Exhibit 2.5

                                  February 3, 1994

Mr. Paul G. Shoffeitt
2640 Jennings Chapel Road
Woodbine, Maryland 21797

Dear Paul:

          This letter agreement ("Agreement") is in response to your recent 
proposal to the Board of Directors of Green Spring Health Services, Inc. 
("Green Spring") to alter your role at Green Spring from an employee position 
as the President and Chief Executive Officer of Green Spring (and of Green 
Spring's subsidiary, Green Spring Mental Health Services of New Jersey, Inc. 
("GSNJ")) to a consultant position to the Board of Directors and management 
of Green Spring, GSNJ and any other existing subsidiaries or divisions of 
Green Spring (sometimes collectively referred to as, the "Company"). More 
specifically, you have requested that the Company agree to an arrangement 
under which you devote less than full time to the business and affairs of the 
Company and modify the restrictive covenants (including, but not limited to, 
non-competition and non-solicitation covenants) contained in the Employment 
Agreement dated as of April 28, 1993 between you and the Company (the 
"Employment Agreement"), in order that you may pursue additional personal 
opportunities. Subject to the provisions of Section 15, this Agreement shall 
supersede the Employment Agreement and terminate the duties and obligations 
of both parties under the Employment Agreement. The Board of Directors of the 
Company is willing to accept your decision and agrees that it would be 
mutually beneficial for you to continue your relationship with the Company as 
a consultant, subject to the terms and conditions regarding your continuing 
relationship with the Company set forth in this letter.

          Your transition from an employee, as well as the President and 
Chief Executive Officer of the Company, to a consultant position with the 
Company is subject to the following terms and conditions:

     1.   POSITION:

          Effective as of February 3, 1994, you will assume a consulting 
          position with the Company (the "Consultancy"), with the title "Vice 
          Chairman" and only with such powers and duties as from time to time 
          may be assigned to you by





                                                Dr. Paul G. Shoffeitt
                                                February 3, 1994
                                                Page 2

          the Chairman or the Board of Directors of Green Spring in 
          accordance with the terms and conditions of this Agreement, thereby 
          resigning your position as an employee, officer and President and 
          Chief Executive Officer of each of Green Spring and GSNJ.

     2.   DUTIES:

          From February 3, 1994 until written notice of termination of the 
          Consultancy is given by either party to the other party, you hereby 
          agree to:

               (a)  upon the direction of the President and the Board of 
               Directors, provide assistance to the Company with respect to 
               matters that you were responsible for or otherwise involved 
               with during your employment with the Company, as a consultant 
               to the Company, including but not limited to, the following 
               areas, (i) account relations and marketing and sales support, 
               (ii) management recruitment and employee relations, and (iii) 
               Board of Directors and management consultation and support, and

               (b)  take such reasonable steps as are requested by the 
               Company and apply yourself to facilitate the above endeavors.

     3.   COMPENSATION:

          In connection with your relationship with the Company as a 
          consultant and in consideration of your covenants and agreements 
          set forth in this Agreement and subject to the terms and conditions 
          of this Agreement, Green Spring agrees as follows: commencing 
          February 3, 1994, to pay you at the rate of Four Thousand One 
          Hundred Sixty-seven and 00/100 Dollars ($4,167.00) per month (the 
          "Monthly Payments"), payable in accordance with Green Spring's 
          normal payroll practices until termination, by either party, of the 
          Consultancy hereunder.

          The Company is currently developing a long term incentive 
          compensation plan (the "Long Term Plan") for its employees. In the 
          event that such Long Term Plan is adopted and arrangements can be 
          made to include you as a participant in the Long Term Plan, 
          notwithstanding that you will not be an employee of the Company, 
          the Company will do so. The terms of your participation shall be 
          determined by the Company's Board of Directors in their sole 
          reasonable discretion.





                                                        Dr. Paul G. Shoffeitt
                                                        February 3, 1994
                                                        Page 3


4. EXPENSES.

   For the duration of the Consultancy, the company shall reimburse you for 
   all reasonable and necessary business expenses incurred by you in the 
   performance of your consulting services hereunder, consistent with the 
   Company's expense reimbursement policies as in effect from time to time.

