PHC INC /MA/
10-Q, 1997-02-14
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                       U. S. SECURITIES AND EXCHANGE COMMISSION

                                Washington, D.C. 20549
                                       Form 10-QSB

(Mark One)

 |X|     QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE
         SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED
         DECEMBER 31, 1996.

|_|      TRANSITION REPORT UNDER SECTION 13 OR 15 (d) OF THE SECURITIES
         EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM ____________
         TO ___________


 Commission file number     0-23524


                                              PHC, INC.
      (Exact name of small business issuer as specified in its
charter)

           Massachusetts                       04-2601571
  (State or other jurisdiction of            (I.R.S. Employer
  incorporation or organization)              Identification No.)

200 Lake Street, Suite 102, Peabody MA                01960
Address of principal executive offices)              (Zip Code)

                    508-536-2777
            (Issuer's telephone number)

_______________________________________________________________________________
(Former Name, former address and former fiscal year, if changed since last
report)

     Check  whether  the issuer (1) filed all  reports  required  to be filed by
Section 13 or 15(d) of the  Exchange  Act during the past 12 months (or for such
shorter period that the  registrant was required to file such reports),  and (2)
has been subject to such filing  requirements for the past 90 days. Yes X No____
PHC, Inc. became subject to the Exchange Act on March 3, 1994.

Applicable only to corporate issuers
Number of shares outstanding of each class of common equity, as of January 31,
1997:

      Class A Common Stock    2,578,052
      Class B Common Stock      790,628
      Class C Common Stock      199,816 

 Transitional Small Business Disclosure Format
 (Check one):
 Yes______   No      X


<PAGE>
 
                                       PHC, Inc.

PART I.     FINANCIAL INFORMATION

Item 1.     Financial Statements (Unaudited)

            Condensed Consolidated Balance Sheets - December 31, 1996 and
            June 30, 1996.

            Condensed  Consolidated  Statements  of  Operations  - Three months
            ended December 31, 1996 and December 31, 1995; Six months ended
            December 31, 1996 and December 31, 1995.

            Condensed Consolidated Statements of Cash Flows - Six months ended
            December 31, 1996 and December 31, 1995.

            Notes to Condensed Consolidated Financial Statements - December 31,
            1996.

Item 2.     Management's Discussion and Analysis of Plan of Operation



PART II.    OTHER INFORMATION

Item 1.           Legal Proceedings.

Item 4.           Submission of Matters to a Vote of Security Holders

Item 5.           Other

Item 6.           Exhibits

Signatures


<PAGE>

PART I.  FINANCIAL INFORMATION                 PHC INC. AND SUBSIDIARIES
Item 1  Financial Statements                   CONSOLIDATED BALANCE SHEETS
                              
                             
<TABLE>
<S>                                                  <C>             <C>             
                                                        Dec. 31        June 30
                                                          1996           1996
                  ASSETS                                     (Unaudited)
Current assets:
   Cash..............................................  $  290,253      $293,515
   Accounts receivable, net of allowance for bad
debts of 1,517,586 at Dec. 31, 1996 and
1,492,983 at June 30, 1996...........................  10,529,186     8,866,065
   Prepaid expenses..................................     698,279       259,893
   Other receivables and advances....................   2,806,155        66,513
   Deferred Income Tax Asset.........................     515,300       515,300
     Total current assets............................  14,839,173    10,001,286
Accounts Receivable, Non Current.....................     740,000       740,000
Loan Receivable......................................     112,805       113,805
Property and equipment, net..........................   7,926,515     7,884,063
Deferred incoming taxes..............................     154,700       154,700
Deferred financing costs, net of amortization.......      837,931       702,948
Goodwill, net of accumulated amortization............     905,872       709,573
Other assets.........................................     639,081       454,160
Net assets of dicontinued operation..................       1,394        56,682
     Total...........................................  26,157,471    20,817,217

        LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
  Accounts Payable...................................   3,996,476     3,127,052
  Notes payable--related parties.....................      51,600        56,600
  Current maturities of long term debt...............   1,104,875       403,894
  Current portion of obligations under capital  
leases...............................................     113,374        88,052
  Accrued and witheld taxes..........................      49,048            -0-
  Accrued payroll, payroll taxes and benefits........     555,790       715,515
  Accrued expenses and other liabilities.............     472,446       738,784
  Deferred revenue...................................          --            --
        Total Current liabilities....................   6,343,609     5,129,897
Long-term debt.......................................   8,427,592     7,754,262
Obligations under capital lease......................   1,593,148     1,468,475
Notes payable related parties........................      31,596        47,394        
7% Convertible Debentures (3,125,000 less                        
discount 546,875)....................................   2,578,125            --
  Total noncurrent liabilities.......................  12,630,461     9,270,131
  Total liabilities..................................  18,974,070    14,400,028

Stockholders' Equity:
  Preferred stock, $.01 par value; 1,000,000
shares authorized,  none issued.....................                         --
  Class A common stock, $.01 value; 10,000,000
shares authorized, 2,493,552 and 2,293,568 issued
December and June 1996..............................      24,936        22,936
  Class B common stock, $.01 par value; 2,000,000
shares authorized,790,628 and 812,127 shares issued
December and June 1996 convertible into one       
share of Class A common stock.......................       7,906         8,122
  Class C common stock, $.01 par value; 200,000
shares authorized same as above and 199,816                                     
shares issued December and June,  1996..............       1,998         1,998
  Additional paid-in capital........................   8,764,408     8,078,383
  Notes receivable related to purchase of 31,000
shares of Class A common stock......................     (63,266)       (63,928)
  Accumulated Deficit...............................  (1,552,581)    (1,630,322)
  Total Stockholders' Equity........................   7,183,401      6,417,189                                              
Total..............................................   26,157,471    $20,817,217
                See Notes to Consolidated Financial Statements
</TABLE>

<PAGE>



                           PHC INC. AND SUBSIDIARIES
         CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
<TABLE>
<S>                             <C>             <C>          <C>             <C>          
                                   Three Months Ended            Six Months Ended
                                         December 31                December 31
      
                                  1996             1995          1996          1995


Revenues:
  Patient Care, net ..........  $6,472,204     $4,875,755     12,257,060     $9,368,635
  Management Fees.............     270,731         64,688        403,935        101,245
      Total revenue............  6,742,935      4,940,443     12,660,995      9,469,880
Operating expenses
  Patient care expenses........  3,368,222      3,015,538      6,425,116      5,616,081
  Administrative expenses......  3,022,738      1,971,316      5,492,182      3,622,866
  Contract expenses............     70,005         30,365        139,898         62,002
      Total operating expenses.  6,460,965      5,017,219     12,057,196      9,300,949

Income (loss) from operations..    281,970        (76,776)       603,799        168,931

  Interest income..............     30,681          3,799         33,331          6,562
  Startup Cost Nursing Facility.        --       (128,313)            --       (128,313)
  Other income..................   134,475         45,716        215,939         95,462
  Interest expense..............  (464,321)      (221,726)      (759,665)      (369,724)
  Gain (loss) from operations 
    held for sale...............    37,202         18,650         36,478         17,683
  Total other income (expense)... (261,963)      (281,874)      (473,917)      (378,330)

Income (loss) before Provision
 for Taxes.......................   20,007       (358,650)       129,882       (209,399)
Provision for Income Taxes.......    8,008        (54,378)        52,141             --  
NET INCOME (LOSS)................  $11,999      $(304,272)      $ 77,741     $ (209,399)

Net Income (Loss) per share......      ---           (.13)           .03           (.09)

Weighted average number
  of shares outstanding.......... 3,183,908      2,433,588     3,175,775       2,419,246

 
                See Notes to Consolidated Financial Statements
</TABLE>
<PAGE>
                          PHC INC. AND SUBSIDIARIES
         CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                                     For the Six Months Ended
 
                                                             December 31
                                                           1996            1995
Cash flows from operating activities:
  Net income .....................................    $   77,741      $(209,399)
  Adjustments to reconcile net income to net cash
used in operating activities:
 Depreciation and Amortization....................       292,385        216,668
 Increase in accounts receivable..................    (2,374,540     (1,564,093)
 Increase in prepaid expenses and other current     
assets............................................      (438,386)       (78,576)
 Decrease in other assets.........................       133,804         40,102
 Decrease in net assets of operations held for          
sale..............................................        55,288        107,371
 Increase in accounts payable.....................       524,622        740,269
 Increase  in accrued and withheld taxes..........        16,736         16,224
 Increase in accrued expenses and other                 
liabilities.......................................      (323,349)       134,130
Net cash used in operating activities.............    (1,957,958)      (597,304)
Cash flows from investing activities:
 Acquisition of property and equipment............      (293,866)    (1,125,862)
 Costs related to business acquisition...........    (2,718,201)      (575,000)
Net cash used in investing activities.............    (3,012,067)    (1,700,862)
Cash flows from financing activities:
 Issuance of Common Stock.........................       688,471             --
 Net debt activity................................     1,777,908      1,771,473
 Convertible debt.................................     2,578,125             --
Net cash provided by  financing activities........     5,044,504      1,771,473

NET INCREASE (DECREASE) IN CASH...................        (3,262)      (526,693)
Beginning cash balance............................       293,515        586,738
ENDING CASH BALANCE...............................       290,253        $60,045

                  See Notes to Consolidated Financial Statements





<PAGE>


                                                  PHC, Inc.

                          PHC, INC. and Subsidiaries
             Notes to Condensed Consolidated Financial Statements
                              December 31, 1996


Note A - The Company

      PHC, Inc. ("PHC") operates  substance abuse treatment centers in several
locations  in  the  United  States,   a  psychiatric   hospital  in  Michigan,
outpatient   psychiatric  centers  in  Nevada,  Kansas  and  Michigan  and  a
long-term   care  facility  in   Massachusetts.   PHC,  Inc.  also  manages  a
psychiatric  practice  in  New  York  through  its  newest  acquisition.  The
consolidated  financial  statements  include PHC and its subsidiaries,  all of
which are 100% owned (collectively the "Company"):

     PHC's  subsidiaries,  PHC of Utah,  Inc.,  ("PHU"),  PHC of Virginia,  Inc.
("PHV"),  and PHC of Rhode Island , Inc. ("PHRI") provide treatment of addictive
disorders and chemical dependency.  Quality Care Centers of Massachusetts,  Inc.
("Quality  Care")  operates a  long-term  care  facility  known as the  Franvale
Nursing and  Rehabilitation  Center.  PHC of Michigan,  Inc.  ("PHM"),  operates
Harbor Oaks  Hospital.  PHM  provides  inpatient  psychiatric  care to children,
adolescents  and adults  and  operates a partial  hospitalization  program  that
includes outpatient  treatment services.  PHC of Nevada, Inc. ("PHN"),  operates
Harmony  Healthcare  which was  purchased  on  November  1, 1995.  PHN  provides
outpatient psychiatric care to children,  adolescents and adults. PHC of Kansas,
Inc. ("PHK"),  operates Total Concept EAP which was purchased on March 15, 1996.
PHK operates Employee  Assistance  Programs and provides  outpatient  behavioral
health care to  children,  adolescents  and adults.  North  Point-Pioneer,  Inc.
("NPP"),  operates six  outpatient  behavioral  health centers under the name of
Pioneer  Counseling  Centers.  Four of the centers were  purchased on August 31,
1996 for $110,000 and 15,000 shares of PHC, Inc. Class A Common Stock. The other
two centers were purchased on September 6, 1996 for $150,000.  STL, Inc. ("STL")
operated day care centers  prior to July,  1993.  Since that time,  PHC has been
systematically  phasing out its day care  center  operations  and the  operating
results of STL and its net assets have been  classified as "operations  held for
sale" in the Condensed Consolidated  Financial Statements.  On November 1, 1996,
BSC-NY, Inc. ("BSC"), merged with Behavioral Stress Centers, Inc., a provider of
management  and  administrative  services  to  psychotherapy  and  psychological
practices in the greater New York City Metropolitan Area. In connection with the
merger,  the Company  issued 150,000 shares of PHC, Inc. Class A Common Stock to
the former  owners of  Behavioral  Stress  Centers,  Inc. At the closing  Perlow
Physicians,  P.C. acquired certain assets of Clinical  Associates for $1,500,000
and notes for $750,000 issued to the former owners of Behavioral Stress Centers,
Inc.  BSC-NY,  Inc. is the provider of  management,  administrative  and billing
services to Perlow Physicians, P.C.


<PAGE>

Note B - Basis of Presentation

      The accompanying  unaudited condensed  consolidated financial statements
have been  prepared in  accordance  with the  instructions  to Form 10-QSB and
Item  310 of  Regulation  S-B.  Accordingly,  they do not  include  all of the
information   and  footnotes   required  by  generally   accepted   accounting
principles for complete  financial  statements.  In the opinion of management,
all adjustments  (consisting  only of normal  recurring  accruals)  considered
necessary for a fair  presentation  have been included.  Operating results for
the six months ended December 31, 1996 are not  necessarily  indicative of the
results  that  may be  expected  for  the  year  ending  June  30,  1997.  The
accompanying  financial statements should be read in conjunction with the June
30, 1996 consolidated  financial  statements and footnotes thereto included in
the Company's  10-KSB filed on October 4, 1996.

Note C - Subsequent Events

      On January 17,  1997,  with an effective  date of January 1, 1997,  PHC,
Inc.  entered into a Stock Exchange  Agreement  with  Psychiatric & Counseling
Associates of Roanoke,  Inc. a Virginia corporation organized by Drs. M. Patel
and H. Patel  consisting  of their  private  practices  of  psychiatry  in the
Roanoke, Virginia area.

     The Stock Exchange Agreement provided that PHC, Inc. in exchange for 64,500
shares of  restricted  Class A common  stock,  conveyed  to Drs. M. Patel and H.
Patel,  received  80% of the  outstanding  shares of  Psychiatric  &  Counseling
Associates  of Roanoke,  Inc. The remaining 20% were owned by Dr. M. Patel (10%)
and Dr. H. Patel (10%).

      Concurrent  with the Stock  Exchange  Agreement Dr. H. Patel and Dr. M.
Patel each  executed  Employment  Agreements  with  Psychiatric  &  Counseling
Associates of Roanoke,  Inc. to provide  professional  services to the latter.
Each  physician  received  payment in the amount of $25,000.00 in exchange for
the restrictive covenants contained within the Employment Agreements.

      Further,  concurrent with the execution of the Stock Exchange  Agreement
and  Employment  Agreements,  a Plan and  Agreement  of  Merger  was  executed
wherein Psychiatric & Counseling  Associates of Roanoke,  Inc. was merged into
Pioneer  Counseling of Virginia,  Inc., a Massachusetts  corporation.  Pioneer
Counseling  of  Virginia,  Inc.,  prior  to  the  merger  was a  wholly-owned
subsidiary  of PHC,  Inc.  Subsequent  to the  merger  Pioneer  Counseling  of
Virginia,  Inc. will be owned 80% by PHC, Inc., 10% by Dr. H. Patel and 10% by
Dr. M. Patel.

      On January 17, 1997 Pioneer Counseling of Virginia,  Inc. entered into a
Purchase and Sale  Agreement with Dillon and Dillon  Associates,  an unrelated
General  Partnership,  to purchase real estate with buildings and improvements
for  $600,000.  When  renovations  are complete, this property  will house the
outpatient clinic operations of Pioneer Counseling of Virginia, Inc.

     On January 13, 1997 PHC of Michigan, Inc. executed a $400,000.00 Secured 
Bridge Note and a $2,000,000.00 mortgage on the Real Estate of PHC of Michigan,
Inc. in favor of HCFP FUNDING, INC.

     On February 3, 1997, PHC of Michiga, Inc. entered into a Loan and Security.
Agreement and pursuant to that executed a $1,500,000.00 revolvong credit note
with HCFP FUNDING, INC.  The obligations under this Loan and Security Agreement
are secured by all the assets of the corporation.

     On February 3, 1997 PHC of Utan,  Inc.  executed an  amendment to the Loan
and  Security  Agreement  which  cross  collaterized  and  cross  defaulted  the
obligations of PHC of Utah, Inc. and PHC of Michigan, Inc.

     On February 3, 1997,  PHC,  Inc.  executed an  Unconditional  Guarantee  of
payment and performance guartanteeing the obligations of PHC of Michiga, Inc. to
HCFP FUNDING, INC.

<PAGE>

Item 2.     Management's Discussion and Analysis of Plan of Operation



                              PHC, INC. and Subsidiaries
                        Management's Discussion and Analysis of
                     Financial Condition and Results of Operations

Results of Operations
     Net patient  care revenue  increased  32.7% to  $6,472,204  for the three
months  ended  December  31, 1996 from  $4,875,755  for the three  months  ended
December 31, 1995.  This increase in revenue is due primarily to the acquisition
of Pioneer  Counseling  Centers in September 1996,  Behavioral Stress Centers in
November 1996 and an increased census at the long term care facility as a result
of an increase in available beds. 

     Net patient care revenue for the psychiatric and substance abuse facilities
increased to $4,833,122 for the quarter ended September 30, 1996 from $3,626,579
for the same period in 1995.  This  increse in revenue is due  primarily  to the
newly acquired psychiatric  treatment facilities in Nevada, Kansas and Michigan.
This does not include the  management  fees $140,060 as a result of the New York
acquisition.  Net patient care revenue for the long term care facility increased
to $1,639,082 for the three months ended December 31, 1996 from  $1,249,176 for
the same  period  in 1995 due to an  increase in net revenue per patient day
and the number of occupied beds.

      The net loss for the  quarter  was  $304,272  as  compared  to a loss of
$19,411 for the quarter  ended  December  31, 1994  primarily  due to start-up
costs related to the new long term care beds opened  during this  quarter.  In
addition  to  routine  start-up  costs,  licensing  of long  term care beds in
Massachusetts  requires  full  staffing  for  all  beds to be  licensed  which
resulted in related start-up costs of $128,313.

Liquidity and Capital Resources

     A  significant  factor in the liquidity and cash flow of the Company is the
timely  collection of its accounts  receivable.  Accounts  receivable  increased
during the quarter  ended  December  31, 1996 by 4.1%,  approximately  $412,500,
resulting  in cash  used in  operations  during  the  quarter  of  approximately
$375,100.  The Company  continues  to closely  monitor its  accounts  receivable
balances  and is  working  to  reduce  amounts  due  consistent  with  growth in
revenues.

     The  Company  believes  that it has the  necessary  liquidity  and  capital
resources and contingent funding  commitments to sustain existing operations for
the  foreseeable  future.  The  Company  also  intends to expand its  operations
through the acquisition or establishment of additional treatment facilities. The
Company's expansion plans will be dependent upon obtaining adequate financing as
such opportunities arise.


<PAGE>


PART II.    OTHER INFORMATION

Item 1.     Legal Proceedings.

     In connection  with the trademark  challenge by Pioneer  Health Care,  Inc.
(described in the Company's 10- KSB for the years ended June 30, 1994,  June 30,
1995 and June 30,  1996) the  Company  filed an appeal on July 10, 1995 with the
United States First Circuit Court of Appeals from an unfavorable judgment of the
Federal  District Court.  The Company does not believe that an adverse  decision
would have a material adverse effect on the company.

     PHC,  Inc.("PHC")  was named as a  defendant  in a  complaint  filed in the
Supreme  Court of the State of New York,  County  of New York  entitled  Bentley
Associates,  L.P.  v.  PHC,  Inc.,  Behavioral  Stress  Center,  Inc.,  Clinical
Diagnostics,  Inc.,  Professional  Health Associates,  Inc., Yakov Burnstein and
Irwin J. Mansdorf (Index No. 605870/96). The complaint alleges claims for breach
of contract,  specific  performance  and quantum  meruit in connection  with the
merger and acquisition of PHC with Behavioral Stress Center,  Inc. ("BSC").  PHC
has  referred  the defense of the action to BSC,  which has agreed to defend and
indemnify  PHC for all claims in the action.  The complaint  seeks  compensatory
damages for alleged  unpaid  advisory  fees of  approximately  $1.3  million and
equitable  relief.  Plaintiff  filed the complaint  pursuant to an Order to Show
Cause on November 25, 1996 seeking to enjoin  defendants from  consummating  the
sale or  otherwise  encumbering  the  consideration  to be paid  pursuant to the
transaction.  The Court denied plaintiff's request for a preliminary  injunction
in a Memorandum  Decision  dated December 24, 1996.  PHC  subsequently  moved to
dismiss the  complaint on January 15, 1997 on the grounds that it is not a party
to nor is it responsible for any fees allegedly owed under the contract at issue
in the case. PHC's motion is currently pending before the Court.

Item 3.      Submission of Matters to a Vote of Security Holders

     The Company's annual meeting of stockholders was held on December 31, 1996.
In addition to the election of directors (with regards to which (I) proxies were
solicited  pursuant to Regulation  14A under the  Securities and Exchange Act of
1934,  as  amended,  (II)  there  was  no  solicitation  in  opposition  to  the
management's  nominees as listed on the proxy  statement,  and (iii) all of such
nominees were elected),  the stockholders ratified the selection by the Board of
Directors  of Richard  A.  Eisner & Company,  LLP as the  Company's  independent
auditors for the fiscal year ending June 30, 1997. The  stockholders  also voted
to amend the Company's  Restated Articles of Organization to increase the number
of authorized shares of Class A Common Stock from 10,000,000 to
20,000,000.

Item 5.   Other Information
 
     On January 17, 1997,  with an effective date of January 1, 1997,  PHC, Inc.
entered into a Stock Exchange Agreement with Psychiatric & Counseling Associates
of Roanoke,  Inc. a Virginia corporation organized by Drs. M. Patel and H. Patel
consisting  of their private  practices of  psychiatry in the Roanoke,  Virginia
area.

     The Stock Exchange Agreement provided that PHC, Inc. in exchange for 64,500
shares of  restricted  Class A common  stock,  conveyed  to Drs. M. Patel and H.
Patel,  received  80% of the  outstanding  shares of  Psychiatric  &  Counseling
Associates  of Roanoke,  Inc. The remaining 20% were owned by Dr. M. Patel (10%)
and Dr. H. Patel (10%).

     Concurrent with the Stock Exchange  Agreement Dr. H. Patel and Dr. M. Patel
each executed Employment  Agreements with Psychiatric & Counseling Associates of
Roanoke,  Inc. to provide  professional  services to the latter.  Each physician
received  payment in the amount of  $25,000.00  in exchange for the  restrictive
covenants contained within the Employment Agreements.

     Further,  concurrent with the execution of the Stock Exchange Agreement and
Employment  Agreements,  a Plan and  Agreement  of Merger was  executed  wherein
Psychiatric  & Counseling  Associates  of Roanoke,  Inc. was merged into Pioneer
Counseling of Virginia, Inc., a Massachusetts corporation. Pioneer Counseling of
Virginia,  Inc., prior to the merger was a wholly-owned  subsidiary of PHC, Inc.
Subsequent to the merger Pioneer Counseling of Virginia,  Inc. will be owned 80%
by PHC, Inc., 10% by Dr. H. Patel and 10% by Dr. M. Patel.

     On January 17, 1997 Pioneer  Counseling  of Virginia,  Inc.  entered into a
Purchase  and Sale  Agreement  with Dillon and Dillon  Associates,  an unrelated
general partnership, to purchase real estate with buildings and improvements for
$600,000. When renovations are complete, this property will house the outpatient
clinic operations of Pioneer Counseling of Virginia, Inc.

     On January 13, 1997, PHC of Michigan,  Inc. executed a $400,000.00  Secured
Bridge Note and a $2,000,000.00  mortgage on the Real Estate of PHC of Michigan,
Inc. in favor of HCFP FUNDING, INC.

     On February 3, 1997, PHC of Michigan, Inc. entered into a Loan and Security
Agreement and pursuant to that executed a $1,500,000  Revolving Credit Note with
HCFP FUNDING,  INC. The obligations  under this Loan and Security  Agreement are
secured by all the assets of the corporation.

     On February 3, 1997,  PHC of Utah,  Inc.  executed an amendment to the Loan
and  Security  Agreement  which cross  collateralized  and cross  defaulted  the
obligations of PHC of Utah, Inc. and PHC of Michigan, Inc.

     On February 3, 1997,  PHC,  Inc.  executed an  Unconditional  Guarantee  of
Payment and Performance  guaranteeing the obligations of PHC of Michigan Inc. to
HCFP FUNDING, INC.


Item 6.  Exhibits and Reports on Form 8-K.

      (a)   Exhibits
              4.15 Form of Warrant Agreement issued to Alpine Capital Partners,
                   Inc. to purchase 25,000 Class A Common shares dated October
                   7, 1996.
              4.16 Stock Exchange Agreement by and between PHC, Inc.  and
                   Psychiatric & Counseling Associates of Roanoke, Inc.


            10.103 Secured Bridge Note in the principal amount of $400,000 by
                   and between PHC of Michigan, Inc. and HealthCare Financial
                   Partners, Inc. dated January 13, 1997.
            10.104 Guaranty by PHC, Inc. for Secured Bridge Note in principal
                   amount of $400,000 by and between PHC of Michigan, Inc. and
                   HealthCare Financial Partners, Inc. dated January 17, 1997.
            10.105 First Amendment to Lease Agreement and Option Agreement by
                   and between NMI Realty, Inc. and PHC of Rhode Island, Inc.
                   dated December 20, 1996.
            10.106 Mortgage by and between PHC of Michigan, Inc. and HCFP
                   Funding , Inc. date  dated January 13, 1997 in the amount of
                   $2,000,000.
            10.107 A   Employment Agreement  for Dr. Himanshu Patel; Employment
                   Agreement for Dr. Mukesh Patel; and  Fringe Benefit Exhibit
                   for both of the Patels' Employment Agreements
            10.108 Plan   Plan of Merger by and between Pioneer Counseling of
                   Virginia, Inc. and  Psychiatric & Counseling Associates of
                  Roanoke, Inc. 
            10.109 Sales Agreement by and between Dillon & Dillon
                   Associates and Pioneer  Counseling of Virginia Inc. for
                   building and land located at 400 East  Burwell St., Salem
                   Virginia in the  amount of $600,000.
            10.110 Loan and Security Agreement by and between PHC of   Michigan,
                   Inc. and HCFP Funding, Inc. in the amount of $1,500,000.
            10.111 Revolving Credit Agreement by and between HCFP and PHC
                   of Michigan, Inc. in the amount of $1,500,000.
            10.112 Unconditional Guaranty of Payment and Performance by
                   and between PHC, Inc. in favor of HCFP.
            10.113 Amendment number 1 to Loan and Security Agreement   dated
                   May 21, 1996 by and between PHC of Utah, Inc. and HCFP 
                   Funding providing collateral for the PHC of Michigan    Inc.
                   Loan and Security Agreement

 
       (b)   Reports on Form 8-K

     On  November  5,  1996,  the  Company  filed a  Current  Report on Form 8-K
regarding the issuance of Convertible  Debentures.  This was reported under Item
5. 

     On  December  20,  1996,  the  Company  filed a Current  Report on Form 8-K
regarding the Company's inability to provide audited financial statements of the
acquired companies previously  conducting business as Behavioral Stress Centers,
Inc., Clinical Associates and Clinical Diagnostics. This was reported under Item
7.


<PAGE>


Signatures

     In accordance  with the  requirements  of the Exchange Act, the  registrant
caused this report to be signed on its behalf by the undersigned  thereunto duly
authorized.


                                    PHC, Inc.
Registrant
 
 
Date: January ____, 1997                        /s/ Bruce A. Shear
                                                Bruce A. Shear
                                                President
                                                Chief Executive Officer
 
Date: January ____, 1997                        /s/ Paula C. Wurts
                                                Paula C. Wurts
                                                Controller
                                                Assistant Treasurer


<PAGE>

Signatures

     In accordance  with the  requirements  of the Exchange Act, the  registrant
caused this report to be signed on its behalf by the undersigned  thereunto duly
authorized.


                                          PHC, Inc.
Registrant
 
 
Date: January ____, 1997                                          
                                          Bruce A. Shear
                                          President
                                          Chief Executive Officer


 
Date: January ____, 1997                                                
                                          Paula C. Wurts
                                          Controller
                                          Assistant Treasurer


<PAGE>

List of Exhibits

           4.15 Form of Warrant  Agreement  issued to Alpine Capital
                Partners,  Inc.  to purchase  25,000  Class A Common
                shares dated October 7, 1996.

           4.16 Stock  Exchange  Agreement by and between PHC,  Inc.
                and Psychiatric & Counseling  Associates of Roanoke,
                Inc.

         10.103 Secured  Bridge  Note  in the  principal  amount  of
                $400,000 by and between PHC of  Michigan,  Inc.  and
                HealthCare  Financial  Partners,  Inc. dated January
                13, 1997.

         10.104 Guaranty by PHC,  Inc.  for  Secured  Bridge Note in
                principal  amount of  $400,000 by and between PHC of
                Michigan,  Inc. and HealthCare  Financial  Partners,
                Inc. dated January 17, 1997.

         10.105 First   Amendment  to  Lease  Agreement  and  Option
                Agreement  by and between NMI Realty,  Inc.  and PHC
                of Rhode Island, Inc. dated December 20, 1996.

        10.106  Mortgage by and between PHC of Michigan, Inc. and
                HCFP Funding Inc. date  dated January 13, 1997 in
                the amount of $2,000,000.

        10.107  Employment Agreement for Dr. Himanshu Patel; Employment
                Agreement for Dr. Mukesh Patel; and  Fringe Benefit Exhibit
                for both of the Patels' Employment Agreement

        10.108  Plan of Merger by and between Pioneer Counseling of Vrginia,
                Inc. and Psychiatric & Counseling Associates of Roanoke, Inc.

        10.109  Sales agreement by and between Dillon and Dillon Associates
                and Pioneer  Counsling of Virginia, Inc. for building and land
                located at 400 East Burwell St, Salem, Virginia in the amount
                of $600,000.

     (b)        There are no Current Reports filed on Form 8-K during the
                second quarter of fiscal year 1997

<PAGE>
Exhibit 4.15


THIS WARRANT AND THE SECURITIES  REPRESENTED  HEREBY HAVE NOT BEEN  REGISTERED
UNDER THE  SECURITIES  ACT OF 1933, AS AMENDED,  AND MAY NOT BE TRANSFERRED IN
VIOLATION OF SUCH ACT, THE RULES AND REGULATIONS  THEREUNDER OR THE PROVISIONS
OF THIS WARRANT.

      Shares Issuable Upon Exercise:      Up to 25,000 shares of the Class A
                                    Common Stock, S.01 par value, of PHC, Inc.

                              WARRANT AGREEMENT

      THIS  WARRANT  AGREEMENT  dated as of October 7, 1996 is entered into by
PHC, Inc. (the "Company') and Alpine Capital Partners, Inc. (the 'Holder").

                                 WITNESSETH:

      WHEREAS, the Holder has rendered certain financial advisory services to
the Company; and

      WHEREAS,  in partial  consideration of the financial  advisory  services
rendered  to the  Company  by the  Holder,  the  Company  has  authorized  the
issuance  to the  Holder  of  the  warrant  (the  "Warrant")  of  the  Company
represented by this Wan-ant  Agreement,  which Warrant  entities the Holder to
purchase,  upon the terms and conditions  hereinafter set forth, shares of the
Company's  Class A common  stock,  $O.01 par value  per  share  (the  "Class A
Common Stock").

      NOW,  THEREFORE,  in  consideration  of  the  premises  and  the  mutual
agreements herein set forth, the parties hereby agree as follows:

                                  ARTICLE I

                               GRANT OF WARRANT

      For value  received,  this  Warrant  Agreement  entitles  the  Holder to
subscribe for and purchase up to 25,000  shares of Class A Common Stock,  at a
price per share of $6.88  (the  "Warrant  Price").  As used  herein,  the term
"Shares" shall mean the Company's  Class A Common Stock,  or any stock into or
for which  such  Class A Common  Stock  shall  have been or may  hereafter  be
converted  or  exchanged  pursuant  to the  Articles  of  Organization  of the
Company as from time to time  amended as provided by law and in such  articles
(hereinafter  the "Charter"),  and the term "Grant Date" shall mean October 7,
1996.  The number of shares of Class A Common  Stock  purchasable  pursuant to
the rights  -ranted  hereunder and the purchase price for such shares of Class
A Common Stock are subject to adjustment pursuant to the provisions  contained
in this W t Agreement.



<PAGE>


                                  ARTICLE 11

                     EXERCISE OF WARRANT: EXERCISE PRICE

      Section 2.1 Term.  Subject to the provisions of this Warrant  Agreement,
the purchase right  represented by this Warrant  Agreement is exercisable,  in
whole or in part,  at any time and from  time to time from and after the Grant
Date and prior to October 7, 2001 (the "Exercise Period").

      Section 2.2 Method of Exercise.  The purchase right  represented by this
Warrant  Agreement may be exercised by the holder hereof,  in whole or in part
and from time to time,  by the  surrender  of this  warrant  (with the Form of
Election  attached hereto as Exhibit A duly executed ) at the principal office
of the Company and by the  payment to the Company by  certified  or bank check
or by wire  transfer,  of an amount equal to the Warrant  Price  multiplied by
the number of shares then being purchased (the 'Exercise Price").

      Section 2.3 Issuance of Shares of Common  Stock.  As soon as  reasonably
practicable  after  the  exercise  of  all  or  part  of  the  purchase  right
represented  by this Warrant  Agreement,  the Company shall  (provided that it
has received the Form of Election  duly  executed,  accompanied  by payment of
the  Exercise  Price  pursuant to Section 2.2 hereof for each of the shares of
Class A Common Stock to be  purchased)  cause  certificates  for the number of
shares  of Class A Common  Stock  to be  issued  in  respect  of this  Warrant
Agreement to be delivered  to or upon the order of the Holder,  registered  in
such name as may be  designated  by such holder;  provided that if the Class A
Common  Stock is to be  registered  in the name of any entity or person  other
than the Holder,  the Company may require evidence of compliance by the Holder
with all applicable securities laws.

                                 ARTICLE III

                RESERVATION AND AVAILABILITY OF COMMON STOCK:
                          ADJUSTMENTS, REGISTRATION

      Section 3.1  Reservation  of Common  Stock.  The Company  covenants  and
agrees  that it will  cause to be kept  available  out of its  authorized  and
unissued  Class A Common Stock,  or its  authorized  and issued Class A Common
Stock held in its treasury,  the number of shares of Class A Common Stock that
will be sufficient to permit the exercise in full of this Warrant Agreement.

      Section 3.2 Common Stock to be Duly  Authorized and Issued,  Fully-Paid 
and  Non-assessable.  The Company  covenants  and agrees that it will take all
such  action as may be  necessary  to ensure that all shares of Class A Common
Stock delivered upon exercise of this Warrant  Agreement shall, at the time of
delivery of the certificates for such shares,  be duly and validly  authorized
and issued and fully paid and non-assessable shares.



<PAGE>

      Section 3.3 Common  Stock  Record  Date.  Each person or entity in whose
name any  certificate  for shares of Class A Common  Stock is issued  upon the
exercise of this  Warrant  Agreement  shall for all purposes be deemed to have
become the holder of record of the shares of Class A Common Stock  represented
thereby on, and such  certificate  shall be dated,  if  practicable,  the date
upon  which  the  Form of  Election  was  duly  executed  and  payment  of the
aggregate  Exercise  Price was made  pursuant to Section 2.2 hereof.  Prior to
the  exercise of this Warrant  Agreement,  the Holder shall not be entitled to
any  rights of a  stockholder  of the  Company  with  respect to the shares of
Class A Common Stock for which this Warrant  Agreement  shall be  exercisable,
including,  without  limitation,  the right to vote,  to receive  dividends or
other  distributions  or to exercise  any  preemptive  rights and shall not be
entitled to receive any notice of any  proceedings  of the Company,  except as
provided herein.

        Section  3.4  Adjustment  of Warrant  Price and Number of Shares.  The
  number and kind of securities  purchasable  upon the exercise of the Warrant
  Agreement and the Warrant Price shall be subject to adjustment  from time to
  time upon the occurrence of certain events, as follows:

        3.4 (a) Reclassification.  In case of any reclassification,  change or
  conversion  of the  Company's  Class A Common  Stock (other than a change in
  par value,  or from par value to no par  value,  or from no par value to par
  value, or as a result of a subdivision or combination),  the Company,  shall
  execute  a  new  Wan-ant   Agreement  (in  form  and  substance   reasonably
  satisfactory  to the  Holder)  providing  that the  Holder  of this  Wan-ant
  Agreement  shall have the right to exercise  such new Warrant  Agreement and
  upon such  exercise  and  payment of the then  applicable  Warrant  Price to
  receive,  in lieu of each Share  theretofore  issuable upon exercise of this
  Warrant   Agreement,   the  kind  and  amount  of  shares  of  stock.  other
  securities,  money and property  receivable  upon such  reclassification  or
  change by a holder of one share of Class A Common  Stock.  Such new  Warrant
  Agreement shall provide for adjustments  that shall be as nearly  equivalent
  as may be practicable to the  adjustments  provided for in this Section 3.4.
  The provisions of this Section 3.4 (a) shall  similarly  apply to successive
  reclassifications and changes.

        3.4 (b)  Subdivision or  Combination of Shares.  If the Company at any
  time while this Warrant  Agreement  remains  outstanding and unexpired shall
  subdivide  or combine its Class A Common  Stock,  the Warrant  Price and the
  number of Shares issuable upon exercise

  hereof shall be equitably adjusted.

      3.4   (c)  Stock  Dividends.  If the  Company  at any  time  while  this
  Warrant  Agreement is outstanding and unexpired shall pay a dividend payable
  in shares of Class A Common  Stock  (except  any  distribution  specifically
  provided for in the  foregoing  Sections 3.4 (a) and (b)),  then the Warrant
  Price  shall be  adjusted.  from and  after  the  date of  determination  of
  shareholders  entitled to receive  such  dividend or  distribution,  to that
  price  determined by  Multiplying  the Warrant  Price in effect  immediately
  prior to such date of  determination  by a  fraction  (a) the  numerator  of
  which  shall  be the  total  number  of  shares  of  Class  A  Common  Stock
  outstanding immediately prior to such dividend or distribution,  and (b) the
  denominator 3   of which  shall be the  total  number  of  shares of Class A
  Common Stock  outstanding  immediately  after such dividend or  distribution
  and the  number  of  Shares  subject  to this  Warrant  Agreement  shall  be
  appropriately adjusted.

        3.5 Registration of Shares.  The Company  covenants and agrees that it
  will use its best  efforts to ensure that all shares of Class A Common Stock
  deliverable upon exercise in full of the purchase right  represented by this
  Warrant  Agreement  are  registered  under the  Securities  Act of 1933,  as
  amended  (the "Act") at the same time as the Class A Common  Stock  issuable
  upon the  conversion of the Company's 7%  Convertible  Debentures  issued to
  Infinity  Investors,  Ltd. and Seacrest  Capital  Limited on October 7, 1996
  are registered under the Act.



<PAGE>

          3.6  No  Impairment. The Company will not, by amendment of its Charter
  or  through  any  reorganization,   recapitalization,  transfer  of  assets,
  consolidation,  merger,  dissolution,  issue  or sale of  securities  or any
  other  voluntary   action,   avoid  or  seek  to  avoid  the  observance  or
  performance  of any of the terms to be observed or  performed  hereunder  by
  the  Company,  but will at all times in -good faith  assist in the  carrying
  out of all the  provisions  of this Warrant  Agreement  and in the taking of
  all such action as may be necessary or  appropriate  in order to protect the
  rights of the Holder of this Warrant Agreement against impairment.

         3.7 Notices of Record  Date.  In the event of any @g by the Company of
   a record of its  shareholders  for the purpose of determining  shareholders
   who are entitled to receive payment of any dividend or other  distribution,
   or for the purpose of determining  shareholders who are entitled to vote in
   connection  with any proposed merger or  consolidation  of the Company with
   or into any other  corporation,  or any proposed sale,  lease or conveyance
   of all or substantially  all of the assets of the Company,  or any proposed
   liquidation,  dissolution  or winding up of the Company,  the Company shall
   mail to the holder of this Warrant  Agreement,  at least  fifteen (15) days
   prior to the date specified  therein, a notice specifying the date on which
   any  such  record  is to  be  taken  for  the  purpose  of  such  dividend,
   distribution  or vote,  and the  amount  and  character  of such  dividend,
   distribution or vote.

                                  ARTICLE IV
               HOLDER REPRESENTATIONS, WARRANTIES AND COVENANTS
         The Holder  represents and wan-ants to and covenants with the Company
         as follows:

      Section 4.1  Representations.  It understands  the risks of investing in
the Company and can afford a loss of its entire  investment.  It is  acquiring
the  Warrant or  investment  for its own  account and not with the view to, or
for resale in connection with any  distribution  thereof.  It understands that
the  Warrant and the shares of Class A Common  Stock  issuable  upon  exercise
thereof  have not been  registered  under the Act, or any state blue sky laws.
by reason of specified exemptions from the registration  provisions of the Act
and such  laws.  It  acknowledges  that the  Warrant  and the shares of Common
Stock  issuable upon exercise  thereof must be held  indefinitely  unless they
are  subsequently   registered  under  the  Act  or  an  exemption  from  such
registration  is available.  It has been advised or is aware of the provisions
of Rule 144  promulgated  under the Act,  which  permits  the resale of shares
purchased  in a private  placement  subject  to the  satisfaction  of  certain
conditions  and that such Rule may not be  available  for resale of the shares
issuable upon the exercise of the Warrant.  It has had an  opportunity  to (i)
discuss the Company's  business,  management  and  financial  affairs with its
management  (ii) review the  financial  statements  relating to the  Company's
last two fiscal years and (iii) review the Company's facilities.

      Section 4.2 Restrictions on  Transferability.  Neither the Warrant,  nor
the shares of Class A Common Stock  received upon exercise  thereof,  shall be
transferable,  except upon the conditions  specified in and in accordance with
the terms of this Article IV or until such time as an  effective  registration
statement  covering the shares  issuable upon the exercise of this Warrant has
been filed with the Securities and Exchange Commission (the "Commission").

      Section 4.3 Restrictive  Legend.  Each certificate  representing  shares
of the Company's  Class A Common Stock  issuable upon exercise of the Warrant,
or any other  securities  issued in respect of the Class A Common Stock issued
upon  exercise  of  the  Warrant,   upon  any  stock  split,  stock  dividend,
recapitalization,  merger, consolidation or similar event, shall be stamped or
otherwise  imprinted  with a legend in  substantially  the following  form (in
addition  to any legend  required  under  applicable  state  securities  laws)
unless and until such shares have been registered under the Act.:



<PAGE>


              THE SHARES  REPRESENTED HEREBY HAVE BEEN ACQUIRED BY
              THE  HOLDER  NAMED  HEREON FOR ITS OWN  ACCOUNT  FOR
              INVESTMENT  WITH NO  INTENTION  OF MAKING OR CAUSING
              TO BE MADE  ANY  PUBLIC  DISTRIBUTION  OF ALL OR ANY
              PORTION  THEREOF;  AND  SUCH  SECURITIES  MAY NOT BE
              PLEDGED,  SOLD OR IN ANY  OTHER WAY  TRANSFERRED  IN
              THE ABSENCE OF AN EFFECTIVE  REGISTRATION  STATEMENT
              FOR SUCH  SECURITIES  UNDER  THE  SECURITIES  ACT OF
              1933,  AS IN EFFECT AT THAT  TIME,  OR AN OPINION OF
              COUNSEL  REASONABLY  SATISFACTORY TO THE ISSUER THAT
              REGISTRATION IS NOT REQUIRED UNDER SAID ACT.

      Section 4.4  Restrictions  on, and Notice of,  Proposed  Transfers.  The
Holder  agrees that prior to any  proposed  transfer of this Warrant or any of
the shares of Class A Common  Stock  issuable  upon  exercise of this  Warrant
(collectively,  the "Restricted  Securities"),  in the absence of an effective
registration  statement filed with the Commission covering the shares of Class
A Common Stock ; Issuable upon exercise of the Warrant,  the Holder shall give
written notice to the Company of its intention to effect such  transfer.  Each
such  notice  shall  describe  the manner and  circumstances  of the  proposed
transfer in sufficient  detail,  and shall be accompanied by a written opinion
of  legal  counsel  who  shall  be  reasonably  satisfactory  to the  Company,
addressed to the Company and reasonably  satisfactory in form and substance to
the  Company's  counsel,  to the  effect  that the  proposed  transfer  of the
Restricted  Securities may be effected without  registration  under the Act or
under any applicable state or other
securities laws.

