dynamic, the Original ACS2 Stockholders, ACS2 and, as 
escrow agent, Harwell Howard Hyne Gabbert & Manner, P.C., the form 
of which is attached hereto as Exhibit 2.4 (the "Escrow 
Agreement").

2.5  [Omitted]

2.6  Cancellation of Treasury Shares.  Any authorized but 
unissued shares of ACS2 Common Stock as of the Effective Time shall 
automatically be canceled and retired and shall cease to exist, and 
no Dynamic Common Stock, cash or other consideration will be 
delivered in exchange therefor.

2.7  Securities Exemptions.  Dynamic hereby represents, 
warrants and covenants that all the shares of Dynamic Common Stock 
comprising the Merger Consideration (including but not limited to 
the Escrow Stock) will be issued pursuant to an exemption from 
registration provided by Section 4(2) of the Securities Act of 
1933, as amended (the "Securities Act").  Each share certificate 
representing the Dynamic Common Stock so issued will be endorsed 
with a legend stating that the shares have been issued pursuant to 
an exemption from registration provided by the Securities Act and 
may not be sold without an exemption from registration or an 
effective registration statement.

2.8  Registration Rights. One-half (1/2) of the shares of 
Dynamic Common Stock comprising the Merger Consideration will be 
subject to a Registration Rights Agreement in favor of the Original 
ACS2  Stockholders, the form of which is attached hereto as Exhibit 
2.8.

     ARTICLE III.  REPRESENTATIONS AND WARRANTIES OF ADVANCED

As an inducement to the other parties hereto to enter into 
this Agreement and to consummate the Merger, Advanced represents 
and warrants to each such party, which representations will be true 
and correct at Closing, as follows.  Any representation, warranty 
or covenant of or relating to Advanced is hereby deemed to also be 
a representation, warranty or covenant of or relating to any and 
all of the Advanced Subsidiaries (as defined in Section 3.1), as 
applicable, but not of ACS2.  

<PAGE>

                               7

3.1  Organization, Qualification and Authority.  Advanced 
is a corporation duly organized, validly existing and in good 
standing in the State of Delaware, and is not required to be 
qualified to do business as a foreign corporation in any other 
jurisdiction.  Advanced does not own stock or equity interests in 
and does not control, directly or indirectly, any corporation, 
partnership, joint venture, association or business organization 
other than those entities listed on Exhibit 3.1 (collectively, the 
"Advanced Subsidiaries").  Except as set forth on Exhibit 3.1, all 
outstanding shares of capital stock of the entities listed on 
Exhibit 3.1 are owned by Advanced, free and clear of all liens, 
charges, encumbrances, claims and options of any nature.  Each 
Advanced Subsidiary is a corporation duly organized, validly 
existing, in good standing and duly qualified as a foreign 
corporation in the respective jurisdictions set forth in Exhibit 
3.1 attached hereto.  Since the date of its organization and 
incorporation, Advanced has consistently observed and operated 
within the corporate formalities of the jurisdiction in which it is 
incorporated and/or conducts its business, and has consistently 
observed and complied with the general corporation law of such 
jurisdiction.  Advanced has the full corporate power and authority 
to own, lease and operate its properties and assets as presently 
owned, leased and operated and to carry on its business as it is 
now being conducted.  Subject to obtaining certain third party 
consents, Advanced has the full right, power and authority to 
execute, deliver and carry out the terms of this Agreement and all 
documents and agreements necessary to give effect to the provisions 
of this Agreement.  Subject to obtaining certain third party 
consents, the execution, delivery and consummation of this 
Agreement and all other agreements and documents executed in 
connection herewith by Advanced have been duly authorized by all 
necessary corporate action on the part of Advanced and no other 
action on the part of Advanced or any other person or entity is 
necessary to authorize the execution, delivery and consummation of 
this Agreement and all other documents and agreements executed in 
connection herewith.  This Agreement and all other agreements and 
documents executed in connection herewith by Advanced, upon due 
execution and delivery thereof, will constitute the valid and 
binding obligations of Advanced, enforceable in accordance with 
their respective terms, except as enforcement may be limited by 
bankruptcy, insolvency, reorganization or similar laws affecting 
creditors' rights generally and by general principles of equity.

3.2  Capitalization and Stock Ownership

(1)  Common Stock.  The authorized capital stock of 
Advanced consists of ten million (10,000,000) shares, $0.01 par 
value, of common stock.  Assuming each former Advanced Stockholder 
converts their shares into ACS2 Common Stock and assuming each 
holder of an Advanced Option, Warrant or SAR converts such interest 
as contemplated by the Contribution Agreement, ACS2 will hold 
1,625,000 shares of Advanced Stock which based on such assumptions, 
constitutes all issued and outstanding securities of Advanced, and 
is duly authorized, validly issued, fully paid and nonassessable. 
The Advanced Stock is not subject to preemptive or comparable 
rights.  The Advanced Stock has been issued in accordance with all 
applicable federal and state securities laws.

(2)  Related Agreements. There are no voting trusts, 
voting agreements, shareholders' agreements or other comparable 
commitments or understandings to which

<PAGE>

                               8

Advanced is a party or by which Advanced is bound with respect to
the voting of any Advanced Stock or capital stock of any other
ACS2 Subsidiary. 

3.3  Absence of Default.  Except as set forth on Exhibit 
3.3, the execution, delivery and consummation of this Agreement, 
and all other agreements and documents executed in connection 
herewith, by Advanced will not constitute a violation of, be in 
conflict with, or, with or without the giving of notice or the 
passage of time, or both, result in a breach of, constitute a 
default under, or create (or cause the acceleration of the maturity 
of) any debt, indenture, obligation or liability or result in the 
creation or imposition of any security interest, lien, charge or 
other encumbrance upon any of the assets of Advanced under:  (a) 
any term or provision of the Certificate of Incorporation or Bylaws 
of Advanced; (b) any material contract, lease, purchase order, 
agreement, document or other commitment, oral or written, to which 
Advanced is a party or by which Advanced is bound (collectively, 
the "Advanced Contracts") (for purposes of categorizing contracts, 
"material" being defined to exclude any contract, lease purchase 
order, agreement, document or commitment which both (y) in terms of 
payments, costs, services or other measure does not exceed 
$10,000.00 in the aggregate, and (z) is terminable without penalty 
upon ninety (90) days' written notice or less); (c) any judgment, 
decree, order, writ, injunction or rule of any court or regulatory 
authority; or (d)  to the knowledge of Advanced, any law, statute, 
rule or regulation to which Advanced is subject. 

3.4  Other Representations.  Except as modified by 
consummation of the transactions contemplated under the 
Contribution Agreement, those representations and warranties 
contained in paragraphs 3.4 through 3.21 of the Contribution 
Agreement, along with the corresponding exhibits thereto, are 
incorporated herein by reference and deemed to be made again herein 
by Advanced as if restated herein in their entirety.


     ARTICLE IV.  REPRESENTATIONS AND WARRANTIES OF ACS2

As an inducement to the other parties hereto to enter into 
this Agreement and to consummate the Merger, ACS2 hereby represents 
and warrants to each such party, which representations and 
warranties will be true and correct at Closing, as follows:

4.1  Organization and Authority.  ACS2 is a corporation duly 
organized, validly existing and in good standing in the State of 
Delaware, and is not required to be duly qualified to do business 
as foreign corporation in any other jurisdiction.  Since the date 
of its organization and incorporation, ACS2 has consistently 
observed and operated within the corporate formalities of the 
jurisdiction in which it is incorporated, and has consistently 
observed and complied with the general corporation law of such 
jurisdiction.  Subject to obtaining certain third party consents, 
ACS2 has the full right, power and authority to execute, deliver 
and carry out the terms of this Agreement and all documents and 
agreements necessary to give effect to the provisions of this 
Agreement.  This Agreement and all other such agreements and 
documents executed in connection herewith by ACS2, upon due 
execution and delivery thereof, will constitute the valid and 
binding obligations of ACS2, enforceable in accordance with their 
respective terms, except as enforcement

<PAGE>

                               9

may be limited by bankruptcy, insolvency, reorganization or
similar laws effecting creditors' rights generally and by general
principles of equity. ACS2 has taken all necessary actions as a
Member of the LLC to authorize the LLC to enter into and perform
the transactions contemplated by this Agreement. The authorized
capital stock of ACS2 consists of 10,000,000 shares of $0.01 par
value common stock. Assuming each former Advanced Stockholder
converts their shares into ACS2 common stock and assuming each
Holder of an Advanced Option, Warrant or SAR converts such
interest as contemplated by the Contribution Agreement, there
will be ___________ shares of issued and outstanding ACS2 Common
Stock which constitutes all issued and outstanding ACS2 securities
and is duly authorized, validly issued, fully paid and
non-assessable.

4.2  Absence of Default.  Subject to obtaining certain third 
party consents, the execution, delivery and consummation of this 
Agreement, and all other agreements and documents executed in 
connection herewith by ACS2 will not constitute a violation of, be 
in conflict with, or, with or without the giving of notice or the 
passage of time, or both, result in a breach of, constitute a 
default under, or create (or cause the acceleration of the maturity 
of) any debt, indenture, obligation or liability or result in the 
creation or imposition of any security interest, lien, charge or 
other encumbrance upon any of the assets of ACS2 under:  (a) any 
term or provision of the Certificate of Incorporation or Bylaws of 
ACS2; (b) any contract, lease, purchase order, agreement, document 
or other commitment, oral or written, to which ACS2 is a party or 
by which ACS2 is bound; (c) any judgment, decree, order, writ, 
injunction or rule of any court or regulatory authority; or (d), to 
the knowledge of ACS2, any law, statute, rule or regulation to 
which ACS2 is subject.

4.3  Broker's or Finder's Fee.  ACS2 has not employed, and is 
not liable for the payment of any fee to, any finder, broker or 
similar person in connection with the transactions contemplated 
under this Agreement.


     ARTICLE V.  REPRESENTATIONS AND WARRANTIES OF DYNAMIC
                              AND LLC

As an inducement to the other parties hereto to enter into 
this Agreement and to consummate the Merger, and as an inducement 
to the Original ACS2  Stockholders to approve of and consummate the 
Contribution and Merger, Dynamic hereby represents and warrants to 
each such party, which  representations and warranties will be true 
and correct at Closing, as follows.  Any representation, warranty 
or covenant of or relating to Dynamic  is hereby deemed to also be 
a representation, warranty or covenant of or relating to any and 
all of the Dynamic Subsidiaries (as defined in Section 5.1).  

5.1  Organization, Qualification and Authority.  Dynamic is a 
corporation duly organized, validly existing and in good standing 
in the State of Nevada, and is not required to be qualified to do 
business as a foreign corporation in any other jurisdiction.  
Dynamic does not own stock or equity interest in and does not 
control, directly or indirectly, any corporation, partnership, 
joint venture, association or business organization other than the 
LLC and the entities set forth on Exhibit 5.1 attached hereto 
(collectively, the "Dynamic Subsidiaries").  Since the date of its 
organization and incorporation or formation, Dynamic

<PAGE>

                               10

has consistently observed and operated within the corporate
formalities of the jurisdictions in which it is organized and/or
conducts its business, has consistently observed and complied with
the general corporation law of such jurisdictions and has been duly
qualified to do business as a foreign corporation in all relevant 
jurisdictions.  All outstanding shares of capital stock of the 
Dynamic Subsidiaries consist solely of common stock and have been 
validly issued in accordance with all applicable federal and state 
securities laws and are owned by Dynamic free and clear of all 
liens, charges, encumbrances, claims and options of any nature.  
Dynamic has the full right, power and authority to own, lease and 
operate its properties and assets as presently owned, leased and 
operated and to carry on its business as it is now being conducted. 
Subject to obtaining requisite approval of the shareholders of 
Dynamic, Dynamic has the full right, power and authority to 
execute, deliver and carry out the terms of this Agreement and all 
documents and agreements necessary to give effect to the provisions 
of this Agreement, to consummate the transactions contemplated on 
the part of Dynamic hereby, and to take all actions necessary to 
permit or approve the actions Dynamic take in connection with this 
Agreement.  Subject to obtaining requisite approval of the 
shareholders of Dynamic, the execution, delivery and consummation 
of this Agreement and all other agreements and documents executed 
in connection herewith by Dynamic have been duly authorized by all 
necessary corporate action on the part of Dynamic.  No other action 
on the part of Dynamic, or any other person or entity is necessary 
to authorize the execution, delivery and consummation of this 
Agreement and all other agreements and documents executed in 
connection herewith, other than such shareholder approval.  This 
Agreement and all other agreements and documents executed in 
connection herewith by Dynamic, upon due execution and delivery 
thereof, will constitute the valid and binding obligations of 
Dynamic as the case may be, enforceable in accordance with their 
respective terms, except as enforcement may be limited by 
bankruptcy, insolvency, reorganization or similar laws affecting 
creditors' rights generally and by general principles of equity. 
Dynamic has taken all necessary actions as a member of the LLC to 
authorize the LLC to enter into and perform the transactions 
contemplated by this Agreement.

5.2  Capitalization and Stock Ownership.   

(1)  Common Stock.  The authorized capital stock of 
Dynamic (the "Dynamic Common Stock") consists of 100,000,000 
shares, $0.001 par value, of common stock, of which 18,386,929 
shares are issued and outstanding as of the date hereof.  The 
Dynamic Common Stock, along with the securities referenced in 
clause (2) below and the replacement convertible notes referenced 
in the Contribution Agreement, constitutes all current issued and 
outstanding securities of Dynamic, and are duly authorized, validly 
issued, fully paid and nonassessable.  The original convertible 
notes issued by Dynamic constitute all past securities of Dynamic 
not currently outstanding, were duly authorized and validly issued, 
and no party has any rights or claims with respect thereto.  The 
Dynamic Common Stock is not subject to preemptive or comparable 
rights.  The Dynamic Common Stock and all other currently or 
previously outstanding securities of Dynamic have been issued in 
accordance with all applicable federal, state and foreign 
securities laws.

(2)  Other Securities.  As of the date hereof, 8,575,000 
shares of Dynamic Common Stock are reserved for issuance upon the 
exercise of outstanding warrants (the

<PAGE>

                               11

"Dynamic Warrants"), 117,500 shares of Dynamic Common Stock are
reserved for issuance upon exercise of outstanding options (the
"Dynamic Options"), all of which have been granted under the 1997
Stock Option Plan, 8,325,000 shares of Dynamic Common Stock are
reserved for issuance upon conversion of those certain replacement
7.5% convertible subordinated notes referenced in the Contribution
Agreement (the "Dynamic Secured Notes"), and no other shares of
Dynamic Common Stock are or needed to be reserved for any other
Purpose other than as Merger Consideration.  Dynamic has issued the
Dynamic Secured Notes in the aggregate principal amount of
$8,325,000 which Notes are convertible into that number of shares
of Dynamic Common Stock equal to the principal amount of such notes
divided by $1.00. The redemption of the original Notes and the
issuance of the Dynamic Secured Notes in replacement thereof was
effected in full compliance with law.  True and correct fully
executed copies of all documents regarding the redemption and
issuance of the convertible Notes by Dynamic have been provided
to ACS2 and Advanced. Except for the Dynamic Warrants, the Dynamic
Options and the Dynamic Secured Notes referenced in this clause (2)
there are not any existing options, warrants, calls, subscriptions,
stock appreciation rights or other rights or agreements or
commitments obligating Dynamic to issue, transfer or sell any
capital stock or other security of it or any Dynamic Subsidiary, or
any other security convertible into or evidencing the right to
subscribe for any such security. 

(3)  Related Agreements.  Other than the Operating 
Agreement of the LLC as currently in effect, there are no voting 
trusts, voting agreements, shareholders' or other comparable 
commitments or understandings, oral or written, to which Dynamic or 
any holder of Dynamic securities is a party or by which Dynamic or 
any such holder is bound with respect to the voting of any Dynamic 
Common Stock or the capital stock or securities of any Dynamic 
Subsidiary, either before or after Closing of the Merger.

(4)  Dynamic Common Stock.  On the Closing Date, Dynamic 
will have a sufficient number of authorized but unissued and/or 
treasury shares of Dynamic Common Stock available for issuance to 
the Original ACS2  Stockholders in accordance with the provisions 
of this Agreement.  The Dynamic Common Stock to be issued as Merger 
Consideration pursuant to the Agreement will, when so delivered, be 
duly and validly issued in accordance with all applicable federal 
and state securities laws, will be exempt from registration 
requirements of the 1933 Act and state "blue sky" laws, will be 
fully paid and nonassessable, and will be free and clear of 
preemptive or comparable rights.

5.3  Convertible Unsecured Debt; Refinancing.  The Dynamic 
Secured Notes and the convertible notes they replaced were offered, 
sold and issued in compliance with law, including but not limited 
to applicable federal, state and foreign securities laws.  The 
Trust Indenture Act of 1939, as amended, did not apply to the 
offer, sale, issuance or ownership of either the Dynamic Secured 
Notes or the convertible notes they replaced.

5.4  Absence of Default.  The execution, delivery and 
consummation of this Agreement, and all other agreements and 
documents executed in connection herewith by Dynamic will not 
constitute a violation of, be in conflict with, or, with or without 
the giving of notice or the passage of time, or both, result in a 
breach of, constitute a default under, or create (or cause the 
acceleration of the maturity of) any debt, indenture, obligation or 

<PAGE>

                               12

liability or result in the creation or imposition of any security 
interest, lien, charge or other encumbrance upon any of the assets 
of Dynamic under:  (a) any term or provision of the Charter or 
Bylaws of Dynamic; (b) any material contract, lease, purchase 
order, agreement, document or other commitment, oral or written, to 
which Dynamic is a party or by which Dynamic is bound (collectively 
the "Dynamic Contracts") (for purposes of categorizing contracts, 
"material" being defined to exclude any contract, lease, purchase 
order, agreement, document or commitment which both (y) in terms of 
payments, costs, services or other measure does not exceed 
$10,000.00 in the aggregate and (z) is terminable without penalty 
upon ninety (90) days' written notice or less); (c) any judgment, 
decree, order, writ, injunction or rule of any court or regulatory 
authority; or (d), to the knowledge of Dynamic, any law, statute, 
rule or regulation to which Dynamic is subject.

5.5  Other Representations.  Except as modified by 
consummation of the transactions contemplated under the 
Contribution Agreement, those representations and warranties 
contained in paragraphs 5.4 through 5.22 of the Contribution 
Agreement, along with the corresponding exhibits thereto, are 
incorporated herein by reference and deemed to be made again herein 
by each of Dynamic and the Dynamic Subsidiaries as if restated 
herein in their entirety. 

           ARTICLE VI.  COVENANTS OF PARTIES

6.1  Preservation of Business and Assets.  From the date 
hereof until the Closing, except as contemplated under the 
Contribution Agreement, each party will use its best efforts and 
will do or cause to be done all such acts and things as may be 
necessary to preserve, protect and maintain intact the operation of 
its respective business and assets as a going concern consistent 
with prior practice and not other than in the ordinary course of 
business, including preserving, protecting and maintaining the 
goodwill of the suppliers, employees, clientele, patients and 
others having business relations with such party.  Each party will 
use its best efforts to retain its employees in their current 
positions up to Closing.  Through Closing, other than pursuant to 
the Contribution Agreement, no party will acquire or sell or agree 
to acquire or sell by merging or consolidating with, or by 
purchasing or selling a substantial equity interest in or a 
substantial portion of the assets of, or by any other manner, any 
business or any corporation, partnership, association or other 
business organization or division thereof.  Except as expressly set 
forth in this Agreement or any related Agreement, the execution, 
delivery and consummation of this Agreement and the transactions 
contemplated hereunder will not give rise to any obligation of any 
party hereto, or any right of any holder of any security of any 
party hereto to require such party, to purchase, offer to purchase, 
redeem or otherwise prepay or repay any capital stock or other 
security, or deposit any funds to affect the same.  All parties 
will use their best efforts to facilitate the consummation of the 
Merger as contemplated hereunder, including obtaining requisite 
approval of stockholders and third parties.  Through Closing, 
except as expressly set forth in this Agreement or related 
Agreements (such as the cancellation agreements referenced in 
Section 1.7 of the Contribution Agreement) and except for exercise 
of any outstanding Dynamic Warrants, Dynamic Options of conversion 
of Dynamic Secured Notes, no party will issue, deliver or sell, or 
authorize or propose to issue, deliver or sell, any shares of its 
capital stock of any class, any voting securities or any securities 

<PAGE>

                               13

convertible into, or any rights, warrants or options to acquire, 
any such shares, voting securities or convertible securities. 
Through Closing, no party will split, combine or reclassify any of 
its capital stock or issue or authorize or propose the issuance of 
any other securities in respect of, in lieu of or in substitution 
for shares of its capital stock, or repurchase, redeem or otherwise 
acquire any shares of its capital stock.  From the date hereof 
until the Closing, no party will pay any  dividend or distribution 
to its stockholders as such, and no party will sell, discard or 
dispose of any of its assets.

6.2  Retention of Assets of LLC.  Dynamic does not intend 
or plan to dispose of, or to cause the LLC to dispose of, a 
significant part of any assets of the LLC or its subsidiaries, now 
or hereafter owned or used, within five (5) years after the 
Effective Time, other than dispositions in the ordinary course of 
business.

6.3  Absence of Material Change.  From the date hereof until 
the Closing, no party will make any change in its business or in 
the utilization of its assets and will not enter into any contract 
or commitment or any other transaction with respect to its business 
or its assets which is contrary to its representations, warranties 
and obligations as set forth in this Agreement.

6.4  Material Transactions.  Except as contemplated by this 
Agreement, prior to the Effective Time, each party hereto, 
including its respective subsidiaries, if any, will not, without 
first obtaining the written consent of the other parties hereto:

(1)  dispose of or encumber any asset or enter into any 
transaction or make any contract commitment relating to the 
properties, assets and business of such entity, other than in the 
ordinary course of business or as otherwise disclosed herein;

(2)  enter into any employment contract which is not at 
will or terminable upon notice of thirty (30) days or less, without 
penalty;

(3)  enter into any contract or agreement (i) which 
cannot be performed within three months or less, or (ii) which 
involves the expenditure of over $10,000.00;

(4)  except as stipulated in Section 6.1, issue or sell, 
or agree to issue or sell, any shares of capital stock or other 
securities of such entity;

(5)  make any payment or distribution under any bonus, 
pension, profit-sharing or retirement plan or incur any obligation 
to make any such payment or contribution which is not in accordance 
with such entities usual past practice, or make any payment or 
contributions or incur any obligation pursuant to or in respect of 
any other plan or contract or arrangement of providing for bonuses, 
executive incentive compensation, pensions, deferred compensation, 
retirement payments, profit-sharing or the like, establish or enter 
into any such plan, contract or arrangement, or terminate any plan;

(6)  extend credit to anyone except in the ordinary course of
business consistent with prior practice;

<PAGE>

                               14

(7)  guarantee the obligation of any person, firm or 
corporation;

(8)  amend its operating agreement, charter or bylaws, or 
applicable organizational documents;

(9)  set aside or pay any cash dividend or any other 
distribution on or in respect of its capital stock or any 
redemption, retirement or purchase with respect to its capital 
stock or issue any additional shares of its capital stock; or 
engage in any stock split, recapitalization, reorganization or 
comparable transaction;

(10)  discharge or satisfy any lien, charge, encumbrance 
or indebtedness outside the ordinary course of business;

(11)  institute, settle or agree to settle any litigation, 
action or proceeding before any court or governmental body;

(12)  authorize any compensation increase of any kind 
whatsoever for any employee, consultant or other representative; or

(13)  engage in any extraordinary transaction.

