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                                                                    EXHIBIT 10.6

                              EMPLOYMENT AGREEMENT

         This Employment Agreement ("Agreement") is made and entered into on
this 10th day of March, 2000, effective as of the date set forth in paragraph
2.1 below, and is by and between Terremark Holdings, Inc., a Florida corporation
(the "Company"), and Manuel D. Medina (hereinafter called the "Executive").

                                    RECITALS

         A. The Executive possesses knowledge and skills which the Company
believes will be of substantial benefit to its operations and success, and the
Company desires to employ the Executive on the terms and conditions set forth
below.

         B. The Executive is willing to make his services available to the
Company on the terms and conditions set forth below.

                                    AGREEMENT

         NOW, THEREFORE, in consideration of the premises and mutual covenants
set forth herein, the parties agree as follows:

         1.       EMPLOYMENT.

                  1.1      EMPLOYMENT AND TERM. The Company hereby agrees to
employ the Executive and the Executive hereby agrees to serve the Company on the
terms and conditions set forth herein.

                  1.2      DUTIES OF EXECUTIVE. During the Term of Employment
under this Agreement, the Executive shall serve as the President and Chairman of
Terremark Worldwide, Inc., shall diligently perform all services as may be
assigned to him by the Board (provided that, such services shall not materially
differ from the services currently provided by the Executive), and shall
exercise such power and authority as may from time to time be delegated to him
by the Board. The Executive shall devote his full time and attention to the
business and affairs of the Company, render such services to the best of his
ability, and use his best efforts to promote the interests of the Company. It
shall not be a violation of this Agreement for the Executive to (i) serve on
corporate, civic or charitable boards or committees, (ii) deliver lectures,
fulfill speaking engagements or teach at educational institutions, or (iii)
manage personal investments, so long as such activities do not significantly
interfere with the performance of the Executive's responsibilities to the
Company in accordance with this Agreement.

         2.       TERM.

                  2.1      INITIAL TERM. The initial Term of Employment under
this Agreement, and the employment of the Executive hereunder, shall commence on
the date on which the pending merger of the Company into AmTec, Inc. becomes
effective (the "Commencement Date") and

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shall expire on the date that is twelve months after the Commencement Date,
unless sooner terminated in accordance with Section 5 hereof (the "Initial
Term"). In the event the merger of the Company into AmTec, Inc. has not closed
by December 31, 2000, the Agreement shall be void.

                  2.2      RENEWAL TERMS. At the end of the Initial Term, the
Term of Employment automatically shall renew for successive one year terms
(subject to earlier termination as provided in Section 5 hereof), unless the
Company or the Executive delivers written notice to the other at least one month
prior to the Expiration Date of its or his election not to renew the Term of
Employment.

                  2.3      TERM OF EMPLOYMENT AND EXPIRATION DATE. The period
during which the Executive shall be employed by the Company pursuant to the
terms of this Agreement is sometimes referred to in this Agreement as the "Term
of Employment", and the date on which the Term of Employment shall expire
(including the date on which any renewal term shall expire), is sometimes
referred to in this Agreement as the "Expiration Date".

         3.       COMPENSATION.

                  3.1      BASE SALARY. The Executive shall receive a base
salary at the annual rate of $350,000.00 (the "Base Salary") during the Term of
Employment, with such Base Salary payable in installments consistent with the
Company's normal payroll schedule, subject to applicable withholding and other
taxes. The Base Salary shall be reviewed, at least annually, for merit
increases and may, by action and in the sole discretion of the Board, be
increased at any time or from time to time.

                  3.2.     BONUSES. During the Term of Employment, the
Executive shall be eligible to receive bonuses in such amounts and at such
times as the Board shall determine in its sole discretion.

         4.       EXPENSE REIMBURSEMENT AND OTHER BENEFITS.

                  4.1      REIMBURSEMENT OF EXPENSES. Upon the submission of
proper substantiation by the Executive, and subject to such rules and
guidelines as the Company may from time to time adopt, the Company shall
reimburse the Executive for all reasonable expenses actually paid or incurred
by the Executive during the Term of Employment in the course of and pursuant to
the business of the Company. The Executive shall account to the Company in
writing for all expenses for which reimbursement is sought and shall supply to
the Company copies of all relevant invoices, receipts or other evidence
reasonably requested by the Company.

                  4.2      COMPENSATION/BENEFIT PROGRAMS. During the term of
Employment, the Executive shall be entitled to participate in all medical,
dental, hospitalization, accidental death and dismemberment, disability, travel
and live insurance plans, and any and all other plans as are presently and
hereinafter offered by the Company to its executives, including savings,
pension, profit-sharing and deferred compensation plans, subject to the general
eligibility and participation provisions set forth in such plans.

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                  4.3      WORKING FACILITIES. During the Term of Employment,
the Company shall furnish the Executive with an office, secretarial help and
such other facilities and services suitable to his/her position and adequate
for the performance of his/her duties hereunder.

                  4.4      STOCK OPTIONS. During the Term of Employment, the
Executive shall be eligible to be granted options (the "Stock Options") to
purchase common stock (the "Common Stock") of the Company under (and therefore
subject to all terms and conditions of) the Company's 1996 Stock Option Plan,
as amended, and any successor plan thereto (the "Stock Option Plan") and all
rules of regulation of the Securities and Exchange Commission applicable to
stock option plans then in effect. The number of Stock Options and terms and
conditions of the Stock Options shall be determined by the Committee appointed
pursuant to the Stock Option Plan, or by the Board of Directors of the Company,
in its sole discretion and pursuant to the Stock Option Plan.

                  4.5      OTHER BENEFITS. The Executive shall be entitled to
three weeks of vacation each calendar year during the Term of Employment, to be
taken at such times as the Executive and the Company shall mutually determine
and provided that no vacation time shall interfere with the duties required to
be rendered by the Executive hereunder. Any vacation time not taken by
Executive during any calendar year may not be carried forward into any
succeeding calendar year. The Executive shall receive such additional benefits,
if any, as the Board of the Company shall from time to time determine.

