INTEGRAMED AMERICA INC
8-K, 1996-06-21
SPECIALTY OUTPATIENT FACILITIES, NEC
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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 and Exchange Act 1934



Date of Report:  June 20, 1996

                            INTEGRAMED AMERICA, INC.
- --------------------------------------------------------------------- ----------
               (Exact name of registrant as specified in charter)


                                    Delaware
- --------------------------------------------------------------------------------
                 (State of other jurisdiction of incorporation)


 0-20260 and 1-11440                                        06-1150326
- ----------------------------- --------------------------------------------------
(Commission File Numbers)                      (IRS Employer Identification No.)


One Manhattanville Road, Purchase, NY                                   10577
- ------------------------------------------ -------------------------------------
(Address of principal executive offices)                              (Zip Code)


Registrant's telephone no. including area code: (914) 253-8000


Registrant's former name: IVF America, Inc.




<PAGE>



Item 2.  Acquisition or Disposition of Assets

     On June 7, 1996,  the  Registrant  entered  into an  Agreement  and Plan of
Merger (the  "Agreement")  pursuant to which INMD Acquisition Corp.  ("IAC"),  a
Florida corporation and wholly-owned subsidiary of the Registrant,  acquired all
of the outstanding  stock of the following  three related Florida  corporations:
The Climacteric Clinic, Inc. ("CCI"),  Midlife Centers of America, Inc. ("MCA"),
and Women's Research Centers,  Inc. ("WRC"),  America  (collectively "the Merger
Companies"),  and  51% of  the  outstanding  stock  of  the  National  Menopause
Foundation,  Inc.  ("NMF"),  also a  related  Florida  corporation  (the  Merger
Companies and NMF are  hereinafter  sometimes  referred to as the  "Companies").
Pursuant to the Agreement,  the Merger  Companies were merged with and into IAC,
the  surviving  corporation  in the Merger,  which will  continue its  corporate
existence  under the laws of the State of Florida under the name Women's Medical
& Diagnostic Center,  Inc. ("WMDC").  Founded by Morris Notelovitz,  M.D., Ph.D.
("the  "Physician"),  a world-renowned  clinician,  researcher,  and lecturer on
topics related to women's  midlife  health  issues,  the Companies will form the
basis for IntegraMed  America's new Women's Medical & Diagnostic Center Division
(the  "Division").  Under the  Agreement,  the Physician  became a member of the
Registrant's  Board of Directors,  and, under a long term employment  agreement,
the  Physician  will serve as Vice  President  for  Medical  Affairs and Medical
Director  of  the  Division.  IAC  simultaneously  entered  into  an  Employment
Agreement  with the  Physician  pursuant  to which the  Physician  will  provide
medical services, as defined.

       CCI is a full  service  clinical  ambulatory  care  facility  that offers
comprehensive diagnostic and treatment alternatives for healthcare issues common
to peri and  post-menopausal  women.  WRC is a company  dedicated to contracting
with pharmaceutical  companies for clinical research related to the treatment of
health issues common to peri and post-menopausal  women. NMF is dedicated to the
development  and  sale  of  educational   programs  and  products  to  peri  and
post-menopausal   women.  MCA  is  a  management  and  consulting  company.  The
Gainesville  based companies all shared central  resources and management talent
through MCA.

       The purchase  price for the Companies  consisted of 666,666 shares of the
Registrant's  Common Stock,  $400,000 in cash, and a secured  promissory note in
the amount of  $600,000  payable in sixteen  quarterly  installments  of $37,500
beginning  September  1, 1996 with simple  interest  payable at a rate of 4.16%.
Under  the  Agreement,  the  Registrant  will  provide  funding  to and  for the
development of NMF on an as-needed basis during the four-year period  commencing
June 6, 1996, in amounts not to exceed $500,000 in the aggregate.

       Financial  statements  of the  Companies  will be filed  within  the time
period required by this report.

       On May 15, 1996, the Registrant entered into an asset purchase and a long
term management agreement with W. F. Howard, M.D., P.A. (the "P.A."), a provider
of  conventional   infertility  and  assisted  reproductive  technology  ("ART")
services.  The  aggregate  purchase  price was  approximately  $702,500 of which
approximately  $244,000  was  paid  at  closing  and  the  Registrant  issued  a
promissory note for the $458,000  balance which is payable as follows:  $100,000
on the last business day of May 1997 and 1998,  and $36,786 on the last business
day of May in each of the seven  years  thereafter,  thru May 2005.  The  assets
acquired, primarily medical equipment,  furniture and fixtures, will continue to
be used by the P.A. in the provision of infertility and ART services.

<PAGE>

Item 5.  Other

     On June 6, 1996, the Registrant  made a new conversion  offer (the "Offer")
to the holders  ("Preferred  Stockholders") of the 773,878 outstanding shares of
the Registrant's  Series A Cumulative  Convertible  Preferred Stock  ("Preferred
Stock").  Under the Offer,  Preferred  Stockholders would receive four shares of
the  Registrant's  Common Stock upon  conversion  of a share of Preferred  Stock
subject to the terms and  conditions  set forth in the Offer.  The  Offering  is
conditioned  upon a minimum of 400,000 shares of Preferred Stock being tendered;
provided  that the  Registrant  reserves the right to accept fewer  shares.  The
Offer will expire on Wednesday, July 10, 1996, at 5 p.m. E.D.T.

     The Offer is being made pursuant to an Offering Circular dated June 5, 1996
and an exemption from registration under the Securities Act of 1933. This notice
shall not constitute an offer to sell or the solicitation of an offer to buy any
securities of the Registrant.

     On June 20, 1996,  the  Registrant  announced that the Court of Chancery of
the  State  of  Delaware  has  denied  a claim by a  Preferred  Stockholder,  in
Bernstein  v. IVF  America,  et.al.  that the  anti-dilution  rights of existing
Preferred  Stockholders  were  required to be expanded as a result of a previous
Conversion Offer made by the Company in November 1994.

     The lawsuit was originally  filed in the Court on December 13, 1994. By its
June 11, 1996  decision,  the Court has directed that the Complaint be dismissed
and judgement entered  accordingly.  The plaintiff has a right of appeal but has
not indicated what, if any, further action he intends to take.




Exhibits
- --------

10.52 -  Agreement  and Plan of  Merger By and Among  IVF  America,  Inc.,  INMD
Acquisition  Corp., The Climacteric  Clinic,  Inc.,  Midlife Centers of America,
Inc., Women's Research Centers,  Inc., America,  National Menopause  Foundation,
Inc. and Morris Notelovitz.

10.53 - Employment  Agreement  between Morris  Notelovitz,  M.D.,  Ph.D. and IVF
America, Inc., d/b/a IntegraMed America.

10.54 - Physician  Employment  Agreement between Morris Notelovitz,  M.D., Ph.D.
and INMD  Acquisition  Corp  ("IAC"),  a Florida  corporation  and wholly  owned
subsidiary of IVF America, Inc. ("INMD").

10.55 -  Management  Agreement  between  IVF  America,  Inc.,  d/b/a  IntegraMed
America, and W. F. Howard, M.D., P.A.

10.56 - Asset Purchase  Agreement  between IVF America,  Inc.,  d/b/a IntegraMed
America, and W.F. Howard, M.D., P.A.


<PAGE>




                                                    SIGNATURES


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


                                                 INTEGRAMED AMERICA, INC.
                                                 (Registrant)




Date:    June 20, 1996                           By: /s/ Dwight P. Ryan
                                                     ------------------------
                                                     Dwight P. Ryan
                                                     Vice President and
                                                     Chief Financial Officer
                                                     (Principal Financial and
                                                     Accounting Officer)


   


                          AGREEMENT AND PLAN OF MERGER

                                  BY AND AMONG

                                IVF AMERICA, INC.

                             INMD ACQUISITION CORP.

                          THE CLIMACTERIC CLINIC, INC.

                        MIDLIFE CENTERS OF AMERICA, INC.

                     WOMEN'S RESEARCH CENTERS, INC., AMERICA

                       NATIONAL MENOPAUSE FOUNDATION, INC.

                                       AND

                             MORRIS NOTELOVITZ, M.D.




<PAGE>


                          AGREEMENT AND PLAN OF MERGER


     AGREEMENT AND PLAN OF MERGER,  dated as of June 7, 1996 (the  "Agreement"),
by and among (i) IVF America,  Inc., a Delaware  corporation,  doing business as
IntegraMed   America   ("Parent"),   (ii)  INMD  Acquisition  Corp.,  a  Florida
corporation  and  wholly-owned   subsidiary  of  Parent,   ("Sub"),   (iii)  The
Climacteric Clinic, Inc., a Florida corporation ("CCI"), (iv) Midlife Centers of
America,  Inc., a Florida  corporation  ("MCA"),  (v) Women's Research  Centers,
Inc.,   America,  a  Florida  corporation   ("WRC"),   (vi)  National  Menopause
Foundation,  Inc., a Florida corporation  ("NMF"), and (viii) Morris Notelovitz,
M.D.,  an individual  having a principal  place of business at Office Park West,
222 S.W. 36th Terrace, Gainesville,  Florida 32607 ("Seller"). (CCI, MCA and WRC
are hereinafter sometimes referred to collectively as the "Merger Companies," or
singularly as a " Merger  Company;" the Merger Companies and NMF are hereinafter
sometimes  referred to  collectively  as the  "Companies,"  or  singularly  as a
"Company.")
                               W I T N E S S E T H

     WHEREAS,  the respective boards of directors of Parent,  Sub and the Merger
Companies have approved or adopted this Agreement, which provides for the merger
of the  Merger  Companies  with and into Sub (the  "Merger")  on the  terms  and
conditions set forth herein and in accordance with the provisions of the Florida
Business Corporation Act (the "BCA");

     WHEREAS,  the  boards of  directors  of Sub and the Merger  Companies  have
recommended this Agreement to the respective  shareholders of Sub and the Merger
Companies,   and  such   shareholders  have  approved  this  Agreement  and  the
consummation of the transactions contemplated hereby;

     WHEREAS,  Parent,  Sub,  the Merger  Companies  and  Seller  desire to make
certain  representations  and warranties and other agreements in connection with
the Merger;

     WHEREAS,  Seller is the holder of 100 shares of common stock,  having a par
value of $1.00 per  share,  of NMF (the "NMF  Stock"),  constituting  all of the
issued and outstanding capital stock of NMF.

     WHEREAS,  Seller desires to sell to Parent,  and Parent desires to purchase
from Seller, fifty one-percent (51%) of the NMF Stock held by Seller.

     NOW,  THEREFORE,  Parent, Sub, the Companies and the Seller hereby agree as
follows:




<PAGE>

                                    ARTICLE I

                                   THE MERGER

          1.1 The Merger.  In accordance  with the  provisions of this Agreement
and the BCA,  at the  Effective  Time (as  defined in Section  1.2),  the Merger
Companies  shall be merged with and into Sub, the separate  existence of each of
the Merger  Companies  shall  thereupon  cease,  and Sub shall be the  surviving
corporation  in  the  Merger  (sometimes   hereinafter  called  the  ("Surviving
Corporation")  and shall continue its corporate  existence under the laws of the
State of Florida under the name Women's Medical & Diagnostic Center, Inc.

          1.2  Effective  Time of the  Merger.  The Merger  shall be effected by
filing  articles of merger,  substantially  in the form of Exhibit 1.2  attached
hereto (the "Articles of Merger"),  with the Department of State of the State of
Florida in accordance  with section  607.1105 of the BCA. The effective  date of
the Merger (the  "Effective  Date") shall be the date upon which the Articles of
Merger  shall  have  been  filed  with the  Department  of State of the State of
Florida and the effective time of the Merger (the "Effective Time") shall be the
time of the filing of the Articles of Merger with the Department of State of the
State of Florida.

          1.3  Closing.  The closing of the  transactions  contemplated  by this
Agreement  (the  "Closing")  shall  take  place at the  offices  of  Richard  M.
Knellinger,  P.A.,  Barnett  Bank  Building,  Suite  305,  2815 NW 13th  Street,
Gainesville,  Florida  32609 at 11:00 a.m.,  local time, on the date first above
written.

          1.4 Articles of Incorporation. The Articles of Incorporation of Sub in
effect at the Effective Time shall continue to be the Articles of  Incorporation
of the Surviving Corporation until amended in accordance with applicable law.

          1.5  By-Laws.  The By-Laws of Sub as in effect at the  Effective  Time
shall continue to be the By-Laws of the Surviving  Corporation  until amended in
accordance with applicable law.

          1.6 Directors and Officers of Surviving Corporation.

               (a) The  directors  of Sub at the  Effective  Time  shall  be the
initial  directors of the Surviving  Corporation  and shall hold office from the
Effective Time until their  respective  successors are duly elected or appointed
and qualified in the manner provided in the Articles of Incorporation or By-Laws
of the Surviving Corporation or as otherwise provided by law.

               (b)  The  officers  of Sub at the  Effective  Time  shall  be the
initial  officers of the  Surviving  Corporation  and shall hold office from the
Effective Time until their  respective  successors are duly elected or appointed
and qualified in the manner provided in the Articles of Incorporation or By-Laws
of the Surviving Corporation, or as otherwise provided by law.

          1.7 Conversion of the Merger  Companies' Stock. At the Effective Time,
by  virtue of the  Merger  and  without  any  action  on the part of the  holder
thereof,  the  outstanding  shares of the  Common  Stock  (the  "Merger  Company
Shares") of the Merger  Companies (the "Merger  Company Stock") shall be treated
as follows:

<PAGE>




               (a) All  Merger  Company  Shares  issued and  outstanding  on the
Closing  Date  shall be  converted  into  shares of the voting  Common  Stock of
Parent, par value $0.01 per share ("Parent Stock"), and cash, (collectively, the
"Merger  Consideration"),  as provided in Section 1.8 below.  From and after the
Closing Date, each certificate  therefore  evidencing one or more Merger Company
Shares shall no longer  evidence  Merger  Company Shares but shall evidence only
the Merger  Consideration  in the manner  provided  below in Section 1.8 of this
Agreement.

               (b)  All  capital  stock  of the  Merger  Companies  held  in the
treasury of the Merger Companies  immediately prior to the Closing Date shall be
canceled and no Parent Stock,  cash or other  consideration of any kind shall be
delivered in exchange therefor under this Agreement.

          1.8 Exchange of Certificates: Merger Consideration

               (a) As of the  Closing  Date,  the  stock  transfer  books of the
Merger  Companies  shall be closed  and no  transfer  of  certificates  formerly
representing  Company Shares outstanding at the Closing Date shall thereafter be
made.  Parent shall act as the exchange  agent for the surrender and exchange of
Merger Company Shares for the Merger  Consideration.  At the Closing, the Seller
shall  deliver to Parent in  exchange  for the Merger  Consideration,  the stock
certificate(s)  for such Merger  Company  Stock,  duly  endorsed for transfer or
accompanied by stock  transfer  powers  executed in blank.  Parent shall have no
responsibility or liability for surrendered stock  certificates until its actual
receipt of same.

               Upon  Seller's  surrender  of  certificate(s)   representing  the
outstanding  shares of Merger  Company  Stock held by Seller duly  endorsed  for
transfer,  together  with duly  executed and  completed  stock  transfer  powers
endorsed in blank,  and subject to the  provisions of the  preceding  paragraph,
Seller shall  receive  upon such  surrender in exchange for the shares of Merger
Company Stock held by Seller, the following Merger Consideration:

                    (i) In exchange for Seller's Merger Company Shares, (A) cash
in an aggregate amount equal to Three-Hundred Fifty Thousand Dollars ($350,000),
as more specifically  described in Section 1.8(b); and (B) a number of shares of
Parent Stock  ("Parent  Shares")  equal to the quotient  derived by dividing Two
Million  Dollars  ($2,000,000)  by the "Parent Share Value" as defined in clause
"(iii)" below.

                    (ii)  Notwithstanding  any provisions of this Agreement,  no
fractional  Parent  Shares will be issued.  Parent  shall  aggregate  the Parent
Shares issuable to Seller,  and, if following such aggregation,  Seller would be
entitled to receive a fractional Parent Share but for this Section, Seller will,
in  lieu  of  such  fractional  share  and  upon  surrender  of  certificate  or
certificates  of Merger  Company  Stock,  receive an amount in cash equal to the
Parent  Share Value  multiplied  by the  fraction  of the Parent  Share to which
Seller would otherwise be entitled.

<PAGE>

                    (iii) For  purposes of this  Agreement,  the "Parent  Shares
Value" shall equal the average bid price of a Parent  Share,  as reported in The
Wall Street Journal,  NASDAQ National  Market System  Transactions,  for the ten
consecutive trading days prior to the earlier of (A) the Closing Date or (B) the
date the Merger is  publicly  announced,  subject to a ceiling of Three  Dollars
($3.00) per share and a floor or Two Dollars ($2.00) per share.

               (b) The  Three-Hundred  Fifty Thousand  Dollars  ($350,000)  cash
portion of the Merger  Consideration  to be paid to Seller  pursuant  to Section
1.8(a)(i) shall be paid at the Closing.

               (c) Allocation of Merger Consideration

               The Merger  Consideration  shall be allocated  $2,350,000  to the
Merger Company Stock and $650,000 to the NMF Shares.

         1.9 Stock Free of Liens.  The Merger  Companies and Seller warrant that
the  Company  Stock  shall be  transferred  in the Merger  free and clear of all
liens, claims, security interests,  restrictions,  prior assignments, charges or
encumbrances of any kind or nature whatsoever,  including,  without  limitation,
any tax liens (collectively, "Liens").


                                   ARTICLE II

                         PURCHASE AND SALE OF NMF STOCK

          2.1 Sale and Purchase of NMF Shares. Simultaneously with the execution
and  delivery of this  Agreement,  Seller  shall sell to Parent and Parent shall
purchase from Seller, free and clear of all Liens,  fifty-one (51) shares of NMF
Stock (the "NMF Shares"),  such NMF Shares to constitute fifty-one percent (51%)
of the total number of issued and outstanding shares of NMF's capital stock.

          2.2 Purchase  Price.  Parent is purchasing  the NMF Shares from Seller
for an aggregate purchase price of Six-Hundred Fifty Thousand Dollars ($650,000)
(the "Purchase Price"), payable as follows:

               (a)  At  Closing,   Parent   shall  pay  to  Seller  the  sum  of
Fifty-Thousand Dollars ($50,000);



<PAGE>



               (b) The balance of Six-Hundred  Thousand Dollars ($600,000) shall
be paid in sixteen (16) quarterly  installments  of  Thirty-Seven  Thousand Five
hundred Dollars  ($37,500)  beginning  September 1, 1996. Parent will pay simple
interest on the unpaid  portion of such  balance at a rate equal to 4.16 %, with
accrued interest payable with each quarterly installment.

          2.3 Rights of First Refusal.

               (a)  Definitions.  The  following  terms shall have the following
meanings whenever used in this Section 2.3:

                    (i) "Bona Fide Offer" shall mean an offer, in writing,  made
and signed by an offeror or offerors who is or are a person or persons or entity
or  entities  financially  capable of  carrying  out the terms of such Bona Fide
Offer.
                    (ii)  "Bona Fide  Offeror"  shall mean the person or persons
making the Bona Fide Offer.

                    (iii)   "Registered   Notice"  shall  mean  notice  sent  by
registered or certified mail, return receipt requested,  and first-class postage
prepaid or by actual delivery by messenger or overnight deliver service; and, if
such  Registered  Notice is sent with  respect to a Bona Fide Offer (as provided
for in Section 2.3(b) hereof),  such Registered  Notice shall contain a true and
complete copy of the Bona Fide Offer,  setting forth the number of shares of NMF
Stock  to be sold  by  Seller,  the  price  thereof  and  all of the  terms  and
conditions  thereof,  with the name(s),  address(es)  (both home and office) and
business(es) or other occupation(s) of the offeror or offerors. Any notice which
does not  contain  all such  requisite  information  shall not be  considered  a
"Registered Notice" for the purposes of Section 2.3(b) hereof.

               (b) Receipt of Bona Fide Offer by Seller/Right of First Refusal.

                    (i) In the event that Seller shall receive a Bona Fide Offer
to purchase  any or all of  Seller's  NMF Stock,  and in the further  event that
Seller shall desire to accept such Bona Fide Offer,  Seller shall  promptly send
Registered  Notice to Parent.  Such  Registered  Notice shall offer to sell such
shares of Company Stock that are the subject of the Bona Fide Offer to Parent on
terms the same as those in such Bona Fide Offer  (the "Bona Fide Offer  Terms").
Parent  shall  accept any offer to  purchase  shares,  if at all,  by  notifying
Seller,  in writing,  within forty (40) days,  of its election to purchase  such
Bona Fide Offer Shares,  and including in such notice a bank or cashiers'  check
for the total purchase price of the Bona Fide Offer Shares to be so purchased.

                    (ii) If all Bona Fide  Offer  Shares  are not  purchased  by
Parent  pursuant to this  Section  2.3(b),  Seller may sell such Bona Fide Offer
Shares to the Bona Fide  Offeror,  at the Bona Fide Offer  Terms for a period of
time not to  exceed  forty  (40)  days  from the date the  Registered  Notice is
received  by Parent.  Any sale of Bona Fide  Offer  Shares may not be made after
such  forty (40) day  period,  or to a person  other than the Bona Fide  Offeror
without again complying with the provisions of this Section 2.3.

<PAGE>


          2.4 Issuance of Equity Securities by NMF.

               (a) NMF  agrees  that it will not  issue  any  additional  equity
securities  in the future  without the written  consent of Seller and Parent who
will mutually determine the terms of such offer(s).


                                   ARTICLE III

           REPRESENTATIONS AND WARRANTIES OF THE COMPANIES AND SELLER

     Each of the Companies and Seller jointly and severally represent and
warrant to Parent and Sub as follows:

          3.1 Ownership of the Shares.  Seller is the sole record and beneficial
owner of the Merger  Company  Shares and the NMF  Shares,  free and clear of all
Liens,  and the Merger Company Shares and NMF Shares set forth opposite his name
on Exhibit 3.1 represent all of the outstanding  capital stock of the Companies.
There is not  outstanding  any  security,  option,  warrant,  right,  agreement,
understanding  on commitment of any kind  entitling any person to acquire any of
the Company Shares, NMF Shares or any capital stock of any of the Companies.

          3.2 Authority; Consents; No Conflicts.

               (a) Seller has the full legal right, power and authority to enter
into and to perform this Agreement and all other  agreements,  certificates  and
documents  executed or delivered,  or to be executed or delivered,  by Seller in
connection with this Agreement  (collectively,  with this  Agreement,  "Seller's
Documents").  The Seller's  Documents  have been duly  authorized,  executed and
delivered by Seller,  and the Seller's  Documents  are legal,  valid and binding
obligations of Seller,  enforceable in accordance with their  respective  terms,
except  as may be  limited  by  bankruptcy,  insolvency  or other  similar  laws
affecting the enforcement of creditors' rights in general and subject to general
principles of equity (regardless of whether such enforceability is considered in
a proceeding in equity or at law).

               (b) No consent,  approval,  authorization,  or waiver is required
from and no  declaration  or filing is required  to be made to any  governmental
authority or any other third party, in connection  with the execution,  delivery
and  performance of this Agreement or any of Seller's  Documents by Seller,  and
such  execution,   delivery  and   performance  and  the   consummation  of  the
transactions contemplated hereby and thereby do not and will not (i) violate any
of the provisions of any of the Companies' articles of incorporation or by-laws,
(ii)  violate any  provision of  applicable  law or  regulation  or of any writ,
judgment,  order,  award,  injunction  or  decree  applicable  to  Seller or any
Company,  (iii)  violate,  conflict  with,  result in a breach of,  constitute a
default under,  result in the  acceleration of, create in any party the right to
accelerate,  terminate,  modify,  or  cancel,  or require  any notice  under any
agreement, instrument or writing of any nature to which Seller or any Company is
a party or by  which  he or any of them is  bound or to which  any of his or the
Companies'  respective assets is subject,  or (iv) result in the creation of any
Lien on any of any Company's assets or properties.


<PAGE>


               (c) Each Company has the requisite  corporate power and authority
to execute  and  deliver  this  Agreement  and to  consummate  the  transactions
contemplated  hereby.  The  execution  and  delivery of this  Agreement  by each
Company and the consummation by each Company of the transactions contemplated on
its part hereby have been duly authorized by each respective  Company's board of
directors and  stockholders,  and no other corporate  proceedings on the part of
any Company are  necessary  to authorize  this  Agreement or for such Company to
consummate the transactions  contemplated  hereby.  This Agreement has been duly
and validly  executed and delivered by each Company and  constitutes a valid and
binding  agreement  of such  Company  enforceable  against  each such Company in
accordance with its terms.

          3.3 Organization,  Good Standing and Authority of the Companies.  Each
Company is a corporation  duly organized,  validly existing and in good standing
under the laws of Florida and has the full power and authority to own, lease and
operate  its  properties  as it now does and to carry on its  business  as it is
presently being  conducted.  Each Company is duly qualified and in good standing
as a foreign  corporation  in all  jurisdictions  in which the property owned or
leased  by  it or  the  nature  of  the  activities  conducted  by  it  requires
qualification.  The  copies of each  Company's  articles  of  incorporation  and
by-laws  that have been  delivered  to Parent are complete and correct as of the
date of this Agreement.  Each Company's minute books that have been exhibited to
the Parent are complete and accurately  reflect all action taken by the board of
directors and stockholders of such Company.

          3.4 Capitalization.

               (a)  As  of  the  date  of  this  Agreement,   MCA's   authorized
capitalization  consists of 7,500  shares of common  stock,  par value $1.00 per
share,  of which 100 shares are issued and  outstanding.  All of the outstanding
shares of common stock were duly  authorized for issuance,  were validly issued,
and are fully  paid and  nonassessable  and,  except for the MCA  capital  stock
constituting  the Merger  Company  Shares,  there are no  outstanding  shares of
capital stock or other security of MCA.

