Document:

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                                                                   EXHIBIT 10.18

                          SECURITIES PURCHASE AGREEMENT

                                     between

                          PSYCHIATRIC SOLUTIONS, INC.,

                                       and

                        THE 1818 MEZZANINE FUND II, L.P.

                         ------------------------------

                           Dated as of: June 28, 2002

                         ------------------------------

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                                TABLE OF CONTENTS

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ARTICLE I DEFINITIONS..............................................................1

     1.1            Definitions....................................................1
     1.2            Accounting Terms; Financial Covenants.........................16

ARTICLE II PURCHASE AND SALE......................................................16

     2.1            Purchase and Sale of Note and Initial Warrants................16
     2.2            Additional Loans..............................................17
     2.3            Fees..........................................................17
     2.4            Initial Closing...............................................17
     2.5            Additional Closings...........................................17

ARTICLE III CONDITIONS TO THE OBLIGATION OF THE PURCHASER TO CLOSE................20

     3.1            Representations and Warranties True...........................20
     3.2            Compliance with this Agreement................................20
     3.3            Officers' Certificate.........................................20
     3.4            Secretary's Certificates......................................20
     3.5            Documents.....................................................20
     3.6            Purchase Permitted by Applicable Laws; Legal Investment.......21
     3.7            Opinion of Counsel............................................21
     3.8            Approval of Counsel to the Purchaser..........................21
     3.9            Consents and Approvals........................................21
     3.10           No Material Adverse Change....................................21
     3.11           Investor Rights Agreement.....................................21
     3.12           Co-Sale Agreement.............................................21
     3.13           Voting Agreement..............................................21
     3.14           Subsidiaries' Guarantee.......................................21
     3.15           Subordination Agreement.......................................21
     3.16           Market Conditions.............................................22
     3.17           No Litigation.................................................22
     3.18           No Default or Breach..........................................22
     3.19           Repayment of Promissory Notes.................................22
     3.20           Credit Agreement..............................................22
     3.21           Amendment to Credit Agreement.................................23
     3.22           PMR Letter Agreement..........................................23
     3.23           Aeries Healthcare.............................................23
     3.24           Junior Subordination Agreements...............................23
     3.25           Amending Agreement............................................23
     3.26           PMR Consent...................................................23
     3.27           Amendment to By-laws..........................................23
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     3.28           Waiver of Rights..............................................23
     3.29           Fees and Expenses.............................................23

ARTICLE IV CONDITIONS TO THE OBLIGATION  OF THE COMPANY TO CLOSE..................24

     4.1            Representations and Warranties True...........................24
     4.2            Compliance with this Agreement................................24
     4.3            Consents and Approvals........................................24

ARTICLE V REPRESENTATIONS AND WARRANTIES OF THE COMPANY...........................24

     5.1            Corporate Existence and Power.................................24
     5.2            Corporate Authorization; No Contravention.....................25
     5.3            Governmental Authorization; Third Party Consents..............25
     5.4            Binding Effect................................................25
     5.5            No Legal Bar..................................................26
     5.6            Litigation....................................................26
     5.7            No Default or Breach..........................................26
     5.8            Title to Properties...........................................26
     5.9            Investment Company............................................26
     5.10           Subsidiaries..................................................27
     5.11           Financial Condition; No Undisclosed Liabilities...............27
     5.12           No Material Adverse Change....................................28
     5.13           Capitalization................................................28
     5.14           Solvency......................................................30
     5.15           Private Offering..............................................30
     5.16           Broker's, Finder's or Similar Fees............................30
     5.17           Full Disclosure...............................................30
     5.18           Anti-Dilution Protection; Preemptive Rights...................30
     5.19           Investor Rights Agreements....................................31
     5.20           Projections...................................................31
     5.21           Labor Relations...............................................31
     5.22           ERISA and Employee Benefit Plans..............................31
     5.23           Environmental Matters.........................................32
     5.24           Taxes.........................................................34
     5.25           Intellectual Property.........................................34
     5.26           Potential Conflicts of Interest...............................35
     5.27           Trade Relations...............................................35
     5.28           Outstanding Borrowing.........................................36
     5.29           Material Contracts............................................36
     5.30           Insurance.....................................................36
     5.31           Compliance with Laws..........................................37
     5.32           Assets, Licenses, Etc.........................................37
     5.33           Aeries Healthcare Acquisition.................................37
     5.34           Regulatory Matters............................................37
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ARTICLE VI REPRESENTATIONS AND WARRANTIES OF THE PURCHASER........................42