         5.       TERMINATION.

                  5.1      TERMINATION FOR CAUSE. The Company shall at all
times have the right, upon written notice to the Executive, to terminate the
Term of Employment, for Cause. For purposes of this Agreement, the term "Cause"
shall mean (i) an action or omission of the Executive which constitutes a
willful and material breach of, or failure or refusal (other than by reason of
his disability) to perform his duties under, this Agreement which is not cured
within fifteen (15) days after receipt by the Executive of written notice of
same, (ii) fraud, embezzlement, misappropriation of funds or breach of trust in
connection with his services hereunder, (iii) conviction of a felony or any
other crime which involves dishonesty or a breach of trust, or (iv) gross
negligence in connection with the performance of the Executive's duties
hereunder, which is not cured within fifteen (15) days after written receipt by
the Executive of written notice of same. Any termination for Cause shall be
made in writing to the Executive, which notice shall set forth in detail all
acts or omissions upon which the Company is relying for such termination. The
Executive shall have the right to address the Board regarding the acts set
forth in the notice of termination. Upon any termination pursuant to this
Section 5.1, the Company shall only be obligated to pay to the Executive his
Base Salary to the date of termination. The Company shall have no further
liability hereunder (other than for reimbursement for reasonable business
expenses incurred prior to the date of termination, subject, however, to the
provisions of Section 4.1.

                  5.2      DISABILITY. The Company shall at all times have the
right, upon written notice to the Executive, to terminate the Term of
Employment, if the Executive shall become entitled to benefits under the
Company's group disability policy or any individual disability policy then in
effect, or, if the Executive shall as the result of mental or physical
incapacity, illness or

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disability, become unable to perform his obligations hereunder for a period of
90 days in any 12-month period. The Company shall have sole discretion based
upon competent medical advice to determine whether the Executive continues to
be disabled. Upon any termination pursuant to this Section 5.2, the Company
shall (i) pay to the Executive any unpaid Base Salary through the effective
date of termination specified in such notice, (ii) pay to the Executive a
severance payment equal to one month of the Executive's Base Salary at the time
of the termination of the Executive's employment with the Company. The Company
shall have no further liability hereunder (other than for reimbursement for
reasonable business expenses incurred prior to the date of termination,
subject, however to the provisions of Section 4.1).

                  5.3      DEATH. Upon the death of the Executive during the
Term of Employment, the Company shall pay to the estate of the deceased
Executive any unpaid Base Salary through the Executive's date of death. The
Company shall have no further liability hereunder (other than for reimbursement
for reasonable business expenses incurred prior to the date of the Executive's
death, subject, however, to the provisions of Section 4.1).

                  5.4      TERMINATION WITHOUT CAUSE. At any time the Company
shall have the right to terminate the Term of Employment by written notice to
the Executive. Upon any termination pursuant to this Section 5.4 (that is not a
termination under any of Sections 5.1, 5.2, 5.3, 5.5 or 5.6), the Company shall
(i) pay to the Executive any unpaid Base Salary through the effective date of
termination specified in such notice, (ii) continue to pay the Executive's Base
Salary for a period (the "Continuation Period") through the date on which the
Term of Employment would have ended pursuant to Section 2 hereof in the absence
of an earlier termination pursuant to this Section 5 but in no event for more
than six (6) months from notice of termination hereunder, (iii) continue to
provide the Executive with the benefits he/she was receiving under Sections 4.2
and 4.4 hereof (the "Benefits") through the end of the Continuation Period in
the manner and at such times as the Incentive Compensation or Benefits
otherwise would have been payable or provided to the Executive. In the event
that the Company is unable to provide the Executive with any Benefits required
hereunder by reason of the termination of the Executive's employment pursuant
to this Section 5.4, then the Company shall pay the Executive cash equal to the
value of the Benefit that otherwise would have accrued for the Executive's
benefit under the plan, for the period during which such Benefits could not be
provided under the plans. The Company's good faith determination of the amount
that would have been contributed or the value of any Benefits that would have
accrued under any plan shall be binding and conclusive on the Executive. For
this purpose, the Company may use as the value of any Benefit the cost to the
Company of providing that Benefit to the Executive. Further, the Executive
shall continue to vest in the Executive's Stock Options through the end of the
Continuation Period in the same manner and to the same extent as if his
employment hereunder terminated on the last day of the Continuation Period. The
Company shall have no further liability hereunder (other than for (x)
reimbursement for reasonable business expenses incurred prior to the date of
termination, subject, however, to the provisions of Section 4.1, and (y)
payment of compensation for unused vacation days that have accumulated during
the calendar year in which such termination occurs).

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                  5.5      TERMINATION BY EXECUTIVE.

                           (a)      The Executive shall at all times have the
right, upon sixty (60) days written notice to the Company, to terminate the
Term of Employment.

                           (b)      Upon termination of the Term of Employment
pursuant to this Section 5.5 (that is not a termination under Section 5.6) by
the Executive without Good Reason, the Company shall pay to the Executive any
unpaid Base Salary through the effective date of termination specified in such
notice. The Company shall have no further liability hereunder (other than for
reimbursement for reasonable business expenses incurred prior to the date of
termination, subject, however, to the provisions of Section 4.1). At the
Company's sole option, upon receipt of notice from the Executive pursuant to
this Section, the Company may immediately terminate the Term of Employment, in
which case, in addition to the covenants set forth above, the Company shall pay
the Executive 60 days of Base Salary.

                           (c)      Upon termination of the Term of Employment
pursuant to this Section 5.5 (that is not a termination under Section 5.6) by
the Executive for Good Reason, the Company shall pay to the Executive the same
amounts that would have been payable by the Company to the Executive under
Section 5.4 of this Agreement if the Term of Employment had been terminated by
the Company without Cause. The Company shall have no further liability
hereunder.

                           (d)      For purposes of this Agreement, "Good
Reason" shall mean (i) the assignment to the Executive of any duties
inconsistent in any respect with the Executive's position (including status,
offices, titles and reporting requirements), authority, duties or
responsibilities as contemplated by Section 1.2 of this Agreement, or any other
action by the Company which results in a diminution in such position,
authority, duties or responsibilities, excluding for this purpose an isolated,
insubstantial and inadvertent action not taken in bad faith and which is
remedied by the Company promptly after receipt of notice thereof given by the
Executive; (ii) any failure by the Company to comply with any of the provisions
of Article 3 of this Agreement, other than an isolated, insubstantial and
inadvertent failure not occurring in bad faith and which is remedied by the
Company promptly after receipt of notice thereof given by the Executive; (iii)
the Company's requiring the Executive to be based at any office or location
outside of the area for which Executive was originally hired to work except for
travel reasonably required in the performance of the Executive's
responsibilities. For purposes of this Section 5.5(d), any good faith
determination of "Good Reason" made by the Board shall be conclusive.

