INTEGRAMED AMERICA INC
S-8, 2000-05-22
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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      As filed with the Securities and Exchange Commission on May 22, 2000
                                                  Registration No. 333-_______
                   -----------------------------------------

                      SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


                                    FORM S-8
                             REGISTRATION STATEMENT
                                      Under
                           THE SECURITIES ACT OF 1933

                            IntegraMed America, Inc.
             (Exact name of registrant as specified in its charter)


                  Delaware                             06-1150326
      (State or other jurisdiction of       (I.R.S. Employer Identification
       incorporation or organization)                   Number)


          One Manhattanville Road                     10577-2100
             Purchase, New York                       (Zip Code)
  (Address of Principal Executive offices)


       INTEGRAMED AMERICA, INC. PROFIT SHARING AND 401(K) PLAN, AS AMENDED
                              (Full title of plan)

       John W. Hlywak, Jr., Sr. Vice President and Chief Financial Officer
                            INTEGRAMED AMERICA, INC.
                             One Manhattanville Road
                          Purchase, New York 10577-2100
                     (Name and address of agent for service)

                                  914-253-8000
          (Telephone number, including area code, of agent for service)

<TABLE>
                         CALCULATION OF REGISTRATION FEE
- --------------------------------------------------------------------------------------------------
<CAPTION>
Title of Securities to   Amount to be   Proposed maximum    Proposed maximum        Amount of
     be registered      registered (1)  offering price per  aggregate offering   registration fee
                                            share (2)           price (2)
- --------------------------------------------------------------------------------------------------
  <S>                  <C>                 <C>                <C>                  <C>
  Common Stock
  ($.01 par value)      200,000 shares      $3.50              $700,000             $184.80
- --------------------------------------------------------------------------------------------------
</TABLE>
(1)      In addition,  pursuant to Rule 416(c) under the Securities Act of 1933,
         this  Registration  Statement  also covers an  indeterminate  amount of
         interests  to be offered or sold  pursuant to the  IntegraMed  America,
         Inc. Profit Sharing and 401(k) Plan, as amended.

(2)      Estimated  in  accordance  with Rule  457(h)  solely for the purpose of
         calculating the registration fee. The price shown is the average of the
         high and low prices of the Registrant's Common Stock on May 17, 2000 as
         reported on Nasdaq.


<PAGE>



                                     PART II

               INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

Item 3.  Incorporation of Documents by Reference

         The documents  listed below are hereby  incorporated  by reference into
this  Registration  Statement,  and  all  documents  subsequently  filed  by the
Registrant or by the  IntegraMed  America,  Inc.  Profit Sharing and 401(k) Plan
(the "Plan")  pursuant to Sections 13(a),  13(c), 14 and 15(d) of the Securities
Exchange  Act of 1934,  as  amended,  prior to the  filing  of a  post-effective
amendment  which  indicates that all securities  offered have been sold or which
deregisters  all  securities  then  remaining  unsold  shall  be  deemed  to  be
incorporated by reference in this  Registration  Statement and to be part hereof
from the respective dates of filing such documents:

         (a)  Registrant's  Annual Report on Form 10-K for the fiscal year ended
              December 31, 1999.

         (b)  Registrant's  Quarterly  Report on Form 10-Q for the period  ended
              March 31, 2000.

         (c)  The description of the Registrant's  Common Stock,  $.01 par value
              ("Common Stock"),  contained in the Registration Statement on Form
              8-A (No. 1-11440), declared effective October 8, 1992, under "Item
              1. Description of Registrant's Securities to be Registered."

Item 4.  Description of Securities

         Not applicable

Item 5.  Interests of Named Experts and Counsel

         Not applicable

Item 6.  Indemnification of Directors and Officers

         Section 145 of the Delaware General  Corporation Law contains  detailed
provisions   for   indemnification   of  directors   and  officers  of  Delaware
corporations  against  certain  expenses,  judgments,  fines and  settlements in
connection with threatened,  pending or completed actions, suits or proceedings,
whether civil, criminal, administrative or investigative.

