EXHIBIT 5

                     ESCROW AGREEMENT

     THIS ESCROW AGREEMENT is entered into on _____________, 1999, 
by and among DYNAMIC ASSOCIATES, INC., a Nevada corporation 
("Dynamic"), ACS2, Inc., a Delaware corporation ("ACS2"), ADVANCED 
CLINICAL SYSTEMS, INC., a Delaware corporation ("Advanced"), the 
parties named on Exhibit 1 attached hereto (collectively the 
"Original ACS2 Stockholders") and Harwell Howard Hyne Gabbert & 
Manner, P.C. ("Escrow Agent").   

                      W I T N E S S E T H:

     A.  Dynamic, ACS2, Advanced and Dynamic Acquisition 
Corporation, have entered into an Agreement and Plan of Merger 
dated March 30, 1999, (the "Merger Agreement"), pursuant to which 
ACS2 is being merged into the (the "Merger") and the Original ACS2 
Stockholders are being issued shares of common stock of Dynamic 
(the "Dynamic Common Stock").

     B.  The parties hereto have agreed, pursuant to the Merger 
Agreement, to the establishment of an escrow account to hold a 
portion of the shares of Dynamic Common Stock issued pursuant to 
the Merger, in an amount and for the purposes specified herein.

     NOW, THEREFORE, in consideration of the premises set forth in 
the Merger Agreement, the mutual covenants herein contained, and 
other good and valuable consideration, the receipt and sufficiency 
of which are hereby acknowledged, the parties, intending to be 
legally bound hereby, agree as follows:

     1.  Deposit.  Concurrently with the execution and delivery of 
this Agreement, Dynamic has deposited with Escrow Agent four 
million eighty six thousand seventy three (4,086,073) shares of 
Dynamic Common Stock, with duly executed stock powers 
(collectively, the "Escrow Stock"), which constitutes a portion of 
the Merger Consideration (as such term is defined in the Merger 
Agreement) to be issued under the Merger Agreement.  Escrow Agent 
hereby acknowledges receipt of the Escrow Stock.  The number of 
shares of Escrow Stock earmarked for each Original ACS2 Stockholder 
is set forth on Exhibit 1 attached hereto.  Escrow Agent will hold 
the Escrow Stock in accordance with the terms and provisions of 
this Agreement. 

     2.  Disbursement of Escrow Stock. 

        (a)  Dynamic, with respect to the operations of Genesis 
Health Care Management Corporation ("Genesis") and Geriatric Care 
Centers of America, Inc. ("GCCA") (Genesis and GCCA are referred 
collectively herein as the "Dynamic Group"), and ACS2, with respect 
to the operations of Advanced, Pain Care, Inc., Pain Care of 
Florida, Inc., Pain Care of Kentucky, Inc., Pain Care of Georgia, 
Inc., Pain Care of Tennessee, Inc. and Pain Care of Texas, Inc. 
(collectively the "ACS2 Group"), have projected consolidated 
earnings before interest, taxes, depreciation and amortization 
("EBITDA") of $2,400,000 for each of the Dynamic Group and ACS2 
Group, respectively, for the twelve (12) month period ending 
December 31, 1999 (the "Projections").

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        (b)  On or before April 1, 2000, Dynamic shall prepare 
and deliver to the Original ACS2 Stockholders and the Escrow Agent 
a written statement of the consolidated EBITDA for the Dynamic 
Group for the twelve (12) month period ending December 31, 1999 
(the "Dynamic Group EBITDA") and a comparable written statement of 
the consolidated EBITDA for the ACS2 Group for the twelve (12) 
month period ending December 31, 1999 (the "ACS2 Group EBITDA"). 
The Dynamic Group EBITDA and ACS2 Group EBITDA shall be based on 
audited financial statements, prepared in a manner consistent with 
past practice for the applicable group's operations and in 
accordance with generally accepted accounting principles.  Dynamic 
will make the work papers related to such written statements 
available to any Original ACS2 Stockholder promptly upon written 
request.

          (c)  If any Original ACS2 Stockholder disputes the 
calculation of either Dynamic Group EBITDA or ACS2 Group EBITDA, 
such stockholder will provide written notice to Dynamic and the 
Escrow Agent setting forth in detail the nature and basis for the 
dispute.  The dispute shall be settled pursuant to paragraph 3 of 
this Agreement.  If no such notice of dispute is received within 
forty-five (45) days of delivery of the written statements 
referenced in Section 2(b), the Escrow Agent will disburse the 
Escrow Stock on or about June 1, 2000 as follows:

               (i)  If  both the Dynamic Group EBITDA and the ACS2 
Group EBITDA exceed seventy percent (70%) of their respective 
Projections, or neither the Dynamic Group EBITDA nor the ACS2 Group 
EBITDA exceeds seventy percent (70%) of their respective 
Projections, Escrow Agent will promptly release all of the Escrow 
Stock to the Original ACS2 Stockholders in accordance with the 
amounts set forth in Exhibit 1.