                  5.6      CHANGE IN CONTROL OF THE COMPANY.

                           (a)      In the event that (i) a Change in Control
(as defined in paragraph (b) of this Section 5.6) in the Company shall occur
during the Term of Employment, and (ii) prior to the later of the Expiration
Date or one year after the date of the Change in Control, either (x) the Term
of Employment is terminated by the Company without Cause, pursuant to Section
5.4 hereof or (y) the Executive terminates the Term of Employment for Good
Reason the Company shall (1) pay to the Executive any unpaid Base Salary
through the effective date of termination, (2) pay to the Executive as a single
lump sum payment, within 30 days of the termination of his

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employment hereunder, a lump sum payment equal to the sum of (x) two times the
sum of Executive's annual Base Salary, Incentive Compensation, and the value of
the annual fringe benefits (based upon their cost to the Company) required to
be provided to the Executive under Sections 4.2 and 4.4 hereof, for the year
immediately preceding the year in which his employment terminates, plus (y)
the value of the portion of his benefits under any savings, pension, profit
sharing or deferred compensation plans that are forfeited under those plans by
reason of the termination of his employment hereunder. Further, upon the Change
in Control, the Executive's Stock Options shall immediately vest. The Company
shall have no further liability hereunder (other than for (1) reimbursement for
reasonable business expenses incurred prior to the date of termination,
subject, however, to the provisions of Section 4.1, and (2) payment of
compensation for unused vacation days that have accumulated during the calendar
year in which such termination occurs).

                           (b)      For purposes of this Agreement, the term
"Change in Control" shall mean:

                                    (i)      Approval by the shareholders of
the Company of (x) a reorganization, merger, consolidation or other form of
corporate transaction or series of transactions, in each case, with respect to
which persons who were the shareholders of the Company immediately prior to
such reorganization, merger or consolidation or other transaction do not,
immediately thereafter, own more than 50% of the combined voting power entitled
to vote generally in the election of directors of the reorganized, merged or
consolidated company's then outstanding voting securities, in substantially the
same proportions as their ownership immediately prior to such reorganization,
merger, consolidation or other transaction, or (y) a liquidation or
dissolution of the Company or (z) the sale of all or substantially all of the
assets of the Company (unless such reorganization, merger, consolidation or
other corporate transaction, liquidation, dissolution or sale is subsequently
abandoned);

                                    (ii)     the acquisition (other than from
the Company) by any person, entity or "group", within the meaning of
Section 13(d)(3) or 14(d)(2) of the Securities Exchange Act, of more than 30%
of either the then outstanding shares of the Company's Common Stock or the
combined voting power of the Company's then outstanding voting securities
entitled to vote generally in the election of directors (hereinafter referred
to as the ownership of a "Controlling Interest") excluding, for this purpose,
any acquisitions by (1) the Company or its Subsidiaries, (2) any person, entity
or "group" that as of the Commencement Date of this Agreement owns beneficial
ownership (within the meaning of Rule 13d-3 promulgated under the Securities
Exchange Act) of a Controlling Interest or (3) any employee benefit plan of the
Company or its Subsidiaries.

                                    (iii)    The resignation of Manuel D.
Medina as both Chairman and CEO of the Company, his death, or his absence from
the day to day business affairs of the Company for more than 90 consecutive
days due to disability or incapacity.

                  5.7      RESIGNATION.      Upon any notice or termination of
employment pursuant to this Article 5, the Executive shall automatically and
without further action be deemed to have resigned as an officer, and if he or
she was then serving as a director of the Company, as a

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director, and if required by the Board, the Executive hereby agrees to
immediately execute a resignation letter to the Board.

                  5.8      SURVIVAL.  The provisions of this Article 5
shall survive the termination of this Agreement, as applicable.

         6.       RESTRICTIVE COVENANTS.

                  6.1      NON-COMPETITION.  At all times while the Executive
is employed by the Company and for a one year period after the termination of
the Executive's employment with the Company for any reason (other than by the
Company without Cause (as defined in Section 5.1 hereof) or by the Executive for
Good Reason (as defined in Section 5.5(d) hereof)), the Executive shall not,
directly or indirectly, engage in or have any interest in any sole
proprietorship, partnership, corporation or business or any other person or
entity (whether as an employee, officer, director, partner, agent, security
holder, creditor, consultant or otherwise) that directly or indirectly (or
through any affiliated entity) engages in competition with the Company (based on
the business in which the Company was engaged or was actively planning on being
engaged as of the date of termination of the Employee's employment and in the
geographic areas in which the Company operated or was actively planning on
operating as of date of termination of the Employee's employment); provided that
such provision shall not apply to the Executive's ownership of Common Stock of
the Company or the acquisition by the Executive, solely as an investment, of
securities of any issuer that is registered under Section 12(b) or 12(g) of the
Securities Exchange Act of 1934, as amended, and that are listed or admitted for
trading on any United States national securities exchange or that are quoted on
the National Association of Securities Dealers Automated Quotations System, or
any similar system or automated dissemination of quotations of securities prices
in common use, so long as the Executive does not control, acquire a controlling
interest in or become a member of a group which exercises direct or indirect
control or, more than five percent of any class of capital stock of such
corporation.

                  6.2      NONDISCLOSURE. The Executive shall not at any time
divulge, communicate, use to the detriment of the Company or for the benefit of
any other person or persons, or misuse in any way, any Confidential Information
(as hereinafter defined) pertaining to the business of the Company. Any
Confidential Information or data now or hereafter acquired by the Executive with
respect to the business of the Company (which shall include, but not be limited
to, information concerning the Company's financial condition, prospects,
technology, customers, suppliers, sources of leads and methods of doing
business) shall be deemed a valuable, special and unique asset of the Company
that is received by the Executive in confidence and as a fiduciary, and
Executive shall remain a fiduciary to the Company with respect to all of such
information. For purposes of this Agreement, "Confidential Information" means
information disclosed to the Executive or known by the Executive as a
consequence of or through his employment by the Company (including information
conceived, originated, discovered or developed by the Executive) prior to or
after the date hereof, and not generally known, about the Company or its
business. Notwithstanding the foregoing, nothing herein shall be deemed to
restrict the Executive from disclosing Confidential Information to the extent
required by law.

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                  6.3      NONSOLICITATION OF EMPLOYEES AND CLIENTS. At all
times while the Executive is employed by the Company and for a two (2) year
period after the termination of the Executive's employment with the Company for
any reason, the Executive shall not, directly or indirectly, for himself or for
any other person, firm, corporation, partnership, association or other entity
(a) employ or attempt to employ or enter into any contractual arrangement with
any employee or former employee of the Company, unless such employee or former
employee has not been employed by the Company for a period in excess of six
months, and/or (b) call on or solicit any of the actual or targeted prospective
clients of the Company on behalf of any person or entity in connection with any
business competitive with the business of the Company, nor shall the Executive
make known the names and addresses of such clients or any information relating
in any manner to the Company's trade or business relationships with such
customers, other than in connection with the performance of Executive's duties
under this Agreement.

