PHYSICIAN SUPPORT SYSTEMS INC
8-K, 1996-06-04
MANAGEMENT SERVICES
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                                  UNITED STATES
                       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)         May 21, 1996
                                                 -------------------------

                         Physician Support Systems, Inc.
- --------------------------------------------------------------------------------
             (Exact name of registrant as specified in its charter)

Delaware                           33-80731                  13-3624081
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(State or other jurisdiction       (Commission               (IRS Employer
of incorporation)                  File Number)              Identification No.)

             Route 230 and Eby-Chiques Road, Mt. Joy, PA              17552
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             (Address of principal executive offices)                 (Zip Code)

Registrant's telephone number, including area code        (717) 653-5340
                                                   -------------------------

                                 not applicable
- --------------------------------------------------------------------------------
         (Former name or former address, if changed since last report.)



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Item 2.  Acquisition or Disposition of Assets.

         On May 21, 1996, PSS ALM, Inc. ("PSS-ALM"), a wholly owned subsidiary
of Physician Support Systems, Inc., a Delaware corporation (the "Company"),
purchased substantially all of the assets and liabilities of ALM, Inc., a Kansas
corporation ("ALM").

         ALM provides accounts receivable management and other services to
hospital-based physicians. The assets purchased include ALM's customer
arrangements, software, leases and other personal property. PSS-ALM paid cash
in the amount of $1,400,000 for the assets and the non-compete agreements of ALM
and its stockholders, and the Company issued 11,628 shares of its common stock,
par value $.001 per share, to ALM. The purchase price was based primarily on an
evaluation of the earnings of the business. An additional payment of up to
$200,000 may be payable to ALM on or about May 20, 1998, based on the retention
of existing clients of the business at that time.

         Each of the shareholders of ALM entered into employment agreements with
PSS-ALM, under which they agreed to be employed by PSS-ALM through December 31,
1999 in substantially the same capacities as they were employed by ALM prior to
the acquisition. These shareholders also agreed not to compete with the Company
or its affiliates during the employment period and for five years thereafter.
Under their employment agreements, the former ALM owners are entitled to receive
a salary plus incentive compensation based on the increase in earnings before
interest and taxes after 1996.

         A portion of the proceeds from the Company's initial public offering
completed in February 1996 was used to finance the purchase price and noncompete
payments.

Item 7.  Financial Statements, Pro Forma Financial Information and Exhibits.

         (a)     Financial Statements of Businesses Acquired.
         (b)     Pro Forma Financial Information.

         As of the date of this Report, it is impracticable to provide the
required financial statements and pro forma financial information relating to
ALM. Such statements and information will be filed as soon as they become
available, and in any event not later than 60 days after the date this Report is
filed with the Securities and Exchange Commission.

         (c)    Exhibits.

         (2)    Plan of Purchase, Sale, Reorganization, Arrangement, Liquidation
                or Succession. Exhibit 2 - Asset Purchase Agreement among ALM,
                Inc., the Shareholders of ALM, Inc., PSS ALM, Inc. and Physician
                Support Systems, Inc., dated May 17, 1996 (omitting schedules
                and exhibits thereto, which will be furnished supplementally to
                the Commission upon request).

         (99)   Additional Exhibits. Exhibit 99 - Copy of press release issued
                by the Company May 22, 1996.


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                                   SIGNATURES

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

                                                 PHYSICIAN SUPPORT SYSTEMS, INC.



Date June 4, 1996.                               By /s/ David S. Geller
                                                    Senior Vice President


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                                  EXHIBIT INDEX

Exhibit 2

Asset Purchase Agreement among ALM, Inc., the Shareholders of ALM, Inc., PSS
ALM, Inc. and Physician Support Systems, Inc., dated May 17, 1996 (omitting
schedules and exhibits thereto, which will be furnished supplementally to the
Commission upon request).


Exhibit 99

Copy of press release issued by the Company May 22, 1996.


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                                                                [Execution Copy]

================================================================================

                            ASSET PURCHASE AGREEMENT

                                   AMONG

                                 ALM, INC.,

                       THE SHAREHOLDERS OF ALM, INC.,

                               PSS ALM, INC.

                                    AND

                      PHYSICIAN SUPPORT SYSTEMS, INC.















DATED:   MAY 17, 1996


================================================================================


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                             TABLE OF CONTENTS


                                 ARTICLE I
                        PURCHASE AND SALE OF ASSETS

<TABLE>
<CAPTION>
                                                                                                        Page

<C>      <S>                                                                                             <C>
1.1.     Purchase and Sale.............................................................................  1
1.2.     Purchaser Not Successor to the Seller; Excluded Liabilities...................................  2
1.3.     Purchase Price................................................................................  3
1.4.     Closing.......................................................................................  4
1.5.     Purchase Price Adjustment.....................................................................  4
1.6.     Instruments of Conveyance and Transfer........................................................  5
1.7.     Post-Closing Assurances.......................................................................  5
1.8.     Assignment of Contracts, Rights...............................................................  6

                                 ARTICLE II
                       REPRESENTATIONS AND WARRANTIES

2.1.     Representations and Warranties by Seller and Shareholders.....................................  6

         (a)      Organization, Standing and Power.....................................................  6
         (b)      Authority; Binding Agreements........................................................  6
         (c)      Capitalization; Equity Interests.....................................................  7
         (d)      Conflicts; Consents..................................................................  7
         (e)      Financial Information................................................................  7
         (f)      Absence of Changes...................................................................  8
         (g)      Assets, Property and Related Matters; Real Property................................... 9
         (h)      Patents, Trademarks and Similar Rights............................................... 10
         (i)      Insurance............................................................................ 10
         (j)      Agreements, Etc...................................................................... 11
         (k)      Litigation, Etc...................................................................... 11
         (l)      Compliance; Governmental Authorizations.............................................. 11
         (m)      Labor Relations; Employees........................................................... 12
         (n)      Accounts Receivable.................................................................. 13
         (o)      Customers............................................................................ 13
         (p)      Accounts Payable..................................................................... 14
         (q)      Related Party Transactions........................................................... 14
         (r)      Billing and Collection Practices..................................................... 14
         (s)      Taxes................................................................................ 15
         (t)      Disclosure........................................................................... 15
         (u)      Brokers.............................................................................. 15
</TABLE>


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<TABLE>
<CAPTION>
                                                                                                        Page

<C>      <S>                                                                                             <C>
2.2.     Representations and Warranties by Purchaser and PSS........................................... 15

         (a)      Organization, Standing and Power..................................................... 15
         (b)      Authority; Binding Agreements........................................................ 16
         (c)      Conflicts; Consents.................................................................. 16
         (d)      Capitalization of PSS................................................................ 16
         (e)      PSS Commission Reports............................................................... 17
         (f)      Brokers.............................................................................. 17

                                ARTICLE III
                           ADDITIONAL AGREEMENTS

3.1.     Expenses; Sales Taxes......................................................................... 17
3.2.     Conduct of Business........................................................................... 17
3.3.     Further Assurances............................................................................ 18
3.4.     No Shopping................................................................................... 18
3.5.     Access and Information........................................................................ 18
3.6.     Bulk Sales.................................................................................... 19
3.7.     Non-Disclosure................................................................................ 19
3.8.     Confidentiality; Non-Competition.............................................................. 19
3.9.     Use of Name................................................................................... 20
3.10.    Maintenance of Vacation Policy................................................................ 20
3.11.    Employee Bonus Policy......................................................................... 20

                                 ARTICLE IV
                            CONDITIONS PRECEDENT

4.1.     Conditions of Obligations of the Purchaser and PSS............................................ 21

         (a)      Authorization........................................................................ 21
         (b)      Representations and Warranties....................................................... 21
         (c)      Consents, Amendments and Terminations................................................ 21
         (d)      Bill of Sale; Assignment............................................................. 21
         (e)      Financial Results.................................................................... 21
         (f)      Customers; Customer Contracts........................................................ 21
         (g)      Certificates......................................................................... 22
         (h)      Opinion of Counsel................................................................... 22
         (i)      Financial Statements................................................................. 22
         (j)      Due Diligence........................................................................ 22
         (k)      Financing............................................................................ 22
         (l)      Employment Agreements................................................................ 22
</TABLE>

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<TABLE>
<CAPTION>
                                                                                                        Page

<C>      <S>                                                                                             <C>

         (m)      Investment Letter.................................................................... 22
         (n)      Lease................................................................................ 22
         (o)      St. Joseph Customer Contract......................................................... 22
         (p)      Other Documents...................................................................... 23

4.2.     Conditions of Obligations of the Seller and Shareholders...................................... 23

         (a)      Authorization........................................................................ 23
         (b)      Representations and Warranties....................................................... 23
         (c)      Assignment........................................................................... 23
         (d)      Employment Agreements................................................................ 23
         (e)      Certificate.......................................................................... 23
         (f)      Opinion of Counsel................................................................... 23
         (g)      Purchase Price, Noncompete Payment and Transferred Common
                    Stock.............................................................................. 23
         (h)      Lease................................................................................ 23
         (i)      St. Joseph Customer Contract......................................................... 23
         (j)      Other Documents...................................................................... 24

                                 ARTICLE V
                                 INDEMNITY

5.1.     Indemnification............................................................................... 24
5.2.     Limitations................................................................................... 25
5.3.     No Election................................................................................... 26

                                 ARTICLE VI
                               MISCELLANEOUS

6.1.     Entire Agreement.............................................................................. 26
6.2.     Termination................................................................................... 26
6.3.     Descriptive Headings; Certain Interpretations................................................. 26
6.4.     Notices....................................................................................... 27
6.5.     Counterparts.................................................................................. 28
6.6.     Survival...................................................................................... 28
6.7.     Benefits of Agreement......................................................................... 28
6.8.     Amendments and Waivers........................................................................ 28
6.9.     Assignment.................................................................................... 28
6.10.    Enforceability................................................................................ 29
6.11.    GOVERNING LAW................................................................................. 29
</TABLE>


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                                 Schedules

1.1(a)(i)         Intellectual Property
1.1(a)(iv)        Computers, Equipment, etc.
1.1(a)(ix)        Acquired Agreements
1.2(a)            Assumed Liabilities
1.3(b)            Acquired Assets Allocation
1.2(b)            Unassumed Liabilities
2.1(c)            Capitalization
2.1(d)(ii)        Waivers and Consents
2.1(e)            Financial Statements
2.1(e)(ii)        Unlisted Liabilities
2.1(f)            Absence of Changes
2.1(g)(ii)        Leased Property
2.1(i)            Insurance
2.1(j)            Agreements
2.1(k)            Litigation
2.1(l)            Licenses and Permits
2.1(m)(ii)        Employee Plans
2.1(n)            Accounts and Notes Receivable
2.1(o)            Customers
2.1(p)            Accounts Payable
2.1(q)            Related Party Transactions


                                  Exhibits

A     Form of Employment Agreement
B     Form of Investment Letter
C     Form of Lease
D     Form of St. Joseph Customer Contract
E     Form of Bill of Sale
F     Form of Assignment
G     Form of Officer's and Shareholders' Certificates
H     Form of Opinion of Counsel of the Seller and the Shareholders
I     Form of Opinion of Counsel of the Purchaser and PSS


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                  ASSET PURCHASE AGREEMENT, dated May 17, 1996, among ALM, Inc.,
a Kansas corporation (the "Seller"),  James Mallow, M.D.  ("Mallow"),  Devona J.
Slater  ("Slater" and together with Mallow,  collectively  referred to herein as
the  "Shareholders"),  Physician Support Systems,  Inc., a Delaware  corporation
("PSS"), and PSS ALM, Inc., a Delaware  corporation and wholly-owned  subsidiary
of PSS (the "Purchaser").

                                Introduction

                  The  Seller  is  engaged  in   providing   billing,   accounts
receivable management,  practice management and other services to physicians and
physician groups (the "Business") and the Seller owns certain assets that relate
to the  Business.  Subject to the terms and  conditions of this  Agreement,  the
Seller desires to sell to the Purchaser,  and the Purchaser  desires to purchase
from the Seller,  substantially  all of the  assets,  tangible  and  intangible,
associated with the Business.

                  A portion  of the  consideration  for the assets of the Seller
shall be paid in the form of shares of common stock,  par value $.001 share (the
"Common  Stock"),  of PSS. As a condition to the transfer of such Common  Stock,
the Seller and the Shareholders will execute an investment  letter,  agreeing to
certain  representations,  warranties  and covenants  with respect to the Common
Stock.

                  As a condition to the Purchaser's acquisition of the assets of
the Seller,  each of the  Shareholders,  who  together own all of the issued and
outstanding capital stock of the Seller, will enter into an employment agreement
with the Purchaser.