                                       2

<PAGE>


         Article VII of the Amended and Restated Certificate of Incorporation of
IntegraMed America,  Inc. (the "Company") provides that the Company shall to the
fullest extent permitted by Section 145 of the Delaware General  Corporation Law
indemnify  any and all persons whom it shall have power to indemnify  under said
Section  from and  against  any and all of the  expenses,  liabilities  or other
matters  referred to in or covered by said  Section.  Article VII also  provides
that no director shall be personally  liable to the Company or its  stockholders
for any monetary damages for breach of fiduciary duty as a director.  A director
shall be liable to the extent  provided by applicable  law (i) for any breach of
such  director's  duty of loyalty to the Company or its  stockholders,  (ii) for
acts or omissions not in good faith or which involve intentional misconduct or a
knowing  violation  of law,  (iii)  under  Section 174 of the  Delaware  General
Corporation Law, or (iv) for any transaction from which such director derived an
improper personal benefit.

         Article VII of the  Company's  Bylaws,  as amended,  and the  Company's
Directors' and Officers'  Liability Insurance Policy provide for indemnification
of the directors and officers of the Company against certain liabilities.

Item 7.  Exemption from Registration Claimed

         No  securities  are  to  be  reoffered  or  resold   pursuant  to  this
Registration Statement.

Item 8.  Exhibits

         4.1  Amended and Restated  Certificate of  Incorporation  of Registrant
              effecting,  inter alia, a reverse stock split, filed as an Exhibit
              to Registrant's  Registration  Statement on Form S-1 (Registration
              No. 33-60038).

         4.2  Certificate of Amendment of the  Certificate of  Incorporation  of
              Registrant  increasing  authorized  capital  stock by  authorizing
              Preferred Stock, filed as an Exhibit to Registrant's  Registration
              Statement on Form S-1 (Registration No. 33-60038)

         4.3  Certificate  of  Designations  of Series A Cumulative  Convertible
              Preferred Stock, filed as an Exhibit to Registrant's  Registration
              Statement on Form S-1 (Registration No. 33-60038)

         4.4  Certificate  of Amendment of the Amended and Restated  Certificate
              of  Incorporation  of Registrant  effecting a reverse stock split,
              filed as Exhibit to Registrant's Definitive Proxy Statement, dated
              October  19,  1998 as  filed  with  the  Securities  and  Exchange
              Commission in connection with the Registrant's  Special Meeting of
              Stockholders held on November 17, 1998.

         5.1  Opinion of Dorsey & Whitney  LLP,  with respect to the legality of
              the Common Stock to be registered hereunder.

         5.2  Determination  Letter  from  the  Internal  Revenue  Service  with
              respect to  qualification of the IntegraMed  America,  Inc. Profit
              Sharing and 401(k) Plan under Section 401 of the Internal  Revenue
              Code of 1986, as amended.

         23.1 Consent of PricewaterhouseCoopers LLP.

                                       3

<PAGE>


         23.2 Consent of Dorsey & Whitney LLP  (contained in Exhibit 5.1 to this
              Registration Statement).

         24.1 Power of Attorney.

         The Registrant  hereby  undertakes to submit any amendments to the Plan
to the Internal  Revenue  Service  ("IRS") in a timely  manner and will make all
changes  required by the IRS in order to qualify  the Plan under  Section 401 of
the Internal Revenue Code of 1986, as amended.

Item 9.  Undertakings

         (a)  The undersigned Registrant hereby undertakes:

              (1) To file,  during any period in which offers or sales are being
         made, a post-effective amendment to this Registration Statement:

                   (i) To include any prospectus required by Section 10(a)(3) of
              the Securities Act of 1933;

                   (ii) To reflect in the prospectus any facts or events arising
              after the  effective  date of the  Registration  Statement (or the
              most recent post-effective amendment thereof) which,  individually
              or in  the  aggregate,  represent  a  fundamental  change  in  the
              information   set   forth   in   the    Registration    Statement.
              Notwithstanding the foregoing,  any increase or decrease in volume
              of  securities  offered (if the total dollar  value of  securities
              offered  would  not  exceed  that  which was  registered)  and any
              deviation  from  the  low or  high  end of the  estimated  maximum
              offering  range may be reflected in the form of  prospectus  filed
              with the Commission  pursuant to Rule 424(b) if, in the aggregate,
              the  changes  in  volume  and price  represent  no more than a 20%
              change in the maximum  aggregate  offering  price set forth in the
              "Calculation   of   Registration   Fee"  table  in  the  effective
              Registration Statement; and

                   (iii) To include any material information with respect to the
              plan of distribution not previously  disclosed in the Registration
              Statement  or any  material  change  to  such  information  in the
              Registration Statement;

         Provided,  however,  that paragraphs  (a)(1)(i) and (a)(1)(ii) above do
         not  apply  if  the   information   required   to  be   included  in  a
         post-effective  amendment by those  paragraphs is contained in periodic
         reports  filed with or furnished to the  Commission  by the  Registrant
         pursuant to Section 13 or Section 15(d) of the Securities  Exchange Act
         of  1934  that  are  incorporated  by  reference  in  the  Registration
         Statement.

