RAMSAY MANAGED CARE INC
10-Q/A, 1996-09-24
HEALTH SERVICES
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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                   Form 10-QSB-A
                               Amendment Number 1

(Mark One)
/X/            QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
                         SECURITIES EXCHANGE ACT OF 1934

                  For the quarterly period ended March 31, 1996

                                       OR

/  /    TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES
                              EXCHANGE ACT OF 1934

                        For the Transition period from to

                           Commission file No. 0-26666

                            RAMSAY MANAGED CARE, INC.

       (Exact name of small business issuer as specified in its charter)

            Delaware                                72-1249464
            (State or other jurisdiction            (I.R.S. Employer
            of incorporation or organization)       Identification Number)

                                One Poydras Plaza
                          639 Loyola Avenue, Suite 1725
                          New Orleans, Louisiana 70113
               (Address of principal executive offices) (Zip Code)

         Issuer's telephone number, including area code: (504) 585-0515

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

                                    Yes X No

         The number of shares of the  Registrant's  Common Stock  outstanding at
May 10, 1996 follows:

           Common Stock, par value $0.01 per share - 6,387,019 shares

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







<PAGE>


                            RAMSAY MANAGED CARE, INC.

                                   FORM 10-QSB


                                      INDEX



                                                                            Page
Part I.  FINANCIAL INFORMATION

Item 1. Financial Statements
     Consolidated balance sheets - March 31, 1996
         and June 30, 1995 (unaudited) .....................................   1

     Consolidated  statements  of operations - three and nine months ended March
          31, 1996 and 1995, (unaudited) ..............................        3

     Consolidated statements of cash flows - nine months ended March 31,
         1996 and 1995 (unaudited) ....... .................................   4

     Notes to consolidated financial statements -
          March 31, 1996 (unaudited) .......................................   6

*Item 2. Management's Discussion and Analysis of
     Financial Condition and Results of Operations .........................   9


Part II.  OTHER INFORMATION

     Item 6. Exhibits and  Reports on Form 8-K .............................  15

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

*Not amended
<PAGE>














                         PART I. FINANCIAL INFORMATION


                           RAMSAY MANAGED CARE, INC.

                          CONSOLIDATED BALANCE SHEETS
                                  (unaudited)


                                                      March 31         June 30
                                                        1996             1995
                                                     ----------       ----------

Assets
Current assets:
   Cash and cash equivalents................... $     703,000    $     4,314,000
Accounts receivable, less allowance for doubtful
     accounts of $56,000 and $33,000 at March 31,
     1996 and June 30, 1995, respectively.......    1,016,000            925,000
   Other receivables............................      302,000             67,000
   Income tax receivable........................      322,000            314,000
   Deferred income taxes........................         ----            142,000
   Other current assets.........................       50,000            282,000
                                                 -------------   ---------------
Total current assets............................    2,393,000          6,044,000

Other assets:
   Restricted cash..............................    1,265,000          1,253,000
   Goodwill and other intangible assets.........    9,633,000         10,217,000
   Deferred preopening and organizational costs.    3,191,000          1,857,000
   Other non-current assets.....................       67,000            281,000
                                                   -----------     -------------
Total other assets..............................   14,156,000         13,608,000

Property and equipment:
   Building and improvements....................      137,000            121,000
   Equipment, furniture and fixtures............    2,392,000          2,149,000
                                                 -------------      ------------
                                                    2,529,000          2,270,000
   Less accumulated depreciation................    1,152,000          1,074,000
                                                 -------------      ------------
Total property and equipment....................    1,377,000          1,196,000


Total assets.................................. $   17,926,000   $     20,848,000
                                                  ============       ===========









                See notes to consolidated financial statements.


<PAGE>

                           RAMSAY MANAGED CARE, INC.

                          CONSOLIDATED BALANCE SHEETS
                                  (unaudited)


                                                     March 31          June 30
                                                       1996              1995
                                                    -----------        ---------
Liabilities and stockholders' equity 
Current liabilities:
   Accounts payable.............................$   1,354,000  $      2,384,000
   Accrued salaries and wages...................      952,000           518,000
   Hospital and medical claims payable..........    1,449,000           922,000
   Other accrued liabilities....................      476,000           281,000
   Due to related party.........................    1,948,000         1,441,000
   Note payable.................................      400,000                ---
   Current portion of long-term debt............    2,115,000           978,000
                                                --------------     -------------
Total current liabilities.......................    8,694,000         6,524,000

Deferred income taxes (benefits)................      778,000           920,000
Long-term debt, less current portion:
   Due to related party.........................    4,941,000         6,000,000
   Other........................................      861,000         1,820,000

Minority interest...............................       12,000               ----
Stockholders' equity:
ClassA  convertible  preferred  stock,  $.01 par
     value -  authorized  1,000,000 shares; issued 
     -0- shares at March 31, 1996 and -0- shares
     at June 30, 1995...........................          ---                ---
Common stock, $.01 par value - authorized
   20,000,000 shares; issued 6,387,019 shares at
   March 31, 1996 and 6,370,909 shares at June
   30, 1995.....................................       64,000            64,000
Additional paid-in capital......................    7,423,000         7,393,000
Retained earnings (deficit).....................   (4,505,000)       (1,512,000)
Note receivable to purchase common stock........     (342,000)         (361,000)
                                               --------------    ---------------
Total stockholders' equity......................    2,640,000          5,584,000
                                                  -----------    ---------------
Total liabilities and stockholders' equity....$   17,926,000   $     20,848,000
                                                  ============      ============






                See notes to consolidated financial statements.




<PAGE>




                           RAMSAY MANAGED CARE, INC.

                     CONSOLIDATED STATEMENTS OF OPERATIONS
                                  (unaudited)


                                    Quarter Ended          Nine Months Ended
                                March 31    March 31    March 31     March 31
                                  1996        1995        1996         1995
                               ----------  ----------  ----------   ----------

Revenues:

   Managed care revenue....   $5,541,000  $4,082,000  $15,141,000   $10,416,000
   Clinical fee for service 
     and other revenue.....      577,000     308,000    1,483,000       929,000
                               ----------  ----------  -----------   -----------
Total revenues.............    6,118,000   4,390,000   16,624,000    11,345,000

Operating expenses:
   Contracted provider 
     services..............    2,289,000   1,595,000    6,201,000     3,350,000
   Salaries, wages and 
     benefits..............    2,672,000   1,819,000    8,021,000     4,886,000
   Management fees charged by
     related companies.....       78,000      58,000      210,000       233,000
   General and administrative 
     expenses..............    1,329,000     780,000    3,556,000     1,957,000
   Depreciation and 
     amortization..........      362,000     270,000    1,048,000       780,000
   Interest and other financing
     charges...............      184,000     (31,000)     571,000       170,000
Total operating expenses...    6,914,000   4,491,000   19,607,000    11,376,000
                               ---------   ---------   ----------    -----------
Loss before income taxes and
   minority interests......     (796,000)   (101,000)  (2,983,000)      (31,000)
Minority interests.........       12,000         ---       12,000           ---
                               ---------   ---------   ----------    -----------
Loss before income taxes...     (808,000)   (101,000)  (2,995,000)      (31,000)
Income tax (benefit) expenses        ---    (13,000)          ---        59,000
                               ---------   ---------   ----------    -----------
Net loss income............   $ (808,000) $  (88,000) $(2,995,000)  $   (90,000)
                               ==========  ==========   ==========   ===========

Loss per common share......   $    (0.13) $    (0.02) $     (0.47)  $     (0.03)
                              =========== =========== ============  ============

Weighted average number of 
     shares outstanding....    6,384,934   4,160,002    6,375,550     3,340,626
                              =========== ==========  ============    ==========
 (Primary and fully diluted)















                See notes to consolidated financial statements.


<PAGE>



                           RAMSAY MANAGED CARE, INC.

                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                  (unaudited)
 
                                                      Nine Months Ended
                                                 March 31            March 31
                                                   1996                1995
                                                ----------          ----------

Cash flows from operating activities
Net (loss) income..............................$    (2,995,000) $       (90,000)
Adjustments to reconcile net (loss) income to 
     net cash provided by operating activities:
          Depreciation and amortization........      1,048,000          780,000
          Minority interest....................         12,000               ---
          Other................................            ---          (30,000)
          Cash flows from (increase) decrease in 
            operating assets:
               Accounts receivable, net........        (91,000)        (335,000)
               Other receivables...............       (235,000)          20,000
               Deferred income taxes...........       (115,000)        (214,000)
               Income tax receivable...........         (8,000)         154,000
               Other current assets............        232,000         (253,000)
               Other non-current assets........        214,000               ---
     Cash flow from increase (decrease) in 
        operating liabilities:
               Accounts payable................     (1,030,000)         402,000
               Accrued salaries, wages and other 
                  liabilities..................        434,000          383,000
               Hospital and medical claims payable     527,000          475,000
               Due to related party............        507,000               ---
               Other accrued liabilities.......        195,000         (319,000)
                                                   ------------  ---------------
Total adjustments..............................      1,690,000        1,063,000
                                                   ------------  ---------------
Net cash (used) provided by operating activities    (1,305,000)         973,000
                                                   ------------  ---------------

Cash flows from investing activities
Expenditure for property and equipment.........       (575,000)        (457,000)
Deposit of funds in connection with establishment
   of health maintenance organization..........        (12,000)      (1,001,000)
Sale of partnership interest...................            ---          325,000
Preopening and organizational costs............     (1,394,000)      (1,143,000)
Expenditure on note receivable to purchase common 
   stock.......................................            ---         (149,000)
                                                   ------------  ---------------
Net cash used in investing activities..........     (1,981,000)      (2,425,000)
                                                   ============     ============










                See notes to consolidated financial statements.


<PAGE>


                           RAMSAY MANAGED CARE, INC.

          CONSOLIDATED STATEMENT OF CASH FLOWS (continued) 
                                  (unaudited)
                                                        Nine Months Ended
                                                    March 31          March 31
                                                      1996              1995
                                                   ----------        ----------


Cash flows from financing activities
Advances from (payments) to related party......        507,000        1,201,000
Payment on debt................................       (881,000)        (951,000)
Issuance of common stock.......................         30,000        3,320,000
Expenditure for costs related to distribution 
   and certain stock transactions..............            ---       (1,349,000)
Receipt from note receivable to purchase common 
   stock.......................................         19,000              --- 
Net cash (used) provided by financing activities      (325,000)       2,221,000
                                                    -----------      -----------
Net (decrease) increase in cash and cash
   equivalents.................................     (3,611,000)         769,000
Cash and cash equivalents at beginning of period     4,314,000          763,000
                                                    -----------      -----------
Cash and cash equivalents at end of period....    $    703,000     $  1,532,000
                                                    ===========      ===========

Supplemental  disclosures of cash flow information
Cash paid (received)during the period for:
   Interest...................................    $    324,000     $    165,000
                                                    ===========       ==========
   Income taxes...............................    $   (117,000)    $    110,000
                                                    ===========       ==========



























                See notes to consolidated financial statements.


<PAGE>





                           RAMSAY MANAGED CARE, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                  (unaudited)
                                 March 31, 1996

NOTE 1

     The  accompanying  unaudited  consolidated  financial  statements have been
prepared in accordance with generally accepted accounting principles for interim
financial information and with the instructions to Form 10-QSB and Article 10 of
Regulation  S-B.  Accordingly,  they do not include all of the  information  and
notes  required  by  generally  accepted  accounting   principles  for  complete
financial statements.  In the opinion of management,  all adjustments considered
necessary for a fair  presentation  of the interim  information  are of a normal
recurring nature and have been included.  The Company's  business is seasonal in
nature  and  subject  to  general   economic   conditions   and  other  factors.
Accordingly,  operating  results for the quarter and nine months ended March 31,
1996 are not necessarily  indicative of the results that may be expected for the
year.

     The Company was  incorporated  in the State of Delaware in July,  1993, and
commenced  operations  with the acquisition of Florida  Psychiatric  Management,
Inc. ("FPM") on October 31, 1993.

NOTE 2

The Company's long-term debt consists of the following:

                                                March 31              June 30
                                                  1996                  1995
                                             --------------      ---------------

8% 6-year unsecured promissory note issued
     to Ramsay Health Care, Inc. payable
     quarterly, due September 30, 2000..     $    6,000,000      $    6,000,000
Variable rate (interest rate of 8.1875%
     at March 31, 1996 and 8.7% at 
     June  30,1995), 3-year secured term 
     First Union National Bank of Florida, 
     Inc., payable quarterly, due January
     31, 1998................................     1,250,000           1,667,000
8.25% 3-year secured promissory note issued in
     connection with the acquisition of HDI,
     payable monthly, due June 30, 1997......       417,000             667,000
7.25% 2-year unsecured notes due to former
     shareholders of FPA, payable monthly,
     due May 10, 1996........................        13,000              71,000
Other notes and leases payable...............       237,000             393,000
                                             --------------      ---------------

                                                  7,917,000           8,798,000
Less amounts due within one year.............     2,115,000             978,000
                                             --------------      ---------------
                                             $    5,802,000      $    7,820,000
                                                  ==========          ==========



<PAGE>



                           RAMSAY MANAGED CARE, INC.

     The 8%, six-year,  unsecured promissory note (the "Subordinated  Promissory
Note")  has been  issued to Ramsay  Health  Care,  Inc.  ("RHCI"),  which is the
Company's former parent corporation,  and represents certain amounts due to RHCI
at October 25, 1994. The note is subordinated  and junior to all indebtedness of
the Company.  Interest only is payable through September 30, 1996, at which time
principal and interest will be payable in equal quarterly  installments with the
final payment due on September 30, 2000.

     As part of the  acquisition  of FPM in October 1993,  the Company issued 7%
three year debentures,  totalling $2,500,000. These debentures were prepaid with
the proceeds of a 3-year secured term loan on April 28, 1995. The variable rate,
3-year  secured term loan by a bank is secured by the stock and assets of RMCI's
subsidiary,  FPM Behavioral Health, Inc. and its subsidiaries  ("FPM"). The term
loan requires,  among other things,  that FPM maintain various  financial ratios
and a  minimum  level of  stockholders'  equity.  The term  loan is  payable  in
quarterly installments with the last payment due January 31, 1998.

     Under the provisions of the term loan, FPM was required to maintain a fixed
charge coverage ratio of 1.25:1.  At June 30, 1995,  FPM's fixed charge coverage
ratio was less than the requirement.  The bank agreed to reduce the fixed charge
coverage ratio  requirement to 1.0:1 at June 30, 1995 and for the period through
June 30, 1996.  Management believes FPM's operations in fiscal year 1996 will be
sufficient to maintain  compliance  with the reduced fixed charge coverage ratio
requirement.  Accordingly,  amounts due greater than one year payable  under the
term loan  agreement  at March 31, 1996 are  classified  as long-term in the
accompanying balance sheet.

     As part of the  acquisition of certain  assets of Human Dynamics  Institute
("HDI"),  the Company issued an 8.25% secured promissory note due June 30, 1997.
This note is  secured  by the stock of the  Company's  wholly-owned  subsidiary,
FPMBH of Arizona,  Inc., which was the acquiring entity of the assets of HDI. It
is payable in 36 equal monthly  installments  which began July 31, 1994 with the
final installment due June 30, 1997.

     On April 26,  1996,  the  Company  amended its Bank  Credit  Facilities.  A
previous  Revolving  Credit  Facility  for up to  $4,200,000  was  replaced by a
$1,500,000 Revolving Master Line of Credit, and a $100,000 Term Loan.

     The Master Revolver, which is payable on demand, will expire on October 30,
1996 and the  $100,000  Term  Loan,  which  will  expire  on April 5,  1999,  is
repayable by 36 months of equal principal  payments plus interest.  At March 31,
1996, $647,000 was outstanding under the Master Revolver.

     On April 24, 1995, RHCI distributed,  in the form of a dividend, all of the
shares of the Company's  common stock held by it to the holders of RHCI's common
stock,  Class A convertible  preferred  stock and Class B convertible  preferred
stock (the "Distribution").

     In  addition  to  the  Subordinated  Promissory  Note  and  pursuant  to  a
Distribution  Agreement  between RMCI and RHCI which governed the  Distribution,
RMCI agreed to pay amounts owed to RHCI as of April 24, 1995 (the  "Distribution
Date")  totalling  approximately   $1,100,000.   Pursuant  to  the  Distribution
Agreement,  $600,000 of this amount was payable by RMCI on or before October 21,
1995 or on such other date and on such other  terms and  conditions  as mutually
agreed  to by RMCI and  RHCI.  RMCI paid  $275,000  to RHCI on June 30,  1995 in
partial  satisfaction  of the amount  due on October  21,  1995.  The  remaining
$325,000 together with the balance of the amount outstanding on the Distribution
Date,  approximately  $500,000,  is  payable  on or before  December  31,  1996,
together  with  interest at 7% per annum  accruing  from October 21, 1995, or on
such other  date and on such other  terms and  conditions  as shall be  mutually
agreed to between RMCI and RHCI.  

     Subsequent to the Distribution  Date, RHCI paid additional amounts incurred
by RMCI  prior to the  Distribution  Date and  provided  certain  administrative
services to RMCI pursuant to certain  agreements entered into in connection with
the Distribution.  RMCI will pay RHCI for these amounts, which at March 31, 1996
totalled  approximately  $2,000,000,  on terms currently being discussed between
the parties.

NOTE 3

     The provision for income taxes included in the  consolidated  statements of
income differs from the amounts  computed by applying the normal statutory rates
to income  before  income  taxes  because  such  provision  includes  a) amounts
reportable  as income for federal  income tax purposes  which are not income for
financial  reporting  purposes,  b) amounts  deducted  for  financial  reporting
purposes  that are not  allowable  deductions  for federal and state  income tax
purposes  and c)  amounts  for  state  income  taxes  applicable  to  profitable
subsidiaries which do not utilize the operating losses generated by unprofitable
subsidiaries  to offset  taxable  income.  At March 31,  1996,  the  Company has
estimated operating loss carry forwards of approximately  $2,426,000 for Federal
income tax purposes, which expire from 2005 to 2010 and approximately $3,737,000
for state income tax purposes, which expire from 2005 to 2010, and are available
to reduce future income taxes.

<PAGE>
                           RAMSAY MANAGED CARE, INC.

Item 2.   Management's Discussion and Analysis of Financial Condition and
          Results of Operations




         The Company is involved in the management of mental health services and
substance abuse care on behalf of  self-insured  employers,  health  maintenance
organizations,  insurance companies and government agencies in different states.
The Company not only manages such care but also provides where  appropriate  the
delivery  of  care  through  integrated  systems  involving  clinics  and  other
providers.  These services range from benefit design, case management and claims
processing to fully capitated (at risk) mental health care treatment.