     6.1            Existence and Power...........................................42
     6.2            Authorization; No Contravention...............................43
     6.3            Binding Effect................................................43
     6.4            No Legal Bar..................................................43
     6.5            Purchase for Own Account......................................43
     6.6            Accredited Investor...........................................44
     6.7            Broker's, Finder's or Similar Fees............................44

ARTICLE VII INDEMNIFICATION.......................................................44

     7.1            Indemnification by the Company................................44
     7.2            Notification..................................................45
     7.3            Investor Rights Agreement.....................................45

ARTICLE VIII FINANCIAL COVENANTS..................................................46

     8.1            Minimum Census. ..............................................46
     8.2            Total Consolidated Leverage Ratio.............................46
     8.3            Senior Consolidated Leverage Ratio............................46
     8.4            Consolidated Interest Coverage Ratio..........................46
     8.5            Consolidated Fixed Charge Ratio...............................47

ARTICLE IX AFFIRMATIVE COVENANTS..................................................47

     9.1            Financial Statements..........................................47
     9.2            Certificates; Other Information...............................49
     9.3            Preservation of Corporate Existence...........................49
     9.4            Payment of Obligations........................................49
     9.5            Compliance with Laws..........................................49
     9.6            Notices.......................................................50
     9.7            Issue Taxes...................................................50
     9.8            Inspection; Confidentiality...................................50
     9.9            Use of Proceeds...............................................51
     9.10           Payment of the Note...........................................51
     9.11           Subsidiaries' Guarantee.......................................51
     9.12           PMR Guarantee.................................................51
     9.13           No Inconsistent Agreements....................................51
     9.14           Reservations of Shares........................................52
     9.15           Registration and Listing......................................52
     9.16           Allocation for Tax Purposes...................................52
     9.17           Register of the Note..........................................52
     9.18           Payment Upon Liquidation......................................53
     9.19           Right of First Refusal........................................53

ARTICLE X NEGATIVE COVENANTS......................................................54

     10.1           Restrictions on Indebtedness..................................54
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     10.2           Restrictions on Liens.........................................55
     10.3           Investments...................................................57
     10.4           Disposition of Assets.........................................57
     10.5           Mergers, Etc.  ...............................................57
     10.6           Assumptions, Guaranties, Etc. of Indebtedness of Other
                    Persons.......................................................57
     10.7           ERISA.........................................................58
     10.8           Distributions.................................................58
     10.9           Sale and Leaseback............................................58
     10.10          Transactions with Affiliates..................................58
     10.11          Change in Business............................................59
     10.12          PMR Merger Agreement..........................................59
     10.13          Drawdown Acquisition Documents................................59
     10.14          Stock Option Plan.............................................59
     10.15          Organizational Documents; Etc.................................59
     10.16          Payment on Subordinated Debt..................................60

ARTICLE XI DEFAULTS AND REMEDIES..................................................60

     11.1           Events of Default.............................................60
     11.2           Rights and Remedies...........................................62
     11.3           Rights and Remedies not Exclusive.............................63

ARTICLE XII REDEMPTION OF THE NOTES...............................................63

ARTICLE XIII REDEMPTION OF WARRANTS...............................................64

     13.1           Holder's Right to Require Redemption..........................64

ARTICLE XIV SUBORDINATION.........................................................66

ARTICLE XV MISCELLANEOUS..........................................................66

     15.1           Survival of Provisions........................................66
     15.2           Notices.......................................................66
     15.3           Successors and Assigns........................................67
     15.4           Assignments...................................................68
     15.5           Amendment and Waiver..........................................68
     15.6           Counterparts..................................................69
     15.7           Headings......................................................69
     15.8           Determinations................................................69
     15.9           Governing Law.................................................69
     15.10          Jurisdiction..................................................69
     15.11          Severability..................................................70
     15.12          Rules of Construction.........................................70
     15.13          Remedies......................................................70
     15.14          Entire Agreement..............................................70
     15.15          Attorneys' Fees...............................................70
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     15.16          Publicity.....................................................71
     15.17          Expenses......................................................71
     15.18          Further Assurances............................................71
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EXHIBITS