                  In  consideration  of the mutual  benefits to be derived  from
this Agreement and of the representations,  warranties,  conditions,  agreements
and promises  contained  herein and other good and valuable  consideration,  the
parties agree as follows:

                                 ARTICLE I
                        PURCHASE AND SALE OF ASSETS

                  1.1.  Purchase and Sale.  (a) The Seller  shall sell,  convey,
transfer and assign to the Purchaser,  and the Purchaser shall purchase from the
Seller,  on the Closing Date (as defined in Section 1.4),  the Acquired  Assets.
"Acquired  Assets" means all properties,  assets  (tangible or intangible),  and
rights of the Seller used or held in connection with the Business (which for the
purposes of this  Section 1.1 shall  include any other  business  undertaken  or
contemplated by the Seller), including the following:

                  (i) all  tradenames,  trademarks,  service marks,  patents and
         copyrights listed on Schedule l.1(a)(i), and all licenses,  franchises,
         formula,  know-how and other intangible  assets used in connection with
         the  Business and all  registrations  and  applications  for any of the
         foregoing and all goodwill associated with any of the foregoing;

                  (ii)  all  technologies,   methods,   formulations,   software
         (including  documentation  and object and source code listings),  trade
         and business secrets, know-how,  inventions,  package designs and other
         processes or proprietary  information used or under development for use
         in the Business;

                  (iii)  all   information,   customer   lists,   price   lists,
         identification of suppliers,  correspondence,  data, drawings, recorded
         knowledge, customer files, account histories, sales


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         literature and commercial materials relating to the Business; all sales
         data and other  information  relating  to  selling  and  providing  the
         services   relating  to  the  Business;   all  accounting   information
         pertaining to the Business;

                  (iv) all computers,  equipment,  tools, machinery,  furniture,
         furnishings,   leasehold  improvements,   automobiles,   trucks,  other
         vehicles and similar tangible  property used or held in connection with
         the Business, subject to such additions and subtractions thereto as are
         necessary to reflect  acquisitions  and  dispositions,  as appropriate,
         from the date hereof  through the Closing Date in  accordance  with the
         terms of this Agreement, and as listed on Schedule 1.1(a)(iv);

                  (v)  all  books,  records,   production  data,   publications,
         computer files,  databases,  data, manuals and other materials relating
         to the Business;

                  (vi)  all  leasehold   interests  in  real  property  used  in
         connection with the Business;

                  (vii) all supplies and inventories  used or held in connection
         with the Business;

                  (viii) all accounts  and other  receivables  and  indebtedness
         owed to the  Seller  in  connection  with the  Business,  cash and cash
         equivalents  on hand and in banks  (in an  amount  not less  than  that
         sufficient to operate the Business for one month),  and  investment and
         other securities on hand and in accounts,  pre-paid expenses,  security
         deposits and any other current assets;

                  (ix)  all  written  or oral  contracts,  agreements  or  other
         arrangements   relating  to  the   Business,   as  listed  on  Schedule
         1.1(a)(ix);

                  (x) all rights and claims,  including refunds, with respect to
         all Assumed Liabilities (as defined in Section 1.2(a) below);

                  (xi)  all   transferable   governmental   licenses,   permits,
         approvals,  registrations,  certificates  of occupancy  and license and
         permit applications relating to the Business;

                  (xii)  all goodwill relating to the Business;

                  (xiii)  all  other  assets  reflected  on  the  balance  sheet
         included in the Closing Date Financial Statement (as defined in Section
         4.1(i)) for the Seller.

                  1.2.   Purchaser  Not   Successor  to  the  Seller;   Excluded
Liabilities.  (a) The Seller  shall  sell,  convey,  transfer  and assign to the
Purchaser,  and the Purchaser shall assume from the Seller, on the Closing Date,
the Assumed  Liabilities.  "Assumed  Liabilities" means those obligations of the
Seller   identified  as  such  on  Schedule  1.2(a).   Except  for  the  Assumed
Liabilities,  the  Purchaser  shall not be the  successor  to the Seller and the
Purchaser  does not  assume  and shall not  become  liable  to pay,  perform  or
discharge any  obligation  or liability  whatsoever of the Seller or relating to
any  of the  Acquired  Assets  (all  such  obligations  and  liabilities  being,
collectively, the "Unassumed Liabilities").


                                       -2-

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                  (b)  The  term  "Unassumed   Liabilities"  includes,  and  the
Purchaser expressly is not assuming any of, the following  liabilities,  whether
accrued or fixed,  absolute  or  contingent,  known or  unknown,  determined  or
determinable and whenever arising:

                  (i) any liabilities and obligations of the Seller for Federal,
         state,  local and foreign taxes (including  franchise,  income,  single
         business,   sales,  use,   payroll,   occupation,   property,   excise,
         withholding and other taxes);

                  (ii) any claims,  demands,  liabilities  or obligations of any
         nature   whatsoever   (including   claims,   demands,   liabilities  or
         obligations  in respect of Federal,  state,  local and  foreign  taxes,
         advances or loans, environmental matters, occupational safety, workers'
         or  workmen's   compensation,   grievance   proceedings  or  actual  or
         threatened   litigation,   suits,   claims,   demands  or  governmental
         proceedings)  which arose or were incurred on or before the Closing (as
         defined  in Section  1.4),  or which are based on events  occurring  or
         conditions  existing  on or before the  Closing,  or which are based on
         products  sold or  services  performed  by the  Seller on or before the
         Closing;

                  (iii) any liabilities and obligations of the Seller under this
         Agreement,  any bill of sale or related instrument issued in connection
         with this  Agreement or otherwise in connection  with the  transactions
         contemplated by this Agreement;

                  (iv) any  liabilities  of the Seller not  associated  with the
         Business or the Acquired Assets;

                  (v)  any  liabilities  of the  Seller  to  present  or  former
         employees  (or their  beneficiaries),  consultants  or  agents  for any
         compensation,   pension  contribution  or  other  benefits  accrued  or
         otherwise  payable,  and any  liabilities  or obligations to present or
         former shareholders; and

                  (vi) any liabilities and obligations of the Seller  identified
         on Schedule  1.2(b) as  "Unassumed  Liabilities",  and all  liabilities
         under any  contract or  agreement  not listed on Schedule  2.1(j) other
         than operating  contracts of the Business  entered into in the ordinary
         course of business and not required to be listed on Schedule 2.1(j).

                  1.3. Purchase Price. (a) Subject to adjustment as set forth in
Section 1.5, the purchase price (the "Purchase  Price") for the Acquired  Assets
and the agreement not to compete of the Seller set forth in Section 3.8 shall be
(i)  cash in the  amount  of  $1,510,000,  of which  $1,500,000  is  payable  as
consideration  for the  Acquired  Assets and $10,000 is payable to the Seller as
consideration  for its agreement not to compete and (ii) 11,628 shares of Common
Stock (the "Transferred  Common Stock").  The Shareholders  shall be compensated
for their  agreement  not to compete as set forth in Section 3.8. The  Purchaser
shall pay at Closing $1,310,000 of the Purchase Price and transfer to the Seller
share  certificates  issued by PSS  representing  all of the Transferred  Common
Stock.  The balance (the "Balance") of the Purchase Price shall,  subject to the
terms set forth in Section 1.5, be paid by the Purchaser in one  installment  of
$200,000 in connection with the second anniversary of the Closing Date. All such
payments  shall be made by certified or bank check or checks,  or, at the option
of the Seller, by wire transfer to an account of the Seller designated to

                                       -3-

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the  Purchaser.  The Seller  shall  provide  the  Purchaser  with  notice of the
exercise of such option and the  designation of such account,  such notice to be
delivered not less than three business days before the Closing.

                  (b) The Seller  and the  Purchaser  agree that the  allocation
among the Acquired Assets of the Purchase Price will be as set forth in Schedule
1.3(b),  which is in  accordance  with the  guidelines  of the Internal  Revenue
Service (the "IRS").  The parties agree to be bound by such  allocation  for all
purposes,  including for purposes of all Federal,  state,  local and foreign tax
returns filed by them subsequent to the Closing Date, the  determination  by the
Seller  of  taxable  gain or loss on the  sale of the  Acquired  Assets  and the
determination by the Purchaser of its tax basis in the Acquired Assets.

                  1.4. Closing. The closing (the "Closing") for the consummation
of the  transactions  contemplated  by this  Agreement  shall  take place at the
offices of Howard,  Darby & Levin,  1330 Avenue of the Americas,  New York,  New
York 10019,  or such other place as the Seller and the Purchaser shall agree, at
10:00  a.m.  (Eastern  time  zone) on the later of May 17,  1996 and the date on
which all  conditions  set forth in  Article  IV shall  have been  satisfied  or
waived,  or such other date and time  agreed to by the Seller and the  Purchaser
(such date of the Closing being hereinafter called the "Closing Date").

                  1.5. Purchase Price Adjustment. (a) The payment of the Balance
in  connection  with the second  anniversary  of the Closing  Date is subject to
retention of the clients of the Business  reflected on the Closing Date Customer
List (as defined in Section 4.1(f)) (the "Existing Clients") through the date of
the second anniversary of the Closing Date. If, on the second anniversary of the
Closing Date, an Existing Client no longer uses the Business to provide services
on the same terms (including the rate paid by such Existing Client) as in effect
on the Closing Date or has given notice of its  intention to no longer do so (in
either case, a "Loss"),  then the Balance  shall be reduced (but not below zero)
by an  amount  equal  to  the  product  of (x)  the  reduction  in the  earnings
contribution  of such Existing  Client  attributable  to such Loss and (y) five;
provided,  however,  that no reduction to the Balance shall occur unless the sum
of all such  reductions  and  offsetting  additions  pursuant to Section  1.5(b)
equals or exceeds  $25,000.  For purposes of this Section 1.5(a),  the "earnings
contribution"  of an Existing  Client  shall mean an amount  equal to 35% of the
amount  of the  Business  revenues  (as  defined  under  the  Business'  revenue
recognition  policy  consistent with generally  accepted  accounting  principles
("GAAP"))  with  respect to such client for the 12 calendar  months  immediately
preceding the date of such Loss.  There shall be no reduction in the Balance due
to the routine  elimination  and replacement in physicians  practicing  medicine
within a particular client group.

                  (b) If (i) any of the  Shareholders,  after the Closing  Date,
introduces  to the  Purchaser  a  potential  new  client for the  Business,  and
provides the Purchaser with  reasonable  assistance in such potential new client
becoming a customer of the  Purchaser,  and (ii) such  potential  client becomes
contractually committed as a customer of the Business (the date of such contract
being the "Start Date") and the Business  begins  servicing such new customer (a
"New Client") no later than the date of Loss of an Existing  Client,  the amount
of any reduction otherwise called for by Section 1.5(a) with respect to the Loss
of such  Existing  Client  shall be offset by an amount equal to one-half of the
product  of (x) the  One-Year  Earnings  Contribution  attributable  to such New
Client

                                       -4-

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and (y) five. If an Existing Client becomes contractually  committed to paying a
higher  rate to the  Purchaser  than the rate such  Existing  Client paid to the
Business on the Closing Date for  substantially the same service provided on the
Closing Date and such  Existing  Client  begins paying such higher rate no later
than the date of Loss of another  Existing  Client,  such Existing Client paying
such  higher  rate  shall be deemed to be a "New  Client"  and the amount of any
reduction  otherwise  called for by Section  1.5(a) with  respect to the Loss of
such other Existing Client shall be offset by an amount equal to one-half of the
product of (x) the One-Year  Earnings  Contribution  attributable to such deemed
New Client,  (y) five and (z) (1) the quotient of (A) the higher rate being paid
by such deemed New Client on the date of Loss of such Existing Client divided by
(B) the rate paid by such deemed New Client to the  Business on the Closing Date
minus  (2)  one.  For  purposes  of  this  Agreement,   (i)  "One-Year  Earnings
Contributions" attributable to a New Client shall mean an amount equal to 35% of
the Business  revenues (as defined  under the  Purchaser's  revenue  recognition
policy consistent with GAAP) with respect to such New Client beginning with (and
including)  the second full calendar  month after the Start Date with respect to
such client and ending with (and  including) the thirteenth  full calendar month
after such  Start Date and (ii) the Start Date for a deemed New Client  shall be
the date on which such deemed New Client begins paying such higher rate.