               (b)  As  of  the  date  of  this  Agreement,   CCI's   authorized
capitalization  consists of 7,500  shares of common  stock,  par value $1.00 per
share,  of which 100 shares are issued and  outstanding.  All of the outstanding
shares of common stock were duly  authorized for issuance,  were validly issued,
and are fully  paid and  nonassessable  and,  except for the CCI  capital  stock
constituting  the Merger  Company  Shares,  there are no  outstanding  shares of
capital stock or other security of CCI.


<PAGE>



               (c)  As  of  the  date  of  this  Agreement,   WRC's   authorized
capitalization  consists  of 500  shares of common  stock,  par value  $1.00 per
share,  of which 50 shares are issued and  outstanding.  All of the  outstanding
shares of common stock were duly  authorized for issuance,  were validly issued,
and are fully  paid and  nonassessable  and,  except for the WRC  capital  stock
constituting  the Merger  Company  Shares,  there are no  outstanding  shares of
capital stock or other security of WRC.

               (d)  As  of  the  date  of  this  Agreement,   NMF's   authorized
capitalization  consists  of 500  shares of common  stock,  par value  $1.00 per
share,  of which 100 shares are issued and  outstanding.  All of the outstanding
shares of common stock were duly  authorized for issuance,  were validly issued,
and are fully  paid and  nonassessable  and,  except for the NMF  capital  stock
constituting  NMF Shares  and the 100 Shares of NMF Stock held by Seller,  there
are no outstanding shares of capital stock or other security of NMF.

               (e) There are no agreements, commitments or restrictions relating
to  ownership  or  voting  of any  shares  of stock or other  securities  of any
Company, other than the shareholder's agreements entered into by Seller and each
Company (collectively, the "Shareholders Agreement") which are listed on Exhibit
3.4.

               (f) No Company has any  subsidiaries  nor any equity  interest in
any corporation,  partnership,  joint venture or other entity.  Each Company has
conducted its business only through such Company.

          3.5  Financial  Statements.  Exhibit 3.5  contains  (i) the  unaudited
cash-basis  statements of assets,  liabilities  and equity of each Company as of
December  31,  1995,  1994 and 1993,  together  with the related  statements  of
receipts  and  disbursements  for the years then  ended;  and (ii) an  unaudited
cash-basis  statement  of assets,  liabilities  and equity of each Company as of
April  30,  1996,   together  with  the  related   statements  of  receipts  and
disbursements  for the  four  months  then  ended  (the  "Unaudited  Cash  Basis
Statements").

          3.6 Absence of Undisclosed  Liabilities.  No Company has any liability
or obligation of any kind, whether accrued,  absolute,  contingent or otherwise,
other than (i) liabilities and obligations  under leases,  commitments and other
agreements entered into in the ordinary course of business, (ii) liabilities and
obligations to trade creditors incurred in the ordinary course of business since
April 30, 1996, none of which is unusual in nature or amount and all of which in
the aggregate are not material, and (iii) other liabilities and obligations that
are not material in amount or are set forth in Exhibits to this  Agreement.  All
of each  Company's  indebtedness  to Seller and any affiliate of Seller has been
discharged  in full as set forth in Exhibit 3.26 to this  Agreement  without any
adverse tax consequence to said Company.

          3.7 Absence of Certain Changes.  Since December 31, 1995, each Company
has  operated  its  business in the  ordinary  course and  consistent  with past
practice  and  there  has  been no  material  adverse  change  in the  business,
properties, assets, liabilities,  commitments,  earnings, financial condition or
prospects of any Company.

<PAGE>



          3.8 Real and Personal Property; Absence of Encumbrances.

              To the best of their knowledge and belief:

               (a) Each Company has good and marketable title to or, in the case
of leases and licenses, valid and subsisting leasehold interests or licenses in,
all of its  properties  and assets of whatever  kind  (whether real or personal,
tangible or  intangible),  including,  without  limitation,  all  properties and
assets that are shown on the Unaudited  Cash Basis  Statements and to properties
and assets  that are shown on any Exhibit to this  Agreement,  in each case free
and clear of any and all Liens,  except as may be set forth in  Exhibits  3.8(b)
and 3.8(c) and except for liens for current  taxes and  assessments  not yet due
and payable.  The assets owned by each Company,  together with those leased from
unrelated third parties on an arm's-length basis,  constitute all of the assets,
tangible and intangible, used in or needed to conduct each Company's business in
the manner in which it is presently conducted.

               (b) Exhibit 3.8(b) lists all the equipment, machinery, computers,
furniture,   leasehold  improvements,   vehicles  and  other  personal  property
(collectively,  "Personal  Property")  owned or leased by each  Company  and all
interests  therein.  All Personal Property owned or leased by each Company is in
good  operating  condition  and in good  condition  of  maintenance  and repair,
ordinary wear and tear excepted.

               (c)  Exhibit  3.8(c)  lists  all  the  real  property  (including
buildings  and  structures)  owned or leased by each  Company and all  interests
therein.  All such real property,  buildings and  structures,  and the equipment
therein, and the operations and maintenance thereof,  comply with any applicable
agreements and restrictive covenants and conform to all applicable legal require
ments including those relating to the environment,  health and safety,  land use
and  zoning.  All such  real  property,  buildings  and  structures  are in good
operating condition and repair, ordinary wear and tear excepted.

          3.9 Intellectual Property.

               (a)  Exhibit 3.9 sets forth a list and brief  description  of all
patents,  trademarks,  service marks, trade names and copyrights  (collectively,
"Intellectual  Property")  that are  presently  being used or have since July 1,
1985 been used, in each Company's  business,  all  applications for registration
and registrations for Intellectual Property, and all licenses, contracts, rights
and arrangements with respect to Intellectual  Property.  Except as set forth in
Exhibit  3.9,  no rights or  licenses  have been  granted  with  respect  to any
Intellectual  Property and all filings and other action necessary to perfect the
full legal right of each Company in the United  States and foreign  countries to
Intellectual Property have been effected.



<PAGE>



               (b)  Except as set forth in Exhibit  3.9,  each  Company  owns or
possesses the right to use all patented and unpatented  inventions,  trademarks,
service marks, trade names, copyrights,  trade secrets, computer lists, computer
programs and software and other  proprietary  processes and  information  of any
kind used in or  necessary  for the  conduct of the  Company's  business  as now
conducted,  without any conflict with or  infringement  of the rights of others.
Except as set forth in  Exhibit  3.9,  no  Company  has  received  notice of any
claimed conflict with respect to any of the foregoing.

               (c) Seller has no knowledge of any default or alleged  default or
state of facts  which with  notice or lapse of time or both would  constitute  a
default  on the  part  of any  party  in the  performance  under  any  licenses,
contracts, agreements or arrangements referred to in Exhibit 3.9.

          3.10 Litigation.  Except as set forth on Exhibit 3.10, (a) there is no
action, claim, litigation, proceeding, arbitration or governmental investigation
pending  or,  to the  best  of the  knowledge  of  Seller,  threatened  against,
involving  or affecting  any Company or Seller (with  respect to the Company) or
any of their respective properties or assets or any of the Companies' respective
officers,  directors  or  employees,  and (b) there are no  outstanding  orders,
writs,  injunctions or decrees of any court,  governmental agency or arbitration
tribunal against, involving or affecting Seller, any Company, or Seller's or any
Company's properties or assets.

          3.11 List of Agreements, etc. Exhibit 3.11 lists as of the date hereof
(a) all of the respective  Companies' and Seller's (with respect to any Company)
material  contracts or agreements to which Seller or any Company is a party; (b)
all notes and agreements  relating to any  indebtedness of the Company or Seller
(with  respect to any  Company),  any  guaranties by the Company or Seller (with
respect to any Company) of the  indebtedness  of other persons of the Company or
Seller (with respect to any Company);  (c) all leases or other rental agreements
under which any Company or Seller (with respect to any Company) is either lessor
or  lessee;  (d) all of the  Companies'  respective  employment  and  consulting
agreements  and all agreements  that provide for severance or similar  benefits;
(e) all agreements between any Company and Seller or any of Seller's affiliates;
and (f) all other agreements,  commitments and understandings  (written or oral)
that  require  payment  by or to the  Company  of more than  $5,000 or cannot be
terminated by the Company on less than 30 days' notice without  liability.  True
and  complete  copies of all of the  leases,  commitments  and other  agreements
referred to on Exhibit 3.11 have been delivered to the Parent.

<PAGE>

          3.12 Status of Agreements.  Each of the  agreements,  commitments  and
leases referred to in section 3.11 (the  "Contracts") is presently in full force
and effect in accordance with its terms and none of the Companies are in default
and, to the best of the  knowledge  of the Seller,  no other party is in default
under any of the  provisions of any of those  Contracts and no condition  exists
that,  with notice or lapse of time or both,  would  constitute a default by any
Company or, to the best of the  knowledge of the Seller,  any other party to any
of the Contracts. No party to any of the Contracts has made, asserted or has any
defense, set-off or counterclaim under any of the Contracts or has exercised any
option granted to it to cancel or terminate any Contract, to shorten the term of
any  Contract  or to renew or extend the term of any  Contract,  and none of the
Companies  has  received  any notice to that  effect.  None of the  Companies is
engaged in any material dispute with any of its suppliers, patients or customers
and, to the best knowledge of the Seller, the transactions  contemplated by this
Agreement will not have a material adverse effect on any Company's  relationship
with any of its suppliers, patients or customers. Except as set forth on Exhibit
3.11, all of the Contracts have been entered into on an arm's-length  basis, and
no Company's purchase commitments is in excess of the normal requirements of its
business or at an excessive price. The Seller and each Company are in compliance
with all terms and provisions of all contracts  material to the operation of the
Companies'  respective  businesses or by which any Company is bound or affected;
and all such  contracts are legally  valid and binding in accordance  with their
terms and in full  force and  effect  except as may be  limited  by  bankruptcy,
moratorium,  reorganization,  insolvency  and  other  similar  laws  of  general
application  relating to or affecting  the rights of  creditors,  and by general
principles of equity.  Except as set forth on Exhibit 3.11, all of the Contracts
involving the Merger Companies have been assigned to Sub as of the Closing,  and
any consents or  authorizations  necessary in connection  therewith have been so
obtained.

          3.13 Cash on Hand. As of the Closing,  the Merger  Companies have cash
and cash equivalents (not including accounts  receivable) in an aggregate amount
that is not less than the aggregate  accounts payable of the Merger Companies as
of the Closing.

          3.14  Accounts  Receivable.  Exhibit  3.14  is an  aged  list  of each
Company's  accounts  receivable  as at June 6,  1996.  Each  Company's  accounts
receivable  arose in the  ordinary  course of  business  for  goods or  services
delivered or rendered,  and to the best of their knowledge and belief constitute
only valid, undisputed claims, not subject to counterclaims or set-offs.

          3.15 Environmental Matters.

               (a) For the purpose of this agreement,  the following terms shall
have the respective meanings set forth below:

                    (i) "Environment"  means any surface or subsurface  physical
medium or natural  resource,  including indoor areas,  air, land, soil,  surface
waters, ground waters, stream and river sediments, and biota.

                    (ii) "Environmental Laws" means any federal, state, local or
common law, rule, regulation,  ordinance, code, order or judgment (including the
common  law and  any  judicial  or  administrative  interpretations,  guidances,
directives,  policy  statements  or opinions)  relating to the injury to, or the
pollution or protection of human health and safety or the Environment.

 

<PAGE>


                    (iii)   "Environmental   Liabilities"   means  any   claims,
judgments,  damages (including  punitive  damages),  losses,  penalties,  fines,
liabilities,  encumbrances,  liens,  violations,  costs and expenses  (including
attorneys and consultants fees) of investigation,  remediation or defense of any
matter  relating to human health,  safety or the Environment of whatever kind or
nature by any party, entity or authority,  (A) which are incurred as a result of
(x) the existence of Hazardous  Substances  in, on, under,  at or emanating from
any real property  presently or formerly owned or operated by the Company or (y)
the  offsite  transportation,   treatment,  storage  or  disposal  of  Hazardous
Substances  generated by the Company or (z) the  violation of any  Environmental
Laws or (B) which arise under the Environmental Laws.

                    (iv)  "Hazardous  Substances"  means  petroleum,   petroleum
products, petroleum-derived substances, radioactive materials, hazardous wastes,
polychlorinated biphenyls, lead based paint, radon, urea formaldehyde,  asbestos
or any materials containing asbestos,  and any materials or substances regulated
or  defined  as  or  included  in  the  definition  of  "hazardous  substances,"
"hazardous   materials,"    "hazardous    constituents,"   "toxic   substances,"
"pollutants,"  "contaminants" or any similar  denomination  intended to classify
substances by reason of toxicity, carcinogenicity,  ignitability, corrosivity or
reactivity under any Environmental Law.

                    (v) All  references  in this  section to the  Company  shall
include all  predecessors  thereto and any person or entity the  liabilities  of
which,  pursuant to the Environmental Laws,  contractually,  by common law or by
operation of law, the Company may have succeeded to.

               (b) To the best of knowledge  and belief,  all of the current and
past  operations  of the  Company  at or from any  real  property  presently  or
formerly  owned,  used,  leased,  occupied or operated by the Company (the "Real
Property")  comply and have complied  with all  applicable  Environmental  Laws.
Neither the Company nor Seller,  nor, to the knowledge of the Company or Seller,
any other person or entity, has engaged in, authorized,  allowed or suffered any
operations or activities  upon any of the Real Property for the purpose of or in
any way involving the handling,  manufacture,  treatment,  processing,  storage,
use,  generation,  release,  discharge,  emission,  dumping or  disposal  of any
Hazardous  Substances  at, on or under the Real  Property,  except in compliance
with all applicable Environmental Laws.

               (c) To the best of knowledge  and belief,  the Real Property does
not  contain  any  Hazardous  Substances  in,  on,  over,  under  or  at  it  in
concentrations  which  would  presently  violate  Environmental  Laws or  impose
liability or  obligations on the present or former owner or operator of the Real
Property under the Environmental Laws for any investigation,  corrective action,
remediation or monitoring of Hazardous  Substances in, on, over, under or at the
Real  Property.  None of the Real  Property is listed or proposed for listing on
the  National  Priorities  List  pursuant  to  the  Comprehensive  Environmental
Response, Compensation and Liability Act ("CERCLA"), 42 U.S.C. ss. 9601 et seq.,
or any  similar  inventory  of  sites  requiring  investigation  or  remediation
maintained by any state. Neither the Company nor Seller has received any notice,
whether  oral or  written,  from any  governmental  entity or third party of any
actual or threatened  Environmental  Liabilities with respect to any of the Real
Property, the Company's assets, or the conduct of the Company's business.


<PAGE>



               (d) To the best of knowledge and belief, there are no underground
storage  tanks,  asbestos  or  asbestos  containing  materials,  polychlorinated
biphenyls,  urea formaldehyde,  or other Hazardous  Substances (other than small
quantities of Hazardous  Substances stored and maintained in accordance with all
applicable  Environmental Laws for use in the ordinary course of the business of
the Company)  in, on, over,  under or at any  presently  owned or operated  Real
Property.

               (e) To the best of knowledge and belief,  there are no conditions
existing at any Real Property  that require,  or which with the giving of notice
or the  passage  of time or both may  require  remedial  or  corrective  action,
removal or closure pursuant to the Environmental Laws.

               (f)  Seller  or  the   Company   has   provided   to  Parent  all
environmental reports, assessments,  audits, studies,  investigations,  data and
other written  environmental  information in its custody,  possession or control
concerning the Real Property or any Environmental Liabilities, whether actual or
threatened.

          3.16 Permits and Licenses; Compliance with Law.

               (a) Seller and each Company holds all the governmental  licenses,
permits and  authorizations  (collectively,  "Permits")  listed under his or its
name in Exhibit 3.16 which  Permits,  except as set forth in that  Exhibit,  are
valid and  unimpaired,  will be unaffected by the  transactions  contemplated by
this agreement and constitute  all of the licenses,  permits and  authorizations
required for the ownership or occupancy of said Company's  properties and assets
and the operation of its business,  and for Seller's practice of medicine in the
State of Florida and participation in the Medicare and Medicaid programs.

               (b) Seller and each Company is in compliance in all respects with
the terms and  conditions of such Permits and with all  requirements,  standards
and procedures of the federal, state and local governmental or regulatory bodies
which issued said Permits.

               (c)  Other  than  shipping  dry  ice  without  utilizing  trained
personnel to do so, to the best of knowledge and belief, Seller (with respect to
the Companies) and each of the Companies is and has been in compliance  with all
federal,  state  and  local  laws,  regulations,   ordinances,   codes,  orders,
requirements,  standards and procedures and other requirements of all courts and
other governmental or regulatory authorities having jurisdiction over the Seller
(with respect to the  Companies)  and each of the  Companies and the  Companies'
respective assets, properties and operations, including, without limitation, all
such laws, regulations,  orders and requirements relating to consumer or patient
protection,  equal  opportunity,   health,  reimbursement,   protection  of  the
environment  and  occupational  safety.  Neither  Seller  (with  respect  to the
Companies)  nor any  Company  has  received  any notice of any  violation  of or
default relating to any such law, regulation, order or other legal requirement.


<PAGE>



               (d)  Seller  and the  Companies  have  received  no notice of any
violation of applicable law, order,  regulation or requirement related to Seller
or any Company and Seller is not aware of any  condition  or state of facts that
could result in any such notice.

          3.17 Employees.

               (a) Exhibit 3.17 lists the names, office locations,  duties, date
of hire, compensation and years of credited service for severance,  vacation and
pension plan purposes of all full- and part-time employees of each Company as of
the date hereof.  No employee  has been  granted any wage or salary  increase or
bonus or any fringe  benefits,  except as stated in Exhibit 3.17. No employee is
owed any wages,  benefits or other  compensation  for past services,  other then
wages,  benefits and  compensation  accrued in the  ordinary  course of business
during the current pay period and accrued  vacation.  Each  Company has complied
with  applicable  wage and  hour,  equal  employment,  safety  and  other  legal
requirements  relating to its  employees  and is not engaged in any unfair labor
practice.  Exhibit  3.17 also lists all current  consultants  of any Company and
discloses their respective duties, date of engagement and compensation.

               (b) Except as set forth on Exhibit  3.18,  no  employee or former
employee of any Company is entitled to any severance payment or similar payment,
either by law or by agreement, upon the termination of his or her employment. No
key  employee  of any  Company  has  indicated  that  he or  she is  considering
terminating his or her employment.

               (c) No employee of any Company is represented by a union or other
collective  bargaining  agent,  and there are no collective  bargaining or other
labor agreements with respect to any of any Company's employees. Seller knows of
no efforts  within the last three  years to attempt to  organize  any  Company's
employees,  and no strike or labor  dispute  involving  any Company has occurred
during the last three years or, to the best knowledge of Seller, is threat ened.

          3.18 Employee Benefit Plans.

               (a) No  Company  has an  "employee  benefit  plans,"  within  the
meaning of Section 3(3) of the Employee  Retirement Income Security Act of 1974,
as  amended,  and all  regulations,  rulings,  and  interpretations  promulgated
thereunder ("ERISA").

          3.19 Insurance.  Each Company  maintains and has maintained  since its
inception  adequate  insurance in such amounts and against such risks and losses
as are customary for other  entities of similar size engaged in Seller's and the
Companies' respective businesses.  Exhibit 3.19 lists all the insurance policies
maintained by each Company,  indicating  the type of coverage,  name of insured,
the insurer,  the premium,  the expiration date of each policy and the amount of
coverage. All such policies (a) are with insurance companies reasonably believed
by the Seller to be  financially  sound and  reputable and are in full force and
effect;  (b) are sufficient for compliance  with all  requirements of law and of
all  applicable  agreements;  and (c) are  valid,  outstanding  and  enforceable
policies.  Complete and correct  copies of such policies have been fur nished to
the Parent.

<PAGE>





          3.20 Banks;  Power of Attorney.  Exhibit 3.20 sets forth the names and
locations of all banks, trust companies, savings and loan associations and other
financial  institutions  at which any Company  maintains  safe deposit  boxes or
accounts of any nature and the names of all persons  authorized to draw thereon,
make withdrawals therefrom or have access thereto. No person or entity holds any
general or special power of attorney from any Company.

          3.21 Books and  Records.  The books and  records of each  Company  are
complete  and  correct in all  material  respects  and have been  maintained  in
accordance with good business  practices.  The minute books of each Company,  as
previously made available to Parent,  contain  complete and accurate  records of
all  meetings  and  accurately   reflect  all  other  corporate  action  of  the
stockholders and board of directors of said Company.

          3.22  Restrictions.  No  Company  is party to any  non-competition  or
similar  agreement  which in any way restricts  the operation of said  Company's
business.

          3.23 Transactions with Affiliates. Except as set forth in Exhibit 3.23
hereto and except for  ordinary  dealings  with its  employees,  since April 30,
1996, no Company has had any direct or indirect dealings with Seller or with any
other key employee of said Company or with any of their  affiliates,  associates
or relatives  (each,  an  "Affiliate").  Except as set forth in Exhibit 3.23 and
except for  employment  arrangements  with its  employees,  no  Company  has any
obligation to or claim against any  Affiliate,  and no such person or entity has
any  obligation  to or  claim  against  any  Company.  Exhibit  3.23  reasonably
describes the nature and extent of any products,  services or benefits  provided
to any Company by any Affiliate without a corresponding charge equal to the fair
market value of such products, services or benefits. No Affiliate has any direct
or indirect  interest of any kind in any business or entity which is competitive
with any Company.

          3.24  Taxes.  Seller  and each  Company  has  filed  with  appropriate
federal,  state and local authorities (or has obtained appropriate extensions of
the time to file) all tax returns required by law, regulation or otherwise to be
filed by him or it for all taxable periods ending on or prior to the date hereof
for which tax returns have become due.  Seller and each Company has paid or made
adequate  provisions for the payment of all taxes,  penalties and interest which
have or may  become  due for or during  all  taxable  periods of Seller and each
Company ending on or prior to the date hereof,  including,  without  limitation,
any such taxes,  penalties  and  interest  relating to the final tax returns due
with respect to the Merger  Companies in  connection  with their merger with and
into Sub.  Seller has furnished to the Parent correct and complete copies of all
notices  and  correspondence  sent or received  since  January 1, 1996 by Seller
(with  respect to any Company) or any Company to or from any  federal,  state or
local tax authorities.  However, no action of the Parent in regard to the merger
shall result in a section 338 election or deemed election.


<PAGE>

          3.25 Third-Party, Research Sponsor and Patient Billings.

               (a) To the best of  knowledge  and belief,  all claims,  reports,
filings and billings by Seller and each Company to patients,  research  sponsors
and  third-party  payors  are  true  and  correct  in all  respects  and  are in
compliance in all respects with all applicable  laws and  regulations  governing
such claims,  reporting,  filings and billing and the policies of such  research
sponsors and third-party payors.

               (b) To the best of knowledge and belief, Seller, each Company and
each Company's officers, directors,  employees and agents, have not, directly or
indirectly  (i)  offered,  paid,  solicited  or  received  any  remuneration  in
violation of the Medicare or Medicaid "fraud and abuse" or "anti-referral" laws,
including but not limited to 42 U.S.C.  ss.ss.  1320a-7b(b)  or 1395nn,  each as
amended from time to time, the  regulations  promulgated  thereunder and similar
provisions of state law and  regulation,  (ii) offered or paid any amount to, or
made any financial  arrangement  with,  any of Seller's or any  Company's  past,
present or potential customers, patients or referral services in order to obtain
business  or  influence  or induce  referrals  from such  customers,  other than
standard  pricing or  discount  arrangements  consistent  with  proper  business
practices and  applicable  law;  (iii) given,  or agreed to give,  nor is Seller
aware that there has been given,  or that there is an agreement to make any gift
or  gratuitous  payment of any kind,  nature or  description  (whether in money,
property or  services)  to any past,  present or  potential  customer,  patient,
referral source, supplier,  source of financing,  landlord,  tenant, licensee or
anyone else at any time of the year; (iv) made, or agreed to make, nor is Seller
aware that there is any  agreement  to make any  political  contribution  or any
contributions,  payment or gifts of their respective funds or property to or for
the private use of any governmental official, employee or agent where either the
payment or the  purpose  of such  contribution,  payment or gift  relates to the
business of Seller and is illegal under the laws of the United States, any state
thereof or any other  jurisdiction  (foreign or  domestic);  or (v) made, or has
agreed to make,  nor is Seller aware that there have been,  or that there is any
agreement  to  make,   any  payments  to  any  person  with  the   intention  or
understanding  that  any  part  of  such  payment  was to be  used  directly  or
indirectly for the benefit of any past, present or potential customer,  patient,
referral source, employee, supplier or landlord of Seller or any Company, or for
any purpose other than that reflected in the documents supporting the payments.

          3.26 Disclosure.  No representation,  warranty or other statement made
by Seller in this  agreement or in any other of Seller's  Documents  contains an
untrue statement of a material fact, or omits to state a material fact necessary
to make the statements contained herein or therein not misleading. Seller is not
aware of any matter  that could  reasonably  be  expected  to have a materi ally
adverse  effect  on any  Company's  business  or  prospects  that  has not  been
disclosed  in  writing  to the  Parent.  There is no fact  which  Seller has not
disclosed to Parent which adversely  affects,  or insofar as Seller can foresee,
will  adversely  affect the ability of Seller to perform its  obligations  under
this  Agreement  or any other  agreement  entered into in  connection  with this
transaction. All documents, Exhibits, Schedules and other materials delivered or
made  available,  by or on behalf of  Seller to Parent in  connection  with this
Agreement and the transactions contemplated hereby, are true and complete.


<PAGE>



                                   ARTICLE IV

                    REPRESENTATIONS AND WARRANTIES OF PARENT

         Parent, for the purpose of inducing Seller to enter into and consummate
this Agreement, hereby represents and warrants to Seller that:

          4.1  Organization.  Parent is a corporation  duly  organized,  validly
existing and in good standing under the law of Delaware.