      Section 4.5 Restrictions on  Transferability  after  Registration.  Upon
registration  under the Act of the shares  issuable  upon the exercise of this
Warrant,  the Holder  covenants not to sell in excess of 5,000 shares of Class
A Common  Stock in any thirty (30) day period  without the written  consent of
the Company.

                                  ARTICLE V
                                MISCELLANEOUS
      Section  5.1  Notices.  Notices  or  demands  relating  to this  Warrant
Agreement  shall be  sufficiently  given or made if sent by first-class  mail,
postage  prepaid,  addressed  as  follows,  or  telecopied,  or  delivered  by
nationally-recognized overnight or other courier:

            If to the Holder:       Alpine Capital Partners, Inc.
                                    645 Fifth Avenue
                                    New York, NY 10022
                                    Attention: Evan J. Bines
                                    Fax (212) 317-9620

            If to the Company:      PHC, Inc.
                                    200 Lake Street
                                    Peabody, MA 01960
                                    Attention: Bruce A. Shear
                                    Fax (508) 536-2677

            copy to:                Roslyn G. Daum, Esq.
                                    Choate, Hall & Stewart
                                    Exchange Place
                                    Boston.  MA 02109
                                    Fax: (617) 248-4000

      Section  5.2  Successors.  All  the  covenants  and  provisions  of this
Warrant  Agreement  by or for the benefit of the  Company or the Holder  shall
bind and inure to the  benefit  of their  respective  successors  and  assigns
hereunder;  provided that this Warrant Agreement may be assigned by the Holder
only with the prior written  consent of the Company,  and without such consent
any attempted transfer shall be null and void.

      Section 5.3  MASSACHUSETTS  CONTRACT.  THIS  WARRANT  AGREEMENT  AND THE
WARRANT,  AND ALL QUESTIONS RELATING TO THE  INTERPRETATION,  CONSTRUCTION AND
ENFORCEABILITY  OF TIES WARRANT  AGREEMENT AND THE WARRANT,  SHALL BE GOVERNED
IN ALL RESPECTS BY THE SUBSTANTIVE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS.

      Section  5.4  Amendments  and  Waivers.  Except  as  otherwise  provided
herein, the provisions of this Warrant Agreement may not be amended,  modified
or supplemented,  other than by a written instructions executed by the Company
and the Holder.

      Section  5.5  Severability.  In the  event  that  any one or more of the
provisions  contained herein, or the application thereof in any circumstances,
is held invalid,  illegal or unenforceable in any respect for any reason,  the
validity,  legality and  enforceability  of any such  provision in every other
respect and of the remaining  provisions  contained herein shall not be in any
way impaired thereby,  it being intended that all of the rights and privileges
of  the  Company  the  Holder  shall  be  enforceable  to the  fullest  extent
permitted by law.

      IN  WITTINESS  WHEREOF,  the parties  hereto  have  caused this  Warrant
Agreement  to be duly  executed  and  delivered,  all as of the  date and year
first above written.

                                  PHC, INC.


                                    By:  ________________________
                                    Name: Bruce A. Shear
                                    Title: President


                                    ALPINE CAPITAL PARTNERS, INC.
                                    By:  ________________________
                                    Name: Evan J. Bines
                                    Title: President




dsl-309261






<PAGE>

                                  EXHIBIT A
                               Form of Election

To:   PHC, Inc. 200 Lake Street Peabody, MA 01960
      Attention: Bruce A. Shear

      1.    The undersigned  hereby elects to purchase _____ shares of Class A
Common  Stock  PHC,  Inc.  pursuant  to  the  terms  of the  attached  Warrant
Agreement,  and tenders  herewith payment of the Exercise Price of such shares
in full.

      2.    Please  issue  a  certificate  or  certificates  representing  the
shares  deliverable  upon the exercise set forth in paragraph 1 in the name of
the undersigned  or, subject to compliance  with the  restrictions on transfer
set forth in Article IV of the Warrant Agreement,  in such other name or names
as are specified below:



                                    (Name)






                                  (Address)

     3. The undersigned  represents that the aforesaid shares are being acquired
for the account of the undersigned for investment and not with a view to, or for
resale in connection with, the distribution thereof and that the undersigned has
no present  intention of  distributing or reselling such shares until and unless
such shares are registered under the Securities Act of 1933.



Signature



Date

dsl/309261


<PAGE>
Exhibit 4.16


                             STOCK EXCHANGE AGREEMENT

     This  Agreement  is  made  this __ day of  ______________________,  with an
effective date of _______________________________,  by and between MUKESH PATEL,
MD,  and  HIMANSHU  PATEL,  MD,  who  constitute  all  of  the  Stockholders  of
PSYCHIATRIC & COUNSELING ASSOCIATES OF ROANOKE,  INC.,  (hereinafter referred to
individually as a "stockholder"  and  collectively as the  "Stockholders"),  and
PHC,  Inc.,  a  Massachusetts  corporation,  (hereinafter  referred  to  as  the
"Acquiring Corporation").

                                     RECITALS

     A.  Psychiatric  & Counseling  Associates  of Roanoke,  Inc.,  (hereinafter
referred to as "Psychiatric  Associates")  is a corporation  organized under the
laws of the Commonwealth of Virginia, and having its principal place of business
in Roanoke, Virginia.

     B. Acquiring  Corporation has authorized  capitalization  of  _____________
shares of Class A voting common stock, par value ______________ Dollars ($ ) per
share,   of  which   _______________________________   shares   are  issued  and
outstanding and ______________________ shares Class B convertible common stock;

     C. Stockholders are the owners, in the aggregate of 100% of the authorized,
issued and outstanding shares of common stock of Psychiatric Associates and have
agreed  to  accept  Class A voting  common  stock of  Acquiring  Corporation  in
exchange  for  certain  of their  shares  of the  common  stock  of  Psychiatric
Associates  so that the business of  Psychiatric  Associates  can continue to be
operated by Acquiring  Corporation  as a subsidiary  corporation on a profitable
basis and pursuant to principles of managed care.

     In  consideration  of the  premises and of the mutual  covenants  set forth
below, the parties agree as follows:

                                     SECTION I

                                EFFECT OF AGREEMENT

     In accordance with the terms and conditions set forth in this Agreement, it
is contemplated that  Stockholders  shall exchange a total of eighty (80) shares
of voting  common  stock of  Psychiatric  Associates  which  constitute,  in the
aggregate,  eighty  percent  (80%) of the  authorized,  issued  and  outstanding
capital stock of Psychiatric  Associates for a total of sixty four thousand five
hundred (64,500) shares of Class A voting stock of Acquiring Corporation,  which
shares  shall  not be  registered  under  the  Securities  Act of 1933  and will
constitute restricted securities subject to the provisions of Rule 144 and other
applicable federal and state securities,  rules and regulations;  said shares to
have a deemed per share value for purposes of the exchanged  contemplated herein
of the closing bid price for the stock on the effective date of this  Agreement.
Each  Stockholder  is to  receive  the  number of shares  of such  stock  listed
opposite the Stockholder's  name in Exhibit 2.3, attached hereto and made a part
hereof.


<PAGE>

                                    SECTION II

                                DELIVERY OF SHARES

     2.1. Prior to the closing date set forth below,  Stockholders shall deposit
their certificates of common stock in Psychiatric Associates, properly endorsed,
representing  the shares to be  transferred  by them,  in escrow with W. William
Gust, Esquire of the Roanoke, Virginia law firm of Gentry Locke Rakes & Moore.

     2.2. Prior to the closing date,  Acquiring  Corporation  shall deposit,  in
escrow with the same holder  designated in paragraph 2.1 above,  certificates of
common  stock in Acquiring  Corporation  representing  the shares of  restricted
Class A voting stock to be transferred by it.

     2.3. On the  closing  date,  which shall be  _____________________________,
(the "Closing Date"), if all the conditions precedent to closing as set forth in
this  Agreement  have been met, the eighty (80) shares of voting common stock of
the  Stockholders  in  Psychiatric  Associates  shall be  delivered to Acquiring
Corporation,  and the 64,500  shares of common  stock of  Acquiring  Corporation
shall be delivered to  Stockholders,  each  Stockholder  to receive  delivery of
certificates representing the number of shares of such stock listed opposite the
Stockholder's name in Exhibit 2.3 attached hereto and made a part hereof.

     2.4. In the event of  termination of this Agreement as set forth in Section
VII hereof prior to the Closing Date, all stock  certificates  shall be returned
to the parties who deposited such certificates.

                                    SECTION III

                   COVENANTS AND REPRESENTATIONS OF STOCKHOLDERS

     Stockholders  covenant,  warrant and represent to Acquiring  Corporation as
follows:

     3.1  Psychiatric  Associates  is  a  corporation  duly  organized,  validly
existing,  and in good standing under the laws of the  Commonwealth of Virginia,
has full power to own, lease, and operate its properties and assets and to carry
on its business as now being  conducted,  and has no subsidiaries nor any direct
or indirect  interest,  by way of stock  ownership  or  otherwise,  in any other
corporation, partnership, joint venture, association, or business enterprise.

     3.2 The eighty (80) shares of voting common stock in Psychiatric Associates
are owned and held exclusively by the Stockholders, and there are no outstanding
options,  warrants,  rights,  or  commitments  for the sale or  issuance  of any
additional  common stock in  Psychiatric  Associates,  or for the sale,  pledge,
transfer or conveyance  by  Stockholders  of any of their shares,  other than as
contemplated in this Agreement. Except for the transactions contemplated by this
Agreement there are not any agreements or understandings  among the Stockholders
with respect to the voting or transfer of shares on any matter.

     3.3 Except for commitments and obligations  incurred in the ordinary course
of  business,  consistent  with past  practice,  Psychiatric  Associates  has no
liabilities,  claims,  or obligations which would have a material adverse effect
on the  operations  (whether  accrued,  absolute,  contingent,  or otherwise) of
Psychiatric  Associates,  other than such  liabilities  that have been disclosed
pursuant  to  this  Agreement.   Psychiatric  Associates  and  the  Stockholders
acknowledge and agree that except as otherwise specifically provided for in this
Agreement,  that  Acquiring  Corporation  is not  assuming  any  debts  or other
contractual obligations,  in existence prior to, or as of, the effective date of
this Agreement, of either Psychiatric Associates or the Stockholders,  including
but not limited to real property and/or equipment  leases,  and this transaction
is  a  conveyance  of  Stockholders   shares  free  of  any  such   obligations.
Stockholders further acknowledge and agree that should Acquiring  Corporation be
required or compelled,  by law or in the exercise of sound business practice, to
pay  any   obligation  or  liability  of  Psychiatric   Associates   and/or  the
Stockholders,  which are not being  assumed by Acquiring  Corporation  under the
terms of this  Agreement,  then  Stockholders  grant to Acquiring  Corporation a
right to set off all amounts paid by Acquiring Corporation, as described herein,
against any obligation due, or becoming due, from Acquiring  Corporation to one,
or both, of the Stockholders,  including, but not limited to, any amount due, or
to be due under the terms of Stockholder's  employment agreements with Acquiring
Corporation or Psychiatric Associates or an affiliate.  This right to set off as
grant, is absolute and unconditional,  with Stockholders  waiving any demand for
notice prior to the Acquiring Corporation making the set off.

     3.4 No representations,  warranties,  or disclosures of information made by
the  Stockholders  in  connection  with  this  Agreement  and  the  transactions
contemplated  hereby contains or will contain any untrue statement of a material
fact or omits to state any material fact which is necessary in order to make the
disclosures not misleading.

     3.5 All  accounts  receivable  of  Psychiatric  Associates  are current and
collectible.

     3.6 Psychiatric  Associates is not a party to any lease, except those lease
agreements set forth in Exhibit 3.6, attached hereto,  (true and exact copies of
which agreements have heretofore been delivered to Acquiring  Corporation),  and
there are no  defaults  by  Psychiatric  Associates  under any such  agreements.
Psychiatric Associates and the Stockholders acknowledge and agree that except as
otherwise   specifically   provided  for  in  this  Agreement,   that  Acquiring
Corporation  is  not  assuming  any  debts  or  other  contractual  obligations,
including  but  not  limited  to  real  property  and/or  equipment  leases,  of
Psychiatric Associates,  that are in existence prior to, or as of, the effective
date of this Agreement,  and this  transaction is a conveyance of shares free of
any such obligations.

     3.7 There is no litigation, arbitration, governmental claim, investigation,
or  proceeding,  or adverse  action by any  administrative  or  regulatory  body
pending  or  threatened  against   Psychiatric   Associates  before  any  court,
arbitration tribunal, or governmental agency.

     3.8 Stockholders have and will have good and marketable title to the shares
of capital stock to be transferred to Acquiring Corporation on the Closing Date,
with full right and  authority to transfer and deliver  those shares  hereunder;
and on delivery of those  shares,  Acquiring  Corporation  will receive good and
marketable title to them, free and clear of all liens, encumbrances,  and claims
whatsoever; and such shares are and will be validly issued,  outstanding,  fully
paid, and nonassessable.

     3.9 The common  voting  stock of  Acquiring  Corporation  to be received by
Stockholders  on the Closing Date shall be held by  Stockholders  for investment
and not with a view to, or for sale in connection with, any distribution of such
stock.  No  Stockholder  shall sell or otherwise  dispose of such shares without
first  offering them to Acquiring  Corporation  at their fair market value for a
period of two (2) years following the Closing Date.

     3.10 No  Stockholder  shall sell or  otherwise  dispose  of such  shares of
Psychiatric  Associates,  owned by Stockholder  after the Closing Date,  without
first requiring Acquiring Corporation to purchase said shares in accord with the
provisions of Section 4.5.

     3.11 Each of the  Stockholders,  individually,  represents,  warrants,  and
covenants  that he will  enter into an  employment  agreement  with  Psychiatric
Associates, on the Closing Date, in substantially the same form as that which is
attached hereto as Exhibit 3.10, which shall require each of the Stockholders to
render medical services  exclusively for the benefit of Psychiatric  Associates,
or an affiliate thereof.

     3.12  Stockholders  will use their best  efforts to satisfy all  conditions
precedent to this Agreement.

     3.13  Psychiatric  Associates and  Stockholders  hereby  indemnify and hold
Acquiring Corporation,  its directors,  officers,  employees and agents harmless
from any and all  liabilities  and  obligations  or  claims,  including  but not
limited to, any and all liabilities,  obligations,  claims, fines,  penalties or
similar charges levied upon Psychiatric  Associates  and/or the Stockholders due
to the  non-compliance of Psychiatric  Associates and/or the Stockholders,  with
any applicable federal, state and local laws, ordinances, codes, regulations and
requirements,  against Psychiatric  Associates and/or Stockholder,  and from all
liabilities   and  obligations  or  claims  arising  out  of  the  operation  of
Psychiatric  Associates  prior  to  and  through  the  effective  date  of  this
Agreement,  and from all  liabilities  and  obligations or claims arising out of
Stockholders'  practice  of  medicine,  whether  as  individuals,  partners,  or
shareholders  of a professional  corporation  prior to and through the effective
date of this Agreement.

     3.14  Stockholders  covenant,  warrant and represent that there has been no
significant  change in  revenues  generated  on a monthly  basis by the  medical
practices of the Stockholders from the date of execution of the Letter of Intent
between the parties  through,  and  inclusive  of, the  closing  date.  Further,
attached  hereto,  and  incorporated  herein,  as Exhibit 3.14, is a schedule of
billings and collections of each of the Stockholders,  individually,  accurately
representing  individual  billings and collections from June 1, 1996 to the date
of closing.


<PAGE>

     3.15  Psychiatric  Associates  and  Stockholders   covenant,   warrant  and
represent that except as provided and accounted for in this Agreement, or as set
forth in Schedule  3.15  attached  hereto and made a part  hereof,  there are no
contingent  liabilities or claims, of any kind whatsoever,  owing from Acquiring
Corporation,  or any parent,  sibling or related  corporation,  or any  officer,
director,  agent, servant or employee of Acquiring  Corporation,  or any parent,
sibling or related  corporation,  to  Psychiatric  Associates  or  Stockholders,
jointly  and/or   individually.   It  is  further   covenanted,   warranted  and
represented,  that, except as described in Schedule 3.15, any and all contingent
liabilities  and  claims  that were in  existence,  or may have been  existence,
whether known or unknown, at the time of execution of this Agreement, are hereby
released and discharged forever.

                                    SECTION IV
                    COVENANTS AND REPRESENTATIONS OF ACQUIRING
                                    CORPORATION

      Acquiring Corporation covenants and represents as follows:

     4.1  Acquiring  Corporation  is  a  corporation  duly  organized,   validly
existing,  and in good standing under the laws of the State of Massachusetts and
has full  power and  authority  to enter  into this  Agreement.  The  directors,
members,  and officers of Acquiring  Corporation have taken all action required,
whether by law, its Articles of  Incorporation,  its Bylaws,  or  otherwise,  to
authorize the execution and delivery of this Agreement. The execution, delivery,
and performance of this Agreement  constitutes a valid and binding  agreement of
Acquiring Corporation enforceable in accordance with its terms.

     4.2 Acquiring  Corporation  has and will have good and marketable  title to
the  shares of its  Class A voting  common  stock  that are to be  delivered  to
Stockholders  on the  Closing  Date to the extent  that such  shares are already
issued,  and it has the power and authority under its Articles of  Incorporation
to issue so many  more  shares  of stock as are  required  to equal the total of
64,500 such shares to be delivered hereunder.

     4.3  Acquiring  Corporation  has full right and  authority  to transfer and
deliver  the  shares as  provided  in this  Agreement;  and upon such  delivery,
Stockholders  will receive good and  marketable  title to such shares,  free and
clear of all liens,  encumbrances,  and claims whatsoever except with respect to
any transfer  restrictions  imposed under the  applicable  state and/or  federal
securities  rules  and  regulations;  and such  shares  are and will be  validly
issued, outstanding, fully paid, and nonassessable.

     4.4 Acquiring Corporation, shall cause Psychiatric Associates to enter into
an  employment  agreement,  in  substantially  the  same  form as that  which is
attached  hereto  as  Exhibit  3.10,  with  each  of  the  Stockholders,  on  or
immediately after the Closing Date, which shall require each of the Stockholders
to render medical services exclusively to patients of Psychiatric Associates and
certain affiliates of Acquiring Corporation.

     4.5 Acquiring  Corporation,  or Psychiatric  Associates,  upon receipt of a
written  request from either  Stockholder,  shall be obligated to purchase  from
such Stockholder all or any portion of his remaining common stock in Psychiatric
Associates which has not been transferred to Acquiring  Corporation  pursuant to
the terms of this  Agreement,  upon  condition that no such purchase shall occur
earlier than one (1) year from the Closing  Date;  the  purchase  price for such
stock  shall  be  the  fair  market  value  of the  stock  as  determined  by an
independent   appraisal  at  the  time  the  written  request  is  made  by  the
Stockholder,  unreduced  by a discount  for lack of  marketability  and minority
status.

     4.6 Acquiring Corporation shall provide each Stockholder with the option to
purchase,  at the fair market rate current at the time such option is granted an
additional  Fifteen Thousand  (15,000) shares of the Class A voting common stock
of Acquiring Corporation, which options shall be granted within ninety (90) days
of the Closing Date.

     4.7  Acquiring   Corporation   acknowledges  and  agrees  that  Psychiatric
Associates shall be the exclusive acquiror of other psychiatric or psychological
counseling   practices  on  behalf  of  Acquiring   Corporation   and  Acquiring
Corporation  shall cause all such  practices  located within a Two Hundred (200)
mile radius of the Psychiatric  Associates principal place of business in Salem,
Virginia,  which Acquiring  Corporation  has the  opportunity to acquire,  to be
acquired by, through, for, and on behalf of Psychiatric Associates.

     4.8 Acquiring  Corporation  shall pay a finder's fee to each Stockholder as
described  in  Exhibit  4.8,  attached  hereto,   whenever  either   Stockholder
identifies  on  behalf  of  Acquiring  Corporation  appropriate  psychiatric  or
psychological  counseling  medical practices which are subsequently  acquired or
become affiliated by contract with Acquiring Corporation, Psychiatric Associates
or other affiliate of Acquiring Corporation regardless of where such psychiatric
or psychological counseling medical practice may be located.

     It is further  acknowledged  and agreed by the parties that for any and all
amounts  earned by  Stockholders  under the terms of this  Paragraph  4.8,  then
payment by the Acquiring  Corporation  shall be made  according to the following
priority:

     (a) Unrestricted  Common Stock: If available to Acquiring  Corporation,  in
the form of  unrestricted  shares of Class A Common Stock of PHC,  Inc.,  in the
amounts earned per the schedule in Exhibit 4.8.

     (b) Restricted Common Stock and Cash: If Acquiring Corporation is unable to
issue  its  unrestricted  Class A  Common  Stock,  because  none is  immediately
available for transfer to  Stockholders  for payment of the amounts earned under
this  Paragraph  4.8, and  Acquiring  Corporation  will not be  registering  any
additional  shares  of  its  Class  A  Common  Stock  prior  to  the  time  that
Stockholders  are required by law to make any income tax payment for the amounts
earned under this Paragraph 4.8, then Acquiring Corporation will make payment to
Stockholders by paying to the Stockholders:

     (1) Fifty (50%)  percent of the amount  earned under this  Paragraph 4.8 in
restricted Class A Common Stock of PHC, Inc., and,

     (2) Cash in an amount equal to the fair market value,  as determined by the
closing bid price on the day that the amounts  are earned  under this  Paragraph
4.8, of fifty (50%)  percent of the number of shares  Stockholders  earned under
this Paragraph 4.8.

     4.9  Acquiring  Corporation  shall  use its best  efforts  to  satisfy  all
conditions precedent to this Agreement.

                                     SECTION V

              CONDITIONS PRECEDENT TO CLOSING BY ACQUIRINGCORPORATION

     Acquiring  Corporation's duty to close under the terms of this Agreement is
subject to the following conditions precedent:

     5.1 The  representations  of Stockholders,  as set forth in this Agreement.
shall be true as of the Closing Date, and Stockholders  shall have performed all
acts in accordance with their covenants as set forth in this Agreement.

     5.2 As of the Closing Date, Stockholders shall have disclosed all facts and
transactions  relating to the  condition  and future  prospects  of  Psychiatric
Associates,  and shall not have withheld  information  concerning such facts and
transactions.

     5.3 Stockholders shall have deposited their stock of Psychiatric Associates
in escrow in accordance with Section II of this Agreement.

     5.4 From the date of execution of this  Agreement,  Acquiring  Corporation,
its directors,  officers,  agents,  attorneys,  and auditors, shall have had the
right of inspecting at reasonable  times  Psychiatric  Associates's  properties,
books,  accounts,  commitments,  and records of every kind;  and, to effect this
provision,  Stockholders shall have cooperated fully with Acquiring  Corporation
and its  representatives,  and  shall  have  kept  Acquiring  Corporation  fully
informed of the affairs of Psychiatric Associates.

     5.5 All papers and proceedings  hereunder must be acceptable to counsel for
Acquiring Corporation.

     5.6 This Agreement shall have been duly executed and delivered on behalf of
Stockholders  and shall  constitute  a legal,  valid,  and  binding  obligation,
enforceable in accordance with its terms.

                                    SECTION VI

                  CONDITIONS PRECEDENT TO CLOSING BY STOCKHOLDERS

     Stockholders' duty to close under the terms of this Agreement is subject to
the following conditions precedent:

     6.1 The  representations  of  Acquiring  Corporation,  as set forth in this
Agreement,  must be true as of the Closing Date, and Acquiring Corporation shall
have  performed all acts in  accordance  with its covenants as set forth in this
Agreement.

     6.2 Acquiring Corporation shall have deposited 50,000 shares of its Class A
voting common stock in escrow, in accordance with Section II of this Agreement.

     6.3 All papers and proceedings  hereunder must be acceptable to counsel for
Stockholders.

     6.4 This Agreement shall have been duly executed and delivered on behalf of
Acquiring   Corporation  and  shall  constitute  a  legal,  valid,  and  binding
obligation, enforceable in accordance with its terms.

                                    SECTION VII

                             TERMINATION OF AGREEMENT

     If any duties or obligations of the parties  hereto,  contemplated  by this
Agreement to occur to be performed before the Closing Date, shall have not taken
place before that date, or if the  conditions  precedent,  contemplated  by this
Agreement to be satisfied before the Closing Date, shall not have been satisfied
or  waived by the  proper  party  before  that  date,  this  Agreement  shall be
terminated and of no further force or effect,  and the parties shall be relieved
of all  obligations  under  the  terms of this  Agreement.  In the event of such
termination, the parties shall bear their own expenses incurred pursuant to this
Agreement,  each of the parties  shall return all  documents,  instruments,  and
commercial  paper  transferred  pursuant to the terms of this Agreement,  unless
otherwise  provided  in this  Agreement,  to the  owner  of,  or the  party  who
originally submitted. such documents, instruments, or commercial paper.

                                   SECTION VIII

                                      NOTICES

     8.1 Any notification to be given pursuant to this Agreement shall be deemed
to have been duly given when such notification is deposited in the United States
mails or with a telegraph  company,  with all charges of postage or  transmittal
prepaid, and properly addressed to:

                           Psychiatric & Counseling Associates of Roanoke, Inc.
                           _______________________________________________
                           _____________________________, Virginia, 24014



<PAGE>

With a copy to:                    W. William Gust, Esq.
                                   Gentry Locke Rakes & Moore
                                   P.O. Box 40013
                                   Roanoke, VA 24038-0013

                                   Bruce A. Shear
                                   PHC, Inc.
                                   200 Lake Street, Suite 102
                                   Peabody, Massachusetts 01960

With a copy to:                    Philip Cwagenberg, Esq.
                                   Ishbia & Gagleard, PC
                                   251 Merrill, Second Floor
                                   Birmingham, MI 48009

     8.2 Liability for any taxes mentioned in this Agreement attributable to the
operations of Psychiatric  Associates  before the Closing Date, and subsequently
assessed against Acquiring  Corporation  pursuant to the transfer of Psychiatric
Associates's  stock  under the terms of this  Agreement,  shall be made known to
Stockholders  so that they may contest  such  assessment.  Such notice  shall be
given by Acquiring  Corporation so as afford Stockholders a reasonable amount of
time to  prepare a  defense,  and  Acquiring  Corporation  shall be bound by the
reasonable determinations and decisions of Stockholders and their counsel in the
course of contesting any such tax liability.

                                    SECTION IX

                              SUCCESSORS AND ASSIGNS

     This  Agreement  and all the terms  hereof shall be binding on and inure to
the benefit of the parties hereto,  and their respective legal  representatives,
successors, or assigns, as the case may be, with the same force and effect as if
specifically mentioned in each instance where a party hereto is named.

                                     SECTION X

                            INTERPRETATION OF AGREEMENT

     10.1 This Agreement and the exhibits  attached hereto constitute the entire
agreement  between the parties  concerning the transaction  contemplated by this
Agreement.

     10.2 The  transaction  contemplated  hereunder  is intended to qualify as a
tax-free  exchange under Section 368 (a)(1)(B) of the Internal  Revenue Code and
Acquiring  Corporation agrees to take any and all reasonable action necessary to
ensure such tax treatment for the benefit of the Stockholder.


     10.3 Issues of formation, interpretation, and performance of this Agreement
are to be resolved in accordance with the laws of the Commonwealth of Virginia.

     IN WITNESS  WHEREOF,  the parties have executed this  Agreement the day and
year first above written.

                                          _____________________________________
                                          Mukesh Patel, MD

 
                                          _____________________________________
                                          Himanshu Patel, MD

 
                                          PHC, Inc.

                                          By:__________________________________
                                                Bruce A. Shear
                                                Its: President

Exhibit 10.103


                                  SECURED BRIDGE NOTE


$400,000.00
January 13, 1997


     FOR VALUE  RECEIVED,  and intending to be legally  bound,  PHC OF MICHIGAN,
INC. a Massachusetts corporation (the "Borrower"),hereby  promises to pay to the
order of HCFP FUNDING, INC., a Delaware corporation,  its successors and assigns
("Lender"),  the  principal  sum of FOUR  HUNDRED  THOUSAND  AND NO/100  DOLLARS
($400,000.00  (the "Principal Sum") together with any interest and other fees as
further  set forth  herein,  to be paid in  accordance  with the terms set forth
below.

     1. Principal.  Borrower  promises to pay to Lender the entire Principal Sum
on February 3, 1997 (the "Maturity Date").

     2. Interest.  In addition to the repayment of the Principal  Sum,  Borrower
promises to pay  interest on the  Principal  Sum from the date hereof  until the
Maturity  Date,  at a rate  per  annum  of ten and  one-half  percent  (10.50t),
computed on a 360-day basis (the "Base Rate"). Such interest shall be payable in
arrears on the Maturity Date. After maturity, and until the entire Principal Sum
shall be paid in full,  the amount of the Principal Sum  outstanding  shall bear
interest,  payable on demand, at the Base Rate plus five percent (5t), but in no
event to exceed the maximum lawful rate.

     3. INTENTIONALLY OMITTED.

     4.  Additional  Payments.  Borrower  further  promises  to pay  to  Lender,
immediately upon demand, any and all other sums and charges that may at the time
become due and payable  hereunder,  and all reasonable costs,  disbursements and
attorneys'  fees  incurred  by Lender in  connection  with any  action,  suit or
proceeding  to  protect,  sustain or enforce  the rights and  remedies of Lender
hereunder.

     5. Borrowing.

          a.   Subject to the terms and  conditions  hereof,  Lender  shall make
               available to Borrower the Principal Sum in immediately  available
               funds not later than 12:00 Noon  (Washington,  D.C.  time) on the
               Business  Day on which the  Lender  shall have  received  Uniform
               Commercial Code ("UCC"),  judgment and tax lien searches with the
               Secretary of State and local filing offices of each  jurisdiction
               where Borrower maintains a place of business, which yield results
               consistent  with the  representations  and  warranties  contained
               herein;

          b.   Borrower  may prepay the entire  Principal  Sum without  penalty,
               together  with all  interest  accrued  thereon and all other sums
               that are payable pursuant to this Secured Bridge Note.

     6. Payment  Office.  Both the Principal Sum and the interest hereon and any
other amounts payable hereunder are payable in lawful money of the United States
of America at the office of Lender,  at 2  Wisconsin  Circle,  Suite 320,  Chevy
Chase, MD 2081S, Attn: Mr. John K. Delaney, or at such other place as Lender may
specify in writing to Borrower.  Any payment by other than immediately available
funds shall be subject to  collection.  Interest  shall continue to accrue until
the funds by which  payment is made are  available  to Lender  for its use.  Any
payment  hereunder  which  is  stated  to be  due  on a day on  which  banks  in
Washington,  D.C. are  required or permitted to be closed for business  shall be
due and payable on the next  business day (each such next day a "Business  Day")
and such  extension of time shall be included in the  computation of interest in
connection with such payment.

     7.  Acceleration;  No  Presentment.  On the  Maturity  Date,  or  upon  the
occurrence  of an Event of  Default  (as  defined in  Section  12  hereof),  the
outstanding  Principal Sum,  accrued and unpaid  interest  thereon and all other
sums owed by Borrower to Lender in connection  herewith shall immediately become
due and payable.  Borrower hereby  expressly waives any presentment for payment,
demand for payment,  notice of  nonpayment  or  dishonor,  protest and notice of
protest of any kind.

     8. Security Agreement. This Secured Bridge Note shall constitute a security
agreement as that term is used in the UCC and Borrower  hereby grants to Lender,
as security for Borrower's  obligations  hereunder,  a first  priority  security
interest  in  the  following,   (collectively,  the  "Collateral")  (i)  all  of
Borrower's present and future accounts,  contract rights,  general  intangibles,
chattel paper, documents and instruments,  as such terms are defined in the UCC,
including,  without limitation, all obligations for the payment of money arising
out of Borrower's sale of goods or rendition of services ("Accounts"),  (ii) all
moneys, securities and other property and the proceeds thereof, now or hereafter
held or received by, or in transit to, Lender from or for Borrower,  whether for
safekeeping, pledge, custody, transmission,  collection or otherwise, and all of
Borrower's deposits (general or special), balances, sums and credits with Lender
at any time existing, (iii) all of Borrower's right, title and interest, and all
of Borrower's rights, remedies, security and liens, in, to and in respect of the
Accounts,   including,  without  limitation,  rights  of  stoppage  in  transit,
replevin,  repossession  and  reclamation  and other  rights and  remedies of an
unpaid  vendor,  lienor or  secured  party,  guaranties  or other  contracts  of
suretyship  with  respect to the  Accounts,  deposits or other  security for the
obligation of any Account debtor,  and credit and other  insurance,  (iv) all of
Borrower's right, title and interest in, to and in respect of all goods relating
to, or which by sale have resulted in, Accounts,  including, without limitation,
all goods described in invoices or other  documents or instruments  with respect
to, or otherwise  representing  or  evidencing,  any Account,  and all returned,
reclaimed or repossessed goods, (v) all books,  records,  ledger cards, computer
programs and other property and general  intangibles  at any time  evidencing or
relating to the Accounts  ("Records"),  (vi) all other  general  intangibles  of
every kind and description, including (without limitation) licenses, trade names
and trademarks and the goodwill of the business symbolized thereby, and Federal,
State and local tax refund  claims of all kinds,  and (vii) all  proceeds of the
foregoing.  Borrower shall, at Borrower's expense,  perform all acts and execute
all documents requested by Lender at any time to evidence, perfect, maintain and
enforce Lender's  security  interest and the priority thereof in the Collateral.
Upon Lender's  request,  at any time and from time to time,  Borrower  shall, at
Borrower's  sole cost and  expense,  execute  and  deliver to Lender one or more
financing statements (in form and substance  satisfactory to Lender) pursuant to
the UCC and,  where  permitted  by law,  Borrower  hereby  authorizes  Lender to
execute  and  file  one or more  financing  statements  signed  only by  Lender.
Notwithstanding  anything to the contrary contained in this Secured Bridge Note,
Borrower  and  Lender  agree  that  Lender  is,  and shall be deemed to be,  the
"secured party" as that term is defined in the UCC and elsewhere with respect to
personal property.

     In addition to the foregoing  Collateral,  Borrower covenants and agrees to
grant in favor of Lender,  within two (2) Business  Days  following  the date of
this Secured  Bridge Note, a mortgage  lien,  in form  suitable for recording in
Michigan  and  otherwise  satisfactory  to  Lender in form and  substance,  with
respect to the real property and  improvements  owned by Borrower and located in
New Baltimore, Michigan.

     9.  Use of  Funds.  Borrower  covenants  and  agrees  that  the loan of the
Principal Sum or any portion thereof shall be used solely for working capital or
other commercial purposes.

     10.  Representations.  Borrower  hereby  warrants and  represents to Lender
that:

          a.  This  Secured  Bridge  Note   constitutes  a  valid  and  binding
              obligation of Borrower, enforceable in accordance with its terms.

          b.   The  execution,  delivery or performance of or under this Secured
               Bridge  Note will not  violate or  conflict  with any law,  rule,
               regulation, order, judgment, indenture,  instrument, or agreement
               by which Borrower or Borrower's properties or assets are bound or
               affect,  or conflict or be  inconsistent  with,  or result in any
               breach of,  any of the  terms,  covenants  or  provisions  of, or
               constitute  a  default  under,  or  result  in  the  creation  or
               imposition  of any  lien,  security  interest,  charge  or  other
               encumbrance  upon any of the  properties  or assets of  Borrower,
               pursuant to the terms of any indenture,  mortgage, deed of trust,
               agreement or other  instrument to which Borrower is a party or by
               which  Borrower's  properties  or assets may be bound or to which
               they may be subject other than a lien, security interest,  charge
               or other encumbrance in favor of Lender.

          c.   There  are  no  actions,  suits  or  other  proceedings  pending,
               including, without limitation, any condemnation proceeding, or to
               the  knowledge  of  Borrower  threatened,  against  or  adversely
               affecting  Borrower's  properties  or assets or the  validity  or
               enforceability  of this Secured  Bridge Note.  Borrower is not in
               default with respect to any order,  writ,  injunction,  decree or
               demand  of any  court  or  governmental  authority.  There  is no
               litigation or  proceeding,  including,  without  limitation,  any
               condemnation   proceeding,   pending  or,  to  the  knowledge  of
               Borrower,  threatened against or affecting Borrower's  properties
               or  assets,  or any  circumstances  existing  which  would in any
               manner  materially  adversely  affect  Borrower's  properties  or
               assets,  or the  validity  or ability of  Borrower to perform any
               obligations under this Secured Bridge Note.

          d.   The  financial  statements  of Borrower  delivered  to Lender are
               true,  correct and  complete  and fairly  present  the  financial
               condition of Borrower as of the date thereof. No material adverse
               change in the financial  condition of Borrower has occurred since
               the date of such  financial  statements of Borrower  delivered to
               Lender.

          e.   Borrower  is the sole owner of all right,  title and  interest in
               and to all of the Collateral free and clear of any lien, security
               interest, charge or encumbrance.

     11. Covenants.  Borrower shall deliver to Lender: (i) its monthly financial
statements,  prepared in accordance with the financial  statements of such party
previously  delivered to Lender,  consistently  applied,  and  certified by such
party to Lender to be true and correct and  accurately  reflecting  such party's
financial  condition as of the date thereof;  (ii) prompt  written notice of any
event or occurrence  (including  any pending or threatened  litigation) of which
such party has knowledge  which may  materially  adversely  affect the financial
condition  of  Borrower;  and (iii) any other  information  relating to Borrower
reasonably requested by Lender.
 
     12. Events of Default.  The following events are each an "Event of Default"
hereunder:

          a.   Borrower fails to make any payment of principal when due or fails
               to make any payment of interest, fees or other amounts owed to or
               for the account of Lender hereunder; or

          b.   Borrower  has  made any  representations  or  warranties  in this
               Secured  Bridge  Note or any  financial  statement  delivered  to
               Lender or otherwise  in  connection  herewith or therewith  which
               contains  any  untrue  statement  of a  material  fact or omits a
               material fact necessary to make the statements  contained  herein
               or therein not misleading; or

          c.   Borrower  shall  fail to  perform  or  observe,  or  cause  to be
               performed  or  observed,  any other term,  obligation,  covenant,
               condition or agreement contained in this Secured Bridge Note, and
               such failure shall have  continued for a period of three (3) days
               after written notice thereof; or

          d.   Borrower  shall (i) apply for,  or  consent  in  writing  to, the
               appointment of a receiver,  trustee or liquidator; or (ii) file a
               voluntary  petition  seeking relief under the Bankruptcy Code, or
               be unable, or admit in writing Borrower's inability, to pay their
               debts as they become due; or (iii) make a general  assignment for
               the  benefit of  creditors;  or (iv) file a petition or an answer
               seeking  reorganization  or an arrangement  or a readjustment  of
               debt with creditors, apply for, take advantage,  permit or suffer
               to  exist  the   commencement  of  any  insolvency,   bankruptcy,
               suspension  of  payments,   reorganization,   debt   arrangement,
               liquidation,  dissolution or similar event,  under the law of the
               United States or of any state in which Borrower is a resident; or
               (v)  file an  answer  admitting  the  material  allegations  of a
               petition   filed  against   Borrower  in  any  such   bankruptcy,
               reorganization  or insolvency case or proceeding or (vi) take any
               action  authorizing,  or in furtherance of, any of the foregoing;
               or

          e.   (i) an  involuntary  case is commenced  against  Borrower and the
               petition  is not  controverted  within  ten  (10)  days or is not
               dismissed  within thirty (30) days after the  commencement of the
               case or (ii) an order, judgment or decree shall be entered by any
               court of competent  jurisdiction on the application of a creditor
               adjudicating  Borrower  bankrupt or  insolvent,  or  appointing a
               receiver,  trustee  or  liquidation  of  Borrower  or of  all  or
               substantially  all of the  assets  of  Borrower  and such  order,
               judgment or decree  shall  continue  unstayed and in effect for a
               period  thirty  (30) days or shall not be  discharged  within ten
               (10) days after the expiration of any stay thereof; or

          f.   An Event of Default occurs under the Loan and Security  Agreement
               by and between PHC of Utah,  Inc. (an  affiliate of Borrower) and
               Lender  (as   successor-in-interest  to  HealthPartners  Funding,
               L.P.).

     13. Lender's Rights.

          a.   Upon the  occurrence  of an  Event of  Default,  Lender  may,  in
               addition to the remedies set forth in Section 7 herein,  proceed,
               to the extent permitted by law, to protect and enforce its rights
               either by suit in equity  or by action at law,  or both,  whether
               for  the  specific  performance  of any  covenant,  condition  or
               agreement  contained in this Secured Bridge Note or in aid of the
               exercise of any power  granted in this Secured  Bridge  Note,  or
               proceed to enforce the payment of this Secured  Bridge Note or to
               enforce any other legal or equitable right of Lender. No right or
               remedy herein or in other  agreement or instrument to the benefit
               of Lender  is  intended  to be  exclusive  of any other  right or
               remedy,  and  each  and  every  such  right  or  remedy  shall be
               cumulative  and shall be in  addition  to every  other  right and
               remedy given hereunder or now or hereafter  existing at law or in
               equity  or  by  statute  or  otherwise.   without   limiting  the
               generality of the foregoing, if the outstanding Principal Sum, or
               any of the other  obligations  of Borrower to Lender shall not be
               paid when due,  Lender  shall  not be  required  to resort to any
               particular  security,  right  or  remedy  or to  proceed  in  any
               particular order of priority,  and Lender shall have the right at
               any time and from time to time,  in any  manner and in any order,
               to enforce its security interests, liens, rights and remedies, or
               any of them, as it deems  appropriate in the  circumstances,  and
               apply the proceeds of any collateral  (including the  Collateral)
               to such  obligations  of  Borrower as it  determines  in its sole
               discretion.

          b.   In the event that an Event of Default  has  occurred  as provided
               herein and Borrower has not paid the total outstanding principal,
               together  with  interest  accrued  thereon upon demand by Lender,
               then Borrower  shall pay to Lender  interest on such  outstanding
               amounts  at a rate per  annum  equal to the Base  Rate  plus five
               percent (5%) from the date such outstanding amounts are due until
               the date this Secured  Bridge Note is paid in full.  The Borrower
               promises  to pay all costs of  collection,  including  reasonable
               attorneys,  fees,  if this Secured  Bridge Note is referred to an
               attorney for collection after the Event of Default.
          14.  No  Defenses.  Borrower's  obligations  hereunder  shall  not  be
               subject to any set-off,  counterclaim or defense to payment which
               Borrower now has or may have.

          15.  No  Waiver.  No  failure  or  delay  on the  part  of  Lender  in
               exercising  any right,  power or  privilege  under  this  Secured
               Bridge  Note nor any  course  of  dealing  between  Borrower  and
               Lender,  shall operate as a waiver thereof, nor shall a single or
               partial  exercise  thereof preclude any other or further exercise
               or the exercise of any right, power or privilege.

          16.  Writing Required.  No modification or waiver of any provisions of
               this  Secured  Bridge  Note,  nor  consent  to any  departure  by
               Borrower,  shall in any event be effective,  irrespective  of any
               course of dealing  between the parties,  unless the same shall be
               in a writing  executed  by Lender and then such waiver or consent
               shall be  effective  only in the  specific  instance  and for the
               purpose  for which  given.  No notice to or demand on Borrower in
               any case shall thereby  entitle  Borrower to any other or further
               notice or demand in the same, similar or other circumstances.

          17.  Usury Limitation.  Notwithstanding  anything  contained herein to
               the contrary,  Lender shall never be entitled to receive, collect
               or apply as interest  any amount in excess of the maximum rate of
               interest  permitted to be charged by  applicable  law; and in the
               event Lender  receives,  collects or applies as interest any such
               excess,  such amount which would be excessive  interest  shall be
               applied  to  the  reduction  of  the  Principal  Sum;  and if the
               Principal Sum is paid in full, any remaining excess shall be paid
               to Borrower.  In determining  whether or not the interest paid or
               payable in any  specific  case  exceeds the highest  lawful rate,
               Lender and Borrower shall to the maximum extent  permitted  under
               applicable law (i) characterize any  non-principal  payment as an
               expense,  fee or premium  rather than as  interest;  (ii) exclude
               voluntary prepayments and the effects thereof; and (iii) "spread"
               the total  amount of interest  throughout  the entire term of the
               obligation  so that the  interest  rate is  deemed  to have  been
               uniform throughout said entire term.