5. INDEPENDENT CONTRACTOR; TERMINATION

   Notwithstanding any title you may have, you expressly understand and agree 
   that, for the duration of the Consultancy, (i) you are an independent 
   contractor, (ii) you are not an officer, director, agent for, or an 
   employee of, the company, and (iii) you have no authority to bind the 
   Company. You further acknowledge and agree that either party to this 
   Agreement can terminate the Consultancy established under this Agreement 
   at any time, with or without cause, upon fourteen (14) days written notice 
   to the other at the address set forth in Section 16 of this Agreement; 
   provided however, that termination of the Consultancy shall not constitute 
   termination of Sections 6-10, 12-13 and 17-23 inclusive of this Agreement 
   which shall continue to apply and remain in full force and effect as set 
   forth therein.

6. CONFIDENTIALITY; NON-DISCLOSURE

   Except as otherwise authorized by the company, its officers, directors, 
   employees or agents, or except as required by law or judicial process, you 
   agree not to reveal either directly or indirectly any proprietary 
   information of the Company. For purposes of this Agreement, "proprietary 
   information" shall mean any information relating to the Company's Business 
   (as defined in Section 7) that has not previously been publicly released 
   by duly authorized representatives of the Company and shall include (but 
   shall not be limited to) information encompassed in all designs, plans, 
   proposals, marketing and sales plans, financial information, costs, 
   pricing information, customer information, and all methods, concepts or 
   ideas in or reasonably related to the Company's Business (as defined in 
   Section 7). You further agree to regard and preserve as confidential all 
   proprietary information pertaining to the Company's Business (as defined 
   in Section 7) that was obtained by you in the course of your employment 
   with the Company or during the period of the Consultancy, whether you have 
   such information in your memory or in writing or




                                      Dr. Paul G. Shoffeitt
                                      February 3, 1994
                                      Page 4


    other physical form. You will not, for the duration of the Consultancy, 
    without authority from the company to do so, and, after termination of 
    the consultancy, without written authority from the Company to do so, 
    use for your benefit or purposes, except as reasonably required for the 
    discharge of your duties as set forth in this Agreement, nor disclose to 
    others, either during the term of this Agreement or thereafter, except as
    permitted hereunder, any proprietary information connected with the 
    Company's Business (as defined in Section 7), or plans or developments 
    of the Company. This provision shall not apply after the proprietary 
    information has been voluntarily disclosed to the public, independently 
    developed and disclosed by others, or otherwise enters the public 
    domain. Further, in the event that the company expands its business 
    beyond the scope of the Company's Business (as defined in Section 7), 
    and you provide consulting services to the Company in relation to such 
    expanded business and the Company shares proprietary information regarding 
    such expanded business with you, you hereby agree to keep such proprietary
    information confidential in accordance with the terms of the Section 6.
    
7.  NON-COMPETITION

    For the duration of the Consultancy, and for a period of three (3) years 
    following the termination of the Consultancy by either party, you agree 
    that you will not in any way, directly or indirectly, manage, operate, 
    control or accept employment or a consulting position with or otherwise 
    advise or assist or be connected with, or own, or have any other interest 
    in or right with respect to (other than through ownership of not more 
    than five percent (5%) of the outstanding shares of a corporation's stock 
    which is listed on a national securities exchange) any enterprise which 
    competes (or is deemed to compete by fulfilling the conditions stated in 
    the following sentence) with the Company or a subsidiary or affiliate of 
    the Company in the business engaged in by the Company, which, for purposes 
    of this Section 7, shall be deemed to be limited to mental health and 
    substance abuse, utilization review of inpatient and outpatient care, 
    mental health and/or substance abuse network management, mental health 
    and/or substance abuse managed care programs, EAP services, mental health 
    and substance abuse treatment, mental health and/or substance abuse 
    review guidelines licensure and training, facility site survey or 
    certification for mental health and/or substance abuse treatment 
    facilities, mental health





                                                          Dr. Paul G. Shoffeitt
                                                          February 3, 1996
                                                          Page 5

    and/or substance abuse care management services, mental health and/or 
    substance abuse benefit utilization and cost analysis or a mental health 
    and/or substance abuse managed care network (the "Company's Business"), in 
    any state or territory, including the District of Columbia. For purposes of 
    this Section 7, an enterprise shall be deemed to be competing with the 
    Company's Business notwithstanding the fact that it does not within the 
    three (3) year period following the termination of the Consultancy 
    actually compete with the Company if (i) within the three (3) year 
    period following the termination of the Consultancy the enterprise is 
    actively developing the capability to compete with the Company (such as by 
    developing mental health criteria), (ii) you have knowledge of such efforts 
    and (iii) within six (6) months of developing such capability but in no 
    event later than six (6) months following three (3) years from the date of 
    termination of the Consultancy the enterprise actively competes with the 
    Company. Nothwithstanding any provision of this Agreement to the contrary, 
    nothing in this Agreement shall be interpreted to restrict you from working 
    for the Patuxent Medical Group, Incorporated or Columbia Medical Plan, 
    Incorporated or their subsidiaries or the successors or assigns thereof 
    after the termination of the Consultancy hereunder or treating clinical 
    patients during or after the term of this Agreement; provided, however, 
    that except for treating clincal patients, you shall not provide any 
    services to Patuxent Medical Group, Incorporated or Columbia Medical Plan, 
    Incorporated or their subsidiaries, or the successors or assigns thereof 
    which compete with the Company's Business.