          4.2 Authority; Consents; and No Conflicts.

               (a) Parent has the full legal right, power and authority to enter
into and perform  this  Agreement  and all other  agreements,  certificates  and
documents executed or delivered,  or to be executed and delivered,  by Parent in
connection with this Agreement (collectively, with this Agreement, the "Parent's
Documents").  The execution,  delivery and performance by Parent of the Parent's
Documents have been duly authorized by all necessary  corporate action of Parent
and the Parent's  Documents are (or when  executed and delivered  will be) valid
and binding  obligations of Parent enforceable against Parent in accordance with
its terms,  except as may be limited by bankruptcy,  insolvency or other similar
laws affecting the  enforcement  of creditors'  rights in general and subject to
general  principles  of equity  (regardless  of whether such  enforceability  is
considered in a proceeding in equity or at law).

               (b) No consent,  approval or authorization  of, or declaration or
filing with, any court or  governmental  authority or any other person or entity
is required on the part of Parent in connection with the execution, delivery and
performance of the Parent's Documents.  The execution,  delivery and performance
by Parent of the Parent's  Documents will not (i) conflict with the  certificate
of  incorporation  or by-laws of Parent;  or (ii)  constitute a violation by the
Parent of any law,  regulation,  order,  writ,  judgment,  injunction  or decree
applicable to it.

          4.3 Liquidation of Merger Companies.  Parent represents that it has no
plan  or  intention  to  liquidate  to  liquidate  Sub,  cause  Sub to  transfer
substantially  all of its assets to another  corporation or entity controlled or
affiliated  with  Parent or to merge Sub with and into  another  corporation  or
entity controlled or affiliated with Parent.

          4.4 Financial  Position  Attached  hereto as Exhibit 4.3 are copies of
Parent's  Form 10-K and Form 10-Q for the year ended  December  31, 1995 and the
quarter ended March 31, 1996, respectively. Said documents are true and complete
in all material respects.


<PAGE>



                                    ARTICLE V

                              ADDITIONAL AGREEMENTS

          5.1  Reasonable  Best  Efforts.  Subject  to the terms and  conditions
herein  provided,  each of the parties hereto agrees to use its reasonable  best
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,  including,  without limitation,  the obtaining of all necessary
waivers, consents and approvals and the effecting of all necessary registrations
and filings.

          5.2 Physician  Employment  Agreement.  At the Closing,  Seller and Sub
shall enter into an  employment  agreement  pursuant  to which Sub shall  employ
Seller to provide certain clinical and other services (the "Physician Employment
Agreement").

          5.3 Employment Agreement.  At the Closing,  Seller and Sub shall enter
into an  Employment  Agreement  pursuant to which Seller shall  provide  certain
services to Parent.

          5.4 Piggyback Registration Rights.

               (a) Inclusion in other  Registrations.  If at any time within two
years  after  the  date of this  Agreement,  Parent  shall  determine  to file a
registration  statement under the Securities Act of 1933 (the "Act") on Form S-l
or its equivalent covering an offering of Parent's common stock by Parent (other
than an exchange offer by Parent to  stockholders  of another  corporation or an
offer to Parent's  employees)  or by any of its  stockholders,  Parent  shall so
notify Seller at least 30 days prior to the filing. Upon written request made by
Seller  within 15 days after the notice is given,  Parent  shall  include in the
registration  statement  such  number of the  shares of  Parent's  common  stock
acquired by Seller  pursuant to this Agreement as Seller shall  designate in its
re quest,  except that Parent  shall not be obligated to include any of Seller's
shares in the registration statement if:

                    (i)  in  the  case  of  a  proposed  registration  statement
covering shares to be offered by Parent, any proposed  underwriter of the shares
covered by the registration statement advises Seller that it reasonably believes
that inclusion of Seller's shares would interfere with the offering of the other
shares being registered;

                    (ii) Seller shall have failed to agree in writing  within 10
days after Parent's request to do so, either:  (A) not to sell any of his shares
for such a period of time as Parent may designate  (not to exceed 120 days after
the effective  date of the  registration  statement),  or (B) to distribute  the
shares for which registration was requested (or such lesser number of shares, in
proportion  to  the  total  number  of  shares  to be  offered  pursuant  to the
registration  state ment as the underwriter may specify)  pursuant to a firm (as
distinguished  from  a  best  efforts)   underwriting   through  an  underwriter
designated by Parent;


<PAGE>



                    (iii)  Parent  withdraws  the  registration  statement  with
respect to all the shares for which  registration  was  contemplated  before the
registration statement becomes effective; or

                    (iv)  Seller  shall have  failed to  furnish to Parent  such
information  and other  material as Parent or its  counsel  may have  reasonably
requested  with  respect to the public  offering  of their  shares or shall have
failed to take any other  action or execute any  documents  which  Parent or its
counsel  reasonably  considers  necessary or desirable  in  connection  with the
registration statement.

               (b) Expenses. Parent shall pay all costs and expenses incurred in
connection with the preparation and filing of any registration statement and, to
the extent any of Seller's shares are included in that  registration  statement,
Seller  shall pay the fees and expenses of brokers or  underwriters  relating to
the sale of  Seller's  shares,  the fees and  expenses of their  counsel,  stock
transfer  taxes  imposed on  Seller's  sales,  the  registration  or filing fees
attributable  to  Seller's   shares,   the  incremental  cost  of  printing  the
registration  statements and prospectuses  requested by Seller and blue-sky fees
and  expenses  in any  jurisdiction  in which  the  shares  would not have to be
qualified  but for the sale by Seller.  Notwithstanding  the  foregoing,  if any
registration  statement  filed by Parent above covers only shares held by Parent
stockholders,  Seller shall pay his proportionate  share of all of the costs and
expenses  incurred by Parent in connection  with the  preparation  and filing of
that  registration  statement (in the  proportion  that the number of his shares
included  in the  registration  statement  bears to the  total  number of shares
covered by the registration statement).

               (c) Additional  provisions.  The following additional  provisions
shall be applicable to this section:

                    (i) Seller's plan of  distribution  shall not require Parent
to file any post-effective amendment to the registration statement to update the
financial  statements that are included in the registration  statement and shall
not require Parent to keep the registration  statement current for more than 120
days after Seller is  permitted  to sell his shares  under the plan.  Parent may
re-register  any  shares  which  shall not have been sold  within  that  120-day
period, and Seller shall cooperate in effecting any such re-registration.

                    (ii) Parent shall not be required to include Seller's shares
in more than two registration statements.

                    (iii) Parent shall  indemnify  Seller and any underwriter of
their  shares and hold them  harmless  against  any loss,  liability,  damage or
expense  (including  reasonable  attorneys'  fees)  arising  out of  any  untrue
statement or alleged untrue  statement of a material fact or omission or alleged
omission  to state a material  fact  required  to be stated in any  registration
statement or prospectus relating to the distribution of Seller's shares,  except
to the extent the loss,  liability,  damage or expense arises out of a statement
or omission that was based upon  information  fur nished in writing to Parent by
Seller  for  use in the  registration  statement  or  prospectus.  Seller  shall
indemnify  Parent and hold it harmless  against any loss,  liability,  damage or
expense  (including  reasonable  attorneys'  fees)  arising  out of  any  untrue
statement or alleged  untrue  statement of material fact or alleged  omission to
state a material  fact  required to be stated in any  registration  statement or
prospectus  relating to the  distribution  of Seller's  shares to the extent the
loss,  liability,  damage or expense  arises out of a statement or omission that
was based upon  information  furnished in writing to Parent by Seller for use in
the  registration  statement  or  pro  spectus.  Promptly  after  receipt  by an
indemnified  party of notice of the  commencement of any action,  he or it shall
notify the  indemnifying  party.  Failure to give such a notice shall not affect
any liability the indemnifying party may have to the indemnified party otherwise
than under this paragraph.  The indemnifying party may participate in the action
or may assume the defense of the action, with counsel reasonably satisfactory to
the indemnified party. After giving notice of such an assumption of the defense,
the indemnifying  party shall not be responsible for any legal or other expenses
subsequently  incurred by the  indemnified  party in connection with the defense
other than reasonable costs of investigation.

<PAGE>

                    (iv)  Seller's  rights under this section shall inure to the
benefit of his heirs,  legatees,  or  personal  representatives,  but not to any
other  transferee or successor.  The provisions of this section shall be binding
upon Seller's heirs, legatees and personal representatives.

         5.5 Voting of Parent Stock.  Seller shall,  at the Closing,  deliver to
Parent a proxy (the "Proxy") granting to Gerardo Canet,  President of Parent, an
irrevocable  proxy to vote all shares of Parent Stock at any and all meetings of
the  stockholders of Parent,  at any and all  adjournments  thereof,  and in any
action by such  stockholders  without a meeting.  The Proxy shall  expire on the
earlier of the second  anniversary  of the Closing Date or upon  termination  of
Seller's employment under the Physician's Employment Agreement or the Employment
Agreement  and,  during its two year term,  shall  afford to Parent the right to
substitute  another  officer of Parent in place of Mr. Canet.  The parties shall
cause an appropriate  legend to be affixed to the Parent Stock held by Seller to
reflect such restriction on voting.

          5.6 Expenses.  Whether or not the  transactions  contemplated  by this
Agreement are  consummated,  all costs and expenses  incurred in connection with
this Agreement (including the Exhibits hereto) and the transactions contemplated
hereby (and thereby) shall be paid by the party incurring such expenses.

          5.7 Public Announcements. Parent shall have control of the content and
timing of any press  release or other content and timing of any press release or
other public disclosure of information  ("Public  Announcement")  concerning the
Merger or the other transactions  contemplated  hereby. The Companies agree that
neither will make any Public  Announcement with respect to this Agreement or the
transactions  contemplated  hereby  without the prior  consent of Parent,  which
consent shall not be unreasonably withheld or delayed.


<PAGE>



          5.08  Commitment  to Fund  NMF.  Parent  agrees  that,  as part of its
commitment  to the  development  of NMF,  it will  provide  funding to NMF on an
as-needed basis during the four (4) year period  commencing on the Closing Date,
in  amounts  not to exceed  Five  Hundred  Thousand  Dollars  ($500,000)  in the
aggregate.  Parent's undertaking to provide such funding shall, in each case, be
based on NMF's  demonstrated  need for such  additional  capital,  as reasonably
determined  from  time to time by  NMF's  board  of  directors  based  on  NMF's
operating budget approved by NMF's board of directors.  Parent shall not receive
any additional  shares of NMF's stock in  consideration  any funding provided in
connection with the commitment under this Section 5.10.

          5.09 Option to Acquire NMF Stock.

               (a) In the event that Parent  shall  receive a Bona Fide Offer to
purchase any or all of Parent's NMF Stock,  and in the further event that Parent
shall  desire  to accept  such  Bona Fide  Offer,  Parent  shall  promptly  send
Registered  Notice to Seller.  Such  Registered  Notice shall offer to sell such
shares of Company Stock that are the subject of the Bona Fide Offer to Seller on
terms the same as those in such Bona Fide Offer  (the "Bona Fide Offer  Terms").
Seller  shall  accept any offer to  purchase  shares,  if at all,  by  notifying
Parent, in writing, of his election to purchase such Bona Fide Offer Shares, and
including in such notice a bank or cashiers'  check for the total purchase price
of the Bona Fide Offer Shares to be so purchased.

               (b) If all Bona Fide  Offer  Shares are not  purchased  by Parent
pursuant to this Section 5.10(b), Parent may sell such Bona Fide Offer Shares to
the Bona Fide Offeror,  at the Bona Fide Offer Terms for a period of time not to
exceed  forty  (40) days from the date the  Registered  Notice  is  received  by
Seller. Any sale of Bona Fide Offer Shares may not be made after such forty (40)
day  period,  or to a person  other  than the Bona Fide  Offeror  without  again
complying with the provisions of Section 5.10(b).

               (c) Parent and Seller  agree to develop a  Stockholder  Agreement
with respect to their  respective  rights and  responsibilities  relative to NMF
within  30  days of the  Closing.  Such  Stockholder  Agreement  shall  provide,
together with other things which may be mutually  agreeable,  that either Seller
or Parent may at any time  notify the other  party of its desire to sever  their
relationship as shareholders of NMF. Such nofifications  shall contain the price
per share of NMF at which the  notifying  party is willing to sell its shares of
NMF to the notified  party or to purchase the shares of NMF held by the notified
party.  Upon receipt of such notice the notified party must elect to either sell
its shares of NMF to the  notifying  party or to purchase the shares of NMF held
by the notifying  party,  in either case at the price set forth in the notifying
party's severance notice. The time within which to respond to a severance notice
and the time to close the  transaction  shall be as reasonably  agreed to by the
parties and set forth in the Stockholder Agreement.

          5.10 Liquidation of Merger Companies. Parent covenants and agrees that
for a period of two (2) years  following  the  Effective  Time,  Parent will not
liquidate Sub, cause Sub to transfer  substantially all of its assets to another
corporation or entity controlled or affiliated with Parent or merge Sub with and
into another corporation or entity controlled or affiliated with Parent.

<PAGE>



                                   ARTICLE VI

                                 INDEMNIFICATION

          6.1 Indemnification.

               (a) Seller shall indemnify,  defend and hold harmless Parent, Sub
and any of their respective directors, officers and employees and successors and
assigns,  promptly upon demand at any time and from time to time against any and
all losses, liabilities, claims, actions, damages or expenses, including without
limitation  reasonable  attorneys' fees and  disbursements,  whether involving a
third party or between the parties to this agreement,  Parent or Sub may suffer,
sustain  or become  subject  to  arising  out of or in  connection  with (i) any
misrepresentation  or  breach  of any  warranty  made  by  Seller  or any of the
Companies in any of Seller's Documents; (ii) any breach or nonfulfillment of any
covenant or agreement  made by Seller or any of the Companies in any of Seller's
Documents;  (iii) any tax,  penalty or interest which have or may become due for
any tax period of Seller or any Company, including, without limitation, any such
tax liability of the Merger  Companies  arising from or in  connection  with the
Merger and final tax returns due with respect to each Merger  Company;  and (iv)
billing of a third party payor or payment  received  from a third party payor in
violation of applicable federal or state law.

               (b) Seller shall indemnify,  defend and hold harmless Parent, Sub
and any of their respective directors, officers and employees and successors and
assigns, promptly upon demand at any time and from time to time, against any and
all  damages,  claims,  losses,  liabilities  and  expenses,  including  without
limitation,  reasonable  legal,  accounting,  consulting,  engineering and other
expenses,  which may  arise out of (i) any  action,  suit,  claim or  proceeding
seeking money damages,  injunctive relief,  remedial action, or any other remedy
by reason of (A) violation of or noncompliance  with the  Environmental  Laws or
any permit,  license,  approval,  authorization or registration issued under the
Environmental Laws, or (B) the disposal, discharge or release of solid wastes or
Hazardous  Substances  whether in compliance with  Environmental Laws or not, or
(C) the  ownership,  operation  or use of any  landfill,  waste water  treatment
facility, air pollution control equipment, storage lagoon, impoundment, or other
waste  management  or  pollution   control  facility  or  equipment  whether  in
compliance with the Environmental  Laws or not, or (D) exposure to any Hazardous
Substances,  noises,  odors or vibrations or (ii) compliance with  Environmental
Laws,  all to the extent they arise from the present or former  ownership,  use,
lease, occupancy or operation of any Real Property.

               (c) Parent  shall  indemnify,  defend and hold  harmless  Seller,
promptly  upon  demand  at any time and from time to time,  against  any and all
losses,  liabilities,  claims, actions,  damages or expenses,  including without
limitation  reasonable  attorneys' fees and  disbursements,  whether involving a
third party or between the parties to this agreement, Seller may suffer, sustain
or  become   subject  to  arising  out  of  or  in   connection   with  (a)  any
misrepresentation  or breach of any  warranty  made by the  Parent in any of the
Parent's  Documents;  and (b) any breach or  nonfulfillment  of any  covenant or
agreement made by the Parent in any of the Parent's Documents.



<PAGE>




          6.2 Defense.  An indemnified  party shall promptly give written notice
to the  indemnifying  party after the  indemnified  party has knowledge that any
legal  proceeding has been  instituted or any claim has been asserted in respect
of which  indemnification  may be sought under the provisions of section 6.1. If
the  indemnifying  party,  within ten (10) days after the indemnified  party has
given such notice (or within such  shorter  period of time as an answer or other
responsive  motion may be required),  shall have  acknowledged in writing his or
its obligation to indemnify and shall have furnished to the indemnified  party a
bond, letter of credit,  escrow or similar arrangement in an amount equal to the
total amount demanded in such claim or proceeding,  then the indemnifying  party
shall have the right to control the defense of such claim or proceeding, and the
indemnified  party  shall not  settle or  compromise  such  claim or  proceeding
without the written consent of the indemnifying  party,  which consent shall not
unreasonably  be  withheld or delayed.  The  indemnified  party may in any event
participate  in any such  defense  with his or its own counsel and at his or its
own expense.

          6.3 Survival. All representations,  warranties, indemnities, covenants
and agreements made by Seller and Parent, respectively, in Seller's Documents or
the Parent's Documents, as the case may be, and in any instrument or certificate
delivered  pursuant  to, or provided  for in said  Documents  shall  survive the
consummation of the transactions  contemplated by this Agreement.  Each party to
this Agreement shall be deemed to have relied upon each and every representation
and warranty of the other party,  regardless of any investigation or examination
made  at any  time by or for  the  party  relying  on  such  representation  and
warranty.

                                   ARTICLE VII

                          CERTAIN DELIVERIES AT CLOSING

          7.1 Parent's Deliveries and Conditions to Seller's Obligations.

         Parent is delivering the following items to Seller herewith in the form
satisfactory to Seller:

               (a) A certified copy of the resolutions of the respective  boards
of directors of Parent and Sub  authorizing  the  execution and delivery of this
Agreement and the consummation of the transactions contemplated hereby.

               (b) The opinion of Claude E.  White,  Esq.  legal  counsel to the
Parent, dated the Closing Date, in the form annexed hereto as Exhibit 7.1(b).

               (c) Four Hundred Thousand Dollars ($400,000).

<PAGE>



               (d) The Physician Employment Agreement, duly executed by the Sub.

               (e) The  Employment  Agreement,  duly  executed  by  Parent  (the
"Employment Agreement").

               (f) A  certificate  for the Parent  Stock,  in the name of Morris
Notelovitz.

               (g) Copies of all consents,  approvals or waivers from regulatory
authorities  and  third  parties  necessary  for  the  execution,  delivery  and
performance of the Parent's Documents and the transactions contemplated thereby.

               (h) Promissory Note in the amount of $600,000.

          7.2 Seller's Deliveries.

          Seller  is  delivering  to  Parent  the  following  herewith  in  form
reasonably satisfactory to Parent:

               (a) A certified copy of the articles of  incorporation  of, and a
good standing  certificate  for,  each Company,  dated not earlier than ten (10)
days prior to the Closing Date, from the Secretary of State of Florida.

               (b) The opinion of Richard M. Knellinger,  P.A., legal counsel to
Seller, dated the Closing Date, in the form annexed hereto as Exhibit 7.2(b).

               (c) A certified copy of the resolutions adopted by the Companies'
respective  boards of directors and  shareholders  authorizing and approving the
transactions contemplated by this Agreement.

               (d)  Certificates  representing the Merger Company Shares and the
NMF Shares,  without  legends,  duly  endorsed in blank or  accompanied  by duly
executed  stock  powers,  together with any required  stock  transfer tax stamps
affixed and canceled and all taxes on such  transfer,  if any, paid in full, all
at the expense of Seller.  Such Shares shall be delivered to the Parent free and
clear of all Liens.

               (e) The Physician Employment Agreement, duly executed by Seller.

               (f) The Employment Agreement, duly executed by Seller.

               (g) The Proxy, duly executed by Seller.


<PAGE>



               (h) Copies of all consents,  approvals or waivers from regulatory
authorities  and  third  parties  necessary  for  the  execution,  delivery  and
performance of Seller's Documents and the transactions contemplated thereby, all
without cost or other adverse consequences to the Company.

                                  ARTICLE VIII

                              RESTRICTIVE COVENANTS

          8.1 (a) For four (4) years after the Closing Date, Seller shall not:

                    (i) directly or indirectly engage or be interested  (whether
as owner,  partner,  lender,  consultant,  employee,  agent or otherwise) in any
business,  activity or enterprise which competes with any aspect of the business
being conducted by any of the Companies, Parent or Sub, or their successor(s);

                    (ii) directly or indirectly  employ or otherwise  engage, or
offer to employ or otherwise engage,  any person who is then (or was at any time
within two (2) years prior to the time of such  employment,  engagement or offer
thereof) an employee,  representative or agent of any Company, Parent or Sub, or
their successor(s); or

                    (iii)  solicit any  business  from any person or entity that
has been a patient or customer of any of the Companies,  Parent or Sub, or their
successor(s)  or  directly  or  indirectly  induce or  influence  any  customer,
patient,  supplier or other person that has a business  relationship with any of
the Companies, Parent of Sub, or their successor(s) to discontinue or reduce the
extent of such relationship.

               (b) In  addition,  Seller  shall  never use or divulge  any trade
secrets,  patient,  customer or supplier lists, pricing  information,  marketing
arrangements or strategies,  business plans,  internal  performance  statistics,
training manuals or other information concerning any of the Companies, Parent or
Sub or any of its affiliates that is competitively sensitive or confidential.

          8.2 Seller  acknowledges  and agrees that the  covenants  contained in
this Article  VIII are fair,  reasonable  and  necessary in order to protect the
Parent's  expenditure  for the Company Shares and therefore it is the desire and
intent of the parties that the  provisions  of this Article shall be enforced to
the fullest extent  permissible under the laws and public policy applied in each
jurisdiction  in which  enforcement  is sought.  Accordingly,  if any particular
provision of this Article shall be adjudicated  to be invalid or  unenforceable,
such deletion  shall apply only with respect to the operation of such  provision
in the particular  jurisdiction in which such adjudication is made. In addition,
should any court  determine  that the  provisions  of this Article VIII shall be
unenforceable  with respect to scope,  duration or geographic  area,  such court
shall be empowered to substitute, to the extent enforceable,  provisions similar
to those contained in this Article VIII, or other provisions so as to provide to
the Parent,  to the fullest  extent  permitted by  applicable  law, the benefits
intended by this Article VIII.


<PAGE>



          8.3  Because  the breach or  attempted  or  threatened  breach of this
restrictive  covenant will result in immediate and irreparable  injury to Parent
for which the Parent will not have an adequate  remedy at law,  Parent  shall be
entitled,  in addition to all other available remedies,  to a decree of specific
performance  of  this  covenant  and to a  temporary  and  permanent  injunction
enjoining such breach,  without posting bond or furnishing similar security. The
provisions  of this  Article  VIII are in  addition  to and  independent  of any
agreements  or  covenants  contained  in any  employment,  consulting  or  other
agreement  between Parent,  Sub any of the Companies or their  successor(s)  and
Seller.

          8.4 Nothing in Section 8.1 shall prevent  Seller from engaging  solely
in the  practice  of Medical  Services  as defined in the  Physician  Employment
Agreement  after  one (1) year  following  termination  of  Seller's  employment
pursuant to the Employment  Agreement or the Physician's  Employment  Agreement,
whichever first occurs.
                                   ARTICLE IX

                                  MISCELLANEOUS

          9.1  Brokers.  Seller  represents  and warrants to Parent that neither
Seller  has dealt  with or  retained  any  broker or finder or agreed to pay any
commission or fee to any broker or finder for or on account of this Agreement or
the transactions  contemplated hereby.  Parent represents and warrants to Seller
that it has not dealt with or retained any broker or finder for or on account of
this Agreement or the  transactions  contemplated  hereby.  Each party agrees to
indemnify  the other  against any loss,  cost or expense,  including  attorneys'
fees, as a result of any claim for a fee or commission asserted by any broker or
finder with respect to this  Agreement or the  consummation  thereof whose claim
arises through dealings with such broker or finder by the indemnifying party.

          9.2  Further  Assurances.  If at any time after the  Closing  Date any
further assignment,  transfers or assurances in law are reasonably  necessary or
desirable to carry out the  provisions  of this  Agreement,  the parties to this
Agreement  shall without further  consideration  execute and deliver any and all
assignments,  transfers,  and  assurances in law, and do all things,  reasonably
necessary  or proper  to such end and  otherwise  to carry  out the  provisions,
intent and transactions contemplated by this Agreement.

          9.3 Notice. Any notice or other communication  required,  by, or which
may be  given  pursuant  to  this  Agreement  shall  be in  writing  and  either
personally  delivered or mailed,  certified or registered mail, postage prepaid,
return receipt  requested,  or overnight courier,  prepaid,  and shall be deemed
given  when  received.  Any such  notice or  communication  shall be sent to the
address set forth below:

                


<PAGE>
                 If to Parent or Sub, at:

                           IVF America, Inc.
                           One Manhattanville Road
                           Purchase, New York 10577-2100
                           Attention:  Dwight Ryan, Vice President

                  With a copy to:

                           IVF America, Inc.
                           One Manhattanville Road
                           Purchase, New York 10577-2100
                           Attention:  Claude White, General Counsel

                  And if to Seller, at:

                           Morris Notelovitz, M.D.
                           2801 N.W. 58th Blvd.
                           Gainesville, FL 32605

                  With a copy to:

                           Richard M. Knellinger, P.A.
                           Barnett Bank Building
                           Suite 305
                           2815 NW 13th Street
                           Gainesville, FL 32609-2829
                           Attn:  Richard M. Knellinger

                  Any party may  change  the  persons  and  addressees  to which
notices or other communications are to be sent to it by giving written notice of
any such change to the other party hereto.

          9.4 Headings.  The headings  contained in this  Agreement are inserted
for  convenience  of  reference  only  and  shall  not  affect  the  meaning  or
interpretation of this Agreement.

          9.5 Exhibits and Schedules.  All Exhibits and Schedules referred to in
this Agreement are deemed annexed hereto and made a part of this Agreement.