         On April 24, 1995, Ramsay Health Care, Inc. distributed, in the form of
a dividend,  all of the shares of the  Company's  common stock held by it to the
holders  of  Ramsay  Health  Care,  Inc.'s  common  stock,  class A  convertible
preferred  stock and class B  convertible  preferred  stock.  On that date,  the
Company commenced a rights offering (the "Rights Offering") of 960,913 shares of
its common stock at a subscription  price of $2.00 per share.  All of the shares
of common stock offered in the Rights Offering were subscribed and paid for.

         The   Company's   strategy   is  to  expand  its   operations   through
acquisitions,  development and joint venture efforts,  and currently operates in
13 states. It is expected that any future  acquisitions will look to enhance the
volume of the Company's business in various regions of the country.

     The Company  currently  holds  licenses  to operate  HMO's in the states of
Louisiana,  Mississippi, and Alabama. On March, 1996, the Company announced that
it had entered into an agreement  to sell its HMO  operations  subsidiary , Apex
Healthcare, Inc. ("Apex"), to an investor group consisting of Berenson Minella &
Company,  Wexford Management LLC and the senior management of Apex. The purchase
price for Apex is $4.5 million plus  reimbursable  items  incurred from February
26, 1996 through to closing, subject to certain limitations.  The closing of the
sale is subject to receipt of  regulatory  approvals,  third party  consents and
other customary closing conditions.



<PAGE>


Results of Operations

         The  following  table sets forth,  for the periods  indicated,  certain
items of the Company's consolidated  statements of income as a percentage of the
Company's net revenues.  The  discussion  following  this table  quantifies  the
significant  fluctuations  in amounts  reported  in the  Company's  consolidated
statements of operations between periods.


<PAGE>



                           RAMSAY MANAGED CARE, INC.


                                                  Percentage of Net Revenue
                                             Quarter Ended    Nine Months Ended
                                               March 31            March 31
                                          1996         1995   1996         1995
                                          ----         ----   ----         ----
Net revenues.....................         100.0 %   100.0 %   100.0 %   100.0 %
                                          -----     -----     -----     -----
Operating expenses:
Contracted provider services...........    37.4 %    36.3 %    37.3 %    29.5 %
Salaries, wages and benefits...........    43.7 %    41.4 %    48.2 %    43.1 %
Other operating expenses...............    23.0 %    19.1 %    22.7 %    19.3 %
Depreciation and amortization..........     5.9 %     6.2 %     6.3 %     6.9 %
Interest and other financing changes...     3.0 %    (0.7)%     3.4 %     1.5 %
                                          -----      -----     -----     -----
Total operating expenses...............   113.0 %   102.3 %   117.9 %   100.3 %
                                          -----     -----     -----     -----   
Income (loss) before income taxes......   (13.0)%    (2.3)%   (17.9)%    (0.3)%
                                          ======    ======    ======    ======

Quarter ended  March 31, 1996
Compared to Quarter ended March 31, 1995

     Net revenues in the quarter ended March 31, 1996,  ("the  period") were
$6.1  million  compared to $4.4  million in the  comparable  period of the prior
fiscal year.  The increase in net revenues is  attributable  to new managed care
contracts obtained, in particular in West Virginia effective January 1, 1995 and
North  Carolina  effective  July 1, 1995.  Clinical and other  clinical  service
revenue  increased  as a result of new  clinics  opened  during the  period.  In
addition,  revenues  increased due to HMO operations which began in Louisiana in
June 1995 and Mississippi in February 1996.

     Contracted  provider  services  increased  to $2.3  million in the  quarter
compared to $1.6  million in the prior year period as a result of the  increased
number of members whose care is managed by the Company.

     Other operating  expenses  comprising  salaries and wages,  and general and
administrative  expenses  increased from $2.7 million to $4.1 million reflecting
the expanded operations base of the Company's managed behavioral health division
("FPM") and the  development  during the period of the  Company's  HMO  division
("Apex Healthcare"). Significant start-up losses were incurred during the period
in the HMO operations.

     On March  6,  1996,  the  Company  announced  that it had  entered  into an
agreement to sell its HMO operations to an investor group consisting of Berenson
Minella & Company,  Wexford Management LLC and the senior management of Apex for
$4.5 million plus  reimbursable  items  incurred  from February 26, 1996 through
closing,  subject to certain  limitations.  The closing is subject to receipt of
regulatory   approvals,   third  party  consents  and  other  customary  closing
conditions.

     The Company's  loss before income taxes and minority  interests of $796,000
compared to $101,000 for the prior comparable quarter.


Nine months ended March 31, 1996
Compared to Nine months ended March 31, 1995

     Net revenues in the nine months ended March 31, 1996,  ("the  period") were
$16.6 million  compared to $11.3 million in the  comparable  period of the prior
fiscal year.  The increase in net revenues is  attributable  to new managed care
contracts obtained, in particular in West Virginia effective January 1, 1995 and
North  Carolina  effective  July 1, 1995.  Clinical and other  clinical  service
revenue  increased  as a result of new  clinics  opened  during the  period.  In
addition,  revenues  increased due to HMO operations which began in Louisiana in
June 1995 and in Mississippi in February 1996.

     Contracted  provider  services  increased  to $6.2  million  in the  period
compared to $3.35  million in the prior year period as a result of the increased
number of members whose care is managed by the Company.

     Other operating  expenses  comprising  salaries and wages,  and general and
administrative  expenses increased from $7.1 million to $11.8 million reflecting
the expanded operations base of the Company's managed behavioral health division
("FPM") and the  development  during the period of the  Company's  HMO  division
("Apex Healthcare"). Significant start-up losses were incurred during the period
in the HMO division.
 
     On March  6,  1996,  the  Company  announced  that it had  entered  into an
agreement to sell its HMO operations to an investor group consisting of Berenson
Minella & Company,  Wexford Management LLC and the senior management of Apex for
$4.5 million plus  reimbursable  items  incurred  from February 26, 1996 through
closing,  subject to certain  limitations.  The closing is subject to receipt of
regulatory   approvals,   third  party  consents  and  other  customary  closing
conditions.

     The  Company's  loss before  income taxes and  minority  interests of $2.99
million  for the  period  occurred  as a result  of  significant  marketing  and
development  costs in the expansion of the Company's  behavioral  health managed
care services,  and continuing  start-up costs associated with the Company's HMO
division.

Liquidity and Capital Resources

     General. In October 1994, the Company completed  $3,320,000 of a $5,820,000
private  placement (the "Equity  Investment") of RMCI Common Stock (the "October
1994 Closing") to a corporate  affiliate of Paul J. Ramsay,  the Chairman of the
Company,  and three officers of the Company.  The Company received an additional
$2,500,000 in May 1995  pursuant to the second  purchase of RMCI Common Stock by
that affiliate of Mr. Ramsay pursuant to the purchase  agreement entered into in
October,  1994. In connection with the Rights Offering of 960,913 shares of RMCI
Common  Stock at $2.00 per share which ended on June 8, 1995,  the Company  also
received net proceeds of approximately $823,000.
 
     A portion of the funds  received  from the October 1994 Closing was used to
meet the $1,300,000 minimum statutory capital requirements relating to obtaining
the  license in  December  1994 for the  operation  of an HMO in  Louisiana.  In
addition,  in May 1995,  $200,000  was used to meet  minimum  statutory  capital
requirements  related  to an  application  for an HMO  license  in the  State of
Alabama.  Further,  in connection  with the Company's grant of an HMO license in
the  state  of  Mississippi,  the  Company  required  $250,000  to meet  minimum
statutory  capital  requirements.  Statutes and  regulations  applicable  to the
operation  of health  maintenance  organizations  will  require  the  Company to
maintain  minimum  levels of capital and net worth and will limit the ability of
the  subsidiaries  of the Company  which will hold HMO licenses to pay dividends
(to the  Company  as  such  subsidiaries'  sole  stockholder)  or  make  certain
investments.  Except in connection  with the Louisiana,  Alabama and Mississippi
HMO  applications  described  above,  the Company cannot  quantify the effect of
these  statutory  capital   requirements.   However,  the  imposition  of  these
requirements  will  increase  the  cost of  conducting  its  health  maintenance
organization businesses, thereby increasing the Company's cash requirements.
 
     Pursuant to the Distribution  Agreement  between RMCI and RHCI, RMCI agreed
to pay amounts owed to RHCI as of the Distribution Date. RMCI will also pay RHCI
for  services  performed  and amounts paid on behalf of RMCI  subsequent  to the
Distribution Date. The terms of repayment related to certain of the amounts owed
to RHCI at March 31, 1996 (excluding  the  Subordinated  Promissory  Note),
totalling  approximately $2 million are currently being discussed between RMCI
and RHCI. See Note 2 on page 6.
 
     The  Company's  sources of liquidity  primarily  will be its cash flow from
operations  and the proceeds from a $1,500,000  Revolving  Master Line of Credit
described below under "Financing".  In addition, the Company received $2,500,000
in May 1995 in  connection  with the second and final  closing  under the Equity
Investment. Finally, in June 1995 the Company received additional cash (at $2.00
per share) upon the exercise of the 960,913 rights issued in connection with the
Rights Offering of approximately $823,000 (net of expenses). The Company expects
to use its sources of liquidity for working capital and other general  corporate
purposes,  including  for  costs  discussed  above,  costs  associated  with the
establishment and development of health maintenance  organization businesses and
related provider  networks in the  southeastern  region of the United States and
for possible acquisitions of managed mental health care businesses.  The Company
will consider the possible  establishment and development of health  maintenance
organization businesses and any possible acquisitions in light of its sources of
liquidity and cash  requirements  existing at the time that the  development  or
acquisition opportunity is presented.  Accordingly, the Company anticipates that
it will  allocate  its  resources  in such a fashion so as to  provide  for then
existing development or acquisition costs prior to undertaking future expansion.
There can be no  assurance  that the  Company  will  expand  its  operations  by
development,  acquisition or internal expansion or that any development  effort,
acquisition or expansion will be profitable.
 
     In  addition,  from  time  to  time  the  Company  engages  in  discussions
concerning possible acquisitions of businesses in the managed mental health care
industry.  At the present time, the Company is not party to any letter of intent
or agreement to purchase any such businesses. There can be no assurance that the
Company  will enter into any  agreement  to purchase or will  purchase  any such
businesses in the future.
 
     Indebtedness.  In connection with RMCI's acquisition of all the outstanding
shares of common  stock of FPM in October  1993,  FPM issued 7%  Debentures  due
October  31,  1996  (the  "Debentures")  in the  aggregate  principal  amount of
$2,500,000 to the selling stockholders of FPM, including Martin Lazoritz, Robert
W. Pollack and I. Paul Mandelkern,  officers of the Company or its subsidiaries.
Subsequently,  on  April  28,  1995  these  Debentures  were  prepaid  with  the
$1,667,000 secured Term Loan described in "Financing" below.
 
     In connection  with RMCI's  acquisition  of HDI,  through its  wholly-owned
subsidiary  FPMBH  of  Arizona,  Inc.,  RMCI  issued  a  promissory  note in the
principal  amount of  $1,000,000  (the "HDI  Note") to Phoenix  South  Community
Mental Health Centers ("Phoenix  South").  Interest accrues on the HDI Note at a
fixed rate of 8.25% per annum and is payable  monthly in arrears,  together with
equal  installments  of principal,  until the HDI Note matures on June 30, 1997.
The HDI Note is secured  pursuant  to a Stock  Pledge  Agreement  dated June 30,
1994,  pursuant to which Phoenix  South has a first  priority lien on all of the
common stock of FPMBH of Arizona,  Inc. (f/k/a Ramsay HDI). Upon payment in full
of the HDI Note,  the Bank will have a first  priority lien on such common stock
under the Credit Facility. See "Financing" below.
 
     In addition,  in connection with the Distribution,  RMCI issued to RHCI the
Subordinated  Promissory Note in the principal amount of $6,000,000,  evidencing
certain funds advanced to or on behalf of RMCI by RHCI,  including in connection
with the acquisition of certain acquired businesses.  Prior to its issuance, the
amounts  evidenced  by  the  Subordinated   Promissory  Note  were  recorded  as
intercompany  indebtedness  between  RMCI  and  RHCI.  Interest  accrues  on the
Subordinated Promissory Note at an annual fixed rate of 8%, payable in quarterly
payments in arrears  commencing June 30, 1995. The Subordinated  Promissory Note
is payable as to interest  only through  September 30, 1996,  and  commencing on
September 30, 1996  principal  and interest  will be payable in equal  quarterly
installments  in arrears  for a four-year  period with the final  payment due on
September 30, 2000.
 
     The  Subordinated  Promissory  Note is unsecured  and is  subordinated  and
junior in right of  payment  to all  indebtedness  of RMCI and its  subsidiaries
incurred in connection  with the  acquisition of HDI and future  acquisitions of
other  managed  mental  health care  services  businesses,  and any other Senior
Indebtedness  (as  defined  in  the  Subordinated  Promissory  Note),  including
indebtedness  arising under the Credit  Facility  discussed  below and any other
bank indebtedness of RMCI or its subsidiaries.  At the present time, there is no
Senior  Indebtedness  outstanding  other than the HDI Note and amounts due under
the Credit Facility described below.
 
     As of March 31, 1996, the aggregate  amount of principal and interest on
the foregoing  obligations  payable during the fiscal year of the Company ending
June 30, 1996 and during each of the next four fiscal  years of the Company will
be approximately $978,000, $2,331,000,  $2,047,000,  $1,491,000, and $1,491,000,
respectively.  The foregoing  amounts take into account the  replacement  of the
Debentures with the secured Term Loan, but do not take account of any repayments
on the Revolving Credit Facility.

     The Company may be required to raise  additional funds for working capital,
development and growth beyond its immediate  plans and/or to remain  competitive
with its larger  competitors.  Any  additional  equity  financing  may result in
substantial  dilution to the stockholders of the Company.  Except for the Credit
Facility,  the Company has made no  arrangements  to obtain any additional  debt
financing,  and there can be no  assurance  that RMCI will be able to obtain any
required additional funds.
 
     Financing.  On April 26, 1996,  the Company  amended its Credit  Facilities
with the First Union National Bank of Flroida (the "Bank"). A previous Revolving
Credit Facility for up $4,200,000 was replaced by a $1,500,000  Revolving Master
Line of Credit, and a $100,000 Term Loan.

     The Master Revolver, which is payable on demand, will expire on October 30,
1996 and the $100,000 Term Loan, which expires on April 5, 1999, is repayable by
36 months of equal prinicpal payments plus interest. At March 31, 1996, $647,000
was outstanding under the Master Revolver. The Master Revolver bears interest at
the  following  rates,  as  applicable  and selected by the Company from time to
time: (i) the Bank's LIBOR adjusted rate plus 3.0% or (ii) the Bank's Prime Rate
plus 0.75%.  The $100,000 Term Loan bears interest at the Bank's Prime Rate plus
1.0%.

     As part of the  acquisition  of FPM in October 1993,  the Company issued 7%
three year debentures,  totalling $2,500,000. These debentures were prepaid with
the proceeds of a 3 year  secured term loan of the Bank on April 28, 1995.  This
variable rate, 3 year secured term loan,  the  additional  term loan of $100,000
(referred to above)and the Master  Revolver are secured by a pledge of the stock
of RMCI's  subsidiaries (other than the subsidiaries of RMCI conducting or which
will  conduct  health  maintenance  organization  business),  and  the  accounts
receivable of RMCI's (other than  subsidiaries  of RMCI conducting or which will
conduct health maintenance organization business).

     The Master  Revolver  Credit  Facility  contains  convenants  customary for
facilities of this type,  which  include,without  limitation,  convenants  which
contain limitations on the ability of the Company and its subsidiaries,  subject
to certain  exceptions,  to (i) assume or incur liens,  (ii) alter the nature of
their  business or effect  mergers,  consolidations,  or sales of assets,  (iii)
incur indebtedness or make investments, or (iv) acquire businesses. In addition,
the Credit Facility will contain financial  convenants related to senior debt to
cash flow,  interest  coverage,  fixed charge coverage and minimum  stockholders
equity. See Note 2 on page 7.

     In connection  with the April 26, 1996  ammendment of the Company's  Credit
Facility,  the Company agreed to repay  $1,000,000 of the outstanding  principal
due under  the 3 year  secured  term loan of  $1,667,000  from  proceeds  at the
closing of the sales of Apex.


<PAGE>

                           RAMSAY MANAGED CARE, INC.



PART II - OTHER INFORMATION



Item 6.  Exhibits and Reports on Form 8-K

     (a)     Exhibits

     The exhibits  required to be filed as part of this Quarterly Report on Form
     10-QSB are as follows:

     Exhibit 2      Stock Purchase Agreement

     Exhibit 11     Computation of Net Income (Loss) per Share

     Exhibit 27     Financial Data Schedule


     (b)     Current Reports on Form 8-K

     During the quarter  ended  March 31,  1996,  the Company  filed one Current
Report on Form 8-k with the Commission. The Company's Report dated March 6, 1996
was filed in  connection  with Item 5,  "Other  Events" of Form 8-k. No fiancial
statements were required to be filed with The Report.

<PAGE>





         RAMSAY MANAGED CARE, INC.

                                                  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 thereupon duly authorized.


                                            RAMSAY MANAGED CARE, INC.
                                            Registrant


                                            /s/ Warwick D. Syphers
                                            _______________________
                                            Warwick D. Syphers
                                            Chief Financial Officer





Date: May 20, 1996



                                                                       EXHIBIT 2













                            STOCK PURCHASE AGREEMENT

                                  By and Among

                             APEX HEALTHCARE, INC.,

                           RAMSAY MANAGED CARE, INC.

                                      and

                             APEX ACQUISITION CORP.










