INTEGRAMED AMERICA INC
8-K/A, 1996-08-21
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                   FORM 8-K/A
                                 Amendment No. 1

                                 CURRENT REPORT


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



Date of Report: August 20, 1996

                            INTEGRAMED AMERICA, INC.
- --------------------------------------------------------------------------------

               (Exact name of registrant as specified in charter)


                                    Delaware
- --------------------------------------------------------------------------------

                 (State of other jurisdiction of incorporation)


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


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


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


Registrant's former name: IVF America, Inc.



<PAGE>



                            INTEGRAMED AMERICA, INC.
                                   FORM 8-K/A

                                TABLE OF CONTENTS


                                                                           PAGE

    FINANCIAL INFORMATION

       Financial Statements

          Report of Independent Accountants..............................     3

          Combined Balance Sheet as of June 6, 1996 (unaudited) and
            December 31, 1995 (audited)..................................     4

          Combined Statement of Operations for the period from
            January 1, 1996 through June 6, 1996 (unaudited) and for
            the year ended December 31, 1995 (audited)...................     5

          Combined Statement of Shareholder's Equity for the period
             from January 1, 1996 through June 6, 1996 (unaudited)
             and for the year ended December 31, 1995 (audited)..........     6

          Combined Statement of Cash Flows for the period from
             January 1, 1996 through June 6, 1996 (unaudited)and for
             the year ended December 31, 1995............................     7

          Notes to Combined Financial Statements.........................  8-12

        Pro Forma Consolidated Financial Information (unaudited)

           Basis of Presentation.........................................    13

           Pro Forma Consolidated Statement of Operations for the
             six-month period ended June 30, 1996........................    14

           Pro Forma Consolidated Statement of Operations for the
             year ended December 31, 1995................................    15

    SIGNATURES ..........................................................    16

    INDEX TO EXHIBITS....................................................    17



                                                                 2

<PAGE>



                        REPORT OF INDEPENDENT ACCOUNTANTS


To the Board of Directors and Shareholder of
Women's Medical and Diagnostic Center

      In our  opinion,  the  accompanying  combined  balance  sheet and  related
statements  of  operations,  of  shareholder's  equity and of cash flows present
fairly, in all material respects,  the financial position of the Women's Medical
and  Diagnostic  Center and  affiliated  companies at December 31, 1995, and the
results  of their  operations  and their  cash  flows for the year then ended in
conformity  with  generally  accepted  accounting  principles.  These  financial
statements   are  the   responsibility   of  the   company's   management;   our
responsibility  is to express an opinion on these financial  statements based on
our  audit.  We  conducted  our audit of these  statements  in  accordance  with
generally accepted auditing standards which require that we plan and perform the
audit to obtain reasonable  assurance about whether the financial statements are
free of material  misstatement.  An audit includes  examining,  on a test basis,
evidence  supporting the amounts and  disclosures  in the financial  statements,
assessing the  accounting  principles  used and  significant  estimates  made by
management,  and evaluating the overall  financial  statement  presentation.  We
believe  that our audit  provides a reasonable  basis for the opinion  expressed
above.

      As discussed in Note 2 to the combined financial  statements,  the company
was acquired by IntegraMed America, Inc. on June 7, 1996.




Price Waterhouse LLP

Stamford, Connecticut
August 8, 1996

                                                         3

<PAGE>




<TABLE>

                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
                             COMBINED BALANCE SHEET

                                     ASSETS
<CAPTION>

                                                                                      June 6,        December 31,
                                                                                       1996              1995
                                                                                       ----              ----
                                                                                    (unaudited)        (audited)
<S>                                                                                 <C>               <C>      
Current assets:

  Cash and cash equivalents ....................................................    $    29,000       $  42,000
  Research accounts receivable, net.............................................        242,000         346,000
  Patient accounts receivable, less allowance for doubtful accounts of $10,000
   in both 1996 and 1995........................................................        116,000         103,000
  Other current assets .........................................................          5,000          19,000
                                                                                        -------         -------
    Total current assets........................................................        392,000         510,000
                                                                                        -------         -------
  Fixed assets, net ............................................................         99,000         117,000
                                                                                        -------         -------
     Total assets...............................................................      $ 491,000        $627,000
                                                                                      =========        ========

                                       LIABILITIES AND SHAREHOLDER'S EQUITY
Current liabilities:
  Litigation reserve............................................................    $    50,000      $   50,000
  Accrued payroll...............................................................         12,000          14,000
  Other accrued liabilities.....................................................          5,000          15,000
  Current portion of long-term debt.............................................         44,000          52,000
  Deferred revenues.............................................................         76,000          84,000
  Patient deposits .............................................................          2,000           1,000
                                                                                   
     Total current liabilities..................................................        189,000         216,000
                                                                                        -------         -------
                                                                                     

Long-term debt .................................................................         63,000          75,000

Commitments  and contingencies- (see Note 6)....................................           -               -

Shareholder's equity -
  Common Stock, $1.00 par value, 300 shares authorized, issued and
     outstanding at June 6, 1996 and  December 31, 1995, respectively...........            -              -
  Accumulated earnings..........................................................        239,000         336,000

     Total shareholder's equity ................................................        239,000         336,000
                                                                                        -------         -------
                                                                                     
     Total liabilities and shareholder's equity.................................      $ 491,000        $627,000
                                                                                      =========        ========
                                                                                     
             See accompanying notes to the combined financial statements.

</TABLE>
                                                         4

<PAGE>




                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
                        COMBINED STATEMENT OF OPERATIONS




                                       For the period from         For the
                                         January 1, 1996          year ended
                                          through June 6,        December 31,
                                               1996                 1995
                                       -------------------        ----------
                                           

Revenues, net (see Note 2)............    $  572,000              $1,948,000

Costs of services rendered ...........       751,000               1,670,000
                                             -------               ---------
                                          

Contribution .........................      (179,000)                278,000

General and administrative expenses ..        55,000                 210,000
Interest income.......................          -                     (2,000)
Interest expense......................         5,000                  13,000
                                             -------               ---------
Total other expenses..................        60,000                 221,000
                                             -------               ---------
Net (loss) income.....................     $(239,000)             $   57,000
                                           =========              ==========
                                           

























          See accompanying notes to the combined financial statements.

                                                         5

<PAGE>

<TABLE>


                                       WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
                                    COMBINED STATEMENT OF SHAREHOLDER'S EQUITY



<CAPTION>

                                                                                                  Total
                                                     Common Stock            Accumulated      Shareholder's
                                                   Shares      Amount          Earnings          Equity
                                                   ------      ------          --------          ------
<S>                                                <C>         <C>           <C>                <C>     
Balance as of January 1, 1995..................      300          -           $438,000           $438,000
Net income.....................................      -            -             57,000             57,000
Contributions by shareholder...................      -            -            150,000            150,000
Distributions to shareholder...................      -            -           (309,000)          (309,000)
                                                                              --------           --------
Balance as of December 31, 1995................      300          -            336,000            336,000
Net loss.......................................      -            -           (239,000)          (239,000)
Contributions by shareholder....  .............      -            -            165,000            165,000
Distributions to shareholder...................      -            -            (23,000)           (23,000)
                                                                              --------           --------
Balance as of June 6, 1996.....................      300          -           $239,000           $239,000
                                                     ===        =====         ========           ========

































         See accompanying notes to the combined financial statements.
</TABLE>

                                                         6

<PAGE>

<TABLE>


                                       WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
                                         COMBINED STATEMENT OF CASH FLOWS

<CAPTION>


                                                                                 For the Period          For the
                                                                              from January 1, 1996     Year ended
                                                                                 through June 6,      December 31,
                                                                                       1996               1995
                                                                              -------------------     ------------
                                                                                   (unaudited)          (audited)
<S>                                                                                 <C>                <C>     
Cash flows from operating activities:
  Net (loss) income..........................................................       $(239,000)         $ 57,000
  Adjustments to reconcile net (loss) income to net cash (used in)
    cash (used in) provided by operating activities:
    Depreciation and amortization............................................          20,000            41,000
  Changes in assets and liabilities--
    (Increase) decrease in assets:
      Research accounts receivable...........................................         104,000          (138,000)
      Patient accounts receivable............................................         (13,000)           71,000
      Other current assets...................................................          14,000           (11,000)
    Increase (decrease) in liabilities:
    Litigation reserve.......................................................             -              50,000
    Accrued payroll..........................................................          (2,000)           14,000
    Other accrued liabilities................................................         (10,000)            8,000
    Deferred revenue.........................................................          (8,000)           41,000
    Patient deposits.........................................................           1,000            (1,000)
                                                                                     --------          --------
  Net cash (used in) provided by operating activities........................        (133,000)          132,000
                                                                                     --------          --------

  Cash flows used in investing activities:
    Purchase of fixed assets and leasehold improvements......................          (2,000)          (48,000)
                                                                                     --------          --------

  Net cash used in investing activities......................................          (2,000)         (48,000)
                                                                                     --------          --------
  Cash flows (used in) provided by financing activities:
    Proceeds from issuance of debt...........................................            -               14,000
    Principal repayments on debt.............................................         (20,000)          (31,000)
    Contributions by shareholder.............................................         165,000           150,000
    Distributions to shareholder.............................................         (23,000)         (309,000)
                                                                                     --------          --------
Net cash provided by (used in) financing activities..........................         122,000          (176,000)
                                                                                     --------          --------

Net decrease in cash.........................................................         (13,000)          (92,000)
Cash at beginning of period..................................................          42,000           134,000
                                                                                     --------          --------
Cash at end of period........................................................        $ 29,000          $ 42,000
                                                                                     ========          ========
</TABLE>


SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION AND NON-CASH
TRANSACTIONS:


      Interest  paid in cash for the period from January 1, 1996 through June 6,
1996 and for the year ended December 31, 1995 amounted to  approximately  $5,000
and $13,000, respectively. Interest received for the period from January 1, 1996
through  June 6, 1996 and for the year  ended  December  31,  1995  amounted  to
approximately $400 and $2,000, respectively.

         See accompanying notes to the combined financial statements.
                                                         7

<PAGE>



                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
                     NOTES TO COMBINED FINANCIAL STATEMENTS


NOTE 1 - THE COMPANY:

      Women's  Medical  and  Diagnostic  Center  (the  "Company"),   located  in
Gainesville,   Florida,   provides   comprehensive   health  care  to  peri  and
post-menopausal women. The Company has a multidisciplinary approach and offers a
full service  clinical  ambulatory  care facility  that  provides  comprehensive
diagnostic and treatment  alternatives  to peri- and  post-menopausal  women and
clinical research pursuant to contracts with pharmaceutical companies related to
the treatment of health issues common to peri- and post menopausal women.

NOTE 2 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:

   Basis of combination  -

       The accompanying  combined  financial  statements of the Company comprise
the  accounts of the  Climacteric  Clinic,  Inc.  (CCI),  the  Women's  Research
Centers, Inc. (WRC), and the Midlife Centers of America, Inc. (MCA), all related
companies in Gainesville, Florida, which prior to June 7, 1996 had been owned by
Dr. Morris Notelovitz,  the then sole shareholder of these companies.  Effective
June 7,  1996,  all of the  outstanding  common  stock  of CCI,  WRC and MCA was
acquired by INMD  Acquisition  Corp. (IAC) which changed its name to the Women's
Medical & Diagnostic Center, Inc. ("WMDC"). WMDC is a wholly owned subsidiary of
IntegraMed  America,  Inc., a public company based in Purchase,  New York, which
provides comprehensive  management,  laboratory and clinical support services to
medical specialty providers of reproductive and women's health care services.