Exhibit A      Form of Note
Exhibit B      Form of Warrant Certificate
Exhibit C      Form of Opinion
Exhibit D      Form of Second Amended and Restated Investor Rights Agreement
Exhibit E      Form of Second Amended and Restated Co-Sale Agreement
Exhibit F      Form of Second Amended and Restated Voting Agreement
Exhibit G      Form of Subsidiaries' Guarantee
Exhibit H      Form of PMR Guarantee
Exhibit I      Form of Subordination Agreement
Exhibit J      Form of PMR Letter Agreement
Exhibit K      Form of Junior Subordination Agreements
Exhibit L      Form of Amending Agreement

SCHEDULES

Schedule 3.14          Subsidiaries' Guarantee
Schedule 3.19          Promissory Notes
Schedule 3.24          Junior Subordination Agreements
Schedule 5.6           Litigation
Schedule 5.10          Subsidiaries
Schedule 5.11          Pro Forma Financials
Schedule 5.13(a)       Capitalization
Schedule 5.13(b)       Common Stock Equivalents
Schedule 5.16          Broker's, Finder's or Similar Fees
Schedule 5.18          Anti-Dilution Protection; Preemptive Rights
Schedule 5.20          Projections
Schedule 5.22          ERISA
Schedule 5.23          Environmental Matters
Schedule 5.25(a)       Intellectual Property
Schedule 5.25(d)       Software
Schedule 5.26          Conflicts of Interest
Schedule 5.28          Outstanding Borrowings
Schedule 5.29          Material Contracts
Schedule 5.30          Insurance
Schedule 5.32          Assets, Licenses, Etc.
Schedule 5.34          Regulatory Matters
Schedule 8.1           Facilities
Schedule 10.3          Investments in Subsidiaries
Schedule 10.10         Transactions with Affiliates

                                       vi
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                          SECURITIES PURCHASE AGREEMENT

        SECURITIES PURCHASE AGREEMENT (this "Agreement"), dated as of June 28,
2002, between PSYCHIATRIC SOLUTIONS, Inc., a Delaware corporation (the
"Company"), and THE 1818 MEZZANINE FUND II, L.P., a Delaware limited partnership
(the "Purchaser").

        WHEREAS, the Company proposes to issue and sell to the Purchaser (i) a
senior subordinated promissory note with a final maturity of June 28, 2009 in
the aggregate principal amount of up to $20,000,000 (together with all notes
issued in connection with the substitution, replacement or transfer thereof, the
"Note") and (ii) detachable warrants (the "Warrants") exercisable to purchase in
the aggregate up to 3,004,280 shares of Common Stock (as hereinafter defined)
(subject to adjustment as set forth in the Warrant Certificate), at an exercise
price of $.01 per share of Common Stock.

        NOW, THEREFORE, in consideration of the mutual covenants and agreements
set forth herein and for good and valuable consideration, the receipt and
adequacy of which is hereby acknowledged, the parties hereto agree as follows:

                                   ARTICLE I

                                   DEFINITIONS

        1.1 Definitions. As used in this Agreement, and unless the context
requires a different meaning, the following terms have the meanings indicated:

        "Additional Closing" has the meaning assigned to that term in Section
2.5(a).

        "Additional Closing Date" has the meaning assigned to that term in
Section 2.5(a).

        "Additional Loan" and "Additional Loans" have the meanings assigned to
those terms in Section 2.2.

        "Additional Purchase Price" has the meaning assigned to that term in
Section 2.5(a).

        "Additional Warrant" and "Additional Warrants" have the meaning assigned
to those terms in Section 2.5(a).

        "Advances" shall mean, individually and/or collectively, borrowings
under the Credit Agreement. Any amounts paid by any agent or lender party to the
Credit Agreement on behalf of the Company or any Subsidiary or any guarantor
under any Loan Document (as defined in the Credit Agreement) shall be an Advance
for purposes of this Agreement.

