FOUNDATION HEALTH SYSTEMS INC
10-Q, 1997-11-14
INSURANCE CARRIERS, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
 
                             WASHINGTON, D.C. 20549
 
                            ------------------------
 
                                   FORM 10-Q
 
(MARK ONE)
 
(X)  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
     ACT OF 1934
 
For the quarterly period ended: September 30, 1997
 
                                       OR
 
( )  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
     EXCHANGE ACT OF 1934
 
    For the transaction period from           to
 
                        Commission File Number: 1-12718
 
                        FOUNDATION HEALTH SYSTEMS, INC.
 
             (Exact name of registrant as specified in its charter)
 
<TABLE>
<S>                                           <C>
                  DELAWARE                                     95-4288333
- -------------------------------------------   -------------------------------------------
      (State or other jurisdiction of             (I.R.S. Employer Identification No.)
       incorporation or organization)
 
  21600 Oxnard Street, Woodland Hills, CA                        91367
- -------------------------------------------   -------------------------------------------
  (Address of principal executive offices)                     (Zip Code)
 
                                      (818) 719-6978
- ------------------------------------------------------------------------------------------
                   (Registrant's telephone number, including area code)
</TABLE>
 
    Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 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 (  )
 
    Indicate the number of shares outstanding of each of the issuer's classes of
common stock as of the latest practicable date:
 
    As of November 11, 1997 111,182,480 shares of Class A Common Stock, $.001
par value per share, were outstanding (exclusive of 3,194,374 shares held as
treasury stock) and 10,297,642 shares of Class B Common Stock, $.001 par value
per share were outstanding.
 
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                               INDEX TO FORM 10-Q
 
<TABLE>
<CAPTION>
                                                                                                               PAGE
                                                                                                            -----------
<S>                                                                                                         <C>
PART I--FINANCIAL INFORMATION
 
Item 1--Financial Statements
 
  Condensed Consolidated Balance Sheets--September 30, 1997 and December 31, 1996.........................           3
 
  Condensed Consolidated Statements of Operations for the Quarters Ended September 30, 1997 and 1996......           4
 
  Condensed Consolidated Statements of Operations for the Nine Months Ended September 30, 1997 and 1996...           5
 
  Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 1997 and 1996...           6
 
  Notes to Condensed Consolidated Financial Statements....................................................           7
 
Item 2-- Management's Discussion and Analysis of Financial Condition and Results of Operations............          13
 
PART II--OTHER INFORMATION
 
Item 1--Legal Proceedings.................................................................................          23
 
Item 2--Changes in Securities.............................................................................          24
 
Item 3--Defaults Upon Senior Securities...................................................................          26
 
Item 4--Submission of Matters to a Vote of Security Holders...............................................          26
 
Item 5--Other Information.................................................................................          28
 
Item 6--Exhibits and Reports on Form 8-K..................................................................          33
 
Signature.................................................................................................          41
</TABLE>
 
                                       2
<PAGE>
PART I--FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
 
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                     CONDENSED CONSOLIDATED BALANCE SHEETS
 
                                 (IN THOUSANDS)
 
<TABLE>
<CAPTION>
                                                              SEPTEMBER 30,   DECEMBER 31,
                                                                  1997            1996
                                                              -------------   ------------
                                                               (UNAUDITED)
<S>                                                           <C>             <C>
                                          ASSETS
 
  Cash and cash equivalents.................................   $  380,772      $  514,000
  Investments...............................................    1,076,882       1,336,801
  Premiums receivable, net..................................      259,975         239,027
  Amounts receivable under government contracts.............      250,024         221,787
  Property and equipment, net...............................      383,626         346,311
  Reinsurance receivable....................................      201,602         149,582
  Goodwill and other intangible assets, net.................      712,334         714,915
  Other assets..............................................      699,085         561,618
                                                              -------------   ------------
                                                               $3,964,300      $4,084,041
                                                              -------------   ------------
                                                              -------------   ------------
 
                           LIABILITIES AND STOCKHOLDERS' EQUITY
 
  Reserves for claims, losses and loss adjustment expense...   $1,286,232      $1,362,342
  Notes payable and capital leases..........................      920,784         877,092
  Amounts payable under government contracts................       72,772          44,323
  Accounts payable and other liabilities....................      665,183         616,873
                                                              -------------   ------------
                                                                2,944,971       2,900,630
                                                              -------------   ------------
Stockholders' Equity:
  Common stock and additional paid-in capital...............      633,925         721,610
  Retained earnings.........................................      484,732         557,478
  Unrealized holding gains and (losses), net of taxes.......       (3,497)          3,201
  Common stock held in treasury, at cost....................      (95,831)        (98,878)
                                                              -------------   ------------
                                                                1,019,329       1,183,411
                                                              -------------   ------------
                                                               $3,964,300      $4,084,041
                                                              -------------   ------------
                                                              -------------   ------------
</TABLE>
 
            See Notes to Condensed Consolidated Financial Statements
 
                                       3
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
 
                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                    QUARTER ENDED SEPTEMBER 30,
                                                                                   ------------------------------
                                                                                        1997            1996
                                                                                   --------------  --------------
<S>                                                                                <C>             <C>
Revenues:
  Health plan premiums...........................................................  $    1,446,952  $    1,369,025
  Government contracts...........................................................         228,863         248,001
  Workers' compensation revenue..................................................         139,802         120,043
  Specialty services revenue.....................................................          70,348          78,955
  Investment and other income....................................................          37,844          27,846
                                                                                   --------------  --------------
                                                                                        1,923,809       1,843,870
                                                                                   --------------  --------------
Expenses:
  Health plan services...........................................................       1,224,304       1,155,618
  Government health care services................................................         163,398         180,927
  Workers' compensation costs....................................................         130,799         102,690
  Specialty services costs.......................................................          64,097          72,826
  Selling, general and administrative............................................         192,880         198,671
  Amortization and depreciation..................................................          25,168          27,475
  Interest expense...............................................................          15,511          12,155
                                                                                   --------------  --------------
                                                                                        1,816,157       1,750,362
                                                                                   --------------  --------------
Income before income taxes.......................................................         107,652          93,508
 
Income tax provision.............................................................          38,751          35,990
                                                                                   --------------  --------------
Net income.......................................................................  $       68,901  $       57,518
                                                                                   --------------  --------------
                                                                                   --------------  --------------
Earnings per share:..............................................................  $         0.57  $         0.46
                                                                                   --------------  --------------
                                                                                   --------------  --------------
Weighted average common and common stock equivalent shares outstanding...........     121,907,429     125,219,511
                                                                                   --------------  --------------
                                                                                   --------------  --------------
</TABLE>
 
            See Notes to Condensed Consolidated Financial Statements
 
                                       4
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
 
                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                  NINE MONTHS ENDED SEPTEMBER 30,
                                                                                  -------------------------------
                                                                                     1997                1996
                                                                                  -----------         -----------
<S>                                                                               <C>                 <C>
Revenues:
  Health plan premiums..........................................................  $ 4,305,976         $ 4,029,928
  Government contracts..........................................................      698,517             648,178
  Workers' compensation revenue.................................................      404,942             409,358
  Specialty services revenue....................................................      196,234             203,736
  Investment and other income...................................................      114,698              84,264
                                                                                  -----------         -----------
                                                                                    5,720,367           5,375,464
                                                                                  -----------         -----------
 
Expenses:
  Health plan services..........................................................    3,611,553           3,341,931
  Government health care services...............................................      520,798             484,866
  Workers' compensation costs...................................................      384,545             354,322
  Specialty services costs......................................................      173,800             185,191
  Selling, general and administrative...........................................      607,641             609,722
  Amortization and depreciation.................................................       76,569              82,823
  Interest expense..............................................................       47,770              31,368
  Merger, restructuring and other costs.........................................      348,400             --
  Gem costs.....................................................................       57,500             --
                                                                                  -----------         -----------
                                                                                    5,828,576           5,090,223
                                                                                  -----------         -----------
 
Income (loss) from continuing operations before income taxes....................     (108,209)            285,241
 
Income tax provision (benefit)..................................................      (35,463)            101,868
                                                                                  -----------         -----------
Income (loss) from continuing operations........................................      (72,746)            183,373
 
Gain from discontinued operations, net of tax...................................      --                    2,910
                                                                                  -----------         -----------
Net income (loss)...............................................................  $   (72,746)        $   186,283
                                                                                  -----------         -----------
                                                                                  -----------         -----------
 
Earnings (loss) per share:
  Continuing operations.........................................................  $     (0.58)        $      1.47
  Discontinued operations.......................................................      --                     0.02
                                                                                  -----------         -----------
  Net...........................................................................  $     (0.58)        $      1.49
                                                                                  -----------         -----------
                                                                                  -----------         -----------
 
Weighted average common and common stock equivalent shares outstanding..........  124,448,330         124,842,084
                                                                                  -----------         -----------
                                                                                  -----------         -----------
</TABLE>
 
            See Notes to Condensed Consolidated Financial Statements
 
                                       5
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
                                 (IN THOUSANDS)
 
                                   (UAUDITED)
 
<TABLE>
<CAPTION>
                                                                                             NINE MONTHS ENDED
                                                                                               SEPTEMBER 30,
                                                                                          ------------------------
                                                                                             1997         1996
                                                                                          -----------  -----------
<S>                                                                                       <C>          <C>
Net cash provided (used) by operating activities........................................  $  (323,607) $    43,605
 
INVESTING ACTIVITIES:
 
Sales or redemption of marketable securities available for sale.........................      692,400      467,863
Purchase of marketable securities available for sale....................................     (436,318)    (649,985)
Purchase of property and equipment......................................................      (83,421)     (69,689)
Decrease (increase) in other assets.....................................................       90,606      (68,401)
Acquisition of subsidiaries, net of cash acquired.......................................      (24,329)         107
                                                                                          -----------  -----------
Net cash provided (used) by investing activities........................................      238,938     (320,105)
 
FINANCING ACTIVITIES:
 
Proceeds from exercise of stock options and employee stock purchases....................       16,036       25,919
Proceeds from sale of stock.............................................................      --            95,828
Borrowings on credit facilities.........................................................      173,937      196,296
Purchase of treasury stock..............................................................     (108,287)    (105,417)
Repayment of debt and other non-current liabilities.....................................     (130,245)      (4,517)
                                                                                          -----------  -----------
Net cash provided (used) by financing activities........................................      (48,559)     208,109
                                                                                          -----------  -----------
Decrease in cash and cash equivalents...................................................     (133,228)     (68,391)
Cash and cash equivalents, beginning of period..........................................      514,000      376,749
                                                                                          -----------  -----------
Cash and cash equivalents, end of period................................................  $   380,772  $   308,358
                                                                                          -----------  -----------
                                                                                          -----------  -----------
</TABLE>
 
            See Notes to Condensed Consolidated Financial Statements
 
                                       6
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 
                                  (UNAUDITED)
 
NOTE 1--MERGER
 
    Effective April 1, 1997, Foundation Health Systems, Inc. (the "Company") was
formed pursuant to a merger transaction (the "Merger") involving Health Systems
International, Inc. ("HSI") and Foundation Health Corporation ("FHC"). Pursuant
to the Merger, FHC merged into a newly created subsidiary of HSI and each
outstanding share of FHC capital stock was converted into 1.3 shares of HSI's
Class A Common Stock. As part of the transaction HSI remained as the ultimate
parent company and changed its name to "Foundation Health Systems, Inc." The
Merger was tax-free and accounted for as a pooling of interests. In accordance
with the pooling of interests method of accounting the Company's consolidated
financial statements as of December 31, 1996 and for the nine months ended
September 30, 1997 and 1996 and the three months ended September 30, 1996 and
the notes thereto have been restated to include the accounts of HSI and FHC for
all periods presented. Although prior to the Merger FHC's final Annual Report
was reported on a fiscal year ended June 30 basis, the condensed consolidated
financial statements have been restated to reflect the Company's calendar year
basis.
 
NOTE 2--BASIS OF PRESENTATION
 
    In the opinion of management, the accompanying condensed consolidated
financial statements include all adjustments necessary for a fair presentation
of the consolidated financial position of the Company and the consolidated
results of its operations and its cash flows for the interim periods presented.
All adjustments presented in these condensed consolidated financial statements
are of a normal recurring nature. Although the Company believes that the
disclosures in these financial statements are adequate to make the information
presented not misleading, certain information and footnote disclosures normally
included in financial statements prepared in accordance with generally accepted
accounting principles have been condensed or omitted pursuant to the rules and
regulations of the Securities and Exchange Commission (the "SEC"). For further
information please refer to the consolidated financial statements and notes
thereto in the HSI Annual Report on Form 10-K for the year ended December 31,
1996 and the FHC Annual Report on Form 10-K/A Amendment No. 3 for the year ended
June 30, 1996. Results of operations for the interim periods are not necessarily
indicative of results to be expected for the full year.
 
NOTE 3--MERGER, RESTRUCTURING AND OTHER COSTS
 
    The Company recorded a charge for merger, restructuring and other costs of
$348.4 million in the quarter ended June 30, 1997. The components of this charge
include merger related costs, restructuring costs and other costs.
 
    MERGER RELATED COSTS
 
    Merger costs totaling $74.0 million were incurred in the quarter ended June
30, 1997 and include $28.8 million of transaction costs, primarily consisting of
investment banking, legal, accounting, filing and printing fees. Integration
costs totaled $25.5 million and directors and officers liability coverage
required by the merger agreement totaled $3.1 million. Costs to consolidate the
debt facilities of the combining companies totaled $9.6 million. All other
merger related costs totaled $7.0 million.
 
                                       7
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                                  (UNAUDITED)
 
NOTE 3--MERGER, RESTRUCTURING AND OTHER COSTS (CONTINUED)
    RESTRUCTURING COSTS
 
    In connection with the Merger, the Company adopted a restructuring plan
during the quarter ended June 30, 1997, the principal elements of which include:
a workforce reduction of approximately 1,050 employees; the consolidation of
employee benefit plans; the consolidation of facilities in geographic locations
where office space is duplicated; the consolidation of overlapping provider
networks; and the consolidation of information systems at all locations to
standardized systems. The plan, which the Company anticipates will be
substantially completed by the end of the second quarter of 1998, resulted in a
restructuring charge of $188.1 million for the quarter ended June 30, 1997.
 
    The following table summarizes the principal components of the charge in
millions:
 
<TABLE>
<S>                                                           <C>
Severance and benefit related costs.........................  $    68.1
Provider network consolidation costs........................       43.2
Real estate lease termination costs.........................       32.6
Asset impairment costs......................................       44.2
                                                              ---------
                                                              $   188.1
</TABLE>
 
    $143.9 million of this charge is expected to require outlays of cash. As of
September 30, 1997, approximately $45 million of the total accrued restructuring
charge had been paid.
 
    Severance and benefit related costs include a termination benefits plan and
contractually required change of control payments to certain senior executives.
Also included are the costs of settlements of benefit plans being terminated as
a result of the restructuring plan to conform benefits for the combining
companies.
 
    Provider network consolidation costs include costs to consolidate
overlapping provider networks, primarily in California, and the costs of exiting
existing provider contracts as legally, regulatorily or administratively
required.
 
    Real estate lease termination costs include facilities consolidation costs
primarily in geographic regions where there is overlapping office space usage.
 
    Asset impairment costs are primarily a result of the Company's plan to be on
common operating systems and hardware platforms. These costs include impairment
of hardware, software and other systems related assets.
 
    OTHER COSTS
 
    Other costs totaling $86.3 million included non-recurring charges for the
quarter ended June 30, 1997. The primary components of these charges included
$30.5 million for IPA receivables related to provider contracts that will not be
renewed as a result of the Merger; $17.2 million for government receivables
related to prior contracts and adjustments on current contracts being negotiated
with the Department of Defense; $13.4 million for litigation settlement
estimates on claims primarily related to former FHC subsidiaries; $12.6 million
for the loss on disposal of the Company's United Kingdom operations; and $5.2
million related to losses on certain subscriber contracts.
 
                                       8
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                                  (UNAUDITED)
 
NOTE 4--GEM COSTS
 
    Gem Insurance Company ("Gem"), a subsidiary of the Company, had previously
reached definitive agreement prior to the end of the second quarter regarding a
reinsurance transaction with The Centennial Life Insurance Company
("Centennial"). Pursuant to this agreement, Centennial was to reinsure,
administer and manage Gem's accident and health, life and annuity policies in
exchange for a reinsurance premium. The cost of the reinsurance along with the
write-off of certain Gem assets that were not recoverable based on the terms of
this agreement totaled $57.5 million. The transaction was not ultimately
consummated due to the unanticipated failure to satisfy certain closing
conditions including the failure to receive certain regulatory approvals. As a
result, Gem established a reserve for the estimated premium deficiency related
to these policies.
 
NOTE 5--INVESTMENTS
 
    Investments are comprised of the following (in thousands):
 
<TABLE>
<CAPTION>
                                                         SEPTEMBER 30, 1997  DECEMBER 31, 1996
                                                         ------------------  -----------------
<S>                                                      <C>                 <C>
Available for sale.....................................    $    1,048,390      $   1,306,606
Held to maturity.......................................            28,492             30,195
                                                         ------------------  -----------------
Total investments......................................    $    1,076,882      $   1,336,801
                                                         ------------------  -----------------
                                                         ------------------  -----------------
</TABLE>
 
    For purposes of calculating realized gains and losses on sales of
investments available for sale, the amortized cost of each investment sold is
used.
 
NOTE 6--BUSINESS SEGMENT INFORMATION
 
    The Company operates principally in the following two segments: (i)
providing managed health care services to subscribers and (ii) the writing of
workers' compensation insurance. The following schedule sets forth information
about these two operating segments.
 
                                       9
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                               SEGMENT REPORTING
 
<TABLE>
<CAPTION>
                                                              QUARTER ENDED               NINE MONTHS ENDED
                                                       ----------------------------  ----------------------------
                                                       SEPTEMBER 30,  SEPTEMBER 30,  SEPTEMBER 30,  SEPTEMBER 30,
                                                           1997           1996           1997           1996
                                                       -------------  -------------  -------------  -------------
                                                                             (IN MILLIONS)
<S>                                                    <C>            <C>            <C>            <C>
Net revenue from unaffiliated entities:
  Managed health care(1).............................   $   1,770.8    $   1,712.7    $   5,277.2    $   4,935.9
  Managed workers' compensation......................         153.0          131.2          443.2          439.6
                                                       -------------  -------------  -------------  -------------
                                                        $   1,923.8    $   1,843.9    $   5,720.4    $   5,375.5
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Income (loss) from continuing operations before
 income taxes:
  Managed health care(1).............................   $     105.9    $      78.3    $    (102.7)   $     241.9
  Managed workers' compensation......................          17.3           27.4           42.3           74.7
  Interest expense...................................         (15.5)         (12.2)         (47.8)         (31.4)
                                                       -------------  -------------  -------------  -------------
                                                        $     107.7    $      93.5    $    (108.2)   $     285.2
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Depreciation and amortization:
  Managed health care(1).............................   $      23.3    $      26.1    $      71.4    $      78.4
  Managed workers' compensation......................           1.9            1.4            5.2            4.4
                                                       -------------  -------------  -------------  -------------
                                                        $      25.2    $      27.5    $      76.6    $      82.8
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Capital expenditures:
  Managed health care(1).............................   $      36.7    $      19.9    $      75.0    $      63.9
  Managed workers' compensation......................           2.5            1.2            8.4            5.8
                                                       -------------  -------------  -------------  -------------
                                                        $      39.2    $      21.1    $      83.4    $      69.7
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
</TABLE>
 
<TABLE>
<CAPTION>
                                                                                                 AS OF
                                                                                      ----------------------------
                                                                                      SEPTEMBER 30,  DECEMBER 31,
                                                                                          1997           1996
                                                                                      -------------  -------------
<S>                                                                                   <C>            <C>
TOTAL ASSETS:
  Managed health care(1)............................................................   $   2,735.4    $   2,933.2
  Managed workers' compensation.....................................................       1,228.9        1,150.8
                                                                                      -------------  -------------
                                                                                       $   3,964.3    $   4,084.0
                                                                                      -------------  -------------
                                                                                      -------------  -------------
</TABLE>
 
- ------------------------
 
(1) Includes general corporate balances net of eliminations.
 
                                       10
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                                  (UNAUDITED)
 
NOTE 7--STOCKHOLDER'S EQUITY
 
    On June 27, 1997 the Company redeemed 4,550,000 shares of its Class B Common
Stock from The California Wellness Foundation (the "CWF"), the charitable
receipient of the proceeds from the conversion of the Company's Health Net
subsidiary to for-profit status in 1992. The redemption price was approximately
$111.3 million, or $24.47 a share. In addition, during the period from June to
August of 1997, the CWF sold 3,450,000 shares of its Class B Common Stock to
various unrelated third parties, which shares automatically converted into
shares of Class A Common Stock upon such sales.
 
NOTE 8--ACQUISITIONS
 
    ADVANTAGE HEALTH
 
    On April 1, 1997 the Company completed the acquisition of Advantage Health,
a group of managed health care companies based in Pittsburgh, PA, for $12.5
million in cash. Advantage Health has approximately 35,000 full-risk members. In
1996 Advantage Health recorded revenues of approximately $56 million, with about
90 percent from health plan operations. The Company purchased Advantage Health
from St. Francis Health System, which has a short-term option to re-acquire a 20
percent interest in Advantage Health for $2.5 million. Advantage Health remains
a party to long-term provider agreements with the St. Francis Health System.
 
    PACC
 
    On October 22, 1997 the Company acquired PACC HMO and PACC Health Plans
(collectively, "PACC") for a net purchase price of approximately $43.6 million.
PACC is a 108,000 member health plan with operations in Oregon and Washington
which had more than $133 million in revenues in 1996.
 
    FIRST OPTION HEALTH PLAN
 
    On April 30, 1997 the Company completed a $51.7 million investment in FOHP,
Inc. ("FOHP"). FOHP is owned by physicians, hospitals and other health care
providers and is the sole shareholder of First Option Health Plan of New Jersey,
Inc. ("FOHP-NJ"), a managed care company. The Company's investment is in the
form of FOHP debentures convertible into up to 71 percent of FOHP's outstanding
equity at the Company's discretion. In addition to the investment, the Company
provides a variety of management services to FOHP in return for a percentage of
FOHP's premium revenue. FOHP-NJ currently has more than 205,000 members in New
Jersey enrolled in its commercial, Medicare, Medicaid and PPO programs.
 