   Interim results -

       In  the  opinion  of  management,   the  accompanying  unaudited  interim
financial  statements  contain  all  adjustments   (consisting  only  of  normal
recurring  accruals)  necessary to present fairly the financial position at June
6, 1996,  and the results of  operations  and cash flows for the interim  period
presented.  Operating  results  for  the  interim  period  are  not  necessarily
indicative  of results  that may be expected  for the year ending  December  31,
1996.

   Revenue and cost recognition -

       Revenues consist of service revenues for patients and research contracts.

       Patient  revenues are recorded on a net realizable  basis after deducting
contractual  allowances and consist of patient fees collected by the Company for
peri and post menopausal women's  healthcare  services performed by the Company.
Patient  revenues and related direct costs are recognized in the period in which
the  clinical  and/or  laboratory  services are  rendered.  Net  realization  is
dependent upon benefits provided by the patient's insurance policy or agreements
between the Company and the third-party payor.  Payments collected from patients
in advance for services are included in patient deposits.

       Research  revenues are earned under research study contracts  between the
Company and various pharmaceutical  companies.  The Company contracts with major
pharmaceutical  companies  (sponsors) to perform  women's  medical care research
mainly to determine the safety and efficacy of a  medication.  Based on the data
collected from studies  conducted by the Company and other  non-related  centers



                                                         8

<PAGE>




                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
               NOTES TO COMBINED FINANCIAL STATEMENTS (continued)

for  major  pharmaceutical  companies,  the Food and Drug  Administration  (FDA)
determines  whether a medication can be  manufactured  and made available to the
public. Research revenues are recorded on a net realizable basis after deducting
contractual  allowances  and consist of fees from  pharmaceutical  companies for
medical  services  performed by the Company as stipulated by the research  study
protocol.  Research  revenues are recognized in the period in which the clinical
and/or  laboratory  services  are  rendered  and  collection  of  such  fees  is
considered  probable.  Net  realization  is dependant upon final approval by the
sponsor that  procedures were performed  according to study  protocol.  Payments
collected  from  sponsors  in advance  for  services  are  included  in deferred
revenues.  Costs  incurred in  performing  the research  studies are included in
"Cost of services rendered". For the period from January 1, 1996 through June 6,
1996  and for the  year  ended  December  31,  1995  one and two  pharmaceutical
companies,  respectively, each comprised greater than 10% of the Company's total
research revenues.

     Cash and cash equivalents -

         The Company  considers all highly liquid debt instruments with original
maturities of three months or less to be cash equivalents.

    Patient accounts receivable -

         Patient  accounts  receivable  represent  receivables from patients for
medical  services  provided by the  Company.  Such  amounts are  recorded net of
contractual allowances and estimated bad debts.

    Research fees receivable -

         Research fees  receivable  represent  receivables  from  pharmaceutical
companies for medical services  provided by the Company to patients  pursuant to
protocols  stipulated under research study contracts between the  pharmaceutical
companies and the Company.

    Fixed assets -

         Fixed  assets  are  valued at cost less  accumulated  depreciation  and
amortization.  Depreciation  is  computed  on a  straight-line  basis  over  the
estimated  useful lives of the related  assets,  generally  three to five years.
Leasehold  improvements  are amortized over the shorter of the asset life or the
remaining term of the lease.

          When  assets  are  retired  or  otherwise  disposed  of, the costs and
related accumulated  depreciation are removed from the accounts.  The difference
between  the net book value of the  assets  and  proceeds  from  disposition  is
recognized  as gain or loss.  Routine  maintenance  and  repairs  are charged to
expenses as incurred, while costs of betterments and renewals are capitalized.

    Income taxes -

         The Company, a Florida corporation,  has elected under Internal Revenue
Code Section 1362 (a) to be taxed as an "S"  corporation  for Federal income tax
purposes  whereby  income is taxed  directly  to its  shareholder.  The state of
Florida  does not have a corporate  income tax. As a result,  no  provision  for
taxes has been reflected in the combined statement of operations.

                                                         9

<PAGE>


                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
               NOTES TO COMBINED FINANCIAL STATEMENTS (continued)


    Use of estimates in the preparation of the combined financial statements -

         The  preparation of these combined  financial  statements in conformity
with generally accepted accounting principles requires management of the Company
to make estimates and assumptions that affect the reported amounts of assets and
liabilities and disclosures of contingent assets and liabilities, at the date of
the  financial  statements,  and the  reported  amounts of revenues and expenses
during the reporting period. Actual results could differ from those estimates.

NOTE 3 - FIXED ASSETS, NET:

       Fixed assets,  net at June 6, 1996 and December 31, 1995 consisted of the
following:

                                            June 6, 1996    December 31, 1995
                                            (unaudited)         (audited)

       Furniture, office and other equipment.. $124,000         $122,000
       Medical equipment......................  182,000          182,000
       Leasehold improvements.................   47,000           47,000
                                              ---------        ---------
          Total    ...........................  353,000          351,000

       Less  - Accumulated depreciation and
         amortization......................... (254,000)        (234,000)
                                               --------         --------

                                               $ 99,000         $117,000
                                               ========         ========

       Depreciation  and  amortization   expense  totaled  $18,000  and  $2,000,
respectively,  for the  period  from  January 1, 1996  through  June 6, 1996 and
$37,000 and $4,000, respectively, for the year ended December 31, 1995.

NOTE 4 - DEBT:

       Debt at June 6, 1996 and December 31, 1995 consisted of the following:

                                                     June 6,    December 31,
                                                      1996         1995 
                                                      ----         ---- 
                                                    (unaudited)  (audited)

 Unsecured line of credit..........................  $12,000    $ 20,000
 Secured note, due in installments through 1998....   47,000      55,000
 Secured note, due in installments through 1999....   48,000      52,000
                                                      ------    --------
   Total debt.....................................   107,000     127,000

   Less  - current portion........................   (44,000)    (52,000)
                                                    ---------   --------
   Long-term debt.................................   $63,000    $ 75,000
                                                    =========   ========
                                                
                                                           

      In June 1995,  the Company  renewed a $30,000  unsecured line of credit of
which $12,000 and $20,000 was outstanding at June 6, 1996 and December 31, 1995,
respectively.  Interest is payable  quarterly at the bank's prime rate plus 1.5%
which  equaled  9.75%  at June 6,  1996  and 10% at  December  31,  1995.  Total
commitment fees for the period from January 1, 1996 through June 6, 1996 and for
the year ended December 31, 1995 were immaterial.

                                                        10

<PAGE>


                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
               NOTES TO COMBINED FINANCIAL STATEMENTS (continued)



       In September  1993, the Company  obtained a promissory note in the amount
of $100,000  primarily for leasehold  improvements  of which $47,000 and $55,000
was outstanding at June 6, 1996 and December 31, 1995, respectively. The note is
payable  in 59 monthly  installments  of $1,667  plus  interest,  commencing  on
October 8, 1993 through  September 8, 1998.  Simple interest is payable annually
at the bank's  prime rate plus 1% which  equaled  9.25% and 9.5% at June 6, 1996
and December 31, 1995,  respectively.  The note is secured by all tangible fixed
assets of the Company.

       In November 1994, the Company obtained a promissory note in the amount of
$64,000  primarily  for  medical  equipment  of which  $48,000  and  $52,000 was
outstanding  at June 6, 1996 and December 31,  1995,  respectively.  The note is
payable in 59 monthly  installments of $1,330.00 including interest,  commencing
on December 18, 1994  through  December  18,  1999.  Simple  interest is payable
annually  at a fixed rate of 9%. The note is secured by the  underlying  medical
equipment.

NOTE 5 - OPERATING LEASES

      In October  1993,  the  Company  entered  into a  three-year  lease of its
corporate  and medical  offices.  During  1996,  the Company  amended the lease,
whereby the term was  extended to August 31,  1999.  Rental  expense  under this
operating  lease was $46,000 and  $108,000  for the period from  January 1, 1996
through June 6, 1996 and for the year ended December 31, 1995, respectively.

       At December  31,  1995,  the minimum  lease  payments  for  noncancelable
operating leases in future years pursuant to the amended lease were as follows:

                  1996     ...................................  $111,000
                  1997     ...................................   114,000
                  1998     ...................................   114,000
                  1999     ...................................    76,000
                                                                --------
                  Total minimum operating lease payments......  $415,000
                                                                --------

NOTE 6 - COMMITMENTS AND CONTINGENCIES:

    Litigation -

       On May 1,  1996,  a claim of age  discrimination  was filed in the United
States District Court, Northern District of Florida,  Gainesville Division, by a
former employee of the Company.  The litigation arises out of a claim originally
filed with the Florida  Commission on Human  Relations on October 24, 1995.  The
litigation is currently in the initial pleading and discovery stage, however, on
July 15, 1996, a settlement  proposal was submitted to the Company . The Company
believes to have one or more valid defenses and intends to rigorously defend the
action.  Management  believes it has  adequately  provided  for any such payment
should an unfavorable determination be made.

       There are other legal proceedings to which the Company is a party. In the
Company's  view, the claims asserted and the outcome of these  proceedings  will
not have a material  adverse effect on the financial  position or the results of
operations of the Company.



                                                        11

<PAGE>


                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
               NOTES TO COMBINED FINANCIAL STATEMENTS (continued)


NOTE 7 - RELATED PARTY TRANSACTIONS:

       During 1995, Dr. Morris Notelovitz,  the sole shareholder of the Company,
and his wife were paid salaries of $166,000 and $37,000, respectively.

       During 1995, the Company provided  management services to another Company
owned by Dr.  Morris  Notelovitz  in an amount of $16,500 of which  $11,000  was
outstanding as a receivable at December 31, 1995.

NOTE 8 - SUBSEQUENT EVENT:

      On June  7,  1996,  IntegraMed  America,  Inc.  ("INMD")  entered  into an
Agreement  and  Plan  of  Merger  (the  "Agreement")   pursuant  to  which  INMD
Acquisition Corp. ("IAC"), a Florida corporation and wholly-owned  subsidiary of
INMD,  acquired all of the  outstanding  stock of the  following  three  related
Florida corporations:  The Climacteric Clinic, Inc. ("CCI"),  Midlife Centers of
America,  Inc.  ("MCA"),  and Women's Research Centers,  Inc.  ("WRC"),  America
(collectively  "the Company"),  and 51% of the outstanding stock of the National
Menopause Foundation, Inc. ("NMF"), also a related Florida corporation. Pursuant
to the  Agreement,  the  Company  was merged  with and into IAC,  the  surviving
corporation in the Merger, which has continued its corporate existence under the
laws of the State of Florida under the name Women's Medical & Diagnostic Center,
Inc. ("WMDC"). Under the Agreement, Morris Notelovitz,  M.D., Ph.D., the founder
of both the Company and NMF, (the  "Physician")  became a member of INMD's Board
of Directors,  and under a long term  employment  agreement,  the Physician will
serve as Vice President for Medical  Affairs and Medical  Director of INMD's new
WMDC Division.  IAC simultaneously entered into an Employment Agreement with the
Physician  pursuant to which the  Physician is providing  medical  services,  as
defined.

                                                        12

<PAGE>


                      WOMEN'S MEDICAL AND DIAGNOSTIC CENTER
               NOTES TO COMBINED FINANCIAL STATEMENTS (continued)



                            INTEGRAMED AMERICA, INC.

             Unaudited Pro Forma Consolidated Financial Information
                              Basis of Presentation

         The  transactions  detailed  below were  accounted  for by the purchase
method of accounting  and the purchase  price has been allocated to the tangible
and intangible assets acquired and liabilities  assumed based upon the estimated
fair values at the date of  acquisition.  The unaudited  consolidated  financial
statements include the results of these transactions from their respective dates
of acquisition.

