U. S. SECURITIES AND EXCHANGE COMMISSION

                             WASHINGTON, D.C. 20549

                                   FORM 10-QSB

             [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF

                   THE SECURITIES EXCHANGE ACT OF 1934 For the
                    quarterly period ended September 30, 1997

          [ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                        SECURITIES EXCHANGE ACT OF 1934
                    For the transition period from ___ to ___

                         Commission File Number 0-21427

                       INTEGRATED MEDICAL RESOURCES, INC.
        (Exact name of Small Business Issuer as specified in its charter)

KANSAS                                                       48-1096410
(State or other jurisdiction                                 (IRS Employer
of incorporation or organization)                            Identification No.)

11320 WEST 79TH STREET, LENEXA, KS                           66214
(Address of principal executive offices)                     (Zip code)

                    Issuer's Telephone Number: (913) 962-7201

Check  whether the issuer (1) filed all reports  required to be filed by Section
13 or 15(d) of the Securities Exchange Act of 1934 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

State the number of shares outstanding of each of the issuer's classes of common
equity, as of the latest practicable date:

AS OF OCTOBER 31, 1997, THERE WERE 6,717,517 OUTSTANDING SHARES OF COMMON STOCK,
PAR VALUE $.001 PER SHARE.

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







PART I.  FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS

================================================================================

                      INTEGRATED MEDICAL RESOURCES, INC. AND SUBSIDIARIES
                           CONSOLIDATED BALANCE SHEETS
================================================================================




                                                        SEPTEMBER 30, 1997         DECEMBER 31,
                        ASSETS                             (UNAUDITED)                1996

                                                        ------------------- ---------------------
                                                                      
CURRENT ASSETS:
  Cash and cash equivalents                                $      758,167        $    6,739,697
  Accounts receivable, less allowance of $ 906,587 in
    1997 and $605,315 in 1996                                   4,267,954             1,382,968
  Receivable from Centers                                       2,208,455               499,083
  Supplies                                                        191,831                99,788
  Prepaid expenses                                                242,231               260,619
                                                        ------------------- ---------------------
    Total current assets                                        7,668,638             8,982,155

NON-CURRENT ASSETS:
  Property and equipment
    Office equipment and software                               1,802,157             1,624,411
    Furniture, fixtures and equipment                           5,153,713             4,295,722
    Leasehold improvements                                        150,668               125,476
                                                        ------------------- ---------------------
                                                                7,106,538             6,045,609
    Accumulated depreciation                                    2,264,408             1,355,995
                                                        ------------------- ---------------------
                                                                4,842,130             4,689,614

  Intangible assets                                               159,373               504,182
  Other assets                                                    404,754               335,947
                                                        ------------------- ---------------------
TOTAL ASSETS                                               $   13,074,895        $   14,511,898
                                                        =================== =====================


                 See accompanying notes to financial statements
================================================================================









================================================================================

                      INTEGRATED MEDICAL RESOURCES, INC. AND SUBSIDIARIES
                     CONSOLIDATED BALANCE SHEETS (CONTINUED)
================================================================================




                                                              SEPTEMBER 30,        DECEMBER 31,
           LIABILITIES AND STOCKHOLDERS' EQUITY                   1997               1996
                                                               (UNAUDITED)
                                                             ----------------- ------------------
                                                                         
CURRENT LIABILITIES:
  Working capital line of credit                              $    1,983,304     $          ---
  Accounts payable                                                   976,783            929,564
  Accrued payroll                                                    308,431            289,470
  Accrued advertising                                                352,398            350,725
  Other accrued expenses                                             337,284             41,086
  Current portion of long-term debt                                1,192,754            623,603
  Current portion of capital lease obligations                       373,672            320,586
                                                             ----------------- ------------------
    Total current liabilities                                      5,524,626          2,555,034

NON-CURRENT LIABILITIES:
  Deferred rent                                                      175,932            175,932
  Long-term debt, less current portion                               840,494          1,008,278
  Capital lease obligations, less current portion                    321,413            473,281
                                                             ----------------- ------------------
    Total non-current liabilities                                  1,337,839          1,657,491

STOCKHOLDERS' EQUITY:
  Preferred stock, $.001 par value:
    Authorized shares - 1,696,698
    Issued and outstanding shares - none                                 ---                ---
  Common stock, $.001 par value:
    Authorized shares - 10,000,000
    Issued and outstanding shares - 6,717,517                          6,717              6,715
  Additional paid-in capital                                      17,960,029         17,960,029
  Accumulated deficit                                            (11,742,969)        (7,667,371)
  Treasury stock                                                     (11,347)               ---
                                                             ----------------- ------------------
      Total stockholders' equity                                   6,212,430         10,299,373
                                                             ----------------- ------------------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                    $   13,074,895     $   14,511,898
                                                             ================= ==================


                 See accompanying notes to financial statements
================================================================================







================================================================================

                      INTEGRATED MEDICAL RESOURCES, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (UNAUDITED)
================================================================================




                                        FOR THE THREE MONTHS ENDED   FOR THE NINE MONTHS ENDED

                                               SEPTEMBER 30                SEPTEMBER 30
                                        ---------------------------------------------------------
                                            1997          1996          1997          1996
                                        ---------------------------------------------------------
                                                                      
 NET CENTER REVENUES:                    $ 6,230,921  $ 2,910,537    $15,352,920  $ 8,062,403
 Center expenses:
    Physician salaries                       909,859      637,927      2,736,186    1,447,500
    Cost of services                       1,570,801      634,044      3,674,009    1,813,383
                                        ---------------------------------------------------------
                                           2,480,660    1,271,971      6,410,195    3,260,883
                                        ---------------------------------------------------------
    Net management revenue                 3,750,261    1,638,566      8,942,725    4,801,520
                                        ---------------------------------------------------------

 OPERATING EXPENSES:
  Center staff salaries                      641,460      505,554      1,749,569    1,300,159
  Center facilities rent                     341,922      205,658      1,015,287      525,100
  Advertising                              1,432,182    1,053,657      4,138,388    2,657,268
  Depreciation and amortization              514,790      329,058      1,617,815      695,947
  Selling, general and administrative      1,597,121    1,156,398      4,316,807    2,367,585
                                        ---------------------------------------------------------
                                           4,527,475    3,250,325     12,837,866    7,546,059
                                        ---------------------------------------------------------
      Operating loss                        (777,214)  (1,611,759)    (3,895,141)  (2,744,539)
                                        ---------------------------------------------------------

 OTHER INCOME (EXPENSE):
  Interest income                             14,754       25,573        115,487       25,573
  Interest expense                          (106,410)    (118,569)      (285,039)    (210,094)
  Other                                      (19,258)         ---        (10,905)         ---
                                        ---------------------------------------------------------
                                            (110,914)     (92,996)      (180,457)    (184,521)
                                        ---------------------------------------------------------
 NET LOSS                               $   (888,128) $(1,704,755)  $ (4,075,598) $(2,929,060)
                                        ---------------------------------------------------------
  Net loss per common and
    common equivalent share             $      (0.13) $     (0.56)  $      (0.61) $     (0.97)
                                        ---------------------------------------------------------
  Weighted average common and
    common equivalent shares               6,717,517    3,019,981      6,717,517    3,019,981
                                        =========================================================


                 See accompanying notes to financial statements
 ===============================================================================







================================================================================

                      INTEGRATED MEDICAL RESOURCES, INC. AND SUBSIDIARIES
                      CONSOLIDATED STATEMENTS OF CASH FLOWS
                                   (UNAUDITED)
================================================================================




                                                               FOR THE NINE MONTHS ENDED
                                                                      SEPTEMBER 30
                                                        -----------------------------------------
                                                                1997                1996
                                                        -------------------- --------------------
                                                                    
OPERATING ACTIVITIES
  Net loss                                               $ (4,075,598)        $ (2,929,060)
  Adjustments to reconcile net loss to net cash used
  in operating activities:
    Depreciation                                              924,098              406,883
    Amortization                                              693,717              289,064
    Deferred rent                                                 ---               59,460
    Pre-opening costs incurred                               (116,090)            (544,344)
    Changes in operating assets and liabilities:
      Accounts receivable                                  (2,884,986)            (654,086)
      Receivable from centers                              (1,709,372)             122,149
      Payable to centers                                          ---              354,799
      Supplies                                                (92,043)              (2,624)
      Prepaid expenses                                         18,388             (616,511)
      Accounts payable                                         47,219              515,162
      Accrued payroll                                          18,961              (12,324)
      Accrued advertising                                       1,673              271,464
      Other accrued expenses                                  296,198              (12,961)
                                                        -------------------- --------------------
        Net cash used in operating activities              (6,877,835)          (2,752,929)
                                                        -------------------- --------------------
INVESTING ACTIVITIES
  Purchases of property and equipment                        (584,614)          (3,062,686)
  Other                                                      (301,625)            (249,483)
                                                        -------------------- --------------------
    Net cash used in investing activities                    (886,239)          (3,312,169)
                                                        -------------------- --------------------
FINANCING ACTIVITIES
  Borrowings on line of credit                              1,983,304            1,100,000
  Proceeds from issuance of notes payable and                 490,000            2,438,950
  long-term debt
  Principal payments on long-term debt                       (580,633)            (126,945)
  Debt issuance costs incurred                                    ---              (22,941)
  Net principal payments on capital lease obligations         (98,782)            (193,652)
  Net proceeds from issuance of preferred stock                   ---              924,771
  Purchase of common stock                                    (11,347)                 ---
  Net proceeds from issuance of common stock                        2               30,249
                                                        -------------------- --------------------
    Net cash provided by financing activities               1,782,544            4,150,432
                                                        -------------------- --------------------
  Net decrease in cash and cash equivalents                (5,981,530)          (1,914,666)
  Cash and cash equivalents at beginning of period          6,739,697            2,122,794
                                                        -------------------- --------------------
  Cash and cash equivalents at end of period             $    758,167         $    208,128
                                                        ==================== ====================

SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
  Cash paid for interest                                 $    202,108         $    204,183

SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND
  FINANCING ACTIVITIES
  Additions to property and equipment through
    issuance of long term debt                           $    492,000         $        ---
                                                        ==================== ====================


                 See accompanying notes to financial statements
================================================================================


               INTEGRATED MEDICAL RESOURCES, INC. AND SUBSIDIARIES

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

NATURE OF BUSINESS

        Integrated Medical  Resources,  Inc. and subsidiaries (the Company) is a
provider of management services to clinics providing disease management services
for men suffering  from sexual  dysfunction.  At September 30, 1997, the Company
managed 33 diagnostic  clinics operated under the name The Diagnostic Center for
Men in 19  states  (collectively  the  Centers).  Each of those 33  clinics  has
entered  into  long-term  management  contracts  and lease  agreements  with the
Company. Pursuant to these contracts and agreements, the Company provides a wide
array of business services to the Centers in exchange for management fees.

BASIS OF PRESENTATION

        The accompanying  unaudited  consolidated financial statements have been
prepared by the  Company,  in  accordance  with  generally  accepted  accounting
principles for interim financial information,  and with the instructions to Form
10-QSB.  In the opinion of  management,  all  adjustments  (consisting of normal
recurring  accruals)  considered  necessary  for a fair  presentation  have been
included.

        Certain  information  and  footnote  disclosures  normally  included  in
financial  statements  prepared in accordance with generally accepted accounting
principles have been condensed or omitted.  It is suggested that these condensed
consolidated  financial  statements be read in conjunction with the consolidated
financial  statements and notes thereto  included in the Company's  December 31,
1996 annual report on Form 10-KSB.  The results of operations  for the three and
nine month periods ended  September 30, 1997 are not  necessarily  indicative of
the operating results that may be expected for the year ended December 31, 1997.

NOTE 2 - CONTINGENCIES

        The  Company  is  subject  to  extensive  federal  and  state  laws  and
regulations,  many of which have not been the subject of judicial or  regulatory
interpretation.  Management believes the Company's operations are in substantial
compliance   with  laws  and   regulations.   Although  an  adverse   review  or
determination  by any  such  authority  could  be  significant  to the  Company,
management believes the effects of any such review or determination would not be
material to the  Company's  financial  condition.  See "Factors  That May Affect
Future Results of Operations - Medicare Reimbursement."







ITEM 2.   MANAGEMENT'S DISCUSSION AND ANALYSIS
          OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

GENERAL

        The  Company's  managed  Centers  are the  leading  provider  of disease
management  services  for  men  suffering  from  sexual  dysfunction,   focusing
primarily on the diagnosis and treatment of erectile dysfunction, commonly known
as impotence.  The Centers  provide  comprehensive  diagnostic,  educational and
treatment  services  designed to address the medical and emotional  needs of its
patients and their partners  through the largest  network of medical  clinics in
the United States  dedicated to the  diagnosis  and treatment of impotence.  The
Company currently manages 33 Centers in 19 states.

        For the quarter ended September 30, 1997,  approximately  75% of patient
billings  were  covered  by  medical   insurance  plans  subject  to  applicable
deductible and other co-pay provisions paid by the patient. Approximately 36% of
patient billings were covered by Medicare and 39% were covered by numerous other
commercial insurance plans that offer coverage for impotence treatment services.
Patient  billings  average less for Medicare  patients  due to  restrictions  on
laboratory test reimbursement and standard professional fee discounts.

RESULTS OF OPERATIONS

        The following table sets forth, for the periods indicated, certain items
from the consolidated statements of operations of the Company as a percentage of
net Center revenues:





                                          FOR THE THREE MONTHS          FOR THE NINE MONTHS
                                           ENDED SEPTEMBER 30            ENDED SEPTEMBER 30
                                      ============================= =============================
                                          1997           1996           1997           1996
                                      ============== ============== ============== ==============
                                                                       
Net center revenues                       100.0%         100.0%         100.0%         100.0%
Center expenses                            39.8           43.7           41.8           40.4
                                           ----           ----           ----           ----
Net management revenue                     60.2           56.3           58.2           59.6
Operating expenses:

  Center staff salaries                    10.3           17.4           11.3           16.1
  Center facilities rent                    5.5            7.1            6.6            6.5
  Advertising                              23.0           36.2           27.0           33.0
  Depreciation and amortization             8.3           11.3           10.5            8.6
  Selling, general and                     25.6           39.7           28.1           29.4
  administrative                           ----          -----           ----           ----
    Total operating expenses               72.7          111.7           83.5           93.6
                                           ----          -----           ----           ----
Operating loss                            (12.5)         (55.4)         (25.3)         (34.0)
Interest expense, net                      (1.8)          (3.2)          (1.2)          (2.3)
                                           -----          -----          -----          -----
  Net loss                                (14.3)         (58.6)         (26.5)         (36.3)
                                           =====          =====          =====          =====








THREE MONTHS ENDED SEPTEMBER 30, 1997 AND 1996

        Net Center Revenues.  Net Center revenues  increased  approximately 114%
from $2,910,537 in 1996 to $6,230,921 in 1997. This growth was  attributable not
only to the revenue  growth in the number of Centers  open  during each  period,
which grew from 28 at September 30, 1996, to 33 at September 30, 1997,  but also
to higher revenues in existing Centers, many of which were newly opened in 1996.
The revenue growth in existing  clinics  resulted from more effective  marketing
strategies,  which increased both new patient volume and recurring  revenue from
existing patients.  Further,  marketing strategies utilized in the third quarter
1997 were  effective in  countering  the seasonal  downturn  experienced  in the
summer months (May through September) in years prior to 1997.

        Center Expenses.  Center expenses represent direct operating expenses of
the Centers,  including physician salaries,  costs for laboratory and outsourced
services,   diagnostic  and  treatment  supplies,   and  treatment  devices  and
medications   dispensed   through  the  Centers.   Center   expenses   increased
approximately  95%  from  $1,271,971  in 1996 to  $2,480,660  in 1997 due to the
operation  of  additional  Centers  during  the 1997  period  and also to higher
patient  volumes in existing  centers.  As a percentage of net Center  revenues,
Center  expenses  decreased  from 43.7% to 39.8%.  This  decrease  results  from
efficiencies  of scale,  as the Centers are able to treat  increased  numbers of
patients without a corresponding increase in baseline center expenses.

        Net Management Revenue.  Net management revenue increased  approximately
129% from  $1,638,566  in 1996 to  $3,750,261  in 1997.  As a percentage  of net
Center  revenue,  net management  revenue  increased  from 56.3% to 60.2%.  This
increase  resulted from the increase in net Center  revenues and Center expenses
discussed above.

        Center Staff Salaries. Center staff salaries increased approximately 27%
from  $505,554 in 1996 to $641,460 in 1997 due to the  operation  of  additional
Centers. As a percentage of net Center revenue,  Center staff salaries decreased
from 17.4% to 10.3%. The effect of the reduction in average staff size from 3 to
4 employees per clinic in 1996 to 2 to 3 employees per clinic in 1997 was offset
partially by lower  revenues per clinic in 1997 as patient  volumes  continue to
grow over the initial six months of operations at newly opened centers.

        Center Facilities Rent.  Center facilities rent increased  approximately
66% from  $205,658 in 1996 to $341,922 in 1997 due primarily to the operation of
additional Centers during the period and higher rental rates in new markets.  As
a percentage of net Center revenue,  Center  facilities rent decreased from 7.1%
to 5.5%.

        Advertising.   Advertising  expense  increased  approximately  36%  from
$1,053,657 in 1996 to $1,432,182 in 1997 due to the increased number of Centers.
As a percentage of net Center revenue,  advertising expense decreased from 36.2%
to 23.0% due to more effective advertising which produced higher patient volumes
at a lower cost per patient seen.

        Depreciation and Amortization.  Depreciation and amortization  increased
approximately  56% from  $329,058 in 1996 to  $514,790 in 1997 due to  increased
depreciation  charges for clinical and office equipment purchased to support new
Centers and  increased  staffing at the  Company's  headquarters,  and increased
amortization  of  pre-opening  costs  incurred  with respect to the  significant
growth in new  Centers  during  the past  year.  As a  percentage  of net Center
revenues, depreciation and amortization decreased from 11.3% to 8.3%.








        Selling, General and Administrative. Selling, general and administrative
expense  increased  approximately  38% from  $1,156,398 in 1996 to $1,597,121 in
1997 due  principally  to the  addition  of  additional  experienced  management
personnel and staff at the Company's corporate headquarters and expansion of the
telephone   appointment  center  staff  to  support  additional  Centers.  As  a
percentage of net Center revenues,  selling,  general and administrative expense
decreased from 39.7% to 25.6%.

        Interest Expense, Net.  Interest expense increased slightly from $92,996
in 1996 to $110,914 in 1997.

        Income Taxes. No income tax provision or benefit was recorded in 1996 or
1997 as the deferred taxes otherwise  provided were offset by valuation reserves
on deferred tax assets.

NINE MONTHS ENDED SEPTEMBER 30, 1997 AND 1996

        Net Center Revenues.  Net Center revenues  increased  approximately  90%
from  $8,062,403 in 1996 to  $15,352,920 in 1997.  This growth was  attributable
primarily to the increase in the number of Centers open during each period which
grew from 28 at  September  30,  1996 to 33 at  September  30,  1997 and also to
higher revenues in existing centers.

        Center  Expenses.  Center  expenses  increased  approximately  97%  from
$3,260,883  in 1996 to  $6,410,195  in 1997 due to the  operation of  additional
Centers during the 1997 period.  As a percentage of net Center revenues,  Center
expenses increased from 40.4% to 41.8%.

        Net Management Revenue.  Net management revenue increased  approximately
86% from $4,801,520 in 1996 to $8,942,725 in 1997. As a percentage of net Center
revenue, net management revenue decreased from 59.6% to 58.2%.

        Center Staff Salaries. Center staff salaries increased approximately 35%
from $1,300,159 in 1996 to $1,749,569 in 1997 due to the operation of additional
Centers. As a percentage of net Center revenue,  Center staff salaries decreased
from 16.1% to 11.3%. The effect of the reduction in average staff size from 3 to
4  employees  per  clinic  in 1996 to 2 to 3  employees  per  clinic in 1997 was
partially  offset  by lower  revenues  per  clinic  in 1997 as  patient  volumes
continue to grow over the initial six months of operations at Centers  opened in
late 1996 and early 1997.

        Center Facilities Rent.  Center facilities rent increased  approximately
93% from  $525,100 in 1996 to  $1,015,287 in 1997 due primarily to the operation
of additional  Centers during the period and higher rental rates in new markets.
As a percentage of net Center revenue, Center facilities rent increased slightly
from 6.5% to 6.6% due  primarily to the fact that a large number of clinics were
opened in late 1996 and early 1997.

        Advertising.   Advertising  expense  increased  approximately  56%  from
$2,657,268 in 1996 to $4,138,388 in 1997 due to the increased number of Centers.
As a percentage of net Center revenue,  advertising expense decreased from 33.0%
to 27.0% due to more effective advertising which produced higher patient volumes
at a lower cost per patient seen.







        Depreciation and Amortization.  Depreciation and amortization  increased
approximately  132% from $695,947 in 1996 to $1,617,815 in 1997 due to increased
depreciation  charges for clinical and office equipment purchased to support new
Centers and  increased  staffing at the  Company's  headquarters,  and increased
amortization  of  pre-opening  costs  incurred  with respect to the  significant
growth in new  Centers  during  the past  year.  As a  percentage  of net Center
revenues,  depreciation and amortization increased from 8.6% to 10.5% due to the
significant  amount of  amortization  of  pre-opening  costs in 1997  related to
Centers opened in 1996.

        Selling, General and Administrative. Selling, general and administrative
expense  increased  approximately  82% from  $2,367,585 in 1996 to $4,316,807 in
1997 due  principally  to the  addition  of  additional  experienced  management
personnel and staff at the Company's corporate headquarters and expansion of the
telephone   appointment  center  staff  to  support  additional  Centers.  As  a
percentage of net Center revenues,  selling,  general and administrative expense
decreased from 29.4% to 28.1%.

        Interest Expense, Net. Interest expense decreased slightly from $184,521
in 1996 to $180,457 in 1997.

        Income Taxes. No income tax provision or benefit was recorded in 1996 or
1997 as the deferred taxes otherwise  provided were offset by valuation reserves
on deferred tax assets.

LIQUIDITY AND CAPITAL RESOURCES

        The Company has financed its operations and met its capital requirements
with cash flows from  services  provided  to  existing  Centers,  proceeds  from
private  placements of equity  securities,  an initial public offering of equity
securities,  the  utilization  of bank lines of credit,  bank loans and  capital
lease  obligations.  In March 1996,  the Company  raised $1.0  million  from the
issuance of Series B Preferred  Stock which was  converted  to Common Stock upon
the  consummation  of the initial  public  offering.  The Company  raised  $12.6
million in net proceeds from its initial public  offering  completed in November
1996. The Company has a working capital line of credit with its bank under which
it may borrow up to $2.0 million through  December 31, 1997,  based on specified
percentages of eligible accounts receivable.  At September 30, 1997, the Company
had $1,983,304  outstanding under this line. The interest rate applicable to the
line of credit is 1% above the bank's prime  lending  rate (which prime  lending
rate was 8.5% at September 30, 1997). On September 30, 1997 the Company executed
a $500,000  promissory  note due December 31, 1997.  The note bears  interest at
9.5% and is secured by accounts receivable and fixed assets.

        At September  30,  1997,  the Company had cash and cash  equivalents  of
$758,167.  On October 23, 1997,  the Company  secured a revolving line of credit
providing for borrowings of up to $5.0 million,  secured by accounts receivable,
and a $500,000  term loan secured by property and  equipment.  Proceeds from the
revolving line of credit were used to retire  $1,983,304  outstanding  under the
Company's  existing  $2.0 million  line of credit as well as the  $500,000  note
dated September 30, 1997.

        As of  September  30,  1997,  the Company  had,  for tax  purposes,  net
operating  loss  carry  forwards  of  approximately  $12.7  million,  which  are
available to offset future taxable income and expire in varying  amounts through
2011, if unused.








        Due to the growth in the number of new Center  openings  in the past two
years,  the Company has  experienced  increased and varied  operating  cash flow
deficits from 1994 through 1997.  This resulted  primarily  from  differences in
working  capital  levels   (particularly,   accounts   receivable)  required  to
accommodate  the  increased  services  to Centers  and  variances  in  operating
results.  The variances were principally  attributable to the fact that revenues
at  new  Centers  and,  accordingly,  net  management  revenues  have  generally
increased  with patient  volumes over the first six months of  operations  while
operating  expenses  have  remained  relatively  fixed  from the first  month of
operation.  In addition, the Company had increased corporate staff, expanded the
national  call  center and  increased  advertising  costs to support  new Center
openings, thereby significantly increasing administrative expenses in advance of
expected revenues.

        Accounts  receivable,  net  of  allowance,   increased  $2,884,986  from
$1,382,968  at December  31, 1996 to  $4,267,954  at  September  30, 1997 due to
increases in net Center  revenues.  Receivable  from  Centers,  which relates to
Medicare receivables due to the Centers, increased $1,709,372,  primarily due to
an increase in receivables  attributable  to services to Medicare  patients from
$499,083 at December 31, 1996 to $2,208,455 at September 30, 1997. The September
30,  1997  amount  includes  $1.9  million   pending   submission  for  Medicare
reimbursement   awaiting   completion  of  appropriate   provider   registration
requirements,  which the  Company  anticipates  will be  completed  by the first
quarter  1998.  In addition,  $668,000 in Medicare  billings  were under payment
suspension, see "Factors That May Affect Future Results of Operations - Medicare
Reimbursement.".

        Despite  the  Company's  existing  resources  and  those  provided  from
additional debt, opportunities may arise for new Center openings or acquisitions
that  management  believes  would  enhance the value of the Company  which could
require financing not currently provided for.

FACTORS THAT MAY AFFECT FUTURE RESULTS OF OPERATIONS

        Ability to Manage Growth. The Company  experienced rapid growth that has
resulted in new and increased  responsibilities for management personnel and has
placed increased demands on the Company's management,  operational and financial
systems  and  resources.  To  accommodate  this  recent  growth  and to  compete
effectively  and manage future growth,  the Company will be required to continue
to implement and improve its operational,  financial and management  information
systems, and to expand,  train, motivate and manage its work force. There can be
no assurance that the Company's personnel, systems, procedures and controls will
be adequate to support the  Company's  operations.  Any failure to implement and
improve  the  Company's  operational,  financial  and  management  systems or to
expand, train, motivate or manage employees could have a material adverse effect
on the Company's financial condition and results of operations.

        The Company  intends to  establish  Centers in new markets  where it has
never before provided services.  As part of its market selection  analysis,  the
Company  has  invested  and will  continue  to invest  substantial  funds in the
compilation and  examination of market data.  There can be no assurance that the
market data will be accurate or complete or that the Company will select markets
in which it will achieve profitability.






In addition, the Company may pursue acquisitions of medical clinics or practices
providing male sexual health  services.  There are various risks associated with
the Company's acquisition strategy,  including the risk that the Company will be
unable to identify,  recruit or acquire  suitable  acquisition  candidates or to
integrate  and  manage  the  acquired  clinics  or  practices.  There  can be no
assurance  that clinics and practices  will be available for  acquisition by the
Company on acceptable  terms, or that any liabilities  assumed in an acquisition
will not have a material adverse effect on the Company's financial condition and
results of operations.

        Seasonality  and  Fluctuations  in  Quarterly  Results.   The  Company's
historical quarterly revenues and financial results prior to 1997 demonstrated a
seasonal pattern in which the first and fourth quarters were typically  stronger
than the second and third  quarters.  The summer  months of May  through  August
showed seasonal decreases in patient volume and billings.  Through September 30,
1997, this seasonal  downturn was not indicated in patient volumes.  The Company
cannot predict that this  seasonality will not be demonstrated in the future and
there can be no  assurance  that such  seasonal  fluctuations  will not  produce
decreased revenues and poorer financial results. The failure to open new Centers
on anticipated schedules, the opening of multiple Centers in the same quarter or
the timing of acquisitions may also have the effect of increasing the volatility
of quarterly results.  Any of these factors could have a material adverse impact
on the Company's stock price.

        Dependence on Reimbursement bv Third Party Payors. For the quarter ended
September  30,  1997,  approximately  75% of patient  billings  were  covered by
medical  insurance  plans  subject to  applicable  deductibles  and other co-pay
provisions  paid by the  patient.  Approximately  36% of patient  billings  were
covered by Medicare and 39% were covered by numerous other commercial  insurance
plans that offer  coverage for  impotence  treatment  services.  The health care
industry  is  undergoing  cost  containment  pressures  as both  government  and
non-government  third  party  payors  seek to  impose  lower  reimbursement  and
utilization  rates and to negotiate  reduced  payment  schedules with providers.
This trend may  result in a  reduction  from  historical  levels of  per-patient
revenue  for such  health  care  providers.  Further  reductions  in third party
payments  to  physicians  or other  changes in  reimbursement  for  health  care
services  could  have a  direct  or  indirect  material  adverse  effect  on the
Company's financial condition and results of operations. In addition, as managed
Medicare  arrangements  continue  to  become  more  prevalent,  there  can be no
assurance that the Centers will qualify as a provider for relevant arrangements,
or that  participation  in such  arrangements  would be profitable.  Any loss of
business due to the increased penetration of managed Medicare arrangements could
have a material adverse effect on the Company's  financial condition and results
of operations.

        The  Company's  net  income is  affected  by  changes  in sources of the
Centers'  revenues.  Rates paid by commercial  insurers,  including  those which
provide  Medicare  supplemental  insurance,  are generally  based on established
provider charges, and are generally higher than Medicare  reimbursement rates. A
change in the payor mix of the  Company's  patients  resulting  in a decrease in
patients  covered by commercial  insurance could adversely  affect the Company's
financial condition and results of operations.

        Health Care Industry and Regulation.  The health care industry is highly
regulated at both the state and federal levels.  The Company and the Centers are
subject to a number of laws governing issues as diverse as relationships between
health  care  providers  and  their  referral  sources,  prohibitions  against a
provider referring patients to an entity with which the provider has a financial
relationship, licensure and other regulatory approvals, professional advertising
restrictions,  corporate  practice of medicine,  Medicare  billing  regulations,
dispensing  of  pharmaceuticals  and  regulation  of  unprofessional  conduct of
providers, including fee-splitting arrangements.  Many facets of the contractual
and operational structure of the







Company's  relationships  with each of the Centers  have not been the subject of
judicial or regulatory interpretation. An adverse review or determination by any
one  of  such  authorities,  or  changes  in  the  regulatory  requirements,  or
otherwise,  could have a material  adverse effect on the  operations,  financial
condition and results of operations  of the Company.  In addition,  expansion of
the   operations  of  the  Company  into  certain   jurisdictions   may  require
modifications  to the Company's  relationships  with the Centers  located there.
These modifications could include changes in such states in the way in which the
Company's  services  and  lease  fees are  determined  and the way in which  the
ownership and control of the Centers are structured. Such modifications may have
a material  adverse effect on the Company's  financial  condition and results of
operations.

        In recent years,  numerous legislative proposals have been introduced or
proposed in the United States Congress and in some state legislatures that would
effect  major  changes  in the  United  States  health  care  system at both the
national and state level. It is not clear at this time which proposals,  if any,
will be adopted or, if adopted,  what  effect such  proposals  would have on the
Company's business.  There can be no assurance that currently proposed or future
health care legislation or other changes in the administration or interpretation
of governmental  health care programs will not have a material adverse effect on
the Company's financial condition and results of operations.

        Furthermore,  there can be no  assurance  that the method of payment for
the products and services furnished by the Centers will not be radically altered
in the future by changes in the health care  industry.  Changes in the system of
reimbursement, including Medicare, for the products and services provided by the
Centers that increase the difficulty of obtaining  payment for medical  services
could have a material  adverse effect on the Company's  financial  condition and
results of operations,  as the Company's  income stream depends upon revenues of
the Centers. If revenues of the Centers are diminished, either in quantity or in
continuity, the Company will be adversely affected.

        Medicare  Reimbursement.  Historically,  the percent of DCM patients for
which  reimbursement  is sought from  Medicare  has averaged  approximately  30%
system-wide,  although such average ranges from  approximately  23% to 56% among
individual  Centers.  Medicare  reimbursements  for  professional  services  are
processed by numerous  carriers  ("Service  Carriers")  and  reimbursements  for
durable  medical  equipment  are handled by four regional  carriers  ("DMERCs").
These Service  Carriers and DMERCs  routinely  review the billing  practices and
procedures of health care providers and during such reviews these Carriers often
temporarily  suspend all reimbursement  payments to the providers whether or not
related to the billing issue being reviewed.

        Currently,  there are two DMERCs and three  Service  Carriers  that have
notified a DCM that a review is being  conducted  and that  Medicare  claims are
being held in suspense  pending  such  review.  The Company  also learned in the
second  quarter  1997 that the  Federal  Bureau of  Investigation  is  reviewing
certain aspects of its Medicare billing practices. System-wide, the total amount
of billings  under  suspension  and included in  Receivables  from Centers as of
September 30, 1997 was approximately $668,000.

        The Company is fully  cooperating in these reviews and believes that its
billing practices and procedures are proper. One earlier review by another DMERC
has been concluded and the amounts  suspended are being released to the Company.
However,  in the event the other  carriers  were to disallow  the  reimbursement
requests  under  review,  some or all of the  suspended  payments  would  not be
collected.  In addition,  depending upon the particular facts and  circumstances
involved  in  the  review,   the   carriers   could  seek   repayment  of  prior
reimbursements and deny reimbursement for such claims in the future.







Under certain  circumstances,  the submission of improper Medicare reimbursement
claims can result in civil and  criminal  penalties  and  disqualification  from
seeking any reimbursement from Medicare in the future.

        The Company is  conducting  an internal  review of the matters that have
been  raised by the  carriers  and  believes  that  these  pending  reviews  and
inquiries will be concluded without any material adverse effect on the Company.

        Corporate  Practice  of  Medicine.  Most  states  limit the  practice of
medicine to licensed  individuals  or  professional  organizations  comprised of
licensed individuals. Many states also limit the scope of business relationships
between  business  entities such as the Company and licensed  professionals  and
professional corporations,  particularly with respect to fee-splitting between a
physician and another  person or entity and  non-physicians  exercising  control
over  physicians  engaged in the practice of  medicine.  Most of the Centers are
organized  as   professional   corporations,   entities   authorized  to  employ
physicians, so as to comply with state statutes and state common law prohibiting
the  corporate  practice of medicine.  Because the laws  governing the corporate
practice of medicine vary from state to state and the  application of those laws
is often  ambiguous,  any expansion of the  operations of the Company to a state
with strict  corporate  practice of medicine  laws, or the  application of these
laws in states  with  existing  Centers,  may  require the Company to modify its
operations with respect to one or more Centers,  which could result in increased
financial  risk to the  Company.  Further,  there can be no  assurance  that the
Company's  arrangements will not be successfully  challenged as constituting the
unauthorized  practice of medicine or that  certain  provisions  of its services
agreements  with the Centers (the "Services  Agreements"),  options to designate
ownership  of  the  professional   corporations,   employment   agreements  with
physicians or covenants not to compete will be enforceable.  Alleged  violations
of the corporate  practice of medicine doctrine have also been used successfully
by physicians to declare a contract to be void as against public  policy.  There
can be no assurance  that a state or  professional  regulatory  agency would not
attempt to revoke or suspend a physician's  license or the corporate  charter or
license of a professional  corporation  owning a Center or the corporate charter
of the Company or one of its subsidiaries.