    PHYSICIANS HEALTH SERVICES
 
    On May 8, 1997 the Company entered into a definitive agreement to acquire
Physicians Health Services, Inc. ("PHS") for $29.25 per share, or a total
consideration of approximately $280 million. PHS is a 426,000 member health plan
with operations in the New York metropolitan area, including northern New
Jersey, and throughout the state of Connecticut. On October 20, 1997, the
Company announced that it had agreed to a new purchase price whereby the Company
would purchase PHS for $28.25 per PHS share, a $1.00 reduction from the
previously announced price of $29.25 per share, pursuant to an amendment to the
definitive agreement entered into between the parties. The new price reduces the
total amount the Company will pay to acquire PHS to approximately $271 million
for the approximately nine million PHS shares outstanding. The consummation of
the transaction is subject to customary conditions, including approval by PHS
stockholders and the receipt of all necessary governmental authorizations.
 
                                       11
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
        NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
 
                                  (UNAUDITED)
 
NOTE 8--ACQUISITIONS (CONTINUED)
    The revised purchase price was agreed to by the parties because PHS was
unable to obtain certain waivers from The Guardian Life Insurance Company of
America ("Guardian"). PHS was obligated to provide to FHS such waivers and
amendments prior to closing. Should PHS provide such waivers and amendments
before closing, the price would return to $29.25 per share. The Company will
fund the acquisition with cash on hand and existing bank credit lines. The
Company presently expects that the transaction will close in December, 1997.
 
    CHRISTIANIA GENERAL INSURANCE CORPORATION
 
    On May 14, 1997 the Business Insurance Group, Inc. ("BIG"), a subsidiary of
the Company, acquired the Christiania General Insurance Corporation of New York
("CGIC"). CGIC was purchased by BIG to more effectively compete in the workers'
compensation and group accident and health markets outside of California. CGIC
is currently licensed in 47 states with 27 workers' compensation licenses and 23
group accident and health licenses.
 
NOTE 9--REVOLVING CREDIT FACILITY
 
    On July 8, 1997 the Company entered into a $1.5 billion revolving credit
facility with Bank of America as Administrative Agent for the lenders thereto.
All previously existing credit facilities were terminated and rolled into this
new facility. As of September 30, 1997 the amount outstanding on this line was
aproximately $875 million.
 
NOTE 10--REDEMPTION OF DEBT
 
    FHC, a subsidiary of the Company, consummated a cash tender offer on June
27, 1997 of all of its $125 million outstanding principal amount of 7 3/4%
Senior Notes due 2003 (the "FHC Notes"). As part of this repurchase, FHC and the
trustee for the FHC Notes also executed a supplemental indenture which removed
substantially all of the restrictive covenants contained in the Indenture for
the FHC Notes.
 
NOTE 11--RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS
 
    In February, 1997 the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 128, (EARNINGS PER SHARE) ("SFAS 128")
which requires changes in current earnings per share ("EPS") reporting
requirements. The Company is required to adopt SFAS 128 in the fourth quarter of
1997. Management expects there to be no significant difference in the
calculation and reporting of EPS under the new statement, hence, SFAS 128 is not
expected to significantly affect historical or future EPS.
 
    In June, 1997, the Financial Accounting Standards Board adopted Statements
of Financial Accounting Standards No. 130 (REPORTING COMPREHENSIVE INCOME),
which requires that an enterprise report, by major components and as a single
total, the change in its net assets during the period from nonowner sources; and
No. 131 (DISCLOSURES ABOUT SEGMENTS OF AN ENTERPRISE AND RELATED INFORMATION),
which establishes annual and interim reporting standards for an enterprise's
business segments and related disclosures about its products, services,
geographic areas, and major customers. Adoption of these statements will not
impact the Company's consolidated financial position, results of operations or
cash flows. Both statements are effective for fiscal years beginning after
December 15, 1997.
 
                                       12
<PAGE>
ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
         OF OPERATIONS.
 
GENERAL
 
    Foundation Health Systems, Inc. (the "Company") is an integrated managed
care organization which administers the delivery of managed health care
services. Through its subsidiaries, the Company offers group, individual,
Medicaid, and Medicare health maintenance organization ("HMO") and preferred
provider organization ("PPO") plans; government sponsored managed care plans;
and managed care products related to workers' compensation insurance,
administration and cost-containment, behavioral health, dental, vision and
pharmaceutical products and services.
 
    The current operations of the Company are a result of the April 1, 1997
merger transaction (the "Merger") involving Health Systems International, Inc.
("HSI") and Foundation Health Corporation ("FHC"). Pursuant to the Merger, FH
Acquisition Corp., a wholly owned subsidiary of HSI ("Merger Sub"), merged with
and into FHC and FHC survived as a wholly owned subsidiary of HSI, which changed
its name to "Foundation Health Systems, Inc." and thereby became the Company.
Pursuant to the Agreement and Plan of Merger (the "Merger Agreement") that
evidenced the Merger, FHC stockholders received 1.3 shares of the Company's
Class A Common Stock for every share of FHC common stock held. The shares of the
Company's Class A Common Stock issued to FHC's stockholders in the Merger
constituted approximately 61% of the outstanding stock of the Company after the
Merger and the shares held by the Company's stockholders prior to the Merger
(i.e., the prior stockholders of HSI) constituted approximately 39% of the
outstanding stock of the Company after the Merger.
 
    The Merger was accounted for as a pooling of interests for accounting and
financial reporting purposes. The pooling of interests method of accounting is
intended to present, as a single interest, two or more common stockholder
interests which were previously independent and assumes that the combining
companies have been merged from inception. Consequently, in this Quarterly
Report on Form 10-Q, the Company's condensed consolidated financial statements
have been prepared and/or restated as though HSI and FHC always had been
combined.
 
    Commercial HMO and PPO operations are characterized by the assumption of
underwriting risk in return for premium revenue. Government contracts consist of
contractual services to state and federal government programs such as CHAMPUS
and Medicaid in which the Company receives revenues for administrative and
management services and, under most of the contracts, also accepts financial
responsibility for health care costs. Workers' compensation services consist of
operations in which the Company assumes risk in return for premium revenue and
operations in which the Company provides third party administration and bill
review services. Specialty services consists both of operations in which the
Company assumes underwriting risk in return for premium revenue, including
behavioral health, dental and vision HMO products, and operations in which the
Company provides administrative services only, including certain of the
behavioral health and pharmacy benefits management programs.
 
                                       13
<PAGE>
                         CONSOLIDATED OPERATING RESULTS
 
    The Company's revenues grew by $79.9 million or 4.3% for the quarter ended
September 30, 1997 as compared to the same period in calendar year 1996. Growth
in revenues for the quarter was due to increased health plan premiums including
California and certain states on the east coast as well as increased worker's
compensation premiums. Revenues for the nine months ended September 30, 1997
increased by $344.9 million or 6.4% as compared to revenues for the same period
in 1996. Revenue increases from new government contracts and growth in health
plan premiums and medicaid contracts in California, and commercial growth on the
east coast contributed to this increase. The overall medical loss ratio ("MLR")
for the quarter ended September 30, 1997 of 83.9% and nine months ended
September 30, 1997 of 83.7% increased slightly over the same periods in 1996 due
to continued pricing pressures throughout the Company's health plans and
worker's compensation business as well as an increase in pharmacy costs in the
Company's health plans and higher estimated future costs of the claims reported
and not yet settled in the Company's California workers' compensation business.
 
    The Company's selling, general and administrative ("SG&A") expenses
decreased by $5.8 million or 2.9% for the quarter ended September 30, 1997 as
compared to the same quarter in 1996, and decreased slightly by $2.1 million or
0.3% for the nine months ended September 30, 1997 as compared to the same period
in 1996. The administrative expense ratio (SG&A as a percent of revenue)
decreased from 10.8% for the quarter ended September 30, 1996 to 10.0% for the
quarter ended September 30, 1997. The administrative expense ratio decreased
from 11.3% for the nine months ended September 30, 1996 to 10.6% for the nine
months ended September 30, 1997. Favorable expense reductions have occurred for
the quarter and nine months ended September 30, 1997 as a percent of revenues
due to the Company's ongoing efforts to aggressively control its selling and
administrative expenses and synergy savings associated with the integration of
HSI and FHC after the Merger.
 
    The difference between the statutory combined federal and state income tax
rate of 40.4% and the Company's effective tax rate of 36.0% for the quarter
ended September 30, 1997 is primarily due to health plan and insurance premiums
not subject to income tax in certain states, permanent differences associated
with tax exempt interest income, research and experimental tax credits,
partially offset by nonamortizable goodwill and other nondeductible items.
 
    The difference between the statutory combined federal and state income tax
rate of 40.4% and the Company's effective tax benefit of 32.8% for the nine
months ended September 30, 1997 is primarily due to health plan and insurance
premiums not subject to income tax in certain states, permanent differences
associated with tax exempt interest income, research and experimental tax
credits, more than offset by non-deductible merger and restructuring costs,
non-amortizable goodwill and other non-deductible items.
 
    Income for the quarter ended September 30, 1997 increased by $11.4 million
or 19.8% as compared to the same period in 1996. This was driven by higher
health plan premium revenues, higher investment and other income, and by cost
savings which reduced selling, general and administrative costs as a percentage
of revenue. Merger, restructuring and other costs caused the loss from
continuing operations in the nine months ended September 30, 1997. Gem costs of
$57.5 million recorded in the quarter ended June 30, 1997 also contributed to
the net loss for the nine months ended September 30, 1997. Income from
continuing operations before income taxes for the nine months ended September
30, 1997, excluding the merger, restructuring and other costs, and Gem costs
increased by $12.5 million or 4.3% as compared to the same period a year ago.
 
    In connection with the Merger, the Company adopted a significant
restructuring plan which provides for a workforce reduction of approximately
1,050 employees, the consolidation of employee benefit plans, the consolidation
of certain office locations, the consolidation of overlapping provider networks,
and the consolidation of information systems to standard systems. Management
anticipates that substantial payroll, rent and other cost savings will be
obtained once the plan is fully implemented. The restructuring charge for the
quarter ended June 30, 1997 totaled $188.1 million. The major components of this
charge include
 
                                       14
<PAGE>
$68.1 million for severance and benefit related costs, $43.2 million for
provider network consolidation costs, $32.6 million for real estate lease
termination costs, and $44.2 million for asset impairment costs.
 
    Merger related costs for the quarter ended June 30, 1997 totaling $74.0
million consisted primarily of $28.8 million of transaction costs, $25.5 million
of integration costs, $3.1 million of directors and officers liability insurance
costs, and $9.6 million of debt facilities consolidation costs.
 
    Other charges for the quarter ended June 30, 1997 consist primarily of $30.5
million for IPA receivables related to provider contracts that will not be
renewed, $17.2 for government receivables, $13.4 million for litigation
settlement estimates primarily related to former FHC subsidiaries, $12.6 million
for the loss on the sale of the United Kingdom operations, and $5.2 million for
losses on subscriber contracts.
 
    The Company's ability to expand its business is dependent, in part, on
competitive premium pricing and its ability to secure cost-effective contracts
with providers. Achieving these objectives is becoming increasingly difficult
due to the competitive environment. In addition, the Company's profitability is
dependent, in part, on its ability to maintain effective control over health
care costs while providing members with quality care. Factors such as health
care reform, integration of acquired companies, regulatory changes, utilization,
new technologies, hospital costs, major epidemics and numerous other external
influences may affect the Company's operating results. Accordingly, past
financial performance is not necessarily a reliable indicator of future
performance, and investors should not use historical records to anticipate
results or future period trends.
 
    Certain of the Company's HMO and insurance subsidiaries are required to
maintain reserves to cover their estimated ultimate liability for expenses with
respect to reported and unreported claims incurred. These reserves are estimates
of future costs based on various assumptions. Establishment of appropriate
reserves is an inherently uncertain process, and there can be no certainty that
currently established reserves will prove adequate in light of subsequent actual
experience, which in the past has resulted and in the future could result in
loss reserves being too high or too low. The accuracy of these estimates may be
affected by external forces such as changes in the rate of inflation, the
regulatory environment, the judicial administration of claims, medical costs and
other factors. Future loss development or governmental regulators could require
reserves for prior periods to be increased, which would adversely impact
earnings in future periods. In light of present facts and current legal
interpretations, management believes that adequate provisions have been made for
claims and loss reserves.
 
                           LINE OF BUSINESS REPORTING
 
    The Company currently operates in two industry segments, managed health care
and managed workers' compensation. The managed health care segment's continuing
operations are in three primary lines of business (i) health plan operations;
(ii) government contracts; and (iii) specialty services.
 
    The following table presents financial information reflecting the Company's
continuing operations for both segments and its primary lines of business:
 
                                       15
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                     LINE OF BUSINESS FINANCIAL INFORMATION
 
                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                                     QUARTER ENDED
                                                              QUARTER ENDED SEPTEMBER 30, 1997     SEPTEMBER 30, 1996
                                                              ---------------------------------   --------------------
                                                                           PERCENT                             PERCENT
                                                                             OF       PERCENT                    OF
                                                               AMOUNT OR    TOTAL     INCREASE     AMOUNT OR    TOTAL
                                                                PERCENT    REVENUE   (DECREASE)     PERCENT    REVENUE
                                                              -----------  -------   ----------   -----------  -------
<S>                                                           <C>          <C>       <C>          <C>          <C>
Revenues:
  Health plan premiums......................................   $1,446,952    75.2%       5.7%      $1,369,025    74.2%
  Government contracts......................................      228,863    11.9       (7.7)         248,001    13.5
  Workers' compensation revenue.............................      139,802     7.3       16.5          120,043     6.5
  Specialty services revenue................................       70,348     3.6      (10.9)          78,955     4.3
  Investment and other income...............................       37,844     2.0       35.9           27,846     1.5
                                                              -----------  -------                -----------  -------
                                                                1,923,809   100.0        4.3        1,843,870   100.0
                                                              -----------  -------                -----------  -------
Expenses:
  Health plan services......................................    1,224,304    63.7        5.9        1,155,618    62.6
  Government health care services...........................      163,398     8.5       (9.7)         180,927     9.8
  Workers' compensation costs...............................      130,799     6.8       27.4          102,690     5.6
  Specialty services costs..................................       64,097     3.3      (12.0)          72,826     3.9
  Selling, general and administrative ("SG&A")..............      192,880    10.0       (2.9)         198,671    10.8
  Amortization and depreciation.............................       25,168     1.3       (8.4)          27,475     1.5
  Interest expense..........................................       15,511     0.8       27.6           12,155     0.7
                                                              -----------  -------                -----------  -------
                                                                1,816,157    94.4        3.8        1,750,362    94.9
                                                              -----------  -------                -----------  -------
Income before income taxes..................................      107,652     5.6       15.1           93,508     5.1
Income tax provision........................................       38,751     2.0        7.7           35,990     2.0
                                                              -----------  -------                -----------  -------
Net income..................................................    $  68,901     3.6%      19.8        $  57,518     3.1%
                                                              -----------  -------                -----------  -------
                                                              -----------  -------                -----------  -------
Earnings per share..........................................    $    0.57               23.0        $    0.46
                                                              -----------                         -----------
                                                              -----------                         -----------
Weighted average common and common stock equivalent shares
  outstanding...............................................  121,907,429               (2.6)     125,219,511
                                                              -----------                         -----------
                                                              -----------                         -----------
Operating ratios:
  Health plan loss ratio....................................         84.6%                               84.4%
  Government contracts ratio................................         71.4                                73.0
  Workers' compensation ratio...............................         93.6                                85.5
  Specialty services ratio..................................         91.1                                92.2
  SG&A to total revenues....................................         10.0                                10.8
  Effective tax rate........................................         36.0                                38.5
</TABLE>
 
                                       16
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                     LINE OF BUSINESS FINANCIAL INFORMATION
 
                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                 NINE MONTHS ENDED               NINE MONTHS ENDED
                                                                 SEPTEMBER 30, 1997              SEPTEMBER 30, 1996
                                                        ------------------------------------  ------------------------
                                                                     PERCENT OF    PERCENT                 PERCENT OF
                                                         AMOUNT OR      TOTAL      INCREASE    AMOUNT OR      TOTAL
                                                          PERCENT      REVENUE    (DECREASE)    PERCENT      REVENUE
                                                        -----------  -----------  ----------  -----------  -----------
<S>                                                     <C>          <C>          <C>         <C>          <C>
REVENUES:
  Health plan premiums................................  $ 4,305,976        75.3%         6.8% $ 4,029,928        75.0%
  Government contracts................................      698,517        12.2          7.8      648,178        12.0
  Workers' compensation revenue.......................      404,942         7.1         (1.1)     409,358         7.6
  Specialty services revenue..........................      196,234         3.4         (3.7)     203,736         3.8
  Investment and other income.........................      114,698         2.0         36.1       84,264         1.6
                                                        -----------  -----------              -----------  -----------
                                                          5,720,367       100.0          6.4    5,375,464       100.0
                                                        -----------  -----------              -----------  -----------
EXPENSES:
  Health plan services................................    3,611,553        63.2          8.1    3,341,931        62.3
  Government health care services.....................      520,798         9.1          7.4      484,866         9.0
  Workers' compensation costs.........................      384,545         6.7          8.5      354,322         6.6
  Specialty services costs............................      173,800         3.0         (6.2)     185,191         3.4
  Selling, general and administrative ("SG&A")........      607,641        10.6         (0.3)     609,722        11.3
  Amortization and depreciation.......................       76,569         1.3         (7.6)      82,823         1.5
  Interest expense....................................       47,770         0.8         52.3       31,368         0.6
  Merger, restructuring and other costs...............      348,400         6.2       --          --           --
  GEM costs...........................................       57,500         1.0       --          --           --
                                                        -----------  -----------              -----------  -----------
                                                          5,828,576       101.9         14.5    5,090,223        94.7
                                                        -----------  -----------              -----------  -----------
Income (loss) from continuing operations before income
  taxes...............................................     (108,209)       (1.9)      (137.9)     285,241         5.3
Income tax provision (benefit)........................      (35,463)       (0.6)      (134.8)     101,868         1.9
                                                        -----------  -----------              -----------  -----------
Income (loss) from continuing operations..............  $   (72,746)       (1.3)%     (139.7) $   183,373         3.4%
                                                        -----------  -----------              -----------  -----------
                                                        -----------  -----------              -----------  -----------
Earnings (loss) per share from continuing
  operations..........................................  $     (0.58)                  (139.8) $      1.47
                                                        -----------                           -----------
                                                        -----------                           -----------
Weighted average common and common stock equivalent
  shares outstanding..................................  124,448,330                     (0.3) 124,842,084
                                                        -----------                           -----------
                                                        -----------                           -----------
Operating ratios:
  Health plan loss ratio..............................         83.9%                                 82.9%
  Government contracts ratio..........................         74.6                                  74.8
  Workers' compensation ratio.........................         95.0                                  86.6
  Specialty services ratio............................         88.6                                  90.9
  SG&A to total revenues..............................         10.6                                  11.3
  Effective tax rate (benefit)........................        (32.8)                                 35.7
</TABLE>
 
                                       17
<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                     LINE OF BUSINESS FINANCIAL INFORMATION
 
                                 (IN THOUSANDS)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                        NINE MONTHS ENDED
                                                                        SEPTEMBER 30, 1997
                                                                    --------------------------    NINE MONTHS ENDED
                                                                                    PERCENT      SEPTEMBER 30, 1996
                                                                     AMOUNT OR     INCREASE     ---------------------
                                                                      PERCENT     (DECREASE)      AMOUNT OR PERCENT
                                                                    -----------  -------------  ---------------------
<S>                                                                 <C>          <C>            <C>
Enrollment (in thousands):
Health Plan:
  Commercial......................................................       2,812           1.8%             2,761
  Medicare risk...................................................         259          11.6                232
  Medicaid........................................................         393          26.8                310
                                                                         -----                            -----
                                                                         3,464           4.9              3,303
                                                                         -----                            -----
Government:
  CHAMPUS PPO and indemnity.......................................         963          (8.1)             1,048
  CHAMPUS HMO.....................................................         684          42.2                481
                                                                         -----                            -----
                                                                         1,647           7.7              1,529
                                                                         -----                            -----
  Combined........................................................       5,111           5.8              4,832
                                                                         -----                            -----
                                                                         -----                            -----
</TABLE>
 
                                       18
<PAGE>
                          MANAGED HEALTH CARE SEGMENT
 
                             HEALTH PLAN OPERATIONS
 
    Revenues generated by the Company's health plan operations increased $77.9
million or 5.7% in the quarter ended September 30, 1997 compared to the quarter
ended September 30, 1996 and $276.0 million or 6.8% for the nine months ended
September 30, 1997 compared to the same period in 1996. The increase in revenues
for the quarter and nine months ending September 30, 1997 is primarily due to
enrollment increases in the Medicaid lines of business and enrollment and
premium increases in the Medicare lines of business in California, commercial
enrollment increases in Connecticut, and the acquisition of Advantage Health in
Pennsylvania. The Company expects continued pressure from employer groups and
government agencies to minimize future premium increases.
 
    Health care costs increased for the quarter and nine months ended September
30, 1997 as compared to the quarter and nine months ended September 30, 1996. In
the California market, health care costs increased as a result of higher
pharmacy costs for both the commercial and Medicare lines of business,
percentage of premium provider contracting arrangements, increased hospital
utilization in the Medicare line of business, and increased enrollment in the
Medicaid line of business. The health plans loss ratio increased slightly from
84.4% for the quarter ended September 30, 1996 to 84.6% for the quarter ended
September 30, 1997 and from 82.9% for the nine months ended September 30, 1996
to 83.9% for the nine months ended September 30, 1997. Continued downward
pressure on pricing, coupled with increased pharmacy costs and utilization
contributed to the overall health plan loss ratio increase.
 
                              GOVERNMENT CONTRACTS
 
    Government health care revenue decreased by $19.1 million or 7.7% in the
quarter ended September 30, 1997 as compared to the same quarter of 1996 as a
result of improved health care and subcontractor performance on the
California/Hawaii contract which lowered revenues due to the risk sharing
features of these government contracts. The decline in revenues was partially
offset by higher revenues in Washington/Oregon due to retroactive bid price
increases resulting from the economic price adjustment provisions of the
contract. Revenues for the nine months ended September 30, 1997 increased $50.3
million or 7.8% as compared to the same period in 1996 primarily because the
California/Hawaii contract did not commence health care delivery until April,
1996.
 