               (ii)  If the ACS2 Group EBITDA exceeds seventy 
percent (70%) of its Projections and the Dynamic Group EBITDA fails 
to exceed seventy percent (70%) of its Projections, the Escrow 
Agent will release all of the Escrow Stock to the Original ACS2 
Stockholders.  In addition, Dynamic will issue pro rata to the 
Original ACS2 Stockholders an additional 4,180,000 shares of  
Dynamic Common Stock.  

               (iii)  If the Dynamic Group EBITDA exceeds 
seventy percent (70%) of its Projections and the ACS2 Group EBITDA 
fails to exceed seventy percent (70%) of its Projections, the 
Escrow Agent will release the Escrow Stock to Dynamic and such 
shares shall be returned to treasury. 

     3.  Settlement of Disputes.  

          (a)  If one or more Original ACS2 Stockholders provide 
written notice in accordance with Section 2(c) of this Agreement of 
a dispute, the question of whether the claim is valid shall be 
conclusively determined by a single arbitrator which Dynamic and 
the disputing stockholder(s) shall jointly and in good faith 
attempt to select.  If such parties are unable to agree on a single 
arbitrator, then such determination shall be made by three 
arbitrators, one arbitrator being selected by Dynamic, one 
arbitrator being selected by the disputing stockholder(s) and the 
third being selected by the two arbitrators so selected.  If the 
first two (2) arbitrators are unable to agree on the selection of 
the third arbitrator, the third arbitrator shall be designated by 
the American

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                              3

Arbitration Association.  The rules of such Association shall
govern the conduct of any such arbitration proceeding, except as
may otherwise be specifically provided in this Agreement. If either
party, thirty (30) days after written notification of any demand for
arbitration hereunder, shall not have so selected its arbitrator and
given written notice thereof to the other party, such arbitrator
shall be selected by the American Arbitration Association at the
request of any party to this Agreement.  

          (b)  The meetings of the arbitrators shall be held in 
Nashville, Tennessee, or at such other place or places as may be 
agreed upon by the arbitrators.  All determinations made by the 
arbitrator(s) shall be by majority vote and shall be final, 
conclusive, and binding on the parties hereto and the parties agree 
to the entry of judgment in any court of competent jurisdiction 
based on the award of the arbitrator(s).  Notice of any such 
determination shall forthwith be given to the disputing party(ies) 
and Escrow Agent.  Escrow Agent shall, upon receipt of such notice, 
release the Escrow Stock to the appropriate party(ies).  Dynamic, 
on the one hand, and the disputing stockholder(s), on the other 
hand, shall each pay one-half of the fees and expenses of such 
arbitration, unless the arbitrator(s) shall expressly determine to 
the contrary.

          (c)  Any award of the arbitrator(s) will be limited to a 
direction as to the release of the Escrow Stock and the issuance by 
Dynamic of the additional shares of Dynamic Common Stock pursuant 
to Section 2(c)(ii), along with any order as to costs which the 
arbitrator(s) deem appropriate.

     4.  Other Payments.  Notwithstanding anything in this Escrow 
Agreement to the contrary,  Escrow Agent shall make payments of any 
or all Escrow Stock in accordance with the terms of any written 
instructions which it may receive which have been executed by each 
of the  Dynamic and all of the Original ACS2 Stockholders.

     5.  Rights as Stockholders.  So long as Escrow Stock remains 
in escrow the Original ACS2 Stockholders may vote those shares of 
Dynamic Common Stock held in escrow pursuant to the allocation set 
forth in Exhibit 1, but shall have no other rights as stockholders 
of Dynamic with respect to such shares.

     6.  Resignation or Substitution of Escrow Agent.  Escrow 
Agent may resign and be discharged of its duties hereunder at any 
time by giving notice of such resignation to the LLC,  Dynamic and 
all of the Original ACS2 Stockholders, which notice will specify a 
date not less than thirty (30) days after the giving of such notice 
when the resignation will take effect.  Promptly after such notice, 
a successor escrow agent will be appointed by Dynamic. The 
successor escrow agent will become Escrow Agent upon the 
resignation date specified in the notice.  Escrow Agent will 
continue to serve until its successor accepts the escrow and 
receives the Escrow Stock or until Escrow Agent interpleads the 
same into the registry of the District Court of Davidson County, 
Tennessee.


