Exhibit 10.16.1

                   ADDENDUM TO EXECUTIVE EMPLOYMENT AGREEMENT


     This Addendum made this 20th day of December,  2000, between S. Consulting,
Inc., now doing business as Simione Central  Holdings,  Inc. (the "Company"),  a
Georgia  corporation,  and Robert J.  Simione  (the  "Executive"),  of Cheshire,
Connecticut:

     WHEREAS, The Company and the Executive entered into an Executive Employment
Agreement (the  "Agreement")  on January 1, 1996,  which Agreement set forth the
terms and conditions of the Executive's employment with the Company; and

     WHEREAS,  Paragraph 4(a) of the Agreement  provided that unless  terminated
earlier in accordance with the Agreement, the Agreement will expire on the fifth
(5th)  anniversary  of the  Commencement  Date,  (or January 1, 2001),  and will
extend thereafter for additional terms of one (1) year each, unless either party
gives the other  written  notice  sixty (60) days  before the end of a term (the
"Termination Date"); and

     WHEREAS,  That pursuant to paragraph 4(a) of the Agreement,  before the end
of the Term,  the Company and  Executive  should  enter into  discussions  as to
whether they mutually desire to renew or extend the Agreement; and

     WHEREAS,  Discussions of that nature were, in fact, held by the Company and
the Executive  regarding the extension of the Agreement and to provide more time
to do so,  the  Agreement  was  modified  so as reduce the sixty (60) day notice
requirement to thirty (30) days, (or December 1, 2000), as evidenced by a Letter
from the  Executive to the Company dated October  _____,  2000,  the contents of
which were agreed to by the Executive and the Company; and

                                       1
<PAGE>


     WHEREAS,  The Company and the Executive have mutually decided to extend the
Agreement for an additional  period of one (1) year upon the following terms and
conditions.

     NOW  THEREFORE,  in  consideration  of the mutual  covenants and agreements
herein  contained,  and in  consideration  of Ten ($10) Dollars,  the receipt of
which is hereby acknowledged, the Parties do hereby agree as follows:

     1. Extension of Term-The Agreement shall be extended by mutual agreement of
the Company and the Executive for an additional  period of one (1) year, or from
January 1, 2001 to December 31, 2001.

     2.  Termination-Notwithstanding  anything in the Agreement to the contrary,
the  Executive  and the  Company  shall each have the  right,  in their sole and
absolute discretion, for any reason or for no reason, to terminate the Agreement
at the end of each quarter,  (March 31, June 30,  September 30, and December 31)
upon thirty (30) prior days written notice,.  This right of termination shall be
in addition to the provisions of paragraph 4(b) as set forth in the Agreement.

     3. Effect of  Termination-Notwithstanding  anything in the Agreement to the
Contrary,  in the event that the Agreement,  and therefore the employment of the
Executive,  is terminated by either the Executive or the Company pursuant to the
provisions of this Addendum,  then the Agreement shall thereafter be of no force
or effect whatsoever, and shall terminate so that from and after the Termination
Date,  the Executive  and the Company  shall have no further  obligation to each
other and none of the provisions of the Agreement  shall survive the Termination
Date.  In such event,  each of the parties does fully,  completely  and forever,
remise,  release and  discharge  the other from any and all  obligations  as set
forth in the Agreement, it being the intention of the Parties hereto that if the
Agreement is terminated  pursuant to the provisions of this Addendum,  that from
and after the Termination Date each Party will be fully and completely  released
by the other and shall  have no  further  obligation  to the other of any nature
whatsoever pursuant to the terms of the Agreement.

                                       2
<PAGE>

     4. Radification-Except as otherwise specifically modified by this Addendum,
all the terms and  conditions  and covenants and  agreements as set forth in the
Agreement  shall  remain in full force and effect,  and are hereby  restated and
radified by both the  Executive  and the Company and shall  remain in full force
and effect.

     IN WITNESS  WHEREOF,  the  Company and  Executive  have each  executed  and
delivered this Addendum as of the date first shown above.

                                 SIMIONE CENTRAL HOLDINGS, INC.


                                 /s/ Bruce Dewey
                                 -----------------------------------------------
                                 BY       Bruce  Dewey
                                          Chief Executive Officer


                                 /s/ Robert J. Simione
                                 -----------------------------------------------
                                 BY       Robert J. Simione, Executive




                                       3
1349677v1