Exhibit 10.18

                               Severance Agreement

This severance agreement ("Agreement") made this May 2004 by and between MDNY
Healthcare, Inc., a corporation having its principal place of business at One
Huntington Quadrangle, Suite 4C01, Melville, NY ("Company") and Ms. Concetta
Pryor, 14 Marblestone Lane, South Setauket, NY 11720 ("Pryor").

WHEREAS, the Company is a managed care organization; and

WHEREAS, the Company employs Pryor as Chief Financial Officer and utilizes her
expertise, knowledge and services in that position, and Pryor provides such
expertise, knowledge and services to the Company.

NOW, THEREFORE, in consideration of the facts, mutual promises and covenants
contained herein and intending to be legally bound hereby, the Company and Pryor
agree as follows:

      1.    Duties and Responsibilities

            (a)   Pryor shall serve as Chief Financial Officer of the Company

            (b)   Pryor shall devote her entire working time, energy, attention,
                  skill and best efforts to the affairs of the Company and to
                  the performance of her duties hereunder in a manner which will
                  faithfully and diligently further the business and interests
                  of the Company.

      2.    Termination of employment without severance

            (a)   If Pryor shall become permanently disabled this agreement
                  shall terminate automatically as of the date Pryor is deemed
                  permanently disabled. Pryor shall receive compensation which
                  would otherwise be payable up until the end of the month in
                  which Pryor was deemed permanently disabled.

            (b)   The Company may immediately terminate Pryor for Cause. "Cause"
                  shall be deemed to mean any of the following:

                  i.    A material breach in the responsibilities of the
                        position as outlined in 1;

                  ii.   Pryor's fraud, dishonesty, breach of trust or
                        intentional misconduct in the performance of her duties
                        as Chief Financial Officer;

                  iii.  Conviction of Pryor in a court which could have the
                        effect of causing the termination or suspension of any
                        license which the Company has or holds.

                  iv.   Conviction of Pryor of a felony; and v. Pryor's
                        excessive absenteeism not due to disability.

            (c)   Death of Pryor.

<PAGE>

      3.    Salary Continuation in the absence of "A change of Control."

            In the event there is a termination of employment that is not in
      connection with a Change of Control, then Pryor will continue to receive
      her base salary, payable bi-weekly, in effect on the date of Termination
      of Employment, subject to all withholding taxes, for the period commencing
      on the date that Pryor's employment is terminated and ending on the date
      which is the day before the end of the ninth month subsequent to such
      termination date. In addition, Pryor will receive an adjustment payment
      equal to the quarterly average of the preceding nine months (3 quarters)
      performance incentive payments to be paid in intervals at the end of each
      quarter starting with the first date three months after the date of
      termination.

      4.    Salary Continuation in the event of a Change of Control.

            (a) If there is a Change of Control, defined as any event in which
      any person or entity or group directly or indirectly acquires or becomes
      the beneficial owner of or otherwise becomes entitled to vote the stock of
      the Company with 35% or more of the voting power entitled to vote in
      elections for Directors, resulting in a Termination of Employment the
      Company will continue to pay Pryor as described in Section 3.

            (b) If there is a Change of Control a voluntary termination shall
      nevertheless be deemed a Termination of Employment if the voluntary
      termination occurs as a result of any of the following:

                        i. the assignment to Pryor of any duties inconsistent in
                  any respect with her position, authority, duties or
                  responsibilities, including status, titles and reporting
                  requirements;

                        ii. The Company's requiring Pryor to be based at an
                  office or location greater than 50 miles from the Company's
                  current offices; or

                        iii. Any purported termination by the Company of Pryor's
                  employment other than as expressly permitted by this
                  agreement.

                                                   MDNY Healthcare, Inc.

/s/ Concetta Pryor                                 By: /s/ Paul Accardi
----------------------------                           ----------------
Concetta Pryor                                         Chief Executive Officer