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                                                                   EXHIBIT 10.23

                         IBM VENDOR MARKETING PROGRAMS

                    COOPERATIVE SERVICES MARKETING AGREEMENT

AGREEMENT NUMBER: VMP-587

Date of Agreement: December 16, 1996

     This is an Agreement between IBM Corporation ("IBM") and You:

     Your Name and Address:

     Simione Central Holding, Inc.
     6600 Powers Ferry Road
     Atlanta, GA 30339

     You and IBM hereby agree as follows:

1.0  PURPOSE

     This Agreement sets forth the terms and conditions under which IBM, for a
fee, will assist You in the marketing of Your Services.

2.0  DEFINITIONS

     When used in this Agreement, the capitalized terms listed below will have
the following meanings:

     2.1 FEDERAL PROSPECT  means a Prospect that is (a) an agency or other unit
of the Federal government, (b) that You know or should know is a prospective
federal prime or subcontractor, or (c) a Prospect which You otherwise know or
have reason to believe will acquire Services for use in connection with a
federal acquisition or project.

     2.2 MARKETING ACTIVITIES  means: the activities undertaken by the Marketing
Force in marketing the Services to Prospects where at a minimum the Marketing
Force:

     2.2.1 establishes contract with the Prospect;

     2.2.2 provides information regarding the Services to the Prospect; and

     2.2.3. maintains contact with the Prospect in the sales cycle.

     2.3 MARKETING FORCE  means:

     2.3.1 IBM; and

     2.3.2 any IBM Business Partners and IBM Subsidiaries that IBM utilizes in
marketing the Services.

     2.4 MARKETING PACKAGE  means materials provided by You to the Marketing
Force. The Marketing Package shall include the following:

     2.4.1 Marketing Materials  means Service brochures, technical specification
sheets, demonstration presentations, Service descriptions utilized in electronic
online services, and other marketing sales literature provided by You to IBM, or
prepared by IBM and approved by You, for use by IBM in marketing Your Services
to Prospectus. IBM's use of the marketing materials and demonstration materials
may include transmission of them on electronic, online services.

     2.4.2 Vendor Marketing Programs Notice  means an IBM supplied description
of IBM's responsibilities to Prospects with respect to the Services.
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     2.4.3 Order Form  means an IBM supplied form on which the Marketing Force
records the Services sold by you to Prospects and used by IBM in providing sales
compensation to the Marketing Force and in confirming orders with You.

     2.4.4 Price Schedule  means a written statement supplied by You of Your
retail prices for the Services, including discounts offered, if any.

     2.4.5 Service Agreement  means the agreement supplied by You under which
You provide Services.

     2.5 PROSPECT  means a potential or actual customer of the Services that is
subject to Marketing Activities.

     2.6 SERVICES  means Your services. Such services are listed and described
in Attachment A "Services List."

3.0  APPOINTMENT

     Subject to the terms and conditions hereof, You hereby designate and
appoint the Marketing Force as a non-exclusive representative for the marketing
of the Services in the United States and Puerto Rico.

4.0  YOUR RESPONSIBILITIES

     4.1 PRICING  Notwithstanding anything contained herein, You shall retain
full and absolute freedom and flexibility in pricing Your Services, and in
establishing the terms and conditions under which they may be offered to
Prospects.

4.2  MARKETING PACKAGE

     4.2.1 You shall provide to IBM a copy of the items in the Marketing Package
provided by You prior to sending the Initial Marketing Package to the Marketing
Force. You shall give IBM forty-five (45) days prior written notice should You
elect to change any materials supplied by You in the Marketing Package and shall
provide IBM with a complete copy of the revised Marketing Package at least
thirty days prior to the effective date of the changes. IBM shall have the right
to review all changes to the Marketing Package and to request reasonable
modifications.

     4.2.2 You shall at all times during the term of this Agreement ensure that
the Marketing Package completely and accurately represents the Services and
shall provide reasonable quantities of the most current Marketing Package to the
Marketing Force upon request.

     4.3 MARKETING SUPPORT  You shall cooperate with the Marketing Force in the
marketing of the Services. Such cooperation shall include the reasonable
provision of technical support services and training to the Marketing Force
(including, but not limited to, telephone support), and reasonable participation
and assistance with the Marketing Force in sales calls to Prospects, trade shows
and conferences. In addition, You shall, in a manner reasonably consistent with
industry practice, promote the Services through national and local advertising.

