INTEGRAMED AMERICA INC
SC 13D, 1996-06-26
SPECIALTY OUTPATIENT FACILITIES, NEC
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                                                                 OMB Approval

                                                                OMB 3235-0145



                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                  Schedule 13D

                    Under the Securities Exchange Act of 1934
                             (Amendment No. _____)*

                                IVF AMERICA, INC.                            
                                (Name of Issuer)

                                  Common Stock                               
                         (Title of Class of Securities)

                                   450706 10 6
                                 (CUSIP Number)

      Claude White, One Manhattanville Road, Purchase, New York, 10577-2100  
                  (Name, Address and Telephone Number of Person
                Authorized to Receive Notices and Communications)

                                  June 7, 1996
                      (Date of Event which Requires Filing
                               of this Statement)

   If the filing person has previously filed a statement on Schedule 13G to
   report the acquisition which is the subject of this Schedule 13D, and is
   filing this schedule because of Rule 13d-1(b)(3) or (4), check the
   following box [_].

   Check the following box if a fee is being paid with the statement [X] . 
   (A fee is not required only if the reporting person:  (1) has a previous
   statement on file reporting beneficial ownership of more than five percent
   of the class of securities described in Item 1; and (2) has filed no
   amendment subsequent thereto reporting beneficial ownership of five
   percent or less of such class.)  (See Rule 13d-7.)

   Note:  Six copies of this statement, including all exhibits, should be
   filed with the Commission.  See Rule 13d-1(a) for other parties to whom
   copies are to be sent.

   *The remainder of this cover page shall be filled out for a reporting
   person's initial filing on this form with respect to the subject class of
   securities, and for any subsequent amendment containing information which
   would alter disclosures provided in a prior cover page.

   The information required on the remainder of this cover page shall not be
   deemed to be "filed" for the purpose of Section 18 of the Securities
   Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of
   that section of the Act but shall be subject to all other provisions of
   the Act (however, see the Notes).

                        (Continued on following page(s))

                                Page 1 of 6 Pages

   SEC 1746 (9-82)

   <PAGE>
                                       13D
    CUSIP NO. 450706 10 6                                Page 2 of 6 Pages



     1   NAME OF REPORTING PERSON
         S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON

         Morris Notelovitz, Social Security No.: ###-##-####

     2   CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP*           (a)  [_]
                                                                     (b)  [_]
         N/A
     3   SEC USE ONLY


     4   SOURCE OF FUNDS*
         OO

     5   CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDING PURSUANT TO
          ITEMS 2(d) or 2(e)                                              [_]


     6   CITIZENSHIP OR PLACE OF ORGANIZATION
         U.S.A.

                             7   SOLE VOTING POWER
          NUMBER OF
            SHARES               666,666
         BENEFICIALLY
                             8   SHARED VOTING POWER
           OWNED BY
                                 0
             EACH
          REPORTING          9   SOLE DISPOSITIVE POWER
            PERSON               666,666
             WITH
                            10   SHARED DISPOSITIVE POWER
                                 0

    11   AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
         666,666

    12   CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
          CERTAIN SHARES*                                                 [_]
         N/A

    13   PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
         11.1%

    14   TYPE OF REPORTING PERSON*
         IN

                      *SEE INSTRUCTIONS BEFORE FILLING OUT!

   <PAGE>

   Item 1.   Security and Issuer.

             This Schedule 13D relates to 666,666 shares of common stock (the
   "Shares") of IVF America, Inc. (the "Company").  The principal executive
   offices of the Company are located at One Manhattanville Road, Purchase,
   New York, 10577-2100. 

   Item 2.   Identity and Background.

        (a)  This Schedule 13D is being filed by Morris Notelovitz.

        (b)  Dr. Notelovitz' residential address is 2801 N.W. 58th Blvd.,
   Gainesville, Florida 32605.

        (c)  Dr. Notelovitz' present principal occupation is physician at
   INMD Acquisition Corp., a company specializing in gynecological services,
   climacteric medicine services, clinical research and other services
   related to pre- and post-menopausal women.  INMD Acquisition Corp.'s
   business address is Office Park West, 222 S.W. 36th Terrace, Gainesville,
   Florida 32607. 