          9.6 Entire Agreement.  This Agreement,  together with the Exhibits and
Schedules and the other written agreements  specifically identified elsewhere in
the Agreement  constitutes  the entire  agreement  between the parties to it and
supersedes all prior agreements and  understandings  with respect to the subject
matter of this Agreement;  may not be amended,  modified or discharged,  nor may
any of its terms be waived,  except by an instrument  in writing,  signed by the
party or parties to be  charged;  and shall bind and inure to the benefit of the
parties  and  their  respective  heirs,  executors,   administrators,   personal
representatives,   successors  and  permitted  assigns.   Nothing  expressed  or
mentioned  in this  Agreement  is intended,  or will be  construed,  to give any
person,  firm  corporation  or other  entity,  other  than the  parties  to this
Agreement and their  respective  successors and assigns,  any legal or equitable
right,  remedy or claim  under or in  respect of this  Agreement,  or any of its
provisions.



<PAGE>




          9.7 Assignment. This Agreement may not be assigned by any party hereto
without the prior  written  consent of the other  party,  except that Parent may
assign  this  Agreement  and its rights  hereunder  or delegate  its  objections
hereunder to any direct or indirect wholly-owned subsidiary of Parent.

          9.8 Waivers.  The failure of any party at any time or times to require
performance of any provision  hereof shall in no manner affect the right of such
party at a later time to enforce the same.  No waiver of any nature,  whether by
conduct or  otherwise,  in any one or more  instances,  shall be deemed to be or
construed  as a further or  continuing  waiver of any such  condition  or of any
breach  of  any  other  term,  covenant,  representation  or  warranty  of  this
Agreement.

          9.9  Counterparts.  This  Agreement  may be  executed in any number of
separate counterparts,  each of which shall be deemed to be an original, but all
of which together shall constitute one and the same instrument.

          9.10 Governing Law. This Agreement  shall be governed by and construed
in  accordance  with  the  laws of the  State of  Florida,  irrespective  of the
principal place of business of the parties hereto.

          9.11  Expenses.  Each party shall bear its own expenses in  connection
with this Agreement and all obligations to be performed by it hereunder.

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

IVF AMERICA, INC.                    MIDLIFE CENTERS OF AMERICA, INC.


By:       /s/ Dwight P. Ryan         By:     /s/Morris Notelovitz
          ------------------                 ---------------------
Name:     Dwight P. Ryan             Name:   Morris Notelovitz, MD
Title:    Vice President                     Title:  President



INMD ACQUISITION CORP.               CLIMACTERIC CLINIC, INC.


By:       /s/Dwight P. Ryan          By:    /s/Morris Notelovitz
          -----------------                  ---------------------      
Name:     Dwight P. Ryan             Name:   Morris Notelovitz, MD
Title:    Vice President                     Title:  President


<PAGE>




SELLER:                                WOMEN'S RESEARCH CENTERS, INC.,
                                       AMERICA


/s/Morris Notelovitz                   By:       /s/Morris Notelovitz      
- --------------------                             --------------------      
MORRIS NOTELOVITZ, M.D.                Name:     Morris Notelovitz, MD
                                       Title:    President


                                       NATIONAL MENOPAUSE FOUNDATION, INC.


                                       By:       /s/Morris Notelovitz
                                                 ---------------------
                                       Name:     Morris Notelovitz, MD
                                       Title:    President






                              EMPLOYMENT AGREEMENT


     AGREEMENT made this 7th day of June, 1996 between Morris Notelovitz,  M.D.,
Ph.D.,   residing  at  2801  N.W.   58th  Blvd.,   Gainesville,   Florida  32605
("Physician")  and IVF  America,  Inc.  doing  business  as  IntegraMed  America
("INMD"),  having its principal  place of business at One  Manhattanville  Road,
Purchase, New York 10577.
                                R E C I T A L S:

     INMD, through its Menopause Division (the "Division") is in the business of
owning certain assets and providing  management and  administrative  services to
medical practices  specializing in the provision of medical services,  including
treatment of pre- and post-menopausal women ("Medical Services).

     Physician is duly licensed to practice medicine in the State of Florida and
specializes in the provision of Medical Services.

     Physician is simultaneously herewith entering into an Agreement and Plan of
Merger with INMD, INMD  Acquisition  Corp. and other parties  specified  therein
("Merger Agreement").

     Physician is  simultaneously  herewith entering into an agreement with INMD
Acquisition   Corp.  to  provide   Medical   Services   ("Physician   Employment
Agreement").

     In order to further facilitate the provision of management services by INMD
and  expansion  of its  business,  INMD  desires  to  employ  Physician  as Vice
President for Medical Affairs and Medical Director of the Division and Physician
desires to accept such employment,  on the terms and conditions  hereinafter set
forth.

     NOW,  THEREFORE,  in  consideration  of the  foregoing,  and other good and
valuable consideration set forth herein, the parties agree as follows:

          1.  ENGAGEMENT.  INMD hereby  employs  Physician and Physician  hereby
accepts  employment to serve as Vice  President for Medical  Affairs and Medical
Director of the Division under the terms and conditions  contained herein and as
the parties may agree from time to time.

          2. DUTIES.

               (a) As Vice President for Medical Affairs and Medical Director of
the  Division,   Physician  shall  focus  his  efforts  on  the  development  of
INMD-affiliated  medical  offices  specializing  in  the  provision  of  Medical
Services,   which  offices  will  include  research  capability  ("New  Sites").
Physician  shall also oversee all patient care activities in connection with the
Division  as required to ensure the proper  provision  of services to  patients.
Physician  agrees  to  devote  his  best  efforts  and  ability  and  sufficient
professional  time (which the parties  anticipate shall require two (2) days per
week) to his services as Vice President for Medical Affairs and Medical Director
under the terms and  conditions  contained  herein and as the  parties may agree
from time to time. In connection therewith, Physician's duties shall include but
not be limited to the following:

<PAGE>




                    (i) Assisting with the  identification  of potential markets
and development of specific projects approved by INMD for New Sites;

                    (ii)   Assisting   with  the   preparation   of  appropriate
comprehensive  business plans (which shall require the approval of INMD) for the
establishment of New Sites;

                    (iii)   Assisting   with  the   recruitment   of   qualified
professional  and  non-professional  personnel  and  selection  of  equipment in
connection  with New Sites and  existing  INMD-affiliated  facilities  providing
Medical Services;
                    (iv)  Supervision  of all aspects of the  establishment  and
commencement of operation of New Sites, subject to INMD's ultimate authority;

                    (v) General  oversight of clinical and technical  aspects of
INMD- affiliated  facilities in connection with the Division,  including but not
limited to review and  evaluation  of clinical  data on a periodic  basis and as
circumstances  otherwise require in order to maintain a high quality of clinical
and research activities; and

                    (vi) Assisting with the  development and  implementation  of
educational   outreach  programs  designed  to  facilitate  the  development  of
relationships with physicians in the  obstetrics/gynecology  community and other
specialties and the dissemination of information  pertaining to the availability
of Medical Services and other services offered in connection with the Division.

     Physician  shall have access to and the assistance of INMD's  corporate and
regional staffs in accomplishing the foregoing pursuant to this section 2(a).

               (b) Except as permitted by the  Physician  Employment  Agreement,
Physician shall not, during the term of this Agreement,  otherwise engage in the
practice of medicine or other  business  activities  outside of INMD without the
express written consent of INMD.

               (c) INMD will cause  Physician  to be elected to INMD's  Board of
Directors,  subject to  re-election  by INMD's  shareholders  at the next annual
meeting of INMD and removal in accordance with the provisions of INMD's By-Laws;
provided that if Physician's  employment  hereunder shall  terminate,  Physician
shall be deemed to have automatically and immediately resigned from the Board of
Directors effective with such termination. Physician shall serve on the Board of
Directors without compensation (including fees and stock options) of any kind.

<PAGE>

               (d) INMD shall cause  Physician  to be  appointed  President  and
Chief Executive Officer of National Menopause Foundation, Inc. ("NMF"). As such,
Physician shall have general management responsibility for day-to-day operations
of NMF.

               (e) As Vice President for Medical Affairs and Medical Director of
the Division,  Physician  will report to INMD's  President  and Chief  Executive
Officer  ("President").  In serving as President and Chief Executive  Officer of
NMF, Physician shall report to INMD's President.

               (f) The parties agree that Physician's time commitments hereunder
and pursuant to the Physician  Employment Agreement may be reallocated from time
to time upon mutual agreement of the parties  consistent with the needs of INMD,
NMF and [INMD Acquisition Corp.].

          3. COMPENSATION AND BENEFITS.

               (a) As compensation for Physician's  services rendered hereunder,
Physician shall:

                    (i) Receive a base salary of Seventy-Five  Thousand  Dollars
($75,000)  per  annum,  pro rated for any part of a year  this  Agreement  is in
effect,  payable in  installments  in  accordance  with INMD's  regular  payroll
practices; and

                    (ii) Be paid a bonus of up to One Hundred  Thousand  Dollars
($100,000)  per  annum,  payable  at a rate  of  Seventy-Five  Thousand  Dollars
($75,000) upon  commencement of full operations of the first new site managed by
INMD and  providing  climacteric  medicine  services  ("Site")  and  Twenty-Five
Thousand  Dollars  ($25,000) upon  commencement of full operations of the second
Site each year; provided that Physician shall receive, as an advance against the
$100,000  bonus,  payments in  installments  in accordance  with INMD's  regular
payroll  practices,  and pro rated for any part of a year this  Agreement  is in
effect.

               (b) Physician shall be eligible to participate in INMD's medical,
dental, life and long-term  disability insurance and other benefit programs from
time to time in effect for INMD's  senior  executives,  including  any 40l(k) or
other retirement plans, participation in any such plans to be in accordance with
their respective terms and conditions.

               (c)  Physician  shall be entitled to take up to an  aggregate  of
four weeks of vacation  each calendar  year  (including  vacation time under the
Physician  Employment  Agreement) as business  conditions permit,  provided that
unused  vacation may not accumulate from year to year, and any vacation time not
used  by the end of any  year  shall  not  require  any  additional  payment  to
Physician.

               (d)  INMD  will  reimburse   Physician  for  all  reasonable  and
documented  business expenses incurred by Physician on behalf of INMD during the
term of employment hereunder consistent with INMD's expense reporting policy (as
the same may be modified from time to time).

 

<PAGE>


               (e) Physician shall receive within 30 days of this Agreement,  an
option to acquire 40,000 shares of INMD stock in accordance with INMD's standard
option program for employees.

          4.  COMPLIANCE  WITH INMD POLICIES.  Physician  agrees at all times to
comply with the policies,  directives, bylaws, rules and regulations of INMD and
the directives of INMD's  President and Board of Directors (and, with respect to
NMF, its Board of Directors).

          5. TERM. The term of Physician's employment shall commence on the date
hereof and shall terminate four (4) years  thereafter  unless sooner  terminated
pursuant to the  provisions  of section 6.  Provided  INMD has not exercised its
right hereunder to terminate this Agreement, this Agreement may be extended upon
the  mutual  written  consent  of INMD  and  Physician  on the  same  terms  and
conditions as herein specified, for an additional three (3) year period.

          6. TERMINATION.

               (a)  Physician's  employment  hereunder  may be terminated at any
time by INMD for "cause" (as such term is hereinafter defined) or, upon not less
than thirty (30) days' prior  written  notice,  without  "cause".  For  purposes
hereof, any termination of Physician's  employment pursuant to the provisions of
section 6(f) below shall  additionally be considered  termination of Physician's
employment  by INMD without  "cause".  In the event  Physician's  employment  is
terminated,  this Agreement  shall  terminate as of the  employment  termination
date.

               (b) In the event  Physician's  employment  is  terminated by INMD
without "cause":

                    (i)  Physician  will  be paid  the  following  severance  in
monthly  installments (in arrears)  beginning the first full month following the
cessation of Physician's employment with INMD:

                         (A)  if   termination   occurs  prior  to   Physician's
completion of six (6) months of continuous  employment  with INMD, the amount of
severance  shall be equal to (x) the  balance of the base  salary  plus  advance
bonus  installments  Physician  would have received  hereunder  had  Physician's
employment  continued  for such six  month  period,  plus (y) an  additional  12
months' base salary plus bonus; or

                         (B)  if  termination  occurs  on or  after  Physician's
completion of six full months of continuous  employment with INMD, the amount of
severance shall be equal to 12 months' base salary plus bonus; and

                    (ii)  Physician  will be entitled to receive any accrued but
unpaid  salary  earned  by  Physician   hereunder   through  the  date  of  such
termination.

<PAGE>



               (c) No  severance  shall be paid or payable to  Physician  in the
event Physician's  employment is: (i) terminated for "cause",  (ii) if Physician
voluntarily   resigns  from  employment  with  INMD,  or  (iii)  if  Physician's
employment  under the  Physician  Employment  Agreement  terminates  pursuant to
sections 10(a)(iii) or is terminated by Physician pursuant to 10(a)(vi) thereof,
in which event this Agreement  shall terminate  immediately  upon the date fixed
for the cessation of  Physician's  employment or upon  Physician's  resignation,
respectively; provided, however, that INMD shall nonetheless be obligated to pay
Physician any accrued but unpaid salary  earned by Physician  hereunder  through
the date of such termination.

               (d) For purposes of this Agreement, termination for "cause" shall
mean termination due to any one or more of the following:

                    (i) if  Physician  is indicted  for a felony or any court or
governmental authority determines that Physician has committed any act involving
fraud, dishonesty, breach of trust or moral turpitude;

                    (ii) if  Physician  engages in gross  negligence  or willful
misconduct,  or engages in other conduct of such a material  nature (in the good
faith  opinion  of the  President  or Board of  Directors  of INMD) as to render
Physician's  presence as Vice President for Medical Affairs and Medical Director
detrimental to INMD or its reputation;

                    (iii) if Physician commits a material breach of or a default
under any of the terms or  conditions of this  Agreement and Physician  fails to
cure such breach or default  within ten (10) days after written  notice  thereof
from INMD; or

                    (iv) termination of the Physician  Employment  Agreement for
any reason  (other than  termination  by [INMD  Acquisition  Corp.]  pursuant to
section 10(a)(vi) thereof).

               (e) Physician's employment hereunder shall additionally terminate
immediately  upon Physician's  death or "permanent  disability" (as such term is
hereinafter  defined).  In either such event,  this  Agreement  shall  terminate
immediately  upon the cessation of Physician's  employment;  provided,  however,
Physician  (or  Physician's  legal  representative,  as the case may be) will be
entitled to receive any accrued but unpaid salary earned by Physician  hereunder
through the date of such termination, plus severance in monthly installments (in
arrears), beginning the first full month following the date of such termination,
in an aggregate amount equal to the positive difference, if any, between (x) the
base  salary plus  advance  bonus  installments  Physician  would have  received
hereunder for the six months  immediately  following such  termination  date had
Physician's  employment  continued for such six month period,  and (y) the total
monies paid or payable to Physician  with respect to such six month period under
the long-term  disability  insurance  policy or policies  maintained by INMD for
Physician's benefit, if any. For purposes of this Agreement, the term "permanent
disability"  shall  have  the  meaning  set  forth in the  long-term  disability
insurance  policy or  policies  then  maintained  by INMD for the benefit of its
employees,  or if no such  policy  shall then be in effect,  or if more than one
such  policy  shall then be in effect in which the term  "permanent  disability"
shall be assigned different  definitions,  then the term "permanent  disability"
shall be defined for purposes  hereof to mean any physical or mental  disability
or incapacity which renders Physician incapable of fully performing the services
required in accordance with  Physician's  obligations  hereunder for a period of
120  consecutive  days or for shorter  periods  aggregating  120 days during any
twelve-month period.



<PAGE>

               (f)  Supplementing the provisions of this section 6, in the event
Physician's  employment  hereunder is  terminated by Physician due to any one or
more of the following  events,  such  termination of employment  shall be deemed
termination of Physician's employment by INMD without "cause" within the meaning
of this section 6:

                    (i) a material  breach of or default under this Agreement by
INMD which is not cured by INMD  within  thirty  (30) days after its  receipt of
written notice thereof from Physician; or

                    (ii)  a  material  reduction  in  Physician's  duties  or  a
material interference with the exercise of Physician's authority by INMD's Board
of Directors (not arising from any physical or mental  disability  Physician may
sustain) which would be inconsistent with Physician's position as Vice President
for Medical Affairs and Medical  Director of the Division and the same shall not
have been alleviated by INMD's Board of Directors within fifteen (15) days after
its receipt of prior written notice thereof from Physician;  provided,  however,
that a  termination  by  Physician of  employment  pursuant to this section 6(f)
shall  not be  deemed  for  purposes  hereof  to  constitute  a  termination  of
Physician's  employment  by  INMD  without  "cause",  if,  at the  time  of such
termination by Physician,  INMD shall be entitled to terminate this Agreement by
reason of  Physician's  "permanent  disability"  (subject  to the passage of any
remaining  time  necessary  to render any  disability  Physician  may  sustain a
"permanent disability" under section 6(e) above), or for "cause" (subject to any
applicable  cure  period)  and INMD shall have sent,  or shall  send,  Physician
within ten (10) days of INMD's receipt of Physician's  notice or termination,  a
notice of termination  by INMD  specifying the "cause" or notice by INMD of such
pending Permanent Disability.

               (g)  Notwithstanding  anything in sections  6(b) or 6(e) above to
the contrary:

                    (i)  Physician  shall  not  have any  obligation  to INMD to
mitigate any termination of employment under such subsections  hereunder whereby
Physician  would be  required  by INMD  promptly  to seek,  procure or  commence
substitute employment; and

                    (ii) in the event  Physician does seek,  procure or commence
such  substitute  employment,  none of the  income  derived  or to be derived by
Physician  therefrom  shall  be set  off by  INMD  against  the  balance  of any
severance payments, if any, owing to Physician by INMD under this Agreement.

               (h) Upon termination of this Agreement,  as hereinabove provided,
neither  party  shall have any further  obligation  hereunder  except  for:  (i)
obligations  accruing prior to the date of  termination;  and (ii)  obligations,
promises or  covenants  which are  expressly  made to extend  beyond the term or
termination of this Agreement.  Notwithstanding anything herein to the contrary,
the  provisions  of  sections  7  and  8  hereof  shall  expressly  survive  the
termination of this Agreement.
 

<PAGE>

                  (i) Upon  termination of this Agreement  without  "cause," the
Proxy (as such term is defined in the Merger  Agreement)  shall be of no further
force and effect.

          7. RESTRICTIVE COVENANTS.

               (a) For one (1) year  after the  termination  of this  Agreement,
Physician shall not:

                    (i) directly or indirectly engage or be interested  (whether
as owner,  partner,  lender,  consultant,  employee,  agent or otherwise) in any
business,  activity or enterprise which competes with any aspect of the business
being conducted by INMD, its affiliates or successor(s);

                    (ii) directly or indirectly  employ or otherwise  engage, or
offer to employ or otherwise engage,  any person who is then (or was at any time
within two (2) years prior to the time of such  employment,  engagement or offer
thereof)  an  employee,  representative  or  agent of INMD,  its  affiliates  or
successor(s); or

                    (iii)  solicit any  business  from any person or entity that
has been a patient or  customer  of INMD,  its  affiliates  or  successor(s)  or
directly or indirectly  induce or influence any customer,  patient,  supplier or
other  person that has a business  relationship  with INMD,  its  affiliates  or
successor(s) to discontinue or reduce the extent of such relationship.

               (b) In addition,  Physician  shall never use or divulge any trade
secrets,  patient,  customer or supplier lists, pricing  information,  marketing
arrangements or strategies,  business plans,  internal  performance  statistics,
training  manuals  or other  information  concerning  INMD,  its  affiliates  or
successor(s) that is competitively sensitive or confidential.

               (c)  Physician   acknowledges   and  agrees  that  the  covenants
contained  in this  Section 7 are fair,  reasonable  and  necessary  in order to
protect  INMD's  goodwill and business  interests and therefore it is the desire
and  intent  of the  parties  that the  provisions  of this  Section  7 shall be
enforced  to the fullest  extent  permissible  under the laws and public  policy
applied in each jurisdiction in which enforcement is sought. Accordingly, if any
particular  provision  of this  Section  shall be  adjudicated  to be invalid or
unenforceable,  such deletion  shall apply only with respect to the operation of
such  provision in the particular  jurisdiction  in which such  adjudication  is
made.  In  addition,  should any court  determine  that the  provisions  of this
Section 7 shall be unenforceable  with respect to scope,  duration or geographic
area,  such court shall be empowered to substitute,  to the extent  enforceable,
provisions  similar to those contained in this Section 7, or other provisions so
as to provide to INMD, to the fullest  extent  permitted by applicable  law, the
benefits intended by this Section 7.

 

<PAGE>


               (d) Because the breach or attempted or threatened  breach of this
restrictive covenant will result in immediate and irreparable injury to INMD for
which INMD will not have an adequate  remedy at law, INMD shall be entitled,  in
addition to all other available remedies, to a decree of specific performance of
this covenant and to a temporary and permanent injunction enjoining such breach,
without  posting bond or furnishing  similar  security.  The  provisions of this
Section 7 are in addition to and  independent  of any  agreements  or  covenants
contained in any  employment,  consulting or other  agreement  between INMD, its
affiliates or successor(s) and Physician.

               (e)  Nothwithstanding  anything  herein  to  the  contrary,  this
Section 7 shall  terminate  and be of no  further  effect  after  four (4) years
following the date of this Agreement.

          8.  PUBLICATIONS.   Physician  agrees  that  any  and  all  abstracts,
articles,  reviews,  or other publications that Physician proposes to submit for
publication  within the  scientific or medical  community,  or otherwise,  which
publication  is the result of direct or indirect  support from INMD, in the form
of, including, but not limited to, materials,  patients, personnel, data or INMD
resources,   Physician  will  submit  to  INMD's  Vice  President,  Science  and
Technology  and its [Vice  President,  Medical  Affairs],  not less than 30 days
prior  to the  proposed  submission  date,  a copy of the  proposed  article  or
publication,  for INMD's proprietary  review.  Physician further agrees that the
appropriate  statement,  "Support  provided  by  IntegraMed  America,  Inc."  or
"Supported  in  part  by  IntegraMed  America,  Inc."  will  be set  forth  as a
disclosure with respect to the publication.

          9. NOTICES. All notices,  requests,  demands, and other communications
provided for in this Agreement or required among the parties in connection  with
the Agreement  shall be in writing and shall be deemed to have been given at the
time when  personally  delivered,  mailed at any United  States  Post Office via
registered or certified  mail,  prepaid,  return receipt  requested,  or sent by
overnight  delivery  service  against  receipt,  addressed  to the  party at the
address set forth  below or such other  address as said party may  designate  by
notice:

         If to Physician:

                  Morris Notelovitz, M.D., Ph.D.
                  2801 N.W. 58th Blvd.
                  Gainesville, Florida 32605

         With a copy to:

                  Richard M. Knellinger, P.A.
                  Barnett Bank Building
                  Suite 305
                  2815 Northwest 13th Street
                  Gainesville, FL 32609-2889



 

<PAGE>



         If to INMD, at:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Gerardo Canet, President

         With a copy to:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Claude White, General Counsel

          10.  INSURANCE.  Physician  agrees that INMD may,  in its  discretion,
apply for and take out in its name and at its own  expense,  and  solely for its
benefit,  key man life  insurance on Physician in any amount deemed or advisable
by INMD to protect its  interests,  and  Physician  agrees that he shall have no
right,  title or interest therein and further agrees to submit to any medical or
other   examination  and  to  execute  and  deliver  any  application  or  other
instruments in writing reasonably necessary to effectuate such insurance.

         11. PHYSICIAN'S REPRESENTATIONS. Physician represents and warrants that
he is not  under any  obligation,  restriction  or  limitation,  contractual  or
otherwise,  to any other individual or entity which would prohibit or impede him
from performing his duties and responsibilities  hereunder and that Physician is
free to enter into and perform the terms and provisions of this Agreement,  such
representations and warranty to survive the execution,  delivery and termination
hereof.

          12.  AMENDMENT.  No  modification,  amendment,  or  addition  to  this
Agreement,  nor waiver of any of its  provisions,  shall be valid or enforceable
unless in writing and signed by all parties.

          13.  ASSIGNMENT.  No assignment or delegation of this Agreement or the
rights and  obligations  hereunder  shall be valid without the specific  written
consent of both parties.

          14. ENTIRE AGREEMENT. This Agreement contains the entire understanding
between  the  parties  and  supersedes  any prior oral or written  understanding
between the parties with respect to the subject matter hereof.

          15.  APPLICABLE  LAW. This Agreement  shall be governed by the laws of
the State of Florida without regard to conflicts of law.

          16.  SEVERABILITY.  Each provision in this Agreement is intended to be
severable,  and may be modified by any court of  competent  jurisdiction  to the
extent  necessary to make such provision valid and  enforceable.  If any term or
provision hereof shall be determined by a court of competent  jurisdiction to be
illegal or invalid for any reason whatsoever in whole or in part, such provision
or portion thereof shall be reduced as provided in Section 15 or be severed from
this  Agreement  and shall not  affect the  validity  of the  remainder  of this
Agreement.




<PAGE>

          17.  WAIVER;  CONSENT.  No consent or waiver,  express or implied,  by
either  party  hereto,  or of any breach or  default  by the other  party in the
performance by the other of its obligations hereunder,  shall be valid unless in
writing,  and no such  consent or waiver  shall be deemed or  construed  to be a
consent or waiver to or of any other  breach or default  on the  performance  by
such other party of the same or any other  obligation  of such party  hereunder.
Failure on the part of either  party to complain of any act or failure to act of
the other party or to declare the other  party in default,  irrespective  of how
long such failure continues,  shall not constitute a waiver by such party of its
rights hereunder.  The granting of any consent or approval in any other instance
by or on behalf of  Physician  and/or  INMD shall not be  construed  to waive or
limit the need for such consent in any other or subsequent instance.

          18. FURTHER ACTION.  Each party hereto agrees that it will execute and
deliver such  further  instruments  and will take such further  action as may be
necessary to discharge,  perform or carry out any of its respective  obligations
and agreements hereunder.

     IN WITNESS WHEREOF,  the parties have hereunto set their hands and seals as
of the date first above written.

IVF AMERICA, INC.



By:   /s/Dwight P. Ryan
      ------------------------------
      Dwight P. Ryan, Vice President


Employee:


       /s/Morris Notelovitz
       -----------------------------
       Morris Notelovitz, M.D.