     4.4 SERVICES  In order to ensure that the Services marketed by the
Marketing Force under this Agreement are the most current release or version
offered by You to Your customers, You shall make available for marketing by the
Marketing Force under this Agreement all maintenance modifications, engineering
changes, upgrades, enhancements, or new versions (including any future
adaptations of the Services to current or future IBM operating systems, systems,
and platforms) of the Services that You offer to Your customers.

     4.5 YOUR MISCELLANEOUS RESPONSIBILITIES

     4.5.1 You shall perform all of Your obligations under accepted Service
Agreements.

     4.5.2 You shall invoice and use reasonable efforts to collect all amounts
payable under each Service Agreement accepted by You.
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     4.5.3 You shall pay to IBM the compensation set forth in Section 6.0,
"PAYMENT," and shall provide IBM with documentation and maintain records as
provided therein.

     4.5.4 You shall timely notify IBM when a Prospect's signature on a Service
Agreement is independently obtained by You and payment is due IBM under Section
6.0, "PAYMENT."

     4.5.5 Throughout the term of this Agreement, You shall amend in writing the
information provided to IBM on the business and service overview forms (provided
by You by IBM and incorporated herein by reference) to ensure that such
information remains accurate and complete.

     4.5.6 You shall (1) promptly disclose to all Federal Prospects the
existence of this Agreement, including the existence of the contingent fee
payment arrangement in effect with IBM that would apply to the Federal
Prospect's acquisition of the Services, (2) promptly, completely, and accurately
execute any certifications, representations, and disclosure documents that may
be required by any Federal Prospect to comply with federal regulations requiring
certification and disclosure of contingent fee arrangements applicable to the
acquisition of the Services.

     4.5.7 You will approve in a timely manner all Marketing Materials and
demonstration materials provided by IBM for IBM's use in marketing Your
Service(s) to Prospects. You shall provide written approval to IBM for all
information included in such Marketing Materials, including but not limited to,
content, descriptions, pricing, technical information and usage of trademarks,
trade names and copyrighted materials.

     4.6 PROSPECT REGISTRATION  The Marketing Force may provide You with
Prospect registration(s) identifying, at a minimum, the Prospect's name and
location. You shall, upon receipt of the registration, promptly review and reply
to IBM in ten (10) business days or less from date of receipt whether You will
accept or reject Prospect. If You accept the Prospect registration, You will
send to the initiator of the registration a completed Marketing Package. If You
reject said Prospect registration, You will provide in writing to IBM the
reason(s) for rejection.

     4.7 ORDER CONFIRMATION  IBM may provide You with order confirmation notices
identifying Services sold to Prospects. You shall confirm in writing within ten
(10) working days from date of receipt, the Services sold to a Prospect, the
dollar value of the related Service Agreement(s) and the estimated date You will
pay to IBM the associated fees as described in Section 6.1 of this Agreement.

5.0 IBM'S RESPONSIBILITIES

     5.1 MARKETING SUPPORT ACTIVITIES  IBM will, at its sole cost, undertake the
following market support activities for the Services:

     5.1.1 provide to You the IBM Business Partner emblem as described in
Section 11.3 "Advertising and Trademark Usage" of this Agreement; and

     5.1.2 issue an availability notice to the Marketing Force that describes
the Services and announces that the Marketing Force may solicit and assist in
obtaining orders for the Services on Your behalf; and

     5.1.3 make available to You a registration process whereby You may accept
or reject a Prospect; and

     5.1.4 include Your Services (identified as Cooperative Program offerings)
in IBM National Solution Center database.

     5.2 IBM may assist you in obtaining the Prospect's signature on your
Service Agreements.

     5.3 IBM may participate in joint sales calls with You.

     5.4 IBM will, in its Marketing Activities, rely on the information supplied
by You and contained in the Marketing Package, training, and instruction
received from You, and information otherwise provided by You regarding the
Services.

     5.5 IBM may, in a manner and amount that it deems appropriate, compensate
the Marketing Force based upon fees received by IBM from You under this
Agreement.
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     5.6 Notwithstanding anything contained herein, IBM shall have full freedom
and flexibility in its marketing effort for the Services, including whether to
market or discontinue marketing. IBM makes no guarantee or commitment that the
Services will be marketed nor does IBM guarantee the financial or other success
of any marketing effort engaged in.