                  6.4      OWNERSHIP OF DEVELOPMENTS. All copyrights, patents,
trade secrets, or other intellectual property rights associated with any ideas,
concepts, techniques, inventions, processes, or works of authorship developed
or created by Executive during the course of performing work for the Company or
its clients (collectively, the "Work Product") shall belong exclusively to the
Company and shall, to the extent possible, be considered a work made by the
Executive for hire for the Company within the meaning of Title 17 of the United
States Code. To the extent the Work Product may not be considered work made by
the Executive for hire for the Company, the Executive agrees to assign, and
automatically assign at the time of creation of the Work Product, without any
requirement of further consideration, any right, title, or interest the
Executive may have in such Work Product. Upon the request of the Company, the
Executive shall take such further actions, including execution and delivery of
instruments of conveyance, as may be appropriate to give full and proper effect
to such assignment.

                  6.5      BOOKS AND RECORDS. All books, records, and accounts
relating in any manner to the customers or clients of the Company, whether
prepared by the Executive or otherwise coming into the Executive's possession,
shall be the exclusive property of the Company and shall be returned
immediately to the Company on termination of the Executive's employment
hereunder or on the Company's request at any time.

                  6.6      DEFINITION OF COMPANY. Solely for purposes of this
Article 6, the term "Company" also shall include any existing or future
subsidiaries of the Company that are operating during the time periods
described herein and any other entities that directly or indirectly, through
one or more intermediaries, control, are controlled by or are under common
control with the Company during the periods described herein.

                  6.7      ACKNOWLEDGEMENT BY EXECUTIVE. The Executive
acknowledges and confirms that (a) the restrictive covenants contained in this
Article 6 are reasonably necessary to protect the legitimate business interests
of the Company, and (b) the restrictions contained in this Article 6 (including
without limitation the length of the term of the provisions of this Article 6)
are not overbroad, overlong, or unfair and are not the result of overreaching,
duress or coercion of any kind. The Executive further acknowledges and confirms
that his full, uninhibited and faithful observance of each of the covenants
contained in this Article 6 will not cause him any undue hardship, financial or
otherwise, and that enforcement of each of the covenants contained herein

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will not impair his ability to obtain employment commensurate with his abilities
and on terms fully acceptable to him or otherwise to obtain income required for
the comfortable support of him and his family and the satisfaction of the needs
of his creditors. The Executive acknowledges and confirms that his special
knowledge of the business of the Company is such as would cause the Company
serious injury or loss if he were to use such ability and knowledge to the
benefit of a competitor or were to compete with the Company in violation of the
terms of this Article 6. The Executive further acknowledges that the
restrictions contained in this Article 6 are intended to be, and shall be, for
the benefit of and shall be enforceable by, the Company's successors and
assigns.

                  6.8      REFORMATION BY COURT. In the event that a court of
competent jurisdiction shall determine that any provision of this Article 6 is
invalid or more restrictive than permitted under the governing law of such
jurisdiction, then only as to enforcement of this Article 6 within the
jurisdiction of such court, such provision shall be interpreted and enforced as
if it provided for the maximum restriction permitted under such governing law.

                  6.9      EXTENSION OF TIME. If the Executive shall be in
violation of any provision of this Article 6, then each time limitation set
forth in this Article 6 shall be extended for a period of time equal to the
period of time during which such violation or violations occur. If the Company
seeks injunctive relief from such violation in any court, then the covenants
set forth in this Article 6 shall be extended for a period of time equal to the
pendency of such proceeding including all appeals by the Executive.

                  6.10     SURVIVAL. The provisions of this Article 6 shall
survive the termination of this Agreement, as applicable.

         7.       INJUNCTION. It is recognized and hereby acknowledged by the
parties hereto that a breach by the Executive of any of the covenants contained
in Article 6 of this Agreement will cause irreparable harm and damage to the
Company, the monetary amount of which may be virtually impossible to ascertain.
As a result, the Executive recognizes and hereby acknowledges that the Company
shall be entitled to an injunction from any court of competent jurisdiction
enjoining and restraining any violation of any or all of the covenants
contained in Article 6 of this Agreement by the Executive or any of his
affiliates, associates, partners or agents, either directly or indirectly, and
that such right to injunction shall be cumulative and in addition to whatever
other remedies the Company may possess.

         8.       ASSIGNMENT. Neither party shall have the right to assign or
delegate his rights or obligations hereunder, or any portion thereof, to any
other person.

         9.       GOVERNING LAW. This Agreement shall be governed by and
construed in accordance with the laws of the State of Florida.

         10.      SECTION 162(m) LIMITS. Notwithstanding any other provision of
this Agreement to the contrary, if and to the extent that any remuneration
payable by the Company to the Executive for any year would exceed the maximum
amount of remuneration that the Company may deduct for that year under Section
162(m) ("Section 162(m)") of the Internal Revenue Code of 1986, as amended (the
"Code"), payment of the portion of the remuneration for that year that

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would not be so deductible under Section 162(m) shall, in the sole discretion
of the Board, be deferred and become payable at such time or times as the Board
determines that it first would be deductible by the Company under Section
162(m), with interest at the "short-term applicable rate" as such term is
defined in section 1274(d) of the Code. The limitation set forth under this
Section 10 shall not apply with respect to any amounts payable to the
Executive pursuant to Article 5 hereof.

         11.      ENTIRE AGREEMENT. This Agreement constitutes the entire
agreement between the parties hereto with respect to the subject matter hereof
and, upon its effectiveness, shall supersede all prior agreements,
understandings and arrangements, both oral and written, between the Executive
and the Company (or any of its affiliates) with respect to such subject matter.
This Agreement may not be modified in any way unless by a written instrument
signed by both the Company and the Executive.

         12.      NOTICES. All notices required or permitted to be given
hereunder shall be in writing and shall be personally delivered by courier,
sent by registered or certified mail, return receipt requested or sent by
confirmed facsimile transmission addressed as set forth herein. Notices
personally delivered, sent by facsimile or sent by overnight courier shall be
deemed given on the date of delivery and notices mailed in accordance with the
foregoing shall be deemed given upon the earlier of receipt by the addressee,
as evidenced by the return receipt thereof, or three (3) days after deposit in
the U.S. mail. Notice shall be sent (i) if to the Company, addressed to
Terremark.com, Inc., 2601 S. Bayshore Drive, 9th Floor, Miami, Florida 33133,
Attn: Brian K. Goodkind, Executive Vice-President, and (ii) if to the
Executive, to his address as reflected on the payroll records of the Company,
or to such other address as either party hereto may from time to time give
notice of to the other.

