Document:

<PAGE>

                                                                    Exhibit 10.7

                 SECOND AMENDMENT TO LOAN AND SECURITY AGREEMENT

      THIS SECOND AMENDMENT TO LOAN AND SECURITY AGREEMENT entered into this
14th day of May, 2003 by and among TEAMSTAFF, INC. (the "Borrower"), a
corporation incorporated under the laws of the State of New Jersey, having its
principal office at 300 Atrium Drive, Somerset, New Jersey 08873, TeamStaff
Solutions, Inc, DSI Staff Connxions Northeast, Inc., DSI Staff Connxions
Southwest, Inc., TeamStaff Rx, Inc., TeamStaff I, Inc., TeamStaff II, Inc.,
TeamStaff III, Inc., TeamStaff IV, Inc., TeamStaff V, Inc., TeamStaff VI, Inc.,
TeamStaff VIII, Inc., TeamStaff IX, Inc., TeamStaff Insurance Services, Inc.,
Employer Support Services, Inc., HR2, Inc., BrightLane.com, Inc., Digital
Insurance Services, Inc. (collectively, the "Guarantors") with respective
addresses as shown on Schedule 5.13 hereof and FLEET NATIONAL BANK (the "Bank"),
a national bank association organized under the laws of the United States of
America, having an office at 750 Walnut Avenue, Cranford, New Jersey 07016.

                              W I T N E S S E T H:

      WHEREAS, the Bank Guarantors and the Borrower have previously entered into
a commercial lending arrangement in accordance with the terms and conditions of
a certain Loan and Security Agreement dated April 9, 2002 as amended by a First
Amendment to Loan and Security Agreement dated March 21, 2003 (the "Agreement");

      WHEREAS, on April 9, 2002, the "Guarantors" each executed in favor of the
Lender a certain Continuing Unlimited and Collateralized Guaranty as ratified by
a Guarantors Ratification dated March 21, 2003 (the "Guaranty") pursuant to
which the Guarantors each guaranteed the Loan of the Borrower to the Bank;

      WHEREAS, the Lender and the Borrower seek to memorialize the modifications
to the Agreement by this writing.

      NOW, THEREFORE, for and in consideration of the mutual covenants and
agreements herein contained, and other good and valuable consideration, receipt
of which is hereby acknowledged, it is agreed as follows:

      1. Section 1, Definitions of the Agreement is hereby modified to delete
the definition of Interest Coverage Ratio and a new definition of EBIT less
Intangible Write Down Expense is substituted therefore to read as follows:

            "EBIT less Intangible Write Down Expense": Net Income less Tax
      Expense less Interest Expense less Intangible Write Down Expense Covenant
      Test on Quarter by Quarter Basis.

      2. Subsections 6.23(n) of the Agreement is waived for the quarter ended
3/31/03 and going forward is hereby deleted and new Subsections 6.23(n) is
substituted therefor to read as follows:

      (n) EBIT Less Intangible Write Down Expense. Cause, suffer or permit the
      Obligors' EBIT less Intangible Write Down Expense to be less than the
      following test period required minimum as follows:

Test Period Required Minimum
----------------------------
QE 6/30/2003                     -$100,000.00
QE 9/30/2003                      $500,000.00
QE 12/31/2003                     $600,000.00
QE 3/31/2004                      $800,000.00
QE 6/30/2004 and                  $900,000.00
  thereafter

      3. Upon execution of this Amendment, the Borrower shall deliver the
following to the Bank: (a) Bank fee of $7,500.00, (b) Bank's legal fee, (c) this
Amendment properly executed, (d) the Guarantors' Ratification properly executed,
(e) within 45 days from the date hereof an executed opinion of Borrower's
counsel in form and

                                      -1-
<PAGE>
substance satisfactory to Bank, and (f) such other materials reasonably required
by the Bank. It is understood and agreed that Borrower shall pay all fees and
costs incurred by Bank in entering into this Amendment and the other documents
executed in connection herewith, including but not limited to all reasonable
attorney fees and expenses of Bank's counsel.

      4. All of the remaining terms and conditions of the Agreement shall remain
in full force and effect as though set forth herein at length to the extent not
inconsistent with the terms of this Amendment, and any term in initial capital
letters not otherwise defined herein shall have the meaning ascribed thereto in
the Agreement.