6.5  Preparation of the Proxy Statement; Stockholders 
Meetings.

(1)  As soon as practicable, but in no event more than 
ten (10) business days following the consummation of the 
Contribution Agreement, Dynamic shall prepare and file with the SEC 
and any appropriate foreign governmental authorities a proxy 
statement relating to the meeting of Dynamic's shareholders to be 
held in connection with obtaining the approval of Dynamic's 
shareholders (as the same may be amended or supplemented from time 
to time, the "Proxy Statement").  Dynamic will cause the Proxy 
Statement to be mailed to the holders of Dynamic Common Stock as 
promptly as practicable thereafter.  Dynamic shall also take any 
action (other than qualifying to do business in any jurisdiction in 
which it is not now so qualified or to file a general consent to 
service of process) required to be taken under any applicable state 
or foreign securities laws in connection with the issuance of the 
Dynamic Common Stock in the Merger, and ACS2 shall furnish all 
information concerning ACS2 and the Original ACS2  Stockholders as 
may be reasonably requested in connection with any such action. No 
filing of, or amendment or supplement to, the Proxy Statement will 
be made by Dynamic without providing ACS2 and its counsel ample 
opportunity to review and comment thereon. Dynamic will advise ACS2 
of the time when the Proxy Statement is filed, the Proxy Statement 
is mailed to shareholders, any supplement or amendment has been 
filed or mailed, or comments thereon and responses thereto or 
requests by governmental authorities for additional information. If 
at any time prior to the Effective Time any information relating to 
Dynamic or ACS2, or any of their respective affiliates, officers or 
directors, should be discovered by Dynamic or ACS2 which should be 
set forth in an amendment or supplement to the Proxy Statement so 
that such document would not include any misstatement of a material 
fact or omit to state any material fact necessary to make the 
statements therein, in light of the circumstances under which they 
were made,

<PAGE>

                               15

not misleading, the party which discovers such 
information shall promptly notify the other parties hereto and an 
appropriate amendment or supplement describing such information 
shall be promptly filed and, to the extent required by law, 
disseminated to the stockholders of Dynamic.

(2)  Dynamic shall, as promptly as reasonably practicable 
after the date hereof give notice of, convene and hold a meeting of 
its shareholders (the "Dynamic Shareholders Meeting") in accordance 
with Chapter 78 "Private Corporations" and Chapter 92A "Mergers and 
Exchanges of Interest" of the Nevada Revised Statutes 
(collectively,  the "Nevada Acts") and the requirements of the 
Nasdaq Over-The-Counter Bulletin Board and any applicable foreign 
authorities for the purpose of obtaining Dynamic's shareholder 
approval of the Merger and shall, through its Board of Directors, 
recommend to its shareholders that they approve of the Contribution 
and Merger in all respects.

(3)  As an integral part of its obligations under the 
Registration Rights Agreement, Dynamic will comply with the 
provisions of Rule 144(c) under the Securities Act in order that 
affiliates of ACS2 may resell the Dynamic Common Stock they receive 
pursuant to the Merger pursuant to Rule 145(d) under the Securities 
Act, and agrees that the registration statements to be filed 
pursuant to the Registration Rights Agreement will include such 
information as may be requested by ACS2 to permit resales of such 
Dynamic Common Stock by persons who may be deemed to be 
underwriters of Dynamic Common Stock pursuant to Rule 145 under the 
Securities Act.

6.6  Certain Tax Matters.  

(1)  During the period from the date hereof through the 
Effective Time, no party will knowingly or negligently take or fail 
to take any action that would jeopardize the treatment of the 
Contribution as a tax-free contribution or the treatment of the 
Merger as a "reorganization" within the meaning of Section 
368(a)(1)(A) of the Code (and any comparable provisions of 
applicable state law).  Each party hereto shall report the Merger, 
and the Exchange, as a reorganization under Section 368(a) of the 
Code, and shall not take any position inconsistent with this 
characterization except in the event of a contrary final 
determination of the Internal Revenue Service.  If any party 
receives notice of any contrary position by the Internal Revenue 
Service any party hereto may, at its option and sole expense, 
contest such position, in which event the other parties hereto 
shall cooperate with such contest as reasonably requested by the 
contesting party.  

(2)  Each party hereto shall provide to the other 
parties, at the expense of the requesting party, with such 
assistance as may reasonably be requested by any of them in 
connection with the preparation of any tax return, any audit or 
other examination by any regulatory authority, or any judicial or 
administrative proceedings relating to liability for taxes, and 
each party will retain and provide the requesting party(ies) with 
any records or information that may be relevant to any of the 
foregoing.

6.7  Legal Conditions to Merger.  Each party hereto will take 
all reasonable actions necessary to comply promptly with all legal 
requirements which may be imposed on it with respect to the Merger 
and will promptly cooperate with and furnish information

<PAGE>

                               16

to each other party in connection with any such requirements
imposed upon either any of them in connection with the Merger. 

6.8  Preserve Accuracy of Representations and Warranties.  
Each party hereto will refrain from taking any action which would 
render any of its representations and warranties contained in this 
Agreement untrue, inaccurate or misleading as of Closing and the 
Effective Time.  Through Closing, each party will promptly notify 
the other parties of any lawsuit, claim, audit, investigation, 
administrative action or other proceeding asserted or commenced 
against  such party that may involve or relate in any way to 
another party to this Agreement.  Each party hereto will promptly 
notify the other parties of any facts or circumstances that come to 
its attention and that cause, or through the passage of time may 
cause, any of a party's  representations, warranties or covenants 
to be untrue or misleading at any time from the date hereof through 
Closing.

6.9  Notice of Subsequent Events.  Each party hereto shall 
notify the other parties of any changes, additions or events of 
which it has knowledge which would cause any material change in or 
material addition to the Contribution Agreement or this Agreement 
(including but not limited to the Exhibits attached hereto and 
thereto) promptly after occurrence of the same.  If the effect of 
such change or addition would, individually or in the aggregate 
with the effect of changes or additions previously disclosed 
pursuant to this Section, constitute a material adverse effect on 
the notifying party, any non-notifying party may, within ten (10) 
days after receipt of such notice, elect to terminate this 
Agreement.  If no non-notifying party gives written notice of such 
termination with such 10-day period, the non-notifying parties 
shall be deemed to have consented to such change or addition and 
shall not be entitled to terminate this Agreement by reason 
thereof.

6.10  Medicare and Medicaid Reporting.  Through Closing, 
the parties will timely file or cause to be filed all reports and 
claims of every kind, nature or description, required by law or by 
written or oral contract to be filed with respect to the purchase 
of services by third party payors, including, but not limited to, 
Medicare, Medicaid and Blue Cross. 

6.11  Current Return Filing.  Each party will be 
responsible for the preparation and filing of all of such party's 
own tax returns which were due on or before the Closing, and the 
payment of all taxes due.  

6.12  Maintain Books and Accounting Practices.  From the 
date hereof until the Closing, each party will maintain its books 
of account in the usual, regular and ordinary manner on a basis 
consistent with prior years and will make no change in its 
accounting methods or practices.

6.13  Compliance with Laws and Regulatory Consents.  From 
the date hereof until the Closing, (a) each party will comply with 
all applicable statutes, laws, ordinances and regulations, (b) each 
party will keep, hold and maintain all Licenses, (c) each party will
use its reasonable efforts and will cooperate fully with the 
other parties hereto  to obtain all consents, stockholder and other 
approvals, exemptions and authorizations of third parties, whether 
governmental or private, necessary to consummate the Contribution 
and Merger, and (d) each party will make and cause to be made all 
filings and give and cause to be

<PAGE>

                               17

given all notices which may be necessary or desirable on their part
under all applicable laws and under their respective contracts,
agreements and commitments in order to consummate the Contribution
and Merger.

6.14  Maintain Insurance Coverage.  From the date hereof 
until the Closing, each party will maintain and cause to be 
maintained in full force and effect all its currently existing 
insurance on such party's assets and the operations of such party's 
business and will provide at Closing written evidence satisfactory 
to each other parties that such insurance continues to be in 
effect, that all premiums due have been paid. 

6.15  Closing Deliveries.  At Closing, the parties hereto 
will deliver or cause to be delivered the following, fully executed 
and in form and substance reasonably satisfactory to the receiving 
party(ies):

(1)  ACS2 will deliver to Dynamic stock certificates of 
ACS2, duly endorsed by the original ACS2 Stockholders or with stock 
powers attached, representing all of the issued and outstanding 
shares of ACS2 Common Stock; provided, however, that a failure by 
ACS2 to deliver the same will not be deemed a breach of this 
Agreement.
 
(2)  Dynamic will deliver to the Original ACS2 
Stockholders' certificates representing the shares of Dynamic 
Common Stock comprising the Merger  Consideration set forth in 
Article II, less the stock to be held subject to the Escrow 
Agreement.  Certificates evidencing stock to be held in escrow will 
instead be delivered to the escrow agent pursuant to such Escrow 
Agreement.

(3)  Each will deliver to the other parties and the 
Original ACS2 Stockholders a certificate of an officer, dated as of 
Closing, certifying that (a) each covenant and obligation of the 
delivering party has been complied with, and (b) each 
representation, warranty and covenant of the delivering party is 
true and correct at the Closing as if made on and as of the 
Closing.

(4)  Each party will deliver an opinion of its legal 
counsel, in form and substance reasonably acceptable to the 
receiving party(ies).

(5)  Each party will deliver the Certificates of Merger 
in form acceptable for filing with the applicable Secretaries of 
State.

(6)  Each party thereto will deliver to the other parties 
thereto the Escrow Agreement and Registrations Rights Agreement.

(7)  Dynamic will deliver to Kevin D. Lee, the Employment 
Agreement and Stock Option Agreement referenced in the Contribution 
Agreement.

(8)  Each party shall deliver such customary certificates 
of its officers and such other customary closing documentation as 
may be reasonably requested by the other parties, including without 
limitation:

<PAGE>

                               18

(i)  Certificates of Existence and/or "Good 
Standing" regarding the delivering party and its subsidiaries, 
certified by the appropriate Secretary of State and dated 
within (10) business days of Closing;

(ii)  Incumbency Certificates certifying the 
identity of the officers of the delivering party and its 
subsidiaries; and

(iii)  Charters, Operating Agreement or 
Certificates of Incorporation, as certified by the appropriate 
Secretary of State within ten (10) business days of Closing, 
and Bylaws, as certified by an appropriate officer as of 
Closing, of the delivering party and its subsidiaries.


            ARTICLE VII. CONDITIONS TO CLOSING

7.1  Conditions to Each Party's Obligation to Effect the 
Merger.  The obligation of each party hereto to effect the Merger 
shall be subject to the fulfillment at or prior to the Closing of 
the following conditions:

(1)  The Contribution will have been previously 
consummated and all deliveries to be made and obligations to be 
performed at closing of the Contribution shall, to the extent not 
completed at such closing, have been subsequently completed.

(2)  This Agreement and the transactions contemplated 
hereunder shall have been approved by shareholders of Dynamic in 
the manner required by the applicable laws of the State of Nevada 
and the Charter and Bylaws of Dynamic.  Further, the Original ACS2 
Stockholders will have executed and delivered such documents and 
performed such acts as reasonably required to effectuate the 
Merger.

(3)  Each party hereto shall have received from the other 
parties copies of all resolutions and/or consent actions adopted by 
or on behalf of the boards of directors and shareholders of such 
other parties hereto, certified as of the date of Closing and 
evidencing approval of this Agreement and the transactions 
contemplated hereunder.

(4)  No action or proceeding before a court or other 
governmental body by any governmental agency or public authority 
shall have been instituted or threatened to restrain or prohibit 
the transactions contemplated under this Agreement or to obtain an 
amount of damages or other material relief in connection with the 
execution of this Agreement or any related agreements or the 
consummation of the Merger; and no governmental agency shall have 
given notice to any party hereto to the effect that consummation of 
the transactions contemplated under this Agreement would constitute 
a violation of any law or that it intends to commence proceedings 
to restrain consummation of the Merger.

(5)  All consents, authorizations, orders and approvals 
of (or filings or registrations with) any governmental commission, 
board or other regulatory body or any

<PAGE>

                               19

other third party (including lenders and lessors) required in
connection with the execution, delivery and performance of this
Agreement shall have been obtained or made. 

(6)  NationsCredit shall have consented to the Merger or 
have been paid and all obligations of Advanced to NationsCredit 
satisfied in full.

(7)  Dynamic shall have settled any outstanding claims, 
liabilities, actions or lawsuits against or by former officers, 
directors, stockholders or related parties of Dynamic or its 
subsidiaries to the satisfaction of ACS2.

(8)  Dynamic and each of Jan Wallace and Grace Sims shall 
have entered into separation and release agreements in the form 
attached hereto as Exhibit 7.1.

(9)  The settlement described in Section 2.2(b) shall 
have been completed to the satisfaction of Dynamic and ACS2.

(10)  At the Effective Time the Board of Directors of 
Dynamic shall be composed of persons acceptable to Dynamic and 
ACS2.

(11)  The capitalization of ACS2 and Advanced shall be as 
reflected in Section 3.2((1) and Section 4.1 or arrangements 
satisfactory to Dynamic, ACS2 and Advanced shall have been made 
regarding such capitalization.

7.2  Further Conditions to Obligation of Dynamic and LLC 
to Effect the Merger.  The obligation of Dynamic and LLC to effect 
the Merger shall also be subject to the fulfillment at or prior to 
the Closing of the following conditions:

(1)  ACS2 shall have performed its obligations contained 
in this Agreement, including but not limited to the deliveries 
stipulated in Section 6.15, required to be performed on or prior to 
the Closing, and the representations and warranties of ACS2, 
Advanced and the Advanced Subsidiaries contained in this Agreement 
and in any document delivered in connection herewith shall be true 
and correct as of the Closing.

(2)  Dynamic and its representatives shall have had 
reasonable access of inspection of the business of Advanced in 
connection with Dynamic's due diligence review, and the results of 
Dynamic's inspection and due diligence review shall be acceptable 
to it.  Further, should any such due diligence reveal a matter 
reasonably related to any representation, warranty or covenant 
herein or any exhibit hereto, Dynamic may require appropriate 
amendment(s) to address such matter.

7.3  Further Conditions to Obligation of ACS2 to Effect 
the Merger.  The obligations of ACS2 to effect the Merger shall 
also be subject to the fulfillment at or prior to the Closing of 
the following conditions:

(1)  Each of Dynamic and the LLC shall have performed its 
obligations contained in this Agreement, including but not limited 
to the deliveries stipulated in Section 6.15,  required to be 
performed on or prior to the Closing, and the representations and 

<PAGE>

                               20

warranties of Dynamic, the LLC and the Dynamic Subsidiaries 
contained in this Agreement and in any document delivered in 
connection herewith shall be true and correct as of the Closing.

(2)  The Dynamic shareholders shall have properly 
approved of the Contribution and Merger by December 1, 1999.

(3)  The Dynamic shareholders shall have approved, and 
Dynamic shall have implemented, an amendment to its 1997 Incentive 
Stock Option Plan and 1997 Non-Statutory Stock Option Plan to 
increase the pool of shares of Dynamic Common Stock available for 
issuance upon exercise of plan options from 2,500,000 to 6,000,000.

(4)  From the date of this Agreement until the Effective 
Time, there shall not have occurred any material change in the 
financial condition, business, operations or prospects of Dynamic 
or the Constituent Companies, that would have or would be 
reasonably likely to have a material adverse effect on the 
operations of Dynamic or the LLC; provided, however, that for 
purposes of determining whether there shall have been any such 
material changes, any adverse change resulting from or relating to 
general business or economic conditions shall be disregarded.

(5)  Documentation, in form and substance reasonably 
acceptable to ACS2 will have been executed and delivered electing 
the directors and officers of Dynamic as stipulated in Exhibit 
7.3(4) attached hereto.

(6)  ACS2 and its representatives shall have had 
reasonable access of inspection of the business of Dynamic in 
connection with ACS2's due diligence review, and the results of 
ACS2's inspection and due diligence review shall be acceptable to 
it.  Further, should any such due diligence reveal a matter 
reasonably related to any representation, warranty or covenant 
herein or any exhibit hereto, ACS2 may require appropriate 
amendment(s) to address such matter.


      ARTICLE VIII. TERMINATION; AMENDMENT; EXTENSION AND WAIVER

8.1  Termination by Mutual Consent.  This Agreement may 
be terminated and the Merger may be abandoned at any time prior to 
the Effective Time, before or after the approval of this Agreement 
by the shareholders of ACS2 and/or Dynamic, by the mutual consent 
of the Boards of Directors of ACS2 and Dynamic.

8.2  Termination by Certain Parties.  Any party hereto 
may terminate this Agreement at any time pursuant to Section 6.9. 
This Agreement may be terminated and the Merger may be abandoned 
by action of the Board of Directors of ACS2 or Dynamic if (a) the 
Merger shall not have been consummated by December 15, 1999, (b) 
the Contribution shall not have been consummated by March 31, 1999, 
(c) the approval of the Contribution and Merger by Dynamic's 
shareholders shall not have been obtained by December 1, 1999 at a 
meeting duly convened therefor or at any adjournment thereof, or 

<PAGE>

                               21

(d) a United States federal or state court of competent 
jurisdiction or United States federal or state governmental, 
regulatory or administrative agency or commission shall have issued 
an order, decree or ruling or taken any other action permanently 
restraining, enjoining or otherwise prohibiting the transactions 
contemplated by this Agreement and such order, decree, ruling or 
other action shall have become final and non-appealable; provided, 
that the party seeking to terminate this Agreement pursuant to this 
clause (d) shall have used all reasonable efforts to remove such 
injunction, order or decree.

8.3  Termination by Dynamic.  This Agreement may be 
terminated and the Merger may be abandoned at any time prior to the 
Effective Time, before or after the adoption and approval by the 
shareholders of Dynamic, by action by the Board of Directors of 
Dynamic, if (a) there has been a breach by ACS2, Advanced or the 
Advanced Subsidiaries of any representation or warranty contained 
in this Agreement which would have or would be reasonably likely to 
have a material adverse effect on the operations of Advanced; or 
(b) there has been a breach of any of the covenants or agreements 
set forth in this Agreement on the part of ACS2 or Advanced, which 
breach is not curable or, if curable, is not cured within thirty 
(30) days after written notice of such breach is given by Dynamic 
to ACS2.

8.4  Termination by ACS2.  This Agreement may be 
terminated and the Merger may be abandoned at any time prior to the 
Effective Time, before or after adoption and approval of the 
Original ACS2  Stockholders, by action of the Board of Directors of 
ACS2, if (a) there has been a breach by Dynamic, the LLC or the 
Dynamic Subsidiaries of any representation or warranty contained in 
this Agreement which would have or would be reasonably likely to 
have a material adverse effect on the operations of Dynamic or the 
LLC, or (b) there has been a breach of any of the covenants or 
agreements set forth in this Agreement on the part of Dynamic, the 
LLC or the Dynamic Subsidiaries, which breach is not curable or, if 
curable, is not cured within thirty (30) days after written notice 
of such breach is given by ACS2 or Advanced to Dynamic.

8.5  Effect of Termination and Abandonment.  

(1)  With Respect to this Agreement.  Upon termination of 
this Agreement pursuant to Section 6.9 or this Article VIII, this 
Agreement and all agreements and documents (including legal 
opinions) related hereto shall be void and of no force or effect, 
and there shall be no liability by reason of this Agreement or the 
termination thereof on the part of any party hereto, or on the part 
of the respective directors, officers, managers, employees, agents, 
representatives or shareholders of any of them; provided that this 
Section 8.5 will not relieve any party from liability for damages 
incurred as a result of any willful breach by such party or by an 
affiliate of such party of any of its respective representations, 
warranties, covenants or obligations set forth in this Agreement.

(2)  With Respect to the Contribution.  The parties 
acknowledge that if this Agreement is terminated pursuant to 
Section 6.9 or this Article VIII, the Merger will not be 
consummated.  Consequently, either Dynamic or ACS2 may cause a 
liquidation of the LLC to occur, as contemplated under Section 8.4 
of the Contribution Agreement and Article XII of the LLC's 
Operating Agreement, in order to reverse the transactions 
consummated

<PAGE>

                               22

pursuant to the terms of the Contribution Agreement and 
to dissolve the LLC.  To effectuate such liquidation and 
dissolution, the LLC will immediately deliver to ACS2 certificates 
evidencing all shares of common stock of Advanced pursuant to the 
terms of the Contribution Agreement.  ACS2 acknowledges that it 
will forfeit 99 of its 100 Units in the LLC upon delivery of such 
stock certificates.  To further effectuate such liquidation and 
dissolution, the LLC will immediately deliver to Dynamic 
certificates evidencing all shares of common stock of the Dynamic 
Subsidiaries contributed pursuant to the terms of the Contribution 
Agreement.  Dynamic acknowledges that it will forfeit 99 of its 100 
Units in the LLC upon delivery of such stock certificates.  All 
certificates delivered by the LLC pursuant to this clause (2) shall 
be duly endorsed or have stock powers attached.  ACS2 and Dynamic 
will then immediately undertake all necessary and appropriate 
action to dissolve the LLC in accordance with the terms of the 
Operating Agreement.  Further, all agreement and documents relating 
to the Contribution shall be void and of no force or effect, 
including but not limited to any legal opinions.  Further, 
Advanced, on the one hand, and Dynamic, on the other hand, will 
enter into an Indemnification Agreement, in form comparable to 
Article IX hereof, pursuant to which each will indemnify the other 
with regard to the operations of each and their respective 
subsidiaries and actions or omissions taken on behalf of each and 
their respective subsidiaries for any period prior to or following 
termination and abandonment of the Merger.  Notwithstanding 
anything contained in clause (2) to the contrary, this Section 8.5 
will not relieve any party from liability for damages incurred as 
a result of any willful breach by such party or by any affiliate of 
such party of its respective representations, warranties, covenants 
or obligations set forth in this Agreement.

8.6  Amendment. This Agreement may be amended by the 
parties at any time before or after any required approval of 
matters presented in connection with the Merger by the Dynamic 
shareholders or the Original ACS2 Stockholders; provided, that any 
amendments requiring the approval of the Dynamic shareholders or 
the Original ACS2  Stockholders will not become effective until the 
amendment is approved by said holders.  This Agreement may not be 
amended except by an instrument in writing signed on behalf of all 
the parties hereto. 

8.7  Extension; Waiver.  At any time prior to the 
Effective Time, any party hereto, by action taken by its Board of 
Directors evidenced in writing, may, to the extent legally allowed, 
(a) extend the time for the performance of any of the obligations 
or other acts of the other parties hereto, (b) waive any 
inaccuracies in the representations and warranties made to such 
party contained herein or in any document delivered pursuant 
hereto, and (c) waive compliance with any of the agreements or 
conditions for the benefit of such party contained herein.  Any 
agreement on the part of a party hereto to any such extension or 
waiver shall be valid only if set forth in an instrument in writing 
signed on behalf of such party.