         13.      BENEFITS; BINDING EFFECT. This Agreement shall be for the
benefit of and binding upon the parties hereto and their respective heirs,
personal representatives, legal representatives, successors and, where
applicable, assigns, including, without limitation, any successor to the
Company, whether by merger, consolidation, sale of stock, sale of assets or
otherwise. Specifically, this Agreement shall be binding upon the survivor of
the Merger of the Company into AmTec, Inc.

         14.      SEVERABILITY. The invalidity of any one or more of the words,
phrases, sentences, clauses or sections contained in this Agreement shall not
affect the enforceability of the remaining portions of this Agreement or any
part thereof, all of which are inserted conditionally on their being valid in
law, and, in the event that any one or more of the words, phrases, sentences,
clauses or sections contained in this Agreement shall be declared invalid, this
Agreement shall be construed as if such invalid word or words, phrase or
phrases, sentence or sentences, clause or clauses, or section or sections had
not been inserted. If such invalidity is caused by length of time or size of
area, or both, the otherwise invalid provision will be considered to be reduced
to a period or area which would cure such invalidity.

         15.      WAIVERS. The waiver by either party hereto of a breach or
violation of any term or provision of this Agreement shall not operate nor be
construed as a waiver of any subsequent breach or violation.

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         16.      DAMAGES. Nothing contained herein shall be construed to
prevent the Company or the Executive from seeking and recovering from the other
damages sustained by either or both of them as a result of its or his breach of
any term or provision of this Agreement. In the event that either party hereto
brings suit for the collection of any damages resulting from, or the injunction
of any action constituting, a breach of any of the terms or provisions of this
Agreement, then the party found to be at fault shall pay all reasonable court
costs and attorneys' fees of the other.

         17.      SECTION HEADINGS. The section headings contained in this
Agreement are for reference purposes only and shall not affect in any way the
meaning or interpretation of this Agreement.

         18.      NO THIRD PARTY BENEFICIARY. Nothing expressed or implied in
this Agreement is intended, or shall be construed, to confer upon or give any
person other than the Company, the parties hereto and their respective heirs,
personal representatives, legal representatives, successors and assigns, any
rights or remedies under or by reason of this Agreement.

         19.      INDEMNIFICATION.

                           (a)      Subject to limitations imposed by law, the
Company shall indemnify and hold harmless the Executive to the fullest extent
permitted by law from and against any and all claims, damages, expenses
(including attorneys' fees), judgments, penalties, fines, settlements, and all
other liabilities incurred or paid by him in connection with the investigation,
defense, prosecution, settlement or appeal of any threatened, pending or
completed action, suit or proceeding, whether civil, criminal, administrative
or investigative and to which the Executive was or is a party or is threatened
to be made a party by reason of the fact that the Executive is or was an
officer, employee or agent of the Company, or by reason of anything done or not
done by the Executive in any such capacity or capacities, provided that the
Executive acted in good faith, in a manner that was not grossly negligent or
constituted willful misconduct and in a manner he reasonably believed to be in
or not opposed to the best interests of the Company, and, with respect to any
criminal action or proceeding, had no reasonable cause to believe his conduct
was unlawful. The Company also shall pay any and all expenses (including
attorney's fees) incurred by the Executive as a result of the Executive being
called as a witness in connection with any matter involving the Company and/or
any of its officers or directors.

                           (b)      The Company shall pay any expenses
(including attorneys' fees), judgments, penalties, fines, settlements, and
other liabilities incurred by the Executive in investigating, defending,
settling or appealing any action, suit or proceeding described in this
Section 19 in advance of the final disposition of such action, suit or
proceeding. The Company shall promptly pay the amount of such expenses to the
Executive, but in no event later than 10 days following the Executive's
delivery to the Company of a written request for an advance pursuant to this
Section 19, together with a reasonable accounting of such expenses.

                           (c)      The Executive hereby undertakes and agrees
to repay to the Company any advances made pursuant to this Section 19 if and to
the extent that it shall

                                      -11-
<PAGE>   12
ultimately be found that the Executive is not entitled to be indemnified by the
Company for such amounts.

                           (d)      The Company shall make the advances
contemplated by this Section 19 regardless of the Executive's financial ability
to make repayment, and regardless whether indemnification of the Indemnitee by
the Company will ultimately be required. Any advances and undertakings to repay
pursuant to this Section 19 shall be unsecured and interest-free.

                           (e)      The provisions of this Section 19 shall
survive the termination of this Agreement.

         IN WITNESS WHEREOF, the undersigned have executed this Agreement as of
the date first above written.

                                             COMPANY:

                                             TERREMARK HOLDINGS, INC.

                                             By: /s/ Brian K. Goodkind
                                                 -------------------------------
                                             Name: Brian K. Goodkind
                                             Title: Executive Vice-President

                                             EXECUTIVE:

                                             /s/ Manuel D. Medina
                                             -----------------------------------
                                             Name: Manuel D. Medina

                                      -12-
<PAGE>   13
By its acknowledgment below, the undersigned the Employment Agreement that was
executed between the undersigned and Terremark Holdings, Inc. shall be amended
as follows:

1.       The following provision shall be added to the end of Section 5.4: "For
         all purposes hereunder, the failure by Company to offer to renew the
         Agreement following the expiration of the Initial Term or any Renewal
         Term on the same terms and conditions hereunder shall be treated as if
         the Company terminated this Agreement pursuant to this Section 5.4."

2.       The following provision shall be added to the end of Section 5.5(b):
         "For all purposes hereunder, the failure by Executive to offer to renew
         the Agreement following the expiration of the Initial Term or any
         Renewal Term on the same terms and conditions hereunder shall be
         treated as if the Executive terminated this Agreement pursuant to this
         Section 5.5, except that the Executive shall not be entitled to any
         Base Salary in excess of that which is due through the last day of
         Executive's employment hereunder."

Terremark Holdings, Inc.                     Executive:

By: /s/ Brian K. Goodkind                    /s/ Manuel D. Medina
    ----------------------------             -----------------------------
Name: Brian K. Goodkind                      Print Name: Maneul D. Medina
Title: Executive Vice-President<PAGE>   1
                                                                    Exhibit 10.1

                              EMPLOYMENT AGREEMENT

         This Employment Agreement is entered into this 1st day of June, 2001,
by and between American Healthways, Inc., a Delaware corporation ("Company") and
Jeffrey J. Rice, M.D. ("Officer").