      IN WITNESS WHEREOF, the parties hereunto set their hands and seals or
caused these presents to be signed by their respective corporate officers and
the proper corporate seal to be affixed hereto the day and year first above
mentioned.

ATTEST:                                  TEAMSTAFF, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF SOLUTIONS, INC

________________________________         BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, PRESIDENT AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  DSI STAFF CONNXIONS NORTHEAST, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICE

ATTEST:                                  DSI STAFF CONNXIONS SOUTHWEST, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF RX, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

                                      -2-
<PAGE>
ATTEST:                                  TEAMSTAFF I, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF II, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF III, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF IV, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICE

ATTEST:                                  TEAMSTAFF V, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF VI, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF VIII, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

                                      -3-
<PAGE>
ATTEST:                                  TEAMSTAFF IX, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  TEAMSTAFF INSURANCE SERVICES, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  EMPLOYER SUPPORT SERVICES, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  HR2, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  BRIGHTLANE.COM, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

ATTEST:                                  DIGITAL INSURANCE SERVICES, INC.

_________________________________        BY:___________________________________
GERARD A. ROMANO, CONTROLLER                  DONALD W. KAPPAUF, CHAIRMAN AND
                                              CHIEF EXECUTIVE OFFICER

                                         FLEET NATIONAL BANK

                                         BY:___________________________________
                                               AVIS SPANN, VICE PRESIDENT

                                      -4-<PAGE>
                                                                   EXHIBIT 10.19

                       AMENDMENT NO. 1 TO CREDIT AGREEMENT

         This AMENDMENT NO. 1 TO CREDIT AGREEMENT (this "Amendment"), dated as
of May 14, 2003, is entered into among TEAM HEALTH, INC., a Tennessee
corporation (the "Borrower"), FLEET NATIONAL BANK, individually and as
administrative agent (the "Administrative Agent") and the other Lenders
signatory hereto.

                                R E C I T A L S:

         A. The Borrower, the Lenders, Fleet National Bank, as an Issuing Bank,
as the Swing Line Bank, and as Administrative Agent, Bank of America, N.A., as
an Issuing Bank, Banc of America Securities LLC, as Syndication Agent, and
General Electric Capital Corporation, as Documentation Agent, are parties to
that certain $300,000,000 Credit Agreement, dated as of May 1, 2002 (the
"Agreement"). Each capitalized term used but not otherwise defined herein shall
have the meaning ascribed to such term by the Agreement.

         B. The Borrower, the Administrative Agent and the Lenders wish to amend
the Agreement on the terms and conditions set forth below.

         NOW THEREFORE, in consideration of the premises and the mutual
agreements herein contained, and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the parties hereto
agree as follows:

         1. Amendment of the Agreement. Effective as of March 31, 2003, the
Agreement shall be amended as follows:

                  1.1 Section 1.1 of the Agreement is amended by amending the
         definition of the term "EBITDA" by replacing the word "and" immediately
         prior to clause (xiii) with a "," and adding the following clause (xiv)
         thereto and replacing in its entirety the proviso immediately following
         thereafter, as follows:

                  "(xiv) the non-cash charge taken in the first fiscal quarter
                  of Fiscal Year 2003 for professional liability reserves in an
                  amount not to exceed $51 million in the aggregate; provided,
                  that with respect to each of clauses (ii) through (xiv) such
                  amounts shall be added to Net Income pursuant to this
                  definition only to the extent such amounts were deducted in
                  determining Net Income,"

         2. Conditions Precedent to Amendments. This Amendment shall be
effective as of the date first set forth above; provided, however, that Section
1 hereof shall not become operative and shall be of no force or effect unless
each of the conditions set forth in this Section 2 shall be satisfied and the
delivery of the following documents to the Administrative Agent, in form and
substance satisfactory to the Administrative Agent and its counsel, shall have
occurred.
<PAGE>
                  2.1      Documentation.

                           (a) This Amendment shall have been duly executed and
                  delivered by the Administrative Agent, the Borrower and the
                  Required Lenders (without respect to whether it has been
                  executed and delivered by all the Lenders).

                           (b) The Borrower shall have delivered to the
                  Administrative Agent a Reaffirmation of Guaranty and Security
                  Agreement in the form of Exhibit A hereto executed by the
                  Borrower and each of the Guarantors.