    Government health care costs as a percentage of government contract revenue
decreased from 73.0% for the quarter ended September 30, 1996 to 71.4% or 1.6%
for the quarter ended September 30, 1997, primarily as a result of improved
health care and subcontractor cost performance on the California/Hawaii and
Washington/Oregon contracts. The cost percentage for the nine months ended
September 30, 1997 declined by .2% to 74.6% due to the impact of lower health
care and subcontractor performance on the California/Hawaii and
Washington/Oregon contracts in the second and third quarters of 1997.
 
                               SPECIALTY SERVICES
 
    Specialty services operations are comprised of several companies including
behavioral health, pharmacy benefits management, dental, vision and a third
party health care administrator. Revenues generated by the Company's specialty
services operations decreased in the quarter ended September 30, 1997 by $8.6
million or 10.9% as compared to the same quarter in 1996 primarily due to the
sale of certain ancillary health care service operations in the fourth quarter
of 1996 and revenues which were generated from the Behavioral Health Company's
participation in a medicaid contact in Tennesee in the third quarter of 1996
which was subsequently cancelled. For the nine months ended September 30, 1997,
revenue decreased by $7.5 million or 3.7% as compared to the same periods in
1996 was due to the sale of certain ancillary health care service operations
referenced above and the participation in the medicaid contract in 1996,
partially offset by revenues generated by the acquisition of Managed Health
Network, Inc. ("MHN") in March 1996.
 
                                       19
<PAGE>
    The Company expects continued pressure from employer groups to maintain
modest increases in premiums for behavioral health, dental and vision products.
Specialty services costs have decreased as a percent of specialty services
revenue from 92.2% for the quarter ended September 30, 1996 to 91.1% for the
quarter ended September 30, 1997. The decrease is due to the synergies in
operating costs created after the acquisition of MHN which was purchased in the
quarter ended March 31, 1996. Specialty services costs for the nine months ended
September 30, 1997 decreased to 88.6% as a percent of revenue compared to 90.9%
for the same time period in 1996. This decrease was also due to the favorable
benefits of the MHN acquisition.
 
                     MANAGED WORKERS' COMPENSATION SEGMENT
 
    Business Insurance Group, Inc. ("BIG") is a leading national managed care
workers' compensation group and a subsidiary of the Company. BIG owns the
following seven affiliated companies: California Compensation Insurance Company,
a specialty workers' compensation carrier writing primarily in California;
Business Insurance Company, a national workers' compensation specialty carrier;
Commercial Compensation Insurance Company, licensed to write multiple lines of
business in approximately 47 states; Combined Benefits Insurance Company,
writing single source workers' compensation and employee health insurance
primarily in California; Reviewco, which provides bill review, utilization
management and PPO network services nationally; FIRM Solutions, a national risk
management and TPA company; and Claims Technical Services, a wholly owned
subsidiary of FIRM Solutions, specializing in providing temporary employees to
the workers' compensation and health insurance industry (collectively referred
to as the "Workers' Compensation Companies").
 
    The Workers' Compensation Companies entered into a quota share reinsurance
agreement ("quota share treaty") with General Reinsurance Corporation, effective
July 1, 1996 and also entered into an aggregate excess of loss treaty
("aggregate treaty") with General Reinsurance Corporation ("the reinsurer")
effective January 1, 1997.
 
    Under the quota share treaty, the percentage of premiums earned, losses and
loss adjustment expenses incurred ceded to the reinsurer was 30% from July 1,
1996 to December 31, 1996 and 7.5% for the period of January 1, 1997 to June 30,
1997. The quota share treaty contained a provisional ceding commission which is
adjustable based upon actual loss experience. The agreement was canceled on July
1, 1997.
 
    The aggregate treaty provided $37.5 million of ceded losses and loss
adjustment expenses for $30 million of ceded premium for the first 6 months of
1997. Effective July 1, 1997 the aggregate treaty was amended to cede $60
million of premium for $75 million of ceded loss coverage for the second six
months of 1997. For the three months ended September 30, 1997, $30.0 million of
premium revenue and $37.5 million of losses and loss adjustment recoveries were
ceded to the reinsurer. For the nine months ended September 30, 1997, $60.0
million of premium revenue and $74.8 million of losses and loss adjustment
recoveries were ceded to the reinsurer.
 
    Workers' compensation revenue increased $19.8 million or 16.5% for the
quarter ended September 30, 1997 and decreased $4.5 million or 1.1% for the nine
months ended September 30, 1997. The increase in revenue in the third quarter is
due to elimination of the quota share reinsurance treaty on July 1, 1997 and an
increase in bill review and service fee revenue in Reviewco, offset partially by
the premium ceded under the aggregate treaty. The decrease in revenue for the
nine months ended September 30, 1997 is due to the revenue ceded under the
aggregate and quota share treaties, offset by growth in bill review and service
fee revenue in Reviewco and earned premium growth in the insurance operations.
 
    The growth in net premiums earned is due primarily to national expansion
through the Companies workers' compensation product in states outside of
California, offset by a reduction in California business. Premiums earned on
workers' compensation policies issued in California continue to be affected by
severe price competition since the start of competitive rating in January, 1995.
 
                                       20
<PAGE>
    Net investment income, excluding realized capital gains, increased by $.5
million or 5.8% in the quarter ended September 30, 1997 compared to the
comparable quarter in 1996. For the 9 months ended September 30, 1997 investment
income increased $7.3 million or 33.7%. The growth in investment income is due
to an increase in investable assets from operational cash flow, as well as
capital contributions to the workers' compensation companies of $75 million in
May, 1996 and $55 million in August, 1996 from borrowings BIG made from its
parent.
 
    The primary ratios used to measure underwriting performance of the workers'
compensation companies are the loss and loss adjustment expense ratio and the
underwriting expense ratio, which when added together constitute the combined
ratio. A combined ratio of greater than 100% reflects an underwriting loss,
while a combined ratio of less than 100% indicates an underwriting profit. These
ratios are all calculated as a percentage of net premiums earned.
 
    The following sets forth the workers' compensation companies underwriting
experience as measured by its combined ratio and its components for the quarters
and nine months ended September 30, 1997 and 1996:
 
    The loss and loss adjustment expense ratio for the current quarter decreased
to 67.6% from 74.0% for the comparable quarter in 1996. The decrease in the
ratio is due to utilization of aggregate excess of loss reinsurance during the
quarter. For the nine months ended September 30, 1997 the loss and loss
adjustment expense ratio is 70.2% compared to 66.4% for the same period in 1996.
The increase in the ratio is due to an increase in the estimated ultimate cost
of workers' compensation claims that have not been settled as of September 30,
1997.
 
    The underwriting expense ratio increased in the current quarter to 30.2%
from 16.9% for the comparable quarter in 1996. The increase is due to
cancellation of the quota share treaty. Under the quota share agreement 30% of
third quarter 1996 business was ceded, with a provisional ceding commission and
a sliding scale commission based upon actual loss experience. The treaty was
canceled effective July 1, 1997. For the nine months ended September 30, 1997
the underwriting expense ratio was 27.5% compared to 23.3% for the same period
in 1996 due to the cancellation of the quota share treaty.
 
                        LIQUIDITY AND CAPITAL RESOURCES
 
    Cash used by operating activities was $323.6 million for the nine months
ended September 30, 1997 as compared to cash provided by operating activities of
$43.6 million for the comparable period in fiscal year 1996. The Company's cash
and investments decreased from $1,850.8 million at December 31, 1996 to $1,457.7
million at September 30, 1997 primarily due to the repurchase of stock from The
California Wellness Foundation for $111 million, the Company's investment in
FOHP, Inc. in April, 1997 of $51.7 million, the timing of certain government
receipts for health plan services, merger, restucturing, and other charges,
increased reinsurance receivables, claims payments and capital expenditures.
 
    Certain of the Company's subsidiaries must comply with minimum capital and
surplus requirements under applicable state HMO and insurance laws and
regulations, and must have adequate reserves for claims incurred but not
reported and claims payments. Certain subsidiaries must maintain ratios of
current assets to current liabilities of 1:1 pursuant to certain government
contracts. The Company believes it is in compliance with these contractual and
regulatory requirements in all material respects.
 
    The Company believes that cash from operations, existing working capital and
lines of credit are adequate to fund existing obligations, introduce new
products and services, complete its pending acquisitions and continue to develop
health care-related businesses. The Company regularly evaluates cash
requirements for current operations and commitments, and for capital
acquisitions and other strategic transactions. The Company may elect to raise
additional funds for these purposes, either through additional debt or equity,
the sale of investment securities or otherwise, as appropriate.
 
                                       21
<PAGE>
    Management of the Company continually evaluates opportunities to expand the
Company's commercial, government, insurance and specialty services operations;
however, the Company currently has no material commitments for future use of its
current or expected levels of available cash resources except as described above
and other than proposed additional capital contributions to FOHP pursuant to the
procedures described in part II below. The Company's expansion options may
include additional acquisitions and internal development of new products and
programs.
 
    On July 8, 1997 the Company entered into a $1.5 billion revolving credit
facility with Bank of America as Administrative Agent for the lenders thereto.
All previously existing credit facilities were terminated and rolled into this
new facility. As of September 30, 1997, the amount outstanding on this line was
$875 million.
 
    On June 16, 1997 FHC, a wholly owned subsidiary of the Company, announced a
tender offer to repurchase all of its $125 million outstanding principal amount
of 7 3/4% Senior Notes due 2003. The purchase price per $1,000 principal amount
of notes was $1,054.77. As of June 30, 1997 $124 million of principal amount had
been tendered and repurchased. On July 15, 1997 the remaining $1 million of
principal amount had been tendered and repurchased.
 
    During the quarter ended June 30, 1997, FHC sold 4,076,087 shares of common
stock of FPA Medical Management, Inc. that it had received as consideration in
its sale of the affiliated physician-owned Medical Practices and its physician
management subsidiary. The proceeds from the sale of stock was approximately $79
million, or an average of $19.45 per share. In addition, as of June 30, 1997 FPA
Medical Management, Inc. prepaid approximately $98.7 million due on a promissory
note received as consideration in the Company's sale of its Medical Practices.
 
    On June 27, 1997 the Company redeemed 4,550,000 shares of its Class B Common
Stock from The California Wellness Foundation, the charitable receipient of the
proceeds from the conversion of the Company's Health Net subsidiary to
for-profit status in 1992. The redemption price was approximately $111.3
million, or $24.47 a share.
 
SUBSEQUENT EVENT
 
    On October 22, 1997 the Company acquired PACC HMO and PACC Health Plans
(collectively, "PACC") for a net purchase price of approximately $43.6 million.
PACC is a 108,000 member health plan with operations in Oregon and Washington
which generated more than $133 million in revenues in 1996.
 
IMPACT OF INFLATION AND OTHER ELEMENTS
 
    The managed health care industry is labor intensive and its profit margin is
low. Hence, it is especially sensitive to inflation. Increases in medical
expenses without corresponding increases in premiums could have a material
adverse effect on the Company.
 
    Various federal and state legislative initiatives regarding the health care
industry have been proposed during recent legislative sessions, and health care
reform and similar issues continue to be in the forefront of social and
political discussion. If health care reform or similar legislation is enacted,
such legislation could impact the Company. Management cannot at this time
predict whether any such initiative will be enacted and, if enacted, the impact
on the financial condition or operations of the Company.
 
    Reference is also made to the disclosures contained under the headings "Risk
Factors" and "Cautionary Statements" included in the Company's various filings
with the Securities and Exchange Commission and the documents incorporated by
reference therein, which could cause the Company's actual results to differ from
those projected in forward looking statements of the Company made on behalf of
the Company. In addition, certain of these factors may have affected the
Company's past results and may affect future results.
 
                                       22
<PAGE>
                           PART II. OTHER INFORMATION
 
INTRODUCTION
 
    As referenced in Part I above, the current operations of Foundation Health
Systems, Inc. (the "Company") are a result of the April 1, 1997 merger
transaction (the "Merger") involving Health Systems International, Inc. ("HSI")
and Foundation Health Corporation ("FHC"). Pursuant to the Merger, FH
Acquisition Corp., a wholly owned subsidiary of HSI ("Merger Sub"), merged with
and into FHC and FHC survived as a wholly owned subsidiary of HSI, which changed
its name to "Foundation Health Systems, Inc." and thereby became the Company.
Pursuant to the Agreement and Plan of Merger (the "Merger Agreement") that
evidenced the Merger, FHC stockholders received 1.3 shares of the Company's
Class A Common Stock for every share of FHC common stock held. The shares of the
Company's Class A Common Stock issued to FHC's stockholders in the Merger
constituted approximately 61% of the outstanding stock of the Company after the
Merger and shares held by the Company's stockholders prior to the Merger (i.e.,
the prior stockholders of HSI) constituted approximately 39% of the outstanding
stock of the Company after the Merger.
 
    In connection with the Merger, the Company amended its Certificate of
Incorporation to change the name of the Company as referenced above and to
increase the number of authorized shares of the Company's Common Stock to
380,000,000 shares consisting of 350,000,000 shares of Class A Common Stock and
30,000,000 shares of Class B Common Stock.
 
    In connection with the Merger, the Company also, among other things, amended
the Company's By-Laws to effect certain changes to the governance provisions of
the Company following the Merger, including provisions related to the structure
of the Company's Board of Directors and the committees of the Company's Board of
Directors. Except in certain circumstances, during a transition period following
the consummation of the Merger and up to, but not including, the election of
directors at the Company's May 2000 Annual Meeting of Stockholders, the
Company's Board of Directors is to consist of 11 members to be designated as set
forth in the Company's Certificate of Incorporation and By-Laws. Pursuant to
such designations the Company's Board of Directors is currently comprised of the
following ten members (see disclosure below relative to the current vacancy on
the Board of Directors): J. Thomas Bouchard, George Deukmejian, Thomas T.
Farley, Patrick Foley, Earl B. Fowler, Roger F. Greaves, Richard W. Hanselman,
Malik M. Hasan, M.D., Richard J. Stegemeier and Raymond S. Troubh.
 
ITEM 1. LEGAL PROCEEDINGS
 
MEDAPHIS CORPORATION
 
    On November 7, 1996 the Company filed a lawsuit against Medaphis Corporation
("Medaphis") and its former Chairman and Chief Executive Officer Randolph G.
Brown entitled HEALTH SYSTEMS INTERNATIONAL, INC. V. MEDAPHIS CORPORATION,
RANDOLPH G. BROWN AND DOES 1-50, case number BC 160414, Superior Court of
California, County of Los Angeles. The lawsuit arises out of the acquisition of
Health Data Sciences Corporation ("HDS") by Medaphis. In June 1996, the Company,
the owner of 1,234,544 shares (or 77%) of Series F Preferred Stock of HDS,
representing over sixteen percent of the total outstanding equity of HDS, voted
its shares in favor of the acquisition of HDS by Medaphis. The Company received
as the result of the acquisition 976,771 shares of Medaphis Common Stock in
exchange for its Series F Preferred Stock.
 
    In its complaint, the Company alleges that Medaphis was actually a poorly
run company with sagging earnings in its core businesses, and had artificially
maintained its stock prices through a series of acquisitions and accounting
maneuvers which provided the illusion of growth while hiding the reality of its
weakening financial and business condition. The Company alleges that Medaphis,
Brown, and other insiders deceived the Company by failing to reveal that
Medaphis would shortly reveal a "write off" of up to $40,000,000 in
reorganization costs and would lower its earnings estimate for the following
year, thereby
 
                                       23
<PAGE>
more than halving the value of the Medaphis shares received by the Company. The
Company alleges that these false and misleading statements were contained in
oral communications with the Company, as well as in the prospectus provided by
Medaphis to all HDS shareholders in connection with the HDS acquisition.
Further, despite knowing of the Company's discussions to form a strategic
alliance of its own with HDS, Medaphis and the individual defendants wrongfully
interfered with that prospective business relationship by proposing to acquire
HDS using Medaphis stock whose market price was artificially inflated by false
and misleading statements. These allegations of the Company constitute
violations of both federal and state securities laws, as well as constituting
fraud and other torts under state law. The Company is seeking either rescission
of the transaction or damages in excess of $38,000,000. The defendants have
denied the allegations in the complaint, and the Company is vigorously pursuing
its claims against Medaphis.
 
MONACELLI VS. GEM INSURANCE COMPANY
 
    On December 29, 1994, a lawsuit entitled MARIO AND CHRISTIAN MONACELLI V.
GEM INSURANCE COMPANY, ET AL (Case No. CV94-20715) was initiated in Maricopa
County (Arizona) Superior Court against Gem Insurance Company, a subsidiary of
the Company ("Gem"), for bad faith and misrepresentation. Plaintiffs
subsequently asserted claims in the same action against their insurance agent,
Mark Davis, for negligence and misrepresentation. The Plaintiffs' claims arose
from the rescission of their health insurance policy based on their alleged
failure to disclose an X-ray, taken one year before the Plaintiffs filled out
their insurance application, which revealed an undiagnosed mass on Mr.
Monacelli's lung. Plaintiffs incurred approximately $70,000 in medical expenses
in connection therewith. Prior to trial, the agent recanted certain portions of
his deposition testimony and admitted that the Plaintiffs had told him that Mr.
Monacelli had undergone certain tests which were not revealed on the
application. Based on this new information, Gem paid the Plaintiffs' medical
expenses with interest.
 
    The case went to trial in April of 1997 against Gem and the agent. A jury
verdict was ultimately rendered awarding the Plaintiffs $1 million in
compensatory damages and assessing fault 97% to Gem and 3% to the agent, Mark
Davis. In addition, the jury awarded $15 million in punitive damages against
Gem. The Monacellis subsequently filed a motion seeking $4 million in attorneys'
fees. Post-trial motions (including Gem's motion for judgment notwithstanding
the verdict and motion for new trial/motion for remittitur) and the Plaintiffs'
motion for an award of attorneys' fees are currently pending. In addition, on
July 15, 1997 Gem filed a complaint against Mr. Davis and his spouse in Maricopa
County (Arizona) Superior Court (Case No. CV97-13053) asserting a claim for
indemnity against Mr. Davis with respect to the MONACELLI case.
 
MISCELLANEOUS PROCEEDINGS
 
    The Company and certain of its subsidiaries are also parties to various
legal proceedings, many of which involve claims for coverage encountered in the
ordinary course of its business. Based in part on advice from litigation counsel
to the Company and upon information presently available, management of the
Company is of the opinion that the final outcome of all such proceedings should
not have a material adverse effect upon the Company's results of operations or
financial condition.
 
ITEM 2. CHANGES IN SECURITIES
 
REVOLVING CREDIT FACILITY
 
    On July 8, 1997, the Company entered into a Credit Agreement (the "Credit
Agreement") among the Company, the banks identified therein (the "Banks") and
Bank of America National Trust and Savings Association (the "Bank of America"),
in its capacity as the Administrative Agent, pursuant to which the Company
obtained an unsecured five-year $1.5 billion revolving credit facility. The
Credit Agreement replaced (i) the Company's prior Amended and Restated Credit
Agreement, dated as of April 26, 1996, with Bank of America, as agent, providing
for a $700 million unsecured revolving credit facility and
 
                                       24
<PAGE>
(ii) Foundation Health Corporation's ("FHC's") prior (A) Revolving Credit
Agreement, dated as of December 5, 1994, with Citicorp USA, Inc., as agent,
providing for a $300 million unsecured revolving credit facility (the "Old FHC
Credit Agreement") and (B) Revolving Credit Agreement, dated as of December 17,
1996, with Citibank, N.A., as administrative agent, providing for a $200 million
unsecured revolving credit facility.
 
    The Credit Agreement contains customary representations and warranties,
affirmative and negative covenants and events of default. Specifically, Section
7.11 of the Credit Agreement provides that the Company and its subsidiaries may,
so long as no event of default exists: (i) declare and distribute stock as a
dividend; (ii) purchase, redeem or acquire its stock, options and warrants with
the proceeds of concurrent public offerings; and (iii) declare and pay dividends
or purchase, redeem or otherwise acquire its capital stock, warrants, options or
similar rights with cash so long as the sum of such dividends, redemptions and
acquisitions does not exceed $300 million plus 25% of the net income of the
Company and its subsidiaries in fiscal year 1998 plus 50% of the net income of
the Company and its subsidiaries in fiscal year 1999 and subsequent years
(calculated on a cumulative consolidated basis).
 
    Under the Credit Agreement, the Company is: (i) obligated to maintain at all
times a Total Leverage Ratio (as such term is defined in the Credit Agreement)
not to exceed 3 to 1, a Fixed Charge Coverage Ratio (as such term is defined in
the Credit Agreement) of not less than 2.75 to 1 and to preserve its combined
net worth at not less than the sum of 85% of the combined net worth on June 30,
1997 plus 50% of the net income of the Company and its subsidiaries arising
after June 30, 1997 (calculated on a cumulative consolidated basis); (ii)
obligated to limit liens on its assets to those incurred in the normal course
and for taxes and other similar obligations; and (iii) subject to customary
covenants, to (A) dispose of assets only in the ordinary course and generally at
fair value and (B) restrict acquisitions, mergers, consolidations, loans,
leases, joint ventures, contingent obligations and certain transactions with
affiliates to those permitted under the Credit Agreement.
 
    In connection with entering into the Credit Agreement, FHC obtained a waiver
under a Guaranty Agreement, dated as of May 25, 1997 (the "FHC Guaranty"), until
August 15, 1997 in order to enable the Company to negotiate the replacement by
the Company of FHC as the guarantor under the FHC Guaranty. The FHC Guaranty
incorporates the representations, warranties and covenants of the Old FHC Credit
Agreement, as amended from time to time, and it further provides that to the
extent the Old FHC Credit Agreement is terminated and is replaced with a similar
credit facility, the representations, warranties and covenants of such new
credit facility are automatically incorporated into the FHC Guaranty. Since the
Old FHC Credit Agreement was replaced with a similar credit facility, i.e., the
Credit Agreement, and FHC is not a party to the Credit Agreement, the
replacement by the Company of FHC as the guarantor under the FHC Guaranty was
required. On July 8, 1997, the Company entered into the Guaranty Agreement (the
"New Guaranty") for the benefit of First Security Bank, National Association,
and replaced FHS as the guarantor under the FHC Guaranty. As a result, FHC was
relieved of all of its obligations under the FHC Guaranty and all other
agreements relating thereto.
 