                              As of March 5, 1996









<PAGE>
                               TABLE OF CONTENTS


                                                                            Page

SECTION I ..   PURCHASE AND SALE OF THE SHARES ............................    1

         A .   Purchase and Sale of the Shares ............................    1
         B .   Purchase Price for Shares ..................................    2
         C .   Discharge of Indebtedness ..................................    3

SECTION II .   REPRESENTATIONS AND WARRANTIES OF THE SHAREHOLDER ..........    3

         A .   Organization; Qualification ................................    3
         B .   Due Authorization ..........................................    4
         C .   No Conflicts ...............................................    4
         D .   Capital Stock ..............................................    5
         E .   Financial Statements .......................................    5
         F .   Changes Since December 31, 1995 ............................    5
         G .   Dividends; Discharge of Indebtedness .......................    6
         H .   Properties .................................................    7
         I .   Litigation .................................................    8
         J .   Taxes ......................................................    8
         K .   Permits ....................................................    9
         L .   Equipment ..................................................    9
         M .   Accounts Receivable ........................................    9
         N .   Contracts; Other Obligations and Liabilities ...............    9
         O .   Enrollment Forms; Subscriber Agreements ....................   10
         P .   Directors, Officers and Employees ..........................   10
         Q .   ERISA and Related Matters ..................................   11
         R .   Labor ......................................................   14
         S .   Compensation ...............................................   15
         T .   Insurance ..................................................   15
         U .   Restrictions on Business ...................................   15
         V .   Patents and Trademarks .....................................   15
         W .   Power of Attorney ..........................................   16
         X .   Accounts Payable ...........................................   16
         Y .   Bank Accounts ..............................................   16
         Z .   Books and Records ..........................................   16
         AA    Brokers ....................................................   16
         BB    Medicare and Medicaid ......................................   17
         CC    Health Plan Operations .....................................   17
         DD    Provider Agreements ........................................   18
         EE    Consents ...................................................   19
         FF    Broker Agreements ..........................................   19
         GG    Securities Laws ............................................   20

<PAGE>

SECTION III    REPRESENTATIONS AND WARRANTIES OF THE PURCHASER ............   20

         A .   Organization; Qualification ................................   20
         B .   Due Authorization ..........................................   21
         C .   No Conflicts ...............................................   21
         D .   Investment .................................................   21

SECTION IV .   ADDITIONAL REPRESENTATIONS AND WARRANTIES OF THE SHAREHOLDER   22

         A .   Organization; Qualification ................................   22
         B .   Due Authorization ..........................................   22
         C .   No Conflicts ...............................................   23
         D .   Ownership of Shares, etc ...................................   23

SECTION V ..   COVENANTS OF THE COMPANY ...................................   23

         A .   Negative Covenants .........................................   23

SECTION VI .   COVENANTS OF THE PURCHASER .................................   26


SECTION VII    ADDITIONAL AGREEMENTS ......................................   26

         A .   Appropriate Action; Consents; Filings ......................   26
         B .   No Shop ....................................................   28
         C .   Noncompetition .............................................   29
         D .   Loan .......................................................   30
         E .   Section 338(h)(10) Election and Allocation of Purchase Price   30
         F .   Tax Matters ................................................   31
         G .   Employment Agreements 32

SECTION VIII   CLOSING ....................................................   32

         A .   Time and Place of Closing ..................................   32
         B .   Delivery of Shares .........................................   32

SECTION IX .   CONDITIONS TO THE OBLIGATIONS OF THE SHAREHOLDER ...........   33

SECTION X ..   CONDITIONS TO THE OBLIGATIONS OF THE PURCHASER .............   34

SECTION XI .   INDEMNIFICATION 38

         A .   Indemnification by the Shareholder .........................   38
         B .   Indemnification by the Purchaser ...........................   38
         C .   Procedure for Indemnification 39
         D .   Limitation on Indemnification 40
         E .   Subrogation ................................................   40
<PAGE>
SECTION XII    MISCELLANEOUS ..............................................   41

         A .   Notices ....................................................   41
         B .   Survival of Representations ................................   42
         C .   Entire Agreement; Modifications ............................   42
         D .   Reasonable Efforts .........................................   42
         E .   Expenses 42
         F .   Enforceability .............................................   42
         G .   Termination ................................................   43
         H .   Definitions ................................................   44
         I .   Survival of Covenants and Agreements .......................   46
         J .   Return of Documentation ....................................   47
         K .   Meaning of "Knowledge" .....................................   47
         L .   Successors and Assigns .....................................   47
         M .   Governing Law ..............................................   47
         N .   Counterparts ...............................................   47
         O .   Headings 47
         P .   Assignment 47
         Q .   Publicity ..................................................   47




                                    EXHIBITS

Exhibit A                Escrow Agreement
Exhibit B                Loan Documents
Exhibit C                Opinion of Counsel to the Purchaser
Exhibit D                Opinion of Counsel to the Shareholder
Exhibit E                Nonsolicitation Agreement


















<PAGE>
                            STOCK PURCHASE AGREEMENT



     AGREEMENT  made  as of the  5th  day of  March,  1996  by  and  among  Apex
Healthcare,  Inc., a Delaware corporation (the "Company"),  Ramsay Managed Care,
Inc., a Delaware  corporation (the  "Shareholder")  and the holder of all of the
issued and outstanding  shares of the common stock, $.01 par value per share, of
the  Company  (the  "Common  Stock"),  and Apex  Acquisition  Corp.,  a Delaware
corporation (the "Purchaser").

                              W I T N E S S E T H:

     WHEREAS, the Company and its subsidiaries are engaged,  among other things,
in the business of owning and operating  health  maintenance  organizations  and
related  activities in the States of Louisiana and Mississippi  (such activities
being hereinafter referred to as the "Business"); and propose to own and operate
a  health  maintenance  organization  and  related  activities  in the  State of
Alabama;

     WHEREAS,  the  Shareholder  is the holder of 1,000 shares of Common  Stock,
which  shares  constitute  all of the issued and  outstanding  shares of capital
stock of the Company  (all such shares of Common  Stock held by the  Shareholder
being hereinafter referred to as the "Shares"); and

     WHEREAS,  the Purchaser  desires to acquire from the Shareholder all of the
Shares and the  Shareholder  desires to sell all of the Shares to the Purchaser,
on the terms and subject to the conditions hereinafter set forth.

     NOW,  THEREFORE,  in consideration of the premises and the mutual covenants
and agreements  hereinafter  set forth,  and intending to be legally bound,  the
parties hereto hereby agree as follows: SECTION 41.

                         PURCHASE AND SALE OF THE SHARES

     A. Purchase and Sale of the Shares . Subject to the terms and conditions of
this Agreement and on the basis of the  representations,  warranties,  covenants
and agreements herein contained,  at the Closing (as hereinafter  defined),  the
Shareholder  agrees  to  sell,  assign  and  convey  to the  Purchaser,  and the
Purchaser agrees to purchase,  acquire and accept from the  Shareholder,  all of
the Shares.

     B. Purchase Price for Shares . The purchase  price (the  "Purchase  Price")
for the Shares shall be the sum of (i)  $4,500,000,  plus (ii) the  aggregate of
funds  advanced  by the  Shareholder  or its  affiliates  to the Company and its
subsidiaries for Operating  Expenses (as hereinafter  defined) incurred and paid
by the Company and its  subsidiaries  ("Shareholder  Funding") during the period
(the "Period") from and including February 26, 1996 to and including the Closing
Date,  such  adjustment  under this clause (ii) for  Shareholder  Funding not to
exceed an  aggregate  amount  equal to $6,667  multiplied  by the number of days
during the  Period,  plus (iii)  Shareholder  Funding in excess of an  aggregate
amount equal to $8,333 multiplied by the number of days during the Period,  plus
(iv) the aggregate of funds advanced in excess of $100,000 by the Shareholder or
its  affiliates  to the  Company or its  subsidiaries  in payment  for shares of
capital stock of, or for  contribution to the stated capital of, Apex Healthcare
of Alabama,  Inc.  ("Apex-Alabama"),  plus (v) the  aggregate  amount of capital
expenditures of the Company and its  subsidiaries  paid during the Period,  plus
(vi) the amount of any increase in restricted regulatory reserves of the Company
and its subsidiaries for Louisiana and Mississippi  funded by the Shareholder or
its  affiliates  after the date hereof,  less (vii)  amounts paid by the Company
during the Period for medical services  provided to a Company Health Plan Member
prior to February 26, 1996. If Shareholder  Funding  exceeds the amount referred
to in clause  (ii),  Shareholder  Funding  shall be deemed to  include  interest
accruing during the Period on restricted  regulatory reserves of the Company and
its subsidiaries, at a rate equal to six percent (6%) per annum. For purposes of
this Section I(B)  "Operating  Expenses"  shall mean operating  expenses as that
term is used in the unaudited income statement of the Company for the year ended
June 30, 1995 included in the Descriptive Memorandum delivered to the Purchaser,
except for depreciation and amortization, interest on intercompany indebtedness,
allocated  overhead  expenses  of  the  Shareholder  and  any  expenses  of  the
Shareholder or the Company  associated with the sale  transactions  contemplated
under this Agreement.  Operating Expenses shall include interest on the Loan (as
hereinafter defined). Expenses associated with obtaining the necessary approvals
for  Apex-Alabama  to  operate a health  maintenance  organization  and  related
business  in  Alabama  shall  be  treated  as  Operating   Expenses  or  capital
expenditures of the Company or Apex-Alabama, as the case may be. At the Closing,
$220,000  of the  Purchase  Price  shall be paid by wire  transfer to the Escrow
Account as defined in the Escrow  Agreement (the "Escrow  Agreement")  among the
Shareholder,  the Company,  the Purchaser and the Escrow Agent named therein, in
the form  attached  hereto as Exhibit A, for  payment as  provided in the Escrow
Agreement,  the amount of principal and interest then owing on the Loan shall be
paid by offset of such amount against the Purchase Price, and the balance of the
Purchase  Price  shall  be paid by wire  transfer  to the  account  or  accounts
designated by the Shareholder.

     C. Discharge of  Indebtedness . Concurrent with and as part of the Closing,
upon payment by the Purchaser of the Purchase Price as provided in Section I(B),
the  Shareholder  shall cause all  documents  and  instruments  to be  executed,
delivered  and/or filed as the case may be in  recordable  form as  appropriate,
necessary to fully  release and discharge  all  intercompany  debt and any other
indebtedness  of the Company to the  Shareholder  or third  parties for borrowed
money, other than capital leases,  together with all liens,  security interests,
pledges and other  encumbrances  securing the same. The Shareholder  shall cause
the holder of any such  indebtedness  to third  parties  for  borrowed  money to
execute a written release and discharge of such indebtedness.

                                  SECTION II.

               REPRESENTATIONS AND WARRANTIES OF THE SHAREHOLDER

     The Shareholder  hereby  represents and warrants to the Purchaser as of the
date hereof that, except as set forth in the Company Disclosure Schedule:

     A. Organization; Qualification . (i) The Company is duly organized, validly
existing  and in good  standing  under the laws of the State of Delaware and has
full  corporate  power and  authority to own its  properties  and to conduct the
businesses  in which it is now engaged.  The Company is qualified to do business
and in good standing in each other jurisdiction where it is presently conducting
business  wherein the failure so to qualify would have a material adverse effect
on the  businesses  or  properties  of the Company.  The Company has full power,
authority  and  legal  right and all  necessary  consents,  approvals,  permits,
licenses and  authorizations  to own its properties and to conduct the Business.
Complete and correct copies of the certificate of  incorporation  and by-laws of
the Company have been delivered to the Purchaser.

          (ii) Set forth in the Company  Disclosure  Schedule is a complete  and
     correct  list  of all of  the  Company's  subsidiaries,  showing  for  each
     subsidiary the jurisdiction of its  incorporation,  each jurisdiction where
     it is qualified  to do business,  the number of shares of each class of its
     capital  stock  authorized,  the number of shares of each class  issued and
     outstanding  and the number of shares of each class  owned by the  Company.
     All of the securities of each of the subsidiaries  owned by the Company are
     free and clear of all liens, charges,  pledges, security interests or other
     encumbrances and claims,  and all of the capital stock of such subsidiaries
     owned by the Company have been duly  authorized  and validly issued and are
     fully paid and  non-assessable.  Each of the  Company's  subsidiaries  is a
     corporation duly organized, validly existing and in good standing under the
     laws of its jurisdiction of incorporation,  has the corporate power and all
     necessary  authorizations  to own all of its  properties  and assets and to
     carry on its business  and is duly  qualified to do business and is in good
     standing  in each  jurisdiction  in  which  it owns  property  or  conducts
     business  and in which its  failure  to be so  qualified  would  materially
     adversely  affect the business,  operations  or financial  condition of the
     Company or any  subsidiary.  Each of the  Company's  subsidiaries  has full
     power,  authority  and legal right and all necessary  consents,  approvals,
     permits,  licenses and  authorizations to own its properties and to conduct
     its business as  presently  conducted.  Complete and correct  copies of the
     certificate of incorporation  and by-laws of each subsidiary of the Company
     have been delivered to the Purchaser.

     B. Due  Authorization . The execution and delivery of this Agreement by the
Company,  the  performance  by the  Company  of  its  covenants  and  agreements
hereunder and the consummation by the Company of the  transactions  contemplated
hereby  have  been duly  authorized  by all  necessary  corporate  action.  This
Agreement  constitutes the valid and legally  binding  obligation of the Company
enforceable  against  the  Company  in  accordance  with its  terms,  except  as
enforceability may be limited by bankruptcy, insolvency, reorganization or other
similar laws affecting  creditors' rights generally or by general  principles of
equity.

     C. No Conflicts . Neither the execution and delivery of this Agreement, nor
the consummation of the transactions contemplated hereby, violates any provision
of the  certificate  of  incorporation  or by-laws of the  Company or any of its
subsidiaries  or,  subject to the  receipt  of the  necessary  governmental  and
regulatory  approvals as set forth in Schedule II(EE) of the Company  Disclosure
Schedule, any statute, ordinance,  regulation,  order, judgment or decree of any
court or Governmental  Authority, or conflicts with or will result in any breach
of  any  of the  terms  of or  constitute  a  default  under  or  result  in the
termination of or the creation of any lien pursuant to the terms of any contract
or  agreement  to which the Company is a party or by which the Company or any of
its  subsidiaries or any of the assets of the Company or any of its subsidiaries
is bound.

     D. Capital Stock . The authorized  capital stock of the Company consists of
1,000 shares of Common  Stock,  all of which shares are issued and  outstanding.
All of the  outstanding  shares of Common Stock have been validly issued and are
fully paid and non-assessable.  There are no subscriptions,  warrants,  options,
calls, debt instruments, commitments or agreements to which the Company is bound
relating to the  issuance,  sale or  redemption of shares of the Common Stock or
other securities of the Company.

     E.  Financial  Statements  . The Company  has  delivered  to the  Purchaser
unaudited  consolidated  financial statements of the Company for the fiscal year
ended June 30,  1995,  and for the  six-month  period  ended  December 31, 1995,
together with the related  balance sheets and statements of income (the "Company
Financial Statements"). The Company Financial Statements are true and correct in
all  material  respects  and have been  prepared in  accordance  with  generally
accepted  accounting  principles  applied  consistently  throughout  the periods
involved,  other than the absence of notes to the Company Financial  Statements.
The Company  Financial  Statements  fully and fairly  present  the  consolidated
financial  condition of the Company as at the dates thereof and the consolidated
results of the operations of the Company for the periods indicated.  The balance
sheets contained in the Company  Financial  Statements fairly reflect all assets
and liabilities  and  contingencies  of the Company and its  subsidiaries of the
types normally  reflected in balance sheets as at the respective  dates thereof.
For purposes of this Section II(E),  an amount greater than $10,000 with respect
to any item shall be deemed material. A complete and correct copy of the Company
Financial  Statements has been  delivered to the Purchaser.  The Company has not
from and including  February 26, 1996 taken any action which would have violated
Section V or would have  required  the  consent  of the  Purchaser  pursuant  to
Section V.

     F. Changes Since December 31, 1995 . Subsequent to December 31, 1995, there
has not been any  material  (i)  adverse  change  in the  operations,  operating
results, business or condition (financial or otherwise) of the Company or any of
its  subsidiaries  or in the results of the  operations of the Company or any of
its  subsidiaries,  it being  understood that changes  resulting from continuing
losses in the normal course of business  consistent with prior operating results
shall  not be deemed a  material  adverse  change;  (ii)  damage or  destruction
(whether or not insured) affecting the properties or business  operations of the
Company or any of its  subsidiaries;  (iii) labor  dispute or  threatened  labor
dispute involving the employees of the Company or any of its subsidiaries;  (iv)
adverse   development   with   respect  to  any   permits,   licenses  or  other
authorizations  now held by the Company or any of its subsidiaries  necessary to
operate  the  Business;  (v) actual or  threatened  disputes  pertaining  to the
Company or any of its  subsidiaries  with any major accounts or referral sources
of the  Company  or any of its  subsidiaries,  or actual or  threatened  loss of
business  from any of the major  accounts or referral  sources of the Company or
any of its  subsidiaries;  (vi) changes in the methods or procedures for billing
or collection of customer accounts or recording of customer accounts receivable,
reserves for doubtful  accounts or  contractual  allowances  with respect to the
Company or any of its  subsidiaries;  (vii)  transaction  by the  Company or the
Company's  subsidiaries  not in the ordinary course of business;  (viii) sale or
transfer  of any of the  assets of, or any  cancellation  of any  receivable  or
claims by, the Company or the Company's subsidiaries,  except sales or transfers
in the  ordinary  course of business  of  inventory  or  services or  immaterial
amounts of other  tangible  personal  property or services  not  required in the
Business; (ix) mortgage,  pledge or subjection to lien, charge or encumbrance of
any kind of any asset of the  Company  or any  subsidiary  of the  Company;  (x)
amendment  or  termination  of any contract or agreement to which the Company or
any subsidiary of the Company was a party as of December 31, 1995; (xi) increase
in, or commitment to increase,  the compensation payable or to become payable to
any of the directors,  partners, officers, employees or agents of the Company or
the Company's  subsidiaries  (in any capacity  whatsoever);  (xii)  incurring or
assumption  of, or taking any property  subject to, any liability by the Company
or the Company's  subsidiaries,  except in the ordinary  course of business;  or
(xiii)  acquisition or lease by the Company or the Company's  subsidiaries of or
commitment to acquire or lease, any realty or any substantial item of furniture,
machinery or equipment.  For purposes of this Section  II(F),  an amount greater
than $10,000 with respect to any item shall be deemed material.