                  2.2 Payment of Fees. The Borrower shall have paid to the
         Administrative Agent for the account of each Lender approving this
         Amendment and delivering its executed signature page (by facsimile or
         other means acceptable to the Administrative Agent) on or prior to 5:00
         P.M. (New York time) on May 14, 2003 a fee of 2.50 basis points of each
         such Lender's Commitment.

         3. Representations and Warranties. The Borrower represents and warrants
to the Administrative Agent and each Lender that:

                  (a) The execution and delivery by the Borrower of this
         Amendment and the performance by the Borrower of its obligations under
         this Amendment are within the corporate powers of the Borrower, have
         been duly authorized by all necessary corporate action on the part of
         the Borrower, have received all necessary governmental approval (if any
         shall be required), and do not and will not (i) violate any provision
         of law or any order, decree or judgment of any court or other
         government agency which is binding on the Borrower or any Subsidiary,
         (ii) contravene or conflict with, or result in a breach of, any
         provision of any organizational documents of the Borrower or any
         Guarantor or of any material agreement, indenture, instrument or other
         document which is binding on the Borrower or any Subsidiary or (iii)
         result in or require the creation or imposition of any Lien on any
         property of the Borrower or any Subsidiary (other than Liens arising
         under the Loan Documents).

                  (b) There have been no amendments, supplements or
         modifications to any of the Articles of Incorporation, Bylaws,
         resolutions of the Board of Directors or certificate of incumbency of
         the Borrower previously delivered to the Administrative Agent on May 1,
         2002.

                  (c) Each of the representations and warranties of the Borrower
         and the Guarantors contained in the Loan Documents, as amended hereby,
         is true and correct in all material respects on and as of the date
         hereof as if made on the date hereof, other than any such
         representations or warranties that, by their terms, refer to a specific
         date other than the date hereof, in which case, as of such specific
         date.

                  (d) As of the date hereof, after giving effect to this
         Amendment, no Default or Event of Default under the Agreement or any
         other Loan Document has occurred and is continuing.

         4.       Miscellaneous.

                                     - 2 -
<PAGE>
                  4.1 From and after the date hereof, each reference in the
Agreement to "this Agreement," "hereunder," "hereof," "herein," or words of like
import, and each reference to the Agreement in any of the other Loan Documents
shall mean and be a reference to the Agreement as amended hereby.

                  4.2 Except as specifically set forth above, the Agreement and
the Exhibits thereto shall remain unaltered and in full force and effect and the
respective terms, conditions or covenants thereof are hereby in all respects
ratified and confirmed.

                  4.3 This Amendment may be executed in any number of separate
counterparts, each of which, when so executed, shall be deemed an original, and
all of said counterparts taken together shall be deemed to constitute but one
and the same instrument.

                  4.4 THIS AMENDMENT SHALL BE GOVERNED BY, AND CONSTRUED AND
INTERPRETED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK WITHOUT REGARD
TO ITS RULES PERTAINING TO CONFLICTS OF LAWS OTHER THAN GENERAL OBLIGATIONS LAW
SECTION 5-1401.

                            [signature pages follow]

                                     - 3 -
<PAGE>
         IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their respective officers thereunto duly authorized as of the date
first above written.

                                            TEAM HEALTH, INC.

                                            By: /s/ Robert Abramowski
                                               ____________________________

                                            Name: Robert Abramowski
                                                  _________________________

                                            Title: Executive Vice President
                                                   ________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-1
<PAGE>
                                            FLEET NATIONAL BANK,
                                              AS ADMINISTRATIVE AGENT,
                                              AS LENDER,
                                              AS ISSUING BANK AND
                                              AS SWING LINE BANK

                                            By: /s/ Ginger Stolzenhaler
                                                _______________________________

                                            Name: Ginger Stolzenhaler
                                                  _____________________________

                                            Title: Managing Director
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-2
<PAGE>
                                            BANK OF AMERICA, N.A.
                                             as Lender and
                                             as Issuing Bank

                                            ____________________________________

                                            By:       /s/ Peter D. Griffith
                                                ________________________________

                                            Name:      Peter D. Griffith
                                                  ______________________________

                                            Title:     Managing Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            General Electric Capital Corporation

                                            By:  /s/ Katherine R. Loft
                                                 ______________________________

                                            Name: Katherine Loft
                                                  _____________________________

                                            Title: Duly Authorized Secretary
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            BROWN BROTHERS HARRIMAN & CO.