                  (c) The Purchaser shall present a statement of its calculation
of any  reduction  required  by  Section  1.5(a),  after  giving  effect  to any
applicable One-Year Earnings  Contributions,  to the Seller within 45 days after
the second anniversary of the Closing Date;  provided that if One- Year Earnings
Contributions  cannot  be  calculated  at such  time,  such  statement  shall be
delivered  within 45 days after the end of the  thirteenth  full calendar  month
after the Start Date of the applicable New Client.  The Purchaser shall make the
books and records relating to such  calculation  available to the Seller and its
representatives  for the purpose of reviewing the calculation.  The Seller shall
have the right to dispute any amounts shown on the  statement by giving  written
notice to the Purchaser  within 10 days after receipt of such  statement,  which
notice  shall  specify  in  reasonable  detail  the  nature  and  extent of such
disagreement.  If the Seller and the  Purchaser  have not  resolved  the dispute
within 20 business days of such notice,  the dispute shall be promptly submitted
to an independent  accountant of national standing reasonably  acceptable to the
Seller and the Purchaser, whose decision shall be binding on the parties hereto.
The Purchaser  and the Seller shall share  equally the cost of such  accountant.
The Purchaser will pay to the Seller the Balance (as reduced in accordance  with
this Section 1.5) promptly, and in any event within 5 days, after the expiration
of the 10-day period  referred to in this  paragraph (c) or, if the Seller shall
have given notice in  accordance  with this  paragraph (c) of its dispute of the
calculation, within 10 days of the resolution of such dispute.

                  1.6.  Instruments of Conveyance and Transfer.  At the Closing,
the Seller  shall  deliver to the  Purchaser  such bills of sale,  endorsements,
assignments and other  instruments of transfer,  conveyance and assignment (in a
form  satisfactory to the Seller and the Purchaser) as shall be necessary in the
reasonable judgment of the Purchaser to transfer, convey and assign the Acquired
Assets to the Purchaser.

                  1.7. Post-Closing Assurances.  The Seller and the Shareholders
shall pay to the  Purchaser any amounts which shall be received by the Seller or
any Shareholder  after the Closing Date which constitute  Acquired  Assets.  The
Seller and the  Shareholders  shall, at any time and from time to time after the
Closing Date, upon the request of the Purchaser, do, execute, acknowledge,

                                       -5-

<PAGE>
<PAGE>



deliver and file,  or cause to be done,  executed,  acknowledged,  delivered  or
filed,  all such further acts,  deeds,  transfers,  conveyances,  assignments or
assurances as may be reasonably required for the better transferring, conveying,
assigning and assuring to the Purchaser,  or for the aiding and assisting in the
reducing to  possession  by the  Purchaser  of, any of the Acquired  Assets.  In
connection  with the  foregoing,  from and after the Closing Date, the Purchaser
shall have the right and authority to endorse, without recourse, the name of the
Seller on any check or similar negotiable  instrument  received by the Purchaser
constituting Acquired Assets transferred, conveyed and assigned to the Purchaser
hereunder.

                  1.8. Assignment of Contracts, Rights. Notwithstanding anything
to the contrary contained in this Agreement, this Agreement shall not constitute
an agreement or attempt to transfer,  sublease or assign any contract,  license,
lease,  sales order,  purchase order or other agreement or any claim or right of
any benefit  arising  thereunder  or  resulting  therefrom  or any  governmental
permit,  license,  approval,  registration  or  certificate  of  occupancy if an
attempted transfer,  sublease or assignment thereof,  without the consent of any
other party thereto,  would  constitute a breach thereof or in any way adversely
affect the Purchaser's rights to receive the benefits thereunder.

                                 ARTICLE II
                       REPRESENTATIONS AND WARRANTIES

                  2.1.   Representations   and   Warranties   by    Seller   and
Shareholders.  The  Seller  and the Shareholders jointly and severally represent
and warrant to the Purchaser and PSS as follows:

                  (a)  Organization,  Standing  and  Power.  The Seller (i) is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Kansas and (ii) has all requisite  corporate power and authority
to own,  lease and operate its  properties  and to carry on its  business as now
being  conducted.  The Seller is duly  qualified  to do business  and is in good
standing in each  jurisdiction in which such  qualification is necessary because
of the property owned,  leased or operated by it or because of the nature of its
business as now being conducted.

                  (b)   Authority;   Binding   Agreements.   (i)   Each  of  the
Shareholders  has the legal power and capacity to enter into this Agreement,  an
employment  agreement  with  the  Purchaser  in  the  form  of  Exhibit  A  (the
"Employment  Agreements"),  the Investment  Letter  substantially in the form of
Exhibit B (the "Investment  Letter"),  the St. Joseph  Anesthesia  Services P.C.
Contract  substantially  in the form of  Exhibit  D (the  "St.  Joseph  Customer
Contract")  and all other  agreements  to which such  Shareholder  is a party as
contemplated by this Agreement.  This Agreement, the Employment Agreements,  the
Investment  Letter,  the St. Joseph Customer  Contract and such other agreements
are,  or upon  execution  and  delivery  thereof  will be, the valid and binding
obligations  of  the  Shareholders,  enforceable  against  the  Shareholders  in
accordance with their respective terms.

                  (ii) The execution and delivery of this Agreement, the Bill of
Sale (the "Bill of Sale") substantially in the form of Exhibit E, the Assignment
and Assumption (the  "Assignment")  substantially  in the form of Exhibit F, the
Investment Letter and the consummation of the transactions  contemplated  hereby
and thereby have been duly and validly  authorized  by all  necessary  corporate
action of the Seller. The Seller has all requisite corporate power and authority
to  enter  into  this  Agreement,  the  Bill of  Sale,  the  Assignment  and the
Investment Letter and to consummate

                                       -6-

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<PAGE>



the  transactions  contemplated  hereby  and  thereby  and the  Seller  has duly
executed and delivered this Agreement. This Agreement is, and upon execution and
delivery,  the Bill of Sale, the  Assignment and the Investment  Letter will be,
the valid and binding  obligations of the Seller  enforceable in accordance with
their respective terms.

                  (c)  Capitalization;  Equity  Interests.  Schedule 2.1(c) sets
forth a true and  complete  description  of the  authorized  and issued  capital
stock,  and holder of record of such stock, of the Seller.  The Shareholders own
of record and beneficially  all of the issued and outstanding  capital stock and
other securities of the Seller as set forth on Schedule 2.1(c).  The Seller does
not  have  any  subsidiaries  nor owns or holds  any  equity  or other  security
interests in any other entity.

                  (d) Conflicts; Consents. Neither the execution and delivery of
this Agreement, the Employment Agreements, the Bill of Sale, the Assignment, the
Investment  Letter,  the St. Joseph Customer  Contract,  the consummation of the
transactions  contemplated hereby or thereby nor compliance by the Seller or the
Shareholders with any of the provisions hereof or thereof will (i) conflict with
or result in a breach of the charter, by-laws or other constitutive documents of
the Seller, (ii) conflict with or result in a default (or give rise to any right
of termination, cancellation or acceleration) under any of the provisions of any
note, bond, lease, mortgage, indenture, license, franchise, permit, agreement or
other  instrument  or  obligation  to which the Seller or any  Shareholder  is a
party,  or by  which  the  Seller  or any  Shareholder  or the  Seller's  or any
Shareholder's  properties or assets,  may be bound or affected,  except for such
conflict,  breach or default as to which requisite  waivers or consents shall be
obtained before the Closing (which waivers or consents are set forth in Schedule
2.1(d)(ii)),  (iii) violate any law, statute, rule or regulation or order, writ,
injunction or decree applicable to the Seller or any Shareholder or the Seller's
or any  Shareholder's  properties  or assets or (iv)  result in the  creation or
imposition of any security interest, lien or other encumbrance upon any property
or assets used or held in connection  with the Business.  No consent or approval
by, or any  notification  of or filing  with,  any  person,  firm,  corporation,
partnership,  joint  venture,  association or entity  (governmental  or private)
(each, a "person" and  collectively,  "persons") is required in connection  with
the execution,  delivery and  performance by the Seller or any  Shareholder,  as
applicable, of this Agreement, the Employment Agreements,  the Bill of Sale, the
Assignment,  the  Investment  Letter,  the St. Joseph  Customer  Contract or the
consummation of the transactions contemplated hereby or thereby.

                  (e)  Financial   Information.   (i)  The  following  financial
statements are attached hereto as Schedule 2.1(e):

                  (A) the consolidated  balance sheets of the Seller at December
         31, 1991 to 1995 and the related  statements of operations for the five
         years ended December 31, 1995;

                  (B) the monthly  balance sheets of the Seller as of the end of
         each month  commencing  January 1, 1995  through the month end prior to
         the date of this Agreement and the related  statement of operations for
         each such month, certified by the chief executive officer and the chief
         financial officer of the Seller, and


                                       -7-

<PAGE>
<PAGE>



                  (C)  a  monthly   schedule   of   expenses   by   category  of
         non-continuing   extraordinary  expenses  commencing  January  1,  1995
         through the month end prior to the date of this Agreement.

Except as indicated on Schedule 2.1(e), all such financial  statements have been
prepared  according to cash basis  accounting on a basis  consistent  with prior
periods and are true, accurate and complete. The balance sheets of the Seller as
at the dates set forth present fairly the financial position of the Seller as at
the dates  thereof,  and the related  statements of operations of the Seller for
each of the respective  specified  periods then ended present fairly the results
of operations of the Seller for each of the respective  periods then ended.  For
the purposes of this  Agreement,  all financial  statements  referred to in this
paragraph shall include any notes and schedules to such financial statements.

                  (ii)  There  were  no  liabilities  or  obligations   (whether
absolute, accrued, contingent or otherwise, and whether due or to become due) in
respect of the  Business or the Acquired  Assets  which were  required to be, in
accordance  with GAAP,  and were not shown or provided for on the balance sheets
of the Seller to which such  liabilities  or obligations  related.  All reserves
established  by the Seller for the Business are reflected on the balance  sheets
of the  Seller and are  adequate  and there are no loss  contingencies  that are
required to be accrued by Statement of  Financial  Accounting  Standard No. 5 of
the  Financial  Accounting  Standards  Board which are not  provided for on such
balance sheet.

                  (f)  Absence  of  Changes.  Except  as set  forth in  Schedule
2.1(f),  since December 31, 1995, the Business has been operated in the ordinary
course consistent with past practice and there has not been:

                  (i) any material adverse change in its condition (financial or
         otherwise),  assets,  liabilities,  operations,  customer  contracts or
         other customer arrangements,  management personnel, billings, revenues,
         earnings, business or prospects;

                  (ii) any obligation or liability (whether  absolute,  accrued,
         contingent or otherwise,  and whether due or to become due) incurred in
         respect  of  the  Business,   other  than  obligations  under  customer
         contracts, current obligations and liabilities incurred in the ordinary
         course of business and consistent with past practice;

                  (iii) any payment,  discharge or  satisfaction of any claim or
         obligation,  except in the ordinary  course of business and  consistent
         with past practice;

                  (iv) any declaration, setting aside or payment of any dividend
         or other  distribution  with respect to any shares of capital  stock of
         the  Seller or any direct or  indirect  redemption,  purchase  or other
         acquisition of any such shares;

                  (v) any issuance or sale, or any contract entered into for the
         issuance  or  sale,  of any  shares  of  capital  stock  or  securities
         convertible  into or  exercisable  for shares of  capital  stock of the
         Seller;


                                       -8-

<PAGE>
<PAGE>



                  (vi) any sale, assignment,  pledge,  encumbrance,  transfer or
         other disposition of any tangible asset used in the Business, except as
         contemplated by this Agreement,  or any sale,  assignment,  transfer or
         other  disposition of any patents,  trademarks,  service  marks,  trade
         names,  copyrights,   licenses,  franchises,   know-how  or  any  other
         intangible assets;

                  (vii) any  creation of any claim or other  encumbrance  on any
         property of the Seller;

                  (viii) any  write-down  of the value of any asset or inventory
         of the Seller or any  write-off  as  uncollectible  of any  accounts or
         notes receivable or any portion thereof;

                  (ix) any cancellation of any debts or claims or any amendment,
         termination or waiver of any rights of value to the Seller;

                  (x) any  capital  expenditure  or  commitment  or  addition to
         property, plant or equipment used in the Business;

                  (xi) any general  increase in the compensation of employees of
         the Seller  (including  any  increase  pursuant to any bonus,  pension,
         profit-sharing  or  other  benefit  or  compensation  plan,  policy  or
         arrangement or commitment), or any increase in any such compensation or
         bonus  payable to any officer,  shareholder,  director,  consultant  or
         agent of the Seller having an annual salary or  remuneration  in excess
         of $40,000;

                  (xii) any material damage, destruction or loss (whether or not
         covered by  insurance)  affecting any asset or property held or used in
         connection with the Business;

                  (xiii) any change in the independent accountants of the Seller
         or in the accounting  methods or accounting  practices  followed by the
         Seller or any change in depreciation or amortization policies or rates;

                  (xiv) any  agreement  or action not  otherwise  referred to in
         items (i) through  (xiii) above  entered into or taken that is material
         to the Business; or

                  (xv) any agreement,  whether in writing or otherwise,  to take
         any of the actions specified in the foregoing items (i) through (xiv).