        Dependence  on  Rigiscans;  Potential  Impact of  Innovations.  Rigiscan
patient  monitoring  devices  accounted  for  approximately  26% of the Centers'
revenues  for the quarter  ended  September  30,  1997.  As a  consequence,  any
material adverse development with respect to the Rigiscan devices, limitation in
the  availability  of such  devices or  material  increase  in the costs of such
devices  could have a material  adverse  effect on the  financial  condition and
results of operations  of the Company.  In addition,  innovations  in diagnostic
tools and  therapies  for male sexual  dysfunction  or changes in  reimbursement
practices by third party payors for such  diagnostic  tools and therapies  could
have a  material  adverse  effect on the  financial  condition  and  results  of
operations of the Company.

        Competition.  Competition  in the  diagnosis  and treatment of impotence
stems  from a wide  variety  of  sources.  The  Centers  face  competition  from
urologists, general practitioners,  internists and other primary care physicians
who treat impotent patients, as well as hospitals, physician practice management
companies  ("PPMs"),  HMOs and  non-physician  providers of services  related to
sexual  dysfunction.  If federal or state  governments  enact laws that  attract
other health care providers to the male sexual  dysfunction  market, the Company
may encounter  increased  competition  from other parties which seek to increase
their presence in the managed care market and which have  substantially  greater
resources  than the  Company.  Any of these  providers,  many of which  have far
greater  resources  than the  Company,  could  adversely  affect the  Centers or
preclude the Company from  entering  those markets that can sustain only limited
competition.  There can be no assurance that the Centers will be able to compete
effectively  with their  competitors,  or that additional  competitors  will not
enter the market.

        There  are also many  companies  that  provide  management  services  to
medical practices,  and the management  industry continues to evolve in response
to pressures to find the most cost-effective  method of providing quality health
care.  There  can be no  assurance  that  the  Company  will be able to  compete
effectively with its competitors, that additional competitors will not enter the
market,  or that such competition will not make it more difficult to acquire the
assets of, and provide  management  services  for,  medical  practices  on terms
beneficial to the Company.

        Developing Market;  Uncertain Acceptance of the Company's Services. Over
90%  of  new  patient   visits  result  from  the  Company's   direct-to-patient
advertising.  The market for the Company's  services has only recently  begun to
develop, and there can be no assurance that the public will accept the Company's
services on a widespread  basis.  The  Company's  future  operating  results are
highly dependent upon its ability to continually attract new patients. There can
be no assurance that demand for the Company's services will continue in existing
markets,  or that it will develop in new markets.  The Company makes significant
expenditures  for  advertising,   and  there  can  be  no  assurance  that  such
advertising will be effective in increasing  market acceptance of, or generating
demand  for,  the  Company's  services.  Failure  to achieve  widespread  market
acceptance  of the  Company's  services or to  continually  attract new patients
could have a material  adverse effect on the Company's  financial  condition and
results of operations.





                           PART II. OTHER INFORMATION

ITEM 1:        LEGAL PROCEEDINGS

               Not Applicable

ITEM 2:        CHANGES IN SECURITIES

               Not Applicable

ITEM 3:        DEFAULTS UPON SENIOR SECURITIES

               Not Applicable

ITEM 4:        SUBMISSION OF MATTERS TO A VOTE OF SECURITY-HOLDERS

               Not Applicable

ITEM 5:        OTHER INFORMATION

               Not Applicable

ITEM 6:        EXHIBITS AND REPORTS ON FORM 8-K

     (a)       EXHIBITS REQUIRED TO BE FILED BY ITEM 601 OF REGULATION S-B

                  3(b)(ii)   Bylaws

                  4(c)(i)    Security Agreement dated September 30, 1997, by and
                             between the Company and P&C Investments

                  4(c)(ii)   Promissory  Note dated September 30, 1997, in favor
                             of P&C Investments

                  4(d)       Revolving Loan and Security Agreement dated October
                             23,  1997  by  and  between  the  Company  and  DVI
                             Business Credit Corporation

                  4(e)       Loan and Security Agreement dated  October 23, 1997
                             by  and  between  the Company  and  DVI   Financial
                             Services, Inc.

                  10(f)(i)   Amendment to Services  Agreement dated July 1, 1997
                             by and between Strategem, Inc. and the Company

                  10(f)(ii)  Termination of Services  Agreement  dated September
                             30, 1997 by  and between  Strategem,  Inc. and  the
                             Company

                  10(f)(iii) Amendment to the Rigiscan  Purchase Agreement dated
                             October  15,  1997 by  and  between  Imagyn Medical
                             Technologies,  Inc. (formerly  known  as  UROHEALTH
                             Systems, Inc.) and the Company

                  11         Statement re: computation of Per Share Earnings
                  27         Financial Data Schedule

     (b)       REPORTS ON FORM 8-K

                      None





                                   SIGNATURES

In accordance with the requirements of the Securities  Exchange Act of 1934, the
registrant  caused  this  report to be signed on its behalf by the  undersigned,
thereunto duly authorized.

                                     INTEGRATED MEDICAL RESOURCES, INC.

Date: November 14, 1997              By: /s/ Beverly O. Elving
                                     -------------------------
                                     Beverly O. Elving
                                     Chief Financial Officer and Vice President,
                                     Finance and Administration
                                     (Authorized Officer and Principal Financial
                                     and Accounting Officer)




                                  EXHIBIT 3(b)(ii)

                           AMENDED AND RESTATED BYLAWS

                                       OF
                       INTEGRATED MEDICAL RESOURCES, INC.

                                    ARTICLE I

                                     Offices

     The  principal  office of the  Corporation  in the State of Kansas shall be
located at 8326 Melrose Drive,  Lenexa,  Kansas 66214.  The Corporation may have
such  other  offices,  either  within or  without  the State of  Kansas,  as the
business of the Corporation may require from time to time.

     The registered office of the Corporation, as required by the Kansas General
Corporation  Code to be maintained in the State of Kansas,  may be, but need not
be,  identical with the principal office and may be changed from time to time by
the Board of Directors.

                                   ARTICLE II

                                  Stockholders

     Section 1. Annual Meeting.  The Annual Meeting of the  Stockholders for the
election  of  Directors,  and for such  other  business  as may be stated in the
notice of the meeting shall be held at such place,  either within or without the
State  of  Kansas,  and at such  time and date as the  Board  of  Directors,  by
resolution  shall  determine and set forth in the notice of the meeting.  If the
Board of Directors  fails to so determine  the time,  date and place of meeting,
the Annual Meeting of Stockholders shall be held at the Corporation's  principal
office  on the  third  Friday  of May in each  year,  or if that  day is a legal
holiday  in the  place  where  the  meeting  is to be  held,  then  on the  next
succeeding business day.

     Section 2. Special  Meeting.  Special  Meetings of the  Stockholders may be
called by the Chief Executive Officer, the President,  the Board of Directors or
the holders of not less than one-fourth  (1/4) of all of the outstanding  shares
of the Corporation entitled to vote at such meeting.

     Section 3. Place of Meeting.  Meetings of the Stockholders shall be held at
such time and place,  either within or without the State of Kansas,  as shall be
designated  from time to time by the Board of Directors and stated in the notice
of the meeting or in a duly executed waiver of notice thereof. If no designation
is made, or if a Special  Meeting should  otherwise be called,  the place of the
meeting shall be at the principal office of the Corporation.

                                        1






     Section 4. Notice of Meetings. Written or printed notice of each meeting of
the  Stockholders,  stating the place,  day and hour of the meeting  and, in the
case of a Special  Meeting,  the  purpose or  purposes  for which the meeting is
called,  shall be  delivered or given not less than ten (10) nor more than sixty
(60) days before the date of the meeting,  either personally or by mail, to each
of the Stockholders of record entitled to vote at such meeting.  If mailed, such
notice shall be deemed to be delivered when deposited in the United States mail,
postage prepaid, directed to the Stockholder at his address as it appears on the
records of the Corporation.  Except as otherwise provided by statute,  notice of
any adjourned meeting of the Stockholders shall not be required.

     Section 5. Quorum.  Except as otherwise  provided by law or by the Articles
of  Incorporation,  a  majority  of the  outstanding  shares of the  Corporation
entitled  to vote at any  meeting,  represented  in person  or by  proxy,  shall
constitute a quorum at any meeting of the Stockholders;  provided, however, that
if less than a  majority  of the  outstanding  shares  are  represented  at said
meeting,  a majority of the shares so  represented  may adjourn the meeting from
time to time,  without notice other than  announcement  at the meeting,  until a
quorum shall be present or  represented.  At such  adjourned  meeting at which a
quorum shall be present or  represented,  any business may be  transacted  which
might  have  been  transacted  at the  meeting  as  originally  noticed.  If the
adjournment is for more than thirty (30) days, or if after the adjournment a new
record  date is fixed  for the  adjourned  meeting,  a notice  of the  adjourned
meeting shall be given to each Stockholder entitled to vote at the meeting.

     Section 6. Proxies. At all meetings of the Stockholders,  a Stockholder may
vote by proxy executed in writing by the  Stockholder or by his duly  authorized
attorney-in-fact.   Such  proxy  shall  be  filed  with  the  Secretary  of  the
Corporation before or at the time of the meeting.  No proxy shall be valid after
eleven (11) months from the date of its execution unless  otherwise  provided in
the proxy.

     Section 7. Voting of Shares.  Except as otherwise stated in the Articles of
Incorporation,  each  outstanding  Share of capital  stock having  voting rights
shall be  entitled  to one (1) vote upon each  matter  submitted  to a vote at a
meeting of the  Stockholders,  and the  Stockholders  shall not be  entitled  to
cumulate their votes. The Board of Directors, in its discretion,  or the officer
of the Corporation  presiding at a meeting of  Stockholders,  in his discretion,
may require that any votes cast at such meeting shall be cast by written ballot.

     Section 8.  Informal  Action by the  Stockholders.  Any actions that may be
taken at a  meeting  of the  Stockholders  may be taken  without  a  meeting  if
consents in writing,  setting forth the actions so taken, shall be signed by all
of the Stockholders entitled to vote with respect to the subject matter thereof.
Such  consents  shall have the same force and effect as a unanimous  vote of the
Stockholders  at a  meeting  duly  held,  and  may  be  stated  as  such  in any
certificate at a meeting duly held or in any certificate or document filed under
the Kansas General Corporation Code. The Secretary shall file such consents with
the minutes of the meetings of the Stockholders.

                                        2






                                   ARTICLE III

                                    Directors

     Section 1. General  Powers.  Except as otherwise  provided by law or by the
Articles of Incorporation,  the business and affairs of the Corporation shall be
managed by or under the direction of its Board of Directors.

     Section 2. Number,  Election and Term.  The current  number of Directors of
the Corporation  shall be eight (8).  Thereafter,  the number of Directors which
shall  constitute the Board of Directors shall be established  from time to time
by resolution duly adopted by a majority of the Directors then  constituting the
entire Board of Directors.  The Board of Directors of the  Corporation  shall be
divided into three  classes,  designated  Class I, Class II and Class III, which
shall be as nearly equal in number as possible,  as  determined  by the Board of
Directors.  The term of office of the various  classes of Directors  shall be as
set forth in the  Articles of  Incorporation.  Except as  otherwise  provided in
Section 5 of this Article or in the Articles of Incorporation,  a Director shall
be elected at an annual meeting of the  Stockholders by a plurality of the votes
of the  shares  present in person or  represented  by proxy at the  meeting  and
entitled to vote in the  election  of  Directors.  A Director  shall hold office
until the annual meeting for the year in which such  Director's term expires and
until a successor shall be duly elected and qualified,  or until such Director's
earlier death, resignation or removal as hereinafter provided.

     Section 3. Removal of Directors.  Except as otherwise provided by law or by
the Articles of Incorporation,  the holders of a majority of the shares entitled
at the time to vote at an election of  Directors  may remove any  Director  with
cause, but may not remove any Director without cause.

     Section 4. Vacancies and Newly Created Directorships. Any vacancy occurring
in the Board of Directors by death, resignation, removal or otherwise, and newly
created  directorships  resulting from any increase in the authorized  number of
Directors  may be filled by a majority of the Directors  then in office,  though
less than a quorum, or by a sole remaining Director, and the Directors so chosen
shall hold office for a term expiring at the next Annual Meeting of Stockholders
at which  the term of the class or  classes  to which  they  have  been  elected
expires and until their  successors  are duly  elected and  qualified,  or until
their earlier resignation or removal.

     Section 5. Committees.  The Board of Directors may, by resolution passed by
a majority  of the total  number of  Directors  fixed in the manner  provided by
these Bylaws, designate one or more committees, each committee to consist of one
or more directors of the  Corporation.  The Board of Directors may designate one
or more  directors as alternate  members of any  committee,  who may replace any
absent or  disqualified  member at any  meeting  of any such  committee.  In the
absence or disqualification of a member of a committee,  and in the absence of a
designation  by the Board of  Directors  of an  alternate  member to replace the
absent or  disqualified  member,  the member or members  thereof  present at any
meeting and not disqualified from voting, whether or not he or they constitute a
quorum, may unanimously  appoint another member of the Board of Directors to act
at the meeting in the place of any absent or disqualified member. Any committee,

                                        3






to the extent  allowed by law and provided in the resolution  establishing  such
committee, shall have and may exercise all the powers and authority of the Board
of Directors in the  management of the business and affairs of the  Corporation.
Each committee  shall keep regular  minutes and report to the Board of Directors
when required.

     Section 6. Compensation.  The compensation of the Directors, if any, may be
set by the Board of Directors  unless otherwise  provided herein,  by law, or in
the Articles of Incorporation.

                                   ARTICLE IV

                       Meetings of the Board of Directors

     Section 1. Annual  Meetings.  An Annual  Meeting of the Board of  Directors
shall be held without  other notice than these Bylaws  immediately  after and at
the same place as the Annual Meeting of the Stockholders. Other regular meetings
of the Board of Directors  shall be held without notice at such times and places
as the Board may by resolution from time to time determine.

     Section 2. Special Meetings. Special Meetings of the Board of Directors may
be called by or at the request of the Chief Executive Officer,  the President or
any  Director  upon at least four (4) days'  written or  printed  notice  served
personally,  by mail or by a nationally recognized overnight delivery service to
each Director at his address as it appears on the records of the Corporation and
shall be held at such place or places as may be determined by the Directors,  or
as shall be stated in the call of the Special Meeting.

     Section 3. Place of Meeting.  Meetings of the Board of  Directors  shall be
held at such place  within or without  the State of Kansas as shall be  provided
for in the resolution,  notice,  waiver of notice or call of such meeting, or if
not otherwise designated, at the Corporation's principal office.

     Section  4.  Quorum.  A majority  of the total  number of  Directors  shall
constitute a quorum for the  transaction  of business and the vote of a majority
of the  Directors  present at any meeting at which a quorum is present  shall be
the act of the  Board of  Directors,  except  as may be  otherwise  specifically
provided  by law,  the  Articles of  Incorporation  or these  Bylaws;  provided,
however,  that if less than a  majority  of the  Directors  is  present  at said
meeting,  a majority of the Directors  present may adjourn the meeting from time
to time without further notice, until a quorum shall be present.

     Section 5. Actions of the Board of Directors  Without a Meeting.  Except as
otherwise provided by law or by the Articles of Incorporation,  any action which
is  required  to be or may be taken at a meeting of the  Directors  may be taken
without a meeting if consents in  writing,  setting  forth the actions so taken,
are signed by all of the  Directors.  The consents shall have the same force and
effect as a unanimous vote of the Directors at a meeting duly held, and may be

                                        4






stated as such in any  certificate  or document  filed under the Kansas  General
Corporation Code. The Secretary shall file such consents with the minutes of the
meetings of the Board of Directors.

     Section  6.  Participation.  Members  of the Board of  Directors  or of any
committee  designated by the Board of Directors may  participate in a meeting of
the  Board  or   committee   by  means  of   conference   telephone  or  similar
communications  equipment  whereby all persons  participating in the meeting can
hear each other, and  participation in a meeting in this manner shall constitute
presence in person at the meeting.

                                    ARTICLE V

                                    Officers

     Section 1.  Number.  The  officers of the  Corporation  shall  consist of a
President  and a Secretary.  The Board of Directors may also elect a Chairman of
the Board (who must be a Director), a Chief Executive Officer, a Chief Operating
Officer, a Chief Financial  Officer,  a Chief Medical Officer,  one or more Vice
Presidents  (one of whom may be designated  the  Executive  Vice  President),  a
Treasurer,  Assistant  Secretaries  and  Assistant  Treasurers  and  one or more
Controllers.  Any two or more offices may be held by the same person at the same
time except President and Secretary.

     All officers and agents of the Corporation,  as between  themselves and the
Corporation, shall have such authority and perform such duties in the management
of the  property  and  affairs of the  Corporation  as may be  provided in these
Bylaws, or, in the absence of such provision, as may be determined by resolution
of the Board of Directors.

     Section 2.  Election and Term of Office.  The  officers of the  Corporation
shall be elected annually by the Board of Directors at the Annual Meeting of the
Board of  Directors.  If the election of the officers  shall not be held at such
meeting,  such election shall be held as soon thereafter as conveniently may be.
New offices may be created and filled at any meeting of the Board of  Directors.
Each officer shall hold office until his successor  shall have been duly elected
and shall have  qualified  or until his death or until he shall  resign or shall
have been removed in the manner hereinafter provided.

     Section 3.  Removal.  Except as  otherwise  provided by law, any officer or
agent may be removed by the Board of Directors,  with or without  cause,  at any
time by vote of a majority of the total number of Directors.

     Section  4.  Vacancies.  If the office of any  officer  of the  Corporation
becomes vacant because of death, resignation,  removal,  disqualification or for
any other reason,  or if any officer of the Corporation is unable to perform the
duties of his  office  for any  reason,  the  Board of  Directors  may  choose a
successor who shall replace such officer, or the Board of Directors may delegate
the duties of any such vacant  office to any other officer or to any Director of
the Corporation until a successor is elected at the next meeting of the Board of
Directors.

                                        5






     Section 5. The Chairman of the Board.  The Chairman of the Board,  if there
be  one,  shall  preside  at  meetings  of the  Board  of  Directors  and of the
Stockholders,  and,  subject  to the  direction  and  control  of the  Board  of
Directors,  he shall direct the policy and  management  of the  Corporation.  He
shall  perform such other duties as may be  prescribed by the Board of Directors
from time to time.  In the absence of the Chairman of the Board,  the  President
shall have and may exercise all of the powers of the Chairman of the Board.

     Section 6. Chief Executive Officer.  The Chief Executive Officer shall have
general  charge and management of the business of the  Corporation,  shall carry
out such  duties as are  delegated  by the Board,  shall see that all orders and
resolutions  of the Board are  carried  out,  shall have  power to  execute  all
contracts  and  agreements  authorized  by the Board,  shall make reports to the
Board of Directors and Stockholders,  and shall perform such other duties as are
incident to the office or are properly  required by the Board of Directors.  The
Chief Executive Officer may sit with the Board of Directors in deliberation upon
all matters  pertaining to the general business and policies of the Corporation.
In the absence of the Chief Executive Officer,  the President shall have and may
exercise all of the powers of the Chief Executive Officer.

     Section  7.  The  President.   Subject  to  the  direction  and  under  the
supervision of the Board of Directors and the Chairman of the Board, if there be
one,  the  President  shall have  general  charge of the  business,  affairs and
property of the Corporation and control over its officers,  agents and employees
and shall do and perform such other duties and may exercise such other powers as
from  time to time may be  assigned  to him by these  Bylaws  or by the Board of
Directors.  In the absence of the  Chairman of the Board,  the  President  shall
preside at all meetings of the Stockholders and the Board of Directors.

     Section 8. The Chief Operating  Officer.  The Chief Operating Officer shall
have overall operational responsibility for the Corporation.

     Section 9. Chief Financial Officer.  The Chief Financial Officer shall have
overall  responsibility  for the  financial  and  accounting  operations  of the
Corporation,  shall have  supervision  of the funds,  securities,  receipts  and
disbursements  of the  Corporation,  shall  cause all monies and other  valuable
effects of the Corporation to be deposited in its name and to its credit in such
depositories  as shall be  selected  by the Board of  Directors  or  pursuant to
authority  conferred  by the Board of  Directors,  shall cause to be kept at the
accounting office of the Corporation  correct books of account,  proper vouchers
and other papers  pertaining to the  Corporation's  business and shall render to
the Chief  Executive  Officer,  President  or the Board of  Directors,  whenever
requested, an accounting of the financial condition of the Corporation.

     Section  10.  The  Treasurer.  The  Treasurer  shall,  in  the  absence  or
disability of the Chief Financial  Officer,  perform the duties and exercise the
powers of the Chief Financial  Officer,  and shall perform such other duties and
have such other powers as the Board of Directors,  the Chief Executive  Officer,
the Chief Financial Officer or these Bylaws may from time to time prescribe.

                                        6






     Section 11. The Vice Presidents. At the request of the President or, in the
event  of the  President's  absence,  disability  or  refusal  to act,  the Vice
President or Vice  Presidents,  as designated  by the Board of Directors,  shall
perform all of the duties of the President  and, when so acting,  shall have all
the powers of and be subject to all the  restrictions  upon the President.  Each
Vice  President  shall have such  powers  and  discharge  such  duties as may be
assigned to him from time to time by the Chief Executive  Officer,  President or
the Board of Directors.

     Section  12. The  Secretary.  The  Secretary  shall keep the minutes of the
meetings of the  Stockholders  and the Board of  Directors  in one or more books
provided  for that  purpose,  shall  see that all  books,  reports,  statements,
certificates and other documents and records required by law to be kept or filed
are  properly  kept or filed,  as the case may be, and shall  perform all duties
incident to the office of  Secretary  and such other duties as from time to time
may be assigned to him by the Chief Executive Officer, President or by the Board
of Directors.

     Section  13.  The  Assistant  Secretaries  and  Assistant  Treasurers.  The
Assistant Secretaries and Assistant Treasurers,  in order of their seniority, in
the absence or  disability  of the  Secretary or  Treasurer,  shall  perform the
duties and exercise the powers of the  Secretary or Treasurer  and shall perform
such other  duties as the Chief  Executive  Officer,  President  or the Board of
Directors shall prescribe.

     Section 14.  Other  Duties and  Powers.  Each  officer,  in addition to the
duties and powers  specifically  set forth by these  Bylaws,  shall perform such
other  duties and may  exercise  such  other  powers as from time to time may be
assigned to him by these Bylaws or by the Board of Directors.

     Section 15. Salaries. The salaries of the officers shall be fixed from time
to time by the  Board  of  Directors  and no  officer  shall be  prevented  from
receiving  such  salary by reason of the fact that he is also a Director  of the
Corporation.

                                        7







                                   ARTICLE VI

                      Contracts, Loans, Checks and Deposits

     Section 1.  Contracts.  The Board of Directors may authorize any officer or
officers,  agent or agents,  to enter into any  contract or execute and delivery
any  instrument  in the  name of and on  behalf  of the  Corporation,  and  such
authority may be general or confined to specific instances.

     Section 2. Loans. No loans shall be contracted on behalf of the Corporation
and no evidences of indebtedness  shall be issued in its name unless  authorized
by a resolution  of the Board of  Directors.  Such  authority  may be general or
confined to specific instances.

     Section 3. Checks,  Drafts, Etc. All checks, drafts or other orders for the
payment of money, notes or other evidences of indebtedness issued in the name of
the Corporation shall be signed by such officer or officers,  agent or agents of
the  Corporation  and in such manner as shall from time to time be determined by
resolution of the Board of Directors. Endorsements of instruments for deposit to
the credit of the Corporation in any of its duly authorized  depositories may be
made by rubber stamp of the  Corporation or in such other manner as the Board of
Directors may from time to time determine.

     Section 4. Deposits.  All funds of the Corporation  not otherwise  employed
shall be deposited  from time to time to the credit of the  Corporation  in such
banks,  trust  companies or other  depositories  as the Board of  Directors  may
select.

                                   ARTICLE VII

                   Certificates for Shares and Their Transfer

     Section 1. Certificates for Shares. Certificates representing shares of the
Corporation  shall  be in  such  form  as may be  determined  by  the  Board  of
Directors.  Such Certificates shall be signed by, or shall have placed upon them
the  facsimile  signatures  of, the  Chairman  of the Board,  President  or Vice
President, and the Secretary,  Treasurer or an Assistant Secretary or Treasurer,
and shall be sealed with the seal of the Corporation or a facsimile thereof. All
Certificates for shares shall be consecutively  numbered. The name of the person
owning the shares represented  thereby with the number of shares and the date of
issue shall be entered on the books of the Corporation.

     Section 2.  Transfers  of Shares.  Transfers  of shares of the  Corporation
shall be made  only on the books of the  Corporation  by the  registered  holder
thereof or by his  attorney  thereunto  authorized  by a Power of Attorney  duly
executed,  and upon the surrender of the Certificate  therefore,  which shall be
cancelled before a new Certificate shall be issued.

     Section  3.  Lost  Certificates.  In the  event a  Certificate  of Stock is
allegedly lost, stolen or destroyed, the Corporation may issue a new Certificate
and the Board of Directors may, in its

                                        8






discretion,  require  the  owner  thereof  to give  the  Corporation  a good and
sufficient bond, in such sum as the Board of Directors may direct, not exceeding
double the value of the stock,  to indemnify the  Corporation  against any claim
that may be made against it on account of the alleged loss, theft or destruction
or the issuance of the new Certificate.

         Section 4.  Treasury  Stock.  All issued and  outstanding  Stock of the
Corporation that may be purchased or otherwise acquired by the Corporation shall
be Treasury Stock, and the Directors of the Corporation shall be vested with the
authority  to resell said shares for such price and to such person or persons as
the  Board of  Directors  may  determine.  Such  Stock  shall  neither  vote nor
participate in dividends while held by the Corporation.

         Section 5.  Beneficial  Owners.  The  Corporation  shall be entitled to
recognize the exclusive  right of a person  registered on its books as the owner
of shares to receive  dividends,  and to vote as such owner,  and to hold liable
for  calls  and  assessments  a person  registered  on its books as the owner of
shares,  and shall not be bound to recognize  any equitable or other claim to or
interest in such share or shares on the part of any other person, whether or not
it shall have express or other notice thereof,  except as otherwise  provided by
law.

                                  ARTICLE VIII

                                   Fiscal Year

     The fiscal year of the Corporation  shall begin on the first day of January
in each year and end on the last day of December in each year.

                                   ARTICLE IX

                                    Dividends

     The Board of Directors  may from time to time  declare and the  Corporation
may pay dividends on its  outstanding  shares in cash,  property or shares,  and
upon the terms and conditions provided by law and its Articles of Incorporation.

                                    ARTICLE X

                                      Seal

     The  Corporation  shall have a corporate  seal which  shall have  inscribed
around  the  circumference  thereof  "INTEGRATED  MEDICAL  RESOURCES,  INC." and
elsewhere  thereon shall bear the words "Corporate Seal." The Corporate Seal may
be affixed by impression or may be by facsimile.

                                        9







                                   ARTICLE XI

                                  Miscellaneous

     Section 1. Waiver of Notice. Whenever any notice is required to given under
the  provisions  of these  Bylaws or under the  provisions  of the  Articles  of
Incorporation  or under the provisions of the Kansas General  Corporation  Code,
waiver  thereof in  writing,  signed by the person or persons  entitled  to such
notice,  whether  before  or after  the time  stated  therein,  shall be  deemed
equivalent to the giving of such notice.

     Section  2.   Indemnification  of  Officers,   Directors  and  Others.  The
Corporation  will indemnify any person who was or is a party or is threatened to
be  made a  party  to any  threatened,  pending  or  completed  action,  suit or
proceeding, whether civil, criminal, administrative or investigative, other than
an action by or in the right of the  Corporation,  by reason of the fact that he
is or was a Director,  officer,  employee or agent of the Corporation,  or is or
was serving at the request of the Corporation as a Director,  officer,  employee
or agent of another  corporation,  partnership,  joint  venture,  trust or other
enterprise,  against expenses,  including attorneys' fees, judgments,  fines and
amounts paid in settlement actually and reasonably incurred by him in connection
with such action, suit or proceeding,  if he acted in good faith and in a manner
he  reasonably  believed  to be in or not opposed to the best  interests  of the
Corporation,  and,  with respect to any criminal  action or  proceeding,  had no
reasonable  cause to believe his conduct was unlawful.  The  termination  of any
action, suit or proceeding by judgment, order, settlement,  conviction or upon a
plea  of nolo  contendere  or its  equivalent,  shall  not of  itself  create  a
presumption  that the person did not act in good faith and in a manner  which he
reasonably  believed  to be in or not  opposed  to  the  best  interests  of the
Corporation,  and,  with  respect  to any  criminal  action or  proceeding,  had
reasonable cause to believe that his conduct was unlawful.

     The  Corporation  will  indemnify  any  person  who was or is a party or is
threatened to be made a party to any threatened,  pending or completed action or
suit by or in the right of the Corporation to procure a judgment in its favor by
reason of the fact that he is or was a Director,  officer,  employee or agent of
the  Corporation,  or is or was serving at the request of the  Corporation  as a
Director, officer, employee or agent of another corporation,  partnership, joint
venture, trust or other enterprise against expenses,  including attorneys' fees,
actually  and  reasonably  incurred  by him in  connection  with the  defense or
settlement  of the  action or suit if he acted in good  faith and in a manner he
reasonably  believed  to be in or not  opposed  to  the  best  interests  of the
Corporation;  except  that no  indemnification  shall be made in  respect of any
claim,  issue or matter as to which such person  shall have been  adjudged to be
liable  for  negligence  or  misconduct  in the  performance  of his duty to the
Corporation  unless and only to the extent that the Court in which the action or
suit was brought  determines upon application that,  despite the adjudication of
liability and in view of all the circumstances of the case, the person is fairly
and  reasonably  entitled to indemnity for such  expenses  which the Court shall
deem proper.

                                       10






     To  the  extent  that  a  Director,  officer,  employee  or  agent  of  the
Corporation  has been  successful  on the merits or  otherwise in defense of any
action,  suit or proceeding referred to above, or in defense of any claim, issue
or  matter  therein,  he  shall  be  indemnified  against  expenses,   including
attorneys' fees,  actually and reasonably incurred by him in connection with the
action, suit or proceeding.

     Any  indemnification  under  either  of the first  two  paragraphs  of this
Section,  unless ordered by a Court,  shall be made by the  Corporation  only as
authorized in the specific case upon a determination that indemnification of the
Director,  officer,  employee or agent is proper in the circumstances because he
has met the  applicable  standard  of  conduct  set forth in this  Section.  The
determination  shall be made by the Board of Directors of the  Corporation  by a
majority  vote of a quorum  consisting  of Directors who were not parties to the
action, suit or proceeding,  or, if such a quorum is not obtainable, or, even if
obtainable, a quorum of disinterested Directors so directs, by independent legal
counsel in a written opinion, or by the Stockholders of the Corporation.

     Expenses  incurred  in  defending  a  civil  or  criminal  action,  suit or
proceeding may be paid by the Corporation in advance of the final disposition of
the action,  suit or  proceeding  as authorized by the Board of Directors in the
specific  case upon receipt of an  undertaking  by or on behalf of the Director,
officer,  employee or agent to repay such amount  unless it shall  ultimately be
determined that he is entitled to be indemnified by the Corporation.

     The indemnification  provided by this Section shall not be deemed exclusive
of any other rights to which those seeking indemnification may be entitled under
any  Bylaw,  agreement,  vote of  Stockholders  or  disinterested  Directors  or
otherwise,  both as to  action  in his  official  capacity  and as to  action in
another  capacity  while holding such office,  and shall continue as to a person
who has ceased to be a Director,  officer,  employee or agent and shall inure to
the benefit of the heirs, executors and administrators of such person.

     The Corporation may purchase and maintain insurance on behalf of any person
who is or was a Director,  officer, employee or agent of the Corporation,  or is
or was  serving  at the  request  of the  Corporation  as a  Director,  officer,
employee or agent of another corporation,  partnership,  joint venture, trust or
other enterprise  against any liability asserted against him and incurred by him
in any such capacity,  or arising out of his status as such,  whether or not the
Corporation  would have the power to indemnify him against such liability  under
the provisions of this Section.

                                   ARTICLE XII

                                   Amendments

     These Bylaws may be altered,  amended or repealed,  in whole or in part, or
new  Bylaws may be adopted by the  Stockholders  of the  Corporation;  provided,
however,  that  notice of such  amendment,  repeal or  adoption of new Bylaws be
contained in the notice of such  meeting of  Stockholders.  All such  amendments
must be approved by the holders of a majority of the

                                       11





outstanding  capital  stock  entitled  to vote  thereon.  If  authorized  by the
Articles  of  Incorporation,  these  Bylaws  may  also be  altered,  amended  or
repealed,  in whole or in part, by the Board of Directors at any Annual  Meeting
of the Board of Directors,  or at any Special  Meeting of the Board of Directors
called for that purpose,  except with respect to any  provision  hereof which by
law,  the  Articles of  Incorporation  or these  Bylaws  requires  action by the
Stockholders.