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        "Aeries Companies" has the meaning assigned to that term in Section
5.34(a).

        "Aeries Healthcare" means Aeries Healthcare Corporation, a Delaware
corporation.

        "Aeries Purchase Agreement" means the Stock Purchase Agreement, dated as
of June 20, 2002, by and among the Company, Aeries Healthcare and the other
parties thereto.

        "Affiliate" has the meaning assigned to that term in Rule 12b-2 of the
Exchange Act.

        "Agreement" means this Agreement, as the same may be amended or modified
from time to time in accordance with the terms hereof.

        "Amending Agreement" means the Amending Agreement, substantially in the
form attached hereto as Exhibit L, as the same may be amended, amended and
restated, or modified from time to time in accordance with its terms.

        "BBH & Co." means Brown Brothers Harriman and Co., a New York limited
partnership.

        "Benefit Plans" has the meaning assigned to those terms in Section
5.22(a).

        "Business" and "Businesses" have the meanings assigned to those terms in
Section 5.34(a).

        "Business Day" means any day other than a Saturday, Sunday or other
legal holiday on which commercial banks in New York City are authorized or
required by law or executive order to close.

        "Businesses" has the meaning assigned to that term in Section 5.34(a).

        "Capital Expenditures" shall mean, for any Test Period, the sum (without
duplication) of all expenditures (whether paid in cash or accrued as
liabilities) during the Test Period that are or should be treated as capital
expenditures under GAAP.

        "Capitalized Lease" shall mean, as to any Person, a lease of any
interest in any kind of property or asset by that Person as lessee that is,
should be or should have been recorded as a "capital lease" in accordance with
GAAP.

        "Capitalized Lease Obligations" shall mean all obligations of any Person
under Capitalized Leases, in each case, taken at the amount thereof accounted
for as a liability in accordance with GAAP.

                                       2
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        "CapitalSource" means CapitalSource Finance LLC, a Delaware limited
liability company, or its assignee or successor as senior secured lender to the
Company as permitted by the terms of the Subordination Agreement.

        "Capital Stock" of any Person means any and all shares, interests,
participations or other equivalents (however designated) of such Person's
capital stock (or equivalent ownership interests or membership interests)
whether now outstanding or hereafter issued, including, without limitation, all
common stock, preferred stock and other securities which are exercisable for or
convertible into such Person's capital stock and any rights, warrants, options
or other subscription or purchase rights to purchase such Person's capital
stock.

        "Cash Equivalents" shall mean (a) securities issued, or directly and
fully guaranteed or insured, by the United States or any agency or
instrumentality thereof (provided, that the full faith and credit of the United
States is pledged in support thereof) having maturities of not more than six
months from the date of acquisition, (b) U.S. dollar denominated time deposits,
certificates of deposit and bankers' acceptances of (i) any domestic commercial
bank of recognized standing having capital and surplus in excess of
$500,000,000, or (ii) any bank (or the parent company of such bank) whose
short-term commercial paper rating from Standard & Poor's Ratings Services
("S&P") is at least A-2 or the equivalent thereof or from Moody's Investors
Service, Inc. ("Moody's") is at least P-2 or the equivalent thereof in each case
with maturities of not more than six months from the date of acquisition (any
bank meeting the qualifications specified in clauses (b)(i) or (ii), an
"Approved Bank"), (c) repurchase obligations with a term of not more than seven
days for underlying securities of the types described in clause (a), above,
entered into with any Approved Bank, (d) commercial paper issued by any Approved
Bank or by the parent company of any Approved Bank and commercial paper issued
by, or guaranteed by, any industrial or financial company with a short-term
commercial paper rating of at least A-2 or the equivalent thereof by S&P or at
least P-2 or the equivalent thereof by Moody's, or guaranteed by any industrial
company with a long term unsecured debt rating of at least A or A2, or the
equivalent of each thereof, from S&P or Moody's, as the case may be, and in each
case maturing within six months after the date of acquisition and (e)
investments in money market funds substantially all of whose assets are
comprised of securities of the type described in clauses (a) through (d) above.