                  (g) Assets,  Property and Related Matters; Real Property.  (i)
The Seller has good title to, or a valid  leasehold  interest in, as applicable,
all of the Acquired  Assets,  free and clear of all mortgages,  liens,  pledges,
charges or  encumbrances  of any kind.  The  tangible  property  included in the
Acquired Assets is in good operating  condition and repair,  subject to ordinary
wear and tear. The Acquired Assets constitute all of the properties,  interests,
assets and  rights  held for use or used in  connection  with the  Business  and
constitute  all those  necessary to continue to operate the Business  consistent
with current and historical practice.

                  (ii)  Schedule   2.1(g)(ii)   sets  forth  a  list  and  brief
description  of all real  property and of all personal  property held for use or
used in connection with the Business,  together with a brief  description of (A)
all buildings and other  structures  and material  improvements  located on such
real

                                       -9-

<PAGE>
<PAGE>



property,  (B) the use to which such  property is being  employed  or, if not in
use, for which it was intended,  (C) the name of the lessor and  requirement  of
consent  of the  lessor to  assignment  and (D) the  termination  date or notice
requirement  with respect to termination,  annual rental and renewal or purchase
options  under  such  leases.  The  Seller  does  not own any real  property  in
connection  with the Business.  With respect to property leased by the Seller in
connection with the Business,  (I) the Seller is the owner and holder of all the
leasehold interests and estates purported to be granted by such leases, (II) all
leases  to  which  the  Seller  is a party  are in full  force  and  effect  and
constitute valid and binding  obligations of the Seller and, to the knowledge of
the Seller and the  Shareholders,  of the other parties thereto,  enforceable in
accordance  with  their  terms and (III) the Seller  has made  available  to the
Purchaser  true and  complete  copies  of all  leases  referred  to in  Schedule
2.1(g)(ii).  There  exists no  default,  or any event  which upon  notice or the
passage of time, or both, would give rise to any default,  in the performance by
the Seller or by any  lessor  under any  lease.  The Seller has not,  and to the
knowledge of the Seller and the  Shareholders,  no other person has, granted any
oral or written  right to anyone  other than the  Seller to lease,  sublease  or
otherwise occupy any of the properties  described in Schedule 2.1(g)(ii) through
the end of the applicable lease periods.

                  (iii) The real estate  listed on Schedule  2.1(g)(ii)  and all
appurtenances and improvements, as used, constructed or maintained by the Seller
at any time,  conform to applicable  Federal,  state, local and foreign laws and
regulations. To the knowledge of the Seller and the Shareholders, the use of the
buildings and structures  located on such real property or any  appurtenances or
equipment does not violate any restrictive covenants or encroach on any property
owned by others.  No condemnation  proceeding is pending or, to the knowledge of
the Seller or either Shareholder,  threatened which would preclude or impair the
use of any such property by the Seller for the uses for which they are intended.

                  (h) Patents, Trademarks and Similar Rights. The Seller owns or
licenses all patents, trademarks,  service marks, trade names and copyrights, in
each  case  registered  or   unregistered,   inventions,   software   (including
documentation and object and source code listings),  know-how, trade secrets and
other intellectual property rights (collectively,  the "Intellectual  Property")
used in the Business as presently conducted.  Schedule 1.1(a)(i) contains a list
of all  Intellectual  Property  owned and used by the Seller in the Business and
any Intellectual  Property which is licensed for use by others.  No Intellectual
Property  infringes  any rights owned or held by any other  person.  There is no
pending  or, to the  knowledge  of the Seller and the  Shareholders,  threatened
claim or litigation  against the Seller  contesting its right exclusively to use
any Intellectual  Property. To the knowledge of the Seller and the Shareholders,
no person is infringing the rights of the Seller in any  Intellectual  Property.
To the knowledge of the Seller and the Shareholders,  no product or service sold
by the Seller  violates or infringes any  intellectual  property  right owned or
held by any  other  person.  To the  knowledge  of the  Seller,  in the  case of
commercially  available  "shrink-wrap"  software programs (such as Lotus 1-2-3),
neither  the  Seller  nor  any  of  its  employees  has  made  or is  using  any
unauthorized  copies  of any  such  software  programs  at any  location  of the
Business.

                  (i) Insurance.  Schedule 2.1(i)  contains a true and  complete
list of all policies of casualty,  liability,  theft,  fidelity,  life and other
forms of insurance held in connection with the Business.  All insurance policies
are in the name of the Seller,  outstanding  and in full force and  effect,  all
premiums with respect to such policies are currently paid and such policies will
not be

                                      -10-

<PAGE>
<PAGE>



affected by, or terminated or lapse by reason of, the transactions  contemplated
by this  Agreement.  The  Seller  has not  received  notice of  cancellation  or
termination  of any  such  policy,  nor has it been  denied  or had  revoked  or
rescinded any policy of insurance,  nor borrowed  against any such policies.  No
claim under any such policy is pending.

                  (j) Agreements, Etc.  Schedule  2.1(j)  contains  a  true  and
complete list and brief description of all written or oral contracts, agreements
and  other  instruments  to which a Seller  is a party  in  connection  with the
Business (i) relating to indebtedness for money borrowed or capital leases, (ii)
of  duration  of six  months or more  from the date  hereof  and not  cancelable
without  penalty on 30 days or less notice,  (iii)  relating to  commitments  in
excess of  $10,000,  (iv)  relating to the  employment  or  compensation  of any
director,  officer,  employee,  consultant  or other  agent of the  Seller,  (v)
relating to the sale or other  disposition of any assets,  properties or rights,
(vi) relating to the lease or similar  arrangement of any machinery,  equipment,
motor vehicles, furniture, fixture or similar property, (vii) between the Seller
and any Shareholder or affiliates of any Shareholder,  (viii) that restricts the
operation  of any part of the  Business  anywhere  in the  world or (ix) that is
otherwise  material to the  Business or entered  into other than in the ordinary
course of  business.  The Seller is not in default  under any such  agreement or
instrument  where such default  could,  singly or in the aggregate with defaults
under other  agreements or  instruments,  have a material  adverse effect on the
business,  operations or condition of the Business, and, to the knowledge of the
Seller and the  Shareholders,  all such  agreements or  instruments  are in full
force and effect.  The Seller has furnished to the  Purchaser  true and complete
copies of all  documents  described  in  Schedule  2.1(j)  other  than  customer
contracts that are being provided pursuant to Section 4.1(f).

                  (k) Litigation,  Etc. Except as set forth in Schedule  2.1(k),
there have not been for the past five years, nor are there, any suits,  actions,
claims,  investigations or legal or administrative or arbitration proceedings in
respect of the Business,  the Acquired  Assets,  the Seller or any  Shareholder,
pending or threatened, whether at law or in equity, or before or by any Federal,
foreign, state or municipal or other governmental department, commission, board,
bureau, agency or instrumentality.  There have not been for the past five years,
nor are  there,  any  judgments,  decrees,  injunctions  or orders of any court,
governmental department,  commission,  agency,  instrumentality or arbitrator or
against the Seller or any  Shareholder,  or any of their assets,  relating to or
affecting the Business or the Acquired Assets.

                 (l) Compliance; Governmental Authorizations. (i) The Seller has
complied and is in compliance with all Federal,  state,  local and foreign laws,
ordinances, regulations, interpretations and orders (including those relating to
disposal of materials,  environmental  protection  and  occupational  safety and
health) applicable to the Business. The Seller has all Federal, state, local and
foreign  governmental  licenses and permits necessary to conduct the Business as
presently being conducted,  which licenses and permits are set forth in Schedule
2.1(l).  Such  licenses and permits are in full force and effect,  no violations
are or have been  recorded in respect of any thereof,  no proceeding is pending,
or, to the knowledge of the Seller or any Shareholder,  threatened, to revoke or
limit any thereof, and neither the Seller nor any Shareholder knows of any basis
for any such proceeding.

                  (ii)  There are no  conditions  relating  to the Seller or the
Business or relating to the Seller's  ownership,  use or maintenance of any real
property previously owned or operated by the

                                      -11-

<PAGE>
<PAGE>



Seller or any of its present or past affiliates in connection with the Business,
and  neither the Seller nor any  Shareholder  knows or has reason to know of any
such  condition in respect of such real  property not related to the  ownership,
use or  maintenance,  that  could lead to any  liability  for  violation  of any
Federal, state, county or local laws, regulations,  orders or judgments relating
to  pollution  or  protection  of  the  environment  or  any  other   applicable
environmental, health or safety statutes, ordinances, orders, rules, regulations
or  requirements.  The Seller has  received,  handled,  used,  stored,  treated,
shipped and disposed of all hazardous or toxic materials,  substances and wastes
(whether or not on its properties or properties  owned or operated by others) in
connection  with the Business in compliance  with all applicable  environmental,
health  or  safety  statutes,   ordinances,   orders,   rules,   regulations  or
requirements.

                  (m)  Labor  Relations;  Employees.  (i)  Within  the last five
years,  the Seller has not  experienced  any labor  disputes  with,  or any work
stoppages  by,  a group of  employees  due to labor  disagreements  and,  to the
knowledge of the Seller and the  Shareholders,  there is no such dispute or work
stoppage  threatened against the Seller. No employee of the Seller in respect of
the Business is represented by any union or collective  bargaining agent and, to
the  knowledge  of the  Seller  and the  Shareholders,  there  has been no union
organizational  effort in respect of any employees of the Seller within the past
five years.

                  (ii) Schedule 2.1(m)(ii) contains a list and a brief,  general
description of each pension,  retirement,  savings,  deferred compensation,  and
profit-sharing plan and each stock option,  stock appreciation,  stock purchase,
performance share, bonus or other incentive plan,  severance plan, health, group
insurance or other welfare plan, or other similar plan and any "employee benefit
plan"  within the  meaning of Section  3(3) of the  Employee  Retirement  Income
Security Act of 1974 ("ERISA"), under which the Seller has any current or future
obligation  or  liability in respect of the Business or under which any employee
or former  employee (or  beneficiary of any employee or former  employee) of the
Seller in respect of the Business has or may have any current or future right to
benefits  (the term "plan"  shall  include any  contract,  agreement,  policy or
understanding,  each such plan being  hereinafter  referred to individually as a
"Plan").  The Seller has delivered to the Purchaser true and complete  copies of
(A) each Plan, (B) the summary plan description for each Plan and (C) the latest
annual  report,  if any,  which has been filed with the IRS for each Plan.  Each
Plan  intended  to be tax  qualified  under  Sections  401(a)  and 501(a) of the
Internal  Revenue Code of 1986 (the "Code") has been determined by the IRS to be
tax  qualified  under  Sections  401(a) and  501(a) of the Code and,  since such
determination,  no  amendment  to or  failure  to amend any such Plan  adversely
affects  its tax  qualified  status.  There has been no  prohibited  transaction
within the  meaning of Section  4975 of the Code and  Section  406 of Title I of
ERISA with respect to any Plan.

                  (iii) No Plan is subject to the  provisions  of Section 412 of
the Code or Part 3 of  Subtitle  B of Title I of ERISA.  No Plan is  subject  to
Title IV of ERISA.  During  the past five  years,  neither  the  Seller  nor any
business or entity controlling,  controlled by, or under common control with the
Seller  contributed to or was obliged to contribute to an employee  pension plan
that was subject to Title IV of ERISA.

                  (iv) There are no actions,  claims,  lawsuits or  arbitrations
(other than routine  claims for benefits)  pending,  or, to the knowledge of the
Seller or any Shareholder, threatened, with respect to any Plan or the assets of
any Plan, and neither the Seller nor any Shareholder has knowledge of

                                      -12-

<PAGE>
<PAGE>



any  facts  which  could  give rise to any such  actions,  claims,  lawsuits  or
arbitrations (other than routine claims for benefits).  The Seller has satisfied
all funding,  compliance and reporting  requirements for all Plans. With respect
to each Plan the Seller has paid all  contributions  (including  employee salary
reduction contributions) and all insurance premiums that have become due and any
such  expense  accrued  but  not  yet due has  been  properly  reflected  in the
financial information in Schedule 2.1(f).

                  (v)  Except  as  described  in  the  Plans  delivered  to  the
Purchaser,  no Plan  provides or is  required to provide,  now or in the future,
health, medical, dental, accident,  disability, death or survivor benefits to or
in respect of any person beyond termination of employment,  except to the extent
required under any state  insurance law or under Part 6 of Subtitle B of Title I
of ERISA and under Section  4980(B) of the Code.  No Plan covers any  individual
other than an employee of the Seller,  other than  dependents of employees under
health and child care policies  listed in Schedule  2.1(m)(ii)  and delivered to
the Purchaser.

