INTEGRATED MEDICAL RESOURCES INC
8-K, 1998-03-20
MISC HEALTH & ALLIED SERVICES, NEC
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549



                                    FORM 8-K

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


         Date of Report (Date of earliest event reported) March 5, 1998
                           ---------------------------

                       INTEGRATED MEDICAL RESOURCES, INC.

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

         (Exact name of registrant as specified in its charter)

Kansas                                0-21427                    48-1096410

(State or other jurisdiction    (Commission File Number)         (IRS Employer
     of incorporation)                                       Identification No.)

                 11320 West 79th Street, Lenexa, Kansas  66214

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

               (Address of principal executive offices) (Zip Code)

Registrant's telephone number, including area code:   (913) 962-7201

                                       N/A

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

          (Former name or former address,  if changed since last report.)


                                        1

<PAGE>



ITEM 5:  Other Events

         On March 5, 1998,  Integrated Medical  Resources,  Inc. (the "Company")
entered into a financing arrangement with Kardatzke Management, Inc. ("KMI"), as
evidenced in part by a Note Purchase  Agreement ("Note Purchase  Agreement") and
Convertible Note ("Note"). Pursuant to the terms of the Note Purchase Agreement,
KMI has loaned the Company  $1,600,000 at an interest rate of 8.5%. All payments
of principal and interest under the Note are deferred  until  September 1, 1998.
The Note may be  converted at the option of KMI into common stock of the Company
at the  lower of $2.15  per share or the  average  market  price for the 15 days
prior to conversion, at any time prior to maturity. If not converted or extended
prior to September  1, 1998,  the Note shifts to an 18 month,  fully  amortizing
term loan and is no longer convertible.

         In addition,  KMI has agreed to provide management  consulting services
to the  Company to assist the  Company in the areas of  receivables  collection,
third party reimbursement  relationships and strategic planning.  The management
consulting  services  end at the  Company's  option if the Note is  converted or
shifts to a term loan.  KMI will receive an option to purchase 300,000 shares of
common stock exercisable at $2.70 per share if certain performance  criteria are
met prior to April 15, 1999.

         As a part of the  financing  transaction,  KMI also has four options to
purchase  shares of common stock at increasing  share prices and with  staggered
exercise dates, which, when combined with the conversion of the Note,  aggregate
2,300,000  shares.  The  exercise of each option is dependant on the exercise of
the earlier  options and the  exercise of the first  option is  dependent on the
conversion of the Note.

         Also,  upon  the  conversion  of the  Note  and  the  investment  of an
additional  $1,000,000  through the  exercise of the initial  option to purchase
common  stock,  Dr. E.  Stanley  Kardatzke,  a principle  of KMI,  will join the
Company in the capacity of Chief Executive  Officer and Chairman of the Board of
Directors. In the event that Dr. Kardatzke assumes these positions, he will have
a three  year  employment  contract  with the  Company  and  receive  options to
purchase an aggregate of 600,000  shares of common stock at a purchase  price of
$2.15 per share and vesting over four years.

         The  Company  has a  $1,400,000  loan  outstanding  from its two  major
outside  investors  that is due May 1,  1998.  These  investors  have  agreed to
convert this loan at the same per share price as the  conversion of the KMI loan
in the event that KMI converts its loan and exercises its first option to invest
an additional $1,000,000 in shares of common stock.



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<PAGE>



ITEM 7:  Exhibits

Exhibit                  Description
- --------                 -----------

   4(f)                  Note  Purchase  Agreement  by and between KMI and the
                         Company, dated as of March 5, 1998.

   4(g)                  Convertible Note by the Company in favor of KMI, dated
                         March 5, 1998.





                                        3

<PAGE>



                                   SIGNATURES

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

                                              INTEGRATED MEDICAL RESOURCES, INC.
                                                    (Registrant)


March 20, 1998                                /s/ Beverly O. Elving
                                              ----------------------
                                              Beverly O. Elving
                                              Chief Financial Officer and Vice
                                              President, Finance and 
                                              Administration
                                              (Authorized Officer and Principal 
                                              Financial and Accounting Officer)


                                        4

<PAGE>



                                  EXHIBIT INDEX


Exhibit
Number                   Description
- -------                  -----------

   4(f)                  Note  Purchase  Agreement  by and between KMI and the
                         Company, dated as of March 5, 1998.

   4(g)                  Convertible Note by the Company in favor of KMI, dated
                         March 5, 1998.

                                        5

<PAGE>


                                                                   EXHIBIT 4(f)


                           KARDATZKE MANAGEMENT, INC.

                       INTEGRATED MEDICAL RESOURCES, INC.

                             Note Purchase Agreement


     This Note Purchase  Agreement (this "Agreement") dated as of March 5, 1998,
is  entered  into  between  Kardatzke  Management,  Inc.  or its  designee  (the
"Purchaser") and Integrated Medical Resources, Inc. (the "Company").

                              W I T N E S S E T H:

     For and in  consideration  of the mutual  promises and covenants  contained
herein, the parties hereto agree as follows:

     1.       Purchase and Sale of Note.

     Subject  to and in  accordance  with  the  terms  and  conditions  of  this
Agreement,  at the Closing  (as defined in Section 2), the Company  will sell to
the Purchaser,  and Purchaser will purchase, a subordinated  convertible note of
the Company (the "Note") for the purchase price of $1,600,000.  The principal of
the Note and interest thereon shall be convertible into shares (the "Shares") of
the Company's common stock,  $.001 par value per share (the "Common Stock"),  in
accordance with the terms and provisions of the Note.

     2.       Closing.

                    (a)  The closing of the sale and  purchase of the Note under
this  Agreement (the  "Closing")  shall take place on the date of this Agreement
(the "Closing  Date")  and  shall   be   consummated  by   facsimile  or mail in
accordance with arrangements  reasonably  acceptable  to counsel for the Company
and counsel for the Purchaser. 

                    (b)   At  the  Closing: 

                            (i)  The  Purchaser  will  furnish  payment  to  the
Company of the purchase  price for the Note by wire transfer or any other method
acceptable to the  Purchaser  and the Company,  and the Company will execute and
deliver to the Purchaser the Note in substantially the form of Exhibit A hereto.

                            (ii) The  Company  will pay the  Purchaser,  by wire
transfer,  up to an  aggregate  of  $35,000  of  its  documented,  out-of-pocket
expenses and legal fees and related  expenses  incurred in  connection  with its
investment determination review of the Company.


 

<PAGE>


                            (iii) The Company and the Purchaser will execute and
deliver to each other  counterparts of a consulting  agreement in  substantially
the form of Exhibit B hereto (the "Consulting Agreement").

                            (iv) The Company's  counsel will execute and deliver
to the Purchaser a legal opinion substantially in the form of Exhibit C hereto.

                            (v)  The  Company's  chief  executive   officer  and
secretary will execute and deliver to the Purchaser  certificates  substantially
in the forms of the Exhibits D and E hereto, respectively.

                            (vi) The  Company  will  deliver to the  Purchaser a
certificate of the Kansas Secretary of State with respect to the Company,  as of
a recent date,  stating that the Company is validly existing as a corporation in
good standing in such state.

                            (vii) The Company will deliver Exhibit F hereto.

         3.  Representations  of the Company.  The Company hereby represents and
warrants to the Purchaser that:

                    (a)  The  Company is duly incorporated, validly existing and
in good standing under the laws of the State of Kansas.

                    (b)   The Company has full corporate power  and authority to
enter  into  and perform its obligations under this Agreement, the Note and  the
Consulting Agreement.

                    (c)   The execution, delivery and performance by the Company
of this  Agreement,  the  Note  and  the  Consulting   Agreement  have been duly
authorized  by  all  necessary  corporate  action  on  the  part of the Company;
provided, however, it is understood  by the  parties that the  conversion of any
Notes or Securities of the  Company  for  20% or more of the outstanding  shares
will  require  the  approval  of  the Company's shareholders, which approval the
Company agrees to use its best efforts to obtain; and this  Agreement,  the Note
and  the  Consulting  Agreement  have  been  duly  executed and delivered by the
Company.

                     (d)   All  corporate  action  on  the  part  of the Company
necessary for, and all consents, approvals, authorizations  of or  filings  with
any  person or government authority required for, the authorization,  execution,
delivery and performance  by the  Company of this  Agreement,  the Note  and the
Consulting  Agreement  and the  consummation  of the  transactions  contemplated
herein and therein, and  for  the  authorization,  offer,   issuance,  sale  and
delivery of the Note and  the  Shares   issuable  upon  conversion  of the Note,
has been taken or procured,  as  the  case  may  be;  provided, however,  it  is
understood by the parties that the conversion of any notes (including this Note)
or  securities of the Company  for  20% or more of the  outstanding  shares will
require the approval of the Company's shareholders,  which  approval the Company
agrees to use its best efforts to obtain. This  Agreement,  the   Note  and  the
Consulting Agreement are the  valid  and  binding  obligations  of  the Company,
enforceable against the Company  in  accordance  with  their  respective  terms,
except as such  enforceability  may be limited by or 





                                        2

<PAGE>



subject to any  bankruptcy,  insolvency,  reorganization,  moratorium or similar
laws affecting the enforcement of creditors'  rights  generally,  and subject to
general  principles of equity.  The Shares  issuable upon conversion of the Note
have  been  duly and  validly  reserved  for  issuance  and,  upon  issuance  in
accordance with the terms of the Note,  will be validly  issued,  fully paid and
nonassessable.

                     (e)   The  authorized capital stock of the Company consists
of 10,000,000  shares  of  Common   Stock  and  3,000,000  shares  of  Preferred
Stock,  of  which  Preferred  Stock  there  are  authorized   1,081,080   shares
designated as Series A Preferred Stock, $.001 par value per share (the "Series A
Preferred Stock"), and  222,222  shares  designated as Series B Preferred Stock,
$.001 par value per share  (the "Series B Preferred"  Stock).  Immediately prior
to the Closing,  6,731,058  shares  of  Common  Stock,  and 0 shares of Series A
Preferred  Stock, and 0 shares  of  Series  B Preferred Stock will be issued and
outstanding.

                      Except  as  specified above, or in Exhibit G hereto, there
are no outstanding preemptive,  conversion or other rights, options, warrants or
agreements granted  or  issued by or binding  upon the Company for the  issuance
of any shares of its capital stock.

                     (f)   Except  as  waived prior to the Closing, the Note and
the Consulting Agreement,  and compliance herewith and therewith, and the offer,
issuance, sale  and  delivery of the Note and the Shares will not, result in any
violation of and will not conflict  with, or  result  in a breach  of any of the
terms of, or constitute a default under,  any provisions of federal or state law
to  which  the  Company  is subject, the Company's Articles of Incorporation, as
amended  (subject  to  shareholder  approval of an amendment to the  Articles of
Incorporation  to increase  the  amount  of authorized  shares),  the  Company's
By-Laws  or any mortgage, indenture,  agreement,  instrument,  judgment, decree,
order, rule or regulation or other  restriction  to which the Company is a party
or by which it is bound or result in the creation of any mortgage, pledge, lien,
encumbrance  or  charge  upon  any  of  the  properties or assets of the Company
pursuant to any such term.

                     (g)   The  Company  has  no  outstanding  indebtedness  for
borrowed  money  except as set forth in Exhibit H hereto.  The Company is not in
default with respect to any indebtedness for borrowed money.