                      (2) That,  for the purpose of  determining  any  liability
         under the Securities Act of 1933,  each such  post-effective  amendment
         shall be  deemed to be a new  registration  statement  relating  to the
         securities offered therein, and the offering of such securities at that
         time shall be deemed to be the initial bona fide offering thereof.

                                       4

<PAGE>


                      (3)  To   remove   from   registration   by   means  of  a
         post-effective  amendment any of the securities  being registered which
         remain unsold at the termination of the offering.

         (b) The undersigned  Registrant hereby undertakes that, for purposes of
determining  any liability  under the Securities Act of 1933, each filing of the
Registrant's  annual  report  pursuant to Section  13(a) or Section 15(d) of the
Securities  Exchange  Act of 1934 (and each filing of the Plan's  annual  report
pursuant  to  Section  15(d) of the  Securities  Exchange  Act of 1934)  that is
incorporated by reference in the Registration  Statement shall be deemed to be a
new registration  statement relating to the securities offered therein,  and the
offering of such  securities at that time shall be deemed to be the initial bona
fide offering thereof.

         (c)  Insofar  as  indemnification  for  liabilities  arising  under the
Securities Act of 1933 may be permitted to directors,  officers and  controlling
persons of the Registrant  pursuant to the foregoing  provisions,  or otherwise,
the  Registrant  has been  advised  that in the opinion of the  Commission  such
indemnification  is against  public policy as expressed in the Securities Act of
1933  and  is,  therefore,   unenforceable.  In  the  event  that  a  claim  for
indemnification  against  such  liabilities  (other  than  the  payment  by  the
Registrant  of  expenses  incurred  or  paid by a  director,  officer  or  other
controlling  person of the Registrant in the  successful  defense of any action,
suit or proceeding) is asserted by such director,  officer or controlling person
in connection with the securities being registered,  the Registrant will, unless
in the  opinion  of its  counsel  the matter  has been  settled  by  controlling
precedent,  submit to a court of appropriate  jurisdiction  the question whether
such  indemnification  by it is  against  public  policy  as  expressed  in  the
Securities  Act of 1933 and will be governed by the final  adjudication  of such
issue.



                                   SIGNATURES

         Pursuant  to the  requirements  of the  Securities  Act  of  1933,  the
Registrant certifies that it has reasonable grounds to believe that it meets all
of the requirements for filing on Form S-8 and has duly caused this Registration
Statement  to be  signed  on its  behalf  by  the  undersigned,  thereunto  duly
authorized,  in the City of Purchase, State of New York, on the 22nd day of May,
2000.

                                 INTEGRAMED AMERICA, INC.


                                 By:/s/Gerardo Canet
                                    ------------------------
                                    Gerardo Canet,
                                    Chairman of the Board, President and
                                    Chief Executive Officer




                                       5


<PAGE>


         Pursuant  to the  requirements  of the  Securities  Act of  1933,  this
Registration  Statement  has  been  signed  by  the  following  persons  in  the
capacities and on the dates indicated:


/s/Gerardo Canet                                                   May 22, 2000
- --------------------------------------------
Gerardo Canet - Chairman of the Board
President & Chief Executive Officer
(Principal Executive Officer)

/s/John W. Hlywak, Jr.                                             May 22, 2000
- --------------------------------------------
John W. Hlywak, Jr. - Sr. Vice President &
Chief Financial Officer
(Principal Financial and Accounting Officer)

/s/M. Fazle Husain                                                 May 22, 2000
- --------------------------------------------
M. Fazle Husain - Director

/s/Michael Levy                                                    May 22, 2000
- --------------------------------------------
Michael Levy, M.D. - Director

/s/Sarason D. Liebler                                              May 22, 2000
- --------------------------------------------
Sarason D. Liebler - Director

/s/Aaron S. Lifchez                                                May 22, 2000
- --------------------------------------------
Aaron S. Lifchez, M.D. - Director

/s/Patricia M. McShane                                             May 22, 2000
- --------------------------------------------
Patricia M. McShane, M.D. - Director

/s/Lawrence J. Stuesser                                            May 22, 2000
- --------------------------------------------
Lawrence J. Stuesser- Director

/s/Elizabeth E. Tallett                                            May 22, 2000
- --------------------------------------------
Elizabeth E. Tallett - Director


*By:/s/Gerardo Canet
    ---------------------
    Gerardo Canet
    Attorney-in-Fact





                                       6



<PAGE>





         Pursuant to the requirements of the Securities Act of 1933, the trustee
( or other persons who  administer  the employee  benefit plan) have duly caused
this  Registration  Statement  to be  signed on its  behalf by the  undersigned,
thereunto duly  authorized,  in the city of Purchase,  State of New York, on May
22, 2000.