     ARTICLE IX. SURVIVAL OF PROVISIONS AND INDEMNIFICATION

9.1  Survival.  The covenants, obligations, representations 
and warranties of each party contained in this Agreement, or in any 
certificate or document delivered pursuant to

<PAGE>

                               23

this Agreement, will be deemed to be material and to have been
relied upon by the other parties notwithstanding any investigation
prior to the Closing, will not be merged into any documents
delivered in connection with the Closing, and will terminate two
(2) years after Closing; provided however, that if a notice
claiming indemnity is properly delivered pursuant to Section 9.5,
the indemnification obligations will not expire with respect to
such claim(s) until the same are resolved as contemplated
hereunder.

9.2  Indemnification by Dynamic.  Subject to the provisions of 
Section 8.5 and Section 9.5, Dynamic shall indemnify, defend and 
hold ACS2, Advanced and the Advanced Subsidiaries, their officers, 
directors, employees, agents and representatives, and the Original 
ACS2  Stockholders harmless against any and all losses, costs and 
expenses (including reasonable cost of investigation, court costs 
and legal fees actually incurred) and other damages resulting from 
(a) any breach by Dynamic, the LLC or any Dynamic Subsidiary of any 
of their covenants, obligations, representations or warranties or 
breach or untruth of any representation, warranty, fact or 
conclusion contained in this Agreement or any certificate or 
document of Dynamic, the LLC or any Dynamic Subsidiary delivered 
pursuant to this Agreement, and (b) any claim that is brought or 
asserted by any third party(ies) against the Original ACS2  
Stockholders arising out of the ownership, licensing, operation or 
conduct of Dynamic, the LLC and the Dynamic Subsidiaries through 
the Closing.

9.3  Indemnification by ACS2.  Subject to the provisions of 
Section 8.5 and Section 9.5, ACS2 shall indemnify, defend and hold 
Dynamic and the Dynamic Subsidiaries, their respective officers, 
directors, employees and representatives harmless against any and 
all losses, costs and expenses (including reasonable cost of 
investigation, court costs and legal fees actually incurred) and 
other damages resulting from (a) any breach by ACS2 of any of its 
covenants, obligations, representations or warranties or breach or 
untruth of any representation, warranty, fact or conclusion 
contained in this Agreement or any certificate or document of ACS2 
delivered pursuant to this Agreement, and (b) any claim that is 
brought or asserted by any third party(ies) arising out of the 
ownership, licensing, operation or conduct of ACS2 through Closing.

9.4  Indemnification by Advanced.  Subject to the provisions 
of Section 8.5 and Section 9.5, Advanced shall indemnify, defend 
and hold Dynamic, its officers, directors, employees and 
representatives, and the Dynamic stockholders, harmless against any 
and all losses, costs and expenses (including reasonable costs of 
investigation, court costs and legal fees actually incurred) and 
other damages resulting from (a) any breach by Advanced or an 
Advanced Subsidiary of any of its covenants, obligations, 
representations or warranties or breach or untruth of any 
representation, warranty, a fact or conclusion pertaining to 
Advanced and/or the Advanced Subsidiaries contained in this 
Agreement or any certificate or document of Advanced delivered 
pursuant to this Agreement, and (b) any claim that is brought or 
asserted by any third party(ies) arising out of the ownership, 
licensing, operation or conduct of Advanced and the Advanced 
Subsidiaries through the Closing.

9.5  Rules Regarding Indemnification.  The obligations and 
liabilities of each party hereto (the "indemnifying party") which 
may be subject to indemnification liability hereunder

<PAGE>

                               24

to the other party(ies) (the "indemnified party") will be subject
to the following terms and conditions:

(1)  Claims by Non-Parties.  The indemnified party will 
give written notice to the indemnifying party, within such time as 
not to prejudice unduly the indemnifying party's ability to defend 
against the underlying claim, of any written claim by a third party 
which is likely to give rise to a claim by the indemnified party 
against the indemnifying party based on the indemnity agreements 
contained in this Article, stating with reasonable specificity the 
nature of said claim and the amount thereof, to the extent known. 
The indemnified party will give notice to the indemnifying party 
that pursuant to the indemnity, the indemnified party is asserting 
against the indemnifying party a claim with respect to a potential 
loss from the third party claim, and such notice will constitute 
the assertion of a claim for indemnity by the indemnified party. 
If, within ten (10) days after receiving such notice, the 
indemnifying party advises the indemnified party that it will 
provide indemnification and assume the defense at its expense, then 
so long as such defense is being conducted, the indemnified party 
will not settle or admit liability with respect to the claim 
without the consent of the indemnifying party and will afford to 
the indemnifying party and defending counsel reasonable assistance 
in defending against the claim.  If the indemnifying party assumes 
the defense, counsel reasonably acceptable to the indemnified party 
will be selected by such party and if the indemnified party then 
retains its own counsel, it will do so at its own expense.  If the 
indemnified party does not receive a written objection to the 
notice from the indemnifying party within ten (10) days after the 
indemnifying party's receipt of such notice, the claim for 
indemnity will be conclusively presumed to have been assented to 
and approved, and in such case the indemnified party may control 
the defense of the matter or case and, at its sole discretion, 
settle or admit liability.  If within the aforesaid ten (10) day 
period the indemnified party will have received written objection 
to a claim (which written objection will briefly describe the basis 
of the objection to the claim or the amount thereof, all in good 
faith), then for a period of thirty (30) days after receipt of such 
objection the parties will attempt to settle the dispute as between 
the indemnified party and indemnifying parties.  If they are unable 
to settle the dispute, the unresolved issue or issues will be 
settled by a court of competent jurisdiction located in Nashville, 
Tennessee.  During the pendency of any such dispute, the 
indemnified party may control all aspects of the defense of the 
matter or case.

(2)  Claims by a Party.  The determination of a claim 
asserted by a party hereunder (other than as set forth in 
subsection (1) above) pursuant to this Article will be made as 
follows:  the indemnified party will give written notice to the 
indemnifying party, within such time as not to prejudice unduly the 
indemnifying party's ability to defend against the underlying 
claim, of any claim by the indemnified party which has not been 
made pursuant to subsection (1) above, stating with reasonable 
specificity the nature of such claim and the amount thereof, to the 
extent known.  The claim will be deemed to have resulted in a 
determination in favor of the indemnified party and to have 
resulted in a liability of the indemnifying party in an amount 
equal to the amount of such claim estimated pursuant to this clause 
(2) if within thirty (30) days after the indemnifying party's 
receipt of the claim the indemnified party will not have received 
written objection to the claim.  In such event, the claim will be 
conclusively presumed to have been assented to and approved.  If 
within the aforesaid thirty (30) day period the indemnified party 
will have received written

<PAGE>

                               25

objection to a claim (which written objection will briefly describe
the basis of the objection to the claim or the amount thereof, all
in good faith), then for a period of sixty (60) days after receipt
of such objection the parties will attempt to settle the disputed
claim as between the indemnified and indemnifying parties. If they
are unable to settle the dispute, the unresolved issue or issues
will be settled by a court of competent jurisdiction located
in Nashville, Tennessee. 

9.6  Exclusive Remedy.  The indemnification obligations under 
this Article IX are the sole and exclusive remedies available to 
ACS2, Advanced, Dynamic and the LLC with respect to this Agreement 
and the transactions contemplated hereunder.  The parties hereto 
expressly acknowledge and agree that they may make no claim nor 
institute any action against any Original ACS2  Stockholder with 
respect to this Agreement, any related agreement or the 
transactions contemplated hereunder and thereunder.


              ARTICLE X. MISCELLANEOUS

10.1  Other Expenses.  Except as otherwise provided in this 
Agreement, each party will pay all of its expenses in connection 
with the negotiation, execution, and implementation of the 
transactions contemplated under this Agreement.

10.2  Notices.  All notices, requests, demands, waivers and 
other communications required or permitted to be given under this 
Agreement will be in writing and will be deemed to have been duly 
given: (a) if delivered personally or sent by facsimile, on the 
date received, (b) if delivered by overnight courier, on the day 
after mailing, and (c) if mailed, five days after mailing with 
postage prepaid. Any such notice will be sent as follows:

To ACS2 or Advanced:

Advanced Clinical Systems, Inc.
49 Music City West, Suite 502
Nashville, TN 37203-3272
Attn: Kevin D. Lee

with a courtesy copy to:

Lauren Anderson
Harwell Howard Hyne Gabbert & Manner, P.C.
1800 First American Center
315 Deaderick Street
Nashville, Tennessee  37238

<PAGE>

                               26

To Dynamic or the LLC:

Dynamic Associates, Inc.
Suite B-169
7373 N. Scottsdale
Scottsdale, Arizona  85253

with courtesy copies to:

Michael H. Taylor                       Michael A. Cane
O'Neill & Company                       Cane & Company
Suite 1880, Royal Centre                Suite 1200
1055 West Georgia Street, Box 11122     101 Convention Centre Boulevard
Vancouver, British Columbia             Las Vegas, Nevada 
V6E 3P3                                 89109

10.3  Confidentiality; Prohibition on Trading.  All parties 
agree to maintain the confidentiality of the existence of the 
Contribution Agreement, this Agreement and the transactions 
contemplated hereunder and thereunder, unless disclosure is 
required by law and except for disclosures to be made in connection 
with obtaining shareholder approval and third party consents, and 
actions required to consummate the contemplated transactions.  
ACS2, Advanced and the Advanced Subsidiaries agree not to trade in 
the securities of Dynamic based upon any nonpublic information.

10.4  Controlling Law.  This Agreement will be construed, 
interpreted and enforced in accordance with the substantive laws of 
the State of Delaware, without giving effect to its conflicts of 
laws provisions.

10.5  Headings.  Any table of contents and Section headings in 
this Agreement are for convenience of reference only and will not 
be considered or referred to in resolving questions of 
interpretation.

10.6  Benefit.  This Agreement will be binding upon and will 
inure to the exclusive benefit of the parties hereto and their 
respective heirs, legal representatives, successors and assigns. 
No party hereto may assign any rights or delegate any duties 
hereunder without the prior written consent of the other parties 
hereto and any prohibited assignment or delegation will be deemed 
null and void. This Agreement also inures to the benefit of the 
Original ACS2  Stockholders, individually and as a group, and the 
parties hereto acknowledge and agree that each ACS2 Stockholder is 
a third party beneficiary of this Agreement and the 
representations, warranties and obligations set forth herein of 
each party hereto. 

10.7  Partial Invalidity.  The invalidity or unenforceability 
of any particular provision of this Agreement will not affect the 
other provisions hereof, and this Agreement will be construed in 
all respects as if such invalid or unenforceable provisions were 
omitted. Further, there will be automatically substituted for such 
invalid or unenforceable provision a provision as similar as 
possible which is valid and enforceable.

<PAGE>

                               27

10.8  Counterparts and Facsimiles This Agreement may be 
executed simultaneously in two (2) or more counterparts each of 
which will be deemed an original and all of which together will 
constitute but one and the same instrument.  The signature page to 
this Agreement and all other documents required to be executed at 
Closing may be delivered by facsimile and the signatures thereon 
will be deemed effective upon receipt by the intended receiving 
party.

10.9  Interpretation.  All pronouns and any variation thereof 
will be deemed to refer to the masculine, feminine, neuter, 
singular or plural as the identity of the person or entity, or the 
context, may require. Further, it is acknowledged by the parties 
that this Agreement has undergone several drafts with the 
negotiated suggestions of both; and, therefore, no presumptions 
will arise favoring either party by virtue of the authorship of any 
of its provisions or the changes made through revisions.

10.10  Entire Agreement; Waivers.  This Agreement, including the 
Exhibits and Attachments hereto and those portions incorporated 
herein by reference, constitutes the entire agreement between the 
parties hereto with regard to the matters contained herein and it 
is understood and agreed that all previous undertakings, 
negotiations, letter of intent and agreements between the parties, 
other than the Contribution Agreement and documents related 
thereto, are merged herein. This Agreement may not be modified 
orally, but only by an agreement in writing signed by the parties 
hereto.  The failure of any party to this Agreement or the failure 
of any Original ACS2  Stockholder to assert any of its rights under 
this Agreement or otherwise will not constitute a waiver of such 
rights.  Neither the failure nor any delay on the part of any party 
hereto in exercising any rights, power or remedy hereunder will 
operate as a waiver thereof or of any right, power or remedy; nor 
will any single or partial exercise of any right, power or remedy 
preclude any further or other exercise thereof, or the exercise of 
any other right, power or remedy.

10.11  Legal Fees and Costs.  In the event any party hereto 
incurs legal expenses to enforce or interpret any provision of this 
Agreement, the prevailing party will be entitled to recover such 
legal expenses, including, without limitation, attorney's fees, 
costs and disbursements, in addition to any other relief to which 
such party will be entitled.

<PAGE>

                               28

IN WITNESS WHEREOF, the parties hereto have executed this 
Agreement and Plan of Merger as of the date first above written.

"ADVANCED":

ADVANCED CLINICAL SYSTEMS, INC.


By: /s/ Kevin D. Lee		
Title: President


"ACS2":

ACS2, INC.


By: /s/Kevin D. Lee		
Title: President


"DYNAMIC":

DYNAMIC ASSOCIATES, INC.


By: /s/ Jan Wallace		
Title: President, CEO 


"DAC":

DYNAMIC ACQUISITION CORPORATION


By: /s/ Kevin D. Lee		
Title: Chief Manager


 


                                  EXHIBIT 3

                              OPERATING AGREEMENT

                                     OF

                            ADVANCED - DYNAMIC, LLC
 
<PAGE>

                                     i
 

                              TABLE OF CONTENTS
                                     TO
                             OPERATING AGREEMENT
                                     OF
                             ADVANCED-DYNAMIC, LLC


ARTICLE I               DEFINITIONS                                       1
   1.1                  Definitions of Certain Terms                      1
   1.2                  Other Definitions                                 7

ARTICLE II              FORMATION                                         7
   2.1                  Formation                                         7
   2.2                  Name                                              7
   2.3                  Articles of Organization                          8
   2.4                  Principal Executive & Registered Office           8
   2.5                  Perpetual Existence                               8
   2.6                  Nature of Member's Interest                       8
   2.7                  No Certificates Evidencing Interests in Company	  8
   2.8                  Registered Agent                                  8
   2.9                  Filings                                           8
   2.10                 Status of Company for Tax Purposes                8

ARTICLE III             PURPOSE & POWERS                                  9
   3.1                  Purpose                                           9
   3.2                  Powers                                            9

ARTICLE IV              CAPITAL                                           9
   4.1                  Units                                             9
   4.2                  Capital Contributions                             9
   4.3                  Membership Interests                             10
   4.4                  No Interest On or Right to Withdraw Capital      10
   4.5                  Capital Accounts                                 10

ARTICLE V               PROFITS, LOSSES & CASH FLOW                      10
   5.1                  Allocation of Profits                            10
   5.2                  Allocation of Losses                             10
   5.3                  Special Allocations                              11
   5.4                  Curative Allocations                             13
   5.5                  Other Allocation Rules                           14
   5.6                  Tax Allocations: Code Section 704(c)             14
   5.7                  Allocations with Respect to Transferred Interests14
   5.9                  Distributions                                    16
   5.10                 Assignment                                       17

ARTICLE VI              MANAGEMENT                                       18
   6.1                  Management of Company                            18
   6.2                  Administration of the Company by the Managers    18
   6.3                  Duties and Powers of the Chief Manager           18
   6.4                  Day to Day Management                            18
      6.4.1             Standard of Management Services                  18
      6.4.2             Consideration                                    19


<PAGE>
                                   ii

      6.4.3             Key Management Decisions                         19
      6.4.4             Coordination of Management and                   
                          Operational Activities                         19
      6.4.5             Agency                                           19
      6.4.6             Indemnification                                  19
      6.4.7             Advanced Subsidiaries Operations                 20
   6.5                  Duties and Powers of the Vice Manager            20
   6.6                  Duties and Powers of the Secretary               20
   6.7                  Duties and Powers of the Treasurer               20
   6.8                  Direction and Approval by Members                20
   6.9                  Election, Withdrawal and Removal of Managers     20
   6.10                 Compensation of Managers                         21
   6.11                 Standard of Conduct                              21
   6.12                 Action of Members                                21
   6.13                 Liability of Managers and Employees              22
   6.14                 Consent of Members to Certain Actions            22
   6.15                 Additional Duties and Obligations of the Managers23
   6.16                 Limitations on Distributions                     23

ARTICLE VII	            MEMBER MEETINGS, VOTING RIGHTS & OTHER ACTIVITIES24
   7.1                  Annual Meeting                                   24
   7.2                  Calling Meetings and Notice                      24
   7.3                  Quorum Requirements for Meetings                 25
   7.4                  Voting                                           25
   7.5                  Action Without a Meeting                         25

ARTICLE VIII            INDEMNIFICATION AND ELIMINATION OF LIABILITY     26
   8.1                  Indemnification of Managers, Employees and Agents26
   8.2                  Elimination of Liability                         27

ARTICLE IX              FISCAL MATTERS                                   27
   9.1                  Books and Records                                27
   9.2                  Fiscal Year                                      27 
   9.3                  Financial Statements                             27 
   9.4                  Income Tax Reports                               27
   9.5                  Bank Accounts                                    27
   9.6                  Tax Matters Partner                              27
   9.7                  Tax Election Under Code Section 754              28

ARTICLE X               TERMINATION & ADMISSION OF MEMBERS               28
   10.1                 No Right to Withdraw                             28
   10.2                 Expulsion                                        28
   10.3                 Termination of Membership Interest               28
   10.4                 Admission of New Members Upon Issuance
                          of Additional Units                            29
   10.5                 No Preemptive Rights                             29

ARTICLE XI              TRANSFERS OF INTERESTS IN THE COMPANY            29
   11.1                 Required Consent to Transfer                     29
   11.2                 Certain Permitted Transfers of Financial Rights  30
   11.3                 Right of First Refusal                           30
   11.4                 No Termination of Company for Tax Purposes       30

ARTICLE XII             DISSOLUTION, TERMINATION & WINDING UP            31


<PAGE>
                                    iii

   12.1                 Dissolution of Company                           31
   12.2                 Winding  Up  Affairs  on  Dissolution            31
   12.3                 Distribution Upon Pre-Merger Dissolution         31 
   12.4                 Distribution Upon Post-Merger Dissolution        32
   12.5                 Waiver of Right to Partition and Decree
                          of Dissolution                                 32

ARTICLE XIII            GENERAL PROVISIONS                               33
   13.1                 Notices                                          33
   13.2                 Integration                                      33 
   13.3                 Governing Law                                    33 
   13.4                 Severability                                     33
   13.5                 Binding Effect                                   33
   13.6                 Terminology                                      33
   13.7                 Amendment                                        34
   13.8                 Waivers                                          34 
   13.9                 Confidentiality                                  34
   13.10                No Third Party Beneficiaries                     34


<PAGE>

                                1
 

                        OPERATING AGREEMENT

                               OF

                      ADVANCED - DYNAMIC, LLC
_______________________________________________________________


BY THIS OPERATING AGREEMENT made and entered into as of this 
30th day of March, 1999 by and between Dynamic Associates, Inc. 
("Dynamic") and ACS2, Inc. ("ACS2") (together, the "Members"), 
being all of the current members of Advanced-Dynamic, LLC (the 
"Company"), the Members represent and agree as follows:

                                ARTICLE I
                               DEFINITIONS

     1.1  Definitions of Certain Terms.  As used in this Agreement, 
the following terms shall have the indicated meanings.
       1.1.1  "Act" shall mean Chapter 86 of the Nevada 
Revised Statutes in effect on the date hereof and as it may be 
amended hereafter.
       1.1.2  [Omitted].
       1.1.3  "Advanced Subsidiaries" means Pain Care, Inc., 
Pain Care of Florida, Inc., Pain Care of Kentucky, Inc., Pain Care 
of Georgia, Inc., Pain Care of Tennessee, Pain Care of Texas, 
Inc., New Day, Inc., NDA of Alabama, Inc., NDA of Texas, Inc., and 
ACS/Managed Care Systems, Inc.
       1.1.4  "Agreement" means this Operating Agreement of 
Advanced-Dynamic, LLC, as it may be hereafter amended, modified or 
restated.
       1.1.5  "Articles" means the Articles of Organization 
of Advanced-Dynamic, LLC, filed with  the Nevada Secretary of State 
on March 22, 1999.
       1.1.6  "Capital Account" means, with respect to each 
holder of Financial Rights, the Capital Account maintained for 
such person in accordance with the following provisions:
         1.1.6.1  To the Capital Account of each holder of 
Financial Rights there shall be credited such person's Capital 
Contributions and distributive share of Profits and any items in 
the nature of income or gain that are specially allocated to such 
person pursuant to section 5.3 or

<PAGE>
                                  2

5.4 hereof, and the amount of any Company liabilities assumed by
such person or that are secured by any Company property
distributed to such person.
         1.1.6.2  To the Capital Account of each holder of 
Financial Rights there shall be debited the amount of cash and the 
Gross Asset Value of any Company property distributed to such 
person pursuant to any provision of this Agreement, such person's 
distributive share of Losses and any items in the nature of 
deductions or losses that are specially allocated to such person 
pursuant to section 5.3 or 5.4 hereof, and the amount of any 
liabilities of such person assumed by the Company or that are 
secured by any property contributed by such person to the Company.
         1.1.6.3	In the event of an assignment of a 
Membership Interest or Financial Rights that is permitted by this 
Agreement, the assignee shall succeed to the Capital Account of 
The transferor in accordance with Regulations section 1.704-
1(b)(2)(iv) to the extent such Capital Account relates to the transferred 
Membership Interest or Financial Rights; provided, however, no 
such assignment shall, in and of itself, relieve the transferor of any 
obligation to the Company, including, but not limited to, any 
obligation of such transferor to contribute to the capital of the 
Company.
         1.1.6.4  In determining the amount of any 
liability for purposes of sections 1.1.6.1 and 1.1.6.2 hereof, 
there shall be taken into account Code section 752(c) and any 
other applicable provisions of the Code and Regulations.
     The foregoing provisions of section 1.1.6 and the other 
provisions of this Agreement relating to the maintenance of 
Capital Accounts are intended to comply with Regulations section 1.704-
1(b) and shall be interpreted and applied in a manner consistent with 
such Regulations. In the event the Members determine that it is 
prudent to modify the manner in which Capital Accounts, or any 
debits or credits thereto (including, without limitation, debits 
or credits relating to liabilities that are secured by contributed or 
distributed property, or that are assumed by the Company or 
holders of Financial Rights), are computed in order to comply with such 
Regulations, the Members may make such modification, provided it 
is not likely to have a material effect on the amounts distributable 
to any holder of Financial Rights pursuant to section 5.9, upon 
the dissolution of the Company, or upon the termination of such 
person's interest in the Company.  The Members also shall make any 
adjustments that are necessary or appropriate to maintain equality 
between the Capital Accounts of the holders of Financial Rights 
and the amount of Company capital reflected on the Company's balance 
sheet, as computed for book purposes, in accordance with 
Regulations 

<PAGE>
                                 3

section 1.704-1(b)(2)(iv)(q), and any appropriate modifications
in the event unanticipated events might otherwise cause this
Agreement not to comply with Regulations section 1.704-1(b).
       1.1.7  "Capital Contribution" means, with respect to 
any holder of Financial Rights, the amount of money and the 
initial Gross Asset Value of any property (other than money) contributed 
at any time to the Company with respect to such person's interest in 
the Company.
       1.1.8  "Cash Flow" means the Company's taxable 
income for Federal income tax purposes,  increased by (i) 
amortization, depreciation and other non-cash charges taken into 
account in computing taxable income, (ii) any nontaxable income or 
proceeds from any refinancing of the Company's indebtedness (other 
than Capital Contributions), and (iii) the net proceeds from the 
sale of any of the Company's assets, and decreased by (iv) 
principal payments on Company debts, (v) any other cash 
expenditures that have not been deducted in determining the 
Company's taxable income, and (vi) any amount the Members 
determine to be reasonably required to maintain sufficient working capital 
and reasonable reserves for operating expenses and capital 
expenditures.  Cash Flow shall be determined separately for each 
fiscal year and not cumulatively.
       1.1.9  "Code" means the Internal Revenue Code of 
1986, as hereafter amended from time to time.  All references 
herein to sections of the Code shall include references to any 
corresponding successor provision or provisions.
1.1.10  "Company" means Advanced-Dynamic, LLC, the 
Nevada limited liability company to which this Agreement relates.
1.1.11  "Contribution Agreement" means that certain 
Capital Contribution Agreement dated as of March 30, 1999 among 
Dynamic, ACS2, Advanced Clinical Systems, Inc. and the Company.
1.1.12  "Depreciation" means, for each fiscal year or 
other shorter period of the Company, an amount equal to the 
depreciation, amortization, or other cost recovery deduction 
allowable with respect to an asset for such year or other period, 
except that if the Gross Asset Value of an asset differs from its 
adjusted basis for Federal income tax purposes at the beginning of 
such year or other period, Depreciation shall be an amount that 
bears the same ratio to such beginning Gross Asset Value as the 
Federal income tax depreciation, amortization or other cost 
recovery deduction for such fiscal year or other period bears to 
such beginning adjusted tax basis; provided, however, if the 
Federal income tax deduction, amortization, or other cost recovery 
deduction for such year is zero, Depreciation shall be determined 
with reference to such beginning Gross Asset Value using any 
reasonable method selected by the Members.