                               W I T N E S S E T H

         I. Employment. In consideration of the mutual promises and agreements
contained herein, the Company employs Officer and Officer hereby accepts
employment under the terms and conditions hereinafter set forth.

         II. Duties. Officer is engaged as an Executive Vice President of the
Company. His powers and duties in that capacity shall be those normally
associated with the position of Executive Vice President. During the terms of
this Agreement, Officer shall also serve without additional compensation in such
other offices of the Company or its subsidiaries or affiliates to which he may
be elected or appointed by the Board of Directors or by the Chief Executive
Officer of the Company. If a Good Reason For Termination exists then it shall be
considered, at Officer's option, termination without just cause and in such
event Officer shall receive the payments and benefits set forth in Section VIII
hereof, with the date of termination for purposes of Section VIII hereof being
the date Officer delivers written notice of his exercise of this option. Officer
may exercise this option by delivering written notice to the Company at any time
within a 30-day period following his receipt of notice of the existence of a
Good Reason For Termination.

         III. Term. Subject to the terms and conditions set forth herein,
Officer shall be employed hereunder for a term beginning on June 1, 2001 and
terminating on May 31, 2003 (the "Expiration Date") unless sooner terminated or
further extended as hereinafter set forth. The Expiration Date shall be
automatically extended for one additional year at the end of the first term of
this Agreement and at the end of each year thereafter (so that the term of this
Agreement shall be extended automatically for one year and no more), unless the
Company notifies Officer in writing (the "Termination Notice") on or before
sixty (60) days prior to the end of the contract year that this automatic
extension provision is canceled and is of no further force and effect.
Notwithstanding the automatic extension of the Expiration Date or any other
provisions herein, this Agreement shall expire on the date that Officer becomes
65 years of age.

         IV. Compensation. For all duties rendered by Officer, the Company shall
pay Officer a minimum salary of $210,000 per year ("Minimum Salary"), payable in
equal monthly installments at the end of each month. In addition thereto,
commencing June 1, 2002, one year from the start of this Agreement and annually
thereafter should this Agreement be extended, the Minimum Salary shall be
increased and adjusted upward, based upon any increase in the Consumer Price
Index for Urban Wage Earners and Clerical Workers, U.S. All City Average Report,
of the U.S. Bureau of Labor Statistics (the "Consumer Price Index") or such
index fulfilling the same or similar purpose in the event the Consumer Price
Index is no longer maintained, in an amount not to exceed 5%. For purposes of
determining the increase in the Minimum Salary, the base month used in the
Consumer Price Index shall be the first full month preceding the commencement of
this Agreement. Such increase shall not be made retroactive for the first year
and such increase shall be made, no more frequently than annually, based upon
any such increased in the Consumer Price Index. In determining the amount of the
annual increase based on any increase in the Consumer Price Index, the
percentage of increase in the Consumer Price Index shall be

                                      -1-

<PAGE>   2

multiplied times the Minimum Salary plus all other salary increases previously
granted by the Board of Directors to Officer and plus all previous adjustments
based upon increases in the Consumer Price Index ("Base Salary"). In addition
thereto, each year beginning June 1, 2002, Officer's compensation will be
reviewed by the Chief Executive Officer of the Company and, after taking into
consideration performance, the Chief Executive Officer of the Company may
increase Officer's Base Salary. Should such increase be equal to or greater than
the cost of living increase, or 5%, no cost of living increase will be granted
for that year. Officer shall participate in the Company's performance bonus plan
and any bonuses paid under such plan shall be in addition to the Base Salary
provided for in this Agreement but shall not be included as part of Base Salary
for the purpose of determining the increase or adjustment based upon the
Consumer Price Index. All compensation payable hereunder shall be subject to
withholding for federal income taxes, FICA and all other applicable federal,
state and local withholding requirements.

         As additional compensation to the Officer for entering into the
non-competition provisions of Section XI(b) of this Agreement, the Company will
cause to be issued as soon as reasonably possible following the execution of
this Employment Agreement 4,762 shares of American Healthways, Inc.'s common
stock (the "Shares"). The Shares shall be subject to the restrictions set forth
in Section 3.5 of that certain Agreement and Plan of Merger dated as of April
30, 2001 (the "Merger Agreement") applicable to the Principal Shareholders (as
defined in the Merger Agreement).

         V. Extent of Service. Officer shall devote substantially all of his
working time, attention and energies to the business of the Company and shall
not during the term of this Agreement take directly or indirectly an active role
in any other business activity without the prior written consent of the Chief
Executive Officer of the Company; but this Section shall not prevent Officer
from making real estate or other investments of a passive nature or from
participating without compensation in the activities of a nonprofit charitable
organization where such participation does not require a substantial amount of
time and does not adversely affect his ability to perform his duties under this
Agreement. Officer shall not serve on the board of directors of an entity
outside of the Company and its affiliates without the prior approval of the
Chief Executive Officer of the Company.

         VI. Disability. During any period in which Officer fails to perform his
duties hereunder as a result of incapacity due to physical or mental illness,
Officer shall continue to receive his Base Salary until his employment is
terminated hereunder. In the case of incapacity due to physical or mental
illness resulting in Officer being absent from his duties hereunder on a full
time basis for more than ninety (90) consecutive days or for more than one
hundred and twenty (120) days in any consecutive six (6) month period or in the
case of a determination by the Board of Directors that Officer is permanently
and totally disabled from performing his duties hereunder, the Company may
terminate Officer's employment hereunder by the delivery of written notice of
termination. In the event the Company so terminates Officer under this Section,
such termination shall be considered termination without just cause and the
Company shall pay Officer such amounts and provide such benefits as are required
by Section VIII hereof, reduced by the benefits payable to Officer under the
Company's disability insurance policies.

         For purposes of this Section, the determination of whether Officer is
incapacitated due to physical or mental illness and therefore disabled shall be
made by the Chief Executive Officer of the Company upon advice of a licensed
physician.