                                            By: /s/ John D. Rogers
                                                _______________________________

                                            Name: John D. Rogers
                                                  _____________________________

                                            Title: Senior Vice President
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            LASALLE BANK. N.A.

                                            By: /s/ Sarah Rusher
                                                _______________________________

                                            Name: Sarah Rusher
                                                  _____________________________

                                            Title: First Vice President
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            Lehman Commercial Paper, Inc.
                                            ____________________________________

                                            By:    /s/ Francis J. Chang
                                                ________________________________

                                            Name:    Francis J. Chang
                                                  ______________________________

                                            Title:  Authorized Signatory
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                                  UBS AG, Stamford Branch
                                            ____________________________________

                                            By:  /s/ Wilfred V. Saint
                                                ________________________________

                                            Name:  Wilfred V. Saint
                                                  ______________________________

                                            Title: Associate Director
                                                   Banking Products Services, US
                                                   _____________________________

                                            By:  /s/ Lynda Feliciano
                                                ________________________________

                                            Name:  Lynda Feliciano
                                                  ______________________________

                                            Title: Associate Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            CSAM Funding I
                                            ____________________________________

                                                /s/ Andrew H. Marshak
                                            By: ________________________________

                                                    Andrew H. Marshak
                                            Name: ______________________________

                                                    Authorized Signatory
                                            Title: _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                      Denali Capital LLC, managing member of
                                      DC Funding Partners, portfolio manager for
                                      DENALI CAPITAL CLO I, LTD., or an
                                      affiliate
                                            ____________________________________

                                            By:   /s/ Gregory R. Cooper
                                                ________________________________

                                            Name:    Gregory R. Cooper
                                                  ______________________________

                                            Title:   Managing Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            Denali Capital LLC, managing member
                                            of DC Funding Partners, portfolio
                                            manager for DENALI CAPITAL CLO II,
                                            LTD., or an affiliate
                                            ____________________________________

                                            By:  /s/ Gregory R. Cooper
                                                ________________________________

                                            Name:  Gregory R. Cooper
                                                  ______________________________

                                            Title:  Managing Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            WINGED FOOT FUNDING TRUST

                                            By: /s/ Diana M. Himes
                                                ________________________________

                                            Name: Diana M. Himes
                                                  ______________________________

                                            Title: Authorized Agent
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            KZH CNC LLC

                                            By:     /s/ Susan Lee
                                               _____________________________

                                            Name:       Susan Lee
                                                 ___________________________

                                            Title:      Authorized Agent
                                                  __________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                                       SRF 2000, INC.

                                            By:  /s/ Diana M. Himes
                                                 _______________________________

                                            Name:  Diana M. Himes
                                                 _______________________________

                                            Title: Assistant Vice President
                                                 _______________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                                      SRF TRADING, INC.

                                            By:  /s/ Diana M. Himes
                                                 ______________________________

                                            Name:  Diana M. Himes
                                                   ____________________________

                                            Title: Assistant Vice President
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                                    ATRIUM CDO

                                            By:  /s/ Andrew H. Marshak
                                                 ______________________________

                                            Name:  Andrew H. Marshak
                                                   ____________________________

                                            Title: Authorized Signatory
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                                    CSAM FUNDING II

                                            By:  /s/ Andrew H. Marshak
                                                 ______________________________

                                            Name:  Andrew H. Marshak
                                                   ____________________________

                                            Title: Authorized Signatory
                                                   ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            Sankaty Advisors, LLC as Collateral
                                            Manager for Great Point CLO 1999-1
                                            LTD., as Term Lender

                                            ____________________________________

                                            By:   /s/ Diane J. Exter
                                                ________________________________

                                            Name:    Diane J. Exter
                                                  ______________________________

                                                       Managing Director
                                            Title:     Portfolio Manager
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            HARBOUR TOWN FUNDING LLC
                                            ____________________________________

                                            By:   /s/ Diana M. Himes
                                                ________________________________

                                            Name:   Diana M. Himes
                                                  ______________________________

                                            Title:  Assistant Vice President
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                           Flagship CLO 2001-1

                                           By: Flagship Capital Management, Inc.

                                           By:  /s/ Colleen Cunniffe
                                                _______________________________

                                           Name: Colleen Cunniffe
                                                 ______________________________

                                           Title: Director
                                                 ______________________________

                                           Flagship CLO II

                                           By: Flagship Capital Management, Inc.