                     (h)   The  Company  has  filed  all tax returns and reports
required to be  filed  with the United States Internal Revenue Service, with the
State of Kansas, and with all other jurisdictions where such filing is  required
by law.  The Company has paid or, as and to the  extent  required  by  generally
accepted  accounting   principles,  made adequate provisions for the payment of,
all taxes, interest,  penalties,  assessments or deficiencies shown to be due or
claimed to be due on or in respect of such tax returns and reports.

                     (i)   Other than as set forth in Exhibit I hereto, there is
neither pending nor, to the Company's knowledge,  threatened,  any action, suit,
proceeding or claim,  or outstanding orders, judgments,  injunctions,  awards or
decrees  of  any  court,  regulatory body or arbitration  tribunal, to which the
Company is or may be  named  as a party  or its  property  is or may be  subject
and in which an unfavorable outcome, ruling or finding in any such matter or 




                                        3

<PAGE>



for all such matters  taken as a whole might have a material  adverse  effect on
the financial condition or operations of the Company.

                     (j)   The Company has a  good  and valid ownership interest
in all of its property  and  assets, free from  all mortgages,  pledges,  liens,
security  interests,  conditional  sale   agreements,  encumbrances  or charges,
except as  listed  on Exhibit J hereto.  The Company does not have any ownership
interest in real  property. Except as listed on Exhibit I, the Company is not in
violation of any  law,  regulation  or ordinance  (including  laws,  regulations
or ordinances  relating to building, zoning, environmental,  city planning, land
use or similar matters)  relating  to its  property  or assets  which  violation
would have a material adverse effect on the financial condition or operations of
the Company.

                     (k)   The Company has all franchises, permits, licenses and
other  similar  authority,  and  is  duly  qualified  or  licensed  as a foreign
corporation  in  each  jurisdiction  in  which is required to be so qualified or
licensed,  necessary for  the  conduct  of its  business as  conducted  by it or
proposed  to  be   conducted  by  it, the  lack of which  could  materially  and
adversely  affect  the  financial  condition  or  operations  of the Company and
is not in default in any  material  respect   under   any  of  such  franchises,
permits,  licenses  or  other  similar authority.  Each of the material patents,
patent rights,  trademarks,  trademark rights, trade names,  trade name  rights,
copyrights,  proprietary  rights and processes owned or used by the Company (the
"Technology")  is valid and in good  standing  and (taken as a whole) reasonably
adequate  and sufficient to permit the  Company  to  conduct  its   business  as
conducted by it or proposed to be conducted  by  it   without,  to the Company's
knowledge,   conflict  with or infringement upon  any  valid  rights  of  others
The Company is not aware of and has not received any notice of infringement upon
or conflict with the asserted rights of others.

                     (l)   The  Company is not in  violation  of any term of its
Certificate  of  Incorporation,  as  amended,  or its By-Laws.  Except as listed
on Exhibit I, the Company is not in violation of any term of any law,  judgment,
decree, order, rule or regulation, mortgage,  indenture,  agreement,  instrument
or  other  restriction  to which the Company is subject and a violation of which
would have a material adverse effect on the financial  condition  or  operations
of the Company.
                     (m)    The Company  does  not maintain any employee pension
benefit plan as defined in Section 3(2)(A) of Title I of the Employee Retirement
Income Security Act of 1974, as amended.

                     (n)    The Company is  not  in  violation of any applicable
federal,  state  or  local  statute,  law  or  regulation,  including  any  such
statutes,  laws  or  regulations relating to the environment,  which violations,
either singly or in  the aggregate,  would have a material adverse effect on the
Company's  financial condition or results of operations, and reasonably believes
that no material expenditures are  or  will  be required in order to comply with
any such  statute, law or regulation.

                     (o)    The  Company  is  insured  by reputable insurers its
assets that are of an  insurable character against risks of liability (including
product  liability),  casualty  and fire in




                                        4

<PAGE>



adequate  and  customary  amounts for  similarly  situated  companies in similar
businesses.  The Company carries no self-insurance  risk for any employee health
or worker's  compensation risk. Exhibit K hereto sets forth a true, complete and
correct list of the Company's  insurance  policies,  including policy limits and
deductibles.  The  Company's  insurance  coverage is customary  for well insured
corporations of similar size engaged in similar lines of business.

                     (p)    To  the  Company's  knowledge,  none  of its current
executive officers has been convicted of any crime constituting a felony.

                     (q)    The   Company  is not an "investment company" within
the meaning of the Investment Company Act of 1940.

                     (r)     Assuming  the  accuracy  of the representations and
warranties set forth in Section 4, the offer,  sale and issuance of the Note and
the Shares hereunder do not  require  registration under the  Securities  Act of
1933  (the  "Act"), registration  or  qualification  under any applicable  state
securities laws or qualification of an indenture under the Trust  Indenture  Act
of 1939.

         4.  Representations  of the  Purchaser.  The Purchaser  represents  and
warrants to the Company as follows:

                     (a)    It   is  acquiring  the  Note  and  the  Shares  for
investment for its own  account  and  not with a view to the resale, transfer or
other disposition thereof and any sale or disposition  of the Note or the Shares
will be made only if the Note or the Shares are registered  under the Act or the
sale or  disposition is  made  in compliance with an exemption  under the Act or
the rules thereunder and any applicable state  securities  laws. It  understands
that the Note and the Shares have not been registered under the Act by reason of
specified  exemptions from the registration provisions of the Act.

                     (b)    (i)   It  acknowledges  that the Note and the Shares
must be held indefinitely unless they  are  subsequently  registered  under  the
Act or an exemption from such registration is available.  It has been advised or
is aware  of  the  provisions  of Rules 144 and 144A promulgated  under the Act,
which permit the resale of securities purchased in a private  placement  subject
to  the  satisfaction  of  certain  conditions  and  that  such Rules may not be
available for sale of the Note and the Shares.

                            (ii)  It    acknowledges   that   all   certificates
representing  the  Note  and  the  Shares  will have endorsed thereon legends in
substantially the following form:

            THESE SECURITIES  HAVE  NOT BEEN REGISTERED UNDER THE
            SECURITIES ACT OF 1933 OR QUALIFIED UNDER  APPLICABLE
            STATE SECURITIES LAWS.  UNLESS THEY ARE SOLD PURSUANT
            TO  RULE  144A  OR  RULE  144   PROMULGATED   BY  THE
            SECURITIES  AND EXCHANGE  COMMISSION  UNDER SAID ACT,
            THEY  MAY  NOT BE SOLD OR  OTHERWISE  TRANSFERRED  IN
            ABSENCE  OF  SUCH   REGISTRATION  AND   QUALIFICATION
            WITHOUT AN





                                        5

<PAGE>



            OPINION  OF  COUNSEL  FOR  THE   HOLDER,   REASONABLY
            SATISFACTORY  TO COUNSEL FOR THE  COMPANY,  THAT SUCH
            REGISTRATION AND QUALIFICATION ARE NOT REQUIRED.

            THE SECURITIES  REPRESENTED BY THIS  CERTIFICATE  ARE
            SUBJECT  TO   CERTAIN   RESTRICTIONS   AGAINST   SALE
            CONTAINED  IN A CERTAIN  AGREEMENT  BETWEEN AND AMONG
            THE REGISTERED  OWNER OF THIS CERTIFICATE AND CERTAIN
            OTHER HOLDERS OF THE CORPORATION,  AND A COPY OF SAID
            AGREEMENT  IS  AVAILABLE  FOR   INSPECTION,   WITHOUT
            CHARGE, AT THE OFFICES OF THE CORPORATION.

Such legend shall be removed by the Company upon delivery to it of an opinion of
counsel to the  Company  (which  opinion  and  counsel  rendering  same shall be
reasonably  satisfactory to the Company) that a registration statement under the
Act is at the time  effective  with  respect  to the  transfer  of the  legended
security or that such  security may be  transferred  without  such  registration
statement  being in  effect  and  without  the  requirements  of a legend on the
certificate in the hands of the transferee.

                     (c)   It has had an  opportunity  to  discuss the Company's
business, management  and  financial affairs with its management and has had the
opportunity to review  the Company's  facilities.  It is not subscribing for the
Note and the Shares as a result of or subsequent to any advertisement,  article,
notice or other communication  published in any  newspaper,  magazine or similar
media   or   broadcast   over   television   or   radio   or any solicitation of
a subscription   by  a  person  not  previously   known to it in connection with
investments in securities generally.

                     (d)   It has  full power and authority to enter into and to
perform this  Agreement in accordance with its terms.  All action  (corporate or
otherwise) on  the  part  of  the  Purchaser  necessary  for  the authorization,
execution,  delivery and  performance by the Purchaser of this Agreement and the
consummation  of  the  transactions  contemplated  herein  has  been taken. This
Agreement is a valid and  binding  obligation  of the Purchaser,  enforceable in
accordance with its terms, except as  such  enforceability  may be limited by or
subject to any  bankruptcy,  insolvency,  reorganization,  moratorium or similar
laws affecting the enforcement of  creditors'  rights  generally, and subject to
general principles of equity.

                     (e)    It has been advised or is aware of the provisions of
Regulation  D   promulgated  under  the  Act  relating  to  the accreditation of
investors,  and it is an "accredited investor" as defined in Regulation D.

         5.       Transfers.

                     (a)    The  Purchaser agrees that it shall give the Company
prior written notice  of any proposed transfer of the Note or any of the Shares,
including the name and  address  of  the proposed transferee.  Prior to any such
proposed transfer, 





                                        6

<PAGE>



other than pursuant to a sale under a applicable  registration  statement  under
the Act or a sale  pursuant  to Rule 144  promulgated  under  the Act,  and as a
condition  thereto,  the Purchaser will deliver to the Company (i) an investment
covenant signed by the proposed transferee substantially as set forth in Section
4(b) hereof, (ii) an agreement by such transferee to the restrictive  investment
legend set forth in Section  4(c)(ii)  hereof on the certificate or certificates
representing  the securities  acquired by such transferee and (iii) an agreement
by the  transferee  to be subject to the  provisions  of this  Agreement and the
provisions  of the  Agreement  to the same  extent  as if such  transferee  were
originally a signatory to this Agreement and the Agreement.  Any transfer of the
Note  or of any of the  Shares  attempted  contrary  to the  provisions  of this
Agreement, or any levy of execution,  attachment or other process attempted upon
the Note or any of the Shares, shall be null and void and without effect.

                    (b) In  the  event  of  any  transfer  of  the  Note  by the
Purchaser in accordance with the provisions of this Agreement,  for the purposes
of  this  Agreement,   the  subordinated   convertible   notes  of  the  Company
representing  portions of the principal  amount  originally  represented  by the
Note,  shall be referred to herein  individually as a "Note" and collectively as
the "Notes".

                    (c) In the event of the  resale of any Note or of any of the
Shares  pursuant to Rule 144A  promulgated  under the Act, the Company agrees to
comply with the information  requirements of Rule 144A(d)(4)  promulgated  under
the Act.

         6.   Covenants  of  the  Company.  The  Company  hereby  covenants  and
agrees, that so long as any of the Notes remain outstanding:

                    (a) The Company shall  deliver the following  reports to all
persons who hold any of the Notes:

                             (i) As soon as  practicable  after  the end of each
fiscal year of the Company,  and in any event,  within 135 days after the end of
each  fiscal  year,  a  consolidated  balance  sheet  of  the  Company  and  its
subsidiaries  (if  any),  as at the end of such  fiscal  year  and  consolidated
statements of income and cash flows of the Company and its subsidiaries (if any)
for such year,  setting forth in each case in  comparative  form the figures for
the previous fiscal year, all in reasonable detail and accompanied by the report
thereon of  independent  certified  public  accountants  of recognized  national
standing  and  considered  one of the "Big Six"  accounting  firms in the United
States,  selected  by the  Company,  which  report  shall  state  that  (A) such
financial  reports have been  prepared in  accordance  with  generally  accepted
accounting  principles and (B) the audit by such  accountants in connection with
such financial  statements has been made in accordance  with generally  accepted
auditing standards.