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     7.  Liability of Escrow Agent.

          (a)  Upon disbursement of all Escrow Stock held in escrow 
in accordance with the terms of this Agreement, Escrow Agent will 
be released and discharged without further obligation under this 
Agreement. Escrow Agent has no duties other than to hold and 
release the Escrow Stock as contemplated hereunder.  This Agreement 
sets forth exclusively the duties of Escrow Agent in its capacity 
as such and no implied duties or obligations will be read into this 
Agreement against it.  Escrow Agent will have no liability 
hereunder except for acts of gross negligence, willful misconduct 
or fraud.  Escrow Agent shall not be responsible or liable in any 
manner whatsoever with respect to any liability or obligation of 
Dynamic, ACS2, Advanced, Advanced-Dynamic, LLC or any Original ACS2 
Stockholder.

          (b)  Escrow Agent will be under no obligation to 
institute or defend any action, suit or legal proceeding in 
connection with this Agreement or to take any other action likely 
to involve it in expense unless first indemnified to its 
satisfaction.  In the event that a dispute arises, Escrow Agent may 
bring an interpleader action in the District Court of Davidson 
County, Tennessee naming the LLC, Dynamic and the Original ACS2 
Stockholder(s) as parties.  

          (c)  Escrow Agent shall be protected in acting in 
reliance upon any instrument or signature or telephonic 
communication believed to be genuine and may assume that any person 
purporting to give any notice, advice or instruction in connection 
with the provisions hereof has been duly authorized to do so.  
Escrow Agent shall be protected in acting upon advice of counsel in 
reference to any matter connected herewith. 

          (d)  Escrow Agent shall not be liable for any error of 
judgement, or for any act done or steps taken or omitted by it in 
good faith or for any mistake of fact or law, or for anything which 
it may do or refrain from doing in connection herewith, except its 
own gross negligence, willful misconduct or fraud.

     8.  Representation.  Dynamic, ACS2, Advanced and each of the 
Original ACS2 Stockholders hereby acknowledge and agree that Escrow 
Agent has also acted as legal counsel to ACS2 and Advanced in 
connection with the negotiations of this Agreement, the Merger 
Agreement and other agreements and matters related thereto.  
Dynamic, for itself and on behalf of its affiliates, and each of 
the Original ACS2 Stockholders hereby agree that Escrow Agent may 
represent ACS2 and/or Advanced as its legal counsel in connection 
with any dispute arising between or among the parties, including 
disputes that may involve the rights or obligations of ACS2 and/or 
Advanced under this Agreement, the Merger Agreement or any related 
agreement or matters.

     9.  Indemnification of Escrow Agent.

          (a)  The Escrow Agent shall have no duties or 
responsibilities whatsoever with respect to the Escrow Stock except 
as are specifically set forth herein.  The Escrow Agent shall 
neither be responsible for or under, nor chargeable with knowledge 
of the terms and conditions of, any other agreement, instrument or 
document in connection herewith.  The Escrow Agent may conclusively 
rely upon, and shall be fully protected from all liability, loss, 
cost, damage or expense

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                                      5

in acting or omitting to act pursuant to any written notice,
instrument, request, consent, certificate, document, letter,
telegram, opinion, order, resolution or other writing hereunder
without being required to determine the authenticity of such
document, the correctness of any fact stated therein, the propriety
of the service thereof or the capacity, identity or authority of
any party purporting to sign or deliver such document. The Escrow
Agent shall have no responsibility for the contents of any such
writing contemplated herein and may rely without any liability upon
the contents thereof.

          (b)  The Escrow Agent shall not be liable for any action 
taken or omitted by it in good faith and reasonably believed by it 
to be authorized hereby or with the rights or powers conferred upon 
it hereunder, nor for action taken or omitted by it in good faith, 
and in accordance with advice of counsel (which counsel may be of 
the Escrow Agent's own choosing), and shall not be liable for any 
mistake of fact or error of judgment or for any acts or omissions 
of any kind except for its own willful misconduct, gross negligence 
or fraud.