                                       12





                                EXHIBIT 4(c)(i)

                               SECURITY AGREEMENT

         SECURITY AGREEMENT dated September 30, 1997, made by INTEGRATED MEDICAL
RESOURCES,  INC.,  a  Kansas  corporation  IMR  OF  ARIZONA,  INC.,  an  Arizona
corporation,  INTEGRATED  MEDICAL  RESOURCES OF  CALIFORNIA,  INC., a California
corporation,   INTEGRATED  MEDICAL  RESOURCES  OF  COLORADO,  INC.,  a  Colorado
corporation, IMR OF CONNECTICUT, INC., a Connecticut corporation, IMR INTEGRATED
DIAGNOSTICS OF FLORIDA,  INC.,a Florida corporation,  IMR OF ILLINOIS,  INC., an
Illinois corporation,  IMR OF INDIANA, INC., an Indiana corporation,  INTEGRATED
MEDICAL RESOURCES OF MASSACHUSETTS,  INC., a Massachusetts  corporation,  IMR OF
MICHIGAN,  INC.,  a  Michigan  corporation,   IMR  OF  NEVADA,  INC.,  a  Nevada
corporation,  INTEGRATED DIAGNOSTICS, INC., a New York corporation, IMR OF NORTH
CAROLINA,  INC.,  a North  Carolina  corporation,  IMR OF  OHIO,  INC.,  an Ohio
corporation,   IMR  INTEGRATED  DIAGNOSTICS  OF  OKLAHOMA,   INC.,  an  Oklahoma
corporation,  INTEGRATED MEDICAL RESOURCES OF PENNSYLVANIA, INC., a Pennsylvania
corporation,  IMR OF SOUTH  CAROLINA,  INC., a South Carolina  corporation,  IMR
INTEGRATED  DIAGNOSTICS,  INC., a Texas  corporation,  IMR OF VIRGINIA,  INC., a
Virginia  corporation,   IMR  OF  WISCONSIN,   INC.,  a  Wisconsin  corporation,
DIAGNOSTIC CENTER FOR MEN - PHOENIX, P.C., an Arizona professional  corporation,
CALIFORNIA  DIAGNOSTIC CENTER FOR MEN MEDICAL CLINIC,  PROF. CORP., a California
professional  corporation,  DIAGNOSTIC CENTER FOR MEN - DENVER, P.C., a Colorado
professional  corporation,  DIAGNOSTIC  CENTER FOR MEN - TAMPA,  P.A., a Florida
professional  association,  DIAGNOSTIC  CENTER FOR MEN -  JACKSONVILLE,  P.A., a
Florida professional association,  DIAGNOSTIC CENTER FOR MEN - CHICAGO, S.C., an
Illinois corporation,  DIAGNOSTIC CENTER FOR MEN - DEERFIELD,  S.C., an Illinois
corporation,  DIAGNOSTIC  CENTER  FOR  MEN  -  INDIANAPOLIS,  P.C.,  an  Indiana
professional  corporation,  DIAGNOSTIC  CENTER FOR MEN - KANSAS  CITY,  P.A.,  a
Kansas  professional  association,  DIAGNOSTIC CENTER FOR MEN - BOSTON,  P.C., a
Massachusetts  professional  corporation,  DIAGNOSTIC  CENTER FOR MEN - DETROIT,
P.C., a Michigan professional corporation, MEDICAL DIAGNOSTIC SERVICES FOR MEN -
WESTCHESTER,  P.C.,  a New York  professional  corporation,  MEDICAL  DIAGNOSTIC
SERVICES FOR MEN - NEW YORK, P.C., a New York professional corporation,  MEDICAL
DIAGNOSTIC  SERVICES  FOR  MEN  -  MANHATTAN,  P.C.,  a  New  York  professional
corporation,  MEDICAL  DIAGNOSTIC  SERVICES FOR MEN - BUFFALO,  P.C., a New York
professional corporation,  DIAGNOSTIC CENTER FOR MEN - GREENSBORO/WINSTON-SALEM,
P.C.,  a North  Carolina  professional  corporation,  DIAGNOSTIC  CENTER FOR MEN
- -CLEVELAND, P.A., INC., an Ohio professional association,  DIAGNOSTIC CENTER FOR
MEN - COLUMBUS, P.A., INC.,an Ohio professional  association,  DIAGNOSTIC CENTER
FOR MEN - CINCINNATI,  P.A., INC., an Ohio professional association,  DIAGNOSTIC
CENTER FOR MEN - OKLAHOMA  CITY,  P.C.,  an Oklahoma  professional  corporation,
DIAGNOSTIC  CENTER  FOR MEN -  PITTSBURGH,  P.C.,  a  Pennsylvania  professional
corporation,  DIAGNOSTIC  CENTER FOR MEN -  PHILADELPHIA,  P.C., a  Pennsylvania
professional corporation,  DIAGNOSTIC CENTER FOR MEN - GREENVILLE, P.C., a South
Carolina professional corporation,  DIAGNOSTIC CENTER FOR MEN - ARLINGTON, P.A.,


a Texas professional  association,  DIAGNOSTIC CENTER FOR MEN - HOUSTON, P.A., a
Texas professional association,  DIAGNOSTIC CENTER FOR MEN - ALEXANDRIA, P.C., a
Virginia professional corporation,  DIAGNOSTIC CENTER FOR MEN - NORFOLK, P.C., a
Virginia professional corporation,  DIAGNOSTIC CENTER FOR MEN - MILWAUKEE, S.C.,
a Wisconsin corporation,  (collectively referred to as the "Debtor") in favor of
P & C INVESTMENTS, a Kansas general partnership (the "Secured Party");

                              Preliminary Statement

     The  Secured  Party has agreed to extend a loan to the Debtor in the amount
of Five Hundred Twenty Thousand and No/100  ($520,000.00)  Dollars pursuant to a
Promissory  Note in the face amount of Five Hundred  Twenty  Thousand and No/100
($520,000.00)  Dollars (the "Promissory  Note"), upon the express condition that
Debtor secure the  Promissory  Note by the execution of this Security  Agreement
granting  Secured  Party a security  interest  in certain  furniture,  fixtures,
equipment and accounts receivable of Debtor.

     NOW,  THEREFORE,  in consideration of the premises the Debtor hereby agrees
with the Secured Party as follows:

1. Grant of Security Interest. The Debtor hereby grants to the Secured Party for
its  benefit a  security  interest  in all of the  Debtor's  right,  title,  and
interest,  now owned or hereafter acquired, in and to the "Collateral" listed in
Schedule A, attached hereto and  incorporated  herein by reference,  as security
for all "Obligations" (as defined in paragraph 2 of this Security Agreement) now
existing or hereafter arising.

2.  Obligations   Secured.   The  term  "Obligations"   means  all  obligations,
indebtedness  or  liabilities  of Debtor  to the  Secured  Party of every  kind,
including  but not limited to Debtor's  obligations  pursuant to the  Promissory
Note, now or hereafter  existing,  whether  absolute or  contingent,  primary or
secondary, as Debtor or otherwise,  and whether for principal,  interest,  fees,
costs,  expenses or otherwise,  including all fees and expenses  incurred in the
enforcement  or  collection  of amounts due under the  Promissory  Note or other
indebtedness,  obligation or  liability.  The term  "Obligations"  also includes
reasonable  attorney's fees incurred both before and after default to the extent
allowed by federal Bankruptcy Law.

3. Warranties With Respect to Collateral.  Debtor represents and warrants,  with
respect to the Collateral hereunder,  that Debtor is, or contemporaneously  with
the  execution  of this  Agreement  will  become,  and will  continue to be, the
absolute and  exclusive  owner  thereof,  clear of all liens,  encumbrances  and
security interests other than Secured Party's security interest,  and other than
the acknowledged liens of Citizens Bank.

4.  Covenants of Debtor.  So long as this  Agreement is in effect and until such
time as the Obligations  secured  hereunder have been fully paid and discharged,
Debtor covenants and agrees that:

          (a)  Debtor  will  execute  and  deliver to Secured  Party,  in a form
               acceptable to Secured  Party,  any  instrument,  document,  stock
               certificate,  stock power,  financing  statement,  assignment  or
               other writing  which  Secured Party may

                                        2


               deem reasonably  necessary or desirable to carry out the terms of
               this Agreement,  to perfect Secured Party's security  interest in
               the Collateral for the Obligations to Secured Party, or to enable
               Secured Party to enforce  conveniently  its security  interest in
               any of the  foregoing;

          (b)  Debtor  will  maintain,  in  accordance  with  sound   accounting
               practice,  accurate  records and books of  account showing, among
               other things, all Collateral, the proceeds  of the  sale or other
               disposition  thereof  and the  collections therefrom; and Secured
               Party shall have the right upon reasonable notice, to inspect the
               Collateral and to inspect,  audit,  check and make  extracts from
               the books,  records,  journals,  orders, receipts, correspondence
               and other data relating to Collateral;

          (c)  Debtor  will,  if requested  by Secured  Party,  mark its records
               concerning  its  Collateral in a manner  satisfactory  to Secured
               Party to show the latter's security interest therein;

          (d)  Debtor  will  furnish  Secured  Party,  from  time to time,  with
               balance    sheets,    operating    statements   and   net   worth
               reconciliations financial statements of Debtor as of the close of
               such accounting periods as Secured Party may reasonably  request;
               and such other  information  respecting the financial  condi tion
               and affairs of Debtor (including,  without limitation,  copies of
               federal  income tax returns) as Secured  Party may,  from time to
               time,  reasonably  re quest.  Such balance  sheets and  operating
               statements   shall  be  prepared  in  accordance  with  generally
               accepted  accounting  principals  ("GAAP") certified by a firm of
               certified public  accountants at least annually when requested by
               Secured Party;

          (e)  Debtor will pay and discharge  when due all premiums of insurance
               required hereunder and all taxes, levies and other charges on its
               property;  and authorizes Secured Party to pay for the account of
               Debtor any of the foregoing  (or, as to  insurance,  premiums for
               insurance of Secured  Party's  interest alone) which Debtor fails
               to pay, and any such payment by Secured Party shall constitute an
               item of Obligations to Secured Party;

          (f)  Debtor  will  pay  Secured  Party,  upon  demand,   the  cost  of
               collection or enforcement  (including reasonable attorneys' fees)
               of any  Collateral for  Obligations to Secured Party,  if Secured
               Party itself undertakes such collection or enforcement,  together
               with  all  charges  and  expenses  of every  kind or  description
               (including  taxes with respect to Collateral) paid or incurred by
               Secured  Party under or with  respect to the  Obligations  or any
               Collateral therefor, or execution or levy on such Collateral, and
               any such charges shall be considered part of the Obligations;

          (g)  Except with the prior  written  consent of Secured  Party;  which
               consent shall not be unreasonably withheld:

                                        3






                  (1)      Debtor will not create, incur or assume any liability
                           for  borrowed  money in  excess of  $100,000,  in the
                           aggregate,  except for  borrowings  from the  Secured
                           Party;

                  (2)      Debtor  will  not  assume,   guarantee,   endorse  or
                           otherwise   become  liable  in  connection  with  the
                           obligations  of  any  person,  firm  or  corporation,
                           except by endorsement  of instruments  for deposit or
                           collection  or similar  transactions  in the ordinary
                           course of business;

                  (3)      Debtor will not  sell or lease  all or  substantially
                           all of its assets;

                  (4)      Debtor will not factor,  nor will Debtor in any other
                           manner, or for any other purpose, assign or transfer,
                           either  absolutely  or  as  collateral,  any  of  the
                           Collateral, except in favor of Secured Party;

                  (5)      Debtor will not mortgage, pledge, hypothecate or give
                           or  contract  to give any  security  interest  of any
                           kind,  including,   without  limitation,  a  security
                           interest in the Collateral,  to anyone except Secured
                           Party;  nor sell or  otherwise  dispose of any of its
                           property  or assets of any kind  except in the normal
                           course of business;

                  (6)      Debtor  will not change its name,  nor alter or amend
                           its capital structure;

                  (7)      Debtor  will not  increase  the  compensation  of any
                           executive  officer or employee of Debtor by more than
                           $50,000 in a twelve (12) month period;

                  (8)      Debtor will not pay or  increase  any kind or type of
                           dividends  paid  to  shareholders  above  those  paid
                           during the immediately preceding quarter year.

          (h)  Debtor shall keep the  Collateral  insured and the Secured  Party
               shall  appear as a named  insured (to whom loss shall be payable)
               in such amounts,  in such companies and against such risks as may
               be  satisfactory  to  Secured  Party;  pay the  cost of all  such
               insurance; secure the obligation of the insurer to notify Secured
               Party  at  least  ten  (10)  days  prior  to  the   modification,
               expiration, revocation or cancellation of such insurance; deliver
               certificates  evidencing such insurance to Secured Party; and, up
               to the amount of any and all of the  Obligations,  Debtor assigns
               to Secured Party all right to receive proceeds of such insurance;
               directs  any  insurer  to pay all  proceeds  directly  to Secured
               Party,  and authorizes  Secured Party to endorse Debtor's name to
               any  draft or check for such  proceeds;  which  proceeds  Secured
               Party may set-off  against  Obligations,  or hold as security for
               Obligations;   any  proceeds  in  excess  of  Obligations  to  be
               delivered to Debtor;


                                        4






          (i)  In addition to insuring its Collateral as required above,  Debtor
               will maintain adequate insurance against loss or damage to all of
               its other  properties in such manner and to the extent which like
               properties are so insured by others owning,  operating or leasing
               properties  of  similar  character,  and will  maintain  adequate
               insurance  against liability for damage to the person or property
               of others;

          (j)  Debtor's  chief  executive  office and the location  where Debtor
               keeps its records  concerning  all  Collateral is 11320 West 79th
               Street, Lenexa, Kansas 66214.

          (k)  Debtor will promptly  advise  Secured Party in writing of any new
               address or of its opening of any new places of  business,  and of
               any change in the Debtor's name.

          (l)  Debtor  expressly  authorizes  Blackwell  Sanders Matheny Weary &
               Lombardi,  L.C., or any other person whom it or Secured Party may
               designate,  as attorney for Debtor,  with power to receive,  open
               and  dispose  of all mail  addressed  to Debtor and to notify the
               Post Office  authorities  to change the  address for  delivery of
               mail  addressed  to Debtor to such  address as Secured  Party may
               designate;

          (m)  Debtor is and will be a corporation  duly  incorporated,  validly
               existing  and in good  standing  under  the laws of the  State of
               Kansas.  Debtor has the  lawful  power to own  properties  and to
               engage in the business it conducts and is duly  qualified  and in
               good  standing  as a  foreign  corporation  in the  jurisdictions
               wherein the nature of the business  transacted  by it or property
               owned by it makes such qualifications  necessary;  and Debtor has
               the proper authority,  governmental  permits, and other consents,
               licenses  and  authorizations  which  are  necessary  to own  and
               operate its property and carry on its business as and where it is
               now  carried  on,  and  to  execute,   deliver  and  perform  its
               obligations under this Agreement;

          (n)  Neither the  execution  and  delivery of this  Agreement  and the
               documents   contemplated   herein,   the   consummation   of  the
               transactions herein and therein  contemporaneously  contemplated,
               nor  compliance  with the  terms  and  provisions  thereof,  will
               conflict  with  or  result  in any  breach  of any of the  terms,
               conditions  or provisions of any law,  rule,  regulation,  order,
               writ, injunction or decree of any court or governmental authority
               or of any in denture,  contract, or other instrument or agreement
               of Debtor. Such execution and consummation will not result in the
               creation  or  imposition  of any  security  interests,  liens  or
               encumbrances of any nature whatsoever upon any of the property or
               assets of the Debtor,  except security interests created in favor
               of the Secured Party pursuant to this Agreement;


                                        5






          (o)  Any financial  statements of the Debtor  heretofore  delivered to
               Secured Party fairly represent the financial  condition of Debtor
               as of the  date  thereof;  no  material  adverse  changes  in the
               condition,  financial or otherwise,  of Debtor has occurred since
               the respective date thereof;

          (p)  This  Agreement,  the  Promissory  Note and all  other  documents
               executed in connection  therewith,  constitute  legal,  valid and
               binding  obligations  of Debtor to Secured Party  enforceable  in
               accordance  with  their  respective  terms,   unless  limited  by
               bankruptcy, insolvency,  reorganization,  moratorium or other law
               affecting creditor's rights;

          (q)  Debtor has filed or will  immediately  file all tax returns which
               are required to be filed,  and has paid or will pay all taxes due
               pursuant to such returns or pursuant to any  assessment  received
               by it, except such taxes,  if any, as are being contested in good
               faith and for which  adequate  reserves have been  provided.  The
               charges,  accruals and reserves on the books of Debtor in respect
               to any taxes or other governmental charges are adequate;

          (r)  There   are  no   material   litigation   matters,   proceedings,
               investigations,  or matters  of  inquiry,  audit or review,  on a
               formal or informal  basis pending or threatened  against  Debtor.
               For purposes of this  subparagraph  a matter shall be  considered
               "material" if the amount in controversy exceeds $10,000.00.

          (s)  Neither the business nor the properties  (both real and personal)
               of  Debtor is now  affected  by any  fire,  explosion,  accident,
               strike,  lockout or other labor dispute,  drought,  storm,  hail,
               earthquake,  act of God or of the public enemy or other  casualty
               (whether  or  not  covered  by  insurance)  materially  adversely
               affecting such business or properties;

          (t)  No information furnished by Debtor to Secured Party in connection
               with the  negotiation  of this  Agreement  or other  documents or
               instruments  executed in connection with this Agreement  contains
               any  material  misstatement  of fact or omits to state a material
               fact or any  fact  necessary  to make  the  statements  contained
               therein not misleading;

          (u)  No  representation  or warranty by the Debtor contained herein or
               in any  certificate  or other  document  furnished  by the Debtor
               pursuant hereto contains any untrue statement of material fact or
               omits  to  state  a  material   fact   necessary   to  make  such
               representation  or  warranty  not  misleading  in  light  of  the
               circumstances under which it was made;

          (v)  Debtor will  immediately  give notice in writing to Secured Party
               of  any   development,   financial  or  otherwise,   which  would
               materially adversely affect its business, properties, affairs, or
               the Collateral or the ability of it to perform its obligations to
               Secured Party under this  Agreement,  the Promissory  Note or any
               documents  executed  in  connection  therewith.  The Debtor  will
               notify

                                        6






               the  Secured  Party  immediately  if  it  becomes  aware  of  the
               occurrence  of any event of default under this  Agreement;  or of
               any fact,  condition or event that only with the giving of notice
               or  passage  of time or both,  could  become an event of  default
               under this Agreement,  or of the failure of the Debtor to observe
               any of its respective undertakings hereunder;

          (w)  Debtor will promptly pay and discharge all taxes, assessments and
               governmental  charges  and  levies  upon its  income,  profits or
               property, real, personal or mixed, or any part thereof; provided,
               that Debtor  shall not be required to pay or cause to be paid any
               tax, assessment,  charge or levy which is contested in good faith
               by  appropriate  proceedings  and with  respect to which it shall
               have set aside on its books reserves adequate therefor;

          (x)  Each   consent,   approval  or   authorization   of,  or  filing,
               registration  or  qualification  with, any entity  required to be
               obtained  or  effected  by the  Debtor  in  connection  with  the
               execution and delivery of this Agreement, the Promissory Note and
               all other documents in connection therewith or the undertaking or
               performance  of any  obligation  hereunder or thereunder has been
               duly obtained or effected;

          (y)  Debtor will provide to Secured  Party:  (i)  certificates  of its
               good standing and authority to do business in the State of Kansas
               within 15 days after  request by Secured  Party;  (ii)  certified
               copies  of its  Articles  of  Incorporation  and  all  amendments
               thereto  within 15 days after  request by  Secured  Party;  (iii)
               copies of its by-laws and any  amendments  thereof  certified  as
               being true and  complete  by its  Secretary  within 15 days after
               request by Secured  Party;  and (iv)  contemporaneously  herewith
               certified resolutions in form and content satisfactory to Secured
               Party  authorizing  the execution and delivery of this Agreement,
               the Promissory Note and all supporting  documentation  to Secured
               Party and the  consummation of the  transactions  contemplated by
               such  documents and  instruments.  Secured Party may exercise its
               rights to  request  documents  hereunder  from time to time as it
               reasonably deems necessary to maintain its security;

          (z)  Debtor will carry on and conduct  its  business in  substantially
               the same manner as it is presently conducted,  and Debtor will do
               all things necessary to preserve and keep in force and effect its
               legal existence as a corporation and its authority to do business
               in the State of Kansas,  and Debtor will do all things  necessary
               to preserve  and keep in force and effect all of  Debtor's  other
               material contracts, rights and franchises;

          (aa) Debtor will comply with all laws,  rules and  regulations  of any
               governmental body or entity to which it may be subject, including
               without   limitation   federal  and  state  securities  laws  and
               regulations  and  will  keep  and  maintain  in  full  force  all
               franchises,  licenses  (including those of its employees required
               to be

                                       7



               so licensed), permits,  approvals  or  certificates  required  by
               governmental authorities and which are material to the conduct of
               its business;

          (bb) Debtor  has  no  mortgages,   guaranties  or  other   liabilities
               contingent  or  otherwise  currently  outstanding,  other than as
               disclosed in Schedule 4(cc).

5. Additional  Security.  The Secured Party shall have the right to call for and
be provided with  additional  security  satisfactory to the Secured Party should
the  value of the  security  decline  or be deemed  by the  Secured  Party to be
inadequate or unsatisfactory.

6.  Impairment of  Collateral.  Debtor agrees not to take any action  whatsoever
which would impair the Collateral as security for the Obligations.

7. Waiver of Rights.  The Secured  Party may, at its option,  without  notice to
Debtor extend the maturity of the  Obligations  and/or  exchange  and/or release
collateral  held without  affecting the liability of said Debtor.  Debtor of the
Obligations  severally  waive  presentment  for payment,  notice of  nonpayment,
protest and notice of protest.

8. Default.  DEBTOR SHALL BE IN DEFAULT under this Security  Agreement  upon the
happening of any one or more of the following events:

         (a)      Default in the  payment  or  performance  of any  Obligations,
                  covenant  or  liability  of the  Debtor  (or of any  endorser,
                  guarantor or surety for any  liability or  Obligations  of the
                  Debtor to the Secured Party)  contained or referred to herein,
                  including but not limited to those  Obligations,  covenants or
                  liabilities  referenced in the  Promissory  Note, or any other
                  document executed in connection therewith, and such Default is
                  not cured within five (5) days of such default,  after receipt
                  of notice.

         (b)      Any warranty, representation or statement made or furnished to
                  the Secured Party by the Debtor (or any endorser, guarantor or
                  surety for any  liability of the Debtor to Secured  Party) for
                  the purpose of obtaining  credit or pursuant to this Agreement
                  or the  Promissory  Note,  proves  to have  been  false in any
                  material respect when made or furnished.

         (c)      Loss,  theft,  damage,  destruction,  misuse,  sale,  lease or
                  additional  encumbrances  on  any of  the  Collateral,  or the
                  making  of any  levy,  seizure  or  attachment  or  any  other
                  proceedings  which in the opinion of the  Secured  Party would
                  impair the Secured  Party's rights to or diminish the value of
                  the Collateral.

         (d)      Dissolution,  death, insolvency, business failure, appointment
                  of a receiver of any part of the property of,  assignment  for
                  the  benefit  of  creditors  by,  or the  commencement  of any
                  proceeding  under  any  bankruptcy  or  insolvency  laws by or
                  against the Debtor.

                                        8






         (e)      Failure by the Debtor to keep,  observe or perform  any of the
                  provisions of this  Agreement  required  hereunder to be kept,
                  observed or performed by Debtor.

         (f)      Actions  by the  Debtor or by any other  person,  which in the
                  reasonable  opinion  of the  Secured  Party  would  impair  or
                  endanger the Collateral.

         (g)      The Secured  Party's good faith  feeling of  insecurity in the
                  prospect of payment of the  Obligations  or realization on the
                  Collateral.

9. Remedies. In the event of default, Secured Party shall have the right to:

         (a)      avail  itself  of  such  rights  with  respect  to any and all
                  Collateral  which are provided for herein,  in the  Promissory
                  Note or in any  other  agreement  between  Secured  Party  and
                  Debtor;

         (b)      all rights with respect to the  Collateral  which are provided
                  for in the  Uniform  Commercial  Code as  adopted in Kansas or
                  other state with proper  jurisdiction  over the  Collateral or
                  this Agreement  (hereinafter the "Code"),  including the right
                  to require  Debtor to promptly  assemble  any  Collateral  for
                  Obligations  to Secured  Party,  and to make it  available  to
                  Secured  Party  at  a  place  reasonably  convenient  to  both
                  parties;

         (c)      deem that any notice of sale or other disposition of the whole
                  or any part of the  Collateral,  received  by  Debtor at least
                  five  (5)  days  prior  to  such  action,   shall   constitute
                  reasonable notice to Debtor;

         (d)      collect from Debtor and Debtor agrees that Debtor shall pay to
                  Secured  Party the  reasonable  costs and expenses  (including
                  attorneys'  fees and dis  bursements) of the collection of the
                  Obligations  secured  hereunder and of all of the Obligations,
                  and that in the event of foreclosure upon Debtor's Collateral,
                  the proceeds shall be first applied to such expenses;

         (e)      take any  and all  actions and  incur  any and  all   expenses
                  with   respect  to the   Collateral  which the  Secured  Party
                  reasonably  deems  necessary  and proper in order   to enhance
                  the  Secured  Party's  ability to  effectively    levy on such
                  Collateral,   including  without  limitation,    causing  such
                  Collateral to be completed,  cleaned   or repaired,  or in the
                  case of securities,  to   cause same to be registered.  Debtor
                  shall  assist  Secured    Party in such  actions;  any such ex
                  penses  incurred  by the  Secured  Party shall be  included as
                  Obligations;  and any  proceeds from the Collateral   shall be
                  first applied to such expenses;

         (f)      take  control of any and all  contracts  with respect to which
                  Contract  Rights which form part of the Collateral have arisen
                  or may arise at the time of such  default and perform and take
                  title to such contracts, however, Secured Party shall be under
                  absolutely  no  obligation  to  do  so  and  shall  not  incur
                  additional liability if Secured Party elects to do so or not.

                                        9






         (g)      take  control of any and all  general  intangibles,  including
                  without  limitation,  good will,  customer lists, trade names,
                  patents,  trademarks  and trade  secrets,  which  exist or may
                  arise  at the  time of  default  and  which  form  part of the
                  Collateral,  and  take  title  to and use or  dispose  of such
                  general   intangibles   as  the   Secured   Party  shall  deem
                  appropriate in its sole discretion.

         (h)      avail  itself of any and all other  remedies  at law or equity
                  which may be available to Secured Party with respect to Debtor
                  and the Collateral.

The parties  hereto hereby  declare that all  Collateral  transferred to Secured
Party hereunder is transferred in fact to secure loans and is not, in fact, sold
to Secured Party regardless  whether any assignment  thereof,  which is separate
from this  Agreement,  is in form  absolute.  All rights and remedies of Secured
Party whether granted hereunder,  under the Code or otherwise are cumulative and
not  alternative.  The exercise,  full or partial,  or the  commencement  of the
exercise of any one right or remedy,  shall not preclude the further exercise of
it or any other remedy.

10. Notices. All notices referred to in this Agreement shall be sent by ordinary
or  certified or  registered  mail,  or delivered in person,  and in the case of
Secured Party shall be sent to it, to the attention of the  President,  at 11320
West 79th Street,  Lenexa,  Kansas 66214 and in the case of Debtor shall be sent
to it at 5425  Martindale,  Shawnee,  Kansas 66218 or such other  address as may
appear for Debtor on the Secured Party's records.  Any notice hereunder shall be
deemed to be received two (2) days following the date of mailing,  provided that
such notice is properly addressed and sufficient postage is affixed thereto,  or
the actual date of receipt,  whichever is earlier.  The failure of Secured Party
to enforce any of the terms and provisions  hereof,  or its failure to declare a
default hereunder,  shall apply only in the particular  instance,  and shall not
operate as a continuing waiver.

11.  Written  Amendment.  No  amendment,  modification  or  termination  of  any
provision of this Agreement shall be effective  unless set forth in a writing by
all of the parties hereto.

12. Saving  Clause.  Any  provisions of this  Agreement  which are prohibited or
unenforceable in any jurisdiction shall, as to such jurisdiction, be ineffective
to the extent of such prohibition or unenforceability  without  invalidating the
remaining provisions hereof, or affecting the validity or enforceability of such
provision in any other jurisdiction.

13.  Successors and Assigns.  This Agreement  shall be binding upon and inure to
the benefit of the parties hereto and the successors or assigns of Secured Party
or  participating  lenders  within the meaning of the following  paragraph,  but
shall not inure to the benefit of any other person, firm or corporation.  Debtor
shall not assign or delegate its rights,  liabilities or obligations  hereunder.
Secured  Party  shall have the right to sell,  transfer,  delegate or assign its
rights, liabilities or obligations under this Agreement, the Promissory Note and
any documents executed or delivered to Secured Party in connection therewith.

14.  Participation  Agreements.  Notwithstanding  any other  provisions  of this
Agreement,  the Debtor  understands that the Secured Party may at any time enter
into participation agreements with one or more participating lenders whereby the
Secured Party will allocate any or all of its rights, liabilities or obligations
under this Agreement, the Promissory Note and any documents executed or

                                       10






delivered  to  Secured  Party  in  connection  therewith  to such  participating
lenders. The Debtor acknowledges that, for the convenience of all parties,  this
Agreement  is being  entered  into  with  the  Secured  Party  only and that its
obligations  under this  Agreement are  undertaken  for the benefit of and as an
inducement to, any such  participating  lender as well as the Secured Party, and
the Debtor  hereby  grants to each  participating  lender,  to the extent of its
participation  in the loan  transactions,  the right to set off deposit accounts
maintained  by the Debtor  with such  lender  upon  notice to the Debtor by such
lender of a default hereunder.

15. State Law. The laws of Kansas shall govern the  construction  and the rights
and duties of the parties with respect to this Agreement,  the Promissory  Note,
any  documents  executed or delivered in  connection  therewith  and any and all
Collateral therefor.

16. Captions. All captions are for ease of reference only and shall in no way be
construed to alter or limit the substance of the  provisions of this  Agreement.
If more than one person executes this Security  Agreement as a debtor,  the term
"Debtor"  shall  mean  all  such  persons,  shall  apply  to  each  person  both
individually  and  collectively  and such persons shall be jointly and severally
liable.

17.  Schedules.  All Schedules  referred to in this Agreement  shall be attached
hereto and incorporated herein by reference.

18. Entire Agreement.  This Agreement  contains the entire agreement between the
parties  respecting  the  matters  herein  set  forth and  supersedes  all prior
agreements between the parties  respecting such matters.  Time is of the essence
of this  Agreement.  If any party obtains a judgment  against any other party by
reason of a breach of this  Agreement,  a reasonable  attorneys' fee as fixed by
the court shall be included in such judgment.  No remedy  conferred upon a party
in this  Agreement is intended to be exclusive of any other remedy  herein or by
law provided or permitted, but each shall be cumulative and shall be in addition
to every other  remedy given  hereunder or now or hereafter  existing at law, in
equity or by statute. The parties waive trial by jury in any action,  proceeding
or counterclaim brought by any party against any other on any matter arising out
of or in any way  connected  with  this  Agreement  or the  relationship  of the
parties   created   hereunder.   This  Agreement  may  be  executed  in  several
counterparts,  each of which shall be deemed an original, but all of which shall
constitute one and the same document.

19. Continuing Agreement. This Security Agreement shall remain in full force and
effect until all Obligations pursuant to the Promissory Note have been fully and
completely terminated or discharged.

         IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed as of the date first above written.

                                       11






         THE PARTIES BY THEIR SIGNATURES HERETO ACKNOWLEDGE THAT THEY
HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND PROVISIONS OF THIS

AGREEMENT.

DEBTOR:

INTEGRATED MEDICAL RESOURCES, INC., a Kansas corporation
IMR OF ARIZONA, INC., an Arizona corporation
INTEGRATED MEDICAL RESOURCES OF CALIFORNIA, INC., a California corporation
INTEGRATED MEDICAL RESOURCES OF COLORADO, INC., a Colorado corporation
IMR OF CONNECTICUT, INC., a Connecticut corporation
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC., a Florida corporation
IMR OF ILLINOIS, INC., an Illinois corporation
IMR OF INDIANA, INC., an Indiana corporation
INTEGRATED MEDICAL RESOURCES OF MASSACHUSETTS, INC., a Massachusetts
         corporation
IMR OF MICHIGAN,  INC.,  a Michigan  corporation
IMR OF NEVADA,  INC., a Nevada corporation
INTEGRATED  DIAGNOSTICS,  INC., a New York corporation
IMR OF NORTH CAROLINA,  INC.,  a  North  Carolina  corporation
IMR OF  OHIO,  INC.,  an Ohio corporation
IMR INTEGRATED DIAGNOSTICS OF OKLAHOMA, INC., an Oklahoma corporation
INTEGRATED MEDICAL RESOURCES OF PENNSYLVANIA, INC., a Pennsylvania
         corporation
IMR OF  SOUTH  CAROLINA,  INC.,  a South  Carolina  corporation
IMR  INTEGRATED DIAGNOSTICS,  INC.,  a Texas  corporation
IMR OF  VIRGINIA,  INC.,  a  Virginia corporation
IMR OF WISCONSIN, INC., a Wisconsin corporation
DIAGNOSTIC CENTER FOR MEN - PHOENIX, P.C., an Arizona professional corporation
CALIFORNIA DIAGNOSTIC CENTER FOR MEN MEDICAL CLINIC, PROF. CORP., a
         California professional corporation
DIAGNOSTIC CENTER FOR MEN - DENVER,  P.C., a Colorado  professional  corporation
DIAGNOSTIC  CENTER FOR MEN - TAMPA,  P.A.,  a Florida  professional  association
DIAGNOSTIC CENTER FOR MEN - JACKSONVILLE, P.A., a Florida professional
         association
DIAGNOSTIC CENTER FOR MEN - CHICAGO,  S.C., an Illinois  corporation  DIAGNOSTIC
CENTER FOR MEN - DEERFIELD,  S.C., an Illinois corporation
DIAGNOSTIC CENTER FOR MEN - INDIANAPOLIS, P.C., an Indiana professional
         corporation
DIAGNOSTIC CENTER FOR MEN - KANSAS CITY, P.A., a Kansas professional association
DIAGNOSTIC  CENTER  FOR  MEN  -  BOSTON,  P.C.,  a  Massachusetts   professional
corporation
DIAGNOSTIC CENTER FOR MEN - DETROIT,  P.C., a Michigan professional
corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - WESTCHESTER, P.C., a New York
         professional corporation

                                       12






MEDICAL DIAGNOSTIC SERVICES FOR MEN - NEW YORK, P.C., a New York
         professional corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - MANHATTAN, P.C., a New York
         professional corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - BUFFALO, P.C., a New York professional
         corporation
DIAGNOSTIC CENTER FOR MEN - GREENSBORO/WINSTON-SALEM, P.C., a North
         Carolina professional corporation
DIAGNOSTIC CENTER FOR MEN - CLEVELAND, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - COLUMBUS, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - CINCINNATI, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - OKLAHOMA CITY, P.C., an Oklahoma professional
         corporation
DIAGNOSTIC CENTER FOR MEN - PITTSBURGH, P.C., a Pennsylvania professional
         corporation
DIAGNOSTIC CENTER FOR MEN - PHILADELPHIA, P.C., a Pennsylvania professional
         corporation
DIAGNOSTIC CENTER FOR MEN - GREENVILLE, P.C., a South Carolina professional
         corporation
DIAGNOSTIC CENTER FOR MEN - ARLINGTON,  P.A., a Texas  professional  association
DIAGNOSTIC  CENTER FOR MEN - HOUSTON,  P.A.,  a Texas  professional  association
DIAGNOSTIC  CENTER  FOR  MEN  -  ALEXANDRIA,   P.C.,  a  Virginia   professional
corporation
DIAGNOSTIC CENTER FOR MEN - NORFOLK,  P.C., a Virginia professional
corporation
DIAGNOSTIC CENTER FOR MEN - MILWAUKEE, S.C., a Wisconsin corporation

                               By: /s/ T. Scott Jenkins
                                  T. Scott Jenkins or Beverly Evling
                                  Pursuant to Limited Power of Attorney

THE SECURED PARTY:

                               P & C INVESTMENTS,
                               a Kansas general partnership

                               By: /s/ Charles A. Holtgraves
                               Name:  Charles A. Holtgraves
                               Title: Partner

                                                        13





                        SCHEDULE 1 TO SECURITY AGREEMENT

Collateral Description

         The Debtor hereby grants to Secured Party a security interest in all of
the  Debtor's  right,  title  and  interest  in and to the  following  property,
wherever  located,  whether  such  property or interest  therein is now owned or
existing or hereafter acquired or arising (collectively,  the "Collateral") (all
capitalized terms to have the meanings set forth in the Uniform  Commercial Code
as in effect in the state in which this financing statement is filed):

          (a)  All  Accounts,  accounts  receivable,  contract  rights,  Chattel
               Paper, instruments,  Documents, tax refunds,  insurance proceeds,
               General Intangibles and all other obligations of any kind arising
               our of or in  connection  with  the sale or lease of Goods or the
               rendering of services or otherwise due the Debtor, and all rights
               in and to all  security  agreements,  leases and other  contracts
               securing or  otherwise  relating to any such  Accounts,  accounts
               receivable,   contract   rights,   Chattel  Paper,   Instruments,
               Documents,  General  Intangibles  and obligations are hereinafter
               collectively referred to as the "Receivables"; except receivables
               arising from the federal government or otherwise sponsored by the
               federal government,  including Medicare, Medicaid and CHAMPUS, to
               the extent a security interest is prohibited by federal law;

          (b)  All   Fixtures,   Furniture   and   Equipment,   and  all  parts,
               accessories, attachments, special tools, additions, replacements,
               substitutions and accessions to or for the foregoing; and

          (c)  All  products   and   Proceeds  of  the  property   described  in
               subsections  (a) and (b) above and,  to the extent not  otherwise
               included,  all  payment  under any  insurance  policy or payments
               (whether or not Secured Party is the loss payee thereof), and any
               indemnity,  warranty  or  guaranty,  payable by reason of loss or
               damage  to or  otherwise  with  respect  to any of the  foregoing
               collateral.