                             (ii) As soon as  practicable  after the end of each
month, using all commercially reasonable efforts to cause such delivery to occur
within 30 days after the end of such month, a consolidated  balance sheet of the
Company  and  its  subsidiaries  (if  any)  as at the  end  of  such  month  and
consolidated  statements  of  income  and  cash  flows  of the  Company  and its
subsidiaries (if any) for such month, prepared 



                                        7

<PAGE>



in  accordance  with  generally  accepted  accounting  principles   consistently
applied,   except  for  footnote   disclosure  and  subject  to  year-end  audit
adjustments,  and  accompanied by a certificate of the Company's chief financial
officer to such effect.

                             (iii) As soon as available,  using all commercially
reasonable  efforts to cause such delivery to occur prior to December 31 of each
year, the annual operating plan of the Company for the succeeding  calendar year
including appropriate projections and underlying assumptions.

                             (iv)  With   reasonable   promptness,   such  other
information  and data with respect to the Company as the Purchaser may from time
to time reasonably request.

                      (b) Without the affirmative vote or prior written approval
of the holders of a majority of the Notes and at least a majority of the members
of  the  Board  of  Directors  of the  Company,  neither  the  Company  nor  its
subsidiaries (if any) shall, together or alone:

                             (i)  incur,  create,  assume or permit to exist any
Indebtedness  other than the Note except for (a)  indebtedness  in an amount not
exceeding  $7,800,000,  consisting of (1) $5 million under the existing  working
capital line of credit and (2) $2.8 million of long term indebtedness (including
the  current  portion  thereof);  (b)  unsecured  trade  credit  incurred in the
ordinary course of business; and (c) capitalized lease obligations not to exceed
$1,000,000.  Indebtedness  means all items which, in accordance with GAAP, would
be included on the liability side of a balance sheet,  excluding  capital stock,
surplus, capital and earned surplus.

                             (ii) lease, purchase,  sell or otherwise acquire or
dispose of any property or services  having a value in excess of $200,000 in any
transaction or series of similar transactions;

                             (iii)   assign,   mortgage,   pledge  or  otherwise
encumber any assets having a value of more than $200,000;

                             (iv) make any loan, extend any credit or forgive or
otherwise change the terms of any indebtedness, in excess of $200,000;

                             (v) make any  material  change in the  character of
its business as presently  conducted or as proposed to be conducted,  or conduct
its business in a manner other than in the normal and ordinary course;

                             (vi)  declare  or pay  any  dividend  in cash or in
property or make or authorize any other  distribution  directly or indirectly on
its Common Stock or any other capital stock now outstanding or hereafter issued;

                             (vii)  directly or  indirectly  purchase,  acquire,
redeem or retire any share of its  outstanding  capital stock or any  securities
exercisable for, or convertible into, its capital stock; or






                                        8

<PAGE>



                             (viii)  enter  into  any   transaction  of  merger,
consolidation or reorganization,  or dissolve,  wind up or liquidate, or convey,
sell,  lease,  exchange,  transfer or otherwise  dispose of in a transaction  or
related series of  transactions  all or  substantially  all of the assets of the
Company.

                      (c) Without the affirmative vote or prior written approval
of the  holders  of a  majority  of the  Notes  and at least a  majority  of the
disinterested  directors on the Board of Directors,  neither the Company nor its
subsidiaries (if any) shall,  together or alone, enter into any transaction with
any  Affiliate  of the Company on terms that are not as favorable as the Company
could obtain from an unaffiliated third party.

                      (d) The Company  shall take all such  actions  (reasonably
within its control) so as to assure that each of its executive  officers  devote
substantially  all of  their  respective  business  time  and  attention  to the
Company's business.

         7.  Joint  Covenants.   The  Company and the Holder agree that upon the
exercise of the option pursuant to Section 6.6(a) of the  Convertible  Note they
will execute an Employee  Agreement  mutually agreed upon by the parties and the
Board will  appoint  Dr. E.  Stanley  Kardatzke  Chairman of the Board and Chief
Executive Officer of the Company.

         8.  Survival  of  Representations   and  Warranties.   All  agreements,
representations and warranties  contained herein shall survive the execution and
delivery  of this  Agreement  and the closing of the  transactions  contemplated
hereby.  All  agreements,  representations  and warranties  shall terminate upon
conversion of the Convertible Note.

         9. Expenses.  Other than as set forth in Section 2(b)(iii) hereto, each
party  hereto  shall pay its own  costs and  expenses  in  connection  with this
Agreement and the closing of the transactions contemplated hereby.

         10. Notices. All notices,  requests,  consents and other communications
under  this  Agreement  shall be in  writing  and  shall be  delivered  by hand,
recognized  courier,  mailed by first class certified or registered mail, return
receipt requested,  postage prepaid,  or delivered by telecopy to the Company or
the Purchaser, as the case may be, at the following respective addresses:

                       Kardatzke Management, Inc.
                       701 Destacada Avenue
                       Coral Gables, Florida  33156
                               Tel: (305) 663-9188
                               Fax: (305) 663-9180
                       Attention: Dr. E. Stanley Kardatzke


                                        9

<PAGE>



                       Integrated Medical Resources, Inc.
                       11320 West 79th Street
                       Lenexa, Kansas  66214
                               Tel: (913) 962-7201
                               Fax: (913) 962-7719
                        Attention: Troy A. Burns, M.D.

                Either  party may  change its  address  for  purposes  hereof by
notice to the other party in the manner provided above.

         11.  Brokers.  Each of the Company and the  Purchaser,  with respect to
itself,  (i) represents and warrants to the other that it has retained no finder
or broker in connection with the transactions contemplated by this Agreement and
(ii) will  indemnify  and save the other  harmless  from and against any and all
claims, liabilities or obligations with respect to brokerage or finder's fees or
commissions, or consulting fees in connection with the transactions contemplated
by this  Agreement  asserted  by any  person  on the basis of any  statement  or
representation alleged to have been made by such indemnifying party.

         12. Entire Agreement.  With respect to the subject matter hereof,  this
Agreement,  including  the Exhibits  hereto,  embodies the entire  agreement and
understanding  between the Purchaser and the Company,  and  supersedes all prior
agreements and understandings relating to such subject matter.

         13. Counterparts.  This   Agreement    may   be   executed  in  several
counterparts,  each  of  which  shall be  deemed an  original,  but all of which
together  shall constitute one and the same instrument.

         14. Headings. The headings of the sections,  subsections and paragraphs
of this Agreement have been added for  convenience  only and shall not be deemed
to be a part of this Agreement.

         15.  Severability.  Any provision of this Agreement which is invalid or
unenforceable  in any  jurisdiction  shall be  ineffective to the extent of such
invalidity or unenforceability  without invalidating or rendering  unenforceable
the remaining provisions of this Agreement, and, to the extent permitted by law,
any determination of invalidity or  unenforceability  in any jurisdiction  shall
not invalidate or render unenforceable such provision in any other jurisdiction.

         16. Amendments and Waivers.  Neither this Agreement nor any term hereof
may be changed,  waived,  discharged or terminated orally or in writing,  except
that any term of this  Agreement  may be amended and the  observance of any such
term may be waived  (either  generally  or in a  particular  instance and either
retroactively or prospectively)  with (but only with) the written consent of the
Company  and the holders of Notes that  represent  in the  aggregate  at least a
majority of the total principal amount of the Notes then outstanding.








                                       10

<PAGE>



         17.  Successors  and Assigns.  Except as otherwise  expressly  provided
herein,  the  provisions  hereof  shall  inure to the benefit of, and be binding
upon,  the  successors,  assigns,  heirs,  executors and  administrators  of the
parties hereto.

         18. Parties in Interest.  The Company and the Purchaser  agree that the
only  persons  with an interest in the  transactions  and  agreements  set forth
herein are the Company and the  Purchaser,  that no other  person shall have any
rights under this Agreement and that no other person shall be the beneficiary of
any of the rights and obligations provided by this Agreement.

         19.      Definitions.

                      (a) As used in this  Agreement,  "Affiliate"  shall  mean,
with respect to any person, any other person controlling, controlled by or under
common control with such person.  The term "control" as used in the  immediately
preceding sentence means, with respect to a corporation,  the right to exercise,
directly or  indirectly,  50% or more of the voting rights  attributable  to the
shares of the controlled corporation, or with respect to any person other than a
corporation,  the possession,  directly or indirectly, of the power to direct or
cause the direction of the management or policies of such person.

                      (b) As used in this  Agreement , the term  "person"  means
any individual,  partnership,  corporation,  limited liability  company,  trust,
unincorporated  organization  or other legal  entity,  or any  government or any
agency or political subdivision thereof.

         20.  Waiver of Jury  Trial,  etc..  The Company  and  Purchaser  hereby
knowingly,  voluntarily and  intentionally  waive (a) any right to trial by jury
the Company and  Purchaser  may have in any action or  proceeding,  in law or in
equity, in connection with this Agreement or the transactions related hereto and
(b) any right to contest  enforcement  of  provisions  of the last  sentence  of
Section 20 hereof on the basis of forum non conveniens.

         21.  Governing Law;  Jurisdiction.  This Agreement shall be governed by
and  construed  in  accordance  with the  domestic  laws of the  State of Kansas
applicable to contracts  made and to be performed in that State  without  giving
effect to any choice or conflict of law  provision or rule (whether in the State
of Kansas or any other  jurisdiction)  that would cause the  application  of the
laws of any  jurisdiction  other than the State of Kansas.  The  parties  hereto
consent to the  jurisdiction  of the State of Florida or state or federal courts
located therein for all disputes arising under this Agreement.















                                       11

<PAGE>



         IN WITNESS WHEREOF, the undersigned have hereunto set their hands as of
the day and year first above written.

                                       "Company"
                                       INTEGRATED MEDICAL RESOURCES, INC.


 
                                       By   /s/ Troy A. Burns, M.D.
                                       ----------------------------
                                           Troy A. Burns, M.D.
                                           Chief Executive Officer


                                        "Purchaser"

                                        KARDATZKE MANAGEMENT, INC.



                                        By    /s/ E. Stanley Kardatzke, M.D.
                                        ------------------------------------
                                              E. Stanley Kardatzke, M.D.
                                        Title: Chairman




                                       12

<PAGE>


                                                                  EXHIBIT 4(g)




THESE  SECURITIES HAVE NOT BEEN REGISTERED  UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE "1933 ACT"), OR QUALIFIED UNDER  APPLICABLE  STATE SECURITIES LAWS.
UNLESS  THEY ARE SOLD  PURSUANT  TO RULE  144A OR RULE  144  PROMULGATED  BY THE
SECURITIES  AND  EXCHANGE  COMMISSION  UNDER  SAID ACT,  THEY MAY NOT BE SOLD OR
OTHERWISE  TRANSFERRED IN ABSENCE OF SUCH REGISTRATION AND QUALIFICATION WITHOUT
AN OPINION OF COUNSEL FOR THE HOLDER, REASONABLY SATISFACTORY TO COUNSEL FOR THE
COMPANY, THAT SUCH REGISTRATION AND QUALIFICATION ARE NOT REQUIRED.