     6.0 PAYMENT

     6.1 FEE  In consideration for the Marketing Activities (as defined in
Section 2.2) and Marketing Support Activities (as described in Section 5.1), You
shall owe IBM a fee equal to the applicable percentage (as listed in the
Attachment A -- "Services List") of the total revenue received by You for
Services under:

     6.1.1 Service Agreements with Prospects obtained as a result of Marketing
Activities (with or without an order confirmation notice as described in Section
4.8 of this Agreement and/or with or without a Prospect registration as describe
in Section 4.7 of this Agreement); and

     6.1.2 Service Agreements with Prospects rejected by You under Section 4.8,
"Prospect Registration," provided You subsequently accept a Service Agreement
for the Services from such Prospects during the term of this Agreement and for
six (6) months after IBM's withdrawal of the Services from marketing by the
Marketing Force; and

     6.1.3 And additional Service Agreements issued to Prospects by You during
the term of this Agreement and six (6) months after IBM's withdrawal of the
Services from marketing by the Marketing Force which are a direct or follow-on
result of Marketing Activities; and

     6.1.4 Service Agreements with Prospects obtained as a result of Marketing
Activities initiated before IBM's withdrawal of the Services from marketing by
the Marketing Force and three (3) months following said withdrawal.

     6.2 PAYMENT OBLIGATION  Your payment to IBM shall accrue when the
Prospect's fee for the Services are paid to You.

     6.3 REMITTANCE  Payment shall be made to IBM within thirty (30 ) days after
the conclusion of each calendar month for the amounts received by You in such
calendar month. Payment shall be accompanied by an activity report summarizing
the basis for the payment to IBM. For months in which no payment is due IBM, You
will send an activity report so stating.

     6.3.1 For Services, payment shall be accompanied by a copy of each of Your
invoices to Prospect(s) for the Services rendered under this Agreement. You must
also include under each Service Agreement an activity report summarizing the
basis for the payment to IBM, including the names of each of the Prospects, the
identification and nature of the Services provided, the order number (where
applicable), the total payments made to You by Prospect to date, the total fee
due IBM, the amount of the fee paid to IBM to date and the amount of the fee to
IBM included in this payment.

     6.3.2 Rejection or Refund In addition, in the event You reject any Service
Agreement, a Prospect cancels prior to making payment to You, or You grant a
refund to a Prospect, the activity report shall contain detailed information
identifying the reasons for and amounts of any resulting adjustment in payment
due IBM.

     6.4 AUDIT  You shall maintain records in accordance with generally accepted
methods of accounting of all transactions which are the subject of this
Agreement for three years from the date revenue from the Services accrues to
You. If IBM deems it necessary, IBM (or an accounting organization retained by
IBM) shall have access to such records, upon reasonable notice, for the purposes
of audit during normal business hours, for so long as such records are required
to be maintained.

     6.5 FEE DISPUTE  In the event IBM determines that additional payment is
due, IBM will issue an invoice for such additional amount with supporting
documentation. Except for disputed fees, You agree to pay such invoice within 30
days of receipt. In the event a dispute arises over fees due to IBM, IBM and You
agree to work in good faith toward a mutually agreeable resolution of the
dispute.
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         Attachment A to this agreement is a Services List which has been
omitted. The Company agrees to furnish supplementally a copy of this omitted
Schedule to the Commission upon request.
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     7.0 WARRANTY

     You represent and warrant, as a present and ongoing affirmation of the
facts, that:

     7.1 You have all intellectual property rights to the Services that are
necessary to perform Your obligations under this Agreement and all agreements
entered into with Prospect(s); and

     7.2 The Services and all related materials (including Marketing Materials
and demonstration materials) do not infringe any intellectual property right of
any third party; and

     7.3 The Services conform to the statements and representations made by You
in the Marketing Package or otherwise provided by You to Prospects and the
Marketing Force; and

     7.4 Your performance of Your obligations hereunder do not conflict with any
agreement between You, the Prospects or any third party; and

     7.5 You, in entering into this Agreement, have not relied on any promises,
inducements, or representations by IBM except those expressly stated in this
Agreement; and

     7.6 The Services comply with all applicable governmental regulations, rules
and guidelines.

     8.0 INDEMNIFICATION

     8.1 You hereby agree to defend, indemnify, and hold harmless IBM against
any and all claims, losses, and expenses, including reasonable attorney fees and
other costs of litigation, based on or arising out of any claim that:

     8.1.1 the Services infringe any third party's intellectual property rights;

     8.1.2 You negligently performed, or failed to perform, Your obligations
under a Service Agreement, or this Agreement;

     8.1.3 You breached Your representations or warranties under any agreement
with Prospects or this Agreement.

     8.2 The foregoing indemnities are conditioned on the following:

     8.2.1 prompt written notice to You of the claim or proceeding subject to
indemnification; and

     8.2.2 cooperation by IBM at Your expense in the defense and settlement of
any such claim; and

     8.2.3 IBM's obtaining Your prior consent to settlement or resolution of any
such claim, which consent shall not unreasonably be withheld.

     8.3 IBM hereby agrees to defend, indemnify, and hold harmless You against
any and all claims, losses, and expenses, including reasonable attorney fees and
other costs of litigation, to the extent that such claims, losses, and expenses
arise out of the intentional misrepresentation of the Services by IBM; provided,
however, that any such misrepresentation is not caused by Your acts or
omissions.

     8.3.1 The foregoing indemnities are conditioned on the following:

     8.3.1.1. Prompt written notice to IBM of any claims of proceeding subject
to indemnity; and

     8.3.1.2. cooperation by You in the defense and settlement of such claim at
the expense of IBM; and

     8.3.1.3. prior written approval by IBM of any settlement, which approval
shall not be unreasonably withheld.

     9.0 TERM AND TERMINATION

     9.1 This Agreement shall be effective for a period of two years from the
date IBM issues the first availability notice for the Services and shall be
automatically renewed on a yearly basis thereafter unless terminated under this
Section.
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     9.2 Either party may elect to terminate this Agreement with or without
cause by written notification to the other party. Termination will be effective
ninety (90) days after such notice.

     9.3 In the event of any termination or expiration of this Agreement in
whole or in part:

     9.3.1 the provisions of Sections 2.0, "DEFINITIONS," 7.0, "WARRANTY," 8.0,
"INDEMNIFICATION," 10.0, "INFORMATION," and 11.0, "GENERAL" shall survive and
continue until they expire in accordance with their terms; and

     9.3.2 any obligation under Section 6.0, "PAYMENT" shall survive and
continue until satisfied.

     10.0 INFORMATION

     10.1 Unless otherwise agreed to in writing by the authorized representative
of both parties, neither party shall provide the other party with information
that is confidential to itself or any third party. Accordingly, in the absence
of such a writing, no obligation of confidentiality of any kind is assumed by,
or shall be implied against, either party by virtue of its discussions and/or
correspondence with the other party or with respect to any information received
(in whatever form and whenever received) from the other party under this
Agreement or in activities related hereto notwithstanding any legend or
statement to the contrary.

     10.2 Notwithstanding the foregoing, You agree to use the methods and
procedures You use to protect Your own information that You do not wish to
disclose, to avoid disclosure of the provisions of the terms and conditions of
this Agreement and its amendments. You may not disclose the terms and conditions
of this Agreement and its amendments to any third party without the prior
written consent of IBM. Such consent shall not be unreasonably withheld. You may
refer to this Agreement solely by stating IBM has been granted the right to
market and take orders for the Services.

     11.0 GENERAL

     11.1 FREEDOM OF ACTION  Nothing in this Agreement shall be construed as
prohibiting or restricting either party from independently developing,
acquiring, and marketing products, services, and other materials which are
competitive in any form with the Services.

     11.2 EXPENSES  Each party shall bear its own expenses.

     11.3 ADVERTISING AND TRADEMARK USAGE

     11.3.1 IBM hereby grants You the use of the IBM Business Partner emblem
("Emblem") in Your advertising and promotional materials in the United States
and Puerto Rico for the Services ("Advertising Materials"). You shall not use
the Emblem prior to IBM's initial announcement of the availability of the
Services to the Marketing Force. Any use must comply with the instructions set
forth in guidelines issued by IBM from time to time entitled "IBM Advertising
and Promotion Guidelines" ("Guidelines").