<PAGE>
                                4

       1.1.13  "Dynamic Subsidiaries" means Genesis Health 
Care Management Corporation and Geriatric Care Centers of 
American, Inc.
       1.1.14  "Financial Rights" means the rights of each 
Member (or assignee thereof) to share in profits, losses and 
distributions of the Company, to receive interim and liquidating 
distributions of the Company, and to assign such rights in 
accordance with the terms of this Agreement.
       1.1.15  "Governance Rights" means the rights of each 
Member to vote on one or more matters as herein specified or 
otherwise required under the Act and all of each Member's rights 
as a member in the Company other than Financial Rights and the right 
to assign Financial Rights.
       1.1.16  "Gross Asset Value" means, with respect to 
any asset of the Company, the asset's adjusted basis for Federal 
income tax purposes, except as follows:
         1.1.16.1  The initial Gross Asset Value of any 
asset contributed to the Company by a Member or holder of 
Financial Rights shall be the gross fair market value of such asset,
as agreed upon by the person making such contribution and the 
Company;
         1.1.16.2  The Gross Asset Values of all Company 
assets shall be adjusted to equal their respective gross fair 
market values, as determined by the Members, as of the following 
times:
           1.1.16.2.1  The acquisition of an 
additional interest in the Company by any person in exchange 
for more than a de minimis Capital Contribution to the Company 
if the Members reasonably determine that such an adjustment is 
necessary or appropriate to reflect the relative economic 
interests of the holders of Financial Rights;
           1.1.16.2.2  The distribution by the Company 
to a holder of Financial Rights of more than a de minimis 
amount of property as consideration for an interest in the 
Company if the Members reasonably determine that such an 
adjustment is necessary or appropriate to reflect the relative 
economic interests of the holders of Financial Rights; and
          1.1.16.2.3  The liquidation of the Company 
within the meaning of Regulations section 1.704-1(b) (2) (ii) 
(g).
         1.1.16.3  The Gross Asset Value of any Company 
asset distributed to any holder of Financial Rights shall be the 
gross fair market value of such asset on the date of distribution, 
as agreed upon by the person to whom the asset is distributed and 
the Company; and


<PAGE>
                                  5

         1.1.16.4  The Gross Asset Values of Company assets 
shall be increased (or decreased) to reflect any adjustments to 
the adjusted basis of such assets pursuant to Code section 734(b) or 
743(b), but only to the extent that such adjustments are taken 
into account  in determining Capital Accounts pursuant to Regulations 
section 1.704-1(b) (2) (iv) (m) and section 5.3.7 hereof; 
provided, however, that Gross Asset Values shall not be adjusted pursuant to 
this section 1.1.16.4 to the extent the Members determine that an 
adjustment pursuant to section 1.1.16.2 above is necessary or 
appropriate in connection with a transaction that would otherwise 
result in an adjustment pursuant to this section 1.1.16.4.
       If the Gross Asset Value of an asset has been determined 
or adjusted pursuant to sections 1.1.16.1, 1.1.16.2 or 1.1.16.4 
above, such Gross Asset Value shall thereafter be adjusted by the 
Depreciation taken into account with respect to such asset for 
purposes of computing Profits or Losses.
       1.1.17  "Managers" means, collectively, and "Manager" 
means, individually, Kevin Lee, Andrew Miller, Jan Wallace, and 
Clay Deardorf, and those additional and substitute persons who may 
be elected from time to time by the Members to manager the 
administrative affairs of the Company pursuant to the provisions 
of this Agreement.
       1.1.18  "Members" means those persons identified on 
Exhibit A attached hereto, together with any additional persons 
admitted as Members pursuant to the provisions of this Agreement. 
No person shall be a Member unless he or she possesses some 
Governance Rights.  The term "Member" means any one of such 
persons.
       1.1.19  "Membership Interest" means each Member's 
interest in the Company, consisting of (i) Financial Rights, (ii) 
Governance Rights, and (iii) rights to assign either Financial 
Rights and Governance Rights or both.  If a Member has assigned 
some or all of such Member's Financial Rights, then "Membership 
Interest" means, with respect to such Member, (i)  such Member's 
Governance Rights,  (ii)  such Member's right to assign such 
Governance Rights, (iii) any remaining Financial Rights of such 
Member, and (iv) such Member's right to assign any such remaining 
Financial Rights.
       1.1.20  "Merger Agreement" means that certain 
Agreement and Plan of Merger entered into among Dynamic, ACS2, 
Advanced Clinical Systems, Inc., Dynamic Acquisition Corporation 
("DAC"), and the Company contemporaneously with the Contribution 
Agreement. 
        1.1.21  "Percentage Financial Interest" means the 
interest of each Member or holder of Financial Rights obtained by 
converting to a percentage the fraction having as its numerator 


<PAGE>
                                  6

the number of Units, for Financial Rights purposes, held by such 
Member or holder of Financial Rights and having as its denominator
the aggregate number of Units, for Financial Rights purposes, held
by all Members and holders of Financial Rights at the time.  The 
initial Percentage Financial Interest of each Member is set forth 
opposite such Member's name on Exhibit A attached hereto. 
       1.1.22  [Omitted].
       1.1.23  "Profits or Losses" shall mean, for each 
fiscal year or other shorter period of the Company, an amount 
equal to the Company's Federal taxable income or loss for such year or 
period, determined in accordance with Code section 703(a) (for 
this purpose, all items of income, gain, loss or deduction required to 
be stated separately pursuant to Code section 703(a)(1) shall be 
included in taxable income or loss), with the following 
adjustments:
         1.1.23.1  Any income of the Company that is exempt 
from Federal income taxation and not otherwise taken into account 
in computing Profits or Losses pursuant to this section 1.1.23 
shall be added to such taxable income or loss;
         1.1.23.2  Any expenditures of the Company described 
in Code section 705(a)(2)(B) or treated as Code section 
705(a)(2)(B) expenditures pursuant to Regulations section 
1.704-1(b)(2)(iv)(i) and not otherwise taken into account in 
computing Profits or Losses pursuant to this section 1.1.23 shall 
be subtracted from such taxable income or loss;
         1.1.23.3  In the event the Gross Asset Value of any 
Company asset is adjusted pursuant to section 1.1.16.3 or 1.1.16.4 
hereof, the amount of such adjustment shall be taken into account 
as gain or loss from the disposition of such asset for purposes of 
computing Profits or Losses;
         1.1.23.4  Gain or loss resulting from any 
disposition of Company property with respect to which gain or loss 
is recognized for Federal income tax purposes shall be computed by 
reference to the Gross Asset Value of the property disposed of, 
notwithstanding that the adjusted tax basis of such property 
differs from its Gross Asset Value;
         1.1.23.5  In lieu of the depreciation, 
amortization, and other cost recovery deductions taken into 
account in computing such taxable income or loss, there shall be taken 
into account Depreciation for such fiscal year or other shorter period, 
computed in accordance with section 1.1.12 hereof; and
         1.1.23.6  To the extent an adjustment to the 
adjusted tax basis of any Company asset pursuant to Code section 
734(b) or 743(b) is required pursuant to Regulations section 
1.704-1(b)(2)(iv)(m)(4) to be taken into account in determining Capital 
Accounts as a result of a

<PAGE>
                                 7

distribution other than in liquidation 
of a holder of Financial Rights' interest, the amount of such 
adjustment shall be treated as an item of gain (if the adjustment 
increases the basis of the asset) or loss (if the adjustment 
decreases the basis of the asset) from the disposition of the 
asset and shall be taken into account for purposes of computing Profits 
or Losses; and
         1.1.23.7  Notwithstanding any other provision of 
this section 1.1.23, any items that are specially allocated 
pursuant to section 5.3 or 5.4 hereof shall not be taken into 
account in computing Profits or Losses.
       1.1.24  "Regulations" means the regulations 
promulgated by the United States Department of the Treasury 
pursuant to and in respect of the Code.  All references herein to 
sections of the Regulations shall include any corresponding 
provision or provisions of succeeding, substitute, proposed or 
final Regulations.
     1.2  Other Definitions.    Capitalized terms used in this 
Agreement not otherwise defined in this Article I shall have the 
meanings given to them elsewhere herein.  Certain definitions 
relating to the allocation of Profits or Losses are found in 
section 5.8. 

                           ARTICLE II
                            FORMATION


     2.1  Formation. The Members hereby acknowledge the formation 
of Advanced-Dynamic, LLC, as a Nevada limited liability company 
effective upon the filing of the Company's Articles with the 
Secretary of State of Nevada on March 22, 1999.  The Members shall 
immediately, and from time to time hereafter, execute all 
documents and do all filing, recording, and other acts as may be
required to comply with the operation of the Company under the Act.  
     2.2  Name.  The name of the Company is Advanced-Dynamic LLC. 
The Company shall conduct its business under said name or may 
adopt and conduct its business under such other name or assumed or 
trade name permitted under the Act as the Members may designate 
from time to time.  The Company shall execute and cause to be 
filed any and all documents, including assumed or fictitious name 
certificates, as may be required to conduct business in Nevada and 
other states or jurisdictions in which the Company does business 
to enable the Company to lawfully transact business in such 
jurisdiction under such name.


<PAGE>
                                   8

     2.3  Articles of Organization. The Articles, as in effect on 
the date of this Agreement, are hereby adopted and ratified by the 
Members.  In the event of a conflict between the terms of this 
Agreement and those of the Articles, the terms of the Articles 
shall prevail.
     2.4  Principal Executive & Registered Office.  The principal 
executive office of the Company shall be located at 49 Music 
Square, West, Suite 502, Nashville, Tennessee 37203-3272 or at 
such other place as the Members shall mutually determine in their sole 
discretion.  
     2.5  Perpetual Existence.  The Company shall be deemed to have 
commenced upon the filing of the Articles and shall continue in 
perpetuity until the Company's existence is terminated in 
accordance with this Agreement or the Act. 
     2.6  Nature of Member's Interest.  The interest in the 
Company of each Member (and all assignees thereof) shall be personal 
property.  All real and personal property owned by the Company 
shall be owned by the Company as an entity in the Company's name. 
No Member or holder of Financial Rights, as such, shall own any 
interest in specific Company property.
     2.7  No Certificates Evidencing Interests in Company.  The 
Company shall have no authority to issue certificates evidencing 
Membership Interests, Governance Rights or Financial Rights in the 
Company.  The Company shall, at the request of any Member, provide 
the written statement describing the interest of such Member to 
which such Member is entitled.
     2.8  Registered Agent.  The name and business address of the 
agent for service of process for the Company is Michael A. Cane, 
101 Convention Center Drive., Las Vegas, Nevada 89109, or such 
other person as the Members shall mutually appoint from time to 
time. 
     2.9  Filings.  The Company shall execute and cause to be filed 
such certificates and documents required by Nevada and any state 
or other jurisdiction in which the Company engages in business.  The 
Company shall take any and all other actions reasonably necessary 
to perfect and maintain the status of the Company as a limited 
liability company under the laws of Nevada and in any state or 
other jurisdiction in which the Company engages in business, and 
the Company shall execute and file for public record the Articles, 
and any and all amendments thereto, and other filings in all 
places and at such times as required by the Act or other applicable law 
necessary for the continuation of, or the transaction of any, 
business by the Company.
     2.10  Status of Company for Tax Purposes.  The Members 
intend that the Company be classified as a partnership for Federal 
income tax purposes.  The Members shall be under a continuing 
obligation to perform their duties and responsibilities under this 
Agreement in light of such intention, and the Company shall do any 
and all things and acts necessary or appropriate to 

<PAGE>
                                  9

maintain such classification. The Members also intend that the Company
not be classified as a partnership for purposes of Section 3030 of the 
Federal Bankruptcy Code.  No Member shall take any action 
inconsistent with this express intent of the Members.

                            ARTICLE III
                         PURPOSE & POWERS

     3.1  Purpose.  The Company has been formed to engage in 
the business of health care management and any other lawful 
activity incident to such purpose, and, upon the unanimous 
affirmative vote of the Members, to engage in any other lawful 
business, act or activity in which a limited liability company may 
engage under the Act.
     3.2  Powers.  In furtherance of its purpose, the Company 
shall have full power and authority to do all things necessary or 
desirable to accomplish its purpose and carry on its business as 
permitted by applicable law and shall have all powers and 
authority granted to limited liability companies under the Act.

                           ARTICLE IV
                            CAPITAL

     4.1  Units.  Membership Interests in the Company shall be 
denominated in "Units," or fractions thereof.  For Governance 
Rights purposes, each full Unit entitles the Member holding such 
Unit to one (1) vote on all matters to which such Member is 
entitled to vote and each fractional Unit entitles the Member 
holding such fractional Unit to an equivalent fractional vote.  
For purposes of assigning Financial Rights and/or Governance Rights, 
each Unit may be severed and/or divided into fractional portions 
as applicable. 
     4.2  Capital Contributions.  At the closing of the 
Contribution Agreement and as contemplated therein, the Members 
shall contribute the Advanced Subsidiaries and Dynamic 
Subsidiaries, respectively, to the capital of the Company in 
consideration of the Units set forth in section 4.3.  Additional 
Units may be issued at such time, for such Capital Contributions, 
and upon such other terms and conditions as the Members shall, in 
their discretion, determine by the unanimous vote of the members. 
Additional Capital Contributions will not be required of the 
Members.


<PAGE>
                                 10

     Each Member will execute all assignments and documents of 
transfer as required to give effect to the Capital Contributions 
required by this Agreement.
     4.3  Membership Interests.  There shall be Two Hundred (200) 
Units authorized for distribution from the Company.  As of the 
date of this Agreement, each of Dynamic and ACS2 have been issued one 
(1) Unit.  Upon completion of the Capital Contributions of each of 
ACS2 and Dynamic as set forth in Section 4.2 of this Agreement, 
each of Dynamic and ACS2 will be issued an additional ninety-nine 
(99) Units, such that the aggregate outstanding Units for both 
governance and financial rights purposes will be owned as follows:

                      Dynamic          100 Units
                      ACS2             100 Units

    4.4  No Interest On or Right to Withdraw Capital.  No holder 
of Financial Rights shall have the right to demand the return of, 
or otherwise withdraw, the Capital Contribution associated with 
such person's Financial Rights, or to receive any specific 
property of the Company, except as specifically provided in this Agreement. 
Except as expressly provided for in Section 12.3 of this 
Agreement, no holder of Financial Rights shall have the right to demand and 
receive property other than cash in return for the Capital 
Contributions associated with such Financial Rights.  No holder of 
Financial Rights shall have the right to any interest on Capital 
Contributions.
     4.5  Capital Accounts.  The Company shall maintain for each 
holder of Financial Rights a Capital Account in accordance with 
section 1.1.5 of this Agreement.

                            ARTICLE V
                   PROFITS, LOSSES & CASH FLOW

     5.1  Allocation of Profits.  After giving effect to the 
special allocations set forth in sections 5.3 and 5.4 hereof, 
Profits for any fiscal year or other shorter period shall be 
allocated among holders of Financial Rights in accordance with 
their respective Percentage Financial Interests.
     5.2  Allocation of Losses.  After giving effect to the special 
allocations set forth in sections 5.3 and 5.4 hereof, Losses for 
any fiscal year or other shorter period shall be allocated among 
holders of Financial Rights in accordance with their respective 
Percentage Financial Interests.


<PAGE>
                                11

       5.2.1  Losses allocated pursuant to section 5.2 
hereof shall not exceed the maximum amount of Losses that can be 
so allocated without causing any person to have an Adjusted Capital 
Account Deficit at the end of any fiscal year.  In the event some 
but not all of the holders of Financial Rights would have Adjusted 
Capital Account Deficits as a consequence of an allocation of 
Losses pursuant to section 5.2, the limitation set forth in this 
subsection 5.2.1 shall be applied on a person by person basis so 
as to allocate the maximum permissible Loss to each holder of 
Financial Rights under section 1.704-1(b)(2)(ii)(d) of the 
Regulations.
     5.3  Special Allocations. The following special allocations 
shall be made in the following order: 
       5.3.1  Minimum Gain Chargeback. Except as otherwise 
provided in section 1.704-2(f) of the Regulations, notwithstanding 
any other provision of this Article V, if there is a net decrease 
in Company Minimum Gain during any Company fiscal year or other 
shorter period, each holder of Financial Rights shall be specially 
allocated items of Company income and gain for such year or other 
shorter period (and, if necessary, subsequent years) in an amount 
equal to such person's share of the net decrease in Company 
Minimum Gain, determined in accordance with Regulations section 1.704-
2(g). Allocations pursuant to the previous sentence shall be made in 
proportion to the respective amounts required to be allocated to 
each holder of Financial Rights pursuant thereto. The items to be 
so allocated shall be determined in accordance with sections 
1.704-(f)(6) and 1.704-2(j)(2) of the Regulations. This section 5.3.1 
is intended to comply with the minimum gain chargeback requirement in 
section 1.704-2(f) of the Regulations and shall be interpreted 
consistently therewith.
       5.3.2  Partner Minimum Gain Chargeback. Except as 
otherwise provided in section 1.704-2(i)(4) of the Regulations, 
notwithstanding any other provision of this Article V except 
section 5.3.1, if there is a net decrease in Partner Nonrecourse 
Debt Minimum Gain attributable to a Partner Nonrecourse Debt 
during any Company fiscal year or other shorter period, each holder of 
Financial Rights who has a share of the Partner Nonrecourse Debt 
Minimum Gain attributable to such Partner Nonrecourse Debt, 
determined in accordance with section 1.704-2(i)(5) of the 
Regulations, shall be specially allocated items of Company income 
and gain for such year or other shorter period (and, if necessary, 
subsequent years) in an amount equal to such person's share of the 
net decrease in Partner Nonrecourse Debt Minimum Gain attributable 
to such Partner Nonrecourse Debt, determined in accordance with 
Regulations section 1.704-2(i)(4).  Allocations pursuant to the 
previous sentence shall be made in proportion to the respective 
amounts required to be allocated to each holder of

<PAGE>
                                  12

Financial Rights pursuant thereto. The items to be so allocated shall be 
determined in accordance with sections 1.704-2(i)(4) and 1.704-2(j)(2) of the 
Regulations. This section 5.3.2 is intended to comply with the 
minimum gain chargeback requirement in section 1.704-2(i)(4) of 
the Regulations and shall be interpreted consistently therewith.
        5.3.3	Qualified Income Offset. In the event any 
holder of Financial Rights unexpectedly receives any adjustments, 
allocations, or distributions described in Regulations section 
1.704-1(b)(2)(ii)(d)(4), 1.704-1(b)(2)(ii)(d)(5), or 1.704-
1(b)(2)(ii)(d)(6), items of income and gain shall be specially 
allocated to each such person in an amount and manner sufficient 
to eliminate, to the extent required by the Regulations, the Adjusted 
Capital Account Deficit of such person as quickly as possible, 
provided that an allocation pursuant to this section 5.3.3 shall 
be made if and only to the extent that such person would have an 
Adjusted Capital Account Deficit after all other allocations 
provided for in this Article V have been tentatively made as if 
this section 5.3.3 were not in the Agreement.
       5.3.4	Gross Income Allocation. In the event any 
holder of Financial Rights has a deficit Capital Account at the 
end of any Company fiscal year or other shorter period that is in 
excess of the sum of (i) the amount, if any, such person is 
obligated to restore, and (ii) the amount such person is deemed to 
be obligated to restore pursuant to the penultimate sentences of 
Regulations sections 1.704-2(g)(1) and 1.704-2(i)(5), each such 
person shall be specially allocated items of Company income and 
gain in the amount of such excess as quickly as possible, provided 
that an allocation pursuant to this section 5.3.4 shall be made if 
and only to the extent that such person would have a deficit 
Capital Account in excess of such sum after all other allocations 
provided for in this Article V have been tentatively made as if 
section 5.3.3 hereof and this section 5.3.4 were not in the 
Agreement.
       5.3.5  Nonrecourse Deductions. Nonrecourse 
Deductions for any fiscal year or other shorter period shall be 
specially allocated among the holders of Financial Rights in 
accordance with their respective Percentage Financial Interests.
       5.3.6  Partner Nonrecourse Deductions. Any Partner 
Nonrecourse Deductions for any fiscal year or other shorter period 
shall be specially allocated to the holder of Financial Rights who 
bears the economic risk of loss with respect to the Partner 
Nonrecourse Debt to which such Partner Nonrecourse Deductions are 
attributable in accordance with Regulations section 1.704-2(i)(1).