                                CONVERTIBLE NOTE



$1,600,000.00                                                      March 5, 1998


         FOR VALUE RECEIVED,  the  undersigned,  INTEGRATED  MEDICAL  RESOURCES,
INC., a Kansas corporation (the "Company"),  hereby promises to pay to the order
of Kardatzke  Management,  Inc., a Florida  corporation (the "Holder"),  by wire
transfer,  the  principal  sum of  ONE  MILLION  SIX  HUNDRED  THOUSAND  DOLLARS
($1,600,000.00)  in lawful money of the United States of America,  together with
interest on the unpaid principal balance from day-to-day remaining computed from
the last  interest  payment  date  until  the  Maturity  Date  (as that  term is
hereinafter  defined) at the rate of 8.5% per annum,  at the Holder's  principal
place of business  located at 70 Destacada  Dr., Coral Gable,  Florida,  or such
other address as the Holder shall notify the Company in writing.

         This  Convertible  Note  (this  "Convertible  Note")  has  been  issued
pursuant  to,  and is a "Note" as  referred  to in that  certain  Note  Purchase
Agreement  dated  as of  March  5,  1998,  between  Kardatzke  Management,  Inc.
("Holder") and the Company (the "Note Purchase Agreement").






                                        1

<PAGE>



         1.  (a)   After July 15, 1998 the Convertible Note is prepayable by the
Company upon fifteen business days notice.

             (b)   For purpose  of calculating interest accrued hereon, interest
on this Convertible  Note  shall be  calculated  on the basis of the actual days
elapsed over a 365-or 366-day year, as the case may be.

             (c)   All  outstanding  principal  and  all then accrued and unpaid
interest on this Convertible Note shall be due and payable on the Maturity Date.

          2. For purposes  hereof,  the "Maturity  Date" shall mean September 1,
1998. The Holder has the sole option to extend the term of the Convertible  Note
for three successive  90-day periods until maturity.  If the conversion right in
Section 6 is not  exercised,  the note shall become an 18-months  term loan from
such date with equal  monthly  payments  of  principal  and  interest  including
accrued interest.

         3. Should the  principal  of, or any  installment  of the  principal or
interest on, this  Convertible Note become due and payable on any day other than
a  business  day,  the  Maturity  Date  thereof  shall be  extended  to the next
succeeding  business  day and  interest  shall be payable  with  respect to such
extension.  As used herein,  the term "business day" shall mean any day except a
Saturday, a Sunday or a day on which banking institutions are legally authorized
to close in the City of Houston, Texas or in Lenexa, Kansas.

         4. No waiver by the Holder of any of its rights or  remedies  hereunder
or under any other  document  evidencing  or securing this  Convertible  Note or
otherwise shall be considered a waiver of any other  subsequent  right or remedy
of the Holder; no delay or omission in the exercise or enforcement by the Holder
of any rights or remedies  shall ever be  construed  as a waiver of any right or
remedy of the  Holder;  and no  exercise  or  enforcement  of any such rights or
remedies shall ever be held to exhaust any right or remedy of the Holder.

         5. If any one or more of the  following  events  shall  occur after the
date  hereof  for any  reason  whatsoever  (whether  such  occurrence  shall  be
voluntary or  involuntary or be effected by operations of law or pursuant to any
judgment,  decree or order of any court or any order,  rule or regulation of any
administrative  or other  governmental  body),  it shall be  deemed an "Event of
Default" hereunder:

             (a)   default by the Company in the due and punctual payment of the
principal,  interest  or both on this  Convertible  Note when and as the same of
each such obligation shall become due and payable,  whether at the Maturity Date
or at a date fixed for prepayment or by  acceleration  30 days after the receipt
of notice thereof from the Holder;






                                        2

<PAGE>



             (b)   default by the Company in the due and punctual payment of the
principal,  interest or both on any  indebtedness  for borrowed money (including
the current portion thereof), when and as the same of each such obligation shall
become due and payable, and the passage of any applicable cure period;

             (c)   a   reduction  in  the  Company's  cash  receipts  in any two
consecutive  months  to less  than  $840,000  per  month as a result  of a payor
withholding payment due to any actions of the Company taken prior to February 1,
1998 (a "Defined Default:);

             (d)   the  Company's  becoming  insolvent  or  unable  to  meet its
obligations  as  they  mature,  making a general  assignment  for the benefit of
creditors,  or consenting  to the  appointment  of a trustee or a  receiver,  or
admitting  in writing its inability to pay its debts as they mature;

             (e)   the appointment of a trustee or receiver  for  the Company or
for a substantial  part  of the  properties  of the Company  without the consent
of the Company and such trustee or receiver not being discharged within 30 days;

             (f)     the institution of bankruptcy, reorganization, arrangement,
insolvency  or  liquidation  proceedings  by or  against  the  Company  and,  if
instituted  against it, the same being  consented to by the Company or remaining
undismissed for a period of 30 days;

             (g)   the rendering  of  any final judgment against the Company for
the payment of money in an amount in excess of $500,000;

             (h)   any  substantial  part  of  the property of the Company being
sequestered  or attached and not being returned to the possession of the Company
or released from such attachment within 30 days;

             (i)  upon the effective date of a merger, reorganization or sale of
substantially  all of the assets of the Company in which the stockholders of the
Company  immediately prior to such transaction own less than 50 percent (50%) of
the voting securities of the surviving or controlling  entity  immediately after
such transaction;

             (j)   an "Event of Default" occurs under any of the Senior Debt (as
defined in Section 11.1 below).

         If any such Event of Default  or any other  default  under or breach of
any other agreement (including,  but not limited to, the Note Purchase Agreement
and that certain Consulting  Agreement dated the date hereof between the Company
and Dr. E. Stanley  Kardatzke)  or instrument  executed in  connection  herewith
shall occur and be continuing,  the Holder may, at the Holder's option,  declare
the entire unpaid balance of principal and unpaid  interest on this  Convertible
Note to be  immediately  due and  payable,  whereupon  the  maturity of the then
unpaid





                                        3

<PAGE>



balance on this  Convertible Note shall be accelerated and the principal and all
interest  accrued  thereon  shall  forthwith  become  due  and  payable  without
presentment,  demand,  protest  or notice of any kind,  all of which are  hereby
expressly waived,  anything  contained herein or in this Convertible Note to the
contrary notwithstanding, and the Holder may exercise and shall have any and all
remedies accorded the Holder by law.

          6. Conversion Rights and Option Rights.

                   6.1    As used herein:

                         (a)  "Common Stock" means the common  stock,  $.001 par
value per share, of the Company.

                         (b)  "Conversion Price" shall initially mean the lesser
of $2.15 or the average of the closing market price for the Common Stock for the
fifteen trading days prior to  conversion  and  shall  be  subject to adjustment
pursuant to Sections 6.6 and 6.7 hereof.

                  6.2  Subject  to and in  compliance  with  provisions  of this
Article 6, the holder of this Convertible Note may, at its option,  by surrender
of this Convertible Note as hereinafter provided,  convert all or any portion of
the outstanding  principal  amount of this  Convertible  Note and/or accrued and
unpaid interest hereon into such number of fully paid and  nonassessable  shares
of Common Stock  determined  by dividing the amount of principal  hereof  and/or
accrued and unpaid  interest  hereon to be so converted by the Conversion  Price
then in effect.  If the Holder  chooses to exercise the option in Section 6.6(a)
below,  shares to be issued upon  conversion of this  Convertible  Note shall be
deemed to be a part of and not in addition to, the shares  issued upon  exercise
of such option.

                  6.3 Subject to the other provisions of this Convertible  Note,
the option for  conversion  of this  Convertible  Note  pursuant  to Section 6.2
hereof may be  exercised  at any time  during the period  beginning  on the date
hereof and ending upon the earlier of (i) the repayment or redemption in full of
the  principal,   together  with  any  accrued  but  unpaid  interest,  of  this
Convertible Note or (ii) the conversion of this Note to an 18-month term note as
set  forth in  Section  2 above;  provided,  however,  that this Note may not be
converted until the Company has received the necessary Stockholder approval.

                  6.4 (a) The surrender of this  Convertible Note for conversion
pursuant to Section 6.2 hereof shall be made by the holder hereof to the Company
at its office in Lenexa,  Kansas,  accompanied by written notice to the Company,
in the form of the Conversion  Request  attached as Annex 1 to this  Convertible
Note (the  "Conversion  Request"),  that such holder  elects to convert all or a
portion of the principal  and/or accrued and unpaid interest of this Convertible
Note  in  accordance  with  the  provisions  hereof.   Upon  surrender  of  this
Convertible   Note  for   conversion,   it  shall  be  marked   "cancelled"   or
"paid-in-full". Any such  notice  of  election  to  





                                        4

<PAGE>



convert shall  constitute a contract between the holder of this Convertible Note
and the Company, whereby such holder shall be deemed to subscribe for the number
of  shares of Common  Stock  which it shall be  entitled  to  receive  upon such
conversion,  and in payment and satisfaction of such subscription,  to surrender
this  Convertible  Note and to release the Company from all liability  hereon in
respect of the  principal  and/or  accrued  and  unpaid  interest  hereon  being
converted,  and including interest accruing after the date of the receipt of the
notice of conversion on the portion of the principal hereof being converted, and
whereby  the  Company  shall be  deemed  to agree  that  the  surrender  of such
Convertible  Note and the  extinguishment  of liability  hereon shall constitute
full payment for the shares of Common Stock so  subscribed  for and to be issued
upon such conversion.

                    (b) Subject to the further provisions of this Section 6.4(b)
and  subject  to   shareholders'  approval,  as  soon as  practicable  after the
receipt of such Conversion Request and this Convertible Note,  and in any event,
within ten business days thereafter, the Company  shall issue and shall  deliver
at said office to such holder (i) a certificate or  certificates  for the number
of full shares of Common Stock issuable upon the conversion of this  Convertible
Note in accordance  with the provisions  hereof, (ii) a check or cash in respect
of any  fraction  of  a share as provided in Section 6.5 hereof and (iii) in the
event of a partial  conversion of this Convertible  Note, a new Convertible Note
(in form   substantially  identical  to this  Convertible  Note) for the  unpaid
principa  amount  of  this  Convertible  Note  that  was  not  converted.   Such
conversion shall be deemed to have been effected immediately  prior to the close
of business on the date on which the Company shall have received such Conversion
Request and this Convertible  Note;  conversion shall be at the Conversion Price
then in effect; any and all interest on the principal of this  Convertible  Note
to be  converted  pursuant  to such  Conversion  Request  shall  cease to accrue
pursuant to this  Convertible  Note  from the date of receipt of the  Conversion
Request;  and the holder of this Convertible Note shall be deemed to have become
on said date the holder of record of the shares of Common Stock issuable to such
holder upon such conversion; provided, however, that, in the event the holder of
this Convertible  Note effects any such  surrender of this  Convertible  Note on
any  date  when  the  securities  transfer books of the Company shall be closed,
such holder shall not be deemed to be the record holder of such shares of Common
Stock for any purpose until the close of business on the next  succeeding day on
which such securities transfer books shall be open.

                  6.5 The Company  shall not be required to issue  fractions  of
shares upon conversion of this  Convertible  Note (or portion  thereof).  If any
fractional  interest in a share shall be deliverable upon the conversion of this
Convertible  Note  (or  portion  thereof),   the  Company  shall  purchase  such
fractional  interest for an amount in cash equal to the Conversion Price then in
effect times the amount of such fractional interest.