8.  NON-SOLICITATION.

    You further agree that for the duration of the Consultancy, and for a period
    of three (3) years following the termination of the Consultancy by either 
    party, you will refrain from, directly or indirectly: (i) interfering with 
    the employment of any other employee of the Company or a subsidiary of the 
    Company; (ii) urging, soliciting or inducing any employee of the Company to 
    leave the employ of the Company; (iii) hiring or attempting to hire any 
    employee of the Company; and (iv) soliciting the trade of, trading with, or 
    contracting with customers of the Company (including subsidiaries, 
    affiliates or organizations related to such customers) for any purpose that 
    competes with the Company's Business (as defined in Section 7).




                                                    Dr Paul G. Shoffeitt
                                                    February 3, 1994
                                                    Page 6

     9.     RETURN OF MATERIALS

            Upon termination of the Consultancy as provided in Section 5 
            hereof, you agree to return immediately any and all of the 
            Company's files and documents (including all copies thereof) and 
            other Company property and Company issued credit cards in your 
            possession.

     10.    MUTUAL GENERAL RELEASE

            In connection with your transition from an employee and officer to
            of the Company to a consultant to the Company and the payments 
            and other consideration provided for in this Agreement, you 
            hereby release and forever discharge the Company, its 
            stockholders, directors, officers, employees, agents and 
            representatives, successors and assigns, and the Company, its 
            successors and assigns, hereby release and forever discharge you, 
            your heirs, executors, administrators, agents, and 
            representatives, (hereinafter collectively the ""Released 
            Parties''), except for any non-vicarious gross negligence or 
            wilful misconduct by you (excluding any non-vicarious gross 
            negligence or willful misconduct arising from any act or event 
            about which any member of the Board of Directors of the Company 
            has any knowledge as of the date of this Agreement), from any and 
            all obligations arising from all prior agreements, whether written 
            or oral, between the Company and you, including, but not limited 
            to, the Employment Agreement and the Letter Agreement dated 
            November 9, 1993 between the Company and you (as provided in 
            paragraph 4 of such letter agreement). Additionally, you hereby 
            release and forever discharge the Company, its stockholders, 
            directors, officer, employees, agents and representative, 
            successors and assigns (hereinafter collectively the "Persons") 
            from any claim you or your heirs, executors or administrators may 
            now have, or will have, against the Persons in connection with 
            your prior employment or termination from employment with the 
            Company and the Company, its successors and assigns, hereby 
            release and forever discharge the Released Parties, except for any 
            non-vicarious gross negligence or willful misconduct arising from 
            any act or event about which any member of the Board of Directors 
            of the Company has any knowledge as of the date of this 
            Agreement), from any claim the Company, its successors and 
            assigns, may now have, or will have, against you in connection 
            with your prior employment or termination of your employment with 
            the Company, including, as set forth in the preceding sentence, 
            any





                                       Dr. Paul G. Shoffeitt
                                       February 3, 1994
                                       Page 7

claims arising from the Employment Agreement. You hereby confirm and agree 
that it is your intention by this general release to release the Persons from 
any and all claims, demands, damages, actions, suits of any and every nature, 
known or unknown, from the beginning of the world to the date of this 
release, including, but not limited to, claims arising under federal or state 
statutes, including claims brought under the Age Discrimination in Employment 
Act, 29 U.S.C. sections 621-634, or at common law, for wrongful discharge, 
breach of contract, or any other claims growing out of any legal restriction 
on the Company's right to terminate its employees and further including, 
without limitation any claim for incentive compensation, bonuses 
[(excluding bonuses accrued through December 31, 1993)], vacation or 
severance pay. The Company on behalf of itself, its successors and assigns 
hereby confirms and agrees that it is the Company's intention by this general 
release to release the Released Parties from any and all claims, demands, 
damages, actions, suits of every and any nature, known or unknown, from the 
beginning of the world to the date of this release. Notwithstanding any other 
provision of this Section 10 to the contrary, this mutual general release 
shall not (i) release you or the Company from your or its obligations under 
this Agreement, (ii) release you from any non-vicarious gross negligence or 
wilful misconduct by you (excluding any non-vicarious gross negligence or 
wilful misconduct arising from any act or event about which any member of the 
Board of Directors of the Company has any knowledge as of the date of this 
Agreement) as described above in this Section 10, (iii) in any way alter, 
amend or extinguish any rights that you may have under the Green Spring 
Health Services, Inc. Savings Plan, (iv) have any effect with respect to the 
parties hereto as it may relate to claims brought by third parties against 
either party hereto, or (v) in any way alter, amend or extinguish any right 
of indemnification you may have under the Certificate of Incorporation or 
By-Laws of the Company, or the General Corporation Law of the State of 
Delaware or the Corporation and Associations Article of the Annotated Code of 
the State of Maryland.