     G. Dividends;  Discharge of Indebtedness . Subsequent to December 31, 1995,
the Company has not declared or paid any dividend or made any other distribution
in respect of the Common Stock, or, directly or indirectly,  purchased, redeemed
or  otherwise  acquired or disposed of any shares of the Common  Stock;  and the
Company  and its  subsidiaries  have  not,  except  in the  ordinary  course  of
business,  paid  or  discharged  any  outstanding  indebtedness.  Subsequent  to
December 31, 1995,  the Company and its  subsidiaries  have paid all amounts due
and  payable  (i)  of  bank  and  other  indebtedness,  (ii)  under  leases  and
contractual  obligations  and (iii) to any  persons  in the  ordinary  course of
business. Subsequent to December 31, 1995, the Company and its subsidiaries have
not (x) incurred any bank or other  indebtedness for borrowed money, (y) entered
into any (A) loan agreements or (B) any material  leases or material  contracts,
obligations or  arrangements  for the payment of money or property to any person
other than in the ordinary course of business  consistent with prior practice of
the  Company  or such  subsidiary,  as the case  may be,  or (z)  permitted  any
material liens or encumbrances  to attach to their assets.  For purposes of this
Section II(G),  any lease,  contract,  obligation or  arrangement  requiring the
potential  payment in one or more  installments of greater than $10,000,  or any
lien  or  encumbrance  securing  obligations  of  greater  than  $10,000  in the
aggregate, shall be deemed material.

     H. Properties . (i) The Company or its  subsidiaries  lease or own all real
properties  and  lease  or own  all  other  properties  and  assets  used in the
operation  of the  Business  as  currently  conducted.  The  Company  Disclosure
Schedule   contains  a  description  of  such  properties  and  assets  and  the
description is true and complete in all material  respects.  All such properties
and assets are in all material respects in good condition and repair, consistent
with their  respective ages, and have been maintained and serviced in accordance
with normal  practices of the Company and as  necessary in the normal  course of
business.   Such  owned  properties  or  assets,   and  the  Company's  and  its
subsidiaries'  interests  in any of such leased  properties  or assets,  are not
subject to any liens, charges,  encumbrances or security interests. None of such
properties or assets (or the uses to which they are put) fails to conform in any
material respect with any applicable law, ordinance or regulation.  For purposes
of this Section  II(H),  any asset valued at greater than $5,000  (valued at the
greater of book value or fair market value) shall be deemed a material asset.

          (ii) The Company and its subsidiaries  have duly complied with, and to
     the knowledge of the  Shareholder,  all the real estate now owned or leased
     by the Company or any of its subsidiaries and the improvements  thereon are
     in  compliance  with,  the  provisions  of all  federal,  state  and  local
     environmental,  health and safety laws,  codes and ordinances and all rules
     and regulations  promulgated thereunder as to which a default or failure to
     comply  might  result  in  a  material  adverse  change  in  the  condition
     (financial or otherwise) of the Company or any of its  subsidiaries  or the
     assets of the Company or any of its subsidiaries.

     I. Litigation . There are no material  claims,  disputes,  actions,  suits,
proceedings or investigations currently filed, commenced or, to the knowledge of
the  Shareholder,  threatened  against or  affecting  the  Company or any of its
subsidiaries or any of the assets of the Company or any of its subsidiaries;  no
such material claim, dispute, action, suit, proceeding or investigation has been
filed or commenced since the inception of the Company and the Shareholder has no
knowledge of any basis for a valid material  claim.  Neither the Company nor any
of its subsidiaries is in default under any, and each of the Company and each of
its  subsidiaries  has complied  with all,  statutes,  ordinances,  regulations,
orders, judgments and decrees of any court or other governmental agency or board
relating to the Company or any of its  subsidiaries or the assets of the Company
or any of its  subsidiaries  as to which a default or  failure  to comply  might
result in any material  adverse change in the condition of the Company or any of
its  subsidiaries or the assets of the Company or any of its  subsidiaries,  and
the Shareholder has no knowledge of any basis for any claim for  compensation or
damages or otherwise arising out of any violation of the foregoing. For purposes
of this Section  II(I),  an amount  greater than $5,000 with respect to any item
shall be deemed material.

     J. Taxes . The Company and each of its subsidiaries have filed or caused to
be filed all tax returns,  reports and declarations required to be filed by them
and have  paid all taxes  ("Taxes"),  including,  but not  limited  to,  income,
franchise, sales, use, unemployment,  withholding,  social security and worker's
compensation  taxes  and  estimated  income  and  franchise  tax  payments,  and
penalties and fines due and payable with respect to the periods  covered by said
returns,  reports or declarations or pursuant to any assessment received by them
in connection with such returns, reports or declarations. Since the inception of
the Company,  the taxable  income of the Company and its  subsidiaries  has been
included in the  consolidated  Federal income tax returns of the  Shareholder to
the extent  required to be so included under the Internal  Revenue Code of 1986,
as amended (the  "Code").  No  deficiency in payment of any taxes for any period
has been asserted by any taxing  authority  which remains  unsettled at the date
hereof and there is no basis for any additional claims or assessments for taxes.
The Company has made  available  to the  Purchaser  for its review  complete and
correct  copies of the income (or franchise) tax returns filed by it and each of
its subsidiaries.

     K. Permits . The Company Disclosure Schedule contains an accurate,  correct
and complete  list of each  material  license,  permit,  certificate,  approval,
franchise,  registration,  accreditation or authorization  issued to the Company
and its  subsidiaries  or used in the  Business,  including  the licenses of the
Company  and/or the  subsidiaries  to operate health  maintenance  organizations
under the applicable HMO Act. Each of the Company and its  subsidiaries  has all
material permits,  licenses, orders and approvals of all Federal, state or local
governmental  or  regulatory  bodies  required for it to conduct the Business as
presently conducted; all such material permits,  licenses,  orders and approvals
are in full  force and effect  and,  to the  knowledge  of the  Shareholder,  no
suspension or cancellation  of any of them is threatened;  and as of the Closing
none of such permits, license, orders or approvals will be adversely affected by
the consummation of the transactions contemplated by this Agreement. The Company
and its subsidiaries  have complied in all material  respects with all statutes,
rules and regulations applicable to them, including,  without limitation,  those
concerned with medical devices,  occupational safety,  environmental  protection
and  employment  practices,  and the  Company  has not  received  notice  of any
material violation of any such statutes, rules or regulations, corrected or not,
within the last three years.

     L.  Equipment  . The Company  Disclosure  Schedule  contains  an  accurate,
correct and complete  list of all  equipment  owned or leased by the Company and
its  subsidiaries.  The equipment of the Company and its  subsidiaries is in the
aggregate in all material respects usable in the ordinary course of business.

     M.  Accounts  Receivable . The accounts  receivable  of the Company and its
subsidiaries are in their entirety bona fide accounts receivable, arising in the
ordinary course of business.

     N. Contracts;  Other Obligations and Liabilities . Set forth in the Company
Disclosure  Schedule  is a  list  and  brief  description  of all  (i)  material
contracts,  agreements,  licenses,  leases,  arrangements  (written or oral) and
other  documents  to which the Company or one or more of its  subsidiaries  is a
party or by which the Company or one or more of its  subsidiaries  or any of the
assets of the Company or one or more of its subsidiaries is bound (including, in
the case of loan  agreements,  a description  of the amounts of any  outstanding
borrowings  thereunder and the collateral,  if any, for such  borrowings);  (ii)
material  obligations and liabilities of the Company or any of its  subsidiaries
pursuant  to  uncompleted  orders  for  the  purchase  of  materials,  supplies,
equipment  and  services for the  requirements  of the  Business;  and (iii) all
material  contingent  obligations  and  liabilities of the Company or any of its
subsidiaries,  including,  without limitation, any and all Medicare and Medicaid
rebate claims out of the ordinary course of business; all of the foregoing being
hereinafter  referred to as the "Contracts."  Neither the Company nor any of its
subsidiaries  is in  material  default in the  performance  of any  covenant  or
condition  under any Contract  and no claim of such a material  default has been
made.  Originals or true,  correct and complete copies of all the Contracts have
been  provided  to the  Purchaser  and its  counsel as of the date  hereof.  For
purposes of this  Section  II(O),  a Contract is deemed to be  "material"  if it
(together with any related  Contracts)  involves the potential  payment to or by
the Company in one or more  installments of an amount greater than $5,000 and is
not entered into in the ordinary course of business.

     O. Enrollment Forms;  Subscriber Agreements . The Shareholder has delivered
to the Purchaser copies of the Subscriber Agreements for the twenty (20) largest
subscriber  groups by  membership.  All of the  Enrollment  Forms and Subscriber
Agreements  are in  writing  and were  entered  into in the  ordinary  course of
business and constitute the valid and binding agreements of the parties thereto,
subject to enforcement of applicable bankruptcy, insolvency,  reorganization and
other laws of general  applicability  relating to or affecting creditors' rights
and to general equity principles.  The Company and each of its subsidiaries have
performed all services and obligations on their part to be performed or observed
under each Subscriber  Agreement.  All forms of Enrollment  Forms and Subscriber
Agreements  currently  in use by the  Company  or  its  subsidiaries  have  been
approved by DOI and otherwise  conform to the requirements of the applicable HMO
Act and other applicable laws in all material  respects.  No approval or consent
is required under any Enrollment Form or any Subscriber  Agreement in connection
with the sale of the Shares to the Purchaser hereunder.

     P. Directors,  Officers and Employees . Set forth in the Company Disclosure
Schedule  is a list of the  directors  and  officers  of the Company and of each
subsidiary of the Company and their respective  positions and salaries as of the
date hereof and of the other employees of the Company and its  subsidiaries  and
their  respective  salaries  as of the date  hereof.  Set  forth in the  Company
Disclosure  Schedule is a list of all agreements  (whether written or oral) with
regard to compensation or employment between the Shareholder, the Company or any
of the Company's subsidiaries and the Company's employees.

     Q. ERISA and Related Matters .

     (a) Except as set forth in the  Company  Disclosure  Schedule,  neither the
Company,  nor any ERISA Affiliate of the Company,  is a party to or participates
in or has any liability or contingent liability with respect to:

          (i) any "employee  welfare benefit plan" or "employee  pension benefit
     plan" or "multiemployer  plan" (as those terms are respectively  defined in
     Sections 3(1), 3(2) and 3(37) of the Employee Retirement Income Security
     Act of 1974, as amended ("ERISA"));

          (ii)  any  retirement  or  deferred   compensation   plan,   incentive
     compensation plan, stock plan,  unemployment  compensation  plan,  vacation
     pay,   severance   pay,   bonus  or  benefit   arrangement,   insurance  or
     hospitalization  program or any other fringe benefit  arrangements  for any
     employee,  director,  consultant or agent,  whether pursuant to contract or
     arrangement,  which does not  constitute  an  "employee  benefit  plan" (as
     defined in Section 3(3) of ERISA); or

          (iii) any  employment  agreement  not  terminable  on 30 days' or less
     written notice, without further liability.

     Any plan,  arrangement  or  agreement  required to be listed on the Company
Disclosure  Schedule for which the Company or any ERISA Affiliate of the Company
may have any liability or contingent liability is sometimes hereinafter referred
to as a "Benefit Plan". For purposes of this Section, the term "ERISA Affiliate"
of the Company  shall mean any  subsidiary of the Company and any other trade or
business,  whether or not  incorporated,  that together with the Company or with
any  subsidiary  of the Company would be deemed a "single  employer"  within the
meaning of Section 4001(b)(i) of ERISA.

     (b) A true and  correct  copy of each of the  Benefit  Plans  listed on the
Company  Disclosure  Schedule,  and all contracts  relating  thereto,  or to the
funding thereof, including, without limitation, all trust agreements,  insurance
contracts,  investment  management  agreements,  subscription and  participation
agreements and recordkeeping  agreements,  each as in effect on the date hereof,
has been delivered to the Purchaser. In the case of any Benefit Plan that is not
in written form, the Purchaser has been supplied with an accurate description of
such Benefit  Plan as in effect on the date  hereof.  A true and correct copy of
the three most recent annual reports and accompanying schedules,  the three most
recent actuarial  reports,  if any, and the most recent summary plan description
and  Internal  Revenue  Service  determination  letter with respect to each such
Benefit Plan, to the extent  applicable,  and a current  schedule of assets (and
the fair market value  thereof  assuming  liquidation  of any asset which is not
readily  tradeable)  held  with  respect  to any  funded  Benefit  Plan has been
supplied to the  Purchaser by the  Shareholder,  and there have been no material
adverse  changes in the financial  condition in the  respective  Plans from that
stated in the annual reports and actuarial reports supplied.

     (c) As to all Benefit Plans,  except as otherwise  specified on the Company
Disclosure Schedule or except as would not have a material adverse effect on the
Company or its subsidiaries:

          (i) All Benefit Plans comply,  and have been  administered in form and
     in operation in all material  respects,  with all  requirements  of law and
     regulations  applicable  thereto,  including without  limitation the timely
     filing of all annual  reports  required with respect to such Benefit Plans,
     and neither the  Shareholder,  the Company nor any ERISA  Affiliate  of the
     Company has received any notice from any governmental agency questioning or
     challenging such compliance.

          (ii) All Benefit Plans that are intended to be qualified under Section
     401(a) of the Code  comply  in form and in  operation  with all  applicable
     requirements of Sections 401(a) and 501(a) of the Code;  there have been no
     amendments   to  such  Benefit  Plans  which  are  not  the  subject  of  a
     determination  letter issued with respect  thereto by the Internal  Revenue
     Service;  and no  event  has  occurred  that  will or  could  give  rise to
     disqualification of any such Benefit Plan under such sections or to any tax
     under Section 511 of the Code;  except that no representation is made as to
     the satisfaction of any formal plan document qualification requirement with
     respect to which the remedial  amendment period set forth in Section 401(b)
     of  the  Code,  and  any  regulations,   writings  or  other  IRS  releases
     thereunder, has not expired.

          (iii) None of the assets of any Benefit  Plan are invested in employer
     securities or employer real property, as those terms are defined in Section
     407(d) of ERISA.

          (iv) There have been no  "prohibited  transactions"  (as  described in
     Section  406 of ERISA or  Section  4975 of the Code)  with  respect  to any
     Benefit  Plan and  neither  the  Shareholder,  the  Company  nor any  ERISA
     Affiliate  of  the  Company  has  otherwise   engaged  in  any   prohibited
     transactions.

          (v)  There  have been no acts or  omissions  by the  Shareholder,  the
     Company or any ERISA  Affiliate  of the Company  that have given rise to or
     may give rise to fines, penalties,  taxes or related charges under Sections
     502(c),  502(i)  or 4071 of ERISA or  Chapter  43 of the Code for which the
     Company or any ERISA Affiliate of the Company may be liable.

          (vi) None of the payments  contemplated by the Benefit Plans would, in
     the aggregate,  constitute excess parachute  payments as defined in Section
     280G of the Code.

          (vii) There are no actions, suits or claims (other than routine claims
     for  benefits)  pending or  threatened  involving  any Benefit Plans or the
     assets of such Plans,  and no facts exist which could give rise to any such
     actions, suits or claims (other that routine claims for benefits).

          (viii) No  Benefit  Plan is  subject  to Title IV of ERISA,  or to the
     requirements  of Section  412 of the Code or Section  402 of ERISA,  and no
     Benefit Plan is a "multiemployer plan" (within the meaning of Section 3(37)
     of ERISA).

          (ix) All Benefit  Plans that are group health plans have been operated
     in compliance with the group health plan continuation coverage requirements
     of Section  4980B of the Code and  Section  601 of ERISA to the extent such
     requirements   are  applicable,   and  no  such  group  health  plan  is  a
     self-insured plan.

          (x)  Actuarially  adequate  accruals for all obligations or contingent
     obligations  under  the  Benefit  Plans  are  reflected  in  the  Company's
     Financial Statements provided to the Purchaser and such obligations include
     a pro rata amount of the contributions which would otherwise have been made
     in  accordance  with past  practices  for the plan years which  include the
     Closing Date.

          (xi) The execution and performance of the transactions contemplated by
     this Agreement will not, in and of itself,  result in any payment  (whether
     of  severance  pay or  otherwise),  acceleration,  vesting,  or increase in
     benefits under any Benefit Plan.

     R. Labor . There have been no material violations of any Federal,  state or
local statutes, laws, ordinances, rules, regulations,  orders or directives with
respect to the employment of individuals by, or the employment practices or work
conditions  of,  the  Company  or any  of its  subsidiaries,  or the  terms  and
conditions  of  employment,  wages  and  hours  and,  to  the  knowledge  of the
Shareholder,  no claims of such violations  have been asserted.  The Company and
its  subsidiaries are not engaged in any unfair labor practice or other unlawful
employment  practice and there are no charges of unfair labor practices or other
employee-related  complaints  pending or, to the  knowledge of the  Shareholder,
threatened  against the Company or any of its  subsidiaries  before the National
Labor  Relations  Board,  the  Equal  Employment  Opportunity  Commission,   the
Occupational Safety and Health Review Commission, the Department of Labor or any
other Federal, state, local or other governmental authority. There is no strike,
picketing,  slowdown or work stoppage or  organizational  attempt pending or, to
the knowledge of the Shareholder, threatened against or involving the Company or
any of its  subsidiaries.  No issue  with  respect  to union  representation  is
pending or, to the knowledge of the Shareholder,  threatened with respect to the
employees  of the  Company or any of its  subsidiaries.  No union or  collective
bargaining  unit  or  other  labor  organization  has  ever  been  certified  or
recognized by the Company or any of its  subsidiaries as the  representative  of
any of the employees of the Company or any of its subsidiaries.

     S.  Compensation  .  Subsequent  to December 31,  1995,  there have been no
increases  in  the  compensation  payable  or to  become  payable  to any of the
employees  of the  Company  or any of its  subsidiaries  and there  have been no
payments or provisions for any awards,  bonuses,  stock options,  loans,  profit
sharing, pension,  retirement or welfare plans or similar or other disbursements
or arrangements for or on behalf of such employees (or related parties thereof),
in each case,  other than in the ordinary  course of business or as was required
from time to time by  governmental  legislation  affecting  wages.  All  bonuses
heretofore  granted to employees of the Company and its  subsidiaries  have been
paid in full to such employees.

     T. Insurance . Set forth in the Company Disclosure  Schedule is an accurate
and complete  list  (including  the name of the insurer,  coverage,  premium and
expiration  date) of all  binders,  policies  of fire,  liability,  professional
liability,  workers compensation,  vehicular,  unemployment and other insurance,
self  insurance   programs  and  fidelity  bonds   (collectively,   "Insurance")
maintained by or on behalf of the Company and its  subsidiaries  or in which the
Company  and its  subsidiaries,  or any of them,  are named  insureds.  All such
policies  are in full force and effect and are of such types and amounts and for
risk, casualties and contingencies, as required by the applicable DOI. There are
no pending or asserted  claims against any Insurance as to which any insurer has
denied  liability  and there are no claims under any  Insurance  which have been
disallowed  or, to the knowledge of the  Shareholder,  improperly  asserted.  No
notice of cancellation  or nonrenewal  with respect to, or material  increase of
premium for, any  Insurance has been  received by the  Shareholder,  the Company
and/or its subsidiaries.  The Company Disclosure  Schedule sets forth the claims
experience  with respect to the Company and its  subsidiaries  (both insured and
self insured) from the inception of the Company.