<PAGE>
                                    13

       5.3.7  Code Section 754 Adjustments. To the extent 
an adjustment to the adjusted tax basis of any Company asset 
pursuant to Code section 734(b) or 743(b) is required, pursuant to 
Regulations section 1.704-1(b)(2)(iv)(m)(2) or 1.704-
1(b)(2)(iv)(m)(4), to be taken into account in determining Capital 
Accounts as the result of a distribution to a holder of Financial 
Rights in complete liquidation of such Financial Rights, the 
amount of such adjustment to the Capital Accounts shall be treated as an 
item of gain (if the adjustment increases the basis of the asset) 
or loss (if the adjustment decreases such basis), and such gain or 
loss shall be specially allocated to the holders of Financial 
Rights in accordance with their interests in the Company in the 
event that Regulations section 1.704-1(b)(2)(iv)(m)(2) applies, or 
to the persons to whom such distribution was made in the event 
that Regulations section 1.704-1(b)(2)(iv)(m)(4) applies.
       5.3.8	Imputed Interest. To the extent the Company 
has Federal taxable interest income with respect to any promissory 
note pursuant to section 483 or sections 1271 through 1288 of the 
Code:
         5.3.8.1  Such interest income shall be specially 
allocated to the holder of Financial Rights to whom such 
promissory note relates; and
         5.3.8.2  The amount of such interest income shall 
be excluded from the Capital Contributions credited to the Capital 
Account of such holder of Financial Rights in connection with 
payments of principal with respect to such promissory note.
     5.4  Curative Allocations.  The allocations set forth in 
sections 5.2.1, 5.3.1, 5.3.2, 5.3.3, 5.3.4, 5.3.5, 5.3.6 and 5.3.7 
hereof (the "Regulatory Allocations") are intended to comply with 
certain requirements of the Regulations.  It is the intent of the 
Members that, to the extent possible, all Regulatory Allocations 
shall be offset either with other Regulatory Allocations or with 
special allocations of other items of Company income, gain, loss, 
or deduction pursuant to this section 5.4.  Therefore, 
notwithstanding any other provision of this Article V (other than 
the Regulatory Allocations), the Members shall make such 
offsetting special allocations of Company income, gain, loss, or deduction in 
whatever manner it determines appropriate so that, after such 
offsetting allocations are made, the Capital Account balance of 
each holder of Financial Rights is, to the extent possible, equal 
to the Capital Account balance such person would have had if the 
Regulatory Allocations were not part of this Agreement and all 
Company items were allocated pursuant to sections 5.1, 5.2, 5.3.8, 
and 5.5.  In exercising its discretion under this section 5.4, the 
Members shall take into account future Regulatory Allocations 
under sections 5.3.1 and 5.3.2 that, although not yet

<PAGE>
                                   14

made, are likely to offset other Regulatory Allocations previously made under 
sections 5.3.5 and 5.3.6.
     5.5  Other Allocation Rules.
       5.5.1  Basis for Determining Profits or Losses. For 
purposes of determining the Profits, Losses, or any other items 
allocable to any period, Profits, Losses, and any such other items 
shall be determined on a daily, monthly, or other basis, as 
determined by the Members on a consistent basis using any 
permissible method under Code section 706 and the Regulations 
thereunder.
       5.5.2  Distributions of Cash Treated as Proceeds 
from Nonrecourse Liability or Partner Nonrecourse Debt.  To the 
extent permitted by section 1.704-2(h)(3) of the Regulations, the 
Members shall endeavor to treat distributions of cash as having 
been made from the proceeds of a Nonrecourse Liability or a 
Partner Nonrecourse Debt only to the extent that such distributions would 
cause or increase an Adjusted Capital Account Deficit for any 
holder of Financial Rights.
       5.5.3  Allocations of Items Not Otherwise Allocated. 
Except as otherwise provided in this Agreement, all items of 
Company income, gain, credit, loss, deduction, and any other 
allocations not otherwise provided for shall be divided among the 
holders of Financial Rights in the same proportions as they share 
Profits or Losses, as the case may be, for such fiscal year or 
other shorter period. 
        5.5.4  Allocations Binding. The Members and holders 
of Financial Rights are aware of the income tax consequences of 
the allocations made by this Article V and hereby agree to be bound by 
the provisions of this Article V in reporting their respective 
shares of Company income and loss for income tax purposes. The 
Members and holders of Financial Rights further intend that, 
pursuant to Regulations section 1.704-1(b)(3), the respective 
interests in the Company of the holders of Financial Rights are 
equal to the respective Percentage Financial Interests of such 
person for purposes of complying with section 704(b) of the Code.
      5.6	Tax Allocations: Code Section 704(c). In accordance with 
Code section 704(c) and the Regulations thereunder, income, gain, 
loss, and deduction with respect to any property contributed to 
the capital of the Company shall, solely for tax purposes, be 
allocated among the holders of Financial Rights so as to take account
of any variation between the adjusted basis of such property to the 
Company for Federal income tax purposes and its initial Gross 
Asset Value.

<PAGE>
                                 15

     5.7  Allocations with Respect to Transferred Interests.
       5.7.1  General Rule. If a Membership Interest or 
Financial Rights are transferred or  increased or decreased by 
reason of the admission of a new Member or otherwise, during any 
fiscal year or other shorter period of the Company, Profits or 
Losses and any other item of income, gain, loss, deduction or 
credit of the Company for such fiscal year or other shorter period 
shall be allocated among the holders of Financial Rights in 
accordance with their varying respective Percentage Financial 
Interests that they had from time to time during such fiscal year 
or other shorter period in accordance with Code section 706(d).
       5.7.2	Accounting Convention. For convenience in 
accounting, the Company may, to the extent permitted by law, treat 
a transfer of a Membership Interest or Financial Rights, or an 
increase or decrease of a holder of Financial Rights' Percentage 
Financial Interest, that occurs at any time during a month 
(commencing with the month including the date of this Agreement) 
as having been consummated on the first day of that month, regardless 
of when during that month the transfer, increase or decrease 
actually occurs, or adopt such other convention as the Members may 
lawfully select.
       5.7.3  Sale or Other Disposition of All Assets.  
Notwithstanding anything in section 5.7 to the contrary, gain or 
loss of the Company realized in connection with the sale or other 
disposition of all or substantially all the Company's assets 
(other than in the usual or regular course of the Company's business) 
and/or the liquidation of the Company shall be allocated only to 
holders of Financial Rights who own interests on the date such 
transaction occurs.
     5.8  Allocation Definitions.  As used in this Agreement, the 
following terms shall have the indicated meanings.
       5.8.1  "Adjusted Capital Account Deficit" means, 
with respect to any holder of Financial Rights, the deficit 
balance, if any, in such person's Capital Account as of the end of 
the relevant fiscal year or other shorter period, after giving 
effect to the following adjustments:
         5V.8.1.1  Credit to such Capital Account any 
amounts that such holder of Financial Rights is obligated to 
restore or is deemed to be obligated to restore pursuant to the 
penultimate sentences of Regulations sections 1.704-2(g)(1) and 
1.704-2(i)(5); and 
         5.8.1.2  Debit to such Capital Account the items 
described in Regulations sections 1.704-1(b)(2)(ii)(d)(4), (5) and 
(6).


<PAGE>
                                  16

       The foregoing definition of Adjusted Capital Account 
Deficit is intended to comply with the provisions of section 
1.704-1(b)(2)(ii)(d) of the Regulations and shall be interpreted 
consistently therewith.
5.8.2  "Company Minimum Gain" has the meaning set 
forth in Regulations sections 1.704-2(b)(2) and 1.704-2(d) for 
"Partnership Minimum Gain" after substituting therein the word 
"Company" in place of the word "Partnership."
5.8.3  "Nonrecourse Deductions" has the meaning set 
forth in section 1.704-2(b)(1) of the Regulations.
5.8.4  "Nonrecourse Liability" has the meaning set 
forth in section 1.704-2(b)(3) of the Regulations.
5.8.5  "Partner Nonrecourse Debt" has the meaning 
set forth in section 1.704-2(b)(4) of the Regulations.
5.8.6  "Partner Nonrecourse Debt Minimum Gain" means 
an amount, with respect to each Partner Nonrecourse Debt, equal to 
the Company Minimum Gain that would result if such Partner 
Nonrecourse Debt were treated as a Nonrecourse Liability, 
determined in accordance with section 1.704-2(i)(3) of the 
Regulations.
5.8.7  "Partner Nonrecourse Deductions" has the 
meaning set forth in sections 1.704-2(i)(1) and 1.704-2(i)(2) of 
the Regulations.

5.9  Distributions.

5.9.1  Distributions.  Subject to Section 5.9.4, the 
Members are authorized to make distributions of cash or other 
property, in such amounts and at such times as the Members shall 
determine in its discretion, to holders of Financial Rights, 
allocated among them in accordance with their respective 
Percentage Financial Interests; provided, however, the Company shall, to
the extent of Cash Flow, distribute to each holder of Financial Rights 
an amount estimated by the Members to be sufficient to allow such 
holder of Financial Rights to pay income taxes resulting from all 
of the various allocations (whether regular or special) of the 
Company's income, gain, loss and deduction among the holders of 
Financial Rights pursuant to this Article V for such fiscal year 
or other shorter period utilizing for this purpose the then highest 
marginal individual Federal income tax rate in effect during such 
fiscal year or shorter period.  Such annual minimum distributions 
shall be made by the fifth (5th) day preceding the earliest date 
(without regard to extensions) by which any holder of Financial 
Rights must file his or her Federal income tax return reporting 
such person's distributive share of the Company's taxable income 
and may be made, at the Members' discretion, in installments

<PAGE>
                                  17

over the twelve (12) months preceding such due date to coincide with 
Federal income tax estimated payments.  Notwithstanding anything 
in this Agreement to the contrary, the Company shall not make any 
distributions that would render it insolvent.
5.9.2  Amounts Withheld. All amounts withheld 
pursuant to the Code or any provision of state or local tax law 
with respect to any payment of taxes of holders of Financial 
Rights or distribution to the holders of Financial Rights shall be 
treated as amounts distributed to them pursuant to this section 5.9 for 
all purposes under this Agreement.
5.9.3  Distributions in Kind.  Except as expressly 
provided for in Section 12.3 of this Agreement, no holder of 
Financial Rights shall have the right to demand or receive 
distributions of property other than cash.  Distributions in kind 
of Company property, in liquidation or otherwise, shall be made 
only with the consent of the Members and only at a value agreed to 
by the Members.  Prior to any such distribution in kind, the 
difference between such agreed value and the book value of such 
property shall be credited or charged, as the case may be, to the 
holders of Financial Rights' Capital Accounts in proportion to 
their Percentage Financial Interests, except as may otherwise be 
required under Code section 704(c).  Upon the distribution of such 
property, such agreed value shall be charged to the Capital 
Accounts of the holders of Financial Rights receiving such 
distribution.
5.9.4  Distributions Pending Merger.  During the 
period from the date of this Agreement to the date of consummation 
of the Merger, the Members will not make any distributions of 
cash, assets, or other properties of the company except as provided for 
in this Agreement.
5.10  Assignment.  In the event of an assignment of a 
Membership Interest or Financial Rights in the Company that is 
permitted under this Agreement, Profits or Losses and other tax 
attributes shall be allocated and Cash Flow distributions shall be 
made to the assignee rather than to the assignor to the extent of 
the Financial Rights assigned. Except as otherwise provided in 
section 5.7.3, Profits or Losses and other tax attributes 
allocable to any Member or holder of Financial Rights whose Membership 
Interest or Financial Rights has been assigned, in whole or in 
part, during a fiscal year shall be allocated among the persons 
who were the holders of such Membership Interest or Financial Rights 
during such fiscal year in proportion to their respective holding 
periods, without separate determination of the results of Company 
operations during such periods in accordance with Code section 
706. The Secretary of the Company shall revise Exhibit A attached 
hereto to reflect any such assignment and the revised Membership 
Interests, Governance Rights and/or Financial Rights as a result 
thereof.

<PAGE>
                             18

                        ARTICLE VI
                        MANAGEMENT

6.1  Management of Company.  The management of the business 
and affairs of the Company shall be vested in the Members.  Except 
where expressly provided herein to the contrary, all decisions 
with respect to the management of the Company shall be made by the 
Members and will be binding upon the Company and all Members.
6.2  Administration of the Company by the Managers.  The 
administration of the day-to-day business and affairs of the 
Company is hereby delegated by the Members to at least four (4) 
Managers:  a Chief Manager, a Vice Manager, an Advanced Operations 
Manager, and a Dynamic Operations Manager,. The Members may also 
appoint such other managers, including secretaries, vice managers 
and treasurers, as they may deem appropriate.  Except where 
expressly provided herein to the contrary, such decisions with 
respect to the administration of the Company shall be made by the 
Managers and shall be binding upon the Company.  The Managers may 
delegate any or all of their responsibilities and appoint agents 
or attorneys in fact to act in their behalf.
6.3  Duties and Powers of the Chief Manager.  Except as 
provided in Section 6.4, the Chief Manager shall carry out the 
day-to-day management and operations of the Company in accordance with 
the directions, and subject to the review, of the Members and 
shall have such other duties and responsibilities as prescribed by the 
Act.  Notwithstanding the foregoing and except as provided in 
Section 6.4, the Chief Manager shall have the authority, power and 
discretion to make decisions and to take actions in the ordinary 
course of business of the Company that the Chief Manager deems 
reasonably necessary in light of the Company's business and 
objectives, consistent with the Articles, this Agreement and the 
actions and/or resolutions of the Members. 
6.4  Day to Day Management.  The day to day management and 
operation of the geriatric psychiatric health care businesses 
carried on by the Dynamic Subsidiaries will be carried out by 
Advanced pursuant to this Section 6.4.
6.4.1  Standard of Management Services.  Advanced 
will supervise all day to day management and operations 
activities, with the assistance of the staff of the Dynamic Subsidiaries, to 
ensure that the geriatric psychiatric health care businesses are 
carried on by the Dynamic Subsidiaries in the ordinary course of 
the businesses of the Dynamic Subsidiaries in a  manner consistent 
with prior practices.

<PAGE>
                                  19

6.4.2  Consideration.  In consideration of Advanced 
providing the management and operation services as contemplated in 
this Section 6.4, the Dynamic Subsidiaries will pay to Advanced a 
fee equal to $7,000 per month, payable in advance, provided that 
the fee will be pro-rated for any portion of a month in which the 
services are provided.  In addition, the Dynamic Subsidiaries will 
reimburse Advanced for the reasonable expenses incurred by 
Advanced and paid to arms-length parties in providing the management and 
operations services, provided that the reimbursable expenses will 
be limited to a maximum of $6,000 per month and provided further 
Advanced shall not be obligated to incur such expense, it being 
agreed that the Advanced Subsidiaries shall bear their own 
operating expenses.  The Dynamic Subsidiaries may, in their sole 
discretion, defer such monthly payments until June 30, 1999, upon 
which date all accrued sums shall be immediately payable and all 
subsequent monthly payments shall be made in advance; provided, 
however, that such obligation shall be forgiven if the Merger is 
completed on or before June 30, 1999.  Notwithstanding anything 
else contained herein, the $30,000 in management fees and up to 
$24,000 of reimbursable expenses due to Advanced under that 
certain Interim Management Contract dated December 7, 1998 shall be paid 
in full on or before April 1, 1999.

6.4.3  Key Management Decisions.   Dynamic, through 
the Dynamic Operations Manager, will retain control over and will 
continue to assume all responsibility for all key management 
decisions of the Dynamic Subsidiaries.  Advanced will make 
recommendations to Dynamic and the Dynamic Operations Manager for 
all key management decisions, provided that Dynamic and the 
Dynamic Operations Manager will not be bound to carry out any 
recommendation of Advanced.  Advanced will carry out all 
management directions made by Dynamic, provided they are within the scope of 
this Section 6.4.  
6.4.4  Coordination of Management and Operational 
Activities.  Advanced will coordinate all management and 
operational activities through the Dynamic Operations Manager.  
Advanced will keep Dynamic and the Dynamic Operations Manager 
fully apprised of all management and operation activities conducted by 
Advanced.
6.4.5  Agency.  Advanced will not be the agent of 
Dynamic or the Dynamic Subsidiaries and will have no authority to 
bind or to enter into agreements on behalf of Dynamic or the 
Dynamic Subsidiaries without prior written approval of the Dynamic 
Operations Manager.  Advanced will at all times be an independent, 
arms-length contractor of Dynamic.

6.4.6  Indemnification.  Dynamic will indemnify 
Advanced and its subsidiaries, employees, officers, directors and 
representatives for any loss, claim or expense incurred by 

<PAGE>
                                  20

Advanced or any of its subsidiaries, employees, officers, directors and 
representatives as a result of a claim against Advanced or its 
subsidiaries, employees, officers, directors and representatives 
as a result of providing the management and operational services, 
provided that Advanced has acted in good faith and in accordance 
with its obligations pursuant to this Section 6.4.
6.4.7  Advanced Subsidiaries Operations.  The 
Advanced Operations Manager will retain control over the business 
of the Advanced Subsidiaries and will carry out the day to day 
management and operations of the Advanced Subsidiaries subject to 
the terms and conditions of this Agreement.
6.5  Duties and Powers of the Vice Manager.  If appointed, the 
Vice Manager shall perform those duties requested by the Chief 
Manager.  In the case of the death or absence of the Chief 
Manager, or of his inability for whatever reason to perform his duties as 
Chief Manager, the Vice Manager shall assume such duties on a 
temporary basis.  
6.6  Duties and Powers of the Secretary.  If appointed, the 
Secretary shall have the following duties and powers:  (a) 
maintain accurate membership records for the Company including all records 
required by the Act; (b) maintain records and minutes of all 
meetings of the Members; (c) receive and maintain all notices sent 
to the Company; and (d) execute all contracts, documents, 
certificates and other instruments on behalf of the Company where 
two signatures are required, or by himself where the Chief Manager 
or Vice Manager is unavailable.  Except as otherwise expressly 
directed by the Members or the Act, the Secretary shall have no 
other duties or powers.

6.7  Duties and Powers of the Treasurer.  If appointed, the 
Treasurer shall keep an account of all monies received and 
expended by the Company, shall make distributions to Members pursuant to 
the terms hereof, shall oversee audits of the Company's financial 
records and perform those duties requested by the Chief Manager 
and Members. 
6.8  Direction and Approval by Members.  Notwithstanding the 
provisions of Sections 6.1 through 6.7, the Members may, at any 
time, direct the Managers to undertake and perform any lawful act 
that is consistent with the terms of this Agreement and the 
provisions of the Act; provided, however, that prior to the 
consummation of the Merger of ACS2 as completed by the execution 
of the Merger Agreement, the Members can only exercise such powers 
upon unanimous consent.  The Members shall have no right or 
authority to cancel, set aside, reduce or diminish any lawful 
contract, agreement or obligation previously made or undertaken by 
the Managers on behalf of the Company.

6.9  Election, Withdrawal and Removal of Managers.  Prior to 
the consummation of the merger of ACS2 into DAC as contemplated 
under the Merger Agreement (the "Merger"), ACS2

<PAGE>
                                  21

shall have the sole responsibility of appointing, removing or
replacing the Advanced Operations Manager, Dynamic shall have
the sole responsibility of appointing, removing or replacing
the Dynamic Operations Manager and the Members shall mutually
appoint, remove or replace the Chief Manager, Vice Manager and
any other secretary, treasurer or other Manager. ACS2 initially
appoints Andrew Miller as Advanced Operations Manager, Dynamic
initially appoints Clay Deardorf as Dynamic Operations Manager,
and the Members initially appoint Kevin Lee as Chief Manager and
Jan Wallace as Vice Manager.  After the consummation of the
Merger, the Members may, by unanimous consent, at any time
appoint additional or substitute Managers.  The Members may,
at any time and without cause, remove and replace any one or 
more of the Managers; provided; however, that a Manager may be 
removed only upon the affirmative vote of the Members holding a 
majority of the Governance Rights at the time such removal is 
proposed.  The Members may eliminate any Manager position other 
than that of the Chief Manager, Advanced Operations Manager, and 
Dynamic Operations Manager.  Any Manager may, at any time and upon 
thirty (30) days prior written notice to the Members, resign as a 
Manager, but such resignation shall not affect his status, if any, 
as a Member.
6.10  Compensation of Managers.  Except as may be 
expressly provided for herein or hereafter approved by the 
Members, no payment will be made by the Company to any Manager for the 
services of such Manager or any affiliate, partner or employee of 
the Manager.
6.11  Standard of Conduct.  Each Manager shall discharge 
and perform his duties and responsibilities under this Agreement 
in accordance with the general standards of conduct prescribed by the 
Act.  No Manager shall be required to perform in accordance with 
or adhere to any standard other than that prescribed by the Act.
6.12  Action of Members.  Except as expressly provided in 
this Agreement, any vote, determination, consent, approval or action by the 
Members required or allowed under the terms of this 
Agreement shall be undertaken only upon the affirmative unanimous 
vote of Members holding a majority of the Governance Rights of the 
Members.  Any such vote, determination, consent, approval or 
action may be taken and evidenced by written consent.  Each Member that 
is not a natural person shall, from time to time, appoint in writing 
one representative who shall have the full power and authority to 
act on behalf of such Member with respect to the making or giving 
of any vote, determination, consent, approval or other action by 
such Member required or allowed under the terms of this Agreement. 
Each such written appointment shall be delivered to the Chief 
Manager

<PAGE>
                                  22

and shall not be effective until the time of actual 
delivery.  Any Member may at any time change any such appointment 
by delivering a new written instrument to the Chief Manager.
Notwithstanding anything contained herein to the contrary, any 
vote, determination, consent, approval or action by the Members 
required or allowed under the terms of this Agreement, other than 
the appointment of Managers pursuant to Section 6.8, prior to the 
consummation of the Merger, shall be undertaken only upon the 
unanimous approval of all of the Members.
6.13  Liability of Managers and Employees.  No Manager, 
employee or agent of the Company shall have any personal liability 
or obligation for the acts, debts, liabilities or obligations of 
the Company, whether such arise in contract, tort or otherwise, by 
virtue of his status as a Manager, employee or agent of the 
Company.
6.14  Consent of Members to Certain Actions.  
Notwithstanding anything in this Agreement to the contrary, 
following consummation of the Merger, the Company shall not take 
any of the following actions without the affirmative vote of 
Members holding at least two-thirds (2/3) of the total Governance 
Rights in the Company:
6.14.1  Sell all or substantially all of the property 
owned by the Company in a single transaction or in a series of 
related transactions not in the ordinary and usual course of the 
Company's business;
6.14.2  Merge with or into one or more entities not 
wholly-owned by the Company, excluding the Merger;
6.14.3  Dissolve the Company, except as anticipated 
under the Contribution Agreement or Merger Agreement if the Merger 
is not timely consummated;
6.14.4  Acquire or dispose of property, including 
real property, securities, instruments, notes and other 
investments, from or to any person outside of the ordinary course 
of business in an amount greater than $50,000;
6.14.5  Borrow any money in an amount greater than 
$50,000 for the Company or its subsidiaries from banks or other 
lending institutions outside of the ordinary course of business as 
presently conducted or the granting of any security interests in 
the assets of the Company to secure repayment of any borrowed 
sums; 
6.14.6  Enter into of any contract in an amount 
payable greater than $50,000 on behalf of the Company or its 
subsidiaries which is outside of the ordinary course of the 
business as carried on as of the date of this Agreement;

<PAGE>
                                  23

6.14.7  Make any assignment for the benefit of 
creditors of the Company, file a voluntary petition in bankruptcy, 
or appoint a receiver for the Company;
6.14.8  Commence, settle, dismiss or defend any 
lawsuit or other judicial or administrative proceeding brought by 
or on behalf of or against the Company or its subsidiaries; or
6.14.9  Terminate, amend, or enter into any contract 
on behalf of the Company or its subsidiaries where the term of the 
contract is greater than three months or where the amount payable 
to the Company pursuant to the contract is greater than $50,000.
As noted in Section 6.11, prior to consummation of the 
Merger, the Company shall only take any of the foregoing actions 
with the unanimous consent of all Members.
6.15  Additional Duties and Obligations of the Managers. 
The Managers shall cause the Company to conduct its business and 
operations such that the Dynamic Subsidiaries and the Advanced 
Subsidiaries will be kept separate and apart from each other, 
unless and until all shares have been released from escrow 
pursuant to that certain Escrow Agreement referenced in the Merger 
Agreement including, without limitation, (i) segregating the funds,
business operations, and assets of each of the Dynamic Subsidiaries
and the Advanced Subsidiaries and not allowing business operations,
funds, or other assets of the Dynamic Subsidiaries and the Advanced 
Subsidiaries to be commingled with the business operations, funds, 
or other assets of, held by, or registered in the name of, the 
other, (ii) maintaining books and financial records of the Dynamic 
Subsidiaries and the Advanced Subsidiaries separate from the books 
and financial records of the other and, in each case, in a manner 
consistent with past practice for such operations and in 
accordance with generally accepted accounting principles as established
in the United States, and observing all corporate procedures and 
formalities for each of the Dynamic Subsidiaries and the Advanced 
Subsidiaries, including, without limitation, maintaining company 
minutes and acting only pursuant to due authorization of the 
respective shareholders, (iii) causing the Dynamic Subsidiaries 
and the Advanced Subsidiaries to segregate their respective 
liabilities and to pay such liabilities from their respective assets, (iv) 
causing the Dynamic Subsidiaries and the Advanced Subsidiaries to 
conduct their dealings with third parties in their own names and 
as separate and independent entities, and (v) causing the Dynamic 
Subsidiaries and the Advanced Subsidiaries to maintain  their 
separate corporate existences without amendment to the Articles, 
Bylaws, or other charter documents of any subsidiaries. 