                  (vi) The consummation of the transactions contemplated by this
Agreement  will not (A) entitle any employee of the Seller to  severance  pay or
termination benefits for which the Purchaser or any of its affiliates may become
liable, (B) accelerate the time of payment or vesting, or increase the amount of
compensation due to any such employee or former employee for which the Purchaser
or any of its  affiliates  may  become  liable  or (C)  except  for the  Assumed
Liabilities, obligate the Purchaser or any of its affiliates to pay or otherwise
be liable for any  compensation,  vacation days,  pension  contribution or other
benefits to any employee,  consultant or agent of the Seller for periods  before
the Closing Date or for personnel whom the Purchaser does not actually employ.

                  (vii) The Seller  has made no  representations  or  warranties
(whether written or oral, express or implied)  contractually or otherwise to any
client or customer of the Seller that Seller's  employees  rendering services to
such  client or  customer  are not  "leased  employees"  (within  the meaning of
Section  414(n) of the Code) or that such  employees  would not be  required  to
participate  under any pension  benefit plan (within the meaning of Section 3(2)
of ERISA) (a  "Pension  Benefit  Plan") of such client or customer of the Seller
relating  either to (A)  providing  benefits to  employees of the Seller under a
Pension Benefit Plan of the Seller or (B) making contributions to or reimbursing
such client or customer for any contributions  made to a Pension Benefit Plan of
such client or customer on behalf of employees of the Seller.

                  (viii) Schedule  2.1(m)(viii)  sets forth the Seller's current
policy  regarding  paid  days off for its  employees  (the  "ALM  Vacation  Days
Policy").

                  (n) Accounts Receivable.  Schedule 2.1(n) contains a true aged
list of unpaid accounts and notes receivable  relating to the Business as of the
month end prior to the date of this  Agreement,  all of which,  to the  Seller's
knowledge, are collectible in the ordinary course of business.

                  (o)  Customers.  Schedule  2.1(o)  contains  (i)  a  true  and
complete  list of the  customers  of the  Business  for each of the years  ended
December 31, 1993,  1994 and 1995 and the period  beginning  January 1, 1996 and
ended the month end prior to the date of this Agreement, (ii)

                                      -13-

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<PAGE>



a true and correct  description of the effective  date and  expiration  date and
history of renewals for and commission  revenue  generated  under contracts with
each of the customers of the Business  listed on Schedule  2.1(o),  (iii) a true
and complete list of all contracts  pursuant to which the Seller  provides goods
or  services  to its  customers  (the  "Client  Contracts")  and (iv) a true and
correct  description  of (A) the  terms and  conditions  of each  verbal  Client
Contract,  (B) any and all disputes or defaults arising under or with respect to
the Client  Contracts which could reasonably be expected to result in a client's
termination  of its contract  with the Seller or claim for damages,  and (C) all
loans or  advances  made by the Seller to or on behalf of its  customers,  which
description  includes the date of such loan or advance and the principal balance
outstanding  as of the date of this  Agreement  under each such loan or advance.
The  Client  Contracts  are valid  and  enforceable  in  accordance  with  their
respective  terms with respect to the Seller,  and are valid and  enforceable in
accordance with their  respective terms with respect to any other party thereto.
To the Seller's  knowledge,  no customer of the Business  intends to  terminate,
fail to renew or adversely modify any relationship with the Seller.

                  (p)  Accounts  Payable.  Schedule  2.1(p)  contains a true and
complete  list of all accounts  payable  relating to the Business as of the date
hereof.

                  (q)  Related  Party  Transactions.  Except  as  set  forth  in
Schedule 2.1(q), no current or former partner,  director, officer or shareholder
of the Seller or any associate or affiliate (as defined in the rules promulgated
under the  Securities  Exchange Act of 1934)  thereof,  or any  relative  with a
relationship  of not more remote than first cousin of any of the  foregoing,  is
presently, or during the 12-month period ending on the date hereof has been, (i)
a party to any transaction with the Business (including, but not limited to, any
contract,  agreement  or  other  arrangement  providing  for the  furnishing  of
services by, or rental of real or personal property from, or otherwise requiring
payments to, any such director,  officer or  shareholder  or such  associate) or
(ii) to the knowledge of the Seller or any  Shareholder,  the direct or indirect
owner  of  an  interest  in  any  corporation,  firm,  association  or  business
organization which is a present (or potential) competitor,  supplier or customer
of the Business,  nor does any such person  receive income from any source other
than the Seller which relates to the Business or should  properly  accrue to the
Seller in connection with the Business.

                  (r)  Billing  and  Collection   Practices.   (i)  The  current
practices and  procedures of the Seller with respect to (A) billing on behalf of
customers,  (B) receiving and processing  Medicare and Medicaid  payments due to
customers,  (C) holding  and  transfer  of such  payments  and (D) the method of
determining and collecting the fees received by the Seller for services provided
by providers and physicians  participating in the Medicare or Medicaid  programs
are not in violation of the  restriction on assignment as set forth in 42 U.S.C.
ss. 1395g(c),  42 U.S.C. ss. 1395u(b)(6) and 42 U.S.C. ss. 1396(a)(32),  and the
regulations  promulgated  thereunder or similar provisions of any state Medicaid
program.

                  (ii) The Seller is not engaged in any activity,  whether alone
or in  concert  with  one or more  of its  clients,  which  would  constitute  a
violation  of any federal laws or the laws of any state  (including  (A) federal
antifraud  and abuse or similar laws  pertaining to Medicare,  Medicaid,  or any
other federal health or insurance program, (B) state laws pertaining to Medicaid
or any other  state  health or  insurance  program,  (C) state or  federal  laws
pertaining to billings to insurance companies, health maintenance organizations,
and other managed care plans or to insurance fraud,

                                      -14-

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<PAGE>



and  (D)  federal  and  state  laws  relating  to  collection  agencies  and the
performance of collection services) prohibiting fraudulent,  abusive or unlawful
practices  connected in any way with the provision of health care services,  the
billing for such  services  provided to a beneficiary  of any state,  federal or
private  health or  insurance  program or credit  collection  services.  Without
limiting  the  generality  of the  foregoing,  the Seller has not,  directly  or
indirectly, paid, offered to pay or agreed to pay, or solicited or received, any
fee,  commission,  sum of money,  property or other  remuneration to or from any
person  which the  Seller or any  Shareholder  knows or has reason to believe to
have been illegal under 42 U.S.C. ss.
1320a-7b(b) or any similar state law.

                  (iii) The Seller does not  currently  use,  and has not in the
past established or used, trust accounts in connection with the Business.

                  (s) Taxes.  The Seller has timely  filed with the  appropriate
governmental bodies all tax returns which are required to be filed, and has duly
paid to the appropriate  governmental  bodies all taxes which are required to be
paid,  including,  without limitation,  all taxes withheld from employees' wages
and all other taxes due or claimed to be due by an  governmental  body. Such tax
returns properly reflect the taxes payable for the periods covered thereby.  All
such taxes due for all taxable  periods  ending on or prior to the Closing  Date
have been, or will be, timely paid by the Seller.  The Seller has not waived the
statute  of  limitations  on the right of any  governmental  body to assess  any
additional  taxes or to contest the items reported on any such tax returns.  The
Seller shall make available to the Purchaser's tax accountants true and complete
copies of all tax  returns  filed by or on behalf of the  Seller for each of the
past three taxable years.

                  (t)Disclosure.  There  have been no  events,  transactions  or
information  relating to the  Business  which have come to the  attention of the
Seller or any Shareholder  which could reasonably be expected to have a material
adverse effect on the condition (financial or otherwise),  assets,  liabilities,
operations,  customer  contracts  or  other  customer  arrangements,  management
personnel,  billings, revenues, earnings, business or prospects of the Business.
No representation or warranty of the Seller or any Shareholder contained in this
Agreement, and no statement contained in any certificate,  schedule, annex, list
or other writing furnished to the Purchaser,  contains any untrue statement of a
material fact or omits to state a material fact  necessary to make the statement
contained herein or therein not misleading.

                  (u) Brokers. No agent,  broker,  investment banker,  person or
firm acting on behalf of the Seller or any Shareholder or under the authority of
the Seller or any Shareholder is or will be entitled to any broker's or finder's
fee or any other  commission or similar fee directly or  indirectly  from any of
the  parties  hereto in  connection  with any of the  transactions  contemplated
hereby.

                  2.2.  Representations and Warranties by Purchaser and PSS. The
Purchaser and PSS jointly and severally  represent and warrant to the Seller and
the Shareholders as follows:

                  (a)  Organization,  Standing and Power.  Each of the Purchaser
and  PSS (i) is a  corporation  duly  organized,  validly  existing  and in good
standing  under the laws of the  State of  Delaware  and (ii) has all  requisite
corporate  power and authority to own,  lease and operate its  properties and to
carry on its business as now being conducted. The Purchaser is duly qualified to

                                      -15-

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<PAGE>



do  business  and is in  good  standing  in  each  jurisdiction  in  which  such
qualification is necessary because of the property owned,  leased or operated by
it or because of the nature of its business as now being conducted.

                  (b)  Authority;  Binding  Agreements.  (i) The  execution  and
delivery of this Agreement,  the Employment Agreements,  the St. Joseph Customer
Contract  and  the  Assignment,   and  the   consummation  of  the  transactions
contemplated  hereby and thereby  have been duly and validly  authorized  by all
necessary  corporate  action of the  Purchaser.  The Purchaser has all requisite
corporate  power and  authority  to enter into this  Agreement,  the  Employment
Agreements,  the  St.  Joseph  Customer  Contract  and  the  Assignment  and  to
consummate the  transactions  contemplated  hereby and thereby and the Purchaser
has duly  executed and delivered  this  Agreement.  This  Agreement is, and upon
execution and  delivery,  the  Employment  Agreements,  the St. Joseph  Customer
Contract and the  Assignment  will be, the valid and binding  obligations of the
Purchaser enforceable in accordance with their respective terms.

                  (ii) The  execution  and  delivery of this  Agreement  and the
consummation of the transactions  contemplated hereby have been duly and validly
authorized  by all  necessary  corporate  action of PSS.  PSS has all  requisite
corporate power and authority to enter into this Agreement and to consummate the
transactions  contemplated  hereby and PSS has duly executed and delivered  this
Agreement. This Agreement is the valid and binding obligation of PSS enforceable
in accordance with its terms.

                  (c) Conflicts; Consents. Neither the execution and delivery of
this Agreement,  the Employment Agreements,  the St. Joseph Customer Contract or
the Assignment,  the  consummation of the  transactions  contemplated  hereby or
thereby nor compliance by the Purchaser or PSS with any of the provisions hereof
or thereof will (i) conflict with or result in a breach of the charter,  by-laws
or other  constitutive  documents of the Purchaser or PSS, (ii) conflict with or
result in a default (or give rise to any right of  termination,  cancellation or
acceleration)  under any of the provisions of any note, bond,  lease,  mortgage,
indenture,   license,  franchise,  permit,  agreement  or  other  instrument  or
obligation to which the  Purchaser or PSS is a party,  or by which the Purchaser
or PSS or the  Purchaser's  or  PSS's  properties  or  assets,  may be  bound or
affected,  except for such  conflict,  breach or  default as to which  requisite
waivers or consents shall be obtained  before the Closing,  or (iii) violate any
law, statute, rule or regulation or order, writ, injunction or decree applicable
to the Purchaser or PSS or the  Purchaser's  or PSS's  properties or assets.  No
consent  or  approval  by, or any  notification  of or filing  with,  any person
(governmental or private) is required in connection with the execution, delivery
and  performance  by the  Purchaser  or PSS of this  Agreement,  the  Employment
Agreements,  the  St.  Joseph  Customer  Contract  or  the  Assignment,  or  the
consummation of the transactions contemplated hereby or thereby, except for such
consents,  approvals,  notices  and  filings  as may  be  required  under  state
securities  or "blue sky" laws in  connection  with the issuance and sale of the
Transferred Common Stock.

                  (d) Capitalization of PSS. The authorized capital stock of PSS
consists  of  100,000,000  shares  of  Common  Stock  and  10,000,000  shares of
preferred  stock. At April 30, 1996, there were 6,265,000 shares of Common Stock
issued and  outstanding.  All  outstanding  shares of Common  Stock are, and the
Transferred Common Stock will be, when issued, duly authorized,  validly issued,
fully paid, and nonassessable and free of preemptive rights.