                  6.6 Option Terms.  The  Holder  will  have  the  option to buy
shares of the Company's Common Stock as described below:






                                        5

<PAGE>



                           (a)  an  option to purchase the number of shares that
equals the sum of (i) $1,600,000  divided  by  the  Conversion  Price  and  (ii)
$1,000,000 divided by the  Conversion  Price  if  exercised  at  the same  time,
or by $2.15 if later.  This option  expires upon the later  of (x) conversion to
a  term  loan or prepayment of  the  Convertible  Note, (y)  conversion  of  the
Convertible Note under Section 6.1,  or  (z)   May 31, 1998.  Exercise  of  this
option is contingent  upon  conversion of this  Convertible  Note under  Section
6.2 as part of the exercise  price of this option (a).

                           (b)  an option  to purchase the number of shares that
equals 2,000,000 minus the number of shares issued pursuant to (a) above,  times
 .5, at $2.15 per  share  through  May 31, 1998 (which date shall be extended for
the same number of  days  as  the  initial  maturity  of this  Convertible  Note
under  Section 2) and  thereafter  at  $2.70  per  share.  This  option  expires
upon the later of (i) conversion to a term loan or prepayment of the Convertible
Note, (ii) conversion  of  the   Convertible  Note  under  Section 6.2, or (iii)
December  31, 1998.  The exercise of this option is  contingent  upon the option
under (a) above being exercised.

                           (c)  an  option to purchase the number of shares that
equals 2,000,000, minus  the  number  of shares  issued  pursuant to (a) and (b)
above,  at $3.15 per  share  through  December  31, 1998,  which option  expires
upon the later of (i) conversion to a term loan or prepayment of the Convertible
Note, (ii) conversion  of   the  Convertible  Note  under  Section 6.2, or (iii)
December 31, 1999, or at  $3.75,   which   option  expires upon the later of (i)
conversion  to  a  term   loan  or  prepayment  of  the Convertible  Note,  (ii)
conversion  of   the  Convertible Note under  Section 6.2, or (iii) December 31,
2000.  The exercise of this option is contingent upon the option under (b) above
being exercised.

                           (d)   300,000  shares  at  an exercise price of $2.15
per share, which expires on March 5, 2000. Exercise of this option is contingent
upon conversion of the Convertible Note under Section 6.2.

                  6.7 The  Conversion  Price then in effect of this  Convertible
Note shall be subject to adjustment as follows:

                            (a) In case  the  Common  Stock  shall  be  split or
subdivided into a greater, or reverse split or combined into a lesser, number of
shares (whether with or without par value),  the Conversion Price then in effect
shall be  decreased or  increased,  as the case may be, to an amount which shall
bear the same relation to the Conversion  Price in effect  immediately  prior to
such split or subdivision or reverse split or combination as the total number of
shares of Common Stock outstanding  immediately prior thereto bears to the total
number of shares of Common  Stock  outstanding  immediately  after such split or
subdivision  or  reverse  split  or  combination.  A  stock  dividend  shall  be
considered  a split or  subdivision  of shares for the  purpose of this  Section
6.7(a).






                                        6

<PAGE>



                            (b) In case  of any  capital  reorganization  or any
reclassification  of  the  capital  stock  of  the  Company  or in  case  of the
consolidation  of the Company with or the merger of the Company with or into any
other corporation or of the sale of the properties and assets of the Company as,
or substantially as, an entirety to any other corporation, this Convertible Note
shall after such  capital  reorganization,  reclassification  of capital  stock,
consolidation,  merger or sale be convertible into that number of securities, or
amount or value of property,  of the Company,  or of the  corporation  resulting
from such  consolidation or surviving such merger or to which such sale shall be
made, as the case may be, to which the holder of shares of Common Stock issuable
(at the time of such capital reorganization,  reclassification of capital stock,
consolidation,  merger or sale) upon conversion of this  Convertible  Note would
have been entitled upon such capital reorganization, reclassification of capital
stock,  consolidation,  merger or sale had this  Convertible Note been converted
prior thereto;  and in any such case, if necessary,  the provisions set forth in
this Section 6 shall be appropriately adjusted so as to be applicable, as nearly
as may reasonably be, to any  securities or property  thereafter  deliverable on
the conversion of this  Convertible  Note. The provisions of this Section 6.7(b)
shall similarly apply to successive capital reorganizations, reclassification of
capital  stock,  consolidations,  mergers or sales.  The split or subdivision or
reverse split or combination of shares of Common Stock issuable upon  conversion
of this  Convertible  Note into a greater  or lesser  number of shares of Common
Stock shall not be considered a  consolidation,  merger or sale for the purposes
of this Section 6.7(b).

                  (i)  Treasury  Shares.  The  number of shares of Common  Stock
         outstanding at any given time shall not include shares owned or held by
         or for the account of the Company, and the disposition of any shares so
         owned or held shall be  considered an issue or sale of Common Stock for
         the purposes of this Section 6.7.

                  (ii) Stock Dividends.  In case any additional shares of Common
         Stock shall be issued as a dividend  on Common  Stock,  the  Conversion
         Price shall be adjusted as provided in Section 6.7(a)  hereof.  In case
         any additional  shares of Common Stock shall be issued as a dividend on
         any class of stock of the Company other than Common  Stock,  or in case
         any obligations or stock convertible into or exchangeable for shares of
         Common Stock (such  convertible  or  exchangeable  obligations or stock
         being hereinafter called "Convertible Securities") shall be issued as a
         dividend  on any class of stock of the  Company,  such shares of Common
         Stock or  Convertible  Securities  shall be deemed to have been  issued
         without  consideration  on the day  next  succeeding  the  date for the
         determination of stockholders entitled to such dividend.

                  (iii)  Record  Date.  For purposes of this Section 6.7 in case
         the Company  shall take a record of the holders of its Common Stock for
         the  purpose  of  entitling  them (a) to  receive a  dividend  or other
         distribution  payable  in  Equity  Stock  or any  options  or  warrants
         exercisable  for shares of Common Stock or any  securities  convertible
         into Common Stock,  or (b) to subscribe for or purchase Equity Stock or
         any options or warrants  exercisable  for shares of Common Stock or any
         securities convertible into Common stock, then such





                                        7

<PAGE>



         record  date shall be deemed to be the date of the issue or sale of the
         shares of  Common  Stock  deemed  to have been  issued or sold upon the
         declaration  of such dividend or the making or such other  distribution
         or the date of the granting of such right or  subscription or purchase,
         as the case may be.

                  (iv) Current  Market  Price.  The Current  Market Price at any
         date shall mean, in the event the Common Stock or the Equity Stock,  as
         the case may be, is publicly  traded,  the average of the daily closing
         prices per shares of such equity  security for 30  consecutive  trading
         days ending no more than 15 business days before such date (as adjusted
         for any stock dividend,  split,  combination or  reclassification  that
         took effect  during such 30 trading day period).  The closing price for
         each day  shall be the last  reported  sale  price  or, in case no such
         reported  sale takes place on such day, the average of the last closing
         bid  and  asked  prices  in  either  case  on  the  principal  national
         securities exchange on which such equity security is listed or admitted
         to trading,  or if not listed or  admitted  to trading on any  national
         securities  exchange,  the closing  date price for such day reported by
         NASDAQ, if such equity security is traded  over-the-counter  and quoted
         in the National Market System, or if such equity security is so traded,
         but not so quoted,  the average of the closing  reported  bid and asked
         prices of such equity  security as reported by NASDAQ or any comparable
         system  or,  if such  equity  security  is not  listed on NASDAQ or any
         comparable  system,  the average of the closing bid and asked prices as
         furnished  by two members of the  National  Association  of  Securities
         Dealers, Inc., selected in good faith from time to time by the Board of
         Directors of the Company for that purpose.  If such equity  security is
         not traded in such  manner  that the  quotations  referred to above are
         available for the period required  hereunder,  Current Market Price per
         shares of such equity  security shall be deemed to be the fair value as
         determined  in good faith by the Board of  Directors of the Company and
         the Holder or, if the Board of  Directors of the Company and the Holder
         cannot agree,  by an  independent  appraiser  mutually  selected by the
         Board of Directors of the Company and the Holder.

                            (c) No Adjustment. Anything in this Section 6 to the
contrary  notwithstanding,   the  Company  shall  not  be  required,  except  as
hereinafter  in this Section  6.7(c)  provided,  to make any  adjustment  of the
Conversion  Price  then in effect in any case in which the  amount by which such
Conversion  Price would be reduced in  accordance  with the  provisions  of this
Section 6.7 would be less than $.05, but in such case any adjustment  that would
otherwise  be required  then to be made will be carried  forward and made at the
time of and together with the next subsequent  adjustment  which,  together with
any and all adjustments so carried forward, shall amount to $.05 or more. In the
event of any subdivision or combination of shares of Common Stock said amount of
$.05 (as  therefore  decreased  or  increased  by any  previous  subdivision  or
combination) shall be proportionately decreased or increased.

                            (d)  Notice of  Holders.  In the  event the  Company
shall propose to take any action of the types described in Section  6.7(b),  the
Company shall give written notice to the 



                                        8

<PAGE>


Holder,  which notice shall specify the record date, if any, with respect to any
such  action and the date on which such  action is to take  place.  Such  notice
shall  also set forth such facts  with  respect  thereto as shall be  reasonably
necessary  to indicate  the effect of such action (to the extent such effect may
be known at the date of such notice) on the Conversion  Price then in effect and
the number,  kind or class of shares or other securities or property which shall
be deliverable or purchasable  upon the occurrence of such action or deliverable
upon conversion of this  Convertible  Note. In the case of any action that would
require the fixing of a record  date,  such  notice  shall be given at least ten
days prior to the date so fixed,  and in case of all other  action,  such notice
shall be given at least ten days prior to the taking of such proposed action.

                            (e)  Shares  Free and  Clear.  All  shares of Common
Stock issued in connection with the conversion provisions set forth herein shall
be, upon issuance by the Company,  validly issued,  fully paid and nonassessable
and free from all  taxes,  liens or  charges  with  respect  thereto  created or
imposed by the Company.

                            (f)  Common   Stock   Reserved.   Upon   appropriate
amendment to its Articles of  Incorporation,  the Company shall reserve and keep
available out of its authorized but unissued  shares of Common Stock such number
of shares of Common  Stock as shall  from time to time be  sufficient  to effect
conversion of this Convertible Note.

                  6.8  Whenever  the  Conversion  Price then in effect  shall be
adjusted as required by the provisions of Section 6.7 hereof,  the Company shall
forthwith  mail a certificate  setting forth the adjusted  Conversion  Price and
showing  in  reasonable   detail  the  facts  upon  which  such   adjustment  or
readjustment  is based to the  Holder at such  Holder's  address  as it  appears
herein or at the last address of which the Holder has given the Company  written
notice,  but failure to receive such notice,  or any defects therein,  or in the
mailing thereof,  shall not affect such adjustment in such Conversion Price. The
Company shall,  upon the written  request at any time of the Holder,  furnish or
cause to be furnished to such holder a like  certificate  setting forth (a) such
adjustments and readjustments,  (b) the Conversion Price at that time in effect,
and (c) the number of shares of Common  Stock and the  amount,  if any, of other
property  which  at the time  would be  received  upon  the  conversion  of this
Convertible Note.