                                           By:  /s/ Colleen Cunniffe
                                                _______________________________

                                           Name: Colleen Cunniffe
                                                 ______________________________

                                           Title: Director
                                                 ______________________________

<PAGE>
                                           JUPITER FUNDING TRUST

                                           By:  /s/ Diana M. Himes
                                                _______________________________

                                           Name: Diana M. Himes
                                                 ______________________________

                                           Title: Authorized Agent
                                                 ______________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                         VENTURE CDO 2002, LIMITED

                                         By its investment advisor, Barclays
                                         Capital Asset Management Limited,

                                         By its sub-advisor, Barclays Bank PLC,
                                         New York Branch

                                         ____________________________________

                                            By:     /s/ Kenneth Ostmann
                                                ________________________________

                                            Name:   Kenneth Ostmann
                                                  ______________________________

                                            Title:  Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                       STEIN ROE & FARNHAM CLO I LTD.

                                       By: Columbia Management Advisors, Inc.
                                       (f/k/a Stein Roe & Farnham Incorporated),
                                       As Portfolio Manager
                                            ____________________________________

                                            By: /s/ Kathleen A. Zam
                                                ________________________________

                                            Name: Kathleen A. Zam
                                                  ______________________________

                                            Title: Senior Vice President
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                       AURUM CLO 2002-1 LTD,

                                       BY: COLUMBIA MANAGEMENT ADVISORS, INC.
                                       (F/B/A STEIN ROE & RAMHAM INCORPORATED),
                                       AS INVESTMENT MANAGER

                                        By: /s/ Kathleen A. Zam
                                            _______________________________

                                        Name: Kathleen A. Zam
                                              _____________________________

                                        Title: Senior Vice President
                                               ____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                       Golden Tree Loan Opportunities I. Limited
                                       BY: GOLDEN TREE ASSET MANAGEMENT, LP

                                       By: /s/ Thomas M. O'Shea
                                           ______________________________

                                       Name: Thomas M. O'Shea
                                             ____________________________

                                       Title: Analyst
                                              ___________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>

                                         DRYDEN LEVERAGED LOAN CDO 2002-I

                                     By: Prudential Investment Management, Inc.,
                                         as Collateral Manager

                              By:     /s/ Janet G. Crowe
                                      ________________________________

                              Name:   Janet G. Crowe
                                      ________________________________

                              Title:  Vice President
                                      _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>

                                          WINDSOR LOAN FUNDING, LIMITED

                                      By: Stanfield Capital Partners LLC
                                            as its Investment Manager

                              By:     /s/ Christopher A. Bondy
                                      ________________________________

                              Name:   Christopher A. Bondy
                                      ________________________________

                              Title:  Partner
                                      _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                      LIBERTY FLOATING RATE
                                      ADVANTAGE FUND

                                      By: Columbia Management Advisors, Inc.
                                      (f/k/a/ Stein Roe & Farnham Incorporated),
                                      As Advisor

                                      By: /s/ Kathleen A. Zam
                                          ______________________________

                                      Name: Kathleen A. Zam
                                            ____________________________

                                      Title: Senior Vice President
                                             ___________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                           _____________________________________
                                           Sankaty Advisors, Inc., as Collateral
                                           Manager for Brant Point CBO
                                           1000-1 LTD., as Term Lender

                                           By: /s/ DIANE J. EXTER
                                               _________________________________

                                           Name: DIANE J. EXTER
                                                 _______________________________

                                            Title: MANAGING DIRECTOR
                                                   PORTFOLIO MANAGER
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            VENTURE II CDO 2002, LIMITED

                                            By its investment advisor, Barclays
                                            Bank PLC,
                                            New York Branch
                                            ____________________________________

                                            By:   /s/ Kenneth Ostmann
                                                ________________________________

                                            Name:    Kenneth Ostmann
                                                  ______________________________

                                            Title:    Director
                                                   _____________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                            LONG LANE MASTER TRUST IV

                                            By: Fleet National Bank as Trust
                                                Administrator

                                            By: /s/ Renee Nadler
                                                _______________________________

                                            Name:   Renee Nadler
                                                    ___________________________

                                            Title:  Managing Director
                                                    ___________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>

                                      Denali Capital LLC, managing member of
                                      DC Funding Partners, portfolio manager for
                              ______  DENALI CAPITAL CLO III, LTD., or an
                                      affiliate

                              By:     /s/ Gregory R. Cooper
                                      ________________________________

                              Name:   Gregory R. Cooper
                                      ________________________________

                              Title:  Managing Director
                                      ________________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>

                                         DRYDEN III-LEVERAGED LOAN CDO 2002

                                     By: Prudential Investment Management, Inc.,
                                         as Collateral Manager

                              By:     /s/ Janet G. Crowe
                                      ________________________________

                              Name:   Janet G. Crowe
                                      ________________________________

                              Title:  Vice President
                                      ________________________________

SIGNATURE PAGE TO AMENDMENT NO. 1
TO CREDIT AGREEMENT FOR TEAM HEALTH, INC.

