Document:

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                                                                   EXHIBIT 10.58

                              AMENDED AND RESTATED
                                 PROMISSORY NOTE
                                   (Term Loan)

 THIS NOTE AMENDS AND RESTATES, WITHOUT NOVATION OR SATISFACTION, THAT CERTAIN
         NOTE IN THE AMOUNT OF $3,972,900.87, DATED SEPTEMBER 25, 2000.

$3,374,000.00                                     Note No.: _________________

                                                  Farmington Hills, Michigan

Due Date: SEPTEMBER 30, 2004                      Dated: NOVEMBER 29, 2001
                                                  EFFECTIVE SEPTEMBER 30, 2001

         FOR VALUE RECEIVED, the undersigned, jointly and severally (the
"Borrower"), promise to pay to the order of STANDARD FEDERAL BANK N.A., F/K/A
MICHIGAN NATIONAL BANK, a national banking association (the "Bank"), at any
office of the Bank located in the State of Michigan or at such other place as
Bank may designate in writing, the principal sum of THREE MILLION THREE HUNDRED
SEVENTY FOUR THOUSAND AND 00/100 DOLLARS ($3,374,000.00), with interest as
hereinafter provided, all in lawful money of the United States of America. The
unpaid principal balance of this promissory note ("Note") shall bear interest
computed on the basis of the actual number of days elapsed in a year consisting
of 360 days, at a rate of interest (the "Effective Interest Rate") which is
equal to ONE percent (1.0%) per annum in excess of that rate of interest
established by the Bank as its PRIME rate (the "Index"), as such Index may vary
from time to time. Borrower understands and agrees that the Effective Interest
Rate payable to Bank under this Note shall be determined by reference to the
Index, and not by reference to the actual rate of interest charged by the Bank
to any particular borrower(s). If the Index shall be increased or decreased, the
Effective Interest Rate under this Note shall be increased or decreased by the
same amount, effective the day of each increase or decrease in the Index.

         This Note shall be paid to the Bank as follows:

         In consecutive payments of ONE HUNDRED TWO THOUSAND SIX HUNDRED FORTY
         FIVE AND 14/100 DOLLARS ($102,645.14) each including interest accrued
         to the date of such payment, commencing on the 1ST day of JANUARY   ,
         2002 and continuing on the 1ST day of each MONTH thereafter, until the
         Due Date, upon which date the entire unpaid principal balance of this
         Note and all accrued and unpaid interest shall be due and payable to
         Bank in full.

         If this Note provides for installment payments of principal and
interest and a variable interest rate, then upon any change in the Effective
Interest Rate, upwards or downwards, the installment payments due under this
Note shall be adjusted by the Bank, as of the next installment due date after
the Effective Interest Rate change, to maintain amortization of the unpaid
principal balance of this Note over the original amortization period.

         Borrower expressly assumes all risks of loss or delay in the delivery
of any payments made by mail, and no course of conduct or dealing shall affect
Borrowers assumption of these risks. Borrower shall not be required to pay
interest at a rate greater than the maximum allowed by law and any interest
payment received by Bank which exceeds the maximum legal rate shall be
automatically credited upon the unpaid principal balance of this Note. If the
Bank determines the Effective Interest Rate is, or may be, usurious or otherwise
limited by law, the unpaid balance of this Note shall, at Bank's option, become
immediately due and payable.

         This Note may be prepaid at any time without. All partial prepayments
shall be applied against the last accruing installment or amount due under this
Note and no partial prepayments shall affect the obligation of Borrower to
continue making all payments specified in this Note until the entire unpaid
principal and all accrued interest shall have been paid in full. All payments
received shall, at the option of the Bank, first be applied against accrued and
unpaid interest and the balance against principal.

         Upon the occurrence of any of the following events ("Events of
Default") the Bank, at its option, and without notice to Borrower, may declare
the entire unpaid principal balance of this Note, all accrued interest, and all
other indebtedness of Borrower to Bank, to be immediately due and payable: (a)
failure to pay any principal or interest payment to Bank when due; (b) any
statement, warranty, or representation of Borrower or any guarantor made in this
Note, the Related Documents, or in any financial statement now or hereafter
furnished to the Bank by or on behalf of the Borrower or any guarantor, is false
or misleading; (c) breach of any covenant, term, condition, or agreement stated
in this Note or in any of the Related Documents by Borrower or any guarantor;
(d) Borrower or any guarantor ceases doing business or Borrower's or any
guarantors existence is terminated by death, sale, dissolution, merger or
otherwise; (e) any conveyance is made of substantially all of Borrower's assets,
any assignment is made for the benefit of creditors, any receiver is appointed
for Borrower, or any insolvency, liquidation or reorganization proceeding is
filed by or against Borrower under the Bankruptcy Code or otherwise; (f) any
attachment, execution, levy, forfeiture, tax lien, or similar writ or process is
issued against any of Borrower's property; (g) any felony criminal proceeding is
brought against Borrower, Borrower's management, or any guarantor; (h) Bank
determines the interest rate charged by Bank on any loan to Borrower is usurious
or otherwise unlawful or limited; (i) any material adverse change occurs or is
imminent, the effect of which would be to substantially diminish Borrower's or
any guarantor's financial condition, business, ability to perform their
agreements with Bank, or the value of any collateral securing Borrower's
indebtedness and other obligations to the Bank; (j) any other Borrower
indebtedness to the Bank or any other creditor remains unpaid after acceleration
of the maturity or after the maturity stated.