         In the event of Officer's incapacity due to physical or mental illness,
Officer shall be entitled to participate in the Company's health insurance and
life insurance programs so long as is permitted under the provisions of these
coverage's. If Officer is no longer eligible for coverage in the Company's
health insurance plan, the Company shall pay the difference between the cost of
COBRA medical insurance coverage (available after active eligibility has ended)
and Officer's contribution to the plan immediately

                                      -2-
<PAGE>   3

preceding the disability but in no event shall the Company pay this difference
for any period beyond the unexpired term of this Agreement or beyond the period
of Officer's eligibility to participate in COBRA health insurance benefits.
Following Officer's termination for disability, Officer's benefits for past
participation in the Company's bonus, capital accumulation and stock option
plans shall be determined in accordance with the provisions of those plans and
Officer shall not be eligible for further participation in these plans beyond
the date of termination.

         VII. Termination for Just Cause. For purposes of this Agreement, the
Company shall have the right to terminate Officer for "just cause" if, in the
good faith opinion of the Chief Executive Officer of the Company, Officer is
guilty of (i) intoxication while on duty, (ii) theft or dishonesty, (iii)
conviction of a crime involving moral turpitude, or (iv) upon written notice to
Officer, there is failure to cure within 30 days any willful and continued
neglect or gross negligence by Officer in the performance of his duties as an
officer or (v) upon written notice to Officer, there is failure to cure within
30 days any violation of Company Policy or Code of Conduct. For purposes of this
Section VII, determination of a violation shall be made by the Chief Executive
Officer of the Company. In making such determination, the Chief Executive
Officer of the Company shall not act unreasonably or arbitrarily.

         VIII. Termination Without Just Cause. Officer's employment under this
Agreement may be terminated (i) by the Company at any time "without just cause"
by providing Officer with written notice, (ii) by the Company by providing
Officer with Termination Notice (as defined in Section III), (iii) by Officer at
any time within twelve (12) months following the occurrence of a Change In
Control (as defined in Section XIX herein), or (iv) by Officer within 30 days of
an event that provides Good Reason For Termination (as defined in Sections II
and XIX). Officer's termination date shall be deemed the date Officer receives
his written notice of termination or Termination Notice from the Company or the
date the Company receives notice from the Officer of his termination in
accordance with Section IX herein. In the event of such termination:

          a.   Subject to compliance by Officer with the provisions of Section
               VIII herein, the Company shall pay Officer from the termination
               date for a total of one (1) year or the remaining term of this
               Agreement, whichever is greater, monthly, an amount equal to his
               monthly Base Salary on the termination date.

          b.   Officer shall cease as of the termination date his further
               participation in the Company's stock option plans, capital
               accumulation plans, bonus plans, monthly automobile allowance and
               any other benefit or compensation plan in which Officer
               participated or was eligible to participate except as set forth
               in Section VIII(c) below. The Officer's termination date shall be
               utilized for any vesting provisions of the plans listed above in
               this subparagraph (b).

          c.   Following termination by the Company without just case, Officer
               shall be eligible to obtain COBRA health insurance coverage under
               the Company's health insurance plan for a period of time
               generally available to other participants eligible for such
               coverage. If the Officer elects this COBRA health insurance
               coverage, Officer's contribution to such coverage will continue
               at rates contributed by the Company's other officers as may be in
               effect from time to time while the Officer's COBRA health
               insurance coverage is in place. While life and disability
               insurance coverage cannot be provided following the Officer's
               termination under the terms of these group insurance plans, the
               Company will pay to Officer the equivalent amount of the
               Company's contribution to the premiums for these coverage's for
               the remaining payment term of this contract in an amount equal to
               the amount contributed by the Company for these coverage's for
               other officers of the Company in effect while Officer's coverage
               following termination is in place. If Officer

                                      -3-

<PAGE>   4

               maintains COBRA health coverage with the Company upon new
               employment following termination from the Company, the full cost
               of the COBRA health insurance coverage shall be the
               responsibility of the Officer. In addition, upon new employment
               following termination from the Company, the Company's
               reimbursement of life and disability insurance premium
               contributions will also terminate.

          d.   No payments of Base Salary or of any other type of character
               shall be made to Officer after Officer becomes sixty five (65)
               years of age.

          e.   The Company shall be entitled to offset and reduce (as described
               below) any payments due to Officer hereunder by the amount earned
               by Officer in any active employment that he may receive during
               the remaining unexpired payment term of this Agreement from any
               other source whatsoever, except said funds shall not include
               income from dividends, investments, or passive income. Any
               payment reduction under this provision shall be calculated on a
               pro rata basis monthly by considering the earnings for a specific
               month versus the payments due for that month. As a condition for
               Officer receiving payments from the Company he agrees to furnish
               Company annually with full information regarding such employment
               and to provide a copy of his federal income tax returns for such
               periods on a timely basis.

          f.   The Company shall be entitled to offset and reduce any payments
               due to Officer hereunder by the amounts of unemployment
               insurance, social security insurance or like benefits received by
               Officer.

          g.   All payments hereunder will cease upon the death of Officer.

         IX. Termination by Officer. Officer may terminate his employment
  hereunder at any time upon sixty (60) days written notice. Upon such
  termination by Officer, other than termination in accordance with Section
  VIII. (iii) and (iv) herein, the Company shall pay the Officer his Base Salary
  due through the date on which his employment is terminated at the rate in
  effect at the time of notice of termination. The Company shall then have no
  further obligation to Officer under this Agreement.

         X. Termination Upon Death. If Officer dies during the term of this
  Agreement, the Company shall pay his Base Salary due through the date of his
  death at the rate in effect at the time of his death. The Company shall then
  have no further obligations to Officer or any representative of his estate or
  his heirs except that Officer's estate or beneficiaries as the case may be
  shall be paid such amounts as may be payable under the Company's life
  insurance policies and other plans as they relate to benefits following death
  then in effect for the benefit of Officer.

         XI. Restrictive Covenants.

               (a)  Confidential Information. Officer agrees not to disclose,
                    either during the time he is employed by the Company or
                    following termination of his employment hereunder, to any
                    person other than a person to whom disclosure is necessary
                    in connection with the performance of his duties or to any
                    person specifically authorized by the Chief Executive
                    Officer of the Company any material confidential information
                    concerning the Company, including, but not limited to
                    identities of customers and prospective customers identities
                    of individual contacts at customers, information about
                    Company colleagues, models and strategies, contract formats,
                    business plans and related operation methodologies,

                                      -4-
<PAGE>   5

                    financial information or measures, data bases, computer
                    programs, treatment protocols, operating procedures and
                    organization structures.