         On June 7, 1996,  IntegraMed America, Inc. (the "Company") entered into
an  Agreement  and Plan of  Merger  (the  "Agreement")  pursuant  to which  INMD
Acquisition Corp. ("IAC"), a Florida corporation and wholly-owned  subsidiary of
the  Company,  acquired  all of the  outstanding  stock of the  following  three
related Florida  corporations:  The Climacteric  Clinic,  Inc. ("CCI"),  Midlife
Centers of America,  Inc. ("MCA"),  and Women's Research Centers,  Inc. ("WRC"),
America (collectively "the Merger Companies"),  and 51% of the outstanding stock
of the National  Menopause  Foundation,  Inc.  ("NMF"),  also a related  Florida
corporation.  Pursuant to the Agreement,  the Merger  Companies were merged with
and into IAC, the surviving  corporation in the Merger,  which will continue its
corporate  existence  under  the laws of the  State of  Florida  under  the name
Women's Medical & Diagnostic Center,  Inc. ("WMDC").  In exchange for the shares
of the  Merger  Companies,  the  Company  paid  cash in an  aggregate  amount of
$350,000 and issued  666,666  shares of Common Stock which had a market value of
$2.5  million.  In exchange  for the 51% of the  outstanding  stock of NMF,  the
Company  paid cash in an  aggregate  amount of  $50,000  and issued a note in an
amount of  $600,000,  which is  payable  in sixteen  quarterly  installments  of
$37,500 beginning September 1, 1996 with simple interest at a rate of 4%.

         The aggregate  purchase price of the Merger Companies of $2,850,000 was
allocated  as follows to assets  acquired  and  liability  assumed:  $390,000 to
current  assets,  $99,000 to fixed  assets,  $254,000  to  accrued  liabilities,
$97,000  to debt and the  balance  of  $2,712,000  to  goodwill,  which  will be
amortized  over a forty year  period.  The  aggregate  purchase  price of NMF of
$650,000 was allocated as follows:  $2,000 to current  assets,  $30,000 to fixed
assets,  $10,000 to current  liabilities  and the $628,000  balance to goodwill,
which will be amortized over a forty year period.

         On May 15, 1996, the Company  entered into an asset purchase and a long
term management  agreement with W.F. Howard,  M.D., P.A. near Dallas, Texas (the
"Reproductive  Science  Center ("RSC") of Dallas"),  a provider of  conventional
infertility  and  assisted  reproductive   technology  services.  The  aggregate
purchase price was approximately  $701,500 of which  approximately  $244,000 was
paid at  closing  and the  Company  issued a  promissory  note for the  $457,500
balance  which is payable as follows:  $100,000 on the last  business day of May
1997 and 1998,  and $36,786 on the last business day of May in each of the seven
years thereafter,  thru May 2005. The aggregate  purchase price was allocated to
fixed  assets in the amount of $144,000 and the balance of $557,500 to exclusive
management  rights,  which  will be  amortized  over  the ten  year  term of the
agreement.

         The following unaudited pro forma consolidated  statement of operations
have been prepared by management and represent the  consolidation  of IntegraMed
America,  Inc., the Merger  Companies,  NMF and the RSC of Dallas adjusted where
necessary,  with respect to pre-acquisition  periods, to the basis of accounting
used in the historical  financial  statements of the Company.  Such  adjustments
include modifying the results to reflect operations as if the related management
agreements  had been  consummated  on  January  1, 1996 and 1995,  respectively.
Additional  general corporate expenses which would have been required to support
the  operations  of the new  Network  sites  are not  included  in the pro forma
results.  The  unaudited  pro forma results may not be indicative of the results
that would have occurred if the acquisition and management agreement had been in
effect on the dates indicated or which may be obtained in the future.


                                                        13

<PAGE>

<TABLE>


                            INTEGRAMED AMERICA, INC.

                 Pro Forma Consolidated Statement of Operations
                  for the Six-Month Period Ended June 30, 1996
              (all amounts in thousands, except per share amounts)
                                   (unaudited)

<CAPTION>

                                                                                                      Pro Forma
                                                              Historical         Adjustments        Consolidated

<S>                                                              <C>              <C>                  <C>    
Clinical revenues and management fees...................         $ 8,998          $ 1,168   (a)        $10,166
Medical Provider retainage..............................           1,514              --                 1,514
                                                                  ------          -------              -------

Revenues after Medical Provider retainage...............           7,484            1,168                8,652
Costs of services rendered .............................           5,550            1,257   (b)          6,807

Network sites' contribution ............................           1,934              (89)               1,845
                                                                  ------          -------              -------


General and administrative expenses.....................           1,815               38   (c)          1,853
Research and development ...............................             128              --                   128
Goodwill and exclusive management right amortization....              91               59   (d)            150
Interest income , net...................................            (208)               9   (e)           (199)
                                                                  ------          -------              -------

Total other expenses ...................................           1,826              106                1,932
                                                                  ------          -------              -------

Income (loss) before income taxes ......................             108             (195)                 (87)

Provision for income and capital taxes .................              97             --                     97
                                                                  ------          -------              -------

Net income (loss).......................................              11        $    (195)                (184)
                                                                                =========

Less: Dividends accrued on Preferred Stock..............             309                                   309
                                                                  ------                                ------

Net loss applicable to Common Stock.....................        $   (298)                             $   (493)
                                                                =========                             ========

Net loss per share of Common Stock......................        $   (.05)                             $   (.07)
                                                                =========                             ========

Weighted average number of shares of Common Stock
  and Common Stock equivalents outstanding..............           6,177              580   (f)          6,757
                                                                ========        =========             ========

(a)  To record  net  revenues  earned  during the  period  from  January 1, 1996
     through the date of acquisition  related to the Merger  Companies,  NMF and
     the RSC of Dallas.

(b)  To record cost of services  incurred during the period from January 1, 1996
     through the date of acquisition  related to the Merger  Companies,  NMF and
     RSC of Dallas.

(c)  To record  compensation  to Dr.  Notelovitz as Vice President and Medical
     Director of WMDC.

(d)  To record amortization of exclusive management rights and goodwill incurred
     during the period from January 1, 1996 through the date of acquisition.

(e)  To record interest  related to the note payable to Dr.  Notelovitz and to
     debt assumed.

(f)  Assumes  666,666  shares were issued to Dr.  Notelovitz on January 1, 1996.
     This amount is net of the respective shares included in the historical June
     6, 1996 weighted average number of shares of Common Stock outstanding.
                                                        14
</TABLE>
<PAGE>

<TABLE>


                            INTEGRAMED AMERICA, INC.

                 Pro Forma Consolidated Statement of Operations
                      for the Year Ended December 31, 1995
              (all amounts in thousands, except per share amounts)
                                   (unaudited)

<CAPTION>

                                                                                                       Pro Forma
                                                              Historical         Adjustments         Consolidated


<S>                                                              <C>              <C>                   <C>    
Clinical revenues and management fees......................      $16,711          $ 3,488   (a)         $20,199
Medical Provider retainage.................................        3,063              --                  3,063
                                                                --------         --------              --------

Revenues after Medical Provider retainage..................       13,648            3,488                17,136
Costs of services rendered ................................        9,986            3,389   (b)          13,375

Network sites' contribution ...............................        3,662               99                 3,761
                                                                --------        ---------              --------

General and administrative expenses........................        3,680               75   (c)           3,755
Research and development ..................................          290              --                    290
Goodwill and exclusive management right amortization.......           73              140   (d)             213
Interest income , net......................................          (606)             32   (e)            (574)
                                                                ---------       ---------              --------

Total other expenses ......................................        3,437              247                 3,684
                                                                --------        ---------              --------

Income (loss) before income taxes .........................          225             (148)                   77

Provision for income and capital taxes ....................          155             --                     155
                                                               ---------        ---------              --------

Net income (loss)..........................................           70         $   (148)                  (78)
                                                                                 ========

Less: Dividends accrued on Preferred Stock.................          600                                    600
                                                               ---------                               --------

Net loss applicable to Common Stock........................     $   (530)                              $   (678)
                                                                =========                              ========

Net loss per share of Common Stock.........................    $    (.09)                             $    (.10)
                                                               ==========                             =========

Weighted average number of shares of Common Stock
  and Common Stock equivalents outstanding.................        6,087              667   (f)           6,754
                                                                ========        =========              ========


(a)  To record net revenues related to the Merger Companies, NMF and the RSC
     of Dallas.

(b)  To record cost of services related to the Merger  Companies,  NMF and RSC
     of Dallas.

(c)  To record compensation to Dr. Notelovitz as Vice President and Medical
     Director of WMDC.

(d)  To record amortization of goodwill and exclusive management rights.

(e)  To record interest related to the note payable to Dr. Notelovitz and to
     debt assumed.

(f)  Assumes 666,666 shares were issued to Dr. Notelovitz on January 1, 1995.

</TABLE>
                                                        15

<PAGE>







                                   SIGNATURES


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



                                    INTEGRAMED AMERICA, INC.

                                    (Registrant)



Date: August 19, 1996           By:  /s/ Dwight P. Ryan
                                     ------------------

                                    Dwight P. Ryan
                                    Vice President and
                                    Chief Financial Officer
                                    (Principal Financial and Accounting Officer)

                                                        16

<PAGE>


                                INDEX TO EXHIBITS



Exhibit No.                         Exhibit

    10.57--    Business Purposes  Promissory Note dated September 8, 1993 in the
               amount of $100,000

    10.58--    Business Purposes  Promissory Note dated November 18, 1994 in the
               amount of $64,000

    10.59--    Guaranty Agreement

    10.60--    Security Agreement (Equipment and Consumer Goods)

                                                        17



                                                              September 8, 1993

                        BUSINESS PURPOSES PROMISSORY NOTE
$100,000.00

The Undersigned  (whether one or more hereinafter  called "Maker"),  jointly and
severally,  promise(s)  to pay to the order of  SunBank of  Gainesville  (herein
called  "Bank") at its  offices  located at  Gainesville,  Florida,  one hundred
thousand and 00/100  DOLLARS  ($100,000),  together  with interest from the date
hereof at the rate hereinafter provided, in the following manner.

REPAYMENT SCHEDULE:

Payable  in 59  monthly  payments  of  $1667.00  principal  including  interest,
commencing on October 8, 1993 and on each successive month thereafter,  together
with a  final  payment  of any  remaining  principal  and  accrued  interest  on
September 8, 1998.

THE INTEREST RATE IS AS FOLLOWS:

Variable rate will be charged at 1% over the annual  interest rate  announced by
Sun Banks,  Inc.,  from time to time as the prime rate (which  interest  rate is
only a bench mark, is purely  discretionary  and is not  necessarily the best or
lowest rate  charged  borrowing  customers of any  subsidiary  ban of Sun Banks,
Inc.).  Any such changes in prime rate will  increase or decrease  your periodic
interest payments.  Any change in prime rate shall be effective at the beginning
of the business day on which such a change is announced.

LATE CHARGE FEE: if a payment is late,  you may be charged 5% of such payment as
a late charge.  A payment  which is not received on the due date shall be deemed
late.

SERVICE FEE: A service fee of the lesser of $50.00 or 2 percent of the principle
amount of this loan will be charged. The service fee charge will not be refunded
in the event of prepayment.

In the event any installment of principal or interest or any part thereof is not
paid  when it  becomes  due,  or in the  event of any  default  thereunder,  the
principal sum remaining unpaid hereunder, together with all accrued and past due
interest thereon, shall immediately and without notice become due and payable at
the election of the holder at any time thereafter.  Notwithstanding  any rate of
interest  provided  herein,  the  interest  rate on any  payment or  payments of
principal or interest,  or any part  thereof,  which is not made when due shall,
thereafter,  be at the maximum rate allowed,  from time to time, by law. Minimum
interest of $10.00 on any single payment loan or $15.00 on any installment  loan
will be charged.

This  note  is  SECURED   (Notwithstanding  the  fact  that  this  note  may  be
'unsecured',  Maker  understands and agrees that any other security interest the
Bank now holds or may hereafter acquire from the Maker may secure this note).