11.  ANNOUNCEMENTS.

The parties agree that, except for employee announcements in the form 
attached hereto, no press release or general public communications shall be 
issued by any of the parties thereto with respect to your transition from 
President and Chief Executive Officer to the Company to a consultant to the 
Company; provided that it is not the






                                                   Dr. Pual G. Shoffeitt
                                                   February 3, 1994
                                                   Page 8



intention of the parties to create the appearance that you have not 
terminated your duties and responsibilities under the Employment Agreement.

12.   BREACH

You understand and agree that in the event you breach in any material respect 
any of your covenants or agreements hereunder, any and all payments under 
this Agreement shall cease immediately; provided, however, you shall continue 
to remain bound by all of the provisions of this Agreement (except Sections 1 
through 5, 11, 14, 15 and 16 inclusive that pertain to the Consultancy). 
Provided, further, notwithstanding any other provision of this Agreement to 
the contrary, in the event of any alleged breach of this Agreement by you, 
the Company shall provide you with written notice of such breach and you 
shall have fourteen (14) days to cure such breach.

13.   REMEDIES AND INJUNCTIVE RELIEF

In the event of any breach by you of your obligations under this Agreement, 
you shall be liable to the Company for any and all direct (but not 
consequential except in the event you breach the non-competition provisions 
of Section 7 hereof, which shall be limited for the purposes of the 
limitation on consequential damages in this Section 13 to mean working for, 
consulting with, or advising competitors of the Company in the mental health, 
substance abuse, or EAP service areas) loss, cost or expense, incurred by the 
Company because of such breach. The Company shall have any and all remedies 
available at law or in equity. It is further understood and agreed by the 
parties hereto that the rights and privileges granted to the Company in 
Sections 6, 7, 8 and 9 of this Agreement by you hereunder are of a special, 
unique, extraordinary and intellectual character, which gives them a peculiar 
value, the loss of which cannot be reasonably or adequately compensated in 
damages in any action at law, and that a breach by you of any of the 
provisions contained in Sections 5, 7, 8 and 9 of this Agreement will cause 
the Company great and irreparable injury and damage. You hereby expressly 
agree that the Company shall be entitled to the remedies of injunction, 
specific performance and other equitable relief to



                                                       Dr. Paul G. Shoffeitt
                                                       February 3, 1994
                                                       Page 9

          prevent a breach of Sections 6, 7, 8 and 9 of this Agreement by you. 
          This provision shall not, however, be construed as a waiver of any 
          of the rights which the Company may otherwise have for damages.

     14.  REVIEW AND CONSULTATION

          Each party hereto certifies that it has consulted with counsel 
          regarding the terms and conditions set forth in this Agreement, 
          that it knows and understands the contents and effects hereof and 
          that it knowingly, voluntarily and freely executes and delivers this 
          Agreement.

     15.  AGE DISCRIMINATION NOTIFICATION.

          This Agreement affects certain rights you may have under the Age 
          Discrimination in Employment Act, as amended, and, therefore, you 
          should consult with an attorney before executing this Agreement. By 
          executing this Agreement, you certify that in accordance with 29 
          U.S.C. Section 626(f), you have carefully read the foregoing 
          Agreement, you know and understand the contents and effects hereof, 
          and this Agreement is being executed by you knowingly, voluntarily, 
          freely and after consultation with counsel. You further certify 
          that you have had the opportunity to consider this Agreement for 
          a period of twenty-one (21) days prior to its execution, and
          that neither the Company nor any of its officers, directors, 
          stockholders, employees, agents, representatives, affiliates, 
          subsidiaries, parent or holding companies, successor or assigns 
          have made any representations concerning the terms, conditions or 
          effects of this Agreement other than these contained herein. 
          Furthermore, the parties acknowledge that this Agreement may be 
          revoked by you within seven (7) days following the execution 
          hereof, by sending written notice of revocation 16 below, in which 
          case the Company shall have no Agreement, the terms contained in 
          Section 4 of the Employment Agreement shall remain unaltered and 
          shall continue to apply through December 31, 1996.