                                       S-3
<PAGE>
                                    EXHIBIT A

                REAFFIRMATION OF GUARANTY AND SECURITY AGREEMENT

                  Each of the undersigned acknowledges receipt of a copy of
Amendment No. 1 to Credit Agreement (the "Amendment") dated as of May 14, 2003,
consents to such Amendment and hereby reaffirms its obligations under (i) the
Holdings Guaranty dated as of May 1, 2002 in favor of Fleet National Bank, as
administrative agent and the Secured Parties (as defined in the Credit
Agreement), (ii) the Subsidiary Guaranty dated as of May 1, 2002 in favor of
Fleet National Bank, as administrative agent and the Secured Parties, (iii) the
Holdings Pledge Agreement dated as of May 1, 2002 by and between Team Health
Holdings, L.L.C. and Fleet National Bank, as administrative agent for the
Secured Parties, (iv) the Security Agreement dated as of May 1, 2002 by and
among Team Health, Inc., the Subsidiary Guarantors (as defined in the Credit
Agreement) and Fleet National Bank, as administrative agent for the Secured
Parties, (v) The Pledge Agreement dated April 11, 2003 by and between Team
Health, Inc. and Fleet National Bank, as administrative agent for the Secured
Parties, and (vi) the Intellectual Property Security Agreement dated as of May
1, 2002 by and among Team Health, Inc., the Subsidiary Guarantors and Fleet
National Bank, as administrative agent for the Secured Parties.

Dated as of May 14, 2003

                                   TEAM HEALTH, INC.

                                   By:_________________________________

                                   Name: H. Lynn Massingale
                                          _____________________________

                                   Title: President
                                          _____________________________

                                   Address: 1900 Winston Road
                                   Knoxville, TN 37919

                                   TEAM HEALTH HOLDINGS, L.L.C.

                                   By:_________________________________

                                   Name: H. Lynn Massingale
                                          _____________________________

                                   Title: President and Chief Executive Officer
                                          _____________________________________

                                   Address: c/o Madison Dearborn Partners
                                   Three First National Plaza
                                   Suite 3800
                                   Chicago, Illinois 60602
<PAGE>
                                    EXHIBIT A

                REAFFIRMATION OF GUARANTY AND SECURITY AGREEMENT

                  Each of the undersigned acknowledges receipt of a copy of
Amendment No. 1 to Credit Agreement (the "Amendment") dated as of May 14, 2003,
consents to such Amendment and hereby reaffirms its obligations under (i) the
Holdings Guaranty dated as of May 1, 2002 in favor of Fleet National Bank, as
administrative agent and the Secured Parties (as defined in the Credit
Agreement), (ii) the Subsidiary Guaranty dated as of May 1, 2002 in favor of
Fleet National Bank, as administrative agent and the Secured Parties, (iii) the
Holdings Pledge Agreement dated as of May 1, 2002 by and between Team Health
Holdings, L.L.C. and Fleet National Bank, as administrative agent for the
Secured Parties, (iv) the Security Agreement dated as of May 1, 2002 by and
among Team Health, Inc., the Subsidiary Guarantors (as defined in the Credit
Agreement) and Fleet National Bank, as administrative agent for the Secured
Parties, (v) The Pledge Agreement dated April 11, 2003 by and between Team
Health, Inc. and Fleet National Bank, as administrative agent for the Secured
Parties, and (vi) the Intellectual Property Security Agreement dated as of May
1, 2002 by and among Team Health, Inc., the Subsidiary Guarantors and Fleet
National Bank, as administrative agent for the Secured Parties.

Dated as of May 14, 2003

                                   TEAM HEALTH, INC.