                                       14





                                EXHIBIT 4(c)(ii)

                                 PROMISSORY NOTE

Date:             September 30, 1997                         Principal: $520,000
Due Date:         December 31, 1997

         FOR VALUE RECEIVED,  the  undersigned,  INTEGRATED  MEDICAL  RESOURCES,
INC.,  a Kansas  corporation,  IMR OF  ARIZONA,  INC.,  an Arizona  corporation,
INTEGRATED  MEDICAL  RESOURCES OF  CALIFORNIA,  INC., a California  corporation,
INTEGRATED MEDICAL RESOURCES OF COLORADO,  INC., a Colorado corporation,  IMR OF
CONNECTICUT,  INC., a Connecticut  corporation,  IMR  INTEGRATED  DIAGNOSTICS OF
FLORIDA,  INC.,a  Florida  corporation,  IMR  OF  ILLINOIS,  INC.,  an  Illinois
corporation,  IMR OF INDIANA,  INC., an Indiana corporation,  INTEGRATED MEDICAL
RESOURCES OF MASSACHUSETTS,  INC., a Massachusetts corporation, IMR OF MICHIGAN,
INC.,  a  Michigan  corporation,  IMR OF  NEVADA,  INC.,  a Nevada  corporation,
INTEGRATED  DIAGNOSTICS,  INC., a New York  corporation,  IMR OF NORTH CAROLINA,
INC., a North Carolina corporation,  IMR OF OHIO, INC., an Ohio corporation, IMR
INTEGRATED  DIAGNOSTICS OF OKLAHOMA,  INC., an Oklahoma corporation,  INTEGRATED
MEDICAL  RESOURCES OF  PENNSYLVANIA,  INC., a Pennsylvania  corporation,  IMR OF
SOUTH CAROLINA, INC., a South Carolina corporation,  IMR INTEGRATED DIAGNOSTICS,
INC., a Texas corporation, IMR OF VIRGINIA, INC., a Virginia corporation, IMR OF
WISCONSIN,  INC., a Wisconsin  corporation,  DIAGNOSTIC CENTER FOR MEN -PHOENIX,
P.C., an Arizona professional corporation,  CALIFORNIA DIAGNOSTIC CENTER FOR MEN
MEDICAL CLINIC, PROF. CORP., a California professional  corporation,  DIAGNOSTIC
CENTER FOR MEN - DENVER, P.C., a Colorado professional  corporation,  DIAGNOSTIC
CENTER FOR MEN - TAMPA,  P.A., a Florida  professional  association,  DIAGNOSTIC
CENTER  FOR  MEN -  JACKSONVILLE,  P.A.,  a  Florida  professional  association,
DIAGNOSTIC CENTER FOR MEN - CHICAGO,  S.C., an Illinois corporation,  DIAGNOSTIC
CENTER FOR MEN - DEERFIELD, S.C., an Illinois corporation, DIAGNOSTIC CENTER FOR
MEN - INDIANAPOLIS, P.C., an Indiana professional corporation, DIAGNOSTIC CENTER
FOR MEN - KANSAS  CITY,  P.A.,  a Kansas  professional  association,  DIAGNOSTIC
CENTER  FOR  MEN -  BOSTON,  P.C.,  a  Massachusetts  professional  corporation,
DIAGNOSTIC CENTER FOR MEN - DETROIT, P.C., a Michigan professional  corporation,
MEDICAL DIAGNOSTIC SERVICES FOR MEN - WESTCHESTER, P.C., a New York professional
corporation,  MEDICAL  DIAGNOSTIC  SERVICES FOR MEN - NEW YORK, P.C., a New York
professional corporation, MEDICAL DIAGNOSTIC SERVICES FOR MEN - MANHATTAN, P.C.,
a New York  professional  corporation,  MEDICAL  DIAGNOSTIC  SERVICES  FOR MEN -
BUFFALO, P.C., a New York professional corporation,  DIAGNOSTIC CENTER FOR MEN -
GREENSBORO/WINSTON-SALEM,  P.C.,  a  North  Carolina  professional  corporation,
DIAGNOSTIC  CENTER  FOR  MEN -  CLEVELAND,  P.A.,  INC.,  an  Ohio  professional
association,   DIAGNOSTIC  CENTER  FOR  MEN  -  COLUMBUS,   P.A.,  INC.,an  Ohio
professional association, DIAGNOSTIC CENTER FOR MEN - CINCINNATI, P.A., INC., an
Ohio professional  association,  DIAGNOSTIC CENTER FOR MEN -OKLAHOMA CITY, P.C.,
an Oklahoma  professional  corporation,  DIAGNOSTIC CENTER FOR MEN - PITTSBURGH,
P.C., a Pennsylvania professional corporation, DIAGNOSTIC

                                        1






CENTER FOR MEN - PHILADELPHIA,  P.C., a Pennsylvania  professional  corporation,
DIAGNOSTIC  CENTER FOR MEN -  GREENVILLE,  P.C., a South  Carolina  professional
corporation,  DIAGNOSTIC CENTER FOR MEN - ARLINGTON,  P.A., a Texas professional
association,  DIAGNOSTIC  CENTER FOR MEN - HOUSTON,  P.A., a Texas  professional
association,   DIAGNOSTIC  CENTER  FOR  MEN  -  ALEXANDRIA,   P.C.,  a  Virginia
professional corporation,  DIAGNOSTIC CENTER FOR MEN - NORFOLK, P.C., a Virginia
professional  corporation,  DIAGNOSTIC  CENTER  FOR  MEN -  MILWAUKEE,  S.C.,  a
Wisconsin corporation,  (collectively referred to as "Maker"), do hereby promise
to pay to the order of P & C INVESTMENTS, a Kansas general partnership (referred
to  as  "Holder"),   the  sum  of  Five  Hundred  Twenty   Thousand  and  No/100
($520,000.00)  Dollars,  plus interest  thereon at the rate of nine and one-half
percent (9.5%) per annum on the outstanding  principal  balance.  Such principal
amount is to be repaid in full,  together with interest on the remaining  unpaid
principal and a Fifty Thousand and No/100  ($50,000.00)  Dollar interest payment
(the "Bonus  Interest  Payment"),  on or before December 31, 1997. The principal
and  interest  shall be paid by the  undersigned  in lawful  money of the United
States of America,  at 5425  Martindale,  Shawnee,  Kansas 66218,  or such other
address of Holder as Holder designates to Maker, as follows:

         The principal, together with interest on the remaining unpaid principal
and the Bonus Interest  Payment,  shall be payable in full on or before December
31, 1997.  This  Promissory Note may be prepaid in part or in full together with
accrued interest without penalty at any time.

         The net  proceeds  of this  Loan  shall be  disbursed  to the  Maker in
accordance  with  Schedule  A,  attached  hereto  and  incorporated   herein  by
reference. From time to time, this Promissory Note may be extended or renewed in
whole or in part upon mutual  written  agreement of Maker and Holder.  As to any
extension  or renewal,  the rate of  interest  thereon may be changed or fees in
consideration  of loan  extensions  may be  imposed  and any  related  right  or
security therefor may be waived, exchanged, surrendered, or otherwise dealt with
and any of the acts mentioned in this  Promissory  Note may be done, all without
affecting the liability of the Maker or endorsers, each of whom agrees to remain
liable under said Promissory Note until the debt represented thereby is actually
paid in full to Holder.  The  release of any party  liable upon or in respect to
said  Promissory  Note shall not release any other such party.  The Maker hereby
waives presentment,  demand of payment, protest, and notice of non-payment,  and
of protest and any and all other notices and demands whatsoever.  The acceptance
by Holder of additional security for the performance of the terms and provisions
herein contained shall not in any way affect the liability of the Maker.

         Maker  expressly  agrees  that  upon  failure  to pay any  sums  herein
specified  when  due,  or the  occurrence  of an Event  of  Default  under  this
Promissory  Note,  or under any and all  Agreements  executed  contemporaneously
herewith,  the entire principal debt, or so much thereof as may remain unpaid at
the time, together with all accrued interest, shall, at the continuing option of
Holder, become immediately due and payable, and in addition thereto, there shall
be due and  payable all costs  incurred  and,  to the extent  permitted  by law,
reasonable  attorney's fees in the event collection efforts are commenced by the
placement of this  Promissory  Note into the  possession  of an  attorney,  such
reasonable  attorney's fees to be paid irrespective of whether or not actions or
foreclosure proceedings are commenced or continued into judgment.

                                        2






         No delay on the part of the Holder in  exercising  any right  hereunder
shall operate as a waiver of any rights; acceptance of any payment after its due
date shall not be deemed a waiver of the right to require  prompt  payment  when
due of all other sums;  acceptance  of any payment after the Holder has declared
the entire  indebtedness due and payable shall not cure any default of the Maker
or operate as a waiver of any right of the Holder hereunder.

         Maker agrees to pay on demand any expenditures  made by Holder relating
to  collection  of amounts  owed by Maker to Holder under this  Promissory  Note
including,  but  not  limited  to,  any  action  required  to  foreclose  on any
collateral given by Maker to Holder hereunder.  At the option of Maker, all such
expenditures  may be added to the unpaid  principal  balance on this  Promissory
Note  and  become  a part of and on a parity  with  the  principal  indebtedness
secured by the  collateral  referred  to herein and other  instruments  executed
herewith,  and shall accrue  interest at the rate as may be payable from time to
time on the original principal  indebtedness or may be declared  immediately due
and payable.

         In no event  shall  interest  (including  any  charge or fee held to be
interest by a court of competent  jurisdiction)  accrue to be payable  hereon in
excess  of  the  highest  contract  rate  allowable  by law  at  the  time  such
indebtedness  shall  be  outstanding  and  unpaid,  and  if,  by  reason  of the
acceleration of maturity of such indebtedness or for any other reason,  interest
in excess of the highest legal rate shall be due or paid,  any such excess shall
constitute and be treated as a payment on the principal hereof and shall operate
to reduce such  principal by the amount of such  excess,  or if in excess of the
principal indebtedness, such excess shall be waived or refunded to the Maker.

         This  Promissory Note is to be construed in accordance with the laws of
the State of Kansas.  If any charges  made in  connection  with this loan at any
time  whatsoever or provisions  hereof are judicially  determined to be invalid,
then  the  interest  rate  shall  be  reduced  to an  amount  which  is  legally
permissible, and that portion thereof which is declared invalid shall not affect
the remaining provisions hereof.

         The Security Agreement between Integrated Medical Resources, Inc. and P
&  C  Investments  of  even  date  herewith  (the  "Security  Agreement")  shall
constitute  security for the payment in full  performance of this  obligation as
well  as all  expenditures  made  and  sums  advanced  on  principal  hereunder.
Incorporated  herein  by  reference  are  the  terms,   conditions,   covenants,
representations,  and  warranties  of  the  Security  Agreement  and  any  other
instrument securing this Promissory Note, all of even date herewith.

         In this Promissory Note and any instrument  securing the payment of the
same,  the singular  shall include the plural;  the masculine  shall include the
feminine and the neuter  genders;  "maker" or  "undersigned"  shall  include the
Maker,  endorser,  guarantor,  and assumer. In the event this Promissory Note is
executed, endorsed,  guaranteed, or assumed by more than one person and/or firm,
and/or corporations,  all of the obligations herein contained shall be joint and
several  as  among  all of said  parties.  All  persons  liable,  either  now or
hereafter,  for the  payment  of this  Promissory  Note  shall  be  jointly  and
severally  liable,  and  waive  presentment,  demand,  protest,  and  notice  of
non-payment  and of protest,  and agree that any  modifications  of the terms of
payment or extension of time or payment shall in no way impair  its/their  joint
and several liability.

                                        3






         IN WITNESS  WHEREOF,  the  undersigned  hereby executes this Promissory
Note on the date first above written.

MAKER:

INTEGRATED MEDICAL RESOURCES, INC., a Kansas corporation
IMR OF ARIZONA, INC., an Arizona corporation
INTEGRATED MEDICAL RESOURCES OF CALIFORNIA, INC., a California corporation
INTEGRATED MEDICAL RESOURCES OF COLORADO, INC., a Colorado corporation
IMR OF CONNECTICUT, INC., a Connecticut corporation
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC., a Florida corporation
IMR OF ILLINOIS, INC., an Illinois corporation
IMR OF INDIANA, INC., an Indiana corporation
INTEGRATED MEDICAL RESOURCES OF MASSACHUSETTS, INC., a Massachusetts
         corporation
IMR OF MICHIGAN,  INC.,  a Michigan  corporation
IMR OF NEVADA,  INC., a Nevada corporation
INTEGRATED  DIAGNOSTICS,  INC., a New York corporation
IMR OF NORTH CAROLINA,  INC.,  a  North  Carolina  corporation
IMR OF  OHIO,  INC.,  an Ohio corporation
IMR INTEGRATED DIAGNOSTICS OF OKLAHOMA, INC., an Oklahoma corporation
INTEGRATED MEDICAL RESOURCES OF PENNSYLVANIA, INC., a Pennsylvania
         corporation
IMR OF  SOUTH  CAROLINA,  INC.,  a South  Carolina  corporation
IMR  INTEGRATED DIAGNOSTICS,  INC.,  a Texas  corporation
IMR OF  VIRGINIA,  INC.,  a  Virginia corporation
IMR OF WISCONSIN, INC., a Wisconsin corporation
DIAGNOSTIC CENTER FOR MEN - PHOENIX, P.C., an Arizona professional corporation
CALIFORNIA DIAGNOSTIC CENTER FOR MEN MEDICAL CLINIC, PROF. CORP., a
         California professional corporation
DIAGNOSTIC CENTER FOR MEN - DENVER,  P.C., a Colorado  professional  corporation
DIAGNOSTIC  CENTER FOR MEN - TAMPA,  P.A.,  a Florida  professional  association
DIAGNOSTIC CENTER FOR MEN - JACKSONVILLE, P.A., a Florida professional
         association
DIAGNOSTIC CENTER FOR MEN - CHICAGO,  S.C., an Illinois  corporation
DIAGNOSTIC CENTER FOR MEN - DEERFIELD,  S.C., an Illinois corporation
DIAGNOSTIC CENTER FOR MEN - INDIANAPOLIS, P.C., an Indiana professional
         corporation
DIAGNOSTIC CENTER FOR MEN - KANSAS CITY, P.A., a Kansas professional association
DIAGNOSTIC  CENTER  FOR  MEN  -  BOSTON,  P.C.,  a  Massachusetts   professional
         corporation
DIAGNOSTIC CENTER FOR MEN - DETROIT,  P.C., a Michigan professional
         corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - WESTCHESTER, P.C., a New York
         professional corporation

                                        4






MEDICAL DIAGNOSTIC SERVICES FOR MEN - NEW YORK, P.C., a New York
         professional corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - MANHATTAN, P.C., a New York
         professional corporation
MEDICAL DIAGNOSTIC SERVICES FOR MEN - BUFFALO, P.C., a New York professional
         corporation
DIAGNOSTIC CENTER FOR MEN - GREENSBORO/WINSTON-SALEM, P.C., a North
         Carolina professional corporation
DIAGNOSTIC CENTER FOR MEN - CLEVELAND, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - COLUMBUS, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - CINCINNATI, P.A., INC., an Ohio professional
         association
DIAGNOSTIC CENTER FOR MEN - OKLAHOMA CITY, P.C., an Oklahoma professional
         corporation
DIAGNOSTIC CENTER FOR MEN - PITTSBURGH, P.C., a Pennsylvania professional
         corporation
DIAGNOSTIC CENTER FOR MEN - PHILADELPHIA, P.C., a Pennsylvania professional
         corporation
DIAGNOSTIC CENTER FOR MEN - GREENVILLE, P.C., a South Carolina professional
         corporation
DIAGNOSTIC CENTER FOR MEN - ARLINGTON,  P.A., a Texas  professional  association
DIAGNOSTIC  CENTER FOR MEN - HOUSTON,  P.A.,  a Texas  professional  association
DIAGNOSTIC  CENTER  FOR  MEN  -  ALEXANDRIA,   P.C.,  a  Virginia   professional
corporation  DIAGNOSTIC CENTER FOR MEN - NORFOLK,  P.C., a Virginia professional
corporation DIAGNOSTIC CENTER FOR MEN - MILWAUKEE, S.C., a Wisconsin corporation

                                      By: /s/ T. Scott Jenkins
                                         T.Scott Jenkins or Beverly Evling
                                         Pursuant to Limited Power of Attorney

                                        5




                                   SCHEDULE A

                            SCHEDULE OF DISBURSEMENT

                          INTEGRATED MEDICAL RESOURCES
                          ALLOCATION OF LOAN PROCEEDS

                        USING 6-30-97 FIXED ASSET COSTS

        SUB              CLINIC                          %         ALLOCATION
- ---------------------    ------                        ------      ----------

IMR                                     1,128,281      25.25%      123,706

ARIZONA                  PHX               88,936       1.99%        9,751

CALIFORNIA               LGH              111,465
                         SDG              151,623
                         PAS               92,217
                         SJO              130,384
                         WAL              106,819
                                       ----------
                                          592,508      13.26%       64,963

COLORADO                 DEN               10,681       0.24%        1,171

CONNECTICUT              HAR              154,307       3.45%       16,918

FLORIDA                  TAM              115,089
                         JAX               88,250
                                          -------
                                          203,339       4.55%       22,294

ILLINOIS                 CH1              134,698
                         CH2              135,238
                                          -------
                                          269,936       6.04%       29,596

INDIANA                  IND                9,868       0.22%        1,082

KANSAS                   MKC              215,385       4.82%       23,615

MASSACHUSETTS            BOS               23,703       0.53%        2,599



                          INTEGRATED MEDICAL RESOURCES
                           ALLOCATION OF LOAN PROCEEDS

                         USING 6-30-97 FIXED ASSET COSTS

        SUB              CLINIC                          %         ALLOCATION

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

MICHIGAN                 DET               33,048       0.74%        3,623

NEVADA                   LVG              128,542       2.88%       14,093

NEW YORK                 NYC               82,847
                         TAR               24,264
                         MAN              133,638
                         BUF               88,374
                                          -------
                                          329,123       7.36%       36,085

NORTH CAROLINA           GWS               13,436       0.30%        1,473

OHIO                     COL              161,688
                         CLE              139,963
                         CIN               64,112
                                          -------
                                          365,763       8.18%       40,103

OKLAHOMA                 OKC               98,510       2.20%       10,801

PENNSYLVANIA             PGH               36,546
                         PHL               20,372
                                           ------
                                           56,918       1.27%        6,241

SOUTH CAROLINA           GSF                1,638       0.04%          180

TEXAS                    ARL              240,913
                         HOU              182,741
                                          -------
                                          423,654       9.18%       46,450



                          INTEGRATED MEDICAL RESOURCES
                           ALLOCATION OF LOAN PROCEEDS

                         USING 6-30-97 FIXED ASSET COSTS

        SUB              CLINIC                          %         ALLOCATION

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

VIRGINIA                 WAS               99,065
                         NOR              109,141
                                          -------
                                          208,206       4.66%       22,828

WISCONSIN                MIL              113,343       2.54%       12,427

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

TOTAL OF SUBS                           4,469,125      100.0%      490,000
                                        =========      =====       =======


                                  EXHIBIT 4(d)

                      REVOLVING LOAN AND SECURITY AGREEMENT
                                  No. 97-10-099

        THIS REVOLVING LOAN AND SECURITY  AGREEMENT  ("Agreement")  is dated and
effective as of October 23, 1997 ("Effective  Date") by and between DVI Business
Credit Corporation,  a Delaware corporation  ("Lender"),  and Integrated Medical
Resources,  Inc.,  a Kansas  corporation  and the  entities  listed on Exhibit B
attached hereto and made a part hereof ("Borrower") .

                                    SECTION 1

                                   DEFINITIONS

     Section 1.1 Specific Definitions. The following definitions shall apply:
               (a) "Account  Debtors"  shall mean  Borrower's  and Clinic's,  as
applicable,  customers  and all other  persons who are  obligated or indebted to
Borrower  or  Clinic,  as  applicable,   in  any  manner,  whether  directly  or
indirectly, primarily or secondarily, contingently or otherwise, with respect to
Accounts.

               (b)  "Accounts"  shall mean all  accounts,  accounts  receivable,
monies and debt  obligations in any form owing to Borrower  (whether  arising in
connection with contracts, contract rights, instruments,  general intangibles or
chattel  paper)  arising out of the rendition of services by Borrower or Clinic,
as  applicable,  whether or not earned by  performance;  all  deposit  accounts,
credit  insurance,  guaranties,  letters of credit,  advises of credit and other
security  for  any  of  the  above;  Borrower's  Books  relating  to  any of the
foregoing.

               (c) "Advance" shall mean an advance of loan proceeds constituting
all or a part of the Loan.

               (d)  "Borrower's  Books" shall mean all of  Borrower's  books and
records including but not limited to: minute books, ledgers; records indicating,
summarizing or evidencing Borrower's assets,  liabilities and the Accounts;  all
information  relating to Borrower's business operations or financial  condition;
and all  computer  programs,  disk or tape  files,  printouts,  runs  and  other
computer-prepared  information and the equipment  containing  such  information;
provided,  however,  that  confidential  patient  records  shall not be included
therein, except to the extent otherwise provided by law.

               (e)  "Borrowing  Base" shall mean,  on the date of  determination
thereof,  an amount  equal to the sum of  eighty-five  percent  (85%) of the Net
Collectible Value for each type of Eligible Account.

               (f) "Cash Flow  Percentage":  as of any day,  a fraction  (a) the
numerator of which is equal to (i) the aggregate collections received during the
two  immediately  preceding  calendar  months in  respect of  Eligible  Accounts
receivable  divided  by (ii) 2.0 and (b) the  denominator  of which is an amount
equal to the average daily aggregate NCV of Eligible Accounts  receivable during
such two immediately preceding calendar months.

               (g)  "Closing  Date" shall mean the date of the first  Advance of
the Loan.

               (h)  "Clinics"  shall mean  collectively  the entities  which are
contractually obligated to Borrower under a Service Agreement which include, but
not limited to, the entities described on Schedule 1.1(h).

               (i) "Clinic Collateral" shall mean the Collateral,  as defined in
the Security Agreement.

               (j) "Collateral"  shall have the meaning specified in Section 3.1
hereof.

               (k)  "Commitment  Amount"  shall  have the  meaning  set forth in
Section 2.1.

               (l)  "Distribution"  shall  mean,  with  respect to any shares of
capital stock or any warrant or right to acquire  shares of capital stock or any
other  equity  security,  (i) the  retirement,  redemption,  purchase  or  other
acquisition,  directly  or  indirectly,  for  value  by the  issuer  of any such
security,  except to the extent  that the  consideration  therefore consists  of
shares of stock,  (ii) the declaration or (without  duplication)  payment of any
dividend  in  cash,  directly  or  indirectly,  on or with  respect  to any such
security, (iii) any investment in the holder of five percent (5%) or more of any
such security if a purpose of such  investment is to avoid  characterization  of
the transaction as a Distribution, and

(iv) any other cash payment  constituting a distribution  under  applicable laws
with respect to such security.

               (m)  "Eligible  Accounts"  shall  mean  (i)  Borrower's  accounts
receivable from commercial insurance,  Medicare,  HMO/PPO payors (referred to as
"Retail  Accounts") which have been due and payable for one hundred eighty (180)
or fewer days from the date of service, and Borrower's accounts receivable under
contracts with hospitals and other similar health service providers (referred to
as  "Institutional  Accounts")  which have been due and  payable for one hundred
eighty (180) or fewer days from the date of service,  and (ii)  Clinic's  Retail
Accounts  which have been due and payable for one hundred  eighty (180) or fewer
days from the date of service,  to the extent that (A) such Clinic  Accounts are
pledged  under the Security  Agreement  and (B) such pledge,  as  determined  by
Lender  from  time to time,  in its  reasonable  discretion,  is not  likely  to
constitute a fraudulent conveyance or transfer under applicable law.

               (n) "ERISA" means the Employee  Retirement Income Security Act of
1974,  as amended,  and all  references  to sections  thereof shall include such
sections  and  any  predecessor  provisions  thereto,  including  any  rules  or
regulations issued in connection therewith.

               (o)  "Event of  Default"  shall  have the  meaning  specified  in
Section 10 hereof.

               (p) "Fair Value" means (i) with respect to Borrower's  assets, if
Net  Fair  Value  is being  determined  as of a date on or  prior  to the  first
anniversary  of the date  hereof,  the lower of (1) the value of such  assets as
determined in accordance  with  Bankruptcy  Code ss.548 or (2) the value of such
assets as  determined  in  accordance  with the state  fraudulent  conveyance or
fraudulent  transfer law that would be applicable to the  determination  whether
the obligations and/or the security interest relating thereto would constitute a
fraudulent  conveyance or a fraudulent  transfer (the  "Applicable  State Law"),
(ii) with respect to Borrower's assets, if Net Fair Value is being determined as
of a date  after the first  anniversary  of the date  hereof,  the value of such
assets as determined in accordance  with the  Applicable  State Law,  (iii) with
respect to Borrower's liabilities, if Net Fair Value is being determined as of a
date on or prior to the first  anniversary of the date hereof,  the lower of (1)
the value of such  liabilities as determined in accordance  with Bankruptcy Code
ss.548 or (2) the value of such liabilities as determined in accordance with the
Applicable  State Law, and (iv) with respect to Borrower's  liabilities,  if Net
Fair Value is being  determined as of a date after the first  anniversary of the
date hereof,  the value of such liabilities as determined in accordance with the
Applicable State Law.

               (q) "GAAP" means  generally  accepted  accounting  principles set
forth  in the  opinions  of the  Accounting  Principles  Board  of the  American
Institute of Certified Public  Accountants and/or in statements of the Financial
Accounting Standards Board, consistently applied.

               (r)  "Governmental  Authority"  shall  mean any  governmental  or
political  subdivision  or  any  agency,   authority,   bureau,   central  bank,
commission, department or instrumentality thereof, or any court, tribunal, grand
jury or arbitrator, in any case whether foreign or domestic.

               (s) "Health  Care Laws" shall mean all  federal,  state and local
laws  specifically  relating to health care  providers and health care services,
including,  but not limited to,  Section  1877(a) of the Social  Security Act as
amended by the Omnibus Budget Reconciliation Act of 1993, 42 USC ss. 1395nn.

               (t)  "Indebtedness"  of a Person shall mean (i) all items (except
items of capital  stock,  capital or paid-in  surplus or of  retained  earnings)
which,  in  accordance  with  GAAP,  would  be  included  in  determining  total
liabilities  as shown on the liability  side of the balance sheet of such Person
as of the date as of which Indebtedness is to be determined, including any lease
which,  in  accordance  with  GAAP  would  constitute  indebtedness;   (ii)  all
indebtedness secured by any mortgage, pledge, security, lien or conditional sale
or other title retention  agreement to which any property or asset owned or held
by such Person is subject, whether or not the indebtedness secured thereby shall
have been assumed;  and (iii) all  indebtedness  of others which such Person has
directly or indirectly  guaranteed,  endorsed (otherwise than for the collection
or deposit in the ordinary course of business), discounted or sold with recourse
or agreed  (contingently  or  otherwise)  to purchase or repurchase or otherwise
acquire,  or in  respect  of which  such  Person has agreed to supply or advance
funds (whether by way of loan, stock or equity purchase, capital contribution or
otherwise) or otherwise to become directly or indirectly liable.

               (u)  "Lender  Expenses"  shall  mean (i) all  costs  or  expenses
(including,  without  limitation,  taxes and insurance  premiums) required to be
paid by Borrower under this Agreement or under any of the other Loan

Documents  that  are  paid  or  advanced  by  Lender;   (ii)filing,   recording,
publication  and  search  fees paid or  incurred  by Lender in  connection  with
Lender's  transactions  with  Borrower and Clinic;  (iii)  reasonable  costs and
expenses  incurred  by Lender to correct  any Event of  Default  or enforce  any
provision  of the Loan  Documents  or in  gaining  possession  of,  maintaining,
handling,  preserving,  storing,  shipping,  selling,  and preparing for sale or
advertising to sell the Collateral,  whether or not a sale is consummated, after
the  occurrence of an Event of Default;  (iv)  reasonable  costs and expenses of
suit  incurred by Lender in  enforcing or  defending  the Loan  Documents or any
portion thereof;  (v) costs and expenses  incurred by Lender to convert any data
submitted  to Lender by  Borrower  or Clinic  to an  acceptable  form;  and (vi)
Lender's  reasonable  attorney  fees  and  expenses  incurred  (before  or after
execution  of  this  Agreement)  in  advising  Lender  with  respect  to,  or in
structuring, drafting, reviewing, negotiating, amending, terminating, enforcing,
defending or otherwise  concerning,  the Loan Documents or any portion  thereof,
irrespective of whether suit is brought.

               (v) "Lien" shall mean any security  interest,  mortgage,  pledge,
assignment,  lien or other encumbrance of any kind,  including any interest of a
vendor under a conditional  sale contract or  consignment  and any interest of a
lessor under a capital lease.

               (w)  "Loan"  shall mean each loan or any other loan or loans made
by Lender to Borrower pursuant to this Agreement.

               (x)  "Loan  Availability"  shall  mean  the  lesser  of  (a)  the
Commitment  Amount or (b) the Borrowing  Base minus the  aggregate  Advances and
other Obligations outstanding under this Agreement.

               (y)  "Loan  and  Security  Agreement" means the Loan and Security
Agreement dated as of the  date hereof  by and among DVI Financial Services Inc.
("DVIF") and Borrower.

               (z) "Loan  Documents"  shall  mean (i) this  Agreement;  (ii) the
Note;  (iii) any other  agreements  or documents  hereafter  delivered to secure
repayment of the Loan; (iv) the Lock Box Agreement; (v)  the Security Agreement;
and (vi) any other certificates, documents, instruments, or financing statements
delivered by Borrower or Clinic, as applicable,  to Lender pursuant to the terms
of this Agreement or the Security Agreement, as applicable.

               (aa)  "Lock Box  Agreement"  shall mean  those  certain  Lock Box
Agreements  between Borrower or Clinic, as applicable,  and lock box servicer(s)
("Servicer(s)") chosen by Lender and Borrower or Clinic, as applicable,  and the
letter of instructions with respect thereto among Lender, Borrower or Clinic, as
applicable, and Servicer.

               (bb) "Net  Collectible  Percentage"  shall  mean the  percentages
described on Exhibit A attached hereto.  In accordance with Section 5.4, the Net
Collectible  Percentage  may  change  from  time to time in  Lender's  sole  and
absolute discretion, written notification of which shall be given to Borrower by
Lender.

               (cc)  "Net  Collectible  Value"  shall  mean,  for  each  type of
Eligible  Account,  the Net Collectible  Percentage times the aggregate  current
outstanding amount for such type of Eligible Account.

               (dd)  "Net Fair  Value"  the  amount  by which the Fair  Value of
Borrower's  assets exceeds the Fair Value of Borrower's  liabilities  (including
contingent liabilities).

               (ee) "Note" shall mean the Secured  Promissory  Note  executed by
Borrower pursuant to the terms of this Agreement.

               (ff)  "Obligations"  means  (i)  all  obligations   (monetary  or
otherwise) of Borrower  arising under or in connection with this Agreement,  the
Note and all other Loan Documents.

               (gg)  "Permitted  Liens" shall mean (i) Liens for property  taxes
and assessments or  governmental  charges or levies and Liens securing claims or
demands of mechanics and  materialmen,  provided that payment thereof is not yet
due or is being  contested  as  permitted  in this  Agreement;  (ii) Liens of or
resulting  from any  judgment or award,  the time for the appeal or petition for
rehearing of which has not expired,  or in respect of which  Borrower is in good
faith prosecuting an appeal or proceeding for a review and in respect of which a
stay of execution pending such appeal or proceeding for review has been secured;
(iii) Liens and  priority  claims  incidental  to the conduct of business or the
ownership of properties and assets  (including  warehouse's and attorney's Liens
and  statutory  landlord's  Liens);  deposits,  pledges  or Liens to secure  the
performance  of  bids,  tenders,  or trade  contracts,  or to  secure  statutory
obligations; and

surety  or appeal   bonds or  other Liens  of like  general  nature  incurred in
the ordinary  course of business  and not in  connection  with the  borrowing of
money;  provided that in each case the obligation  secured is not overdue or, if
overdue, is being contested in good faith by appropriate actions or proceedings;
and further  provided that any such  warehouse's or statutory  landlord's  Liens
have  been  subordinated  to the Liens of  Lender  in a manner  satisfactory  to
Lender;  and (iv)  Liens  existing  on the date of this  Agreement  that  secure
Indebtedness  of Borrower  outstanding  on such date and that are  disclosed  on
Schedule 1.1 hereto;

               (hh) "Person" shall mean an individual, corporation, partnership,
limited liability company,  trust,  unincorporated  association,  joint venture,
joint-stock company, government (including political subdivisions), Governmental
Authority or any other entity.

               (ii)  "Prime  Rate"  shall  mean the rate of  interest  announced
publicly by Bank of America from time to time as its prime rate.

               (jj)   "Proceeds"   shall  mean  all  proceeds  and  products  of
Collateral and documents  covering  Collateral;  all property received wholly or
partly in trade or exchange for  Collateral;  all claims  against  third parties
arising out of damage,  destruction or decrease in value of the Collateral;  all
leases of  Collateral;  and all rents,  revenues,  issues,  profits and proceeds
arising from the sale,  lease,  license,  encumbrance,  collection  or any other
temporary or permanent disposition of the Collateral or any interest therein.

               (kk)  "Security  Agreement"  shall mean the  Security  Agreement,
dated as of the date hereof, by and among Lender and the Clinics.