          18.  Notices.  Any notice or demand  given under this  Secured  Bridge
               Note shall be given by delivering it, sending by telecopier (with
               a confirming copy by regular mail), or by mailing it by certified
               or registered mail, postage prepaid, return receipt requested, or
               sent by prepaid  overnight  courier service addressed to Borrower
               at: 200 Lake Street,  Suite 102,  Peabody,  MA 01960,  Attn:  Ms.
               Paula Wurts, Chief Financial Officer--Telecopier: (508) 536-2677.
               Any notice to be given to Lender under this  Secured  Bridge Note
               shall be given by delivering  it,  sending by telecopier  (with a
               confirming  copy by regular mail),  or mailing it by certified or
               registered  mail,  return receipt  requested,  or sent by prepaid
               overnight  courier  service,  addressed to Lender at: 2 Wisconsin
               Circle,  Suite 320,  Chevy  Chase,  MD 20815  Attn:  Mr.  John K.
               Delaney,  President-Telecopier:  (301) 664-9860, or at such other
               place as Lender may  specify in writing to  Borrower.  Each party
               may designate a change of address by notice to the other given in
               accordance herewith at least fifteen (15) days before such change
               of  address is to become  effective.  A notice  given  under this
               Secured Bridge Note shall be deemed  received five (5) days after
               it is sent by regular  mail, or upon receipt when it is delivered
               or sent  by  telecopier  according  to the  requirements  of this
               paragraph,  or if  sent  by  courier  on the  next  Business  Day
               following deposit with the courier.

          19.  Section Headings.  The headings of the several paragraphs of this
               Secured  Bridge  Note are  inserted  solely  for  convenience  of
               reference  and are not a part of and are not  intended to govern,
               limit or aid in the construction of any term or provision.

          20.  Severability. Any provision contained in this Secured Bridge Note
               which  is  prohibited  or  unenforceable  in any  respect  in any
               jurisdiction shall, as to such jurisdiction be ineffective to the
               extent   of  such   prohibition   or   unenforceability   without
               invalidating  the  remaining   provisions  hereof  and  any  such
               prohibition or  unenforceability  in any  jurisdiction  shall not
               invalidate or render  unenforceable  such  provision in any other
               jurisdiction.

          21.  Survival of Terms. All covenants, agreements, representations and
               warranties  made in this Secured  Bridge Note or in any financial
               statements  delivered  pursuant  hereto shall survive  Borrower's
               execution and delivery of this Secured  Bridge Note to Lender and
               shall  continue in full force and effect so long as this  Secured
               Bridge  Note  or  any  other   obligation   hereunder   shall  be
               outstanding  and  unpaid  or any  other  obligation  of  Borrower
               hereunder shall remain unperformed.

          22.  GOVERNING LAW, JURISDICTION,  ETC. This Secured Bridge Note is to
               be governed by and construed in  accordance  with the laws of the
               State of Maryland  without  respect to any  otherwise  applicable
               conflicts-of-laws  principles,  both  as  to  interpretation  and
               performance, and the parties expressly agree to the non-exclusive
               jurisdiction of the State of Maryland courts,  waiving all claims
               or  defenses  based on lack of  personal  jurisdiction,  improper
               venue,  inconvenient forum or the like.  Borrower hereby consents
               to  service  of  process  by  mailing  a copy of the  summons  to
               Borrower,  by certified or registered mail, to Borrower's address
               set forth in Section 18 above,  or otherwise  furnished to Lender
               in writing.  Borrower further waives any claim for  consequential
               damages in respect of any action  taken or omitted to be taken by
               lender in good faith.

          23.  JURY TRIAL WAIVER.  In any action or proceeding  relating to this
               Secured  Bridge Note,  Borrower,  and Lender by its acceptance of
               this Secured Bridge Note,  irrevocably and unconditionally  waive
               trial  by  jury.  Borrower  understands  that  this  waiver  is a
               material  inducement to Lender's  agreement to lend the principal
               sum.

          24.  CONFESSED JUDGMENT.  Borrower irrevocably authorizes and empowers
               any  attorney of record,  or the  prothonotary,  clerk or similar
               officer of any court in any county of the State of Maryland or of
               Baltimore City, Maryland,  or in the United States District Court
               for the District of Maryland,  as attorney for Borrower,  as well
               as for any persons  claiming  under, by or through  Borrower,  to
               appear for Borrower in any such court in any such action  brought
               against  Borrower  at the  suit of  Lender  to  confess  judgment
               against Borrower in favor of Lender in the full amount due amount
               due On this Secured  Bridge Note  (including  principal,  accrued
               interest and any and all charges,  fees and costs) plus attorneys
               fees for  fifteen  percent  (15%) of the amount  due,  plus court
               costs,  all without prior notice or  opportunity  of Borrower for
               prior  hearing.  Borrower  waives  the  benefit  of any and every
               statute, ordinance, or rule of court which may be lawfully waived
               conferring  upon  Borrower any right or  privilege of  exemption,
               homestead   rights,   stay   of   execution,   or   supplementary
               proceedings,  or other relief from the  enforcement  or immediate
               enforcement  of a judgment or related  proceedings on a judgment.
               The authority and power to appear for and enter judgment  against
               Borrower shall not be exhausted by one or more exercises thereof,
               or  by  any  imperfect   exercise  thereof,   and  shall  not  be
               extinguished  by any  judgment  entered  pursuant  thereto;  such
               authority  and power may be  exercised  on one or more  occasions
               from time to time,  in the same or  different  jurisdictions,  as
               often as Lender shall deem necessary, convenient and proper.


<PAGE>

     IN WITNESS  WHEREOF,  the undersigned has executed this Secured Bridge Note
as of the day and year first above written.



      ATTEST:                                         PHC OF MICHIGAN, INC., a
                                    Massachusetts corporation


      ___________________________         By:  _______________________________
                                    Name:
 
                              Title
                              (SEAL)


<PAGE>
Exhibit 10.104

                                   GUARANTY

     THIS  GUARANTY  is given this 13th day of  January,  1997 by PHC,  INC.,  a
Massachusetts  corporation (the "Guarantor"),  in order to induce the acceptance
by HCFP FUNDING, INC. (the "Lender"),  the holder of the attached Secured Bridge
Note (the "Secured  Bridge Note") of even date herewith in the principal  amount
of  FOUR  HUNDRED  THOUSAND  AND  N0/100  DOLLARS  ($400,000.00)  made by PHC of
Michigan, Inc., a Massachusetts corporation (the "Borrower") in favor of Lender,
and for other good and valuable  consideration,  the receipt and  sufficiency of
which is hereby acknowledged.  1. Guarantor hereby unconditionally guarantees to
Lender, its
successors and assigns, and to every subsequent holder of the Secured Bridge
Note:

            a.   The due performance and full prompt payment, whether at
maturity or by acceleration or otherwise of the payment of the indebtedness
set forth in the Secured Bridge Note, together with accrued and unpaid
interest on the Secured Bridge Note in accordance with the provisions of the
Secured Bridge Note; and

            b.  The  costs  and  expenses,   including  reasonable  attorneys'
fees,  paid or incurred in the enforcement of collection of the Secured Bridge
Note.

      2.      Guarantor represents and warrants that it has the full
corporate right, power and authority to enter into this Guaranty.

      3.       Guarantor hereby agrees that Lender is not required to rely on
Borrower or any collateral for the payment of the Secured Bridge Note upon
the occurrence of an Event of Default as provided for therein, but may
proceed directly against Guarantor in such manner as may be deemed desirable
by Lender.

      4.    Guarantor hereby unconditionally agrees that its liability
hereunder shall not be affected by:

            a.    Any amendments), modifications) or extensions) of time for
payment of the Secured Bridge Note;

            b.    The release of the Borrower from its obligations under the
Secured Bridge Note or the release of any security securing the Secured
Bridge Note, whether made with or without notice to Guarantor; and

            c.    Any delay in exercising any right or remedy under the
Secured Bridge Note or this Guaranty.

      5.    Guarantor hereby waives:

            a.    Presentment, demand, protest and notice of dishonor, and all
exemptions including, but not limited to, those relating to attachment,
garnishment or execution.

            b.    Any right or claim of right to cause a marshalling of the
assets of Borrower.

      6.   This Guaranty shall be construed in accordance with the laws of the
           State of Maryland.


ATTEST:                                   PHC, INC.,
                                          a Massachusetts corporation


____________________________              _____________________________
                                          Name:
                                          Title:



note.phc

                               January 13, 1997

HCFP Funding, Inc.
2 Wisconsin Circle, Suite 320
 Chevy Chase, Maryland 20815
Attention: John K. Delaney, President
Dear Mr. Delaney:

      Reference is made to that certain Loan and Security Agreement dated as
of May 21, 1996 (the "Loan Agreement") by and between PHC OF UTAH, INC., a
Massachusetts corporation (the "Borrower"), and HCFP FUNDING, INC. (as
successor-in-interest to HealthPartners Funding, L.P.) (the "Lender").  All
capitalized terms used but not defined in this letter shall have the
respective meanings given them in the Loan Agreement.

      Borrower hereby agrees as follows:

      1.    An Event of Default under that certain Secured Bridge Note dated
January 13, 1997 in the principal amount of $400,000.00 (the "Bridge Note"),
executed by PHC of Michigan, Inc. (an Affiliate of Borrower) in favor of
Lender, shall constitute an Event of Default under the Loan Agreement.

      2.    The Collateral shall also secure the obligations of PHC of
Michigan, Inc. under the Bridge Note.

      3.    Except as specifically amended above, the Loan Agreement, and all
other Loan Documents, shall remain in full force and effect, and are hereby
ratified and confirmed.

                                          Very truly yours,

ATTEST:                                   PHC OF UTAH, INC.
(Seal)                                    a Massachusetts corporation


By:  _______________________              By:
                                    __________________________________
Name:                                                       Name:
Title:                                                      Title:

      THE FOREGOING IS ACKNOWLEDGED AND AGREED AS OF THIS ________ DAY OF
JANUARY, 1997:

HCFP FUNDING, INC.,


By:  ______________________________    (SEAL)
Name:
Title:


sideltr.phc





<PAGE>



                                    January 13, 1997

HCFP Funding, Inc.
2 Wisconsin Circle, Suite 320
Chevy Chase, Maryland 20815
Attention: John K. Delaney, President
Dear Mr. Delaney:

     Reference is made to that  certain  Secured  Bridge Note dated  January 13,
1997 in the principal amount of $400,000.00 (the "Bridge Note"), executed by PHC
OF MICHIGAN,  INC., a Massachusetts  corporation (the  "Borrower"),  in favor of
HCFP FUNDING,  INC. (the  "Lender").  Borrower  hereby agrees to pay a financing
commitment  fee of  Twenty-Five  Thousand  and No/100  Dollars  ($25,000.00)  in
consideration  for the financing to be provided by Lender pursuant to the Bridge
Note (the  "Financing  Fee').  Such  Financing  Fee shall be paid by Borrower to
Lender no later than  February 3, 1997 (the  Maturity  Date of the Bridge Note),
irrespective  of whether or not Lender provides  Borrower with revolving  credit
financing in  replacement  of the  financing  evidenced by the Bridge Note.  The
obligation  of  Borrower  to pay the  Financing  Fee shall be  satisfied  by the
payment of the entire $400,000.00  principal amount of the Bridge Note, together
with interest relating thereto. Very truly yours,

ATTEST:                                             PHC OF MICHIGAN, INC.
(Seal)                                              a Massachusetts corporation


By:  ____________________________         By:
_________________________________
Name:                                     Name:
Title:                                    Title:




sideltr2.phc


<PAGE>
Exhibit 10.105


                     FIRST AMENDMENT TO LEASE AND OPTION AGREEMENT

     First  Amendment  to Lease and Option  Agreement by and between NMI REALTY,
INC., a Rhode Island corporation,  hereinafter referred to as "Landlord" and PHC
OF RHODE  ISLAND,  INC.  d/b/a Good Hope Center,  a  Massachusetts  corporation,
hereinafter referred to as "Tenant", dated this 20th day of December, 1996.

                                  W I T N E S S E T H
     WHEREAS,  Landlord  and  Tenant  executed  that  certain  Lease and  Option
Agreement  dated  March  16,  1994  (the  "Lease")  regarding  certain  property
described therein and located in West Greenwich, Rhode Island; and

     WHEREAS,   Landlord  and  Tenant  desire  to  amend  and  set  forth  their
understanding regarding certain items set forth in the Lease;

     NOW, THEREFORE,  in consideration of their mutual promises herein contained
and for other good and valuable  consideration,  the receipt and  sufficiency of
which is hereby  acknowledged,  the Landlord and the Tenant hereby  covenant and
agree as follows:

     1. All  capitalized  terms used  herein  shall,  unless  otherwise  defined
herein, have the same meaning as set forth in the Lease.

     2. In  accordance  with Section 2.01 of the Lease,  Landlord and Tenant are
now in the third year of the Lease  which  period  runs from  March 1, 1996,  to
February  28,  1997.  The fourth  year of the Lease runs from March 1, 1997,  to
February  28,  1998.  The annual  rental for such third year and fourth  year is
$203,000.00 payable in equal monthly installments of $19,250.00 on the first day
of each month.

     3. Tenant is in arrears in the amount of $9,250.00  for the  December  1996
rental  payment.  Tenant will pay said amount in arrears on or before January 7,
1997.  Failure to pay said amount shall constitute an Event of Default under the
Lease without further notice required by Landlord or cure period by Tenant.

     4. Based upon  representations  by Tenant  concerning its financial status,
Landlord  agrees to reduce the monthly  rental  payment  due for  January  1997,
February 1997,  March 1997,  April 1997, May 1997 and June 1997 from  $19,250.00
per month to $13,000.00  per month.  Tenant will resume  payment of rent due for
subsequent months beginning in July 1997, in accordance with Section 2.01 of the
Lease.

     5. The option price as  described in Section  24.04 of the Lease to be paid
by Tenant to Landlord  for the  Premises if the option is  exercised at any time
shall  be  increased  by  $37,500.00,which  amount  is  equivalent  to the  rent
reduction described in paragraph 4 herein.

     6. The  Lease,  as  amended  by this  First  Amendment  to Lease and Option
Agreement constitutes the entire agreement between the parties hereto concerning
the Lease and may not be modified in any manner other than by written agreement,
executed by all of the parties hereto or their successors in interest.  No prior
understanding  or  representation  of any kind made before the execution of this
First Amendment to Lease and option Agreement shall be binding upon either party
unless incorporated herein.

     7. All  references  wherever or however made to the Lease are hereby deemed
to mean the  Lease as  amended  by this  First  Amendment  to Lease  and  option
Agreement.

     IN WITNESS  WHEREOF,  the parties hereto have executed this First Amendment
to Lease and Option Agreement as of the date first set forth above.

<PAGE>
In the presence of:


                                          Landlord:
_________________________________         By:  ______________________________
                                          Peter Fratantuono, V. Pres.

_________________________________         By:  ______________________________
                                          Alan Willoughby, President
 
                                          Tenant:

                                          PHC OF RHODE ISLAND, INC.

_________________________________         __________________________________
                                          Bruce A. Shear, President
STATE OF RHODE ISLAND
COUNTY OF WASHINGTON

     In North Kingstown on the 20th day of 1996,  before me personally  appeared
Peter Fratantuono, Vice President and Alan Willoughby,  President of NMI Realty,
Inc.,  to me known and known by me to be the  parties  executing  the  foregoing
instrument,  and they acknowledged said instrument, by them executed to be their
free act and deed  individually and in their said  capacities,  and the free act
and deed of said NMI Realty, Inc.


                                          __________________________________
                                                   Notary Public
                                          My Commission expires:  07/30/97





<PAGE>


STATE OF
COUNTY OF MASS

     In  Middlesex/Peabody  on the 8th day of Jan,  1996,  before me  personally
appeared Bruce A. Shear, President of PHC OF RHODE ISIAND, INC., to me known and
known  by me to  be  the  party  executing  the  foregoing  instrument,  and  he
acknowledged  said  instrument,  by him  executed  to be his  free  act and deed
individually and in his said capacity,  and the free act and deed of said PHC OF
RHODE ISLAND, INC.


                                          ______________________________________
                                                    Notary Public


                                          My Commission expires:




nmilease.amd
                                        PAULA C. WURTS
                                        Notary Public
                                        My Commission Expires November 29, 2002










<PAGE>
Exhibit 4.15

                                       GUARANTY


     THIS  GUARANTY  is given this 13th day of  January,  1997 by PHC,  INC.,  a
Massachusetts  corporation (the "Guarantor"),  in order to induce the acceptance
by HCFP FUNDING, INC. (the "Lender"),  the holder of the attached Secured Bridge
Note (the "Secured  Bridge Note") of even date herewith in the principal  amount
of  FOUR  HUNDRED  THOUSAND  AND  N0/100  DOLLARS  ($400,000.00)  made by PHC of
Michigan, Inc., a Massachusetts corporation (the "Borrower") in favor of Lender,
and for other good and valuable  consideration,  the receipt and  sufficiency of
which is hereby acknowledged.

     1. Guarantor hereby  unconditionally  guarantees to Lender,  its successors
and assigns, and to every subsequent holder of the Secured Bridge Note:

     a. The due performance  and full prompt payment,  whether at maturity or by
acceleration  or otherwise of the payment of the  indebtedness  set forth in the
Secured  Bridge Note,  together with accrued and unpaid  interest on the Secured
Bridge Note in accordance with the provisions of the Secured Bridge Note; and

     b. The costs and expenses,  including  reasonable  attorneys' fees, paid or
incurred in the enforcement of collection of the Secured Bridge Note.

     2. Guarantor  represents and warrants that it has the full corporate right,
power and authority to enter into this Guaranty.

     3. Guarantor  hereby agrees that Lender is not required to rely on Borrower
or any collateral for the payment of the Secured Bridge Note upon the occurrence
of an Event of Default as provided for therein, but may proceed directly against
Guarantor in such manner as may be deemed desirable by Lender.

     4. Guarantor  hereby  unconditionally  agrees that its liability  hereunder
shall not be affected by:

     a. Any  amendments),  modifications)  or extensions) of time for payment of
the Secured Bridge Note;

     b. The  release of the  Borrower  from its  obligations  under the  Secured
Bridge Note or the release of any  security  securing  the Secured  Bridge Note,
whether made with or without notice to Guarantor; and

     c. Any delay in  exercising  any right or remedy  under the Secured  Bridge
Note or this Guaranty.

      5.    Guarantor hereby waives:

     a. Presentment,  demand, protest and notice of dishonor, and all exemptions
including,  but not limited to, those  relating to  attachment,  garnishment  or
execution.

     b. Any  right or claim of right to cause a  marshalling  of the  assets  of
Borrower.
     6. This  Guaranty  shall be  construed in  accordance  with the laws of the
State of Maryland.


ATTEST:                                   PHC, INC.,
                                          a Massachusetts corporation


____________________________              _____________________________
                                          Name:
                                          Title:



note.phc

<PAGE>

  Exhibit 10.106


  This Mortgage, made as of  January 13, 1997, between PHC OF MICHIGAN, INC.,
  a Massachusetts corporation header referred to as the "Mortgagor" and HCFP
  FUNDING, INC., a Delaware Corporation, herein referred to as the
  "Mortgagee."

  Witnesseth, That the Mortgagor mortgages and warrants to the mortgagee land
  situate in the City of New Baltimore, County of Macomb and State of
  Michigan, described on Exhibit A attached hereto and made a part hereto
  (the "Land"), together with the hereditaments and appurtenances thereunto
  belonging and if the said Land be improved with a building designed for
  commercial or business purposes, also together with all disappearing beds,
  refrigerators, equipment for heating, lighting, cooking, mirrors, doors and
  window shades, screens and a and such other goods, chattels and personal
  property as are ever furnished by a landlord in letting and operating an
  unfurnished building similar to the buildings erected  upon the Land and
  now or hereafter installed therein by the mortgagor or his assigns, which
  shall be between the parties hereto, and all parties claiming by, through
  or under them, an  accession to the freehold and a part of the realty and
  encumbered by this Mortgage (collectively, the "Mortgage Premises") to the
  performance of the covenants hereinafter contained, and the payment of the
  principal sum of Two Million and No/l00 Dollars ($2,000,000.00), or so much
  thereof as may be advanced or readvanced by the Mortgagee to the Mortgagor
  pursuant to a certain Security Bridge Note dated January 13,
  1997, a certain  Loan and Security Agreement by and between the Mortgagor
  and the Mortgagee, or such other financing documents that may be entered
  into by the Mortgagor with respect to indebtedness owed to the Mortgagee in
  connection with such Security Bridge Note and Loan and Security Agreement
  (collectively, the "Financing Documents").

        And the Mortgagor covenants with the Mortgagee while this Mortgage
  remains in force, as follows:

  I.    To pay said indebtedness and the interest thereon in the time and in
        the manner provided in the Financing Documents;

  II.   To pay all taxes and assessments levied on the Land within thirty
        days after the same become due and payable, and deliver the official
        receipts therefor to the Mortgagee;

  III.  To keep the buildings and equipment on the Mortgaged Premises
        insured against loss or damage by fire for the benefit of, with loss
        payable to, and in manner and amount approved by, and deliver the
        policies as issued to, the Mortgagee with the premiums therefor paid
        in full,

  IV.   To abstain from the commission of waste on the Mortgaged Premises,
        and keep the buildings thereon and equipment in good repair, and
        promptly comply with all laws, ordinances, regulations or other
        government requirements affecting the Mortgaged Premises.



<PAGE>

  V.    That, if there be default in delivering any  insurance policy or in
        the payment of any tax, assessment  or  premium required to be
        delivered or paid hereunder, the Mortgagee may effect such insurance
        or  such policy and pay such assessment, taxes or insurance
        premiums, and any amount so paid shall be added to said indebtedness
        and hereby secured and be payable to the Mortgagee forthwith

  VI.    That, in the event of the  passage of any law or regulation, state,
        federal or municipal, subsequent to the date hereof in any manner
        changing or modifying the laws now in force governing  the taxation
        of mortgages or debts secured by mortgages, or the manner of
        collecting such taxes and such change or modification has a material
        adverse effect on the Mortgagee, the entire principal secured by this
        mortgage and all interest accrued thereon shall become due and
        payable, forthwith, at the option of the Mortgagee,

  VII.  That, in the event the ownership of the Mortgaged Premises, or any
        part thereof, become vested in a person other than the Mortgagor, the
        Mortgagee may deal with such successor in interest with reference to
        this Mortgage, and the debt hereby , in the same manner as with the
        Mortgagor, without in any manner vitiating  or discharging the
        Mortgagor's liability hereunder, or upon the debt hereby secured.

  VII.       The power is hereby granted by the Mortgagor to the Mortgagee,
        if default is made in the payment of the indebtedness, interest,
        taxes, or insurance premiums, or any part thereof, at the time and in
        the manner agreed in the Financing Documents, to grant bargain, sell
        release, and convey the Mortgaged  Premises, with the appurtenances
        at public auction and to execute and deliver to the purchaser or
        purchasers, at such sale, deeds of conveyance, good and sufficient at
        law, pursuant to the statute in such case made and provided, and out
        of the proceeds to retain all sums due hereon, the costs and charges
        of such sale, and the attorney fees provided by law, returning the
        surplus money, if any, to the Mortgagor or Mortgagor's heirs and
        assigns, and such sale or a sale pursuant to a decree of chancery for
        the foreclosure hereof may, at the option of the Mortgagee, be made
        en masse.


  IX.   Upon the  request of the Mortgagor, the Mortgagee, at is option may
        hereafter at any time before full payment of the indebtedness secured
        by this Mortgage, make further advances to the Mortgagor and any such
        advances with interest shall be secured by this Mortgage and shall be
        evidenced by an additional  note then to be given by the Mortgagor;
        the Mortgagor covenants and agrees to and with the Mortgagee to repay
        such further advances and in accordance with the note then executed;
        that such further advances and each note evidencing the same shall be
        secured by this Mortgage and that all of the covenants and agreements
        in the Mortgage contained shall apply to such advances as well as to
        the original principal sum herein recited.

        The covenants herein shall bind and the benefits and advantages to
        the respective heirs, assigns and successors of the parties.




<PAGE>


Signed, Sealed and Delivered in Presence of:



                                          Signed and Sealed:

ATTEST
                                          PHC OF MICHIGAN, INC.


By: _______________________________       By: ____________________________
Name:   Teresa A. Bates                   Name:  Bruce A. Shear
Title:     Assistant                      Title:    President


STATE OF MASSACHUSETTS

COUNTY OF  Essex, MA.

      On this 23rd day of January 1997 before me appeared Bruce A. Shear, in
his capacity as President of PHC of   Michigan, Inc., to me known to be the
person described in and who executed the foregoing instrument and
acknowledged that he executed the same as his free act and deed.


                                   PAULA C. WURTS
                                   Notary Public

            My commission expires:  November 30, 2002




                                          ________________________  Essex, Ma
                                            Notary Public           County,  MA




del-318865.1

<PAGE>

                                   January 13, 1997

HCFP Funding, Inc.
2 Wisconsin Circle, Suite 320
Chevy Chase, Maryland 20815
Attention: John K. Delaney, President

Dear Mr. Delaney:
     Reference is made to that certain Loan and Security  Agreement  dated as of
May 21,  1996  (the  "Loan  Agreement")  by and  between  PHC OF UTAH,  INC.,  a
Massachusetts   corporation  (the  "Borrower"),   and  HCFP  FUNDING,  INC.  (as
successor-in-interest  to  HealthPartners  Funding,  L.P.) (the  "Lender").  All
capitalized  terms used but not defined in this letter shall have the respective
meanings given them in the Loan Agreement.

      Borrower hereby agrees as follows:

     1. An Event of Default under that certain Secured Bridge Note dated January
13, 1997 in the principal amount of $400,000.00 (the "Bridge Note"), executed by
PHC of  Michigan,  Inc. (an  Affiliate  of  Borrower) in favor of Lender,  shall
constitute an Event of Default under the Loan Agreement.

     2. The  Collateral  shall also secure the  obligations  of PHC of Michigan,
Inc. under the Bridge Note.

     3. Except as specifically amended above, the Loan Agreement,  and all other
Loan Documents,  shall remain in full force and effect,  and are hereby ratified
and confirmed.

                                          Very truly yours,

ATTEST:                                 PHC OF UTAH, INC.
(Seal)                                  a Massachusetts corporation


By:  _______________________            By:  __________________________________
Name:                                        Name:
Title:                                       Title:

     THE  FOREGOING  IS  ACKNOWLEDGED  AND  AGREED  AS OF THIS  ________  DAY OF
JANUARY, 1997:

HCFP FUNDING, INC.,


By:  ______________________________    (SEAL)
Name:
Title:


sideltr.phc

<PAGE>

                                        January 13, 1997

HCFP Funding, Inc.
2 Wisconsin Circle, Suite 320
Chevy Chase, Maryland 20815
Attention: John K. Delaney, President

Dear Mr. Delaney:
     Reference is made to that  certain  Secured  Bridge Note dated  January 13,
1997 in the principal amount of $400,000.00 (the "Bridge Note"), executed by PHC
OF MICHIGAN,  INC., a Massachusetts  corporation (the  "Borrower"),  in favor of
HCFP FUNDING,  INC. (the  "Lender").  Borrower  hereby agrees to pay a financing
commitment  fee of  Twenty-Five  Thousand  and No/100  Dollars  ($25,000.00)  in
consideration  for the financing to be provided by Lender pursuant to the Bridge
Note (the  "Financing  Fee').  Such  Financing  Fee shall be paid by Borrower to
Lender no later than  February 3, 1997 (the  Maturity  Date of the Bridge Note),
irrespective  of whether or not Lender provides  Borrower with revolving  credit
financing in  replacement  of the  financing  evidenced by the Bridge Note.  The
obligation  of  Borrower  to pay the  Financing  Fee shall be  satisfied  by the
payment of the entire $400,000.00  principal amount of the Bridge Note, together
with interest relating thereto.

                                          Very truly yours,

ATTEST:                                   PHC OF MICHIGAN, INC.
(Seal)                                    a Massachusetts corporation


By:  ____________________________         By:  _________________________________
Name:                                     Name:
Title:                                    Title:




sideltr2.phc


<PAGE>
Exhibit 10.107




                             EMPLOYMENT AGREEMENT

      THIS  EMPLOYMENT  AGREEMENT  is made and entered into as of this 1st day
of January,  1997,  with an effective  date of January 1, 1997, by and between
PSYCHIATRIC & COUNSELING  ASSOCIATES OF ROANOKE,  INC., a Virginia corporation
(hereinafter  referred to as  "Employer"),  and MUKESH PATEL M.D., a physician
licensed to practice  medicine in the  Commonwealth  of Virginia  (hereinafter
referred to as ("Dr. Patel").

                             W I T N E S S E T H:

      WHEREAS,  Employer is a Virginia  corporation which renders professional
psychiatric  counseling  services  through  employees who are duly licensed to
practice medicine in the Commonwealth of Virginia;

      WHEREAS,  Employer is a wholly-owned subsidiary of Pioneer Healthcare of
Virginia, Inc., a Virginia corporation  ("Pioneer"),  which is in the business
of owning and operating mental health  inpatient  facilities as well as mental
health   counseling   professional   practices,   and   providing   consulting
administrative  and other  support  services  to  medical  practices  with the
necessary  facilities,   equipment,   non-physician  personnel,  supplies  and
non-physician support staff services;

      WHEREAS  Dr.  Patel  desires to be  employed  by Employer so that he may
devote  his  best  efforts  on a  concentrated  and  continuous  basis  to the
rendering of medical services to patients; and

      WHEREAS,  Employer desires to employ Dr. Patel, and Dr. Patel desires to
be employed by Employer, on the terms and conditions provided herein.

      NOW THEREFORE,  in  consideration  of the mutual  promises and covenants
herein  contained,  as well as the  initial sum of Twenty  Five  Thousand  and
00/100  Dollars  ($25,000.00)  to be  paid  on  the  effective  date  of  this
Agreement for Dr.  Patel's  agreement  not to compete in  accordance  with the
provisions of Section 5 herein, the parties agree as follows:

1.    Employment

      1.1 Engagement and Acceptance.  Employer hereby  employs,  engages,  and
hires Dr.  Patel,  and Dr.  Patel  hereby  accepts and agrees to such  hiring,
engagement,  and  employment,  to  render  medical  services  exclusively  for
Employer to patients of  Employer.  Dr. Patel agrees to perform all duties and
services  in  accordance  with all  policies  and  procedures  established  by
Employer,  all  federal,  state  and  local  laws  and  ordinances,   and  all
applicable rules of professional conduct.

      1.2   Licensure.  Dr. Patel shall, as of the date of this Agreement,  be
licensed to practice  medicine in the  Commonwealth  of Virginia  and shall be
certified  by the  American  Board of  Psychiatry  and  Neurology,  and shall,
throughout the term of this Agreement,  maintain his license and privileges to
render medical services in the Commonwealth of Virginia.

      1.3   Duties.  During  the  term  of this  Agreement,  Dr.  Patel  shall
perform  such  duties as may be assigned  to Dr.  Patel by Employer  and/or by
Pioneer  from  time to  time  including,  but  not  limited  to  those  duties
described  herein.  Dr. Patel shall, as part of his duties,  provide  clinical
and  administrative  services at the offices of Employer and/or at Mount Regis
Center (the  "Center"),  including,  but not limited to service as the Medical
Director of Center,  in accord with the rules and  regulations  of the Center,
or at  such  other  locations  as may be  designated  from  time  to  time  by
Employer, at reasonable times to be set by Employer, exclusively.

            a.    Dr.  Patel's  duties shall  include the provision of on call
coverage 24 hours a day on a rotational basis pursuant to a coverage  schedule
to be set  by  Employer.  Dr.  Patel  shall  perform  such  duties  under  the
supervision and direction of the President of Employer.

            b.    The  duties of Dr.  Patel  will be varied and may range from
direct care,  including  treatment of inpatients  and  partially  hospitalized
patients at the Center,  or  outpatients  at the offices of Employer,  or at a
site  designated by Employer,  as described  herein,  to providing  medication
reviews.  psychiatric  evaluations  and  supervision  at  community  agencies.
Marketing  arid  administrative  duties  may also be part of the duties of Dr.
Patel.

      1.4   Equipment  and  Material.  Employer  shall  supply to Dr Patel all
equipment and materials  which Dr. Patel deems to be necessary for performance
of  his  duties   hereunder,   which  are   customary   in  the  clinical  and
administrative  practice of psychiatry.  All equipment and materials  provided
Dr. Patel shall belong to Employer.

      1.5   Exclusive   Employment.   Dr.  Patel,  during  the  term  of  this
agreement.  will not,  without the express prior  written  consent of Employer
(or Pioneer if applicable)  accept employment or practice medicine at a health
care  facility  or in a health  care  setting  other  than at the  offices  of
Employer  or at the Center or at such  other  locations  as may be  designated
from time to time by Employer.

      1.6   Medical  Standards.  During the term of this  Agreement  Dr, Patel
shall  use his best  efforts  in the  performance  of his  duties  under  this
Agreement  in  accordance  with the rules and  regulations  of Employer and of
the medical staff of the Center and the  applicable  standards for the medical
profession,  and all such service  shall be performed in  compliance  with all
federal, state and local laws, ordinances and regulations.

      1.7   Good  Standing.  Dr.  Patel shall at all times  during the term of
this Agreement:

            a.    Be a member in good  standing  on the  medical  staff of the
Center  with  appropriate  privileges  in  Psychiatry,  or any other  hospital
designated by Employer;

            b.    Be board  certified  in  Psychiatry  or be eligible  for and
actively pursuing such certification; and

            c.    Be, and remain,  a  participating  provider in the  Medicare
and  Medicaid  programs  (Titles  XVIII and XIX of the  Social  Security  Act,
respectively),  and with any managed care program with which  Employer  and/or
the Center is now or hereafter becomes affiliated.

      1.8   Staff  Privileges.  This  Agreement  is  not  and  should  not  be
construed as any form of  guarantee  or assurance  that Dr. Patel will receive
necessary  medical  staff  membership or privileges at the Center for purposes
of  discharging  his   responsibilities   hereunder,   and  the   application,
appointment,  reappointment  and granting of such privileges shall be governed
solely by the Medical  Staff  Bylaws of the Center then in effect.  Dr.  Patel
represents  and  warrants,  that he  possesses  the  professional  skills  and
training necessary to perform the services which he is to perform hereunder.

      1.9  Applicable   Rules  and   Regulations.   Dr.  Patel  shall  provide
services  under  this  Agreement  in  accordance  with all  quality  standards
established,  from  time to time by the  Employer  and by the  Center  for its
medical staff and in compliance  with all  applicable  statutes,  regulations,
rules,   and  directives  of  federal,   state  and  other   governmental  and
regulatory  bodies having  jurisdiction  over the Employer and/or Center;  the
Bylaws, rules and regulations of the Center and its medical staff,  applicable
standards   of  the  Joint   Commission   on   Accreditation   of   Healthcare
Organizations;  the rules, regulations and requirements of third party payors;
and current  accepted and approved  methods and  practices  applicable  to the
practice of Psychiatry.

      1.10  Loss of Privileges or Licensure.

            (a)   Should Dr.  Patel's  license  to  practice  medicine  in the
Commonwealth of Virginia, be suspended,  revoked or canceled,  then, effective
as of the date of the suspension,  revocation or cancellation of such license,
Employer may terminate this Agreement, effective immediately.

            (b)   Should Dr. Patel's  medical staff  privileges on the medical
staff  of  the  Center  be  restricted  or  made  subject  to  supervision  in
accordance with the applicable medical staff bylaws,  rules and regulations or
comparable  rules,  regulations,  or policies  applicable  to the  practice of
physicians,  then Dr. Patel may continue to render services  hereunder only in
accordance  with such  restriction or supervision as approved by Employer.  If
Employer  determines,  in  its  sole  discretion,   that  imposition  of  such
restriction or supervision of Dr. Patel's privileges  unreasonably  interferes
with the performance of Dr. Patel's duties under this Agreement,  Employer may
terminate this Agreement, effective immediately.

      1.11  Peer  Review.  Dr.  Patel  shall  participate  in such  department
meetings,  quality  management and other peer review activities as required by
Employer and/or the Center.

      1.12  Maintenance of Skills.  Throughout the term of this agreement,  Dr
Patel   agrees  to  maintain   his   professional   skills  as   evidenced  by
participation in appropriate  continuing medical education activities and will
maintain good standing in  professional  associations.  Employer shall provide
Dr. Patel with an annual amount of Two Thousand  ($2,000.00)  Dollars per year
for the purpose of deferring the cost of continuing medical  education,  which
may only be used for events,  seminars,  etc. with the prior express  approval
of Employer.  Any expenses in excess of the annual allowance shall be borne by
Dr. Patel.

      1.13  Administrative  Duties.  During  the term of this  Agreement,  Dr.
Patel shall  perform  such duties as may be assigned to Dr.  Patel by Employer
and/or Pioneer from time to time  including,  but not limited to, those duties
described below. Dr. Patel shall, as part of his duties,  provide clinical and
administrative  services  at the Center or at such other  locations  as may be
designated  from time to time by Employer.  The performance of such duties may
require  travel and may also require Dr, Patel to be directly  involved in the
development  of marketing and business  development  strategies in conjunction
with certain administrative  employees of the Employer and/or Pioneer.  Except
with regard to duties  assigned by Pioneer,  Dr. Patel shall  perform all such
administrative  duties under the supervision and direction of the President of
Employer.  All medical  decisions  relative  to patient  care shall be made by
Dr. Patel and shall be in  accordance  with  appropriate  standards of medical
practice.   All   expenses   incurred  by  Dr.   Patel  in  carrying  out  the
administrative/marketing  duties  assigned  to him  during  the  term  of this
Agreement  shall be paid  directly or reimbursed by the Employer or Pioneer as
appropriate.

      1.14  Full  Time and Best  Efforts.  During  the term of this  Agreement
Dr.  Patel  shall be  employed  full time by  Employer  and shall use his best
efforts in the  performance  of his duties  under this  Agreement.  Dr.  Patel
acknowledges  that  the  obligations  incumbent  upon  Dr.  Patel  under  this
Agreement  shall  constitute  the primary  claim upon his  professional  time,
effort,  energy and skill and agrees to undertake no additional  professional.
obligations  without  obtaining the prior written  consent of the President of
Employer.

      1.15  Assignment.  Employer  shall,  in the name of and on behalf of Dr,
Patel, bill patients,  insurance  companies and other  third-party  payers and
collect the  professional  fees for  medical  services  rendered by Dr.  Patel
under the terms of this agreement.  Dr. Patel hereby appoints Employer for the
term of this  Agreement to be his true and lawful  attorney  in-fact,  for the
following  purposes.  (i) to bill  patients,  insurance  companies  and  other
third-party  payers in Dr.  Patel's  name and on his  behalf;  (ii) to collect
accounts  receivable  resulting  from such billing in Dr.  Patel's name and on
his behalf;  (iii) to receive on behalf of Dr. Patel  payments from  insurance
companies,  prepayments from health care plans,  reimbursements  from Medicare
and Medicaid,  and all other  third-party  payments from insurance  companies;
(iv) to take  possession  of and  endorse in the name of Dr.  Patel any notes,
checks,  money orders,  insurance payments,  and other instruments received in
payment of accounts  receivable;  and (v) to initiate the institution of legal
proceedings  in the name of Dr.  Patel to collect any accounts and monies owed
to Dr.  Patel,  to  enforce  the  rights of Dr.  Patel as  creditor  under any
contract or in connection  with the  rendering of any service,  and to contest
adjustments   and  denials  by   governmental   agencies   (or  their   fiscal
intermediaries)  as third-party  payers.  All monies shall be accounted for by
Employer as being directly  attributable  to Dr. Patel.  Dr. Patel may perform
the  functions  or exercise the rights set forth in this Section only with the
consent of Employer.  Dr. Patel shall  execute a Power of Attorney in form and
substance  acceptable to the parties hereto in connection  with the rights and
powers  granted to Employer  pursuant  to Section 2. Dr Patel shall  cooperate
with and at the request of Employer  shall  provide  reasonable  assistance to
Employer  with the  functions  set forth  herein.  In the  performance  of the
services  described  in  this  Section  1,  Employer  shall  use  commercially
reasonable  efforts to collect  such  professional  fees and shall comply with
all managed care contracts and all applicable laws, rules and regulations.

      1.16  Records and Reports.  Dr. Patel shall complete  medical records in
a timely and legible  fashion as required  by  applicable  laws and in keeping
with generally accepted standards of record keeping and documentation,  and as
required  by third  party  payors  to permit  billing  for and  collection  of
revenues for professional  services  rendered,  and shall maintain and furnish
Employer  with  such  records,   reports  and  documentation   evidencing  the
performance of Dr.  Patel's  duties  hereunder as may be requested by Employer
in accordance with applicable law.

2.    Obligations of Employer.

      2.1   Overall  Function.  Employer  shall  provide or  arrange  for such
services and  amenities  as are  necessary or  appropriate  for the  efficient
medical  practice of Dr.  Patel  pursuant to this  Agreement.  Employer  shall
comply, and shall use its best efforts to cause its employees to comply,  with
all applicable  federal,  state and local laws,  rules and  regulations in its
provision or services hereunder.

      2.2   General Administrative Services.

            a.    Employer  shall provide  management  and  administration  of
non-physician  services relating to the medical practice of Dr. Patel, subject
to matters  reserved for Dr. Patel. Dr. Patel  acknowledges  that a purpose of
this Agreement is to relieve Dr. Patel to the maximum  extent  possible of the
administrative,  accounting,  purchasing,  non-physician  personnel, and other
aspects of his practice.  Except as may be otherwise agreed to by the parties,
Employer agrees that Dr. Patel,  and only Dr. Patel,  will perform the medical
functions  of his  practice.  Employer  shall have no  authority  directly  or
indirectly,  to perform or supervise  and shall not perform or  supervise  any
medical function  performed by Dr. Patel.  Employer may,  however,  advise Dr.
Patel as to the relationship  between his performance of medical functions and
the overall  administrative  and business  functions of his  practice,  to the
extent permitted by applicable law.

            b.    Employer shall supply to Dr. Patel the ordinary,  necessary,
and appropriate  services for the efficient operation of Dr. Patel's practice,
including without  limitation,  necessary  clerical,  accounting,  purchasing,
payroll,  legal,  bookkeeping and computer services,  information  management,
printing, postage and duplication services and medical transcribing services;

            c.  Employer  shall  maintain  all files and  records  relating to
the medical  practice of Dr Patel,  including but not limited to,  accounting,
billing,  collection,  and  financial  records and  patient  files and medical
records.  The  management  of all  files and  records  shall  comply  with all
applicable federal, state and local statutes and regulations,  and all patient
files  and  medical  records  shall  be  located  so  that  they  are  readily
accessible  for patient  care,  consistent  with ordinary  records  management
practices.  Dr.  Patel  shall  supervise  the  preparation  of, and direct the
contents of, patient medical records,  all of which shall remain  confidential
in accordance  with  applicable  laws and  regulations.  All original  patient
records  shall be and remain the property of Employer,  subject to  applicable
Virginia law.

            d.    Employer  shall take such legal and  appropriate  actions in
the name of and on behalf of Dr Patel as are required to collect  professional
fees and pay in a timely  manner  all  expenses  associated  with Dr.  Patel's
medical practice,  which are the responsibility of Employer,  pursuant to this
Agreement,  except as otherwise  agreed in writing  between  Employer arid Dr.
Patel.

            e.    Employer  shall  distribute  to Dr  Patel  compensation  and
other  amounts due to him  pursuant to this  Agreement  upon such terms and at
such times as are provided in Section 3 hereof.

            f.    Employer  shall not refer a patient  for  Designated  Health
Services  as defined in 42 U.S.C.  1395  ("Stark")  to or provide  Designated
Health  Services  to a patient  upon a referral  from an entity or person with
which  the   physician  or  an  immediate   family   member  has  a  financial
relationship other than as permitted by exceptions set forth in Stark.

      2.3   Facilities.

            a.    Premises.  Employer shall make available to Dr. Patel within
Employer's  offices  and at the  Center,  an  office  in  which  to  practice.
Provided.  that in the event that  Employer's  rights to use any such premises
shall  terminate,  Employer  shall  use its  best  efforts  to  provide  other
suitable  premises  to be used  by Dr.  Patel.  Employer  shall  maintain  the
premises  and make all  necessary  repairs  thereto.  Dr.  Patel shall use and
occupy the premises provided to him by Employer or the Center  exclusively for
the practice of medicine  and for  providing  other  related  services.  It is
expressly  acknowledged  by the  parties  hereto  that  the  medical  practice
conducted  by Dr.  Patel shall be  conducted  solely by Dr.  Patel.  Dr. Patel
shall be solely and  exclusively  in control of all aspects of the practice of
medicine and the delivery of medical services at the Center.  The rendition of
all therapy,  the  prescription of medicine and drugs, and the supervision and
preparation of medical reports shall be the sole responsibility of Dr. Patel.

            b.    Personal  Property.  Employer  shall  provide Dr. Patel with
the use of the equipment,  furniture,  fixtures, furnishing and other personal
property  acquired by Employer for the use of Dr. Patel  pursuant to the terms
hereof (the "Personal  Property").  Employer shall, at all times, maintain the
Personal Property in good condition.