6.16  Limitations on Distributions.  The Members will 
ensure that neither of the Dynamic Subsidiaries nor any of the 
Advanced Subsidiaries will make any distribution of the funds, 
assets,

<PAGE>
                                  24

or property of the Dynamic Subsidiaries or the Advanced 
Subsidiaries by way of dividend or other distribution during the 
period from the date of this Agreement to the date of consummation 
of the Merger unless authorized by unanimous consent of the 
Members; provided, however, that if the Merger has not been 
consummated on or before June 30, 1999, The Dynamic Subsidiaries 
shall be authorized to pay from their funds directly to Dynamic 
the amount necessary to make the minimum payment currently due under 
the Dynamic 7.5% Convertible Notes.  Dynamic hereby indemnifies 
and will hold ACS2, Inc. harmless from any tax liabilities or 
obligations arising from such payments.  Any funds required by the 
Company for its operations will be advanced equally by the Dynamic 
Subsidiaries and the Advanced Subsidiaries to the Company as a 
loan during the period from the date of this Agreement to the date of 
consummation of the Merger.  Any such loans shall be adequately 
documented.  In the event of dissolution of the Company as a 
result of the failure of consummation of the Merger, the loans by each of 
the Dynamic Subsidiaries and the Advanced Subsidiaries to the 
Company to fund the operational expenses of the Company will be 
forgiven. 

     ARTICLE VII
     MEMBER MEETINGS, VOTING RIGHTS & OTHER ACTIVITIES

7.1  Annual Meeting.  An annual meeting of the Members 
shall be held at such time and place, either within or without the 
State of Nevada, as designated by the Members.  At such annual 
meeting, the Managers shall be elected and any other proper 
business may be conducted.  Members do not have the right to 
cumulate their votes for Managers.

7.2  Calling Meetings and Notice.  A meeting of the 
Members of the Company may be called by any two (2) Managers, the 
Chief Manager, or Members holding Governance Rights having at 
least fifteen percent (15%) of the total Governance Rights voting power 
of all Members.  The person or persons having authority to call a 
meeting of the Members may call the meeting by giving written 
notice of demand for such meeting to every Member entitled to vote 
on the matters to be considered at such meeting or by giving 
written notice of demand to the Secretary, who shall in turn give 
such notice to every Member entitled to vote on the matters to be 
considered, with such notice being at the expense of the Company 
and the same being given within seven (7) days after receipt of 
the notice of demand.  Regardless of who calls the meeting, the notice 
must be given no fewer than ten (10) days nor more than sixty (60) 
days before the meeting date.  The notice must contain the date, 
time and place of the meeting, and it must contain a statement of 
the purposes of the

<PAGE>
                                  25


meeting (unless it is a notice of an annual 
meeting, in which event the notice need not contain a statement of 
the purposes of the meeting).  Unless all Members entitled to vote 
on the matters to be considered and all Members entitled to 
receive notice of a particular meeting agree to the holding of a meeting 
at another place, all meetings of the Members shall be held in the 
county in which the principal executive office is located or, if 
there is no such principal executive office, in the county in 
which the registered office is located.  Notwithstanding the foregoing, 
all Members, parties to contribution agreements and parties to 
contribution allowance agreements shall be entitled to receive 
notices of the annual meetings of the Members and notices of all 
meetings of the Company called for the purpose of considering any 
of the actions enumerated in section 6.13 hereof.  A conference 
among Members by any means of communication through which the 
participants may simultaneously hear each other during the 
conference constitutes attendance at the meeting in person or by 
proxy if all the other requirements for a meeting are met.
7.3  Quorum Requirements for Meetings.  Except as 
otherwise provided in the Act, Members holding, for Governance 
Rights purposes, a majority of the Units entitled to vote at a 
meeting shall constitute a quorum for the transaction of business. 
Once a Membership Interest is represented at a meeting for any 
purpose, it is deemed to be present for quorum purposes for the 
remainder of that meeting and for any adjournment thereof unless a 
new record date is or must be set for that adjourned meeting.  A 
meeting may be adjourned, and notice of any adjourned meeting is 
not necessary if the time and place to which the meeting is 
adjourned are announced at the meeting at which the adjournment is 
taken.
7.4  Voting. For Governance Rights purposes, each full 
Unit shall entitle the Member holding such Unit to one (1) vote 
and each fractional Unit shall entitle the Member holding such 
fractional Unit to an equivalent fractional vote.  Except where 
this Agreement, the Act, or the Articles require a larger 
proportion, the Members entitled to vote shall take action on an 
item of business by the affirmative vote of the Members holding a 
majority of the voting power present and entitled to vote on that 
item of business at a meeting at which a quorum is present.
7.5  Action Without a Meeting.  Action required or 
permitted to be taken at a meeting of the Members may be taken on 
written consent without a meeting.  To do so, a written waiver of 
acting at a meeting entered into following consummation of the 
Merger must be signed by Members holding at least three-fourths  
(3/4) of the voting power, for Governance Rights purposes, of all 
Members entitled to vote on the particular matter that is the 
subject of the action, and a written consent must be signed by 
Members with voting power at least equal to the percentage that 
Would

<PAGE>
                                  26

be required to take the same action at a meeting of the 
Members at which all Members are present.   Prior to consummation 
of the Merger, all Members must sign the above-described waiver. 
The written waivers and written consents may be evidenced by one 
(1) or more instruments evidencing the same, which may be executed 
in counterparts, all of which shall be delivered to the Secretary 
for inclusion in the records of the Company.  

     ARTICLE VIII
     INDEMNIFICATION AND ELIMINATION OF LIABILITY

8.1  Indemnification of Managers, Employees and Agents. 
8.1.1  The Company agrees to indemnify each Manager 
and each Manager's members, partners, employees and affiliates 
(each, an "Indemnitee") to the fullest extent permitted by law and 
to save and hold them harmless from and in respect of all (a) 
reasonable fees, costs, and expenses paid in connection with or 
resulting from any claim, action, or demand against an Indemnitee 
that arises out of or in any way relates to the Company, its 
properties, business, or affairs and (b) such claims, actions, and 
demands and any losses or damages resulting form such claims, 
actions, and demands, including amounts paid in settlement or 
compromise (if recommended by attorneys for the Company) of any 
such claim, action or demand; provided, however, that this 
indemnity shall not extend to (i) conduct not undertaken in good 
faith to promote the interests of the Company or (ii) conduct 
which is reckless, intentionally wrongful or grossly negligent. In 
addition to the indemnification conferred in this section 8.1, the 
Indemnitee shall also be entitled to have paid directly by the 
Company the expenses reasonably incurred in defending any such 
proceeding against such Indemnitee in advance of its final 
disposition, to the fullest extent not prohibited by the Act, as 
the same exists or may hereafter be amended. The right to 
indemnification conferred in this section 8.1 shall be a contract 
right.
8.1.2  The Company may, by action of the Managers, 
provide indemnification to such of the officers, employees and 
agents of the Company to such extent and to such effect as the 
Managers shall determine to be appropriate and authorized under 
the Act, as the same exists or may hereafter be amended.
8.1.3  The rights and authority conferred in this 
section 8.1 shall not be exclusive of any other right which any 
person may have or hereafter acquire under any statute, agreement, 
or otherwise.

<PAGE>
                                  27

8.1.4  The Company may purchase and maintain 
insurance on behalf of one or more Indemnitees and other persons 
against any liability which may be asserted against, or expense 
which may be incurred by, any such person in connection with the 
Company's activities, whether or not the Company would have the 
power to indemnify such person against such liability under the 
provisions of this Agreement.
8.2  Elimination of Liability.  A Manager's personal 
liability to the Company and its Members for breach of fiduciary 
duty is hereby eliminated to the fullest extent permitted by the 
Act, as the same exists or may hereafter be amended.

     ARTICLE IX
     FISCAL MATTERS

9.1  Books and Records.  Full and accurate books and records 
of the Company (including,  without  limitation,  all information 
and records required by the Act) shall be maintained at its 
principal  executive  office or at such other place or places 
within the United States designated by the Members.
9.2  Fiscal Year.  The fiscal year of the Company shall end on 
June 30 of each year or as otherwise required by the Code.
9.3  Financial Statements.  The Company shall annually prepare 
or have prepared financial statements, which shall include a 
balance sheet and an income statement
9.4  Income Tax Reports.  Within seventy-five (75) days after 
the end of each fiscal year, the Company shall prepare and deliver 
to each holder of Financial Rights all information necessary for 
the preparation of the such person's Federal, state and local 
income tax returns.

9.5  Bank Accounts.  All funds of the Company shall be 
deposited in its name at banks or other financial institutions 
approved by the Members, in such checking and savings accounts or 
time deposits or certificates of deposit as shall be approved by 
the Members.
9.6  Tax Matters Partner.  The Members shall designate one 
Member to serve as the Tax Matters Partner ("TMP") as such is 
defined in Code section 6231(a)(7).  The Members initially appoint 
ACS2.  Upon the failure of the Members to so designate the TMP, 
the Chief Manager, provided he or she is then a Member, shall serve as 
the TMP. The TMP shall perform all duties and responsibilities 
imposed upon him or her, and shall have all powers granted, by the 
Code and Regulations.

<PAGE>
                                  28

9.7  Tax Election Under Code Section 754.  Upon the transfer 
of a Membership Interest or Financial Rights in the Company or the 
distribution of property to a holder of Financial Rights, the 
Members, at their discretion, may, but are not required to, file 
an election pursuant to section 754 of the Code to adjust the basis 
of Company property under Code section 734(b) and 743(b).  

     ARTICLE X
     TERMINATION & ADMISSION OF MEMBERS

10.1  No Right to Withdraw.  No Member or holder of Financial 
Rights shall have the right to withdraw as a Member of the Company 
or otherwise have his or her Membership Interest or Financial 
Rights in the Company redeemed by the Company except upon the 
affirmative vote of Members holding two-thirds (_) of the 
Governance Rights; provided, however, that prior to consummation 
of the Merger, no Member or holder of Financial Rights may withdraw 
as a Member or assign or otherwise transfer (by operation of law or 
otherwise) any Governance or Financial Rights except pursuant to 
the Merger or with the unanimous consent of Members.  Upon the 
approval by the Members of the withdrawal of a Member or holder of 
Financial Rights and the redemption of his or her Membership 
Interest or Financial Rights, the interest of such person in the 
Company shall terminate and the Company shall pay to said Member 
or holder of Financial Rights in exchange for said person's entire 
interest in the Company an amount equal to said person's Capital 
Account after all Capital Accounts have been adjusted to reflect a 
revaluation of the Company's property then on the financial books 
of the Company in accordance with Regulation section 1.704-
1(b)(2)(iv) or such other amount as may be agreed upon by the 
Members and said person, which amount shall be paid upon such 
terms and conditions as agreed upon by the Members and the withdrawing 
Member or holder of Financial Rights; provided, however, if no 
such agreement can be reached, said amount shall be paid in equal 
annual installments over a period of ten (10) years with interest, 
compounded annually, accruing on the unpaid balance at an annual 
rate equal to the prime rate published in the Wall Street Journal 
on the date the unsecured promissory note evidencing such 
indebtedness is executed, which interest shall be due and payable 
annually.

10.2  Expulsion.  The Company shall not have the power to expel 
a Member. 

10.3  Termination of Membership Interest.  A Member's continued 
membership in the Company shall terminate upon (i) the Member's 
death, (ii) the Member's withdrawal from the Company, (iii) the 
assignment or other disposition of all of the Member's Governance 
Rights, (iv)

<PAGE>
                                  29

the Member's filing of a voluntary petition in 
bankruptcy, (v) the Member's adjudication of bankruptcy, (vi) the 
Member's dissolution, liquidation, termination or other cessation 
of existence, (vii) the transfer, encumbrance or other 
disposition, or the attempted transfer, encumbrance or other disposition, of 
any part of his or her Membership Interest or Financial Rights in 
breach of this Agreement, or (viii) the occurrence of any other 
event that terminates the continued membership of the Member in 
the Company under this Agreement or at law.  Upon the termination of a 
Member's membership in the Company, such Member shall cease to 
have any Governance Rights in the Company and shall be treated as an 
assignee of the Financial Rights, if any, owned by such Member 
immediately prior to the termination of such membership.  
Notwithstanding anything in the Act to the contrary, no Member 
whose membership interest is terminated shall be entitled to 
receive any amount in exchange for his or her interest in the 
Company except as otherwise provided in this Agreement.
10.4  Admission of New Members Upon Issuance of Additional 
Units.  After the admission of the initial Members, additional 
Units may be issued at such time, for such Capital Contributions, 
and upon such other terms and conditions as the Members shall, in 
their discretion, determine.  The Secretary of the Company shall 
revise Exhibit B attached hereto to reflect the issuance of 
additional Units, the admission of new Members and the revised 
Membership Interests, Governance Rights and/or Financial Rights as 
a result thereof.
10.5  No Preemptive Rights.  Notwithstanding anything in this 
Agreement or the Articles to the contrary, the Members shall have 
no preemptive rights.

     ARTICLE XI
     TRANSFERS OF INTERESTS IN THE COMPANY


11.1  Required Consent to Transfer.  Except as otherwise 
provided in section 10.1, 11.2 or 11.3, no Member or holder of 
Financial Rights shall have the right to voluntarily sell, assign, 
transfer, alienate, mortgage, pledge or otherwise dispose of or 
encumber all or any part of his or her Membership Interest, 
Governance Rights, or Financial Rights to any person or entity 
without the affirmative vote of Members holding at least two-
thirds (2/3) of the Governance Rights; provided, however, that prior
to the consummation of the Merger no Member or holder of Financial
Rights may assign or otherwise transfer, deposit or encumber (by 
operation of law or otherwise) any of its Membership Interest,
Governance Rights or Financial Rights except pursuant to the Merger
or with

<PAGE>
                                  30

the unanimous consent of Members.  Following any transfer permitted
by this Article XI, the Secretary of the Company shall revise 
Exhibit A attached hereto to reflect the admission of new Members 
and/or the revised Membership Interests, Governance Rights and/or 
Financial Rights as a result thereof.

11.2  Certain Permitted Transfers of Financial Rights.  Without 
the necessity of the consent of any Member, but subject to the 
provisions of section 11.4, a Member or holder of Financial Rights 
may transfer all or any portion of his or her Financial Rights to 
any person, upon written notice to the Company specifying the 
Financial Rights transferred and the name and address of the 
transferee. 
11.3  Right of First Refusal.  No Member shall have the right 
to voluntarily sell, assign, transfer, alienate, mortgage, pledge 
or otherwise dispose of or encumber all or any part of his or her 
Membership Interest or Governance Rights (other than Financial 
Rights pursuant to Section 11.2) to any person or entity (other 
than to the Company pursuant to Section 10.1) without said Member 
(the "Transferor") first offering to sell such interest (the 
"Offered Interest") to the Company as follows:
11.3.1  The Transferor shall deliver written notice 
("Notice of Proffered Sale") to the Company, which notice shall 
include the name of the prospective transferee and the price and 
terms upon which such assignment or other disposition is to be 
made.
11.3.2  The Company shall have an option to purchase 
the Offered Interest at the price and on the terms set forth in 
the Notice of Proferred Sale, which option shall be exercisable within 
thirty (30) days following the receipt of said Notice by giving 
written notice of acceptance of such offer ("Notice of 
Acceptance") to the Transferor.  
11.3.3  The Members shall determine whether or not 
the Company shall decline to exercise its option or accept 
exercise its option and provide the Notice of Acceptance.
11.3.4  If the Company declines to accept the Notice 
of Proffered Sale within said thirty (30) day period, the 
Transferor may consummate the proposed assignment or other 
disposition of the Offered Interest to the prospective transferee 
upon the terms and conditions stated in the Notice of Proffered 
Sale; provided, however, if the proposed assignment or other 
disposition is not consummated within ninety (90) days after the 
close of the thirty (30) day period referenced in section 11.3.2, 
the Transferor shall have no right to transfer the Offered 
Interest without again offering to the Company the option to purchase said 
Offered Interest as provided in this section 11.3.
11.4  No Termination of Company for Tax Purposes.  
Notwithstanding anything in this Article XI  to the contrary, in 
no event may a Member or holder of Financial Rights transfer or 

<PAGE>
                                  31

assign all or any part of such person's Membership Interest or Financial 
Rights in the Company, be admitted to the Company, or withdraw 
from the Company if such action would result in a sale or exchange of 
fifty percent (50%) or more of the total interest in the capital 
and profits of the Company within a twelve (12) month period such 
that the Company would be considered as terminated under section 
Code 708 without the prior affirmative vote of Members holding  
three-fourths (3/4) of the Governance Rights.

     ARTICLE XII
     DISSOLUTION, TERMINATION & WINDING UP

12.1  Dissolution of Company.  The Company shall be 
dissolved and its affairs wound up upon the unanimous vote of the 
Members, or as may be otherwise required by law.  Notwithstanding 
any provision to the contrary, the Company shall be dissolved 
without notice to or action by any member in the event that the 
closing of the Contribution Agreement is not consummated by March 
31, 1999 or the Merger is not consummated by December 15, 1999 
provided that such dates may be extended by the unanimous written 
consent of the members.  The Company shall be terminated when the 
winding up of Company affairs has been completed following 
dissolution.
12.2  Winding  Up  Affairs  on  Dissolution.  Upon 
dissolution of the Company, the Members or the other persons 
required or permitted by law to carry out the winding up of the 
affairs of the Company shall promptly notify all Members of such 
dissolution; shall wind up the affairs of the Company; shall 
prepare and file all instruments or documents required by law to 
be filed to reflect the dissolution of the Company; and, after paying 
or providing for the payment of all liabilities and obligations of 
the Company, shall distribute the assets of the Company as 
provided by the terms of this Agreement.
12.3  Distribution Upon Pre-Merger Dissolution.  Upon 
dissolution of the Company prior to consummation of the Merger, 
the Company shall:
12.3.1  First, pay all outstanding liabilities and 
expenses of the Company;
12.3.2  Transfer the legal and beneficial ownership 
of the Dynamic Subsidiaries to Dynamic and the Advanced 
Subsidiaries to ACS2; and 
12.3.3  Distribute  any remaining assets of the 
Company to the Members in accordance with their proportional 
financial rights.

<PAGE>
                                  32

12.4  Distribution Upon Post-Merger Dissolution.  Upon 
dissolution of the Company and the sale of its assets at any time 
after consummation of the Merger, the proceeds of such sale of the 
assets of the Company shall be allocated as set forth below:
12.4.1  First, to pay all outstanding liabilities and 
expenses of the Company;
12.4.2  Second, to establish such reserves for 
unknown or contingent liabilities as the Members may determine; 
and
12.4.3  The balance, if any, to the holders of 
Financial Rights, in accordance with their Capital Accounts, after 
giving effect to all contributions, distributions and allocations 
for all periods.
12.5  Waiver of Right to Partition and Decree of 
Dissolution.  As a material inducement to each Member to execute 
this Agreement and except as expressly provided in this Agreement, 
each Member covenants and represents to each other Member that 
during the existence of the Company, no Member, nor such Member's 
heirs, personal representatives, administrators, successors, 
transferees or assigns, will attempt to make any partition of any 
Company assets whether now owned or hereafter acquired, and each 
Member waives all rights of partition provided by statute or 
principles of law or equity, including partition in kind or 
partition by sale.  The Members agree that irreparable damage 
would be done to the goodwill and reputation of the Company if any 
Member should bring an action in a court to dissolve the Company. The 
Members agree that there are fair and just provisions for payment 
and liquidation of the interest of any Member, and fair and just 
provisions to prevent a Member from selling or otherwise 
alienating such Member's Membership Interest in the Company. Accordingly, 
each Member hereby waives and renounces such Member's right to such a 
court decree of dissolution or to seek the appointment by court of 
a liquidator or receiver for the Company.
12.6  Non-Competition.  In the event of the dissolution of the 
Company pursuant to 12.1 as a result of the failure of the parties 
to consummate the Merger by December 15, 1999, unless such date is 
extended by mutual agreement of the parties, each of Dynamic and 
ACS2 will not directly or indirectly alone or in conjunction with 
any other individual, firm or corporation, association or other 
entity, whether they are acting as principal agent, director, 
officer, employee , shareholder or in any other capacity 
whatsoever, for a period of one (1) year from the date of 
dissolution of the Company, solicit any customer, client, or other 
individual or entity with whom  the other party serves or 
contracts on the date of dissolution of the Company in a manner which could 
adversely affect the other party.