        "CERCLA" has the meaning assigned to that term in Section 5.23(b).

        "Closing" means the Initial Closing or any Additional Closing, as the
case may be.

        "Closing Date" means the Initial Closing Date or any Additional Closing
Date, as the case may be.

        "Code" means the Internal Revenue Code of 1986, as amended, or any
successor statute thereto.

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        "Commission" means the Securities and Exchange Commission or any similar
agency then having jurisdiction to enforce the Securities Act.

        "Common Stock" means shares of common stock, par value $0.01 per share,
of the Company.

        "Company" has the meaning assigned to that term in the preamble of this
Agreement.

        "Contractual Obligation" means, as to any Person, any provision of any
security issued by such Person or of any agreement, undertaking, contract,
indenture, mortgage, deed of trust or other instrument to which such Person is a
party or by which it or any of its property is bound.

        "Co-Sale Agreement" means the Second Amended and Restated Co-Sale
Agreement, substantially in the form attached hereto as Exhibit E, as the same
may be amended, amended and restated or modified from time to time in accordance
with its terms.

        "Credit Agreement" means the Revolving Credit and Term Loan Agreement,
dated as of November 30, 2001, by and among CapitalSource, the Company, and the
other parties thereto, as amended, modified, supplemented, restated, refinanced
or replaced from time to time in accordance with its terms and the terms of this
Agreement and the Subordination Agreement.

        "Debtor Relief Law" means the Bankruptcy Code of the United States of
America and all other applicable liquidation, conservatorship, bankruptcy,
moratorium, rearrangement, receivership, insolvency, reorganization or similar
debtor relief laws from time to time in effect affecting the rights of creditors
generally, as amended from time to time.

        "Default" means an event or condition which with the passage of time or
giving of notice, or both, would become an Event of Default.

        "Demand Notice" has the meaning assigned to that term in Section
13.1(a).

        "Distribution" means, as to any Person: (a) the declaration or payment
of any dividend on or in respect of any shares of any class of Capital Stock of
such Person, other than dividends payable solely in shares of common stock of
such person; (b) the purchase, redemption, or other acquisition or retirement of
any shares of any class of Capital Stock of such Person directly or indirectly;
(c) any other distribution on or in respect of any shares of any class of
Capital Stock of such Person; (d) any setting apart or allocating any sum for
the payment of any dividend or distribution, or for the purchase, redemption or
retirement of any shares of Capital Stock of such Person; and (e) any fee,
payment, bonus or other remuneration of any kind, and any replacement of or debt
service on any loans or other Indebtedness other than to the Purchaser.

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        "Drawdown Acquisition" means an acquisition of all or substantially all
of the assets or shares of stock of a Person by the Company or a wholly-owned
Subsidiary, provided, however:

                (i) the total consideration for such assets or stock does not
exceed $5,000,000 without the prior written consent of the Purchaser;

                (ii) such Person must be engaged in the same line of business as
the Company and the Subsidiaries;

                (iii) any notes payable by the Company or any wholly-owned
Subsidiary to such Person or its designee as part of the purchase price for such
acquisition shall be unsecured and subordinated to the Note in form and
substance satisfactory to the Purchaser;

                (iv) prior to the closing of each such acquisition, the Company
shall deliver to the Purchaser an officer's certificate, as well as evidence
satisfactory to the Purchaser establishing that:

                        (1) immediately prior to such acquisition and
immediately after such acquisition, the Purchaser is in compliance with all of
the covenants and agreements hereunder and under the Credit Agreement; and

                        (2) the calculation of the financial covenants required
by Section 2.5(c) and this definition shall include the notes payable referenced
in paragraph (iii) of this definition;

                (v) such acquisition is approved in writing by the Board of
Directors of such Person to be acquired and the Company; and

                (vi) if the Purchaser does not advance funds to the Company in
accordance with Section 2.5 simultaneously with the closing of such acquisition,
then such acquisition shall not constitute a Drawdown Acquisition.

        "Drawdown Acquisition Documents" means, with respect to any Drawdown
Acquisition, any and all documents, together with the exhibits and schedules
thereto, related to such Drawdown Acquisition, including, without limitation,
the documents governing such Drawdown Acquisition and any documents and
certificates delivered in connection therewith.