        (d)  During the last five years, Dr. Notelovitz has not been
   convicted in any criminal proceeding (excluding traffic violations or
   similar misdemeanors).

        (e)  During the last five years, Dr. Notelovitz has not been a party
   to any civil proceeding of a judicial or administrative body of competent
   jurisdiction resulting in a judgment, decree or final order enjoining
   future violations of, or prohibiting or mandating activities subject to,
   federal or state securities laws or finding any violation with respect to
   such laws.

        (f)  Dr. Notelovitz is a United States citizen. 

   Item 3.   Source and Amount of Funds or Other Consideration.

        Dr. Notelovitz acquired the Shares pursuant to an Agreement and Plan
   of Merger, dated June 7, 1996 (the "Merger"), by and among the Company;
   its subsidiary, INMD Acquisition Corp. ("Sub"); Dr. Notelovitz, three
   entities wholly-owned by Dr. Notelovitz: The Climacteric Clinic, Inc.
   ("CCI"), Midlife Centers of America, Inc. ("MCA"), and Women's Research
   Centers, Inc., America ("WRC"); and National Menopause Foundation, Inc. 
   Pursuant to the Merger, CCI, MCA and WRC merged with and into Sub with Sub
   surviving.  The shares of common stock of CCI, MCA and WRC owned by Dr.
   Notelovitz were, in the aggregate, converted into 666,666 Shares. 

   Item 4.   Purpose of Transaction.

        The Shares have been acquired for, and are being held for, investment
   purposes.  Dr. Notelovitz has no present plans or proposals which relate
   to or would result in:

        (a)  The acquisition by any person of additional securities of the
   Company or the disposition of securities of the Company, except as set
   forth above;

        (b)  An extraordinary corporate transaction, such as a merger,
   reorganization, or liquidation, involving the Company or any of its
   subsidiaries;

        (c)  A sale or transfer of a material amount of assets of the Company
   or any of its subsidiaries;

        (d)  Any change in the present board of directors or management of
   the Company, including any plans or proposals to change the number of term
   of directors or to fill any existing vacancies on the board;

        (e)  Any material change in the present capitalization or dividend
   policy of the Company;

        (f)  Any other material change in the Company's business or corporate
   structure;

        (g)  Any changes in the Company's charter, bylaws, or instruments
   corresponding thereto or other actions which may impede the acquisition of
   control of the Company by any person;

        (h)  Causing a class of securities of the Company to be delisted from
   a national securities exchange or to cease to be authorized to be quoted
   in an inter-dealer quotation system of a registered national securities
   association;

        (i)  A class of equity securities of the Company becoming eligible
   for termination of registration pursuant to Section 12(g)(4) of the
   Securities Exchange Act of 1934; or

        (j)  Any action similar to any of those enumerated above.

   Item 5.   Interest in Securities of the Issuer

        (a) and (b)  Pursuant to Rule 13d-3, Dr. Notelovitz is deemed to be
   the beneficial owner of all 666,666 Shares which represent approximately
   11.1% of the 6,008,227 shares of common stock reported by the Company to
   be outstanding as of May 1, 1996.

        (c)  The following table sets forth the dates, number of shares and
   per share price for all transactions in the Company's common stock
   effected by Dr. Notelovitz during the 60 days preceding the date of this
   Schedule 13D:

                       Number of Shares
    Date                   Acquired             Price per Share

    June 7, 1996            666,666                  3.000

        (d)  Any dividends on the Shares and the proceeds from the sale
   thereof will be paid to Dr. Notelovitz. No other persons have the right to
   receive or the power to direct the receipt of dividends from, or the
   proceeds from the sale of the Shares.

        (e)  Not applicable.

   Item 6.   Contracts, Arrangements, Understandings or Relationships With
             Respect to Securities of the Issuer.

        Dr. Notelovitz has executed a proxy, dated June 7, 1996, granting to
   Gerardo Canet, the president of the Company, an irrevocable proxy to vote
   all of the Shares at any and all meetings of the stockholders of the
   Company and in any action by such stockholders without a meeting.  Such
   proxy expires on the earlier of June 7, 1998 or upon termination of Dr.
   Notelovitz' Physician's Employment Agreement or the Employment Agreement
   employing Dr. Notelovitz as Vice President for Medical Affairs and Medical
   Director of the Menopause Division of Sub.