         Upon the occurrence of any Event of Default or upon non-payment of this
Note after demand, the unpaid principal balance of this Note shall bear interest
at a rate which is two percent (2%) greater than the Effective Interest Rate
otherwise applicable. If any payment due under this Note is not paid within ten
(10) days after the date due, then, at the option of the Bank, a late charge of
not more than five cents ($0.05) for each dollar of the installment past due may
be charged by Bank. Borrower agrees to pay all of Bank's costs incurred in the
collection of this Note, including reasonable attorney fees.

         Acceptance by Bank of any payment in an amount less than the amount
then due shall be deemed an acceptance on account only, and Borrower's failure
to pay the entire amount due shall be an Event of Default. Borrower and all
guarantors hereof do hereby (i) jointly and severally waive presentment for
payment, demand, notice of nonpayment, notice of protest or protest of this
Note, any defenses under 3-605 of the Michigan Uniform Commercial Code, the
release of any collateral or part thereof, with or without substitution, and
Bank diligence in collection or bringing suit, and (ii) consent to any and all
extensions of time, renewals, waivers, or modifications as may be granted by
Bank with respect to payment or any other provisions of this Note. The liability
of the Borrower under this Note shall be absolute and unconditional, without

                                     - 1 -

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regard to the liability of any other party. This Note shall be deemed to have
been executed in, and all rights and obligations hereunder shall be governed by,
the laws of the State of Michigan.

         This Note evidences a Loan made under the terms of a Business Loan
Agreement dated SEPTEMBER 25, 2000, AS AMENDED BY AMENDMENT OF BUSINESS LOAN
AGREEMENT DATED NOVEMBER 29, 2001, EFFECTIVE SEPTEMBER 30, 2001 (THE "LOAN
AGREEMENT), AND IS SECURED BY:

         > SECURITY AGREEMENT DATED SEPTEMBER 25, 2000.

         Reference is hereby made to the document(s) and other agreement(s)
described above (the "Related Documents") for additional terms and conditions
relating to this Note.

                                      BORROWER

                                      UNITED AMERICAN HEALTHCARE
                                      CORPORATION,
                                      A MICHIGAN CORPORATION

BORROWER ADDRESS:

1155 BREWERY PARK BLVD. SUITE 200     By: /s/ GREGORY MOSES
DETROIT, MICHIGAN 48207                   --------------------------------------
                                              GREGORY MOSES
                                      Its:    PRESIDENT & CHIEF EXECUTIVE
                                              OFFICER

                                      AND

                                      By: /s/ WILLIAM E. JACKSON, II
                                          --------------------------------------
                                              WILLIAM E. JACKSON, II
                                      Its:    CHIEF FINANCIAL OFFICER

                                      Tax ID No.: 38-2526913
                                                  ----------

                                      - 2 -<PAGE>

                                                                   EXHIBIT 10.59

                        AMENDMENT OF MANAGEMENT AGREEMENT

THIS AMENDMENT TO MANAGEMENT AGREEMENT ("Amendment"), is made effective
August 1, 2001 by and between United American Healthcare Corporation, a Michigan
corporation ("UNITED AMERICAN") and OmniCare Health Plan, a Michigan nonprofit
corporation, f/k/a Michigan Health Maintenance Organization Plans, Inc. ("HMO"),
through the Deputy Rehabilitator for OmniCare ("Rehabilitator"), appointed by
the Rehabilitator of HMO pursuant to Court Order of the Ingham County Circuit
Court of the State of Michigan.

WHEREAS, UNITED AMERICAN and HMO entered into a Management Agreement dated March
15, 1985, as amended (the "Management Agreement"), which sets forth the terms
and conditions which UNITED AMERICAN provides management services to HMO;

WHEREAS, the Commissioner of the Office of Financial & Insurance Services filed
a Verified Petition for Order of Rehabilitation of OmniCare Health Plan pursuant
to MCL 500.8112, and an Order of Rehabilitation and Injunctive Relief has been
issued issued by the Ingham County Circuit Court appointing the Commissioner as
the Rehabilitator; and

WHEREAS, the parties desire to amend certain terms and conditions of the
Management Agreement, as amended by this Amendment.

NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties agree as follows.

1.       Section Three-Management Fees. Paragraphs 3.1, 3.2 and 3.3 of the
Management Agreement are deleted in their entirety and the Management Agreement
is amended to state new Paragraphs 3.1 and 3.2 as follows:

              3.1    Amount. For the services performed by UNITED AMERICAN each
         month of the term hereof, a Management Fee shall be payable to UNITED
         AMERICAN of the direct fixed and variable costs UNITED AMERICAN
         actually incurs for the management of HMO ("HMO Costs") plus four (4%)
         percent. The Management Fee is established by: (a) the total costs of
         UAHC ("UAHC Costs"), (b) the HMO Costs, and (c) the costs related to
         UAHC, its subsidiaries and affiliates ("UAHC Specific Costs"), such
         that,

                     UAHC Costs = HMO Costs + UAHC Specific Costs.