    The Company, as the guarantor under the New Guaranty, guarantees certain
obligations of Foundation Health Facilities, Inc., a California corporation
("FHF"), under: (i) a Lease Agreement, dated as of May 25, 1995, between First
Security Bank, National Association (formerly First Security Bank of Utah, N.A.)
(the "Owner Trustee"), as lessor, and FHF, as lessee, providing for the leasing
of certain real property; (ii) an Agency Agreement, dated as of May 25, 1995,
between the Owner Trustee and FHF, providing for FHF to act as agent for the
Owner Trustee in the acquisition, development and construction of certain real
property; and (iii) any other agreement entered into by FHF in connection with
the Participation Agreement, dated as of May 25, 1997, among FHF, FHC, the
Owners Trustee, and NationsBank of Texas, N.A., as the administrative agent for
certain financial institutions parties to a Credit Agreement, dated as of May
25, 1995, with the Owner Trustee, as the borrower.
 
                                       25
<PAGE>
SHAREHOLDER RIGHTS PLAN
 
    On May 20, 1996, the Board of Directors of the Company declared a dividend
distribution of one right (a "Right") for each outstanding share of the
Company's Class A Common Stock and Class B Common Stock (collectively, the
"Common Stock"), to stockholders of record at the close of business on July 31,
1996 (the "Record Date"). The Board of Directors of the Company also authorized
the issuance of one Right for each share of Common Stock issued after the Record
Date and prior to the earliest of the Distribution Date (as defined below), the
redemption of the Rights and the expiration of the Rights and in certain other
circumstances. Rights will attach to all Common Stock certificates representing
shares then outstanding and no separate Rights Certificates will be distributed.
Subject to certain exceptions contained in the Rights Agreement dated as of June
1, 1996 by and between the Company and Harris Trust and Savings Bank, as Rights
Agent (the "Rights Agreement"), the Rights will separate from the Common Stock
in the event any person acquires 15% or more of the outstanding Class A Common
Stock, the Board of Directors of the Company declares a holder of 10% or more of
the outstanding Class A Common Stock to be an "Adverse Person," or any person
commences a tender offer for 15% of the Class A Common Stock (each event causing
a "Distribution Date").
 
    Except as set forth below and subject to adjustment as provided in the
Rights Agreement, each Right entitles its registered holder, upon the occurrence
of a Distribution Date, to purchase from the Company one one-thousandth of a
share of Series A Junior Participating Preferred Stock, at a price of $170.00
per one-thousandth share. However, in the event any person acquires 15% or more
of the outstanding Class A Common Stock, or the Board of Directors of the
Company declares a holder of 10% or more of the outstanding Class A Common Stock
to be an "Adverse Person," the Rights (subject to certain exceptions contained
in the Rights Agreement) will instead become exercisable for Class A Common
Stock having a market value at such time equal to $340.00. The Rights are
redeemable under certain circumstances at $.01 per Right and will expire, unless
earlier redeemed, on July 31, 2006.
 
    In connection with the Merger, the Company entered into Amendment No. 1 (the
"Amendment") to the Rights Agreement to exempt the Merger and related
transactions from triggering the Rights. In addition, the Amendment modifies
certain terms of the Rights Agreement applicable to the determination of certain
"Adverse Persons," which modifications became effective upon consummation of the
Merger.
 
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
 
    Not applicable.
 
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
 
    On August 6, 1997, the Company held its 1997 Annual Meeting of Stockholders
(the "Annual Meeting"). At the Annual Meeting, the Company's stockholders voted
upon proposals to (1) elect three directors for a term of three years ("Proposal
1"); (2) approve the Foundation Health Systems, Inc. 1997 Stock Option Plan
("Proposal 2"); (3) approve the Foundation Health Systems, Inc., Third Amended
and Restated Non-Employee Director Stock Option Plan ("Proposal 3"); (4) approve
the Foundation Health Systems, Inc. Employee Stock Purchase Plan ("Proposal 4");
(5) approve the availability of 650,000 shares of the Company's Class A Common
Stock for purchase under the Foundation Health Corporation Employee Stock
Purchase Plan ("Proposal 5"); (6) approve the material terms of the Foundation
Health Systems, Inc. Performance-Based Annual Bonus Plan ("Proposal 6"); and (7)
ratify the selection of Deloitte & Touche LLP as the Company's independent
public accountants for the year ended December 31, 1997 ("Proposal 7").
 
                                       26
<PAGE>
    The following provides voting information for all matters voted upon at the
Annual Meeting, and includes a separate tabulation with respect to each nominee
for director:
 
PROPOSAL 1
 
<TABLE>
<CAPTION>
DIRECTOR NOMINEE                                    VOTES FOR       VOTES AGAINST     VOTES WITHHELD
- -------------------------------------------------  ------------  -------------------  --------------
<S>                                                <C>           <C>                  <C>
Malik M. Hasan, M.D. ............................    86,515,237               0             791,933
Gov. George Deukmejian...........................    86,224,275               0           1,082,895
Adm. Earl B. Fowler..............................    86,526,973               0             780,197
</TABLE>
 
    Each of Dr. Hasan and Messrs. Deukmejian and Fowler were elected as a Class
I director for a three-year term at the Annual Meeting. Other directors whose
term of office as directors continued after the Annual Meeting were: J. Thomas
Bouchard, Thomas T. Farley, Patrick Foley, Roger F. Greaves, Richard W.
Hanselman, Richard J. Stegemeier and Raymond S. Troubh.
 
PROPOSAL 2
 
    With respect to the approval of the Foundation Health Systems, Inc. 1997
Stock Option Plan, 48,641,193 votes were cast in favor, 27,720,225 votes were
cast against and 163,000 votes were withheld for such proposal.
 
PROPOSAL 3
 
    With respect to the approval of the Foundation Health Systems, Inc. Third
Amended and Restated Non-Employee Director Stock Option Plan, 73,526,229 votes
were cast in favor, 2,035,060 votes were cast against and 287,389 votes were
withheld for such proposal.
 
PROPOSAL 4
 
    With respect to the approval of the Foundation Health Systems, Inc. Employee
Stock Purchase Plan, 75,138,882 votes were cast in favor, 562,548 votes were
cast against and 147,248 votes were withheld for such proposal.
 
PROPOSAL 5
 
    With respect to the approval of the availability of 650,000 shares of the
Company's Class A Common Stock for purchase under the Foundation Health
Corporation Employee Stock Purchase Plan, 74,121,006 votes were cast in favor,
876,197 votes were cast against and 154,185 votes were withheld for such
proposal.
 
PROPOSAL 6
 
    With respect to the approval of material terms of the Foundation Health
Systems, Inc. Performance-Based Annual Bonus Plan, 71,943,087 votes were cast in
favor, 13,433,118 votes were cast against and 175,112 votes were withheld for
such proposal.
 
PROPOSAL 7
 
    With respect to the ratification of the selection of Deloitte & Touche LLP
as the Company's independent public accountants for the year ended December 31,
1997, 86,922,114 votes were cast in favor, 61,869 votes were cast against and
79,207 votes were withheld for such proposal.
 
                                       27
<PAGE>
    In total 109,444,117 shares of Class A Common Stock were eligible to vote at
the Annual Meeting, 87,307,170 shares were voted at the Annual Meeting and
22,136,947 shares were unvoted at the Annual Meeting.
 
    No other matters were submitted to a vote of the Company's security holders
during the quarter ended September 30, 1997.
 
ITEM 5. OTHER INFORMATION
  REVOLVING CREDIT FACILITY
 
    As indicated in Item 2 above, on July 8, 1997 the Company executed the
Credit Agreement, which provides for an unsecured five-year $1.5 billion
revolving credit facility, to replace (i) the Company's prior $700 million
unsecured revolving credit facility with Bank of America, as agent and (ii)
FHC's prior (A) $300 million unsecured revolving credit facility with Citicorp
USA, Inc., as agent and (B) $200 million unsecured revolving credit facility
with Citibank, N.A., as administrative agent.
 
    The facility is available to the Company and its subsidiaries for general
corporate purposes, including Permitted Acquisitions and Joint Ventures. As of
October 31, 1997, the Company had drawn approximately $925 million under the
facility.
 
    Bank of America is the administrative agent and co-lead bank with Citibank
N.A. for the other participating banks named in the Credit Agreement. At the
election of the Company, and subject to customary covenants, loans can be
initiated on a bid or committed basis and will carry interest at offshore or
domestic rates, but subject to the applicable LIBOR Rate or the Base Rate (which
is the higher of .50% above the Federal Funds Rate or the Bank of America
"reference rate"). Actual rates on borrowings under the facility will vary based
on competitive bidding and the Company's long-term senior unsecured debt rating
and Total Leverage Ratio (as such term is defined in the Credit Agreement) at
the time of the borrowing. The facility is available for five years, until July
2002, but may be extended, under certain circumstances, for two additional years
until July 2004.
 
    Loans under the facility are unsecured but the Company and its subsidiaries
are subject to affirmative and negative covenants. As described in Item 2 above,
these include limitations on the payment of cash dividends on the Company's
capital stock and, in certain cases, the redemption or repurchase of capital
stock or securities. In addition to obligations incurred under the facility, the
Company and its subsidiaries are entitled to incur certain types of Indebtedness
in an aggregate amount of up to $500 million.
 
    Under the Credit Agreement, the Company is: (i) obligated to maintain at all
times a Total Leverage Ratio not to exceed 3 to 1, a Fixed Charge Coverage Ratio
of not less than 2.75 to 1 and to preserve its combined net worth at not less
than the sum of 85% of the combined net worth on June 30, 1997 plus 50% of the
net income of the Company and its subsidiaries arising after June 30, 1997
(calculated on a cumulative consolidated basis); (ii) obligated to limit liens
on its assets to those incurred in the normal course and for taxes and other
similar obligations; and (iii) subject to customary covenants, to (A) dispose of
assets only in the ordinary course and generally at fair value and (B) restrict
acquisitions, mergers, consolidations, loans, leases, joint ventures, contingent
obligations and certain transactions with affiliates to those permitted under
the Credit Agreement.
 
CAUTIONARY STATEMENTS
 
    In connection with the "safe harbor" provisions of the Private Securities
Litigation Reform Act of 1995, HSI has previously filed with its Annual Report
on Form 10-K for the year ended December 31, 1996 and FHC has previously filed
with its Annual Report on Form 10-K/A Amendment No. 3 for the year ended June
30, 1996 certain cautionary statements identifying important risk factors that
could cause the Company's actual results to differ materially from those
projected in forward-looking statements of the Company made by or on behalf of
the Company.
 
                                       28
<PAGE>
    The Company wishes to caution readers that these factors, among others,
could cause the Company's actual financial or enrollment results to differ
materially from those expressed in any projected, estimated or forward-looking
statements relating to the Company. The factors should be considered in
conjunction with any discussion of operations or results by the Company or its
representatives, including any forward-looking discussion, as well as comments
contained in press releases, presentations to securities analysts or investors,
or other communications by the Company.
 
    In making these statements, the Company was not and is not undertaking to
address or update each factor in future filings or communications regarding the
Company's business or results, and is not undertaking to address how any of
these factors may have caused changes to discussions or information contained in
previous filings or communications. In addition, certain of these matters may
have affected the Company's past results and may affect future results.
 
RECENT DEVELOPMENTS
 
RECENT MANAGEMENT CHANGES
 
    On May 8, 1997, the Company announced that Daniel D. Crowley had been
replaced by Malik M. Hasan, M.D. as the Chairman of the Board of Directors of
the Company, and that Mr. Crowley would remain as a director and serve as a
consultant to the Company for three years. It was also announced that Dr. Hasan
would retain the office of Chief Executive Officer of the Company, and that Jay
M. Gellert was elected to the offices of President and Chief Operating Officer
of the Company.
 
    Effective July 16, 1997, Mr. Crowley resigned as a director of the Company.
As a result, there currently exists a vacancy in the Class I directors which
will be filled pursuant to the Merger Agreement after an appropriate
recommendation from the Committee on Directors. The Committee on Directors is
currently conducting a process of screening qualified individuals for this
vacancy.
 
FIRST OPTION HEALTH PLAN
 
    On April 30, 1997, the Company purchased convertible debentures (the "FOHP
Debentures") of FOHP, Inc., a New Jersey corporation ("FOHP"), in the aggregate
principal amount of approximately $51.7 million. The FOHP Debentures are
convertible into up to 71 percent of the fully-diluted equity of FOHP at the
Company's discretion. At any time during the 1999 calendar year, the Company may
acquire the remaining shares of FOHP not owned thereby pursuant to a tender
offer, merger, combination or other business combination transaction for
consideration (to be paid in cash or stock of the Company) equal to the value of
such FOHP stock based on appraiser determinations.
 
    Pursuant to the definitive agreements with FOHP, the Company also has the
right to acquire additional FOHP Debentures in return for capital infusions to
the extent that financial projections indicate that FOHP requires additional
capital to meet applicable statutory net worth requirements. Such definitive
agreements afford the Company the right to purchase FOHP Debentures convertible
into an additional 1.42% of FOHP's fully-diluted equity for each additional $1
million of capital infused.
 
    FOHP is owned by physicians, hospitals and other health care providers and
is the sole shareholder of First Option Health Plan of New Jersey, Inc. a New
Jersey corporation and a wholly-owned subsidiary of FOHP ("FOHP-NJ"). FOHP-NJ is
a managed health care company providing commercial products for businesses and
individuals, along with Medicare, Medicaid and Workers' Compensation programs.
FOHP-NJ currently has more than 205,000 members in New Jersey enrolled in its
commercial, Medicare, Medicaid and PPO programs.
 
    As part of the transaction, the Company also provides a variety of
management services to FOHP, including provider contracting, utilization review
and quality assurance and employee relations, sales and marketing and strategic
planning. The Company receives monthly management fees from FOHP for such
 
                                       29
<PAGE>
services in an amount equal to two percent of FOHP's premium revenue. The
Company, at its option, may also provide information systems and claims
processing services to FOHP. Approximately $1,700,000 of the $51.7 million
principal amount of the FOHP Debentures reflected fees paid to the Company by
FOHP for such management services provided by the Company prior to the closing
of the sale of the FOHP Debentures; such principal amount was immediately
converted into FOHP common stock.
 
PACC
 
    On October 22, 1997 the Company completed its acquisition of PACC HMO and
PACC Health Plans, each an Oregon non-profit corporation (PACC HMO and PACC
Health Plans being referred to herein, collectively, as "PACC") pursuant to an
Agreement and Plan of Reorganization, dated as of March 20, 1997 and effective
on April 9, 1997 (the "Reorganization Agreement"), among the Company, QualMed
Health Plan, Inc., an Oregon corporation and an indirect wholly-owned subsidiary
of the Company ("QMO"), and PACC. For statutory reporting purposes, the
acquisition was effective as of October 1, 1997.
 
    As part of such transaction and as provided for in the Reorganization
Agreement, PACC organized Northwest Health Foundation (the "PACC Foundation") as
an Oregon nonprofit public benefit corporation which received the net
acquisition consideration proceeds. The PACC Foundation also assumed certain of
PACC's obligations under the Reorganization Agreement (including indemnification
obligations) at closing. Although the total purchase price for PACC was $68
million, under the Reorganization Agreement the Company received an
approximately $10.1 million credit for certain physician payment obligations of
PACC it assumed, and was permitted to transfer to the PACC Foundation an
aggregate of $14.3 million in marketable securities previously owned by PACC. As
a result, the Company paid the PACC Foundation a net purchase price of
approximately $43.6 million.
 
    The transaction was structured as a merger of PACC into QMO, with QMO as the
surviving corporation which was renamed QualMed Plans for Health of Oregon, Inc.
The merger was immediately preceded by an acquisition and assumption by QualMed
Washington Health Plan, Inc. (a Washington corporation and indirect wholly-owned
subsidiary of the Company) of various contracts of PACC relating to PACC's
health care service contractor business in the State of Washington and the
acquisition and assumption by QualMed Health & Life Insurance Company (an
insurance company domesticated under the laws of the State of Colorado and an
indirect wholly-owned subsidiary of the Company) of various contracts of PACC
relating to PACC's health maintenance organization business in the State of
Washington.
 
    Immediately prior to its acquisition by the Company, PACC (based in
Clackamas, Oregon) had health plan operations in Oregon and Washington, with
approximately 108,000 medical members. Approximately 67,000 of such members were
in PACC HMO (a commercial health maintenance organization), with the balance in
PACC Health Plans (primarily a preferred provider organization). PACC recorded
more than $133 million in revenues in 1996.
 
PHYSICIANS HEALTH SERVICES, INC.
 
    On May 8, 1997, the Company entered into a definitive agreement to acquire
Physicians Health Services, Inc. ("PHS") for $29.25 per share, or a total
consideration of approximately $280 million. PHS is a 426,000-member health plan
with operations in the New York metropolitan area, including northern New
Jersey, and throughout the state of Connecticut.
 
    On October 20, 1997, the Company announced that it had agreed to a new
purchase price whereby the Company would purchase PHS for $28.25 per PHS share,
a $1.00 reduction from the previously announced price of $29.25 per share,
pursuant to an amendment to the definitive agreement entered into between the
parties. The amendment was contingent on the approval of the new purchase price
by Greater Bridgeport Individual Practice Association, Inc. ("GBIPA"), PHS'
majority shareholder, which approval from GBIPA
 
                                       30
<PAGE>
was received on October 23, 1997. The new price reduces the total amount the
Company will pay to acquire PHS to approximately $271 million for the
approximately nine million PHS shares outstanding.
 
    The new purchase price was agreed to by the parties because PHS had
indicated that it was unable to obtain certain waivers and amendments to its
Healthcare Solutions joint venture agreements from The Guardian Life Insurance
Company of America ("Guardian"). PHS was obligated to provide to FHS such
waivers and amendments prior to closing. Should PHS provide such waivers and
amendments before closing, the price would return to $29.25 per share. However,
Guardian and the Company have indicated that, given the current circumstances,
they intend to work cooperatively under the current agreements and to build and
expand Healthcare Solutions products in the tri-state area. The Healthcare
Solutions joint venture markets a number of health insurance products in the New
York City tri-state area.
 
    Consummation of the transaction is subject to customary conditions,
including approval by PHS' stockholders and the receipt of all necessary
governmental authorizations. The Company will fund the acquisition with cash on
hand and existing bank credit lines. The Company presently expects that the
transaction will close in December of 1997.
 
GEM INSURANCE COMPANY
 
    Gem Insurance Company ("Gem") was acquired by the Company as a result of
FHC's acquisition of Intergroup Healthcare Corporation and the Thomas Davis
Medical Center in 1994. Gem is a Utah-domiciled life and health insurance
company, admitted to write group and individual medical and life insurance in
nine states and it has policies in force in the following seven states: Arizona,
Colorado, Nebraska, Nevada, New Mexico, Texas and Utah. It is licensed but not
active in Oregon and Washington.
 
    As referenced at Part I above, the Company had previously reached definitive
agreement relating to a reinsurance transaction with The Centennial Life
Insurance Company ("Centennial") involving Gem. In this connection, Gem was to
cede to Centennial on an indemnity basis one hundred percent (100%) of the
policy liabilities of Gem in return for all of Gem's premium income, policy
reserves and a cash payment by the Company.
 
    The transaction was not ultimately consummated due to the nonsatisfaction of
certain closing conditions. As a result, the Company is now in the process of
restructuring certain of Gem's products and consolidating certain markets in
which Gem operates with other FHS affiliates.
 
THE CALIFORNIA WELLNESS FOUNDATION
 
    Pursuant to the Amended Foundation Shareholder Agreement, dated as of
January 28, 1992 (the "CWF Shareholder Agreement"), by and among the Company,
The California Wellness Foundation (the "CWF") and certain stockholders (the
"HNMH Stockholders") of HN Management Holdings, Inc. (a predecessor to the
Company) ("HNMH") named therein, the CWF is subject to various volume and manner
of sale restrictions specified in the CWF Shareholder Agreement which limit the
number of shares that the CWF may dispose of prior to December 31, 1998.
 
    Under the relevant provisions of California law, when a corporation converts
from nonprofit to for-profit corporate status, the equivalent of the fair market
value of the nonprofit corporation must be contributed to a successor charity
that has a charitable purpose consistent with the purposes of the nonprofit
entity. The CWF was formed to be the charitable recipient of the conversion
settlement when Health Net (a subsidiary of the company) effected a conversion
from nonprofit to for-profit status, which occurred in February 1992 (the
"Conversion"). In connection with the Conversion, Health Net issued to the CWF
promissory notes in the original principal amount of $225 million (the "CWF
Notes") and shares of Class B Common Stock (which immediately prior to the
business combination involving HNMH and QualMed, Inc. were split to become
25,684,152 shares of Class B Common Stock then held by the CWF). While such
shares are held by the CWF, they are entitled to the same economic benefit of
Class A
 
                                       31
<PAGE>
Common Stock, but are non-voting in nature. If the CWF sells or transfers such
shares to an unrelated third party, they automatically convert to Class A Common
Stock.
 
    In addition, the CWF Shareholder Agreement, in conjunction with the Letter
Agreement executed by the Company and the Trustees of a Trust (holding shares on
behalf of the HNMH Stockholders) on March 9, 1995 and ratified by the Company's
Board of Directors on March 16, 1995 (the "Letter Agreement") requires the CWF
to offer its shares of Class B Common Stock to the Company prior to selling such
shares to any other person. In this respect, the CWF Shareholder Agreement
permits the CWF to offer and sell up to 80% of the CWF's interest in the Class B
Common Stock (or all but 5,136,830 of such shares) to the Company prior to
December 31, 1998. The CWF Shareholder Agreement, in conjunction with the Letter
Agreement, requires the CWF to provide the Company with notice on or before
January 31 of each year setting forth the number of shares, if any, being
offered to the Company. The Company then has 45 days following receipt of such
notice to notify the CWF of its intention to purchase such number of shares. On
January 27, 1997, the CWF provided the Company with notice of its offer to sell
3,852,653 shares of Class B Common Stock, provided that at the Company's option
the number of shares could be increased to not more than 5,000,000 shares.
Pursuant to such offer and subsequent letter agreements (collectively, the "1997
Notice Materials") the CWF agreed to extend until June 20, 1997 the time by
which the Company could notify the CWF of its intention to purchase or redeem
such number of shares of Class B Common Stock. Accordingly, after appropriate
notice was given and effective June 27, 1997, the Company redeemed 4,550,000
shares of Class B Common Stock from the CWF at a price of $24.469 per share.
 