         7. At any time after July 15,  1998,  the Company  may prepay,  upon 15
business  days' prior written notice to the Holder,  its obligation  pursuant to
this  Convertible  Note,  in whole or in part,  at any time by  tendering to the
Holder 100%  (expressed in percentages of the principal  amount),  together with
accrued but unpaid interest hereon.

         The foregoing notwithstanding,  it is acknowledged and agreed to by the
Company  that,  unless such rights have expired  pursuant to Section 6.3 hereof,
the Holder may exercise its conversion  rights pursuant to Section 6.7 hereof at
any time prior to the second  business day  immediately  preceding  the proposed
date of such  prepayment,  whether  before or after  receipt of such  prepayment
notice from the Company.





                                        9

<PAGE>



         8.  Notwithstanding  anything contained in this Convertible Note to the
contrary, the Holder shall never be deemed to have contracted for or be entitled
to receive,  collect or apply as interest on this Convertible Note any amount in
excess of the amount  permitted  and  calculated  at the Maximum  Rate  (defined
below),  and in the event the  Holder  ever  receives,  collects  or  applies as
interest  any amount in excess of the amount  permitted  and  calculated  at the
Maximum Rate, such amount which would be excessive  interest shall be applied to
the reduction of the unpaid principal  balance of this Convertible Note, and, if
the principal  balance of this  Convertible  Note is paid in full, any remaining
excess shall forthwith be paid to the Company.

         The term "Maximum  Rate",  as used herein,  shall mean, with respect to
the Holder, the maximum nonusurious  interest rate, if any, that at any time, or
from time to time, may be contracted for, taken,  reserved,  charged or received
on the indebtedness  evidenced by this Convertible Note under the laws which are
presently in effect of the United  States and the State of Kansas  applicable to
such holder and such indebtedness or, to the extent permitted by applicable law,
under such  applicable  laws of the United  States and the State of Kansas which
may hereafter be in effect and which allow a higher maximum nonusurious interest
rate than applicable laws now allow.

         9.  This  Convertible  Note is being  executed  and  delivered,  and is
intended to be performed  in the State of Kansas.  Except to the extent that the
laws of the United States may apply to the terms hereof, the substantive laws of
the State of Kansas shall govern the  validity,  construction,  enforcement  and
interpretation  of this  Convertible  Note.  Each of the  Company and the Holder
hereto  consent to the  jurisdiction  of the State of Kansas or state or federal
courts located therein for all disputes arising under this Convertible Note.

         Each of the Company and the Holder hereby  knowingly,  voluntarily  and
intentionally waive (a) any right to trial by jury the Company and or the Holder
may have in any action or proceeding,  in law or in equity,  in connection  with
this Convertible  Note or the  transactions  related hereto and (b) any right to
contest  enforcement  of  provisions  of the last  sentence  of the  immediately
preceding paragraph of this Section 9 on the basis of forum non conveniens.

         10. If this  Convertible Note is placed in the hands of an attorney for
collection,  and if it is collected  through any legal  proceedings at law or in
equity or in bankruptcy,  receivership or other court  proceedings,  the Company
promises to pay all costs and expenses of collection, including, but not limited
to, court costs and the reasonable attorneys' fees of the holder hereof.

         11.  Whenever  this  Convertible  Note requires or permits any consent,
approval,  notice,  request or demand  from one party to another,  the  consent,
approval, notice, request or demand must be in writing to be effective and shall
be deemed to have been given when delivered by facsimile or reliable  courier or
five days  after  being  deposited  in the United  States  mails  registered  or
certified,  return receipt  requested,  addressed to the party to be notified at
the  address  set  forth  below  (or at such  other  address  as may  have  been
designated by written notice).





                                       10

<PAGE>



                  11.1   (a) The Company for itself, its successors and assigns,
covenants  and agrees,  that (i) the payment of the principal of and interest on
this Convertible Note is hereby expressly subordinated, to the extent and in the
manner  set forth in  Section  11.2  hereof,  in right of  payment  to the prior
payment in full of all Senior Debt (as defined in Section 11.1(b) hereof) of the
Company,  and  (ii)  this  Convertible  Note  is  also  subject  to any  further
restrictions herein for the protection of the holders of Senior Debt.

                            (b) As used  herein,  the term  "Senior  Debt" shall
mean the  principal  of and premium,  if any, and interest on and any  renewals,
extensions  or  refinancings  (of no  greater  amounts  than the  original  loan
amounts) of the following:

                                   Senior Debt

Lender                                                  Loan Amount
- ------                                                  -----------
DVI Financial Services                                  $448,596
- -Term Note Payable
DVI Business Credit Corporation                         Up to $5,000,000
- -Revolving Credit Line                                  Current outstanding
                                                        $3,085,954

                  11.2  (a)  In  the  event  of  any  insolvency  or  bankruptcy
proceedings,  or any  receivership,  liquidation,  reorganization,  arrangement,
readjustment,  composition or other similar  judicial  proceedings in connection
therewith,  relative to the  Company,  or its  property,  or in the event of any
proceedings for voluntary  liquidation,  dissolution or other  winding-up of the
Company,  whether or not involving insolvency or bankruptcy,  or in the event of
any  assignment  by the Company for the benefit of  creditors or in the event of
any other marshaling of the assets of the Company  (collectively  referred to as
an "Insolvency  Event") then the holders of the Senior Debt shall be entitled to
receive payment in full of all principal, premium, interest, fees, penalties and
charges  on all Senior  Debt  (including  interest  thereon  accruing  after the
commencement of any such proceedings) before the holder of this Convertible Note
is entitled to receive  any payment on account of  principal,  interest or other
amounts  due under this  Convertible  Note,  and to that end the  holders of the
Senior Debt shall be entitled to receive for application and payment thereof any
payment or  distribution  of any kind or charge,  whether in cash or property or
securities,  which may be  payable or  deliverable  in any such  proceedings  in
respect of this Convertible Note (excluding securities provided for by a plan of
reorganization or readjustment that are equity securities or are subordinated in
right of payment to all  indebtedness  issued to the  holders of Senior  Debt in
such plan of  reorganization  or  readjustment  to the same  extent  as, or to a
greater extent than, this Convertible Note is subordinated to the Senior Debt as
provided herein).

                            (b) The rights between the Holder and the holders of
Senior Debt are subject to the terms of the  Subordination and Standby Agreement
by and among DVI Business  



                                       11

<PAGE>


Credit  Corporation,  DVI  Financial  Services,  Inc.  (collectively  "DVI") and
Kardatzke Management,  Inc. relating to Integrated Medical Resources,  Inc. (the
"Subordination and Standby  Agreement").  Notwithstanding any other provision in
this  Convertible  Note to the  contrary,  in the event of a default  under this
Convertible  Note,  Holder  shall  have  the  right to  collect  as much of this
Convertible  Note as it is able by taking  any  action it sees fit to pursue its
first lien on the  Excluded  Collateral  (as  defined in the  Subordination  and
Standby  Agreement) and apply the proceeds from any  disposition of the Excluded
Collateral  to this  Convertible  Note,  without any  obligation  to deliver the
proceeds  to DVI or  otherwise  subordinate  enforcement  of  its  lien.  In any
proceeding  involving  the Company  described in Section  11.2(a),  any dividend
payment or distribution that would be made to Holder, based upon Holder's status
as a  secured  creditor  holding  a  first  security  interest  in the  Excluded
Collateral,  shall  remain  the  property  of Holder and shall not be subject to
turnover to, or retention by, DVI.

                            (c)  If,  notwithstanding  the  provisions  of  this
Section 11.2, any payment or  distribution of any character shall be received by
the holder  hereof in  contravention  of this Section 11.2 and while Senior Debt
shall be  outstanding,  such payment,  distribution or security shall be held in
trust for the benefit of, and shall be  immediately  paid over or  delivered  or
transferred to, the holders of the Senior Debt as their interest may appear,  or
their duly appointed  agents,  for application to the payment of all Senior Debt
then outstanding, until all of the Senior Debt shall have been paid in full.

                            (d)  The  provisions  of  this  Section  11.2  shall
continue to be  effective or be  reinstated,  as the case may be, if at any time
payment of Senior Debt is rescinded or must  otherwise be returned by any holder
of such Senior Debt upon the  insolvency,  bankruptcy or  reorganization  of the
Company, as though such payment had not been made.

                            (e) The  provisions  of this Section 11 are intended
solely for the purpose of  defining  the  relative  rights of the holder of this
Convertible Note and of the holders of the Senior Debt, and nothing herein shall
be or is intended,  as between the Company, its creditors other than the holders
of Senior Debt, and the holder of this Convertible Note, to impair or suspend in
any manner, whatsoever the obligation of the Company, which, notwithstanding any
other  provision  of this  Section  11 to the  contrary,  is  unconditional  and
absolute,  to pay to the holder of this Convertible Note the principal hereof as
and when the same shall  become  due,  whether at  maturity  or  otherwise,  and
interest thereon in accordance with the terms hereof,  or to affect the relative
rights of the holder of this Convertible Note and creditors of the Company other
than the  holder or  holders  of the Senior  Debt,  nor shall  anything  herein,
notwithstanding  any provisions of this Section 11 to the contrary,  prevent the
holder hereof from  exercising any and all remedies  permitted by applicable law
upon default hereunder.






                                       12

<PAGE>



          12. Registration Rights.

                            (a)  Registrable  Stock. As used in this Section 12,
the term  "Registrable  Stock" shall mean all shares of Common Stock that may be
issued upon conversion of this  Convertible Note (and all shares of Common Stock
that may thereafter be issued in respect of this Convertible Note) that are from
time to time outstanding.

         References in this  Convertible  Note to rules,  regulations  and forms
promulgated  by the  Securities  and Exchange  Commission  shall include  rules,
regulations  and forms  succeeding  to the  functions  thereof,  whether  or not
bearing the same designation.

         The rights and  obligations  of the Company and the Holder with respect
to the  Registrable  Stock  set forth in this  Section  12 shall  supersede  any
registration rights and obligations of the Company and the Holder existing prior
to the date hereof with respect to the Registrable Stock.

                            (b) Demand and Piggyback  Registration  Rights.  The
Holder  should have two demand  registration  rights and an unlimited  amount of
piggyback rights as set forth in Section 13.

          13. Request for Registration.

                  13.1 If the Company  shall  receive at any time or times after
March 31, 1998, (other than a registration statement relating either to the sale
of  securities  to employees of the Company  pursuant to a stock  option,  stock
purchase or similar plan or an SEC Rule 145 transaction), a written request from
any  Holder or Holders of at least 40% of the  Registrable  Securities  that the
Company file a registration statement under the Act covering the registration of
Registrable  Securities,  then the Company shall,  within 20 days of the receipt
thereof,  give written notice of such request to all Holders and shall,  subject
to the  limitations  of Section 13.3, use its diligent best efforts to effect as
soon as practicable the  registration  under the Act (including the execution of
an  undertaking to file  post-effective  amendments,  appropriate  qualification
under  applicable  Blue  Sky or other  state  securities  laws  and  appropriate
compliance  with  applicable  regulations  issued  under  the Act and any  other
applicable   governmental   requirements  or  regulations)  of  all  Registrable
Securities  which the  Holders  request to be  registered  within 20 days of the
receipt of such notice.