                         PHYSICIAN EMPLOYMENT AGREEMENT

     AGREEMENT made this 7th day of June, 1996 between Morris Notelovitz,  M.D.,
Ph.D.,   residing  at  2801  N.W.   58th  Blvd.,   Gainesville,   Florida  32605
("Physician")  and INMD Acquisition  Corp.  ("IAC"),  a Florida  corporation and
wholly owned  subsidiary  of IVF America,  Inc.  ("INMD"),  having its principal
place of business  at Office  Park West,  222 S.W.  36th  Terrace,  Gainesville,
Florida 32607.

                                R E C I T A L S:


     IAC  specializes in the provision of  gynecological  services,  climacteric
medicine services, clinical research, and related services,  including treatment
of pre- and post-menopausal women ("Medical Services").

     Physician is duly licensed to practice medicine in the State of Florida and
specializes in the provision of Medical Services.

     Physician is simultaneously herewith entering into an Agreement and Plan of
Merger with INMD, IAC and other parties specified therein ("Merger Agreement").

     Physician is also  simultaneously  herewith entering into an agreement with
INMD to serve as Vice  President,  Medical  Affairs and Medical  Director of the
Menopause Division of INMD ("Employment Agreement").

     In order to further  facilitate  the  provision  of Medical  Services,  IAC
desires to employ Physician and Physician desires to accept such employment,  on
the terms and conditions hereinafter set forth.

     NOW,  THEREFORE,  in  consideration  of the  foregoing,  and other good and
valuable consideration set forth herein, the parties agree as follows:

          1.  ENGAGEMENT.  IAC hereby  employs  Physician and  Physician  hereby
accepts  employment to provide  Medical  Services under the terms and conditions
contained herein and as the parties may agree from time to time.

          2. DUTIES.

               (a) Physician  shall provide  patient care and clinical backup as
required to ensure the proper  provision of services to patients of IAC at IAC's
office at the address set forth in Schedule A and/or such other  location(s)  as
shall be mutually  agreed to by IAC and  Physician  (the  "Offices").  Physician
agrees to devote  substantially all of his professional time, effort and ability
(except  such time,  effort and  ability  devoted to his duties  pursuant to the
Employment  Agreement  and  lecturing  and  writing  in the area of  climacteric
medicine) to the provision of Medical  Services  under the terms and  conditions
contained  herein and as the parties may agree from time to time.  In connection
therewith, Physician's duties shall include but not be limited to the following:

<PAGE>



                    (i)   Provision   of   patient    counseling   and   medical
examinations;

                    (ii)  Reviewing  and  evaluating  clinical data on a routine
basis and making specific recommendations for improving treatment outcomes;

                    (iii)  Maintenance  of  a  thorough   understanding  of  and
proficiency  in the  application  of the  most  current  medical  knowledge  and
technologies  (including both surgical and non-surgical  techniques) relevant to
Medical Services; and
                    (iv) Development and implementation of educational  outreach
programs designed to facilitate the development of relationships with physicians
in the  obstetrics/gynecology  community and other medical  specialties  and the
dissemination of information pertaining to the availability of Medical Services.

               (b) Except as permitted by Section 3(b) hereof,  Physician  shall
not,  during the term of this  Agreement,  otherwise  engage in the  practice of
medicine outside of IAC without the express written consent of IAC and INMD.

               (c)  Physician   acknowledges   and  agrees  that   Physician  is
responsible for all clinical care or other  professional  services  delivered by
him or pursuant to his instructions.

          3. COMPENSATION.

               (a) In  consideration  of the Medical  Services to be provided by
Physician  hereunder,  Physician  shall be compensated as provided on Schedule B
attached hereto and made a part hereof.

               (b) All  remuneration  received by  Physician  in payment for any
outside professional medical activities (other than his compensation pursuant to
the Medical Director Agreement) and speaking  engagements,  but excluding income
derived  from  Physician's  service  on  boards  of  directors,   testimony  for
litigation-related  proceedings,  passive  investments,  fund  raising  or  book
royalties,  shall be accounted to and be the sole  property of IAC.  Physician's
engagement in outside  professional  medical  activities shall require the prior
express  written  consent  of IAC and  INMD,  which  shall  not be  unreasonably
withheld, and shall not interfere in any way with the fulfillment of Physician's
duties hereunder or diminish the quality of the Medical Services rendered.

<PAGE>



          4.  BILLING.  All fees for Medical  Services  rendered by Physician on
behalf of IAC hereunder shall be billed and collected by IAC or its designee. In
consideration of the payment to Physician of the compensation  described herein,
all  receivables and collections  attributable to Medical  Services  provided by
Physician  to IAC  patients  are and  shall  become  the  property  of IAC,  and
Physician agrees  immediately to turn over to IAC any such payments  received by
Physician  during  the  term  hereof.  Physician  hereby  authorizes  IAC or its
designee to bill for Medical Services  provided  hereunder and agrees to execute
any and all  assignments or other documents that may be necessary or appropriate
to permit IAC or its designee to carry out all billing and collection functions.
Physician  agrees that  Physician  shall not  otherwise  submit bills for,  seek
remuneration  for or  collect  fees for  Medical  Services  provided  hereunder.
Physician shall look solely to IAC for compensation for his professional medical
services provided hereunder.

          5. MEDICAL STAFF  PRIVILEGES.  Physician hereby  acknowledges  that in
order to provide Medical Services to IAC as herein  required,  Physician must at
all times during the term of this  Agreement be a member in good  standing of at
least  one  JCAHO-accredited  hospital  in the  geographic  area  of each of the
Offices (the "Hospital(s)").

          6.  PROFESSIONAL  LIABILITY  INSURANCE.  Physician  shall  qualify for
professional  liability insurance coverage throughout the term of this Agreement
in amounts of not less than $1.0  million per  occurrence,  $3.0  million in the
aggregate.  IAC shall obtain and  maintain on behalf of  Physician  professional
liability   insurance   in  amounts  of  not  less  than  One  Million   Dollars
($1,000,000.00)  per occurrence,  Three Million Dollars  ($3,000,000.00)  in the
aggregate.

          7.  COMPLIANCE  WITH IAC  POLICIES.  Physician  agrees at all times to
comply with all reasonable policies,  directives,  bylaws, rules and regulations
of IAC. Physician acknowledges that IAC shall have final authority over: (a) the
acceptance or refusal to treat any patient;  and (b) the amount of the fee to be
charged for all Medical  Services  rendered by  Physician to patients of IAC, so
long as such fees are  lawful and  reasonable.  Notwithstanding  the  foregoing,
Physician may refuse to treat any patient whom he reasonably believes should not
be treated based upon reasonable legal or medical concerns.

          8. MEDICAL RECORDS.  All medical records of patients to whom Physician
provides  Medical Services or other medical services on behalf of IAC during the
term hereof shall be the property of IAC. A copy of the medical  records of such
patients  will be made  available to  Physician  upon  request  consistent  with
patient confidentiality laws.

          9. TERM. The term of this Agreement shall begin on the date hereof and
shall terminate four (4) years thereafter unless sooner  terminated  pursuant to
the provisions of Section 10. Provided IAC has not exercised its right hereunder
to terminate  this  Agreement,  this  Agreement  may be extended upon the mutual
written  consent of IAC and Physician on the same terms and conditions as herein
specified, for an additional three (3) year period.

<PAGE>



          10. TERMINATION.

               (a) This Agreement  shall terminate upon the occurrence of any of
the following:

                    (i)  Termination of the Medical  Director  Agreement for any
reason if such agreement terminates without a successor  agreement,  or upon the
termination  of any  successor  agreement  thereto  which  terminates  without a
successor agreement;

                    (ii)  Conviction  of  Physician  of a felony or  suspension,
revocation  or  non-renewal  of  Physician's  license to practice  medicine;  or
limitation  of  Physician's  license to  practice  medicine  in any manner  that
materially affects his ability to provide Medical Services hereunder;

                    (iii) Upon the mutual agreement of the parties at any time;

                    (iv) Upon the loss by  Physician of Hospital  medical  staff
privileges as described in Section 5;

                    (v) By  either  party  upon a  material  breach by the other
party;  provided that the  non-breaching  party first gives the breaching  party
written notice of the breach,  and the breaching  party fails to cure the breach
within thirty (30) days after such notice;

                    (vi) By either party without cause upon giving the other not
less than six (6) months' prior written notice; or

                    (vii) Upon death or disability of Physician.

               (b) Upon termination of this Agreement,  as hereinabove provided,
neither  party  shall have any further  obligation  hereunder  except  for:  (i)
obligations  accruing prior to the date of  termination;  and (ii)  obligations,
promises or  covenants  which are  expressly  made to extend  beyond the term or
termination of this Agreement.

          11. REPRESENTATIONS AND COVENANTS.

               Physician makes the following  representations and covenants, the
continuing  validity  and  performance  of  which  throughout  the  term of this
Agreement shall be a material term of this Agreement:



<PAGE>



               (a)  Physician  is licensed to practice  medicine in the State of
Florida without  limitation and is board certified in obstetrics and gynecology,
and shall take all actions necessary to retain such credentials;

               (b) Physician is authorized by the U.S. Drug  Enforcement  Agency
to prescribe all  pharmaceuticals  required in connection  with the provision of
Medical Services;  in addition,  Physician  maintains any and all authorizations
from the State of Florida and other  governmental  agencies that are required in
connection with the prescribing of pharmaceuticals  or Physician's  provision of
Medical Services;

               (c)  There  are  no  professional   disciplinary  proceedings  or
malpractice actions threatened or pending against Physician;

               (d) Physician  has notified and will  promptly  notify IAC of all
malpractice  actions  and  professional   disciplinary  proceedings  brought  or
threatened  to be brought  against him and the progress and  disposition  of any
such action or proceeding; and

               (e) Physician  shall at all times  conduct  himself in compliance
with all applicable policies and procedures of IAC as reasonably communicated to
him,  as well as all  applicable  federal,  state,  and  local  laws,  rules and
regulations and ethical principles of the practice of medicine.

         12.      RESTRICTIVE COVENANTS.

               (a) For one (1) year  after the  termination  of this  Agreement,
Physician shall not:
                    (i) directly or indirectly engage or be interested  (whether
as owner,  partner,  lender,  consultant,  employee,  agent or otherwise) in any
business,  activity or enterprise which competes with any aspect of the business
being conducted by IAC, INMD, their affiliates or successor(s);

                    (ii) directly or indirectly  employ or otherwise  engage, or
offer to employ or otherwise engage,  any person who is then (or was at any time
within two (2) years prior to the time of such  employment,  engagement or offer
thereof) an employee,  representative or agent of IAC, INMD, their affiliates or
successor(s); or

                    (iii)  solicit any  business  from any person or entity that
has been a patient or customer of IAC, INMD, their affiliates or successor(s) or
directly or indirectly  induce or influence any customer,  patient,  supplier or
other person that has a business  relationship  with IAC, INMD, their affiliates
or successor(s) to discontinue or reduce the extent of such relationship.

<PAGE>



               (b) In addition,  Physician  shall never use or divulge any trade
secrets,  patient,  customer or supplier lists, pricing  information,  marketing
arrangements or strategies,  business plans,  internal  performance  statistics,
training manuals or other information  concerning IAC, INMD, their affiliates or
successor(s) that is competitively sensitive or confidential.

               (c)  Physician   acknowledges   and  agrees  that  the  covenants
contained  in this  Section 12 are fair,  reasonable  and  necessary in order to
protect IAC's and INMD's goodwill and business interests and therefore it is the
desire and intent of the parties that the provisions of this Section 12 shall be
enforced  to the fullest  extent  permissible  under the laws and public  policy
applied in each jurisdiction in which enforcement is sought. Accordingly, if any
particular  provision  of this  Section  shall be  adjudicated  to be invalid or
unenforceable,  such deletion  shall apply only with respect to the operation of
such  provision in the particular  jurisdiction  in which such  adjudication  is
made.  In  addition,  should any court  determine  that the  provisions  of this
Section 12 shall be unenforceable with respect to scope,  duration or geographic
area,  such court shall be empowered to substitute,  to the extent  enforceable,
provisions similar to those contained in this Section 12, or other provisions so
as to provide to IAC and INMD,  to the fullest  extent  permitted by  applicable
law, the benefits intended by this Section 12.

               (d) Because the breach or attempted or threatened  breach of this
restrictive  covenant will result in immediate and irreparable injury to IAC and
INMD for  which IAC and INMD will not have an  adequate  remedy at law,  IAC and
INMD shall be entitled, in addition to all other available remedies, to a decree
of  specific  performance  of this  covenant  and to a temporary  and  permanent
injunction  enjoining such breach,  without  posting bond or furnishing  similar
security.  The provisions of this Section 12 are in addition to and  independent
of any agreements or covenants contained in any employment,  consulting or other
agreement between IAC, INMD, their affiliates or successor(s) and Physician.

               (e) Notwithstanding anything herein to the contrary, this Section
12 shall  terminate  and be of no further  force and effect after four (4) years
from the date of this Agreement.

          13.  PUBLICATIONS.  Physician  agrees  that  any  and  all  abstracts,
articles,  reviews,  or other publications that Physician proposes to submit for
publication  within the  scientific or medical  community,  or otherwise,  which
publication  is the result of direct or indirect  support from INMD, in the form
of,  including,  but not limited to,  materials,  patients,  personnel,  data or
Office or IAC resources, Physician will submit to INMD's Vice President, Science
and Technology and its [Vice President,  Medical Affairs], not less than 30 days
prior  to the  proposed  submission  date,  a copy of the  proposed  article  or
publication,  for INMD's proprietary  review.  Physician further agrees that the
appropriate  statement,  "Support  provided  by  IntegraMed  America,  Inc."  or
"Supported  in  part  by  IntegraMed  America,  Inc."  will  be set  forth  as a
disclosure with respect to the publication.



<PAGE>



          14. NOTICES. All notices, requests,  demands, and other communications
provided for in this Agreement or required among the parties in connection  with
the Agreement  shall be in writing and shall be deemed to have been given at the
time when  personally  delivered,  mailed at any United  States  Post Office via
registered or certified  mail,  prepaid,  return receipt  requested,  or sent by
overnight  delivery  service  against  receipt,  addressed  to the  party at the
address set forth  below or such other  address as said party may  designate  by
notice:

         If to Physician:

                  Morris Notelovitz, M.D., Ph.D.
                  2801 N.W. 58th Blvd.
                  Gainesville, Florida 32605

         With a copy to:

                  Richard M. Knellinger, P.A.
                  Barnett Bank Building
                  Suite 305
                  2815 Northwest 13th Street
                  Gainesville, FL 32609-2889

         If to IAC, at:

                  INMD Acquisition Corp.
                  Office Park West
                  222 S.W. 36th Terrace
                  Gainesville, Florida 32607
                  Attention: Executive Director

         With a copy to:

                  IntegraMed America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Stephen Comess, Vice President

          15.  AMENDMENT.  No  modification,  amendment,  or  addition  to  this
Agreement,  nor waiver of any of its  provisions,  shall be valid or enforceable
unless in writing and signed by all parties.

          16.  ASSIGNMENT.  No assignment or delegation of this Agreement or the
rights and  obligations  hereunder  shall be valid without the specific  written
consent of both parties.



<PAGE>



          17. ENTIRE AGREEMENT. This Agreement contains the entire understanding
between  the  parties  and  supersedes  any prior oral or written  understanding
between the parties with respect to the subject matter hereof.

          18.  APPLICABLE  LAW. This Agreement  shall be governed by the laws of
the State of Florida without regard to conflicts of law.

          19.  SEVERABILITY.  Each provision in this Agreement is intended to be
severable,  and may be modified by any court of  competent  jurisdiction  to the
extent  necessary to make such provision valid and  enforceable.  If any term or
provision hereof shall be determined by a court of competent  jurisdiction to be
illegal or invalid for any reason whatsoever in whole or in part, such provision
or portion thereof shall be reduced as provided in Section 15 or be severed from
this  Agreement  and shall not  affect the  validity  of the  remainder  of this
Agreement.

          20.  WAIVER;  CONSENT.  No consent or waiver,  express or implied,  by
either  party  hereto,  or of any breach or  default  by the other  party in the
performance by the other of its obligations hereunder,  shall be valid unless in
writing,  and no such  consent or waiver  shall be deemed or  construed  to be a
consent or waiver to or of any other  breach or default  on the  performance  by
such other party of the same or any other  obligation  of such party  hereunder.
Failure on the part of either  party to complain of any act or failure to act of
the other party or to declare the other  party in default,  irrespective  of how
long such failure continues,  shall not constitute a waiver by such party of its
rights hereunder.  The granting of any consent or approval in any other instance
by or on behalf of Physician and/or IAC shall not be construed to waive or limit
the need for such consent in any other or subsequent instance.

          21. FURTHER ACTION.  Each party hereto agrees that it will execute and
deliver such  further  instruments  and will take such further  action as may be
necessary to discharge,  perform or carry out any of its respective  obligations
and agreements hereunder.

     IN WITNESS WHEREOF,  the parties have hereunto set their hands and seals as
of the date first above written.

INMD ACQUISITION CORP.                        Physician:


By:    /s/Dwight P. Ryan                      /s/Morris Notelovitz
       ------------------------------         -----------------------------
       Dwight P. Ryan, Vice President         Morris Notelovitz, M.D., Ph.D.




<PAGE>



                                   SCHEDULE A

                               OFFICE LOCATION(S)



                              222 S.W. 36th Terrace
                           Gainesville, Florida 32607



<PAGE>


                                   SCHEDULE B

                                  COMPENSATION


     Physician's  compensation shall be a function of  Predistribution  Earnings
("PDE") of IAC. 75% of IAC's PDE shall be distributed  annually to Physician and
any other physician (the "Physician Group") employed by IAC; however,  IAC shall
make  monthly   estimated   payments  to  the  Physician  Group  with  quarterly
adjustments for actual PDE.  Physician shall receive a draw towards PDE, payable
twice a month.  For the initial  period which  Physician  is the sole  physician
employee, his draw shall be based on an annual draw of $150,000.

     PDE of IAC shall mean  Physician and Other  Professional  Revenues,  net of
adjustments  for  uncollectible  accounts,   refunds,   discounts,   contractual
allowances,  professional courtesies and other activities that do not generate a
collectible fee as reasonably determined by IAC ("Net Revenues"), less all costs
and expenses  related to the operation of IAC and a monthly  management fee paid
to INMD equal to 6% of Net Revenues.



                              MANAGEMENT AGREEMENT

                                     Between

                                IVF AMERICA, INC.

                                       And

                            W. F. HOWARD, M.D., P.A.



     THIS MANAGEMENT AGREEMENT,  dated May 15, 1996, by and between IVF America,
Inc., a Delaware  corporation,  doing business as IntegraMed  America,  with its
principal place of business at One Manhattanville Road, Purchase, New York 10577
("INMD") and W.F.  Howard,  M.D.,  P.A. with its principal  place of business at
4325 North Josey Lane, Suite 308, Carrollton,  Texas 75010, a Texas professional
association ("P.A.").

                                    Recitals

     P.A. specializes in the provision of gynecological services,  including the
treatment  of  human   infertility   encompassing  the  provision  of  in  vitro
fertilization and other assisted reproductive services ("Infertility Services").
All the issued and  outstanding  shares of capital stock of P.A. are owned by W.
F. Howard, M.D. ("Dr. Howard").

     INMD is in the business of owning certain  assets and providing  management
and administrative  services to medical practices  specializing in the provision
of  Infertility  Services,  and  furnishing  such  medical  practices  with  the
necessary facilities, equipment, personnel, supplies and support staff.

     P.A.  desires to obtain the services of INMD in performing  such management
and  administrative  functions  to  permit  P.A.  to  devote  its  efforts  on a
concentrated  and continuous  basis to the rendering of Infertility  Services to
its patients .

     In  addition,  P.A.  desires  access  to  capital  to fund its  growth  and
development  and INMD  desires to provide  such  capital or access to capital as
provided herein.

     NOW  THEREFORE,  in  consideration  of the mutual  covenants and agreements
herein contained and other good and valuable  consideration , P.A. hereby agrees
to  purchase  from  INMD  the  management  and  administrative  services  herein
described and INMD agrees to provide such  services on the terms and  conditions
provided herein.







<PAGE>



                                    ARTICLE 1

                                   DEFINITIONS

     1.1  DEFINITIONS.  For  the  purposes  of  this  Agreement,  the  following
definitions shall apply:

          1.1.1  "Assets"  shall mean those fixed assets  utilized in connection
     with the operation of P.A.'s medical practice.

          1.1.2 "Adjustments" shall mean adjustments for uncollectible  accounts
     (those accounts  determined by P.A. and INMD as being  uncollectible in the
     ordinary  course  of  P.A.'s  business),  refunds,  discounts,  contractual
     adjustments,  professional  courtesies  and  other  activities  that do not
     generate a collectible fee as reasonably determined by INMD and P.A.

          1.1.3 "Base  Management  Fee" shall mean an annual fee paid by P.A. to
     INMD in an amount  equal to a percentage  of P.A.'s  annual  Physician  and
     Other Professional  Revenues.  The Base Management Fee shall cover the cost
     of management  services  provided by INMD corporate  staff to P.A., as more
     specifically described in Section 2.3.

          1.1.4  "Cost of  Services"  shall  mean  all  ordinary  and  necessary
     expenses of P.A. and all direct ordinary and necessary  operating  expenses
     of INMD,  without  mark-up,  incurred in connection  with the management of
     P.A.'s medical practice , as more specifically described in Section 2.1.

          1.1.5 "Facilities" shall mean the medical office and clinical space of
     P.A., including any satellite locations, related businesses and all medical
     group  business  operations  of P.A.,  which are  utilized  by P.A.  in its
     medical practice.

          1.1.6 "Fiscal Year" shall mean the 12- month period beginning  January
     1 and ending December 31 of each year.

          1.1.7 "Infertility Services" shall mean the provision of gynecological
     services,  including the treatment of human  infertility  encompassing  the
     provision  of  in  vitro  fertilization  and  other  assisted  reproductive
     services provided by P.A. or any Physician  Employee and Other Professional
     Employee.

          1.1.8  "Other  Professional  Employees"  shall mean the  provision  of
     gynecological  services,   including  the  nurse  anesthetists,   physician
     assistants, nurse practitioners, psychologists, and other such professional
     employees  who  generate   professional  charges,  but  shall  not  include
     Technical Employees.

          1.1.9  "Physician  Employees"  shall  mean those  individuals  who are
     employees or shareholders of P.A. or are otherwise under contract with P.A.
     to provide professional  services to P.A. patients and are duly licensed as
     physicians in the State of Texas.


<PAGE>



          1.1.10  "Physician  and Other  Professional  Revenues"  shall mean all
     fees, whether received or accrued, and actually recorded each month (net of
     Adjustments)  by or on behalf of P.A. as a result of  professional  medical
     services personally  furnished to patients by Physician Employees and Other
     Professional Employees and other fees or income earned in their capacity as
     professionals,  whether  rendered in an  inpatient or  outpatient  setting,
     including but not limited to, medical  director fees or technical fees from
     medical ancillary services, consulting fees.

          1.1.11 "Physician Stockholders" shall mean Physician and/or physicians
     who are stockholders of P.A.

          1.1.12 "Predistribution Earnings" ("PDE") shall mean (i) Physician and
     Other Professional Revenues, less (ii) Cost of Services and Base Management
     Fee.  PDE shall  belong  to P.A.  except  for the  additional  Service  Fee
     provided for in Section 6.1.4

          1.1.13  "Revenues"  shall  mean  the sum of all  Physician  and  Other
     Professional Revenues.

          1.1.14   "Technical   Employees"   shall  mean   technicians  such  as
     embryologists  and  other  laboratory   personnel,   ultrasonographers  and
     phlebotomist  who  provide  services to the P. A. All  Technical  Employees
     shall be INMD Employees or independent contractors.


                                    ARTICLE 2

                    COST OF SERVICES AND BASE MANAGEMENT FEE

     2.1 "Cost of  Services"  (as  defined  in  Section  1.4)  includes  without
limitation, the following costs and expenses, whether incurred by INMD or P.A.:

          2.1.1  Salaries and fringe  benefits of all  employees of INMD working
     directly in the management, operation or administration (including, without
     limitation, Other Professional Employees and Technical Employees) providing
     services at P.A.,  along with payroll  taxes or all other taxes and charges
     now or hereafter applicable to such personnel,  and services of independent
     contractors;

          2.1.2 Expenses  incurred in the  recruitment of additional  physicians
     for P.A., including,  but not limited to employment agency fees, relocation
     and  interviewing  expenses and any actual  out-of-pocket  expenses of INMD
     personnel in connection with such recruitment effort;

          2.1.3  Direct  marketing  expenses  of P.A.,  such as direct  costs of
     printing marketing materials prepared by INMD;



<PAGE>


          2.1.4 Any sales and use taxes  assessed  against  P.A.  related to the
     operation of P.A.'s medical practice;

          2.1.5 Lease payments,  depreciation  expense (determined  according to
     GAAP),   taxes  and  interest  directly  relating  to  the  Facilities  and
     equipment,  and other expenses of the  Facilities  described in Section 3.2
     below;

          2.1.6 Legal fees paid by INMD or P.A. to outside counsel in connection
     with matters specific to the operation of P.A. such as regulatory approvals
     required as a result of the parties entering into this Agreement;  provided
     however, legal fees incurred by the parties hereto as a result of a dispute
     between the parties shall not be considered a Cost of Services.

          2.1.7 Fringe benefits provided to Physician Employees;

          2.1.8 All insurance  necessary to operate P.A.  including fire, theft,
     general liability and malpractice  insurance for Physician Employees of the
     P.A.;

          2.1.9  Professional  licensure  fees and board  certification  fees of
     Physician Employees and Other Professional  Employees rendering Infertility
     Services on behalf of P.A.;

          2.1.10   Membership  in  professional   associations   and  continuing
     professional  education  for  Physician  Employees  and Other  Professional
     Employees;

          2.1.11 Quality Assurance Program described in Section 3.7 herein;

          2.1.12  Cost  of  filing  fictitious  name  permits  pursuant  to this
     Agreement; and

          2.1.13 Such other costs and expenses directly incurred by INMD or P.A.
     necessary for the management or operation of P.A.