    In addition, on June 18, 1997, the Company provided its consent under the
CWF Shareholder Agreement to permit the CWF to sell 3,000,000 shares of Class B
Common Stock to an unrelated third party. Pursuant to the 1997 Notice Materials,
the CWF also retained the right to sell the balance of the 5,000,000 shares not
redeemed by the Company (or up to 450,000 shares) to unrelated third parties.
Sales of such 450,000 shares to unrelated third parties were consummated
throughout August of 1997. On November 6, 1997, the Company also provided its
consent under the CWF Shareholder Agreement to permit the CWF to sell 1,000,000
shares of Class B Common Stock to an unrelated third party. Pursuant to the
Company's Certificate of Incorporation, such 3,000,000 shares, 450,000 shares
and 1,000,000 shares of Class B Common Stock automatically converted into shares
of Class A Common Stock in the hands of such third parties.
 
    As a result of such transactions, the CWF now holds 10,297,642 shares of
Class B Common Stock and, as of September 30, 1997, approximately $19 million in
principal of the CWF Notes remained outstanding.
 
REDEMPTION OF FHC PUBLIC DEBT
 
    FHC, a subsidiary of the Company, consummated a cash tender offer on June
27, 1997 of all of its $125 million outstanding principal amount of 7 3/4%
Senior Notes due 2003 (the "FHC Notes"). As part of this repurchase, FHC and the
trustee for the FHC Notes also executed a supplemental indenture which removed
substantially all of the restrictive covenants contained in the Indenture for
the FHC Notes.
 
    The price paid for each tendered FHC Note was based on a fixed spread of 25
basis points over the reference yield of the 6 1/4% U.S. Treasury Notes due
February 15, 2003, plus accrued and unpaid interest to the applicable settlement
date. Accordingly, the reference yield was 6.365%, the reference yield plus the
fixed spread was 6.615% and the purchase price per $1,000 principal amount of
the FHC Notes was $1,054.77, plus accrued and unpaid interest.
 
                                       32
<PAGE>
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
 
(a) Exhibits
 
    The following exhibits are filed as part of this Quarterly Report on Form
10-Q or are incorporated herein by reference:
 
<TABLE>
<C>        <S>
      2.1  Agreement and Plan of Merger, dated October 1, 1996, by and among Health Systems
           International, Inc., FH Acquisition Corp. and Foundation Health Corporation (filed
           as Exhibit 2.5 to the Company's Annual Report on Form 10-K for the year ended
           December 31, 1996, which is incorporated by reference herein).
 
      2.2  Agreement and Plan of Merger, dated May 8, 1997, by and among the Company, PHS
           Acquisition Corp. and Physicians Health Services, Inc. (filed as Exhibit 2.2 to the
           Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1997, which
           is incorporated by reference herein).
 
     *2.3  Amendment No. 1 to Agreement and Plan of Merger, dated October 20, 1997, by and
           among the Company, PHS Acquisition Corp. and Physicians Health Services, Inc., a
           copy of which is filed herewith.
 
      3.1  Fourth Amended and Restated Certificate of Incorporation of the Registrant (filed
           as Exhibit 4.1 to the Company's Registration Statement on Form S-8 (File No.
           333-24621), which is incorporated by reference herein).
 
      3.2  Fifth Amended and Restated Bylaws of the Registrant (filed as Exhibit 3.2 to the
           Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1997, which
           is incorporated by reference herein).
 
      4.1  Form of Class A Common Stock Certificate (included as Exhibit 4.2 to the Company's
           Registration Statements on Forms S-1 and S-4 (File Nos. 33-72892 and 33-72892-01,
           respectively) which is incorporated by reference herein).
 
      4.2  Form of Class B Common Stock Certificate (included as Exhibit 4.3 to the Company's
           Registration Statements on Forms S-1 and S-4 (File Nos. 33-72892 and 33-72892-01,
           respectively) which is incorporated by reference herein).
 
      4.3  Form of Indenture of Foundation Health Corporation (FHC) (filed as an exhibit to
           FHC's Registration Statement on Form S-3 (File No. 33-68684), which is incorporated
           by reference herein).
 
      4.4  Form of Senior Notes of FHC (filed as an exhibit to FHC's Registration Statement on
           Form S-3 (File No. 33-68684), which is incorporated by reference herein).
 
     10.1  Employment Agreement, dated August 28, 1993, by and among QualMed, Inc., HN
           Management Holdings, Inc. and Malik M. Hasan, M.D. (filed as Exhibit 10.18 to the
           Company's Registration Statements on Forms S-1 and S-4 (File Nos. 33-72892 and
           33-72892-01, respectively) which is incorporated by reference herein).
 
     10.2  Employment Agreement, dated August 28, 1993, by and among QualMed, Inc., HN
           Management Holdings, Inc. and Dale T. Berkbigler, M.D. (filed as Exhibit 10.20 to
           the Company's Registration Statements on Forms S-1 and S-4 (File Nos. 33-72892 and
           33-72892-01, respectively) which is incorporated by reference herein).
 
     10.3  Severance Payment Agreement, dated as of April 25, 1994, among the Company, Health
           Net and James J. Wilk (filed as Exhibit 10.9 to the Company's Annual Report on Form
           10-K for the year ended December 31, 1994, which is incorporated by reference
           herein).
</TABLE>
 
                                       33
<PAGE>
<TABLE>
<C>        <S>
     10.4  Severance Payment Agreement dated March 31, 1997 between the Company and Health Net
           and James J. Wilk (filed as Exhibit 10.4 to the Company's Quarterly Report on Form
           10-Q for the quarter ended March 31, 1997, which is incorporated by reference
           herein).
 
     10.5  Severance Payment Agreement, dated as of April 25, 1994, among the Company,
           QualMed, Inc. and B. Curtis Westen (filed as Exhibit 10.10 to the Company's Annual
           Report on Form 10-K for the year ended December 31, 1994, which is incorporated by
           reference herein).
 
     10.6  Letter Agreement dated April 23, 1997 between B. Curtis Westen and the Company
           (filed as Exhibit 10.6 to the Company's Quarterly Report on Form 10-Q for the
           quarter ended March 31, 1997, which is incorporated by reference herein).
 
     10.7  Amendment No. 1 to Employment Agreement dated as of April 25, 1994, by and among
           the Company, QualMed, Inc. and Malik Hasan, M.D. (filed as Exhibit 10.16 to the
           Company's Annual Report on Form 10-K for the year ended December 31, 1994, which is
           incorporated by reference herein).
 
     10.8  Amended and Restated Employment Agreement, dated March 10, 1997, by and between the
           Company and Malik M. Hasan, M.D. (Filed as Exhibit 10.3 to the Company's Annual
           Report on Form 10-K for the year ended December 31, 1996, which is incorporated by
           reference herein).
 
     10.9  Amendment No. 1 to Employment Agreement dated as of April 27, 1994, by and among
           the Company, QualMed, Inc. and Dale T. Berkbigler, M.D. (filed as Exhibit 10.17 to
           the Company's Annual Report on Form 10-K for the year ended December 31, 1994,
           which is incorporated by reference herein).
 
    10.10  Office Lease, dated as of January 1, 1992, by and between Warner Properties III and
           Health Net (filed as Exhibit 10.23 to the Company's Registration Statements on
           Forms S-1 and S-4 (File Nos. 33-72892 and 33-72892-01, respectively) which is
           incorporated by reference herein).
 
    10.11  The Company's Second Amended and Restated 1991 Stock Option Plan (filed as Exhibit
           10.30 to Registration Statement on Form S-4 (File No. 33-86524) which is
           incorporated by reference herein).
 
    10.12  The Company's Second Amended and Restated Non-Employee Director Stock Option Plan
           (filed as Exhibit 10.31 to Registration Statement on Form S-4 (File No. 33-86524)
           which is incorporated by reference herein).
 
    10.13  The Health Systems International, Inc. Employee Stock Purchase Plan (filed as
           Exhibit 10.33 to the Company's Registration Statements on Forms S-1 and S-4 (File
           Nos. 33-72892 and 33-72892-01, respectively) which is incorporated by reference
           herein).
 
    10.14  The Health Systems International, Inc. Performance-Based Annual Bonus Plan (filed
           as Exhibit 10.35 to Registration Statement on Form S-4 (File No. 33-86524) which is
           incorporated by reference herein).
 
    10.15  Deferred Compensation Agreement dated as of March 3, 1995, by and among Malik M.
           Hasan, M.D., the Company and the Compensation and Stock Option Committee of the
           Board of Directors of the Company (filed as Exhibit 10.31 to the Company's Annual
           Report on Form 10-K for the year ended December 31, 1994, which is incorporated by
           reference herein).
 
    10.16  Trust Agreement for Deferred Compensation Arrangement for Malik M. Hasan, M.D.,
           dated as of March 3, 1995, by and between the Company and Norwest Bank Colorado
           N.A. (filed as Exhibit 10.32 to the Company's Annual Report on Form 10-K for the
           year ended December 31, 1994, which is incorporated by reference herein).
 
    10.17  Registration Rights Agreement dated as of March 2, 1995 between the Company and The
           California Wellness Foundation (filed as Exhibit No. 28.2 to the Company's Current
           Report on Form 8-K dated March 2, 1995, which is incorporated by reference herein).
</TABLE>
 
                                       34
<PAGE>
<TABLE>
<C>        <S>
    10.18  The Company's 1995 Stock Appreciation Right Plan (filed as Exhibit 10.12 to the
           Company's Quarterly Report on Form 10-Q for the quarter ended September 30, 1995,
           which is incorporated by reference herein).
 
    10.19  Amended and Restated Credit Agreement dated as of April 26, 1996 among the Company,
           Bank of America National Trust and Savings Association, as Agent, and financial
           institutions party thereto (filed as Exhibit 10.1 to the Company's Current Report
           on Form 8-K dated May 3, 1996, which is incorporated by reference herein).
 
    10.20  Amendment No. 1 to Credit Agreement dated as of May 10, 1996 among the Company,
           Bank of America National Trust and Savings Association, as Agent, and financial
           institutions party thereto (filed as Exhibit 10.32 to the Company's Quarterly
           Report on Form 10-Q for the quarter ended March 31, 1996, which is incorporated by
           reference herein).
 
    10.21  Amendment No. 2 to Credit Agreement dated as of May 28, 1996 among the Company,
           Bank of America National Trust and Savings Association, as Agent, and financial
           institutions party thereto (filed as Exhibit 10.33 to the Company's Quarterly
           Report on Form 10-Q for the quarter ended June 30, 1996, which is incorporated by
           reference herein).
 
    10.22  Amendment No. 3 to Credit Agreement dated as of January 31, 1997 among the Company,
           Bank of America National Trust and Savings Association, as Agent, and financial
           institutions party thereto (filed as Exhibit 10.33 to the Company's Annual Report
           on Form 10-K for the year ended December 31, 1996, which is incorporated by
           reference herein).
 
    10.23  Credit Agreement dated July 8, 1997 among the Company, the banks identified therein
           and Bank of America National Trust and Savings Association in its capacity as
           Administrative Agent (providing for an unsecured $1.5 billion revolving credit
           facility) (filed as Exhibit 10.23 to the Company's Quarterly Report on Form 10-Q
           for the quarter ended June 30, 1997, which is incorporated by reference herein).
 
   *10.24  Guarantee Agreement dated July 8, 1997 between the Company and First Security Bank,
           National Association, a copy of which is filed herewith.
 
    10.25  Employment Letter Agreement dated May 28, 1996 between Michael D. Pugh and QualMed,
           Inc. (filed as Exhibit 10.35 to the Company's Quarterly Report on Form 10-Q for the
           quarter ended June 30, 1996, which is incorporated by reference herein).
 
    10.26  Employment Letter Agreement dated June 4, 1996 between Arthur M. Southam and the
           Company and Health Net (filed as Exhibit 10.36 to the Company's Quarterly Report on
           Form 10-Q for the quarter ended June 30, 1996, which is incorporated by reference
           herein).
 
    10.27  Employment Letter Agreement dated July 3, 1996 between Jay M. Gellert and the
           Company (filed as Exhibit 10.37 to the Company's Quarterly Report on Form 10-Q for
           the quarter ended September 30, 1996, which is incorporated by reference herein).
 
    10.28  Employment Letter Agreement dated September 30, 1996 between Douglas C. Werner and
           the Company (filed as Exhibit 10.38 to the Company's Quarterly Report on Form 10-Q
           for the quarter ended September 30, 1996, which is incorporated by reference
           herein).
 
    10.29  Rights Agreement dated as of June 1, 1996 by and between the Company and Harris
           Trust and Savings Bank, as Rights Agent (filed as Exhibit 99.1 to the Company's
           Registration Statement on Form 8-A (File No. 001-12718) which is incorporated by
           reference herein).
 
    10.30  First Amendment to the Rights Agreement dated as of October 1, 1996, by and between
           the Company and Harris Trust and Savings Bank, as Rights Agent (filed as Exhibit
           10.40 to the Company's Annual Report on Form 10-K for the year ended December 31,
           1996, which is incorporated by reference herein).
</TABLE>
 
                                       35
<PAGE>
<TABLE>
<C>        <S>
    10.31  Amended and Restated Employment Agreement, dated December 16, 1996, by and among
           the Company, Foundation Health Corporation and Daniel D. Crowley (filed as Exhibit
           10.1 to the Company's Registration Statement on Form S-4 (File No. 333-19273),
           which is incorporated by reference herein).
 
    10.32  Employment Agreement Termination Agreement, dated as of May 1, 1997, by and between
           Daniel D. Crowley, the Company and FHC (filed as Exhibit 10.32 to the Company's
           Quarterly Report on Form 10-Q for the quarter ended March 31, 1997).
 
    10.33  Amended and Restated Employment Agreement, dated December 16, 1996, by and among
           the Company, Foundation Health Corporation and Kirk A. Benson (filed as Exhibit
           10.2 to the Company's Registration Statement on Form S-4 (File No. 333-19273),
           which is incorporated by reference herein).
 
    10.34  Amended and Restated Employment Agreement, dated December 16, 1996, by and among
           the Company, Foundation Health Corporation and Jeffrey L. Elder (filed as Exhibit
           10.4 to the Company's Registration Statement on Form S-4 (File No. 333-19273),
           which is incorporated by reference herein).
 
    10.35  Amended and Restated Employment Agreement, dated December 16, 1996, by and among
           the Company, Foundation Health Corporation and Allen J. Marabito (filed as Exhibit
           10.5 to the Company's Registration Statement on Form S-4 (File No. 333-19273),
           which is incorporated by reference herein).
 
    10.36  Consulting Agreement, dated as of May 1, 1997, between the Company, FHC and Allen
           J. Marabito, (filed as Exhibit 10.35 to the Company's Quarterly Report on Form 10-Q
           for the quarter ended June 30, 1997, which is incorporated by reference herein).
 
    10.37  Foundation Health Corporation Employee Stock Purchase Plan (filed as Exhibit 4.3 to
           the Company's Registration Statement on Form S-8 (File No. 333-24621), which is
           incorporated by reference herein).
 
    10.38  Foundation Health Corporation Profit Sharing and 401(k) Plan (Amended and Restated
           effective January 1, 1994) (filed as Exhibit 4.4 to the Company's Registration
           Statement on Form S-8 (File No. 333-24621), which is incorporated by reference
           herein).
 
    10.39  1990 Stock Option Plan of Foundation Health Corporation (filed as Exhibit 4.5 to
           the Company's Registration Statement on Form S-8 (File No. 333-24621), which is
           incorporated by reference herein).
 
    10.40  1992 Nonstatutory Stock Option Plan of Foundation Health Corporation (filed as
           Exhibit 4.6 to the Company's Registration Statement on Form S-8 (File No.
           333-24621), which is incorporated by reference herein).
 
    10.41  1989 Stock Plan of Business Insurance Corporation (as Amended and Restated
           Effective September 22, 1992) (filed as Exhibit 4.7 to the Company's Registration
           Statement on Form S-8 (File No. 333-24621), which is incorporated by reference
           herein).
 
    10.42  Managed Health Network, Inc. Incentive Stock Option Plan (filed as Exhibit 4.8 to
           the Company's Registration Statement on Form S-8 (File No. 333-24621), which is
           incorporated by reference herein).
 
    10.43  Managed Health Network, Inc. Amended and Restated 1991 Stock Option Plan (filed as
           Exhibit 4.9 to the Company's Registration Statement on Form S-8 (File No.
           333-24621), which is incorporated by reference herein).
 
    10.44  1993 Nonstatutory Stock Option Plan of Foundation Health Corporation (as amended
           and restated September 7, 1995) (filed as Exhibit 4.10 to the Company's
           Registration Statement on Form S-8 (File No. 333-24621), which is incorporated by
           reference herein).
</TABLE>
 
                                       36
<PAGE>
<TABLE>
<C>        <S>
    10.45  FHC Directors Retirement Plan (filed as an exhibit to FHC's Form 10-K for the year
           ended June 30, 1994 filed with the Commission on September 24, 1994, which is
           incorporated by reference herein).
 
    10.46  Foundation Health Systems, Inc. 1997 Stock Option Plan (filed as Exhibit 10.45 to
           the Company's Quarterly Report on Form 10-Q for the quarter ended June 30, 1997,
           which is incorporated by reference herein).
 
    10.47  Foundation Health Systems, Inc. Third Amended and Restated Non-Employee Director
           Stock Option Plan (filed as Exhibit 10.46 to the Company's Quarterly Report on Form
           10-Q for the quarter ended June 30, 1997, which is incorporated by reference
           herein).
 
    10.48  Foundation Health Systems, Inc. Employee Stock Purchase Plan (filed as Exhibit
           10.47 to the Company's Quarterly Report on Form 10-Q for the quarter ended June 30,
           1997, which is incorporated by reference herein).
 
    10.49  Foundation Health Systems, Inc. Performance-Based Annual Bonus Plan (filed as
           Exhibit 10.48 to the Company's Quarterly Report on Form 10-Q for the quarter ended
           June 30, 1997, which is incorporated by reference herein).
 
    10.50  Participation Agreement dated as of May 25, 1995 among Foundation Health Medical
           Services, as Construction Agent and Lessee, FHC, as Guarantor, First Security Bank
           of Utah, N.A., as Owner Trustee, Sumitomo Bank Leasing and Finance, Inc., The Bank
           of Nova Scotia and NationsBank of Texas, N.A., as Holders and NationsBank of Texas,
           N.A., as Administrative Agent for the Lenders; and Guaranty Agreement dated as of
           May 25, 1995 by FHC for the benefit of First Security Bank of Utah, N.A. (filed as
           an exhibit to FHC's Form 10-K for the year ended June 30, 1995, filed with the
           Commission on September 27, 1995, which is incorporated by reference herein).
 
    10.51  FHC's Deferred Compensation Plan, as amended and restated (filed as an exhibit to
           FHC's Form 10-K for the year ended June 30, 1995, filed with the Commissionon
           September 27, 1995, which is incorporated by reference herein).
 
    10.52  FHC's Supplemental Executive Retirement Plan, as amended and restated (filed as an
           exhibit to FHC's Form 10-K for the year ended June 30, 1995, filed with the
           Commission on September 27, 1995, which is incorporated by reference herein).
 
    10.53  FHC's Executive Retiree Medical Plan, as amended and restated (filed as an exhibit
           to FHC's Form 10-K for the year ended June 30, 1995, filed with the Commission on
           September 27, 1995, which is incorporated by reference herein).
 
    10.54  Agreement and Plan Reorganization dated January 9, 1996 by and between FHC and
           Managed Health Network, Inc. (filed as Annex 1 of Proxy Statement/Prospectus
           contained in FHC's Registration Statement on Form S-4 (File No. 333-00517), which
           is incorporated by reference herein).
 
    10.55  Stock and Note Purchase Agreement by and between FHC, Jonathan H. Scheft, M.D., FPA
           Medical Management, Inc., FPA Medical Management of California, Inc. and FPA
           Independent Practice Association dated as of June 28, 1996 (filed as Exhibit 10.109
           to FHC's Annual Report on Form 10-K for the year ended June 30, 1996, which is
           incorporated by reference herein).
 
    10.56  $300 Million Revolving Credit Agreement (the FHC Credit Agreement) dated as of
           December 5, 1994, among FHC, as Borrower, Citicorp USA, Inc., as Administrative
           Agent, Wells Fargo Bank, N.A. and NationsBank of Texas, N.A., as Co-Agents and
           Citicorp Securities, Inc., as Arranger, and the Other Banks and Financial
           Institutions Party thereto (filed as an Exhibit to FHC's quarterly report on Form
           10-Q for the quarter ended December 31, 1994 filed with the Commission on February
           14, 1994, which is incorporated by reference herein).
</TABLE>
 
                                       37
<PAGE>
<TABLE>
<C>        <S>
    10.57  First Amendment Agreement (to the FHC Credit Agreement) dated as of August 9, 1995
           among FHC, as Borrower, the Lenders parties to the FHC Credit Agreement, Citicorp
           USA, Inc., as Administrative Agent, Wells Fargo Bank, N.A. and NationsBank of
           Texas, N.A., as Co-Agents, and Citicorp Securities, Inc., as Arranger (filed as
           Exhibit 10.52 to the Company's Quarterly Report on Form 10-Q for the quarter ended
           March 31, 1997, which is incorporated by reference herein).
 
    10.58  Second Amendment Agreement (to the FHC Credit Agreement), dated as of June 28, 1996
           among FHC, the Lenders and Citicorp USA, Inc. (filed as Exhibit 10.53 to the
           Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 1997, which
           is incorporated by reference herein).
 
    10.59  Third Amendment Agreement and Waiver (to the FHC Credit Agreement) dated December
           13, 1996 among FHC, the Lenders and Citibank, N.A. (as successor to Citicorp USA,
           Inc.), as Administrative Agent (filed as Exhibit 10.54 to the Company's Quarterly
           Report on Form 10-Q for the quarter ended March 31, 1997, which is incorporated by
           reference herein).
 
    10.60  Fourth Amendment Agreement and Waiver (to the FHC Credit Agreement) dated January
           28, 1997 among FHC, the Lenders and Citibank, N.A. (as successor to Citicorp USA,
           Inc.), as Administrative Agent (filed as Exhibit 10.55 to the Company's Quarterly
           Report on Form 10-Q for the quarter ended March 31, 1997, which is incorporated by
           reference herein).
 
    10.61  Fifth Amendment Agreement (to the FHC Credit Agreement) dated April 1, 1997 among
           FHC, the Lenders and Citibank, N.A. (as successor to Citicorp USA, Inc.), as
           Administrative Agent (filed as Exhibit 10.56 to the Company's Quarterly Report on
           Form 10-Q for the quarter ended March 31, 1997, which is incorporated by reference
           herein).
 