               (b)  Non-Competition. During the term of employment provided
                    hereunder and continuing during the period while any amounts
                    are being paid to Officer pursuant to the terms of the
                    Agreement, and for a period of one (1) year thereafter,
                    Officer will not (a) directly or indirectly own, manage,
                    operate, control or participate in the ownership,
                    management, operation or control of, or be connected as an
                    officer, employee, partner, director or otherwise with, or
                    any have financial interest in, or aid or assist anyone else
                    in the conduct of, any business which is in competition with
                    any business conducted by the Company or which Officer knew
                    or had reason to know the Company was actively evaluating
                    for possible entry, provided that ownership of five (5)
                    percent or less of the voting stock of any public
                    corporation shall not constitute a violation hereof.

               (c)  Non-Solicitation. During the term of employment provided for
                    hereunder and continuing during the period while any amounts
                    are being paid to Officer pursuant to the terms of this
                    Agreement, and for a period of one (1) year thereafter,
                    Officer will not (a) directly or indirectly solicit business
                    which could reasonably be expected to conflict with the
                    Company's interest from any entity, organization or person
                    which has contracted with the Company, which has been doing
                    business with the Company, from which the Company was
                    soliciting business at the time of the termination of
                    employment or from which Officer knew or had reason to know
                    that Company was going to solicit business at the time of
                    termination of employment, or (b) employ, solicit for
                    employment, or advise or recommend to any other persons that
                    they employ or solicit for employment, any employee of the
                    Company.

               (d)  Consultation. Officer shall, at the Company's written
                    request, during the period he is receiving any payment from
                    the Company hereunder, cooperate with the Company in
                    concluding any matters in which Officer was involved during
                    the term of his employment and will make himself available
                    for consultation with the Company on other matters otherwise
                    of interest to the Company. The Company agrees that such
                    requests shall be reasonable in number and will consider
                    Officer's time required for other employment and/or
                    employment search.

               (e)  Enforcement. Officer and the Company acknowledge and agree
                    that any of the covenants contained in this Section XI may
                    be specifically enforced through injunctive relief but such
                    right to injunctive relief shall not preclude the Company
                    from other remedies, which may be available to it.

               (f)  Continuing Obligation. Notwithstanding any provision to the
                    contrary or otherwise contained in this Agreement, the
                    Agreement and covenants contained in this Section XI shall
                    not terminate upon Officer's termination of his employment
                    with the Company or upon the termination of this Agreement
                    under any other provision of this Agreement.

               (g)  Consideration. Officer acknowledges and agrees that he is
                    entering into the covenants contained in this Section XI as
                    an inducement to the Company to acquire, by way of merger,
                    CareSteps.com, Inc. pursuant to the terms of the

                                      -5-

<PAGE>   6

                    Merger Agreement and in consideration of the mutual promises
                    and agreements otherwise contained in this Agreement.

         XII. Vacation. During each year of this Agreement, Officer shall be
  entitled to vacation in accordance with Company policy in effect from time to
  time, but in any event not less than 4 weeks per year.

         XIII. Benefits. In addition to the benefits specifically provided for
  herein, Officer shall be entitled to participate while employed by the Company
  in all benefit plans maintained by the Company for officers generally
  according to the terms of such plans.

         XIV. Notices. Any notice required or permitted to be given under this
  Agreement shall be sufficient if in writing and sent by registered or
  certified mail to his residence in the case of Officer, or to its  principal
  office in the case of the Company and the date of mailing shall be deemed the
  date which such notice has been provided.

         XV. Waiver of Breach. The waiver by either party of any provision of
  this Agreement shall not operate or be construed as a waiver of any subsequent
  breach by the other party.

         XVI. Assignment. The rights and obligations of the Company under this
  Agreement shall inure to the benefit of and shall be binding upon the
  successors and assigns of the Company. The Officer acknowledges that the
  services to be rendered by him are unique and personal, and Officer may not
  assign any of his rights or delegate any of his duties or obligations under
  this Agreement.

         XVII. Entire Agreement. This instrument contains the entire agreement
  of the parties and supersedes all other prior agreement, employment contracts
  and understandings, both written and oral, express or implied with respect to
  the subject matter of this Agreement and may not be changed orally but only by
  an agreement in writing signed by the party against whom enforcement of any
  waiver, change, modification, extension or discharge is sought. The laws of
  the State of Tennessee shall govern this Agreement.

         XVIII. Headings. The sections, subjects and headings of this Agreement
  are inserted for convenience only and shall not affect in any way the meaning
  or interpretation of this Agreement.

         XIX. Definitions. For purposes of this Agreement, the following
  definitions shall apply:

               (a)  A "Change of Control" shall be deemed to mean:

                    (i)  a transaction or series of transactions (occurring
                         within 24 months of each other) in which all or any
                         substantial (defined as more than fifty percent (50%)
                         of the assets of American Healthways, Inc.) portion of
                         Company assets have been acquired through a merger,
                         business combination, purchase or similar transaction
                         by any entity or person, other than an entity
                         controlled by American Healthways, Inc. or

                    (ii) a transfer or series of transfers (occurring within 24
                         months of each other) in which securities representing
                         control of American Healthways, Inc. ("control" being
                         defined as greater than fifty percent (50%) of the
                         outstanding voting power of the outstanding securities
                         of American Healthways, Inc.) are acquired by or
                         otherwise are beneficially owned,

                                      -6-
<PAGE>   7

                         directly or indirectly, by any corporation, person or
                         "group" (as such term is used in Section 13(d)(3) of
                         the Securities Exchange Act of 1934).

               (b)  A "Good Reason For Termination" shall exist if:

                    (i)  there is a significant change in the nature or scope of
                         the Officer's authority and responsibilities;

                    (ii) there is a reduction in Officer's rate of base salary
                         (for reasons other than Company performance) or overall
                         compensation;

                   (iii) the Company changes the principal location in which
                         Officer is required to perform services outside a
                         fifty-mile radius of Metropolitan Nashville without
                         Officer's consent;

                    (iv) Officer shall no longer report to the CEO; or

                    (v)  Officer is denied access to Company Information and
                         Meetings. Company Information and Meetings shall
                         include information available to employees of a similar
                         position as Officer such as (a) financial information,
                         data and reports, (b) contracts and (c) meetings which
                         include Company employees, and shall include meetings
                         of the Board of Directors, except executive sessions.

         IN WITNESS WHEREOF, the parties have executed this Agreement on the day
and year first written.

                                  ----------------------------------------------
                                  Jeffrey J. Rice, M.D.

                                  AMERICAN HEALTHWAYS, INC.

                                  By:
                                      ------------------------------------------
                                  Title: Executive Vice President - Fianance and
                                         Administration, Chief Financial Officer
                                         and Secretary

                                      -7-

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