<PAGE>
                                  33

     ARTICLE XIII
     GENERAL PROVISIONS

13.1  Notices.  All notices or other communications 
provided for under this Agreement or the Act shall be in writing, 
signed by the party giving the same, and shall be deemed properly 
given when personally delivered or on the earlier of actual 
receipt or the fifth (5th) business day after mailing if mailed by 
registered or certified United States mail,  postage prepaid, or 
deposited with any other generally recognized delivery service 
with receipt returned and charges prepaid or billed to sender, 
addressed:
13.1.1  In the case of the Company, to its principal 
executive office; or
13.1.2  In the case of any Member or holder of 
Financial Rights, to the address set forth on Exhibit A or to such 
other address as such person may specify by notice to the Company.
13.2  Integration.  This Agreement embodies the entire 
agreement and understanding among the Members with respect to the 
subject matter hereof, and supersedes all prior agreements and 
understandings, if any, among and between the Members relating to 
the subject matter of this Agreement.
13.3  Governing Law.  This Agreement and the rights of 
Members and holders of Financial Rights shall be governed by and 
construed and enforced in accordance with the laws of the State of 
Nevada.  The parties hereto consent to the exclusive jurisdiction 
and venue of the federal and state courts in Davidson County, 
Tennessee, with respect to any controversy arising out of this 
Agreement or the transaction contemplated hereby.
13.4  Severability.  In case any one or more of the 
provisions contained in this Agreement or any application thereof 
shall be invalid, illegal or unenforceable in any respect, the 
validity, legality and enforceability of the remaining provisions 
herein contained and any other application thereof shall not in 
any way be affected or impaired.
13.5  Binding Effect.  Except as otherwise provided herein 
to the contrary, this Agreement shall be binding upon, and inure 
to the benefit of, the Members and their respective heirs, personal 
representatives, administrators, successors, transferees and 
assigns.
13.6  Terminology.  All personal pronouns used in this 
Agreement, whether used in the masculine, feminine, or neuter 
gender, shall include all other genders; and the singular shall 
include the plural, and vice versa.   Titles of Articles and 
sections are for convenience only and shall not

<PAGE>
                                  34

control or affect the meaning or construction of any terms or
provisions of this Agreement.  All references herein to Articles
and sections are references to Articles and sections hereof
except where such references are made to the Act, the Code or
to some other specified law, regulation or instrument.
13.7  Amendment.  This Agreement may be amended, modified, 
or supplemented only by a writing executed by each of the Members; 
provided, however, that the Secretary is hereby authorized and 
directed to amend Exhibit A to reflect changes thereto when 
applicable.
13.8  Waivers.  The failure of any party to seek redress 
for violation of or to insist upon the strict performance of any 
covenant or condition of this Agreement shall not prevent a 
subsequent act, which would have originally constituted a 
violation, from having the effect of an original violation.  No 
waiver of any provision of this Agreement will be valid unless it 
is in writing and signed by the party against which it is sought 
to be enforced.
13.9  Confidentiality.  All Members acknowledge that from 
time to time, any Member and its employees and agents may come 
into possession of certain information relating to the any other 
Member's business operations or otherwise, which information the 
latter deems to be confidential and proprietary. Accordingly, the 
Members, for themselves and their employees and agents, hereby 
agree to maintain the confidentiality of all such information and 
to not use any such information for any purpose unless such 
information becomes a part of the public domain through no fault 
or breach by the Members, its agents or employees.  In addition, each 
Member hereby agrees, except as required in the conduct of the 
business or in the discharge of the respective Member's duties and 
responsibilities hereunder, neither to publish or disclose, nor to 
authorize the publication or disclosure of, nor to permit any 
other person, firm, corporation or other entity within its control to 
public or to disclose, during or after the term of this Agreement, 
any private or proprietary knowledge or information concerning the 
Company.
13.10  No Third Party Beneficiaries.  None of the 
provisions of this Agreement is intended by the parties, nor shall 
they be deemed, to confer any benefit on any person not a party to 
this Agreement.

<PAGE>
                                  35

IN WITNESS WHEREOF, the parties hereto have executed this 
Operating Agreement as of the date first set forth above.


DYNAMIC ASSOCIATES, INC.

By: /s/Jan Wallace		
Title: President CEO


ACS2, INC.

By: /s/ Kevin D. Lee		
Title: President
 


                         EXHIBIT 4

                  REGISTRATION RIGHTS AGREEMENT


THIS REGISTRATION RIGHTS AGREEMENT is entered into on 
________, 1999 between DYNAMIC ASSOCIATES, INC., a Nevada 
corporation ("Dynamic"), and the parties named on Schedule 1 
attached hereto (each a "Holder" and, collectively, the "Holders").

WHEREAS, each Holder previously owned stock in ACS2, Inc., a 
Delaware corporation ("ACS2"); and

WHEREAS, ACS2, its wholly owned subsidiary Advanced Clinical 
Systems, Inc., a Delaware corporation ("Advanced"), Dynamic, and 
Dynamic Acquisition Corporation  have entered into that certain 
Agreement and Plan of Merger dated March __, 1999 (the "Merger 
Agreement") pursuant to which ACS2 merged with and into Dynamic 
Acquisition Corporation (the "Merger"); and

WHEREAS, as a result of the Merger, the Holders were issued 
upon closing of the Merger and now own, in the aggregate, 
22,473,413 shares of Dynamic common stock (the "Merger 
Consideration").

WHEREAS, Dynamic has agreed to grant the Holders certain 
demand registration rights and to file registration statements 
pursuant to the 1933 Securities Act (as defined below) in order to 
register for sale shares of Dynamic common stock issued to the 
Holders pursuant to the Merger.

NOW THEREFORE, in consideration of the premises and mutual 
covenants herein contained, the parties, intending to be legally 
bound hereby, agree as follows:


                   AGREEMENT

1.  Certain Definitions.  As used in this Agreement, the 
following terms shall have the following respective meanings:

"1934 Exchange Act" means the Securities Exchange Act of 
1934, as amended, or any similar federal statute, and the 
rules and regulations of the SEC thereunder, all as the 
same shall be in effect from time to time.

"1933 Securities Act" means the Securities Act of 1933, 
as amended, or any similar federal statute, and the rules 
and regulations of the SEC thereunder, all as the same 
shall be in effect from time to time.

"Register," including "Registered" and "Registration," 
refer to a registration effected by preparing and filing 
with the SEC a registration statement in

<PAGE>

                             2

compliance with the 1933 Securities Act, and the declaration
or ordering of the effectiveness of such registration
statement. "SEC" means the Securities and Exchange
Commission or any other federal agency at the time
administering the 1933 Securities Act.

"Shares" means all shares of Dynamic common stock owned 
by Holders immediately following the consummation of the 
Merger, including any shares subject to escrow and any of 
securities of Dynamic which may be converted into shares 
of common stock of Dynamic, all as may be adjusted from 
time to time in the event of a split, reorganization, 
merger, consolidation or comparable recapitalization 
involving Dynamic securities.

2.	Demand Registration.

(a)	Dynamic shall, within ninety (90) days after the 
consummation of the Merger, cause (a) registration 
statement in prescribed form under the 1933 Securities 
Act with respect to a number of Shares equal to twenty-
five percent (25%) of the total Merger Consideration, 
rounded up to the next higher round lot, to be prepared 
and filed with the SEC and any applicable state 
authority, to become and remain effective as provided 
herein to permit the valid pubic sale of the Shares by 
those Holders listed in Schedule 2 attached hereto in 
compliance with all such applicable securities laws 
pursuant to a public offering, which offering shall be 
managed by one or more underwriters of recognized 
national standing in the United States on a firm 
underwriting basis mutually acceptable to Dynamic and a 
majority of participating Holders.

(b)	Subject to Section 2(f), Dynamic shall, within thirty 
(30) days after the first anniversary of the consummation 
of the Merger, cause another registration statement in 
prescribed form under the 1933 Securities Act and the 
1934 Exchange Act, with respect to a number of Shares 
equal to twenty-five percent (25%) of the total Merger 
Consideration, rounded up to the next higher round lot, 
 to be prepared and filed with the SEC and any applicable 
state authority, to become and remain effective as 
provided herein to permit the valid pubic sale of the 
Shares by any and all Holders in compliance with all such 
applicable securities laws pursuant to a public offering, 
which offering shall be managed by one or more 
underwriters of recognized national standing in the 
United States on a firm underwriting basis mutually 
acceptable to Dynamic and a majority of participating 
Holders.

(c)	Subject to Section 2(f), Dynamic will give written notice 
of the filing of the registration statement referenced in 
clause (b) (which notice will include a list of 
jurisdictions in which Dynamic intends to attempt to 
qualify the offer and sale of Shares under applicable 
state securities laws) to each Holder at least forty-five 
(45) days before the anticipated filing date of the 
registration statement, and such notice will offer 
Holders the opportunity to include in

<PAGE>

                               3

such registration the number of Shares as held by each
Holder as each Holder may request, and allow any Holder
to participate in such offer and sale of Shares so long
as such Holder notifies Dynamic of its intentions within
thirty (30) days after receipt of such written notice. If
the total number of Shares which Holders elect to make
available for sale exceed twenty-five percent (25%) of the
total Merger Consideration, each participating Holder will 
instead be permitted to offer for sale a reduced number 
of Shares determined on a proportionate basis based upon 
the aggregate number of Shares which the participating 
Holders desire to sell, which aggregate number will not 
exceed twenty-five percent (25%) of the total Merger 
Consideration.

(d)	Dynamic may delay the filing of the registration 
statement referenced in clause (b) for up to 120 days, if 
in the good faith judgment of Dynamic's board of 
directors, the financing would be detrimental to a 
material transaction which has been approved by Dynamic's 
board of directors prior to filing of the applicable 
registration statement, or for up to ninety (90) days if 
the underwriters determine that it is not possible to 
sell the Shares subject to the proposed registration at 
a price equal to or greater than ninety percent (90%) of 
the average market price of such Shares during the last 
twenty (20) trading days prior to such determination.  If 
Dynamic delays filing of such registration statement, it 
must provide each Holder an opportunity to consider 
participating in the delayed offering by delivering new 
written notices pursuant to the first sentence of clause 
(c).

(e)	A registration will not be considered to be one of the 
demand registrations required under this Agreement unless 
it has been kept continuously effective for a period of 
at least six (6) months following the date on which such 
registration was declared effective, or such shorter 
period that will terminate when all of the Shares covered 
by the registration have been sold pursuant to the terms 
of such registration.  In the event that either the 
registration anticipated under clauses (a) or (b) above 
does not satisfy this criteria, Dynamic shall begin the 
registration process again in accordance with the 
provisions of this Agreement within ninety (90) days 
thereof; provided, that the number of Shares to be then 
registered will be reduced by the number of shares sold, 
if any, in the previously effective registration 
statements filed pursuant to this Agreement.


(f)	In the event either a portion of the Merger Consideration 
held in escrow pursuant to the Escrow Agreement executed 
at Closing of the Merger is returned to Dynamic or, in 
the alternative, if additional shares of Dynamic Common 
Stock other than those held in escrow are distributed to 
the Holders as contemplated under Section 2(c)(ii) of the 
Escrow Agreement, then the number of shares subject to 
registration pursuant to Section 2(b) of this

<PAGE>
                          4
 
Registration Rights Agreement will be adjusted so that 
the total number of shares of Dynamic Common Stock 
registered pursuant to Section 2(a) and 2(b) hereof will 
equal a total of fifty percent (50%) of the total Merger 
Consideration actually delivered to all Holders following 
completion of distributions from escrow.

3.	Registration Procedures.  In connection with the 
registration and sale of Shares, and as contemplated hereunder,  
Dynamic will as expeditiously as possible:

(a)	prepare and file with the SEC a registration 
statement with respect to such Shares and use its 
best efforts to cause such registration statement 
to become effective (provided that before filing a 
registration statement or prospectus or any 
amendments or supplements thereto, Dynamic will 
furnish to a single law firm selected by a majority 
of the participating Holders copies of all such 
documents proposed to be filed, which documents 
would be subject to the reasonable review of such 
counsel);

(b)	prepare and file with the SEC such amendments and 
supplements to such registration statement and the 
prospectus used in connection therewith as may be 
necessary to keep such registration statement effective 
for a period of not less than six (6) months and comply 
with the provisions of the 1933 Securities Act with 
respect to the disposition of all Shares covered by such 
registration statement during such period in accordance 
with the intended methods of disposition by the Holders 
thereof as set forth in such registration statement;

(c)	furnish to each Holder such number of copies of such 
registration statement, each amendment and supplement 
thereto, the prospectus included in such registration 
statement (including each preliminary prospectus) and 
such other documents as such Holder may reasonably 
request in order to facilitate the disposition of the 
Shares owned by such Holder;

(d)	use its best efforts to register or qualify such Shares 
under such other securities or blue sky laws of such 
jurisdiction as any Holder reasonably requests and do any 
and all other acts and things which may be reasonably 
necessary or advisable to enable such Holder to 
consummate the disposition in such jurisdictions of the 
Shares owned by such Holder (provided that Dynamic will 
not be required to (i) qualify generally to do business 
in any jurisdiction where it would not otherwise be 
required to qualify but for this subparagraph, (ii) 
subject itself to taxation in any such jurisdiction, or 
(iii) consent to general service of process in any such 
jurisdiction);

(e)	notify each Holder, at any time when a prospectus 
relating thereto is required to be delivered under the 
1933 Securities Act, of the happening of any event as a 
result of which the prospectus included in such 
registration statement

<PAGE>
                           5

contains an untrue statement of a material fact or omits
any fact necessary to make the statements therein not
misleading, and, at the request of any such Holder, Dynamic
will prepare a supplement or amendment to such prospectus
so that, as thereafter delivered to the purchasers of such
Shares, such prospectus will not contain an untrue statement
of a material fact or omit to state any fact necessary to make 
the statements therein not misleading;

(f)	cause all such Shares to be listed on each securities 
exchange on which similar securities issued by Dynamic 
are then listed;

(g)	provide a transfer agent and registrar for all such 
Shares not later than the effective date of such 
registration statement;

(h)	enter into such customary agreements and take all such 
other customary actions as a majority of the Holders or 
the underwriters reasonably request in order to expedite 
or facilitate the disposition of such Shares (but 
exclusive of effecting a stock split or a combination of 
shares);

(i)	make available for inspection by any Holder, any 
underwriter participating in any disposition pursuant to 
such registration statement, and any attorney, accountant 
or other agent retained by any such Holder or 
underwriter, all financial and other records, pertinent 
corporate documents and properties of Dynamic, and cause 
Dynamic's officers, directors, employees and independent 
accountants to supply all information reasonably 
requested by any such Holder, underwriter, attorney, 
accountant or agent in connection with such registration 
statement subject to the execution of a confidentiality 
agreement in a form reasonably acceptable to Dynamic and 
in favor of Dynamic by any party receiving such 
information; and

(j)	obtain a comfort letter from Dynamic's independent public 
accountants in customary form and covering such matters 
of the type customarily covered by comfort letters as the 
holders of a majority of the Shares being sold reasonably 
request.


4.	Registration Expenses.  All expenses incident to 
Dynamic's performance under this Agreement, including without 
limitation all registration and filing fees, fees and expenses of 
compliance with securities or blue sky laws, transfer and similar 
taxes, printing expenses, messenger and delivery expenses, and fees 
and disbursements of counsel for Dynamic and all independent 
certified public accountants, underwriters and other persons 
retained by Dynamic (all such expenses being herein called 
"Registration Expenses"), will be borne  by Dynamic.  Further, 
Dynamic will pay its internal expenses (including, without 
limitation, all salaries and expenses of its officers and employees 
performing legal or accounting duties), the expense of any annual 
audit or quarterly review, the expense of any

<PAGE>
                            6

liability insurance and the expenses and fees for listing the
securities to be registered on each securities exchange on which
similar securities issued by Dynamic are then listed.

5.	Indemnification.  

(a)	Dynamic will, and hereby does, indemnify and hold 
harmless each participating Holder in any and all 
registrations contemplated hereunder, any and all 
directors, officers or representatives of a participating 
Holder, and each person, if any, who controls a 
participating Holder (within the meaning of the 1933 
Securities Act), against any losses, claims, damages or 
liabilities which a participating Holder or any such 
representative or controlling person may become subject 
under the 1933 Securities Act or otherwise, insofar as 
such losses, claims, damages or liabilities (or actions 
or proceedings in respect thereof) arise out of or are 
based upon (i) any untrue statement or alleged untrue 
statement of any material fact contained in any 
registration statement  under which Shares were 
registered under the 1933 Securities Act, any preliminary 
prospectus, final prospectus, or summary prospectus 
contained therein or filed with the SEC pursuant to Rule 
424 under the 1933 Securities Act, or any amendment or 
supplement thereto, or (ii) any omission or alleged 
omission to state in any document referred to in clause 
(i) a material fact required to be stated therein or 
necessary to make the statements therein not misleading; 
and Dynamic shall reimburse each indemnified party for 
and legal or any other expenses incurred by them in 
connection with investigating or defending any such loss, 
claim, liability, action or proceeding as such expenses 
are incurred; provided, however, that Dynamic shall not 
be liable in any such case to the extent that any such 
loss, claim, damage or liability arises out of or is 
based upon an untrue or alleged untrue statement in or 
omission or alleged omission from any of such documents 
in reliance upon and in conformity with written 
information furnished to Dynamic through an instrument 
duly executed by a Holder specifically stating that it is 
expressly for use therein.  Such indemnity shall remain 
in full force and effect regardless of any investigation 
made by or on behalf of a participating Holder or such 
representative or controlling person, and shall survive 
the transfer of such securities by a Holder.


(b)	Dynamic may and intends to require, as a condition to 
including the Shares of any Holder in any registration 
statement pursuant to this Agreement, that Dynamic shall 
have received a written undertaking reasonably 
satisfactory to it from such Holder to indemnify and hold 
harmless, severally but not jointly with any other 
Holder, Dynamic, its directors, officers and 
representatives against any losses, claims damages or 
liabilities which Dynamic, its directors, officers or 
representatives may become subject under the 1993 
Securities Act or otherwise, insofar as such losses, 
claims, damages or liabilities (or actions or proceedings 
in respect thereof) arise out of or are based upon (i) 
any untrue statement or alleged untrue statement of

<PAGE>
                           7

any material fact contained in registration statement under 
which such Shares were registered under the 1933 
Securities Act, any preliminary prospectus, final 
prospectus or summary prospectus contained therein or 
filed with the SEC pursuant to Rule 424 under the 1933 
Securities Act, or any amendment or supplement hereto, or 
(ii) any omission or alleged omission to state in any 
document referred to in clause (i) a material fact 
required to be stated therein or necessary to make the 
statement therein not misleading, but only if and to the 
extent in the case of clause (i) or (ii) such untrue 
statement or alleged untrue statement in or omission or 
alleged omission from any such document was made in 
reliance upon and in conformity with written information 
furnished to Dynamic through an instrument duly executed 
by such Holder specifically stating that it is expressly 
for use therein; provided, that the liability of each 
participating Holder shall be limited to the net proceeds 
received by such Holder with respect to the Shares sold 
by such Holder thereunder unless such untrue statement or 
alleged untrue statement in or omission or alleged 
omission from any such document was made as a result of 
the intentional withholding of information or intentional 
provision of information known to be false by such 
participating Holder.


(c)	A party from whom indemnity may be sought pursuant to the 
provisions of Section 5 (a) or (b) shall not be liable 
for such indemnity with respect to any claims as to which 
indemnity is sought unless the party seeking such 
indemnity shall have notified such indemnifying party in 
writing of the nature of such claim promptly after such 
indemnified party becomes aware of the assertion thereof; 
provided, however, that the failure so to notify such 
indemnifying party shall not relieve such party from any 
liability which it may have to such indemnified party 
otherwise than on account of the provisions of Section 5 
(a) or (b) or if the failure to give such notice promptly 
shall not have been materially prejudicial to such 
indemnifying party.  No indemnifying party shall be 
liable for any compromises or settlement of any such 
action effected without its consent.  No indemnifying 
party, in the defense of any such claim or suit, shall, 
except with the consent of each indemnified party, 
consent to any compromise or settlement that does not 
include as an unconditional term thereof the giving by 
the claimant to such indemnified party of a release from 
all liability in respect of such claim or suit.  An 
indemnifying party may participate with counsel 
reasonably satisfactory to the indemnified party in, and 
to the extent that it shall wish (except to the extent 
set forth below), may direct and assume at its own 
expense, either individually or jointly with any other 
indemnifying party, the defense of any suit brought to 
enforce such claim.  Such indemnified party shall have 
the right to participate in such suit (but not to control 
such suit except to the extent set forth below) unless no 
indemnifying party shall have assumed the defense thereof 
in accordance with the preceding sentence) and to retain 
its own counsel, but the fees and expenses of such 
counsel (other than

<PAGE>
                            8

reasonable costs of investigation) shall be at the expense
of such indemnified party unless no indemnifying party shall
have assumed the defense thereof in accordance with the
preceding sentence or unless the named parties to any such
suit include one or more indemnifying party and representation
of both parties by the same counsel would be inappropriate due
to actual or potential differing interests between them (in 
which case such indemnified party shall have the right to 
control all aspects of such suit relating to such actual 
or potential differing interests).  It is understood that 
no indemnifying party shall, in connection with any such 
suit, be liable under this subsection for the fees and 
expense of more than one separate firm (in addition to 
any local counsel in each jurisdiction) for all 
indemnified parties and that all such fees and expenses 
shall be reimbursed as they are incurred.

(d)	Indemnification similar to that specified in Sections 5 
(a), (b), and (c) (with appropriate modifications) shall 
be given by Dynamic and each Holder participating in the 
registration with respect to any required registration 
or other qualification of Shares under any federal or 
state law or regulation of governmental authority other 
than the 1933 Securities Act

(e)	In order to provide for just and equitable contribution 
in circumstances in which the indemnification provided 
for above is for any reason held to be unenforceable 
although applicable in accordance with its terms, Dynamic 
and each participating Holder shall contribute to the 
losses, claims, damages, liabilities and expenses 
described herein, in such proportions so that the portion 
thereof for which any particular participating Holder 
shall be responsible shall be limited to the portion 
determined by a court (or the parties to any settlement) 
to be directly attributable to an untrue statement of a 
material fact or an omission to state a material fact in 
a registration statement, preliminary prospectus, 
prospectus or amendment or supplement thereto in specific 
reliance upon and in conformity with written information 
furnished to Dynamic through an instrument duly executed 
by such participating Holder specifically stating that it 
is expressly for use therein, and Dynamic shall be 
responsible for the balance; provided, that the liability 
of each participating Holder shall be limited to the net 
proceeds received by such Holder with respect to the 
Shares sold by such Holder thereunder unless such untrue 
statement or alleged untrue statement in or omission or 
alleged omission from any such document was made as a 
result of the intentional withholding of information or 
intentional provision of information known to be false by 
such participating Holder.  Dynamic and each 
participating Holder agree that it would not be just and 
equitable if their respective obligations to contribute 
were to be determined by pro rata allocation, by 
reference to the proceeds realized by them or in any 
manner which does not take into account the equitable 
considerations set forth in this Section 5 (e).

<PAGE>
                            9

6.	Participation in Underwritten Registrations.  No person 
may participate in any registration hereunder which includes an 
underwritten offering unless such person (i) agrees to sell such 
person's securities on the basis provided in any reasonable 
underwriting arrangements approved by the person entitled hereunder 
to approve such arrangements, and (ii) completes and executes all 
questionnaires, power of attorney, indemnities, underwriting 
agreements and other documents reasonably required under the terms 
of such underwriting arrangements.

7.	Absence of Other Registration Rights.  Dynamic has not 
granted any other party any demand registration, piggyback 
registration or similar rights regarding any securities of Dynamic 
other than pursuant to that certain Warrant for the Purchase Of 
Shares Of Common Stock from Dynamic to Genesis Merchant Group 
Securities LLC covering 250,000 shares of Dynamic common stock.