            2.4   Inventory  and Supplies.  Employer  shall order and purchase
inventory  and supplies,  and such other  ordinary,  necessary or  appropriate
materials which arc necessary to the practice of Dr. Patel.

            2.5   Advertising and Public Relations.  With the consultation and
prior  consent of Dr.  Patel,  Employer  shall  implement  (and  design  where
requested) any appropriate  local public  relations or advertising  program on
behalf of Dr.  Patel,  with  appropriate  emphasis on public  awareness of the
availability  of Dr. Patel's  services,  as Employer deems  appropriate in its
sole and absolute  discretion.  Employer  shall also design and  implement all
national  or other  non-local  public  relations  or  advertising  programs on
behalf of Dr. Patel,  as Employer with Dr. Patel's  consultation  and consent,
deems  appropriate.  The parties  hereto agree that all public  relations  and
advertising   programs  shall  be  conducted  in  compliance  with  applicable
standards of medical ethics, laws, and regulations.

            2.6   Personnel.  Employer,  as Employer deems  appropriate in its
sole  and  absolute   discretion,   shall  provide  professional  support  and
administrative,  clerical,  secretarial,  bookkeeping and collection personnel
as reasonably  necessary for the efficient  conduct of Dr.  Patel's  practice.
Such personnel  shall be employees of Employer,  and Employer shall  determine
and cause to be paid the salaries and benefits of all such  personnel.  If Dr.
Patel is  dissatisfied  with the  services of any such  personnel  who provide
services   primarily  for  Dr.  Patel,   Dr.  Patel  shall  consult  with  the
appropriate  administrator  of  Employer,  and  Employer  shall in good  faith
determine  whether  the  performance  of that  employee  could be  brought  to
acceptable  levels through  counsel and  assistance,  or whether such employee
should be  re-assigned or  terminated,  Employer  shall  maintain  established
working  relationships  whenever possible and Employer shall make every effort
consistent  with sound  business  practices to honor the specific  requests of
Dr. Patel with regard to the assignment of Employer's employees.

            2.7   Quality  Assurance.  Employer  shall  assist  Dr.  Patel  as
required  in  fulfilling  his  professional  obligation  to  his  patients  to
maintain  a high  quality  of  medical  and  professional  services.  Employer
recognizes  and  respects  the  professional  capabilities  of Dr.  Patel  and
acknowledges  that nothing in this Agreement is intended to interfere with the
exercise of Dr. Patel's independent professional medical judgment.

      3.    Compensation.

            3.1  Annual Remuneration.

            (a)   For services  rendered during the term of this Agreement and
any renewals thereof,  Dr. Patel shall be paid an annual salary which shall be
payable in bi-weekly  installments  during each calendar month, in accord with
Employer's standard payroll practice.

                  (1)   During  the  first  year  that  this  Agreement  is in
effect,  Dr.  Patel  shall  be paid for  services  rendered  pursuant  to this
Agreement  an annual  salary in the  amount of Two  Hundred  Thousand  Dollars
($200,000.00).

                  (2)   For each  subsequent  year that this  Agreement  is in
effect and during any renewal  thereof,  the annual  salary paid to Dr.  Patel
shall be as described in Exhibit 3.1, or any amendment thereto.


      3.2  Services  Performed  for  Pioneer.   Any  additional   professional
duties or services  performed  for or provided by Dr.  Patel to Pioneer or any
affiliates  (other than Employer) that is not directly  related to Dr. Patel's
responsibilities,  during the term of this  Agreement,  or any renewal thereof
shall be valued on a daily basis at Dr.  Patel's then  current,  average daily
collections  and shall be  credited  towards  the amount of Joint  Collections
for the year during which such services were  performed or provided as if they
were fully collected  professional  fees. It is agreed that for the first year
of this Agreement,  the value of Dr. Patel's average daily  collections is One
Thousand  ($1,000.00)  Dollars.  It is  further  agreed  that the value of Dr.
Patel's average daily  collections for the second year of this Agreement,  and
forward,  will be Dr. Patel's actual  average daily  collections  for the year
prior.

      3.3   Bonus  Compensation.  In addition to the base annual  compensation
to be paid  pursuant  to  subparagraph  3.1,  Dr.  Patel  shall be entitled to
receive  reasonable  bonus  compensation  in  such  amounts  as the  Board  of
Directors of Employer may determine from. time to time in its sole discretion.

      3.4         Fringe  Benefits.  Employer  shall  provide  Dr.  Patel with
those benefits  which are set forth on Schedule 3.4, which is attached  hereto
and incorporated herein by reference.  In addition,  Employer shall provide to
Dr. Patel professional  liability insurance coverage in the amount of at least
One  Million  Dollars  ($1,000,000.00)  for each  occurrence  with a per annum
aggregate of at least Three Million Dollars ($3,000,000.00).  Upon termination
of Dr.  Patel's  employment for any reason,  with or without  cause,  Employer
shall obtain and maintain a professional  liability  insurance policy covering
any acts,  errors,  omissions of Dr. Patel  occurring  prior to the  effective
date of termination of Dr. Patel's  employment.  The policy  obtained shall be
in the nature of "tail"  insurance  coverage for both Dr. Patel and  Employer,
in that it shall cover acts,  errors and  omissions  during the term of the Dr
Patel's  employment  with  Employer.  The  policy  shall  be  obtained  from a
commercial  insurer doing business in the Commonwealth of Virginia  reasonably
satisfactory  to Dr. Patel,  and shall contain minimum limits of liability per
occurrence  and in the  aggregate  in  amounts  not less  than the  limits  of
liability of the professional  liability  insurance  covering Dr. Patel during
the policy period immediately preceding the termination of his employment.

      4.    Term and Termination.

            4.1   Term.  This  Agreement  shall commence on the date set forth
hereinabove  and shall be and remain in effect for an initial term of five (5)
years.  Thereafter this Agreement shall automatically renew for successive one
(1) year  terms  upon the same  terms and  conditions  hereof  unless  written
notice of  intent  not to renew is given by either  party in  accordance  with
Section 4.2 hereinbelow.

            4.2   Voluntary  Termination.  Either  party  may  terminate  this
Agreement  by giving at least one  hundred  twenty  (120) days  prior  written
notice to the other party,  which notice shall specify the effective  date for
such  termination.  In the  event  Employer  shall  elect  to  terminate  this
Agreement  during  its  term  without  cause,  or Dr.  Patel  shall  elect  to
terminate  this  Agreement  during  its term for cause,  then the  non-compete
provisions of Section 5 shall not apply.

            4.3   Termination for Cause.  Either party shall have the right to
terminate  this  Agreement for cause by giving at least thirty (30) days prior
written  notice to the other  party,  which  notice  shall state the cause and
specify the effective date of such termination.

            a.    Employer.  For  Employer,   "cause"  shall  include  without
limitation  (i) a  material  breach  by Dr.  Patel  of any of his  obligations
hereunder   or  (ii)  other  good   cause   determined   after  a  good  faith
investigation  relating  solely to  patient  care or Dr.  Patel's  ability  to
render  services,  the  existence  of which  shall be a matter  for the  final
judgment of Employer in conjunction with the President of Pioneer.

            b.    Dr.  Patel.  For Dr  Patel  "cause"  shall  include  without
limitation a material breach by Employer of any of its  obligations  hereunder
or a material breach by Pioneer of any of its  obligations  under that certain
Stock  Exchange  Agreement by and between Dr Patel and Pioneer  dated  January
17, 1997.

            4.4   Immediate  Termination  by Employer.  Employer may terminate
this Agreement for cause,  such  termination to be effective  immediately upon
provision of notice thereof to Dr. Patel,  if Dr. Patel's  license to practice
medicine in the Commonwealth of Virginia is revoked, suspended,  terminated or
restricted,  or if Dr.  Patel's  credentials  at Mt. Regis Center are revoked,
suspended, terminated or restricted.

      5.    Non-Compete.  During the term of this  Agreement  and for a period
of three (3) years after the  termination  of this  Agreement  by Employer for
cause or by Dr. Patel without cause,  Dr. Patel shall not, for himself or as a
representative,  agent, partner,  stockholder,  independent contractor,  joint
venturer or otherwise:

            a.    engage,  directly  or  indirectly,  in the  same or  similar
business as  Employer or any of its  affiliated  companies,  which  relates to
providing  professional  medical  services  through  employees  who  are  duly
licensed  to  practice  medicine  in the  Commonwealth  of  Virginia  within a
twenty-five (25) mile radius of the offices of Employer or the Center,  or any
other  facility  acquired or started by Employer or an  affiliate,  during the
term of this Agreement or any renewals thereof;

            b.    solicit,  directly or  indirectly,  any  patients  receiving
treatment  from  employees of Employer  during the term of this  Agreement who
are  considered  to be active  patients of Employer at the time,  for services
similar  to or of the  same  nature  as those  provided  by  Employer,  or any
facility acquired or started by Employer, or an affiliate,  during the term of
this Agreement;

            c.    solicit  or  induce  any  employee  of  Employer,  Center or
affiliate  to  terminate  his or her  position  with the  Employer,  Center or
affiliate; or

            d.    request,   counsel  or  otherwise   advise  any  patient  of
Employer and/or the Center to curtail,  cancel or withdraw from treatment with
the  Employer  and/or  the  Center,  or any  facility  acquired  or started by
Employer, or an affiliate,  other than as may be required for the best medical
interests of the  patient,  as  determined  in the  independent,  professional
judgment of Dr.  Patel in  rendering  appropriate  care and  treatment  to the
patient.

      For  purposes  of  this  Agreement,   "patients:  shall  be  defined  as
individuals for whom Employer and/or the Center,  or any facility  acquired or
started by Employer,  or an affiliate,  presently  existing or which may exist
upon the termination of this Agreement provided  professional  services in the
ordinary course of its business.  In addition,  the term "affiliate"  shall be
defined as any entity  possessing  or  controlling  interest in Employer,  any
entity  owned by Employer or any other  entities  in which  Employer's  parent
corporation may have a controlling interest

      6.    Notices.  Any notice  permitted or required to be given  hereunder
shall be deemed  properly  given when sent by  registered  or certified  mail,
postage pre-paid, return receipt requested, as follows:
      If to Employer, to:                 Bruce Shear
                                    President
                                    PHC, Inc.
                                    200 Lake Street
                                    Peabody, MA 01960

      With a copy to:                     Philip Cwagenberg, Esq.
                                    Ishbia & Gagleard, P.C.
                                    251 Merrill, Second Floor
                                    Birmingham, Mi 48009

      If  to  Dr. Patel:                        Dr. M. Patel

                                    Roanoke, Virginia

      With a copy to:                     W. William Gust, Esq.
                                    Gentry Locke Rakes & Moore
                                    10 Franklin Road, SE, Suite 800
                                    P.O. Box 40013
                                    Roanoke, VA 24038-0013

or such other person or address as either  party may  designate by notice duly
given.

      7.    Compliance  with  Applicable  Law. It is the parties  intention to
comply  in  all  respects  with  provisions  of  applicable  laws,  rules  and
regulations  governing the health services  industry.  Accordingly,  Dr, Patel
agrees  that he  shall  not,  and he  shall  not  permit  physician  employees
supervised  by him to  refer  patients  of  Dr.  Patel  to  Employer  for  the
furnishing  of  Designated  Health  Services  except  as may be  permitted  by
applicable  exemptions or safe harbors or as otherwise  permitted under Stark,
In such cases of prohibited referrals,  Dr. Patel and Employer shall cooperate
to cause any  prescription  for a Designated  Health  Service to bear a legend
stating  such  prescription  shall  not be filled by  Employer  and Dr.  Patel
shall,  and shall cause any physician  employees to,  instruct the patient not
to have such  prescription  filled by Employer or any wholly owned  subsidiary
of  Employer.   Employer  shall  not  fill  any   prescription   bearing  such
restrictive  legend  placed by Dr. Patel and shall use its best efforts not to
furnish  any  Designated  Health  Services  to  patients  of Dr.  Patel or any
physician  employee,  except as permitted  by  applicable  exemptions  or safe
harbors or as otherwise permitted under Stark.

      8.    Indemnification.

            a.    Employer shall  indemnify and hold harmless Dr. Patel to the
maximum extent  permitted by Virginia law during and after  termination of his
employment hereunder against all judgments,  settlement  payments,  costs, and
expenses (including  reasonable attorney's fees) and other reasonable expenses
incurred by Dr, Patel in  connection  with the defense of any action,  suit or
proceeding  arising  from  events  during  or  subsequent  to the  term of Dr.
Patel's  employment  to  which  he  has  been  made  a  party  because  of the
performance of his duties under this Agreement.

            b.    Dr. Patel shall indemnify and hold harmless  Employer to the
maximum extent  permitted by Virginia law during and after  termination of his
employment  hereunder against all judgments,  settlement  payments,  costs and
expenses  (including  reasonable  attorney fees) and other reasonable expenses
incurred  by Employer in  connection  with the defense of any action,  suit or
proceeding  arising from events prior to the term of Dr. Patel's employment to
which Employer has been made a party because of the  performance of Employer's
duties under this Agreement,  or because of Employer's  relationship  with, or
status with, Dr. Patel. The foregoing  notwithstanding,  nothing  contained in
this  Subsection b shall impair Dr.  Patel's rights to  indemnification  under
any  collateral  or  pre-existing   agreement  with  Pioneer  or  any  of  its
affiliates,  other than  Employer,  for  services  rendered  on behalf of such
entity or entities.

      9.    Assignment.   Assignment   by  either   party  of  any  rights  or
obligations  under this  Agreement is expressly  prohibited  without the prior
written consent of the party whose rights and obligations are to be assigned.

      10.   Severability.   Should  any   provision   of  this   Agreement  or
application  thereof be held invalid or  unenforceable,  the remainder of this
Agreement   shall  not  be  affected  and  shall  continue  to  be  valid  and
enforceable  to the  fullest  extent  permitted  by law  unless to do so would
defeat the purpose of this Agreement.

      12.   Waiver. The failure by a party at any time to require  performance
of any  provision  of this  Agreement  shall not  constitute  a waiver of such
provision   and  shall  not   affect  the  right  of  such  party  to  require
performance at a later time.

      13.   Confidentiality.  It is the  intention  of Employer  and Dr. Patel
that the confidential  information of Employer, as hereinafter defined,  shall
remain the sole and  exclusive  property of  Employer.  Dr.  Patel agrees that
during the term of this  Agreement and upon the  termination of this Agreement
for any  reason,  he shall  keep in strict  confidence  all such  confidential
information.  Dr Patel agrees that he shall not, directly or indirectly,  use,
publish,  communicate,  divulge or disclose  to any person or business  entity
any confidential  information or assist any third parties in doing so, without
the prior written consent of Employer.

      For  purposes of this  Agreement,  "confidential  information"  shall be
defined as the Employer's  proprietary  information or information which, from
the  circumstances,  in good  faith  and  conscience,  should  be  treated  as
confidential,  which includes,  but is not limited to,  information  regarding
Employer's  trade secrets,  prices,  costs,  charges,  patient lists, or other
information  regarding  the  Employer's  business  affairs which Dr. Patel may
acquire in connection with,  incident to, or as a result of the performance of
his duties under this Agreement.

      Confidential   information  shall  not  include  information  which  (I)
becomes  generally  available  to  the  public  other  than  as  a  result  of
disclosure  by  Dr.  Patel  (ii)  was  legally  available  to Dr.  Patel  on a
non-confidential  basis prior to its disclosure by Employer;  or (iii) becomes
legally  available  to Dr.  Patel on a  non-confidential  basis  from a source
other  than   Employer,   provided   that  such  source  is  not  bound  by  a
confidentiality or similar agreement.

      In the event that Dr. Patel shall become  legally  compelled to disclose
all or part of the  confidential  information,  Dr Patel  agrees  to  promptly
notify  Employer,  in writing,  of such  situation so that Employer may seek a
protective order or other appropriate  remedy and/or waive compliance with the
provisions  of this  Agreement.  In such  instance,  Dr.  Patel agrees that he
shall only reveal that  portion of the  confidential  information  which he is
legally  required  to  reveal  and  obtain   reasonable   assurance  that  the
confidential   information  will  be  treated  by  the  recipient  thereof  as
confidential.

      Dr.  Patel  agrees,  upon demand by  Employer,  to  promptly  return all
confidential  information  which  has  been  furnished  to him and all  copies
thereof.  Dr. Patel further agrees that he shall,  upon request from Employer,
destroy all material,  notes and other work product  related in any way to the
confidential information.

      14.   Amendment.   This   Agreement,   along  with  the  Stock  Exchange
Agreement  of  January  17,  1997,   represent   the  entire   agreement   and
understanding  between the parties with respect to the subject  matter  hereof
and may not be amended except by the written agreement of the parties.

      15.   Governing Law. This  Agreement  shall be governed by and construed
in accordance with the laws of the Commonwealth of Virginia.

      16.   Counterparts.  This  Agreement  may be  executed  it,  two or more
counterparts,  each of which  shall be  deemed  an  original  but all of which
shall constitute one and the same instrument

      17.   Attorney's  Fees and Costs. In connection with any litigation with
respect to this Agreement,  the prevailing party, to the greatest quantifiable
extent,  shall be  entitled  to recover  its  expenses,  including  reasonable
attorneys'  fees and costs,  in  connection  with such  litigation,  including
appellate proceedings and post-judgment proceedings.

      18.   Post-Employment  Responsibilities.  Upon Dr.  Patel's  termination
of employment with Employer,  and  notwithstanding  anything contained in this
Agreement  to the  contrary,  the  parties  agree as follows  relative  to the
post-employment responsibilities of the parties.

            a.    Upon  termination  of this  Agreement  for any  reason,  Dr.
Patel shall promptly surrender to Employer all assets,  belonging to Employer,
together with all goods, monies, receipts,  keys, documents,  credit cards and
other  written  documents  owned  by  or  pertaining  to  Employer,  presently
existing or which may exist upon the termination of this Agreement.

            b.    Dr.  Patel shall be  entitled to remove all of his  personal
belongings,  effects  and  property  which may be  located  at the  offices of
Employer or at the Center or which are in the  possession  of Employer  and/or
the  Center,  presently  existing or which may exist upon the  termination  of
this Agreement.






            IN WITNESS  WHEREOF,  the parties hereunto set their hands to this
Agreement as of the day and year first written above.



                                    PSYCHIATRIC & COUNSELING
                                    ASSOCIATES OF ROANOKE, INC

 
                                    By:_____________________________
                                    Title:____________________________



                                    ________________________________
                                    MUKESH PATEL, M.D.




<PAGE>

                                


                             EMPLOYMENT AGREEMENT

      THIS  EMPLOYMENT  AGREEMENT  is made and entered into as of this 1st day
of January,  1997,  with an effective  date of January 1, 1997, by and between
PSYCHIATRIC & COUNSELING  ASSOCIATES OF ROANOKE,  INC., a Virginia corporation
(hereinafter referred to as "Employer"),  and HIMANSHU PATEL M.D., a physician
licensed to practice  medicine in the  Commonwealth  of Virginia  (hereinafter
referred to as "Dr. Patel").

                             W I T N E S S E T H:

      WHEREAS,  Employer is a Virginia  corporation which renders professional
psychiatric  counseling  services  through  employees who are duly licensed to
practice medicine in the Commonwealth of Virginia;

      WHEREAS,  Employer is a wholly-owned subsidiary of Pioneer Healthcare of
Virginia, Inc., a Virginia corporation  ("Pioneer"),  which is in the business
of owning and operating mental health  inpatient  facilities as well as mental
health   counseling   professional   practices,   and   providing   consulting
administrative  and other  support  services  to  medical  practices  with the
necessary  facilities,   equipment,   non-physician  personnel,  supplies  and
non-physician support staff services;

      WHEREAS  Dr.  Patel  desires to be  employed  by Employer so that he may
devote  his  best  efforts  on a  concentrated  and  continuous  basis  to the
rendering of medical services to patients; and

      WHEREAS,  Employer desires to employ Dr. Patel, and Dr. Patel desires to
be employed by Employer, on the terms and conditions provided herein.

      NOW THEREFORE,  in  consideration  of the mutual  promises and covenants
herein  contained,  as well as the  initial sum of Twenty  Five  Thousand  and
00/100  Dollars  ($25,000.00)  to be  paid  on  the  effective  date  of  this
Agreement for Dr.  Patel's  agreement  not to compete in  accordance  with the
provisions of Section 5 herein, the parties agree as follows:

1.    Employment

      1.1 Engagement and Acceptance.  Employer hereby  employs,  engages,  and
hires Dr.  Patel,  and Dr.  Patel  hereby  accepts and agrees to such  hiring,
engagement,  and  employment,  to  render  medical  services  exclusively  for
Employer to patients of  Employer.  Dr. Patel agrees to perform all duties and
services  in  accordance  with all  policies  and  procedures  established  by
Employer,  all  federal,  state  and  local  laws  and  ordinances,   and  all
applicable rules of professional conduct.

      1.2   Licensure.  Dr. Patel shall, as of the date of this Agreement,  be
licensed to practice  medicine in the  Commonwealth  of Virginia  and shall be
certified  by the  American  Board of  Psychiatry  and  Neurology,  and shall,
throughout the term of this Agreement,  maintain his license and privileges to
render medical services in the Commonwealth of Virginia.

      1.3   Duties.  During  the  term  of this  Agreement,  Dr.  Patel  shall
perform  such  duties as may be assigned  to Dr.  Patel by Employer  and/or by
Pioneer  from  time to  time  including,  but  not  limited  to  those  duties
described  herein.  Dr. Patel shall, as part of his duties,  provide  clinical
and  administrative  services at the offices of Employer and/or at Mount Regis
Center (the  "Center"),  including,  but not limited to service as the Medical
Director of Employer's  outpatient  clinics, or at such other locations as may
be designated from time to time by Employer,  at reasonable times to be set by
Employer, exclusively.

            a.    Dr.  Patel's  duties shall  include the provision of on call
coverage 24 hours a day on a rotational basis pursuant to a coverage  schedule
to be set  by  Employer.  Dr.  Patel  shall  perform  such  duties  under  the
supervision and direction of the President of Employer.

            b.    The  duties of Dr.  Patel  will be varied and may range from
direct care,  including  treatment of inpatients  and  partially  hospitalized
patients at the Center,  or  outpatients  at the offices of Employer,  or at a
site  designated by Employer,  as described  herein,  to providing  medication
reviews.  psychiatric  evaluations  and  supervision  at  community  agencies.
Marketing  arid  administrative  duties  may also be part of the duties of Dr.
Patel.

      1.4   Equipment  and  Material.  Employer  shall  supply to Dr Patel all
equipment and materials  which Dr. Patel deems to be necessary for performance
of  his  duties   hereunder,   which  are   customary   in  the  clinical  and
administrative  practice of psychiatry.  All equipment and materials  provided
Dr. Patel shall belong to Employer.

      1.5   Exclusive   Employment.   Dr.  Patel,  during  the  term  of  this
agreement.  will not,  without the express prior  written  consent of Employer
(or Pioneer if applicable)  accept employment or practice medicine at a health
care  facility  or in a health  care  setting  other  than at the  offices  of
Employer  or at the Center or at such  other  locations  as may be  designated
from time to time by Employer.

      1.6   Medical  Standards.  During the term of this  Agreement  Dr, Patel
shall  use his best  efforts  in the  performance  of his  duties  under  this
Agreement  in  accordance  with the rules and  regulations  of Employer and of
the medical staff of the Center and the  applicable  standards for the medical
profession,  and all such service  shall be performed in  compliance  with all
federal, state and local laws, ordinances and regulations.

      1.7   Good  Standing.  Dr.  Patel shall at all times  during the term of
this Agreement:

            a.    Be a member in good  standing  on the  medical  staff of the
Center  with  appropriate  privileges  in  Psychiatry,  or any other  hospital
designated by Employer;

            b.    Be board  certified  in  Psychiatry  or be eligible  for and
actively pursuing such certification; and

            c.    Be, and remain,  a  participating  provider in the  Medicare
and  Medicaid  programs  (Titles  XVIII and XIX of the  Social  Security  Act,
respectively),  and with any managed care program with which  Employer  and/or
the Center is now or hereafter becomes affiliated.

      1.8   Staff  Privileges.  This  Agreement  is  not  and  should  not  be
construed as any form of  guarantee  or assurance  that Dr. Patel will receive
necessary  medical  staff  membership or privileges at the Center for purposes
of  discharging  his   responsibilities   hereunder,   and  the   application,
appointment,  reappointment  and granting of such privileges shall be governed
solely by the Medical  Staff  Bylaws of the Center then in effect.  Dr.  Patel
represents  and  warrants,  that he  possesses  the  professional  skills  and
training necessary to perform the services which he is to perform hereunder.

      1.9  Applicable   Rules  and   Regulations.   Dr.  Patel  shall  provide
services  under  this  Agreement  in  accordance  with all  quality  standards
established,  from  time to time by the  Employer  and by the  Center  for its
medical staff and in compliance  with all  applicable  statutes,  regulations,
rules,   and  directives  of  federal,   state  and  other   governmental  and
regulatory  bodies having  jurisdiction  over the Employer and/or Center;  the
Bylaws, rules and regulations of the Center and its medical staff,  applicable
standards   of  the  Joint   Commission   on   Accreditation   of   Healthcare
Organizations;  the rules, regulations and requirements of third party payors;
and current  accepted and approved  methods and  practices  applicable  to the
practice of Psychiatry.

      1.10  Loss of Privileges or Licensure.

            (a)   Should Dr.  Patel's  license  to  practice  medicine  in the
Commonwealth of Virginia, be suspended,  revoked or canceled,  then, effective
as of the date of the suspension,  revocation or cancellation of such license,
Employer may terminate this Agreement, effective immediately.

            (b)   Should Dr. Patel's  medical staff  privileges on the medical
staff  of  the  Center  be  restricted  or  made  subject  to  supervision  in
accordance with the applicable medical staff bylaws,  rules and regulations or
comparable  rules,  regulations,  or policies  applicable  to the  practice of
physicians,  then Dr. Patel may continue to render services  hereunder only in
accordance  with such  restriction or supervision as approved by Employer.  If
Employer  determines,  in  its  sole  discretion,   that  imposition  of  such
restriction or supervision of Dr. Patel's privileges  unreasonably  interferes
with the performance of Dr. Patel's duties under this Agreement,  Employer may
terminate this Agreement, effective immediately.

      1.11  Peer  Review.  Dr.  Patel  shall  participate  in such  department
meetings,  quality  management and other peer review activities as required by
Employer and/or the Center.

      1.12  Maintenance of Skills.  Throughout the term of this agreement,  Dr
Patel   agrees  to  maintain   his   professional   skills  as   evidenced  by
participation in appropriate  continuing medical education activities and will
maintain good standing in  professional  associations.  Employer shall provide
Dr. Patel with an annual amount of Two Thousand  ($2,000.00)  Dollars per year
for the purpose of deferring the cost of continuing medical  education,  which
may only be used for events,  seminars,  etc. with the prior express  approval
of Employer.  Any expenses in excess of the annual allowance shall be borne by
Dr. Patel.

      1.13  Administrative  Duties.  During  the term of this  Agreement,  Dr.
Patel shall  perform  such duties as may be assigned to Dr.  Patel by Employer
and/or Pioneer from time to time  including,  but not limited to, those duties
described below. Dr. Patel shall, as part of his duties,  provide clinical and
administrative  services  at the Center or at such other  locations  as may be
designated  from time to time by Employer.  The performance of such duties may
require  travel and may also require Dr, Patel to be directly  involved in the
development  of marketing and business  development  strategies in conjunction
with certain administrative  employees of the Employer and/or Pioneer.  Except
with regard to duties  assigned by Pioneer,  Dr. Patel shall  perform all such
administrative  duties under the supervision and direction of the President of
Employer.  All medical  decisions  relative  to patient  care shall be made by
Dr. Patel and shall be in  accordance  with  appropriate  standards of medical
practice.   All   expenses   incurred  by  Dr.   Patel  in  carrying  out  the
administrative/marketing  duties  assigned  to him  during  the  term  of this
Agreement  shall be paid  directly or reimbursed by the Employer or Pioneer as
appropriate.

      1.14  Full Time and Best Efforts.  During the term of this Agreement Dr.
Patel shall be employed  full time by Employer  and shall use his best efforts
in the performance of his duties under this Agreement.  Dr. Patel acknowledges
that the  obligations  incumbent  upon Dr.  Patel under this  Agreement  shall
constitute the primary claim upon his professional  time,  effort,  energy and
skill and agrees to undertake no additional professional.  obligations without
obtaining the prior written consent of the President of Employer.

      1.15  Assignment.  Employer  shall,  in the name of and on behalf of Dr,
Patel, bill patients,  insurance  companies and other  third-party  payers and
collect the  professional  fees for  medical  services  rendered by Dr.  Patel
under the terms of this agreement.  Dr. Patel hereby appoints Employer for the
term of this  Agreement to be his true and lawful  attorney  in-fact,  for the
following  purposes.  (i) to bill  patients,  insurance  companies  and  other
third-party  payers in Dr.  Patel's  name and on his  behalf;  (ii) to collect
accounts  receivable  resulting  from such billing in Dr.  Patel's name and on
his behalf;  (iii) to receive on behalf of Dr. Patel  payments from  insurance
companies,  prepayments from health care plans,  reimbursements  from Medicare
and Medicaid,  and all other  third-party  payments from insurance  companies;
(iv) to take  possession  of and  endorse in the name of Dr.  Patel any notes,
checks,  money orders,  insurance payments,  and other instruments received in
payment of accounts  receivable;  and (v) to initiate the institution of legal
proceedings  in the name of Dr.  Patel to collect any accounts and monies owed
to Dr.  Patel,  to  enforce  the  rights of Dr.  Patel as  creditor  under any
contract or in connection  with the  rendering of any service,  and to contest
adjustments   and  denials  by   governmental   agencies   (or  their   fiscal
intermediaries)  as third-party  payers.  All monies shall be accounted for by
Employer as being directly  attributable  to Dr. Patel.  Dr. Patel may perform
the  functions  or exercise the rights set forth in this Section only with the
consent of Employer.  Dr. Patel shall  execute a Power of Attorney in form and
substance  acceptable to the parties hereto in connection  with the rights and
powers  granted to Employer  pursuant  to Section 2. Dr Patel shall  cooperate
with and at the request of Employer  shall  provide  reasonable  assistance to
Employer  with the  functions  set forth  herein.  In the  performance  of the
services  described  in  this  Section  1,  Employer  shall  use  commercially
reasonable  efforts to collect  such  professional  fees and shall comply with
all managed care contracts and all applicable laws, rules and regulations.

      1.16  Records and Reports.  Dr. Patel shall complete  medical records in
a timely and legible  fashion as required  by  applicable  laws and in keeping
with generally accepted standards of record keeping and documentation,  and as
required  by third  party  payors  to permit  billing  for and  collection  of
revenues for professional  services  rendered,  and shall maintain and furnish
Employer  with  such  records,   reports  and  documentation   evidencing  the
performance of Dr.  Patel's  duties  hereunder as may be requested by Employer
in accordance with applicable law.

2.    Obligations of Employer.

      2.1   Overall  Function.  Employer  shall  provide or  arrange  for such
services and  amenities  as are  necessary or  appropriate  for the  efficient
medical  practice of Dr.  Patel  pursuant to this  Agreement.  Employer  shall
comply, and shall use its best efforts to cause its employees to comply,  with
all applicable  federal,  state and local laws,  rules and  regulations in its
provision or services hereunder.

      2.2   General Administrative Services.

            a.    Employer  shall provide  management  and  administration  of
non-physician  services relating to the medical practice of Dr. Patel, subject
to matters  reserved for Dr. Patel. Dr. Patel  acknowledges  that a purpose of
this Agreement is to relieve Dr. Patel to the maximum  extent  possible of the
administrative,  accounting,  purchasing,  non-physician  personnel, and other
aspects of his practice.  Except as may be otherwise agreed to by the parties,
Employer agrees that Dr. Patel,  and only Dr. Patel,  will perform the medical
functions  of his  practice.  Employer  shall have no  authority  directly  or
indirectly,  to perform or supervise  and shall not perform or  supervise  any
medical function  performed by Dr. Patel.  Employer may,  however,  advise Dr.
Patel as to the relationship  between his performance of medical functions and
the overall  administrative  and business  functions of his  practice,  to the
extent permitted by applicable law.

            b.    Employer shall supply to Dr. Patel the ordinary,  necessary,
and appropriate  services for the efficient operation of Dr. Patel's practice,
including without  limitation,  necessary  clerical,  accounting,  purchasing,
payroll,  legal,  bookkeeping and computer services,  information  management,
printing, postage and duplication services and medical transcribing services;

            c.  Employer  shall  maintain  all files and  records  relating to
the medical  practice of Dr Patel,  including but not limited to,  accounting,
billing,  collection,  and  financial  records and  patient  files and medical
records.  The  management  of all  files and  records  shall  comply  with all
applicable federal, state and local statutes and regulations,  and all patient
files  and  medical  records  shall  be  located  so  that  they  are  readily
accessible  for patient  care,  consistent  with ordinary  records  management
practices.  Dr.  Patel  shall  supervise  the  preparation  of, and direct the
contents of, patient medical records,  all of which shall remain  confidential
in accordance  with  applicable  laws and  regulations.  All original  patient
records  shall be and remain the property of Employer,  subject to  applicable
Virginia law.

            d.    Employer  shall take such legal and  appropriate  actions in
the name of and on behalf of Dr Patel as are required to collect  professional
fees and pay in a timely  manner  all  expenses  associated  with Dr.  Patel's
medical practice,  which are the responsibility of Employer,  pursuant to this
Agreement,  except as otherwise  agreed in writing  between  Employer arid Dr.
Patel.

            e.    Employer  shall  distribute  to Dr  Patel  compensation  and
other  amounts due to him  pursuant to this  Agreement  upon such terms and at
such times as are provided in Section 3 hereof.

            f.    Employer  shall not refer a patient  for  Designated  Health
Services  as defined in 42 U.S.C.  1395  ("Stark")  to or provide  Designated
Health  Services  to a patient  upon a referral  from an entity or person with
which  the   physician  or  an  immediate   family   member  has  a  financial
relationship other than as permitted by exceptions set forth in Stark.

      2.3   Facilities.

            a.    Premises.  Employer shall make available to Dr. Patel within
Employer's  offices  and at the  Center,  an  office  in  which  to  practice.
Provided.  that in the event that  Employer's  rights to use any such premises
shall  terminate,  Employer  shall  use its  best  efforts  to  provide  other
suitable  premises  to be used  by Dr.  Patel.  Employer  shall  maintain  the
premises  and make all  necessary  repairs  thereto.  Dr.  Patel shall use and
occupy the premises provided to him by Employer or the Center  exclusively for
the practice of medicine  and for  providing  other  related  services.  It is
expressly  acknowledged  by the  parties  hereto  that  the  medical  practice
conducted  by Dr.  Patel shall be  conducted  solely by Dr.  Patel.  Dr. Patel
shall be solely and  exclusively  in control of all aspects of the practice of
medicine and the delivery of medical services at the Center.  The rendition of
all therapy,  the  prescription of medicine and drugs, and the supervision and
preparation of medical reports shall be the sole responsibility of Dr. Patel.

            b.    Personal  Property.  Employer  shall  provide Dr. Patel with
the use of the equipment,  furniture,  fixtures, furnishing and other personal
property  acquired by Employer for the use of Dr. Patel  pursuant to the terms
hereof (the "Personal  Property").  Employer shall, at all times, maintain the
Personal Property in good condition.

            2.4   Inventory  and Supplies.  Employer  shall order and purchase
inventory  and supplies,  and such other  ordinary,  necessary or  appropriate
materials which arc necessary to the practice of Dr. Patel.

            2.5   Advertising and Public Relations.  With the consultation and
prior  consent of Dr.  Patel,  Employer  shall  implement  (and  design  where
requested) any appropriate  local public  relations or advertising  program on
behalf of Dr.  Patel,  with  appropriate  emphasis on public  awareness of the
availability  of Dr. Patel's  services,  as Employer deems  appropriate in its
sole and absolute  discretion.  Employer  shall also design and  implement all
national  or other  non-local  public  relations  or  advertising  programs on
behalf of Dr. Patel,  as Employer with Dr. Patel's  consultation  and consent,
deems  appropriate.  The parties  hereto agree that all public  relations  and
advertising   programs  shall  be  conducted  in  compliance  with  applicable
standards of medical ethics, laws, and regulations.

            2.6   Personnel.  Employer,  as Employer deems  appropriate in its
sole  and  absolute   discretion,   shall  provide  professional  support  and
administrative,  clerical,  secretarial,  bookkeeping and collection personnel
as reasonably  necessary for the efficient  conduct of Dr.  Patel's  practice.
Such personnel  shall be employees of Employer,  and Employer shall  determine
and cause to be paid the salaries and benefits of all such  personnel.  If Dr.
Patel is  dissatisfied  with the  services of any such  personnel  who provide
services   primarily  for  Dr.  Patel,   Dr.  Patel  shall  consult  with  the
appropriate  administrator  of  Employer,  and  Employer  shall in good  faith
determine  whether  the  performance  of that  employee  could be  brought  to
acceptable  levels through  counsel and  assistance,  or whether such employee
should be  re-assigned or  terminated,  Employer  shall  maintain  established
working  relationships  whenever possible and Employer shall make every effort
consistent  with sound  business  practices to honor the specific  requests of
Dr. Patel with regard to the assignment of Employer's employees.

            2.7   Quality  Assurance.  Employer  shall  assist  Dr.  Patel  as
required  in  fulfilling  his  professional  obligation  to  his  patients  to
maintain  a high  quality  of  medical  and  professional  services.  Employer
recognizes  and  respects  the  professional  capabilities  of Dr.  Patel  and
acknowledges  that nothing in this Agreement is intended to interfere with the
exercise of Dr. Patel's independent professional medical judgment.

      3.    Compensation.

            3.1  Annual Remuneration.

            (a)   For services  rendered during the term of this Agreement and
any renewals thereof,  Dr. Patel shall be paid an annual salary which shall be
payable in bi-weekly  installments  during each calendar month, in accord with
Employer's standard payroll practice.

                  (1)   During  the  first  year  that  this  Agreement  is in
effect,  Dr.  Patel  shall  be paid for  services  rendered  pursuant  to this
Agreement  an annual  salary in the  amount of Two  Hundred  Thousand  Dollars
($200,000.00).

                  (2)   For each  subsequent  year that this  Agreement  is in
effect and during any renewal  thereof,  the annual  salary paid to Dr.  Patel
shall be as described in Exhibit 3.1, or any amendment thereto.


      3.2  Services  Performed  for  Pioneer.   Any  additional   professional
duties or services  performed  for or provided by Dr.  Patel to Pioneer or any
affiliates  (other than Employer) that is not directly  related to Dr. Patel's
responsibilities,  during the term of this  Agreement,  or any renewal thereof
shall be valued on a daily basis at Dr.  Patel's then  current,  average daily
collections  and shall be  credited  towards  the amount of Joint  Collections
for the year during which such services were  performed or provided as if they
were fully collected  professional  fees. It is agreed that for the first year
of this Agreement,  the value of Dr. Patel's average daily  collections is One
Thousand  ($1,000.00)  Dollars.  It is  further  agreed  that the value of Dr.
Patel's average daily  collections for the second year of this Agreement,  and
forward,  will be Dr. Patel's actual  average daily  collections  for the year
prior.

      3.3   Bonus  Compensation.  In addition to the base annual  compensation
to be paid  pursuant  to  subparagraph  3.1,  Dr.  Patel  shall be entitled to
receive  reasonable  bonus  compensation  in  such  amounts  as the  Board  of
Directors of Employer may determine from. time to time in its sole discretion.

      3.4         Fringe  Benefits.  Employer  shall  provide  Dr.  Patel with
those benefits  which are set forth on Schedule 3.4, which is attached  hereto
and incorporated herein by reference.  In addition,  Employer shall provide to
Dr. Patel professional  liability insurance coverage in the amount of at least
One  Million  Dollars  ($1,000,000.00)  for each  occurrence  with a per annum
aggregate of at least Three Million Dollars ($3,000,000.00).  Upon termination
of Dr.  Patel's  employment for any reason,  with or without  cause,  Employer
shall obtain and maintain a professional  liability  insurance policy covering
any acts,  errors,  omissions of Dr. Patel  occurring  prior to the  effective
date of termination of Dr. Patel's  employment.  The policy  obtained shall be
in the nature of "tail"  insurance  coverage for both Dr. Patel and  Employer,
in that it shall cover acts,  errors and  omissions  during the term of the Dr
Patel's  employment  with  Employer.  The  policy  shall  be  obtained  from a
commercial  insurer doing business in the Commonwealth of Virginia  reasonably
satisfactory  to Dr. Patel,  and shall contain minimum limits of liability per
occurrence  and in the  aggregate  in  amounts  not less  than the  limits  of
liability of the professional  liability  insurance  covering Dr. Patel during
the policy period immediately preceding the termination of his employment.

      4.    Term and Termination.

            4.1   Term.  This  Agreement  shall commence on the date set forth
hereinabove  and shall be and remain in effect for an initial term of five (5)
years.  Thereafter this Agreement shall automatically renew for successive one
(1) year  terms  upon the same  terms and  conditions  hereof  unless  written
notice of  intent  not to renew is given by either  party in  accordance  with
Section 4.2 hereinbelow.

            4.2   Voluntary  Termination.  Either  party  may  terminate  this
Agreement  by giving at least one  hundred  twenty  (120) days  prior  written
notice to the other party,  which notice shall specify the effective  date for
such  termination.  In the  event  Employer  shall  elect  to  terminate  this
Agreement  during  its  term  without  cause,  or Dr.  Patel  shall  elect  to
terminate  this  Agreement  during  its term for cause,  then the  non-compete
provisions of Section 5 shall not apply.

            4.3   Termination for Cause.  Either party shall have the right to
terminate  this  Agreement for cause by giving at least thirty (30) days prior
written  notice to the other  party,  which  notice  shall state the cause and
specify the effective date of such termination.

            a.    Employer.  For  Employer,   "cause"  shall  include  without
limitation  (I) a  material  breach  by Dr.  Patel  of any of his  obligations
hereunder   or  (ii)  other  good   cause   determined   after  a  good  faith
investigation  relating  solely to  patient  care or Dr.  Patel's  ability  to
render  services,  the  existence  of which  shall be a matter  for the  final
judgment of Employer in conjunction with the President of Pioneer.

            b.    Dr.  Patel.  For Dr  Patel  "cause"  shall  include  without
limitation a material breach by Employer of any of its  obligations  hereunder
or a material breach by Pioneer of any of its  obligations  under that certain
Stock Exchange  Agreement by and between Dr Patel and Pioneer dated January 1,
1997.

            4.4   Immediate  Termination  by Employer.  Employer may terminate
this Agreement for cause,  such  termination to be effective  immediately upon
provision of notice thereof to Dr. Patel,  if Dr. Patel's  license to practice
medicine in the Commonwealth of Virginia is revoked, suspended,  terminated or
restricted,  or if Dr.  Patel's  credentials  at Mt. Regis Center are revoked,
suspended, terminated or restricted.

      5.    Non-Compete.  During the term of this  Agreement  and for a period
of three (3) years after the  termination  of this  Agreement  by Employer for
cause or by Dr. Patel without cause,  Dr. Patel shall not, for himself or as a
representative,  agent, partner,  stockholder,  independent contractor,  joint
venturer or otherwise:

            a.    engage,  directly  or  indirectly,  in the  same or  similar
business as  Employer or any of its  affiliated  companies,  which  relates to
providing  professional  medical  services  through  employees  who  are  duly
licensed  to  practice  medicine  in the  Commonwealth  of  Virginia  within a
twenty-five (25) mile radius of the offices of Employer or the Center,  or any
other  facility  acquired or started by Employer or an  affiliate,  during the
term of this Agreement or any renewals thereof;

            b.    solicit,  directly or  indirectly,  any  patients  receiving
treatment  from  employees of Employer  during the term of this  Agreement who
are  considered  to be active  patients of Employer at the time,  for services
similar  to or of the  same  nature  as those  provided  by  Employer,  or any
facility acquired or started by Employer, or an affiliate,  during the term of
this Agreement;

            c.    solicit  or  induce  any  employee  of  Employer,  Center or
affiliate  to  terminate  his or her  position  with the  Employer,  Center or
affiliate; or

            d.    request,   counsel  or  otherwise   advise  any  patient  of
Employer and/or the Center to curtail,  cancel or withdraw from treatment with
the  Employer  and/or  the  Center,  or any  facility  acquired  or started by
Employer, or an affiliate,  other than as may be required for the best medical
interests of the  patient,  as  determined  in the  independent,  professional
judgment of Dr.  Patel in  rendering  appropriate  care and  treatment  to the
patient.