     A copy of the Guidelines shall be provided to You and is incorporated
herein by reference. You may not use the IBM logotype other than as part of the
Emblem. Except for Your press releases and as otherwise specified in the
Guidelines, You do not need to provide to IBM for IBM's prior review and
approval Your Advertising Materials Incorporating trademarks or trade names of
IBM or that which refers to You as a participant in the IBM Vendor Marketing
Program if such use complies with the Guidelines. You must provide to IBM for
IBM's prior review and approval, in a manner reasonably consistent with industry
practice, Your press releases if such release makes any reference to the IBM
Vendor Marketing Program. You shall make no reference to IBM, IBM equipment and
IBM products that may be misleading. You agree to change, at Your expense, any
Advertising Materials which IBM, in its sole judgment, determines to be
inaccurate, objectionable, misleading, or a misuse of IBM trademarks or trade
names which IBM did not pre-approve. You, on written demand by IBM, shall
immediately cease the use of any materials that IBM deems to be in violation of
this Section.

     11.3.2 The authorization granted in this Section 11.3, "Advertising and
Trademark Usage" shall terminate immediately upon the termination or expiration
of this Agreement. IBM reserves the right to modify or revoke the authorization
granted to You hereunder effective upon thirty (30) days written notice.
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Such revocation shall be effective immediately upon written notice in the event
of any violation by You of the Guidelines or breach of this Agreement. Upon
revocation of the rights granted in this Section 11.3, "Advertising and
Trademark Usage," or upon termination or expiration of this Agreement, You shall
cease using the Emblem, and shall destroy any and all Advertising Materials.

     11.3.3 Except as expressly provided herein, this Agreement grants You no
right to use IBM's trademarks or trade names in connection with any product,
service, promotion, or publication without the prior written consent of IBM.

     11.3.4 You hereby authorize IBM to use Your trademarks and trade names for
the Services solely in performing Marketing Activities; however, any use by IBM
will be pre-approved by You.

     11.4 ASSIGNMENT AND DELEGATION  You shall not sell, transfer, assign, or
subcontract any right or obligation hereunder without the prior written consent
of IBM. Any act in derogation of the foregoing shall be null and void. In no
event may You use the services of an IBM dealer or an IBM remarketer for the
performance of any obligation hereunder.

     11.5 LIMITATIONS  Except for claims arising under the Sections entitled
7.0, "WARRANTY" and 8.0, "INDEMNIFICATION," neither party shall be entitled to
indirect, incidental or consequential damages, including lost profits, based on
any breach or default under this Agreement.

     11.6 NATURE OF THE RELATIONSHIP  IBM is acting under this Agreement solely
as Your marketing representative. Nothing herein shall be deemed to create any
other relationship, including that of partnership. Neither You nor any employee
or Yours shall be considered an employee or agent of IBM for any purpose.

     11.7 NOTICE  Any notice required or permitted under this Agreement shall be
sent to:

In the case of IBM:

     IBM Corporation
     Vendor Marketing Programs
     Department BAR (WG09A)
     3200 Windy Hill Road
     Atlanta, GA 30339

In the case of You:
     Simione Central Holding, Inc.
     6600 Powers Ferry Road
     Atlanta, GA 30339

     11.8 PAYMENT

     11.8.1  Any payment to IBM under this Agreement shall be sent to:

     IBM Corporation
     Vendor Marketing Programs Control Desk
     Department BAR (WG09A)
     3200 Windy Hill Road
     Atlanta, GA 30339

     11.9 GOVERNING LAW  The validity, construction, and performance of this
Agreement will be governed by the substantive law of the State of New York.

     11.10 AMENDMENTS IN WRITING  No amendment, modification or waiver of any
provision of this Agreement shall be effective unless it is set forth in a
writing which refers to the provisions so affected and is executed by an
authorized representative of both parties. No failure or delay by IBM in
exercising any right, power or remedy will operate as a waiver of any such
right, power, or remedy.

     11.11 ENTIRE AGREEMENT  The provisions of this Agreement constitute the
entire agreement between the parties and supersede all prior agreements, oral or
written, relating to the subject matter of this Agreement.
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Any payments due IBM under this Agreement shall be separate from, and in
addition to, any due IBM under any other agreement between the parties.

     IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their respective Authorized Representatives.

     International Business Machines
Corporation

     ACCEPTED AND AGREED TO:

By:

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              JOHN G. SCHWARZ

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    Print Name

               VP, Solution Developers
    Marketing

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    Title

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    Date

     Simione Central Holding, Inc.

     ACCEPTED AND AGREED TO:

By:     /s/ JAMES R. HENDERSON

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            James R. Henderson

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    Print Name

                 President

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    Title

                 11-17-96

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    Date