                  13.2  If the  Holder  or  Holders  initiating  a  registration
request  hereunder  ("Initiating  Holders") intend to distribute the Registrable
Securities  covered by their request by means of an underwriting,  they shall so
advise the Company as a part of their request made pursuant to this Section 13.2
and the Company shall include such information in the written notice referred to
in  Section  6.4(a).  In such  event,  the right of any  Holder to  include  his
Registrable  Securities  in such  registration  shall be  conditioned  upon such
Holder's  participation in such  underwriting and the inclusion of such Holder's
Registrable Securities in the underwriting (unless





                                       13

<PAGE>



otherwise  mutually  agreed by the  underwriter,  a majority  in interest of the
Initiating  Holders and such Holder) to the extent provided herein. A Holder may
elect  to  include  in  such  underwriting  all  or a part  of  the  Registrable
Securities  it holds.  All Holders  proposing to  distribute  their  Registrable
Securities  through  such  underwriting  shall  (together  with the  Company  as
provided in Section 19) enter into an  underwriting  agreement in customary form
with  the  underwriter  or  underwriters  selected  for such  underwriting  by a
majority  in  interest  of the  Initiating  Holders.  Notwithstanding  any other
provision  of this  Section  13.2,  if the  underwriter  advises the  Initiating
Holders in writing that marketing  factors require a limitation of the number of
shares to be  underwritten,  then the  Initiating  Holders  shall so advise  all
Holders of Registrable Securities which would otherwise be underwritten pursuant
hereto, and the number of shares of Registrable  Securities that may be included
in the underwriting shall be allocated among all Holders thereof,  including the
Initiating  Holders,  in proportion (as nearly as  practicable) to the number of
Registrable  Securities  of the Company  which each Holder has  requested  to be
included in such registration.  If any Holder of Registrable  Securities who has
requested  inclusion in such  registration as provided above  disapproves of the
terms of the  underwriting,  such  person  may elect to  withdraw  therefrom  by
written notice to the Company,  the underwriter and the Initiating Holders.  The
securities held by such person shall then be withdrawn from registration.

                  13.3  The  Company  shall  not  be  obligated  to  effect  any
registrations  pursuant to this  Section 13.3 after the Company has effected two
such  registrations  pursuant to this Section 13.3 and such  registrations  have
been declared or ordered  effective by the SEC and have  remained  effective for
the period required in Section 15.1 below.

                  13.4  Termination  of the Company's  Obligations.  The Company
shall have no  obligations  pursuant to Section 13 or 14 hereof with  respect to
any request or requests  made by any holder  eight years after the date  hereof,
nor shall the Company  have any  obligations  as to any holder after the Company
has included  Registrable Stock of such holder in two registrations  pursuant to
Section 13 hereof, provided,  however, that if such holder as requested that all
of its  Registrable  Stock be registered  under such sections,  but such holders
shall be  prohibited  from  selling  all of such  stock by virtue of  Section 14
hereof,  then such holder's  rights shall not be restricted by the provisions of
this  14  until  such  time  as it has had an  opportunity  to  sell  all of its
Registrable Stock.

                  13.5  Notwithstanding  the  foregoing,  if the  Company  shall
furnish to Holders requesting a registration  statement pursuant to this Section
13.5, a certificate  signed by the President of the Company  stating that in the
good  faith  judgment  of the Board of  Directors  of the  Company,  it would be
seriously  detrimental to the Company and its shareholders for such registration
statement to be filed and it is therefore  essential to defer the filing of such
registration  statement,  the Company  shall have the right to defer such filing
for a period of not more  than 180 days  after  receipt  of the  request  of the
Initiating  Holders;  provided,  however,  that the Company may not utilize this
right more than once in any 12-month period.






                                       14

<PAGE>



          14. Company Registration.  If (but without any obligation to do so) at
any time or from time to time the Company  proposes to register  (including  for
this purpose a  registration  effected by the Company for its own account or for
shareholders other than the Holders) any of its Common Stock or other securities
under the Act (other than a registration  relating  either solely to the sale of
securities to participants in a Company stock option,  stock purchase or similar
plan or solely to an SEC Rule 145  transaction,  or a  registration  on any form
which does not include  substantially  the same information as would be required
to be included in a registration  statement covering the sale of the Registrable
Securities),  the  Company  shall,  at such time,  promptly  give to each Holder
written notice thereof.  Upon the written request of each Holder given within 20
days after the receipt of such notice given by the Company,  the Company  shall,
subject  to  the  provisions  of  Section  19,  cause  to be  included  in  such
registration  (and  any  related  qualification  under  Blue  Sky  laws or other
compliance  thereunder),  and in any underwriting  involved therein,  all of the
Registrable Securities that each such Holder has requested to be registered. The
written request made by any Holder as referred to in this Section 14 may specify
that all or a part of a  Holder's  Registrable  Securities  be  included  in the
Company's registration.

         15. Obligations of the Company. Whenever required under this Section 15
to effect the registration of any Registrable Securities,  the Company shall, as
expeditiously as reasonably possible:

                  15.1  Prepare and file with the SEC a  registration  statement
with respect to such Registrable Securities and use its diligent best efforts to
cause such registration statement to become effective and keep such registration
statement effective for up to 120 days.

                  15.2  Prepare  and  file  with  the SEC  such  amendments  and
supplements to such registration statement and the prospectus used in connection
with  such  registration  statement  as may be  necessary  to  comply  with  the
provisions of the Act with respect to the disposition of all securities  covered
by such registration statement.

                  15.3  Furnish  to the  Holders  such  numbers  of  copies of a
prospectus,   including  a  preliminary  prospectus,   in  conformity  with  the
requirements of the Act, and such other documents as they may reasonably request
in order to facilitate the disposition of Registrable Securities owned by them.

                  15.4 Use its diligent best efforts to register and qualify the
securities discovered by such registration statement under such other securities
or Blue Sky laws of such  jurisdictions as shall be reasonably  requested by the
Holders, provided that the Company shall not be required in connection therewith
or as a condition thereto to qualify to do business or to file a general consent
to service of process in any such states or jurisdictions.

                  15.5 In the event of any underwritten  public offering,  enter
into and perform its obligations under an underwriting  agreement,  in usual and
customary form, with the managing





                                       15

<PAGE>



underwriter of such offering.  Each Holder  participating  in such  underwriting
shall also enter into and perform its obligations under such an agreement.

                  15.6 Notify each Holder of Registrable  Securities  covered by
such  registration  statement at any time when a prospectus  relating thereto is
required to be delivered under the Act of the happening of any event as a result
of which the  prospectus  included in such  registration  statement,  as then in
effect,  includes  an untrue  statement  of a material  fact or omits to state a
material fact required to be stated  therein or necessary to make the statements
therein not misleading in the light of the circumstances then existing.

                  15.7  Furnish,   at  the  request  of  any  Holder  requesting
registration  of  Registrable  Securities  pursuant to this Section 15.7, on the
date that such Registrable Securities are delivered to the underwriters for sale
in  connection  with a  registration  pursuant  to this  Section  15.7,  if such
Registrable Securities are being sold through underwriters, (i) an opinion dated
such date,  of the counsel  representing  the  Company for the  purposes of such
registration,  in form and substance as is customarily  given to underwriters in
an underwritten public offering,  addressed to the underwriters,  if any, and to
the Holders requesting  registration of Registrable Securities and (ii) a letter
dated  such date,  from the  independent  certified  public  accountants  of the
Company, in form and substance as is customarily given by independent  certified
public accountants to underwriters in an underwritten public offering, addressed
to the  underwriters,  if any,  and to the Holders  requesting  registration  of
Registrable Securities.

         16. Furnish Information.  Each Holder of Registrable Securities holding
securities in any  registration  shall  furnish to the Company such  information
regarding itself, the Registrable  Securities held by it and the intended method
of disposition of such securities as shall be reasonably  required to effect the
registration of such Holder's Registrable Securities.

         17.  Expenses  of  Demand  Registration.   All  expenses,   other  than
underwriting   discounts   and   commissions   incurred   in   connection   with
registrations,  filings or  qualifications  pursuant  to Section  13,  including
(without  limitation) all registration,  filing and qualification fees, printers
and accounting fees, fees and disbursement of counsel for the Company,  Blue Sky
fees and expenses and the reasonable fees and  disbursements  of one counsel for
all the selling Holders (but excluding the compensation of regular  employees of
the Company,  other general  overhead  expenses of the Company or other expenses
for the preparation of financial statements or other data which shall be paid in
any event by the Company) shall be borne by the Company; provided, however, that
the Company  shall not be required to pay for any  expenses of any  registration
proceeding  begun  pursuant  to  Section  13(b) if the  registration  request is
subsequently  withdrawn  at the  request  of the  Holders of at least 50% of the
Registrable Securities to be registered (in which case all participating Holders
shall bear such  expenses  pro rata on the basis of the  number of their  shares
requested to be included in the registration),  provided further,  however, that
such registration shall not be counted as a requested  registration  pursuant to
Section 12 hereof. Notwithstanding the foregoing, if the withdrawal of a request
for registration is due to a material adverse change in the





                                       16

<PAGE>



condition,  business or  prospects of the Company from that known to the Holders
at the time of their  request,  then the Holders  and the Company  shall each be
required to pay one-half of such expenses.

         18.  Expenses of Company  Registration.  The Company shall bear and pay
all  expenses   incurred  in  connection  with  any   registration,   filing  or
qualification of Registrable  Securities with respect to registrations  pursuant
to Section 14 for each  Holder  (which  right may be  assigned  as  provided  in
Section 21.4(l)),  including (without limitation) all registration,  filing, and
qualification  fees,  printers and  accounting  fees  relating or  apportionable
thereto  and the fees  and  disbursements  of one  counsel  for all the  selling
Holders selected by them, but excluding  underwriting  discounts and commissions
relating to Registrable Securities.

         19.  Underwriting   Requirements.   In  connection  with  any  offering
involving an  underwriting  of shares  being issued by the Company,  the Company
shall not be  required  under  Section  13.2 or Section 14 to include any of the
Holders'  Registrable  Securities in such underwriting unless the Holders accept
the terms of the  underwriting  (such to be in  customary  form) as agreed  upon
between  the  Company and the  underwriter  selected  by it. If the  underwriter
determines  that marketing  factors require a limitation on the number of shares
to  be  underwritten  in  connection  with  such  offering,   and  (i)  if  such
registration  is the  first  registered  offering  of the sale of the  Company's
securities  to the  public,  the  underwriter  may  (subject  to the  allocation
priority set forth below) exclude from such  registration and underwriting  some
or all of the Registrable Securities which would otherwise be underwritten,  and
(ii) if such  registration  is other than the first  registered  offering of the
sale of the Company's  securities to the public, the underwriter may (subject to
the  allocation  priority  set  forth  below)  limit the  number of  Registrable
Securities to be included in the  registration and underwriting to not less than
25% of the number of Registrable  Securities included therein. The Company shall
advise all  Holders of  Registrable  Securities  requesting  registration  under
Section 13 or Section 14 promptly after such  determination  by the underwriter,
and the  number of shares of  Registrable  Securities  that are  entitled  to be
included  in  the  registration  and  underwriting  shall  be  allocated  in the
following  manner:  the  securities  of  the  Company  (other  than  Registrable
Securities) held by officers and directors of the Company shall be excluded from
such  registration  and  underwriting to the extent required by such limitation,
and if a  limitation  of the number of shares is still  required,  the number of
shares  that may be  included  in the  registration  and  underwriting  shall be
allocated among all such other selling securityholders, including the Holders in
proportion,  as nearly as practicable,  to the respective  number of Registrable
Securities  which they had requested to be included in such  registration at the
time  of  filing  the  registration  statement.  If any  Holder  of  Registrable
Securities  or any  officer  or  director  disapproves  of the terms of any such
underwriting,  he may  elect to  withdraw  therefrom  by  written  notice to the
Company and the underwriter.  Any Registrable  Securities  excluded or withdrawn
from such underwriting shall be withdrawn from such registration and which shall
no longer be registrable.