      For  purposes  of  this  Agreement,   "patients:  shall  be  defined  as
individuals for whom Employer and/or the Center,  or any facility  acquired or
started by Employer,  or an affiliate,  presently  existing or which may exist
upon the termination of this Agreement provided  professional  services in the
ordinary course of its business.  In addition,  the term "affiliate"  shall be
defined as any entity  possessing  or  controlling  interest in Employer,  any
entity  owned by Employer or any other  entities  in which  Employer's  parent
corporation may have a controlling interest

      6.    Notices.  Any notice  permitted or required to be given  hereunder
shall be deemed  properly  given when sent by  registered  or certified  mail,
postage pre-paid, return receipt requested, as follows:
      If to Employer, to:                 Bruce Shear
                                    President
                                    PHC, Inc.
                                    200 Lake Street
                                    Peabody, MA 01960

      With a copy to:                     Philip Cwagenberg, Esq.
                                    Ishbia & Gagleard, P.C.
                                    251 Merrill, Second Floor
                                    Birmingham, Mi 48009


      If to Dr. Patel:                    Dr. M. Patel

                                    Roanoke, Virginia

      With a copy to:                     W. William Gust, Esq.
                                    Gentry Locke Rakes & Moore
                                    10 Franklin Road, SE, Suite 800
                                    P.O. Box 40013
                                    Roanoke, VA 24038-0013

or such other person or address as either  party may  designate by notice duly
given.

      7.    Compliance  with  Applicable  Law. It is the parties  intention to
comply  in  all  respects  with  provisions  of  applicable  laws,  rules  and
regulations  governing the health services  industry.  Accordingly,  Dr, Patel
agrees  that he  shall  not,  and he  shall  not  permit  physician  employees
supervised  by him to  refer  patients  of  Dr.  Patel  to  Employer  for  the
furnishing  of  Designated  Health  Services  except  as may be  permitted  by
applicable  exemptions or safe harbors or as otherwise  permitted under Stark,
In such cases of prohibited referrals,  Dr. Patel and Employer shall cooperate
to cause any  prescription  for a Designated  Health  Service to bear a legend
stating  such  prescription  shall  not be filled by  Employer  and Dr.  Patel
shall,  and shall cause any physician  employees to,  instruct the patient not
to have such  prescription  filled by Employer or any wholly owned  subsidiary
of  Employer.   Employer  shall  not  fill  any   prescription   bearing  such
restrictive  legend  placed by Dr. Patel and shall use its best efforts not to
furnish  any  Designated  Health  Services  to  patients  of Dr.  Patel or any
physician  employee,  except as permitted  by  applicable  exemptions  or safe
harbors or as otherwise permitted under Stark.

      8.    Indemnification.

            a.    Employer shall  indemnify and hold harmless Dr. Patel to the
maximum extent  permitted by Virginia law during and after  termination of his
employment hereunder against all judgments,  settlement  payments,  costs, and
expenses (including  reasonable attorney's fees) and other reasonable expenses
incurred by Dr, Patel in  connection  with the defense of any action,  suit or
proceeding  arising  from  events  during  or  subsequent  to the  term of Dr.
Patel's  employment  to  which  he  has  been  made  a  party  because  of the
performance of his duties under this Agreement.

            b.    Dr. Patel shall indemnify and hold harmless  Employer to the
maximum extent  permitted by Virginia law during and after  termination of his
employment  hereunder against all judgments,  settlement  payments,  costs and
expenses  (including  reasonable  attorney fees) and other reasonable expenses
incurred  by Employer in  connection  with the defense of any action,  suit or
proceeding  arising from events prior to the term of Dr. Patel's employment to
which Employer has been made a party because of the  performance of Employer's
duties under this Agreement,  or because of Employer's  relationship  with, or
status with, Dr. Patel. The foregoing  notwithstanding,  nothing  contained in
this  Subsection b shall impair Dr.  Patel's rights to  indemnification  under
any  collateral  or  pre-existing   agreement  with  Pioneer  or  any  of  its
affiliates,  other than  Employer,  for  services  rendered  on behalf of such
entity or entities.

      9.    Assignment.   Assignment   by  either   party  of  any  rights  or
obligations  under this  Agreement is expressly  prohibited  without the prior
written consent of the party whose rights and obligations are to be assigned.

      10.   Severability.   Should  any   provision   of  this   Agreement  or
application  thereof be held invalid or  unenforceable,  the remainder of this
Agreement   shall  not  be  affected  and  shall  continue  to  be  valid  and
enforceable  to the  fullest  extent  permitted  by law  unless to do so would
defeat the purpose of this Agreement.

      12.   Waiver. The failure by a party at any time to require  performance
of any  provision  of this  Agreement  shall not  constitute  a waiver of such
provision   and  shall  not   affect  the  right  of  such  party  to  require
performance at a later time.

      13.   Confidentiality.  It is the  intention  of Employer  and Dr. Patel
that the confidential  information of Employer, as hereinafter defined,  shall
remain the sole and  exclusive  property of  Employer.  Dr.  Patel agrees that
during the term of this  Agreement and upon the  termination of this Agreement
for any  reason,  he shall  keep in strict  confidence  all such  confidential
information.  Dr Patel agrees that he shall not, directly or indirectly,  use,
publish,  communicate,  divulge or disclose  to any person or business  entity
any confidential  information or assist any third parties in doing so, without
the prior written consent of Employer.

      For  purposes of this  Agreement,  "confidential  information"  shall be
defined as the Employer's  proprietary  information or information which, from
the  circumstances,  in good  faith  and  conscience,  should  be  treated  as
confidential,  which includes,  but is not limited to,  information  regarding
Employer's  trade secrets,  prices,  costs,  charges,  patient lists, or other
information  regarding  the  Employer's  business  affairs which Dr. Patel may
acquire in connection with,  incident to, or as a result of the performance of
his duties under this Agreement.

      Confidential   information  shall  not  include  information  which  (I)
becomes  generally  available  to  the  public  other  than  as  a  result  of
disclosure  by  Dr.  Patel  (ii)  was  legally  available  to Dr.  Patel  on a
non-confidential  basis prior to its disclosure by Employer;  or (iii) becomes
legally  available  to Dr.  Patel on a  non-confidential  basis  from a source
other  than   Employer,   provided   that  such  source  is  not  bound  by  a
confidentiality or similar agreement.

      In the event that Dr. Patel shall become  legally  compelled to disclose
all or part of the  confidential  information,  Dr Patel  agrees  to  promptly
notify  Employer,  in writing,  of such  situation so that Employer may seek a
protective order or other appropriate  remedy and/or waive compliance with the
provisions  of this  Agreement.  In such  instance,  Dr.  Patel agrees that he
shall only reveal that  portion of the  confidential  information  which he is
legally  required  to  reveal  and  obtain   reasonable   assurance  that  the
confidential   information  will  be  treated  by  the  recipient  thereof  as
confidential.
      Dr.  Patel  agrees,  upon demand by  Employer,  to  promptly  return all
confidential  information  which  has  been  furnished  to him and all  copies
thereof.  Dr. Patel further agrees that he shall,  upon request from Employer,
destroy all material,  notes and other work product  related in any way to the
confidential information.

      14.   Amendment.   This   Agreement,   along  with  the  Stock  Exchange
Agreement   of  January  1,  1997,   represent   the  entire   agreement   and
understanding  between the parties with respect to the subject  matter  hereof
and may not be amended except by the written agreement of the parties.

      15.   Governing Law. This  Agreement  shall be governed by and construed
in accordance with the laws of the Commonwealth of Virginia.

      16.   Counterparts.  This  Agreement  may be  executed  it,  two or more
counterparts,  each of which  shall be  deemed  an  original  but all of which
shall constitute one and the same instrument

      17.   Attorney's  Fees and Costs. In connection with any litigation with
respect to this Agreement,  the prevailing party, to the greatest quantifiable
extent,  shall be  entitled  to recover  its  expenses,  including  reasonable
attorneys'  fees and costs,  in  connection  with such  litigation,  including
appellate proceedings and post-judgment proceedings.

      18.   Post-Employment  Responsibilities.  Upon Dr.  Patel's  termination
of employment with Employer,  and  notwithstanding  anything contained in this
Agreement  to the  contrary,  the  parties  agree as follows  relative  to the
post-employment responsibilities of the parties.

            a.    Upon  termination  of this  Agreement  for any  reason,  Dr.
Patel shall promptly surrender to Employer all assets,  belonging to Employer,
together with all goods, monies, receipts,  keys, documents,  credit cards and
other  written  documents  owned  by  or  pertaining  to  Employer,  presently
existing or which may exist upon the termination of this Agreement.

            b.    Dr.  Patel shall be  entitled to remove all of his  personal
belongings,  effects  and  property  which may be  located  at the  offices of
Employer or at the Center or which are in the  possession  of Employer  and/or
the  Center,  presently  existing or which may exist upon the  termination  of
this Agreement.

            IN WITNESS  WHEREOF,  the parties hereunto set their hands to this
Agreement as of the day and year first written above.


                                    PSYCHIATRIC & COUNSELING
                                    ASSOCIATES OF ROANOKE, INC

 
                                    By:_____________________________
                                    Title:____________________________



                                    ________________________________
                                    HIMANSHU PATEL, M.D.

F:\DATA\PIONEER\PATEL\EMPLOYME\HPATEL6.AGT


<PAGE>
 Exhibit 3.1

                               Salary Increases

      The parties hereto  acknowledge  and agree that annual salary  increases
are a function  to several  factors,  including  but not  limited  to, (1) the
joint collected  revenues from the clinical  practices of Dr. M. Patel and Dr.
H. Patel;  (2) the Joint Costs and Expenses  associated with supporting  those
practices as  determined by generally  accepted  accounting  principles;  and,
(3) agreed to minimum  requirements.  There are no annual salary  increases if
the joint  collected  revenues of Dr. M. Patel and Dr. H. Patel do not exceed,
jointly,  Five Hundred Thousand  ($500,000.00)  Dollars for the immediate past
contract year.
 
      If the joint  collections do exceed  $500,000.00  then the annual salary
increase is determined as:
   Joint Annual Increase = (Joint Collections) - (Joint Costs and Expenses)
                                      2

      By way of  example,  assume  that Joint  Collections  during year 1 were
$575,000.00.  Further,  assume that Joint  Practice  Costs and  Expenses  were
$480,000.00.  Then the year two combined salary increase would be:

                    $47,500 = ($575,000.00 - $480,000.00)
                                      2

      Dr. M. Patel and Dr. H. Patel  would  share,  equally,  in a  $47,500.00
joint salary  increase.  Payment per  physician  would be, as follows:  50% of
the joint increase in cash, in equal  installments as per Employer's  standard
payroll policy and 50% in PHC, Inc.  Common stock.  In year 2 Dr. M. Patel and
Dr. H.  Patel  would,  under  this  example,  each  have an  annual  salary of
$223,750.00.

      It is further  acknowledged  and agreed by the parties  that for any and
all amounts  earned by Dr. Patel,  payable in the form of Class A Common Stock
of PHC, Inc., payment of those shares will be as follows:

      (a)   Unrestricted  Common  Stock:  Payment to Dr.  Patel may be made in
the form of  unrestricted  shares of Class A Common Stock of PHC, Inc., in the
amounts  earned  per  Paragraph  3.1 of this  Agreement,  at the time that the
payment is earned.

      (b)   Restricted  Common Stock and Cash:  If Employer,  or its parent or
affiliate,  is unable to issue  unrestricted  PHC, Inc., Class A Common Stock,
because none is  immediately  available  for transfer to Dr. Patel for payment
of the amounts earned under  Paragraph 3.1 of this  Agreement,  and PHC, Inc.,
will not be  registering  any  additional  shares of its Class A Common  Stock
prior to the time that Dr.  Patel is  required  by law to make any  income tax
payment for the amounts  earned under  Paragraph 3.1 of this  Agreement,  then
Employer will make payment to Dr. Patel by paying to the Dr. Patel:

            (1)    Fifty (50%)  percent of the amount  earned under  Paragraph
3.1 of this Agreement, in restricted Class A Common Stock of PHC, Inc., and,

            (2)   The fair  market  value,  as  determined  by the closing bid
price on the day that the  amounts  are  earned  under  Paragraph  3.1 of this
Agreement,  of fifty (50%)  percent of the number of shares Dr.  Patel  earned
under Paragraph 3.1 of this Agreement.


<PAGE>
                                   Exhibit 3.4

                                Fringe Benefits

      1.    Health  Insurance.  Fully  paid  major  medical  health  insurance
coverage for physician and immediate family members.

      2.    Dental Insurance.

      3.    Life  Insurance.  Employer  sponsored  policy  equal to one  times
salary, up to $50,000.00.

      4.    Vacation.

            (a)  Employee is  provided  with four (4) weeks and five (5) weeks
paid vacation time in alternating years.

            (b) In  addition  to the  vacation  described  above,  Employee is
granted one (1) week annually for continuing  medical  education  purposes per
Paragraph 1.12 of the Agreement.

      Prior to scheduling  any vacation  time or CME time,  Employee must seek
and obtain the  advanced  consent and approval of Employer as to the times and
date  scheduled  and as to clinical and  administrative  coverage for Employee
during his absence.  Employer will not  unreasonably  withhold its consent and
approval.  This  advance  approval  is in  addition  to any  advance  approval
necessary for CME, as per Paragraph 1.12 of the Agreement.

      5.    401K.  Non contributory plan administered by HRC-ARMCO.

      6.    Additional benefits.  Direct deposit,  section 125 cafeteria plan,
tuition assistance,  employee assistance program,  and employee stock purchase
plan.

      7.    Automobile   Allowance.   Monthly  payments  of  $250.00  cash  to
reimburse for use of personal automobile.




<PAGE>
Exhibit 10.108

                                PLAN OF MERGER
      THIS  PLAN OF  MERGER  made  and  entered  into as of this  ____  day of
January,  1997,  by and  between  PIONEER  COUNSELING  OF  VIRGINIA,  INC.,  a
Massachusetts    Corporation    (hereinafter   referred   to   as   "Surviving
Corporation")  and  PSYCHIATRIC & COUNSELING  ASSOCIATES  OF ROANOKE,  INC., a
Virginia Corporation (hereinafter referred to as "Psychiatric Associates").

                             W I T N E S S E T H:

      THAT  WHEREAS,  the Boards of Directors of  Psychiatric  Associates  and
Surviving  Corporation  have  resolved that  Psychiatric  Associates be merged
under and pursuant to the laws of the  Commonwealth of  Massachusetts  and the
Commonwealth of Virginia,  into a single  corporation  existing under the laws
of the Commonwealth of Massachusetts,  to-wit:  Surviving Corporation shall be
the surviving corporation with the transaction  qualifying as a reorganization
pursuant to the  provisions of Section  368(a)(1)(A)  of the Internal  Revenue
Code of 1986;

      WHEREAS,   the  authorized  capital  stock  of  Psychiatric   Associates
consists of Five  Thousand  (5,000)  shares of common  stock with no par value
per share (hereinafter referred to "Psychiatric  Associates Common Stock"), of
which One Hundred (100) shares are issued and outstanding;  WHEREAS,       the
authorized  capital  stock of  Surviving  Corporation  consists of Two Hundred
Thousand  (200,000) shares of common stock with a par value of one cent ($.01)
per share (hereinafter  referred to as "Surviving  Corporation Common Stock"),
_____________ (   ) shares of which are issued and outstanding; and

      WHEREAS,  the respective  Boards of Directors of Psychiatric  Associates
and  Surviving  Corporation  have  approved  the  merger  upon the  terms  and
conditions hereinafter set forth and have approved this Plan of Merger.

      NOW,  THEREFORE,  in  consideration  of  the  premises  and  the  mutual
agreements,  provisions  and covenants  contained  herein,  the parties hereto
hereby  agree in  accordance  with the  provisions  of the  Annotated  Laws of
Massachusetts   and  the  Virginia  Stock  Corporation  Act  that  Psychiatric
Associates  shall be, at the effective date (as  hereinafter  defined)  merged
(hereinafter  referred to as the "Merger") into a single corporation  existing
under the laws of the  Commonwealth of  Massachusetts  to-wit,  which shall be
the  Surviving  Corporation,  and the  parties  hereto  adopt and agree to the
following  agreements,  terms and  conditions  relating  to the Merger and the
method of carrying the same into effect.

      1.   Stockholders' Meetings; Filings; Effects of Merger.

      1.1.        Psychiatric Associates  Stockholders'  Meeting.  Psychiatric
Associates  shall call a meeting of its  stockholders to be held in accordance
with the  general  corporation  laws of the  Commonwealth  of  Virginia at the
earliest  permissible  date,  upon due notice thereof to its  stockholders  to
consider and vote upon, among other matters, adoption of this Plan of Merger.

      1.2.  Surviving    Corporation    Stockholders'    Meeting.    Surviving
Corporation  shall call a meeting of its stockholders to be held in accordance
with the general  corporation laws of the Commonwealth of Massachusetts at the
earliest  permissible  date,  upon due notice thereof to its  stockholders  to
consider  and  vote  upon,  among  other  matters,  adoption  of this  Plan of
Merger.

      1.3.  Filing of Articles of Merger;  Effective  Date.  To the extent (a)
this Plan of Merger is adopted by the  stockholders of Psychiatric  Associates
in  accordance  with the  Virginia  Stock  Corporations  Act, (b) this Plan of
Merger is adopted by the  stockholders of Surviving  Corporation in accordance
with the corporate laws of the  Commonwealth  of  Massachusetts,  and (c) this
Plan of Merger is not thereafter,  and has not theretofore been, terminated or
abandoned as  permitted  by the  provisions  hereof,  then  Articles of Merger
shall be filed and recorded with the Secretary of State of  Massachusetts  and
Virginia  State  Corporation   Commission  in  accordance  with  the  laws  of
Massachusetts  and Virginia.  Such filing shall be made on  approximately  the
same date.  The Merger shall  become  effective on the day of such filing with
the Secretary of State of  Massachusetts,  which date and time are hereinafter
referred to as the "Effective Date".

      1.4.  Effects of Merger.  On the Effective Date, the separate  existence
of Psychiatric  Associates  shall cease,  and Psychiatric  Associates shall be
merged into Surviving Corporation which, as the surviving  corporation,  shall
possess  all the rights,  privileges,  powers and  franchises,  of a public as
well as of a private nature,  and shall be subject to all of the restrictions,
disabilities,  and duties of Psychiatric Associates;  and all and singular the
rights,  privileges,  powers and franchises of Psychiatric Associates, and all
property,  real,  personal,  and  mixed,  and  all  debts  due to  Psychiatric
Associates on whatever account,  as well for stock subscriptions and all other
things and action or belonging to Psychiatric  Associates,  shall be vested in
the Surviving Corporation,  and all property, rights, privileges,  powers, and
franchises,   and  all  and  every  other  interest  shall  be  thereafter  as
effectually  the  property  of the  Surviving  Corporation  as  they  were  of
Psychiatric  Associates,  and the title to any real  estate  vested by deed or
otherwise,  under  the laws of the  Commonwealth  of  Virginia,  or any  other
jurisdiction,  in  Psychiatric  Associates,  shall not revert or be in any way
impaired,  but all  rights of  creditors  and all liens upon any  property  of
Psychiatric   Associates  shall  be  preserved  unimpaired,   and  all  debts,
liabilities,  and duties of Psychiatric Associates shall thenceforth attach to
the Surviving  Corporation  and may be enforced  against it to the same extent
as if said debts,  liabilities,  and duties had been incurred or contracted by
it. At any time,  or from time to time,  after the  Effective  Date,  the last
acting  officers of Psychiatric  Associates or the  corresponding  officers of
the Surviving Corporation,  may, in the name of Psychiatric Associates execute
and deliver all such proper deeds,  assignments and other instruments and take
or cause to be  taken  all such  further  or  other  action  as the  Surviving
Corporation  they deem  necessary or desirable in order to vest,  perfect,  or
confirm  in  the  Surviving   Corporation  title  to  and  possession  of  all
Psychiatric Associates's property,  rights,  privileges,  powers,  franchises,
immunities,  and  interests  and  otherwise  to carry out the purposes of this
Plan of Merger.

      2.    Name     of     Surviving     Corporation;     Articles     of    
Incorporation/By-Laws.

      2.1.  Name  of  Surviving   Corporation.   The  name  of  the  Surviving
Corporation  shall,  after  the  Effective  Date,  be  Pioneer  Counseling  of
Virginia, Inc.

      2.2.  Articles  of  Incorporation.  The  Articles  of  Incorporation  of
Surviving  Corporation  as in effect on the date  hereof  shall from and after
the Effective  Date be, and continue to be, the Articles of  Incorporation  of
the Surviving  Corporation  until changed or amended as provided by law except
with respect to the  amendment of the Articles of  Incorporation  necessary to
make the change set forth in Paragraph 2.1. hereinabove.

      2.3.  By-Laws.  The  By-Laws  of  Surviving  Corporation  as  in  effect
immediately  before the Effective Date,  shall be from and after the Effective
Date,  and  continue to be, the  By-Laws of the  Surviving  Corporation  until
amended as provided therein except with respect to any amendment  necessary to
reflect the change set forth in Paragraph 2.1 hereinabove.

      3.    Status  and  Conversion  of  Securities.  The  manner and basis of
converting the shares of the capital stock of  Psychiatric  Associates and the
nature and amount of securities of Surviving  Corporation which the holders of
shares of Psychiatric  Associates  Common Stock are to receive in exchange for
such shares are as follows:

      3.1.  Psychiatric  Associates  Common Stock.  Each share of  Psychiatric
Associates  Common  Stock  which shall be issued and  outstanding  immediately
before the  Effective  Date  shall,  by virtue of the Merger and  without  any
action on the part of the holder thereof,  be cancelled in the event that each
shareholder's  ownership  interest in  Surviving  Corporation  is identical to
that shareholder's  ownership interest in Psychiatric  Associates and, if not,
each share of  Psychiatric  Associates  Common Stock shall be converted at the
Effective  Date into one fully  paid  share of  Surviving  Corporation  Common
Stock,  and  outstanding  certificates   representing  shares  of  Psychiatric
Associates  Common  Stock  shall  thereafter  represent  shares  of  Surviving
Corporation  Common Stock.  Such  certificates may, but need not be, exchanged
by  the  holders  thereof  after  the  Merger  becomes   effective,   for  new
certificates  for the  appropriate  number of shares  bearing  the name of the
Surviving Corporation.

      3.2.  Surviving  Corporation  Common Stock.  All issued and  outstanding
shares of Surviving  Corporation  Common Stock shall,  by virtue of the Merger
and at the Effective  Date,  continue to remain  outstanding and in full force
and effect.

      4.    Further   Assurance  of  Title.  If  at  any  time  the  Surviving
Corporation  shall  consider  or  be  advised  that  any   acknowledgments  or
assurances  in law or other  similar  actions are  necessary  or  desirable in
order to  acknowledge  or  confirm  in and to  Surviving  Corporation  and any
right,  title, or interest that Psychiatric  Associates held immediately prior
to the Effective  Date,  Psychiatric  Associates  and its proper  officers and
directors  shall and will  execute and deliver  all such  acknowledgments  and
assurances  in law and do all things  necessary  or proper to  acknowledge  or
confirm such right, title, or interest that Surviving  Corporation may acquire
by virtue of the Merger as shall be  necessary  to carry out the  purposes  of
this Plan of Merger,  and Surviving  Corporation  and the proper  officers and
directors  thereof  are fully  authorized  to take any all such  action in the
name of Psychiatric Associates or otherwise.

      5.    Capital Accounting  Entries.  The Merger contemplated hereby shall
be treated as a pooling of  interests  and as of the  Effective  Date  entries
shall be made upon the books of Surviving  Corporation in accordance  with the
following:

            (a) The assets and  liabilities  of Psychiatric  Associates  shall
be  reported  at the  amounts  at  which  they  are  carried  on the  books of
Psychiatric Associates immediately prior to the Effective Date.

            (b) There  shall be  credited  to Capital  Account  the  aggregate
amount  of a par  value  per  share of all of the  common  stock of  Surviving
Corporation  resulting from the conversion of the outstanding common shares of
Psychiatric Associates.

            (c) There shall be credited to Capital  Surplus  Account an amount
equal  to  that  carried  on  the  Capital   Surplus  Account  of  Psychiatric
Associates immediately prior to the Effective Date.

            (d) There shall be credited  to Earned  Surplus  Account an amount
equal to that carried on the Earned Surplus Account of Psychiatric  Associates
immediately prior to the Effective Date.

      6.    Directors.  The names and  addresses  of the  first  directors  of
Surviving  Corporation  following the Effective Date, who shall be four (4) in
number  and who shall hold  office  from the  Effective  Date until the annual
meeting  of  the  shareholders  of  Surviving   Corporation  and  until  their
successors shall be elected and shall qualify, are as follows:

      Name                            Address

Donald E. Robar                     48 Burpee Hill
                                    New London, NH  03257

Gerald M. Perlow, MD                40 Atlantic Road
                                    Swampscott, MA  01907

Howard W. Phillips                  435 L'Ambiance #K706
                                    Longboat Key, FL  34228

Bruce A. Shear                      14 Ida Road
                                    Marblehead, MA  01945

      7.    Officers.   The  names  and  offices  of  the  first  officers  of
Surviving  Corporation following the Effective Date, who shall be three (3) in
number  and who  shall  hold  office  from  the  Effective  Date  until  their
successors  shall be appointed and shall qualify or until they shall resign or
be removed from office, are as follows:

       Name             Office

Bruce A. Shear                President

Donald E. Robar               Treasurer

Gerald M. Perlow, MD          Clerk


      8.    Termination/Modification.  This Plan of Merger  may be  terminated
and the proposed  Merger  abandoned at any time before the  Effective  Date of
the  Merger,  and whether  before or after  approval of this Plan of Merger by
the shareholders of either  Psychiatric  Associates or Surviving  Corporation,
if the  Board of  Directors  of  Psychiatric  Associates  or of the  Surviving
Corporation duly adopt a resolution abandoning this Plan of Merger.

      9.    Duplicate  Copies.  For the  convenience of the parties hereto and
to facilitate  the filing of this Plan of Merger,  any number of  counterparts
hereof may be  executed;  and each such  counterpart  shall be deemed to be an
original instrument.








<PAGE>




      IN WITNESS WHEREOF,  each of the corporate  parties hereto,  pursuant to
authority  duly granted by Board of Directors,  has caused this Plan of Merger
to be executed all on the date and year first above written.


                              PIONEER COUNSELING OF VIRGINIA, INC.



                              By:_______________________________
                              Bruce A. Shear
                              Its:     President   
ATTEST:

________________________________
Corporate Clerk

(SEAL)

                              PSYCHIATRIC & COUNSELING PSYCHIATRIC
                              ASSOCIATES OF ROANOKE, INC.


                              By:_______________________________
                              Mukesh Patel
                             Its:     President   
ATTEST:


__________________________________
Corporate Secretary

(SEAL)


<PAGE>



Exhibit 10.109

                                 PLAN OF MERGER
      THIS  PLAN OF  MERGER  made  and  entered  into as of this  ____  day of
January,  1997,  by and  between  PIONEER  COUNSELING  OF  VIRGINIA,  INC.,  a
Massachusetts    Corporation    (hereinafter   referred   to   as   "Surviving
Corporation")  and  PSYCHIATRIC & COUNSELING  ASSOCIATES  OF ROANOKE,  INC., a
Virginia Corporation (hereinafter referred to as "Psychiatric Associates").

                             W I T N E S S E T H:

      THAT  WHEREAS,  the Boards of Directors of  Psychiatric  Associates  and
Surviving  Corporation  have  resolved that  Psychiatric  Associates be merged
under and pursuant to the laws of the  Commonwealth of  Massachusetts  and the
Commonwealth of Virginia,  into a single  corporation  existing under the laws
of the Commonwealth of Massachusetts,  to-wit:  Surviving Corporation shall be
the surviving corporation with the transaction  qualifying as a reorganization
pursuant to the  provisions of Section  368(a)(1)(A)  of the Internal  Revenue
Code of 1986;

      WHEREAS,   the  authorized  capital  stock  of  Psychiatric   Associates
consists of Five  Thousand  (5,000)  shares of common  stock with no par value
per share (hereinafter referred to "Psychiatric  Associates Common Stock"), of
which One Hundred (100) shares are issued and outstanding;  WHEREAS,       the
authorized  capital  stock of  Surviving  Corporation  consists of Two Hundred
Thousand  (200,000) shares of common stock with a par value of one cent ($.01)
per share (hereinafter  referred to as "Surviving  Corporation Common Stock"),
_____________ (   ) shares of which are issued and outstanding; and

      WHEREAS,  the respective  Boards of Directors of Psychiatric  Associates
and  Surviving  Corporation  have  approved  the  merger  upon the  terms  and
conditions hereinafter set forth and have approved this Plan of Merger.

      NOW,  THEREFORE,  in  consideration  of  the  premises  and  the  mutual
agreements,  provisions  and covenants  contained  herein,  the parties hereto
hereby  agree in  accordance  with the  provisions  of the  Annotated  Laws of
Massachusetts   and  the  Virginia  Stock  Corporation  Act  that  Psychiatric
Associates  shall be, at the effective date (as  hereinafter  defined)  merged
(hereinafter  referred to as the "Merger") into a single corporation  existing
under the laws of the  Commonwealth of  Massachusetts  to-wit,  which shall be
the  Surviving  Corporation,  and the  parties  hereto  adopt and agree to the
following  agreements,  terms and  conditions  relating  to the Merger and the
method of carrying the same into effect.

      1.   Stockholders' Meetings; Filings; Effects of Merger.

      1.1.        Psychiatric Associates  Stockholders'  Meeting.  Psychiatric
Associates  shall call a meeting of its  stockholders to be held in accordance
with the  general  corporation  laws of the  Commonwealth  of  Virginia at the
earliest  permissible  date,  upon due notice thereof to its  stockholders  to
consider and vote upon, among other matters, adoption of this Plan of Merger.

      1.2.  Surviving    Corporation    Stockholders'    Meeting.    Surviving
Corporation  shall call a meeting of its stockholders to be held in accordance
with the general  corporation laws of the Commonwealth of Massachusetts at the
earliest  permissible  date,  upon due notice thereof to its  stockholders  to
consider  and  vote  upon,  among  other  matters,  adoption  of this  Plan of
Merger.

      1.3.  Filing of Articles of Merger;  Effective  Date.  To the extent (a)
this Plan of Merger is adopted by the  stockholders of Psychiatric  Associates
in  accordance  with the  Virginia  Stock  Corporations  Act, (b) this Plan of
Merger is adopted by the  stockholders of Surviving  Corporation in accordance
with the corporate laws of the  Commonwealth  of  Massachusetts,  and (c) this
Plan of Merger is not thereafter,  and has not theretofore been, terminated or
abandoned as  permitted  by the  provisions  hereof,  then  Articles of Merger
shall be filed and recorded with the Secretary of State of  Massachusetts  and
Virginia  State  Corporation   Commission  in  accordance  with  the  laws  of
Massachusetts  and Virginia.  Such filing shall be made on  approximately  the
same date.  The Merger shall  become  effective on the day of such filing with
the Secretary of State of  Massachusetts,  which date and time are hereinafter
referred to as the "Effective Date".

      1.4.  Effects of Merger.  On the Effective Date, the separate  existence
of Psychiatric  Associates  shall cease,  and Psychiatric  Associates shall be
merged into Surviving Corporation which, as the surviving  corporation,  shall
possess  all the rights,  privileges,  powers and  franchises,  of a public as
well as of a private nature,  and shall be subject to all of the restrictions,
disabilities,  and duties of Psychiatric Associates;  and all and singular the
rights,  privileges,  powers and franchises of Psychiatric Associates, and all
property,  real,  personal,  and  mixed,  and  all  debts  due to  Psychiatric
Associates on whatever account,  as well for stock subscriptions and all other
things and action or belonging to Psychiatric  Associates,  shall be vested in
the Surviving Corporation,  and all property, rights, privileges,  powers, and
franchises,   and  all  and  every  other  interest  shall  be  thereafter  as
effectually  the  property  of the  Surviving  Corporation  as  they  were  of
Psychiatric  Associates,  and the title to any real  estate  vested by deed or
otherwise,  under  the laws of the  Commonwealth  of  Virginia,  or any  other
jurisdiction,  in  Psychiatric  Associates,  shall not revert or be in any way
impaired,  but all  rights of  creditors  and all liens upon any  property  of
Psychiatric   Associates  shall  be  preserved  unimpaired,   and  all  debts,
liabilities,  and duties of Psychiatric Associates shall thenceforth attach to
the Surviving  Corporation  and may be enforced  against it to the same extent
as if said debts,  liabilities,  and duties had been incurred or contracted by
it. At any time,  or from time to time,  after the  Effective  Date,  the last
acting  officers of Psychiatric  Associates or the  corresponding  officers of
the Surviving Corporation,  may, in the name of Psychiatric Associates execute
and deliver all such proper deeds,  assignments and other instruments and take
or cause to be  taken  all such  further  or  other  action  as the  Surviving
Corporation  they deem  necessary or desirable in order to vest,  perfect,  or
confirm  in  the  Surviving   Corporation  title  to  and  possession  of  all
Psychiatric Associates's property,  rights,  privileges,  powers,  franchises,
immunities,  and  interests  and  otherwise  to carry out the purposes of this
Plan of Merger.

      2.    Name     of     Surviving     Corporation;     Articles     of    
Incorporation/By-Laws.

      2.1.  Name  of  Surviving   Corporation.   The  name  of  the  Surviving
Corporation  shall,  after  the  Effective  Date,  be  Pioneer  Counseling  of
Virginia, Inc.

      2.2.  Articles  of  Incorporation.  The  Articles  of  Incorporation  of
Surviving  Corporation  as in effect on the date  hereof  shall from and after
the Effective  Date be, and continue to be, the Articles of  Incorporation  of
the Surviving  Corporation  until changed or amended as provided by law except
with respect to the  amendment of the Articles of  Incorporation  necessary to
make the change set forth in Paragraph 2.1. hereinabove.

      2.3.  By-Laws.  The  By-Laws  of  Surviving  Corporation  as  in  effect
immediately  before the Effective Date,  shall be from and after the Effective
Date,  and  continue to be, the  By-Laws of the  Surviving  Corporation  until
amended as provided therein except with respect to any amendment  necessary to
reflect the change set forth in Paragraph 2.1 hereinabove.

      3.    Status  and  Conversion  of  Securities.  The  manner and basis of
converting the shares of the capital stock of  Psychiatric  Associates and the
nature and amount of securities of Surviving  Corporation which the holders of
shares of Psychiatric  Associates  Common Stock are to receive in exchange for
such shares are as follows:

      3.1.  Psychiatric  Associates  Common Stock.  Each share of  Psychiatric
Associates  Common  Stock  which shall be issued and  outstanding  immediately
before the  Effective  Date  shall,  by virtue of the Merger and  without  any
action on the part of the holder thereof,  be cancelled in the event that each
shareholder's  ownership  interest in  Surviving  Corporation  is identical to
that shareholder's  ownership interest in Psychiatric  Associates and, if not,
each share of  Psychiatric  Associates  Common Stock shall be converted at the
Effective  Date into one fully  paid  share of  Surviving  Corporation  Common
Stock,  and  outstanding  certificates   representing  shares  of  Psychiatric
Associates  Common  Stock  shall  thereafter  represent  shares  of  Surviving
Corporation  Common Stock.  Such  certificates may, but need not be, exchanged
by  the  holders  thereof  after  the  Merger  becomes   effective,   for  new
certificates  for the  appropriate  number of shares  bearing  the name of the
Surviving Corporation.

      3.2.  Surviving  Corporation  Common Stock.  All issued and  outstanding
shares of Surviving  Corporation  Common Stock shall,  by virtue of the Merger
and at the Effective  Date,  continue to remain  outstanding and in full force
and effect.

      4.    Further   Assurance  of  Title.  If  at  any  time  the  Surviving
Corporation  shall  consider  or  be  advised  that  any   acknowledgments  or
assurances  in law or other  similar  actions are  necessary  or  desirable in
order to  acknowledge  or  confirm  in and to  Surviving  Corporation  and any
right,  title, or interest that Psychiatric  Associates held immediately prior
to the Effective  Date,  Psychiatric  Associates  and its proper  officers and
directors  shall and will  execute and deliver  all such  acknowledgments  and
assurances  in law and do all things  necessary  or proper to  acknowledge  or
confirm such right, title, or interest that Surviving  Corporation may acquire
by virtue of the Merger as shall be  necessary  to carry out the  purposes  of
this Plan of Merger,  and Surviving  Corporation  and the proper  officers and
directors  thereof  are fully  authorized  to take any all such  action in the
name of Psychiatric Associates or otherwise.

      5.    Capital Accounting  Entries.  The Merger contemplated hereby shall
be treated as a pooling of  interests  and as of the  Effective  Date  entries
shall be made upon the books of Surviving  Corporation in accordance  with the
following:

            (a) The assets and  liabilities  of Psychiatric  Associates  shall
be  reported  at the  amounts  at  which  they  are  carried  on the  books of
Psychiatric Associates immediately prior to the Effective Date.

            (b) There  shall be  credited  to Capital  Account  the  aggregate
amount  of a par  value  per  share of all of the  common  stock of  Surviving
Corporation  resulting from the conversion of the outstanding common shares of
Psychiatric Associates.

            (c) There shall be credited to Capital  Surplus  Account an amount
equal  to  that  carried  on  the  Capital   Surplus  Account  of  Psychiatric
Associates immediately prior to the Effective Date.

            (d) There shall be credited  to Earned  Surplus  Account an amount
equal to that carried on the Earned Surplus Account of Psychiatric  Associates
immediately prior to the Effective Date.

      6.    Directors.  The names and  addresses  of the  first  directors  of
Surviving  Corporation  following the Effective Date, who shall be four (4) in
number  and who shall hold  office  from the  Effective  Date until the annual
meeting  of  the  shareholders  of  Surviving   Corporation  and  until  their
successors shall be elected and shall qualify, are as follows:

      Name                         Address

Donald E. Robar                    48 Burpee Hill
                                   New London, NH  03257

Gerald M. Perlow, MD               40 Atlantic Road
                                   Swampscott, MA  01907

Howard W. Phillips                 435 L'Ambiance #K706
                                   Longboat Key, FL  34228
          
Bruce A. Shear                     14 Ida Road
                                   Marblehead, MA  01945

      7.    Officers.   The  names  and  offices  of  the  first  officers  of
Surviving  Corporation following the Effective Date, who shall be three (3) in
number  and who  shall  hold  office  from  the  Effective  Date  until  their
successors  shall be appointed and shall qualify or until they shall resign or
be removed from office, are as follows:

       Name                   Office

Bruce A. Shear                President

Donald E. Robar               Treasurer

Gerald M. Perlow, MD          Clerk


      8.    Termination/Modification.  This Plan of Merger  may be  terminated
and the proposed  Merger  abandoned at any time before the  Effective  Date of
the  Merger,  and whether  before or after  approval of this Plan of Merger by
the shareholders of either  Psychiatric  Associates or Surviving  Corporation,
if the  Board of  Directors  of  Psychiatric  Associates  or of the  Surviving
Corporation duly adopt a resolution abandoning this Plan of Merger.

      9.    Duplicate  Copies.  For the  convenience of the parties hereto and
to facilitate  the filing of this Plan of Merger,  any number of  counterparts
hereof may be  executed;  and each such  counterpart  shall be deemed to be an
original instrument.








<PAGE>


      IN WITNESS WHEREOF,  each of the corporate  parties hereto,  pursuant to
authority  duly granted by Board of Directors,  has caused this Plan of Merger
to be executed all on the date and year first above written.


                              PIONEER COUNSELING OF VIRGINIA, INC.



                              By:_______________________________
                              Bruce A. Shear
                              Its:     President   
ATTEST:

________________________________
Corporate Clerk

(SEAL)

                              PSYCHIATRIC & COUNSELING PSYCHIATRIC
                              ASSOCIATES OF ROANOKE, INC.


                              By:_______________________________
                               Mukesh Patel
                               Its:     President   
ATTEST:


__________________________________
Corporate Secretary

(SEAL)





<PAGE>


Exhibit 10.110


                                $1,500,000.00







                         LOAN AND SECURITY AGREEMENT
                                by and between
                            PHC OF MICHIGAN, INC.
                               (the "Borrower")
                                     and

                              HCFP FUNDING, INC.
                                (the "Lender")






                               February _, 1997


<PAGE>



                         LOAN AND SECURITY AGREEMENT


      THIS LOAN AND SECURITY AGREEMENT (the "Agreement") is made as of this
day of February, 1997, by and between PHC OF MICHIGAN, INC., a Massachusetts
corporation (the "Borrower") and HCFP FUNDING, INC., a Delaware corporation
("Lender").

                                   Recitals

     A.     Borrower desires to establish certain financing arrangements with
and borrow funds from Lender, and Lender is willing to establish such
arrangements for and make loans and extensions of credit to Borrower, on the
terms and conditions set forth below.

     B.     The parties desire to define the terms and conditions of their
relationship and to reduce their agreements to writing.

     NOW, THEREFORE, in consideration of the promises and covenants contained
in this Agreement, and for other consideration, the receipt and sufficiency
of which are acknowledged, the parties agree as follows:

                                  ARTICLE I
                                 DEFINITIONS
     As used in this Agreement, the following terms shall have the following
meanings:
      Section 1.1. Account.   "Account" means any right to payment for goods
sold or leased or services rendered, whether or not evidenced by an
instrument or chattel paper, and whether or not earned by performance,
including, without limitation, the right to payment of management fees.
      Section 1.2. Account Debtor.  "Account Debtor" means any Person
obligated on any Account of Borrower, including without limitation, any
Insurer and any Medicaid/Medicare Account Debtor.
      Section 1.3. Affiliate.  "Affiliate" means, with respect to a specified
Person, any Person directly or indirectly controlling, controlled by, or
under common control with the specified Person, including without limitation
their stockholders and any Affiliates thereof.  A Person shall be deemed to
control a corporation if the Person possesses, directly or indirectly, the
power to direct or cause the direction of the management and business of the
corporation whether through the ownership of voting securities, by contract,
or otherwise.


<PAGE>

      Section 1.4. Agreement. "Agreement" means this Loan and Security
Agreement, as it may be amended or supplemented from time to time.

      Section 1.5. Base Rate. "Base Rate" means a rate of interest equal to
two and one quarter percent  (2.25%) above the "Prime Rate of Interest".

      Section 1.6. Borrowed Money. "Borrowed Money" means any obligation to
repay money, any indebtedness evidenced by notes, bonds, debentures or
similar obligations, any obligation under a conditional sale or other title
retention agreement and the net aggregate rentals under any lease which under
GAAP would be capitalized on the books of the Borrower or which is the
substantial equivalent of the financing of the property so leased.

      Section 1.7. Borrower. "Borrower" has the meaning set forth in the
Preamble.

      Section 1.8. Borrowing Base.  "Borrowing Base" has the meaning set
forth in Section 2.1(d).

      Section 1.9. Business Day. "Business Day" means any day on which
financial institutions are open for business in the State of Maryland,
excluding Saturdays and Sundays.

      Section 1.10. Closing; Closing Date.  "Closing" and "Closing Date" have
the meanings set forth in Section 5.3.

      Section 1.11. Commitment Fee.  "Commitment Fee" has the meaning set
forth in Section 2.4(a).

      Section 1.12. Collateral.  "Collateral" has the meaning set forth in
Section 3.1.

      Section 1.13. Controlled Group.  "Controlled Group" means a "controlled
group" within the meaning of Section 4001(b) of ERISA.

      Section 1.14. Cost Report Settlement Account.  "Cost Report Settlement
Account" means an "Account" owed to Borrower by a Medicaid/Medicare Account
Debtor pursuant to any cost report, either interim, filed or audited, as the
context may require.

      Section 1.15. Default Rate.  "Default Rate" means a rate per annum
equal to two percent (2%) above the Base Rate.

      Section 1.16 Concentration Account. "Concentration Account" has the
meaning set forth in Section 2.3(a).

      Section 1.17. ERISA.  "ERISA" has the meaning set forth in Section 4.12.