         Monthly payments by HMO will be based upon estimates of the UAHC Costs
         as stated in the UAHC monthly financial statements less the monthly
         pro-rata allocation of the estimated UAHC Specific Costs identified on
         Exhibit 3.1. The estimates of the UAHC Specific Costs are identified
         in Exhibit 3.1, as amended from time to time, which is attached hereto
         and incorporated by reference. The estimated UAHC Specific Costs may be
         revised prospectively from time to time

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         by mutual agreement of the parties. UNITED AMERICAN shall not make any
         expenditure of HMO Costs outside the ordinary course of a financially
         distressed business unless approved in advance by HMO in writing.

         HMO shall reconcile the estimated HMO Costs paid and the actual HMO
         Costs experienced by UNITED AMERICAN on a quarterly basis within thirty
         (30) days of each quarter of the term, or as soon as reasonably
         possible thereafter. With respect to any overpayments by HMO, at HMO's
         option, UNITED AMERICAN shall immediately return the overpaid amount in
         cash to HMO or HMO shall setoff the next month's Management Fee by the
         amount overpaid. UNITED AMERICAN shall provide HMO with access to any
         and all financial records and supporting documentation requested by
         HMO, and HMO may audit the UAHC Costs.

         UNITED AMERICAN shall pay as due, the HMO Costs incurred hereunder.

         3.2 When Due. The Management Fee shall be payable to UNITED AMERICAN
         by the fifteenth (15th day of each month during each month that
         services are rendered and any payments shall be prorated on a daily
         basis for any partial month.

2.       Section Four-Miscellaneous. Paragraph 4.3 of the Management Agreement
is deleted in its entirety and the Management Agreement is amended to state new
Paragraph 4.3 as follows:

         4.3    Termination Without Cause. Either party may terminate this
         Management Agreement upon ninety (90) days prior written notice to the
         other party.

IN WITNESS WHEREOF, the parties have executed this Amendment as of the date
referenced above.

UNITED AMERICAN HEALTHCARE CORPORATION

By: /s/ Gregory H. Moses
    ------------------------------
        Gregory H. Moses

Its:    12/14/01
     -----------------------------
        President & CEO

OMNICARE HEALTH PLAN

By: /s/ Bobby L. Jones
    -----------------------------
        Bobby L. Jones

Its:    Deputy Rehabilitator

<PAGE>

                  EXHIBIT 3.1 (ESTIMATED SPECIFIC UAHC COSTS)
                              EFFECTIVE AUGUST 2001
<TABLE>

<S>                                          <C>
COMPENSATION
Greg Moses                                       $312,000
William Jackson                                    85,120
John Reed                                          71,042
                                                 --------
TOTAL COMPENSATION                                468,162
BENEFITS                                          140,449
ADMINISTRATIVE & GENERAL                          300,000
                                                 --------
ESTIMATED UAHC SPECIFIC COSTS                    $908,611

</TABLE>

INITIALS

For: OmniCare Health Plan  /s/ Bobby Jones        12/10/2001
                          -----------------       -----------
                          Bobby Jones             Date

For: UAHC                 /s/ Gregory Moses       12/14/2001
                          -----------------       -----------
                          Gregory Moses           Date

<PAGE>

                   EXHIBIT 3.1 (ESTIMATED SPECIFIC UAHC COSTS)
                             EFFECTIVE DECEMBER 2001

<TABLE>

<S>                                         <C>
COMPENSATION & BENEFITS
Greg Moses                                     $  312,000
William Jackson                                    88,099
Betty Duplissis*                                   31,156
Christine Gentile*                                 20,259
Valerie Houston*                                   26,055
Delores Howard*                                    16,123
                                               ----------
                                                  493,692
Benefits (estimated @ 22%)                        108,612
                                               ----------
TOTAL COMPENSATION & BENEFITS                     602,304

ADMINISTRATIVE & GENERAL
Occupancy/depreciation (incl. OAO)                125,000
Postage, express, telephone                        10,000
Printing and supplies                              10,000
Legal**                                           300,000
Auditing & consulting**                           300,000
Travel and entertainment                           20,000
Board fees**                                      325,000
Insurance                                         300,000
Single business taxes                             240,000
OAO lease & dev. Costs                            400,000
Interest expense on debt                          173,000
                                               ----------
                                                2,203,000
                                               ----------

Estimated UAHC Specific Costs                  $2,805,304

</TABLE>

*At 50%

**Subject to seasonality. Will be adjusted out on an actual basis for purpose of
monthly payment.

Note: All OAO development costs, including AS400 partition lease and contracted
programmers, are UAHC specific costs and should not be included in HMO expenses.

INITIALS

For: OmniCare Health Plan  /s/ Bobby Jones        12/10/2001
                          -----------------       -----------
                          Bobby Jones             Date

For: UAHC                 /s/ Gregory Moses       12/14/2001
                          -----------------       -----------
                          Gregory Moses           Date

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