                                      -16-

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<PAGE>




                  (e) PSS  Commission  Reports.  PSS has made  available  to the
Seller  and the  Shareholders  the  Registration  Statement  on Form S-1 for the
Common Stock,  declared  effective by the United States  Securities and Exchange
Commission (the "Commission") on February 9, 1996,  including all amendments and
exhibits  thereto  and  items   incorporated  by  reference  (the  "Registration
Statement")  and its Report on Form 10-K for the year ended  December  31, 1995,
filed with the Commission on April 25, 1996 (the "10-K"). As of February 9, 1996
and April 25, 1996, the Registration Statement and the 10-K,  respectively,  did
not  contain  any  untrue  statement  of a  material  fact or omit to state  any
material fact required to be stated  therein or necessary to make the statements
therein,  in  light  of the  circumstances  under  which  they  were  made,  not
misleading.  Since  February  9,  1996,  PSS has filed all  forms,  reports  and
documents  with  the  Commission  required  to be filed  by it  pursuant  to the
Securities Act of 1933, as amended (the  "Securities  Act"),  and the Securities
Exchange  Act of 1934,  as  amended  (the  "Exchange  Act"),  and the  rules and
regulation  promulgated  thereunder,  each of which  complied as to form, at the
time such form,  document or report was filed, in all material respects with the
applicable  requirements  of the  Securities  Act and the  Exchange  Act and the
applicable rules and regulations promulgated thereunder.

                  (f) Brokers. No agent,  broker,  investment banker,  person or
firm  acting on behalf of the  Purchaser  or PSS or under the  authority  of the
Purchaser  or PSS is or will be entitled to any  broker's or finder's fee or any
other  commission or similar fee directly or indirectly  from any of the parties
hereto in connection with any of the transactions contemplated hereby except for
Williams Financial.

                                ARTICLE III
                           ADDITIONAL AGREEMENTS

                  3.1.  Expenses;  Sales  Taxes.  (a) Except as provided in this
Section  each party  hereto  shall bear its own costs and  expenses  incurred in
connection with the transactions  contemplated  hereby. The Seller shall pay the
cost of all income,  single  business,  sales,  transfer,  use, gross  receipts,
registration  and  similar  taxes  arising  out  of or in  connection  with  the
transactions contemplated by this Agreement. The Purchaser shall pay any fee due
to Williams Financial.

                  (b) To the extent  permitted by applicable law, the prevailing
party or parties in any action or proceeding  involving a dispute arising out of
or relating to this Agreement or the transactions  contemplated  hereby shall be
entitled to recover from the other party or parties to such action or proceeding
the actual expenses  incurred by such prevailing  party or parties in connection
with such action or proceeding (including,  without limitation, counsel fees and
expenses).

                  3.2.  Conduct of Business.  (a) From the date hereof until the
Closing Date, except as otherwise consented to by the Purchaser in writing,  the
Seller  shall  operate  the  Business  only in the  ordinary  course of business
consistent with past practice.

                  (b) Without limiting the generality of the foregoing,  neither
the Seller nor any Shareholder  shall,  without the prior written consent of the
Purchaser,  directly or indirectly, cause or permit any state of affairs, action
or omission  described in clauses (i) through (xv) of Section  2.1(f);  provided
that, subject to the conditions set forth in Sections 4.1(e) and (i), the Seller
may make normal  distributions  of earnings to the  Shareholders in the ordinary
course of business.

                                      -17-

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<PAGE>




                  3.3. Further Assurances.  Each of the parties hereto agrees to
use all  commercially  reasonable  efforts  to take,  or cause to be taken,  all
action,  and to do,  or  cause to be  done,  all  things  necessary,  proper  or
advisable  under  applicable  laws  and  regulations,  to  consummate  and  make
effective the  transactions  contemplated by this Agreement as  expeditiously as
practicable and to ensure that the conditions set forth in Article IV hereof are
satisfied,  insofar as such  matters are within the  control of any of them.  In
case at any time after the Closing  Date,  any further  action is  necessary  or
desirable  to carry out the  purposes of this  Agreement or to ensure the proper
assignment  and delivery of the Acquired  Assets to the  Purchaser,  each of the
parties to this  Agreement  shall  take or cause to be taken all such  necessary
action,  including,  the execution and delivery of such further  instruments and
documents,  as may be  reasonably  requested  by any party for such  purposes or
otherwise  to complete  or perfect the  transactions  contemplated  hereby.  The
Seller  shall  promptly  pay or cause to be paid to the  Purchaser  any  amounts
received  by the Seller or any  affiliate  after the  Closing  which  constitute
Acquired Assets.

                  3.4. No  Shopping.  From the date hereof  until the earlier of
(i) the  Closing  Date and  (ii)  the  date  this  Agreement  is  terminated  in
accordance  with  Section  6.2,  neither the Seller nor any  partner,  director,
officer or  shareholder of the Seller will,  directly or indirectly,  solicit or
initiate, enter into or conduct, discussions concerning, or exchange information
(including by way of furnishing  information  concerning  the Business) or enter
into any  negotiations  concerning,  or respond  to any  inquiries  or  solicit,
receive,  entertain or agree to any proposals for, the acquisition of the assets
of, or any substantial part thereof,  or a merger  involving,  the Seller or the
transfer  of all or a  substantial  part of the  capital  stock  or  partnership
interest  of the Seller to any person  other than the  Purchaser.  In  addition,
during such time period, neither the Seller nor any Shareholder shall authorize,
direct or knowingly  permit any employee or agent to do any of the foregoing and
the Seller and the  Shareholders  shall notify the  Purchaser of the identity of
any person who approaches the Seller or any  Shareholder  with respect to any of
the foregoing.

                  3.5.  Access and  Information.  From the date hereof until the
first to occur of the Closing Date and the  termination of this  Agreement,  the
Seller  shall  permit  the  Purchaser  and  its  representatives  to  make  such
investigation of the business,  operations and properties of the Seller relating
to the Business as the Purchaser deems necessary or desirable in connection with
the transactions  contemplated hereby. Such investigation shall include, without
limitation, access to the respective directors,  officers, employees, agents and
representatives  (including  legal counsel and  independent  accountants) of the
Seller  relating  to  the  Business  and  the  properties,  books,  records  and
commitments of the Seller  relating to the Business.  The Purchaser,  the Seller
and the  Shareholders  agree to use  reasonable  efforts  wherever  possible  in
conducting  such  investigation  to  keep  confidential  the  existence  of this
Agreement and the proposed transactions.  The Seller shall furnish the Purchaser
and its  representatives  with such  financial,  operating  and  other  data and
information,  and copies of documents with respect to the Business or any of the
transactions  contemplated  hereby,  as the  Purchaser  shall  from time to time
request.  Such access and investigation shall be made upon reasonable notice and
at reasonable places and times. Such access and information shall not in any way
affect or diminish any of the representations or warranties  hereunder.  Without
limiting the foregoing,  during such period, the Seller shall keep the Purchaser
informed as to the business  and  operations  of the Business and shall  consult
with the Purchaser with respect thereto as appropriate.


                                      -18-

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<PAGE>



                  3.6. Bulk Sales. Subject to Section 5.1(a)(vi),  the Purchaser
and the Seller  waive  compliance  with all bulk sales  laws  applicable  to the
transactions contemplated by this Agreement.

                  3.7.  Non-Disclosure.  The parties hereto agree that they will
advise  and  confer  with  each  other  prior to the  issuance  of any  reports,
statements  or  releases  pertaining  to  this  Agreement  or  the  transactions
contemplated hereby.  Except as may be required by applicable law, court process
or by obligations pursuant to any listing agreement with any national securities
exchange (including the Nasdaq National Market),  each of the parties agrees not
to  disclose   publicly  the  existence  of  this   Agreement  or  the  proposed
transactions  without the written  consent of the other party or parties,  which
consent will not be unreasonably  withheld.  Notwithstanding the foregoing,  the
Purchaser  may  disclose  the  existence  and  terms of this  Agreement  and the
proposed  transactions  to  existing  or  prospective  lenders or other  parties
providing financing to the Purchaser or any of its affiliates.

                  3.8. Confidentiality;  Non-Competition. (a) Until Closing, the
Purchaser, PSS, the Seller and the Shareholders each agree that all financial or
other information about the Purchaser,  PSS, or the Seller, or other information
of a confidential or proprietary  nature,  disclosed to the other at any time in
connection with the proposed transaction shall be kept confidential by the party
receiving such  information  and shall not be disclosed to any person or used by
the receiving party (other than to its agents or employees or in connection with
the  transactions  contemplated  by this Agreement)  except:  (i) with the prior
written consent of the disclosing  party;  (ii) as may be required by applicable
law, court process or by obligations  pursuant to any listing agreement with any
national securities exchange (including the Nasdaq National Market);  (iii) such
information  which may have been  acquired or obtained by such party (other than
through  disclosure  by the  other  party in  connection  with  the  transaction
contemplated by this Agreement);  or (iv) such  information  which is or becomes
generally  available to the public other than as a result of a violation of this
provision.  The Seller and the Shareholders  shall be bound by the terms of this
paragraph (a) for a period of five years after Closing.

                  (b) The Seller and the  Shareholders  hereby  acknowledge  and
recognize such parties'  possession of confidential  or proprietary  information
and the highly competitive nature of the Business and accordingly agree that, in
consideration  of the  Purchaser  and PSS entering  into this  Agreement and the
other  transactions  contemplated  hereby and the premises contained herein, and
except as provided in the respective  Employment  Agreements,  such parties will
not, from and after the date of the Closing for a period of five years after the
date of the  Closing,  for any reason  whatsoever,  (i)  directly or  indirectly
engage in the United States in any competitive business, whether such engagement
shall be as an employer,  officer,  director, owner, employee,  partner or other
agent or participant, (ii) assist others in engaging in any competitive business
in the manner described in the foregoing  clause (i), (iii) solicit,  attempt to
solicit or do business with any prior or then current  customers of the Business
or  (iv)  induce  employees  of the  Business,  PSS or any  affiliate  of PSS to
terminate  their  employment with the Purchaser,  PSS or such affiliate,  as the
case may be, or hire any employees of the Purchaser,  PSS or any other affiliate
of PSS to work with the Seller or any  Shareholder  or any  company or  business
affiliated with the Seller or any Shareholder.  The covenant of the Shareholders
set forth in this  paragraph (b) is in further  consideration  of the payment by
the  Purchaser of $45,000 to Mallow and $45,000 to Slater,  such  payments to be
made on the Closing  Date by certified or bank check or checks or, at the option
of  the  Shareholders,  by  wire  transfer  to an  account  or  accounts  of the
Shareholders designated to the Purchaser. The Shareholders shall

                                      -19-

<PAGE>
<PAGE>



provide  the  Purchaser  with  notice of the  exercise  of such  option  and the
designation  of such  account,  such notice to be delivered  not less than three
days before the Closing.

                  (c) In the event of the  termination of this  Agreement,  from
and after the date of  termination  for a period of five years after the date of
termination,  (i) neither the Seller nor any  Shareholder  will,  for any reason
whatsoever, solicit, attempt to solicit or do business with any customers of the
business of the Purchaser,  PSS or any of its affiliates or induce  employees of
the Purchaser,  PSS or any of its affiliates to terminate their  employment with
the  Purchaser,  PSS or any of its affiliates or hire any employees to work with
the Seller or any  Shareholder  or any company or business  affiliated  with the
Seller or any  Shareholder  and (ii) neither the Purchaser nor PSS will, for any
reason whatsoever, solicit, attempt to solicit or do business with any customers
of the Business located and doing business exclusively in the State of Kansas or
induce  employees of the Seller to terminate their employment with the Seller or
hire any  employees to work with the Purchaser or PSS or any company or business
affiliated with the Purchaser or PSS.

                  (d) In the event of a breach or threatened breach by any party
of the provisions of this Section,  the non-breaching party shall be entitled to
an injunction restraining such party from such breach. Nothing contained in this
paragraph (d) or elsewhere in this  Agreement  shall be construed as prohibiting
the  non-breaching  party from pursuing any other  remedies  available at law or
equity for such breach or threatened  breach of this  Agreement nor limiting the
amount of damages  recoverable in the event of a breach or threatened  breach by
any party of the provisions of this Section.  Without limiting the generality of
the foregoing, the Seller and the Shareholders acknowledge that, in the event of
a  breach  or  threatened  breach  by any of  them of any of the  provisions  of
paragraph (b) of this  Section,  the  Purchaser's  damages may exceed the amount
paid  to the  Seller  and  the  Shareholders  (singly  or in the  aggregate)  in
consideration of their covenants set forth in such paragraph (b).

                  3.9. Use of Name. In consideration of the Purchaser's entering
into  this  Agreement  and the  consummation  of the  transactions  contemplated
hereby,  the Seller hereby consents to the  Purchaser's  use, from and after the
Closing Date,  of the names "ALM" and  "Anesthesia  Management  Services" or any
combination  or derivation  thereof.  The Seller shall,  as soon as  practicable
after the  Closing  Date,  change its name so that its name does not include any
combination  or  derivation of "ALM" and file such name change  certificates  or
notices as and when required by applicable law.

                  3.10.  Maintenance  of  Vacation  Policy.  After the  Closing,
without  the prior  consent  of  Slater,  such  consent  not to be  unreasonably
withheld or delayed,  the  Purchaser  agrees not to modify the ALM Vacation Days
Policy.