     U.  Restrictions  on  Business  .  Neither  the  Company  nor  any  of  its
subsidiaries  is restricted  from  conducting  the Business as authorized by its
applicable licenses, in any location by agreement or court decree.

     V. Patents and Trademarks . Set forth in the Company Disclosure Schedule is
a list and brief  description  of all of the patents,  registered and common law
trademarks,  service marks, tradenames,  copyrights,  licenses and other similar
rights of the  Company and its  subsidiaries  and  applications  for each of the
foregoing. The Company or its subsidiaries, as applicable, owns all right, title
and  interest in and to all such  proprietary  rights.  The  proprietary  rights
listed are all such rights necessary to the conduct of the Business;  no adverse
claims  have been made and no  dispute  has arisen  with  respect to any of such
proprietary rights; and the operation of the Business and the use by the Company
or its  subsidiaries of such proprietary  rights do not involve  infringement or
claimed  infringement  of  any  patent,  trademark,   service  mark,  tradename,
copyright, license or similar right.

     W. Power of Attorney . Neither the Company nor any of its  subsidiaries has
granted any power of attorney  (revocable or irrevocable) to any person, firm or
corporation for any purpose whatsoever.

     X. Accounts  Payable . The accounts and notes payable and accrued  expenses
are fully and fairly  reflected  in the Company  Financial  Statements,  and the
accounts and notes payable and accrued expenses  incurred by the Company and its
subsidiaries  subsequent to December 31, 1995,  are in all respects valid claims
that arose in the ordinary  course of  business.  Since  December 31, 1995,  the
accounts  and  notes  payable  and  accrued  expenses  of the  Company  and  its
subsidiaries have been paid on a basis consistent with prior practice.

     Y. Bank Accounts . Set forth in the Company  Disclosure  Schedule  attached
hereto is a list of all bank accounts of the Company and its subsidiaries, and a
list  of  persons  having  power  to  sign  on  behalf  of the  Company  and its
subsidiaries with respect to each such account.

     Z.  Books  and  Records  . The books and  records  of the  Company  and its
subsidiaries  are in all  material  respects  complete  and  correct,  have been
maintained in accordance with good business practices and accurately reflect the
basis for the  financial  position and results of  operations of the Company and
its  subsidiaries  set forth in the Company  Financial  Statements.  All of such
books and records have been made  available for  inspection by the Purchaser and
its representatives.

     AA. Brokers . Other than Dean Witter  Reynolds  Inc., no broker,  finder or
investment  banker  is  entitled  to any  brokerage,  finder's  or other  fee or
commission in connection  with the  transactions  contemplated by this Agreement
based upon  arrangements made by or on behalf of the Company or the Shareholder.
The  Shareholder  shall be  exclusively  liable for all  payments  owing to Dean
Witter  Reynolds  Inc. in  connection  with  transactions  contemplated  by this
Agreement.

     BB. Medicare and Medicaid . The Company and each of its  subsidiaries  have
complied in all material  respects with all laws,  rules and  regulations of the
Medicare,  Medicaid and other governmental  healthcare  programs relating to the
Company,  any of its  subsidiaries  or the Business,  and have filed all claims,
invoices, returns, cost reports and other forms, the use of which is required or
permitted  by such  programs,  in the manner  prescribed.  All claims,  returns,
invoices,  cost  reports  and other  forms  filed by the  Company  or any of its
subsidiaries  with  Medicare,  Medicaid  or any  other  governmental  health  or
welfare-related  entity since the  inception of the Company are true,  complete,
correct  and  accurate  in  all  material   respects.   No  deficiency   (either
individually or in the aggregate) in any such claims,  returns,  invoices,  cost
reports and other filings,  including  claims for  over-payments or deficiencies
for late filings,  has been  asserted or, to the  knowledge of the  Shareholder,
threatened by any federal or state agency or  instrumentality  or other provider
reimbursement  entities  relating to  Medicare  or Medicaid  claims or any other
third-party  payor, and, to the Shareholder's  knowledge,  there is no basis for
any  claims  or  requests  for  reimbursement  of  the  Company  or  any  of its
subsidiaries.  Neither the Company nor any of its  subsidiaries has been subject
to any audit  relating to  fraudulent  Medicare  procedures  or practices nor is
there  any  inquiry  or  investigation  pending  or,  to  the  knowledge  of the
Shareholder,  threatened  against  the Company or any of its  subsidiaries  with
respect  to  fraudulent  Medicare  procedures  or  practices.  There  is, to the
Shareholder's  knowledge,  no basis for any claim or request for  recoupment  or
reimbursement   from  the  Company  or  any  of  its  subsidiaries  by,  or  for
reimbursement by the Company or any of its subsidiaries of, any federal or state
agency or instrumentality or other provider  reimbursement  entities relating to
Medicare or Medicaid claims.

     CC. Health Plan Operations .

          (a) Licensure.  Each of the subsidiaries of the Company engaged in the
     Business  is (i)  duly  qualified  and  licensed  as a  health  maintenance
     organization  under the applicable HMO Act and (ii) has all other licenses,
     permits and  authorizations  necessary  to operate as a health  maintenance
     organization in its respective state of operations.

          (b)  Compliance  with Laws.  Each of the Company and its  subsidiaries
     engaged in the Business is in material  compliance  with the applicable HMO
     Act and  insurance,  health welfare and/or health care laws, as applicable.
     Since the  inception  of the  Company,  neither  the Company nor any of its
     subsidiaries   has  received  any   citation,   suspension,   verification,
     limitation, warning or similar matter issued by any applicable Governmental
     Authority,  including  the  applicable  DOI,  which if not resolved to such
     Governmental Authority's satisfaction, could have a material adverse effect
     on the  Company or its  subsidiaries.  The Company  Health  Plans have been
     submitted to and approved by the applicable  DOI and otherwise  comply with
     the requirements of the applicable HMO Act and applicable insurance, health
     welfare  and/or  health  care laws in all  material  respects.  The form of
     Company  Member  Materials   currently  in  use  by  the  Company  and  the
     subsidiaries in connection with the Company Health Plans has been submitted
     to and  approved  by the  applicable  DOI  and  otherwise  conforms  to the
     requirements  of the applicable HMO Act and  applicable  insurance,  health
     welfare and/or health care laws.

          (c) Area of  Operations.  The  description  of the Company Health Plan
     Service Area contained in the Company  Disclosure  Schedule is an accurate,
     correct  and  complete  description  of the  geographic  area in which  the
     Company  and  each  of its  subsidiaries  are  licensed  to  operate  their
     businesses as health  maintenance  organizations  under the  applicable HMO
     Acts.  The  Company  and  its  subsidiaries  engaged  in the  Business  are
     otherwise  authorized  to  operate  as  duly  licensed  health  maintenance
     organizations,  without restriction, through the entirety of the applicable
     Company Health Plan Service Area. There are no restrictions placed upon the
     marketing activities of the Company and its subsidiaries in any part of the
     applicable  Company  Health Plan Service Area except for such  restrictions
     which are placed on the industry in general.

          (d) Listing of Members and Other Patients and Customers.  Set forth in
     the Company's Disclosure Schedule is an accurate, correct and complete list
     of all Company Health Plan Members and patients or customers of the Company
     and its subsidiaries who are not Company Health Plan Members.

          (e) Operation of Medical  Groups,  Practices and Clinics.  The Company
     and its  subsidiaries do not operate  medical groups,  practices or clinics
     which  provide  medical  services  to  licensed   physician   employers  or
     independent contractors and other licensed health professionals.

     DD.  Provider  Agreements . The Company  Disclosure  Schedule sets forth an
accurate,  correct and complete list of all persons and entities who are parties
to the Provider Agreements. The Company has delivered to the Purchaser copies of
the  Provider  Agreements  for the twenty (20) largest  hospital  and  physician
providers by revenue.  All  Provider  Agreements  (i) are in writing,  (ii) were
entered  into by the  Company  or its  subsidiaries  in the  ordinary  course of
business  and (iii)  constitute  valid and  binding  agreements  of the  parties
thereto.  All forms of the Provider Agreements which are currently in use by the
Company and the  subsidiaries  conform to the requirements of the applicable HMO
Act and any other applicable laws. No approval of the Provider Agreements by any
Governmental  Authority  is  required by law. No approval or consent is required
under any Provider  Agreement in  connection  with the sale of the Shares to the
Purchaser  hereunder.  No material Provider has given notice to the Shareholder,
the Company or any of the  subsidiaries of such Provider's  insolvency or of its
intention to file a petition in bankruptcy. To the knowledge of the Shareholder,
there  are  no   circumstances,   including  the  consummation  of  transactions
contemplated by this Agreement,  which are likely to result in the  termination,
cancellation  or non-renewal of the Provider  Agreement for, or the cessation of
business  being  transacted  between  the  Company  and its  subsidiaries  and a
provider who or which,  during any month in 1995,  rendered  services to greater
than 5% of all Company Health Plan Members.

     EE.  Consents . The Company  Disclosure  Schedule sets forth a complete and
accurate  list of all  approvals,  authorizations,  consents,  orders  or  other
actions or  declarations,  filings or registrations  (collectively,  "Consents")
with, any person,  entity,  party,  court or  Governmental  Authority  which are
required to be made or obtained to permit (i) the Shareholder to sell the Shares
to the Purchaser and to perform the Shareholder's  obligations as provided under
this  Agreement,  (ii) the  Shareholder,  the  Company and its  subsidiaries  to
execute,  deliver and perform this  Agreement and  consummate  the  transactions
contemplated hereby, (iii) the change of ownership of control of the Company and
its  subsidiaries,  and  (iv)  the  Company  and its  subsidiaries  to have  the
authority to continue to operate the Business following the change of control of
the Company and its  subsidiaries.  No other approval,  authorization,  consent,
order or other action of, or declaration, filing or registration with, any court
or Governmental  Authority is required to be made or obtained by or on behalf of
the  Shareholder,  the Company and the  subsidiaries for the Shareholder to sell
the Shares to the Purchaser as contemplated hereunder.

     FF.  Broker  Agreements  . The Company  Disclosure  Schedule  sets forth an
accurate,  correct and complete list of all persons and entities who are parties
to a Broker Agreement.  The Shareholder has delivered to the Purchaser copies of
the Broker  Agreements  with the twenty (20) largest  Brokers of the Company and
its subsidiaries by membership represented.  All of the Broker Agreements are in
writing and were entered into in the ordinary  course of business and constitute
the valid and binding agreements of the parties thereto. No past due amounts are
owing under any Broker Agreement and, to the knowledge of the Shareholder,  each
broker has performed all services, commitments and obligations on its part to be
performed  or  observed  under each  Broker  Agreement  in  conformity  with all
applicable contractual agreements.  All forms of the Broker Agreements which are
currently  in use by the Company and its  subsidiaries  conform in all  material
respects to the  requirements of the applicable HMO Act and any other applicable
laws.  No approval of the Broker  Agreements  by any  Governmental  Authority is
required by law. No consent or approval is required  under any Broker  Agreement
in connection with the sale of the Shares to the Purchaser hereunder.

     GG.  Securities  Laws . The  Shareholder  and the Company have complied and
will comply with all applicable  Federal and state  securities law in connection
with the offer, issuance, transfer and sale of the Shares hereunder. Neither the
Shareholder nor the Company nor anyone  authorized to act on their behalf has or
will sell, offer to sell or solicit offers to buy the Shares,  or solicit offers
with  respect  thereto  from,  or enter into any  preliminary  conversations  or
negotiations  relating thereto with, any person, so as to bring the issuance and
sale of the Shares under the  registration  provisions of the  Securities Act of
1933 (the "Securities Act") and applicable state securities laws.


                                  SECTION III

                REPRESENTATIONS AND WARRANTIES OF THE PURCHASER

     The Purchaser  hereby  represents and warrants to the Shareholder as of the
date hereof that, except as set forth in the Purchaser Disclosure Schedule:

     A. Organization;  Qualification . The Purchaser is duly organized,  validly
existing and in good standing under the laws of its state of  incorporation  and
has full corporate  power and authority to own its properties and to conduct the
businesses in which it is now engaged. The Purchaser is in good standing in each
other jurisdiction where it is presently conducting business wherein the failure
so to qualify would have a material adverse effect on the business or properties
of the  Purchaser.  The Purchaser has full power,  authority and legal right and
all necessary consents,  approvals,  permits, licenses and authorizations to own
its properties and to conduct its businesses. Complete and correct copies of the
certificate of incorporation and by-laws of the Purchaser have been delivered to
the Shareholder.

     B. Due  Authorization . The execution and delivery of this Agreement by the
Purchaser,  the  performance  by the Purchaser of its  covenants and  agreements
hereunder and the consummation by the Purchaser of the transactions contemplated
hereby have been duly  authorized by all necessary  corporate  action,  and this
Agreement constitutes the valid and legally binding obligation of the Purchaser,
enforceable  against  the  Purchaser  in  accordance  with its terms,  except as
enforceability may be limited by bankruptcy, insolvency, reorganization or other
similar laws affecting  creditors' rights generally or by general  principles of
equity.

     C. No Conflicts . Neither the execution and delivery of this Agreement, nor
the consummation of the transactions contemplated hereby, violates any provision
of the certificate of  incorporation  or by-laws of the Purchaser or, subject to
receipt of the necessary  governmental and regulatory  approvals as set forth in
Schedule  II(EE) of the Company  Disclosure  Schedule,  any statute,  ordinance,
regulation, order, judgment or decree of any court or Governmental Authority, or
conflicts with or will result in any breach of any of the terms of or constitute
a default  under or result in the  termination  of or the  creation  of any lien
pursuant to the terms of any contract or  agreement to which the  Purchaser is a
party or by which the Purchaser or any of its assets is bound.

     D. Investment . (i) The Purchaser understands that the Shareholder proposes
to deliver to the Purchaser the Shares without  compliance with the registration
requirements of the Securities  Act; that for such purpose the Shareholder  will
rely upon the  representations,  warranties,  covenants and agreements contained
herein; and that such non-compliance with registration is not permissible unless
such   representations  and  warranties  are  correct  and  such  covenants  and
agreements performed.

          (ii) The  Shareholder  understands  that,  under existing rules of the
     Securities and Exchange Commission, the Purchaser may be unable to sell any
     of the  Shares  except  to the  extent  that  such  Shares  may be sold (i)
     pursuant  to an  effective  registration  statement  covering  such  shares
     pursuant to the Securities Act or (ii) in a bona fide private  placement to
     a purchaser  who shall be subject to the same  restrictions  on any resale.
     The Purchaser  understands that the Shareholder is not under any obligation
     to effect a registration of any of the Shares under the Securities Act.

          (iii) The Purchaser is a sophisticated investor familiar with the type
     of risks inherent in the  acquisition of restricted  securities such as the
     Shares and the Purchaser's financial position is such that it can afford to
     retain its Shares for an  indefinite  period of time without  realizing any
     direct or indirect cash return on its investment.

          (iv) The Purchaser is acquiring the Shares for its own account and not
     with a view to, or for sale in connection  with, the  distribution  thereof
     within the meaning of the Securities Act.


                                  SECTION IV

                         ADDITIONAL REPRESENTATIONS AND
                          WARRANTIES OF THE SHAREHOLDER

     The Shareholder  hereby  represents and warrants to the Purchaser as of the
date hereof that, except as set forth in the Shareholder Disclosure Schedule:

     A.  Organization;  Qualification  . The  Shareholder is a corporation  duly
organized,  validly existing and in good standing under the laws of the State of
Delaware and has full corporate power and authority to own its properties and to
conduct the  businesses in which it is now engaged.  The  Shareholder is in good
standing in each other  jurisdiction where it is presently  conducting  business
wherein the failure so to qualify  would have a material  adverse  effect on the
business or properties of the Shareholder.

     B. Due  Authorization . The execution and delivery of this Agreement by the
Shareholder,  the performance by the Shareholder of its covenants and agreements
hereunder  and  the   consummation  by  the  Shareholder  of  the   transactions
contemplated hereby have been duly authorized by all necessary corporate action,
and this  Agreement  constitutes a valid and legally  binding  obligation of the
Shareholder, enforceable against the Shareholder in accordance with its terms.

     C. No Conflicts . Neither the execution and delivery of this Agreement, nor
the  consummation  of  the  transactions   contemplated  hereby,   violates  the
certificate of  incorporation  or by-laws of the  Shareholder or, subject to the
receipt of the necessary  governmental and regulatory  approvals as set forth in
Schedule  II(EE) of the Company  Disclosure  Schedule,  any statute,  ordinance,
regulation,  order,  judgment or decree of any court or  Governmental  Authority
applicable to the Shareholder, or conflicts with or will result in any breach of
any of the terms of or constitute a default  under or result in the  termination
of or the  creation  of any  lien  pursuant  to the  terms  of any  contract  or
agreement to which the Shareholder is a party or by which the Shareholder or any
of the assets of the Shareholder is bound.

     D.  Ownership  of  Shares,  etc . The  Shareholder  owns  and has  good and
marketable  title to the Shares,  which Shares  represent  all of the issued and
outstanding shares of capital stock of the Company,  free and clear of any lien,
encumbrance,  charge,  security  interest  or claim  whatsoever  (including  any
restriction on the right to vote, sell or otherwise dispose of the Shares),  and
the  Shareholder has the right to transfer the Shares to the Purchaser and, upon
transfer of the Shares to the Purchaser  hereunder,  the Purchaser  will acquire
good  and  marketable  title  to  the  Shares,  free  and  clear  of  any  lien,
encumbrance, charge, security interest or claim whatsoever.


                                  SECTION 105.

                            COVENANTS OF THE COMPANY

     A. Negative  Covenants . The Company  hereby  covenants and agrees with the
Purchaser that, except as hereafter  consented to in writing by the Purchaser or
as otherwise set forth in the Company  Disclosure  Schedule,  from and after the
date of this  Agreement and until the Closing,  the Company shall not (and shall
cause each of its subsidiaries not to):

          (i) Make a  purchase,  sale or lease in  respect of the  Business,  or
     introduce any method of  management,  accounting or operation in respect of
     the Business,  except in the ordinary course of business which in any event
     does not involve the  potential  payment to or by the Company or any of its
     subsidiaries in one or more installments of an amount greater than $5,000.