        "Due Diligence Requests" has the meaning assigned to that term in
Section 5.34(i).

        "EBITDA" shall mean, for any Test Period, the sum, without duplication,
of the following for the Company and the Subsidiaries, on a consolidated and
consolidating basis: Net Income determined in accordance with GAAP, plus, (a)
Interest Expense, (b) taxes on income, whether paid, payable or accrued, (c)
depreciation expense, (d) amortization expense, (e) all other non-cash,
non-recurring charges and

                                       5
<PAGE>

expenses, excluding accruals for cash expenses made in the ordinary course of
business, and (f) gain or loss from any sale of assets, other than sales in the
ordinary course of business, all of the foregoing determined in accordance with
GAAP.

        "Environment" means navigable waters, waters of the contiguous zone,
ocean waters, natural resources, surface waters, ground water, drinking water
supply, land surface, subsurface strata, ambient air, both inside and outside of
buildings and structures, man-made buildings and structures, and plant and
animal life on earth.

        "ERISA" means the Employee Retirement Income Security Act of 1974, as
amended.

        "ERISA Affiliate" has the meaning assigned to that term in Section
5.22(c).

        "Event of Default" has the meaning assigned to that term in Section
11.1.

        "Exchange Act" means the Securities Exchange Act of 1934, as amended,
and the rules and regulations of the Commission thereunder.

        "Fair Market Value" has the meaning assigned to that term in Section
13.1(c).

        "Financials" has the meaning assigned to that term in Section 5.11(a).

        "Fixed Charge Ratio" shall mean, at any date of determination, for the
Company and each Subsidiary, individually and collectively, on a consolidated
and consolidating basis, the ratio of (a) EBITDA for the Monthly Test Period
most recently ended before such date, to (b) Fixed Charges for the Monthly Test
Period most recently ended before such date, in each case taken as one
accounting period.

        "Fixed Charges" shall mean, on any calculation date, for any Monthly
Test Period, the sum of the following for the Company and each Subsidiary,
individually and collectively, on a consolidated and consolidating basis: (a)
Total Debt Service for such period, (b) Capital Expenditures and management and
services fees during such period, (c) income taxes paid in cash or accrued
during such period, (d) dividends paid or accrued or declared during such period
and (e) principal payments made by the Company or any Subsidiary pursuant to a
HUD Financing. Any principal payments by the Company and the Subsidiaries made
pursuant to the Revolving Facility shall be excluded from this definition.

        "GAAP" means generally accepted accounting principles in the United
States of America in effect from time to time as applied by nationally
recognized accounting firms.

        "Government Programs" has the meaning assigned to that term in Section
5.34(a).

                                       6
<PAGE>

        "Governmental Authority" means the government of any nation, state,
city, locality or other political subdivision of any thereof, any entity
exercising executive, legislative, judicial, regulatory or administrative
functions of or pertaining to government, and any corporation or other entity
owned or controlled, through stock or capital ownership or otherwise, by any of
the foregoing.

        "Guaranty" or "Guarantee" or "Guaranties" means any arrangement whereby
a Person is or becomes liable in respect of any Indebtedness or other obligation
of another and any other arrangement whereby credit is extended to another
obligor on the basis of any promise of a guarantor, whether that promise is
expressed in terms of an obligation to pay the Indebtedness of such obligor, or
to purchase or lease assets under circumstances that would enable such obligor
to discharge one or more of its obligations, or to maintain the capital, the
working capital, solvency or general financial condition of such obligor,
whether or not such arrangement is listed in the balance sheet of the guarantor
or referred to in a footnote thereto.

        "Hazardous Substance" has the meaning assigned to that term in Section
5.23(b).

        "Holder" means the Purchaser and any subsequent direct or indirect
transferee of the Note or Warrants or shares of Common Stock issuable upon
exercise of the Warrants, other than a transferee who has acquired Warrants or
shares of Common Stock issuable upon exercise of Warrants that have been (a) the
subject of a distribution pursuant to a registered public offering or (b)
transferred to a transferee who has acquired such securities after such
securities have been the subject of a distribution to the public pursuant to
Rule 144 under the Securities Act or otherwise distributed under circumstances
not requiring a legend.