8.	Rule 144 Reporting.  

(a)	Dynamic shall make and keep public information available, 
as those terms are understood and defined in Rule 
144(c)(1) or (c)(2), whichever is applicable, under the 
1933 Securities Act, at all times from and after the date 
it is first required to do so.  

(b)	Dynamic shall file with the SEC in a timely manner all 
reports and other documents as the SEC may prescribe 
under Sections 13(a) or 15(d) of the 1934 Exchange Act at 
all times during which Dynamic is subject to such 
reporting requirements of the 1934 Exchange Act.

(c)	Dynamic shall furnish to each and every Holder, upon 
request (i) a written statement by Dynamic as to its 
compliance with the reporting requirements of Rule 144 
and of the 1933 Securities Act and the 1934 Exchange Act, 
(ii) a copy of the most recent annual or quarterly report 
of Dynamic, and (iii) such other reports and documents 
filed with the SEC as the Holder may reasonably request 
to avail itself of any rule or regulation of the SEC 
allowing a Holder of restricted securities to sell any 
such securities without registration. 

9.	Amendments and Waivers. Except as otherwise provided 
herein, the provisions of this Agreement may be amended and Dynamic 
may take any action herein prohibited, or omit to perform any act 
herein required to be performed by it, only if Dynamic has obtained 
the written consent of at least two-thirds of the Holders.


10.	Successors and Assigns. All covenants and agreements in 
this Agreement by or on behalf of any of the parties hereto will 
bind and inure to the benefit of the respective, permitted 
successors and assigns of the parties hereto whether or not any 
express assignment has been made, the provisions of this Agreement 
which are for the

<PAGE>

                             10

benefit of Holders are also for the benefit of, and enforceable by,
any subsequent holder of Shares, provided that Dynamic is given 
written notice at the time of or within a reasonable time after said
assignment, stating the name and address of the assignee or holder and 
identifying the securities with respect to which such registration
rights are being assigned, and provided further, that the assignee
or subsequent holder of such rights assumes the obligations of such
Holder under this Agreement (other than obligations pursuant to
Section 5(b) with respect to written instruments prepared by such
prior Holder).  Dynamic may not assign its rights or delegate its
duties hereunder, by transfer, operation of law or otherwise, without
the prior written consent of all of the Holders, and any prohibited
assignment or delegation will be deemed rule and void.

11.	Severability. Whenever possible, each provision of this 
Agreement will be interpreted in such manner as to be effective and 
valid under applicable law, but if any provision of this Agreement 
is held to be prohibited by or invalid under applicable law, such 
provision will be effective only to the extent of such prohibition 
or invalidity, without invalidating the remainder of this 
Agreement.  Further, there shall be automatically added to this 
Agreement a provision as similar as possible to the provision (or 
that portion thereof), which new provision will be valid and 
enforceable under applicable laws.

12.	Counterparts. This Agreement may be executed 
simultaneously in two or more counterparts, any one of which need 
not contain the signature of more than one party, but all such 
counterparts taken together will constitute one and the same 
Agreement.

13.	Descriptive Headings. The descriptive headings of this 
Agreement are inserted for convenience only and do not constitute 
a part of this Agreement.

14.	Governing Law. The construction, validity and 
interpretation of this Agreement and the exhibits and schedules 
hereto will be governed by the internal law, and not the law of 
conflicts, of the State of Nevada.

15.	Notices. All notices, demands or other communications to 
be given or delivered under or by reason of the provisions of this 
Agreement will be in writing and will be deemed to have been given 
when delivered personally or mailed by certified or registered 
mail, return receipt requested and postage prepaid, to the 
recipient. Such notices, demands and other communications will be 
sent to each Holder at the address provided by such Holder and 
listed on Schedule 1 hereto and to Company at the address indicated 
below:

To Company:	Dynamic Associates, Inc.
            Suite B-169
            7373 North Scottsdale
            Scottsdale, AZ 85253

or to such other address or to the attention of such other person 
as the recipient party has specified by prior written notice to the 
sending party.

<PAGE>

                              11

IN WITNESS WHEREOF, the parties have executed this 
Registration Rights Agreement as of March 30, 1999.


COMPANY:

DYNAMIC ASSOCIATES, INC.


By: 
Title: 



HOLDERS:

Healthmark Partners, LLC
By:
Title:                        
	
M. Bruce Sanderson, M.D.
	
Kimberly Tipton, R.N.
	
T.C. Thomas, III, M.D.
	
Reginald J. Rutherford, M.D.
	
Thomas P. Toomey, M.D.
	
Walter M. Jones
	
Lisa A. Manning
	
Carol Ann Kelley, R.N.
	
Scott N. Mohler, Ph.D.

Elizabeth Dan

F. Karl VanDevender, M.D.

Betty Brumley

NationsCredit
By: 
Its:

<PAGE>
                                    12

                                Schedule 1

Name of Holder		Address of Holder		Number of Shares Held

Healthmark Partners, LLC				1,236,105
*James T. Harper		                           30,603	
*Kevin D. Lee				               40,985
David Alfery, J.D.	                              674
T.C. Thomas, III, M.D.	                              674
Thomas P. Toomey, M.D.			                  674
*Lisa A. Manning		                            1,750
*Scott N. Mohler, Ph.D.
*F. Karl VanDevender, M.D.
*H. Brooks Morgan, M.D.
*M. Bruce Sanderson, M.D.
*NationsCredit
*Kimberly Tipton, R.N.
*Reginald J. Rutherford, M.D.
*Walter M. Jones
*Carol Ann Kelley, R.N.
*Maureen T. (Stearns) Browning, R.N.
*Elizabeth Dan
*Betty Brumley

(* = option, warrant or SAR holder - need to adjust # shares held 
accordingly.)


                               [Subject to Change]

<PAGE>
                                      13

                                  Schedule 2

Participating Holders in First Registration



Name:                              Number of Shares to
                                   be Offered for Sale:









                                   Total:________________



                        EXHIBIT 5

                     ESCROW AGREEMENT

     THIS ESCROW AGREEMENT is entered into on _____________, 1999, 
by and among DYNAMIC ASSOCIATES, INC., a Nevada corporation 
("Dynamic"), ACS2, Inc., a Delaware corporation ("ACS2"), ADVANCED 
CLINICAL SYSTEMS, INC., a Delaware corporation ("Advanced"), the 
parties named on Exhibit 1 attached hereto (collectively the 
"Original ACS2 Stockholders") and Harwell Howard Hyne Gabbert & 
Manner, P.C. ("Escrow Agent").   

                      W I T N E S S E T H:

     A.  Dynamic, ACS2, Advanced and Dynamic Acquisition 
Corporation, have entered into an Agreement and Plan of Merger 
dated March 30, 1999, (the "Merger Agreement"), pursuant to which 
ACS2 is being merged into the (the "Merger") and the Original ACS2 
Stockholders are being issued shares of common stock of Dynamic 
(the "Dynamic Common Stock").

     B.  The parties hereto have agreed, pursuant to the Merger 
Agreement, to the establishment of an escrow account to hold a 
portion of the shares of Dynamic Common Stock issued pursuant to 
the Merger, in an amount and for the purposes specified herein.

     NOW, THEREFORE, in consideration of the premises set forth in 
the Merger Agreement, the mutual covenants herein contained, and 
other good and valuable consideration, the receipt and sufficiency 
of which are hereby acknowledged, the parties, intending to be 
legally bound hereby, agree as follows:

     1.  Deposit.  Concurrently with the execution and delivery of 
this Agreement, Dynamic has deposited with Escrow Agent four 
million eighty six thousand seventy three (4,086,073) shares of 
Dynamic Common Stock, with duly executed stock powers 
(collectively, the "Escrow Stock"), which constitutes a portion of 
the Merger Consideration (as such term is defined in the Merger 
Agreement) to be issued under the Merger Agreement.  Escrow Agent 
hereby acknowledges receipt of the Escrow Stock.  The number of 
shares of Escrow Stock earmarked for each Original ACS2 Stockholder 
is set forth on Exhibit 1 attached hereto.  Escrow Agent will hold 
the Escrow Stock in accordance with the terms and provisions of 
this Agreement. 

     2.  Disbursement of Escrow Stock. 

        (a)  Dynamic, with respect to the operations of Genesis 
Health Care Management Corporation ("Genesis") and Geriatric Care 
Centers of America, Inc. ("GCCA") (Genesis and GCCA are referred 
collectively herein as the "Dynamic Group"), and ACS2, with respect 
to the operations of Advanced, Pain Care, Inc., Pain Care of 
Florida, Inc., Pain Care of Kentucky, Inc., Pain Care of Georgia, 
Inc., Pain Care of Tennessee, Inc. and Pain Care of Texas, Inc. 
(collectively the "ACS2 Group"), have projected consolidated 
earnings before interest, taxes, depreciation and amortization 
("EBITDA") of $2,400,000 for each of the Dynamic Group and ACS2 
Group, respectively, for the twelve (12) month period ending 
December 31, 1999 (the "Projections").

<PAGE>

                               2

        (b)  On or before April 1, 2000, Dynamic shall prepare 
and deliver to the Original ACS2 Stockholders and the Escrow Agent 
a written statement of the consolidated EBITDA for the Dynamic 
Group for the twelve (12) month period ending December 31, 1999 
(the "Dynamic Group EBITDA") and a comparable written statement of 
the consolidated EBITDA for the ACS2 Group for the twelve (12) 
month period ending December 31, 1999 (the "ACS2 Group EBITDA"). 
The Dynamic Group EBITDA and ACS2 Group EBITDA shall be based on 
audited financial statements, prepared in a manner consistent with 
past practice for the applicable group's operations and in 
accordance with generally accepted accounting principles.  Dynamic 
will make the work papers related to such written statements 
available to any Original ACS2 Stockholder promptly upon written 
request.

          (c)  If any Original ACS2 Stockholder disputes the 
calculation of either Dynamic Group EBITDA or ACS2 Group EBITDA, 
such stockholder will provide written notice to Dynamic and the 
Escrow Agent setting forth in detail the nature and basis for the 
dispute.  The dispute shall be settled pursuant to paragraph 3 of 
this Agreement.  If no such notice of dispute is received within 
forty-five (45) days of delivery of the written statements 
referenced in Section 2(b), the Escrow Agent will disburse the 
Escrow Stock on or about June 1, 2000 as follows:

               (i)  If  both the Dynamic Group EBITDA and the ACS2 
Group EBITDA exceed seventy percent (70%) of their respective 
Projections, or neither the Dynamic Group EBITDA nor the ACS2 Group 
EBITDA exceeds seventy percent (70%) of their respective 
Projections, Escrow Agent will promptly release all of the Escrow 
Stock to the Original ACS2 Stockholders in accordance with the 
amounts set forth in Exhibit 1.

               (ii)  If the ACS2 Group EBITDA exceeds seventy 
percent (70%) of its Projections and the Dynamic Group EBITDA fails 
to exceed seventy percent (70%) of its Projections, the Escrow 
Agent will release all of the Escrow Stock to the Original ACS2 
Stockholders.  In addition, Dynamic will issue pro rata to the 
Original ACS2 Stockholders an additional 4,180,000 shares of  
Dynamic Common Stock.  

               (iii)  If the Dynamic Group EBITDA exceeds 
seventy percent (70%) of its Projections and the ACS2 Group EBITDA 
fails to exceed seventy percent (70%) of its Projections, the 
Escrow Agent will release the Escrow Stock to Dynamic and such 
shares shall be returned to treasury. 

     3.  Settlement of Disputes.  

          (a)  If one or more Original ACS2 Stockholders provide 
written notice in accordance with Section 2(c) of this Agreement of 
a dispute, the question of whether the claim is valid shall be 
conclusively determined by a single arbitrator which Dynamic and 
the disputing stockholder(s) shall jointly and in good faith 
attempt to select.  If such parties are unable to agree on a single 
arbitrator, then such determination shall be made by three 
arbitrators, one arbitrator being selected by Dynamic, one 
arbitrator being selected by the disputing stockholder(s) and the 
third being selected by the two arbitrators so selected.  If the 
first two (2) arbitrators are unable to agree on the selection of 
the third arbitrator, the third arbitrator shall be designated by 
the American

<PAGE>

                              3

Arbitration Association.  The rules of such Association shall
govern the conduct of any such arbitration proceeding, except as
may otherwise be specifically provided in this Agreement. If either
party, thirty (30) days after written notification of any demand for
arbitration hereunder, shall not have so selected its arbitrator and
given written notice thereof to the other party, such arbitrator
shall be selected by the American Arbitration Association at the
request of any party to this Agreement.  

          (b)  The meetings of the arbitrators shall be held in 
Nashville, Tennessee, or at such other place or places as may be 
agreed upon by the arbitrators.  All determinations made by the 
arbitrator(s) shall be by majority vote and shall be final, 
conclusive, and binding on the parties hereto and the parties agree 
to the entry of judgment in any court of competent jurisdiction 
based on the award of the arbitrator(s).  Notice of any such 
determination shall forthwith be given to the disputing party(ies) 
and Escrow Agent.  Escrow Agent shall, upon receipt of such notice, 
release the Escrow Stock to the appropriate party(ies).  Dynamic, 
on the one hand, and the disputing stockholder(s), on the other 
hand, shall each pay one-half of the fees and expenses of such 
arbitration, unless the arbitrator(s) shall expressly determine to 
the contrary.

          (c)  Any award of the arbitrator(s) will be limited to a 
direction as to the release of the Escrow Stock and the issuance by 
Dynamic of the additional shares of Dynamic Common Stock pursuant 
to Section 2(c)(ii), along with any order as to costs which the 
arbitrator(s) deem appropriate.

     4.  Other Payments.  Notwithstanding anything in this Escrow 
Agreement to the contrary,  Escrow Agent shall make payments of any 
or all Escrow Stock in accordance with the terms of any written 
instructions which it may receive which have been executed by each 
of the  Dynamic and all of the Original ACS2 Stockholders.

     5.  Rights as Stockholders.  So long as Escrow Stock remains 
in escrow the Original ACS2 Stockholders may vote those shares of 
Dynamic Common Stock held in escrow pursuant to the allocation set 
forth in Exhibit 1, but shall have no other rights as stockholders 
of Dynamic with respect to such shares.

     6.  Resignation or Substitution of Escrow Agent.  Escrow 
Agent may resign and be discharged of its duties hereunder at any 
time by giving notice of such resignation to the LLC,  Dynamic and 
all of the Original ACS2 Stockholders, which notice will specify a 
date not less than thirty (30) days after the giving of such notice 
when the resignation will take effect.  Promptly after such notice, 
a successor escrow agent will be appointed by Dynamic. The 
successor escrow agent will become Escrow Agent upon the 
resignation date specified in the notice.  Escrow Agent will 
continue to serve until its successor accepts the escrow and 
receives the Escrow Stock or until Escrow Agent interpleads the 
same into the registry of the District Court of Davidson County, 
Tennessee.


<PAGE>
                                4

     7.  Liability of Escrow Agent.

          (a)  Upon disbursement of all Escrow Stock held in escrow 
in accordance with the terms of this Agreement, Escrow Agent will 
be released and discharged without further obligation under this 
Agreement. Escrow Agent has no duties other than to hold and 
release the Escrow Stock as contemplated hereunder.  This Agreement 
sets forth exclusively the duties of Escrow Agent in its capacity 
as such and no implied duties or obligations will be read into this 
Agreement against it.  Escrow Agent will have no liability 
hereunder except for acts of gross negligence, willful misconduct 
or fraud.  Escrow Agent shall not be responsible or liable in any 
manner whatsoever with respect to any liability or obligation of 
Dynamic, ACS2, Advanced, Advanced-Dynamic, LLC or any Original ACS2 
Stockholder.

          (b)  Escrow Agent will be under no obligation to 
institute or defend any action, suit or legal proceeding in 
connection with this Agreement or to take any other action likely 
to involve it in expense unless first indemnified to its 
satisfaction.  In the event that a dispute arises, Escrow Agent may 
bring an interpleader action in the District Court of Davidson 
County, Tennessee naming the LLC, Dynamic and the Original ACS2 
Stockholder(s) as parties.  

          (c)  Escrow Agent shall be protected in acting in 
reliance upon any instrument or signature or telephonic 
communication believed to be genuine and may assume that any person 
purporting to give any notice, advice or instruction in connection 
with the provisions hereof has been duly authorized to do so.  
Escrow Agent shall be protected in acting upon advice of counsel in 
reference to any matter connected herewith. 

          (d)  Escrow Agent shall not be liable for any error of 
judgement, or for any act done or steps taken or omitted by it in 
good faith or for any mistake of fact or law, or for anything which 
it may do or refrain from doing in connection herewith, except its 
own gross negligence, willful misconduct or fraud.

     8.  Representation.  Dynamic, ACS2, Advanced and each of the 
Original ACS2 Stockholders hereby acknowledge and agree that Escrow 
Agent has also acted as legal counsel to ACS2 and Advanced in 
connection with the negotiations of this Agreement, the Merger 
Agreement and other agreements and matters related thereto.  
Dynamic, for itself and on behalf of its affiliates, and each of 
the Original ACS2 Stockholders hereby agree that Escrow Agent may 
represent ACS2 and/or Advanced as its legal counsel in connection 
with any dispute arising between or among the parties, including 
disputes that may involve the rights or obligations of ACS2 and/or 
Advanced under this Agreement, the Merger Agreement or any related 
agreement or matters.

     9.  Indemnification of Escrow Agent.

          (a)  The Escrow Agent shall have no duties or 
responsibilities whatsoever with respect to the Escrow Stock except 
as are specifically set forth herein.  The Escrow Agent shall 
neither be responsible for or under, nor chargeable with knowledge 
of the terms and conditions of, any other agreement, instrument or 
document in connection herewith.  The Escrow Agent may conclusively 
rely upon, and shall be fully protected from all liability, loss, 
cost, damage or expense

<PAGE>

                                      5

in acting or omitting to act pursuant to any written notice,
instrument, request, consent, certificate, document, letter,
telegram, opinion, order, resolution or other writing hereunder
without being required to determine the authenticity of such
document, the correctness of any fact stated therein, the propriety
of the service thereof or the capacity, identity or authority of
any party purporting to sign or deliver such document. The Escrow
Agent shall have no responsibility for the contents of any such
writing contemplated herein and may rely without any liability upon
the contents thereof.

          (b)  The Escrow Agent shall not be liable for any action 
taken or omitted by it in good faith and reasonably believed by it 
to be authorized hereby or with the rights or powers conferred upon 
it hereunder, nor for action taken or omitted by it in good faith, 
and in accordance with advice of counsel (which counsel may be of 
the Escrow Agent's own choosing), and shall not be liable for any 
mistake of fact or error of judgment or for any acts or omissions 
of any kind except for its own willful misconduct, gross negligence 
or fraud.

          (c)  All other parties hereto agree to jointly and 
severally indemnify the Escrow Agent and its employees, directors, 
agents and advisors and hold each harmless against any and all 
liabilities incurred by it hereunder as a consequence of such 
party's action, and all other parties hereto agree jointly and 
severally to indemnify the Escrow Agent and hold it harmless 
against any claims, costs, payments, and expenses (including the 
fees and expenses of counsel) and all liabilities incurred by it in 
connection with the performance of its duties hereunder and them 
hereunder, except in either case for claims, costs, payments and 
expenses (including the fees and expenses of counsel) and 
liabilities incurred by the Escrow Agent resulting from its own 
willful misconduct, gross negligence or fraud. 

     10.  Notices.  All notices and other communications required 
or permitted to be given under this Agreement shall be in writing 
and shall be deemed to be duly given: (a) if delivered personally 
or sent by facsimile, on the date received; (b) if delivered by 
overnight courier on the day after mailing so long as the sending 
party retains a receipt thereof; and (c) if mailed, then three (3) 
days after mailing with the United States mail service, postage 
pre-paid.  Any such notices or communications shall be sent to the 
parties at the addresses listed below or at such other addresses as 
a party may specify by notice to the other parties to this 
Agreement, which notice will be accomplished in accordance with the 
terms of this paragraph 10.

     11.  Miscellaneous.  All capitalized terms not otherwise 
defined in this Agreement will have the respective meanings set 
forth in the Merger Agreement.  This Agreement will inure to the 
benefit of, and will be binding upon, the parties hereto and may 
not be assigned by any party without the prior written consent of 
all other parties, and any prohibited assignment shall be null and 
void.  The headings used in this Agreement have been inserted for 
convenience only and will not control or affect the meaning of any 
provision of this Agreement.  The provisions of this Agreement have 
been subject to negotiation, and will not be construed against its 
drafter.  This Agreement, together with the Merger Agreement and 
the exhibits hereto, constitutes the entire agreement among the 
parties with respect to the subject matter hereof.  No change in, 
addition to or waiver or amendment of the terms or conditions of 
this Agreement will be binding upon any of the parties unless 
approved in writing by such parties.  This Agreement may be 
executed in any number of counterparts, each of which will be 
deemed an original and all of which together will be deemed one and 
the same instrument. This Agreement will be governed by and 
construed in accordance with the substantive laws of the State of 
Tennessee, without giving effect to its conflicts of laws 
provisions.

<PAGE>

                           6

IN WITNESS WHEREOF, the parties have executed this Escrow 
Agreement as of the date set forth above.

ACS2:

ACS2, Inc.


By:		
Title:		

49 Music Square West, Suite 502
Nashville, Tennessee 37203-3272

DYNAMIC:

DYNAMIC ASSOCIATES, INC. 


By:	
Title: 

7373 N. Scottsdale,
Suite B-169
Scottsdale, AZ 85253

ADVANCED:

ADVANCED CLINICAL SYSTEMS, INC.


By: 	
Title:		

49 Music Square West, Suite 502
Nashville, Tennessee 37203-3272


ORIGINAL ACS2 STOCKHOLDERS:

Healthmark Partners, LLC

By:                          
 
Title:                       
	
Kevin D. Lee
	
James T. Harper

Lisa A. Manning
	
David Alfery
	
T.C. Thomas, III, M.D.
	
Thomas P. Tooney, M.D. 

<PAGE>
                               7

ESCROW AGENT:

HARWELL HOWARD HYNE GABBERT &  
MANNER, P.C.

By:		
Title:		

1800 First American Center
315 Deaderick Street
Nashville, Tennessee 37238

             
Kimberly Tipton
             
Scott N. Mohler
             
Reginal J. Rutherford
                             
Walter M. Jones
                             
Carol Ann Kelley
             
Maureen T. (Stearns) Browning
             
Elizabeth Dan
             
Betty Brumley
             
F. Karl VanDevender
             
H. Brooks Morgan
                             
M. Bruce Sanderson

NationsCredit

By: 
Title:                       
                             
            

<PAGE>

                                    8

                                 EXHIBIT 1

                                                 Number of Shares
Original ACS2 Stockholders                       of Escrow Stock  
  
Andrew W. Miller
James T. Harper
Kevin D. Lee
David Alfery
T.C. Thomas, III, M.D.
Thomas P. Tooney, M.D. 
Lisa A. Manning
Kimberly Tipton
Scott N. Mohler, Ph.D
Reginal J. Rutherford, M.D.
Walter M. Jones
Carol Ann Kelley, R.N.
M. Bruce Sanderson, M.D.
H. Brooks Morgan, M.D.
Maureen T. (Stearns) Browning, R.N.
F. Karl VanDevender, M.D.
Elizabeth Dan
Betty Brumley




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