          2.2 Notwithstanding anything to the contrary contained herein, Cost of
     Services shall not include costs of the following:

          2.2.1 PDE of the P.A. paid to Physician Stockholders;


<PAGE>



          2.2.2 Costs or expenses not included in the annual budget  prepared by
     INMD pursuant to Section 3.4 herein, unless approved by the parties;

          2.2.3 The Base Management Fee;

          2.2.4 Any INMD overhead charges; and

          2.2.5 Any federal or state income taxes of INMD other than as provided
     above.

     2.3 The "Base Management Fee" shall cover and include all indirect costs of
INMD  including all legal,  accounting,  financial,  marketing,  management  and
administrative  assistance  provided by INMD  corporate and regional staff which
aren't provided for in Section 2.1.


                                    ARTICLE 3

                       DUTIES AND RESPONSIBILITIES OF INMD

     3.1 MANAGEMENT SERVICES AND ADMINISTRATION.

          3.1.1 P.A. hereby  appoints INMD as P.A.'s sole and exclusive  manager
     and  administrator of all of its day-to-day  business  functions and grants
     INMD  all  the   necessary   authority   to  carry  out  its   duties   and
     responsibilities  pursuant to the terms of this  Agreement.  P.A.  and only
     P.A. will perform the medical functions of its practice.  INMD will have no
     authority,  directly or indirectly,  to perform,  and will not perform, any
     medical  function.  INMD may,  however,  advise P.A. as to the relationship
     between its performance of medical functions and the overall administrative
     and business  functioning  of its practice.  To the extent that they assist
     P.A. in performing medical functions,  all Technical  Employees provided by
     INMD shall be subject to the professional supervision of P.A.

          3.1.2  INMD  shall,  on  behalf of P.A.,  bill  patients  and  collect
     professional  fees  for  Infertility  Services  rendered  by  P.A.  at  the
     Facilities,  outside the Facilities for P.A.'s hospitalized  patients,  and
     for all other Infertility  Services  rendered by any Physician  Employee or
     Other Professional Employee.  P.A. hereby appoints INMD for the term hereof
     to be its true and lawful attorney-in-fact, for the following purposes: (i)
     to bill patients in P.A.'s name and on its behalf; (ii) to collect accounts
     receivable  resulting  from such  billing in P.A.'s name and on its behalf;
     (iii) to receive payments from insurance  companies,  prepayments  received
     from health care plans,  and all other  third- party  payors;  (iv) to take
     possession  of and  endorse in the name of P.A.  (and/or in the name of any
     Physician  Employee or Other Professional  Employee  rendering  Infertility
     Services to patients of P.A.) any notes,  checks,  money orders,  and other
     instruments received in payment of accounts receivable; and (v) to initiate
     the  institution  of legal  proceedings  in the name of P.A. to collect any
     accounts and monies owed to P.A., to enforce the rights of P.A. as creditor
     under any contract or in connection with the rendering of any service,  and
     to contest adjustments and denials by governmental  agencies (or its fiscal
     intermediaries) as third-party payors.



<PAGE>



         
          3.1.3 INMD shall  supervise and maintain (on behalf of P.A.) all files
     and records relating to the operations of the Facilities, including but not
     limited to accounting and billing  records,  patient medical  records,  and
     collection  records.  Patient  medical  records  shall at all  times be and
     remain the property of P.A. and shall be located at the  Facilities  and be
     readily  accessible  for patient care.  INMD's  management of all files and
     records  shall  comply  with all  applicable  state  and  federal  laws and
     regulations,    including   without   limitation,   those   pertaining   to
     confidentiality  of patient  records.  The medical  records of each patient
     shall be expressly  deemed  confidential and shall not be made available to
     any third party except in compliance  with all applicable  laws,  rules and
     regulations. INMD shall have access to such records in order to provide the
     services  hereunder,  to perform billing functions,  and to prepare for the
     defense  of any  lawsuit  in  which  those  records  may be  relevant.  The
     obligation  to maintain the  confidentiality  of such records shall survive
     termination of this Agreement.  P.A. shall have unrestricted  access to all
     of its records at all times.

          3.1.4 INMD shall supply to P.A.  all  reasonably  necessary  clerical,
     accounting,  bookkeeping  and  computer  services,  printing,  postage  and
     duplication  services,   medical  transcribing   services,  and  any  other
     necessary or appropriate  administrative  services reasonably necessary for
     the efficient operation of P.A.'s medical practice at the Facilities.

          3.1.5  Subject  to  P.A.'s  prior  approval,  INMD  shall  design  and
     implement an appropriate  marketing and public relations  program on behalf
     of P.A., with appropriate  emphasis on public awareness of the availability
     of  Infertility  Services from P.A. The public  relations  program shall be
     conducted in compliance  with  applicable  laws and  regulations  governing
     advertising by the medical  profession.  P.A. shall approve all advertising
     and marketing materials prior to use.

          3.1.6 INMD shall  assist P.A.  in  recruiting  additional  physicians,
     including such administrative  functions as advertising for and identifying
     potential  candidates,  checking  credentials,  and  arranging  interviews;
     provided,  however,  P.A. shall interview and make the ultimate decision as
     to the  suitability  of any  physician to become  associated  with P.A. All
     physicians  recruited by INMD and accepted by P.A. shall be employees of or
     independent contractors to P.A.

          3.1.7  INMD  shall  negotiate,  but shall not  enter  into,  and shall
     administer  all managed care  contracts on behalf of P.A. and shall consult
     with P.A. on all administrative matters relating thereto.




<PAGE>



          3.1.8 INMD shall arrange for legal and  accounting  services as may be
     reasonably  required  in  the  ordinary  course  of the  P.A.'s  operation,
     including  the  cost  of  enforcing  any  physician   contract   containing
     restrictive  covenants.  Nothing  contained herein is intended to authorize
     INMD to settle any claim made by or against P.A.

          3.1.9  INMD shall  negotiate  for and cause  premiums  to be paid with
     respect to the insurance provided for in Article 10.

          3.1.10 INMD shall take such other  reasonable  actions to collect fees
     and pay  expenses  of the  Facilities  in a  timely  manner  as are  deemed
     reasonably necessary to facilitate the operation of P.A.'s medical practice
     at the Facilities.

     3.2  FACILITIES.  INMD  shall  provide  the  office  space  and  facilities
necessary for the operation of P.A.'s medical practice,  as set forth in Exhibit
3.2  hereto,  including  but not  limited  to,  the use of the  Facilities,  all
repairs,  maintenance and improvements  thereto,  utility (telephone,  electric,
gas, water) services,  customary  janitorial  services,  refuse disposal and all
other  services  reasonably  necessary in conducting  the  Facilities'  physical
operations. INMD shall provide for the cleanliness of the Facilities, and timely
maintenance and cleanliness of the equipment,  furniture and furnishings located
therein. INMD shall consult with P.A. regarding the condition, use and needs for
the Facilities,  equipment,  services and improvements thereto. Exhibit 3.2 also
contains a  representative  list of equipment and  furnishings to be provided by
INMD.  P.A. shall have the right to review all proposed  leases for office space
and INMD shall  consult  with P.A.  with respect to the terms of such leases and
use its best  efforts to ensure that the leases  provide for reason  assignment.
Additionally,  INMD shall use its best efforts to ensure that  equipment  leases
provide for reasonable assignment.

     3.3 EXECUTIVE DIRECTOR AND OTHER PERSONNEL.

          3.3.1 EXECUTIVE DIRECTOR.  Subject to the approval of P.A., INMD shall
     hire and appoint an Executive  Director to manage and administer all of the
     day-to-day  business  functions of the  Facilities and determine the salary
     and fringe  benefits  paid to the  Executive  Director.  At the  direction,
     supervision  and control of INMD,  the Executive  Director,  subject to the
     terms of this  Agreement,  shall implement the policies agreed upon by INMD
     and the P.A. and shall generally perform the administrative duties assigned
     to the Executive Director by INMD.

          3.3.2 PERSONNEL. INMD shall provide non-professional support personnel
     and  administrative  personnel,  clerical,  secretarial,   bookkeeping  and
     collection  personnel  reasonably  necessary for the efficient operation of
     P.A.  at the  Facilities.  Such  personnel  shall be under  the  direction,
     supervision  and  control  of INMD,  with  Technical  Employees  and  Other
     Professional  Employees subject to the professional  supervision of P.A. If
     P.A.  is   dissatisfied   with  the  services  of  any  person   delivering
     non-professional services, P.A. shall consult with INMD. INMD shall in good
     faith   determine   whether  the  employment  of  that  employee   warrants
     termination. INMD's obligations to utilize non-professional personnel shall
     be governed by the overriding principle and goal of facilitating the P.A.'s
     provision of high quality medical care and laboratory services.  INMD shall
     make every effort to honor the specific requests of P.A. with regard to the
     assignment of INMD's employees, including the Executive Director.



<PAGE>




     3.4 FINANCIAL  PLANNING AND GOALS. INMD shall prepare,  for the approval of
P.A., annual capital and operating budgets  reflecting the anticipated  revenues
and expenses,  sources and uses of capital for growth of P.A.'s practice and for
the provision of Infertility Services at the Facilities.  INMD shall present the
budgets  to P.A.  for its  approval  at  least  thirty  (30)  days  prior to the
commencement  of the Fiscal Year.  INMD shall specify the targeted profit margin
for P.A.'s  practice at the  Facilities  which shall be reflected in the overall
budget.  If the  parties  can not agree on the budget for any Fiscal  Year,  the
budget for the  preceding  Fiscal Year shall serve as the budget until such time
as the dispute can be resolved.

     3.5 AUDITS AND STATEMENTS.  INMD shall prepare annual financial  statements
for operations of P.A. at the Facilities within ninety (90) days of the close of
the Fiscal Year. INMD shall prepare monthly  financial  statements  containing a
balance  sheet and  statement  of  operations,  which shall be delivered to P.A.
within thirty (30) days after the close of each calendar month.

     3.6 TAX PLANNING AND TAX RETURNS.  INMD will not be responsible for any tax
planning  or  tax  return   preparation  for  P.A.,  but  will  provide  support
documentation in connection with the same. Such support  documentation shall not
be destroyed without P.A.'s consent.

     3.7  INVENTORY AND  SUPPLIES.  INMD shall order and purchase  inventory and
supplies, and such other materials which are requested by P.A. to enable P.A. to
deliver Infertility Services in a cost-effective manner.

     3.8  QUALITY  IMPROVEMENT.   INMD  shall  assist  P.A.  in  fulfilling  its
obligations to maintain a Quality  Improvement  Program and in meeting the goals
and standards of such program.


                                    ARTICLE 4

                       DUTIES AND RESPONSIBILITIES OF P.A.

     4.1  PROFESSIONAL  SERVICES.  P.A.  shall provide  Infertility  Services to
patients in compliance at all times with ethical standards, laws and regulations
applying to the  practice of medicine in the State of Texas.  P.A.  shall ensure
that  each  Physician  Employee,  Other  Professional  Employee  and  any  other
professional  provider  associated  with P.A.  is duly  licensed  to provide the
services  being  rendered  within  the  scope of such  provider's  practice.  In
addition,  P.A. shall require each  Physician  Employee to maintain a DEA number
and appropriate  medical staff  privileges as determined by P.A. during the term
of  this   Agreement  and  to  obtain  board   certification   in   Reproductive
Endocrinology within five (5) years of a Physician  Employee's  completion of an
accredited  training  program.  In the event  that any  disciplinary  actions or
medical  malpractice  actions are initiated  against any such physician or other
professional provider,  P.A. shall immediately inform the Executive Director and
the underlying facts and circumstances of such action.



<PAGE>





     4.2 MEDICAL PRACTICE.  P.A. shall use and occupy the Facilities exclusively
for the purpose of  providing  Infertility  Services  and shall  comply with all
applicable laws and  regulations  and all applicable  standards of medical care,
including,  but not limited to, those  established  by the  American  Society of
Reproductive Medicine. The medical practice conducted at the Facilities shall be
conducted solely by physicians employed by or serving as independent contractors
to P.A., and other Professional  Employees as defined herein. No other physician
or medical  practitioner  shall be  permitted  to use or occupy  the  Facilities
without  the  prior  written  consent  of INMD,  except in the case of a medical
emergency, in which event,  notification shall be provided to INMD as soon after
such use or occupancy as possible.

     4.3 EMPLOYMENT OF PHYSICIAN AND OTHER PROFESSIONAL  EMPLOYEES. In the event
P.A. shall  determine  that  additional  physicians  are  necessary,  P.A. shall
undertake and use its best efforts to locate physicians who, in P.A.'s judgment,
possess  the  credentials  and  expertise  necessary  to enable  such  physician
candidates  to  become  affiliated  with  P.A.  for  the  purpose  of  providing
Infertility Services.  P.A. shall cause each Physician Employee to enter into an
employment  agreement  with P.A. in the form  attached  hereto as Exhibit 4.3 or
such other form as is mutually  acceptable to P.A. and INMD. P.A. covenants that
it will not employ any physician unless the physician shall sign such employment
agreement   before   employment.   P.A.  shall  have  complete  control  of  and
responsibility  for  the  hiring,  compensation,   supervision,  evaluation  and
termination  of  its  Physician  Employees  and  Other  Professional  Employees,
although at the request of P.A.,  INMD shall consult with P.A.  respecting  such
matters.

     4.4  CONTINUING  MEDICAL  EDUCATION  . P.A.  shall  require  its  Physician
Employees and Other  Professional  Employees to participate  in such  continuing
medical  education as P.A. deems to be reasonably  necessary for such physicians
or  Other  Professional   Employees  to  remain  current  in  the  provision  of
Infertility Services.

     4.5  PROFESSIONAL  INSURANCE  ELIGIBILITY.  P.A.  shall  cooperate  in  the
obtaining and retaining of professional liability insurance by assuring that its
Physician   Employees  and  Other  Professional   Employees  are  insurable  and
participating in an on-going risk management program.


                                    ARTICLE 5

                              LICENSE OF INMD NAME

     5.1  GRANT  OF  LICENSE.  INMD  hereby  grants  to  P.A.  a  revocable  and
non-assignable  license  for  the  term  of  this  Agreement  to  use  the  name
Reproductive Science Center(R) and any other service names,  trademark names and
logos  of INMD  (the  "Trade  Names")  in  conjunction  with  the  provision  of
Infertility  Services by P.A.  at the  Facilities.  Notwithstanding  the License
granted to P.A.  hereunder,  INMD retains the absolute  right to use and license
the Trade Names to others,  except in the  Counties of Collin,  Dallas,  Denton,
Ellis, Johnson, Rockwall and Tarrant, Texas (the "Exclusive Territory").  Should
INMD  grant a license to any other  physician  or entity  within  the  Exclusive
Territory, INMD must obtain the consent of P.A.


<PAGE>





     5.2 FICTITIOUS  NAME PERMIT.  If necessary,  P.A. shall file or cause to be
filed an original, amended or renewal application with an appropriate regulatory
agency to obtain a  fictitious  name permit which allows P.A. to practice at the
Facilities  under the Trade  Names and shall take any other  actions  reasonably
necessary to procure  protection of or protect INMD's rights to the Trade Names.
INMD shall cooperate and assist P.A. in obtaining any such original,  amended or
renewal fictitious name permit.

     5.3 RIGHTS OF INMD. P.A.  acknowledges  INMD's exclusive right,  ownership,
title  and  interest  in and to the  Trade  Names and will not at any time do or
cause to be done any act or thing  contesting or in any way impairing or tending
to impair any part of such right, title and interest. In connection with the use
of the Trade  Names,  P.A.  shall not in any  manner  represent  that it has any
ownership interest in the Trade Names, and P.A.'s use shall not create in P.A.'s
favor any right,  title,  or  interest  in or to the Trade  Names other than the
right of use  granted  hereunder,  and all such uses by P.A.  shall inure to the
benefit of INMD. P.A. shall notify INMD  immediately  upon becoming aware of any
claim, suit or other action brought against it for use of the Trade Names or the
unauthorized  use of the Trade Names by a third party.  P.A.  shall not take any
other  action to protect the Trade Names  without the prior  written  consent of
INMD. INMD, if it so desires, may commence or prosecute any claim or suit in its
own name or in the name of P.A. or join P.A. as a party thereto.  P.A. shall not
have any  rights  against  INMD for  damages  or other  remedy  by reason of any
determination  of INMD not to act or by reason of any  settlement  to which INMD
may agree with respect to any alleged infringements,  imitations or unauthorized
use by others of the Trade Names,  nor shall any such  determination  of INMD or
such settlement by INMD affect the validity or enforceability of this Agreement.

     5.4 RIGHTS UPON TERMINATION. 5.4.1 Upon termination of this Agreement, P.A.
shall: (i) within 30 days of the termination, cease using the Trade Names in all
respects  and  refrain  from making any  reference  on its  letterhead  or other
publicly-disseminated  information or material to its former  relationship  with
INMD;  and (ii)  take any and all  actions  required  to make  the  Trade  Names
available for use by any other person or entity designated by INMD.

          5.4.2 P.A.'s failure  (except as otherwise  provided  herein) to cease
     using the Trade Names at the  termination  or expiration of this  Agreement
     will result in immediate and  irreparable  damage to INMD and to the rights
     of any  licensee  of INMD.  There  is no  adequate  remedy  at law for such
     failure. In the event of such failure,  INMD shall be entitled to equitable
     relief by way of injunctive  relief and such other relief as any court with
     jurisdiction may deem just and proper. Additionally, pending such a hearing
     and the decision on the  application  for such permanent  injunction,  INMD
     shall be entitled to a temporary  restraining  order,  without prejudice to
     any other remedy available to INMD. All such remedies hereunder shall be at
     the expense of P.A. and shall not be a Cost of Services.


<PAGE>



        
                                    ARTICLE 6

                             FINANCIAL ARRANGEMENTS


     6.1 SERVICE  FEES.  The  compensation  set forth in this Article 6 is being
paid to INMD in consideration of the substantial commitment made and services to
be rendered by INMD hereunder and is fair and reasonable. INMD shall be paid the
following amounts (collectively "Service Fees"):

          6.1.1 an amount  reflecting all Cost of Services  (whether incurred by
     INMD or  P.A.)  paid or  recorded  by INMD  pursuant  to the  terms of this
     Agreement;

          6.1.2.  any amounts  advanced by INMD to P.A. to fund  obligations  of
     P.A. or pursuant to Section 6.3, below;

          6.1.3. during each year of this Agreement, a Base Management Fee of an
     amount equal to six percent (6%) of the Revenues;

          6.1.4 an additional Service Fee equal to 25% of PDE.

     6.2 ACCOUNTS RECEIVABLE.  On or before the 15th business day of each month,
INMD shall reconcile the accounts receivable of P.A. arising during the previous
calendar month. Accounts receivable shall be defined as all receivables recorded
each month (net of  Adjustments) on the books of the P.A. INMD shall transfer or
pay such amount of funds to P.A. equal to the accounts  receivable  less Service
Fees.  INMD shall,  in addition,  transfer  such  portion of the  Services  Fees
necessary  to pay such  portion  of the Cost of  Services  which  are  costs and
expenses of P.A., as described in Section 2.1 above.  P.A. shall  cooperate with
INMD and execute all necessary  documents in connection  with the  assignment of
such  accounts  receivable  to INMD or at INMD's  option,  to its  lenders.  All
collections in respect of such accounts  receivable shall be deposited in a bank
account at a bank  designated by INMD. To the extent P.A. comes into  possession
of any payments in respect of such accounts  receivable,  P.A. shall direct such
payments to INMD for deposit in bank accounts designated by INMD.

     6.3 ADVANCES.  In addition to the purchase of the Accounts  Receivable  set
forth in 6.2  above,  INMD  agrees to  advance  funds to P.A.,  to  provide  new
services,  utilize new  technologies,  fund projects such as new and replacement
equipment,  meet Cost of Services,  provide working capital or fund mergers with
other physicians or physician groups into P.A. ("Advance").  Such Advances shall
be made only with the consent of P.A.



<PAGE>



          6.3.1 Any amounts advanced  hereunder shall be considered Service Fees
     as provided for in Section 6.1 and shall be repaid monthly,  except amounts
     advanced  for  new and  replacement  equipment  which  are  depreciated  in
     accordance  with GAAP and therefore  included in Cost of Services,  in such
     amounts as agreed to between INMD and P.A.

          6.3.2 Interest  expense will be charged for funds advanced and will be
     computed  at the Prime  Rate used by INMD's  primary  bank in effect at the
     time of the Advance.


                                    ARTICLE 7

                       EXCLUSIVE MANAGEMENT RIGHT AND TERM

     7.1 INMD Agrees to pay P.A. the sum of $557,500.00  for the exclusive right
to manage P.A.  during the term of this  Agreement  (the  "Exclusive  Management
Right"),  $100,000.00  of which shall be paid upon the signing of this Agreement
and the balance as follows: (i) $100,000.00 on the last business day of May 1997
and May 1998, (ii) $36,785.71 on the last business day of May 1999,  2000, 2001,
2002,  2003,  2004 and 2005, and (iii) payments  provided for hereunder shall be
paid  notwithstanding the termination  provisions of Article 8 of the Management
Agreement.

     7.2 The term of this  Agreement  shall begin May 15, 1996 and shall  expire
ten (10) years after such date unless earlier terminated  pursuant to Article 8,
below.


                                    ARTICLE 8

                          TERMINATION OF THE AGREEMENT

     8.1 TERMINATION FOR CAUSE .

     This  Agreement  may be  terminated  by  either  party in the  event of the
following:

          8.1.1  INSOLVENCY.  If a receiver,  liquidator or trustee of any party
     shall be  appointed by court order,  or a petition to  reorganize  shall be
     filed against any party under any bankruptcy,  reorganization or insolvency
     law, and shall not be dismissed  within 90 days,  or any party shall file a
     voluntary  petition in  bankruptcy  or make  assignment  for the benefit of
     creditors,  then either of the other parties may terminate  this  Agreement
     upon 10 days prior written notice to the other parties.

          8.1.2 MATERIAL  BREACH.  If either party shall  materially  breach its
     obligations hereunder,  then either of the other parties may terminate this
     Agreement by providing 30 days prior written notice to the breaching  party
     detailing the nature of the breach, provided that the breaching party shall
     not have cured the breach  within such 30 day period,  or, with  respect to
     breaches  that are not curable  within  such 30 day period,  shall not have
     commenced  to cure such  breach  within  such 30 day period and  thereafter
     shall not have cured the breach with the exercise of due diligence.


<PAGE>



          8.1.3 ILLEGALITY.  Any party may terminate this Agreement  immediately
     upon receipt of notification by any local, state or federal agency or court
     of competent  jurisdiction that the conduct  contemplated by this Agreement
     is forbidden by law; except that this Agreement shall not terminate  during
     such period of time as to any party which  contests  such  notification  in
     good faith and the conduct  contemplated  by this  Agreement  is allowed to
     continue during such contest.  If any governing  regulatory  agency asserts
     that the  services  provided by INMD under this  Agreement  are unlawful or
     that the  practice of medicine by P.A. as  contemplated  by this  Agreement
     requires a certificate of need, and any such assertion is not contested (or
     if contested,  the agency's  assertion is found to be correct by a court of
     competent  jurisdiction and no appeal is taken, or if any appeals are taken
     and the same are  unsuccessful),  this Agreement shall thereupon  terminate
     with the same  force as if such  termination  date was the date  originally
     specified in this Agreement as the date of final expiration of the terms of
     this Agreement.

          8.1.4 ECONOMIC  INFEASIBILITY.  Any party may terminate this Agreement
     upon 90 days prior  written  notice to the other  parties in the event that
     the provision of Infertility  Services as contemplated by this Agreement is
     no longer  feasible  for any reason  beyond the control of a party  hereto,
     including,  without  limitation,  due to technological  obsolescence of the
     Infertility  Services,  adverse  modification of the  reimbursement  system
     materially  affecting  payment for such services,  or adverse change in the
     applicable  laws  or  regulations  materially  affecting  the  delivery  of
     Infertility Services.

     8.2 TERMINATION BY INMD FOR  PROFESSIONAL  DISCIPLINARY  ACTIONS.  INMD may
terminate  this  Agreement  upon  10  days  prior  written  notice  to  P.A.  if
Physician's  authorization  to practice  medicine is  suspended,  revoked or not
renewed,  or if any other formal  disciplinary action is taken against Physician
which could  reasonably  lead to a  suspension,  revocation  or  non-renewal  of
Physician's license.

     8.3 SUBSTANTIAL CHANGE IN INMD OWNERSHIP. P.A. may terminate this Agreement
if INMD ceases to be listed on a major stock  exchange  due to INMD's  financial
position failing to meet requirements for listing on the particular  exchange on
which the stock is traded; provided,  however, INMD shall have the right to give
assurances of its ability to perform  hereunder  without  material  variation in
performance to the date of changed circumstances.

     8.4 DEATH OR DISABILITY OF DR.  HOWARD.  INMD may terminate  this Agreement
upon the death or disability of Dr. Howard.  Upon the death or disability of Dr.
Howard,  INMD shall have the right of first  refusal to identify and recommend a
physician  to acquire Dr.  Howard's  ownership  interest in P.A.,  to the extent
permitted by law.





<PAGE>



                                    ARTICLE 9

                  PURCHASE OF ASSETS - OBLIGATIONS AND OPTIONS

     9.1  TERMINATION  BY INMD.  If INMD  terminates  this  Agreement due to the
insolvency of P.A. (Section 8.1.1) for reasons other than circumstances directly
attributable  to INMD,  for a  material  breach  by P.A.  (Section  8.1.2),  for
disciplinary  action against a Physician Employee (Section 8.2), or the death or
disability of Dr. Howard (Section.8.4.), P.A. agrees, within 90 days of the date
of termination,  at INMD's option,  to purchase from INMD the P.A. Assets as set
forth in Sections 9.1.1 to 9.1.3 below, together with leasehold improvements.