As security  for the payment of this note Maker has  pledged or  deposited  with
Bank and hereby grants to Bank a security interest in the following property:

Security  in  all  accounts,  chattel  paper,  documents,  instruments,  general
intangibles,  furniture,  fixtures inventory,  machinery and equipment now owned
and hereafter  acquired by the debtor including all products of additions to and
replacements thereof and all accessories,  accessions, parts and replacement now
or hereafter affixed thereto or used in connection therewith and the proceeds of
all property set forth above.

(including all cash,  stock and other  dividends and all rights to subscribe for
securities  incident to,  declared,  or granted in connection with such property
and  including any returned or unearned  premiums  from any  insurance  financed
hereunder),  which  property,  together  with all  additions  and  substitutions
hereafter  pledged  or  deposited  with  Bank  is  called  the  Collateral.  The
Collateral  is also  pledged as  security  for all other  liabilities  (primary,
secondary, direct, contingent, sole, joint, or several), due or to become due or
which may be hereafter  contracted or acquired,  of each Maker  (including  each
Maker  and any  other  person)  to Bank  and for  all  renewals,  extensions  or
modifications  of this  note.  The  surrender  of this  note,  upon  payment  or
otherwise,  shall not affect the right of Bank to retain the Collateral for such
other liabilities.

Lender may request  periodically  as it deems  necessary,  complete  and current
financial  statements,  balance sheets, profit and loss statements and cash flow
information for Maker and Cosigner.

Maker understands and agrees that the jury waiver, the additional agreements and
provisions  on the  reverse  side  hereof,  hereby  incorporated  by  reference,
constitute  agreements of the Maker and a part of this note. Maker  acknowledges
receipt of a completed copy of this note.



<PAGE>




NOTICE TO CONSIGNER: You are being asked to guarantee this debt. Think carefully
before you do. If the borrower  doesn't pay the debt,  you will have to. Be sure
you can  afford  to pay if you  have  to,  and  that  you  want to  accept  this
responsibility.
   You may have to pay up to the full  amount of the debt if the  borrower  does
not pay. You may also have to pay late fees or collection costs,  which increase
this amount.
   The bank can collect this debt from you without  first trying to collect from
the borrower.  The Bank can use the same collection methods against you that can
be used against the borrower,  such as suing you, garnishing your wages, etc. If
this debt is ever in default, that fact may become a part of your credit record.
   This notice is not the contract that makes you liable for the debt.

Maker:

The Climacteric Clinic, Inc. d/b/a
D.B.A. Women's Medical & Diagnostic Center
222 SW 36th Terr., Suite C
Gainesville, FL 32607

(Seal) /s/  Morris Notelovitz                             9/8/93       date
            -----------------                             ------       
            Morris Notelovitz, President

(Seal)                                                                 date

(Seal)                                                                 date

   Note Amount:            $100,000.00
         Doc Stamps:           $350.00
             Other Fees:        $28.00
             Service Fee:       $00.00
             Proceeds:     $100,000.00

Officer Init.: PH/JP           Note #:

If the variable  interest rate is not  applicable and if this note is payable on
demand,  Bank reserves,  and is hereby granted the right, to adjust the interest
rate from time to time by furnishing  Maker with written notice of such adjusted
rate provided, however, that no such adjusted rate shall exceed the maximum rate
allowed, from time to time by Law.
   Additions to, reductions or exchanges of, or substitution for the Collateral,
payments on account of this note or increases  of the same;  or other loans made
partially or wholly upon the Collateral,  may from time to time, be made without
affecting the provisions of this note.
   If Bank deems itself  insecure or upon the  happening of any of the following
events,  each of which shall constitute a default hereunder,  all liabilities of
each Maker to Bank shall  thereupon  or  thereafter,  at the option of the Bank,
without  notice or demand  become due and payable;  (a) failure of any Obligor (
which term shall mean and include each Maker, endorser,  surety and guarantor of
this note), to perform any agreement hereunder,  to pay interest hereon when due
or requested or demanded or to pay any other  liability  whatsoever to Bank when
due (b) the  death of any  Obligor,  (c) the  filing of any  petition  under the
Bankruptcy  Code or any  similar  federal or state  statute,  by or against  any
Obligor;  (d) an  application  for  appointment  of a receiver  or the making of
general  assignment  for the benefit of creditors  by, or the  insolvency of any
Obligor; (e) the entry of a judgment against any Obligor; (f) the issuing of any
writ of attachment or writ of garnishment, or the filing of any lien against the
property of any Obligor; (g) the taking of possession of any substantial part of
the property of any Obligor at the instance of any governmental  authority;  (h)
the dissolution, merger, consolidation or reorganization of any Obligor; (I) the
assignment  by any Maker of any  equity  in any of the  Collateral  without  the
written consent of Bank.
   Bank is hereby  given a lien upon and a security  interest in all property of
each  Maker  now or at any  time  hereafter  in the  possession  of  Bank in any
capacity  whatsoever,  including  but not limited to any balance or share of any
deposit, trust, or agent account as security for the payment of this note, and a
similar  lien upon and security  interest in all such  property of each Maker as
security  for  the  payment  of all  other  liabilities  of each  Maker  to Bank
(including  liabilities of each Maker and any other person); and Bank shall have
the same rights as to such property as it has with respect to the Collateral.
   If Bank deems itself insecure or upon the occurrence of any default hereunder
Bank shall have the  remedies of a secured  party  under the Uniform  Commercial
Code and, without limiting the generality of the foregoing,  Bank shall have the
right,  immediately  and without  further  action by it, to set off against this
note all money owed by Bank in any capacity to each or any  Obilgor,  whether or
not due, and also to set off against all other  liabilities of Maker to Bank all
money  owed by Bank in any  capacity  to each or any  Maker;  and Bank  shall be
deemed to have exercised such right of set off and to have made a charge against
any such money  immediately upon the occurrence of such default even though such
a charge is made or entered on the books of Bank subsequent thereto.  Unless the
Collateral is  perishable  or threatens to decline  speedily in value or is of a
type  customarily  sold  on a  recognized  market,  the  Bank  will  give  Maker
reasonable  notice of the time and place of any  public  sale  thereof or of the
time after which any private sale or, any other intended  disposition thereof is
to be made. The requirement of reasonable  notice shall be met if such notice is
mailed; postage prepaid, to any Maker at the address given below or at any other
address  shown on the records of the Bank, at least five days before the time of
the sale or disposition. Upon disposition of any Collateral after the occurrence
of any default  hereunder,  Maker shall be and remain liable for any deficiency;
and Bank shall  account to Maker for any surplus,  but Bank shall have the right
to apply  all or any  part of such  surplus  (or to hold  the same as a  reserve
against) any and all other liability of each or any Maker to Bank. The Obligors,
jointly  and  severally,  promise  and agree to pay all costs  and  expenses  of
collection  and  reasonable   attorneys'  fee,  including  costs,  expenses  and
reasonable  attorneys'  fees on appeal,  if  collected by legal  proceedings  or
through an attorney at law.  Maker hereby waives any right to a trial by jury in
any civil action arising out of, or based upon, this note or the Collateral.
   Bank shall exercise  reasonable  care in the custody and  preservation of the
Collateral to the extent required by applicable statute,  and shall be deemed to
have exercised reasonable care if it takes such action for that purpose as Maker
shall reasonably request in writing, but no omission to do any act not requested
by Maker shall be deemed a failure to exercise  reasonable care, and no omission
to comply  with any  request  of Maker  shall of  itself be deemed a failure  to
exercise reasonable care. Bank shall not be bound to take any steps necessary to
preserve any rights in the Collateral against prior parties and Maker shall take
all  necessary  steps for such  purposes.  Bank or its nominee  need not collect
interest on or  principal of any  Collateral  or give any notice with respect to
it.
   If the  Collateral  shall at any time become  unsatisfactory  to Bank,  Maker
shall  within one day after  demand  pledge and deposit with Bank as part of the
Collateral additional property which is satisfactory to Bank.
   Bank shall have the right, which may be exercised at any time, whether or not
this note is due, to notify the  Obligors on any  collateral  to make payment to
Bank on any  amounts due or to become due  thereon.  In the event of any default
hereunder, Bank shall thereafter have but shall not be limited to, the following
rights;  (i) to pledge or transfer this note and the  Collateral  and Bank shall
thereupon be relieved of all duties and responsibilities  hereunder and relieved
from  any and all  liability  with  respect  to any  Collateral  so  pledged  or
transferred,  and any pledgee or transferee  shall for all purposes stand in the
place of Bank  hereunder  and have all the  rights  of Bank  hereunder,  (ii) to


<PAGE>


transfer the whole or any part of the Collateral  into the name of itself or its
nominee, (iii) to vote the Collateral; (iv) to demand, sue for, collect, or make
any  compromise  or  settlement  it  deems   desirable  with  reference  to  the
Collateral;  and (v) to take control of any proceeds of Collateral.  No delay or
omission on the part of Bank in exercising any right  hereunder shall operate as
a waiver of such  right or of any other  right  under  this  note.  Presentment,
demand,  protest,  notice of dishonor,  and extension of time without notice are
hereby  waived  by each  and  every  Obilgor.  Any  notice  to  Maker  shall  be
sufficiently  served for all  purposes if placed in the mail,  postage  prepaid,
addressed to or left upon the  premises at the address  shown below or any other
address shown on the Bank's records.

   JURY WAIVER. MAKER AND BANK HEREBY KNOWINGLY, VOLUNTARILY, INTENTIONALLY, AND
IRREVOCABLY  WAIVE  THE  RIGHT  EITHER  OF THEM  MAY  HAVE TO A TRIAL BY JURY IN
RESPECT TO ANY  LITIGATION,  WHETHER IN CONTRACT  OR TORT,  AT LAW OR IN EQUITY,
BASED HEREON,  OR ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT AND
ANY OTHER  DOCUMENT OR  INSTRUMENT  CONTEMPLATED  TO BE EXECUTED IN  CONJUNCTION
HEREWITH,  OR ANY COURSE OF  CONDUCT,  COURSE OF  DEALING,  STATEMENTS  (WHETHER
VERBAL OR WRITTEN) OR ACTIONS OF ANY PARTY HERETO.  THIS PROVISION IS A MATERIAL
INDUCEMENT  FOR  BANK  ENTERING  INTO  THIS  AGREEMENT.  FURTHER,  MAKER  HEREBY
CERTIFIES THAT NO REPRESENTATIVE  OR AGENT OF BANK, NOR THE BANK'S COUNSEL,  HAS
REPRESENTED,  EXPRESSLY OR OTHERWISE,  THAT BANK WOULD NOT, IN THE EVENT OF SUCH
LITIGATION,  SEEK TO ENFORCE  THIS WAIVER OF RIGHT TO JURY TRIAL  PROVISION.  NO
REPRESENTATIVE  OR AGENT OF THE BANK,  NOR BANK'S  COUNSEL HAS THE  AUTHORITY TO
WAIVE, CONDITION, OR MODIFY THIS PROVISION.


FLORIDA  DOCUMENTARY  STAMP TAX REQUIRED BY LAW IN THE AMOUNT OF 4 HAS BEEN PAID
OR  WILL  BE  PAID  DIRECTLY  TO  THE  DEPARTMENT  OF  REVENUE.  CERTIFICATE  OF
REGISTRATION #.
   RENEWAL NOTE.  STAMPS ON ORIGINAL.

               "Florida  documentary  stamp tax required by law in the amount of
               $prepaid has been paid or will be paid directly to the Department
               of Revenue. Certificate of Registration




                                                              November 18, 1994

                        BUSINESS PURPOSES PROMISSORY NOTE
$64,000

The Undersigned  (whether one or more hereinafter  called "Maker"),  jointly and
severally,  promise(s) to pay to the order of SunBank/North Central Florida (FKA
Sun Bank of Gainesville) (herein called "Bank") at its offices located at Ocala,
Florida,  sixty  four  thousand  and 00/100  DOLLARS  ($64,000),  together  with
interest from the date hereof at the rate hereinafter provided, in the following
manner.