        In addition, Dr. Notelovitz has been granted, pursuant to the Merger,
   certain registration rights with respect to the Shares, permitting Dr.
   Notelovitz to "piggyback" on any filing of a registration statement on
   Form S-1 or its equivalent by the Company, covering an offering of the
   Company's common stock.  Such registration rights expire on June 7, 1998.

   Item 7.   Material to be Filed as Exhibits.

             Exhibit A -- Agreement and Plan of Merger
             Exhibit B -- Proxy from Dr. Notelovitz to Gerardo Canet 



                                    SIGNATURE

        After reasonable inquiry and to the best of my knowledge and belief,
   I certify that the information set forth in this statement is true,
   complete and correct.

                                 /s/ Morris Notelovitz
                                 Morris Notelovitz

   DATE:  June 24, 1996




                                    EXHIBIT A





                          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
   ("CCV"), (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.")

                                   WITNESSETH

          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:


                                    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 N.W. 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:

               (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.

                    (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);

               (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), addressees) (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.

          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 COMPANY 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 or 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
   government 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.

               (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 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.

               (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.

          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 tile
   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 requirements 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.

               (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.

          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.

                    (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. Section  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.

               (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.

               (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 threatened.

          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 furnished to the
   Parent.

          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.

          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
   "and-referral" laws, including but not limited to 42 U.S.C. Section
   Section  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 materially 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.


                                   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 4.4 are copies
   of Parent's Form 10-K and Form I O-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.

                                    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-1 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 request, 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 statement as the underwriter
   may specify) pursuant to a firm (as distinguished from a best efforts)
   underwriting through an underwriter designated by Parent;

                    (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 furnished 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 prospectus.  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.

                    (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.

          5.8  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. 

          5.9  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
   notifications 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 tile 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.


                                   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.

          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).

               (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 afl 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.

               (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.  

          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:

               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, Florida 32605

               With a copy to:

                    Richard M. Knellinger, P.A.
                    Barnett Bank Building
                    Suite 305
                    2815 NW 13th Street
                    Gainesville, Florida 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.

          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 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 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, M.D.
   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, M.D.
   Title: Vice President                Title:    President



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


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


                                        NATIONAL MENOPAUSE FOUNDATION, INC.


                                        By:     /s/ Morris Notelovitz        
                                        Name: Morris Notelovitz, M.D.
                                        Title:    President




                                    EXHIBIT B


   June 7, 1996



   IVF America, Inc.
   One Manhattanville Road
   Purchase, New York 10577-2100

   Ladies and Gentlemen:

          In connection with the closing of the Agreement and Plan of Merger
   ("Agreement") dated June 7, 1996 by and among IVF America, Inc., doing
   business as IntegraMed America (the "Company"), 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. and in compliance with Section 5.5 of the
   Agreement.  I hereby irrevocably constitute and appoint Gerardo Canet my
   attorney-in-fact and agent to vote any and all shares of the 666,666
   shares of Common Stock of the Company issued to me and bearing Certificate
   Number IVF 1029 or any replacement thereof (the "Shares"), at any and all
   meetings of the Shareholders of the Company, at any and all postponements
   or adjournments thereof and in any action by stockholders without a
   meeting.  In connection with such Proxy, Mr. Canet agrees to vote the
   Shares in favor of my election to the Board of Directors of the Company. 
   I agree I that this Proxy is being given to induce (the Company to enter
   into the Agreement, and that this Proxy constitutes part of the
   consideration provided by me under the Agreement.  This Proxy shall expire
   on the earlier of the second anniversary of the Closing Date (as defined
   in the Agreement) or termination of either the Employment or Physician
   Employment Agreements referred to in the Agreement.  During the pendency
   of this Proxy, the Company shall have the right, by written notice to me,
   to substitute another individual to have the rights and responsibilities
   granted to Gerardo Canet in this Proxy.  Upon expiration of this Proxy, I
   shall have the absolute and unrestricted right, power and authority to
   vote the Shares as I, in my sole discretion, see fit.  



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


   Acknowledged and Accepted:

   IVF America, Inc.


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



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