                  3.11.  Employee Bonus Policy.  Consistent  with the intent and
past  practice of the Seller's  Profit  Sharing Plan,  the  Purchaser  agrees to
institute a policy of awarding certain of its full-time employees an annual cash
bonus based on the Purchaser's  annual earnings and other factors.  The Board of
Directors of the Purchaser shall annually determine the amount of such bonus, if
any, based upon the recommendation of the senior management of the Purchaser.

                                      -20-

<PAGE>
<PAGE>




                                 ARTICLE IV
                            CONDITIONS PRECEDENT

                  4.1.  Conditions of  Obligations of the Purchaser and PSS. The
obligations  of the Purchaser  and PSS to perform this  Agreement are subject to
the satisfaction of the following  conditions unless waived by the Purchaser and
PSS:

                  (a)  Authorization.  All actions  necessary to  authorize  the
execution,   delivery  and  performance  of  this   Agreement,   the  Employment
Agreements,  the Bill of Sale, the Assignment,  the St. Joseph Customer Contract
and the Investment Letter and the consummation of the transactions  contemplated
hereby and thereby  shall have been duly and validly taken by the Seller and the
Shareholders, as the case may be, and the Seller and the Shareholders shall have
full  power and  authority  to enter into and  deliver  such  agreements  and to
consummate the transactions contemplated hereby and thereby.

                  (b)  Representations  and Warranties.  The representations and
warranties of the Seller and the Shareholders contained herein shall be true and
correct in all  material  respects  as of the date  hereof and as of the Closing
Date  as if  made  on and  as of the  Closing  Date,  and  the  Seller  and  the
Shareholders shall have performed and complied with all covenants and agreements
required to be performed or complied with on or prior to the Closing Date. As of
the  Closing  Date,  there  shall have been no  material  adverse  change in the
condition (financial or otherwise),  assets, liabilities,  operations,  customer
contracts  or  other  customer  arrangements,  management  personnel,  billings,
revenues, earnings, business or prospects of the Business.

                  (c) Consents, Amendments and Terminations. The Purchaser shall
have  received  duly  executed and  delivered  copies of all waivers,  consents,
terminations  and approvals  contemplated by Section 2.1(d) and Schedules 2.1(d)
and 2.1(j), all in form and substance reasonably satisfactory to the Purchaser.

                  (d) Bill of Sale; Assignment.  The Seller shall have delivered
to the Purchaser the Bill of Sale  conveying the personal  property  included in
the Acquired Assets, in substantially the form of Exhibit E, and the Assignment,
in substantially the form of Exhibit F.

                  (e) Financial  Results.  The Seller shall have earnings before
interest and taxes  ("EBIT") for the fiscal year ended December 31, 1995 and for
the 12 months  ended  immediately  before  the  Closing  Date,  of not less than
$426,529,  respectively.  EBIT shall be calculated  using cash basis  accounting
consistent with the past accounting  practices of the Seller with respect to the
Business.

                  (f) Customers;  Customer Contracts.  At Closing, the Purchaser
shall have received a certificate of the chief executive  officer of the Seller,
identifying  (i) any  customers  listed on Schedule  2.1(o) as  customers of the
Business  as of the month end prior to the date of this  Agreement  (the  "Month
End") who are not  customers of the Business as of the Closing Date and (ii) any
customers of the  Business as of the Closing Date not listed on Schedule  2.1(o)
as  customers  of the  Business as of the Month End. The list of customers as of
the Month End as set forth in Schedule

                                      -21-

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<PAGE>



2.1(o), as modified by the certificate delivered pursuant to this Section, shall
be referred to herein as the "Closing Date Customer  List".  The Purchaser shall
have received (y) at least 15 days prior to the Closing Date a true and complete
copy of each  contract  between  each  customer of the  Business and the Seller,
certified  as true and complete by the chief  executive  officer of such Seller,
and (z) at Closing a certificate  of the chief  executive  officer of the Seller
updating the certificate delivered pursuant to clause (y).

                  (g)   Certificates.   The  Purchaser  shall  have  received  a
certificate of the chief executive  officer and the chief  financial  officer of
the Seller and a certificate of each Shareholder, each in substantially the form
of Exhibit G.

                  (h) Opinion of Counsel.  The Purchaser shall have received the
opinion  dated the  Closing  Date of Shughart  Thomson & Kilroy,  counsel to the
Seller and the Shareholders, in substantially the form of Exhibit H.

                  (i) Financial  Statements. The Purchaser shall have received a
balance  sheet of the Seller as of the Closing  Date and a related  statement of
operations for the 12-month  period ending at the most recent month end prior to
the Closing Date (the "Closing Date Financial Statement") certified by the chief
executive  officer and chief  financial  officer of the  Seller.  At the Closing
Date, the assets of the Business, by account,  shall not be less than the assets
set forth in the  December 31, 1995 balance  sheet  included in Schedule  2.1(e)
(provided that cash and cash equivalents need only be in an amount sufficient to
operate the  Business for one month) and the  liabilities  of the  Business,  by
account,  shall not be greater  than the  liabilities  set forth in such balance
sheet.

                  (j) Due Diligence. The Purchaser and its representatives shall
have completed a due diligence review of the condition (financial or otherwise),
assets,   liabilities,   operations,   customer   contracts  or  other  customer
arrangements,  billings,  revenues, earnings, business and prospects of, and any
other matters relating to, the Seller and the  Shareholders,  and the results of
such  due  diligence  shall  be  satisfactory  to  the  Purchaser  in  its  sole
discretion.

                  (k)  Financing.  The Purchaser  shall have obtained  financing
sufficient to satisfy all of the Purchaser's  obligations  under this Agreement,
satisfactory to the Purchaser in its sole discretion.

                  (l) Employment  Agreements.  The Shareholders  each shall have
delivered to the Purchaser an Employment Agreement, in substantially the form of
Exhibit A.

                  (m) Investment Letter. Each of the Seller and the Shareholders
shall have delivered to the Purchaser the Investment  Letter,  in  substantially
the form of Exhibit B.

                  (n)  Lease.  Linda  M.  Mallow  shall  have  delivered  to the
Purchaser the Lease, in substantially the form of Exhibit C.

                  (o)  St.  Joseph  Customer  Contract.  St.  Joseph  Anesthesia
Services P.C.  shall have  delivered to the  Purchaser  the St. Joseph  Customer
Contract, substantially the form of Exhibit D.


                                      -22-

<PAGE>
<PAGE>



                  (p) Other Documents. The Purchaser and PSS shall have received
such  other  documents,  certificates  or  instruments  as they  may  reasonably
request.

                  4.2. Conditions of Obligations of the Seller and Shareholders.
The obligations of the Seller and the Shareholders to perform this Agreement are
subject to the  satisfaction  of the following  conditions  unless waived by the
Seller and the Shareholders:

                  (a)  Authorization.  All actions  necessary to  authorize  the
execution,  delivery and performance of this  Agreement,  the Assignment and the
Employment  Agreements and the  consummation  of the  transactions  contemplated
hereby and thereby  shall have been duly and validly  taken by the Purchaser and
PSS,  as the case may be,  and the  Purchaser  and PSS shall have full power and
authority  to  enter  into  and  deliver  such   agreements  and  to  consummate
transactions contemplated hereby and thereby, as applicable.

                  (b)  Representations  and Warranties.  The representations and
warranties of the  Purchaser and PSS contained  herein shall be true and correct
in all material  respects as of the date hereof and as of the Closing Date as if
made on and as of the  Closing  Date,  and the  Purchaser  and  PSS  shall  have
performed  and  complied  with  all  covenants  and  agreements  required  to be
performed or complied with on or prior to the Closing Date.

                  (c)  Assignment.  The  Purchaser  shall have  delivered to the
Seller the Assignment, duly executed by the Purchaser, in substantially the form
of Exhibit D.

                  (d) Employment  Agreements.  The Purchaser  shall have entered
into an Employment Agreement with each Shareholder, in substantially the form of
Exhibit A.

                  (e) Certificate.  The Seller shall have received a certificate
of the President or a Vice  President of the Purchaser  and PSS  confirming  the
matters  set  forth  in  Section   4.2(b)  in  form  and  substance   reasonably
satisfactory to the Seller.

                  (f) Opinion of Counsel.  The Seller  shall have  received  the
opinion  dated  the  Closing  Date of  Howard,  Darby &  Levin,  counsel  to the
Purchaser and PSS, in substantially the form of Exhibit I.

                  (g) Purchase Price,  Noncompete Payment and Transferred Common
Stock.  The Seller  shall have  received,  pursuant  to Section  1.3,  the first
installment  of the  Purchase  Price and  stock  certificates  representing  the
Transferred  Common Stock and each of the Shareholders  shall have received such
Shareholder's noncompete payment pursuant to Section 3.8(b).

                  (h) Lease.  The  Purchaser  shall have  delivered  to Linda M.
Mallow the Lease, in substantially the form of Exhibit C.

                  (i)St.  Joseph  Customer  Contract.  The Purchaser  shall have
delivered  to St.  Joseph  Anesthesia  Services  P.C.  the St.  Joseph  Customer
Contract, in substantially the form of Exhibit D.


                                      -23-

<PAGE>
<PAGE>



                  (j) Other Documents. The Seller shall have received such other
documents, certificates or instruments as it may reasonably request.

                                 ARTICLE V
                                 INDEMNITY

                  5.1.  Indemnification.  (a) The  Seller  and the  Shareholders
jointly and  severally  indemnify  and hold  harmless the Purchaser and PSS, and
their respective affiliates, directors, officers, employees and other agents and
representatives  from and against any and all  liabilities,  judgments,  claims,
settlements,  losses,  damages, fees, liens, taxes,  penalties,  obligations and
expenses  incurred or suffered by any such person  arising from, by reason of or
in connection with:

                  (i) any  misrepresentation  or breach  of any  representation,
         warranty or  agreement  of the Seller or any  Shareholder  contained in
         this Agreement or any  certificate  or other document  delivered by the
         Seller or any Shareholder hereunder;

                  (ii) the  non-fulfillment  by the Seller or any Shareholder of
         any agreement made by such party in this Agreement;

                  (iii) any and all Federal,  state,  local and foreign  income,
         profits,   franchise,   sales,  use,  occupation,   property,   excise,
         employment  and  other  taxes   (including   interest,   penalties  and
         withholdings  of tax) of any kind  related to the  Business for any and
         all periods ending on or prior to the Closing Date;

                  (iv) the conduct of the  business or other  operations  of the
         Business  before  or on the  Closing  Date  or any  condition  existing
         relating  to product or  environmental  liability  prior to the Closing
         Date;

                  (v)  except  for  the   Assumed   Liabilities,   any  and  all
         liabilities  or  obligations  of the  Seller,  including  any  and  all
         Unassumed Liabilities;

                  (vi) the failure of the Seller or the Purchaser to comply with
         any bulk  sales laws or any state or local tax laws  applicable  to the
         transactions contemplated by this agreement;

                  (vii) claims  under  checks  issued by the Seller prior to the
         Closing  Date that remain  uncashed  or have  expired as of the Closing
         Date; and

                  (viii)  any  and all  actions,  suits,  proceedings,  demands,
         judgments,  costs and legal and other  expenses  incident to any of the
         matters  referred  to in  clauses  (i)  through  (vii) of this  Section
         5.1(a).

The Seller and the  Shareholders  shall be limited in their liability under this
Section  5.1(a) to an amount not to exceed the greater of (x)  $1,850,000 or (y)
the  full  amount  of  insurance  proceeds  available  to  the  Seller  and  the
Shareholders.


                                      -24-

<PAGE>
<PAGE>



                  (b) The Purchaser and PSS jointly and severally  indemnify and
hold harmless the Seller and the  Shareholders,  and their respective  partners,
directors,  officers,  employees and other agents and representatives,  from and
against  any  and  all  liabilities,  judgments,  claims,  settlements,  losses,
damages,  fees, liens,  taxes,  penalties,  obligations and expenses incurred or
suffered by any such person arising from, by reason of or in connection with:

                  (i) any  misrepresentation  or breach  of any  representation,
         warranty  or  agreement  of the  Purchaser  or PSS  contained  in  this
         Agreement  or  any  certificate  or  other  document  delivered  by the
         Purchaser or PSS hereunder;

                  (ii)  the  non-fulfillment  by  the  Purchaser  or  PSS of any
         agreement made by it in this Agreement;

                  (iii) the conduct of the business or other  operations  of the
         Business  after the Closing  Date and any and all Assumed  Liabilities;
         and

                  (iv)  any  and  all  actions,  suits,  proceedings,   demands,
         judgments,  costs and legal and other  expenses  incident to any of the
         matters  referred  to in clauses  (i),  (ii) and (iii) of this  Section
         5.1(b).