REPAYMENT SCHEDULE:

Payable  in 59  monthly  payments  of  $1330.00  principal  including  interest,
commencing  on  December  18,  1994  and on each  successive  month  thereafter,
together with a final payment of any remaining principal and accrued interest on
December 18, 1999.

THE INTEREST RATE IS AS FOLLOWS:

Fixed rate will be charged at 9% per annum, simple interest.

LATE CHARGE FEE: if a payment is late,  you may be charged 5% of such payment as
a late charge.  A payment  which is not received on the due date shall be deemed
late.

SERVICE FEE: A service fee of the lesser of $50.00 or 2 percent of the principle
amount of this loan will be charged. The service fee charge will not be refunded
in the event of prepayment.

In the event any installment of principal or interest or any part thereof is not
paid  when it  becomes  due,  or in the  event of any  default  thereunder,  the
principal sum remaining unpaid hereunder, together with all accrued and past due
interest thereon, shall immediately and without notice become due and payable at
the election of the holder at any time thereafter.  Notwithstanding  any rate of
interest  provided  herein,  the  interest  rate on any  payment or  payments of
principal or interest,  or any part  thereof,  which is not made when due shall,
thereafter,  be at the maximum rate allowed,  from time to time, by law. Minimum
interest of $10.00 on any single payment loan or $15.00 on any installment  loan
will be charged.

This  note  is  SECURED   (Notwithstanding  the  fact  that  this  note  may  be
'unsecured',  Maker  understands and agrees that any other security interest the
Bank now holds or may hereafter acquire from the Maker may secure this note).

As security  for the payment of this note Maker has  pledged or  deposited  with
Bank and hereby grants to Bank a security interest in the following property:

MAM - 1 Package  Bennett  Contour  Mammography  System  (Serial # SN B.C.-27977)
consisting of CTR Generator, System Plugs, Tube, Structure, Protective Radiation
Barrier, Printer,  Compression Paddle, Bucky,  Magnification System and Isolated
Spot Compression Cup.

(including all cash,  stock and other  dividends and all rights to subscribe for
securities  incident to,  declared,  or granted in connection with such property
and  including any returned or unearned  premiums  from any  insurance  financed
hereunder),  which  property,  together  with all  additions  and  substitutions
hereafter  pledged  or  deposited  with  Bank  is  called  the  Collateral.  The
Collateral  is also  pledged as  security  for all other  liabilities  (primary,
secondary, direct, contingent, sole, joint, or several), due or to become due or
which may be hereafter  contracted or acquired,  of each Maker  (including  each
Maker  and any  other  person)  to Bank  and for  all  renewals,  extensions  or
modifications  of this  note.  The  surrender  of this  note,  upon  payment  or
otherwise,  shall not affect the right of Bank to retain the Collateral for such
other liabilities.

Lender may request  periodically  as it deems  necessary,  complete  and current
financial  statements,  balance sheets, profit and loss statements and cash flow
information for Maker and Cosigner.

Maker understands and agrees that the jury waiver, the additional agreements and
provisions  on the  reverse  side  hereof,  hereby  incorporated  by  reference,
constitute  agreements of the Maker and a part of this note. Maker  acknowledges
receipt of a completed copy of this note.

NOTICE TO CONSIGNER: You are being asked to guarantee this debt. Think carefully
before you do. If the borrower  doesn't pay the debt,  you will have to. Be sure
you can  afford  to pay if you  have  to,  and  that  you  want to  accept  this
responsibility.
   You may have to pay up to the full  amount of the debt if the  borrower  does
not pay. You may also have to pay late fees or collection costs,  which increase
this amount.
   The bank can collect this debt from you without  first trying to collect from
the borrower.  The Bank can use the same collection methods against you that can
be used against the borrower,  such as suing you, garnishing your wages, etc. If
this debt is ever in default, that fact may become a part of your credit record.
   This notice is not the contract that makes you liable for the debt.




<PAGE>



Maker:

The Climacteric Clinic, Inc.
D.B.A. Women's Medical & Diagnostic Center
222 SW 36th Terr., Suite C
Gainesville, FL 32607

(Seal) /s/  Morris Notelovitz                          11/29/94  date
            -----------------                          --------  ----
            Morris Notelovitz, President

(Seal)     

(Seal)                                                           date

   Note Amount:                $64,000.00
         Doc Stamps:              $224.00
             Other Fees:           $36.75
             Service Fee:          $50.00
             Proceeds:         $63,689.25

Officer Init.: PH/JP           Note #:

If the variable  interest rate is not  applicable and if this note is payable on
demand,  Bank reserves,  and is hereby granted the right, to adjust the interest
rate from time to time by furnishing  Maker with written notice of such adjusted
rate provided, however, that no such adjusted rate shall exceed the maximum rate
allowed, from time to time by Law.
   Additions to, reductions or exchanges of, or substitution for the Collateral,
payments on account of this note or increases  of the same;  or other loans made
partially or wholly upon the Collateral,  may from time to time, be made without
affecting the provisions of this note.
   If Bank deems itself  insecure or upon the  happening of any of the following
events,  each of which shall constitute a default hereunder,  all liabilities of
each Maker to Bank shall  thereupon  or  thereafter,  at the option of the Bank,
without  notice or demand  become due and payable;  (a) failure of any Obligor (
which term shall mean and include each Maker, endorser,  surety and guarantor of
this note), to perform any agreement hereunder,  to pay interest hereon when due
or requested or demanded or to pay any other  liability  whatsoever to Bank when
due (b) the  death of any  Obligor,  (c) the  filing of any  petition  under the
Bankruptcy  Code or any  similar  federal or state  statute,  by or against  any
Obligor;  (d) an  application  for  appointment  of a receiver  or the making of
general  assignment  for the benefit of creditors  by, or the  insolvency of any
Obligor; (e) the entry of a judgment against any Obligor; (f) the issuing of any
writ of attachment or writ of garnishment, or the filing of any lien against the
property of any Obligor; (g) the taking of possession of any substantial part of
the property of any Obligor at the instance of any governmental  authority;  (h)
the dissolution, merger, consolidation or reorganization of any Obligor; (I) the
assignment  by any Maker of any  equity  in any of the  Collateral  without  the
written consent of Bank.
   Bank is hereby  given a lien upon and a security  interest in all property of
each  Maker  now or at any  time  hereafter  in the  possession  of  Bank in any
capacity  whatsoever,  including  but not limited to any balance or share of any
deposit, trust, or agent account as security for the payment of this note, and a
similar  lien upon and security  interest in all such  property of each Maker as
security  for  the  payment  of all  other  liabilities  of each  Maker  to Bank
(including  liabilities of each Maker and any other person); and Bank shall have
the same rights as to such property as it has with respect to the Collateral.
   If Bank deems itself insecure or upon the occurrence of any default hereunder
Bank shall have the  remedies of a secured  party  under the Uniform  Commercial
Code and, without limiting the generality of the foregoing,  Bank shall have the
right,  immediately  and without  further  action by it, to set off against this
note all money owed by Bank in any capacity to each or any  Obilgor,  whether or
not due, and also to set off against all other  liabilities of Maker to Bank all
money  owed by Bank in any  capacity  to each or any  Maker;  and Bank  shall be
deemed to have exercised such right of set off and to have made a charge against
any such money  immediately upon the occurrence of such default even though such
a charge is made or entered on the books of Bank subsequent thereto.  Unless the
Collateral is  perishable  or threatens to decline  speedily in value or is of a
type  customarily  sold  on a  recognized  market,  the  Bank  will  give  Maker
reasonable  notice of the time and place of any  public  sale  thereof or of the
time after which any private sale or, any other intended  disposition thereof is
to be made. The requirement of reasonable  notice shall be met if such notice is
mailed; postage prepaid, to any Maker at the address given below or at any other
address  shown on the records of the Bank, at least five days before the time of
the sale or disposition. Upon disposition of any Collateral after the occurrence
of any default  hereunder,  Maker shall be and remain liable for any deficiency;
and Bank shall  account to Maker for any surplus,  but Bank shall have the right
to apply  all or any  part of such  surplus  (or to hold  the same as a  reserve
against) any and all other liability of each or any Maker to Bank. The Obligors,
jointly  and  severally,  promise  and agree to pay all costs  and  expenses  of



<PAGE>



collection  and   reasonableattorneys'   fee,  including  costs,   expenses  and
reasonable  attorneys'  fees on appeal,  if  collected by legal  proceedings  or
through an attorney at law.  Maker hereby waives any right to a trial by jury in
any civil action arising out of, or based upon, this note or the Collateral.
   Bank shall exercise  reasonable  care in the custody and  preservation of the
Collateral to the extent required by applicable statute,  and shall be deemed to
have exercised reasonable care if it takes such action for that purpose as Maker
shall reasonably request in writing, but no omission to do any act not requested
by Maker shall be deemed a failure to exercise  reasonable care, and no omission
to comply  with any  request  of Maker  shall of  itself be deemed a failure  to
exercise reasonable care. Bank shall not be bound to take any steps necessary to
preserve any rights in the Collateral against prior parties and Maker shall take
all  necessary  steps for such  purposes.  Bank or its nominee  need not collect
interest on or  principal of any  Collateral  or give any notice with respect to
it.
   If the  Collateral  shall at any time become  unsatisfactory  to Bank,  Maker
shall  within one day after  demand  pledge and deposit with Bank as part of the
Collateral additional property which is satisfactory to Bank.
   Bank shall have the right, which may be exercised at any time, whether or not
this note is due, to notify the  Obligors on any  collateral  to make payment to
Bank on any  amounts due or to become due  thereon.  In the event of any default
hereunder, Bank shall thereafter have but shall not be limited to, the following
rights;  (i) to pledge or transfer this note and the  Collateral  and Bank shall
thereupon be relieved of all duties and responsibilities  hereunder and relieved
from  any and all  liability  with  respect  to any  Collateral  so  pledged  or
transferred,  and any pledgee or transferee  shall for all purposes stand in the
place of Bank  hereunder  and have all the  rights  of Bank  hereunder,  (ii) to
transfer the whole or any part of the Collateral  into the name of itself or its
nominee, (iii) to vote the Collateral; (iv) to demand, sue for, collect, or make
any  compromise  or  settlement  it  deems   desirable  with  reference  to  the
Collateral; and (v) to take control of any proceeds of Collateral.
   No delay or omission on the part of Bank in  exercising  any right  hereunder
shall  operate as a waiver of such right or of any other  right under this note.
Presentment,  demand, protest, notice of dishonor, and extension of time without
notice are hereby waived by each and every Obilgor. Any notice to Maker shall be
sufficiently  served for all  purposes if placed in the mail,  postage  prepaid,
addressed to or left upon the  premises at the address  shown below or any other
address shown on the Bank's records.
   JURY WAIVER. MAKER AND BANK HEREBY KNOWINGLY, VOLUNTARILY, INTENTIONALLY, AND
IRREVOCABLY  WAIVE  THE  RIGHT  EITHER  OF THEM  MAY  HAVE TO A TRIAL BY JURY IN
RESPECT TO ANY  LITIGATION,  WHETHER IN CONTRACT  OR TORT,  AT LAW OR IN EQUITY,
BASED HEREON,  OR ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT AND
ANY OTHER  DOCUMENT OR  INSTRUMENT  CONTEMPLATED  TO BE EXECUTED IN  CONJUNCTION
HEREWITH,  OR ANY COURSE OF  CONDUCT,  COURSE OF  DEALING,  STATEMENTS  (WHETHER
VERBAL OR WRITTEN) OR ACTIONS OF ANY PARTY HERETO.  THIS PROVISION IS A MATERIAL
INDUCEMENT  FOR  BANK  ENTERING  INTO  THIS  AGREEMENT.  FURTHER,  MAKER  HEREBY
CERTIFIES THAT NO REPRESENTATIVE  OR AGENT OF BANK, NOR THE BANK'S COUNSEL,  HAS
REPRESENTED,  EXPRESSLY OR OTHERWISE,  THAT BANK WOULD NOT, IN THE EVENT OF SUCH
LITIGATION,  SEEK TO ENFORCE  THIS WAIVER OF RIGHT TO JURY TRIAL  PROVISION.  NO
REPRESENTATIVE  OR AGENT OF THE BANK,  NOR BANK'S  COUNSEL HAS THE  AUTHORITY TO
WAIVE, CONDITION, OR MODIFY THIS PROVISION.