    10.62  $200 million Revolving Credit Agreement (the FHC Revolving Credit Agreement) dated
           as of December 17, 1996 among FHC, the Lenders and Citibank, N.A., as
           Administrative Agent for the Lenders (filed as Exhibit 10.57 to the Company's
           Quarterly Report on Form 10-Q for the quarter ended March 31, 1997, which is
           incorporated by reference herein).
 
    10.63  First Amendment Agreement and Waiver (to the FHC Revolving Credit Agreement) dated
           as of January 28, 1997 among FHC, the Lenders and Citibank, N.A., as Administrative
           Agent for the Lenders (filed as Exhibit 10.58 to the Company's Quarterly Report on
           Form 10-Q for the quarter ended March 31, 1997, which is incorporated by reference
           herein).
 
    10.64  Second Amendment Agreement and Waiver (to the FHC Revolving Credit Agreement) among
           FHC, the Lenders and Citibank, N.A., as Administrative Agent for the Lenders (filed
           as Exhibit 10.59 to the Company's Quarterly Report on Form 10-Q for the quarter
           ended March 31, 1997, which is incorporated by reference herein).
 
    10.65  Lease Agreement between HAS-First Associates and FHC dated August 1, 1998 and form
           of amendment thereto (filed as an exhibit to FHC's Registration Statement on Form
           S-1 (File No. 33-34963), which is incorporated by reference herein).
 
    10.66  Agreement and Plan of Reorganization dated as of June 27, 1994 by and among FHC,
           CareFlorida Health Systems, Inc., and the other parties signatory thereto (filed as
           an exhibit to FHC's Current Report on Form 8-K filed with the Commission on June
           28, 1994, which is incorporated by reference herein).
 
    10.67  Agreement and Plan of Merger dated as of July 28, 1994 between FHC and Intergroup
           Healthcare Corporation (filed as an exhibit to FHC's Current Report on Form 8-K
           filed with the Commission on August 9, 1994, which is incorporated by reference
           herein).
 
    10.68  Agreement and Plan of Merger dated as of July 28, 1994 between FHC and Thomas-Davis
           Medical Centers, P.C. (filed as an exhibit to FHC's Current Report on Form 8-K
           filed with the Commission on August 9, 1994, which is incorporated by reference
           herein).
</TABLE>
 
                                       38
<PAGE>
<TABLE>
<C>        <S>
    *11.1  Statement relative to computation of earnings per share of the Company, a copy of
           which is filed herewith.
 
     21.1  Subsidiaries of the Company (filed as Exhibit 21.1 to the Company's Quarterly
           Report on Form 10-Q for the quarter ended March 31, 1997, which is incorporated by
           reference herein).
 
    *27.1  Financial Data Schedule, a copy of which is filed with the EDGAR version of this
           filing.
</TABLE>
 
- ------------------------
 
*   A copy of the Exhibit is filed herewith.
 
                                       39
<PAGE>
(b) Reports on Form 8-K
 
    The following Current Report on Form 8-K was filed by the Company during the
quarterly period ended September 30, 1997:
 
    A report dated July 21, 1997 was filed on August 4, 1997 announcing that:
(i) Daniel D. Crowley had resigned from the Company's Board of Directors
effective July 16, 1997 and (ii) the Company's Board of Directors had withdrawn
the nomination of Mr. Crowley for election at the Company's upcoming 1997 annual
stockholders meeting.
 
    No other Current Reports on Form 8-K were filed by the Company during such
quarter.
 
                                       40
<PAGE>
                                   SIGNATURES
 
    Pursuant to the requirements of the Securities Act of 1934, the Registrant
has duly caused this report to be signed on its behalf by the undersigned
thereunto duly authorized.
 
                                          FOUNDATION HEALTH SYSTEMS, INC.
                                          (REGISTRANT)
 
<TABLE>
<S>                                           <C>        <C>
Date: November 13, 1997                                  -----------------------------------------
                                                                       Jay M. Gellert
                                              By:          PRESIDENT AND CHIEF OPERATING OFFICER
 
Date: November 13, 1997
                                                         -----------------------------------------
                                                                      Jeffrey L. Elder
                                                         SENIOR VICE PRESIDENT AND CHIEF FINANCIAL
                                              By:                         OFFICER
</TABLE>
 
                                       41

<PAGE>
                                                                     EXHIBIT 2.3

                   AMENDMENT NO. 1 TO AGREEMENT AND PLAN OF MERGER


           AMENDMENT NO. 1, dated as of October 19, 1997 (this "AGREEMENT"), 
to that certain Agreement and Plan of Merger (the "MERGER AGREEMENT"), dated 
as of May 8, 1997, by and among Foundation Health Systems, Inc., a Delaware 
corporation ("PARENT"), PHS Acquisition Corp., a Delaware corporation and a 
wholly owned subsidiary of Parent ("MERGER SUB"), and Physicians Health 
Services, Inc., a Delaware corporation (the "COMPANY"). All capitalized terms 
used herein and not otherwise defined shall have the meanings ascribed 
thereto in the Merger Agreement.

           Notwithstanding anything to the contrary contained in the Merger 
Agreement, Parent, Merger Sub and the Company hereby acknowledge and agree as 
follows:

           1.  The first sentence of Section 1.2 of the Merger Agreement is 
hereby amended by deleting such sentence in its entirety and substituting 
therefor the following sentence:

     "Subject to the provisions of this Agreement, the Merger shall be 
     consummated as promptly as practicable (and in any event within two 
     business days) after satisfaction or, to the extent permitted hereunder, 
     waiver of all of the conditions to each party's obligation to consummate 
     the Merger contained in Article VI (the "FIRST AVAILABLE EFFECTIVE 
     DATE"), by duly filing an appropriate certificate of merger (the 
     "CERTIFICATE OF MERGER"), in such form as is required by, and executed 
     in accordance with, the relevant provisions of Delaware Law; PROVIDED, 
     that in the event that the First Available Effective Date occurs prior 
     to January 6, 1998, then at the request of Parent upon notice provided 
     pursuant to Section 8.4 hereof, the Effective Date shall occur on a 
     business day thereafter selected by Parent no later than January 6, 
     1998; PROVIDED, FURTHER, that in the event, pursuant to the request of 
     Parent, the Effective Time (as defined below) does not occur on the 
     First Available Effective Date, Section 3.8 of the Merger Agreement 
     shall not be deemed to be breached as a result of any event occurring or 
     arising after the First Available Effective Date."

           2.  Section 1.8(a) of the Merger Agreement is hereby amended by 
deleting such subsection in its entirety and substituting therefor the 
following subsection:

           "(a)  Each Share issued and outstanding immediately prior to the 
     Effective Time (other than Shares to be cancelled pursuant to Section

<PAGE>

     1.8(b) and Dissenting Shares (as defined in Section 2.1)) shall be 
     cancelled and extinguished and converted into the right to receive 
     $28.25 in cash, without interest thereon (the "MERGER CONSIDERATION"), 
     subject to Section 1.10."

           3.  Article I of the Merger Agreement is hereby amended by 
inserting therein a new Section 1.10 as follows:

           "1.10 ADJUSTMENT OF MERGER CONSIDERATION. Notwithstanding anything 
     to the contrary set forth in Section 1.8(a) hereof, in the event that, 
     at or prior to the Effective Time, the Company obtains each of the 
     waivers and amendments described on Schedule 6.1 (in a form or forms 
     reasonably satisfactory to Parent), then the Merger Consideration shall 
     be increased by an amount equal to $1.00 to a total of $29.25."

           4.  Section 6.1(b) of the Merger Agreement is hereby amended by 
deleting such subsection in its entirety and substituting therefor the 
following subsection:

           "(b) Intentionally Omitted."

           5.  Section 7.1(b) of the Merger Agreement is hereby amended by 
(i) deleting each reference to the date "December 31, 1997" and substituting 
therefor the date "March 31, 1998" and (ii) deleting the language in clause 
(i) following the first appearance of the phrase "set forth in Section 1.4."

           6.  Except as provided for in this Agreement, the Merger Agreement 
shall remain in full force and effect in accordance with its terms.

           7.  This Agreement will be effective immediately and only after 
obtaining the prior written consent of Greater Bridgeport Individual Practice 
Association, Inc. (the "STOCKHOLDER") pursuant to the terms of that certain 
Voting Trust Agreement, dated as of May 8, 1997 (the "VOTING TRUST AGREEMENT"), 
by and among the Stockholder, the Company and the Voting Trustee (as defined in 
the Voting Trust Agreement).

                                       2
<PAGE>

           IN WITNESS WHEREOF, the parties hereto have caused this Agreement 
to be executed by their respective duly authorized officers as of the date 
first above written.

                                            PHYSICIANS HEALTH SERVICES, INC.



                                            By: /s/ James C. Elrod, Jr.
                                               --------------------------------
                                            Name:  James C. Elrod, Jr.
                                            Title: Executive Vice President


                                            FOUNDATION HEALTH SYSTEMS, INC.


                                            By: /s/ Jay M. Gellert
                                               --------------------------------
                                            Name:  Jay M. Gellert
                                            Title: President and Chief Operating
                                                   Officer

                                            PHS ACQUISITION CORP.



                                            By: /s/ B. Curtis Westen
                                               --------------------------------
                                            Name:  B. Curtis Westen
                                            Title: Vice President and Secretary

The undersigned hereby confirms its prior consent to the
foregoing Amendment No. 1 in accordance with Section
7(b) of the Voting Trust Agreement, dated as of May 8,
1997, by and among the undersigned, the Company and
American Stock Transfer & Trust Company, as Voting
Trustee.


Dated: October  , 1997

GREATER BRIDGEPORT INDIVIDUAL PRACTICE
    ASSOCIATION, INC.


By: /s/ Nancy S. Watters
   -----------------------------------------
Name:  Nancy S. Watters
Title: President and Chief Executive Officer


<PAGE>


                                                         EXHIBIT 10.24

                               GUARANTY AGREEMENT

     THIS GUARANTY AGREEMENT dated as of July 8, 1997 (the "GUARANTY 
AGREEMENT"), is given by FOUNDATION HEALTH SYSTEMS, INC., a Delaware 
corporation (the "GUARANTOR"), for the benefit of FIRST SECURITY BANK, 
NATIONAL ASSOCIATION (formerly known as First Security Bank of Utah, N.A.), a 
national banking association, not individually but solely as Owner Trustee 
under the FH Trust 1995-1 (together with its successors and permitted 
assigns, the "OWNER TRUSTEE"), as lessor under the Lease (hereinafter 
defined).

                          W I T N E S S E T H:

     WHEREAS, the Owner Trustee, Foundation Health Medical Services, Inc., a 
California corporation ("FHMS") and a wholly-owned subsidiary of Foundation 
Health Corporation, a Delaware corporation ("FHC"), FHC, the Lenders 
(hereinafter defined), the Holders (hereinafter defined) and the Agent 
(hereinafter defined) have entered into that certain Participation Agreement 
dated as of May 25, 1995 (the "ORIGINAL PARTICIPATION AGREEMENT" and as 
amended by (a) the Assignment, Consent and Second Amendment (as defined 
below), (b) the Third Amendment to Operative Agreements dated as of the date 
hereof, and (c) as the same may be further amended from time to time after 
the date hereof, the "PARTICIPATION AGREEMENT") which describes and 
references certain Operative Agreements (hereinafter defined) and provided 
for a financing of certain real estate assets provided by the Lenders and the 
Holders in favor of FHMS;

     WHEREAS, the parties to the Original Participation Agreement have 
entered into, among other agreements, that certain Assignment, Consent and 
Second Amendment to Lease Agreement and Other Operative Agreements dated as 
of October 4, 1996 (the "ASSIGNMENT, CONSENT AND SECOND AMENDMENT") whereby 
FHMS assigned all of its right, title, interest and obligations in, to and 
under the Operative Agreements to Foundation Health Facilities, Inc., a 
California corporation ("FHF" or "LESSEE") and wholly owned Subsidiary of FHC;

     WHEREAS, FHC, Health Systems International, Inc., ("HSI") and FH 
Acquisition Corp., a wholly owned merger subsidiary of HSI, entered into an 
Agreement and Plan of Merger dated October 1, 1996 pursuant to which FH 
Acquisition Corp. merged with and into FHC and FHC became a wholly owned 
Subsidiary of HSI. HSI subsequently changed its name to Foundation Health 
Systems, Inc.;

     WHEREAS, the Owner Trustee and the Guarantor have agreed that the 
Guarantor shall enter into this Guaranty Agreement in replacement of the 
existing Guaranty Agreement dated as of May 25, 1995 extended by FHC to and 
for the benefit of the Owner Trustee;

     WHEREAS, the Owner Trustee, as lessor, and FHF, as construction agent 
and/or lessee, shall continue to be parties to (a) the Agency Agreement dated 
as of May 25, 1995 (as amended from time to time, the "AGENCY AGREEMENT") 
which provides for FHF to act as agent for the Owner Trustee in the 
acquisition, development and construction of certain real estate assets and

<PAGE>


(b) the Lease Agreement dated as of May 25, 1995 (as amended from time to 
time, the "LEASE") which provides for the leasing by the Owner Trustee to FHF 
of certain real estate assets;

     WHEREAS, the financing arrangement evidenced by the documents described 
above constitutes a substantial benefit to the Guarantor;

     NOW, THEREFORE, IT IS AGREED:

                                 ARTICLE I

                                DEFINITIONS

     1.01 DEFINED TERMS. As used herein, the following terms shall have the 
meanings herein specified unless the context otherwise requires. Capitalized 
terms used in this Guaranty Agreement and not defined in this Section 1.01 
shall have the meanings given to such terms in APPENDIX A to the 
Participation Agreement. Defined terms herein shall include in the singular 
number the plural and in the plural the singular:

     "ACQUISITION" means any transaction or series of related transactions 
for the purpose of or resulting, directly or indirectly, in (a) the 
acquisition of all or substantially all of the assets of a Person, or of any 
line or segment of business or division of a Person, (b) the acquisition of 
in excess of 50% of the capital stock, partnership interests, membership 
interests or equity (or securities convertible into or exchangeable for such 
capital stock, partnership interests, membership interests or equity) of any 
Person, or otherwise causing any Person to become a Subsidiary, or (c) a 
merger or consolidation or any other combination with another Person (other 
than a Person that is a Subsidiary) provided that (i) the Guarantor or the 
Subsidiary is the surviving entity or (ii) after giving effect to such merger 
or consolidation, such other Person has become a Subsidiary of the Guarantor.

     "AFFILIATE" means, as to any Person, any other Person which, directly or 
indirectly, is in control of, is controlled by or is under common control 
with, such Person. A Person shall be deemed to control another Person if the 
controlling Person possesses, directly or indirectly, the power to direct or 
cause the direction of the management and policies of the other Person, 
whether through the ownership of voting securities, membership interests, by 
contract or otherwise; PROVIDED, that no Person shall be deemed to be an 
Affiliate of the Guarantor or any of its Subsidiaries solely as a result of 
management or consulting agreements between such Person and the Guarantor or 
any of its Subsidiaries executed by the Guarantor or any of its Subsidiaries 
in the ordinary course of business and pursuant to which the Guarantor or its 
Subsidiaries provide such services.

     "AGENCY AGREEMENT" shall have the meaning given to such term in the 
recitals hereto.


                                        - 2 -
<PAGE>


     "AGENT" means NationsBank, as Agent for the Lenders under the Credit 
Agreement, together with its successors and assigns. 

     "BANKRUPTCY CODE" means the Federal Bankruptcy Reform Act of 1978 (11 
U.S.C. Section 101, ET SEQ.).

     "CAPITAL LEASE" means any lease of property which in accordance with 
GAAP should be capitalized on the lessee's balance sheet or disclosed in a 
footnote thereto as a capitalized lease.

     "CHANGE OF CONTROL" means the acquisition by any Person other than Malik 
M. Hasan, M.D., or by two or more Persons acting in concert, other than 
Malik M. Hasan, M.D., of beneficial ownership (within the meaning of Rule 
13d-3 of the SEC under the Exchange Act) of 20% or more of the outstanding 
shares of voting stock of the Guarantor. 

     "CODE" means the Internal Revenue code of 1986, as amended, and 
regulations promulgated thereunder.

     "CONTINGENT OBLIGATION" means, as to any Person, any contingent 
liability, as such term is defined in GAAP, other than Guaranty Obligations; 
PROVIDED, HOWEVER, that notwithstanding the foregoing, "Contingent 
Obligations" shall not include any direct or indirect liability of the 
Guarantor to any Subsidiary of the Guarantor or of any Subsidiary of the 
Guarantor owed to the Guarantor or another Subsidiary of the Guarantor. The 
amount of any Contingent Obligations shall be calculated in accordance with 
GAAP.

     "ERISA" means the Employee Retirement Income Security Act of 1974, and 
regulations promulgated thereunder.

     "ERISA AFFILIATE" means any trade or business (whether or not 
incorporated) under common control with the Guarantor within the meaning of 
Section 414(b) or (c) of the Code (and Sections 414(m) and (o) of the Code 
for purposes of provisions relating to Section 412 of the Code).

     "ERISA EVENT" means (a) a Reportable Event with respect to a Pension 
Plan; (b) a withdrawal by the Guarantor or any ERISA Affiliate from a Pension 
Plan subject to Section 4063 of ERISA during a plan year in which it was a 
substantial employer (as defined in Section 4001(a)(2) of ERISA) or a 
cessation of operations which is treated as such a withdrawal under Section 
4062(e) of ERISA; (c) a complete or partial withdrawal by the Guarantor or 
any ERISA Affiliate from a Multiemployer plan or notification that a 
Multiemployer Plan is in reorganization; (d) the filing of a notice of intent 
to terminate, the treatment of a Plan amendment as a termination under 
Section 4041 or 4041A of ERISA, or the commencement of proceedings by the 
PBGC to terminate a Pension Plan or Multiemployer Plan; (e) an event or 
condition which might reasonably be expected to constitute grounds under 
Section 4042 of ERISA for the termination of, or the appointment of a 
trustee to administer, any Pension Plan or Multiemployer Plan; or (f) the


                                 - 3 -
<PAGE>


imposition of any liability under Title IV of ERISA, other than PBGC premiums 
due but not delinquent under Section 4007 of ERISA, upon the Guarantor or any 
ERISA Affiliate.

     "EVENT OF DEFAULT" shall have the meaning given to such term in Section 
2.05(a) hereof.

     "EXCHANGE ACT" means the Securities Exchange Act of 1934, as amended, 
and regulations promulgated thereunder.

     "EXISTING CREDIT AGREEMENT" shall mean the Original Credit Agreement, as 
such may hereafter be amended, modified, supplemented, restated and/or 
replaced form time to time.

     "EXISTING CREDIT AGREEMENT EVENT OF DEFAULT" shall mean an "Event of 
Default" as such term is defined in the Existing Credit Agreement.

     "FHF" has the meaning given to such term in the recitals hereto.

     "FHMS" has the meaning given to such term in the recitals hereto.

     "FHF OBLIGATION" shall have the meaning given to such term in Section 
2.01 hereof.

     "GAAP" shall have the meaning given to such term in the Participation 
Agreement.

     "GOVERNMENTAL AUTHORITY" means any nation or government, any state or 
other political subdivision thereof, any central bank (or similar monetary or 
regulatory authority) thereof, any entity exercising executive, legislative, 
judicial, regulatory or administrative functions of or pertaining to 
government, and any corporation or other entity owned or controlled, through 
stock or capital ownership or otherwise, by any of the foregoing.

     "GUARANTOR" shall have the meaning given to such term in the first 
paragraph hereof.

     "GUARANTY AGREEMENT" shall have the meaning given to such term in the 
first paragraph hereof.

     "GUARANTY DOCUMENTS" shall mean, collectively, the Guaranty Agreement 
and the Participation Agreement.

     "GUARANTY OBLIGATION" means, as to any Person, any direct or indirect 
liability of that Person, whether or not contingent, with or without 
recourse, with respect to any Indebtedness of another Person (the "primary 
obligor"). The amount of any Guaranty Obligation shall be deemed equal to 
the stated amount of the primary obligation in respect of which such Guaranty 
Obligation is made.

     "HMO" shall mean any Person which operates as a health maintenance 
organization.


                                - 4 -
<PAGE>


     "HMO EVENT" shall mean (a) the failure by the Guarantor or any of its 
HMO Subsidiaries to comply in any material respect with any of the terms and 
provisions of any applicable HMO Regulation pertaining to the fiscal 
soundness, solvency or financial condition of the Guarantor or any of its HMO 
Subsidiaries if such failure is reasonably likely to have a Material Adverse 
Effect; or (b) the assertion in writing, after the date of this Guaranty 
Agreement, by an HMO Regulator that it intends to take administrative action 
against the Guarantor or any of its HMO Subsidiaries to revoke or modify any 
Governmental Approval of, or to enforce the fiscal soundness, solvency or 
financial provisions or requirements of such HMO Regulations against, the 
Guarantor or any of its HMO Subsidiaries, if such action, modification or 
enforcement is reasonably likely to have a Material Adverse Effect.

     "HMO REGULATIONS" means all Requirements of Law applicable to any HMO 
Subsidiary under federal or state law and any regulations, orders and 
directives promulgated or issued pursuant to the foregoing.

     "HMO REGULATOR" means any Person charged with the administration, 
oversight or enforcement of an HMO Regulation, whether primarily, 
secondarily, or jointly.

     "HMO SUBSIDIARY" shall mean any current or future Subsidiary of the 
Guarantor that is either an HMO or a regulated healthcare service contractor.

     "HOLDERS" shall have the meaning given to such term in APPENDIX A to the 
Participation Agreement.

     "INCORPORATED COVENANTS" shall have the meaning given to such term in 
Article IV hereof.

     "INCORPORATED FINANCIAL COVENANTS" means the financial covenants 
contained in Section 7.12 of the Original Credit Agreement, together with any 
amendments, modifications, substitutions or replacements thereof which are 
part of the Incorporated Covenants in accordance with the terms of Article IV 
hereof.

     "INCORPORATED REPRESENTATIONS AND WARRANTIES" shall have the meaning 
given to such term in Article IV hereof.