               (ll)  "Subordinate  Obligations"  shall mean all  Indebtedness of
Borrower  subordinated  to the  Obligations  pursuant  to  subordination  and/or
intercreditor agreements in form satisfactory to Lender.

               (mm) "Termination Date" shall mean the last day of any term as to
which a written notice of non-renewal pursuant to Section 2.7 has been received.

               (nn) "Unmatured  Default" shall mean any event or condition that,
with notice, passage of time, or a determination by Lender or any combination of
the foregoing would constitute an Event of Default.

     Section  1.2.   Generally  Accepted   Accounting   Principles  and  Uniform
Commercial  Code. All financial terms used in this  Agreement,  other than those
defined in this  Section 1, have the meanings  accorded to them under GAAP.  All
other terms used in this Agreement,  other than those defined in this Section 1,
have the meanings accorded to them in the Uniform  Commercial Code as enacted in
any applicable jurisdiction.

     Section 1.3. Construction

               (a)  Unless  the  context  of  this  Agreement  clearly  requires
otherwise,  the plural includes the singular,  the singular includes the plural,
the part  includes  the whole,  "including"  is not  limiting,  and "or" has the
inclusive  meaning  of  the  phrase  "and/or."  The  words  "hereof,"  "herein,"
"hereby,"  "hereunder"  and other similar terms in this Agreement  refer to this
Agreement as a whole and not  exclusively  to any  particular  provision of this
Agreement.

               (b) Neither  this  Agreement  nor any  uncertainty  or  ambiguity
herein shall be construed or resolved against Lender or Borrower,  whether under
any rule of construction or otherwise.  On the contrary, this Agreement has been
reviewed  by each of the parties  and its  counsel  and shall be  construed  and
interpreted  according  to the  ordinary  meaning  of the  words  used  so as to
accomplish the purposes and intentions of all parties hereto fairly.

                                    SECTION 2

                                      LOAN

     Section 2.1 The Loan.  Subject to the terms and  conditions  and relying on
the  representations  and  warranties  set forth  herein,  Lender agrees to make
Advances to Borrower from time to time in an aggregate  amount not to exceed the
least of (i) Five Million and 00/100 Dollars  ($5,000,000.00)  (the  "Commitment
Amount"),   or  (ii)  the  Borrowing  Base.   Within  the  limits  of  the  Loan
Availability,  Borrower may borrow,  make repayments pursuant to Section 2.4 and
reborrow.  If,  at any  time,  the  aggregate  Advances  and  other  Obligations
outstanding exceed the then Loan Availability, then Borrower shall pay to Lender
a sum sufficient to reduce the Advances and other Obligations  outstanding to an
amount not greater than the Loan  Availability.  Notwithstanding  the foregoing,
Lender has agreed to extend an initial  overadvance  of $250,000.  To the extent
such  overadvance is not adjusted,  Borrower must repay such  overadvance at the
time of the next equity investment of $250,000 or more.  Lender's  commitment to
make Advances shall expire,  and the amount of the Loan then  outstanding  shall
mature and be repaid by Borrower,  without further action on the part of Lender,
on the Termination Date.

     Section 2.2 Note. All Loans made by the Lender under this  Agreement  shall
be  evidenced  by,  and  repaid  with  interest  in  accordance  with,  a single
promissory  note of  Borrower  in  substantially  the form of Exhibit  2.02 duly
completed,  in the original  principal  amount  equal to the initial  Commitment
Amount,  dated the  Effective  Date,  payable to the Lender and  maturing  as to
principal on the Termination  Date (the "Note").  The amount of each Advance and
payment of  principal  amount  received  by the Lender  shall be recorded in the
books and records of the Lender,  which books and records shall,  in the absence
of manifest  error,  be  conclusive as to the  outstanding  balance of and other
information related to the Loan. Lender shall be entitled at any time to endorse
on a  schedule  attached  to the Note the amount  and type of each  Advance  and
information relating thereto.

     Section 2.3 The Borrowing  Base. On a weekly basis the Borrowing  Base will
be recalculated by adding weekly billings to the prior week's Eligible  Accounts
and subtracting  deposits and adjustments,  if applicable,  and then multiplying
this  amount by the Net  Collectible  Percentage.  The  Borrowing  Base shall be
calculated on the basis of the reports  delivered to Lender  pursuant to Section
5.4.

     Section 2.4 Notice of Borrowing.  Whenever Borrower desires to borrow under
Section 2.1, Borrower shall deliver to Lender a Drawdown Request Form, in a form
reasonably satisfactory to Lender, signed by an authorized officer no later than
2:00 p.m.  Pacific Standard Time at least one (1) business day in advance of the
proposed  funding date. The Drawdown  Request Form shall specify (i) the funding
date (which shall be a business day) with respect to the requested Loan and (ii)
the amount of the proposed Advance.

     Section  2.5 Use of  Proceeds.  The  proceeds  of the Loan shall be used by
Borrower to provide for working capital.

     Section  2.6  Loan  Repayment  Via  Lock  Box/Servicer  Account.  Upon  the
execution  hereof,  Borrower  shall become a party to the  Tri-Party  Remittance
Banking  Agreement  ("Lock Box  Agreement")  which  provides for the receipt and
processing of Account  payments.  Borrower  shall  irrevocably  direct:  (i) all
non-government  payors,  including patient pay receivables,  to remit payment to
the  Servicer's  post  office box in  Lender's  name and  control,  and (ii) all
government  payors to remit payment to a second post office box of such Servicer
in  Borrower's  name.  Prior to  funding  and upon  receipt of the lock box post
office box number(s), Borrower shall provide Lender re-direct letters (in a form
satisfactory  to Lender) to all of Borrower's  payors on Borrower's  letterhead,
including  envelopes  for Lender to process  and mail  (Lender  will add postage
which shall be charged to  Borrower).  The Lock Box  Agreement  provides for the
Servicer to deposit  daily all  receipts of the post office  boxes into  deposit
accounts,  with  non-government  payor receipts paid into an account  subject to
Lender's  control  and,  government  payor  receipts  paid  into an  account  in
Borrower's  name;  such  accounts  shall  be  (i)  at  a  financial  institution
acceptable to Lender,  and (ii) governed by terms and  conditions  acceptable to
Lender. Borrower agrees and acknowledges that all government payor receipts will
be immediately transferred to an account in the name and control of Lender. Upon
collectibility,  deposits  (net of fees)  shall be  applied  to reduce  the Loan
balance including Advances,  interest,  fees, all charges and other payments, if
applicable.  Deposits/receipts will reduce the Borrowing Base in accordance with
Section 2.3 above.  Any receipts (net of such  Servicer's  fees) remaining after
all  such  payments  to  Lender  will be paid to  Borrower  within  24  hours of
availability.  Borrower shall bear all charges for  establishing and maintaining
the post office box accounts and all bank

charges for such deposit accounts. Lender shall deduct from the deposit accounts
all sums Borrower owes to it hereunder, including fees, interest, reimbursements
and principal  payments.  Any  Obligations  not paid by such deduction  shall be
satisfied  by direct  payment  to Lender at 4041  MacArthur  Blvd.,  Suite  401,
Newport Beach,  California 92660. Any amounts hereunder not paid as agreed shall
be assessed a late payment penalty of five percent (5%).

     (b)  Borrower  is  indebted  to DVIF  pursuant  to the  Loan  and  Security
Agreement. Borrower will make payments on the Loan and Security Agreement ("DVIF
Payments") by having Lender deduct from the Lock Box Accounts the amount of each
of the  DVIF  Payments  when  due in  accordance  with  the  Loan  and  Security
Agreement,  in addition to the payments required under this Agreement.  Borrower
agrees that Lender will first deduct from the Lock Box Accounts  payments due to
Lender under this  Agreement,  and then, to the extent that there are sufficient
funds  remaining,  deduct the DVIF Payments and remit such payments to DVIF. Any
funds  remaining in the deposit  accounts after all such payments have been made
shall be remitted to Borrower as provided in Section 2.6(a).

     Section 2.7. Term of Agreement;  Prepayment.  The Term of this Agreement is
two (2) years from the  Effective  Date and is  non-cancelable.  This  Agreement
shall be renewed for  consecutive  one (1) year terms  unless this  Agreement is
terminated,  effective as of the last day of a term, by written notice by Lender
or Borrower no later than thirty (30) days before the  expiration  of such term.
All of Lender's  obligations,  responsibilities  and duties shall cease upon the
date of termination of this Agreement, except for its obligation to remit excess
receipts from the lock box deposit accounts in accordance with the terms of this
Agreement.

     Section 2.8 Lender's Fee. Upon execution  hereof,  Lender shall be entitled
to an origination fee equal to one percent (1.0%) of the Commitment Amount, less
$25,000.00  currently on deposit.  Increases to the Commitment Amount during the
term  will be  charged  on the  incremental  increase  at the  same  origination
percentage.  On or before the first day of each month  following  the  Effective
Date,  Borrower shall pay Lender a monthly  maintenance fee of Two Thousand Five
Hundred and 00/100 Dollars ($2,500.00). On or before the first day of each month
following the Effective  Date,  Borrower shall pay Lender an unutilized loan fee
of  equal  to one  half of one  percent  (.5%)  of the  difference  between  the
Commitment  Amount and the average  outstanding  Loan amount as of the  previous
month.  Lender's  fees  will be  deducted,  when  due,  directly  from  receipts
deposited in accordance with Section 2.6.

     Section 2.9 Interest on the Loans.  All Advances shall bear interest on the
unpaid  principal  amount  thereof  from the date made  until  paid in full at a
fluctuating  rate equal to the Prime Rate plus two and one half percent  (2.5%).
Interest shall be payable  monthly in arrears on the first day of each month for
the preceding month.  Interest shall be calculated on the basis of a year of 360
days, but for the actual number of days elapsed.  Interest  accrued but not paid
pursuant  to Section  2.6 shall be treated as an Advance if not  otherwise  paid
within five (5) days of the end of the month in which it accrues.

     Section 2.10  Conditions  to the Closing.  Lender's  obligation to make the
initial   Advance   hereunder  on  the  Closing  Date  is  subject  to  Lender's
determination  that  Borrower as of the date of the Advance has  satisfied,  and
continues to satisfy, the following conditions:

     (a) The  representations  and warranties set forth in this Agreement and in
the other Loan Documents  shall be true and correct on and as of the date hereof
and shall be true and correct in all  material  respects as of the Closing  Date
and  Borrower  shall  have  performed  all  obligations  which were to have been
performed by it hereunder.

     (b) Borrower shall have executed and delivered to Lender (or shall cause to
be executed and delivered to Lender by the appropriate Persons) the following:

                       (i)  this Agreement;

                      (ii)  the Note;

                     (iii)  UCC-1 Financing Statements with Borrower and Clinic,
as applicable, as Debtors thereunder;

                      (iv)  UCC Assignments showing Lender as assignee under the
UCC-1 Financing Statements filed by Borrower, as  Secured Party, and  Clinic, as
Debtor;

                       (v)  UCC  Assignments  showing  Lender  as assignee under
the UCC-1 Financing  Statements  filed by  Borrower, as  Purchaser  of  accounts
and  Clinic as seller thereof;

                      (vi)  the Lock Box Agreement;

                     (vii)  Payor redirect letters;

                    (viii) pay-off letters, UCC Termination  Statements and Lien
Releases as required to grant Lender a first  priority  security  interest other
than  Permitted  Liens in  Collateral  pledged as security for  repayment of the
Loan;

                      (ix)  certified  copies  of  resolutions  of the  Board of
Directors  of  Borrower  authorizing   the   execution   and  delivery  of  Loan
Documents  to be  executed  by Borrower;

                       (x)  copies of the  Articles of Incorporation of Borrower
certified by the Secretary of State of the applicable issuing state;

                      (xi)  a certificate from an officer of Borrower indicating
that the representations and warranties contained herein are true and correct as
of the Closing Date;

                     (xii)  the Loan and Security Agreement;

                    (xiii)  the  Collateral  Assignment  and  Security  Interest
agreement along with the original  Promissory Notes and Security  Agreements and
endorsement of such Promissory  Notes, and the original Lease Agreements and the
Acknowledgment thereto executed by the Clinic; and

                     (xiv)  the Security Agreement.

               (c) Neither an Event of Default nor an  Unmatured  Default  shall
have occurred and be continuing as of the Closing Date,

               (d) Borrower or Clinic shall not have suffered a material adverse
change in its business, operations or financial condition from that reflected in
the Financial Statements of Borrower or Clinic delivered to Lender or otherwise.

               (e)  Lender  shall  have  received  such  additional   supporting
documents,  certificates and assurances as Lender shall reasonably request which
shall be satisfactory to Lender in form and substance.

     Section 2.11. If there is more than one Borrower, the obligations hereunder
are joint and several  obligations of the Borrowers.  Notwithstanding  any other
provision  hereof, a Borrower's  liability for the obligations at any time shall
not  exceed  the  greater  of (1)  the  sum of (a) the  total  principal  of the
obligations  that such  Borrower  directly or  indirectly  received  and (b) the
interest  and  expenses  accrued  with  respect to such  principal,  and (2) the
greater of (a)  ninety-five  percent (95%) of such  Borrower's Net Fair Value on
the date hereof, or (b) ninety-five percent (95%) of such Borrower's highest Net
Fair Value during the period  commencing  after such date and terminating on the
date of determination of liability hereunder.

     Section 2.12. Borrower Authorizations.  Each Borrower, in its capacity as a
guarantor  of the  Obligations  hereunder  and not in its capacity as a borrower
hereunder, authorizes Lender, without notice or demand and without affecting its
liability hereunder, from time to time to (a) renew, extend, or otherwise change
the terms hereof;  (b) take and hold security for the payment of the Obligations
hereunder,  and exchange,  enforce, waive and release any such security; and (c)
apply such security and direct the order or manner of sale thereof as Lender, in
its sole discretion, may determine.

     Section  2.13.  Borrower  Waivers.  Each  Borrower,  in its  capacity  as a
guarantor  of the  Obligations  hereunder  and not in its capacity as a borrower
hereunder,  waives any right to require  Lender to (a) proceed  against  another
Borrower;  (b)  proceed  against  or  exhaust  any  security  held from  another
Borrower;  or (c) pursue any other remedy in Lender's power.  Lender may, at its
election, exercise or decline or fail to exercise any right or remedy it



     may  have  against  another  Borrower  or  any  security  held  by  Lender,
including,  without limitation, the right to foreclose upon any such security by
judicial or  nonjudicial  sale,  without  affecting  or impairing in any way the
Borrower's  guarantor liability with respect to the Obligations.  Each Borrower,
in its  capacity  as a guarantor  of the  Obligations  hereunder  and not in its
capacity as a borrower  hereunder,  waives any defense  arising by reason of any
disability  or other  defense of another  Borrower or by reason of the cessation
from any cause whatsoever of another  Borrower's  liability for the Obligations.
Each Borrower,  in its capacity as a guarantor of the Obligations  hereunder and
not in its capacity as a borrower hereunder,  waives (I); any setoff, defense or
counterclaim  that it may have against  Lender,  (ii) any defense arising out of
the absence,  impairment or loss of any right of reimbursement or subrogation or
any other rights against another Borrower,  (iii) all presentments,  demands for
performance, notices of nonperformance, protests, notices of protest, notices of
dishonor,  and  notices  of  acceptance  of  such  Borrower's  guaranty  of  the
Obligations  and of the existence,  creation,  or incurring of new or additional
indebtedness,  and (iv) any right to  terminate  its  liability  with respect to
another Borrower's liability,  and (v) any defense to its liability with respect
to another Borrower's  liability for the Obligations based on (A) any changes to
this Agreement, (B) any impairment or suspension of Lender's rights and remedies
against such other  Borrower,  (C) any  obligations  of Lender to proceed  first
against  such other  Borrower or any of such other  Borrower's  assets,  (D) any
obligation  of  Lender  to  marshall  Collateral  or other  assets,  (E) any law
providing that a guarantor's obligations to a lender may not be greater than the
obligations of the principal  debtor whose  obligations are guaranteed,  and (F)
any law  providing  that a guarantor is released from  liability for  guaranteed
obligations  to the  extent  that the  principal  debtor is not  liable for such
obligations.  Each  Borrower  assumes the  responsibility  for being and keeping
itself  informed of the  financial  condition of the other  Borrowers and of all
other  circumstances  bearing  upon the risk of  nonpayment  of any  Obligations
hereunder,  warrants  to Lender that it will keep so  informed,  and agrees that
absent a request for particular  information by it, Lender shall have no duty to
advise it of  information  known to Lender  regarding such condition or any such
circumstances.

                                    SECTION 3

                                SECURITY INTEREST
     Section 3.1 Grant of Security  Interest.  In order to secure prompt payment
and  performance  of  all  Obligations,  Borrower  hereby  grants  to  Lender  a
continuing first-priority pledge and security interest all of Borrower's present
and  future  Accounts,  contract  rights,  including,  but not  limited  to, the
Services Agreements,  Promissory Notes, and Security  Agreements,  and equipment
Lease  Agreements  listed on Exhibit C which is attached  hereto and made a part
hereof (the  "Collateral"),  whether now owned or existing or hereafter acquired
or arising and  regardless of where  located,  subject only to Permitted  Liens.
This security interest in the Collateral shall attach to all Collateral  without
further  action on the part of  Lender  or  Borrower.  The  Collateral  shall be
subject in each case only to  Permitted  Liens  together  with such  third-party
consents,  lien waivers and  estoppel  certificates  as Lender shall  reasonably
require.

     The Collateral,  as defined in the Loan and Security  Agreement dated as of
the date  hereof,  shall also  secure all  Obligations  of  Borrower  under this
Agreement.

                                    SECTION 4

                            SPECIFIC REPRESENTATIONS

     Section 4.1. Name of Borrower

     (a) The exact name of Borrower is (See Exhibit D attached hereto and made a
part hereof). Borrower was organized under the laws of the State of (See Exhibit
D attached  hereto and made a part hereof.  The following are all previous legal
names  of  Borrower:  Male  Sexual  Health  Resources,  Inc.  Borrower  uses the
following  trade names:  None.  The  following are all other trade names used by
Borrower in the past: None.

     Section 4.2 Mergers and  Consolidations.  Except as  disclosed  on Schedule
4.2,  no entity  has  merged  into any of  Borrower  or been  consolidated  with
Borrower.

     Sections  4.3  Purchase of Assets.  Except as  disclosed on Schedule 4.3 no
entity has sold  substantially  all of its assets to  Borrower or sold assets to
Borrower  outside the ordinary  course of such seller's  business at any time in
the past.



     Section 4.4 Change of Name of Identity. Borrower shall not change its name,
business   structure  or  identity  or  use  a  new  trade  name  without  prior
notification to Lender or merge into or consolidate with any other entity.

                                    SECTION 5

                         PROVISIONS CONCERNING ACCOUNTS

     Section  5.1 Office and Records of  Borrower.  Borrower's  chief  executive
offices are located at: (See Exhibit E attached  hereto and made a part hereof.)
Borrower maintains all of its records with respect to Accounts at (See Exhibit E
attached hereto and made a part hereof.) Borrower has not at any time within the
past four (4) months  maintained its chief executive  office or its records with
respect to Accounts at any other  location and shall not do so hereafter  except
with the prior written consent of Lender.

     Section 5.2  Representations.  Borrower  represents  and warrants that each
Account  at the time of its  assignment  to Lender  (a) will be owned  solely by
Borrower or Clinic, as applicable;  (b) will be for a liquidated amount maturing
as stated in Borrower's Books or Clinic's books and records, as applicable;  (c)
will be a bona fide existing  obligation created by the rendition of services to
Account  Debtors or their insured by Borrower or Clinic,  as applicable,  in the
ordinary  course  of its  business;  and (d) will not be  subject  to any  known
deduction, offset, counterclaim, return privilege, or other condition, except as
reflected on  Borrower's  Books or Clinic's  books and records,  as  applicable.
Borrower  shall neither  redate any invoices nor reissue new invoices in full or
partial  satisfaction of old invoices.  Allowances,  if any, as between Borrower
and its  customers  will be on the same basis and in  accordance  with the usual
customary practices of Borrower as they exist on the date of this Agreement.

     Section 5.3 Returns and Repossessions.  Borrower shall notify Lender within
five (5) business days of occurrence of all material  claims asserted by Account
Debtors.

     Section  5.4  Borrowing  Base  Reports.  Borrower  shall on a weekly  basis
execute and deliver to Lender, in form and content satisfactory to Lender, (i) a
Borrowing  Base  report;  (ii) a summary by payor class aging of  Accounts;  and
(iii) a charges,  collections  and  adjustment  summary  for the week.  Borrower
shall,  upon the  request  of Lender  execute  and  deliver to Lender an updated
Borrowing Base report reflecting  additional  billings,  write-offs and deposits
and all of Borrower's accounts receivable data in a computer disc or tape format
acceptable to Lender. On a monthly basis, and no later than the 10th day of each
month,  Borrower  shall submit to Lender (i) a month-end  Borrowing Base Report,
(ii) a  detailed  accounts  receivable  aging  report  as of the last day of the
preceding  month,  (iii) charges,  collections and  adjustments  summary for the
preceding  month,  and  (iv)  a  payor  concentration  schedule.   Lender  shall
periodically  review Borrower's and Clinic's actual adjustments to cash receipts
and write-offs,  as well as Borrower's and Clinic's payor profile. To the extent
Borrower's and Clinic's  adjustments,  write-offs  and payor profile  materially
changes,  Lender  may,  in its  sole  discretion,  change  the  Net  Collectible
Percentage attributable to each type of account by written notice to Borrower of
such change.

     Section 5.5.  Compliance  Certificate.  With each final month-end Borrowing
Base report which  Borrower  delivers to Lender,  Borrower also shall deliver to
Lender a  Compliance  Certificate  in the form of Exhibit 5.5  attached  hereto,
which  Compliance  Certificate  shall be  completed  and signed by an officer of
Borrower.

     Section 5.6  Lender's  Rights.   Any  officer,  employee or agent of Lender
shall have the right, at any time or times  hereafter,  in the name of Lender or
its nominee (including  Borrower or Clinic),  to verify the validity,  amount or
any other matter relating to any Accounts by mail,  telephone or otherwise;  and
all reasonable costs thereof shall be payable by Borrower to Lender.  Lender, or
its  designee  may at any  time  after  default  by  Borrower  hereunder  notify
customers or Account  Debtors that  Accounts  have been assigned to Lender or of
Lender's  security  interest  therein and after  default by  Borrower  hereunder
collect  the same  directly  and  charge  all  reasonable  collection  costs and
expenses to Borrower's account.

     Section 5.7 Disclaimer of Liability. Lender shall not be liable to Borrower
or any  third  person  for  the  correctness,  validity  or  genuineness  of any
instruments or documents released or endorsed to Borrower by Lender (which shall
automatically  be deemed to be without  recourse  to Lender in any event) or for
the existence, character, quantity, quality, condition, value or delivery of any
goods  purporting  to be  represented  by any such  documents;  and  Lender,  by
accepting a Lien on the  Collateral or by releasing any  Collateral to Borrower,
shall not be deemed to have



assumed any  obligation  or liability to any supplier or creditor of Borrower or
to any other third party.  Borrower  agrees to indemnify  and defend  Lender and
hold it harmless in respect to any claim or proceeding arising out of any matter
referred to in this Section 5.7.

     Section 5.8 Post Default Rights. If an Event of Default has occurred and is
continuing  hereunder,  no  discount,  credit or  allowance  shall be granted or
permitted  by  Borrower  to  any  Account  Debtor;   provided,   however,  that,
notwithstanding the existence of an Event of Default,  (i) Borrower may continue
to invoice  and bill  Account  Debtors  under  discount,  credit  and  allowance
arrangements  that Borrower  maintained in the ordinary course of business prior
to such Event of Default  occurring,  and (ii) Account  Debtors may,  during the
continuance  of an Event of  Default,  utilize  discount,  credit and  allowance
arrangements  that Borrower extended to them in the ordinary course of business.
Lender may,  after  default by  Borrower,  settle or adjust  disputes and claims
directly with Account  Debtors for amounts and upon terms that Lender  considers
advisable,  and in such cases,  Lender will credit Borrower's  account with only
the net amounts received by Lender in payment of such disputed  Accounts,  after
deducting all Lender Expenses incurred in connection therewith.

     Section 5.9 Accounts  Owed by Federal   Government.  If any Accounts  shall
arise out of a  contract  with the United  States of America or any  department,
agency,  subdivision or instrumentality thereof,  Borrower shall promptly notify
Lender  thereof  in writing  and take all other  action  requested  by Lender to
protect  Lender's Lien on such Accounts under the provisions of the federal laws
on assignment of claims.

     Section 5.10 Business Activity  Reports.  Borrower has filed and shall file
all legally required notices and reports of its business activities with all the
appropriate  taxing  authorities and the appropriate  Governmental  Authority of
each jurisdiction in which Borrower is legally required to file such a notice or
report.

                                    SECTION 6

                         PROVISIONS CONCERNING CONTRACTS

     Section 6.1. Contracts

               (a)    Schedule 6.1. is a true and complete list  of all material
contracts and agreements to which Borrower  is a party.

               (b) Borrower  shall not amend,  modify or supplement any contract
or agreement  included in the  Collateral or waive any  provision  thereof other
than in accordance with Borrower's  standard business  practice,  nor shall such
standard business practice be materially changed without Lender's consent, which
shall not be unreasonably withheld.

               (c) Borrower shall remain liable to perform all of its duties and
obligations under any contracts and agreements included in the Collateral to the
same extent as if this  Agreement  had not been  executed;  and Lender shall not
have any  obligation or liability  under such contracts and agreements by reason
of this Agreement or otherwise.

               (d)  Borrower  need not pay any amount due under any  contract or
agreement  listed on Schedule  6.1, nor  otherwise  perform any action  required
under  the  terms  of any  such  contract  or  agreement,  if  such  payment  or
performance is being contested in good faith by appropriate proceedings promptly
initiated  and  diligently  conducted,  if Lender is notified in advance of such
contest, and if Borrower establishes any reserve or other appropriate  provision
required by GAAP and deposits with Lender cash or an acceptable  bond reasonably
requested by Lender.

                                    SECTION 7

                     OTHER PROVISIONS CONCERNING COLLATERAL

     Section  7.1  Further  Assurances.  Borrower  shall  execute and deliver to
Lender,  or cause  Clinic to execute  and  deliver to  Lender,  concurrent  with
Borrower's execution of this Agreement and at any time or times hereafter at the
request of Lender, all financing statements,  continuation financing statements,
security   agreements,   chattel   mortgages,   assignments,   endorsements   of
certificates of title, applications  for titles,  affidavits, reports,  notices,


schedules of Accounts,  letters of authority and all other documents  Lender may
reasonably  request,  in form  satisfactory  to Lender,  to perfect and maintain
perfected  Lender's Liens in the Collateral and in order to consummate fully all
of the  transactions  contemplated  under the Loan  Documents.  Borrower  hereby
irrevocably  makes,  constitutes  and  appoints  Lender  (and  any  of  Lender's
officers,  employees  or agents  designated  by Lender) as  Borrower's  true and
lawful  attorney  with  power  to  sign  the  name  of  Borrower  on  any of the
above-described  documents  or on any other  similar  documents  that need to be
executed,  recorded  or filed in order to perfect or  continue  to be  perfected
Lender's Liens in the Collateral.

     Section 7.2 Lender's  Duty of Care.  Lender shall have no duty of care with
respect to the Collateral except that Lender shall exercise reasonable care with
respect to the  Collateral in Lender's  custody.  Lender shall be deemed to have
exercised  reasonable care if such property is accorded treatment  substantially
equal to that which  Lender  accords its own  property  or if Lender  takes such
action with respect to the  Collateral as Borrower  shall request or agree to in
writing  provided  that neither  failure to comply with any such request nor any
omission to do any such act  requested by Borrower  shall be deemed a failure to
exercise  reasonable  care.  Lender's  failure to take steps to preserve  rights
against any  parties or  property  shall not be deemed to be failure to exercise
reasonable  care with respect to the Collateral in Lender's  custody.  All risk,
loss, damage or destruction of the Collateral shall be borne by Borrower.

     Section 7.3  Reinstatement  of Liens. If, at any time after payment in full
by Borrower of all Obligations  and termination of Lender's Liens,  any payments
on Obligations previously made by Borrower or any other Person must be disgorged
by  Lender  for  any  reason  whatsoever  (including,  without  limitation,  the
insolvency,  bankruptcy,  or  reorganization  of Borrower or such other Person),
this  Agreement and Lender's Liens granted  hereunder  shall be reinstated as to
all disgorged  payments as though such payments had not been made,  and Borrower
shall sign and  deliver to Lender all  documents  and other items  necessary  to
perfect all terminated Liens.

     Section 7.4 Lender  Expenses.  If Borrower  fails, as required by the terms
hereof, (i) to pay any moneys (whether taxes, assessments, insurance premiums or
otherwise)  due to third  persons  or  entities,  (ii) to make any  deposits  or
furnish any required  proof of payment or deposit or (iii) to discharge any Lien
not permitted  hereby,  then Lender may, to the extent that it  determines  that
such  failure  by  Borrower  could have a material  adverse  effect on  Lender's
interests  in the  Collateral,  in its  discretion  and without  prior notice to
Borrower,  make  payment of the same or any part  thereof.  Any amounts  paid or
deposited by Lender shall constitute  Lender Expenses,  shall become part of the
Obligations,  shall bear  interest  at the rate of  eighteen  percent  (18%) per
annum, and shall be secured by the Collateral. Any payments made by Lender shall
not constitute (a) an agreement by Lender to make similar payments in the future
or (b) a waiver by Lender of any Event of Default under this  Agreement.  Lender
need not  inquire as to, or contest  the  validity  of, any such  expense,  tax,
security  interest,  encumbrance  or Lien and the receipt of the usual  official
notice for the payment of moneys to a  governmental  entity shall be  conclusive
evidence that the same was validly due and owing.

     Borrower shall immediately and without demand reimburse Lender for all sums
expended  by  Lender  that  constitute  Lender  Expenses,  and  Borrower  hereby
authorizes   and  approves  all  advances  and  payments  by  Lender  for  items
constituting Lender Expenses.

     Section 7.5  Inspection of Records.  During usual  business  hours,  Lender
shall have the right to inspect  Borrower's Books and records in order to verify
the amount or condition of, or any other matter  relating to, the Collateral and
Borrower's financial condition and to copy and make extracts therefrom. Borrower
waives the right to assert a confidential relationship, if any, it may have with
any  accounting  firm or  service  bureau  in  connection  with any  information
requested  by Lender  pursuant  to this  Agreement  and agrees  that  Lender may
directly  contact any such  accounting firm or service bureau in order to obtain
such information.

     Section 7.6 Waivers.  Except as specifically provided for herein, Borrower
waives demand, protest, notice of protest, notice of default or dishonor, notice
of payment  and  nonpayment,  notice of any  default,  nonpayment  at  maturity,
release, compromise,  settlement,  extension or renewal of any or all commercial
paper,  accounts,  documents,  instruments,  chattel paper and guaranties at any
time held by Lender on which Borrower may in any way be liable.

                                    SECTION 8

                         REPRESENTATIONS AND WARRANTIES

     As of the date hereof Borrower hereby warrants and represents to Lender the
following:


     Section 8.1.  Corporate  Status Borrower is a corporation  validly existing
and in good standing  under the laws of the state of its  incorporation;  and is
qualified  and licensed to do business  and is in good  standing in any state in
which the conduct of its business or its ownership of property  requires that it
be so qualified  or licensed,  and has the power and  authority  (corporate  and
otherwise) to execute and carry out the terms of the Loan  Documents to which it
is a  party,  to own its  assets  and to  carry  on its  business  as  currently
conducted.

     Section 8.2.  Authorization  The execution,  delivery,  and  performance by
Borrower of this  Agreement  and each other Loan Document to which it is a party
have been duly  authorized by all  necessary  corporate or  partnership  action.
Borrower,  has duly  executed and delivered  this  Agreement and each other Loan
Document  to which  it is a party,  and  each of them  constitutes  a valid  and
binding  obligation of Borrower,  as  applicable,  enforceable  according to its
terms except as such  enforceability may be limited by equitable  principles and
by  bankruptcy,  insolvency  or similar laws  affecting  the rights of creditors
generally.

     Section 8.3. No Breach The execution,  delivery and performance by Borrower
of this  Agreement  and each other Loan Document to which it is a party (a) will
not contravene any law or any governmental  rule or order binding on Collateral;
(b) will not violate any provision of the articles of  incorporation,  bylaws or
partnership  agreement,  as  applicable,  of Borrower;  (c) will not violate any
agreement or instrument by which Borrower,  as applicable,  is bound; (d) do not
require any notice to consent by any  Governmental  Authority;  and (e) will not
result in the  creation of a Lien on any assets of  Borrower  except the Lien to
Lender granted herein.

     Section 8.4. Taxes All  assessments  and taxes,  whether real,  personal or
otherwise,  due or payable by or imposed, levied or assessed against Borrower or
any of its  property  have been paid in full  before  delinquency  or before the
expiration of any extension period; and Borrower has made due and timely payment
or deposit of all federal, state, and local taxes,  assessments or contributions
required  of it by law,  except  only  for  items  that  Borrower  is  currently
contesting  diligently  and in good faith and that have been fully  disclosed in
writing to Lender.

     Section  8.5.  Deferred  Compensation  Plan  Borrower has made all required
contributions  to all  deferred  compensation  plans to which it is  required to
contribute,  and  Borrower has no  liability  for any  unfunded  benefits of any
single-employer or multi-employer plans. Borrower is not and at no time has been
a sponsor of,  provided,  or maintained  for any  employees any defined  benefit
plan.

     Section 8.6. Litigation and Proceedings Except as set forth on Schedule 8.6
attached hereto,  there are no outstanding  judgments against Borrower or any of
its  assets  and there are no  actions  or  proceedings  pending  by or  against
Borrower before any court or administrative agency. Borrower has no knowledge or
belief  of  any  pending,  threatened,  or  imminent  litigation,   governmental
investigations,  or  claims,  complaints,  actions,  or  prosecutions  involving
Borrower,  except  for  ongoing  collection  matters  in which  Borrower  is the
plaintiff and except as set forth in Schedule 8.6 hereto.

     Section 8.7. Business Borrower has all franchises, authorizations, patents,
trademarks,  copyrights and other rights necessary to advantageously conduct its
business.  They are all in full force and  effect and are not in known  conflict
with  the  rights  of  others.  Borrower  is not a party  to or  subject  to any
agreement or restriction  that is so unusual or burdensome  that it might have a
material adverse effect on Borrower's business, properties or prospects.

     Section  8.8.  Laws  and  Agreements  Borrower  is in  compliance  with all
material agreements applicable to it, including obligations to contribute to any
employee  benefit  plan or  pension  plan  regulated  by ERISA.  Borrower  is in
material compliance with all laws applicable to it.

     Section 8.9.  Ownership of Accounts  Prior to the Lender making any Loan as
set forth  herein,  the  Borrower  will be the sole  owner of, and have good and
marketable title to the Accounts pledged as security for such Loan.