                                   By:  /s/ Robert Abramowski
                                        _________________________________

                                   Name: Robert Abramowski
                                         ________________________________

                                   Title: Executive Vice President
                                          _______________________________

                                   Address: 1900 Winston Road
                                   Knoxville, TN 37919

                                   TEAM HEALTH HOLDINGS, L.L.C.

                                   By:  /s/ Robert Abramowski
                                        _________________________________

                                   Name: Robert Abramowski
                                         ________________________________

                                   Title: Executive Vice President
                                          _______________________________

                                   Address: c/o Madison Dearborn Partners
                                   Three First National Plaza
                                   Suite 3800
                                   Chicago, Illinois 60602
<PAGE>
                                   ACCESS NURSE PM, INC.
                                   AFTER HOURS PEDIATRIC PRACTICES, INC.
                                   CLINIC MANAGEMENT SERVICES, INC.
                                   EMERGICARE MANAGEMENT, INCORPORATED
                                   HOSPITAL BASED PHYSICIAN SERVICES, INC.
                                   METROAMERICAN RADIOLOGY, INC.
                                   PARK MED OF FLORIDA, INC.
                                   ROSENDORF MARGULIES BORUSHOK
                                      SCHOENBAUM RADIOLOGY ASSOCIATES OF
                                      HOLLYWOOD, INC.
                                   TEAM ANESTHESIA, INC.
                                   THBS, INC.

                                   By:  /s/ David Jones
                                        _________________________________

                                   Name:  David Jones
                                          _______________________________

                                   Title: Vice President
                                          _______________________________

                                   Address:          1900 Winston Road
                                                     Knoxville, TN 37919

SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-2
<PAGE>
                                   CHARLES L. SPRINGFIELD, INC.
                                   DANIEL & YEAGER, INC.
                                   DRS. SHEER, AHEARN AND ASSOCIATES, INC.
                                   EMERGENCY COVERAGE CORPORATION
                                   EMERGENCY PHYSICIAN ASSOCIATES, INC.
                                   EMERGENCY PROFESSIONAL SERVICES, INC.
                                   INPHYNET CONTRACTING SERVICES, INC. (survivor
                                      of mergers with Acute Care Specialists
                                      Co., Alliance Corporation, Emergency
                                      Management Specialists, Inc., Inphynet
                                      Anesthesia of West Virginia, Inc.,
                                      Inphynet Louisiana, Inc., Inphynet Medical
                                      Management Institute, Inc., Paragon
                                      Anesthesia, Inc., and Virginia Emergency
                                      Physicians, Inc.)
                                   INPHYNET SOUTH BROWARD, INC.
                                   INPHYNET JOLIET, INC.
                                   HERSCHEL FISCHER, INC.
                                   INPHYNET HOSPITAL SERVICES, INC.
                                   KARL G. MANGOLD, INC.
                                   MED: ASSURE SYSTEMS, INC. (survivor of a
                                      merger with THBS, Inc.)
                                   NORTHWEST EMERGENCY PHYSICIANS
                                      INCORPORATED
                                   PARAGON CONTRACTING SERVICES, INC. (survivor
                                      of mergers with Sarasota Emergency Medical
                                      Consultants, Inc. and Emergency Physicians
                                      of Manatee, Inc.)
                                   PARAGON IMAGING CONSULTANTS, INC.
                                   QUANTUM PLUS, INC.
                                   REICH, SEIDELMANN & JANICKI CO.
                                   SOUTHEASTERN EMERGENCY PHYSICIANS OF
                                      MEMPHIS, INC.
                                   SOUTHEASTERN EMERGENCY PHYSICIANS, INC.
                                      (survivor of a merger with Hospital Based
                                      Physician Services, Inc.)
                                   TEAM RADIOLOGY, INC.
                                   THE EMERGENCY ASSOCIATES FOR MEDICINE,
                                      INC. (survivor of a merger with Sentinel
                                      Medical Services, Inc.)
                                   VIRGINIA EMERGENCY PHYSICIANS, INC.

                                   By: /s/ David Jones
                                       _________________________________________

                                   Name:  David Jones
                                          ______________________________________

                                   Title: Vice President
                                          ______________________________________

                                   Address:          1900 Winston Road
                                                     Knoxville, TN 37919

SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-3
<PAGE>
                                 TEAM HEALTH FINANCIAL SERVICES, INC.