          9.1.1 The purchase price of the P.A. Assets will be the net book value
     determined in accordance with GAAP, consistently applied, as at the date of
     the termination.

          9.1.2  In  addition  to  purchasing  the  P.A.  Assets  and  leasehold
     improvements  pursuant to this section 9.1, P.A.  shall pay INMD 75% of the
     preceding 12 months revenues over $1,200,000.00.

          9.1.3 In addition,  P.A.  shall repay INMD such portion of the payment
     received by P.A. from INMD under the terms of the Asset Purchase  Agreement
     for the  Exclusive  Management  Right in excess of an amount  determined by
     multiplying the number of years the Management Agreement has been in effect
     rounded  off to the  nearest  quarter  of the year by  $55,750.00  ("Earned
     Amount").  The amount due is then  deducted  from the amount P.A.  actually
     received  from INMD for the  Exclusive  Management  Right under the payment
     terms of the Asset Purchase  Agreement.  P.A. will pay the  difference,  if
     any, to INMD.

          9.1.4 If a purchase is completed  under this Section 9.1,  P.A.  shall
     use its best  efforts to assume all leases for offices and  equipment  used
     directly for the management  and operation of P.A.'s  business and may hire
     such  employees  as it  determines  are  necessary  to operate  the medical
     practice and business.

     9.2  TERMINATION  BY P.A. In the event this Agreement is terminated by P.A.
as a result of the insolvency of INMD (8.1.1),  material breach by INMD (8.1.2),
or substantial  change in ownership of INMD (Section  8.3),  P.A. shall have the
option,  exercisable  in writing within 90 days of the date of  termination,  to
declare  the Note in  default  at the net book value  determined  under  Section
9.1.1,  together with  leasehold  improvements.  Upon such event,  P.A. shall be
entitled  to the  P.A.  assets  as  collateral  for  the  Note.  If  there  is a
deficiency,  INMD  shall  continue  to pay the Right to  Manage  Fee on the last
business day of May until the Note is paid in full. If the net book value of the
P.A.  assets  exceed the balance due for the Right to Manage  Fee,  P.A.  shall,
within 30 days of such determination, remit the difference to INMD.




<PAGE>



          9.2.1 If a termination  occurs under this Section 9.2, P.A.  shall use
     its best  efforts  to assume  all leases for  offices  and  equipment  used
     directly for the management  and operation of P.A.'s  business and may hire
     such  employees  as it  determines  are  necessary  to operate  the medical
     practice and business.

          9.2.2 In the event P.A.  exercise the option set forth in this Section
     9.2,  closing  shall  occur  within  90  days of the  date  the  option  is
     exercised. In the event P.A. does not exercise the option within 90 days of
     termination,  P.A.  shall have  relinquished  its right and interest to the
     P.A.  Assets and INMD shall be free to use or dispose of the P.A. Assets as
     it  determines  with neither  party having any further  obligations  to the
     other.

     9.3 TRANSFER OF OWNERSHIP Upon receipt of payment of the purchase price and
other  payments due, INMD shall  transfer  ownership and  possession of the P.A.
Assets, and assign all right, title and interest in and to and obligations under
the Lease(s) to P.A. and return to P.A. all security  deposits.  P.A. shall have
the  option of  receiving  full  credit  on the  purchase  price for all  liens,
encumbrances or security  interest,  or of having INMD transfer ownership of the
P.A.  Assets free and clear of all liens,  encumbrances  or  security  interests
thereon.


                                   ARTICLE 10

                                    INSURANCE
     10.1 INMD shall carry professional liability insurance, covering itself and
its employees  providing  services under this Agreement in the minimum amount of
$1 million per incident,  $3 million in the aggregate,  at its own expense. INMD
shall also carry a policy of public liability and property damage insurance with
respect to the  Facilities  under which the  insurer  agrees to  indemnify  INMD
against all cost,  expense and/or liability arising out of or based upon any and
all claims,  accidents,  injuries and damages  customarily  included  within the
coverage of such policies of insurance available for INMD. The minimum limits of
liability of such insurance  shall be $1 million  combined single limit covering
bodily injury and property damage.  If possible under the terms of the insurance
coverage,  P.A.  shall be named as  additional  insureds  on the  INMD's  public
liability and property damage insurance policies;  provided however,  conditions
for  being  made an  additional  insured  should be (i) P.A.  utilizing  patient
informed   consent  forms  supplied  by  INMD  and  (ii)  P.A.   complying  with
requirements of INMD's insurance company. A certificate of insurance  evidencing
such  policies  shall be  presented  to P.A.  within  thirty (30) days after the
execution of this Agreement.  Failure to provide such  certificate(s)  with such
period shall constitute a material breach by INMD hereunder.




<PAGE>



     10.2 INMD shall use its best efforts to cause P.A. to be made an additional
insured under INMD's  professional  liability  coverage.  If P.A.  isn't made an
insured,  P.A. shall carry  professional  liability  insurance covering P.A. and
P.A.'s  employees  in the amount of $1 million per  incident,  $3 million in the
aggregate.  INMD shall be made an  additional  insured  under such  coverage and
Certificates of Insurance evidencing such policies and additional insured status
shall be presented to INMD within  ninety (90) days after the  execution of this
Agreement.

     10.3 P.A. and INMD shall provide  written  notice to the other at least ten
(10) days in advance of the effective  date of any  reduction,  cancellation  or
termination of the insurance required to be carried by each hereunder.


                                   ARTICLE 11

                                  MISCELLANEOUS

     11.1  INDEPENDENT  CONTRACTOR.  INMD and P.A. are  independent  contracting
parties. In this regard, the parties agree that:

          11.1.1  The  relationship   between  INMD  and  P.A.  is  that  of  an
     independent  supplier  of  non-medical  services  and a  medical  practice,
     respectively,  and,  unless  otherwise  provided  herein,  nothing  in this
     Agreement    shall   be    construed    to   create   a    principal-agent,
     employer-employee, or master-servant relationship between INMD and P.A.;

          11.1.2  Neither P.A. nor INMD (on behalf of P.A.) shall seek or accept
     payment from Medicare or Medicaid for services provided by P.A.

          11.1.3  Notwithstanding the authority granted to INMD herein, INMD and
     P.A.  agree that P.A.  shall retain the full authority to direct all of the
     medical, professional, and ethical aspects of its medical practices;

          11.1.4 Any powers of P.A. not specifically vested in INMD by the terms
     of this Agreement shall remain with P.A.;

          11.1.5 P.A. shall, at all times, be the sole employer of the Physician
     Employees, the Other Professional Employees required by law to be employees
     of P.A. and all other professional  personnel engaged by P.A. in connection
     with the operation of its medical practice at the Facilities,  and shall be
     solely  responsible  for the payment of all  applicable  federal,  state or
     local  withholding or similar taxes and provision of workers'  compensation
     and disability insurance for such professional personnel that are employees
     of P.A.;




<PAGE>



          11.1.6 No party shall have the right to  participate  in any benefits,
     employment  programs or plans  sponsored by the other  parties on behalf of
     the other  parties'  employees,  including,  but not limited  to,  workers'
     compensation,  unemployment insurance,  tax withholding,  health insurance,
     life insurance, pension plans or any profit sharing arrangement;

          11.1.7  In no  event  shall  any  party  be  liable  for the  debts or
     obligations of any other party except as otherwise specifically provided in
     this Agreement; and

          11.1.8 Matters involving the internal agreements and finances of P.A.,
     including but not limited to the  distribution of  professional  fee income
     among  Physician  Employees  and  Other  Professional   Employees  who  are
     providing professional services to patients of P.A., and other employees of
     P.A., disposition of P.A. property and stock, accounting,  tax preparation,
     tax planning,  and pension and investment  planning (and expenses  relating
     solely  to  these  internal  business   matters),   hiring  and  firing  of
     physicians,  decisions  and contents of reports to  regulatory  authorities
     governing P.A. and licensing,  shall remain the sole responsibility of P.A.
     and the individual Physician Stockholder(s).

     11.2  FORCE  MAJEURE.  No party  shall be liable to the other  parties  for
failure to perform any of the  services  required  under this  Agreement  in the
event of a strike, lockout, calamity, act of God, unavailability of supplies, or
other  event over which  such party has not  control,  for so long as such event
continues and for a reasonable period of time thereafter,  and in no event shall
such party be liable for  consequential,  indirect,  incidental  or like damages
caused thereby.

     11.3 USE OF NAME OF P.A.  The  name or any  statement  that may  implicitly
refer  directly  or  indirectly  to P.A. or impute any  affiliation  directly or
indirectly between INMD and P.A. shall not be used in any manner or on behalf of
INMD in any  advertising  or promotional  materials or otherwise  without P.A.'s
prior  written  consent.  However,  INMD  may  use  P.A's  name  or  address  in
advertising to the public solely for the purpose of providing  directions to the
office of P.A.

     11.4 EQUITABLE RELIEF.  Without limiting other possible remedies  available
to a non-  breaching  party for the breach of the  covenants  contained  herein,
injunctive  or other  equitable  relief  shall be  available  to  enforce  those
covenants,  such relief to be without the  necessity  of posting  bond,  cash or
otherwise.  If any restriction  contained in said covenants is held by any court
to be unenforceable or unreasonable,  a lesser  restriction shall be enforced in
its place and remaining  restrictions therein shall be enforced independently of
each other.

     11.5 PRIOR  AGREEMENTS;  AMENDMENTS.  This  Agreement  supersedes all prior
agreements  and  understandings  between the  parties as to the  subject  matter
covered hereunder,  and this Agreement may not be amended,  altered,  changed or
terminated orally. No amendment,  alteration,  change or attempted waiver of any
of the  provisions  hereof shall be binding  without the written  consent of all
parties, and such amendment,  alteration, change, termination or waiver shall in
no way affect the other terms and  conditions  of this  Agreement,  which in all
other respects shall remain in full force.


<PAGE>



     11.6  ASSIGNMENT;  BINDING  EFFECT.  This  Agreement  and  the  rights  and
obligations  hereunder may not be assigned  without the prior written consent of
all of the parties,  and any attempted  assignment without such consent shall be
void and of no force and effect,  except that INMD may assign this  Agreement to
any  subsidiary  or affiliate of INMD without the consent of the other  parties.
The  provisions of this  Agreement  shall be binding upon and shall inure to the
benefit of the parties' respective heirs, legal representatives,  successors and
permitted assigns.

     11.7 WAIVER OF BREACH.  The failure to insist upon strict  compliance  with
any of the terms, covenants or conditions herein shall not be deemed a waiver of
such terms,  covenants or conditions,  nor shall any waiver or relinquishment of
any right at any one or more times be deemed a waiver or  relinquishment of such
right at any other time or times.

     11.8 GOVERNING  LAW. This  Agreement  shall be governed by and construed in
accordance  with the laws of the State of Texas to the fullest extent  permitted
by law, without regard to the application of conflict of law rules.

     11.9  SEPARABILITY.  If any portion of the  provisions  hereof shall to any
extent be invalid or  unenforceable,  the  remainder of this  Agreement,  or the
application of such portion or provisions in  circumstances  other than those in
which it is held invalid or unenforceable,  shall not be affected  thereby,  and
each portion or provision of this  Agreement  shall be valid and enforced to the
fullest  extent  permitted by law, but only to the extent the same  continues to
reflect  fairly the intent and  understanding  of the parties  expressed by this
Agreement take as a whole.

     11.10  HEADINGS.  Section  and  paragraph  headings  are  not  part of this
Agreement  and are included  solely for  convenience  and are not intended to be
full or accurate descriptions of the contents thereof.

     11.11  NOTICES.  Any notice  hereunder  shall have been deemed to have been
given only if in writing and either  delivered in hand or sent by  registered or
certified mail, return receipt requested,  postage prepaid,  or by United States
Express Mail or other commercial  expedited  delivery service,  with all postage
and delivery charges prepaid, to the addresses set forth below:

          11.11.1 If for INMD at:

                           IVF America, Inc.
                           One Manhattanville Road
                           Purchase, NY 10577-2100
                           Attention: Peter Callan, Vice President




<PAGE>



                           With a copy to:

                           IVF America, Inc.
                           One Manhattanville Road
                           Purchase, NY 105277-2100
                           Attention:  Claude White, General Counsel

          11.11.2 If for P.A. at:

                           W. F.  Howard, M.D., P.A.
                           4325 North Josey Lane, Suite 308
                           Carrollton, Texas 75010
                           Attention:       W.F. Howard, M.D.

                           With a copy to:

                           Gary W. Blanscet, Esq.
                           14001 Dallas Parkway
                           Suite 1200
                           Dallas, Texas 75240

Any party hereto, by like notice to the other parties,  may designate such other
address or addresses to which notice must be sent.

     11.12 ENTIRE AGREEMENT.  This Agreement and all attachments  hereto and the
Asset  Purchase  Agreement  represent  the entire  understanding  of the parties
hereto with respect to the subject  matter  hereof and  thereof,  and cancel and
supersede all prior  agreements  and  understandings  among the parties  hereto,
whether oral or written, with respect to such subject matter.

     11.13 NO MEDICAL  PRACTICE  BY INMD.  INMD will not engage in any  activity
that  constitutes  the  practice  of  medicine,  and nothing  contained  in this
Agreement is intended to authorize INMD to engage in the practice of medicine or
any other licensed profession.

     11.14 CONFIDENTIAL INFORMATION.

     (a) During the initial term and any renewal term(s) of this Agreement,  the
parties may have access to or become  acquainted with each others' trade secrets
and other  confidential or proprietary  knowledge or information  concerning the
conduct and details of each party's business  ("Confidential  Information").  At
all times during and after the  termination  of this  Agreement,  no party shall
directly or indirectly,  communicate,  disclose,  divulge,  publish or otherwise
express  to  any  individual  or  governmental  or  non-governmental  entity  or
authority (individually and collectively referred to as "Person") or use for its
own benefit or the benefit of any Person any Confidential Information, no matter
how or when  acquired,  of another  party.  Each party  shall  cause each of its
employees  to be  advised  of  the  Confidential  nature  of  such  Confidential
Information  and  to  agree  to  abide  by the  confidentiality  terms  of  this
Agreement.  No party shall  photocopy or otherwise  duplicate  any  Confidential
Information  of another party without the prior express  written  consent of the
such other party except as is required to perform services under this Agreement.
All such  Confidential  Information  shall remain the exclusive  property of the
proprietor  and  shall  be  returned  to the  proprietor  immediately  upon  any
termination of this Agreement.


<PAGE>





     (b) Confidential  Information shall not include information which (i) is or
becomes  known  through no fault of a party  hereto;  (ii) is learned by a party
from a third-party  legally entitled to disclose such information;  or (iii) was
already known to a party at the time of disclosure by the disclosing party.

     (c) In order to minimize any misunderstanding regarding what information is
considered to be Confidential  Information,  INMD or P.A. will designate at each
others  request the  specific  information  which INMD or P.A.  considers  to be
Confidential Information.

     11.15 INDEMNIFICATION.

          11.15.1  INMD  agrees  to  indemnify  and  hold  harmless   P.A.,  its
     directors,  officers,  employees  and  servants  from  any  suits,  claims,
     actions,  losses,  liabilities or expenses (including reasonable attorney's
     fees)  arising  out of or in  connection  with any act or failure to act by
     INMD related to the  performance of its duties and  responsibilities  under
     this  Agreement.  The  obligations  contained in this Section 11.15.1 shall
     survive termination of this Agreement.

          11.15.2  P.A.   agrees  to  indemnify  and  hold  harmless  INMD,  its
     shareholders,  directors,  officers, employees and servants from any suits,
     claims,  actions,  losses,  liabilities or expenses  (including  reasonable
     attorney's fees) arising out of or in connection with any act or failure to
     act by P.A.  related to the performance of its duties and  responsibilities
     under this  Agreement.  The  obligations  contained in this Section 11.15.2
     shall survive termination of this Agreement.


     IN WITNESS WHEREOF,  this Agreement has been executed by the parties hereto
as of the day and year first above written.

IVF AMERICA, INC.                           W.F. HOWARD, M.D., P.A.


By:/s/ Peter Callan                       By:  /s/ W.F. Howard
   ----------------------------                ---------------------------------
   PETER CALLAN, VICE PRESIDENT                W.F. HOWARD, M.D.
                                               PRESIDENT


<PAGE>



                                   EXHIBIT 3.2


                      DESCRIPTION OF OFFICE AND FACILITIES
                         TO BE PROVIDED BY INMD TO P.A.
                         ------------------------------




             The office location will be determined by INMD and P.A.


<PAGE>



                                   EXHIBIT 4.3


                         PHYSICIAN EMPLOYMENT AGREEMENT


                                 




                            ASSET PURCHASE AGREEMENT


     AGREEMENT  made this 15th day of May,  1996,  by and between  IVF  America,
Inc., a Delaware corporation,  doing business as IntegraMed America,  having its
principal place of business at One Manhattanville Road, Purchase, New York 10577
("Buyer") and W.F.  Howard,  M.D., P.A., with its principal place of business at
4325 North Josey Lane, Suite 308, Carrollton,  Texas 75010 ( "P.A" or "Seller").
W.F. Howard, M.D., is the sole shareholder of P.A. ("Physician").


                                    RECITALS

     Buyer is engaged in the  business of owning  certain  assets and  providing
management and administrative  services to medical practices specializing in the
provision of gynecological  services,  including treatment of human infertility,
encompassing  the  provision  of  in  vitro  fertilization  and  other  assisted
reproductive services ("Infertility Services"); and

     Physician  is licensed to practice  medicine in Texas and is engaged in the
practice of providing Infertility Services through P.A. (the "Practice");

     Seller wishes to sell and Buyer wishes to purchase  certain assets utilized
in  connection  with the  Practice,  and Buyer  desires to acquire the exclusive
right to provide  management  and related  administrative  services to Seller in
connection with the continued operation of the Practice.

     Seller  is  willing  to grant  exclusive  management  rights  to Buyer  for
management and related administrative services for the P.A., and Buyer wishes to
provide such services.

     In consideration of the mutual promises and covenants herein contained, the
parties hereto agree as follows:


                                    ARTICLE I

               PURCHASE OF ASSETS AND EXCLUSIVE MANAGEMENT RIGHTS

          1.01 Assets of P.A.

                    Subject  to the  terms  and  conditions  set  forth  in this
Agreement and based upon the  representations,  warranties  and  covenants  made
herein, at the Closing (as herein defined),  Seller shall sell,  assign,  convey
and  transfer  to Buyer and Buyer  shall  acquire  from  Seller  the  assets and
property of the P.A., together with all liens and encumbrances,  as set forth in
Exhibit 1.01 (a) ("P.A. Assets").




<PAGE>



          1.02 Exclusive Management Right

               P.A.  grants  to  Buyer  the  exclusive  right to  manage  P.A.'s
business  ("Exclusive  Management  Right") as more particularly set forth in the
Management  Agreement  between  Buyer and P.A. to be effective as of the Closing
Date (the  "Management  Agreement"),  the form of which  agreement  is  attached
hereto as Exhibit 1.02 and made a part hereof.

          1.03 Excluded Assets

               The terms P.A.  Assets does not include,  and Seller reserves and
does not sell or transfer to Buyer any right,  title or interest  in, the assets
listed in Exhibit 1.03 ( collectively, "Excluded Assets").


                                   ARTICLE II

                                 PURCHASE PRICE

          2.01 Purchase Price.

                  Upon and subject to the terms and  conditions set forth herein
and in consideration for the grant of the Exclusive  Management Right , the sale
of the P. C. Assets,  and Seller entering into the Management  Agreement,  Buyer
shall pay Seller the sum of $701,472.80 ("Purchase Price"):

          2.02 Manner of Payment

               (a) On the  Closing  Date,  Buyer shall pay the Seller an initial
payment of $100,000.00  for the Exclusive  Management  Right and $143,972.80 for
the purchase of the P.A. Assets.

               (b) The balance of $457,500.00 for the Exclusive Management Right
shall be paid as follows:  (i)  $100,000.00 on the last business day of May 1997
and May 1998, (ii) $36,785.71 on the last business day of May 1999,  2000, 2001,
2002,  2003,  2004 and 2005, and (iii) payments  provided for hereunder shall be
paid  notwithstanding the termination  provisions of Article 8 of the Management
Agreement.

          2.03 Allocation of Purchase Price

               The  purchase  price shall be  allocated  among the assets of the
P.A. and the Exclusive Management Right as set forth in Exhibit 2.03 hereto, and
the parties agree to respect such  allocation  for tax purposes and to cause all
tax returns, including IRS Form 8594, to be filed consistent therewith.

         


<PAGE>

          2.04 Closing Statement.

               Seller shall deliver to Buyer unaudited statements dated not more
than three (3) days  prior to Closing  Date ( the  "Closing  Statement"),  which
shall set forth the dollar value as of the date of the Closing  Statement of (a)
the P.A.  Assets  provided for in  paragraph _ of Exhibits  1.01 (a) and (b) the
dollar amount of open accounts payable for the purpose of paragraph 2.05.

          2.05 Assumption of Liabilities

               Subject to the  conditions  herein set forth,  from and after the
Closing  Date,  Buyer shall  assume and shall pay,  perform and  discharge  (the
following being  collectively  referred to as "Assumed  Liabilities") only those
liabilities  set forth in  Exhibit  2.05.  Buyer  shall not  assume,  acquire or
otherwise  become  responsible  or liable for any  liabilities  other than those
specifically  set forth herein and  enumerated in Exhibit 2.05.  Buyer agrees to
advance funds to the Seller in an amount not to exceed  $20,000.00 to be used by
Seller for making payments on accounts  payable arising prior to and existing as
of the Closing  Date.  Buyer agrees to assist  Seller in the  management  of the
payables.  Any such advances  will be treated in accordance  with Section 6.3 of
the Management Agreement.


                                   ARTICLE III

                                     CLOSING

         The closing ( the "Closing") of the  transactions  contemplated by this
Agreement shall be held at 5:00 p.m. on May 15, 1996 (the "Closing Date") at the
offices of Seller, 4325 North Josey Lane, Suite 308, Carrollton,  Texas 75010 or
such other date or at such other time or location  as to which  Seller and Buyer
may  agree to in  writing.  The  effective  time of the  Closing  shall be 12:00
midnight on the Closing Date.


                                   ARTICLE IV

                    REPRESENTATIONS AND WARRANTIES OF Seller

     Seller represent and warrant to Buyer, for the purpose of inducing Buyer to
enter into and consummate this Agreement, that:

          4.01 Organization and Power

               (a) P.A. is a duly formed and existing  professional  association
organized  under  the  laws of  Texas,  whose  sole  shareholder  is  Physician.
Physician is duly licensed to practice medicine in the State of Texas.



<PAGE>



               (b) Seller has full right, power and authority to enter into this
Agreement and to consummate the transactions  herein contemplated and Seller has
received the consent of the Physician,  as sole  shareholder  and sole director,
authorizing  and  approving  this  Agreement and the  transactions  contemplated
hereby.

               (c) This Agreement  constitutes the valid and binding  obligation
of Seller fully enforceable against Seller in accordance with its terms.


          4.02 Authority; No Conflicting Instruments

               (a)  The  execution  and  delivery  of  this  Agreement  and  the
consummation of the transactions  herein  contemplated will not, and with notice
or the  lapse  of time  or both  would  not,  except  for  contracts,  liens  or
encumbrances disclosed in Exhibits 1.01 (a) and 2.05 (i) result in the breach of
any of the terms or conditions of, or constitute any default under, the Articles
of  Incorporation or By-Laws of Seller or under any mortgage,  bond,  indenture,
agreement, lease or other instrument or obligation to which Seller is a party or
by which it or any of its properties or assets may be bound, except for any such
breach which does not materially  adversely affect Seller or its business;  (ii)
violate  any law or  regulation  relating  to  Seller;  and  (iii)  violate  any
judgment, award, order, writ, injunction or decree relating to Seller.

               (b) No consent,  approval or authorization  of, or declaration or
filing with any federal,  state,  local or foreign  governmental  or  regulatory
authority,  or any  other  third  party,  is  required  in  connection  with the
execution and delivery of this Agreement by Seller or the  performance by Seller
of the transactions  contemplated by this Agreement,  except for (i) consents of
lessors under Seller's lease(s), real property or equipment;  and (ii) any state
licensing board approvals  relating to Seller's  business and (iii) any consents
of third parties to contracts that are not material to Seller's business.

          4.03 P.A. Assets

               Seller  has  good  and  marketable  title  to the  P.A.  Assets ,
respectively and said P.A. Assets owned exclusively by Seller, free and clear of
all liens, mortgages and encumbrances of any kind or nature, except as set forth
on Exhibit 1.01(a).

          4.04  Financial  Statements  Attached  hereto as Exhibit  4.04 are the
unaudited  financial  statements  of Seller  consisting of balance  sheets,  and
profit and loss  statements for the years ended December 31, 1993, 1994 and 1995
and notes thereto, together with a balance sheet and a profit and loss statement
for the Three-month  period ended March 31, 1996 ( collectively,  the "Financial
Statements"). The Financial Statements are compiled on an income tax basis.



<PAGE>



               (a) Seller does not have any  liabilities,  debts or obligations,
whether accrued, absolute or contingent, and whether due or to become due, which
are not reflected or reserved against in the Financial  Statements in accordance
with generally accepted accounting  principles applied on a consistent basis. As
of the date hereof,  Seller has no unfunded liability under any Employee Benefit
Plan ( as hereinafter defined) and there are no circumstances, conditions events
or  arrangements  which  may  hereafter  give  rise to any such  liabilities  or
obligations which may be asserted against Buyer under any such plan.

               (b) Seller has filed with  appropriate  federal,  state and local
authorities (or has obtained appropriate extensions of the time to file) all tax
returns  required by law,  regulation or otherwise to be filed by Seller for all
taxable periods ending on or prior to the date hereof for which tax returns have
become due.  Seller has paid or made adequate  provisions for the payment of all
taxes,  penalties  and  interest  which have or may become due for or during all
taxable periods of Seller ending on or prior to the date hereof.