     16.  NOTICES

          All notices and other communications which are required or may be 
          given under this Agreement shall be in writing







                                                 Dr. Paul G. Shoffeitt:
                                                 February 3, 1994
                                                 Page 10


     and shall be deemed to have been given if delivered personally or sent 
     by registered or certified mail, return receipt requested postage 
     prepaid:

     If to the Company:
    
     Green Spring Health Services, Inc. 
     5565 Starrett Place
     Suite 500
     Columbia, MD 21044
     Attention:  President 

     If to you:

     Dr. Paul G. Shoffeit:
     2640 Jennings Chapel Road
     Woodbine, Maryland 21797

     With a copy to:

     Alan M. Schwartz, Esquire 
     Suite 209
     9861 Broken Land Parkway 
     Columbia, Maryland 21046

     or to such other place as either party shall have specified by notice 
     in writing to the other.

17.  ASSIGNMENT.

     You understand and agree that you may not assign this Agreement nor 
     assign or delegate any of your rights or obligations under this 
     Agreement. The Company may not assign this Agreement or any of its 
     rights or obligations hereunder except for an assignment in connection 
     with any reorganization, merger, consolidation, dissolution, or sale of 
     substantially all of the stock or assets of the Company; provided however,
     that, upon such permitted assignment, you shall not be obligated to 
     perform any services or duties under this Agreement. This Agreement shall
     be binding upon and inure to the benefit of any permitted assigns.

18.  INVALIDITY; SEVERABILITY

     The authorship of this Agreement shall not be relevant to the 
     interpretation of any provision thereof. If any term or provision of this 
     Agreement shall to any extent be invalid or unenforceable, such invalidity
     or unenforceability shall not affect any other provision or




                                       
                                       Dr. Paul G. Shoffeitt
                                       February 3, 1994
                                       Page 11

    part of a provision of this Agreement, but that this Agreement shall be 
    reformed and construed as if such invalid or unenforceable provision had 
    never been contained herein and such provision or part shall be reformed 
    to that it would be valid and enforceable to the fullest extent permitted 
    by law.

19. COUNTERPARTS.

    This Agreement may be executed in any number of counterparts, each of 
    which shall be deemed to be an original, but all of which shall be 
    deemed to constitute one agreement.

20. ENTIRE AGREEMENT.

    This Agreement (inclusive of Exhibit 1 attached hereto and incorporated 
    herein) constitutes the entire agreement between the Company and you with 
    respect to the subject matter hereof, it may only be modified in writing 
    and it supersedes any and all prior agreements between the parties.

21. WAIVER.

    The waiver by a party hereto of any breach by the other party of any 
    provision of this Agreement shall not operate or be construed as a waiver 
    of any subsequent breach by a party hereto.

22. AUTHORIZATION.

    The Company represents and warrants that its execution and delivery of 
    this Agreement and its performance of this Agreement have been duly 
    authorized and ratified by any requisite corporate acts and this 
    Agreement has been approved by all of the directors of the Company. Each 
    party hereto represents and warrants that its execution and delivery of 
    this Agreement and its performance of this Agreement shall not conflict 
    with, violate, result in any breach of or constitute a default (or an 
    event that with notice or lapse of time or both would become a default) 
    under, or give to others any rights of termination, amendment, 
    acceleration or cancellation of, any note, bond, mortgage, indenture, 
    contract, agreement, lease, license, permit, franchise or other 
    instrument or obligation to which such party is bound or affected.





                                          Dr. Paul G. Shoffeitt
                                          February 3, 1994
                                          Page 12

   23.  APPLICABLE LAW.

        This Agreement shall be governed by and interpreted under the laws of 
        the State of Maryland.

If you are in agreement with the foregoing, please sign the enclosed 
acknowledgement below, and return it to me, whereupon we both become legally 
bound.

Very truly yours,

GREEN SPRING HEALTH SERVICES, INC.

By: /s/ Neil Hollander
   -------------------------------
    Neil Hollander, Chairman

ACCEPTED AND AGREED TO
INTENDING TO BE LEGALLY BOUND.
THIS 7TH DAY OF Feb., 1994

/s/ Paul G. Shoffeitt
- ----------------------
Paul G. Shoffeitt
r