INTEGRAMED AMERICA INC. PROFIT SHARING AND 401(K) PLAN


By: IntegraMed America, Inc., the Plan Administrator


By: /s/John W. Hlywak, Jr.
    --------------------------------------------
    John W. Hlywak, Jr.
    Sr. Vice President & Chief Financial Officer

                                       7

<PAGE>


                                INDEX TO EXHIBITS
                            INTEGRAMED AMERICA, INC.


Exhibit
Number            Description


4.1               Amended  and  Restated   Certificate   of   Incorporation   of
                  Registrant effecting, inter alia, a reverse stock split, filed
                  as an Exhibit to Registrant's  Registration  Statement on Form
                  S-1 (Registration No. 33-60038).

4.2               Certificate of Amendment of the  Certificate of  Incorporation
                  of   Registrant   increasing   authorized   capital  stock  by
                  authorizing   Preferred   Stock,   filed  as  an   Exhibit  to
                  Registrant's  Registration Statement on Form S-1 (Registration
                  No. 33-60038)

4.3               Certificate of Designations of Series A Cumulative Convertible
                  Preferred   Stock,   filed  as  an  Exhibit  to   Registrant's
                  Registration Statement on Form S-1 (Registration No. 33-60038)

4.4               Certificate   of   Amendment   of  the  Amended  and  Restated
                  Certificate of Incorporation of Registrant effecting a reverse
                  stock split, filed as Exhibit to Registrant's Definitive Proxy
                  Statement, dated October 19, 1998 as filed with the Securities
                  and Exchange  Commission in connection  with the  Registrant's
                  Special Meeting of Stockholders held on November 17, 1998.

5.1               Opinion of Dorsey & Whitney LLP,  with respect to the legality
                  of the Common Stock to be registered hereunder.

5.2               Determination  Letter from the Internal  Revenue  Service with
                  respect  to  qualification  of the  IntegraMed  America,  Inc.
                  Profit  Sharing  and  401(k)  Plan  under  Section  401 of the
                  Internal Revenue Code of 1986, as amended.

23.1              Consent of  PricewaterhouseCoopers LLP.

23.2              Consent of Dorsey & Whitney LLP  (contained  in Exhibit 5.1 to
                  this Registration Statement).

24.1              Power of Attorney.


                                       8



                                                                     Exhibit 5.1



                                  May 19, 2000

IntegraMed America, Inc.
One Manhattanville Road
Purchase, New York  10577

Re:               Registration Statement on Form S-8

Ladies and Gentlemen:

                  We  have  served  as  your  counsel  in  connection  with  the
preparation  of your  Registration  Statement  on Form  S-8  (the  "Registration
Statement") to be filed with the Securities  and Exchange  Commission  under the
Securities  Act of 1933, as amended,  representing  the offering and issuance to
certain  persons under the IntegraMed  America,  Inc.  Profit Sharing and 401(k)
Plan, as amended (the "Plan"),  of an aggregate of 200,000 shares of your Common
Stock, $.01 par value (the "Common Stock").

                  We have examined such corporate records, documents and matters
of law as we have considered appropriate for the purposes of this opinion.

                  Based upon such examination, it is our opinion that the Common
Stock,  when issued in the manner described in the Plan, will be validly issued,
fully paid and non-assessable.

                  Our  opinion  expressed  above is  limited  to the laws of the
State of Delaware.

                  We  consent  to  the  reference   made  to  our  firm  in  the
Registration  Statement  and to the filing of this  opinion as an exhibit to the
Registration Statement.