     Section  8.10. No  Conflict  The  granting  of a security  interest  in the
pledged  Accounts  of  Borrower  to the  Lender  will not  violate  the terms or
provisions  of any loan  document or any other  agreement  to which the Borrower
then is a party or by which it is bound.

     Section  8.11.  Security   Interest   After  giving  effect  to  each  Loan
contemplated by this Agreement,



the  Lender  will be the holder of a valid  perfected  first  priority  security
interest in the pledged  Accounts.  Accounts pledged to the Lender in connection
with any Loan will be free and clear of all liens.

     Section 8.12. No Defaults  As of the date on which an Account is pledged to
the Lender  pursuant to the terms hereof there shall have been no default  under
such Account.

     Section 8.13.  Origination  Each Account will have been  originated  by the
Borrower or Clinic,  as  applicable,  in the ordinary  course of its business in
accordance  with the  Borrower's  or Clinic's,  as  applicable,  regular  credit
approval  process  and does  not  contravene  any  laws,  rules  or  regulations
applicable  thereto.  No pledged  Account  will have been  selected on any basis
which would have any adverse effect on the Lender.

     Section 8.14. Legality  No pledged Account will have been originated in, or
be  subject  to the laws of,  any  jurisdiction  whose laws would make the terms
hereof or any transaction contemplated hereby unlawful.

     Section 8.15. Consents  No consent or approval is required for the pledging
of any Accounts to the Lender  pursuant to the terms of this  Agreement,  except
for such consents or approvals as have been obtained.

     Section 8.16. Financial Condition  All financial statements and information
relating to Borrower that have been or may hereafter be delivered by Borrower to
Lender are accurate and complete and have been prepared in accordance with GAAP.
Borrower has no material obligations or liabilities of any kind not disclosed in
that financial information, and there has been no material adverse change in the
financial  condition  of Borrower  since the date of the most  recent  financial
statements submitted to Lender.

     Section 8.17. Health Care Laws

               (a)  Borrower  has  obtained  all  permits,  licenses  and  other
authorizations  that are required under Health Care Laws  applicable to Borrower
and, to the best of  Borrower's  knowledge,  it is in compliance in all material
respects  with all terms and  conditions of the required  permits,  licenses and
authorizations,  and is also in  compliance  in all material  respects  with all
other   limitations,    restrictions,   conditions,   standards,   prohibitions,
requirements,  obligations,  schedules and  timetables  contained in such Health
Care Laws.

               (b) Except as shown in  Schedule  8.6,  Borrower is not aware of,
and has not received notice of, any past, present or future events,  conditions,
circumstances,  activities,  practices,  incidents,  actions  or plans  that may
interfere  with or prevent  compliance  or continued  compliance in any material
respect with Health Care Laws.

               (c) Except as shown in Schedule 8.6, There is no civil,  criminal
or administrative action, suit, demand, claim, hearing, notice or demand letter,
notice of violation,  investigation or proceeding  pending or threatened against
Borrower, relating in any way to Health Care Laws.

     Section 8.18. Cumulative Representation The warranties, representations and
agreements  set forth herein shall be cumulative  and in addition to any and all
other  warranties,  representations  and agreements that Borrower shall give, or
cause to be given, to Lender, either now or hereafter.



                                    SECTION 9

                                    COVENANTS

     Section 9.1.  Encumbrance of Collateral  Borrower shall not create,  incur,
assume  or permit to exist  any Lien on any  Collateral  now owned or  hereafter
acquired by Borrower, except for Liens to Lender and Permitted Liens.

     Section 9.2. Business  Borrower shall  engage  primarily in business of the
same general character as that now conducted by Borrower.

     Section 9.3.  Condition and Repair  Borrower  shall maintain in good repair
and working  order all  properties  used in its  business  and from time to time
shall make all appropriate repairs and replacements thereof.

     Section  9.4. Borrower   shall  pay  all  taxes,   assessments   and  other
governmental  charges  imposed upon it or any of its assets or in respect of any
of its  franchises,  business,  income or profits before any penalty or interest
accrues  thereon,  and all claims  (including,  without  limitation,  claims for
labor,  services,  materials  and  supplies)  for sums that have  become due and
payable  and that by law have or might  become a Lien or charge  upon any of its
assets,  provided  that  (unless any  material  item or property  would be lost,
forfeited or  materially  impaired as a result  thereof) no such charge or claim
need be paid if it is being  contested in good faith by appropriate  proceedings
promptly initiated and diligently conducted, if Lender is notified in advance of
such  contest,  and if Borrower  establishes  any  reserve or other  appropriate
provision required by GAAP. Borrower shall make timely payment or deposit of all
FICA payments and withholding  taxes required of it by applicable laws and will,
upon request,  furnish Lender with proof  satisfactory to Lender indicating that
Borrower has made such payments or deposits.

     Section  9.5. Accounting  System  Borrower  at all  times  hereafter  shall
maintain a standard and modern system of  accounting  in  accordance  with GAAP,
with ledger and account cards or computer  tapes,  disks,  printouts and records
that contain information pertaining to the Collateral that may from time to time
be  requested  by  Lender.  Borrower  shall not  modify or change  its method of
accounting or enter into any agreement hereafter with any third-party accounting
firm or service bureau for the  preparation or storage of Borrower's  accounting
records without said accounting  firm's or service bureau's  agreeing to provide
to  Lender  information   regarding  the  Collateral  and  Borrower's  financial
condition.

     Section 9.6. Quarterly Financial Statements   Borrower shall furnish Lender
as soon as practicable but in no event later than forty-five (45) days after the
end of each of the first three quarterly fiscal periods of each fiscal year with
unaudited  quarterly  financial  statements in form and substance as required by
Lender,  including a balance sheet, an income  statement and a statement of cash
flows,  prepared in accordance with GAAP together with a certificate executed by
the chief financial  officer of Borrower  stating that the financial  statements
fairly  present the  financial  condition of Borrower as of the date and for the
periods covered and that as of the date of such  certificate  there has not been
any violation of any  provision of this  Agreement or the happening of any Event
of Default or Unmatured Default hereunder.

     Section 9.7. Annual Financial Statements.  Borrower shall furnish Lender as
soon as practicable  but in no event later than ninety (90) days after the close
of each fiscal year with audited annual  financial  statements,  which financial
statements  shall be prepared  in  accordance  with GAAP and shall be  certified
without  qualification  by  an  independent  certified  public  accounting  firm
satisfactory  to  Lender.  With all  financial  statements,  Borrower  will also
deliver a certificate of its chief financial  officer attesting that no Event of
Default or Unmatured Default under the Agreement has occurred and is continuing.

     Section 9.8. Cash Flow Borrower's  Cash Flow  Percentage  shall not be less
than 15 percent (15%) for two (2) consecutive reporting periods.

     Section 9.9. Further Information Borrower shall promptly supply Lender with
such other information  concerning its affairs as Lender may reasonably  request
from time to time  hereafter  and shall  promptly  notify Lender of any material
adverse change in Borrower's financial condition and any condition or event that
constitutes a breach of or event that constitutes an Event of Default under this
Agreement. In addition, Borrower



authorizes Lender to contact credit reporting  agencies  concerning,  Borrower's
credit standing.  Borrower also authorizes Lender to utilize  Borrower's name in
Lender's marketing materials.

     Section 9.10.  ERISA  Covenants  Borrower  shall comply with all applicable
provisions of ERISA and all other laws  applicable to any deferred  compensation
plans with which Borrower is associated, and shall promptly notify Lender of the
occurrence of any event that could result in any material  liability of Borrower
to any person whatsoever with respect to any such plan.

     Section  9.11.  Restrictions  on  Merger,  Consolidation,  Sale of  Assets,
Issuance of Stock, etc Without prior written consent of Lender,  which shall not
be unreasonably withheld, Borrower shall not:

               (a)    merge or consolidate with any Person;

               (b)  sell,  lease  or  otherwise  dispose  of its  assets  in any
transaction or series of related  transactions (other than sales in the ordinary
course of business);

               (c)  liquidate,   dissolve  or  effect  a   recapitalization   or
reorganization in any form of transaction;

               (d) acquire  interests  of any  business in excess of Two Hundred
Fifty Thousand  Dollars  ($250,000.00)  in the aggregate in any calendar year in
any  business  (whether  by purchase  of assets,  purchase  of stock,  merger or
otherwise);

               (e) become  subject to any agreement or  instrument  which by its
terms  would  restrict  Borrower's  right  or  ability  to  perform  any  of its
obligations to Lender pursuant to the terms of the Loan Documents; or

               (f) authorize or issue any additional stock or equity interest of
any Borrower, other than Integrated Medical Resources, Inc..

     Section 9.12. Health Care Covenants

               (a)  Borrower  shall comply in all material  respects  with,  and
shall  obtain  all  permits  required  by, all Health  Care Laws  applicable  to
Borrower.

               (b)  Borrower  shall  promptly  furnish  to  Lender a copy of any
communication from any Governmental  Authority concerning any possible violation
of any Health Care Laws or any occurrence of which Borrower would be required to
notify any Governmental Authority with jurisdiction over Health Care Laws.

     Section 9.13. Borrower shall not make any  Distributions  except as (i) set
forth on Schedule 9.13 hereto,  and (ii)  authorized by Lender,  upon Borrower's
request,  which  authorization  shall  not be  unreasonably  withheld  and which
authorization  shall not be deemed to authorize any Distributions while an Event
of Default is continuing or if such Distribution would cause an Event of Default
to occur.

     Section 9.14. Subordinate Obligations Borrower shall not voluntarily prepay
any principal  (including the making of any sinking fund  payment),  interest or
any other amount in respect of Subordinate Obligations.

     Section  9.15.  Amendments  Borrower  shall not amend any  provision of any
Subordinate   Obligation  if  such  amendment   would  (i)  affect  any  of  the
subordination  provisions thereof, (ii) advance the date of any required payment
or prepayment  thereunder,  (iii) make covenants  therein more burdensome,  when
considered  in their  entirety,  to  Borrower,  (iv) reduce any default or grace
period therein provided,  or (v) otherwise have a material adverse effect on the
interests of Lender.



                                   SECTION 10

                                EVENTS OF DEFAULT

               An  Event  of  Default  shall  be  deemed  to exist if any of the
following events shall have occurred and be continuing:

               (a)  Borrower  fails to make any payment of principal or interest
or any other payment on the Note or any other  Obligation  when due and payable,
by  acceleration  or  otherwise,  and such failure  shall  continue for five (5)
business days after the payment is due; provided, however, that Lender shall not
be obligated to make any Advances during such 5-day cure period;

               (b)  Borrower  or  Clinic,  as  applicable,  fails to  observe or
perform any  covenant,  condition  or  agreement  to be  observed  or  performed
pursuant to the terms  hereof or any other Loan  Document to which it is a party
and such failure is not cured as soon as reasonably practicable and in any event
within  thirty  (30) days after  written  notice  thereof  by Lender;  provided,
however,  that Lender shall not be  obligated  to make any Advances  during such
cure period;

               (c) A court  enters a decree or order for  relief in  respect  of
Borrower or Clinic,  as applicable,  in an involuntary case under any applicable
bankruptcy,  insolvency,  or other  similar  law then in effect,  or  appoints a
receiver,  liquidator,  assignee,  custodian, trustee, or sequestrator (or other
similar official) of Borrower or Clinic,  as applicable,  or for any substantial
part of its  property,  or orders the windup or  liquidation  of  Borrower's  or
Clinic's,  as applicable,  affairs; or a petition initiating an involuntary case
under any such bankruptcy,  insolvency, or similar law is filed against Borrower
or Clinic and is pending for sixty (60) days without dismissal;

               (d)  Borrower  or Clinic  commences  a  voluntary  case under any
applicable bankruptcy, insolvency or other similar law then in effect, makes any
general  assignment  for the benefit of  creditors,  fails  generally to pay its
debts as such debts become due, or takes corporate  action in furtherance of any
of the foregoing;

               (e)  Final  judgment  for the  payment  of money on any  claim in
excess  of  $100,000  is  rendered   against  Borrower  or  Clinic  and  remains
undischarged  for twenty (20) days during  which  execution  is not  effectively
stayed;

               (f) Any  guarantor  of the  Obligations  revokes or  attempts  to
revoke its  guaranty  of any of the  Obligations,  or becomes  the subject of an
insolvency  proceeding  of the type  described  in clauses (c) or (d) above with
respect to Borrower or fails to observe or perform any  covenant,  condition  or
agreement to be performed under any Loan Document to which it is a party;

               (g)  Borrower  makes any  payment on  account of any  Subordinate
Obligations,  other than  payments  specifically  permitted by the terms of such
subordination or this Agreement;

               (h) Any Person holding any  Subordinate  Obligations  becomes the
subject of any  proceeding  resulting in the  termination  of the  subordination
arrangement,  terminates  the  subordination  arrangement  or asserts that it is
terminated.

               (i) Any  Collateral or any Clinic  Collateral or any part thereof
is sold,  agreed  to be sold,  conveyed  or  allocated  by  operation  of law or
otherwise;

               (j)  Borrower  or  Clinic   defaults   under  the  terms  of  any
Indebtedness or lease involving total payment obligations of Borrower or Clinic,
as  applicable,  in excess of $100,000  and such default is not cured within the
time period permitted  pursuant to the terms and conditions of such Indebtedness
or lease,  or an event  occurs  that gives any  creditor  or lessor the right to
accelerate the maturity of any such indebtedness or lease payments;

               (k) Demand is made for payment of any Indebtedness of Borrower or
Clinic in excess of $100,000  that was not  originally  payable upon demand when
incurred  but the terms of which were later  changed to provide for payment upon
demand;

               (l)  Borrower  or Clinic is  enjoined,  restrained  or in any way
prevented by court order from  continuing to conduct all or any material part of
its business affairs;

               (m) A judgment  or other  claim in excess of  $100,000  becomes a
Lien upon any or all of  Borrower's or Clinic's  assets,  other than a Permitted
Lien;

               (n) A notice of Lien, levy or assessment in excess of $100,000 is
filed of record with  respect to any or all of  Borrower's  assets by the United
States Government, or any department,  agency, or instrumentality thereof, or by
any state, county,  municipal or other Government Authority;  or any tax or debt
owing at any time  hereafter to any one or more of such entities  becomes a Lien
upon any or all of Borrower's or Clinic's assets and the same is not paid on the
payment date thereof,  except to the extent such tax or debt is being  contested
by  Borrower  as  permitted  in  Section  8.4 or by Clinic as  permitted  in the
Security Agreement;

               (o) There is a material impairment of the value of the Collateral
or the Clinic  Collateral or priority of Lender's Liens on the Collateral or the
Clinic Collateral;

               (p) Any of Borrower's or Clinic's assets in excess of $100,000 or
any Collateral or Clinic Collateral are seized, subjected to a distress warrant,
levied upon or come into the possession of any judicial officer;

               (q) Any  representation  or warranty made in writing to Lender by
any  officer  of  Borrower  or  Clinic  in  connection  with  the   transactions
contemplated in this Agreement is materially incorrect when made;

               (r) If the  aggregate  dollar value of all  judgments,  defaults,
demands,  claims and notices of Liens under  clauses (e),  (j), (k), (m) and (n)
hereof exceeds $200,000;

               (s)  Borrower  or Clinic  shall fail to direct all  receipts  for
Accounts to the Lock Box; or

               (t) an Event of Default, as defined in the Term Loan and Security
Agreement.

                                   SECTION 11

                                    REMEDIES

     Section  11.1.  Specific  Remedies  Upon  the  occurrence  of any  Event of
Default:

               (a) Lender may cease  advancing  money or extending  credit to or
for the benefit of Borrower under this Agreement, under any other Loan Document,
or under any other agreement between Borrower and Lender.

               (b) Lender may  declare  all  Obligations  to be due and  payable
immediately,  whereupon they shall  immediately  become due and payable  without
presentment,  demand,  protest  or notice of any kind,  all of which are  hereby
expressly waived by Borrower.

               (c) Lender may set off against the  Obligations all Collateral or
Clinic Collateral,  balances, credits, deposits, accounts, or monies of Borrower
then  or  thereafter  held  with  Lender,   including  amounts   represented  by
certificates of deposit.

               (d) Upon five (5) business  days after an occurrence of any Event
of Default,  Lender may pay,  purchase,  contest or compromise any  encumbrance,
charge or Lien that,  in the opinion of Lender,  appears to be prior or superior
to its Lien and pay all reasonable expenses incurred in connection therewith.

               (e)  Lender  may (i) notify  Account  Debtors to make  payment on
Accounts directly to Lender; (ii) settle,  adjust,  compromise,  extend or renew
Accounts,  whether  before or after legal  proceedings  to collect such Accounts
have commenced; (iii) prepare and file any bankruptcy proofs of claim or similar
documents  against  any  Account  Debtor;  (iv)  prepare  and file  any  notice,
assignment,  satisfaction,  or release of Lien, UCC termination statement or any
similar  document;  (v) sell or assign  Accounts,  individually or in bulk, upon
such  terms,  for  such  amounts,  and at such  time or times  as  Lender  deems
advisable;  and (vi)  complete the  performance  required of Borrower  under any

contract  or   agreement  to   which  Borrower  is a  party   and out  of  which
Accounts arise or may arise.

               (f) Lender may (i) endorse Borrower's name on all checks,  notes,
drafts,  money  orders or other forms of payment of or security  for Accounts or
other  Collateral;  (ii) sign Borrower's name on drafts drawn on Account Debtors
or issuers of letters of  credit;  and (iii)  notify the postal  authorities  in
Borrower's  name to change the address for  delivery  of  Borrower's  mail to an
address  designated by Lender,  receive and open all mail addressed to Borrower,
copy all mail,  return all mail relating to Collateral,  and hold all other mail
available for pickup by Borrower.

     Section 11.2 Power of Attorney  Borrower hereby appoints Lender (and any of
Lender's  officers,  employees,  or agents  designated  by Lender) as Borrower's
attorney,  with  power  whether  before or after the  occurrence  of an Event of
Default: (a) to endorse Borrower's name on any checks, notes, acceptances, money
orders, drafts or other forms of payment or security that may come into Lender's
possession;  (b) to sign Borrower's name on drafts against Account  Debtors,  on
schedules and  assignments of Accounts,  on  verifications  of Accounts,  and on
notices to Account Debtors;  (c) to notify the post office authorities to change
the address for delivery of Borrower's mail to an address  designated by Lender,
to  receive  and open all mail  addressed  to  Borrower  and to retain  all mail
relating to the Collateral  and forward all other mail to Borrower;  (d) to send
requests for verification of Accounts;  (e) to execute UCC Financing Statements;
and (f) to do all things necessary to carry out this Agreement.  The appointment
of Lender as Borrower's  attorney and each and every one of Lender's  rights and
powers,  being  coupled  with  an  interest,  are  irrevocable  as  long  as any
Obligations are outstanding.  Lender agrees not to exercise the power granted in
clause  11.2(b) prior to the occurrence of an Event of Default and agrees not to
exercise the power granted in clause 11.2(d) prior to  notification  of Borrower
of its intent to do so, but such  limitations do not limit the  effectiveness of
such power of  attorney at any time.  Any person  dealing  with Lender  shall be
entitled to rely  conclusively  on any written or oral  statement of Lender that
this power of attorney is in effect.  Lender may also use Borrower's  stationery
in  connection  with  exercising  its rights and  remedies  and  performing  the
Obligations of Borrower.

     Section  11.3  Expenses  Secured All  expenses,  including  attorney  fees,
incurred by Lender in the exercise of its rights and  remedies  provided in this
Agreement, in the other Loan Documents or by law shall be payable by Borrower to
Lender,  shall  be  part  of  the  Obligations,  and  shall  be  secured  by the
Collateral.

     Section  11.4  Equitable  Relief  Borrower  recognizes  that  in the  event
Borrower  fails to perform,  observe,  or discharge  any of its  Obligations  or
liabilities under this Agreement,  no remedy of law will provide adequate relief
to Lender,  and Borrower  agrees that Lender shall be entitled to temporary  and
permanent  injunctive  relief in any such case without the  necessity of proving
actual damages.

     Section  11.5  Remedies  Are  Cumulative  No  remedy  set  forth  herein is
exclusive of any other available remedy or remedies,  but each is cumulative and
in addition to every other right or remedy  given under this  Agreement or under
any other agreement between Lender and Borrower or now or hereafter  existing at
law or in equity or by  statute.  Lender may  pursue  its  rights  and  remedies
concurrently or in any sequence, and no exercise of one right or remedy shall be
deemed to be an election. No delay by Lender shall constitute a waiver, election
or acquiescence by it.

                                   SECTION 12

                                    INDEMNITY

     Section 12.1 General  Indemnity.  Borrower  shall  protect,  indemnify  and
defend  and  save  harmless  Lender  and its  directors,  officers,  agents  and
employees  from  and  against  any  and all  loss,  cost,  liability  (including
negligence,  tort and  strict  liability),  expense,  damage,  suits or  demands
(including  fees  and  disbursements  of  counsel)  on  account  of any  suit or
proceeding before any Governmental  Authority which arises from the transactions
contemplated  in this  Agreement  or  otherwise  arising in  connection  with or
relating  to the Loan and any  security  therefor,  unless  such suit,  claim or
damages are caused by the negligence or intentional malfeasance of Lender or its
directors,  officer, agents or employees.  Upon receiving knowledge of any suit,
claim or demand  asserted by a  third-party  that Lender  believes is covered by
this  indemnity,  Lender shall give Borrower  timely notice of the matter and an
opportunity  to defend  it, at  Borrower's  sole cost and  expense,  with  legal
counsel acceptable to Lender.  Lender may, at its option,  also require Borrower
to so defend the matter.  This  obligation on the part of Borrower shall survive
the termination of this Agreement and the repayment of the Note.

                                   SECTION 13

                                  MISCELLANEOUS

     Section  13.1.  Delay and Waiver No delay or omission to exercise any right
shall  impair any such right or be a waiver  thereof,  but any such right may be
exercised from time to time and as often as may be deemed expedient. A waiver on
one occasion shall be limited to that particular occasion.

     Section 13.2. Complete  Agreement This  Agreement and the Schedules are the
complete   agreement  of  the  parties   hereto  and   supersede   all  previous
understandings  relating to the subject  matter  hereof.  This  Agreement may be
amended only by an instrument in writing that  explicitly  states that it amends
this  Agreement  and is signed  by the party  against  whom  enforcement  of the
amendment is sought.  This  Agreement may be executed in  counterparts,  each of
which will be an original and all of which will constitute a single agreement.

     Section  13.3. Severablity;  Headings If any part of this  Agreement or the
application thereof to any Person or circumstance is held invalid, the remainder
of this Agreement shall not be affected thereby. The section headings herein are
included  for  convenience  only and  shall  not be  deemed to be a part of this
Agreement.

     Section 13.4. Binding Effect This Agreement shall be binding upon and inure
to the benefit of the respective legal  representatives,  successors and assigns
of the parties  hereto;  however,  Borrower  may not assign any of its rights or
delegate any of its Obligations hereunder.  Lender (and any subsequent assignee)
may  transfer  and assign  this  Agreement  and deliver  the  Collateral  to the
assignee,  who shall thereupon have all of the rights of Lender;  and Lender (or
such  subsequent  assignee  who in turn  assigns  as  aforesaid)  shall  then be
relieved and discharged of any  responsibility or liability with respect to this
Agreement and said Collateral.

     Section 13.5 Notices Any notices under or pursuant to this Agreement  shall
be deemed  duly sent when  delivered  in hand or when  mailed by  registered  or
certified mail, return receipt  requested,  or when delivered by courier or when
transmitted by telex,  telecopy,  or similar  electronic medium to the following
addresses:

               To Borrower:  Integrated Medical Resources, Inc.
                             11320 West 79th Street
                             Lenexa, KS 66214
                             Attention:     Beverly O. Elving

                                            Chief Financial Officer
                             Telephone:  (913) 962-7201
                             Telecopier:  (913) 962-7063

               To Lender:    DVI Business Credit Corporation
                             4041 MacArthur Blvd., Suite 401
                             Newport Beach, CA  92660
                             Attention:     Cynthia J. Cohn

                                            Executive Vice President
                             Telephone:  (714) 474-6100
                             Telecopier:  (714) 474-6199

               Copies to:    DVI Business Credit Corporation
                             500 Hyde Park
                             Doylestown, PA  18901
                             Attention:      Melvin C. Breaux, Esquire

                                            General Counsel
                             Telephone:  (215) 230-2931
                             Telecopier:  (215) 230-3537

     Either party may change such address by sending notice of the change to the
other party;  such change of address shall be effective only upon actual receipt
of the notice by the other party.

     Section 13.6  Governing  Law. ALL ACTS AND  TRANSACTIONS  HEREUNDER AND THE
RIGHTS AND OBLIGATIONS OF THE PARTIES HERETO SHALL BE GOVERNED, CONSTRUED AND


INTERPRETED IN ACCORDANCE WITH THE LAWS OF CALIFORNIA,  WITHOUT GIVING EFFECT TO
CONFLICTS OF LAW PRINCIPLES.

     Section 13.7 Waiver of Trial by Jury.  LENDER AND BORROWER HEREBY WAIVE THE
RIGHT TO TRIAL BY JURY OF ANY MATTERS  ARISING OUT OF THIS  AGREEMENT  OR ANY OF
THE OTHER LOAN DOCUMENTS OR THE RELATIONSHIP BETWEEN LENDER AND BORROWER.

     Section 13.8.  Submission to Jurisdiction.  (a) BORROWER HEREBY IRREVOCABLY
SUBMITS TO THE JURISDICTION OF ANY CALIFORNIA OR FEDERAL COURT SITTING IN ORANGE
COUNTY, CALIFORNIA,  OVER ANY ACTION OR PROCEEDING ARISING OUT OF OR RELATING TO
THIS  AGREEMENT.  BORROWER  HEREBY  AGREES THAT SERVICE OF COPIES OF SUMMONS AND
COMPLAINTS AND ANY OTHER PROCESS WHICH MAY BE SERVED IN ANY ACTION OR PROCEEDING
ARISING HEREUNDER MAY BE MADE BY MAILING OR DELIVERING A COPY OF SUCH PROCESS BY
REGISTERED OR CERTIFIED MAIL,  POSTAGE  PREPAID,  TO BORROWER AT ITS ADDRESS SET
FORTH AT THE BEGINNING OF THIS AGREEMENT.

        (b) NOTHING IN THIS  PARAGRAPH  13.8 SHALL AFFECT THE RIGHT OF LENDER TO
SERVE LEGAL PROCESS IN ANY OTHER MANNER  PERMITTED BY LAW OR AFFECT THE RIGHT OF
LENDER  TO  BRING  ANY  ACTION  OR  PROCEEDING  AGAINST  BORROWER  OR ANY OF ITS
PROPERTIES  IN  THE  COURTS  OF  OTHER  JURISDICTIONS  TO THE  EXTENT  OTHERWISE
PERMITTED BY LAW.

        (c) TO THE EXTENT THAT  BORROWER  HAS OR  HEREAFTER  MAY ACQUIRE (I) ANY
IMMUNITY  FROM  JURISDICTION  OF ANY COURT OF  CALIFORNIA  OR ANY FEDERAL  COURT
SITTING IN ORANGE  COUNTY,  CALIFORNIA OR FROM ANY LEGAL PROCESS OUT OF ANY SUCH
COURT  (WHETHER  THROUGH  SERVICE  OR  NOTICE,  ATTACHMENT  PRIOR  TO  JUDGMENT,
ATTACHMENT IN AID OF EXECUTION,  EXECUTION OR OTHERWISE)  WITH RESPECT TO ITSELF
OR ITS  PROPERTY,  OR (ii) ANY  OBJECTION  TO THE  LAYING  OF THE VENUE OR OF AN
INCONVENIENT  FORUM OF ANY SUIT, ACTION OR PROCEEDING,  IF BROUGHT IN CALIFORNIA
OR FEDERAL COURT SITTING IN ORANGE  COUNTY,  CALIFORNIA  UNDER PROCESS SERVED IN
ACCORDANCE WITH SUBPARAGRAPH (a) ABOVE,  BORROWER HEREBY IRREVOCABLY WAIVES SUCH
IMMUNITY OR OBJECTION IN RESPECT OF ANY SUIT,  ACTION OR PROCEEDING  ARISING OUT
OF OR RELATING TO THIS AGREEMENT OR THE LOANS.

     SECTION 13.9  Counterparts.  This  Agreement may be signed in any number of
counterparts, each of which will constitute an original, and all of which, taken
together, shall constitute but one and the same agreement.

THIS AGREEMENT SHALL BECOME EFFECTIVE ONLY UPON WRITTEN ACCEPTANCE BY LENDER.

        IN WITNESS WHEREOF,  Borrower and Lender have executed this Agreement by
their duly authorized officers as of the date first above written.

BORROWER:                                        LENDER:
INTEGRATED MEDICAL RESOURCES, INC.               DVI BUSINESS CREDIT CORPORATION

By:     /s/ T. Scott Jenkins                     By:    /s/ Cynthia J. Cohn
Print Name: T. Scott Jenkins                     Print Name: Cynthia J. Cohn
Title:  President                                Title: Executive Vice President





IMR OF ARIZONA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               CALIFORNIA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

INTEGRATED MEDICAL RESOURCES OF                IMR OF CONNECTICUT, INC.
COLORADO, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC.    IMR OF ILLINOIS, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF INDIANA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               MASSACHUSETTS, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF MICHIGAN, INC.                          IMR OF NEVADA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

INTEGRATED DIAGNOSTICS, INC.                   IMR OF NORTH CAROLINA, INC

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF OHIO, INC.                              IMR  INTEGRATED  DIAGNOSTICS   OF
                                               OKLAHOMA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President






INTGRATED MEDICAL RESOURCES OF                 IMR OF SOUTH CAROLINA, INC.
PENNSYLVANIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR INTEGRATED DIAGNOSTICS, INC.               IMR OF VIRGINIA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF WISCONSIN, INC.

By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President





                                    EXHIBIT B
                             (ADDITIONAL BORROWERS)

IMR of Arizona, Inc., an Arizona corporation
Integrated Medical Resources of California, Inc. a California corporation
Integrated Medical Resources of Colorado, Inc., a Colorado corporation
IMR of Connecticut, Inc., a Connecticut corporation
IMR Integrated Diagnostic of Florida,  Inc.,  a  Florida  corporation
IMR of  Illinois,  Inc.,  an  Illinois corporation
IMR of Indiana,  Inc., an Indiana  corporation
Integrated Medical Resources of Massachusetts, Inc., a Massachusetts corporation
IMR of Michigan, Inc.,  a  Michigan  corporation
IMR  of  Nevada,  Inc.,  a  Nevada  corporation
Integrated  Diagnostics,  Inc., a New York  corporation
IMR of North  Carolina, Inc., a North Carolina  corporation
IMR of Ohio,  Inc., an Ohio  corporation
IMR Integrated  Diagnostics of Oklahoma,  Inc., an Oklahoma  corporation
Integrated Medical Resources of Pennsylvania, Inc., a Pennsylvania corporation
IMR of South Carolina, Inc., a South Carolina corporation
IMR Integrated Diagnostics, Inc., a Texas  corporation
IMR  of  Virginia,  Inc.,  a  Virginia  corporation
IMR  of Wisconsin, Inc., a Wisconsin corporation





                                    EXHIBIT D
                            (EXACT NAME OF BORROWER)


INTEGRATED MEDICAL RESOURCES, INC., a Kansas corporation
IMR OF ARIZONA, INC., an Arizona corporation
INTEGRATED MEDICAL RESOURCES OF CALIFORNIA, INC., a California corporation
INTEGRATED MEDICAL RESOURCES OF COLORADO, INC., a Colorado corporation
IMR OF CONNECTICUT, INC., a Connecticut corporation
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC., a Florida corporation
IMR OF ILLINOIS, INC., an Illinois corporation
IMR OF INDIANA, INC., an Indiana corporation
INTEGRATED MEDICAL RESOURCES OF MASSACHUSETTS, INC., a Massachusetts
         corporation
IMR OF MICHIGAN,  INC.,  a Michigan  corporation
IMR OF NEVADA,  INC., a Nevada corporation
INTEGRATED  DIAGNOSTICS,  INC., a New York corporation
IMR OF NORTH CAROLINA,  INC.,  a  North  Carolina  corporation
IMR OF  OHIO,  INC.,  an Ohio corporation
IMR INTEGRATED DIAGNOSTICS OF OKLAHOMA, INC., an Oklahoma corporation
INTEGRATED MEDICAL RESOURCES OF PENNSYLVANIA, INC., a Pennsylvania
         corporation
IMR OF  SOUTH  CAROLINA,  INC.,  a South  Carolina  corporation
IMR  INTEGRATED DIAGNOSTICS,  INC.,  a Texas  corporation
IMR OF  VIRGINIA,  INC.,  a  Virginia corporation
IMR OF WISCONSIN, INC., a Wisconsin corporation





                                  EXHIBIT 2.02

                             SECURED PROMISSORY NOTE

                             Dated October 23, 1997

        FOR VALUE  RECEIVED,  the  undersigned  (collectively  and  individually
"Maker")  jointly and  severally  hereby  promise to pay to DVI Business  Credit
Corporation or its assignee (the  "Holder") or order,  the principal sum of Five
Million and 00/100 Dollars ($5,000,000.00) or such amount thereof as may be from
time to time advanced hereunder, pursuant to the terms of that certain Revolving
Loan and  Security  Agreement  dated as of the date  hereof  between  Holder  as
Lender,  and Maker as Borrower  (the  "Agreement"),  with interest on the unpaid
principal  balance from time to time  outstanding  until paid at the fluctuating
rate of interest announced publicly by Bank of America,  NT&SA in San Francisco,
California,  from time to time as its prime  rate plus two and one half  percent
(2.50%)  per annum,  computed  on the basis of a 360-day  year and  actual  days
elapsed,  until paid.  Interest shall be payable on the first of each month this
Note is  outstanding  in accordance  with the terms of the  Agreement,  with all
unpaid principal and interest due and payable in full on the second  anniversary
of the date hereof.

        If any part of the  interest  due on this Note is not paid when due,  it
shall be added to the principal amount of this Note and thereafter bear interest
at the rate provided  above.  If the  specified  interest rate shall at any time
exceed the maximum  allowed by law, then the  applicable  interest rate shall be
reduced to the maximum allowed by law.

        1. This Note shall be subject to prepayment or redemption in whole or in
part at any time without penalty or premium.  Notwithstanding the foregoing, the
Agreement may not be terminated, and will not be terminated by any prepayment.

        2.  Principal and interest  shall be payable to Holder at 4041 MacArthur
Blvd.,  Suite 401,  Newport Beach,  CA 92660,  or such other place as the Holder
may, from time to time in writing, appoint.

        3. This Note is made  pursuant  to, and secured by the  Agreement.  This
Note is also secured by any Security Documents referred to in the Agreement. The
Agreement and the Security  Documents create a lien on and security interest in,
the personal property  described therein  ("Collateral").  The Agreement and the
Security  Documents shall  hereinafter be collectively  referred to as the "Loan
and Security  Documents" and are hereby  incorporated by reference in and made a
part of this Note.