- --------------------------------------------------------------------------------

FLORIDA  DOCUMENTARY  STAMP TAX REQUIRED BY LAW IN THE AMOUNT OF 4 HAS BEEN PAID
OR  WILL  BE  PAID  DIRECTLY  TO  THE  DEPARTMENT  OF  REVENUE.  CERTIFICATE  OF
REGISTRATION #.
   RENEWAL NOTE.  STAMPS ON ORIGINAL.




                               GUARANTY AGREEMENT

This absolute and unconditional  guaranty given by the undersigned,  hereinafter
called the "Guarantor"  (and if more than one then  collectively and jointly and
severally  referred  to as the  "Guarantor"),  to induce  SunBank/North  Central
Florida, a State Bank hereinafter called "Creditor" having a business address of
P.O. Box 310; Ocala, FL 34478 to extend credit to or otherwise  become or remain
the creditor of

The Climacteric Clinic, Inc.
DBA Women's Medical & Diagnostic Center
222 SW 36th Terr., Suite C
Gainesville, FL 32607

hereinafter called the "Borrower".

In  consideration  of the  foregoing,  the Guarantor  does hereby agree with the
Creditor as follows:

1.  OBLIGATION  OF  GUARANTOR.  The  Guarantor  absolutely  and  unconditionally
guarantees to the  Creditor,  its  successors  and assigns  (whether  collateral
assigns or otherwise), the prompt and full payment in United States currency and
performance  to the  Creditor at the place of business of the Creditor set forth
above or at such  other  place  and to such  other  person as the  Creditor  may
designate  at maturity of any and every  obligation,  in  connection  with which
either as maker,  drawer,  guarantor,  endorser or otherwise,  whether directly,
indirectly or contingently,  the Borrower is, either  individually or jointly or
severally  with any other person or persons,  now or shall become at any time in
the future  liable to the Creditor,  with interest  thereon at the rate or rates
provided in the  obligations  guaranteed  hereby or at the maximum  rate allowed
from time to time by law in Florida,  whichever is less,  until  payment in full
has been received by Creditor,  together  with all  attorneys'  fees,  costs and
expenses of collection whether suit be brought or not, including costs, expenses
and attorneys'  fees on appeal if an appeal is taken from any suit,  incurred by
the  Creditor,  in  connection  with any matter  covered by this  Guaranty.  The
Guarantor  also  absolutely and  unconditionally  guarantees the full and timely
performance  of  all  duties  and  obligations  whatsoever  of the  Borrower  to
Creditor, whether now existing or hereafter arising, and agrees in the event the
Borrower fails to fully and timely perform any of said duties and obligations to
fully and  timely  perform  same.

2. TERM OF GUARANTY. The liability of the Guarantor hereunder shall continue the
earlier  (I) one (1) year  after  this  Guaranty  is  marked  "Canceled"  by the
Creditor and returned to the Guarantor or, (ii) until the Creditor shall receive
written  notice,  by  registered  mail signed by the  Guarantor,  canceling  the
Guaranty,  but such  cancellation  shall not  affect  in any way the  continuing
liability of the  Guarantor on any  transactions  covered by this Guaranty up to
the time of the actual  receipt by the Creditor of such notice of  cancellation,
including  any advance or other monies which may at any time  thereafter be made
by the Creditor to the Borrower  pursuant to any agreement,  promissory  note or
other instrument or document  evidencing any indebtedness of the Borrower to the
Creditor,  entered  into prior to the receipt by the  Creditor of said notice by
the  Guarantor.  Notwithstanding  the  receipt by the  Creditor of any notice of
cancellation  hereunder,  the Creditor may in its discretion  amend,  modify and
renew in any way whatsoever any agreement,  promissory note or other  instrument
or document  evidencing any  indebtedness of the Borrower to the Creditor and in
existence at the time said notice of  cancellation  is received by the Creditor,
all without  affecting in any way  whatsoever  the  continuing  liability of the
Guarantor hereunder,  but the liability of the Guarantor solely in regard to the
principal  amount  owed the  Creditor  shall not exceed the amount of  principal
owing to the Creditor at the time said notice of cancellation is received by the
Creditor together with such additional  amounts as may thereafter be advanced by
the  Creditor to or on behalf of the  Borrower  pursuant to any such  agreement,
promissory  note or other  instrument  or document in existence at the time said
notice is received by the Creditor.  In the event said notice of cancellation is
given,  the  liability  of  the  Guarantor  shall  continue  without  limitation
whatsoever  for all amounts  other than  principal  (which is limited  under the
preceding  sentence) due the Creditor such as interest,  attorney's fees, costs,
and other such amounts.

3. BANKRUPTCY OF BORROWER.  notwithstanding  the Guaranty may have been canceled
under paragraph 2, and/or returned to the Guarantor,  to the extent the Borrower
has made any payments to the Creditor  within the one (1) year period  following
the date this Guaranty was so canceled,  and the  Guarantor was obligated  under
this Guaranty for said payments,  the liability of the Guarantor hereunder shall
at all time  continue for the amounts so paid by the  Borrower to the  Creditor.
If, for any  reason,  (e.g.  bankruptcy,  or  otherwise),  the  Creditor  is not
permitted  to retain the  payments so made by the  Borrower  during said one (1)
year period, the Guarantor shall be liable under this Guaranty for the amount of
such payments as if this Guaranty had never been canceled and the Creditor shall
be entitled to recover said amount so paid by the  Borrower  within said one (1)
year period.  Anything in this Guaranty to the contrary  notwithstanding,  if at
any tine this  Guaranty is to be canceled  under the  provisions of paragraph 2,
the  Creditor  may retain this  Guaranty  for a period of one (1) year after the
date said Guaranty is to be so canceled and in the event no bankruptcy  petition
has been filed by or against the Borrower for the one (1) year period  following
the date the Guaranty is to be canceled, then, in that event, the Guaranty shall
be returned to the Guarantor.  If, however, a bankruptcy petition has been filed
by or against the Borrower during the one (1) year period,  and the Borrower has
made  payments to the  Creditor  during the one (1) year period,  this  Guaranty
shall not be  canceled  and/or  returned  to the  Guarantor  unless  and until a
decision  by a court of  competent  jurisdiction,  or other  agreement  has been
entered or reached,  pursuant to which the Creditor  shall be entitled to retain
all such monies paid during the one (1) year period.  If as set forth above, the
Creditor is  obligated  to return to the  Borrower any monies so paid during the
one (1) year period,  this Guaranty  shall not be canceled  (notwithstanding  it
being marked  "Canceled" and returned to the Guarantor) and the Guarantor  shall
continue  to be liable to the  Creditor  for all monies  paid during the one (1)
year period.  If the Creditor shall have marked this Guaranty  "Canceled" and/or
returned  this  Guaranty  to the  Guarantor,  and under the  provisions  of this
paragraph 3 or  paragraph  2, the  Guarantor  has  continuing  liability  to the
Creditor for certain amounts which the Creditor has or is obligated to return to
the Borrower, than, in such case, the Creditor may enforce its rights under this
Guaranty  upon  any copy of this  Guaranty  notwithstanding  the  fact  that the
original of this guaranty may have been marked "Canceled" and/or returned to the
Guarantor.

4. CONSENT TO CREDITOR'S ACTS. The Guarantor consents,  without affecting in any
way the Guarantor's liability to the Creditor hereunder,  that the Creditor may,
without notice to or consent of the Guarantor and upon such terms as it may deem
advisable and with or without  consideration and after notice of cancellation is
received by the Creditor under  paragraph 2 hereof:  (a) extend,  in whole or in
part, by renewal or otherwise,  and as often as the Creditor may wish,  the time
of payment of any indebtedness owing by the Borrower,  the Creditor,  or held by
the  Creditor as  security  for any such  obligation;  (b)  release,  surrender,
exchange,  modify,  impair,  or extend the period of  duration,  or the time for
performance  or  payment,  of any  collateral  securing  any  obligation  of the
Borrower to the  Creditor;  (C) settle or  compromise  any claim of the Creditor
against the Borrower,  or against any other person,  firm or corporation,  whose
obligation is held by the Creditor as collateral  security for any obligation of
the  Borrower  to the  Creditor;  and (d) release in whole or in part any person
liable  for the  payment  of any  obligation  of the  Borrower  to the  Creditor
including,  but not limited to, any person  liable as an endorser,  guarantor or
judgment  debtor (if the Creditor  obtains a judgment on any  obligation  of the
Borrower)  of said  obligation  and, in any event,  any such  release  shall not
affect  the  liability  of the  Guarantor  for the  entire  amount any and every
obligation of the Borrower to the Creditor.  Further,  the Creditor shall not be
under any  obligation  whatsoever  to  obtain  or  perfect  or to  maintain  the
perfection  of any  security  interest  or  other  lien on  property  to  secure
indebtedness  of the Borrower to the  Creditor  and the  Creditor  shall have no
obligation  to,  and shall not have any  liability  for  failing  to,  obtain or
perfect or to  maintain  the  perfection  of any  security  interest  or lien on
property to secure indebtedness of the Borrower. Any failure of the Guarantor to
the Creditor under this Guaranty. The Guarantor hereby ratifies and confirms any
such extension, renewal, release, surrender, exchange, modification, impairment,
settlement,  or  compromise,  and all such  actions  shall be  binding  upon the
Guarantor who hereby waives all  defenses,  counterclaims,  or offsets which the
Guarantor might have by reason thereof.


<PAGE>



5. WAIVERS BY GUARANTOR.  The Guarantor waives: (a) notice of acceptance of this
Guaranty by the Creditor; (b) notice of presentment,  demand for payment, notice
of dishonor or protest of any of the Borrower's obligations or the obligation of
any person, firm, or corporation held by the Creditor as collateral security for
the  Borrower's  obligation;  (C) notice of the failure of any person,  firm, or
corporation  to pay to the  Creditor  any  indebtedness  held by the Creditor as
collateral  security  for any  obligation  of the  Borrower;  (d) failure of the
Creditor  to obtain and perfect or maintain  the  perfection  or priority of any
security  interest  or  lien on  property  to  secure  any  indebtedness  of the
Borrower;  and (e) all defenses,  offsets and counterclaims  which the Guarantor
may at any time have to any claim of the Creditor against the Borrower.

6.  SUBROGATION.  Nothing herein  contained is intended or shall be construed to
give to  Guarantor  any right of  subrogation  in or under  any  note,  security
document  or any other loan  document  evidencing  in any way or relating to any
obligation  of the Borrower to the  Creditor  which is or may be covered by this
Guaranty,  any right to participate in any way therein,  or in the right,  title
and  interest of the  Creditor in and to any  collateral  covered by any loan or
security documents relating to any such obligations notwithstanding any payments
made by  Guarantor  under this  Guaranty,  all such  rights of  subrogation  and
participation being hereby expressly waived and released.