                                       17

<PAGE>



         20. Delay of Registration.  No Holder shall have any right to obtain or
seek an injunction  restraining or otherwise  delaying any such  registration as
the  result  of  any   controversy   that  might  arise  with   respect  to  the
interpretation or implementation of this Section 20.

         21.  Indemnification.  In the  event  any  Registrable  Securities  are
included in a registration statement under this Section 13 or 14:

                  21.1  To  the  extent  permitted  by  law,  the  Company  will
indemnify  and hold harmless  each Holder,  each of its officers,  directors and
partners,  any  underwriter  (as  defined  in the Act) for such  Holder and each
person,  if any, who controls such Holder or  underwriter  within the meaning of
the Act or the  Securities  Exchange  Act of 1934,  as amended (the "1934 Act"),
from and against any losses, claims,  damages,  expenses or liabilities to which
they may become  subject  under the Act, the 1934 Act or other  federal or state
law,  insofar as such  losses,  claims,  damages,  expenses or  liabilities  (or
actions in respect  thereof) arise out of or are based upon any of the following
statements, omissions or violations (collectively a "Violation"); (i) any untrue
statement  or alleged  untrue  statement  of a material  fact  contained in such
registration statement, including any preliminary prospectus or final prospectus
contained  therein  or any  amendments  or  supplements  thereto,  or any  other
documents  prepared by the Company and  incident  thereto,  (ii) the omission or
alleged omission to state therein a material fact required to be stated therein,
or  necessary  to make the  statements  therein  not  misleading  or  (iii)  any
violation  or alleged  violation  by the Company of the Act,  the 1934 Act,  any
state  securities law or any rule or regulation  promulgated  under the Act, the
1934 Act or any state  securities  law;  and the Company will pay as incurred to
each such Holder, officer, director, partner, underwriter or controlling person,
any legal or other  expenses  reasonably  incurred  by them in  connection  with
investigating or defending any such loss, claim, damage,  expense,  liability or
action;  provided,  however,  that the  indemnity  agreement  contained  in this
Section  21.1 shall not apply to amounts  paid in  settlement  of any such loss,
claim,  damage,  liability,  expense or action if such  settlement  is  effected
without the  consent of the Company  (which  consent  shall not be  unreasonably
withheld),  nor shall the  Company be liable in any such case for any such loss,
claim, damage, expense,  liability or action to the extent that it arises out of
or is based upon a Violation  which  occurs in reliance  upon and in  conformity
with written  information  furnished  expressly for use in connection  with such
registration by any such Holder, underwriter or controlling person.

                  21.2 To the extent  permitted by law, each selling Holder will
indemnify  and hold  harmless the Company,  each of its  directors,  each of its
officers who has signed the  registration  statement,  each person,  if any, who
controls the Company within the meaning of the Act, any  underwriter,  any other
Holder  selling  securities  in  such  registration  statement  and  each of its
officers,  directors  and  partners  and  any  controlling  person  of any  such
underwriter or other Holder,  from and against any losses,  claims,  damages, or
liabilities  to which any of the foregoing  persons may become subject under the
Act, the 1934 Act or other federal or state law, insofar as such losses, claims,
damages, expenses or liabilities (or actions in respect thereto) arise out of or
are  based  upon any  Violation,  in each  case to the  extent  (and only to the
extent) that such





                                       18

<PAGE>



Violation  occurs in reliance  upon and in conformity  with written  information
furnished to the Company by such Holder  expressly  for use in  connection  with
such  registration;  and each such Holder will pay,  as  incurred,  any legal or
other  expenses  reasonably  incurred by any person  intended to be  indemnified
pursuant to this Section 21.2, in connection with investigating or defending any
such loss, claim, damage, expense, liability or action; provided,  however, that
the  indemnity  agreement  contained  in this  Section  21.2  shall not apply to
amounts paid in settlement of any such loss, claim, damage,  expense,  liability
or action if such  settlement  is  effected  without  the consent of the Holder,
which consent shall not be unreasonably  withheld;  provided  further that in no
event shall any  indemnity  obligation  under this Section 21.2 exceed the gross
proceeds from the offering received by such Holder.

                  21.3 Promptly after receipt by an indemnified party under this
Section  21.3  of  notice  of the  commencement  of any  action  (including  any
governmental action), such indemnified party will, if a claim in respect thereof
is to be made against any indemnifying party under this Section 21.3, deliver to
the  indemnifying  party a written  notice of the  commencement  thereof and the
indemnifying  party shall have the right to  participate  in, and, to the extent
the indemnifying  party so desires,  jointly with any other  indemnifying  party
similarly  noticed,   to  assume  the  defense  thereof  with  counsel  mutually
satisfactory to the parties; provided,  however, that an indemnified party shall
have the right to retain its own counsel,  with the fees and expenses to be paid
by the indemnifying  party, if  representation  of such indemnified party by the
counsel retained by the indemnifying  party would be inappropriate due to actual
or potential  differing  interests  between such indemnified party and any other
party  represented  by such counsel in such  proceeding.  The failure to deliver
written  notice  to the  indemnifying  party  within  a  reasonable  time of the
commencement of any such action,  if, and only if, seriously  prejudicial to its
ability to defend such  action,  shall  relieve such  indemnifying  party of any
liability to the indemnified  party under this Section 21.3, but the omission so
to deliver written notice to the  indemnifying  party will not relieve it of any
liability that it may have to any  indemnified  party  otherwise than under this
Section 21.3.

                  21.4 (a) Reports Under Securities Exchange Act of 1934. With a
view to making  available  to the holders of  Registrable  Stock the benefits of
Rule 144 promulgated  under the 1933 Act and any other rule or regulation of the
Securities and Exchange  Commission that may at any time permit a holder to sell
securities of the Company to the public without registration, the Company agrees
to use its reasonable best efforts to:

                                    (1) file with the  Securities  and  Exchange
                           Commission  in a timely  manner all reports and other
                           documents  required of the Company under the 1933 Act
                           and the  Securities  Exchange  Act of 1934 (the "1934
                           Act"); and

                                    (2)  furnish  to any  holder so long as such
                           holder owns any of the  Registrable  Stock  forthwith
                           upon request a written  statement by the Company that
                           it has complied  with the reporting  requirements  of
                           Rule 144 (at any time after 90 





                                       19

<PAGE>



                            days  after  the   effective   date  of  said  first
                            registration statement filed by the Company), and of
                            the 1933 Act and the 1934 Act (at any time  after it
                            has become subject to such reporting  requirements),
                            a copy of the most recent annual or quarterly report
                            of the Company, and such other reports and documents
                            so  filed  by  the  Company  as  may  be  reasonably
                            requested  in  availing  any  holder  of any rule or
                            regulation of the Securities and Exchange Commission
                            permitting  the  selling  of  any  such   securities
                            without registration.

                            (b)  Lockup  Agreement.  In  consideration  for  the
Company's  agreeing to its obligations under this Sections 13 and 14, the holder
of Registrable Stock agrees in connection with any registration of the Company's
securities  that, upon the request of the Company or the  underwriters  managing
any  underwritten  offering of the Company's  securities,  not to sell, make any
short sale of, loan,  grant any option for the purchase of or otherwise  dispose
of any Registrable Stock (other than those included in the registration) without
the prior written consent of the Company or such  underwriters,  as the case may
be, for such period of time (not to exceed 90 days) from the  effective  date of
such  registration  as the Company or the  underwriters  may specify;  provided,
however,  that all  holders of 5% or more of the  Company's  securities  and all
directors and officers  shall be subject to the  restrictions  set forth in this
Section 21.4(b).

                            (c) Certain  Limitations  in Connection  with Future
Grants of Registration Rights. From and after the date hereof, the Company shall
not  enter  into any  agreement  with any  holder or  prospective  holder of any
securities  of the  Company  providing  for  the  granting  to  such  holder  of
registration rights unless such agreement:

                                    (1) includes   the   equivalent  of  Section
                           21.4(b) hereof as a term;

                                    (2) includes a provision that in the case of
                           a   public   offering   involving   an   underwritten
                           registered offering under Section 14 hereof, protects
                           the holders of Registrable Stock if marketing factors
                           require a limitation  on the number of  securities to
                           be included in the  underwriting  by maintaining  the
                           same priority as to  participation  in a registration
                           as is  provided  to such  holders  under  Section  19
                           hereof; and

                                    (3)  does  not  grant  to  such   holder  or
                           prospective holder registration rights more favorable
                           than  those  granted to the  holders  of  Registrable
                           Stock under this Convertible Note.

                            (d)   Transfer   of   Registration    Rights.    The
registration  rights of Kardatzke  Management,  Inc., the initial holder of this
Convertible Note, under this Section 21 may be transferred to any transferee who
acquires  at least  20% of the then  outstanding  shares of  Registrable  Stock;
provided,  however,  that,  in either  of such  cases,  as the case may be,  the
Company  is given  written  notice by the  Holder  at the time of such  transfer
stating the name and 






                                       20

<PAGE>


address of the transferee and  identifying  the securities with respect to which
the rights under this Convertible Note are being assigned.

          22.              (a) The   address  for  the  Company for all purposes
contained in this Convertible  Note and for all the notices  hereunder shall be:
11320 W. 79th Street, Lenexa, Kansas 66214, Attention: Troy Burns, M.D.

                            (b) The  address  of the  Holder  for  all  purposes
contained in this  Convertible  Note and for all notices  hereunder shall be: 70
Destacada Avenue, Coral Gables, Florida 33156.

                            (c) Each of the  Company  and the  Holder may change
its address for purposes  hereof by providing  notice to the other in the manner
described in Section 11 hereof.

         23. Neither this  Convertible  Note nor any term hereof may be changed,
waived, discharged or terminated orally or in writing, provided that any term of
this  Convertible  Note may be  amended  or the  observance  of such term may be
waived (either generally or in a particular instance and either retroactively or
prospectively)  with,  but only with,  the  written  consent of the  Company and
holders of Notes (as defined in the Note Purchase  Agreement)  that represent in
the  aggregate at least a majority of the total  principal  amount of all of the
Notes then outstanding.






                                       21

<PAGE>




         Executed as of the day and year first above written.


                                            INTEGRATED MEDICAL RESOURCES, INC.



                                            By:   /s/ Troy Burns, M.D.
                                            --------------------------

                                               Troy Burns, M.D.
                                               Chief Executive Officer







                                       22

<PAGE>


                                                                     Annex 1
                                                                     -------

                               CONVERSION REQUEST


TO:  INTEGRATED MEDICAL RESOURCES, INC.


         The  undersigned  holder of this  Convertible  Note hereby  irrevocably
exercises the option to convert this  Convertible  Note, or portion hereof below
designated,  into shares of Common  Stock in  accordance  with the terms of this
Convertible Note, and directs that the securities  issuable and deliverable upon
the conversion,  together with any check in payment for fractional amounts,  and
any Convertible Note  representing any unconverted  amount hereof, be issued and
delivered to the holder hereof at the address specified below.


Dated:____________
                                      Signature (for conversion use only)


                                      Amount to be converted (if less than all):


                                                   $____________

_________________________________

_________________________________

_________________________________      _________________________________     
Please print name and                  Please insert Social Security or
address (including zip                 other Taxpayer Identification Number
code number)







<PAGE>




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