<PAGE>


      Section 1.18. Event of Default.  "Event of Default" and "Events of
Default" have the meanings set forth in Section 8.1.

      Section 1.19. GAAP.  "GAAP" means generally accepted accounting
principles applied in a matter consistent with the financial statements
referred to in Section 4.7.

      Section 1.20. Governmental Authority.  "Governmental Authority" means
and includes any federal, state, District of Columbia, county, municipal, or
other government and any department, commission, board, bureau, agency or
instrumentality thereof, whether domestic or foreign.

      Section 1.21. Hazardous Material.  "Hazardous Material" means any
substances defined or designated as hazardous or toxic waste, hazardous or
toxic material, hazardous or toxic substance, or similar term, by any
environmental statute, rule or regulation or any Governmental Authority.

      Section 1.22. Highest Lawful Rate.  "Highest Lawful Rate" means the
maximum lawful rate of interest referred to in Section 2.7 that may accrue
pursuant to this Agreement.

      Section 1.23. Insurer.  A Person that insures a Patient against certain
of the costs incurred in the receipt by such Patient of Medical Services, or
that has an agreement with Borrower to compensate Borrower for providing
services to a Patient.

      Section 1.24. Lender.  "Lender" has the meaning set forth in the
Preamble.

      Section 1.25. Loan.  "Loan" has the meaning set forth in Section 2.1(a).

      Section 1.26. Loan Documents.  "Loan Documents" means and includes this
Agreement, the Note, and each and every other document now or hereafter
delivered in connection therewith, as any of them may be amended, modified,
or supplemented from time to time.

      Section 1.27. Loan Management Fee. "Loan Management Fee" has the
meaning set forth in Section 2.4(c).

      Section 1.28. Lockbox.  "Lockbox" has the meaning set forth in Section
2.3 (a).

      Section 1.29. Lockbox Bank. "Lockbox Bank" has the meaning set forth in
Section 2.3(a).

      Section 1.30. Maximum Loan Amount.  "Maximum Loan Amount" has the
meaning set forth in Section 2.1(a).

                                      3



<PAGE>



      Section 1.31. Medicaid/Medicare Account Debtor.  "Medicaid/ Medicare
Account Debtor" means any Account Debtor which is (i) the United States of
America acting under the Medicaid/Medicare program established pursuant to
the Social Security Act, (ii) any state or the District of Columbia acting
pursuant to a health plan adopted pursuant to Title XIX of the Social
Security Act or (iii) any agent, carrier, administrator or intermediary for
any of the foregoing.

      Section 1.32. Medical Services.  Medical and health care services
provided to a Patient, including, but not limited to, medical and health care
services provided to a Patient and performed by Borrower which are covered by
a policy of insurance issued by an Insurer, and includes physician services,
nurse and therapist services, dental services, hospital services, skilled
nursing facility services, comprehensive outpatient rehabilitation services,
home health care services, residential and out-patient behavioral healthcare
services, and medicine or health care equipment provided by Borrower to a
Patient for a necessary or specifically requested valid and proper medical or
health purpose.

      Section 1.33. Note.  "Note" has the meaning set forth in Section 2. 1
(c) .

      Section 1.34. Obligations.  "Obligations" has the meaning set forth in
Section 3.1.

      Section 1.35. Patient.  Any Person receiving Medical Services from
Borrower and all Persons legally liable to pay Borrower for such Medical
Services other than Insurers.

      Section 1.36. Permitted Liens.  "Permitted Liens" means: (a) liens for
taxes not delinquent, or which are being contested in good faith and by
appropriate proceedings which suspend the collection thereof and in respect
of which adequate reserves have been made (provided that such proceedings do
not, in Lender's sole discretion, involve any substantial danger of the sale,
loss or forfeiture of such property or assets or any interest therein); (b)
deposits or pledges to secure obligations under workmen's compensation,
social security or similar laws, or under unemployment insurance; (c)
deposits or pledges to secure bids, tenders, contracts (other than contracts
for the payment of money), leases, statutory obligations, surety and appeal
bonds and other obligations of like nature arising in the ordinary course of
business; (d) mechanic's, workmen's, materialmen's or other like liens
arising in the ordinary course of business with respect to obligations which
are not due, or which are being contested in good faith by appropriate
proceedings which suspend the collection thereof and in respect of which
adequate reserves have been made (provided that such proceedings do not, in
Lender's sole discretion, involve any substantial danger of the

                                      4



<PAGE>



sale, loss or forfeiture of such property or assets or any interest therein);
(e) liens and encumbrances in favor of Lender; (f) liens granted in
connection with the lease or purchase of property or assets financed by
borrowings permitted by Section 7.1 (provided, however, that no such
borrowings permitted by Section 7.1 may be secured by liens on any of the
Collateral); and (g) liens set forth on Schedule 1.36.

      Section 1.37. Person.  "Person" means an individual, partnership,
corporation, trust, joint venture, joint stock company, limited liability
company, association, unincorporated organization, Governmental Authority, or
any other entity.

      Section 1.38. Plan.  "Plan" has the meaning set forth in Section 4.12.

      Section 1.39. Premises.  "Premises" has the meaning set forth in
Section 4.14.

      Section 1.40. Prime Rate of Interest.  "Prime Rate of Interest" means
that rate of interest quoted by Shawmut Bank, N.A., or any successor thereto,
as the same may from time to time fluctuate.

      Section 1.41. Prohibited Transaction.  "Prohibited Transaction" means a
"prohibited transaction" within the meaning of Section 406 of ERISA or
Section 4975(c)(1) of the Internal Revenue Code.

      Section 1.42. Qualified Account.  "Qualified Account" means an Account
of Borrower generated in the ordinary course of Borrower's business from the
sale of goods or rendition of medical services which Lender, in its sole
credit judgment, deems to be a Qualified Account. without limiting the
generality of the foregoing, no Account shall be a Qualified Account if: (a)
the Account or any portion thereof is payable by an individual beneficiary,
recipient or subscriber individually and not directly to Borrower by a
Medicaid/Medicare Account Debtor or commercial medical insurance carrier
acceptable to Lender in its sole discretion; (b) the Account remains unpaid
more than one hundred fifty (150) days past the claim or invoice date; (c)
the Account is subject to any defense, set-off, counterclaim, deduction,
discount, credit, chargeback, freight claim, allowance, or adjustment of any
kind; (d) any part of any goods the sale of which has given rise to the
Account has been returned, rejected, lost, or damaged; (e) if the Account
arises from the sale of goods by Borrower, such sale was not an absolute sale
or on consignment or on approval or on a sale-or-return basis or subject to
any other repurchase or return agreement, or such goods have not been shipped
to the Account Debtor or its designee; (f) if the Account arises from the
Performance of services, such services have not been actually been performed
or

                                      5



<PAGE>



were undertaken in violation of any law; (g) the Account is subject to a lien
other than a Permitted Lien; (h) the Borrower knows or should have known of
the bankruptcy, receivership, reorganization, or insolvency of the Account
Debtor; (i) the Account is evidenced by chattel paper or an instrument of any
kind, or has been reduced to judgment; (j) the Account is an Account of an
Account Debtor having its principal place of business or executive office
outside the United States; (k) the Account Debtor is an Affiliate or
Subsidiary of Borrower; (1) more than ten percent (10%) of the aggregate
balance of all Accounts owing from the Account Debtor obligated on the
Account are outstanding more than one hundred eighty (180) days past their
invoice date; (m) fifty percent (50%) or more of the Accounts from the
Account Debtor are not deemed Qualified Accounts hereunder; (n) the total
unpaid Accounts of the Account Debtor, except for a Medicaid/Medicare Account
Debtor, exceed twenty percent (20%) of the net amount of all Qualified
Accounts; (o) any covenant, representation or warranty contained in the Loan
Documents with respect to such Account has been breached; or (p) the Account
fails to meet such other specifications and requirements which may from time
to time be reasonably established by Lender.

      Section 1.43. Reportable Event.  "Reportable Event" means a "reportable
event" as defined in Section 4043(b) of ERISA.

      Section 1.44. Revolving Credit Loan.  "Revolving Credit Loan" has the
meaning set forth in Section 2.1(b).

      Section 1.45. Term.  "Term" has the meaning set forth in Section 2.8.

      Section 1.46. Intentionally Deleted

                                  ARTICLE II
                                     LOAN
      Section 2.1. Terms.
            (a)   The maximum aggregate principal amount of credit extended
by Lender to Borrower hereunder (the "Loan") that will be outstanding at any
time is One Million Five Hundred Thousand and No/100 Dollars ($1,5OO,000.00)
(the "Maximum Loan Amount")'

            (b)   The Loan shall be in the nature of a revolving line of
credit, and shall include sums advanced and other credit extended by Lender
to or for the benefit of the Borrower from time to time under this Article II
(each a "Revolving Credit Loan") up to the Maximum Loan Amount depending upon
the availability in the Borrowing Base, the requests of Borrower pursuant to
the terms and conditions of Section 2.2 below, and on

                                      6



<PAGE>


such other basis as Lender may reasonably determine.  The outstanding
principal balance of the Loan may fluctuate from time to time, to be reduced
by repayments made by Borrower (which may be made without penalty or
premium), and to be increased by future Revolving Credit Loans, advances and
other extensions of credit to or for the benefit of Borrower, and shall be
due and payable in full upon the expiration of the Term.  For purposes of
this Agreement, any determination as to whether there is ability within the
Borrowing Base for advances or extensions of credit shall be made by Lender
in its sole discretion and is final and binding upon Borrower.

              (c) At Closing, Borrower shall execute and deliver to Lender a
  promissory note evidencing the Borrower's unconditional obligation to repay
  Lender for Revolving Credit Loans, advances, and other extensions of credit
  made under the Loan, in the form of Exhibit A to this Agreement (the
  "Note"), dated the date hereof, payable to the order of Lender in
  accordance with the terms thereof.  The Note shall bear interest from the
  date thereof until repaid, with interest payable monthly in arrears on the
  first Business Day of each month, at a rate per annum (on the basis of the
  actual number of days elapsed over a year of 360 days) equal to the Base
  Rate, provided that after an Event of Default such rate shall be equal to
  the Default Rate.  Each Revolving Credit Loan, advance and other extension
  of credit shall be deemed evidenced by the Note, which is deemed
  incorporated by reference herein and made a part hereof.

              (d) Subject to the terms and conditions of this Agreement,
  advances under the Loan shall be made against a borrowing base equal to (i)
  eighty percent (80'%) of Qualified Accounts that remain unpaid for fewer
  than one hundred twenty (120) days, and (ii) sixty percent (60%) of
  Qualified Accounts that remain unpaid for between one hundred twenty (120)
  and one hundred fifty (150) days, in either case due and owing from any
  Medicaid/Medicare, Insurer or other Account Debtor, including, without
  limitation, Accounts payable pursuant to Cost Report Settlement Accounts or
  in the form of management fees (the "Borrowing Base").

        Section 2.2. Loan Administration.  Borrowings under the Loan shall be
  as follows:

              (a) A request for a Revolving Credit Loan shall be made, or
  shall be deemed to be made, in the following manner: (i) Borrower, may give
  Lender notice of its intention to borrow, in which notice Borrower shall
  specify the amount of the proposed borrowing and the proposed borrowing
  date, not later than 2:00 p.m. Eastern time one (1) Business Day prior to
  the proposed borrowing date; provided, however, that no such request may be
  made at a time when there exists an Event of Default; and (ii) the becoming
  due of any amount required to be paid under this

                                      7



<PAGE>



Agreement, whether as interest or for any other Obligation, shall be deemed
irrevocably to be a request for a Revolving Credit Loan on the due date in
the amount required to pay such interest or other obligation.

            (b)   Borrower hereby irrevocably authorizes Lender to disburse
the proceeds of each Revolving Credit Loan requested, or deemed to be
requested, as follows: (i) the proceeds of each Revolving Credit Loan
requested under subsection 2.2(a)(i) shall be disbursed by Lender by wire
transfer to such bank account as may be agreed upon by Borrower or Lender
from time to time or elsewhere if pursuant to written direction from
Borrower; and (ii) the proceeds of each Revolving Credit Loan requested under
subsection 2.2(a)(ii) shall be disbursed by Lender by way of direct payment
of the relevant interest or other Obligation.

            (c)   All Revolving Credit Loans, advances and other extensions
of credit to or for the benefit of Borrower shall constitute one general
obligation of Borrower, and shall be secured by Lender's lien upon all of the
Collateral.

            (d)   Lender shall enter all Revolving Credit Loans as debits to
a loan account in the name of Borrower and shall also record in said loan
account all payments made by Borrower on any Obligations and all proceeds of
Collateral which are indefeasibly paid to Lender, and may record therein, in
accordance with customary accounting practice, other debits and credits,
including interest and all charges and expenses properly chargeable to
Borrower.

            (e)   Lender will account to Borrower monthly with a statement of
Revolving Credit Loans, charges and payments made pursuant to this Agreement,
and such account rendered by Lender shall be deemed final, binding and
conclusive upon Borrower unless Lender is notified by Borrower in writing to
the contrary within sixty (60) days of the date each accounting is mailed to
Borrower.  Such notice shall be deemed an objection to those items
specifically objected to therein.

      Section 2.3. Collections, Disbursements, Borrowing Availability, and 
Lockbox Account. Borrower shall maintain a lockbox account (the "Lockbox")
with  (the "Lockbox Bank"), subject to the provisions of this Agreement, and
shall execute with the Lockbox Bank a Lockbox Agreement in the form attached
as Exhibit B, and such other agreements related thereto as Lender may
require.  Borrower shall ensure that all collections of Accounts are paid
directly from Account Debtors into the Lockbox, and that all funds paid into
the Lockbox are immediately transferred into a depository account maintained
by Lender at Bank One Arizona, N.A. or First Bank, N.A., as determined by
Lender in its sole discretion and communicated to Borrower (the
"Concentration Account").  Lender shall apply, on a daily basis, all funds
transferred into the Concentration Account pursuant to this Section 2.3 to
reduce the outstanding indebtedness under the Loan with future Revolving
Credit Loans, advances and other extensions of credit to be made by Lender
under the conditions set forth in this Article II.  To the extent that any
collections of Accounts or proceeds of other Collateral are not sent directly
to the Lockbox but are received by Borrower, such collections shall be held
in trust for the benefit of Lender and immediately remitted, in the form
received, to the Lockbox Bank for transfer to the Concentration Account
immediately upon receipt by Borrower.  All funds transferred from the
Concentration Account for application to Borrower's indebtedness to Lender
shall be applied to reduce the Loan balance, but for purposes of calculating
interest, shall be subject to a five (5) Business Day clearance period.  If
as the result of collections of Accounts pursuant to the terms and conditions
of this Section 2.3 a credit balance exists with respect to the Concentration
Account, such credit balance shall not accrue interest in favor of Borrower,
but shall be available to Borrower at any time or times for so long as no
Event of Default exists.


<PAGE>



      Section 2.4. Fees.

            (a)   At Closing and thereafter Borrower shall unconditionally
pay to Lender, in one or more installments, a commitment fee (the "Commitment
Feel') equal to one percent (1'6) of incremental Revolving Credit Loans up to
the Maximum Loan Amount.  For example, if at Closing Lender makes a Revolving
Credit Loan in the amount of Five Hundred Thousand and No/l00 Dollars
($500,000.00), and ten (10) days after Closing Lender makes an additional
Revolving Credit Loan resulting in. aggregate outstanding principal of Eight
Hundred Thousand and No/100 Dollars ($800,000.00), Borrower shall be
obligated to pay an initial installment of the Commitment Fee of Five
Thousand and No/100 Dollars ($5,000.00) at Closing, and a second installment
of the Commitment Fee of Three Thousand and No/100 ($3,000.00) ($800,000.00 -
$500,000.00 x 1%) in connection with the second advance.  Consistent with the
foregoing, the maximum aggregate Commitment Fee payable by Borrower hereunder
shall be $15,000.00 ($1,500,000.00 x 1'-.).

              (b)   Intentionally Deleted.

              (c)   For so long as the Loan is available to Borrower,
Borrower unconditionally shall pay to Lender a monthly loan management fee
(the "Loan Management Feel,) equal to twenty-seven and one-half one
hundredths of one percent (0.275'-.) of the average amount of the outstanding
principal balance of the Revolving Credit Loans during the preceding month.
The Loan Management Fee shall be payable monthly in arrears on the first day
of each successive calendar month.

                                      9



<PAGE>

(d)         Borrower shall pay to Lender all out-of-pocket audit and
appraisal fees in connection with audits and appraisals of Borrower's books
and records and such other matters as Lender shall deem appropriate, which
shall be due and payable on the first Business Day of the month following the
date of issuance by Lender of a request for payment thereof to Borrower.
Notwithstanding anything herein to the contrary, Lender acknowledges and
agrees that, absent the occurrence of an Event of Default hereunder,
Borrower's maximum obligation for the payment of out-of-pocket audit and
appraisal fees in any calendar year shall be Seven Thousand Five Hundred and
No/100 Dollars ($7,500.00). Following the occurrence of an Event of Default,
such limitation shall not be applicable.

            (e)   Borrower shall pay to Lender, on demand, any and all fees,
costs or expenses which Lender or any participant pays to a bank or other
similar institution (including, without limitation, any fees paid by Lender
to any participant) arising out of or in connection with (i) the forwarding
to Borrower or any other Person on behalf of Borrower, by Lender, of proceeds
of Revolving Credit Loans made by Lender to Borrower pursuant to this
Agreement, and (ii) the depositing for collection, by Lender or any
participant, of any check or item of payment received or delivered to Lender
or any participant on account of obligations.

      Section 2.5. Payments.  Principal payable on account of Revolving
Credit Loans shall be payable by Borrower to Lender immediately upon the
earliest of (i) the receipt by Borrower of any proceeds of any of the
Collateral, to the extent of such proceeds, (ii) the occurrence of an Event
of Default in consequence of which the Loan and the maturity of the payment
of the Obligations are accelerated, or (iii) the termination of this
Agreement pursuant to Section 2.8 hereof; provided, however, that if any
advance made by Lender in excess of the Borrowing Base shall exist at any
time, Borrower shall, immediately upon demand, repay such overadvance.
Interest accrued on the Revolving Credit Loans shall be due on the earliest
of (i) the first Business Day of each month (for the immediately preceding
month), computed on the last calendar day of the preceding month, (ii) the
occurrence of an Event of Default in consequence of which the Loan and the
maturity of the payment of the obligations are accelerated, or (iii) the
termination of this Agreement pursuant to Section 2.8 hereof.  Except to the
extent otherwise set forth in this Agreement, all payments of principal and
of interest on the Loan, all other charges and any other obligations of
Borrower hereunder, shall be made to Lender to the Concentration Account, in
immediately available funds.

      Section 2.6. Use of Proceeds.  Except as otherwise expressly permitted
under this Agreement, the proceeds of Lender's advances under the Loan shall
be used solely for workingcapital and for other costs and expenses of
Borrower arising in the ordinary course of Borrower's business.

                                      10
<PAGE>



      Section 2.7. Interest Rate Limitation.  The parties intend to conform
strictly to the applicable usury laws in effect from time to time during the
term of the Loan.  Accordingly, if any transaction contemplated hereby would
be usurious under such laws, then notwithstanding any other provision hereof:
(a) the aggregate of all interest that is contracted for, charged, or
received under this Agreement or under any other Loan Document shall not
exceed the maximum amount of interest allowed by applicable law (the "Highest
Lawful Rate"), and any excess shall be promptly credited to Borrower by
Lender (or, to the extent that such consideration shall have been paid, such
excess shall be promptly refunded to Borrower by Lender); (b) neither
Borrower nor any other Person now or hereafter liable hereunder shall be
obligated to pay the amount of such interest to the extent that it is in
excess of the Highest Lawful Rate; and (c) the effective rate of interest
shall be reduced to the Highest Lawful Rate.  All sums paid, or agreed to be
paid, to Lender for the use, forbearance, and detention of the debt of
Borrower to Lender shall, to the extent permitted by applicable law, be
allocated throughout the full term of the Note until payment is made in full
so that the actual rate of interest does not exceed the Highest Lawful Rate
in effect at any particular time during the full term thereof.  If at any
time the rate of interest under the Note exceeds the Highest Lawful Rate, the
rate of interest to accrue pursuant to this Agreement shall be limited,
notwithstanding anything to the contrary herein, to the Highest Lawful Rate,
but any subsequent reductions in the Base Rate shall not reduce the interest
to accrue pursuant to this Agreement below the Highest Lawful Rate until the
total amount of interest accrued equals the amount of interest that would
have accrued if a varying rate per annum equal to the interest rate under the
Note had at all times been in effect.  If the total amount of interest paid
or accrued pursuant to this Agreement under the foregoing provisions is less
than the total amount of interest that would have accrued if a varying rate
per annum equal to the interest rate under the Note had been in effect, then
Borrower agrees to pay to Lender an amount equal to the difference between
(a) the lesser of (i) the amount of interest that would have accrued if the
Highest Lawful Rate had at all times been in effect, or (ii) the amount of
interest that would have accrued if a varying rate per annum equal to the
interest rate under the Note had at all times been in effect, and (b) the
amount of interest accrued in accordance with the other provisions of this
Agreement.

        Section 2.8. Term.

            (a) Subject to Lender's right to cease making Revolving Credit
Loans to Borrower upon or after any Event of Default, this Agreement shall be
in effect for a period of two (2) years from the Closing Date, and this
Agreement shall automatically renew itself for one-year periods thereafter,
unless terminated as provided in this Section 2.8 (the "Term").

                                      11

            (b)   Upon at least thirty (30) days prior written notice to
Borrower, Lender may terminate this Agreement as of the day of the second and
each subsequent annual anniversary of the Closing Date, and may terminate
this Agreement without notice upon or after the occurrence of an Event of
Default.

            (c)   Upon at least thirty (30) days prior written notice to
Lender, Borrower may terminate this Agreement effective as of the day of the
second or any subsequent annual anniversary of the Closing Date without
incurring the liquidated damages described below. in addition, upon at least
thirty (30) days prior written notice to Lender, Borrower may terminate this
Agreement prior to the second or any subsequent annual anniversary of the
Closing Date, provided that, at the effective date of such termination prior
to the second anniversary, Borrower shall pay to Lender (in addition to the
then outstanding principal, accrued interest and other Obligations owing
under the terms of this Agreement and any other Loan Documents) as liquidated
damages for the loss of bargain and not as a penalty, an amount equal to two
percent (2'1) of the Maximum Loan Amount.

            (d)   All of the Obligations shall be immediately due and payable
upon the termination date stated in any notice of termination of this
Agreement.  All undertakings, agreements, covenants, warranties, and
representations, of Borrower contained in the Loan Documents shall survive
any such termination and Lender shall retain its liens in the Collateral and
all of its rights and remedies under the Loan Documents notwithstanding such
termination until Borrower has paid the Obligations to Lender, in full, in
immediately available funds.


                                 ARTICLE III
                                  COLLATERAL
      Section 3.1. Generally.  As security for the payment of all liabilities
of Borrower to Lender, including without limitation: (i) indebtedness
evidenced under the Note, repayment of Revolving Credit Loans, advances and
other extensions of credit, all fees and charges owing by Borrower, and all
other liabilities and obligations of every kind or nature whatsoever of
Borrower to Lender, whether now existing or hereafter incurred, joint or
several, matured or unmatured, direct or indirect, primary or secondary,
related or unrelated, due or to become due, including

                                      12



<PAGE>


but not limited to any extensions, modifications, substitutions, increases
and renewals thereof, (ii) the payment of all amounts advanced by Lender to
preserve, protect, defend, and enforce its rights hereunder and in the
following property in accordance with the terms of this Agreement, and (iii)
the payment of all expenses incurred by Lender in connection therewith
(collectively, the "Obligations"), Borrower hereby assigns and grants to
Lender a continuing first priority lien on and security interest in, upon,
and to the following property (the "Collateral") :

            (a)   All of Borrower's now-owned and hereafter acquired or
arising Accounts, accounts receivable and rights to payment of every kind and
description, and any contract rights, chattel paper, documents and
instruments with respect thereto;

            (b)   All of Borrower's now owned and hereafter acquired or
arising general intangibles of every kind and description pertaining to its
Accounts, accounts receivable and other rights to payment, including, but not
limited to, all existing and future customer lists, choses in action, claims,
books, records, contracts, licenses, formulae, tax and other types of
refunds, returned and unearned insurance premiums, rights and claims under
insurance policies, and computer information, software, records, and data;

            (c)   All of borrower's now or hereafter acquired deposit
accounts into which Accounts are deposited, including the Concentration
Account;

            (d)   All of Borrower's monies and other property of every kind
and nature now or at any time or times hereafter in the possession of or
under the control of Lender or a bailee or Affiliate of Lender; and

            (e)   The proceeds (including, without limitation, insurance
proceeds) of all of the foregoing.

      Section 3.2. Lien Documents.  At Closing and thereafter as Lender deems
necessary in its sole discretion, Borrower shall execute and deliver to
Lender, or have executed and delivered (all in form and substance
satisfactory to Lender in its sole discretion):

            (a)   UCC-1 Financing statements pursuant to -he Uniform
Commercial Code in effect in the jurisdictions) in which Borrower operates,
which Lender may file in any jurisdiction where any Collateral is or may be
located and in any other jurisdiction that Lender deems appropriate; provided
that a carbon, photographic, or other reproduction or other copy of this
Agreement or of a financing statement is sufficient as and may be filed in
lieu of a financing statement;

                                      13



<PAGE>


(b)         A Concentration Account Agreement in the form of Exhibit C
attached hereto; and

            (c)   Any other agreements, documents, instruments, and writings
deemed necessary by Lender or as Lender may otherwise request from time to
time in its sole discretion to evidence, perfect, or protect Lender's lien
and security interest in the Collateral required hereunder.

      Section 3.3. Collateral Administration.

            (a)   All Collateral (except deposit accounts) will at all times
be kept by Borrower at its principal office(s) as set forth on Exhibit D
hereto and shall not, without the prior written approval of Lender, be moved
therefrom.

            (b)   Borrower shall keep accurate and complete records of its
Accounts and all payments and collections thereon and shall submit to Lender
on such periodic basis as Lender shall request a sales and collections report
for the preceding period, in form satisfactory to Lender.  In addition, if
Accounts in an aggregate face amount in excess of $50,000.00 become
ineligible because they fall within one of the specified categories of
ineligibility set forth in the definition of Qualified Accounts or otherwise,
Borrower shall notify Lender of such occurrence on the first Business Day
following such occurrence and the Borrowing Base shall thereupon be adjusted
to reflect such occurrence.  If requested by Lender, Borrower shall execute
and deliver to Lender formal written assignments of all of its Accounts
weekly or daily, which shall include all Accounts that have been created
since the date of the last assignment, together with copies of claims,
invoices or other information related thereto.

            (c)   Whether or not an Event of Default has occurred, any of
Lender's officers, employees or agents shall have the right, at any time or
times hereafter, in the name of Lender, any designee of Lender or Borrower,
to verify the validity, amount or any other matter relating to any Accounts
by mail, telephone, telegraph or otherwise.  Absent an Event of Default,
Lender shall notify Borrower prior to commencing such verification process
and Borrower shall cooperate fully with Lender in an effort to facilitate and
promptly conclude such verification process.

            (d)   To expedite collection, Borrower shall endeavor in the
first instance to make collection of its Accounts for Lender.  Lender retains
the right at all times after the occurrence of an Event of Default, subject
to applicable law regarding Medicaid/Medicare Account Debtors, to notify
Account Debtors that Accounts have been assigned to Lender and to collect
Accounts directly in its own name and to charge the collection costs and
expenses, including reasonable attorneys' fees, to Borrower.

                                      14



<PAGE>



      Section 3.4. Other Actions.  In addition to the foregoing, Borrower (i)
shall provide prompt written notice to each private indemnity, managed care
or other Insurer who either is currently an Account Debtor or becomes an
Account Debtor at any time following the date hereof that the Lender has been
granted a first priority lien and security interest in, upon and to all
Accounts applicable to such Insurer, and Lender may from time to time require
Borrower to create any and all similar notices which will be forwarded to
such Insurers by Lender, and (ii) shall do anything further that may be
lawfully required by Lender to secure Lender and effectuate the intentions
and objects of this Agreement, including but not limited to the execution and
delivery of lockbox agreements, continuation statements, amendments to
financing statements, and any other documents required hereunder.  At
Lender's request, Borrower shall also immediately deliver to Lender all items
for which Lender must receive possession to obtain a perfected security
interest.  Borrower shall, on Lender's demand, deliver to Lender all notes,
certificates, and documents of title, chattel paper, warehouse receipts,
instruments, and any other similar instruments constituting Collateral.

      Section 3.5. Searches.  Prior to Closing, and thereafter (as and when
requested by Lender in its sole discretion), Borrower shall obtain and
deliver to Lender the following searches against Borrower (the results of
which are to be consistent with Borrower's representations and warranties
under this Agreement), all at its own expense:

            (a)   Uniform Commercial Code searches with the Secretary of
State and local filing offices of each jurisdiction where Borrower maintains
its executive offices, a place of business, or assets;

            (b)   Judgment, federal tax lien and corporate tax lien searches,
in each jurisdiction searched under clause (a) above; and

            (c)   Good standing certificates showing Borrower to be in good
standing in its state of formation and in each other state in which it is
doing and presently intends to do business for which qualification is
required.

      Section 3.6. Power of Attorney.  Each of the officers of Lender is
hereby irrevocably made, constituted and appointed the true and lawful
attorney for Borrower (without requiring any of them to act as such) with
full power of substitution to do the following: (a) endorse the name of
Borrower upon any and all checks, drafts, money orders, and other instruments
for the payment of money that are payable to Borrower and constitute
collections on Borrower's Accounts; (b) execute in the name of Borrower any
financing statements, schedules, assignments,

                                      15



<PAGE>



instruments, documents, and statements that Borrower is obligated to give
Lender hereunder; and (c) do such other and further acts and deeds in the
name of Borrower that Lender may deem necessary or desirable to enforce any
Account or other Collateral or perfect Lender's security interest or lien in
any Collateral.

                                  ARTICLE IV

                        REPRESENTATIONS AND WARRANTIES

            Borrower represents and warrants to Lender, and shall be deemed
to represent and warrant on each day on which any Obligations shall be
outstanding hereunder, that:

      Section 4.1. Subsidiaries.  Except as set forth in Schedule 4.1,
Borrower has no subsidiaries.

      Section 4.2. Organization and Good Standing.  Borrower is a corporation
duly organized, validly existing, and in good standing under the laws of its
state of incorporation, is in good standing as a foreign corporation in each
jurisdiction in which the character of the properties owned or leased by it
therein or the nature of its business makes such qualification necessary, has
the corporate power and authority to own its assets and transact the business
in which it is engaged, and has obtained all certificates, licenses and
qualifications required under all laws, regulations, ordinances, or orders of
public authorities necessary for the ownership and operation of all of its
properties and transaction of all of its business.

      Section 4.3. Authority.  Borrower has full corporate power and
authority to enter into, execute, and deliver this Agreement and to perform
its obligations hereunder, to borrow the Loan, to execute and deliver the
Note, and to incur and perform the obligations provided for in the Loan
Documents, all of which have been duly authorized by all necessary corporate
action.  No consent or approval of shareholders of, or lenders to, Borrower
and no consent, approval, filing or registration with any Governmental
Authority is required as a condition to the validity of the Loan Documents or
the performance by Borrower of its obligations thereunder.

      Section 4.4. Binding Agreement.  This Agreement and all other Loan
Documents constitute, and the Note, when issued and. delivered pursuant
hereto for value received, will constitute, the valid and legally binding
obligations of Borrower, enforceable against Borrower in accordance with
their respective terms.

      Section 4.5. Litigation..  Except as disclosed in Schedule 4.5, there
are no actions, suits, proceedings or investigations pending or, to the best
of the Borrowers, knowledge, threatened

                                      16

<PAGE>

against Borrower before any court or arbitrator or before or by any
Governmental Authority which, in any one case or in the aggregate, if
determined adversely to the interests of the Borrower, could have a material
adverse effect on the business, properties, condition (financial or
otherwise) or operations, present or prospective, of Borrower, or upon its
ability to perform its obligations under the Loan Documents.  Borrower is not
in default with respect to any order of any court, arbitrator, or
Governmental Authority applicable to Borrower or its properties.

      Section 4.6. No Conflicts.  The execution and delivery by Borrower of
this Agreement and the other Loan Documents do not, and the performance of
its obligations thereunder will not, violate, conflict with, constitute a
default under, or result in the creation of a lien or encumbrance upon the
property of Borrower under: (a) any provision of Borrower's articles of
incorporation or its bylaws, (b) any provision of any law, rule, or
regulation applicable to Borrower, or (c) any of the following: (i) any
indenture or other agreement or instrument to which Borrower is a party or by
which Borrower or its property is bound; or (ii) any judgment, order or
decree of any court, arbitration tribunal, or Governmental Authority having
jurisdiction over Borrower which is applicable to Borrower.

      Section 4.7. Financial Condition.  The audited financial statements of
PHC, Inc. and its subsidiaries (including the entity comprising the Borrower)
(collectively, the "Consolidated Company") as of June 30, 1996, certified by
Richard A. Eisner Co., LLP, and the unaudited financial statements of the
Consolidated Company as of December 31, 1996, certified by the chief
financial officer of the Consolidated Company, which have been delivered to
Lender, fairly present the financial condition of the Consolidated Company
and the results of its operations and changes in financial condition as of
the dates and for the periods referred to, and have been prepared in
accordance with GAAP.  There are no material unrealized or anticipated
liabilities, direct or indirect, fixed or contingent, of the Consolidated
Company as of the dates of such financial statements which are not reflected
therein or in the notes thereto.  There has been no adverse change in the
business, properties, condition (financial or otherwise) or operations
(present or prospective) of any of the entities comprising Borrower since
December 31, 1996.  The Consolidated Company's fiscal year ends on June 30.
The federal tax identification number of the Borrower is listed on Schedule 
4.7.

      Section 4.8. No Default.  Borrower is not in default under or with
respect to any obligation in any respect which could be adverse to its
business, operations, property or financial condition, or which could
materially adversely affect the ability of Borrower to perform its
obligations under the Loan

                                      17



<PAGE>



Documents.  No Event of Default or event which, with the giving of notice or
lapse of time, or both, could become an Event of Default, has occurred and is
continuing.

      Section 4.9. Title to Properties. Borrower has good and marketable
title to its properties and assets, including the Collateral and the
properties and assets reflected in the financial statements described in
Section 4.7, subject to no lien, mortgage, pledge, encumbrance or charge of
any kind, other than Permitted Liens.  Borrower has not agreed or consented
to cause any of its properties or assets whether owned now or hereafter
acquired to be subject in the future (upon the happening of a contingency or
otherwise) to any lien, mortgage, pledge, encumbrance or charge of any kind
other than Permitted Liens.

      Section 4.10. Taxes.  Borrower has filed, or has obtained extensions
for the filing of, all federal, state and other tax returns which are
required to be filed, and has paid all taxes shown as due on those returns
and all assessments, fees and other amounts due as of the date hereof.  All
tax liabilities of Borrower were, as of September 30, 1996, and are now,
adequately provided for on Borrower's books.  No tax liability has been
asserted by the Internal Revenue Service or other taxing authority against
Borrower for taxes in excess of those already paid except as described in
Schedule 4.10.

      Section 4.11. Securities and Banking Laws and Regulations.

            (a)   The use of the proceeds of the Loan and Borrower's issuance
of the Note will not directly or indirectly violate or result in a violation
of the Securities Act of 1933 or the Securities Exchange Act of 1934, as
amended, or any regulations issued pursuant thereto, including without
limitation Regulations U, T, G, or X of the Board of Governors of the Federal
Reserve System.  Borrower is not engaged in the business of extending credit
for the purpose of the purchasing or carrying "margin stock" within the
meaning of those regulations.  No part of the proceeds of the Loan hereunder
will be used to purchase or carry any margin stock or to extend credit to
others for such purpose.

            (b)   Borrower is not an investment company within the meaning of
the Investment Company Act of 1940, as amended, nor is it, directly or
indirectly, controlled by or acting on behalf of any Person which is an
investment company within the meaning of that Act.

      Section 4.12. ERISA.  No employee benefit plan (a "Plan") subject to
the Employee Retirement Income Security Act of 1974 ("ERISA") and regulations
issued pursuant thereto that is maintained by Borrower or under which
Borrower could have any liability under ERISA (a) has failed to meet minimum
funding

                                      18



<PAGE>



standards established in Section 302 of ERISA, (b) has failed to comply with
all applicable requirements of ERISA and of the Internal Revenue Code,
including all applicable rulings and regulations thereunder, (c) has engaged
in or been involved in a prohibited transaction (as defined in ERISA) under
ERISA or under the Internal Revenue Code, or (d) has been terminated.
Borrower has not assumed, or received notice of a claim asserted against
Borrower for, withdrawal liability (as defined in the Multi-Employer Pension
Plan Amendments Act of 1980, as amended) with respect to any multi-employer
pension plan and is not a member of any Controlled Group (as defined in
ERISA).  Borrower has timely made when due all contributions with respect to
any multi-employer pension plan in which it participates and no event has
occurred triggering a claim against Borrower for withdrawal liability with
respect to any multi-employer pension plan in which Borrower participates.

      Section 4.13. Compliance with Law.  Except as described in Schedule
4.13, Borrower is not in material violation of any statute, rule or
regulation of any Governmental Authority (including, without limitation, any
statute, rule or regulation relating to employment practices or to
environmental, occupational and health standards and controls).  Borrower has
obtained all licenses, permits, franchises, and other governmental
authorizations necessary for the ownership of its properties and the conduct
of its business.  Borrower is current with all reports and documents required
to be filed with any state or federal securities commission or similar
Governmental Authority and is in full compliance with all applicable rules
and regulations of such commissions.

      Section 4.14. Environmental Matters.  No use, exposure, release,
generation, manufacture, storage, treatment, transportation or disposal of
Hazardous Material has occurred or is occurring on or from any real property
on which the Collateral is located or which is owned, leased or otherwise
occupied by Borrower (the "Premises"), or off the Premises as a result of any
action of Borrower, except as described in Schedule 4.14. All Hazardous
Material used, treated, stored, transported to or from, generated or handled
on the Premises, or off the Premises by Borrower, has been disposed of on or
off the Premises by or on behalf of Borrower in a lawful manner.  There are
no underground storage tanks present on or under the Premises owned or leased
by Borrower.  No other environmental, public health or safety hazards exist
with respect to the Premises.

      Section 4.15. Places of Business.  The only places of business of
Borrower, and the places where it keeps and intends to keep the Collateral
and records concerning the Collateral, are at the addresses set forth in
Schedule 4.15. Schedule 4.15 also lists the owner of record of each such
property.


                                      19



<PAGE>



      Section 4.16. Intellectual Property.  Borrower exclusively owns or
possesses all the patents, patent applications trademarks trademark
applications, service marks, trade names, copyrights, franchises, licenses,
and rights with respect to the foregoing necessary for the present and
planned future conduct of its business, without any conflict with the rights
of others.  A list of all such intellectual property (indicating the nature
of Borrower's interest), as well as all outstanding franchises and licenses
given by or held by Borrower, is attached as Schedule 4.16. Borrower is not
in default of any obligation or undertaking with respect to such intellectual
property or rights.

      Section 4.17. Stock Ownership.  The identity of the stockholders of all
classes of the outstanding stock of Borrower, together with the respective
ownership percentages held by such stockholders, are as set forth on Schedule 
4.17.

      Section 4.18. Material Facts.  Neither this Agreement nor any other
Loan Document nor any other agreement, document, certificate, or statement
furnished to Lender by or on behalf of Borrower in connection with the
transactions contemplated hereby contains any untrue statement of material
fact or omits to state a material fact necessary in order to make the
statements contained herein or therein not misleading.  There is no fact
known to Borrower that adversely affects or in the future (so far as Borrower
can reasonably foresee) may adversely affect the business, operations,
affairs or financial condition of Borrower, or any of its properties or
assets.

      Section 4.19. Investments, Guarantees, and Certain Contracts. Borrower
does not own or hold any equity or long-term debt investments in, have any
outstanding advances to, have any outstanding guarantees for the obligations
of, or have any outstanding borrowings from, any Person, except as described
on Schedule 4.19. Borrower is not a party to any contract or agreement, or
subject to any charter or other corporate restriction, which materially
adversely affects its business.

      Section 4.20. Business Interruptions.  Within five years prior to the
date hereof, neither the business, property or assets, or operations of
Borrower has been materially adversely affected in any way by any casualty,
strike, lockout, combination of workers, or order of the United States of
America or other Governmental Authority, directed against Borrower.  There
are no pending or, to the best of Borrower's knowledge, threatened labor
disputes, strikes, lockouts, or similar occurrences or grievances against
Borrower or its business.

      Section 4.21. Names.  Within five years prior to the date hereof,
Borrower has not conducted business under or used any other name (whether
corporate or assumed) other than as shown on Schedule 4.21. Borrower is the
sole owner of all names listed on

                                     2 0



<PAGE>


that Schedule and any and all business done and invoices issued in such names
are borrower's sales, business, and invoices.  Each trade name of Borrower
represents a division or trading style of Borrower and not a separate
corporate subsidiary or independent Affiliate.

      Section 4.22 Joint Ventures.  Borrower is not engaged in any joint
venture or partnership with any other Person, except as set forth on Schedule 
4.22.

      Section 4.23 Accounts.  Lender may rely, in determining which Accounts
are Qualified Accounts, on all statements and representations made by
Borrower with respect to any Account or Accounts.  Unless otherwise indicated
in writing to Lender, with respect to each Account:

            (a)   It is genuine and in all respects what it purports to be,
and is not evidenced by a judgment;

            (b)   It arises out of a completed, bona fide sale and delivery
of goods or rendition of services by Borrower in the ordinary course of its
business and in accordance with the terms and conditions of all purchase
orders, contracts, certification, participation, certificate of need, or
other documents relating thereto and forming a part of the contract between
Borrower and the Account Debtor;

            (c)   It is for a liquidated amount maturing as stated in a
duplicate claim or invoice covering such sale or rendition of services, a
copy of which has been furnished or is available to Lender;

            (d)   Such Account, and Lender's security interest therein, is
not, and will not (by voluntary act or omission by Borrower), be in the
future, subject to any offset, lien, deduction, defense, dispute,
counterclaim or any other adverse condition, and each such Account is
absolutely owing to Borrower and is not contingent in any respect or for any
reason;

(e)   There are no facts, events or occurrences which in any way impair the
validity or enforceability of any Accounts or tend to reduce the amount
payable thereunder from the face amount of the claim or invoice and
statements delivered to Lender with respect thereto;

            (f)   To the best of Borrower's knowledge, (i) the Account Debtor
thereunder had the capacity to contract at the time any contract or other
document giving rise to the Account was executed and (ii) such Account Debtor
is solvent;

            (g)   To the best of Borrower's knowledge, there are no
proceedings or    actions which are threatened or pending against

                                      21



<PAGE>



any Account Debt thereunder which might result in any material adverse change
in such Account Debtor's financial condition or the collectibility of such
Account;

            (h)   It has been billed and forwarded to the Account Debtor for
payment in accordance with applicable laws and compliance and conformance
with any and requisite procedures, requirements and regulations governing
payment by such Account Debtor with respect to such Account, and such Account
if due from a Medicaid/Medicare Account Debtor is properly payable directly
to Borrower; and

            (i)   Borrower has obtained and currently has all certificates of
need, Medicaid and Medicare provider numbers, licenses, permits and
authorizations as necessary in the generation of such Accounts.



                                  ARTICLE V

                      CLOSING AND CONDITIONS OF LENDING

      Section 5.1. Conditions Precedent to Agreement.  The obligation of
Lender to enter into and perform this Agreement and to make Revolving Credit
Loans is subject to the following conditions precedent:

            (a)   Lender shall have received two (2) originals of this
Agreement and all other Loan Documents required to be executed and delivered
at or prior to Closing (other than the Note, as to which Lender shall receive
only one original), executed by Borrower and any other required Persons, as
applicable.

            (b)   Lender shall have received all searches and good standing
certificates required by Section 3.5.

            (c)   Borrower shall have complied and shall then be in
compliance with all the terms, covenants and conditions of the Loan Documents.

            (d)   There shall have occurred no Event of Default and no event
which, with the giving of notice or the lapse of time, or both, could
constitute such an Event of Default.

            (e)   The representations and warranties contained in Article IV
shall be true and correct.