8.  REPRESENTATIONS BY GUARANTOR.  The Guarantor represents that, at the time of
the  execution  and  delivery  of this  Guaranty,  nothing  exists to impair the
effectiveness  of the liability of the Guarantor to the Creditor  hereunder,  or
the immediate  taking effect of this Guaranty as the sole agreement  between the
Guarantor  and  the  Creditor  with  respect  to  guaranteeing   the  Borrower's
obligation  to the Creditor.

9.  REMEDIES OF CREDITOR.  The  Creditor may at its option  proceed in the first
instance  against  the  Guarantor  to  collect  any  obligation  covered by this
Guaranty,  without first proceeding against the Borrower for said obligation, or
any other person,  firm or corporation  liable for said obligation,  and without
first  resorting to any property at any time held by the Creditor as  collateral
security for said  obligation and without any  marshaling of assets  whatsoever.
The Guarantor  hereby grants to the Creditor a lien on, and a security  interest
in, the deposit  balances,  funds,  accounts,  items,  certificates  of deposit,
securities,  other  property and the moneys of the Guarantor now or hereafter in
the possession or custody of Creditor for any purpose  (including  property left
in  safekeeping  or custody) or on deposit with the  Creditor to secure,  and as
collateral  for, the payment and  performance of this Guaranty as well as of any
other obligation or liability (present or future, absolute or contingent, due or
not due ) of Guarantor  to Creditor.  The Creditor may at any time and from time
to time, without demand or notice,  appropriate and set off against such deposit
balances,  funds, accounts, items,  certificates of deposit,  securities,  other
property  and  moneys  and apply the same to the  obligations  of the  Guarantor
hereunder.  The Creditor shall further have any other rights  provided by law or
under any other document, all of which rights are cumulative.

10. CONSTRUCTION AND BENEFIT.  This Guaranty is delivered and made in, and shall
be construed pursuant to and governed by, the laws of the State of Florida,  and
is binding upon the Guarantor and his legal representatives and successors,  and
shall inure to the benefit of the Creditor, its successors and assigns.

11.  MISCELLANEOUS.  In the  event it  becomes  necessary  for the  Creditor  to
exercise  its rights  under this  Guaranty,  whether suit be brought or not, the
Guarantor  shall be liable for all costs and  attorneys'  fees  incurred  by the
Creditor,  including  costs and  attorney's  fees  incurred  by the  Creditor on
appeal.  To the extent the  Guarantor  is  obligated to make any payments to the
Creditor under this  Guaranty,  the Creditor may offset and retain in payment of
said  amounts  any and all  monies of the  Guarantor  in the  possession  of the
Creditor  at any item,  including,  but not  limited  to,  any  accounts  of the
Guarantor at the  Creditor.  In the further  event the Creditor  obtains a final
judgment  against the  Guarantor  upon this  Guaranty,  the judgment  shall bear
interest not at the judgment but at the highest rate permitted by applicable law
from time to time in effect at the time of said judgment. Further, the Guarantor
agrees  that the  proper  venue for any action  which may be brought  under this
Guaranty,  in  addition  to any other venue  permitted  by law,  shall be in the
county in which is located the Creditor's business office as designated above or
the office of an assignee  of this  Guaranty.  The  liability  of the  Guarantor
hereunder,  if more than one,  shall be joint and several.  The term  "Creditor"
shall be deemed to include the  aforementioned  Creditor and all its departments
and any individual,  partnership or corporation  acting as its nominee or agent,
and any of its corporate subsidiaries or affiliates, the stock of which is owned
or  controlled,  directly  or  indirectly,  by it or by  any  affiliate  of  the
Creditor.  The term  "Borrower"  shall include the  individual  or  individuals,
association,  partnership,  corporation or other entity named herein as Borrower
and (a) any  successor  individual  or  individuals,  association,  partnership,
corporation or other entity to which all or substantially all of the business or
assets  of said  Borrower  shall  have  been  transferred,  (b) in the case of a
partnership  Borrower,  any new  partnership  which  shall have been  created by
reason of the  admission  of any new  partner  or  partners  therein  and/or the
dissolution  of the  existing  partnership  by the death,  resignation  or other
withdrawal  of any  partner,  and (C) in the case of a corporate  Borrower,  any
other  corporation  into or with which  said  Borrower  shall have been  merged,
consolidated, reorganized, purchased or absorbed.

12. FINANCIAL STATEMENTS.  At the request of the Creditor,  the Guarantor shall,
from time to time,  prepare and deliver to the  Creditor a complete  and current
financial   statement  of  the  Guarantor  setting  forth  all  the  assets  and
liabilities  of the  Guarantor  (and to the  extent  any  person  other than the
Guarantor has any interest in said assets or any person other than the Guarantor
is jointly liable for any of said  obligations,  said matters shall be set forth
in their entirety in the financial statements) all signed by the Guarantor under
oath as being true and  correct.  To the extent  any assets or  liabilities  set
froth on said  financial  statement are owned by the  Guarantor  with his or her
spouse or for which there is any such joint liability,  all said assets shall be
so specified and set forth.

13. BORROWER DEFENSES.  This Guaranty remains fully enforceable  irrespective of
any defenses or  counterclaims  that the  borrower may assert on the  underlying
debt, including but not limited to failure of consideration, breach of warranty,
fraud, payment, statute of frauds, bankruptcy,  infancy, statute of limitations,
lender liability,  accord and satisfaction,  and usury. 14. COMPLETE  AGREEMENT.
The whole of this  Guaranty  is herein set forth and there is no verbal or other
written  agreement,  and no  understanding or custom affection the terms hereof.
This Guaranty can be modified only by a written  instrument  signed by the party
to be charged therewith.


<PAGE>




NOTICE TO COSIGNER:  You are being asked to  guarantee  this debt as well as all
past and  future  debts of the  Borrower  entered  into  with this  Bank.  Think
carefully before you do. If the borrower doesn't pay the debt, you will have to.
Be sure you can afford to pay if you have to,  and that you want to accept  this
responsibility.
   You may have to pay up to the full  amount of the debt if the  borrower  does
not pay. You may also have to pay late fees or collection costs,  which increase
this amount.
   The Bank can collect this debt from you without  first trying to collect from
the borrower.  The Bank can use the same collection methods against you that can
be used against the borrower,  such as suing you, garnishing your wages, etc. If
this  debt is ever in  default,  that  fact  may  become  a part of your  credit
records.
   This notice is not the contract that makes you liable for the debt.

IN WITNESS  WHEREOF,  the Guarantor has signed this agreement on the 29th day of
November, 1994.

Signed, sealed and delivered in the presence of:

                                            GUARANTOR(S)

/s/Paul Haven                                  /s/Morris Notelovitz
- -------------                                  --------------------
WITNESS                                        Morris Notelovitz


/s/Janell K. Candler
- --------------------

                                                     ADDRESS:

STATE OF FLORIDA

COUNTY OF Alachua


The foregoing  instrument was  acknowledged  before me by Dr.  Notelovitz on the
29th day of November 1994 who is personally  known to me/produced  the following
identification:




/s/ Suzzane A. Oliver
- ---------------------
Notary Public

My Commission Expires: October 12, 1998
My Commission # CC412963






                               SECURITY AGREEMENT

                         (EQUIPMENT AND CONSUMER GOODS)


The Climacteric Clinic, Inc.
DBA Women's Medical & Diagnostic Center
222 SW 36th Terr., Suite C
Gainesville, FL 32607


(And if more than one, each of them jointly and severally),  hereinafter  called
"Borrower",  for value received and intending to be legally bound, hereby grants
to

SunBank/North Central Florida
P.O. Box 310
Ocala, FL 34478

hereinafter  called  "Secured  Party",  a  security  interest  in the  following
property:

MAM - 1 Package  Bennett  Contour  Mammography  System  (Serial # SN  BMC-27977)
consisting of CTR Generator, System Plugs, Tube, Structure, Protective Radiation
Barrier, Printer,  Compression Paddle, Bucky,  Magnification System and Isolated
Spot Compression Cup.

together  with all  increases,  parts,  fittings,  accessories,  equipment,  and
special  tools now or  hereafter  affixed to any or any part  thereof or used in
connection  with any thereof,  and all  replacements  of all or any part thereof
plus any  returned  or  unearned  premiums  from any  insurance  financed by the
Secured party in conjunction  with this transaction (all of which is hereinafter
called  "Collateral"),  to secure  the  payment  of a  promissory  note or notes
executed by Borrower in the amount of: Sixty Four  Thousand  and 00/100  dollars
($64,000.00) of even date herewith, and any and all extensions, modifications or
renewals  thereof,  and  also to  secure  the  performance  by  Borrower  of the
agreements  hereinafter set forth, and all liabilities or obligations  (primary,
secondary,  direct, contingent, sole, joint or several) due, or to become due or
which may be hereafter  contracted or acquired of each Borrower to Secured Party
(the foregoing hereinafter being called the "Liabilities").

Borrower hereby warrants and agrees that:

1. (a) Borrower is the owner of the  Collateral  clear of all liens and security
interests  except the security  interest  granted  hereby;  (b) Borrower has the
right  and  power to make  this  Agreement;  and (c) The  Collateral  is used or
acquired  for use  primarily  for  the  purpose  checked:  Personal,  family  or
household  purposes;  Farm  purposes;  or X  business  purposes,  and (d) if the
Collateral  consists of "household goods" ad defined in 12 C.F.R.  227.12 (d) or
if  otherwise  checked  here  then the  Collateral  is being  acquired  with the
proceeds  of the loan  provided  for in or  secured by this  Agreement,  and the
proceeds  will be used for no other  purpose,  and  Borrower  hereby  authorized
Secured  party to  disburse  the  proceeds or any part  thereof  directly to the
seller of the Collateral or to the insurance agent or broker,  or both, as shown
on Secured Party's records.

2. (a) The Collateral will be kept at the address shown at the beginning of this
Agreement, OR

Borrower will promptly notify Secured Party of any change in the location of the
Collateral  within said state;  and Borrower will not remove the Collateral from
said state without the written  consent of Secured Party,  (b) if the Collateral
is  used or  acquired  for use  primarily  for  personal,  family  or  household
purposes, or for farm purposes, Borrower's residence in Florida is that shown at
the beginning of this  Agreement and Borrower will  immediately  notify  Secured
Party of any change in the location of said residence.

3. (a) If the  Collateral is acquired or used  primarily for business use and is
of a type  normally  used in more than one state,  whether  or not so used,  and
Borrower  has a place of  business  in more than one state,  the chief  place of
business of Borrower is that shown at the beginning of the Agreement, OR

and Borrower will  immediately  notify Secured Party in writing of any change in
Borrower's chief place of business;  and (b) if certificates of title are issued
or  outstanding  with respect to any of the  Collateral,  Borrower will promptly
cause the  interest of Secured  party to be properly  noted  thereon and deliver
such certificates of title to Secured Party.

4.  Borrower  will defend the  Collateral  against the claims and demands of all
persons, other than Secured Party, at any time claiming the same or any interest
therein.

5. No Financing  Statement covering any Collateral or any proceeds thereof is on
file in any  public  office;  Borrower  authorized  Secured  party to  file,  in
jurisdictions  where  this  authorization  will be  given  effect,  a  Financing
Statement signed only by the Secured party describing the collateral in the same
manner as it is describe herein;  Borrower will from time to time at the request
of  Secured  party,  execute  one or more  Financing  Statements  and such other
documents  (and pay the  cost of  filing  or  recording  the same in all  public
offices  deemed  necessary or desirable by the Secured  party) and do such other
acts and things,  all as the Secured Party may request to establish and maintain
an enforceable  first priority  security interest in the Collateral (free of all
other liens and claims whatsoever) to secure the payment of the Liabilities.