          (ii) Make a capital  expenditure or pay an operating expense in one or
     more   installments,   in  an  amount   greater  than  $5,000  and  $7,500,
     respectively,  without  obtaining the consent of  Purchaser,  which consent
     shall not be unreasonably withheld or delayed; provided,  however, that the
     consent of Purchaser  shall not be required for payment of salaries,  wages
     and payroll  items or for payment of amounts  due under  existing  Provider
     Agreements, leases and other Contracts.

          (iii) Fail to maintain,  repair,  service or  preserve,  or in any way
     further  encumber,  its  properties,  other  than  inventory  sold or used,
     accounts  receivable  collected upon and supplies used, in each case in the
     ordinary course of business,  after the date hereof, for which, in the case
     of inventory  and supplies,  replacements  have been made  consistent  with
     prior practice.

          (iv) Make loans or advances  or grant pay  raises,  bonuses or awards,
     directly  or  indirectly,  (a) to any officer or director of the Company or
     any of its  subsidiaries or (b) except as required under existing  employee
     agreements, to any other employee of the Company.

          (v)  Declare or pay any  dividend  or make any other  distribution  in
     respect of the capital stock of the Company,  or,  directly or  indirectly,
     purchase,  redeem or  otherwise  acquire  or  dispose  of any shares of the
     capital stock of the Company or, except in the ordinary  course of business
     (which in any event  does not  involve  the  payment  by the  Company of an
     amount greater than $5,000), pay or discharge any outstanding indebtedness.

          (vi) Fail to use its  reasonable  best  efforts  to (a)  preserve  the
     present business  organization of the Company and its subsidiaries  intact;
     (b) keep available the services of the present employees of the Company and
     its subsidiaries;  and (c) preserve present  relationships with entities or
     persons having business dealings with the Company and its subsidiaries.

          (vii) Fail to  maintain  the books and  records of the Company and its
     subsidiaries  in  accordance  with  good  business  practices,  on a  basis
     consistent with prior practice.

          (viii)  Fail to use its  reasonable  best  efforts  to  comply  in all
     material  respects  with all  statutes,  ordinances,  regulations,  orders,
     judgments  and  decrees  of every  court or  governmental  entity or agency
     applicable  to the Company and its  subsidiaries  and to the conduct of the
     Business and perform all of its  obligations  with respect  thereto without
     default.

          (ix)  Fail to  maintain  and pay all  premiums  with  respect  to such
     policies of insurance as are  currently  held in the name of the Company or
     any of its subsidiaries.

          (x) Make any change  materially  adverse to the  Company or any of its
     subsidiaries  in the terms of any  Contract  or fail to perform  any of its
     obligations with respect thereto without default.

          (xi) Enter into any contract,  lease or other  commitment,  written or
     oral,  which in any  event  involves  the  potential  payment  to or by the
     Company or any of its subsidiaries in one or more installments of an amount
     greater than $5,000,  without  obtaining  the consent of  Purchaser,  which
     consent shall not be unreasonably withheld or delayed.

          (xii) Fail to furnish to the Purchaser,  its counsel,  accountants and
     authorized  representatives,  such  financial,  legal and other  documents,
     records and information  relating to the Company and its  subsidiaries  and
     the properties of the Company and its  subsidiaries  as the Purchaser,  its
     counsel,  accountants and its authorized  representatives  may from time to
     time reasonably  request  including in connection with the determination of
     Shareholder  Funding and other amounts  affecting the  determination of the
     Purchase Price.

          (xiii)  Fail to file any tax  returns  required to be filed by or with
     respect to the  Company or any of its  subsidiaries,  fail to pay any Taxes
     that become due,  payable or  otherwise  owing by the Company or any of its
     subsidiaries,  or pay or determine  any taxes  pertaining to the Company or
     any of its subsidiaries other than in accordance with the past practices of
     both the  Shareholder  and the Company or other than in the ordinary course
     of business.

          (xiv) Change the management of the Company  without the consent of the
     Purchaser.

          (xv) Fail to make  available  to the  Purchaser  the books of account,
     records, tax returns,  leases,  contracts and other documents or agreements
     material to the Business as the Purchaser, its counsel, accountants and its
     authorized representatives may from time to time reasonably request.

          (xvi)  Fail to  cooperate  fully  with the  Purchaser,  do all  things
     reasonably  necessary to assist the Purchaser and use its  reasonable  best
     efforts at its own expense to obtain all consents and  approvals  necessary
     for the transfer of the Shares,  including the  furnishing of all financial
     and other  information  reasonably  required by the party whose  consent or
     approval is being sought.

          (xvii) Issue any shares of Common Stock.

          (xviii)  Make  any   amendment  to  the   Company's   Certificate   of
     Incorporation or by-laws.

          (xix) Agree to do any of the above.


                                  SECTION VI

                           COVENANTS OF THE PURCHASER

     The Purchaser hereby covenants and agrees with the Shareholder that, except
as hereafter consented to in writing by the Shareholder, from and after the date
of this Agreement and until the Closing, the Purchaser shall not:

     (i) Fail to  furnish  to the  Shareholder,  its  counsel,  accountants  and
authorized representatives,  such financial, legal and other documents,  records
and  information  relating to the  organization  and financial  condition of the
Purchaser and  availability of cash for the payment of the Purchase Price by the
Purchaser  as the  Shareholder,  its  counsel,  accountants  and its  authorized
representatives may from time to time reasonably request.

     (ii)  Fail to  cooperate  fully  with  the  Shareholder  and do all  things
reasonably  necessary  to assist  the  Shareholder  to obtain all  consents  and
approvals necessary for the transfer of the Shares,  including the furnishing of
all  financial  and other  information  reasonably  required  by the party whose
consent or approval is being sought.


                                  SECTION VII

                              ADDITIONAL AGREEMENTS

     A. Appropriate Action; Consents; Filings . (a) The Shareholder, the Company
and the Purchaser  shall use reasonable best efforts to (i) take, or cause to be
taken, all appropriate action, and do, or cause to be done, all things necessary
under  applicable  law  or  otherwise  to  consummate  and  make  effective  the
transactions  contemplated  by this Agreement as promptly as  practicable,  (ii)
obtain from any Governmental Authority any consents, licenses, permits, waivers,
approvals,  authorizations  or orders  required  to be  obtained  or made by the
Purchaser  or the  Company or any of its  subsidiaries  in  connection  with the
authorization,  execution and delivery of this Agreement and the consummation of
the  transactions  contemplated  in this  Agreement,  (iii)  make all  necessary
notifications and filings,  and thereafter make any other required  submissions,
with respect to this Agreement and the transactions contemplated hereby required
under  (A) the HMO Acts and (B) any  other  applicable  law,  and (iv)  obtain a
complete and  unconditional  release from liability of, or consent to assignment
by, the  Shareholder  and/or Ramsay Health Care, Inc.  ("RHCI"),  as applicable,
under the Lease dated  October 6, 1995  between  the  Shareholder  and  American
Business Credit  Corporation  ("ABC"),  the Lease dated October 30, 1995 between
the Shareholder and ABC, the Birmingham Lease (as hereinafter defined),  and the
Lease  dated  March 24,  1995,  as  supplemented,  between  RHCI and IBM  Credit
Corporation  (collectively,  the "Affiliate Leases"), without any payment by the
Shareholder  or RHCI;  provided  that,  the  Shareholder,  the Purchaser and the
Company shall  cooperate  with each other in  connection  with the making of all
such filings, including providing copies of all such documents to the non-filing
party and its  advisors  prior to  filing  and,  if  requested,  to  accept  all
reasonable  additions,  deletions or changes suggested in connection  therewith.
The  Shareholder,  the Company and the Purchaser shall furnish to each other all
information  required for any application or other filing to be made pursuant to
the  rules  and  regulations  of any  applicable  law  in  connection  with  the
transactions contemplated by this Agreement.

     (b) (i) The Company and its  subsidiaries  and the Purchaser shall give any
notices to third  parties,  and use all  reasonable  efforts to obtain any third
party consents  necessary to consummate the  transactions  contemplated  in this
Agreement  including  those  consents  required to be  disclosed  in the Company
Disclosure Schedule or the Purchaser Disclosure Schedule, as the case may be.

     (ii) In the event that  either  party  shall fail to obtain any third party
consent  described  in  subsection  (b)(i)  above,  such  party  shall  use  all
reasonable efforts,  and shall take any such actions reasonably requested by the
other party,  to minimize any adverse effect upon the  Shareholder,  the Company
and  the  Purchaser,   their  respective  subsidiaries,   and  their  respective
businesses resulting,  or which could reasonably be expected to result after the
Closing, from the failure to obtain such consent.

     (c) From the date of this Agreement  until the Closing,  the Shareholder or
the Company shall promptly notify the Purchaser in writing of any pending or, to
the   knowledge  of  the   Shareholder,   threatened,   action,   proceeding  or
investigation  by any  Governmental  Authority  or any other  person  seeking to
restrain or prohibit the consummation of the  transactions  contemplated by this
Agreement or otherwise limit the right of the Purchaser to own or operate all or
any portion of the business or assets of the Company or its subsidiaries.

     (d) From the date of this Agreement until the Closing,  the Purchaser shall
promptly  notify the  Shareholder in writing of any pending or, to the knowledge
of  the  Purchaser,  threatened  action,  proceeding  or  investigation  by  any
Governmental  Authority or any other person  seeking to restrain or prohibit the
consummation  of the  transactions  contemplated  by this Agreement or otherwise
limit the right of the  Purchaser  to own or operate  all or any  portion of the
business or assets of the Company or its subsidiaries.

     B. No Shop . Unless or until this  Agreement is  terminated  as provided in
Section XII(G), the Shareholder, the Company and its subsidiaries shall not, and
shall cause their respective directors,  officers,  agents,  investment bankers,
financial  advisers,  attorneys  or other  representatives  not to,  directly or
indirectly,   solicit  or  initiate  any  discussions  or   negotiations   with,
participate in any negotiations  with or provide any information to or otherwise
cooperate  in any other way with,  or  facilitate  or  encourage  any  effort or
attempt by any person or entity concerning any sale of any or all of the Company
and its subsidiaries, including a sale of all or any portion of the Shares or of
the businesses of the Company and its subsidiaries, any merger or reorganization
involving the Company and its subsidiaries or any similar transaction  involving
the  Company  and  any  of  its   subsidiaries   (a  "Competing   Transaction").
Notwithstanding  the  foregoing,  the parties  may discuss any of the  foregoing
matters  (a) as  required  by any  Contract  to which  the  Company  and/or  its
subsidiaries or any party hereto is a party or is subject, including any listing
agreement with a national securities exchange or The Nasdaq Stock Market,  Inc.,
(b)  with  any  of  the  Company's  or its  subsidiaries'  officers,  directors,
employees,  agents or  representatives  who must know such matters to facilitate
the consummation of the transactions contemplated hereby, (c) as required by any
law to which any party  hereto is subject,  (d) as required by the terms of this
Agreement,  or (e) as otherwise  agreed to in writing by the Shareholder and the
Purchaser.  Nothing contained in this Section VII(B) shall prohibit the Board of
Directors of the Company from (i)  furnishing  information  to, or entering into
discussions  or   negotiations   with,  any  person  or  entity  that  makes  an
unsolicited,  bona fide  expression of interest in acquiring the Company and its
subsidiaries pursuant to a merger, consolidation,  tender offer, share exchange,
business  combination,  stock or asset purchase or other similar transaction if,
(A) the Board of Directors  of the Company,  after  consultation  with  counsel,
determines in good faith that such action is required for the Board of Directors
of the Company to comply with its fiduciary duties to the Company's stockholders
under applicable law, (B) the Board of Directors of the Company has no reason to
believe that the expression of interest is not made in good faith,  (C) promptly
after   furnishing  such   information  to,  or  entering  into  discussions  or
negotiations with, such person or entity, the Company provides written notice to
the  Purchaser to the effect that it is furnishing  information  to, or entering
into discussions or negotiations with, such person or entity.

     C.  Noncompetition  .  (i) In  consideration  of  the  consummation  of the
transactions  contemplated  hereunder  and the payment by the  Purchaser  of the
Purchase  Price,  for a period of  twenty-four  (24)  months  commencing  on the
Closing  Date,  neither the  Shareholder  nor any of its  subsidiaries  will (x)
engage in the states of Alabama, Louisiana or Mississippi, whether as principal,
agent,  consultant,  partner,  stockholder  or  other  investor  (other  than an
investment  of not more than (i) one percent  (1%) of the stock or equity of any
corporation  the capital stock of which is publicly  traded or (ii) five percent
(5%) of the ownership  interest of any limited  partnership  or other entity) in
the health maintenance organization business as conducted by the Company and its
subsidiaries  on the  Closing  Date,  or (y)  solicit or entice or  endeavor  to
solicit or entice away from the Company or its  subsidiaries any person who is a
director, officer or employee of the Company or its subsidiaries, either for its
own account or for any person, firm, corporation or other organization,  whether
or not such person would commit any breach of his or her contract of  employment
by reason of leaving the service of the Company or any of its subsidiaries.

                  (ii) In the  event of a breach  or  threatened  breach  by the
Shareholder  or any  subsidiary  of any of the  provisions of clause (i) of this
Section VII(C),  the  Shareholder or such subsidiary  hereby consents and agrees
that the Purchaser and the Company shall be entitled to an injunction or similar
equitable relief  restraining the Shareholder or such subsidiary from committing
or  continuing  any such  breach  or  threatened  breach  or  granting  specific
performance  of any act  required to be  performed  by the  Shareholder  or such
subsidiary  under any of such  provisions,  without the necessity of showing any
actual  damage or that money  damages  would not afford an  adequate  remedy and
without the necessity of posting any bond or other security.

     D.  Loan  . The  Purchaser  agrees  to  make a  loan  (the  "Loan")  to the
Shareholder  as described in this Section  VII(D) at any time  subsequent to the
date of this Agreement at the request of the  Shareholder.  The Loan shall be in
the  principal  amount  of  $400,000  and on the  terms  set  forth  in the Loan
Documents  attached hereto  collectively as Exhibit B. Within  twenty-four  (24)
hours of a request  for the Loan by the  Shareholder,  the  proceeds of the Loan
shall be  delivered  by wire  transfer  of  immediately  available  funds to the
account or accounts  designated by the  Shareholder  upon  execution of the Loan
Documents by the  Shareholder  and the  Company,  as  appropriate,  and delivery
thereof  and any other  documents  referred  to  therein to the  Purchaser.  The
Shareholder shall simultaneously  deliver to the Purchaser evidence,  reasonably
satisfactory  to the Purchaser,  of the deposit by Apex-Alabama of $100,000 with
AmSouth Bank, as Escrow Agent under the Escrow Agreement referred to in the Loan
Documents. The Shareholder shall reimburse the Purchaser in the amount of $8,000
for its nonaccountable expenses at the time the Loan is made.

     E. Section  338(h)(10)  Election and Allocation of Purchase Price . (a) The
Shareholder  and the  Purchaser  agree to make a  timely  joint  election  under
Section 338(h)(10) of the Code (and any comparable election under state or local
tax law) with respect to the acquisition of the Shares by the Purchaser, if such
election is requested by the Purchaser.  The Purchaser and the Shareholder shall
cooperate  fully with each other in the making of such election.  In particular,
and not by way of limitation, in order to effect such election, upon the request
of the Purchaser,  the Shareholder  shall jointly execute with the Purchaser all
necessary  copies of  Internal  Revenue  Service  Form 8023 and all  attachments
required to be filed therewith pursuant to applicable Treasury regulations.

     (b)  The  Purchase  Price  shall  be  allocated  in  accordance   with  the
methodology set forth in the applicable treasury  regulations  promulgated under
Section 338(h)(10) of the Code. The parties shall fully cooperate to comply with
all  substantive and procedural  requirements of Section  338(h)(10) of the Code
and any regulations thereunder,  and the allocation shall be adjusted, if and to
the extent necessary,  to comply with the requirements of Section  338(h)(10) of
the Code.  Neither the Purchaser nor the  Shareholder  will take, nor permit any
affiliated  person or entity to take,  for  federal,  state or local  income tax
purposes,  any position  inconsistent with the election under Section 338(h)(10)
of the Code or, if applicable, such adjusted allocation.

     (c) The Purchaser  agrees that it will pay and be responsible for, and will
indemnify and save the  Shareholder  harmless from and against,  any incremental
taxes  (including  but not  limited  to  income,  franchise,  excise,  sales and
transfer  taxes)  imposed  on the  Shareholder  or any of the  Company  and  its
subsidiaries  by reason of a Section  338(h)(10)  election.  For purposes of the
foregoing sentence, incremental taxes shall mean the excess of (i) the aggregate
amount of taxes  actually  imposed on the  Shareholder  and the  Company and its
subsidiaries  in respect of or as a result of the  purchase of the Shares,  over
(ii)  the  aggregate  amount  of taxes  that  would  have  been  imposed  on the
Shareholder and the Company and its subsidiaries in respect of or as a result of
the purchase of the Shares,  had the Shareholder  sold the Shares and no Section
338(h)(10) election had been made.

     F.  Tax  Matters  . (i)  All  transfer,  documentary,  sales,  use,  stamp,
registration, value added and other such Taxes and fees (including any penalties
and interest,  but specifically excluding any effect on the income Taxes payable
by the  Shareholder  as a  result  of the  sale  of the  Shares)  (collectively,
"Transfer  Taxes") incurred in connection with this Agreement shall be borne and
paid  for  equally  by the  Shareholder  and the  Purchaser  when  due,  and the
Shareholder  will, at its own expense,  file all necessary Tax Returns and other
documentation  with respect to all Transfer Taxes and fees,  and, if required by
applicable law, the Purchaser will join in the execution of any such Tax Returns
and other documentation.

     (ii) The Shareholder shall be responsible for the preparation and filing of
its  consolidated  federal  income tax return for the taxable year that includes
the Closing Date,  including the Company and its  subsidiaries on a consolidated
basis for the period  that ends at the close of the Closing  Date,  and shall be
responsible  for the federal income taxes payable by or on behalf of the Company
and its subsidiaries for all periods to the Closing Date. The Purchaser shall be
responsible for the preparation and filing of all tax returns of the Company and
its  subsidiaries  for  periods  ending  after the  Closing  Date,  and shall be
responsible  for the  taxes  payable  by or on  behalf  of the  Company  and its
subsidiaries for all such periods.