            (f)   Lender shall have received copies of all board of directors
resolutions and other corporate action taken by Borrower to authorize the
execution, delivery and performance of

                                      22



<PAGE>



the Loan Documents and the borrowing of the Loan thereunder, as well as the
names and signatures of the officers of Borrower authorized to execute
documents on its behalf in connection herewith, all as also certified as of
the date hereof by Borrower's chief financial officer, and such other papers
as Lender may require.

            (g)   Lender shall have received copies, certified as true,
correct and complete by a corporate officer of Borrower, of the articles of
incorporation and bylaws of Borrower, with any amendments thereto, and all
other documents necessary for performance of the obligations of Borrower
under this Agreement and the other Loan Documents.

            (h)   Lender shall have received a written opinion of counsel for
Borrower, dated the date hereof, in the form of Exhibit E.

            (i)   Lender shall have received such financial statements,
reports, certifications, and other operational information required to be
delivered hereunder, including without limitation an initial borrowing base
certificate calculating the Borrowing Base.

            (j)     Lender shall have received the portion of the Commitment
                    Fee payable at Closing in accordance with Section 2.4(a)
                    of this   Agreement.

            (k)   The Lockbox and the Concentration Account shall have been
established.

            (1)   Lender shall have received a certificate of Borrower's
chief financial officer, dated the Closing Date, certifying that all of the
conditions specified in this Section have been fulfilled.

      Section 5.2. Conditions Precedent to Advances.  Notwithstanding any
other provision of this Agreement, no Loan proceeds, Revolving Credit Loans,
advances or other extensions of credit under the Loan shall be disbursed
hereunder unless the following conditions have been satisfied or waived
immediately prior to such disbursement:

            (a)   The representations and warranties on the part of Borrower
contained in Article IV of this Agreement shall be true and correct in all
respects at and as of the date of disbursement or advance, as though made on
and as of such date (except to the extent that such representations and
warranties expressly relate solely to an earlier date and except that the
references in Section 4.7 to financial statements shall be deemed to be a
reference to the then most recent annual and interim financial


                                     2 3



<PAGE>



statements of Borrower furnished to Lender pursuant to Section 6.1 hereof).

            (b)   No Event of Default or event which, with the giving of
notice of the lapse of time, or both, could become an Event of Default shall
have occurred and be continuing or would result from the making of the
disbursement or advance.

            (c)   No adverse change in the condition (financial or
otherwise), properties, business, or operations of Borrower shall have
occurred and be continuing with respect to Borrower since the date hereof.

      Section 5.3. Closing.  Subject to the conditions of this Article V, the
Loan shall be made available on the date as is mutually agreed by the parties
(the "Closing Date") at such time as may by mutually agreeable to the parties
upon the execution hereof (the "Closing") at such place as may be requested
by Lender.

      Section 5.4. Waiver of Rights.  By completing the Closing hereunder, or
by making advances under the Loan, Lender does not waive a breach of any
representation or warranty of Borrower hereunder or under any other Loan
Document, and all of Lender's claims and rights resulting from any breach or
misrepresentation by Borrower are specifically reserved by Lender.


                                  ARTICLE VI

                            AFFIRMATIVE COVENANTS

      Borrower covenants and agrees that for so long as Borrower may borrow
hereunder and until payment in full of the Note and performance of all other
obligations of Borrower under the Loan Documents:

      Section 6.1. Financial Statements and Collateral Reports.  Borrower
will furnish to Lender (a) a sales and collections report and accounts
receivable aging schedule on a form acceptable to Lender within fifteen (15)
days after the end of each calendar month, which shall include, but not be
limited to, a report of sales, credits issued, and collections received; (b)
payable aging schedules within fifteen (15) days after the end-of each
calendar month; (c) internally prepared monthly financial statements for
Borrower, certified by Borrower's chief financial officer to be in accordance
with GAAP to the best of his or her knowledge, within forty-five (45) days of
the end of each calendar month (provided, however, that Borrower reserves the
right to make reasonable accounting adjustments to such monthly financial
statements within a reasonable period of time following the delivery thereof
to Lender); (d) internally prepared

                                      24


<PAGE>


quarterly financial statements for the Consolidated Company (accompanied by
detailed financial information pertaining to Borrower), to be furnished to
Lender simultaneous with the filing by the Consolidated Company with the U.S.
Securities and Exchange Commission of quarterly financial statements on Form
10-Q; (e) to the extent prepared by Borrower, annual projections, profit and
loss  statements, balance sheets, and cash flow reports (prepared on a
monthly basis) for the succeeding fiscal year within thirty (30) days before
the end of each of Borrower's fiscal years; (f) annual audited financial
statements for the Consolidated Company (as such term is defined in Section
4.7) prepared by Richard A. Eisner & Co., LLP or a firm of independent public
accountants reasonably satisfactory to Lender, to be furnished to Lender
simultaneous with the filing by the Consolidated Company with the U.S.
Securities and Exchange Commission of annual financial statements on Form
10-K; (g) promptly upon receipt thereof, copies of any reports submitted to
Borrower by independent accountants in connection with any interim audit of
the books of Borrower and copies of each management control letter provided
to Borrower by independent accountants; (h) as soon as available, copies of
all financial statements and notices provided by Borrower to all of its
stockholders; and (i) such additional information, reports or statements as
Lender may from time to time request.  Annual financial statements shall set
forth in comparative form figures for the corresponding periods in the prior
fiscal year.  All financial statements shall include a balance sheet and
statement of earnings and shall be prepared in accordance with GAAP.

      Section 6.2. Payments Hereunder.  Borrower will make all payments of
principal, interest, fees, and all other payments required hereunder, under
the Loan, and under any other agreements with Lender to which Borrower is a
party, as and when due.

      Section 6.3. Existence, Good Standing, and Compliance with Laws. 
Borrower will do or cause to be done all things necessary (a) to obtain and
keep in full force and effect all corporate existence, rights, licenses,
privileges, and franchises of Borrower necessary to the ownership of its
property or the conduct of its business, and comply with all applicable
present and future laws, ordinances, rules, regulations, orders and decrees
of any Governmental Authority having or claiming jurisdiction over Borrower;
and (b) to maintain and protect the properties used or useful in the conduct
of the operations of Borrower, in a prudent manner, including without
limitation the maintenance at all times of such insurance upon its insurable
property and operations as required by law or by Section 6.7 hereof.

      Section 6.4. Legality.  The making of the Loan and each disbursement or
advance under the Loan shall not be subject to

                                      25



<PAGE>


any penalty or special tax, shall not be prohibited by any governmental order
or regulation applicable to Borrower, and shall not violate any rule or
regulation of any Governmental Authority, and necessary consents, approvals
and authorizations of any Governmental Authority to or of any such
disbursement or advance shall have been obtained.

      Section 6.5. Lender's Satisfaction.  All instruments and legal
documents and proceedings in connection with the transactions contemplated by
this Agreement shall be satisfactory in form and substance to Lender and its
counsel, and Lender shall have received all documents, including records of
corporate proceedings and opinions of counsel, which Lender may have
requested in connection therewith.

      Section 6.6. Taxes and Charges.  Borrower will timely file all tax
reports and pay and discharge all taxes, assessments and governmental charges
or levies imposed upon Borrower, or its income or profits or upon its
properties or any part thereof, before the same shall be in default and prior
to the date on which penalties attach thereto, as well as all lawful claims
for labor, material, supplies or otherwise which, if unpaid, might become a
lien or charge upon the properties or any part thereof of Borrower; Provided,
however, that the Borrower shall not be required to pay and discharge or
cause to be paid and discharged any such tax, assessment, charge, levy or
claim so long as the validity or amount thereof shall be contested in good
faith and by appropriate proceedings by Borrower, and the Borrower shall have
set aside on their books adequate reserve therefor; and Provided further,
that such deferment of payment is permissible only so long as Borrower's
title to, and its right to use, the Collateral is not adversely affected
thereby and Lender's lien and priority on the Collateral are not adversely
affected, altered or impaired thereby.

      Section 6.7. Insurance.  Borrower will carry adequate public liability
and professional liability insurance with responsible companies satisfactory
to Lender in such amounts and against such risks as is customarily maintained
by similar businesses and by owners of similar property in the same general
area.

      Section 6.8. General Information.  Borrower will furnish to Lender such
information as Lender may, from time to time, request with respect to the
business or financial affairs of Borrower, and, upon reasonable prior notice,
permit any officer, employee or agent of Lender to visit and inspect
Borrower's corporate headquarters or any of Borrower's facilities at which
Accounts are generated, to meet with appropriate personnel and to examine the
minute books, books of account and other records, including management
letters prepared by Borrower's auditors, of Borrower, and make copies thereof
or extracts therefrom, and to

                                     2 6



<PAGE>


discuss its and their business affairs, finances and accounts with, and be
advised as to the same by, the accountants and officers of Borrower, all at
such reasonable times and as often as Lender may require.

      Section 6.9. Maintenance of Property.  Borrower will maintain, keep and
preserve all of its properties in good repair, working order and condition
and from time to time make all needful and proper repairs, renewals,
replacements, betterments and improvements thereto, so that the business
carried on in connection therewith may be properly and advantageously
conducted at all times.

      Section 6.10. Notification of Events of Default and Adverse 
Developments. Borrower promptly will notify Lender upon the occurrence of:
(a) any Event of Default; (b) any event which, with the giving of notice or
lapse of time, or both, could constitute an Event of Default; (c) any event,
development or circumstance whereby the financial statements previously
furnished to Lender fail in any material respect to present fairly, in
accordance with GAAP, the financial condition and operational results of
Borrower; (d) any judicial, administrative or arbitration proceeding pending
against Borrower, and any judicial or administrative proceeding known by
Borrower to be threatened against it which, if adversely decided, could
adversely affect its condition (financial or otherwise) or operations
(present or prospective) or which may expose Borrower to uninsured liability
of $25,000.00 or more; (e) any default claimed by any other creditor for
Borrowed Money of Borrower other than Lender; and (f) any other development
in the business or affairs of Borrower which may be adverse; in each case
describing the nature thereof and (in the case of notification under clauses
(a) and (b)) the action Borrower proposes to take with respect thereto.

      Section 6.11. Employee Benefit Plans.  Borrower will (a) comply with
the funding requirements of ERISA with respect to the Plans for its
employees, or will promptly satisfy any accumulated funding deficiency that
arises under Section 302 of ERISA; (b) furnish Lender, promptly after filing
the same, with copies of all reports or other statements filed with the
United States Department of Labor, the Pension Benefit Guaranty Corporation,
or the Internal Revenue Service with respect to all Plans, or which Borrower,
or any member of a Controlled Group, may receive from such Governmental
Authority with respect to any such Plans, and (c) promptly advise Lender of
the occurrence of any Reportable Event or Prohibited Transaction with respect
to any such Plan and the action which Borrower proposes to take with respect
thereto.  Borrower will make all contributions when due with respect to any
multi-employer pension plan in which it participates and will promptly advise
Lender: (a) upon its receipt of notice of the assertion against Borrower of a
claim for withdrawal liability;

                                      27



<PAGE>



(b)   upon the occurrence of any event which could trigger the assertion of a
claim for withdrawal liability against Borrower; and (c) upon the occurrence
of any event which would place Borrower in a Controlled Group as a result of
which any member (including Borrower) thereof may be subject to a claim for
withdrawal liability, whether liquidated or contingent.

      Section 6.12. Financing Statements.  Borrower shall provide to Lender
evidence satisfactory to Lender as to the due recording of termination
statements, releases of collateral, and Forms UCC-3, and shall cause to be
recorded financing statements on Form UCC-1, duly executed by Borrower and
Lender, in all places necessary to release all existing security interests
and other liens in the Collateral (other than as permitted hereby) and to
perfect and protect Lender's first priority lien and security interest in the
Collateral, as Lender may request.

      Section 6.13. Financial Records.  Borrower shall keep current and
accurate books of records and accounts in which full and correct entries will
be made of all of its business transactions, and will reflect in its
financial statements adequate accruals and appropriations to reserves, all in
accordance with GAAP.

      Section 6.14. Collection of Accounts.  Borrower shall continue to
collect its Accounts in the ordinary course of business.

      Section 6.15. Places of Business.  Borrower shall give thirty (30)
days, prior written notice to Lender of any change in the location of any of
its places of business, of the places where its records concerning its
Accounts are kept, of the places where the Collateral is kept, or of the
establishment of any new, or the discontinuance of any existing, places of
business.

      Section 6.16. Business Conducted.  Borrower shall continue in the
business presently conducted by i ' t using its best efforts to maintain its
customers and goodwill.  Borrower shall not engage, directly or indirectly,
in any line of business substantially different from the business conducted
by it immediately prior to the Closing Date, or engage in business or lines
of business which are not reasonably related thereto.

      Section 6.17. Litigation and Other Proceedings.  Borrower shall give
prompt notice to Lender of any litigation, arbitration, or other proceeding
before any Governmental Authority against or affecting Borrower if the amount
claimed is more than $25,000.00

      Section 6.18. Bank Accounts.  Borrower shall assign all of its
depository accounts to Lender.


                                      28



<PAGE>



      Section 6.19. Submission of Collateral Documents.  Borrower  will, on
demand of Lender, make available to Lender copies of shipping and delivery
receipts evidencing the shipment of goods that gave rise to an Account,
medical records, insurance verification forms, assignment of benefits,
in-take forms or other proof of the satisfactory performance of services that
gave rise to an Account, a copy of the claim or invoice for each Account and
copies of any written contract or order from which the Account arose.
Borrower shall promptly notify Lender if an Account becomes evidenced or
secured by an instrument or chattel paper and upon request of Lender, will
promptly deliver any such instrument or chattel paper to Lender.

      Section 6.20. Licensure; Medicaid/Medicare Cost Reports.  Borrower will
maintain all certificates of need, provider numbers and licenses necessary to
conduct its business as presently conducted, and take any steps required to
comply with any such new or additional requirements that may be imposed on
providers of medical products and services.  If required, all
Medicaid/Medicare costs reports will be properly filed.

      Section 6.21. Officer's Certificates.  Together with the monthly
financial statements delivered pursuant to clause (c) of Section 6.1, and
together with the audited annual financial statements delivered pursuant to
clause (g) of that Section, Borrower shall deliver to Lender a certificate of
its chief financial officer in form and substance satisfactory to Lender
setting forth:

            (a)   The information (including detailed calculations) required
in order to establish whether Borrower is in compliance with the requirements
of Articles VI and VII as of the end of the period covered by the financial
statements then being furnished; and

            (b)   That the signer has reviewed the relevant terms of this
Agreement, and has made (or caused to be made under his supervision) a review
of the transactions and conditions of Borrower from the beginning of the
accounting period covered by the income statements being delivered to the
date of the certificate, and that such review has not disclosed the existence
during such period of any condition or event which constitutes an Event of
Default or which is then, or with the passage of time or giving of notice or
both, could become an Event of Default, and if any such condition or event
existed during such period or now exists, specifying the nature and period of
existence thereof and what action Borrower has taken or proposes to take with
respect thereto.

Section 6.22. Visits and Inspections.  Borrower agrees to permit
representatives of Lender, from time to time, as often as may be reasonably
requested upon at least twenty-four (24) hours'

                                     2 9



<PAGE>



prior notice, but only during normal business hours, to visit and inspect the
properties of Borrower, and to inspect, audit and make extracts from its
books and records, and discuss with its President or Controller, or other
persons designated by either of them, and its independent accountants,
Borrower's business, assets, liabilities, financial condition, business
prospects and results of operations.


                                 ARTICLE VII

                              NEGATIVE COVENANTS

      Borrower covenants and agrees that so long as Borrower may borrow
hereunder and until payment in full of the Note and performance of all other
obligations of the Borrower under the Loan Documents:

      Section 7.1. Borrowing.  Borrower will not create, incur, assume or
suffer to exist any liability for Borrowed Money except: (a) indebtedness to
Lender; (b) indebtedness of Borrower secured by mortgages, encumbrances or
liens expressly permitted by Section 7.3 hereof; (c) accounts payable to
trade creditors and current operating expenses (other than for borrowed
money) which are not aged more than one hundred twenty (120) days from the
billing date or more than thirty (30) days from the due date, in each case
incurred in the ordinary course of business and paid within such time period,
unless the same are being contested in good faith and by appropriate and
lawful proceedings, and Borrower shall have set aside such reserves, if any,
with respect thereto as are required by GAAP and deemed adequate by Borrower
and its independent accountants; (d) borrowings incurred in the ordinary
course of its business and not exceeding $50,000.00 in the aggregate
outstanding at any one time; or (e) indebtedness incurred to finance the
acquisition of fee simple ownership of the facility identified in Schedule 
4.15, with such indebtedness to be secured solely by a mortgage on such
facility.  Borrower will not make prepayments on any existing or future
indebtedness for Borrowed Money to any Person (other than Lender, to the
extent permitted by this Agreement or any subsequent agreement between
Borrower and Lender).

      Section 7.2. Joint Ventures.  Borrower will not invest directly or
indirectly in any joint venture for any purpose without the prior written
notice to, and the express written consent of, Lender, which consent may be
withheld in Lender's sole discretion.

      Section 7.3. Liens and Encumbrances.  Borrower will not create, incur,
assume or suffer to exist any mortgage, pledge, lien or other encumbrance of
any kind (including the charge upon property purchased under a conditional
sale or other title

                                     3 0



<PAGE>



  retention agreement) upon, or any security interest in, any of its
  Collateral, whether now owned or hereafter acquired, except for Permitted
  Liens.

        Section 7.4. Merger, Acquisition, or Sale of Assets.  Borrower will
  not enter into any merger or consolidation with or acquire all or
  substantially all of the assets of any Person, and will not sell, lease, or
  otherwise dispose of any of its assets except in the ordinary course of its
  business.

        Section 7.5. Sale and Leaseback.  Borrower will not, directly or
  indirectly, enter into any arrangement whereby Borrower sells or transfers
  all or any part of its assets and thereupon and within one year thereafter
  rents or leases the assets so sold or transferred without the prior written
  notice to, and the express written consent of, Lender, which consent may be
  withheld in Lender's sole discretion; provided, however, that in any fiscal
  year Borrower shall be permitted to enter into any transactions described
  in this Section 7.5 without obtaining Lender's prior written consent so
  long as the aggregate amount involved in such transactions during such
  fiscal year is lower than Fifty Thousand and No/100 Dollars ($50,000.00).

        Section 7.6. Dividends and Management Fees.  Borrower will not
  declare or pay any dividends, purchase, redeem or otherwise acquire for
  value any of its outstanding stock, or return any capital of its
  stockholders, nor shall Borrower pay or become obligated to pay management
  fees or fees of a similar nature to any Person; provided, however, that so
  long as no Event of Default has occurred hereunder, Borrower may make any
  such dividends or purchase, redeem or otherwise acquire such outstanding
  stock, return any such capital, or pay any such management fees, so long as
  doing so would not violate any of the other terms and conditions of this
  Agreement.

        Section 7.7. Loans.  Borrower will not make loans or advances to any
  Person, other than (i) trade credit extended in the ordinary course of its
  business, and (ii) advances for business travel and similar temporary
  advances in the ordinary course of business to officers, stockholders,
  directors, and employees.

        Section 7.8. Contingent Liabilities.  Borrower will not assume,
  guarantee, endorse, contingently agree to purchase or otherwise become
  liable upon the obligation of any Person, except by the endorsement of
  negotiable instruments for deposit or collection or similar transactions in
  the ordinary course of business.

        Section 7.9. Subsidiaries.  Borrower will not form any subsidiary, or
  make any investment in or any loan in the nature of an investment to, any
  other Person.

                                      31



<PAGE>



      Section 7.10. Compliance with ERISA.  Borrower will not permit with
respect to any Plan covered by Title IV of ERISA any Prohibited Transaction
or any Reportable Event.

      Section 7.11. Certificates of Need.  Amend, alter or suspend or
terminate or make provisional in any material way, any certificate of need or
provider number without the prior written consent of Lender.

      Section 7.12. Transactions with Affiliates.  Borrower will not enter
into any transaction, including without limitation the purchase, sale, or
exchange of property, or the loaning or giving of funds to any Affiliate or
subsidiary, except in the ordinary course of business and pursuant to the
reasonable requirements of Borrower's business and upon terms substantially
the same and no less favorable to Borrower as it would obtain in a comparable
arm's length transaction with any Person not an Affiliate or subsidiary, and
so long as the transaction is not otherwise prohibited hereunder.  For
purposes of the foregoing, Lender consents to the transactions described on
Schedule 7.12.

      Section 7.13. Use of Lender's Name.  Borrower will not use Lender's
name (or the name of any of Lender's affiliates) in connection with any of
its business operations.  Borrower may disclose to third parties that
Borrower has a borrowing relationship with Lender.  Nothing herein contained
is intended to permit or authorize Borrower to make any contract on behalf of
Lender.

      Section 7.14. Chancre in Capital Structure.  There shall occur no
change in Borrower's capital structure as set forth in Schedule 4.17.

      Section 7.15. Contracts and Agreements.  Borrower will not become or be
a party to any contract or agreement which would breach this Agreement, or
breach any other instrument, agreement, or document to which Borrower is a
party or by which it is or may be bound.

      Section 7.16. Margin Stock.  Borrower will not carry or purchase any
"margin security" within the meaning of Regulations U, G, T or X of the Board
of Governors of the Federal Reserve System.

      Section 7.17. Truth of Statements and Certificates.  Borrower will not
furnish to Lender any certificate or other document that contains any untrue
statement of a material fact or that omits to state a material fact necessary
to make it not misleading in light of the circumstances under which it was
furnished.



                                     3 2



<PAGE>



                                 ARTICLE VIII
                              EVENTS OF DEFAULT
     Section 8.1. Events of Default.  Each of the following (individually, an
"Event of Default" and collectively, the "Events of Default") shall
constitute an event of default hereunder:

            (a)   A default in the payment of any installment of principal
of, or interest upon, the Note when due and payable, whether at maturity or
otherwise, which default shall have continued unremedied for a period of five
(5) days after written notice thereof from Lender to Borrower;

            (b)   A default in the payment of any other charges, fees, or
other monetary obligations owing to Lender arising out of or incurred in
connection with this Agreement, when such payment is due and payable, which
default shall have continued unremedied for a period of five (5) days after
written notice from Lender;

            (c)   A default in the due observance or performance by Borrower
of any other term, covenant or agreement contained in any of the Loan
Documents, which default shall have continued unremedied for a period of
thirty (30) days after written notice from Lender;

            (d)   If any representation or warranty made by Borrower herein
or in any of the other Loan Documents, any financial statement, or any
statement or representation made in any other certificate, report or opinion
delivered in connection herewith or therewith proves to have been incorrect
or misleading in any material respect when made, which default shall have
continued unremedied for a period of ten (10) days after written notice from
Lender;

            (e)   If any obligation of Borrower (other than its Obligations
hereunder) for the payment of Borrowed Money is not paid when due or within
any applicable grace period, or such obligation becomes or is declared to be
due and payable prior to the expressed maturity thereof, or there shall have
occurred an event which, with the giving of notice or lapse of time, or both,
would cause any such obligation to become, or allow any such obligation to be
declared to be, due and payable;

            (f)   If Borrower makes an assignment for the benefit of
creditors, offers a composition or extension to creditors, or makes or sends
notice of an intended bulk sale of any business or assets now or hereafter
conducted by Borrower;



                                     3 3


<PAGE>

(g)         If Borrower files a petition in bankruptcy, is adjudicated
insolvent or bankrupt, petitions or applies to any tribunal for any receiver
of or any trustee for itself or any substantial part of its property,
commences any proceeding relating to itself under any reorganization,
arrangement, readjustment or debt, dissolution or liquidation law or statute
of any jurisdiction, whether now or hereafter in effect, or there is
commenced against Borrower any such proceeding which remains undismissed for
a period of sixty (60) days, or any Borrower by any act indicates its consent
to, approval of, or acquiescence in, any such proceeding or the appointment
of any receiver of or any trustee for a Borrower or any substantial part of
its property, or suffers any such receivership or trusteeship to continue
undischarged for a period of sixty (60) days;

            (h)   If one or more final judgments against Borrower or
attachments against its property not fully and unconditionally covered by
insurance shall be rendered by a court of record and shall remain unpaid,
unstayed on appeal, undischarged, unbonded and undismissed for a period of
ten (10) days;

            (i)   A Reportable Event which might constitute grounds for
termination of any Plan covered by Title IV of ERISA or for the appointment
by the appropriate United States District Court of a trustee to administer
any such Plan or for the entry of a lien or encumbrance to secure any
deficiency, has occurred and is continuing thirty (30) days after its
occurrence, or any such Plan is terminated, or a trustee is appointed by an
appropriate United States District Court to administer any such Plan, or the
Pension Benefit Guaranty Corporation institutes proceedings to terminate any
such Plan or to appoint a trustee to administer any such Plan, or a lien or
encumbrance is entered to secure any deficiency or claim;

            (j)   If any outstanding stock of Borrower is sold or otherwise
transferred by the Person owning such stock on the date hereof;

            (k)   If there shall occur any uninsured damage to or loss, theft
or destruction of any portion of the Collateral;

            (1)   If Borrower breaches of violates the terms of, or if a
default or an event which could, whether with notice or the passage of time,
or both, constitute a default, occurs under any other existing or future
agreement (related or unrelated) between Borrower and Lender;

            (m)   Upon the issuance of any execution or distraint process
against Borrower or any of its property or assets;

            (n)   If Borrower ceases any material portion of its business
operations as presently conducted;

                                     3 4



<PAGE>



(o)         If any indication or evidence is received by Lender that Borrower
may have directly or indirectly been engaged in any type of activity which,
in Lender's discretion, might result in the forfeiture of any property of
Borrower to any Governmental Authority, which default shall have continued
unremedied for a period of ten (10) days after written notice from Lender;

            (p)   Borrower or any Affiliate of Borrower, shall challenge or
contest, in any action, suit or proceeding, the validity or enforceability of
this Agreement, or any of the other Loan Documents, the legality or the
enforceability of any of the Obligations or the perfection or priority of any
Lien granted to Lender;

            (q)   Borrower shall be criminally indicted or convicted under
any law that could lead to a forfeiture of any Collateral.

            (s)   There shall occur a material adverse change in the
financial condition or business prospects of Borrower, or if Lender in good
faith deems itself insecure as a result of acts or events bearing upon the
financial condition of Borrower or the repayment of the Note, which default
shall have continued unremedied for a period of ten (10) days after written
notice from Lender.

            (t)   PHC, Inc. shall have breached any of its representations,
warranties or covenants contained in the Unconditional Guaranty of Payment
and Performance of even date herewith, executed in favor of Lender.

            (u)   An Event of Default shall have occurred under the Loan and
Security Agreement dated as of May 21, 1996 (as such Loan and Security
Agreement may be amended, replaced or modified) by and between PHC of Utah,
Inc. (an affiliate of Borrower) and Lender (as successor-in-interest to
HealthPartners Funding, L.P.).

            (v)   An Event of Default shall have occurred under the Secured
Bridge Note dated January 13, 1997 in the original principal amount of
$400,000.00 (as such Secured Bridge Note may be amended (by Allonge or
otherwise), replaced or modified), executed by Borrower in favor of Lender.

     Section 8.2. Acceleration.  Upon the occurrence of any of the foregoing
Events of Default, the Note shall become and be immediately due and payable
upon declaration to that effect delivered by Lender to Borrower; provided
that, upon the happening of any event specified in Section 8.1.(g) hereof,
the Note shall be immediately due and payable without declaration or other
notice to Borrower.



                                     3 5



<PAGE>


      Section 8.3. Remedies.

            (a)   In addition to all other rights, options, and remedies
granted to Lender under this Agreement, upon the occurrence of an Event of
Default Lender may (i) terminate the Loan, whereupon all outstanding
obligations shall be immediately due and payable, (ii) exercise all other
rights granted to it hereunder and all rights under the Uniform Commercial
Code in effect in the applicable jurisdictions) and under any other
applicable law, and (iii) exercise all rights and remedies under all Loan
Documents now or hereafter in effect, including the following rights and
remedies (which list is given by way of example and is not intended to be an
exhaustive list of all such rights and remedies):

                  (i)   The right to take possession of, send notices
regarding, and collect directly the Collateral, with or without judicial
process, and to exercise all rights and remedies available to Lender with
respect to the Collateral under the Uniform Commercial Code in effect in the
jurisdictions) in which such Collateral is located;

                  (ii)  The right to (by its own means or with judicial
assistance) enter any of Borrower's premises and take possession of the
Collateral, or render it unusable, or dispose of the Collateral on such
premises in compliance with subsection (b), without any liability for rent,
storage, utilities, or other sums, and Borrower shall not resist or interfere
with such action;

                  (iii) The right to require Borrower at Borrower's expense
to assemble all or any part of the Collateral and make it available to Lender
at any place designated by Lender;

                  (iv)  The right to reduce the Maximum Loan Amount or to use
the Collateral and/or funds in the Concentration Account in amounts up to the
Maximum Loan Amount for any reason; and

                  (v)   The right to relinquish or abandon any Collateral or
any security interest therein.

            (b)   Borrower agrees that a notice received by it at least five
(5) days before the time of any intended public sale, or the time after which
any private sale or other disposition of the Collateral is to be made, shall
be deemed to be reasonable notice of such sale or other disposition.  If
permitted by applicable law, any perishable Collateral which threatens to
speedily decline in value or which is sold on a recognized marked may be sold
immediately by Lender without prior notice to Borrower.  At any sale or
disposition of Collateral, Lender may (to the extent permitted by applicable
law) purchase all or any

                                     3 6



<PAGE>


part of the Collateral, free from any right of redemption by Borrower, which
right is hereby waived and released.  At any sale or disposition of
Collateral, Lender may (to the extent permitted by applicable law) purchase
all or any part of the Collateral, free from any right of redemption by
Borrower, which right is hereby waived and released.  Borrower covenants and
agrees not to interfere with or impose any obstacle to Lender's exercise of
its rights and remedies with respect to the Collateral.

      Section 8.4. Nature of Remedies.  Lender shall have the right to
proceed against all or any portion of the Collateral to satisfy, in any
order, (a) the liabilities and Obligations of Borrower to Lender, or (b) upon
the occurrence of an Event of Default under the Secured Bridge Note dated
January 13, 1997(as such Secured Bridge Note may be amended (by Allonge or
otherwise), replaced or modified), the liabilities and obligations of
Borrower to Lender thereunder, or (c) upon the occurrence of an Event of
Default under the Loan and Security Agreement dated May 21, 1996 (the "Utah
Loan Agreement"), the liabilities and obligations (as defined in the Utah
Loan Agreement) of PHC of Utah, Inc. to Lender thereunder.  All rights and
remedies granted Lender hereunder and under any agreement referred to herein,
or otherwise available at law or in equity, shall be deemed concurrent and
cumulative, and not alternative remedies, and Lender may proceed with any
number of remedies at the same time until the Loan, and all other existing
and future liabilities and obligations of Borrower and PHC Utah to Lender,
are satisfied in full.  The exercise of any one right or remedy shall not be
deemed a waiver or release of any other right or remedy, and Lender, upon the
occurrence of an Event of Default, may proceed against Borrower, and/or the
Collateral, at any time, under any agreement, with any available remedy and
in any order."

                                  ARTICLE IX
                                MISCELLANEOUS
      Section 9.1. Expenses and Taxes.

            (a)   Borrower agrees to pay, whether or not the Closing occurs,
all out-of-pocket charges and expenses incurred by Lender (including without
limitation the reasonable fees and expenses-of Lender's counsel) in
connection with the negotiation, preparation and execution of each of the
Loan Documents; provided, however that with respect to the period through and
including the Closing, Borrower shall in no event be required to pay more
than the following amounts incurred by Lender: (i) Six Thousand and no/100
Dollars ($6,000.00) in legal fees plus (ii) out-of-pocket charges and
expenses.  Borrower also agrees to pay all out-of pocket charges and expenses
incurred by Lender (including the

                                     3 7



<PAGE>


reasonable fees and expenses of Lender's counsel) in connection with the
enforcement, protection or preservation of any right or claim of Lender and
the collection of any amounts due under the Loan Documents.

            (b)   Borrower shall pay all taxes (other than taxes based upon
or measured by Lender's income or revenues or any personal property tax), if
any, in connection with the issuance of the Note and the recording of the
security documents therefor.  The obligations of Borrower under this clause
(b) shall survive the payment of Borrower's indebtedness hereunder and the
termination of this Agreement.

      Section 9.2. Entire Agreement; Amendments.  This Agreement and the
other Loan Documents constitute the full and entire understanding and
agreement among the parties with regard to their subject matter and supersede
all prior written or oral agreements, understandings, representations and
warranties made with respect thereto.  No amendment, supplement or
modification of this Agreement nor any waiver of any provision thereof shall
be made except in writing executed by the party against whom enforcement is
sought.

      Section 9.3. No Waiver; Cumulative Rights.  No waiver by any party
hereto of any one or more defaults by the other party in the performance of
any of the provisions of this Agreement shall operate or be construed as a
waiver of any future default or defaults, whether of a like or different
nature.  No failure or delay on the part of any party in exercising any
right, power or remedy hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any such right, power or remedy preclude
any other or further exercise thereof or the exercise of any other right,
power or remedy.  The remedies provided for herein are cumulative and are not
exclusive of any remedies that may be available to any party hereto at law,
in equity or otherwise.

      Section 9.4. Notices.  Any notice or other communication required or
permitted hereunder shall be in writing and personally delivered, mailed by
registered or certified mail (return receipt requested and postage prepaid),
sent by telecopier (with a confirming copy sent by regular mail), or sent by
prepaid overnight courier service, and addressed to the relevant party at its
address set forth below, or at such other address as such party may, by
written notice, designate as its address for purposes of notice hereunder:

              (a)   If to Lender, at:

                    HCFP Funding, Inc.
                    2 Wisconsin Circle, Ste 320 Chevy Chase, MD 20814

                                      38



<PAGE>


Attn:             John K. Delaney, President


              (b) If to Borrower, at:

              200 Lake Street, Suite 102 Peabody, MA 01960
                  Attn:    Ms. Paula Wurts, Chief Financial Officer
                  Telephone:      (508) 536-2777
                  Telecopier:     (508) 536-2677

                               With a copy to:

                  Willie J. Washington, Esq.
                  Choate, Hall & Stewart
                  Exchange Place
                  53 State Street
                               Boston, MA 02109
                  Telephone:      (617) 248-5000
                  Telecopier:     (617) 248-4000

If mailed, notice shall be deemed to be given five (5) days after being sent,
if sent by personal delivery or telecopier, notice shall be deemed to be
given when delivered, and if sent by prepaid courier, notice shall be deemed
to be given on the next Business Day following deposit with the courier.

      Section 9.5. Severability, If any term, covenant or condition of this
Agreement, or the application of such term, covenant or condition to any
party or circumstance shall be found by a court of competent jurisdiction to
be, to any extent, invalid or unenforceable, the remainder of this Agreement
and the application of such term, covenant, or condition to parties or
circumstances other than those as to which it is held invalid or
unenforceable, shall not be affected thereby, and each term, covenant or
condition shall be valid and enforced to the fullest extent permitted by
law.  Upon determination that any such term is invalid, illegal or
unenforceable, the parties hereto shall amend this Agreement so as to effect
the original intent of the parties as closely as possible in an acceptable
manner.

      Section 9.6. Successors and Assigns.  This Agreement, the Note, and the
other Loan Documents shall be binding upon and inure to the benefit of
Borrower and Lender and their respective successors and assigns.
Notwithstanding the foregoing, Borrower may not assign any of its rights or
delegate any of its obligations hereunder without the prior written consent
of Lender, which may be withheld in its sole discretion.  Lender may sell,
assign, transfer, or participate any or all of its rights or obligations
hereunder without notice to or consent of Borrower.


                                     3 9



<PAGE>



      Section 9.7. Counterparts.  This Agreement may be executed in any
number of counterparts, each of which shall be deemed an original, but all of
which together shall constitute but one instrument.

      Section 9.8. Interpretation.  No provision of this Agreement or any
other Loan Document shall be interpreted or construed against any party
because that party or its legal representative drafted that provision.  The
titles of the paragraphs of this Agreement are for convenience of reference
only and are not to be considered in construing this Agreement.  Any pronoun
used in this Agreement shall be deemed to include singular and plural and
masculine, feminine and neuter gender as the case may be.  The words
"herein," "hereof," and "hereunder" shall be deemed to refer to this entire
Agreement, except as the context otherwise requires.

      Section 9.9. Survival of Terms.  All covenants, agreements,
representations and warranties made in this Agreement, any other Loan
Document, and in any certificates and other instruments delivered in
connection therewith shall be considered to have been relied upon by Lender
and shall survive the making by Lender of the Loans herein contemplated and
the execution and delivery to Lender of the Note, and shall continue in full
force and effect until all liabilities and obligations of Borrower to Lender
are satisfied in full.

      Section 9.10. Release of Lender.  Borrower releases Lender, its
officers, employees, and agents, of and from any claims for loss or damage
resulting from acts or conduct of any or all of them, unless caused by
Lender's recklessness, gross negligence, or willful misconduct.

      Section 9.11. Time.  Whenever Borrower is required to make any payment
or perform any act on a Saturday, Sunday, or a legal holiday under the laws
of the State of Maryland (or other jurisdiction where Borrower is required to
make the payment or perform the act), the payment may be made or the act
performed on the next Business Day.  Time is of the essence in Borrower's
performance under this Agreement and all other Loan Documents.

      Section 9.12. Commissions.  The transaction contemplated by this
Agreement was brought about by Lender and Borrower acting as principals and
without any brokers, agents, or finders being the effective procuring cause.
Borrower represents that it has not committed Lender to the payment of any
brokerage fee, commission, or charge in connection with this transaction.  If
any such claim is made on Lender by any broker, finder, or agent or other
person, Borrower will indemnify, defend, and hold Lender harmless from and
against the claim and will defend any action to recover on that claim, at
Borrower's cost and expense, including Lender's counsel fees.  Borrower
further agrees that until any such claim

                                      40



<PAGE>


or demand is adjudicated in Lender's favor, the amount demanded will be
deemed a liability of Borrower under this Agreement, secured by the
Collateral.

      Section 9.13. Third Parties.  No rights are intended to be created
hereunder or under any other Loan Document for the benefit of any third party
donee, creditor, or incidental beneficiary of Borrower.  Nothing contained in
this Agreement shall be construed as a delegation to Lender of Borrower's
duty of performance, including without limitation Borrower's duties under any
account or contract in which Lender has a security interest.

      Section 9.14. Discharge of Borrower's obligations.  Lender, shall have
the right, if Borrower has previously failed to do so, upon reasonable notice
to Borrower, to: (a) obtain insurance covering any of the Collateral as
required hereunder; (b) pay for the performance of any of Borrower's
obligations hereunder; (c) discharge taxes, liens, security interests, or
other encumbrances at any time levied or placed on any of the Collateral in
violation of this Agreement unless Borrower is in good faith with due
diligence by appropriate proceedings contesting those items; and (d) pay for
the maintenance and preservation of any of the Collateral.  Expenses and
advances shall be added to the Loan, until reimbursed to Lender and shall be
secured by the Collateral.  Such payments and advances by Lender shall not be
construed as a waiver by Lender of an Event of Default.

      Section 9.15. Information to Participants.  Lender may divulge to any
participant it may obtain in the Loan, or any portion thereof, all
information, and furnish to such participant copies of reports, financial
statements, certificates, and documents obtained under any provision of this
Agreement or any other Loan Document.

Section 9.16. Indemnity.  Borrower hereby agrees to indemnify and hold
harmless Lender, its partners, officers, agents and employees (collectively,
"Indemniteell) from and against any liability, loss, cost, expense, claim,
damage, suit, action or proceeding ever suffered or incurred by Lender
(including reasonable attorneys' fees and expenses) arising from Borrower's
failure to observe, perform or discharge any of its covenants, obligations,
agreements or duties hereunder, or from the breach    of any of the
representations or warranties contained
in Article IV hereof.  In addition, Borrower shall defend Indemnitee
against and save it harmless from all claims of any Person with respect to
the Collateral.. Notwithstanding any contrary provision in this Agreement,
the obligation of Borrower under this Section 9.16 shall survive the payment
in full of the Obligations and the termination of this Agreement.



                                      41



<PAGE>


      Section 9.17. Choice of Law; Consent to Jurisdiction.  THIS AGREEMENT
AND THE NOTES SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE
LAWS OF THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE APPLICABLE
PRINCIPLES OF CONFLICTS OF LAWS.  IF ANY ACTION ARISING OUT OF THIS AGREEMENT
OR THE NOTE IS COMMENCED BY LENDER IN THE STATE OF MARYLAND OR FEDERAL COURT
LOCATED IN THE STATE OF MARYLAND, BORROWER HEREBY CONSENTS TO THE
JURISDICTION OF ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE
IN THE STATE OF MARYLAND.  ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY
SERVED IF MAILED BY REGISTERED MAIL, POSTAGE PREPAID, TO THE BORROWER AT ITS
ADDRESS DESCRIBED IN SECTION 9.4 HEREOF.

      Section 9.18. Waiver of Trial by Jury.  BORROWER HEREBY (A) COVENANTS
AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF RIGHT BY A
JURY, AND (B) WAIVES ANY RIGHT TO TRIAL BY JURY FULLY TO THE EXTENT THAT ANY
SUCH RIGHT SHALL NOW OR HEREAFTER EXIST.  THIS WAIVER OF RIGHT TO TRIAL BY
JURY IS SEPARATELY GIVEN, KNOWINGLY AND VOLUNTARILY, BY BORROWER, AND THIS
WAIVER IS INTENDED TO ENCOMPASS INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS
TO WHICH THE RIGHT TO A JURY TRIAL WOULD OTHERWISE ACCRUE.  LENDER IS HEREBY
AUTHORIZED AND REQUESTED TO SUBMIT THIS AGREEMENT TO ANY COURT HAVING
JURISDICTION OVER THE SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE
AS CONCLUSIVE EVIDENCE OF BORROWERS WAIVER OF THE RIGHT TO JURY TRIAL.
FURTHER, BORROWER HEREBY CERTIFIES THAT NO REPRESENTATIVE OR AGENT OF LENDER
(INCLUDING LENDER'S COUNSEL) HAS REPRESENTED, EXPRESSLY OR OTHERWISE, TO
BORROWER THAT LENDER WILL NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO JURY
TRIAL PROVISION.








                                      42



<PAGE>



            IN WITNESS WHEREOF, the parties have caused this
Agreement to be executed as of the date first written above.

ATTEST:                             HCFP FUNDING, INC.
(Seal)                              a Delaware corporation

By:  __________________________     By:  _______________________
    Name:                                              Name:
    Title:                                            Title:




ATTEST:                                                 PHC OF MICHIGAN, INC.
            (Seal)                                               a Massachusetts
corporation



            By:                                 By:
            Name:                               Name:           Bruce A. Shear

Title:                          Title:     President








                                            4



<PAGE>


                               LIST OF EXHIBITS
Exhibit A - Form of Revolving Credit Note
Exhibit B - Form of Lockbox Agreement
Exhibit C - Form of Concentration Account Agreement
Exhibit D - Locations of Collateral
Exhibit E - Form of Legal Opinion








                                      44


<PAGE>



                              LIST OF SCHEDULES
Schedule 1.36 -       Permitted Liens
Schedule 4.1    Subsidiaries
Schedule  4.5    Litigation
Schedule  4.7    Tax Identification Numbers
Schedule  4.10    Taxes
Schedule 4.13 Non-Compliance with Law

Schedule 4.14 Environmental Matters

Schedule 4.l5 Places of Business

Schedule 4.16 Licenses
Schedule 4.17 Stock Ownership

Schedule 4.19 Borrowings and Guarantees

Schedule 4.21 Trade Names
Schedule  4.22    Joint Ventures
Schedule  7.12    Transactions with Affiliates


loanmici.phc








                                      4



<PAGE>


                            REVOLVING CREDIT NOTE


$1,500,000.00                                   February      1997

      For value received, the undersigned, PHC OF MICHIGAN, INC., a
Massachusetts corporation (the "Borrower"), promises to pay, in lawful money
of the United States, to the order of HCFP FUNDING, INC., a Delaware
corporation ("Lender"), the principal sum of One Million Five Hundred
Thousand and No/100 Dollars ($1,500,000.00), or so much thereof as shall be
advanced or readvanced and shall remain unpaid under the Loan established
pursuant to that certain Loan and Security Agreement of even date herewith by
and among the undersigned and Lender (the "Loan Agreement"), plus interest on
the unpaid balance thereof, computed on a 360-day basis, at the rate per
annum that is set forth in the Loan Agreement.  All capitalized terms used
herein, unless otherwise specifically defined in this Note, shall have the
meanings ascribed to them in the Loan Agreement.