        4. The occurrence of any Event of Default under the Agreement  shall, at
the  election of the Holder,  make the entire  unpaid  balance of the  principal
amount of this Note and accrued  interest  immediately  due and payable  without
notice of  default,  presentment  or demand  for  payment,  protest or notice of
nonpayment or dishonor, or other notices or demands of any kind or character.

        5.  Failure  of the  Holder  to  exercise  the  acceleration  option  of
paragraph  4 of this  Note on the  occurrence  of any of the  events  enumerated
therein shall not constitute  waiver of the right to exercise such option on the
subsequent occurrence of any of the events enumerated therein.

        6. Principal and interest shall be payable in lawful money of the United
States of America  which shall be legal tender in payment of all debts and dues,
public and private, at the time of payment. Maker waives presentment, demand for
payment,  notice of  nonpayment,  protest and notice of  protest,  and all other
notices and demands in connection  with the delivery,  acceptance,  performance,
default or enforcement of this Note.  Maker consents to any and all  assignments
of this Note,  extensions  of time,  renewals  and  waivers  that may be made or
granted by the Holder. Maker expressly agrees that such assignments,  extensions
of time,  renewals or waivers shall not affect Maker's  liability.  Maker agrees
that Holder may, without notice to Maker and without  affecting the liability of
Maker,  accept  additional  or  substitute  security for this Note,  release any
security or any party liable for this Note or extend or renew this Note.

        7. If Maker shall fail to make any  payment of  interest  or  principal,
including  the payment due upon  maturity,  when the same is due and payable and
such failure shall continue for five (5) business days after nonpayment,  a late
charge by way of damages shall be immediately due and payable.  Maker recognizes
that default

by Maker in making the payments herein agreed to be paid when due will result in
the Holder incurring  additional  expenses,  in loss to the Holder of the use of
the money due and in frustration to the Holder in meeting its other commitments.
Maker  agrees  that,  if for any reason  Maker fails to pay any amount due under
this Note when due,  the Holder  shall be entitled to damages for the  detriment
caused thereby,  but that it is extremely difficult and impractical to ascertain
the extent of such  damages.  Maker  therefore  agrees  that a sum equal to five
cents ($.05) for each one dollar  ($1.00) of each payment  which is not received
within  five  (5)  business  days  after  the  date it is due and  payable  is a
reasonable estimate of the said damages to the Holder, which sum Maker agrees to
pay on demand.

        8. If action be instituted on this Note (including  without  limitation,
any  proceedings  for  collection  hereof in any bankruptcy or probate matter or
case),  or if proceedings are commenced on or under any of the Loan and Security
Documents,  Maker  promises  to pay the  Holder  all  costs  of  collection  and
enforcement including, without limitation, reasonable attorneys' fees.

        9. Any and all notices or other  communications  or payments required or
permitted to be given  hereunder  shall be effective when received or refused if
given or rendered in writing, in the manner provided in the Agreement.

        10. This Note shall inure to the benefit of the Holder's  successors and
assigns. References to the "Holder" shall be deemed to refer to the holder(s) of
this Note at the time such reference becomes relevant.

        11. If any term, provision,  covenant, or condition of this Note is held
by a court of competent jurisdiction to be invalid, void, or unenforceable,  the
rest of this Note shall  remain in full force and effect to the  greater  extent
permitted by law and shall in no other way be affected, impaired or invalidated.

        12. Nothing contained herein or in the Loan and Security Documents shall
be deemed to  prevent  recourse  to and the  enforcement  against  Maker and the
Collateral of all liabilities, obligations and undertakings contained herein and
in the Loan and Security Documents.

        13. THIS NOTE SHALL BE GOVERNED BY AND  CONSTRUED  UNDER THE LAWS OF THE
STATE OF CALIFORNIA AND MAKER AGREES TO SUBMIT TO THE  JURISDICTION OF THE STATE
AND/OR FEDERAL COURTS IN THE STATE OF CALIFORNIA.

MAKER(S):

INTEGRATED MEDICAL RESOURCES, INC.

By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President

IMR OF ARIZONA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               CALIFORNIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

INTEGRATED MEDICAL RESOURCES OF                IMR OF CONNECTICUT, INC.
COLORADO, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC.    IMR OF ILLINOIS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF INDIANA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               MASSACHUSETTS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF MICHIGAN, INC.                          IMR OF NEVADA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

INTEGRATED DIAGNOSTICS, INC.                   IMR OF NORTH CAROLINA, INC
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF OHIO, INC.                              IMR  INTEGRATED   DIAGNOSTICS  OF
                                               OKLAHOMA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

INTGRATED MEDICAL RESOURCES OF                 IMR OF SOUTH CAROLINA, INC.
PENNSYLVANIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR INTEGRATED DIAGNOSTICS, INC.               IMR OF VIRGINIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

IMR OF WISCONSIN, INC.

By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President



                                  EXHIBIT 4(e)

                           LOAN AND SECURITY AGREEMENT
                                 Loan 97-10-100

               THIS  LOAN AND  SECURITY  AGREEMENT  ("Agreement")  is made as of
October 23, 1997, between  Integrated  Medical Resources,  Inc. and the entities
listed  on  Exhibit  A  attached  hereto  and  made a  part  hereof  as  debtors
(collectively  and  individually  referred  to as  "Debtor")  and DVI  Financial
Services Inc. as secured party ("Secured Party").

     1.  Certain  Definitions.  The  following  terms  shall have the  following
respective meanings:

     (a)  Advance.  The  Advance  of funds to the Debtor  pursuant  to Section 2
hereof and the Schedule which may be executed  between  Secured Party and Debtor
from time to time.

     (b)  Collateral.  "Collateral"  shall have the meaning set forth in Section
2.2 hereof.

     (c) Event of Default. Those events set forth in Section 9 hereof.

     (d) Monthly Loan Repayment.  The amount set forth in any Schedule  executed
in connection with any Advance under this Agreement.

     (e) Revolving Loan and Security Agreement.  The Revolving Loan and Security
Agreement  between Debtor and DVI Business  Credit  Corporation  dated as of the
date hereof.

     (f) Schedule(s).  And and all or each (as the context shall require) of the
Loan and Collateral Schedules of the Debtor, to be executed by the parties under
this Agreement.

     (g) Secured  Obligations.  The payment of the principal and interest as set
forth  in each  and all of the  Schedules,  and the  payment  of all  additional
amounts  and other sums at any time due and owing under the  Schedules  for this
Agreement,  and the  performance  and observance of all covenants and conditions
contained herein and therein.

     (h)  Supplier.  The entity from whom the Debtor  purchased  the  Collateral
including manufacturers, dealers, sellers and vendors.

     2.  Purpose  of  Financing  and  Description  of Loans;  Grant of  Security
Interest; Collateral.

     (a)  Secured  Party  agrees,  subject to the terms and  conditions  of this
Agreement,  to  make  Advances  to  the  Debtor  in an  aggregate  amount  up to
$500,000.00.

     (b) Debtor  agrees that the  proceeds of any Advance will be used solely to
acquire the Collateral as described in the Schedule  executed in connection with
said advance.

     (c) The amount of any Advances to Debtor shall be set forth on the Schedule
executed in connection with said Advance.

     (d) The term of  repayment of any Advance  made under this  Agreement  (the
"Term")  shall  commence  on the date  set  forth in the  Schedule  executed  in
connection with said Advance and shall continue for the period set forth in said
Schedule, and for all extensions and renewals of such period.

     (e) Debtor shall pay to Secured  Party the Monthly Loan  Repayment for each
Advance  in  amounts  and on the  dates set forth in the  Schedule  executed  in
connection  with said  Advance,  whether or not  Secured  Party has  rendered an
invoice to Debtor.  Debtor  agrees to pay the Monthly Loan  Repayment to Secured
Party at the office of the  Secured  Party set forth  below,  or to such  entity
and/or at such other place as Secured  Party may from time to time  designate by
notice to Debtor.  Any other amounts  required to be paid to Secured Party under
this Agreement are due upon Debtor's receipt of Secured Party's invoice and will
be payable as directed in the  invoice.  Payments  under this  Agreement  may be
applied  to the  Debtor's  then  accrued  Secured  Obligations  in such order as
Secured Party may choose.


     (f) The Advances  shall not be subject to prepayment or redemption in whole
or in part  prior  to the  expiration  of the Term  set  forth  in the  Schedule
executed in connection with said Advance.

     2.1 Grant of Security Interest. In consideration of the Advances to be made
by Secured Party to Debtor under this  Agreement,  and to secure the payment and
performance  of the Secured  Obligations,  Debtor  hereby  grants and assigns to
Secured Party,  its successors  and assigns,  a security  interest in all of its
right,  title and interest in the equipment  described in Exhibit B hereto,  and
all additions,  improvements,  accessions and  accumulations  to said equipment,
replacements and  substitutions  of components of said equipment,  together with
all rents, issues, income, profits and proceeds therefrom and Debtor's books and
records relating to the foregoing (the "Collateral").

     Each item of Collateral shall secure not only the specific Advances made by
Secured party to Debtor as set forth in the Schedule, but also all other present
and future  indebtedness or obligations of debtor to Secured party of every kind
and nature  whatsoever.  Debtor  warrants and agrees that the Collateral will be
used  primarily for business or commercial  purposes and that  regardless of the
manner of affixation,  the Collateral  shall remain personal  property and shall
not become part of the real estate.  Debtor agrees to keep the Collateral at the
locations set forth in the  Schedule(s)  covering said  Collateral  and will not
make any change in the location of the  Collateral  within such state,  and will
not remove the Collateral  from such state without the prior written  consent of
Secured Party.

     3. Time is of the  Essence;  Late  Charges.  Time is of the essence in this
Agreement and if any Monthly Loan Repayment is not paid within the ten (10) days
after  the due date  thereof,  Secured  Party  shall  have the  right to add and
collect, and Debtor agrees to pay:

     (a) A late charge on and in addition to, such Monthly Loan Repayment  equal
to five  percent  (5%) of such  Monthly  Loan  Repayment  or a lesser  amount if
established by any State or Federal statute applicable thereto; and

     (b) Interest on such Monthly Loan Repayment from thirty (30) days after the
due date until paid at the rate of eighteen (18%) per annum.

     4. No Warranties.  This Agreement is solely a financing  agreement.  Debtor
acknowledges  that:  The  Collateral has or will have been selected and acquired
solely by Debtor for Debtor's  purposes;  Secured Party is not the manufacturer,
dealer,  vendor or  supplier of the  Collateral;  the  Collateral  is of a size,
design,  capacity,  description  and manufacture  selected by Debtor;  Debtor is
satisfied that the Collateral is suitable and fit for its purposes;  and SECURED
PARTY HAS NOT MADE AND DOES NOT MAKE ANY WARRANTY OR REPRESENTATION  WHATSOEVER,
EITHER EXPRESS OR IMPLIED, AS TO THE FITNESS, CONDITION, MERCHANTABILITY, DESIGN
OR OPERATION OF THE  COLLATERAL,  ITS FITNESS FOR ANY  PARTICULAR  PURPOSE,  THE
VALUE OF THE  COLLATERAL,  THE  QUALITY  OR  CAPACITY  OF THE  MATERIALS  IN THE
COLLATERAL OR WORKMANSHIP IN THE  COLLATERAL,  NOR ANY OTHER  REPRESENTATION  OR
WARRANTY WHATSOEVER.

     4.1  No  Agency.   Debtor   acknowledges   and  agrees  that  none  of  the
manufacturer,  vendor, dealer or supplier, nor any salesman,  representative, or
other agent of the  manufacturer,  dealer,  vendor or  supplier,  is an agent of
Secured Party. No salesman,  representative or agent of the manufacturer, dealer
vendor or supplier is authorized to waive or alter any term or condition of this
Agreement, and no representation as to the Collateral or any other matter by any
manufacturer,  dealer,  vendor or supplier shall in any way affect Debtor's duty
to pay the Monthly Loan Repayment and perform his other obligations as set forth
in this Agreement.

     5.  Acceptance.  Execution  by Debtor  and  Secured  Party of the  Schedule
covering the Collateral  will  conclusively  establish that such  Collateral has
been  included  under and will be subject to all of the terms and  conditions of
this  Agreement.  If Debtor has not  furnished  Secured  Party with an  executed
Schedule  by the  earlier  of  fourteen  (14)  days  after  receipt  thereof  or
expiration of the  commitment set forth in any  applicable  equipment  financing
commitment, Secured Party may terminate its obligation to make any Advances with
respect to any applicable Collateral.

     6.  Insurance  and  Risk of  Loss.  All  risk of loss  of,  damage  to,  or
destruction of the Collateral shall at all times be borne by Debtor. Debtor will
procure  forthwith and maintain  property and general  liability  insurance with
extended  or  combined  additional  coverage  on the  Collateral  for  the  full
insurable value thereof for the life of this Agreement and any Schedule(s)  plus
such other  insurance as Secured  Party may specify,  and promptly  deliver each
policy to Secured Party with a standard long form  endorsement  attached showing
Secured Party or


assigns as  additional  insureds  and loss payees.  Each insurer  shall agree by
endorsement upon such policy issued by it or by independent instrument furnished
to Secured  Party and Debtor that it will give Secured  Party and Debtor  thirty
(30) days  written  notice  before the policy in  question  shall be  materially
altered or canceled. Secured Party's acceptance of policies in lesser amounts or
risks shall not be a waiver of Debtor's foregoing obligation.

     7. Debtor's Representations and Warranties.

     Debtor represents and warrants to Secured Party as follows:

     (a) Debtor is duly  organized  and existing  under the laws of the State of
its  formation  without  limit  as to  the  duration  of its  existence,  and is
authorized  and in good  standing  to do  business  in said  State;  Debtor  has
corporate  powers and adequate  authority,  rights and franchises to own its own
property and to carry on its business as now  conducted,  and is duly  qualified
and in good  standing  in each state in which the  character  of the  properties
owned by it therein or the  conduct of its  business  makes such  qualifications
necessary; and Debtor has the corporate power and adequate authority to make and
carry out this Agreement.

     (b) The  execution,  delivery and  performance  of this  Agreement are duly
authorized  and do not,  to the  best of the  Debtor's  knowledge,  require  the
consent or approval of any governmental body or other regulatory authority;  are
not in contravention  of or in conflict with any law,  regulation or any term or
provision of its articles of formation or bylaws,  and this Agreement is a valid
and binding  obligation of Debtor  legally  enforceable  in accordance  with its
terms.

     (c) The  execution,  delivery and  performance  of this  Agreement will not
contravene or conflict with any  agreement,  indenture or  undertaking  to which
Debtor  is a party  or by  which  it or any of its  property  may be bound by or
affected, and will not cause any lien, charge or other encumbrance to be created
or imposed upon any such property by reason thereof.

     (d) Except as shown on Exhibit C, there is no material  litigation or other
proceeding  pending or threatened  against or affecting Debtor, and it is not in
default with  respect to any order,  writ,  injunction,  decree or demand of any
court or other  governmental  or  regulatory  authority.  The balance  sheets of
Debtor and the related profit and loss  statements  and other  financial data as
submitted  in  writing  by  Debtor  to  Secured  Party in  connection  with this
Agreement,  are true and correct,  and said  balance  sheets and profit and loss
statements  truly  represent the  financial  condition of Debtor as of the dates
thereof.

     (e) Debtor has good and valid  title to the  Collateral  which is free from
and  will  be  kept  free  from  all  liens,  claims,   security  interests  and
encumbrances, except for the security interest granted hereby.

     (f) No financing  statement covering the Collateral or any proceeds thereof
is on file in favor of  anyone  other  than  Secured  Party,  but if such  other
financing statement is on file, it will be terminated or subordinated.

     (g)  All  necessary  action,   including  the  filing  of  UCC-1  Financing
Statements,  has or will be made to give Secured Party a first priority security
interest in the  Collateral.  Debtor agrees to permit  Secured Party to pre-file
any UCC-1 Financing Statement pursuant to California Commercial Code '9402.

     (h)  Debtor hereby  appoints Secured  Party  (and  any  of  Secured Party's
officers, mployees, or agents designated by Secured Party) as Debtor's attorney,
with power whether before or after the occurrence of an Event of Default: (a) to
execute UCC Financing  Statements;  and (b) to do all things  necessary to carry
out this Agreement.  The  appointment of Secured Party as Debtor's  attorney and
each and every one of Secured  Party's rights and powers,  being coupled with an
interest, are irrevocable as long as any Obligations are outstanding. Any person
dealing with Secured Party shall be entitled to rely conclusively on any written
or oral statement of Secured Party that this power of attorney is in effect.

     8. Debtor's Agreements. Debtor agrees:

     (a) To defend at Debtor's  own cost and expense any action,  proceeding  or
claim affecting the Collateral.

     (b) To pay reasonable attorneys fees and other expenses incurred by Secured
Party in  enforcing  its  rights in the event of  Debtor's  default  under  this
Agreement.


     (c) To pay promptly all taxes,  assessments,  license fees and other public
or private  charges  when levied or  assessed  against  the  Collateral  or this
Agreement and this obligation shall survive the termination of this Agreement.

     (d) That if a certificate of title is required or permitted by law,  Debtor
shall  obtain  such  certificate  with  respect to the  Collateral,  showing the
security  interests  of Secured  Party  thereon  and in any event do  everything
necessary or  expedient to preserve or perfect the security  interest of Secured
Party.

     (e) That Debtor will not misuse,  fail to keep in good repair,  secrete, or
without the prior written consent of Secured Party, and notwithstanding  Secured
Party's claim to proceeds,  sell,  rent,  lend,  encumber or transfer any of the
Collateral.   The  Collateral   shall  be  maintained  in  accordance  with  the
manufacturer's  specifications  and  shall  at all  times  be  eligible  for the
manufacturer's maintenance program.

     (f) That  Secured  Party may enter upon  Debtor's  premises or wherever the
Collateral may be located at any  reasonable  time to inspect the Collateral and
Debtor's books and records pertaining to the Collateral, and Debtor shall assist
Secured Party in making such inspection.

     (g) That the  security  interest  granted by Debtor to Secured  Party shall
continue effective  irrespective of the payment of the Secured  Obligations,  so
long as there are any  obligations  of any  kind,  including  obligations  under
guaranties or assignments, owed by Debtor to Secured Party.

     (h) To mark and identify the Collateral  with all  information  and in such
manner as Secured  Party may request from time to time and replace  promptly any
such markings or identifications which are removed, defaced or destroyed.

     (i) except as required  herein,  not to make any addition or improvement to
any item of Collateral that is not readily  removable  without causing  material
damage to any item or impairing its original  value or utility.  Any addition or
improvement that is so required or cannot be so removed will immediately  become
part of the Collateral.

     (j) To  indemnify  and hold  Secured  Party  harmless  from and against all
claims, losses,  liabilities (including negligence,  tort and strict liability),
damages,  judgments, suits and all legal proceedings,  and any and all costs and
expenses in connection therewith  (including  attorney's fees) arising out of or
in any manner connected with the manufacture,  purchase,  financing,  ownership,
delivery,  rejection,  non-delivery,  possession, use, transportation,  storage,
operation, maintenance, repair, return or other disposition of the Collateral or
with this Agreement,  including,  without  limitation,  claims for injury to, or
death of,  persons and for damage to  property,  and give  Secured  Party prompt
notice of such claims or liability.

     (k) That Debtor will not part with possession of or control of or suffer or
allow to pass out of its possession or control items of Collateral or change the
location of the  Collateral  or any part thereof  from the address  shown in the
appropriate Schedule without the prior written consent of Secured Party.

     (l) That  Debtor  shall not ASSIGN OR IN ANY WAY DISPOSE OF ALL OR ANY PART
OF ITS RIGHTS OR  OBLIGATIONS  UNDER THIS  AGREEMENT OR SELL,  LEASE,  TRANSFER,
PLEDGE OR  HYPOTHECATE  ANY PART OF THE  COLLATERAL.  DEBTOR'S  INTEREST IN THIS
AGREEMENT  AND THE  COLLATERAL  IS NOT  ASSIGNABLE  AND WILL NOT BE  ASSIGNED OR
TRANSFERRED BY OPERATION OF LAW. CONSENT TO ANY OF THE FOREGOING PROHIBITED ACTS
APPLIES ONLY IN THE GIVEN INSTANCE AND IS NOT CONSENT TO SUBSEQUENT  LIKE ACT BY
DEBTOR OR ANOTHER ENTITY.

     The  foregoing  notwithstanding,  Debtor,  Debtor may dispose of any of the
Collateral  that  Debtor  has  reasonably  determined  is  obsolete  or  surplus
equipment,  provided that (i) as of the disposition  date no Event of Default is
continuing  and such  disposition  would not cause an Event of Default to occur,
(ii) the  proceeds of the  Collateral  disposition,  if any , are  delivered  to
Secured Party to be held as Collateral hereunder,  (iii) the equipment,  if any,
acquired in replacement  for the  Collateral  disposed of is of equal or greater
value than the  Collateral  disposed  and is pledged by Debtor to Secured  party
hereunder as Collateral

     9. Events of  Default.  Any of the  following  events or  conditions  shall
constitute an Event of Default hereunder:


     (a) Debtor's  failure to pay any Monthly Loan Repayment or any  installment
of the  principal  or interest  due under any  Schedule  when and after the same
shall become due and payable,  whether at the due date  thereof,  or at the date
fixed for prepayment or by acceleration or otherwise;

     (b) Debtor's  failure to observe or perform any covenant or agreement to be
observed or performed by Debtor under this Agreement,  any Schedule or any other
instrument or agreement  delivered by Debtor to Secured Party in connection with
this or any other transaction;

     (c) Any  representation or warranty made by Debtor herein or in any report,
certificate,  financial or other  statement  furnished in  connection  with this
Agreement shall prove to be false or misleading in any material respect; or

     (d) Debtor is (i) adjudicated insolvent or a bankrupt,  or ceases,  becomes
unable, or admits in writing its inability,  to pay its debts as they mature, or
makes a general assignment for the benefit of, or enters into any composition or
arrangement with, creditors;  (ii) applies for or consents to the appointment of
a  receiver,  trustee  or  liquidator  of it or of a  substantial  part  of  its
property, or authorizes such application or consent, or proceedings seeking such
appointment shall be instituted against it without such  authorization,  consent
or application and continues undismissed for a period of 60 calendar days; (iii)
authorizes  or files a  voluntary  petition  in  bankruptcy  or  applies  for or
consents to the  application of any  bankruptcy,  reorganization  in bankruptcy,
arrangement,  readjustments  or debts,  insolvency,  dissolution,  moratorium or
other  similar laws of any  jurisdiction,  or  authorizes  such  application  or
consent,  or proceedings to such end shall be instituted against it without such
authorization, application or consent and such proceedings instituted against it
shall continue undismissed for a period of 60 calendar days; or

     (e) Secured  Party,  in good  faith,  believes  the  prospect of payment or
performance is impaired or in good faith believes the Collateral is insecure;

     (f) Any  agreement  made by a  guarantor,  surety or endorser  for Debtor's
default in any obligation or liability to Secured Party or any guaranty obtained
in connection with this transaction is terminated or breached.

     (g) an Event of  Default,  as defined in the  Revolving  Loan and  Security
Agreement.

     10. Secured Party's  Remedies.  Debtor agrees that when an Event of Default
has occurred and is  continuing,  Secured Party shall have the rights,  options,
duties and  remedies  of a Secured  Party and  Debtor  shall have the rights and
duties  of a  Debtor  under  the  Uniform  Commercial  Code  in  effect  in each
jurisdiction  where the  Collateral or any part thereof is located and,  without
limiting the  foregoing,  Secured  Party may exercise one or more or all, and in
any order, of the remedies hereinafter set forth:

     (a) By notice in writing to Debtor,  declare  the entire  unpaid  principal
balance  due under  any,  each and all  Schedule(s)  to be  immediately  due and
payable; and thereupon all such unpaid balance(s), together with all accrued and
unpaid interest thereon, shall be immediately due and payable;

     (b) Personally, or by agents or attorneys, take immediate possession of the
Collateral or any portion  thereof and for that purpose pursue the same wherever
it may be found and enter any of the premises of Debtor with or without  notice,
demand,  process of law or legal procedure,  and search for, take possession of,
remove,  keep and store the same, or use, operate,  or lease the same until sold
and otherwise exercise any and all of the rights and powers of Debtor in respect
thereof;

     (c) Either with or without taking  possession and without  instituting  any
legal proceedings  whatsoever (having first given notice of such sale by mail to
Debtor  once at least 10 calendar  days prior to the date of such sale,  and any
other  notice  of such sale  which may be  required  by law,  if said  notice is
sufficient),  sell and dispose of the  Collateral  or any part thereof at public
auction(s)  to the  highest  bidder,  or at a private  sale(s)  in one lot as an
entirety or in several lots, and either for cash or for credit and on such terms
as  Secured  Party may  determine,  and at any place  (whether  or not it is the
location of the  Collateral or any part thereof,  designated in the notice above
referred  to.  Any such  sale or sales  may be  adjourned  from  time to time by
announcement of the time and place appointed for such sale or sales, or for such
adjourned sales or sales without  further notice,  and Secured Party may bid and
become the purchaser at any such sale;

     (d) Secured Party may proceed to protect and enforce this Agreement and any
Schedule(s) by suit or suits or proceedings in equity,  at law or in bankruptcy,
and whether for the specific  performance  of any  covenant or agreement  herein
contained,  or execution or aid of any power herein granted,  or for foreclosure
hereunder, or for the appointment of a receiver or receivers for the Collateral,
or any party thereof,  or for the enforcement of any proper,  legal or equitable
remedy available under applicable law.

     (e) Secured Party may require  Debtor to assemble the Collateral and return
it to  Secured  Party at a place to be  designated  by  Secured  Party  which is
reasonably convenient to both parties.

     (f)  Debtor  agrees to pay the  Secured  Party all  expenses  or  retaking,
holding, preparing for sale, or selling the Collateral in addition to attorneys'
fees as set forth above.

     11. Acceleration Clause. In case of any sale of the Collateral, or any part
thereof,  pursuant  to any  judgment  or  decree of any  court or  otherwise  in
connection  with the  enforcement  of any of the  terms of this  Agreement,  the
outstanding  principal  due under  any  Schedule,  if not  previously  due,  the
interest  accrued  thereon  and all  other  sums  required  to be paid by Debtor
pursuant  to this  Agreement  shall at once  become and be  immediately  due and
payable.

     12.  Exercise  of Rights.  No delay or  omission  of  Secured  Party in the
exercise of any right or power arising from any default shall act as a waiver of
or impair any such right or power or prevent its exercise during the continuance
of such default.  No waiver by Secured  Party of any such default,  whether such
waiver be full or partial,  shall extend to or be taken to affect any subsequent
default,  nor shall it impair the rights  resulting  therefrom  except as may be
otherwise  provided therein.  The giving,  taking or enforcement of any other or
additional  security,  collateral,  or guarantee  for the payment of the Secured
Obligations  shall not operate to  prejudice,  waive,  or affect the security of
this Agreement or any rights,  powers, or remedies hereunder,  and Secured Party
shall not be required to look first to enforce or exhaust such other  additional
security,  collateral,  or  guarantees.  All  rights,  remedies,  and options of
Secured Party hereunder, or by law shall be cumulative.

     13. Assignment by Secured Party.  SECURED PARTY MAY ASSIGN OR TRANSFER THIS
AGREEMENT  OR SECURED  PARTY'S  INTEREST  IN THE  COLLATERAL  WITHOUT  NOTICE TO
DEBTOR.  Any assignee of Secured  Party shall have all of the rights but none of
the obligations,  of Secured Party under this Agreement,  and Debtor agrees that
it  will  not  assert  against  any  assignee  of  Secured  Party  any  defense,
counterclaim or offset that Debtor may have against Secured Party.

     14. Non-Terminable  Agreement;  Obligations  Unconditional.  This Agreement
cannot be canceled or terminated  except as expressly  provided  herein.  Debtor
hereby agrees that Debtor's  obligation to pay all Secured  Obligations shall be
absolute and  unconditional  and Debtor will not be entitled to any abatement of
Monthly  Loan  Repayments  or other  payments  due under this  Agreement  or any
reduction  thereof  under  circumstances  or for any reason  whatsoever.  Debtor
hereby waives any and all existing and future  claims,  as offsets,  against any
Monthly Loan  Repayments and other payments due under this Agreement as and when
due  regardless of any offset or claim which may be asserted by Debtor or on its
behalf.  The obligations  and  liabilities of Debtor  hereunder will survive the
termination of this Agreement.

     15.  Additional  Documents.  In  connection  with and in  order to  provide
effective  evidence of the security  interest in the Collateral  granted Secured
Party under this  Agreement,  Debtor will  execute and deliver to Secured  Party
such  financing  statements  and similar  documents as Secured  Party  requests.
Debtor  authorizes  Secured Party where permitted by law to make filings of such
financing statements without Debtor's signature.

Debtor further agrees to furnish Secured Party:

     (a) On a timely basis,  Debtor's  future  financial  statements,  including
Debtor's most recent annual report, balance sheet and income statement, prepared
in accordance  with generally  accepted  accounting  principles,  which reports,
Debtor warrants,  shall fully and fairly represent the true financial  condition
of Debtor;

     (b) Any other  financial  information  normally  provided  by Debtor to the
public; and

     (c) Such other financial data or information relative to this Agreement and
the Collateral,  including,  without limitation,  copies of Suppliers' proposals
and  purchase  orders  and  agreements,  listings  of  serial  numbers  or other
identification data and confirmations of such information,  as Secured Party may
from time to time reasonably request.  Debtor will procure and/or execute,  have
executed,  have acknowledged,  and/or deliver to Secured Party,  record and file
such other  documents and notices as Secured Party deems  necessary or desirable
to

protect its interest in and rights under this Agreement and  Collateral.  Debtor
will pay for all filings, searches, title reports, legal and other fees incurred
by Secured  Party in  connection  with any  documents  to be  provided by Debtor
pursuant to this  Agreement  and any other similar  documents  Secured Party may
procure.

     16. Miscellaneous.

     (a) Successors and Assigns.  Whenever any of the parties hereto is referred
to, such reference shall be deemed to include the successors and assigns of such
parties,  and all the  covenants,  promises,  and  agreements in this  Agreement
contained by or on behalf of Debtor or Secured Party shall bind and inure to the
benefit of the  respective  successors  and  assigns  of each  party  whether so
expressed or not.

     (b)  Partial   Invalidity.   The   enforceability   or  invalidity  of  any
provision(s)  of this Agreement shall not render any other  provision(s)  herein
contained unenforceable or invalid.

     (c)  Communications.  All  communications  provided  for herein shall be in
writing and shall be deemed to have been given (unless otherwise required by the
specific  provisions in respect of any matter) ((i) when addressed and delivered
personally  or (ii)  three (3)  calendar  days  following  deposit in the United
States mail,  registered or  certified,  postage  prepaid,  and addressed to the
address set forth beneath the respective  parties'  signature lines below, or as
to Debtor or Secured Party at such other address as they may designate by notice
duly given in accordance with this Section to the other party.

     (d) Governing Law. ALL ACTS AND  TRANSACTIONS  HEREUNDER AND THE RIGHTS AND
OBLIGATIONS OF THE PARTIES HERETO SHALL BE GOVERNED,  CONSTRUED AND  INTERPRETED
IN ACCORDANCE WITH THE LAWS OF CALIFORNIA, WITHOUT GIVING EFFECT TO CONFLICTS OF
LAW PRINCIPLES.

     (e)  Waiver of Trial by Jury.  SECURED  PARTY AND DEBTOR  HEREBY  WAIVE THE
RIGHT TO TRIAL BY JURY OF ANY MATTERS  ARISING OUT OF THIS  AGREEMENT  OR ANY OF
THE OTHER LOAN DOCUMENTS OR THE RELATIONSHIP BETWEEN SECURED PARTY AND DEBTOR.

     (f) Submission to Jurisdiction.  DEBTOR HEREBY  IRREVOCABLY  SUBMITS TO THE
JURISDICTION  OF ANY  CALIFORNIA  OR FEDERAL  COURT  SITTING  IN ORANGE  COUNTY,
CALIFORNIA,  OVER ANY ACTION OR  PROCEEDING  ARISING  OUT OF OR RELATING TO THIS
AGREEMENT. DEBTOR HEREBY AGREES THAT SERVICE OF COPIES OF SUMMONS AND COMPLAINTS
AND ANY OTHER PROCESS  WHICH MAY BE SERVED IN ANY ACTION OR  PROCEEDING  ARISING
HEREUNDER  MAY BE MADE BY  MAILING  OR  DELIVERING  A COPY  OF SUCH  PROCESS  BY
REGISTERED  OR CERTIFIED  MAIL,  POSTAGE  PREPAID,  TO DEBTOR AT ITS ADDRESS SET
FORTH AT THE BEGINNING OF THIS AGREEMENT.

     NOTHING IN THIS  PARAGRAPH  (f) SHALL AFFECT THE RIGHT OF SECURED  PARTY TO
SERVE LEGAL PROCESS IN ANY OTHER MANNER  PERMITTED BY LAW OR AFFECT THE RIGHT OF
SECURED  PARTY TO BRING ANY ACTION OR  PROCEEDING  AGAINST  DEBTOR OR ANY OF ITS
PROPERTIES  IN  THE  COURTS  OF  OTHER  JURISDICTIONS  TO THE  EXTENT  OTHERWISE
PERMITTED BY LAW.

     TO THE EXTENT THAT  DEBTOR HAS OR  HEREAFTER  MAY ACQUIRE (I) ANY  IMMUNITY
FROM  JURISDICTION  OF ANY COURT OF  CALIFORNIA  OR ANY FEDERAL COURT SITTING IN
ORANGE  COUNTY,  CALIFORNIA  OR FROM ANY  LEGAL  PROCESS  OUT OF ANY SUCH  COURT
(WHETHER THROUGH SERVICE OR NOTICE, ATTACHMENT PRIOR TO JUDGMENT,  ATTACHMENT IN
AID OF  EXECUTION,  EXECUTION  OR  OTHERWISE)  WITH  RESPECT  TO  ITSELF  OR ITS
PROPERTY, OR (ii) ANY OBJECTION TO THE LAYING OF THE VENUE OR OF AN INCONVENIENT
FORUM OF ANY SUIT,  ACTION OR  PROCEEDING,  IF BROUGHT IN  CALIFORNIA OR FEDERAL
COURT SITTING IN ORANGE  COUNTY,  CALIFORNIA  UNDER PROCESS SERVED IN ACCORDANCE
WITH SUBPARAGRAPH (a) ABOVE,  DEBTOR HEREBY  IRREVOCABLY WAIVES SUCH IMMUNITY OR
OBJECTION  IN  RESPECT  OF ANY SUIT,  ACTION  OR  PROCEEDING  ARISING  OUT OF OR
RELATING TO THIS AGREEMENT OR THE LOANS.

     (g)   Counterparts.   This  Agreement  may  be  signed  in  any  number  of
counterparts, each of which will constitute an original, and all of which, taken
together, shall constitute but one and the same agreement.

     (h) Entire Agreement.  This Agreement  constitutes the entire understanding
or agreement  between Secured Party and Debtor and there is no  understanding or
agreement,  oral or written,  which is not set forth herein.  This Agreement may
not be amended  except by a writing signed by Secured Party and Debtor and shall
be binding upon and inure to the benefit of the parties hereto,  their permitted
successors and assigns.