                  (c) In case any claim or  litigation  which might give rise to
any  obligation of a party under the indemnity and  reimbursement  provisions of
this Agreement (each an "Indemnifying Party") shall come to the attention of the
party  seeking   indemnification   hereunder  (the  "Indemnified   Party"),  the
Indemnified Party shall notify in writing promptly the Indemnifying Party of the
existence  and amount  thereof.  Failure to give such notice shall not prejudice
the rights of the Indemnified Party,  except to the extent that the Indemnifying
Party shall have been materially  prejudiced by such failure.  The  Indemnifying
Party  shall be entitled to  participate  in and, if (i) in the  judgment of the
Indemnified Party such claim can properly be resolved by money damages alone and
the Indemnifying Party has the financial  resources to pay such damages and (ii)
the  Indemnifying  Party  admits that this  indemnity  fully covers the claim or
litigation,  the  Indemnifying  Party shall be entitled to direct the defense of
any claim at its expense,  but such defense  shall be conducted by legal counsel
reasonably satisfactory to the Indemnified Party.

                  (d) The  Purchaser  may set off against any amounts due to the
Seller,  the  amount of any  indemnity  to which the  Purchaser  or PSS  becomes
entitled  under this  Agreement;  provided  that the Purchaser may exercise this
right of setoff  only  following  an  adjudication  as to the  liability  of the
Seller.  The  obligations  of the Seller under this Section 5.1 for any claim to
indemnity shall be reduced by the amount (if any) that the Purchaser so sets off
for such claim.

                  5.2.   Limitations.   The  indemnification  and  reimbursement
obligations  (other  than for  claims  relating  to or  arising  out of  Section
5.1(a)(i),  (iii),  (iv),  (v), (vi) and (viii))  hereunder  shall expire on the
third anniversary of the Closing Date (the "Expiration Date"),  except as to any
claims for, or any claims that may result in, any  liability,  judgment,  claim,
settlement,  loss,  damage,  fee, lien, tax, penalty,  obligation or expense for
which indemnity may be sought hereunder of which the

                                      -25-

<PAGE>
<PAGE>



Indemnifying  Party has received written notice from the Indemnified Party on or
before the Expiration Date.

                  5.3. No Election. Nothing contained in this Article V shall be
deemed an  election  of remedies  under this  Agreement  or limit in any way the
liability of any party under the Employment Agreements or any other agreement to
which such  party is a party  relating  to this  Agreement  or the  transactions
contemplated by this Agreement.

                                 ARTICLE VI
                               MISCELLANEOUS

                  6.1.  Entire  Agreement.  This Agreement and the schedules and
exhibits  hereto contain the entire  agreement among the parties with respect to
the  transactions  contemplated  by  this  Agreement  and  supersede  all  prior
agreements or understandings among the parties.

                  6.2.  Termination.  (a) This Agreement  shall terminate on the
earlier to occur of any of the following events:

                  (i) the mutual  written  agreement  of the  Purchaser  and the
         Seller;

                  (ii) by written  notice of the  Purchaser or the Seller to the
         other party hereto,  if the Closing  shall not have  occurred  prior to
         12:00 midnight (Eastern time zone) on May 31, 1996;

                  (iii) by written  notice of the  Purchaser  to the Seller,  if
         either the Seller or any Shareholder shall have materially breached any
         of its representations, warranties or agreements contained herein; or

                  (iv) by  written  notice of the  Seller to the  Purchaser,  if
         either the Purchaser or PSS shall have  materially  breached any of its
         representations, warranties or agreements contained herein.

                  (b)  Nothing in this  Section  shall  relieve any party of any
liability for a breach of this Agreement prior to the termination hereof. Except
as aforesaid, upon the termination of this Agreement, all rights and obligations
of the parties under this Agreement shall  terminate,  except their  obligations
under Sections 3.1, 3.7 and 3.8(a), (c) and (d) and Article V.

                  6.3.  Descriptive  Headings;   Certain  Interpretations.   (a)
Descriptive  headings are for  convenience  only and shall not control or affect
the meaning or construction of any provision of this Agreement.

                  (b) Whenever any party makes any  representation,  warranty or
other  statement  to such party's  knowledge,  such party will be deemed to have
made due inquiry  into the subject  matter of such  representation,  warranty or
other statement.


                                      -26-

<PAGE>
<PAGE>



                  (c) Except as otherwise  expressly provided in this Agreement,
the following rules of interpretation apply to this Agreement:  (i) the singular
includes the plural and the plural  includes the  singular;  (ii) "or" and "any"
are not  exclusive  and "include"  and  "including"  are not  limiting;  (iii) a
reference to any agreement or other contract includes permitted  supplements and
amendments;  (iv) a reference to a law includes any amendment or modification to
such law and any rules or regulations  issued  thereunder;  (v) a reference to a
person  includes  its  permitted  successors  and  assigns;  (vi) a reference to
generally  accepted  accounting  principles  refers to United  States  generally
accepted  accounting  principles;  and (vii) a reference in this Agreement to an
Article,  Section,  Exhibit or Schedule is to the Article,  Section,  Exhibit or
Schedule of this Agreement.

                  6.4. Notices.  All notices,  requests and other communications
to  any  party  hereunder  shall  be in  writing  and  sufficient  if  delivered
personally or sent by telecopy (with  confirmation  of receipt) or by registered
or certified  mail,  postage  prepaid,  return receipt  requested,  addressed as
follows:

If to the Purchaser or PSS, to:

                  PSS ALM, Inc.
                  Physician Support Systems, Inc.
                  Route 230 and Eby-Chiques Road
                  P.O. Box 36
                  Mt. Joy, Pennsylvania 17552
                  Telecopy:    717-653-0567
                  Attention:   Peter W. Gilson
                               Hamilton F. Potter III

with a copy to:

                  Howard, Darby & Levin
                  1330 Avenue of the Americas
                  New York, New York 10019
                  Telecopy:    212-841-1010
                  Attention:   Kelly Vance, Esq.

If to the Seller or the Shareholders to:

                  ALM, Inc.
                  Suite D
                  10308 State Line
                  Leawood, Kansas  66206-2686
                  Telecopy:  913-383-9126
                  Attention: James Mallow, M.D.
                             Devona J. Slater


                                      -27-

<PAGE>
<PAGE>



with a copy to:

                  Shughart, Thomson & Kilroy
                  12 Wyandotte Plaza
                  120 West 12th Street
                  Kansas City, Missouri  64105
                  Telecopy:  816-374-0509
                  Attention: Randal L. Schultz, Esq.

or to such other address or telecopy number as the party to whom notice is to be
given may have  furnished to the other party in writing in accordance  herewith.
Each such notice,  request or communication shall be effective when received or,
if given by mail, when delivered at the address  specified in this Section or on
the fifth business day following the date on which such communication is posted,
whichever occurs first.

                  6.5.  Counterparts.  This  Agreement  may be  executed  in any
number of counterparts,  and each such counterpart  hereof shall be deemed to be
an original instrument,  but all such counterparts together shall constitute but
one agreement.

                  6.6.  Survival.  Except  as set  forth  in  Section  5.2,  all
representations and warranties,  agreements and covenants contained herein or in
any  document  delivered  pursuant  hereto  or in  connection  herewith  (unless
otherwise  expressly  provided  herein or therein) shall survive the Closing and
shall remain in full force and effect until the Expiration  Date;  provided that
the  representations  and warranties in paragraphs (b), (c),  (g)(i),  (l), (m),
(n), (p), (r) and (t) of Section 2.1 and the  agreements in Sections 3.1 and 3.8
shall not expire on the Expiration Date.

                  6.7. Benefits of Agreement. All of the terms and provisions of
this  Agreement  shall be binding  upon and inure to the  benefit of the parties
hereto and their  respective  successors and assigns.  This Agreement is for the
sole  benefit of the parties  hereto and not for the benefit of any third party,
except that any party providing  financing for the transactions  contemplated by
this Agreement may rely on the representations, warranties and agreements of the
Seller and the Shareholders.

                  6.8.  Amendments and Waivers.  No  modification,  amendment or
waiver,  of any provision of, or consent  required by, this  Agreement,  nor any
consent to any departure  herefrom,  shall be effective  unless it is in writing
and  signed by the  parties  hereto.  Such  modification,  amendment,  waiver or
consent shall be effective only in the specific instance and for the purpose for
which given.

                  6.9. Assignment. This Agreement and the rights and obligations
hereunder shall not be assignable or  transferrable  by any party hereto without
the prior written consent of the other parties hereto; except that the Purchaser
may  assign all or part of its rights  and  obligations  hereunder  to any other
affiliate  of the  Purchaser  if upon  such  assignment  to its  affiliate,  the
Purchaser shall  guaranty,  in form and substance  reasonably  acceptable to the
Seller and the Shareholders, the performance by such assignee of its obligations
hereunder. Following any such permitted

                                      -28-

<PAGE>
<PAGE>



assignment,  the term  "Purchaser"  shall  mean  such  assignee.  Any  purported
assignment not permitted by this Section shall be void.

                  6.10.  Enforceability.  It is the  desire  and  intent  of the
parties hereto that the  provisions of this  Agreement  shall be enforced to the
fullest extent  permissible  under the laws and public policies  applied in each
jurisdiction  in which  enforcement  is sought.  Accordingly,  if any particular
provision of this Agreement shall be adjudicated to be invalid or unenforceable,
such  provision  shall be deemed  amended to delete  therefrom  the portion thus
adjudicated  to be invalid or  unenforceable,  such  deletion to apply only with
respect to the operation of such  provision in the  particular  jurisdiction  in
which such adjudication is made.

                  6.11.  GOVERNING LAW.  THIS AGREEMENT SHALL BE GOVERNED BY
AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF KANSAS,
WITHOUT REGARD TO CONFLICT OF LAWS PRINCIPLES.

                                      -29-

<PAGE>
<PAGE>



                  IN  WITNESS  WHEREOF,  each of the  parties  has  caused  this
Agreement to be duly  executed and  delivered as of the day and year first above
written.

                                          ALM, INC.


                                          By:      /s/ Devona J. Slater
                                                   Title:  Secretary



                                          /s/ James Mallow, M.D., as Shareholder


                                          /s/ Devona J. Slater, as Shareholder


                                          PSS ALM, INC.


                                          By:  /s/ Hamilton F. Potter III
                                               Title:  Vice President

                                          PHYSICIAN SUPPORT SYSTEMS, INC.



                                          By:   /s/ Hamilton F. Potter III
                                                Title:  Executive Vice President


                                      -30-



<PAGE>




<PAGE>


                  [Physician Support Systems, Inc. Letterhead]

FOR IMMEDIATE RELEASE

                                 Contact:
                                 David S. Geller
                                 Senior Vice President & Chief Financial Officer
                                 Physician Support Systems, Inc.
                                 (717) 653-5340

                                 Noonan/Russo Communications, Inc.
                                 (212) 696-4455
                                 Jessica Livingston (investors), ext. 229
                                 Michele M. Helm (media), ext. 225
                                 e-mail: [email protected]

                  PHYSICIAN SUPPORT SYSTEMS ACQUIRES ALM, INC.

                    -- COMPANY ENTERS NEW GEOGRAPHIC REGION-

Mt. Joy, PA - May 22, 1996 - Physician Support Systems, Inc. (Nasdaq: PHSS)
today announced it has acquired ALM, Inc., a provider of accounts receivable
management and other services to hospital-based physicians. ALM's revenues for
1995 were approximately $1.8 million. Terms of the acquisition were not
disclosed. Based in Kansas City, ALM will continue to be led by its present
management team.

"Our acquisition of ALM introduces Physician Support Systems to an important new
geographic region of the United States," said Peter Gilson, President and Chief
Executive Officer of Physician Support Systems. "ALM furthers our strategy of
acquiring companies with strong management teams that will continue to lead and
grow the business into the future. In addition, we are continually evaluating
other potential acquisitions and other opportunities to grow and strengthen
Physician Support Systems."

Headquartered in Mt. Joy, Pennsylvania, Physician Support Systems, Inc. is a
leading provider of business management services to hospital-based physicians,
including accounts receivable, financial, administrative, strategic and
information support systems.

This press release contains forward-looking statements that involve a number of
risks and uncertainties. Actual results may differ materially as a result of
risks facing the Company. These risks include the ability of PSS to grow
internally or by acquisitions, political and regulatory pressures or changes,
the ability of the Company to integrate acquired businesses into the PSS group
of companies, competitive action by other companies, changing conditions in the
healthcare industry and other risks referred to in the Company's periodic
reports and registration statement filed with the Securities and Exchange
Commission.

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Editor's Note:     This release is also available on the Internet over the World
                   Wide Web:  http://www.noonanrusso.com





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