                                                   Very truly yours,

                                                   /s/ Dorsey & Whitney LLP
                                                   -------------------------
                                                   DORSEY & WHITNEY LLP




                                                                    Exhibit 5.2



Internal Revenue Service                             Department of the Treasury

Plan Description: Prototype
  Standardized Profit Sharing Plan with COOA
FFN: 50248693105-001 Case: 9401667 Ein:04-1223767    Washington, DC 20224
PD: 05   Plan: 001  Letter Serial No: 02607556
                                                Person To Contact: Ms. Arrington
PUTNAM MUTUAL FUNDS CORP

ONE POST OFFICE SQUARE                          Telephone Number: (202) 622-8173

BOSTON, MA 02109                                Refer Reply to:   CP:E:EP:T1

                                                Date:    04/26/95

Dear Applicant:

In our opinion,  the amendment to the form of the plan identified above does not
in an of itself adversely affect the plan's  acceptability  under section 401 of
the Internal  Revenue  Code.  This opinion  relates only to the amendment to the
form of the plan.  It is not an  opinion  as to the  acceptability  of any other
amendment  or of the form of the plan as a whole,  or as to the  effect of other
Federal or local statutes.

You must  furnish a copy of this letter to each  employer  who adopts this plan.
You are also  required  to send a copy of the  approved  form of the  plan,  any
approved  amendments  and related  documents  to each Key  District  Director of
Internal Revenue Service in whose jurisdiction there are adopting employers.

Our  opinion  on the  acceptability  of the form of the plan is not a ruling  or
determination  as to whether an  employer's  plan  qualifies  under Code section
401(a).  An  employer  who adopts  this plan will be  considered  to have a plan
qualified  under  Code  section  401(a)  provided  all the terms of the plan are
followed,   and  the  eligibility   requirements  and  contribution  or  benefit
provisions  are not more  favorable for highly  compensated  employees  than for
other  employees.  Except as stated  below,  the Key District  Director will not
issue a determination letter with regard to this plan.

Our opinion  does not apply to the form of the plan for purposes of Code section
401(a) (16) if: (1) an employer ever maintained  another  qualified plan for one
or more  employees who are covered by this plan,  other than a specified  paired
plan within the meaning of section 7 of Rev. Proc. 89-9, 1989-1 C.B. 780; or (2)
after December 31, 1985, the employer  maintains a welfare  benefit fund defined
in Code section 419(e), which provides postretirement medical benefits allocated
to separate accounts for key employees as defined in Code section 419A (d) (3).

An employer  that has adopted a  standardized  plan may not rely on this opinion
letter with respect to (1) whether any  amendment or series of amendments to the
plan satisfies the nondiscrimination  requirements of section 1.401 (a) (4)-5(a)
of the regulations, except with respect to plan amendments granting past service
that meet the safe harbor  described  in section  1.401 (a) (4)-5(a) (5) and are
not part of a pattern of amendments that significantly discriminates in favor of
highly  compensated  employees;  or (2) whether the plan satisfies the effective
availability  requirement of section 1.401 (a) (4)-4(c) of the regulations  with
respect to any benefit, right or feature.

An employer that has adopted a standardized plan as an amendment to a plan other
than a  standardized  plan may not rely on this  opinion  letter with respect to
whether a  benefit,  right or other  feature  that is  prospectively  eliminated
satisfies the current  availability  requirements  of section 1.401 (a)-4 of the
regulations.

The employer may request a determination (1) as to whether the plan,  considered
with all related  qualified  plans and, if  appropriate,  welfare benefit funds,
satisfies the  requirements  of Code section 401 (a) (16) as to  limitations  on
benefits  and   contributions   in  Code  section   415;   (2)   regarding   the
nondiscriminatory  effect of grants of past  service;  and (3) with  respect  to
whether a  prospectively  eliminated  benefit,  right or feature  satisfies  the
current availability requirements.


<PAGE>

Our opinion  does not apply to the form of the plan for  purposes of section 401
(a) of the Code  unless  the terms of the plan,  as  adopted  or  amended,  that
pertain to the  requirements  of sections 401(a) (4), 401 (a) (5), 401 (a) (17),
401 (1),  401 (5) and 414 (s) of the Code,  as  amended by the Tax Reform Act of
1986 or subsequent  legislation,  (a) are made  effective  retroactively  to the
first day of the first plan year  beginning  after  December  31,  1988 (or such
other date on which these  requirements  first became  effective with respect to
this plan);  or (b) are made  effective no later than the first day on which the
employer is no longer entitled, under regulations, to rely on a reasonable, good
faith interpretation of these requirements, and the prior provisions of the plan
constitute such an interpretation.