          4.05 Financial Position

               Since March 31, 1996:

               (a) There has not been (i) any change in the financial condition,
assets,  properties,  liabilities,  business or results of  operations of Seller
other than changes in the ordinary and usual course of business,  none of which,
individually or in the aggregate, has been adverse to the business or operations
of Seller; (ii) any strike, labor trouble,  employee dispute,  property dispute,
lease  or  contract  dispute,  loss  or  destruction  or  property,   actual  or
threatened,  claim or other event, adversely affecting, or which would adversely
affect, the financial position or business of Seller.

               (b) Seller has not granted  any wage or salary  increase or bonus
or any fringe benefits, or created or amended any Employee Benefit Plan or other
fringe benefit plan (as  hereinafter  defined) or entered into any employment or
labor  contract  with any  director,  officer,  employee or group of  employees,
except for normal  increases in a manner  consistent with Seller's  policies and
practices.

          4.06 Licenses

               (a) Seller holds all such licenses, orders, approvals and permits
("Licenses")  of every kind or nature  which are  material to the  operation  of
Seller's  business and operations and such Licenses are in full force and effect
and no action.,  proceeding or,  investigation has been instituted or threatened
with  reference to or affecting  the existence of said  Licenses.  A list of all
Licenses is set forth on Exhibit  4.06.  Seller is in compliance in all respects
with the  terms  and  conditions  of such  Licenses  and with all  requirements,
standards  and  procedures  of the  federal,  state  and local  governmental  or
regulatory bodies which issued said Licenses.




<PAGE>



               (b) Seller is in  compliance  in all material  respects  with all
federal,  state  and  local  laws,  ordinances,   codes,  regulations,   orders,
requirements, standards and procedures which are applicable to the Practice.

          4.07 Litigation

               (a) There are no actions, suits, claims or legal,  administrative
or arbitration  proceedings or investigations  pending or,  threatened  against,
involving or affecting  Seller or Seller's  properties or assets,  except as set
forth on Exhibit  4.07(a).  Seller has no notice or knowledge of any outstanding
orders,  writs,  injunctions  or decrees of any  court,  governmental  agency or
arbitration  tribunal  against,   involving  or  affecting  Seller  or  Seller's
properties or assets except as set forth on Exhibit 4.07(a). Buyer shall have no
liability or  obligation  with respect to any matter which arose out of Seller's
operations prior to the Closing Date whether set forth on Exhibit 4.07(a).

               (b) Seller has received no notice of any  violation of applicable
law, order, regulation or requirement related to either Seller, the Practice, or
P.A.  Assets,  and is not aware of any  condition  or state of facts  that could
result in any such notice.

          4.08 Third-Party Billings

               (a) All  billings  by Seller to  third-party  payors are true and
correct  in  all  respects  and  are in  compliance  in all  respects  with  all
applicable laws and regulations and the policies of such third-party payors.

               (b) Neither Seller nor any of it's officers, directors, employees
or agents,  on behalf of or for the benefit of Seller,  directly or  indirectly,
has (i) offered or paid any amount to, or made any financial  arrangement  with,
any of Seller's  past or present  customers or  potential  customers in order to
obtain  business from such  customers,  other than standard  pricing or discount
arrangements  consistent with proper business practices (ii) given, or agreed to
give,  or is aware that there has been given,  or that there is an  agreement to
make any gift or gratuitous payment of any kind, nature or description  (whether
in money,  property  or  services)  to any past or present  customer,  supplier,
source of financing, landlord, subtenant, licensee or anyone else at any time of
the year  (iii)  made,  or has  agreed to make,  or is aware  that  there is any
agreement to make any political  contribution or any  contributions,  payment or
gifts of their  respective  funds or  property  to or for the private use of any
governmental official, employee or agent where either the payment or the purpose
of such  contribution,  payment or gift relates to the business of Seller and is
illegal  under the laws of the  United  States,  any state  thereof or any other
jurisdiction  (foreign or domestic),  or (iv) made, or has agreed to make, or is
aware that there have been, or that there is any agreement to make, any payments
to any person with the intention or understanding  that any part of such payment
was to be used  directly  or  indirectly  for the benefit of any past or present
customer,  employee,  supplier or landlord of Seller,  or for any purpose  other
than that reflected in the documents supporting the payments.




<PAGE>



          4.09 Contracts and Agreements

               (a)  Exhibit  4.09(a) is a list as of the date  hereof of all the
material  contracts  or  agreements  related to the  business of Seller to which
Seller  is a party,  all of which  are valid  and  existing,  in full  force and
effect,  and binding upon the parties  thereto in  accordance  with their terms.
Seller  has  paid in full or  accrued  all  amounts  due  thereunder  which  are
currently  due and as  separately  identified  on  Exhibit  4.09(a).  Except  as
otherwise disclosed, no approval or consent of any person or entity is needed in
order that the contracts and other  agreements as listed  continue in full force
and effect with respect to Buyer from and after the Closing Date.

               (b) Seller and  Physician  are in  compliance  with all terms and
provisions  of all  contracts  material to the operation of the Practice and the
P.A. or by which the  Practice or any of the P.A.  or the  Exclusive  Management
Right is bound or affected; and all such contracts are legally valid and binding
in  accordance  with their  terms and in full force and effect  except as may be
limited by bankruptcy, moratorium, reorganization,  insolvency and other similar
laws of general  application  relating to or affecting  the rights of creditors,
and by general principles of equity.

               (c) All documents, Exhibits and other materials delivered or made
available,  by or on behalf of Seller to Buyer in connection with this Agreement
and the transactions contemplated hereby, are true and complete. The information
furnished by or on behalf of Seller to Buyer in connection  with this  Agreement
and the transactions contemplated hereby does not, in light of the circumstances
under which the statements  contained in the  information so furnished are made,
contain any untrue  statement  of a material  fact or omit to state any material
fact necessary to make the statements contained therein not false or misleading.
There  is no fact  which  Seller  has not  disclosed  to Buyer  which  adversely
affects, or insofar as Seller can foresee, will adversely affect the P.A. Assets
or the ability of Seller to perform its obligations  under this Agreement or any
other agreement entered into in connection with this transaction.

          4.10  Insurance  Seller has  maintained  at all times since January 1,
1985, with responsible and financially  solvent  insurance  companies,  adequate
insurance  covering risks of such types and in such amounts as are customary for
other  professional  corporations of similar size engaged in Seller's  business.
Exhibit  4.10  contains a true and  complete  list of all  policies of insurance
relating to comprehensive liability coverage, the amount of coverage, the period
of coverage, the type of coverage and all pending claims under such policies.

          4.11 Personnel

               (a) Exhibit 4.11(a) lists each current  employee,  both full-time
and part- time,  of Seller and all current  consultants  of Seller and discloses
their duties, the date of hire or contract, the annual compensation, bonuses and
incentive arrangements with each.

              

<PAGE>


               (b) Exhibit  4.11(b)  describes  all of Seller's  fringe  benefit
plans generally  available to Seller's  employees  ("Employee  Benefit  Plans").
Seller has  complied  with the terms and  conditions  of such  Employee  Benefit
Plans.  Seller has no  obligations  to establish or create any employee  pension
benefit plan or defined  benefit plan for the benefit of any of its employees to
become effective after the date hereof. Buyer shall have no obligations relating
to the Employee  Benefit Plans or the  employees  covered  thereunder  and Buyer
shall have no  obligations  for  employees  of Seller  arising out of federal or
state law or case  decisions as to employment  matters  arising prior to Closing
Date except in each case for those obligations Buyer assumes hereunder  relating
to accrued  salaries and wages ( including  accrued  vacation and sick leave) or
permanent and temporary  employees,  any accrued bonuses of managerial employees
and any accrued bonus hours of temporary employees of Seller.


                                    ARTICLE V

                     REPRESENTATIONS AND WARRANTIES OF BUYER

     Buyer, for the purpose of inducing Seller to enter into and consummate this
Agreement, hereby represents and warrants to Seller that:

          5.01 Organization, Power and Authority

               (a) Buyer is a corporation  duly organized,  validly existing and
in good standing  under the laws of the State of Delaware and has full power and
authority,  corporate and  otherwise,  to carry on its business as now conducted
and to own or lease and to operate its properties and assets now owned or leased
and  operated by it, to conduct the  business  of Seller and to  consummate  the
transactions contemplated hereby.

               (b) The execution,  delivery and performance of this Agreement by
Buyer has been duly authorized by all requisite corporate action, and no further
action or approval is required in order to constitute this Agreement as a valid,
binding and enforceable  obligation of Buyer, and this Agreement constitutes the
valid and binding obligation of Buyer,  enforceable  against Buyer in accordance
with its terms.

               (c)  The  execution  and  delivery  of  this  Agreement  and  the
consummation  of the  transactions as herein  contemplated  will not violate any
provisions of any  applicable  law or of the  Certificate  of  Incorporation  or
By-Laws of Buyer, or any order,  judgment or decree of any court or other agency
of  government  binding on Buyer,  or  conflict  with,  result in a breach of or
constitute  ( with due  notice  or lapse of time or both) a  default  under  any
contractual obligation of Buyer, result in or require the creation or imposition
of any lien,  charge or encumbrance of any nature whatsoever upon any of Buyer's
properties  or assets , require  any  approval  of or any  consent of any person
under any  contractual  obligation  of Buyer or  conflict  with or result in any
breach or  default  under any of the  terms,  conditions  or  provisions  of any
indenture, mortgage, deed of trust or other instrument to which Buyer is a party
or by which it or its properties may be bound or affected.





<PAGE>



                                   ARTICLE VI

                                 INDEMNIFICATION


          6.01 Survival of Representations and Warranties

               The  representations  and warranties  contained in this Agreement
and in any instrument or certificate  delivered  pursuant to, or provided for in
this   Agreement   ("Representations   and   Warranties"),   shall  survive  the
consummation of the transactions  contemplated by this Agreement for a period of
two (2) years  after the  Closing  Date ( three  years with  respect to those in
sections 4.01 and 4.02) provided, however, that the expiration of the applicable
period  would  not  preclude  either  party  from  indemnification  by the other
relating  to any  third-party  Claim ( as  defined  herein).  Each party to this
Agreement shall be deemed to have relied upon each and every  representation and
warranty of the other party, regardless of any investigation made at any time by
the party relying on such representation and warranty.

          6.02 Indemnification

               (a) After the Closing Date, Seller shall indemnify Buyer against,
and defend and hold Buyer harmless from, all demands,  claims, actions or causes
of action, assessments,  losses, damages,  deficiencies,  liabilities, costs and
expenses ( including  interest,  penalties and  reasonable  attorneys'  fees and
disbursements)   (excluding  indirect,   punitive  and  consequential   damages)
(hereinafter  collectively  called "Claim") arising out of or in connection with
(i) any breach of the Representations and Warranties, covenants or agreements of
Seller  contained in this Agreement or any agreement or instrument  delivered by
Seller pursuant to this Agreement; and (ii) the operations of Seller (including,
but not limited to provision of services, actions of officers and directors, use
of trademarks, service marks, logos or other proprietary symbols) on or prior to
the Closing Date except as expressly assumed by Buyer pursuant hereto.  Upon the
assertion  of any Claim  against  Buyer that may give rise to a  liability  of a
Seller hereunder,  Buyer shall notify said Seller of the existence of such Claim
(which  notice shall  include a  description  thereof) and Buyer shall give said
Seller  reasonable  opportunity  to  defend  and/or  settle  such  Claim at said
Seller's own expense and with counsel of its own selection,  which counsel shall
be reasonably satisfactory to Buyer; provided,  however, that in the case of any
Claim,  Buyer  shall  have the right to  participate  in any  administrative  or
judicial proceedings with respect to such Claim, at its expense and with counsel
of its choice. If a Seller shall,  after ten (10)- days notice thereof by Buyer,
fail,  in Buyer's  judgment to take adequate  action to defend any Claim,  Buyer
shall have the right to undertake the defense,  compromise or settlement of such
Claim on behalf of,  for the  account  of,  and at the risk of a Seller.  If the
Claim is one that  cannot by its  nature be solely  defended  by a Seller,  then
Buyer shall,  at its expense,  make available all  information and assistance as
may reasonably be requested by a Seller.




<PAGE>



               (b) Buyer  hereby  agrees to  indemnify  Seller  against,  and to
defend and hold Seller  harmless from Claims  arising out of in connection  with
(i) any breach of any representation,  warranty,  covenant or agreement of Buyer
contained in this  Agreement or any agreement or  instrument  delivered by Buyer
pursuant to this Agreement;  and (ii) the management by Buyer of the P. A. after
the  Closing  Date.  Upon the  assertion  of any  Claim  that may give rise to a
liability of Buyer hereunder, Seller shall notify Buyer of the existence of such
claim (which  notice shall  include a  description  thereof).  Seller shall give
Buyer  reasonable  opportunity  to defend  and/or  settle  such Claim at its own
expense  and  with  counsel  of  its  own  selection,  which  counsel  shall  be
satisfactory  to Seller;  provided,  however,  that in the case of any Claim,  a
Seller shall have the right to  participate  in any  administrative  or judicial
proceedings  with respect to such Claim,  at its expense and with counsel of its
choice. If Buyer shall, after ten (10) days- notice thereof by a Seller, fail to
defend any Claim,  said Seller  shall have the right to  undertake  the defense,
compromise  or settlement of such Claim on behalf of, for the account of, and at
the risk of  Buyer.  If the  Claim is one that can not by its  nature  be solely
defended by Buyer,  then said Seller shall, at its sole expense,  make available
all information and assistance as may be requested by Buyer.

               (c) The respective rights of the parties to be indemnified by the
other  shall not in any way be  limited by the  existence  or  non-existence  of
insurance coverage.

               (d) This indemnification  provision shall survive the Closing and
shall be effective during the term of the Management Agreement and any extension
thereof and for one year following the termination of the Management Agreement.


                                   ARTICLE VII
                                CERTAIN COVENANTS


          7.01 Conduct Prior to Closing Date

               During the period  from the date of this  Agreement  through  the
Closing  Date,  Seller agrees to conduct its business in the ordinary and normal
course of business. In connection therewith:

               (a) P.A.  shall use its best  efforts to (i) maintain all patient
lists,  records,  billing and  collection  data,  goodwill  associated  with the
Practice,  and all material files and records and  intangible  assets related to
the continued operation of the Practice, (ii) preserve, protect and maintain the
P.A.  Assets (iii) use its efforts to preserve the good standing of the P.A. and
to keep  available the services of present  employees and agents and to preserve
the goodwill of  suppliers,  patients and others having  business  relationships
with the P.A.;  (iv) not sell,  lease,  or otherwise  dispose of any of the P.A.
Assets, or other properties,  rights or claims, except in the ordinary course of
business, without Buyer's written consent.


                                                       
<PAGE>


               (c) Seller shall not , without Buyer's prior written consent,  do
any of the following:  waive or commit to waive any right of substantial  value;
sell, transfer,  dispose of or encumber or commit to sell, transfer,  dispose of
or encumber the P.A. Assets;  incur any  indebtedness  for borrowed money;  make
capital  expenditures  in excess of $5,000 in the  aggregate;  terminate any key
employee or take any action  that  impairs the  existing  relationships  between
Seller  and its  employees  and  other  persons  and  entities  having  business
relations  with Seller;  or take any action in the conduct of its business which
would be contrary  to, or in breach of, any term or  Representation  or Warranty
contained in this Agreement.

          7.02 Conduct After Closing Date

               Seller assumes any and all liabilities for taxes and deficiencies
with respect to the operation of the Practice prior to the Closing Date.


                                  ARTICLE VIII

                            CONDITION TO OBLIGATIONS

          8.01  Conditions to Seller's  Obligations  The  obligations  of Seller
under this  Agreement are subject to the  satisfaction  on or before the Closing
Date of the  following  conditions,  any of which  may be  waived  by  Seller by
proceeding with the Closing:

               (a) The representations and warranties of Buyer set forth in this
Agreement  shall be true on and as of the  Closing  Date with the same effect as
though  made on such  date.  Buyer  shall have  performed  all  obligations  and
complied  with all  covenants  required by this  Agreement  to be  performed  or
complied  with by Buyer  prior to or on the  Closing  Date and Buyer  shall have
delivered to Seller a  certificate,  dated as of the Closing  Date,  to all such
effects;

               (b) No suit,  action or other  proceeding shall be pending before
any  court or other  government  agency in which it is  sought  to  restrain  or
prohibit  performance of this Agreement or the  consummation of the transactions
contemplated  herein or in connection herewith to subject Seller to liability on
the ground that it has breached any law or duty or otherwise  acted  improperly,
nor shall any such suit, action, or proceeding be threatened;

               (c) Buyer shall have delivered in form satisfactory to Seller and
which is consistent with this Agreement the documents identified below:

                    1.  A  certified  copy  of a  resolution  of  the  Board  of
Directors of Buyer  authorizing  the execution  and delivery of this  Agreement,
consummation of the  transactions  contemplated  hereby and payment to Seller of
the Purchase Price as herein defined.



                                                       

<PAGE>



                    2. The opinion of Claude E.  White,  Esq.  legal  counsel to
Buyer, dated the Closing Date, in the form annexed hereto as Exhibit 8.01(c) 2.

                    3. An agreement of Buyer assuming the liabilities, including
without  limitation  office and equipment leases, of Seller set forth on Exhibit
2.01 and taking assets  subject to liens and  encumbrances  set forth on Exhibit
1.01(a).

                    4. Promissory Note in the amount of $457,500.00.

         8.02  Conditions to Buyer's  Obligation The  obligations of Buyer under
this Agreement are subject to the  satisfaction on or before the Closing Date of
the following conditions, any of which may be waived by Buyer by proceeding with
the Closing:

               (a) The  representations  and  warranties  of Seller set forth in
this Agreement  shall be true on and as of the Closing Date with the same effect
as though made on such date.  Seller shall have  performed all  obligations  and
complied  with by Seller  prior to or on the Closing  Date and Seller shall have
delivered  to Buyer,  a  certificate,  dated as the  Closing  Date,  to all such
effects.

               (b) No suit,  action or other  proceeding shall be pending before
any  court or other  government  agency in which it is  sought  to  restrain  or
prohibit  performance of this Agreement or the  consummation of the transactions
contemplated  herein or in connection  herewith to subject Buyer to liability on
the ground that it has breached any law or duty or otherwise  acted  improperly,
nor shall any such suit,  action or proceeding be threatened except as disclosed
on Exhibit 4.07(a);

               (c) Seller shall have delivered in form  reasonably  satisfactory
to Buyer and consistent with this Agreement the documents identified below:

                    1. A Certificate  of Existence of Seller,  dated not earlier
than thirty (30) days prior to the Closing Date,  from the Secretary of State of
Seller's incorporation.

                    2. An assignment to Buyer  transferring  to Buyer all of the
right,  title and interest of Seller in and to all telephone numbers utilized by
Seller in the operation of its business.

                    3. An assignment  of all office and equipment  leases listed
on Exhibits 4.09 (a), including security deposits.

                    4. Such bills of sale and  instruments of title as requested
by Buyer as shall convey to Buyer all of the P.A. Assets , free and clear of all
liens.

                    5. An  assignment  to Buyer of all  executory  agreements of
Seller  set  forth on or  referred  to in  Exhibit  4.09(a)  including  separate
assignments of each agreement listed in Paragraph _ of Exhibits 1.01(a).

                    6. The opinion of Gary W. Blanscet,  Esq.,  legal counsel to
Seller and  Physician,  dated the Closing  Date,  in the form annexed  hereto as
Exhibit 8.01(c) 6.
       
<PAGE>




                    7. Certified copies of resolutions adopted by Seller's Board
of  Directors  and   Physician   authorizing   and  approving  the   transaction
contemplated by this Agreement.


                                   ARTICLE IX

                              RESTRICTIVE COVENANTS

          9.01  Seller  and  Physician  acknowledge  and  recognize  the  highly
competitive  nature of  Seller's  business  and agree that they will not,  for a
period  of one (1)  year  from  and  after  the  termination  of the  Management
Agreement, pursuant to Article 9 thereof, enter into an agreement with any other
person or entity  specializing in managing labs or medical  practices similar to
P.A.'s  practice  business  or which is in  competition  with  Buyer to  provide
management and administrative services to the P. A.

          9.02 Seller and  Physician  acknowledge  and agree that the  covenants
contained  in this  Article IX are fair,  reasonable  and  necessary in order to
protect  Buyer's  expenditure for the P.A. Assets and therefore it is the desire
and intent of the parties that the  provisions of this Article shall be enforced
to the fullest  extent  permissible  under the laws and public policy applied in
each jurisdiction in which enforcement is sought. Accordingly, if any particular
provision of this Article shall be adjudicated  to be invalid or  unenforceable,
such deletion  shall apply only with respect to the operation of such  provision
in the particular  jurisdiction in which such adjudication is made. In addition,
should  any court  determine  that the  provisions  of this  Article IX shall be
unenforceable  with respect to scope,  duration or geographic  area,  such court
shall be empowered to substitute, to the extent enforceable,  provisions similar
to those  contained in this Article IX, or other  provisions so as to provide to
Buyer, to the fullest extent permitted by applicable law, the benefits  intended
by this Article IX.

          9.03 In the  event of a breach or  threatened  breach by Seller of the
provisions  of this  Article  IX,  Buyer  shall  be  entitled  to an  injunction
restraining Seller from such breach.  Nothing contained in this Article IX shall
be construed as prohibiting Buyer from pursing any other remedies  available for
such breach or threatened breach.

          9.04 The  provisions of this Article IX are in addition to (and not in
Lieu  of) any  agreement  or  covenant  contained  in any  employment  or  other
agreement between Seller and any employee as a result of this Agreement.




<PAGE>



                                    ARTICLE X

                                  MISCELLANEOUS

          10.01  Seller  represents  and  warrants  to Buyer that Seller has not
dealt with or retained any broker or finder or agreed to pay any  commission  or
fee to any  broker  or  finder  for  or on  account  of  this  Agreement  or the
transactions  contemplated  hereby. Buyer represents and warrants to Seller that
it has not dealt with or retained any broker or finder for or on account of this
Agreement  or  the  transactions  contemplated  hereby.  Each  party  agrees  to
indemnify  the other  against any loss,  cost or expense,  including  attorneys'
fees, as a result of any claim for a fee or commission asserted by any broker or
finder with respect to this  Agreement or the  consummation  thereof whose claim
arises through dealings with such broker or finder by the indemnifying party.

          10.02 If at any time after the Closing  Date any  further  assignment,
transfers or  assurances in law are  reasonably  necessary or desirable to carry
out the  provisions  of this  Agreement,  the  parties to this  Agreement  shall
execute and deliver any and all assignments,  transfers,  and assurances in law,
and do all things,  reasonably  necessary or proper to such end and otherwise to
carry out the provisions and intent of this Agreement.

          10.03 Any notice or other communication  required, by, or which may be
given  pursuant  to this  Agreement  shall be in writing  and either  personally
delivered or mailed,  certified or  registered  mail,  postage  prepaid,  return
receipt requested, or overnight courier, prepaid, and shall be deemed given when
received.  Any such  notice or  communication  shall be sent to the  address set
forth below:

         If to Buyer, at:

                  IVF America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention: Dwight Ryan, Vice President

         With a copy to:

                  IVF America, Inc.
                  One Manhattanville Road
                  Purchase, New York 10577-2100
                  Attention:  Claude  White, General Counsel



<PAGE>



         And if to P.A., at:

                  W. F. Howard, M.D., P.A.
                  4325 North Josey Lane, Suite 308
                  Carrollton, Texas 75010
                  Attention: W.F. Howard, M.D.

         With a copy to:

                  Gary W. Blanscet, Esq.
                  14001 Dallas Parkway, Suite 1200
                  Dallas, Texas 75240

     Any party may change the persons and  addressees  to which notices or other
communications  are to be sent to it by giving written notice of any such change
to the other party hereto.

          10.04 The  headings  contained  in this  Agreement  are  inserted  for
convenience of reference only and shall not affect the meaning or interpretation
of this Agreement.

          10.05 All Exhibits  referred to in this  Agreement are deemed  annexed
hereto and made a part of this Agreement.

          10.06 This Agreement, together with the Exhibits:

               (a) Constitutes the entire agreement among the parties to it with
respect to the purchase  and sale of the P.A.  Assets and  supersedes  all prior
agreements and understandings;

               (b) may not be modified or  discharged,  nor may any of its terms
be waived, except by an instrument in writing, signed by the party or parties to
be charged; and

               (c) shall bind and inure to the  benefit of the parties and their
respective  successors and permitted assigns.  Nothing expressed or mentioned in
this  Agreement  is intended,  or will be  construed,  to give any person,  firm
corporation or other entity,  other than the parties to this Agreement and their
respective successors and assigns, any legal or equitable right, remedy or claim
under or in respect of this Agreement, or any of its provisions.

          10.07 This  Agreement may not be assigned by any party hereto  without
the prior written consent of the other party. No assignment or delegation of any
rights or  obligations  hereunder  shall  release the  assignor  from any of its
liabilities hereunder.



                                                        

<PAGE>


          10.08  The  failure  of any  party at any  time or  times  to  require
performance of any provision  hereof shall in no manner affect the right of such
party at a later time to enforce the same.  No waiver of any nature,  whether by
conduct or  otherwise,  in any one or more  instances,  shall be deemed to be or
construed  as a further or  continuing  waiver of any such  condition  or of any
breach  of  any  other  term,  covenant,  representation  or  warranty  of  this
Agreement.

          10.09  This  Agreement  may be  executed  in any  number  of  separate
counterparts,  each of which shall be deemed to be an original, but all of which
together shall constitute one and the same instrument.

          10.10 This Agreement  shall be governed by and construed in accordance
with the laws of the  State of Texas,  irrespective  of the  principal  place of
business of the parties hereto.

     IN WITNESS WHEREOF, the parties have executed this Agreement the date first
above written by their respective duly authorized officers.


W. F. Howard, M.D., P.A.



By:  /s/W. F. Howard
    -----------------------
 .   W. F. Howard, M.D.
    President


IVF America, Inc.



By: /s/Peter Callan
    ----------------------------
    Peter Callan, Vice President







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