THIS AGREEMENT SHALL BECOME EFFECTIVE  ONLY UPON  WRITTEN  ACCEPTANCE BY SECURED
PARTY.

        IN  WITNESS  WHEREOF,  Debtor  and  Secured  Party  have  executed  this
Agreement by their duly authorized officers as of the date first above written.

DEBTOR:                                        LENDER:
INTEGRATED MEDICAL RESOURCES, INC.             DVI FINANCIAL SERVICES INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ Cynthia J. Cohn
Print Name: T. Scott Jenkins                   Print Name: Cynthia J. Cohn
Title:  President                              Title: Executive Vice President

DEBTOR:                                        DEBTOR:
IMR OF ARIZONA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               CALIFORNIA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTEGRATED MEDICAL RESOURCES OF                IMR OF CONNECTICUT, INC.
COLORADO, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC.    IMR OF ILLINOIS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF INDIANA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               MASSACHUSETTS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President
DEBTOR:                                        DEBTOR:


IMR OF MICHIGAN, INC.                          IMR OF NEVADA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTEGRATED DIAGNOSTICS, INC.                   IMR OF NORTH CAROLINA, INC
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF OHIO, INC.                              IMR  INTEGRATED   DIAGNOSTICS  OF
                                               OKLAHOMA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTGRATED MEDICAL RESOURCES OF                 IMR OF SOUTH CAROLINA, INC.
PENNSYLVANIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President


DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS, INC.               IMR OF VIRGINIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:
IMR OF WISCONSIN, INC.
By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President




                                    EXHIBIT A
                         TO LOAN AND SECURITY AGREEMENT

                              (ADDITIONAL DEBTORS)

IMR of Arizona, Inc., an Arizona corporation
Integrated Medical Resources of California, Inc. a California corporation
Integrated Medical Resources of Colorado, Inc., a Colorado corporation
IMR of Connecticut, Inc., a Connecticut corporation
IMR Integrated Diagnostic of Florida,  Inc.,  a  Florida  corporation
IMR of  Illinois,  Inc.,  an  Illinois corporation
IMR of Indiana,  Inc., an Indiana  corporation
Integrated Medical Resources of Massachusetts, Inc., a Massachusetts corporation
IMR of Michigan, Inc.,  a  Michigan  corporation
IMR  of  Nevada,  Inc.,  a  Nevada  corporation
Integrated  Diagnostics,  Inc., a New York  corporation
IMR of North  Carolina, Inc., a North Carolina  corporation
IMR of Ohio,  Inc., an Ohio  corporation
IMR Integrated  Diagnostics of Oklahoma,  Inc., an Oklahoma  corporation
Integrated Medical Resources of Pennsylvania, Inc., a Pennsylvania corporation
IMR of South Carolina, Inc., a South Carolina corporation
IMR Integrated Diagnostics, Inc., a Texas  corporation
IMR  of  Virginia,  Inc.,  a  Virginia  corporation
IMR  of Wisconsin, Inc., a Wisconsin corporation



                       LOAN AND COLLATERAL SCHEDULE NO. 1

                                       TO

               LOAN AND SECURITY AGREEMENT DATED OCTOBER 23, 1997
                               LOAN NO. 97-10-100

   THIS LOAN AND COLLATERAL  SCHEDULE is executed  pursuant to that certain Loan
and Security Agreement dated October 23, 1997 ("Agreement"),  between Integrated
Medical Resources, Inc. and the entities listed on Exhibit A attached hereto and
made a part  hereof as debtors  (collectively  and  individually  referred to as
"Debtor") and DVI Financial Services Inc. as secured party ("Secured Party").

   1. Incorporation by Reference.

        The Agreement is fully incorporated herein by reference.

   2. Description of Collateral.

        In  consideration  of the terms and conditions of the Agreement,  and of
this Schedule,  Secured Party has  concurrently  herewith made a cash Advance to
Debtor on the security of the Collateral described as follows:

See Exhibit B attached hereto and made a part hereof.

, TOGETHER  WITH ALL PARTS,  ACCESSORIES,  ATTACHMENTS,  ACCESSIONS,  ADDITIONS,
REPLACEMENT AND SUBSTITUTION COMPONENTS THEREOF.

   3. Amount of Advance.

        The total  amount  of the  Advance  pursuant  to this  Schedule  is Five
Hundred Thousand and 00/100 Dollars ($500,000.00)

   4. Term.

        The Term for the Monthly Loan Repayments of the Advance made pursuant to
this  Schedule  shall  commence  on the date set forth  below in  Section 5, and
unless  earlier  terminated  provided in the Loan and Security  Agreement  shall
continue for a period of thirty-six (36) months.

   5. Monthly Loan Repayments.

As Monthly  Loan  Repayments  of the Advance  made under this  Schedule,  Debtor
agrees to pay Secured Party the sum of Five Hundred  Ninety Seven Thousand Eight
Hundred Fifty Seven and 40/100  Dollars  ($597,857.40),  payable,  in successive
monthly  installments  of:  thirty-six  (36)  payments of Sixteen  Thousand  Six
Hundred Seven and 15/100 Dollars ($16,607.15), beginning on October 23, 1997 and
on the same day of each month  thereafter until paid in full. In the event there
is an increase in the thirty (30) month  Treasury Note rate from the rate quoted
in the  proposal/commitment  letter  to the  rate in  effect  on the  date  this
Schedule  funds,  then Secured Party  reserves the right to increase the Monthly
Loan  Repayment  Amount by that same rate of increase.  Monthly Loan  Repayments
will be made to Secured Party by having DVI Business Credit  Corporation  deduct
from the Lock Box  Accounts,  as  defined  in the  Revolving  Loan and  Security
Agreement  the Monthly Loan  Repayments  in  accordance  with Section 2.6 of the
Revolving  Loan and Security  Agreement.  To the extent there are not sufficient
funds in the Lock Box  Accounts,  Debtor shall make the Monthly Loan  Repayments
directly to Secured Party as follows:

   DVI Financial Services Inc.
   500 Hyde Park
   Doylestown, PA 18901




6. Duty to Pay Absolute.

        Until the Debtor's  obligation to make Monthly Loan  Repayments has been
terminated as provided herein, it shall be absolute,  unconditional, and without
deduction, offset, or abatement for any reason, and shall continue in full force
and effect  regardless of Debtor's  ability to use any item of Collateral or any
reason.

   7.  Collateral Location.

        The  Collateral  shall be located at: See Exhibit C attached  hereto and
made a part hereof.

        IN WITNESS WHEREOF, Debtor and Secured Party have executed this Schedule
by their duly authorized officers as of the date first above written.

DEBTOR:                                        LENDER:
INTEGRATED MEDICAL RESOURCES, INC.             DVI FINANCIAL SERVICES INC.

By:     /s/ T. Scott Jenkins                   By: /s/ Cynthia J. Cohn
Print Name: T. Scott Jenkins                   Print Name: Cynthia J.Cohn
Title:  President                              Title: Executive Vice President

DEBTOR:                                        DEBTOR:
IMR OF ARIZONA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               CALIFORNIA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTEGRATED MEDICAL RESOURCES OF                IMR OF CONNECTICUT, INC.
COLORADO, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC.    IMR OF ILLINOIS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF INDIANA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               MASSACHUSETTS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President





DEBTOR:                                        DEBTOR:
IMR OF MICHIGAN, INC.                          IMR OF NEVADA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTEGRATED DIAGNOSTICS, INC.                   IMR OF NORTH CAROLINA, INC
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF OHIO, INC.                              IMR   INTEGRATED   DIAGNOSTICS OF
                                               OKLAHOMA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTGRATED MEDICAL RESOURCES OF                 IMR OF SOUTH CAROLINA, INC.
PENNSYLVANIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS, INC.               IMR OF VIRGINIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:
IMR OF WISCONSIN, INC.
By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President





                                    EXHIBIT A
                      TO LOAN AND COLLATERAL SCHEDULE NO. 1

                              (ADDITIONAL DEBTORS)

IMR of Arizona, Inc., an Arizona corporation
Integrated Medical Resources of California, Inc. a California corporation
Integrated Medical Resources of Colorado, Inc., a Colorado corporation
IMR of Connecticut, Inc., a Connecticut corporation
IMR Integrated Diagnostic of Florida,  Inc.,  a  Florida  corporation
IMR of  Illinois,  Inc.,  an  Illinois corporation
IMR of Indiana,  Inc., an Indiana  corporation
Integrated Medical Resources of Massachusetts, Inc., a Massachusetts corporation
IMR of Michigan, Inc.,  a  Michigan  corporation
IMR  of  Nevada,  Inc.,  a  Nevada  corporation
Integrated  Diagnostics,  Inc., a New York  corporation
IMR of North  Carolina, Inc., a North Carolina  corporation
IMR of Ohio,  Inc., an Ohio  corporation
IMR Integrated  Diagnostics of Oklahoma,  Inc., an Oklahoma  corporation
Integrated Medical Resources of Pennsylvania, Inc., a Pennsylvania corporation
IMR of South Carolina, Inc., a South Carolina corporation
IMR Integrated Diagnostics, Inc., a Texas  corporation
IMR  of  Virginia,  Inc.,  a  Virginia  corporation
IMR  of Wisconsin, Inc., a Wisconsin corporation




                             ACCEPTANCE CERTIFICATE

                                       TO

               LOAN AND SECURITY AGREEMENT DATED OCTOBER 23, 1997
                               LOAN NO. 97-10-100

            LOAN AND COLLATERAL SCHEDULE NO. 1 DATED OCTOBER 23, 1997

        THIS  ACCEPTANCE  CERTIFICATE  ("Certificate")  is  being  executed  and
delivered  pursuant to the Loan and Security  Agreement and Loan and  Collateral
Schedule No. 1 ("Schedule") each dated as of October 23, 1997 between Integrated
Medical Resources, Inc. and the entities listed on Exhibit A attached hereto and
made a part hereof  (collectively and individually  referred to as "Debtor") and
DVI Financial  Services Inc.  (referred to as "Secured Party") for the following
equipment ("Equipment"):

        MANUFACTURER, MODEL AND SERIAL/IDENTIFICATION NUMBER:

Refer to the attached Exhibit "B" which by this reference is made a part hereof.

, TOGETHER  WITH ALL PARTS,  ACCESSORIES,  ATTACHMENTS,  ACCESSIONS,  ADDITIONS,
REPLACEMENT AND SUBSTITUTION COMPONENTS THEREOF.

        WE HEREBY CERTIFY AND ACKNOWLEDGE that all the Equipment  subject to the
above-referenced Schedule and as described herein has been delivered to us; that
any necessary  installation  of the Equipment has been fully and  satisfactorily
performed;  that the Equipment  has been  examined  and/or tested and is in good
operating   order  and  condition  and  is  of  the   manufacture,   design  and
specifications selected by us and is in all respects satisfactory to Debtor; and
that,  after full  inspection  thereof,  we have  accepted the Equipment for all
purposes as of the date hereof, including,  without limitation,  for purposes of
the above-referenced Schedule. We hereby represent and warrant that any right we
may  have  now or in the  future  to  reject  the  Equipment  or to  revoke  our
acceptance  thereof has  terminated as of the date of this  Certificate,  and we
hereby waive any such right by the execution hereof.

        WE HEREBY FURTHER CERTIFY AND  ACKNOWLEDGE  that Secured Party has fully
and  satisfactorily  satisfied all its obligations under the Schedule,  and that
any  and  all  conditions  to  the  effectiveness  of  the  Schedule  or to  our
obligations  under  the  Schedule  have  been  satisfied,  and  that  we have no
defenses,  set-offs  or  counterclaims  to any  such  obligations,  and that the
Schedule is in full force and effect,  and that no event of default has occurred
thereunder.

        WE HEREBY FURTHER  CERTIFY AND  ACKNOWLEDGE  THAT SECURED PARTY MAKES NO
REPRESENTATION OR WARRANTY,  EXPRESS OR IMPLIED, AS TO THE CAPACITY,  CONDITION,
DESIGN,   DURABILITY,   MATERIAL,    MERCHANTABILITY,    PERFORMANCE,   QUALITY,
SUITABILITY,  WORKMANSHIP  OR  VALUE OF THE  EQUIPMENT  OR ITS  FITNESS  FOR ANY
PARTICULAR  PURPOSE OR THAT THE EQUIPMENT WILL SATISFY THE  REQUIREMENTS  OF ANY
LAW, RULE, REGULATION, SPECIFICATION OR CONTRACT, OR ANY OTHER REPRESENTATION OR
WARRANTY OF ANY KIND OR NATURE  WHATSOEVER  WITH RESPECT TO THE EQUIPMENT OR ANY
ASSOCIATED ITEM OR ANY ASPECT THEREOF.

        WE  HEREBY  FURTHER  CERTIFY  AND  ACKNOWLEDGE  that  in the  event  the
Equipment subject to the Schedule fails to perform as expected or represented by
the  manufacturer/supplier,  Debtor shall  continue to make monthly  payments to
Secured Party as required  under the terms of the Schedule and Debtor shall look
solely to the  manufacturer or supplier for the performance of all covenants and
warranties with respect to the Equipment and hereby agrees to indemnify  Secured
Party and hold it harmless from such  non-performance or breach of warranty with
respect to the Equipment.



        WE HEREBY FURTHER CERTIFY AND ACKNOWLEDGE  that Secured Party is not the
manufacturer,  supplier,  distributor  or  seller  of the  Equipment  and has no
control, knowledge or familiarity with the conditioning,  capacity,  functioning
or other characteristics of the Equipment.






        WE HEREBY  FURTHER  ACKNOWLEDGE  that Secured Party is relying upon this
Certificate as a condition to making payment to Debtor under the Schedule.

Date Equipment Accepted: October 23, 1997

DEBTOR:

INTEGRATED MEDICAL RESOURCES, INC.

By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President

DEBTOR:                                        DEBTOR:
IMR OF ARIZONA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               CALIFORNIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTEGRATED MEDICAL RESOURCES OF                IMR OF CONNECTICUT, INC.
COLORADO, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS OF FLORIDA, INC.    IMR OF ILLINOIS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF INDIANA, INC.                           INTEGRATED MEDICAL RESOURCES OF
                                               MASSACHUSETTS, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF MICHIGAN, INC.                          IMR OF NEVADA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President





DEBTOR:                                        DEBTOR:
INTEGRATED DIAGNOSTICS, INC.                   IMR OF NORTH CAROLINA, INC
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR OF OHIO, INC.                              IMR   INTEGRATED   DIAGNOSTICS OF
                                               OKLAHOMA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
INTGRATED MEDICAL RESOURCES OF                 IMR OF SOUTH CAROLINA, INC.
PENNSYLVANIA, INC.

By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:                                        DEBTOR:
IMR INTEGRATED DIAGNOSTICS, INC.               IMR OF VIRGINIA, INC.
By:     /s/ T. Scott Jenkins                   By:    /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins                   Print Name: T. Scott Jenkins
Title:  President                              Title: President

DEBTOR:
IMR OF WISCONSIN, INC.

By:     /s/ T. Scott Jenkins
Print Name: T. Scott Jenkins
Title:  President





                                    EXHIBIT A
                            TO ACCEPTANCE CERTIFICATE

                              (ADDITIONAL DEBTORS)

IMR of Arizona, Inc., an Arizona corporation
Integrated Medical Resources of California, Inc. a California corporation
Integrated Medical Resources of Colorado, Inc., a Colorado corporation
IMR of Connecticut, Inc., a Connecticut corporation
IMR Integrated Diagnostic of Florida,  Inc.,  a  Florida  corporation
IMR of  Illinois,  Inc.,  an  Illinois corporation
IMR of Indiana,  Inc., an Indiana  corporation
Integrated Medical Resources of Massachusetts, Inc., a Massachusetts corporation
IMR of Michigan, Inc.,  a  Michigan  corporation
IMR  of  Nevada,  Inc.,  a  Nevada  corporation
Integrated  Diagnostics,  Inc., a New York  corporation
IMR of North  Carolina, Inc., a North Carolina  corporation
IMR of Ohio,  Inc., an Ohio  corporation
IMR Integrated  Diagnostics of Oklahoma,  Inc., an Oklahoma  corporation
Integrated Medical Resources of Pennsylvania, Inc., a Pennsylvania corporation
IMR of South Carolina, Inc., a South Carolina corporation
IMR Integrated Diagnostics, Inc., a Texas  corporation
IMR  of  Virginia,  Inc.,  a  Virginia  corporation
IMR  of Wisconsin, Inc., a Wisconsin corporation



                                EXHIBIT 10(f)(i)

                                  AMENDMENT TO
                               SERVICES AGREEMENT

         THIS  AMENDMENT  is made and  entered  into as of this 1st day of July,
1997, by and between Integrated  Medical  Resources,  Inc., a Kansas Corporation
("IMR"), and Strategem, Inc., a Kansas corporation ("Strategem").

                                    RECITALS

         A. IMR and  Strategem  entered  into a Services  Agreement  dated as of
January 6, 1997 (the "Agreement"),  pursuant to which Strategem provides various
marketing services to IMR.

         B.   IMR and Strategem desire to amend the Agreement in accordance with
the terms of this Amendment.

                                    AGREEMENT

         In  consideration  of the  premises  hereof and other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, IMR
and Strategem agree as follows:

         1.       Definitions.     Capitalized terms used but not defined herein
shall have the meanings given to such terms in the Agreement.

         2.       Amendments.

                  2.1     Amendment -- Incident Fee, Payment. Section 2.1 of the
Agreement is hereby amended and restated in its entirety as follows:

                  "In  consideration of the Services to be provided by Strategem
         hereunder,  IMR shall pay to  Strategem a fee equal to (a) during Phase
         1, the greater of (i) $375.00 per  Incident  (as defined in Section 2.2
         below) and (ii) $15,000.00 per calendar month, beginning July 1997, and
         (b) during  Phase 2 and Phase 3, $250.00 per  Incident  (the  "Incident
         Fee"). The Incident Fee shall be calculated as of the last business day
         of each calendar  month and payable to Strategem as soon as practicable
         (but in no event later than 20 days) thereafter."

                  2.2  Amendment  -- Phase 1 Stock  Option.  Section  3.1 of the
Agreement is hereby amended and restated in its entirety as follows:

                  "On July 1, 1997,  Strategem  shall receive from IMR an option
         (the "Phase 1 Option") to purchase  75,000  shares of IMR common  stock
         ("Stock"). The Phase 1 Option shall (a) be evidenced by (and subject to
         the terms and conditions of) an option agreement

                                        1






         in  substantially  the form attached  hereto as Exhibit B (the "Phase 1
         Option Agreement"), (b) have a per share exercise price equal to $2.00,
         and (c) vest on the date of grant."

                  2.3      Amendment -- Term.  Section 4.1 of  the Agreement  is
hereby amended and restated in its entirety as follows:

                           (a) "Phase 1" of this Agreement shall commence on the
         date hereof and shall  continue in effect until the earlier to occur of
         (i)   September  30,  1997,  or  (ii)  the  date  on  which  the  Field
         Representatives have generated an aggregate of 800 Incidents.

                           (b) Subject to Section  4.2 below,  "Phase 2" of this
         Agreement  shall  commence  on the  earlier to occur of (i)  October 1,
         1997,  or (ii)  the  date  on  which  the  Field  Representatives  have
         generated an aggregate of 800  Incidents  and shall  continue in effect
         for the approximately one-year period ending on September 30, 1998.

                           (c) Subject to Section  4.2 below,  "Phase 3" of this
         Agreement  shall  commence  on the  earlier to occur of (i)  October 1,
         1998,  or (ii)  the  date  on  which  the  Field  Representatives  have
         generated,  during Phase 2, an aggregate of 79,200  Incidents and shall
         continue  in effect  for a period of 12 months  from such  commencement
         date.

                  2.4  Amendment -- Phase 1 Option  Agreement.  Exhibit B of the
Agreement  is  hereby  amended  and  restated  in its  entirety  as set forth in
Schedule 1 attached hereto.

         3.  References to Services  Agreement.  From and after the date hereof,
all  references in the Agreement to "this  Agreement,"  "hereof,"  "herein," and
similar  terms  shall  mean  and  refer  to the  Agreement  as  amended  by this
Amendment, and all references in other documents to the Agreement shall mean the
Agreement as amended by this  Amendment.  This Amendment  shall not be modified,
supplemented,   or  terminated  in  any  manner  whatsoever  except  by  written
instrument signed by the party against which such modification,  supplement,  or
termination is sought to be enforced.

         4. Ratification and Confirmation.  The Agreement is hereby ratified and
confirmed and, except as herein amended, remains in full force and effect.

                                        2






         IN  WITNESS  WHEREOF,  the  parties  hereto  have  duly  executed  this
Amendment on the day and year first above written.

                                        IMR:

                                        INTEGRATED MEDICAL RESOURCES, INC.
                                         
                                         /s/ T. Scott Jenkins
                                         T. Scott Jenkins
                                         President

                                         STRATEGEM:

                                         STRATEGEM, INC.

                                         /s/ Ben A. Blackshire
                                         Ben A. Blackshire
                                         President

                                        3






                                                                      Schedule 1

                            Phase 1 Option Agreement

         THIS  AGREEMENT is dated as of July 1, 1997, by and between  Integrated
Medical Resources,  a Kansas corporation ("IMR"), and Strategem,  Inc., a Kansas
corporation ("Strategem").

                                    RECITALS

         A. IMR and Strategem  have entered into a Services  Agreement,  of even
date herewith (the "Services Agreement"), pursuant to which Strategem has agreed
to provide valuable services to IMR.

         B. The Services Agreement provides,  in addition to the payment of fees
by IMR to Strategem,  that Strategem  shall receive an option to purchase 75,000
shares of IMR's common stock  ("Stock") on the date hereof pursuant to the terms
and conditions of this Agreement.

                                    AGREEMENT

         In consideration of the premises hereof,  the promises made herein, and
other good and valuable consideration,  the receipt and sufficiency of which are
hereby acknowledged, IMR and Strategem hereby agree as follows:

         1.     Definitions. Capitalized terms used but not defined herein shall
have the meaning ascribed to them in the Services Agreement.

         2.  Grant of Option.  IMR hereby  grants to  Strategem  an option  (the
"Option")  to  purchase  75,000  shares of Stock  upon the terms and  conditions
hereof.

         3. Vesting of Option.  The Option shall vest and become  exercisable as
provided in Section 3.1 of the Services Agreement.

         4. Exercise of Option. Upon vesting,  Strategem may exercise the Option
in whole or in part by  delivery  to IMR of a  written  notice  indicating  that
Strategem  desires  to  exercise  the  Option  and the number of shares of Stock
Strategem  desires to purchase.  Such notice shall be  accompanied  by cash or a
certified  check  payable to IMR in an amount  equal to the  aggregate  Exercise
Price (as defined in Section 5 below) of the shares  purchased.  Upon receipt of
such  notice and  payment,  IMR shall  deliver to  Strategem  a  certificate  or
certificate representing the number of shares of Stock stated in such notice.

         5. Exercise Price.  The per share exercise price of the Option shall be
$2.00.

                                        4






         6.  Limitation  and  Non-Transferability.  The  Option is  personal  to
Strategem, may be exercised only by Strategem, and may not be transferred in any
manner.

         7.  Stock  Dividends,  Recapitalizations,  Etc.  IMR  shall  make  such
adjustments  to the Exercise  Price and number of shares of Stock subject to the
Option as IMR  reasonably  deems  appropriate in light of any change made to the
Stock   during  the  term  of  this   Agreement   (whether   by  reason  of  any
recapitalization,  exchange  of  shares,  stock  split,  stock  dividend,  stock
issuance, combination of shares, or otherwise).

         8. Dividends and Voting Rights.  Strategem shall not be entitled to any
cash or other  dividends,  or to any voting  rights,  in respect of any share of
Stock  subject to the Option until such time as  Strategem  has  purchased  such
share in accordance with the terms hereof.

         9.  Termination.  This Agreement shall terminate and the Option granted
herein  (to the extent  unexercised)  shall no longer be  exercisable  or of any
effect  whatsoever  upon the  earlier  to occur of (a) 5 years  from the date on
which the Option  vests or (b) the date on which the total  aggregate  number of
shares  subject to the Option have been  purchased in accordance  with the terms
hereof.

         10. Representations,  Warranties, and Covenants of Strategem. Strategem
represents, warrants, and covenants as follows:

                  10.1  Acquisition for  Investment.  Strategem is acquiring the
Option for its own account for  investment  only, and not with a view to, or for
sale  in  connection   with,  any  resale,   fractionalization,   division,   or
distribution.

                  10.2 Acknowledgment of Restrictions. Strategem understands and
acknowledges  that the Option and the shares of Stock  subject to the Option (i)
have not been  registered  under the  Securities  Act of 1933,  as amended  (the
"Securities  Act"), (ii) are "restricted  securities" within the meaning of Rule
144 under the Securities Act, and (iii) as such may not be sold, transferred, or
otherwise  disposed  of  unless  they  are  subsequently  registered  under  the
Securities Act or an exemption from registration is then available.

                  10.3   Acknowledgment   of   Restrictive   Legend.   Strategem
understands and acknowledges  that a legend  substantially in the following form
will be placed on the  certificate or  certificates  representing  the shares of
Stock purchased pursuant to the Option:

         THE SHARES  REPRESENTED  BY THIS  CERTIFICATE  HAVE BEEN  ACQUIRED  FOR
         INVESTMENT  AND HAVE NOT BEEN  REGISTERED  UNDER THE  SECURITIES ACT OF
         1933. SUCH SHARES MAY NOT BE SOLD OR TRANSFERRED IN THE ABSENCE OF SUCH
         REGISTRATION  UNLESS THE  TRANSFER  IS IN  ACCORDANCE  WITH RULE 144 OR
         SIMILAR RULE OR UNLESS THE COMPANY RECEIVES AN OPINION OF

                                        5





         COUNSEL REASONABLY  ACCEPTABLE TO IT STATING THAT SUCH SALE OR TRANSFER
         IS EXEMPT FROM THE REGISTRATION AND PROSPECTUS DELIVERY REQUIREMENTS OF
         SAID ACT.

         11.      Miscellaneous.

                  11.1  Successors.  This  Agreement  shall be binding  upon and
shall inure to the benefit of both of the parties hereto and to their respective
successors and permitted assigns.

                  11.2 Waiver. The observance of any provision of this Agreement
may  be  waived  (either  generally  or  in a  particular  instance  and  either
retroactively  or  prospectively)  if the waiver is in writing and signed by the
party making the waiver.  No delay or omission by either party in exercising any
of its rights  hereunder  shall  operate as a waiver of that or any other right.
Unless  otherwise  expressly  stated,  a waiver given by either party on any one
occasion  shall be effective only in that instance and shall not be construed as
a waiver of that right on any other occasion.

                  11.3 Severability.  The invalidity or  unenforceability of any
provision of this Agreement shall not affect the validity or  enforceability  of
any other provision hereof, and such invalid or unenforceable provision shall be
enforced in accordance with its terms to the greatest extent permitted by law.

                  11.4 Notices. All notices and other  communications  hereunder
shall be given in writing and deemed to be duly given if delivered by hand, sent
by certified or registered mail (return receipt requested,  postage prepaid), or
sent by  facsimile  (with  receipt  confirmed),  in each case to the address and
facsimile number as follows:

                  If to IMR, to:

                           Integrated Medical Resources, Inc.
                           Attention:  Mr. T. Scott Jenkins
                           11320 W. 79th Street
                           Lenexa, Kansas 66214
                           Facsimile No.: (913) 962-7063

                  with a copy to:

                           Blackwell Sanders Matheny Weary & Lombardi LLP
                           Attention:  James M. Ash, Esq.
                           2300 Main Street, Suite 1100
                           Kansas City, Missouri 64108
                           Facsimile No.: (816) 274-6914

                                        6





                  If to Strategem, to:

                           Strategem, Inc.
                           Attention:  Mr. Ben A. Blackshire
                           8012 State Line Road
                           Leawood, Kansas 66208
                           Facsimile No.: (913) 385-7777

                  with a copy to:

                           Payne & Jones, Chartered
                           Attention: Thomas K. Jones, Esq.
                           11000 King
                           Overland Park, Kansas 66210
                           Facsimile No.: (913) 469-8182

or to such other  address as either  party may  provide to the other in writing.
All such  notices and other  communications  shall be  effective  on the date of
delivery, mailing, or facsimile transmission.

                  11.5 Entire  Agreement.  This  Agreement  embodies  the entire
agreement   between  the  parties  hereto  with  respect  to  the   transactions
contemplated  herein and  supersedes  all prior  agreements  and  understandings
relating  to such  subject  matter.  There  have  been  and  are no  agreements,
representations,  warranties,  or covenants between the parties other than those
set forth or provided for herein.

                  11.6  Headings.  The headings  used in this  Agreement are for
convenience only and shall not constitute a part of this Agreement.

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

                  11.8 Amendment. This Agreement may be amended only pursuant to
a writing signed by both parties hereto.

                  11.9 Governing  Law. This  Agreement  shall be governed by and
construed and  interpreted  in accordance  with the laws of the state of Kansas,
without regard to the choice of law rules of such state.

                                        7





         IN WITNESS  WHEREOF,  IMR and Strategem have duly signed this Agreement
as of the date first written above.

                                        IMR:

                                        INTEGRATED MEDICAL RESOURCES, INC.

                                        /s/ T. Scott Jenkins
                                        T. Scott Jenkins, President

                                        STRATEGEM:

                                        STRATEGEM, INC.

                                        /s/ Ben A. Blackshire
                                        Ben A. Blackshire, President




                                        8





                                 EXHIBIT 10(f)(ii)

                                [IMR LETTERHEAD]

                               September 30, 1997

Strategem, Inc.
Attention:  Ben A. Blackshire
8012 State Line Road
Leawood, Kansas 66208

         Re:  Termination of Services Agreement

Dear Ben:

         This  letter  confirms  that,  pursuant  to  Subsection  4.2(a)  of the
Services Agreement,  dated January 6, 1997 (the "Agreement")  between Integrated
Medical Resources,  Inc. ("IMR"),  and Strategem,  Inc.  ("Strategem"),  IMR and
Strategem mutually consent to the termination of the Agreement,  effective as of
the date  hereof.  For the  avoidance  of  doubt,  (a) the  Agreement  is hereby
terminated  prior to the  commencement  of  either  Phase 2 or Phase 3,  each as
defined in the Agreement and (b) despite the termination of this Agreement,  the
Registration  Rights  Agreement  dated January 6, 1997 between IMR and Strategem
remains in full force in effect.

         Please affirm the  termination  of the Agreement  pursuant to the terms
set forth above by signing and dating  each of the two  enclosed  copies of this
letter.  Kindly  return  one  signed  copy to IMR.  The other  should be kept by
Strategem for its records.

                                           INTEGRATED MEDICAL RESOURCES, INC.

                                           /s/ T. Scott Jenkins
                                           T. Scott Jenkins
                                           President

ACCEPTED AND AGREED:

STRATEGEM, INC.

/s/ Ben A. Blackshire
Ben A. Blackshire
President

Date:  September 30, 1997

cc:      James M. Ash, Esq.
         Thomas K. Jones, Esq.





                               EXHIBIT 10(f)(iii)

                                                                October 15, 1997

                                RIGISCAN PURCHASE
                               AGREEMENT and TERMS

                             AMENDMENT TO AGREEMENT
                             Dated December 1, 1995

                            AMENDED PAYMENT SCHEDULE
                              to AMENDED AGREEMENT

                             Dated December 19, 1996

This  Amendment to the  December 1, 1995,  Agreement  which is  attached,  is an
Agreement made and entered into, effective the 19th day of December,  1996, with
Amended  Payment Terms  effective  October 15, 1997,  by and between  Integrated
Medical Resources,  Inc. ("IMR") (Buyer) and Imagyn Medical  Technologies,  Inc.
(fka UROHEALTH  Systems,  Inc.) ("Imagyn") (Seller and Leaseholder) and expiring
on December 31, 1998.

WHEREAS,  IMR to insure  availability and delivery of all Rigiscan  requirements
for  calendar  year 1997 and 1998 which it  estimates to be 360 units and Imagyn
has  offered  non-recourse  financing  terms  desirous  by  IMR  which  includes
amortizing the purchase price over 36 months at a favorable rate.

NOW, THEREFORE, for good and valuable consideration, receipt and sufficiency of,
which is hereby acknowledged, the parties agree as follows:

1. The price and all  conditions in the December 1, 1995  agreement  prevail and
shall be extended through December 31, 1998.

2. The payment terms shall be:

        a.25% of the total purchase price due payable according to the following
           schedule:

        Schedule             Due Date                     25% Deposit Due

        I.                   March 1, 1997                $123,000
        II.                  November 30, 1997            $246,000
        III.                 February 15, 1998            $123,000
        IV.                  August 15, 1998              $123,000
        V.                   December 15, 1998            $123,000



        The balance of each  purchase  amount  shall be  amortized on a 36 month
        straight line basis plus interest at rates  consistent  with the current
        Agreement  (December  1,  1995  Agreement)  and  begins  30  days  after
        projected Due Date of the Schedule above.

3.      Seller will retain first  position  interest in all Rigiscan units until
        IMR has paid in full its obligations or returned the units.  UCC filings
        will occur on these units.

4.      This  Agreement  shall be  binding  on and inure to the  benefit  of the
        successors and assigns of both Imagyn and IMR.

5.      This Agreement  shall be interpreted in accordance  with the laws of the
        State of California.

IN WITNESS  WHEREOF,  the parties hereto have  executed,  signed and sealed this
Agreement to the effective the day and year first written above.

                               IMAGYN MEDICAL TECHNOLOGIES, INC.

                               (fka UROHEALTH Systems, Inc.)

                        By:     /s/ Randall L. Condi

                        Title:  President - Med/Surg Division

                               INTEGRATED MEDICAL RESOURCES, INC.

                        By:    /s/ Beverly O. Elving

                        Title: Chief Financial Officer



                                          EXHIBIT 11

                        INTEGRATED MEDICAL RESOURCE'S INC. AND CENTERS

                       NET LOSS per COMMON AND COMMON EQUIVALENT SHARE




                                              For the three months ended September 30 For the nine months ended September 30
                                                        1997              1996             1997              1996
                                                 ----------------------------------     --------------------------------
                                                                                           

Net Loss per Common and
  Common Equivalent Share

   Net loss                                           $(888,128)    $(1,704,755)          $(4,075,598)    $(2,929,060)
                                                 ==================================     ================================

   Weighted average common shares
     outstanding                                      6,717,517       2,910,688            6,717,517       2,910,688
   Shares of common stock issuable upon
     exercise of options  issued with an
     exercise price below the initial public
     offering price (determined using the
     "treasury stock method")                                 0         108,414                     0         108,414
                                                 ----------------------------------     --------------------------------

   Weighted average common and common
     equivalent shares outstanding                    6,717,517       3,019,000             6,717,517       3,019,000
                                                 ==================================     ================================

   Net loss per common and

     common equivalent share                        $     (0.13)   $      (0.56)          $    (0.61)   $      (0.97)
                                                 ==================================     ================================