                                 By:  /s/ David Jones
                                      _____________________________________

                                 Name:  David Jones
                                        ___________________________________

                                 Title: President
                                        ___________________________________

                                  Address:     300 Delaware Avenue, 9th Floor
                                               Wilmington, Delaware  19801

                                 IMBS, INC.

                                 By:  /s/ Robert C. Joyner
                                      _____________________________________

                                 Name:  Robert C. Joyner
                                        ___________________________________

                                 Title: Vice President
                                        ___________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

                                 FISCHER MANGOLD PARTNERSHIP, a California
                                 General Partnership

                                 By: Herschel Fischer, Inc., its general partner
                                     Karl G. Mangold, Inc., its general partner

                                 By:  /s/ David Jones
                                      _____________________________________

                                 Name:  David Jones
                                        ___________________________________

                                 Title: Vice President
                                        ___________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-4
<PAGE>
                                 MT. DIABLO EMERGENCY PHYSICIANS,
                                 a California General Partnership
                                 By: Herschel Fischer, Inc., its general partner
                                     Karl G. Mangold, Inc., its general partner

                                 By:  /s/ David Jones
                                      __________________________________________

                                 Name:  David Jones
                                        ________________________________________

                                 Title: Vice President
                                        ________________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

                                 PARAGON HEALTHCARE LIMITED PARTNERSHIP
                                 By: InPhyNet Hospital Services, Inc.,
                                     general partner

                                 By:  /s/ David Jones
                                      __________________________________________

                                 Name:  David Jones
                                        ________________________________________

                                 Title: Vice President
                                        ________________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

                                 TEAM HEALTH BILLING SERVICES, L.P.
                                 By: Team Health, Inc.,  general partner

                                 By:  /s/ Robert Abramowski
                                      __________________________________________

                                 Name:  Robert Abramowski
                                        ________________________________________

                                 Title: Executive Vice President
                                        ________________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

                                 TEAM HEALTH SOUTHWEST L.P.
                                 By: Team Radiology, Inc.,  general partner

                                 By:  /s/ David Jones
                                      __________________________________________

                                 Name:  David Jones
                                        ________________________________________

                                 Title: Vice President
                                        ________________________________________

                                 Address:          1900 Winston Road
                                                   Knoxville, TN 37919

SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-5
<PAGE>
                                 TEAM HEALTH ANESTHESIA MANAGEMENT
                                  SERVICES, INC. (f/k/a Integrated Specialists
                                  Management Services, Inc.)
                                 MEDICAL MANAGEMENT RESOURCES, INC.
                                 PHYSICIAN INTEGRATION CONSULTING
                                    SERVICES, INC.

                                 By:    /s/ David Jones
                                        ______________________________________

                                 Name:  David Jones
                                        ______________________________________

                                 Title: Vice President
                                        ______________________________________

                                          Address: 1900 Winston Road
                                                   Knoxville, TN 37919

                                 SPECTRUM HEALTHCARE SERVICES, INC.
                                 SPECTRUM HEALTHCARE, INC.
                                 SPECTRUM HEALTHCARE RESOURCES OF DELAWARE, INC.
                                 SPECTRUM HEALTHCARE RESOURCES, INC.
                                 AMERICAN CLINICAL RESOURCES, INC. (f/k/a
                                    Spectrum Healthcare Nationwide, Inc.)
                                 SPECTRUM PRIMARY CARE OF DELAWARE, INC.
                                 SPECTRUM PRIMARY CARE, INC.
                                 SPECTRUM CRUISE CARE, INC.

                                 By:    /s/ David Jones
                                        _______________________________________

                                 Name:  David Jones
                                        _______________________________________

                                 Title: Vice President
                                        _______________________________________

                                             Address: 1900 Winston Road
                                                      Knoxville, TN 37919
SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-6
<PAGE>
                                   KELLY MEDICAL SERVICES CORPORATION
                                   HEALTH CARE ALLIANCE, INC.
                                   MEDICAL SERVICES, INC.
                                   CORRECTIONAL HEALTHCARE ADVANTAGE, INC.

                                   By: /s/ David Jones
                                       _________________________________________

                                   Name: David Jones
                                         _______________________________________

                                   Title: Vice President
                                          ______________________________________

                                            Address: 1900 Winston Road
                                                     Knoxville, TN 37919

SIGNATURE PAGE TO REAFFIRMATION OF
GUARANTY AND SECURITY AGREEMENT

                                       S-7

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00052-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00052-of-00352.parquet"}]]