      This Note shall evidence the undersigned's obligation to repay all sums
advanced by Lender from time to time under and as part of the Loan.  The
actual amount due and owing from time to time hereunder shall be evidenced by
Lender's records of receipts and disbursements with respect to the Loan,
which shall be conclusive evidence of that amount.

      Interest hereon shall be payable monthly, in arrears, on the first
Business Day of each month hereafter (for the previous month).  For purposes
hereof, a "Business Day" shall mean any day on which banks are open for
business in Maryland, excluding Saturdays and Sundays.

      This Note shall become due and payable upon the earlier to occur of (i)
the expiration of the Term, or (ii) any Event of Default under the Loan
Agreement, or any other event under any other Loan Documents which would
result in this Note becoming due and payable.  At such time, the entire
principal balance hereof and all other fees, costs and expenses, if any,
shall be due and payable in full.  Lender shall thereupon have the option at
any time and from time to time to exercise all of the rights and remedies set
forth herein and in the other Loan Documents, as well as all rights and
remedies otherwise available to Lender at law or in equity, to collect the
unpaid indebtedness hereunder, and thereunder.  This Note is secured by the
Collateral, as defined in and described in the Loan Agreement.

      Whenever any principal  and/or  interest  and/or fee hereunder shall not
be paid when due, whether at the stated maturity or by acceleration,  interest
on such unpaid  amounts shall  thereafter be payable at a rate per annum equal
to two percentage  points above the stated rate of interest on this Note until
such amounts shall be paid.



<PAGE>



The undersigned and Lender intend to conform strictly to the applicable usury
laws in effect from time to time during the term of the Loan.  Accordingly,
if any transaction contemplated hereby would be usurious under such laws,
then notwithstanding any other provision hereof: (a) the aggregate of all
interest that is contracted for, charged, or received under this Note or
under any other Loan Document shall not exceed the maximum amount of interest
allowed by applicable law, and any excess shall be promptly credited to the
undersigned by Lender (or, to the extent that such consideration shall have
been paid, such excess shall be promptly refunded to the undersigned by
Lender); (b) neither the undersigned nor any other Person (as defined in the
Loan Agreement) now or hereafter liable hereunder shall be obligated to pay
the amount of such interest to the extent that it is in excess of the maximum
interest permitted by applicable law; and (c) the effective rate of interest
shall be reduced to the Highest Lawful Rate (as defined in the Loan
Agreement).  All sums paid, or agreed to be paid, to Lender for the use,
forbearance, and detention of the debt of Borrower to Lender shall, to the
extent permitted by applicable law, be allocated throughout the full term of
this Note until payment is made in full so that the actual rate of interest
does not exceed the Highest Lawful Rate in effect at any particular time
during the full term thereof.  If at any time the rate of interest under the
Note exceeds the Highest Lawful Rate, the rate of interest to accrue pursuant
to this Note shall be limited, notwithstanding anything to the contrary
herein, to the Highest Lawful Rate, but any subsequent reductions in the Base
Rate shall not reduce the interest to accrue pursuant to this Note below the
Highest Lawful Rate until the total amount of interest accrued equals the
amount of interest that would have accrued if a varying rate per annum equal
to the interest rate under the Note had at all times been in effect.  If the
total amount of interest paid or accrued pursuant to this Note under the
foregoing provisions is less than the total amount of interest that would
have accrued if a varying rate per annum equal to the interest rate under
this Note had been in effect, then the undersigned agrees to pay to Lender an
amount equal to the difference between (a) the lesser of (i) the amount of
interest that would have accrued if the Highest Lawful Rate had at all times
been in effect, or (ii) the amount of interest that would have accrued if a
varying rate per annum equal to the interest rate under the Note had at all
times been in effect, and (b) the amount of interest accrued in accordance
with the other provisions of this Note and the Loan Agreement.,

      This Note is the "Note" referred to in the Loan Agreement, and is
issued pursuant thereto.  Reference is made to the Loan Agreement for a
statement of the additional rights and obligations of the undersigned and
Lender.  In the event of any conflict between the terms hereof and the terms
of the Loan Agreement, the terms of the Loan Agreement shall prevail.  All of
the terms, covenants, provisions, conditions, stipulations,

                                      2



<PAGE>


promises and agreements contained in the Loan Documents to be kept, observed
and/or performed by the undersigned are made a part of this Note and are
incorporated herein by this reference to the same extent and with the same
force and effect as if they were fully set forth herein, and the undersigned
promises and agrees to keep, observe and perform them or cause them to be
kept, observed and performed, strictly in accordance with the terms and
provisions thereof.

      Each party liable hereon in any capacity, whether as maker, endorser,
surety, guarantor or otherwise, (i) waives presentment for payment, demand,
protest and notice of presentment, notice of protest, notice of non-payment
and notice of dishonor of this debt and each and every other notice of any
kind respecting this Note and all lack of diligence or delays in collection
or enforcement hereof, (ii) agrees that Lender and any subsequent holder
hereof, at any time or times, without notice to the undersigned or its
consent, may grant extensions of time, without limit as to the number of the
aggregate period of such extensions, for the payment of any principal,
interest or other sums due hereunder, (iii) to the extent permitted by law,
waives all exemptions under the laws of the State of Maryland and/or any
state or territory of the United States, (iv) to the extent permitted by law,
waives the benefit of any law or rule of law intended for its advantage or
protection as an obligor hereunder or providing for its release or discharge
from liability hereon, in whole or in part, on account of any facts or
circumstances other than full and complete payment of all amounts due
hereunder, and (v) agrees to pay, in addition to all other sums of money due,
all cost of collection and attorney's fees, whether suit be brought or not,
if this Note is not paid in full when due, whether at the stated maturity or
by acceleration.

      No waiver by Lender or any subsequent holder hereof of any one or more
defaults by the undersigned in the performance of any of its obligations
hereunder shall operate or be construed as a waiver of any future default or
defaults, whether of a like or different nature.  No failure or delay on the
part of Lender in exercising any right, power or remedy hereunder (including,
without limitation, the right to declare this Note due and payable) shall
operate as a waiver thereof, nor shall any single or partial exercise of any
such right, power or remedy preclude any other or further exercise thereof or
the exercise of any other right, power or remedy.

      If any term, covenant or condition of this Note, or the application of
such term, covenant or condition to any party or circumstance shall be found
by a court of competent jurisdiction to be, to any extent, invalid or
unenforceable, the remainder of this Note and the application of such term,
covenant, or condition to parties or circumstances other than those as to
which it is held invalid or unenforceable, shall not be affected

                                      3



<PAGE>


  thereby, and each term, covenant or condition shall be valid and enforced
  to the fullest extent permitted by law.  Upon determination that any such
  term is invalid, illegal or unenforceable, the undersigned shall cooperate
  with Lender to amend this Note so as to effect the original intent of the
  parties as closely as possible in an acceptable manner.

        No amendment, supplement or modification of this Note nor any waiver
  of any provision hereof shall be made except in writing executed by the
  party against whom enforcement is sought.

        This Note shall be binding upon the undersigned and its successors
  and assigns.  Notwithstanding the foregoing, the undersigned may not assign
  any of its rights or delegate any of its obligations hereunder without the
  prior written consent of Lender, which may be withheld in its sole
  discretion.

        THIS NOTE SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE
  LAWS OF THE STATE OF MARYLAND, WITHOUT REGARD TO ANY OTHERWISE APPLICABLE
  PRINCIPLES OF CONFLICTS OF LAWS.  IF ANY ACTION ARISING OUT OF THIS NOTE IS
  COMMENCED BY LENDER IN THE STATE OF MARYLAND OR FEDERAL COURT LOCATED IN
  THE STATE OF MARYLAND, THE UNDERSIGNED HEREBY CONSENTS TO THE JURISDICTION
  OF ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF VENUE IN THE
  STATE OF MARYLAND.  ANY PROCESS IN ANY SUCH ACTION SHALL BE DULY SERVED IF
  MAILED BY REGISTERED MAIL, POSTAGE PREPAID, TO THE UNDERSIGNED AT ITS
  ADDRESS DESCRIBED IN SECTION 9.4 OF THE LOAN AGREEMENT.

        THE UNDERSIGNED HEREBY (A) COVENANTS AND AGREES NOT TO ELECT A TRIAL
  BY JURY OF ANY ISSUE TRIABLE OF RIGHT BY A JURY, AND (B) WAIVES ANY RIGHT
  TO TRIAL BY JURY FULLY TO THE EXTENT THAT ANY SUCH RIGHT SHALL NOW OR
  HEREAFTER EXIST.  THIS WAIVER OF RIGHT TO TRIAL BY @ Y IS GIVEN KNOWINGLY
  AND VOLUNTARILY BY THE UNDERSIGNED, AND THIS WAIVER IS INTENDED TO
  ENCOMPASS INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS TO WHICH THE RIGHT
  TO A JURY TRIAL WOULD OTHERWISE ACCRUE.  LENDER IS HEREBY AUTHORIZED AND
  REQUESTED TO SUBMIT THIS AGREEMENT TO ANY COURT HAVING JURISDICTION OVER
  THE SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE AS CONCLUSIVE
  EVIDENCE OF THE UNDERSIGNED'S WAIVER OF THE RIGHT TO JURY TRIAL.  FURTHER,
  THE UNDERSIGNED HEREBY CERTIFIES THAT NO REPRESENTATIVE OR AGENT OF LENDER
  (INCLUDING LENDER'S COUNSEL) HAS REPRESENTED, EXPRESSLY OR OTHERWISE, TO
  ANY BORROWER THAT LENDER WILL NOT SEEK TO ENFORCE THIS WAIVER OF RIGHT TO
  JURY TRIAL PROVISION.








                                      4



<PAGE>



     IN WITNESS WHEREOF,  the undersigned have caused their authorized  officers
to execute this Note as of the date first above written.




ATTEST:                         PHC OF MICHIGAN, INC.
(Seal)                          a Massachusetts corporation


              By:                                 By:          11
              Name:                               Name:       Bruce A. Shear
              Title:                              Title:      President








Notemich.phc
<PAGE>

Exhibit 10.111


                                   HCFP FUNDING, INC.
                                       ("LENDER")

                                  PHC OF MICHIGAN, INC.
                                      ( "BORROWER")
                            $1,500,000 REVOLVING CREDIT LOAN
                                CLOSING CHECKLIST/AGENDA
I.   LIST OF PARTIES:

LENDER: "L"

HCFP Funding,
Inc.........................................................(301)961-1640
           c/o HealthCare Financial Partners,
Inc.                                                FAX (301) 664-9860
           2 Wisconsin Circle, Suite 320
           Chevy Chase, MD 20815

           John K. Delaney, President
           Steven M. Curwin, Esq., General
Counsel                                                      (301) 664-9827
           Kanchan Deshmukh, Senior Legal
Assistant                                                  (301)664-9828


BORROWER: "B"


200 Lake Street.  Suite 102
Peabody, MA 01960
Attn:   Ms. Paula Wurts,  Chief Financial Officer

Telephone: (504) 291-2239
Telecopier:       (      ) ___-____

Bruce A. Shear,  President



<PAGE>


BORROWER'S COUNSEL: "BC"
Willie J. Washington, Esq.
Choate, Hall & Stewart
Exchange Place
53 State Street
Boston, MA 02109
Telephone:  (617) 248-5000
Telecopler: (617) 248-4000


SEARCH COMPANY:

CT Corporation
17 South High Street
Columbus, OH 43215
Tel(800) 621-3216



<PAGE>



II. PRE-SETTLEMENT AND LOAN DOCUMENTS:
RESPONSIBLE PARTY


X I. F/U UCC/Lien Searches ordered from CT

II.   Provide copies to Borrower's Counsel to obtain and prepare necessary
releases.

III.  Verify names


      A.   Research recording procedures and costs for
           each  jurisdiction:                                     LC
           

           1.    State of Michigan

               Recordation Tax on Receivables?  ______________________________
               Filing Fees: ________________________________________________
           2.  Macomb County, Michigan
               Recordation Tax on Receivables?  _______________________________
               Filing Fees:  ________________________________________________
           3.    State of Massachusetts
               Recordation Tax on Receivables?  ________________________________
               Filing Fees:  __________________________________________________
           4.    Peabody City, MA
                 Recordation Tax on Receivables? __________________________
                 Filing Fees:  ___________________________________________
_____      B.    Prepare Financing Statements and Exhibit A attached thereto

                                      3


<PAGE>



           _____ C.    Loan and Security Agreement with all Exhibits and
            LC/BC
                        Schedules Attached
                        Drafted  X       Final ___

            1.   Exhibits:

                 a.   Form of Revolving Credit Loan
                 b.   Form of Lockbox Agreement
                 C.   Locations of Collateral
                 d.   Form of Legal Opinion

              2.   Schedules:

                  a.    1.36 - Permitted Liens
                  b.    4.1 - List of Subsidiaries
                  C.    4.5 - Litigation
                  d.    4.13 - Non-Compliance with Law
                  e.    4.14 - Environmental Matters
                  f.    4.15 - Places of Business
                  g.    4.16 - Licenses
                  h.    4.17 - Stock Ownership
                  i.    4.19 - Borrowing and Guarantees
                  j.    4.21 - Trade Names
                  k.    4.22 - Joint Ventures
                  1.          7.12 - Transactions with Affiliates

     _____       D.     Revolving Credit Note                           LC
                        Drafted  X  Final ___

                  E.    Certificate of Validity                         LC
                        Drafted  X  Final ___








                                            4



<PAGE>


_____       F.      UCC-1 Financing Statements:
LC
    [Note:X  /  Drafted]


      1.    State of Massachusetts
            a.     PHC of Michigan, Inc. d/b/a Harbor Oaks
            Peabody City, MA
            a.    PHC of Michigan, Inc. d/b/a Harbor Oaks

_____ G.    Prepare Statement of Costs
LC
            a.    Commitment Fee

_____ H.      IRS Form 8821                       B/BC
_____ I.    Establishment of Lockbox and Concentration Account   B/L
_____ J.    Lockbox Agreement                                    B/L
_____ K.    Concentration Account Agreement                      B/L
  ____ L.    Receipt of Financial Statements                       B/L
_____ M.    Receipt of Certificate from Borrower's Chief 
               Financial Officer                                  B/L
_____ N.    Evidence of Insurance                                 B/L
_____ 0.    Delivery of Releases                                 BC
_____ P.    Provide LC with tax identification numbers           B/BC
_____ Q.    UCC-1 Financing Statements to be signed               B
_____ R.    Amendment No. I to Loan and Security Agreement (Utah) B
 _____S.    Guaranty by PHC, Inc.                                 B
                                           5


<PAGE>


_____   T.  First Allonge to Secured Bridge Note (Michigan)           B

111.    ORGANIZATIONAL DOCUMENTS:
                                                                        BC
        A.    Corporate Documents

        _____ 1.  Articles of Incorporation
        _____ 2.  Bylaws



_____ B.     Opinion  Letter                                     BC



Other:

      1.    Procedures  regarding funding,  e.g. timing -- weekly,  bi-weekly,
            monthly,  etc.,  process -- detail  provided  via  diskette,  hard
            copy,  modem,   etc.,  and  personnel  --  respective  client  and
            HealthPartners contacts

      2.    Procedures regarding collection, e.g. lockbox

      3.    Client wiring instructions

                                                                  H:\w@ I
                                                              legal\chkist.phc



<PAGE>



Exhibit 10.112

                 THIS GUARANTY CONTAINS PROVISIONS FOR WAIVER
                                OF JURY TRIAL


              UNCONDITIONAL GUARANTY OF PAYMENT AND PERFORMANCE


      THIS UNCONDITIONAL  GUARANTY OF PAYMENT AND PERFORMANCE (the "Guaranty")
dated as of  February_____,  1997 by PHC,  INC., a  Massachusetts  corporation
with its principal place of business at 200 Lake Street,  Suite 102,  Peabody,
MA 01960,  Attn: Ms. Paula Wurts,  Chief Financial Officer (the "Guarantor") ,
in favor of HCFP  FUNDING,  INC., a Delaware  corporation  with its  principal
place of business at 2 Wisconsin Circle, Suite 320, Chevy Chase, MD 20815
Attn:    John K. Delaney, President (the "Lender").

                             W I T N E S S E T H

      WHEREAS, pursuant to a certain Loan and Security Agreement,  dated as of
the date hereof (as such agreement may from time to time be amended,  modified
or supplemented,  the "Loan Agreement"),  by and between PHC of Michigan, Inc.
(the  "Borrower") and Lender,  Lender has agreed to make available to Borrower
a revolving line of credit in the maximum  aggregate  principal  amount of One
Million Five Hundred Thousand and No/100 Dollars  ($1,500,000.00),  or so much
thereof  as shall be  advanced  or  readvanced  from  time to time and  remain
unpaid (the "Loan"); and

      WHEREAS,  the  Lender  is  willing  to make  the  Loan  under  the  Loan
Agreement but only upon the condition,  among others, that the Guarantor shall
have executed and delivered to Lender this Guaranty.

      NOW,  THEREFORE,  in  consideration  of the  premises  and of the mutual
covenants herein contained and for other good and valuable consideration,  the
receipt of which is hereby acknowledged, the parties agree as follows:

      1.    Unless  otherwise  defined herein,  all capitalized  terms used in
this  Guaranty  shall  have the  respective  meanings  given  them in the Loan
Agreement.
     2. In order to induce Lender to execute and deliver the Loan  Agreement and
to make the Loan upon the terms and conditions set forth in the Loan  Agreement,
and  in  consideration   thereof,  the  Guarantor  hereby   unconditionally  and
irrevocably guarantees to Lender and to its successors,  endorsees,  transferees
and assigns,  Borrower's  prompt and complete  payment when due,  whether at the
stated  maturity,  by  acceleration  or  otherwise,  of  the  Obligations,   and
Borrower's  prompt  and  complete  performance  of all of its  other  covenants,
obligations and agreements contained in the Loan Agreement.


1


<PAGE>



     3. The Guarantor  hereby  waives notice of the  acceptance of this Guaranty
and of the extending of credit as above  specified and the state of indebtedness
of Borrower  at any time,  and  expressly  agrees to any  extensions,  renewals,
accelerations or  modifications of such credit or any of the terms thereof,  and
waives diligence,  presentment, demand of payment, protest or notice, whether of
nonpayment,  dishonor,  protest or otherwise  of any  document or documents  and
notice of any  extension,  renewal,  modification  or default  and assent to the
release,  substitution  or variation of any collateral  which may at any time be
held as security for any credit extended to Borrower,  all without relieving the
Guarantor of any liability under this Guaranty. The obligations of the Guarantor
hereunder  shall be an  unconditional  obligation  to make  prompt  payment  and
performance to the Lender irrespective of the genuineness,  validity, regularity
or enforceability of any indebtedness or evidence of indebtedness of Borrower to
Lender or of other  circumstances  which might  otherwise  under the laws of any
jurisdiction  constitute  a  legal  or  equitable  discharge  of a  surety  or a
guarantor  or a bar  (in  the  nature  of a  moratorium  or  otherwise)  to  the
enforcement of Lender's rights either (i) against Borrower on all or any part of
its obligations or (ii) under this
Guaranty.
     4.  Notwithstanding any payment or payments made by the Guarantor hereunder
or any  setoff or  application  of funds of the  Guarantor  by the  Lender,  the
Guarantor  shall not be  entitled to be  subrogated  to any of the rights of the
Lender against the Borrower or any collateral  security or guarantee or right of
offset held by Lender for the payment or  performance  of the  Obligations,  nor
shall the Guarantor seek any reimbursement  from Borrower in respect of payments
made  by the  Guarantor  hereunder,  until  all  amounts  owing  and  any  other
performance  due to Lender by Borrower for or on account of the  Obligations are
paid and  satisfied in full.  Upon such payment and  satisfaction  in full,  the
Guarantor  shall be subrogated to all rights of Lender  against  Borrower or any
collateral  security  or  guarantee  or right of offset  held by Lender  for the
payment and performance of the Obligations.
     5.  Any  indebtedness  of  Borrower  now or  hereafter  owed  to or held by
Guarantor is hereby  subordinated to the indebtedness of Borrower to Lender; and
such  indebtedness  of Borrower  to  Guarantor  if Lender so  requests  shall be
collected,  enforced and received-by Guarantor as trustee for Lender and be paid
over to Lender on account of the  indebtedness of Borrower to Lender but without
reducing or affecting in any manner the  liability of Guarantor  under the other
provisions of this Guaranty.

     6. This is intended to be and shall be construed as a continuing  guarantee
and shall remain in full force and effect and can be binding in accordance  with
and to the  extent  of its  terms  upon the  Guarantor  and its  successors  and
assigns,  and shall  inure to the  benefit of the  Lender,  and its  successors,
endorsees, transferees and assigns.



                                            2



<PAGE>



       7.   In the event that all or any part of the  obligations as aforesaid
of Borrower to Lender are not paid when due, the Guarantor  hereby  guarantees
that it will pay to the same Lender, upon demand therefor,  without set-off or
counterclaim and without  reduction by reason of any taxes,  levies,  imposts,
charges and  withholdings,  restrictions or conditions of any nature which are
now or may hereafter be imposed  levied or assessed by any country,  political
subdivision or taxing  authority,  all of which will be for the account of and
paid by the Guarantor, and Lender need not first proceed to preserve,  utilize
or  exhaust  any  other  right or remedy  against  the  Borrower  or any other
guarantor  or any  security  the  Lender  may  have to  obtain  payment.  Such
payment will be made in immediately  available funds to the Lender's office at
2 Wisconsin Circle,  Suite 320, Chevy Chase, MD 20815,  Attn: John K. Delaney,
President, or at such other place as Lender may designate in writing.

      8.    No failure to exercise and no delay in exercising,  on the part of
the Lender, any right, power or privilege  hereunder shall operate as a waiver
thereof,  nor shall any single or  partial  exercise  of any  right,  power or
privilege  preclude any other or further exercise thereof,  or the exercise of
any other  power or  right.  The  rights  and  remedies  herein  provided  are
cumulative and not exclusive of any rights or remedies provided by law.

      9.    Notice or  demand  to the  parties  hereto  shall be  sufficiently
given if in writing  and  personally  delivered,  or mailed by  registered  or
certified first class mail,  postage  prepaid,  return receipt  requested,  or
sent  by  commercial  courier  against  receipt,  or  by  telecopier  (with  a
confirming  copy  sent by  regular  mail)  to the  party  intended  and at the
address or addresses  specified in the  preamble to this  Guaranty.  Any party
may  designate a change of address by notice in writing to the other  parties,
such notice to be effective  ten (10) days after mailing or delivery as herein
provided.

      10.   The  Guarantor  hereby  represents,  warrants,  and  covenants  to
Lender that:

(a)   It is a  corporation  duly  incorporated,  validly  existing and in good
      standing under the laws of the  jurisdiction of its  incorporation,  and
      has the corporate  power and authority to own its property,  conduct its
      business as now being  conducted  and to make and perform this  Guaranty
      and the transactions  contemplated  hereby,  and is duly qualified to do
      business  and is in  good  standing  as a  foreign  corporation  in each
      jurisdiction  where the nature and extent of the  business  conducted by
      it,  or  property   owned  by  it,  and   applicable  law  require  such
      qualification,  except where the failure so to qualify  would not have a
      material  adverse  effect  on  the  business,  operations  or  financial
      position of Guarantor.



                                      3



<PAGE>



 
            (b)   The  execution,  delivery and  performance  of this Guaranty
      have been duly  authorized  by all necessary  corporate  action and will
      not  violate  any  provision  of law  or  any  order  of  any  court  or
      governmental  agency  or  the  certificate  of  incorporation  or  other
      incorporating  documents or bylaws of  Guarantor,  or conflict  with, or
      result in a breach of, or  constitute  (with or without  notice or lapse
      of time or both) a  default  under,  or result  in the  creation  of any
      security  interest,  lien,  charge or  encumbrance  upon any property or
      assets of  Guarantor,  pursuant  to any  agreement,  indenture  or other
      instrument to which it is a party or by which it may be bound.

            (c)   Except  as  disclosed  to  Lender  in  writing  prior to the
      execution  hereof,  no action,  suit,  investigation  or  proceeding  is
      pending or known to be threatened against or affecting  Guarantor which,
      if adversely  determined,  would have a material adverse effect upon its
      financial condition or operations.

            (d)   It is not in default under any provision of its  certificate
      of  incorporation  or other  incorporating  documents,  by-laws or stock
      provisions or any amendment of any thereof or of any indenture  relating
      to borrowed  money or agreement to which it is a party or by which it is
      bound or of any other indenture or of any order,  regulation,  ruling or
      requirement  of a court or public body or authority by which it is bound
      which  default  would have a material  adverse  effect on the  business,
      operations or financial position of Guarantor.

            (e)   No license,  consent or  approval  of, or filing  with,  any
      governmental  body or other  regulatory  authority  is required  for the
      making  and   performance   of  this  Guaranty  or  any   instrument  or
      transaction  contemplated  herein.  Guarantor holds all certificates and
      authorizations of all governmental  agencies and authorities required by
      law to enable it to engage in the business  currently  transacted by it,
      except such  certificates and  authorizations as to which the failure to
      do so hold would not, in the aggregate,  have a material  adverse effect
      on it.

      ii.   No  provision  of  this  Guaranty  shall  be  waived,  amended  or
supplemented except by a written instrument executed by the Lender.

      12.   The  obligations  of  the  Guarantor  under  this  Guaranty  shall
continue in full force and effect and shall remain in  operation  until all of
the obligations shall have been paid in full

                                      4



<PAGE>


or otherwise fully  satisfied,  and continue to be effective or be reinstated,
as the case may be, if at anytime payment or other  satisfaction of any of the
Obligations  is rescinded or must  otherwise be restored or returned  upon the
bankruptcy,  insolvency,  or  reorganization  of Borrower,  or  otherwise,  as
though  such  payment  had not been made or other  satisfaction  occurred.  No
invalidity,   irregularity  or   unenforceability   by  reason  of  applicable
bankruptcy  laws  or any  other  similar  law,  or any  law  or  order  of any
government or agency thereof purporting to reduce,  amend or otherwise affect,
the obligations,  shall impair,  affect,  be a defense to or claim against the
obligations of the Guarantor under the Guaranty.

        13. In  addition  to  its  guarantee  of  Borrower's  payment  of  the
  Obligations  and Borrower's  performance of all covenants,  obligations  and
  agreements  contained in the Loan  Documents,  the  Guarantor  shall pay all
  costs and expenses (including  reasonable  attorney's fees) paid or incurred
  by the Lender in connection with the enforcement of this Guaranty.

        14. The  Guarantor  hereby  agrees  to  execute  any and  all  further
  documents,  agreements, and instruments, and take all further actions, which
  the Lender shall  reasonably  request in order to  effectuate  the effect or
  further  preserve,  evidence,  perfect or protect the rights purported to be
  created in favor of Lender hereunder.

        15. The Guarantor  hereby  assumes  responsibility  for keeping itself
  informed  of the  financial  condition  of the  Borrower,  and  any  and all
  endorsers and/or other  guarantors of any instrument or document  evidencing
  all or any part of the  Obligations and of all other  circumstances  bearing
  upon the risk of  nonpayment  of the  Obligations  or any part  thereof that
  diligent  inquiry  would reveal,  and the  Guarantor  hereby agrees that the
  Lender shall have no duty to advise the  Guarantor of  information  known to
  the  Lender  regarding  such  condition  or any such  circumstances.  In the
  event the Lender,  in its sole  discretion,  undertakes  at any time or from
  time to time to provide any such  information to the  Guarantor,  the Lender
  shall be under no obligation (i) to undertake any  investigation  not a part
  of its regular  business  routine,  (ii) to disclose any information  which,
  pursuant to accepted or reasonable commercial finance practices,  the Lender
  wishes  to  maintain  confidential,  or (iii) to make  any  other or  future
  disclosures of such information or any other information to the undersigned.

      16.   This Guaranty may be executed in one or more  counterpart  copies,
  each of which shall be an original and all of which together    shall
  constitute  one and the same  instrument,  and it is not necessary  that all
  parties, signatures appear on each counterpart.



                                      5



<PAGE>


        17. If any  term,  covenant  or  condition  of this  Guaranty,  or the
  application   of  such  term,   covenant  or   condition  to  any  party  or
  circumstance  shall be found by a court of competent  jurisdiction to be, to
  any extent,  invalid or  unenforceable,  the  remainder of this Guaranty and
  the  application  of  such  term,  covenant,  or  condition  to  parties  or
  circumstances   other  than  those  as  to  which  it  is  held  invalid  or
  unenforceable,  shall not be affected  thereby,  and each term,  covenant or
  condition  shall be valid and  enforced to the fullest  extent  permitted by
  law.  Upon  determination  that  any  such  term  is  invalid,   illegal  or
  unenforceable,  the parties hereto shall amend this Guaranty so as to effect
  the original  intent of the parties as closely as possible in an  acceptable
  manner.

      18.   THIS  GUARANTY  SHALL BE GOVERNED BY, AND  CONSTRUED IN ACCORDANCE
  WITH,  THE LAWS OF THE STATE OF MARYLAND,  WITHOUT  REGARD TO ANY  OTHERWISE
  APPLICABLE  PRINCIPLES  OF CONFLICTS OF LAWS.  IF ANY ACTION  ARISING OUT OF
  THIS  GUARANTY  IS  COMMENCED  BY LENDER IN THE STATE OF MARYLAND OR FEDERAL
  COURT  LOCATED IN THE STATE OF MARYLAND,  THE GUARANTOR  HEREBY  CONSENTS TO
  THE  JURISDICTION  OF ANY SUCH COURT IN ANY SUCH ACTION AND TO THE LAYING OF
  VENUE IN THE STATE OF  MARYLAND.  ANY  PROCESS IN ANY SUCH  ACTION  SHALL BE
  DULY SERVED IF MAILED BY REGISTERED MAIL, POSTAGE PREPAID,  TO THE GUARANTOR
  AT THE ADDRESS SET FORTH IN THE PREAMBLE TO THIS GUARANTY.

  19. THE  GUARANTOR  HEREBY (A)  COVENANTS AND AGREES NOT TO ELECT A TRIAL BY
  JURY OF ANY ISSUE  TRIABLE  OF RIGHT BY A JURY,  AND (B) WAIVES ANY RIGHT TO
  TRIAL  BY JURY  FULLY  TO THE  EXTENT  THAT  ANY  SUCH  RIGHT  SHALL  NOW OR
  HEREAFTER  EXIST.  THIS  WAIVER  OF RIGHT  TO  TRIAL  BY JURY IS  SEPARATELY
  GIVEN,  KNOWINGLY  AND  VOLUNTARILY,  BY THE  GUARANTOR,  AND THIS WAIVER IS
  INTENDED TO ENCOMPASS  INDIVIDUALLY EACH INSTANCE AND EACH ISSUE AS TO WHICH
  THE  RIGHT  TO A  JURY  TRIAL  WOULD  OTHERWISE  ACCRUE.  LENDER  IS  HEREBY
  AUTHORIZED  AND  REQUESTED  TO SUBMIT  THIS  GUARANTY  TO ANY  COURT  HAVING
  JURISDICTION  OVER THE SUBJECT MATTER AND THE PARTIES HERETO, SO AS TO SERVE
  AS  CONCLUSIVE  EVIDENCE  OF THE  GUARANTOR'S  WAIVER  OF THE  RIGHT TO JURY
  TRIAL.  FURTHER,  THE GUARANTOR HEREBY CERTIFIES THAT NO  REPRESENTATIVE  OR
  AGENT OF LENDER (INCLUDING  LENDER'S COUNSEL) HAS REPRESENTED,  EXPRESSLY OR
  OTHERWISE,  TO GUARANTOR THAT LENDER WILL NOT SEEK TO ENFORCE THIS WAIVER OF
  RIGHT TO JURY TRIAL PROVISION.








                                      6



<PAGE>


IN WITNESS WHEREOF, the Guarantor has caused this Guaranty to be executed as
of the date first written above.

ATTEST:                             PHC, INC.,
                                    a Massachusetts corporation


                                    ________________________________(SEAL)
                                    Name:
                                    Title:








guarmich.phc








                                      7



<PAGE>



Exhibit 10.113

                                $1,000,000.00






                AMENDMENT NO. 1 TO LOAN AND SECURITY AGREEMENT
                              dated May 21, 1996
                                by and between
                              PHC OF UTAH, INC.
                                     and
                              HCFP FUNDING, INC.







                                       February 1 1997


<PAGE>



                AMENDMENT NO. 1 TO LOAN AND SECURITY AGREEMENT

THIS  AMENDMENT NO. 1 TO LOAN AND SECURITY  AGREEMENT  ("Amendment  No. 1") is
made as of this day ______ of  February,  1997,  by and  between  PHC OF UTAH,
INC., a  Massachusetts  corporation  ("Borrower")  and HCFP  FUNDING,  INC., a
Delaware corporation  (successor-in-interest  to HealthPartners Funding, L.P.)
("Lender")

                                   Recitals

      A.    Pursuant to that  certain Loan and  Security  Agreement  dated May
21,  1996 by and  between  Borrower  and Lender  (the "Loan  Agreement"),  the
parties have established  certain  financing  arrangements that allow Borrower
to borrow funds from Lender in accordance  with the terms and  conditions  set
forth in the Loan Agreement.

      B.    Pursuant to that certain  Secured  Bridge Note dated as of January
13,  1997,  as  modified by allonge as of even date  herewith,  by and between
Lender  and  PHC  of  Michigan,   Inc.  ("PHC   Michigan"),   a  Massachusetts
corporation  that is an Affiliate of Borrower (the  "Michigan  Bridge  Note"),
Lender  agreed to provide  financing to Michigan of Four Hundred  Thousand and
No/100 Dollars ($400,000.00) .

      C.    Simultaneous  with the execution of this Amendment No. 1 Lender is
entering into that certain Loan and Security  Agreement  with PHC of Michigan,
Inc., a Massachusetts  corporation that is an Affiliate of Borrower,  pursuant
to which  Lender has  agreed to  provide  financing  to PHC  Michigan  up to a
maximum loan amount of One Million Five  Hundred  Thousand and No/100  Dollars
($1,500,000.00) (the "Michigan Loan Agreement").

      C.    The parties now desire to amend the Loan Agreement  simultaneously
with the execution and delivery of the Michigan Loan Agreement,  in accordance
with the terms and conditions hereinafter set forth.

      NOW,  THEREFORE,  in  consideration of the premises set forth above, the
terms  and  conditions   contained   herein,   and  other  good  and  valuable
consideration,  the receipt and sufficiency of which are hereby  acknowledged,
Lender  and  Borrower  have  agreed to the  following  amendments  to the Loan
Agreement.  Capitalized  terms  defined in the Loan  Agreement  which are used
herein  shall have the same  meanings set forth in the Loan  Agreement  unless
otherwise specified herein.

      1.    Amendment  to Loan  Agreement.  Effective  as of the  date of this
Amendment  No. 1, and subject to the  satisfaction  of each of the  conditions
precedent set forth in Section 2 below,  the Loan  Agreement is hereby amended
as follows:



<PAGE>



      1.01. Section  3.1 of the Loan  Agreement  is hereby  amended to provide
that the Collateral  shall also serve as further  security for the payment and
performance of the  obligations of (x) PHC Michigan under the Michigan  Bridge
Note, and (y) PHC Michigan under the Michigan Loan Agreement.

      1.02. Section  8.1 of the Loan  Agreement  (Events of Default) is hereby
amended to add the-following clause:

            (u)   An Event of Default shall have  occurred  under the Loan and
Security  Agreement  (as such  Loan and  Security  Agreement  may be  amended,
replaced or modified) by and between PHC of  Michigan,  Inc. (an  Affiliate of
Borrower) and Lender.

            (v)   An Event of Default  shall have  occurred  under the Secured
Bridge  Note  dated  January  13,  1997 (as such  Secured  Bridge  Note may be
amended (by Allonge or  otherwise),  replaced or modified)  executed by PHC of
Michigan, Inc. in favor of Lender.

      1.03. Section 8.4 of the Loan Agreement is amended in its entirety to
read as follows:

      "Section  8.4.  Nature  of  Remedies.  Lender  shall  have the  right to
proceed  against  all or any  portion of the  Collateral  to  satisfy,  in any
order, (a) the liabilities and Obligations of Borrower to Lender,  or (b) upon
the  occurrence  of an Event of Default  under the Michigan  Bridge Note,  the
liabilities and obligations of PHC Michigan to Lender thereunder,  or (c) upon
the occurrence of an Event of Default under the Michigan Loan  Agreement,  the
liabilities  and  obligations  (as defined in the Michigan Loan  Agreement) of
PHC  Michigan to Lender  thereunder.  All rights and remedies  granted  Lender
hereunder and under any agreement  referred to herein, or otherwise  available
at law or in  equity,  shall be  deemed  concurrent  and  cumulative,  and not
alternative  remedies,  and Lender may proceed  with any number of remedies at
the same time until the Loan,  and all other  existing and future  liabilities
and  obligations  of Borrower  and PHC  Michigan to Lender,  are  satisfied in
full.  The  exercise  of any one right or remedy  shall not be deemed a waiver
or release of any other right or remedy,  and Lender,  upon the  occurrence of
an Event of Default, may proceed against Borrower,  and/or the Collateral,  at
any time, under any agreement, with any available remedy and in any order."

      1.04. In connection  with the  execution and delivery of this  Amendment
No. 1,  Borrower  hereby  acknowledges  and agrees that all  references to the
"Loan  Agreement"  in that  certain  Revolving  Credit Note dated May 21, 1996
executed by Borrower in favor of Lender,  in the maximum  principal  amount of
$1,000,000.00,  shall  be  deemed  to refer  to the  Loan  Agreement  and this
Amendment No. 1.


                                      2



<PAGE>



1.05  For all purposes of the Loan Agreement,  Lender's  address  contained in
Section 9.4 of the Loan Agreement is hereby changed to the following:

                  HCFP Funding, Inc. 2 Wisconsin Circle Suite 320
                  Chevy Chase, MD 20815
                  Attn:    John K. Delaney, President
                  Telephone:  (301) 961-1640
                  Telecopier:(301) 664-9860

      2.    Conditions  to  Effectiveness.  The  obligation of Lender to enter
into and perform this  Amendment No. 1 is subject to the following  conditions
precedent:

            (a)     Lender shall have received two (2) originals of this
                    Amendment No. 1.

            (b)   PHC Michigan shall have satisfied all conditions precedent
set forth in Section 5.1 of the Michigan Loan Agreement.

            (c)   Borrower   shall  have   complied   and  shall  then  be  in
compliance with all the terms, covenants and conditions of the Loan Documents.

            (d)   There  shall have  occurred no Event of Default and no event
which,  with the  giving  of  notice  or the  lapse of  time,  or both,  could
constitute such an Event of Default.

      3.    Representations and warranties of Borrower.  The Borrower
represents and warrants as follows:

            (a)   This  Amendment  No. 1  constitutes  the  legal,  valid  and
      binding  obligation of Borrower and is enforceable  against  Borrower in
      accordance with its terms.

            (b)   Upon the  effectiveness  of this  Amendment  No. 1, Borrower
      hereby reaffirms all covenants,  representations  and warranties made in
      the Loan Agreement and agrees that all such  covenants,  representations
      and  warranties  shall be deemed to have been remade as of the effective
      date of this Amendment No. 1.

      4.    Reference to the Effect on the Loan Agreement.

            (a)   Upon the  effectiveness  of  Section 1 hereof,  on and after
the date hereof,  each  reference in the Loan  Agreement to "this  Agreement,"
"hereunder,"  "hereof,"  "herein" or words of similar import shall mean and be
a reference to the Loan Agreement as amended hereby.


                                      3



<PAGE>



 
            (b)   Except as  specifically  amended above,  the Loan Agreement,
and all other Loan Documents,  shall remain in full force and effect,  and are
hereby ratified and confirmed.

            (c)   The execution,  delivery and effectiveness of this Amendment
No. 1 shall not, except as expressly  provided herein,  operate as a waiver of
any  right,  power or  remedy  of  Lender,  nor  constitute  a  waiver  of any
provision  of the Loan  Agreement,  or any other  documents,  instruments  and
agreements executed or delivered in connection therewith.

      5.    Governing  Law.  This  Amendment  No. 1 shall be  governed  by and
construed in accordance with the laws of the State of Maryland.

      6.    Headings.  Section  headings in this  Amendment No. 1 are included
herein for  convenience  of reference  only and shall not constitute a part of
this Amendment No. 1 for any other purpose.

      7.    Counterparts.   This   Amendment   No.  1  may  be   executed   in
counterpart,   and  both  counterparts  taken  together  shall  be  deemed  to
constitute one and the same instrument.








                                      4



<PAGE>


            IN WITNESS WHEREOF, the parties have caused this AMENDMENT NO. 1
TO LOAN AND SECURITY AGREEMENT to be executed as of the date first written
above.

ATTEST:                             HCFP FUNDING, INC.
(Seal)                              a Delaware corporation

By:  __________________________     By:  ___________________________________
                                    Name:
                                    Title:

ATTEST:
(Seal)                              PHC OF UTAH, INC.
                                    a Massachusetts corporation

By:  ____________________________   BY:  __________________________________
Name:                               Name:
Title:                              Title:


amdmutah.phc








                                      5



<PAGE>





                                     Schedule 1.36

Permitted Liens:                     None


                                     Schedule 4.1

Subsidiaries: (BAS1)                 None

                                     Schedule 4.5

Litigation: (TM2)                    None

                                     Schedule 4.7

Tax Identification Numbers:          04-3232990

                                     Schedule 4.10

Tax Liability: (PW3)                 None

                                     Schedule 4.13

Non-Compliance with Law: (BAS/RB4)   None

                                     Schedule 4.14

Environmental Matters: (RIB/BAS5)    None

                                     Schedule 4.15

Places of Business: (RB6)            35031 Twenty Three Mile
                                     Road
                                     New Baltimore, MD 48047


     * Additional  records kept at  Corporate  Office at 200 Lake Street,  Suite
102, Peabody, MA 01960


<PAGE>


                                                Schedule 4.16
 
Licenses: (RB8)                      State of Michigan Department of
                                     Commerce Psychiatric License
                                     Substance Abuse License Resident
                                     License

                                     Schedule 4.17

Stock Ownership: (TM9)               PHC, Inc. 100%

                                     Schedule 4.19

Borrowing and Guarantees:
     INAC (finance for insurance
premium)
                                     Schedule 4.21
Trade Name: (RB 11)                  Harbor Oaks Hospital
                                     Schedule 4.22
Joint Ventures: (BAS12)              None
                                     Schedule 7.12
Transaction with Affiliates:         None










                                            5





<PAGE>


<TABLE> <S> <C>


<ARTICLE>                                        5
<LEGEND>

27       Financial Data Schedule
                                                     
     This  schedule   contains   financial   information   extracted   from  the
consolidated  balance  sheet and the  consolidated  statement of income filed as
part of the report on Form 10-QSB and is  qualified in its entirety by reference
to such report on Form 10-QSB.
</LEGEND>
<CURRENCY>                                             US
       
<S>                                           <C>
<PERIOD-TYPE>                                         YEAR
<FISCAL-YEAR-END>                                     JUN-30-1997
<PERIOD-START>                                        JUL-1-1996
<PERIOD-END>                                          DEC-31-1996
<EXCHANGE-RATE>                                       1.000
<CASH>                                                290,253
<SECURITIES>                                          0
<RECEIVABLES>                                         12,046,772
<ALLOWANCES>                                          1,517,586
<INVENTORY>                                           0
<CURRENT-ASSETS>                                      14,839,173
<PP&E>                                                9,621,268
<DEPRECIATION>                                        1,694,753
<TOTAL-ASSETS>                                        26,157,471
<CURRENT-LIABILITIES>                                 6,343,609
<BONDS>                                               9,326,090
                                 0
                                           0
<COMMON>                                              34,840
<OTHER-SE>                                            7,148,561
<TOTAL-LIABILITY-AND-EQUITY>                          26,157,471
<SALES>                                               0  
<TOTAL-REVENUES>                                      12,660,995
<CGS>                                                 0
<TOTAL-COSTS>                                         12,057,196
<OTHER-EXPENSES>                                      759,665
<LOSS-PROVISION>                                      549,880
<INTEREST-EXPENSE>                                    759,665
<INCOME-PRETAX>                                       129,882
<INCOME-TAX>                                          52,141
<INCOME-CONTINUING>                                   77,741
<DISCONTINUED>                                        0
         <EXTRAORDINARY>                              0
<CHANGES>                                             0
<NET-INCOME>                                          77,741
<EPS-PRIMARY>                                         .03
<EPS-DILUTED>                                         .03
        

</TABLE>


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