          (c)  All other parties hereto agree to jointly and 
severally indemnify the Escrow Agent and its employees, directors, 
agents and advisors and hold each harmless against any and all 
liabilities incurred by it hereunder as a consequence of such 
party's action, and all other parties hereto agree jointly and 
severally to indemnify the Escrow Agent and hold it harmless 
against any claims, costs, payments, and expenses (including the 
fees and expenses of counsel) and all liabilities incurred by it in 
connection with the performance of its duties hereunder and them 
hereunder, except in either case for claims, costs, payments and 
expenses (including the fees and expenses of counsel) and 
liabilities incurred by the Escrow Agent resulting from its own 
willful misconduct, gross negligence or fraud. 

     10.  Notices.  All notices and other communications required 
or permitted to be given under this Agreement shall be in writing 
and shall be deemed to be duly given: (a) if delivered personally 
or sent by facsimile, on the date received; (b) if delivered by 
overnight courier on the day after mailing so long as the sending 
party retains a receipt thereof; and (c) if mailed, then three (3) 
days after mailing with the United States mail service, postage 
pre-paid.  Any such notices or communications shall be sent to the 
parties at the addresses listed below or at such other addresses as 
a party may specify by notice to the other parties to this 
Agreement, which notice will be accomplished in accordance with the 
terms of this paragraph 10.

     11.  Miscellaneous.  All capitalized terms not otherwise 
defined in this Agreement will have the respective meanings set 
forth in the Merger Agreement.  This Agreement will inure to the 
benefit of, and will be binding upon, the parties hereto and may 
not be assigned by any party without the prior written consent of 
all other parties, and any prohibited assignment shall be null and 
void.  The headings used in this Agreement have been inserted for 
convenience only and will not control or affect the meaning of any 
provision of this Agreement.  The provisions of this Agreement have 
been subject to negotiation, and will not be construed against its 
drafter.  This Agreement, together with the Merger Agreement and 
the exhibits hereto, constitutes the entire agreement among the 
parties with respect to the subject matter hereof.  No change in, 
addition to or waiver or amendment of the terms or conditions of 
this Agreement will be binding upon any of the parties unless 
approved in writing by such parties.  This Agreement may be 
executed in any number of counterparts, each of which will be 
deemed an original and all of which together will be deemed one and 
the same instrument. This Agreement will be governed by and 
construed in accordance with the substantive laws of the State of 
Tennessee, without giving effect to its conflicts of laws 
provisions.

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                           6

IN WITNESS WHEREOF, the parties have executed this Escrow 
Agreement as of the date set forth above.

ACS2:

ACS2, Inc.


By:		
Title:		

49 Music Square West, Suite 502
Nashville, Tennessee 37203-3272

DYNAMIC:

DYNAMIC ASSOCIATES, INC. 


By:	
Title: 

7373 N. Scottsdale,
Suite B-169
Scottsdale, AZ 85253

ADVANCED:

ADVANCED CLINICAL SYSTEMS, INC.


By: 	
Title:		

49 Music Square West, Suite 502
Nashville, Tennessee 37203-3272


ORIGINAL ACS2 STOCKHOLDERS:

Healthmark Partners, LLC

By:                          
 
Title:                       
	
Kevin D. Lee
	
James T. Harper

Lisa A. Manning
	
David Alfery
	
T.C. Thomas, III, M.D.
	
Thomas P. Tooney, M.D. 

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ESCROW AGENT:

HARWELL HOWARD HYNE GABBERT &  
MANNER, P.C.

By:		
Title:		

1800 First American Center
315 Deaderick Street
Nashville, Tennessee 37238

             
Kimberly Tipton
             
Scott N. Mohler
             
Reginal J. Rutherford
                             
Walter M. Jones
                             
Carol Ann Kelley
             
Maureen T. (Stearns) Browning
             
Elizabeth Dan
             
Betty Brumley
             
F. Karl VanDevender
             
H. Brooks Morgan
                             
M. Bruce Sanderson

NationsCredit

By: 
Title:                       
                             
            

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                                 EXHIBIT 1

                                                 Number of Shares
Original ACS2 Stockholders                       of Escrow Stock  
  
Andrew W. Miller
James T. Harper
Kevin D. Lee
David Alfery
T.C. Thomas, III, M.D.
Thomas P. Tooney, M.D. 
Lisa A. Manning
Kimberly Tipton
Scott N. Mohler, Ph.D
Reginal J. Rutherford, M.D.
Walter M. Jones
Carol Ann Kelley, R.N.
M. Bruce Sanderson, M.D.
H. Brooks Morgan, M.D.
Maureen T. (Stearns) Browning, R.N.
F. Karl VanDevender, M.D.
Elizabeth Dan
Betty Brumley

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