     "INDEBTEDNESS" of any Person means, without duplication, (a) all 
indebtedness for borrowed money; (b) all obligations issued, undertaken or 
assumed as the deferred purchase price of property or services (other than 
trade payables entered into in the ordinary course of business on ordinary 
terms and deferred compensation arrangements with officers, directors and 
employees); (c) all obligations (contingent or otherwise) with respect to 
Surety Instruments; PROVIDED, HOWEVER, that from July 8, 1997 through the 
fiscal quarter ending June 30, 1998, $15,000,000 of such obligations of the 
Guarantor of FHC with respect to letters of credit issued for the account of 
its Subsidiaries shall be excluded from this clause (c); (d) all obligations


                                - 5 -
<PAGE>


evidenced by notes, bonds, debentures or similar instruments, including 
obligations so evidenced incurred in connection with the acquisition of 
property, assets or businesses; (e) all indebtedness created or arising under 
any conditional sale or other title retention agreement, or incurred as 
financing, in either case with respect to property acquired by the Person 
(even though the rights and remedies of the seller or bank under such 
agreement in the event of default are limited to repossession or sale of such 
property); (f) all obligations with respect to Capital Leases; (g) all net 
obligations with respect to Swap Contracts other than Swap Contracts that are 
Permitted Market Investments; (h) all indebtedness referred to in clauses (a) 
through (g) above secured by (or for which the holder of such indebtedness 
has an existing right, contingent or otherwise, to be secured by) any Lien 
upon or in property (including accounts and contract rights) owned by such 
Person, even though such Person has not assumed or become liable for the 
payment of such indebtedness; and (i) all Guaranty Obligations in respect of 
indebtedness or obligations of other Persons (exclusive of the Guarantor and 
its Subsidiaries) of the kinds referred to in clauses (a) through (g) above.

     "INSOLVENCY PROCEEDING" means (a) any case, action or proceeding before 
any court or other Government Authority relating to bankruptcy, 
reorganization, insolvency, liquidation, receivership, dissolution, 
winding-up or relief of debtors, or (b) any general assignment for the 
benefit of creditors, composition, marshaling of assets for creditors, or 
other similar arrangement in respect of its creditors generally or any 
substantial portion of its creditors, undertaken under U.S. Federal, state or 
foreign law, including the Bankruptcy Code.

     "INVESTMENT GUIDELINES" means those investment guidelines adopted by the 
Finance Committee of the Guarantor's board of directors on June 10, 1997, as 
more particularly set forth on EXHIBIT K.

     "LEASE" shall have the meaning given to such term in the recitals hereto.

     "LENDER" or "LENDERS" means each Lender now or hereafter named under the 
Credit Agreement.

     "LIEN" shall have the meaning given to such term in APPENDIX A to the 
Participation Agreement.

     "MATERIAL ADVERSE EFFECT" means (a) a material adverse change in, or a 
material adverse effect upon, the operations, business, properties or 
condition (financial or otherwise) of the Guarantor and its Subsidiaries 
taken as a whole; (b) a material impairment of the ability of the Guarantor 
to perform its obligations under this Guaranty Agreement and to avoid any 
Event of Default; or (c) a material adverse effect upon the legality, 
validity, binding effect or enforceability against the Guarantor of the 
Guaranty Agreement.

     "MULTIEMPLOYER PLAN" means a "multiemployer plan", within the meaning of 
Section 4001(a)(3) of ERISA, to which the Guarantor or any ERISA Affiliate 
makes, is making, or is


                                - 6 -
<PAGE>


obligated to make contributions or, during the preceding three calendar 
years, has made, or been obligated to make, contributions.

    "NATIONSBANK" means NationsBank of Texas, N.A., a national banking 
association, and its successors and assigns.

    "NEW FACILITY" shall have the meaning given to such term in Article IV 
hereof.

    "OPERATIVE AGREEMENTS" shall have the meaning given to such term in 
APPENDIX A to the Participation Agreement.

    "ORIGINAL CREDIT AGREEMENT" means the Credit Agreement dated as of 
July 8, 1997 among the Guarantor, the various banks and financial 
institutions which are parties thereto, Bank of America National Trust and 
Saving Association ("BA"), as administrative agent, BA and Citicorp USA, 
Inc., as syndication agents, and Bancamerica Securities, Inc. and Citicorp 
Securities, Inc., as arrangers, as amended from time to time.

    "OWNER TRUSTEE" shall have the meaning given to such term in the first 
paragraph hereof.

    "PARTICIPATION AGREEMENT" shall have the meaning given to such term in 
the recitals hereto.

    "PBGC" means the Pension Benefit Guaranty Corporation, or any 
Governmental Authority succeeding to any of its principal functions under 
ERISA.

    "PENSION PLAN" means a pension plan (as defined in Section 3(2) of ERISA) 
subject to Title IV of ERISA which the Guarantor sponsors, maintains, or to 
which it makes, is making, or is obligated to make contributions, or in the 
case of a multiple employer plan (as described in Section 4064(a) of ERISA) 
has made contributions at any time during the immediately preceding five (5) 
plan years.

    "PERMITTED MARKET INVESTMENTS" shall mean any security that satisfies the 
Guarantor's Investment Guidelines.

    "PERSON" means any individual, partnership, joint venture, firm, 
corporation, association, trust or other enterprise (whether or not 
incorporated), or any government or political subdivision or any agency, 
department or instrumentality thereof.

    "PROSPECTIVE PREMIUM DEFAULT" shall mean the institution, with respect to 
the Guarantor or any of its Subsidiaries, by an HMO Regulator pursuant to 
applicable HMO Regulations, of a restriction on the fees or premiums that any 
HMO Subsidiary of the Guarantor may charge that is likely to cause the 
Guarantor to be in default of one or more of the financial covenants in 
Section 7.12 of the Existing Credit Agreement during one or more of the four 
fiscal quarters of the Guarantor following the effective date of such 
restriction; PROVIDED that, in determining such


                                   - 7 -
<PAGE>


likelihood, due consideration shall be given of actions the Guarantor 
proposes to take, or to have any HMO Subsidiary take, in response to such 
restriction to the extent such actions have been communicated to the Banks 
within 30 days after the date the Guarantor first learns of such restrictions 
and so long as no other Default (whether or not related to such restriction) 
shall then have occurred and be continuing.

    "REPORTABLE EVENT" means any of the events set forth in Section 4043(b) 
of ERISA or the regulations thereunder, other than any such event for which 
the 30-day notice requirement under ERISA has been waived in regulations 
issued by the PBGC.

    "REQUIREMENT OF LAW" means, as to any Person, any law (statutory or 
common), treaty, rule or regulation or binding determination of an arbitrator 
or of a Governmental Authority, in each case applicable to or binding upon 
the Person or any of its property or to which the Person or any of its 
property is subject.

    "SEC" means the Securities and Exchange Commission, or any Governmental 
Authority succeeding to any of its principal functions.

    "SIGNIFICANT SUBSIDIARY" means each Subsidiary of the Guarantor that:

        (a) accounted for at least 5% of consolidated revenues of the 
    Guarantor and its Subsidiaries or 5% of consolidated earnings of the 
    Guarantor and its Subsidiaries before interest and taxes, in each case 
    ending on the last day of the last fiscal quarter immediately preceding 
    the date as of which any such determination is made; or

        (b) has assets which represent at least 5% of the consolidated assets 
    of the Guarantor and its Subsidiaries as of the last day of the last fiscal
    quarter immediately preceding the date as of which any such determination 
    is made;

all of which, with respect to CLAUSES (a) and (b), shall be as reflected on 
the financial statements of the Guarantor for the period, or as of the date, 
in question.

    "SUBSIDIARY" of a Person means any corporation, association, partnership, 
limited liability company, joint venture or other business entity of which 
more than 50% of the voting stock, membership interests or other equity 
interests (in the case of Persons other than corporations), is owned or 
controlled directly or indirectly by the Person, or one or more of the 
Subsidiaries of the Person, or a combination thereof. Unless the context 
otherwise clearly requires, references herein to a "Subsidiary" refer to a 
Subsidiary of the Guarantor.

    "SURETY INSTRUMENTS" means all letters of credit (including standby and 
commercial), banker's acceptances, bank guaranties, shipside bonds, surety 
bonds and similar instruments.


                                  - 8 -
<PAGE>


     "SWAP CONTRACT" means any agreement (including any master agreement and 
any agreement, whether or not in writing, relating to any single transaction) 
that is an interest rate swap agreement, basis swap, forward rate agreement, 
commodity swap, commodity option, equity or equity index swap or option, bond 
option, interest rate option, forward foreign exchange agreement, rate cap, 
collar or floor agreement, currency swap agreement, cross-currency rate swap 
agreement, swaption, currency option or any other similar agreement 
(including any option to enter into any of the foregoing).

     "UNFUNDED PENSION LIABILITY" means the excess of a Plan's benefit 
liabilities under Section 4001(a)(16) of ERISA, over the current value of 
that Plan's assets, determined in accordance with the assumptions used for 
funding the Pension Plan pursuant to Section 412 of the Code for the 
applicable plan year.

     1.02 COMPUTATION OF TIME PERIODS. For purposes of computation of periods 
of time hereunder the word "from" means "from and including" and the words 
"to" and "until" each mean "to and including."

     1.03 ACCOUNTING TERMS. Accounting terms used but not otherwise defined 
herein shall have the meanings provided, and be construed in accordance with, 
GAAP.

                                  ARTICLE II

                           BASIC GUARANTY PROVISIONS

     2.01 THE GUARANTEE. The Guarantor hereby guarantees to the Owner 
Trustee, (a) the payment by FHF when due (whether by acceleration or 
otherwise) of all amounts owing under the Agency Agreement, the Lease and/or 
under any of the other Operative Agreements to which FHF is a party, 
including specifically without limitation all payments under the Agency 
Agreement, of Basic Rent, of Supplemental Rent, and of other amounts now or 
hereafter owing by FHF in connection with the Agency Agreement, the Lease 
and/or the other Operative Agreements to which FHF is a party, as such 
obligations may be modified, extended or renewed from time to time, and (b) 
the performance by FHF of all obligations under the Agency Agreement, the 
Lease, the Participation Agreement and/or the other Operative Agreements to 
which FHF is a party (hereinafter such obligations under subsections (a) and 
(b) may be referred to herein as the "FHF OBLIGATIONS").

     2.02 OBLIGATIONS UNCONDITIONAL. The Guarantor agrees that the 
obligations of the Guarantor under Section 2.01 hereof are absolute and 
unconditional, irrespective of the value, genuineness, validity, regularity 
or enforceability of any of the Operative Agreements, or any other agreement 
or instrument referred to therein, or any substitution, release or exchange 
of any other guarantee of or security for any of the FHF Obligations, and, to 
the fullest extent permitted by applicable law, irrespective of any other 
circumstance whatsoever which might otherwise


                                     - 9 -
<PAGE>


constitute a legal or equitable discharge or defense of a surety, guarantor 
or co-obligor, it being the intent of the Section 2.02 that the obligations 
of the Guarantor hereunder shall be absolute and unconditional under any and 
all circumstances. Without limiting the generality of the foregoing, it is 
agreed that the occurrence of any one or more of the following shall not 
alter or impair the liability of the Guarantor hereunder which shall remain 
absolute and unconditional as described above:

          (a)    at any time or from time to time, without notice to the 
     Guarantor, the time for any performance of or compliance with any of the 
     FHF Obligations shall be extended, or such performance or compliance shall
     be waived;

          (b)    any of the acts mentioned in any of the provisions of any of 
     the Operative Agreements or any other agreement or instrument referred 
     therein shall be done or omitted;

          (c)    the maturity of any of the FHF Obligations shall be 
     accelerated, or any of the FHF Obligations shall be modified, supplemented
     or amended in any respect, or any right under any of the Operative 
     Agreements or any other agreement or instrument referred to therein shall 
     be waived or any other guarantee of any of the FHF Obligations or any 
     security therefor shall be released or exchanged in whole or in part or 
     otherwise dealt with;

          (d)    any Lien granted to, or in favor of, the Agent, the Lenders 
     or the Holders as security for any of the FHF Obligations (or as security 
     for the guarantee thereof by the Guarantor) shall fail to attach or be 
     perfected; or

          (e)    any of the FHF Obligations shall be determined to be void or 
     voidable or shall be subordinated to the claims of any Person.

     2.03 REINSTATEMENT. The obligations of the Guarantor under this Section 2 
shall be automatically reinstated if and to the extent that for any reason 
any payment by or on behalf of any Person in respect of the FHF Obligations 
is rescinded or must be otherwise restored by any holder of any of the FHF 
Obligations, whether as a result of any proceedings in bankruptcy or 
reorganization or otherwise.

     2.04 WAIVERS BY THE GUARANTOR. (a) With respect to its obligations 
hereunder, the Guarantor hereby expressly waives diligence, presentment, 
demand of payment, protest and all notices whatsoever, and any requirement 
that the Owner Trustee exhaust any right, power or remedy or proceed against 
any Person under any of the Operative Agreements or any other agreement or 
instrument referred to therein, or against any other Person under any other 
guarantee of, or security for, any of the FHF Obligations. Without limiting 
the generality of the foregoing or of any other provision of this Guaranty 
Agreement, and to the extent permitted by


                                     - 10 -

<PAGE>


law, the Guarantor also hereby waives and agrees not to assert or take 
advantage of (as a defense or otherwise):

          (i)    Any right to require the Owner Trustee to proceed against FHF 
     or any other Person or to proceed against or exhaust any security held by 
     the Owner Trustee at any time or to pursue any other remedy available to 
     the Owner Trustee under any other agreement before proceeding against the 
     Guarantor hereunder;

         (ii)    The defense of the statute of limitations in any action 
     hereunder;

        (iii)    Any defense that may arise by reason of the incapacity, lack 
     of authority, death or disability of any other Person or Persons or the 
     failure of the Owner Trustee to file or enforce a claim against the 
     estate (in administration, bankruptcy or any other proceeding) of any 
     other Person or Persons;

         (iv)    Any failure on the part of the Owner Trustee to ascertain the 
     extent or nature of the collateral subject to any of the Security 
     Documents or any insurance or other rights with respect thereto, or the 
     liability of any party liable with respect to the FHF Obligations;

          (v)    Any defense based upon an election of remedies by the Owner 
     Trustee;

         (vi)    Any right or claim to cause a marshaling of the assets of 
     the Guarantor;

        (vii)    Any principle or provision of law, statutory or otherwise, 
     which is or might be in conflict with the terms and provisions of this 
     Guaranty Agreement;

       (viii)    Any duty on the part of the Owner Trustee to disclose to the 
     Guarantor any facts that the Owner Trustee may now or hereafter know 
     about FHF or the Properties, regardless of whether the Owner Trustee has 
     reason to believe that any such facts materially increase the risk 
     beyond that which the Guarantor intends to assume or has reason to 
     believe that such facts are unknown to the Guarantor or has a reasonable 
     opportunity to communicate such facts to the Guarantor, it being 
     understood and agreed that the Guarantor is fully responsible for being 
     and keeping informed of the financial condition of FHF, of the condition 
     of the Properties, and of any and all circumstances bearing on the risk 
     that liability may be incurred by the Guarantor hereunder;

         (ix)    Any lack of notice of disposition or of manner of 
     disposition of any collateral subject to any of the Security Documents;


                                    - 11 -
<PAGE>


          (x)    Failure to properly record any document or any other lack of 
     due diligence by the Owner Trustee in creating or perfecting a security 
     interest in or collection, protection or realization upon any Property 
     or in obtaining reimbursement or performance from any Person or entity 
     now or hereafter liable for the FHF Obligations;

         (xi)    The inaccuracy of any representation or other provision 
     contained in any Operative Agreement (other than a representation by the 
     Owner Trustee);

        (xii)    Any sale or assignment of the FHF Obligations or the 
     Operative Agreements, in whole or in part;

       (xiii)    Any sale or assignment by FHF of any Property, or any 
     portion thereof or interest therein, whether or not consented to by the 
     Owner Trustee and any release by the Owner Trustee of any Property;

        (xiv)    Any invalidity, irregularity or unenforceability, in whole 
     or in part, of any one or more of the Operative Agreements;

         (xv)    Any lack of commercial reasonableness in dealing with any 
     Property;

        (xvi)    Any deficiencies in any Property or any deficiency in the 
     ability of the Owner Trustee to collect or to obtain performance from 
     any Persons or entities now or hereafter liable for the payment and 
     performance of any of the FHF Obligations;

       (xvii)    An assertion or claim that the automatic stay provided by 11 
     U.S.C. Section 362 (arising upon the voluntary or involuntary bankruptcy 
     proceeding of FHF) or any other stay provided under any other debtor 
     relief law (whether statutory, common law, case law or otherwise) of any 
     jurisdiction whatsoever, now or hereafter in effect, which may be or 
     become applicable, shall operate or be interpreted to stay, interdict, 
     condition, reduce or inhibit the ability of the Owner Trustee, to 
     enforce any of its rights, whether now or hereafter acquired, which the 
     Owner Trustee may have against the Guarantor or the Property;

      (xviii)    Any modification of the Operative Agreements or any 
     obligation of FHF relating to the FHF Obligations by operation of law or 
     by action of any court, whether pursuant to the Bankruptcy Reform Act of 
     1978, as amended, or any other debtor relief law (whether statutory, 
     common law, case law or otherwise) of any jurisdiction whatsoever, now or 
     hereafter in effect, or otherwise;

        (xix)    Any change in the composition of FHF;


                                     - 12 -

<PAGE>

         (xx)   The release of FHF or of any other Person or entity from 
    performance or observance of any of the agreements, covenants, terms or 
    conditions contained in any agreements, documents or instruments; and 

         (xxi)  Without limiting the generality of the foregoing, any rights 
    and benefits which might otherwise be available to any guarantor under 
    California Civil Code Sections 2809, 2810, 2815, 2819, 2822, 2839, 2845 
    through 2847, 2848, 2849, 2850, 2899 and 3433, and California Code of Civil
    Procedure Sections 580a, 580b, 580d and 726, and any successor sections to 
    such sections of the Civil Code and Code of Civil Procedures.


    The Guarantor expressly acknowledges and agrees to the foregoing waivers 
in subclause (xxi) and the Guarantor further understands (with respect to 
California law) that: (A) Section 580d of the California Code of Civil 
Procedure generally prohibits a deficiency judgment against a borrower after 
a non-judicial foreclosure; (B) Guarantor's subrogation rights may be 
destroyed by a non-judicial foreclosure under the Mortgage Instrument 
(because the Guarantor may not be able to pursue FHF for a deficiency 
judgment by reason of the application of Section 580d of the California Code 
of Civil Procedure); (C) under UNION BANK V. GRADSKY, 265 Cal. App. 2nd 40 
(1968), a lender may be estopped from pursuing a guarantor for a deficiency 
judgment after a non-judicial foreclosure (on the theory that a guarantor 
should be exonerated if a lender elects a remedy that eliminates the 
guarantor's subrogation rights) absent an explicit waiver, and (D) GRADSKY, 
SUPRA PROVIDES THAT THE GUARANTOR MAY WAIVE THAT DEFENSE, THUS ALLOWING A 
LENDER TO PURSUE THE GUARANTOR ON ITS GUARANTEE EVEN THOUGH THE GUARANTOR 
WILL NOT BE ABLE TO PURSUE FHF BECAUSE THE GUARANTOR'S SUBROGATION RIGHTS 
WILL HAVE BEEN DESTROYED. Without limitation on the generality of the other 
waivers contained in this Guaranty Agreement, the Guarantor hereby waives all 
rights and defenses arising out of an election of remedies by the creditor, 
even though that election of remedies, such as a nonjudicial foreclosure with 
respect to security for a guaranteed obligation, has destroyed the 
Guarantor's rights of subrogation and reimbursement against the principal by 
the operation of Section 580d of the Code of Civil Procedure of California or 
otherwise.

    (b)  Without limitation to the provisions of the preceding subparagraph 
(a) or any other term or provision of this Guaranty Agreement, the Guarantor 
specifically acknowledges and agrees and consents to (i) the conveyance by 
the Owner Trustee from time to time of all or any part of the Property in 
accordance with the terms of the Operative Agreements, as determined by Owner 
Trustee in its sole discretion, without notice to or consent of the 
Guarantor, and (ii) the non-recourse provisions of Sections 14.10 of the 
Participation Agreement.