     G.  Employment  Agreements  . The  Purchaser  and the Company , jointly and
severally,  shall indemnify and hold harmless the  Shareholder  from and against
any and all Damages (as hereinafter  defined)  arising out of or relating to the
Employment  Agreements,  as  amended,  between  the  Company and each of Kenneth
Burkhardt,  Sharon Thompson and Richard Harley, including obligations for salary
continuation,  severance pay, bonus and benefits  continuation  under COBRA upon
any termination of employment under any such Employment Agreement, arising on or
after the Closing Date or resulting from the  transactions  contemplated  hereby
except for those obligations  pertaining to stock options issued pursuant to the
1994 Ramsay Managed Care,  Inc. Stock Option Plan,  which  obligations  shall be
performed by the Shareholder.  The obligations of the parties under this Section
VII(G) shall survive the Closing and continue in effect until  expiration of the
applicable statute of limitations period.

     H. Affiliate Leases.  In the event an unconditional  release from liability
of the Shareholder  and/or RHCI, as applicable,  is not obtained with respect to
any Affiliate Lease, the Purchaser and the Company, jointly and severally, shall
indemnify  and hold harmless the  Shareholder  and RHCI from and against any and
all Damages  arising out of or relating to such  Affiliate  Lease  arising on or
after the Closing Date. The obligations of the parties under this Section VII(H)
shall  survive  the  Closing  and  continue  in effect  until  thirty  (30) days
following  expiration of the applicable statute of limitations period for claims
under such Affiliate Lease.


                                  SECTION VIII

                                     CLOSING

     A. Time and Place of Closing . The closing of the  purchase and sale of the
Shares as set forth herein (the "Closing") shall be held at the office of Haythe
& Curley at 237 Park Avenue,  New York,  New York within  ninety (90) days after
the date hereof and in any event  within five (5)  business  days of the date on
which  all of the  conditions  set  forth  herein  to each  party's  obligations
hereunder have been satisfied or waived (the "Closing Date").

     B.  Delivery  of  Shares  .  Delivery  of the  Shares  shall be made by the
Shareholder  to  the  Purchaser  at  the  Closing  by  delivering  one  or  more
certificates in negotiable form  representing the Shares,  each such certificate
to be accompanied by any requisite documentary or stock transfer taxes.


                                   SECTION IX

                CONDITIONS TO THE OBLIGATIONS OF THE SHAREHOLDER

     The  obligations  of  the   Shareholder  to  consummate  the   transactions
contemplated  by this Agreement at the Closing shall be subject to the following
conditions  precedent,  any or all of which may be waived by the  Shareholder in
its sole  discretion,  and each of which the Purchaser  hereby agrees to use its
reasonable best efforts to satisfy at or prior to the Closing:

     (i) Accuracy of Representations  and Warranties.  The  representations  and
warranties  made by the  Purchaser  herein  shall be true and  correct as of the
Closing Date in all material  respects  with the same force and effect as though
such  representations  and  warranties  had been  made as of the  Closing  Date;
provided,  however,  that those  representations  and  warranties  which address
matters  only as of a  particular  date shall remain true and correct as of such
date. On the Closing  Date,  the  Purchaser  shall deliver to the  Shareholder a
certificate  of its  chief  executive  officer  dated the  Closing  Date to such
effect.  The  Purchaser  shall  have duly  complied  with and  performed  in all
material  respects all of its  obligations  under this  Agreement to be complied
with and performed on or before the Closing Date.

     (ii)  Certificate  of  Secretary.   The  Shareholder  shall  have  received
certificates of the Secretary or Assistant Secretary of the Purchaser certifying
(a) that attached thereto is a true and complete copy of the resolutions adopted
by the Board of Directors of the Purchaser  authorizing the execution,  delivery
and performance of this  Agreement,  and the  consummation  of the  transactions
contemplated  hereby,  and  (b)  as to the  incumbency  and  genuineness  of the
signature of each officer of the  Purchaser  executing  this  Agreement  and any
other documents delivered in connection herewith.

     (iii) Good Standing  Certificates.  The  Shareholder  shall have received a
good standing certificate for the Purchaser, issued by the Secretary of State or
other appropriate official of its state of incorporation.

     (iv) Opinion of Counsel.  The Shareholder shall have received an opinion of
Greenberg,  Traurig, Hoffman, Lipoff, Rosen & Quentel, counsel to the Purchaser,
delivered to the  Shareholder  pursuant to the  instructions  of the  Purchaser,
dated the Effective  Date,  covering the matters set forth in Exhibit C attached
hereto.

     (v)  Certificate  of Officers of the Company.  The  Shareholder  shall have
received  certificates  from each of Parveez Oliaii,  Kenneth  Burkhart,  Sharon
Thompson and Richard  Harley,  dated the Closing Date to the effect that to each
such  person's  knowledge  the   representations  and  warranties  made  by  the
Shareholder  in Sections II and IV hereof are true and correct as of the Closing
Date in all  material  respects  with the same force and  effect as though  such
representations and warranties had been made as of the Closing Date.


                                  SECTION X

                 CONDITIONS TO THE OBLIGATIONS OF THE PURCHASER

     The   obligations   of  the  Purchaser  to  consummate   the   transactions
contemplated  by this Agreement at the Closing shall be subject to the following
conditions precedent,  any or all of which may be waived by the Purchaser in its
sole discretion,  and each of which the Company and the Shareholder hereby agree
to use their  respective  reasonable  best efforts to satisfy at or prior to the
Closing:

     (i) Accuracy of Representations  and Warranties.  The  representations  and
warranties  made by the  Shareholder  herein shall be true and correct as of the
Closing Date in all material  respects  with the same force and effect as though
such  representations  and  warranties  had been  made as of the  Closing  Date;
provided,  however,  that those  representations  and  warranties  which address
matters  only as of a  particular  date shall remain true and correct as of such
date; and, provided, further that as used in such representations and warranties
made as of the  Closing  Date,  the term  "Business"  shall  include  the health
maintenance  organization and related activities in the State of Alabama and the
term  "subsidiaries"  shall  include  Apex-Alabama.  On the  Closing  Date,  the
Shareholder  shall deliver to the Purchaser a certificate of its Chief Executive
Officer dated the Closing Date to such effect.  The  Shareholder and the Company
shall have  complied  with and  performed  in all  material  respects all of its
obligations  under this Agreement to be complied with and performed on or before
the Closing Date.

     (ii)  Certificate  of  Secretary.  The  Purchaser  shall  have  received  a
certificate  of  the  Secretary  or  Assistant   Secretary  of  the  Shareholder
certifying  (a)  that  attached  thereto  is a true  and  complete  copy  of the
resolutions adopted by the Board of Directors of the Shareholder authorizing the
execution,  delivery and  performance of this Agreement and the  consummation of
the  transactions  contemplated  hereby,  and  (b)  as  to  the  incumbency  and
genuineness of the signature of each officer of the  Shareholder  executing this
Agreement and any documents delivered in connection herewith.

     (iii) Good Standing  Certificates.  The Purchaser  shall have received good
standing certificates for the Shareholder, the Company and each of the Company's
subsidiaries,  issued by the Secretary of State or other appropriate official of
their respective states of incorporation.

     (iv) Opinion of Counsel.  The  Purchaser  shall have received an opinion of
Haythe & Curley,  counsel  for the  Shareholder  and the  Company,  and,  at the
Shareholder's  option,  one or more local  counsel,  delivered to the  Purchaser
pursuant to the  instructions  of the  Shareholder  and the  Company,  dated the
Closing Date, covering the matters set forth in Exhibit D attached hereto.

     (v)  Resignations.  The  Company  shall  have  delivered  to the  Purchaser
resignations   of  all  of  the  directors  of  the  Company  and  each  of  its
subsidiaries, such resignations to be effective as of the Closing.

     (vi) Release.  As of the Closing,  the  Shareholder  shall have delivered a
release  and  discharge  of the Company  and its  subsidiaries  from any and all
claims or liabilities  which the Shareholder has or may have against the Company
or its  subsidiaries,  other than any claims or  liabilities  arising under this
Agreement.

     (vii) Performance.  The Shareholder,  the Company and the subsidiaries,  as
the case may be, shall have performed and complied in all material respects with
all  covenants  and  agreements  required by this  Agreement  to be performed or
complied with by each of them prior to or at the Closing.

     (viii) Regulatory  Actions.  There shall be no regulatory action threatened
or pending which could result in suspension or revocation of or restriction upon
any licenses and permits held by the Company and the subsidiaries.

     (ix)  Approval  and  Consents.  The  Shareholder  and the  Company  and its
subsidiaries  shall  have  obtained  the  applicable  DOI's  and any  applicable
Governmental  Authority's  approval  and/or consent under the applicable HMO Act
and any  other  applicable  law or  regulations,  of the sale of  Shares  to the
Purchaser  as  provided  under this  Agreement.  All other  permits,  approvals,
consents or  authorizations  of any  Governmental  Authority  necessary  for the
consummation of the transactions  contemplated by this Agreement shall have been
obtained by the  appropriate  party.  Any other consent or other approval to the
transactions contemplated by this Agreement which the Purchaser, the Shareholder
and the  Company and its  subsidiaries  are  required to obtain  shall have been
obtained and any necessary  consent under any Contract  shall have been obtained
in writing.

     (x) No Changes in the  Business of the Company  and the  subsidiaries.  The
Company and its  subsidiaries  shall have been operated in accordance  with past
practice  and not in violation  of Section V of this  Agreement  and there shall
have not  otherwise  occurred any  material  adverse  change in the  operations,
operating  results,  business,  or condition  (financial  or  otherwise)  of the
Company and its subsidiaries,  the respective assets or the Shares from the date
hereof until the Closing Date, it being  understood that changes  resulting from
continuing  losses  in the  normal  cause  of  business  consistent  with  prior
operating results shall not be deemed a material adverse change. The Shareholder
and the Company shall deliver to the  Purchaser  year to date income  statements
and balance sheets which fully and fairly reflect the financial condition of the
Company  through  the end of the last month  immediately  preceding  the Closing
Date,  which income  statements and balance sheets shall confirm that there have
not been any material adverse changes in the financial condition of the Company.
Such financial  statements will be true and correct in all material respects and
will be prepared in accordance  with generally  accepted  accounting  principles
applied  consistently  throughout,  other  than  the  absence  of  notes to such
financial statements.

     (xi) No Litigation.  No suit, action,  claim or proceeding before any court
or  governmental  body will be pending  or  threatened  wherein  an  unfavorable
judgment,  decree or order would: (a) prevent the carrying out of this Agreement
or any of the material transactions contemplated hereby; (b) declare unlawful or
enjoin  the  transactions  contemplated  by this  Agreement;  or (c) cause  such
transactions to be rescinded.

     (xii)  Modification of Contracts.  The contract  between Apex Healthcare of
Louisiana,  Inc. and Ramsay Health Care, Inc. ("RHCI"),  which currently expires
December  31,  1996,  pursuant to which  health care  services  are  provided to
certain employees of RHCI shall have been  satisfactorily  amended to extend the
term thereof to December 31, 1997 and to provide for termination only for Cause.

     (xii) No Change in Regulatory Reserves. The regulatory reserves required to
be maintained  under the laws of  Mississippi  and  Louisiana,  presently in the
amounts of $250,000 and  $1,000,000,  respectively,  will continue to be held in
the current  form of  investment  thereof and in such amounts (or in any greater
amounts required under  regulations,  laws, orders or similar rules) in the name
of the Company or one or more of its subsidiaries at Closing.

     (xiv) Outstanding Tax Obligations.  Before Closing,  Shareholder shall have
filed all federal, state and local tax returns for the Company and the Company's
subsidiaries  required  to be filed by them as of the  Closing  and have paid in
full  or made  adequate  provision  for  the  payment  of all  taxes,  interest,
penalties, assessments, or deficiencies, if any, for all taxable years ending on
or before the date of Closing, including,  without limitation, those shown to be
due and payable by the Company or the Company's subsidiaries on such returns.

     (xv) Birmingham Office Lease. At or before Closing,  Shareholder shall have
secured  the  written  consent  of Taylor  and  Mathis,  Inc.,  as  brokers  for
Metropolitan  Life  Insurance  Company  (the  "Birmingham  Landlord"),   to  the
assignment to the Company of that certain lease by and between  Shareholder  and
the Birmingham  Landlord,  dated January 5, 1995, for the office space currently
occupied by the Company at 104 Inverness Center Parkway,  Suite 230, Birmingham,
AL 35242.

     (xvi) New Orleans Office Lease.  At or before  Closing,  Shareholder  shall
have secured the written  consent of One Poydras Plaza Venture (the "New Orleans
Landlord")  to that certain Rent Sharing  Agreement  entered into by and between
the Company and Ramsay Health Care, Inc.  ("RHCI"),  or, in the  alternative,  a
direct  lease  between the Company and the New Orleans  Landlord for the offices
occupied by the Company in the space leased by RHCI under that certain  lease by
and between RHCI and the New Orleans Landlord.

     (xvii)  Alabama  License.  Apex-Alabama  shall have  received all licenses,
approvals, consents and certificates required under the Alabama HMO Act in order
to operate a health maintenance organization in the State of Alabama.

     (xviii) Subsidiary Shares. At the Closing,  the Shareholder shall cause the
holders of shares of capital stock of any subsidiary of the Company not owned by
the  Company  to  transfer  such  shares to such  person or  persons as shall be
designated by the Purchaser.

     (xix) Nonsolicitation  Agreement.  At or before the Closing, Paul J. Ramsay
shall have  delivered to the Purchaser the  Nonsolicitation  Agreement  attached
hereto as Exhibit E.


                                  SECTION XI

                                 INDEMNIFICATION

     A. Indemnification by the Shareholder . The Shareholder shall indemnify and
hold harmless the Purchaser and the Company from and against any and all losses,
claims, assessments,  demands, damages, liabilities,  obligations,  costs and/or
expenses  whatsoever  (hereinafter  referred to collectively as the "Purchaser's
Damages"),  including,  without  limitation,  Purchaser's  Counsel  Expenses (as
hereinafter defined), sustained or incurred by the Purchaser or the Company as a
result of or arising from (i) the breach of any of the obligations, covenants or
provisions  of, or the  inaccuracy of any of the  representations  or warranties
made by, the  Shareholder  or the  Company  herein and (ii)  claims for  medical
malpractice, if and to the extent attributable to medical services provided to a
Company  Health Plan Member prior to the Closing  Date,  but in the case of each
such claim only to the extent  that the  Purchaser's  Damages  shall  exceed the
applicable  deductible under the Company's insurance coverage for such claim and
(iii) amounts paid by the Company subsequent to the Closing for medical services
provided to a Company  Health  Plan  Member  prior to  February  26,  1996.  For
purposes hereof  "Purchaser's  Counsel  Expenses" shall mean reasonable fees and
disbursements of counsel howsoever sustained or incurred by the Purchaser or the
Company, including,  without limitation, in any action or proceeding between the
Purchaser  or the  Company (on the one hand) and the  Shareholder  (on the other
hand) or in any action or  proceeding  between the  Purchaser or the Company and
any third party.

     B.  Indemnification  by the Purchaser . The Purchaser  shall  indemnify and
hold  harmless  the  Shareholder  from and against  any and all losses,  claims,
assessments,  demands, damages, liabilities,  obligations, costs and/or expenses
whatsoever  (hereinafter  referred  to  as  the  "Shareholder's   Damages";  the
Shareholder's  Damages and the  Purchaser's  Damages are  sometimes  referred to
herein as the "Damages"),  including, without limitation,  Shareholder's Counsel
Expenses (as hereinafter defined), sustained or incurred by the Shareholder as a
result of or arising  from the breach of any of the  obligations,  covenants  or
provisions  of, or the  inaccuracy of any of the  representations  or warranties
made by, the  Purchaser  herein.  For  purposes  hereof  "Shareholder's  Counsel
Expenses"  shall mean  reasonable fees and  disbursements  of counsel  howsoever
sustained or incurred by the Shareholder,  including, without limitation, in any
action or proceeding between the Shareholder (on the one hand) and the Purchaser
or the Company (on the other  hand) or in any action or  proceeding  between the
Shareholder and any third party.

     C. Procedure for Indemnification . In the event that any party hereto shall
incur (or  reasonably  anticipate  that it may incur in the case of third  party
claims)  any Damages in respect of which  indemnity  may be sought by such party
pursuant to this Section IX or any other provision of this Agreement,  the party
indemnified  hereunder  (the  "Indemnitee")  shall  notify  the party  providing
indemnification (the "Indemnitor") promptly;  provided,  however, that any delay
or failure to notify any  Indemnitor  of any claim shall not relieve it from any
liability except to the extent that the Indemnitor demonstrates that the defense
of such action is  prejudiced  by such delay or failure to notify.  No claim for
indemnification  shall be made by the Indemnitee  unless and until the aggregate
Damages  for all  claims  for  indemnification  then or  previously  made by the
Indemnitee  shall have exceeded  $25,000,  at which time the Indemnitee shall be
entitled to  indemnification  for all  Damages,  without  regard to such $25,000
threshold.  In the case of third party claims,  the Indemnitor shall,  within 15
days of receipt of notice of such claim,  notify the Indemnitee of its intention
to assume the defense of such claim. If the Indemnitor  shall assume the defense
of the claim,  the Indemnitor shall have the right and obligation (i) to conduct
any  proceedings  or  negotiations  in  connection  therewith  and  necessary or
appropriate to defend the  Indemnitee,  (ii) to take all other required steps or
proceedings  to settle or defend any such claims and (iii) to employ  counsel to
contest any such claim or liability in the name of the  Indemnitee or otherwise.
If defendants in any action include the Indemnitee and the  Indemnitor,  and the
Indemnitee  shall  have been  advised  by its  counsel  that  there may be legal
defenses  available to the Indemnitee which are different from or in addition to
those available to the Indemnitor, the Indemnitee shall have the right to employ
its own counsel in such  action,  and, in such event,  the fees and  expenses of
such  counsel  shall be borne by the  Indemnitor.  If the  Indemnitor  shall not
assume the  defense of any such claim or  litigation  resulting  therefrom,  the
Indemnitee  may defend  against any such claim or litigation  in an  appropriate
manner; provided,  however, that the Indemnitee may not settle any such claim or
litigation without the prior written consent of the Indemnitor, which may not be
unreasonably  withheld if the  Indemnitor  receives a full  release as a part of
such  settlement.  Payment  of Damages  shall be made  within 10 days of a final
determination of a claim.

     A final  determination  of a disputed  claim shall be (i) a judgment of any
court determining the validity of a disputed claim, if no appeal is pending from
such judgment or if the time to appeal  therefrom has elapsed,  (ii) an award of
any arbitration determining the validity of such disputed claim, if there is not
pending any motion to set aside such award or if the time  within  which to move
to set such award aside has elapsed,  (iii) a written termination of the dispute
with  respect  to such  claim  signed  by all of the  parties  thereto  or their
attorneys,  (iv) a written  acknowledgement  of the Indemnitor that it no longer
disputes  the  validity  of such  claim,  or (v) such  other  evidence  of final
determination  of a  disputed  claim as shall be  reasonably  acceptable  to the
parties.