This  letter  with  respect  to the  amendment  to the form of the plan does not
affect the  applicability  to the plan of the  continued,  interim and  extended
reliance  provisions of sections 13 and 17.03 of Rev.  Proc.  89-9,  1989-1 C.B.
780. The  applicability of such provisions may be determined by reference to the
initial opinion letter issued with respect to the plan.

This  letter may not be relied upon with  respect to whether the plan  satisfies
the qualification  requirements as amended by Uruguay Round Agreements Act, Pub.
L. 103-465.

If you, the  sponsoring  organization,  have any  questions  concerning  the IRS
processing of this case, please call the above telephone number.  This number is
only for use of the  sponsoring  organization.  Individual  participants  and/or
adopting  employers  with  questions  concerning  the plan  should  contact  the
sponsoring  organization.   The  plan's  adoption  agreement  must  include  the
sponsoring organization's address and telephone number for inquiries by adopting
employers.

If you write to the IRS  regarding  this plan,  please  provide  your  telephone
number  and the  most  convenient  time  for us to  call  in  case we need  more
information. Whether you call or write, please refer to the Letter Serial Number
and File Folder Number shown in the heading of this letter.

You should  keep this  letter as a  permanent  record.  Please  notify us if you
modify or discontinue sponsorship of this plan.

Sincerely yours,



Chief, Employee Plans Technical Branch 1




                                                                   EXHIBIT  23.1


                       CONSENT OF INDEPENDENT ACCOUNTANTS

     We hereby consent to the  Incorporation  by reference in this  Registration
Statement  on Form S-8 of our report  dated  February  11, 2000  relating to the
financial statements,  which appears in IntegraMed America, Inc.'s Annual Report
on Form 10-K for the year  ended  December  31,  1999.  We also  consent  to the
Incorporation by reference of our report dated February11,  2000 relating to the
financial statement schedule, which appears in such Annual Report on Form 10-K.




/s/PricewaterhouseCoopers LLP
- ------------------------------
PricewaterhouseCoopers LLP
Boston, Massachusetts
May 17, 2000







                                                                   EXHIBIT 24.1

                                POWER OF ATTORNEY

                  KNOW ALL PERSONS BY THESE  PRESENTS,  that each  person  whose
signature  appears below hereby  constitutes and appoints Gerardo Canet, John W.
Hlywak,  Jr. and Claude E. White,  and each of them,  his or her true and lawful
attorneys-in-fact   and  agents,   each  acting  alone,   with  full  powers  of
substitution  and  resubstitution,  for him or her and in his or her name, place
and stead, in any and all capacities,  to sign a Registration  Statement on Form
S-8, and any and all amendments (including  post-effective  amendments) thereto,
relating to the issuance of an  aggregate  of 200,000  shares of Common Stock of
INTEGRAMED AMERICA, INC. pursuant to the IntegraMed America, Inc. Profit Sharing
and 401(k) Plan, as amended,  and to file the same,  with all exhibits  thereto,
and other  documents in connection  therewith,  with the Securities and Exchange
Commission,  granting unto such  attorneys-in-fact and agents, and each of them,
full  power  and  authority  to do and  perform  each and  every  act and  thing
requisite  or necessary  to be done in and about the  premises,  as fully to all
intents and purposes as he or she might or could do in person,  hereby ratifying
and  confirming  all that such  attorneys-in-fact  and agents or any of them, or
their  substitute or substitutes,  may lawfully do or cause to be done by virtue
hereof.

Dated: December 14, 1999

                  Signature                               Title
/s/Gerardo Canet
- ------------------------------------
Gerardo Canet                                Chairman of the Board, President
                                             and Chief Executive Officer
                                             (principal executive officer)
                                             and Director

/s/John W. Hlywak, Jr.
- ------------------------------------
John W. Hlywak, Jr.                          Sr. Vice President and
                                             Chief Financial Officer
                                             (principal financial and
                                             accounting officer)
/s/M. Fazle Husain
- ------------------------------------
M. Fazle Husain                              Director

/s/Michael J. Levy
- ------------------------------------
Michael J. Levy, M.D.                        Director

/s/Sarason D. Liebler
- ------------------------------------
Sarason D. Liebler                           Director

/s/Patricia M. McShane
- ------------------------------------
Patricia M. McShane, M.D.                    Director

/s/Aaron S. Lifchez
- ------------------------------------
Aaron S. Lifchez, M.D.                       Director

/s/Lawrence J. Stuesser
- ------------------------------------
Lawrence J. Stuesser                         Director

/sElizabeth E. Tallett
- ------------------------------------
Elizabeth E. Tallett                         Director



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