    2.05 EVENTS OF DEFAULT: REMEDIES.

         (a)  EVENTS OF DEFAULT.  If any of the following events (each an 
    "EVENT OF DEFAULT" and collectively "EVENTS OF DEFAULT") shall occur and be
    continuing:


                                     - 13 -
<PAGE>


         (i)    REPRESENTATIONS, WARRANTIES AND COVENANTS.  The Guarantor 
shall (A) fail to perform or observe any term, covenant or agreement of any 
of the Incorporated Financial Covenants and such default shall continue for a 
period of 20 days after the earlier of (I) the date upon which a Responsible 
Officer knew or reasonably should have known of such failure or (II) the date 
upon which written notice thereof is given to the Guarantor by the Agent, any 
Lender or any Holder, or (B) fail to perform or observe any term, covenant or 
agreement referenced in Article IV (other than the Incorporated Financial 
Covenants referred to in subclause (A)) or the Guarantor shall fail to 
perform or observe any other term, covenant or agreement contained in this 
Guaranty Agreement or in any other Operative Agreement on its part to be 
performed or observed if such failure shall remain unremedied for 30 days 
after written notice thereof shall have been given to the Guarantor by the 
Agent, any Lender or any Holder; or

         (ii)   CROSS-DEFAULT.  The Guarantor or any of its Subsidiaries 
(A) fails to make any payment in respect of any Indebtedness or Contingent 
Obligation under a single agreement or transaction having a principal amount 
outstanding of more than $20,000,000 when due (whether by scheduled maturity, 
required prepayment, acceleration, demand or otherwise) and such failure 
continues after any applicable grace or notice period, if any; or (B) fails 
to make any payment in respect of any Indebtedness or Contingent Obligation 
having an aggregate principal amount outstanding of more than $50,000,000 
when due (whether by scheduled maturity, required prepayment, acceleration, 
demand, or otherwise) and such failure continues after any applicable grace 
or notice period, if any; or (C) fails to perform or observe any other 
condition or covenant, or any other event shall occur or condition exist, 
under any agreement or instrument relating to any Indebtedness or Contingent 
Obligation under a single agreement or transaction having a principal amount 
outstanding of more than $20,000,000, and such failure continues after the 
applicable grace or notice period (which grace period, if shorter than 30 days,
shall be deemed extended to 30 days for purposes of this clause if (I) such 
Indebtedness or Contingent Obligation was assumed in connection with an 
Acquisition and is in an aggregate principal amount of not in excess of 
$50,000,000 and (II) not more than 90 days have elapsed since the 
consummation of such Acquisition), if any, specified in the relevant document 
on the date of such failure if the effect of such failure, event or condition 
is to cause, or to permit the holder or holders of such Indebtedness or 
beneficiary or beneficiaries of such Indebtedness (or a trustee or agent on 
behalf of such holder or holders or beneficiary or beneficiaries) to cause 
such Indebtedness to be declared to be due and


                                     - 14 -
<PAGE>


payable prior to its stated maturity, or such Contingent Obligation to become 
payable or cash collateral in respect thereof to be demanded; or (D) fails to 
perform or observe any other condition or covenant, or any other event shall 
occur or condition exist, under one or more agreements or instruments 
relating to any Indebtedness or Contingent Obligation having an aggregate 
principal amount outstanding of more than $50,000,000, and such failure 
continues after the applicable grace or notice period (which grace period, if 
shorter than 30 days, shall be deemed extended to 30 days for purposes of 
this clause if (I) such Indebtedness or Contingent Obligation was assumed in 
connection with an Acquisition and is in an aggregate principal amount of not 
in excess of $50,000,000 and (II) not more than 90 days have elapsed since 
the consummation of such Acquisition), if any, specified in the relevant 
document on the date of such failure if the effect of such failure, event or 
condition is to cause, or to permit the holder or holders of such 
Indebtedness of beneficiary or beneficiaries of such Indebtedness (or a 
trustee or agent on behalf of such holder or holders or beneficiary or 
beneficiaries) to cause such Indebtedness to be declared to be due and 
payable prior to its stated maturity, or such Contingent Obligation to become 
payable or cash collateral in respect thereof to be demanded; or

          (iii)    INSOLVENCY: VOLUNTARY PROCEEDINGS. The Guarantor or any 
Significant Subsidiary (A) ceases or fails to be solvent, or generally fails 
to pay, or admits in writing its inability to pay, its debts as they become 
due, subject to applicable grace periods, if any, whether at stated maturity 
or otherwise; (B) except as otherwise expressly provided in the Original 
Credit Agreement, voluntarily ceases to conduct its business in the ordinary 
course; (C) commences any Insolvency Proceeding with respect to itself; or 
(D) takes any action to effectuate or authorize any of the foregoing; or

           (iv)    INVOLUNTARY PROCEEDINGS. (A) Any involuntary Insolvency 
Proceeding is commenced or filed against the Guarantor or any Significant 
Subsidiary, or any writ, judgment, warrant of attachment, execution or 
similar process, is issued or levied against a substantial part of the 
Guarantor's or any Significant Subsidiary's properties, and any such 
proceeding or petition shall not be dismissed, or such writ, judgment, 
warrant of attachment, execution or similar process shall not be released, 
vacated, or fully bonded within 60 days after commencement, filing or levy; 
(B) the Guarantor or any Significant Subsidiary admits the material 
allegations of a petition against it in any Insolvency Proceeding, or an 
order for relief (or similar order under non-U.S. law) is ordered in any 
Insolvency Proceeding; or (C) the Guarantor or any Significant Subsidiary 
acquiesces


                                     - 15 -
<PAGE>

in the appointment of a receiver, trustee, custodian, conservator, 
liquidator, mortgagee in possession (or agent therefor), or other similar 
Person for itself or a substantial portion of its property or business; or

            (v)    ERISA. (A) An ERISA Event shall occur with respect to a 
Pension Plan or Multiemployer Plan which has resulted or could reasonably be 
expected to result in liability of the Guarantor under Title IV of ERISA, to 
the Pension Plan, Multiemployer Plan or the PBGC in an aggregate amount in 
excess of $20,000,000; (B) the aggregate amount of Unfunded Pension Liability 
among all Pension Plans at any time exceeds $20,000,000; or (C) the Guarantor 
or any ERISA Affiliate shall fail to pay when due, after the expiration of 
any applicable grace period, any installment payment with respect to its 
withdrawal liability under Section 4201 of ERISA under a Multiemployer Plan 
in an aggregate amount in excess of $20,000,000; or

           (vi)    MONETARY JUDGMENTS. One or more final judgments, final 
orders, decrees or arbitration awards is entered against the Guarantor or any 
Subsidiary involving  in the aggregate a liability (to the extent not 
covered by independent third-party insurance as to which the insurer does 
not dispute coverage) as to any single or related series of transactions, 
incidents or conditions, of $20,000,000 or more (or, in the case of the 
litigation described on SCHEDULE 8.01(i) hereto, $25,000,000 or more) and 
the same shall remain unsatisfied, unvacated and unstayed pending appeal for 
a period of 60 days after the entry thereof or the Guarantor shall not settle 
such judgment or award for less than $20,000,000 within 60 days after the 
entry thereof; or

          (vii)    NON-MONETARY JUDGMENTS. Any non-monetary judgment, order 
or decree is entered against the Guarantor or any Subsidiary which does or 
would reasonably be expected to have a Material Adverse Effect, and there 
shall be any period of 60 consecutive days during which a stay of enforcement 
of such judgment or order, by reason of a pending appeal or otherwise, shall 
not be in effect; or

         (viii)    CHANGE OF CONTROL. There occurs any Change of Control; or

           (ix)    LOSS OF LICENSES. Any HMO Regulator or any other 
Governmental Authority revokes or fails to renew any material license, permit 
or franchise of the Guarantor or any Subsidiary, or the Guarantor or any 
Subsidiary for any reason loses any material license, permit or franchise, or 
the Guarantor or any Subsidiary suffers the imposition of any


                                     - 16 -
<PAGE>

          restraining order, escrow, suspension or impound of funds in 
          connection with any proceeding (judicial or administrative) with 
          respect to any material license, permit or franchise; or

                (x)   HMO EVENT. An HMO Event shall have occurred and remain 
          unremedied for the lesser of 90 days after the occurrence of such 
          event or five days after the duration of any cure period imposed 
          for the cure of such HMO Event by the HMO Regulator administering 
          the pertinent HMO Regulations; or

               (xi)   PROSPECTIVE PREMIUM DEFAULT. A Prospective Premium 
          Default shall have occurred; or

              (xii)   MATERIAL ADVERSE EFFECT. An event occurs which 
          constitutes a Material Adverse Effect; or

             (xiii)   EXISTING CREDIT AGREEMENT EVENT OF DEFAULT. Any 
          Existing Credit Agreement Event of Default; or

              (xiv)   LEASE EVENT OF DEFAULT. Any Lease Event of Default.

          (b)  REMEDIES. Upon the occurrence of an Event of Default, then, and 
     in any such event, the Owner Trustee may by notice to the Guarantor 
     declare its obligations under the Operative Agreements to be 
     terminated, whereupon the same shall forthwith terminate, and the Owner 
     Trustee shall have the right to exercise its remedies in accordance with 
     Article XVII of the Lease and the Owner Trustee may, without the 
     necessity of further action, call upon the Guarantor for prompt payment 
     and/or performance.

          The Guarantor agrees that, as between the Guarantor, on the one 
     hand, and the Owner Trustee, on the other hand, the FHF Obligations may 
     be declared to be forthwith due and payable as provided in the Lease 
     (and shall be deemed to have become automatically due and payable in the 
     circumstances provided in the Lease) for purposes of Section 2.01 
     hereof, notwithstanding any stay, injunction or other prohibition 
     preventing such declaration (or such FHF Obligations from becoming 
     automatically due and payable) as against any other Person and that, in 
     the event of such declaration (or such FHF Obligations being deemed to 
     have become automatically due and payable), such FHF Obligations 
     (whether or not due and payable by any other Person) shall forthwith 
     become due and payable by the Guarantor for purposes of said
     Section 2.01.

     2.06  NO SUBROGATION; NO RECOURSE AGAINST OWNER TRUSTEE. Notwithstanding 
the satisfaction by the Guarantor of any liability of the Guarantor 
hereunder, the Guarantor shall not


                                     - 17 -
<PAGE>


have any right of subrogation, contribution, reimbursement or indemnity 
whatsoever or any right of recourse to or with respect to the assets or 
property of FHF or to any Property. In connection with the foregoing, the 
Guarantor expressly waives any and all rights of subrogation to the Owner 
Trustee against FHF, and the Guarantor hereby waives any rights to enforce 
any remedy which the Owner Trustee may have against FHF and any right to 
participate in any Property. Further, the Guarantor shall have no right of 
recourse against the Owner Trustee by reason of any action that the Owner 
Trustee may take or omit to take under, and in accordance with, the 
provisions of this Guaranty Agreement or under the provisions of any of the 
Operative Agreements.

     2.07  CONTINUING GUARANTEE. The guarantee in this Section 2 is a 
continuing guarantee, and shall apply to all FHF Obligations whenever arising.


                                  ARTICLE III

                             [INTENTIONALLY OMITTED]

                                   ARTICLE IV

                     REPRESENTATIONS, WARRANTIES AND COVENANTS

     Reference is made to the representations and warranties contained in 
Article V of the Existing Credit Agreement (hereinafter referred to as the 
"INCORPORATED REPRESENTATIONS AND WARRANTIES") and the covenants contained in 
Article VI and Article VII of the Existing Credit Agreement (hereinafter 
referred to as the "INCORPORATED COVENANTS"). The Guarantor agrees with the 
Owner Trustee that the Incorporated Representations and Warranties and the 
Incorporated Covenants (and all other relevant provisions of the Existing 
Credit Agreement related thereto) are hereby incorporated by reference into 
this Guaranty Agreement to the same extent and with the same effect as if set 
forth fully herein, including without limitation any and all waivers, 
amendments, modifications or replacements of the Existing Credit Agreement or 
any term or provision of the Incorporated Representations and Warranties and 
the Incorporated Covenants occurring subsequent to the date of this Guaranty 
Agreement and the Guarantor further agrees that the Incorporated 
Representations and Warranties shall be deemed to be restated and made as of 
the date hereof and as of the date of each Requisition. In the event a waiver 
is grated under the Existing Credit Agreement or an amendment or modification 
is executed with respect to the Existing Credit Agreement, and such waiver, 
amendment and/or modification affects the Incorporated Representations and 
Warranties or the Incorporated Covenants, then such waiver, amendment or 
modification shall automatically be effective with respect to the 
Incorporated Representations and Warranties and the Incorporated Covenants as 
incorporated by reference into this Guaranty Agreement without further 
action. If any Lender is not a lender under the Existing Credit Agreement, 
Guarantor shall deliver to such Lender a copy of the waiver, amendment or 
modification affecting the Incorporated Representations or Warranties or the 
Incorporated


                                     - 18 -
<PAGE>


Covenants. In the event of any replacement of the Existing Credit Agreement 
with a similar credit facility (the "NEW FACILITY") then, if each of 
the Lenders are lenders under the New Facility, the representations, 
warranties and covenants contained in the New Facility which correspond to 
the representations, warranties and covenants contained in Article V, Article 
VI and Article VII of the Existing Credit Agreement shall automatically become 
Incorporated Representations and Warranties and the Incorporated Covenants 
hereunder without further action. If one or more of the Lenders is not 
a lender under the New Facility, (i) the Guarantor shall deliver, or cause to 
be delivered, a copy of the executed New Facility to each of the Lenders on 
or prior to the effective date thereof and the Majority Lenders shall elect 
whether (i) the representations, warranties and covenants contained in the New 
Facility which correspond to the representations, warranties and covenants 
contained in Article IV and Article V of the Existing Credit Agreement shall 
become the Incorporated Representations and Warranties and the Incorporated 
Covenants hereunder or (ii) the representations, warranties and covenants 
contained in Article V, Article VI and Article VII of the Existing Credit 
Agreement immediately prior to such termination (as such may have been 
amended, modified, supplemented, restated and/or replaced from time to time 
prior to the termination of the Existing Credit Agreement) shall continue to 
be the Incorporated Representations and Warranties and the Incorporated 
Covenants hereunder. If the Existing Credit Agreement is terminated and not 
replaced, then the representations, warranties and covenants contained in 
Article V, Article VI and Article VII of the Existing Credit Agreement 
immediately prior to such termination (as such may have been amended, 
modified, supplemented, restated and/or replaced from time to time prior to 
such termination) shall continue to be the Incorporated Representations and 
Warranties and the Incorporated Covenants hereunder.


                                  ARTICLE V

                                MISCELLANEOUS

     5.01 NOTICES. All notices, demands, requests, consents, approvals and 
other communications hereunder shall be in writing and delivered personally 
or by a nationally recognized overnight courier service or mailed (by 
ministered or certified mail, return receipt requested, postage prepaid), 
addressed to the respective parties, as follows:

if to the Guarantor:

                       Foundation Health Systems, Inc.
                       3400 Data Drive
                       Rancho Cordova, California 95670
                       Attn: Chief Financial Officer
                       Telephone: (916) 631-5000
                       Telecopy: (916) 631-5335


                                     - 19 -
<PAGE>


if to the Owner Trustee:

                       First Security Bank, National Association
                       79 South Main Street
                       Salt Lake City, Utah 84111
                       Attn: Val T. Orton
                       Telephone: (801) 246-5300
                       Telecopy: (801) 246-5053

or such additional parties and/or other address as such party may hereafter 
designate, and shall be effective upon receipt or refusal thereof.

     5.02 BENEFIT OF AGREEMENT. This Guaranty Agreement shall be binding upon 
and inure to the benefit of and be enforceable by the respective successors of 
the parties hereto and the assignees of the Owner Trustee (which assignees 
include the Agent and the Lenders pursuant to the terms of the Security 
Agreement). The Guarantor shall not assign and transfer any of its rights or 
obligations hereunder without the prior written consent of the Owner Trustee.

     5.03 NO WAIVER, REMEDIES CUMULATIVE. No failure or delay on the part of 
the Owner Trustee in exercising any right, power or privilege hereunder or 
under any other Guarantor Document and no course of dealing between the 
Guarantor and the Owner Trustee shall operate as a waiver thereof, nor shall 
any single or partial exercise of any right, power or privilege hereunder or 
under any other Guarantor Document preclude any other or further exercise 
thereof or the exercise of any other right, power or privilege hereunder or 
thereunder. The rights and remedies provided herein are cumulative and not 
exclusive of any rights or remedies which the Owner Trustee would otherwise 
have. No notice to or demand on the Guarantor in any case shall entitle the 
Guarantor to any other or further notice or demand in similar or other 
circumstances or constitute a waiver of the rights of the Owner Trustee to 
any other or further action in any circumstances without notice or demand.

     5.04 PAYMENT OF EXPENSES, ETC. The Guarantor agrees to:

          (a)  pay all reasonable out-of-pocket costs and expenses of the 
     Owner Trustee, the Agent, the Lenders and the Holders in connection with 
     any amendment, waiver or consent relating to this Guaranty Agreement or 
     any of the Guarantor Documents which was requested by either the 
     Guarantor or the Lessee, and, in addition, pay all such costs and 
     expenses related to any such amendments, waivers or consents resulting 
     from or related to any work-out, renegotiation or restructure relating 
     to the performance by the Guarantor under this Guaranty Agreement and all 
     such costs and expenses of the Owner Trustee, the Agent, the Lenders and 
     the Holders in connection with enforcement of the Guarantor Documents 
     (including, without limitation, the reasonable fees and


                                     - 20 -
<PAGE>

    disbursements of counsel for the Owner Trustee, the Agent, the Lenders 
    and the Holders); and

         (b)  pay and hold harmless the Owner Trustee, the Agent, the Lenders 
    and the Holders from and against any and all present and future stamp and 
    other similar taxes with respect to the foregoing matters and hold 
    harmless the Owner Trustee, the Agent, the Lenders and the Holders from 
    and against any and all liabilities with respect to or resulting from any 
    delay or omission to pay such taxes.

    5.05 AMENDMENTS, WAIVERS AND CONSENTS. Neither Guarantor Document nor any 
of the terms thereof may be amended, changed, waived, discharged or 
terminated unless such amendment, change, waiver, discharge or termination is 
approved or consented to in writing by the Owner Trustee. Any such amendment, 
change, waiver, discharge or termination shall be effective only in the 
specific instance and for the specific purpose for which given.

    5.06 COUNTERPARTS. This Guaranty Agreement may be executed in any number 
of counterparts, each of which when so executed and delivered shall be an 
original, but all of which shall constitute one and the same instrument. It 
shall not be necessary in making proof of this Guaranty Agreement to produce 
or account for more than one such counterpart.

    5.07 HEADINGS. The headings of the sections and subsections hereof are 
provided for convenience only and shall not in any way affect the meaning or 
construction of any provision of this Guaranty Agreement.

    5.08 GOVERNING LAW. THIS GUARANTY AGREEMENT SHALL BE GOVERNED BY AND 
CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF CALIFORNIA.

    5.09 SEVERABILITY. If any provision of any of the Guarantor Documents is 
determined to be illegal, invalid or unenforceable, such provision shall be 
fully severable and the remaining provisions shall remain in full force and 
effect and shall be construed without giving effect to the illegal, invalid 
or unenforceable provisions.

    5.10 ENTIRETY. This Guaranty Agreement together with the other Guarantor 
Documents represent the entire agreement of the parties hereto and thereto, 
and supersedes all prior agreements and understandings, oral or written, if 
any, including any commitment letters or correspondence relating to the 
Guarantor Documents or the transactions contemplated herein and therein.


                                   - 21 -
<PAGE>

    IN WITNESS WHEREOF, the Guarantor has caused a counterpart of this 
Guaranty Agreement to be duly executed under seal and delivered as of the 
date first above written.

                                       FOUNDATION HEALTH SYSTEMS, INC.

                                       By: /s/ B. Curtis Westen
                                          ----------------------------------
                                       Name: B. Curtis Westen
                                            --------------------------------
                                       Title: Senior Vice President, General
                                             -------------------------------
                                              Counsel and Secretary

Acknowledged and Accepted:

FIRST SECURITY BANK, NATIONAL ASSOCIATION,
not individually but solely as Owner Trustee
under the FH Trust 1995-1

By: /s/ Val T. Orton
   ----------------------------------
Name: Val T. Orton
     --------------------------------
Title: Vice President
      -------------------------------




<PAGE>
                        FOUNDATION HEALTH SYSTEMS, INC.
 
                         EARNINGS PER SHARE COMPUTATION
                      UTILIZING THE TREASURY STOCK METHOD
                                  EXHIBIT 11.1
 
                (IN THOUSANDS, EXCEPT SHARE AND PER SHARE DATA)
 
                                  (UNAUDITED)
 
<TABLE>
<CAPTION>
                                                                                     NINE MONTHS ENDED SEPTEMBER
                                                       QUARTER ENDED SEPTEMBER 30,               30,
                                                       ----------------------------  ----------------------------
                                                           1997           1996           1997           1996
                                                       -------------  -------------  -------------  -------------
<S>                                                    <C>            <C>            <C>            <C>
PRIMARY
Shares outstanding at beginning of period............    121,186,734    124,793,756    125,207,484    123,059,358
Weighted average shares issued (repurchased) during
 period..............................................         94,198        163,680     (1,260,774)     1,179,155
Dilutive shares contingently issuable upon exercise
 of stock options, net of shares assumed to have been
 purchased (at average market price) for treasury
 with assumed proceeds from exercise.................        626,497        262,075        501,620        603,571
                                                       -------------  -------------  -------------  -------------
Weighted average shares outstanding(A)...............    121,907,429    125,219,511    124,448,330    124,842,084
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Income (loss) from continuing operations(B)..........  $      68,901  $      57,518  $     (72,746) $     183,373
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Income from discontinued operations (C)..............       --             --             --                2,910
                                                       -------------  -------------  -------------  -------------
Net income (loss)(D).................................  $      68,901  $      57,518  $     (72,746) $     186,283
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Earnings (loss) per share:
  Continuing operations(B/A).........................  $        0.57  $        0.46  $       (0.58) $        1.47
  Discontinued operations(C/A).......................       --             --             --                 0.02
                                                       -------------  -------------  -------------  -------------
Net earnings(D/A)....................................  $        0.57  $        0.46  $       (0.58) $        1.49
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
 
FULLY DILUTED
Shares outstanding at beginning of period............    121,186,734    124,793,756    125,207,484    123,059,358
Weighted average shares issued (repurchased) during
  period.............................................         94,198        163,680     (1,260,774)     1,179,155
Dilutive shares contingently issuable upon exercise
  of stock options, net of shares assumed to have
  been purchased (at average market price) for
  treasury with assumed proceeds from exercise.......        656,182        422,198        698,954        601,327
                                                       -------------  -------------  -------------  -------------
Weighted average shares outstanding(A)...............    121,937,114    125,379,634    124,645,664    124,839,840
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Income (loss) from continuing operations(B)..........  $      68,901  $      57,518  $     (72,746) $     183,373
Income from discontinued operations(C)...............       --             --             --                2,910
                                                       -------------  -------------  -------------  -------------
Net income (loss)(D).................................  $      68,901  $      57,518  $     (72,746) $     186,283
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
Earnings (loss) per share:
  Continuing operations(B/A).........................  $        0.57  $        0.46  $       (0.58) $        1.47
  Discontinued operations(C/A).......................       --             --             --                 0.02
                                                       -------------  -------------  -------------  -------------
Net earnings(D/A)....................................  $        0.57  $        0.46  $       (0.58) $        1.49
                                                       -------------  -------------  -------------  -------------
                                                       -------------  -------------  -------------  -------------
</TABLE>

<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
<LEGEND>
THIS SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM CONDENSED
CONSOLIDATED BALANCE SHEETS AND CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
AND IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1997
<PERIOD-START>                             JAN-01-1997
<PERIOD-END>                               SEP-30-1997
<CASH>                                         380,772
<SECURITIES>                                 1,076,882
<RECEIVABLES>                                  509,999<F1>
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                                     0
<PP&E>                                         383,626<F2>
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                               3,964,300
<CURRENT-LIABILITIES>                                0
<BONDS>                                      1,286,232<F3>
                                0
                                          0
<COMMON>                                       538,094<F4>
<OTHER-SE>                                     481,235
<TOTAL-LIABILITY-AND-EQUITY>                 3,964,300
<SALES>                                              0
<TOTAL-REVENUES>                             5,720,367
<CGS>                                                0
<TOTAL-COSTS>                                4,690,696
<OTHER-EXPENSES>                               482,469
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                              47,770
<INCOME-PRETAX>                              (108,209)
<INCOME-TAX>                                  (35,463)
<INCOME-CONTINUING>                           (72,746)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                  (72,746)
<EPS-PRIMARY>                                    (.58)
<EPS-DILUTED>                                    (.58)
<FN>
<F1>Net Of Allowances For Doubtful Accounts
<F2>Net Of Accumulated Depreciation
<F3>Includes Borrowings Under FHS Revolving Credit Facility, 
    Miscellaneous Notes Payable And Capital Leases
<F4>Net Of Treasury Stock
</FN>
        

</TABLE>


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