     D.  Limitation  on  Indemnification  .  The  aggregate   liability  of  the
Shareholder  for  breaches of the  representations,  warranties,  covenants  and
agreements  of the  Shareholder  and  the  Company  in  this  Agreement  and the
aggregate  liability  of the  Purchaser  for  breaches  of its  representations,
warranties, covenants and agreements in this Agreement shall, except as provided
in the next  sentence,  in each case be limited  to the  amount of the  Purchase
Price.  The  aggregate   liability  of  the  Shareholder  for  breaches  of  the
representations, warranties, covenants and agreements of the Shareholder and the
Company set forth in Section II(O),  (CC)(d),  (DD) and (FF) shall be limited to
$220,000.

     E.  Subrogation . The Shareholder  shall be subrogated to all rights of the
Purchaser or the Company  with  respect to any claim for which the  Purchaser or
the Company has been indemnified by the Shareholder hereunder,  provided,  that,
the Purchaser shall not be required to make any claim against the Company or any
other party in order to pursue any claim  against the  Shareholder  and provided
further,  that the Shareholder shall not be entitled to any  indemnification  or
right of  contribution  from the  Company or have any other  rights  against the
Company in connection with any claim made hereunder.


                                  SECTION XII

                                 MISCELLANEOUS

     A. Notices . All notices,  requests or  instructions  hereunder shall be in
writing  and  delivered  personally,  by  recognized  overnight  courier  or  by
registered or certified mail,  postage  prepaid,  return receipt  requested,  as
follows:

          (1) If to the Shareholder (or before the Closing, the Company):

              Ramsay Managed Care, Inc.
              One Poydras Plaza
              639 Loyola Avenue
              Suite 1725
              New Orleans, Louisiana  70113
              Attention:  Mr. Warwick D. Syphers

              with a copy to:

              Haythe & Curley
              237 Park Avenue
              New York, New York 10017
              Attention: John J. Butler, Esq.

          (2) If to the Purchaser (or after the Closing, the Company):

              Apex Acquisition Corp.
              c/o Wexford Management LLC
              411 West Putnam Avenue
              Greenwich, Connecticut 06830
              Attention: Ms. Karen M. Ryugo

              with copies to:

              Greenberg, Traurig, Hoffman,
                Lipoff, Rosen & Quentel
              153 East 53rd Street
              35th Floor
              New York, New York 10022
              Attention: Judith D. Fryer, Esq.

              and

              Berenson Minella & Company
              667 Madison Avenue
              New York, New York 10021
              Attention: Mr. Deven J. Parekh


Any of the  above  addresses  may be  changed  at any  time by  notice  given as
provided  above;  provided,  however,  that any such notice of change of address
shall be effective  only upon  receipt.  All notices,  requests or  instructions
given in accordance  herewith shall be deemed  received on the date of delivery,
if hand delivered or sent by recognized  overnight  courier,  and three business
days after the date of mailing, if mailed.

     B. Survival of  Representations . Each  representation  and warranty of the
parties hereto herein contained shall survive the Closing until the later of (i)
expiration  of a period of six (6) months from the Closing Date or (ii) December
31, 1996,  except that any  representation  or warranty relating to title to the
Shares,  capitalization  of the Company or any tax or ERISA matters will survive
until thirty (30) days  following  the  expiration  of the  relevant  statute of
limitations  period  applicable to any claims which may be asserted  against the
Shareholder  and/or the Company,  in each case,  regardless of any investigation
which may have been made by or on behalf of the Purchaser;  and provided further
that  nothing in the  foregoing  shall be deemed to  diminish  any  Indemnitor's
indemnification  obligations  to an Indemnitee  respecting any claim for Damages
under  Section  XI hereof  for which  notice to the  Indemnitor  has been  given
pursuant to Section XI hereof prior to the end of such applicable period.

     C. Entire  Agreement;  Modifications  . This  Agreement  and the  documents
referred to herein  contain the entire  agreement  among the parties hereto with
respect to the  transactions  contemplated  hereby;  this  Agreement  shall only
become binding and effective  upon  execution and delivery  hereof by all of the
parties hereto, and no modification  hereof shall be effective unless in writing
and signed by the party against which it is sought to be enforced.

     D.  Reasonable  Efforts . Each of the parties hereto shall use such party's
reasonable  efforts  to take such  actions  as may be  necessary  or  reasonably
requested  by  the  other  parties  hereto  to  carry  out  and  consummate  the
transactions contemplated by this Agreement.

     E.  Expenses . Each of the parties  hereto  shall bear its own  expenses in
connection with this Agreement and the transactions contemplated hereby.

     F.  Enforceability  . Should any  provision of this  Agreement be held by a
court or arbitration  panel of competent  jurisdiction to be enforceable only if
modified,  such holding  shall not affect the validity of the  remainder of this
Agreement,  the balance of which shall  continue to be binding  upon the parties
hereto with any such  modification to become a part hereof and treated as though
originally set forth in this Agreement.  The parties further agree that any such
court  or  arbitration  panel  is  expressly   authorized  to  modify  any  such
unenforceable provision of this Agreement in lieu of severing such unenforceable
provision  from  this  Agreement  in its  entirety,  whether  by  rewriting  the
offending  provision,  deleting any or all of the  offending  provision,  adding
additional language to this Agreement,  or by making such other modifications as
it deems  warranted  to carry out the intent  and  agreement  of the  parties as
embodied  herein to the maximum extent  permitted by law. The parties  expressly
agree that this Agreement as modified by the court or arbitration panel shall be
binding upon and enforceable  against each of them. In any event,  should one or
more of the  provisions  of this  Agreement  be held to be  invalid,  illegal or
unenforceable in any respect,  such invalidity,  illegality or  unenforceability
shall  not  affect  any  other  provisions  hereof,  and if  such  provision  or
provisions are not modified as provided above, this Agreement shall be construed
as if such invalid, illegal or unenforceable provisions had never been set forth
herein.

     G. Termination .

          (i)  Either  party  may  terminate  this  Agreement  in the event of a
     material breach by the other party. The non-breaching  party shall give the
     breaching party written notice of the material breach. The notice of breach
     must be sent within five (5) days after the  non-breaching  party learns of
     the events giving rise to the breach.  If the breaching party does not cure
     the breach within  fifteen (15) days after receipt of the written notice of
     breach,  the  non-breaching  party may terminate  this Agreement by sending
     written notice to the breaching  party,  which notice shall be effective on
     the date given.  The notice of  termination  must be sent within  three (3)
     days after the cure period has ended.

          (ii) Either party may  terminate  this  Agreement  upon five (5) days'
     written  notice  to the  other  party  in  the  event  of the  liquidation,
     insolvency,  bankruptcy  or similar  proceeding of such other party or upon
     any  sequestration  by any  governmental  authority of all of the assets of
     such other party.

          (iii) This Agreement may be terminated in whole or in part at any time
     by the mutual written agreement of the parties.

          (iv) The Shareholder may terminate this Agreement by written notice to
     the  Purchaser  if,  in the  exercise  of  good  faith  judgment  as to its
     fiduciary  duties to its  stockholders  as imposed by  applicable  law and,
     after consultation with counsel,  the Board of Directors of the Shareholder
     determines  that such  termination  is required by reason of any  Competing
     Transaction.

          (v) This Agreement shall automatically terminate in the event that the
     Closing shall not have occurred  within ninety (90) days following the date
     of this Agreement.

          (vi)  In the  case of a  termination  of this  Agreement  pursuant  to
     clauses  (i) or (ii) of this  Section  XII(G),  such  termination  shall be
     without prejudice to any remedies which any party may have under applicable
     law for breach of contract.  In the case of a termination of this Agreement
     pursuant to clause (iv) of this Agreement,  the Shareholder and the Company
     shall be obligated to pay to the Purchaser $375,000. The obligations of the
     Purchaser  under this Section  XII(G)(vi)  and under Section XII(J) of this
     Agreement shall survive any termination of this Agreement.

     H.  Definitions  . The following  capitalized  terms used  throughout  this
Agreement shall have the meaning set forth respectively after each such term.

               (a)  Broker   Agreement.   Any  contract,   agreement,   license,
          certificate, instrument or other similar document and any oral binding
          obligations,  writing,  contract or agreement entered into between the
          Company and/or its  subsidiaries  and any agent,  broker or solicitor,
          pursuant to which such agent, broker or solicitor arranges,  on behalf
          of the  Company  and/or  its  subsidiaries,  for sales of health  plan
          benefits to individuals, employers or employer groups.

               (b) Company  Health Plans.  Any or all of the health care benefit
          plans offered,  sold or maintained by the Company and its subsidiaries
          which involve the  Company's  and/or its  subsidiaries'  arrangements,
          delivery, provision and/or payment of health care services or benefits
          to Company Health Plan Members.

               (c) Company Health Plan Member(s). Any individual who is enrolled
          as a member or family dependent in a Company Health Plan.

               (d) Company  Health Plan Service  Area.  A  geographic  area more
          particularly described in the Company Disclosure Schedule in which the
          Company and its subsidiaries are duly licensed and designed to provide
          or arrange  for the  provision  of health  care  services  for Company
          Health Plan Members.

               (e)  Company  Member   Materials.   Any  and  all  marketing  and
          advertising materials,  schedules of benefits,  evidences of coverage,
          disclosure brochures or other member materials used by the Company and
          its subsidiaries or disseminated to any Company Health Plan Member.

               (f) DOI.  Department  of  Insurance  for the  States of  Alabama,
          Louisiana or Mississippi.

               (g) Enrollment  Forms.  All properly  completed  applications and
          other documents which are submitted by Company Health Plan Members for
          enrollment  in a Company  Health Plan and which have been  accepted by
          the Company and/or its subsidiaries.

               (h) Cause.  For purposes of Section X(xii)  hereof,  "Cause" with
          respect to a party to an agreement shall mean any of the following:

                    (i) the  filing by such  party of a  voluntary  petition  in
               bankruptcy,  or such  party's  being  subject  to an  involuntary
               petition in bankruptcy  which is not set aside within one hundred
               twenty (120) days of its filing;

                    (ii)   the   revocation   of   such   party's   governmental
               authorizations   to  perform  its  services  set  forth  in  such
               agreement;

                    (iii) the conviction of such party of a felony; or

                    (iv) a material breach by such party of such agreement.

               (i) Governmental  Authority.  The federal government,  any state,
          county,  municipal,  local or foreign  government and any governmental
          agency, bureau, commission, authority or body having jurisdiction over
          the Company's or any subsidiary's business.

               (j) HMO Acts. The Mississippi  Health  Maintenance  Organization,
          Preferred Provider Organization and other Prepaid Health Benefit Plans
          Protection  Act, 1995 Miss.  Laws Ch. 613 (S.B.  2669);  the Louisiana
          Health  Maintenance  Organization  Act, La. St.  22:2001 et seq.,  and
          relevant Louisiana  Insurance Code provisions;  Alabama Statutes Title
          27, Chapter 21A; relevant provisions of the insurance codes or similar
          statutes  in  the  States  of  Alabama,   Louisiana  and  Mississippi;
          applicable  health  welfare  and/or  health care laws in the States of
          Alabama,  Louisiana  and  Mississippi;  and the rules and  regulations
          promulgated  thereunder by the  respective  Governmental  Authorities,
          including DOI, as amended from time to time.

               (k) Provider  Agreements.  All contracts,  agreements,  licenses,
          options,  instruments or other similar documents, and any oral binding
          obligations,  rights,  contracts or agreements  with Providers for the
          arrangement  or  provision of medical,  health or related  services to
          Company Health Plan Members.

               (l)  Providers.  Any and all  physicians,  physician  or  medical
          groups,  independent practice associations (IPAs),  preferred provider
          organizations   (PPOs),   specialist   physicians,    pharmacies   and
          pharmacists,  mental  health  professionals,  other  medical or health
          professionals,  hospitals,  skilled nursing facilities,  extended care
          facilities,  other  health  care or services  facilities,  home health
          agencies  or  alcoholism  or drug abuse  centers,  duly  licensed  and
          qualified to practice and prescribe or administer  medications  in the
          States of Alabama,  Louisiana and Mississippi,  as applicable,  who or
          which have contracted with the Company and its subsidiaries to provide
          health care or related services to Company Health Plan Members.

               (m) Subscriber Agreements. All contracts, agreements, instruments
          or other similar documents and any oral binding  obligations,  rights,
          contracts or  agreements  for the  arrangement  or provision of health
          care services which the Company and/or the  subsidiaries  have entered
          into with (i) eligible  individuals  who subscribe to a Company Health
          Plan, or (ii) certain employers on behalf of their eligible  employees
          who subscribe to a Company Health Plan.

     I. Survival of Covenants and  Agreements . Except as expressly  provided in
this  Agreement,  all covenants and agreements made hereunder or pursuant hereto
or in connection with the transactions  contemplated  hereby shall not terminate
but shall survive the Closing and be


<PAGE>


enforceable until the later of (i) six (6) months after the Closing Date or (ii)
December 31, 1996, at which time they shall expire.

     J. Return of  Documentation  . Following a termination  in accordance  with
Section XII(G), the Purchaser shall return all agreements, documents, contracts,
instruments  and other books and  records of the  Company  and its  subsidiaries
provided by the Shareholder, the Company or any of their respective subsidiaries
or representatives  to the Purchaser or any  representatives of the Purchaser in
connection with the transactions contemplated by this Agreement.

     K. Meaning of "Knowledge" . For the purposes of this Agreement  "knowledge"
of a party  means the actual  knowledge  of current  executive  officers of that
party or of current  executive  officers  of any entity in which that party owns
all of the outstanding voting securities, as such knowledge has been obtained in
the normal conduct of the business of such party.

     L.  Successors and Assigns . This Agreement shall be binding upon and inure
to the benefit of the successors and permitted  assigns of the Shareholder,  the
Company and the Purchaser, respectively.

     M.  Governing  Law . This  Agreement  shall be governed by and construed in
accordance  with  the laws of the  State  of New  York,  without  regard  to any
conflict  of  laws   principles   which  would  apply  the  laws  of  any  other
jurisdiction.

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

     O.  Headings  . The  headings  in this  Agreement  are for  convenience  of
reference  only, and shall not be deemed to alter the meaning or  interpretation
of any of the terms hereof.

     P.  Assignment . Until the first filing of an application to a Governmental
Authority for approval of the transactions  contemplated by this Agreement,  the
Purchaser may assign all of its rights and  obligations  under this Agreement to
any other entity in which Berenson, Minella & Company and Wexford Management LLC
together hold a majority of the equity interest.

     Q.  Publicity . The parties agree to cooperate with each other in releasing
information concerning this Agreement and the transactions  contemplated hereby.
No such  information  shall be  released  publicly  without  the  prior  written
agreement  of the parties  hereto,  which  agreement  shall not be  unreasonably
withheld or delayed.  Nothing in this  section  shall be  construed  to prohibit
either party from furnishing any information to any governmental,  regulatory or
administrative   agency  or  authority  within  the  time  periods  required  by
applicable statute or regulation.

                                                * * *


<PAGE>


     IN WITNESS  WHEREOF,  this  Agreement has been duly executed by the parties
hereto as of the date first above written.


                                                     APEX HEALTHCARE, INC.


                                                     By/s/ Warwick D. Syphers




                                                     RAMSAY MANAGED CARE, INC.


                                                     By/s/ Warwick D. Syphers



                                                     APEX ACQUISITION CORP.


                                                     By/s/ Deven J. Parekh






                                                                      EXHIBIT 11


                           RAMSAY MANAGED CARE, INC.

                     COMPUTATION OF INCOME (LOSS) PER SHARE
                                  (unaudited)

                                                        Nine  Months Ended
                                                     March 31         March 31
                                                       1996             1995
                                                     --------         --------
PRIMARY
   Weighted average common shares outstanding..      6,375,550        3,340,626
                                                     ---------        ----------

        TOTAL COMMON AND DILUTIVE
        COMMON EQUIVALENT SHARES...............      6,375,550        3,340,626
                                                     =========        ==========

        Income (Loss) Available to Common
          Shareholders.........................  $  (2,995,000)     $   (90,000)
                                                    ===========       ==========

        INCOME (LOSS) PER SHARE................         $(0.47)          $(0.03)
                                                          =====            =====


FULLY DILUTED
   Weighted average common shares 
      outstanding..............................      6,375,550        3,340,626
                                                     ---------        ----------

        TOTAL COMMON AND DILUTIVE
        COMMON EQUIVALENT SHARES...............      6,375,550        3,340,626
                                                     =========        ==========

        Income (Loss) Available to Common 
           Shareholders........................  $  (2,995,000)     $   (90,000)
                                                     ==========          =======

        INCOME (LOSS) PER SHARE................         $(0.47)          $(0.03)
                                                         =====             =====

WARNING: THE EDGAR SYSTEM ENCOUNTERED ERROR(S) WHILE PROCESSING THIS SCHEDULE.

<TABLE> <S> <C>


<ARTICLE>                     5
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                              JUN-30-1996
<PERIOD-START>                                 JAN-01-1996
<PERIOD-END>                                   MAR-31-1996
<EXCHANGE-RATE>                                1
<CASH>                                         703,000
<SECURITIES>                                   0
<RECEIVABLES>                                  1,696,000
<ALLOWANCES>                                   56,000
<INVENTORY>                                    0
<CURRENT-ASSETS>                               2,393,000
<PP&E>                                         2,529,000
<DEPRECIATION>                                 1,152,000
<TOTAL-ASSETS>                                 17,926,000
<CURRENT-LIABILITIES>                          8,694,000
<BONDS>                                        0
                          0
                                    0
<COMMON>                                       64,000
<OTHER-SE>                                     2,576,000
<TOTAL-LIABILITY-AND-EQUITY>                   17,926,000
<SALES>                                        0
<TOTAL-REVENUES>                               16,624,000
<CGS>                                          0
<TOTAL-COSTS>                                  14,222,000
<OTHER-EXPENSES>                               4,826,000
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             571,000
<INCOME-PRETAX>                                (2,995,000)
<INCOME-TAX>                                   0
<INCOME-CONTINUING>                            (2,995,000)
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   (2,995,000)
<EPS-PRIMARY>                                  $(0.47)
<EPS-DILUTED>                                  $(0.47)
        


</TABLE>


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