6.  Borrower  will not (a)  permit  any liens or  security  interest  other than
Secured  party's  security  interest,  to attach to any of the  Collateral;  (b)
permit any of the  Collateral to be levied upon under legal  process;  (C) sell,
transfer,  lease,  dismantle,  alter, modify, or otherwise dispose of any of the
Collateral or any interest therein, or offer so to do, without the prior written
consent of Secured  Party;  (d) permit  anything  to be done that may impair the
value of any of the  Collateral or the security  intended to be afforded by this
Agreement;  (e)  permit  the  Collateral  to be or become a  fixture  (and it is



<PAGE>



expressly covenanted,  warranted and agreed, that the Collateral, and every part
thereof,  whether  affixed  to any realty or not,  shall be and remain  personal
property),  or to become an accession to other goods or property,  or (f) locate
Collateral  on any property  not owned or  controlled  by Borrower,  without the
prior written consent of the Secured party.

7.  Borrower  will (a) at all times keep the  Collateral  insured in amounts not
less than the full insurable value thereof,  against loss,  damage,  theft,  and
such other  risks as Secured  party may  require in such  companies,  under such
policies, in such form and for such periods, as shall be satisfactory to Secured
Party,  and each  such  policy  shall  provide,  by New York  Standard  or Union
Standard endorsement, that loss thereunder and proceeds payable thereunder shall
be payable to Secured  party as its interest  may appear (and Secured  Party may
apply any  proceeds of such  insurance  which may be  received by Secured  party
toward  payment of the  Liabilities,  whether  due or not due,  in such order of
application  as Secured Party may  determine) and each such policy shall provide
for a minimum of 10 days written  cancellation notice to Secured party; and each
such policy shall, if Secured Party so requests, be deposited with Secured Party
and Secured  Party may act as attorney  for  Borrower in  obtaining,  adjusting,
settling,  and canceling  such  insurance  and endorsing any drafts;  (b) at all
times keep the  Collateral  free from any adverse  lien  security  interest,  or
encumbrance  and in good  order and  repair  and will not waste or  destroy  the
Collateral or any part thereof,  (c) Borrower  shall be obligated to pay for the
placement of any Vendor Single Interest Insurance ("VSI"),  or any other similar
type  of  insurance,   should  the  Borrower  fail  to  adequately  protect  the
Collateral.  Should VSI or any other  insurance be placed by the Secured  Party,
then any Earned and/or  Unearned  insurance  Premium  Refund will be credited to
Borrower by the Secured party. Should the Secured Party receive any compensation
for  Administrative  or  Experience  Rated  Refunds  due  to the  placement  and
termination of such insurance,  such compensation and/or refund shall be paid to
Secured  Party.  Any  interest  earned  during the period of  placement  of such
insurance any be retained by Secured Party.

8. (a)  Borrower  will not use the  Collateral  or permit the same to be used in
violation of any statute,  law or  ordinance;  and Secured Party may examine and
inspect the  Collateral  at any time,  wherever  located,  (b) Borrower will pay
promptly when due all taxes and  assessments  upon the Collateral or for its use
of operation or upon this  Agreement or upon any note or notes or other  writing
evidencing the Liabilities, or any of them.

9. At its  options,  Secured  Party  may  discharge  taxes,  liens  or  security
interests or other  encumbrances at any time levied or placed on the Collateral,
may pay for insurance on the  Collateral,  and may pay for the  maintenance  and
preservation  of the Collateral.  Borrower agrees to reimburse  Secured Party on
demand for any payment made, or any expense incurred, by Secured Party, pursuant
to the foregoing  authorization,  together with interest  thereon at the highest
lawful rate and each such payment and interest  thereon shall be secured by this
Security  Agreement.  Until default,  Borrower may have possession of Collateral
and use it in any lawful  manner not  inconsistent  with this  Agreement and not
inconsistent with any policy of insurance thereon.

10.  Borrower shall be in default under this Agreement upon the happening of any
of the following  events or conditions:  (a) failure or omission to pay when due
any Liability (or any installment  thereof or interest  thereon),  or default in
the payment or performance of any obligation,  covenant, agreement, or Liability
contained or referred to therein; (b) any warranty, representation, or statement
made or  furnished to Secured  Party by or on behalf of any  Borrower  proves to
have been false in any material respect when made or furnished; (c) loss, theft,
substantial  damage  destruction,  sale,  or  encumbrance  to or of  any  of the
Collateral,  or the  making of any  levy,  seizure,  or  attachment  thereof  or
thereon;  (d) any Obligor  (which term as used herein,  shall mean each Borrower
and each other Party primarily or secondarily or  contingently  liable on any of
the  Liabilities)  becomes  insolvent  or unable to pay debts as they  mature or
makes an assignment for the benefit of creditors,  or any proceeding  (including
any proceeding in  bankruptcy) is instituted by or against any Obligor  alleging
that such Obligor is insolvent or unable to pay debts as they mature;  (e) entry
of any judgment  against any  Obligor;  (f) death of an Obligor who is a natural
person,  or  of  any  partner  of  any  Obligor  which  is  a  partnership;  (g)
dissolution,  merger or consolidation,  or transfer of a substantial part of the
property of any Obligor which is a corporation or  partnership;  (h) appointment
of a receiver  for the  Collateral  or any part  thereof or for any  property in
which any  Borrower  has an interest;  (i) the  Collateral  is used by anyone to
transport  or store  goods  the  possession,  transportation  or use of which is
illegal.

11.  Upon the  occurrence  of any such  default  or at any time  thereafter,  or
whenever the Secured  Party feels  insecure for any reason  whatsoever,  Secured
Party may, at its option,  declare all Liabilities secured hereby or any of them
(notwithstanding  any provisions  thereof),  immediately due and payable without
demand or notice of any dink and the same thereupon shall immediately become and
be due and payable without demand or notice (but with such adjustments,  if any,
with  respect  to  interest  or  other  charges  as may be  provided  for in the
promissory note or other writing  evidencing such Liability),  and Secured party
shall have any may exercise from time to time any and all rights and remedies of
a Secured  Party  under the Uniform  Commercial  Code and any and all rights and
remedies  available  to it under any other  applicable  law; and upon request or
demand of Secured Party, Borrower shall, at its expense, assemble the Collateral
and make it available to the Secured Party at a convenient  place  acceptable to
Secured  Party;  and Borrower  shall  promptly pay all costs of Secured party of
collection of any and all liabilities,  and enforcement of any rights hereunder,
including  reasonable  attorneys'  fees and legal  expenses  and expenses of any
repairs to any of the  Collateral  and  expenses of any repairs to any realty or
other  property to which any of the  Collateral  may be  affixed.  Any notice of
sale, disposition or other intended action by Secured Party, sent to Borrower at
the address of Borrower  specified  above or at any other  address  shown on the
records  of  Secured  Party,  at least  five days  prior to such  action,  shall
constitute  reasonable notice to Borrower, In the event of repossession Borrower
authorizes  Secured Party to take into custody any personal property found in or
on the  Collateral  and to hold  the  same  until  claimed  by  Borrower  at the
principal  place of  business  of Secured  Party and in the event such  personal
property is not claimed within a reasonable  time by Borrower,  Secured Party is
authorized to dispose of same. Expenses of retaking, holding preparing for sale,
selling,  or the like, shall include Secured Party's reasonable  attorneys' fees
and legal expenses.  Any excess or surplus of proceeds of any disposition of any
of the  Collateral may be applied by Secured Party toward payment of such of the
Liabilities,  without marshaling of assets and in such order of application,  as
secured party may from time to time elect.

12. No waiver by Secured  Party of any default  shall operate as a waiver of any
other default or of the same default on a future occasion.  No delay or omission
on the part of Secured party in exercising  any right or remedy shall operate as
a waiver  thereof,  and no single or partial  exercise  by Secured  Party of any
right or remedy  shall  preclude  any other or further  exercise  thereof or the
exercise of any other right or remedy. Time is of the essence of this Agreement.
The  provisions  of  this  Agreement  are  cumulative  and  in  addition  to the
provisions of any note secured by this  Agreement,  and Secured Party shall have
all the benefits,  rights and remedies of and under any not secured  hereby.  If
more than one party shall execute this Agreement, the term "Borrower" shall mean
all parties  signing this Agreement and each of them, and all such parties shall
be jointly and severally obligated  hereunder  provided,  however, if one of the
parties  signing this  Agreement has not executed the  promissory  note or notes
referred to herein,  said party shall have no personal  liability  under,  or in
conjunction with, said promissory note or notes. The singular pronoun, when used
herein,  shall  include the plural and the neuter shall  include  masculine  and
feminine.  If this  Agreement is not dated when  executed by the  Borrower,  the
Secured  Party is  authorized  without  notice  to the  Borrower,  to date  this
Agreement.  This  Agreement  shall  become  effective  as of the  date  of  this
Agreement.  All rights of Secured Party  hereunder shall inure to the benefit of
its  successors  and assigns;  and all  Liabilities  of Borrower  shall bind the
heirs, executors, administrators, successors and assigns of each Borrower.




<PAGE>


13.  This  Agreement  has been  delivered  in the State of Florida  and shall be
construed in accordance with laws of Florida.  Wherever possible, each provision
of this  Agreement  shall be  interpreted  in such manner as to be effective and
valid under  applicable  law, but if any  provision of this  Agreement  shall be
prohibited  by  or  invalid  under  applicable  law,  such  provision  shall  be
ineffective  to  the  extent  of  such   prohibition   or  invalidity,   without
invalidating the remainder of such provision or the remaining provisions of this
Agreement.

14. BORROWER AND SECURED PARTY HEREBY KNOWINGLY, VOLUNTARILY, INTENTIONALLY, AND
IRREVOCABLY  WAIVE  THE  RIGHT  EITHER  OF THEM  MAY  HAVE TO A TRIAL BY JURY IN
RESPECT TO ANY  LITIGATION,  WHETHER IN CONTRACT  OR TORT,  AT LAW OR IN EQUITY,
BASED HEREON,  OR ARISING OUT OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT AND
ANY OTHER  DOCUMENT OR  INSTRUMENT  CONTEMPLATED  TO BE EXECUTED IN  CONJUNCTION
HEREWITH,  OR ANY COURSE OF  CONDUCT,  COURSE OF  DEALING,  STATEMENTS  (WHETHER
VERBAL OR WRITTEN) OR ACTIONS OF ANY PARTY HERETO.  THIS PROVISION IS A MATERIAL
INDUCEMENT  FOR SECURED PARTY  ENTERING INTO THIS  AGREEMENT.  FURTHER  BORROWER
HEREBY  CERTIFIES  THAT NO  REPRESENTATIVE  OR AGENT OF  SECURED  PARTY,  NO THE
SECURED PARTY'S COUNSEL, HAS REPRESENTED,  EXPRESSLY OR OTHERWISE,  THAT SECURED
PARTY WOULD NOT, IN THE EVENT OF SUCH LITIGATION, SEEK TO ENFORCE THIS WAIVER OR
RIGHT TO JURY TRIAL PROVISION,  NO REPRESENTATIVE OR AGENT OF THE SECURED PARTY,
NO SECURED PARTY'S COUNSEL HAS THE AUTHORITY TO WAIVE, CONDITION, OR MODIFY THIS
PROVISION.

IN WITNESS  WHEREOF,  this  Agreement  has been duly executed as of November 18,
1994.

Signed, sealed and delivered in the presence of:

                                         Borrower(s):
                                         The Climacteric Clinic, Inc.
                                         DBA  Women's  Medical  &  Diagnostic
                                         Center 222 SW 36th Terrace,  Suite C
                                         Gainesville, FL 32607


/s/Paul Haven                            /s/Morris Notelovitz (SEAL)
- -------------                            --------------------      
                                         Morris Notelovitz, President

/s/Suzanne A. Oliver                                          (SEAL)
- --------------------                                          

                                                              (SEAL)




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