        "HUD" has the meaning assigned to that term in Section 10.1(b).

        "HUD Financings" means any type of financing to or for the Company or
any Subsidiary from HUD.

        "Indebtedness" means, with respect to any Person, without duplication,
(a) all indebtedness of such Person for borrowed money or for the deferred
purchase price of property, but excluding obligations to trade creditors
incurred in the ordinary course of business that are unsecured and not overdue
by more than six months unless being contested in good faith, (b) all
reimbursement and other obligations with respect to letters of credit, bankers'
acceptances and surety bonds, whether or not matured, (c) all obligations
evidenced by notes, bonds, debentures or similar instruments, (d) all
indebtedness created or arising under any conditional sale or other title
retention agreement with respect to property acquired by such Person (even
though the rights and remedies of the seller or lender under such agreement in
the event of default are limited to repossession or sale of such property), (e)
all Capitalized Lease Obligations and the present value (discounted at the Index
Rate as in effect on the Closing Date) of future rental payments under all
synthetic leases, (f) all obligations of such Person under commodity purchase or
option agreements or other commodity price hedging

                                       7
<PAGE>

arrangements, in each case whether contingent or matured, measured on a
mark-to-market basis, (g) all obligations of such Person under any foreign
exchange contract, currency swap agreement, interest rate swap, cap or collar
agreement or other similar agreement or arrangement designed to alter the risks
of that Person arising from fluctuations in currency values or interest rates,
in each case whether contingent or matured, measured on a mark-to-market basis,
(h) all Indebtedness referred to above secured by (or for which the holder of
such Indebtedness has an existing right, contingent or otherwise, to be secured
by) any Lien upon or in property or other assets (including accounts and
contract rights) owned by such Person, even though such Person has not assumed
or become liable for the payment of such Indebtedness and (i) with respect to
the Company, the Obligations. The amount of Indebtedness of the Note shall be
deemed to be an amount equal to the stated or determinable amount of such
Indebtedness.

        "indemnified party" has the meaning assigned to that term in Section
7.1.

        "Initial Closing" has the meaning assigned to that term in Section 2.4.

        "Initial Closing Date" has the meaning assigned to that term in Section
2.4.

        "Initial Purchase Price" has the meaning assigned to that term in
Section 2.1.

        "Initial Warrants" has the meaning assigned to that term in Section 2.1.

        "Intellectual Property" shall mean all of the following as they exist in
all jurisdictions throughout the world, in each case, to the extent owned by,
licensed to, or otherwise used by the Company and the Subsidiaries:

                (i) patents, patent applications, and other patent rights
(including any divisions, continuations, continuations-in-part, substitutions,
or reissues thereof, whether or not patents are issued on any such applications
and whether or not any such applications are modified, withdrawn, or
resubmitted);

                (ii) trademarks, service marks, trade dress, trade names, brand
names, Internet domain names, designs, logos, or corporate names, whether
registered or unregistered, and all registrations and applications for
registration thereof;

                (iii) copyrights, including all renewals and extensions thereof,
copyright registrations and applications for registration thereof, and
non-registered copyrights;

                (iv) trade secrets, concepts, ideas, designs, research,
processes, procedures, techniques, methods, know-how, data, mask works,
discoveries, inventions, modifications, extensions, improvements, and other
proprietary rights (whether or not patentable or subject to copyright, mask
work, or trade secret protection); and

                                       8
<PAGE>

                (v) computer software programs, including, without limitation,
all source code, object code, and documentation related thereto.

        "Interest Coverage Ratio" shall mean, at any date of determination, for
the Company and each Subsidiary individually and on a consolidated and
consolidating basis, without duplication, the ratio of (a) EBITDA for the
Monthly Test Period most recently ended before such date (taken as one
accounting period), to (b) Interest Expense for the Monthly Test Period most
recently ended before such date (taken as one accounting period).

        "Interest Expense" shall mean, for any Test Period, total interest
expense (including attributable to Capitalized Leases in accordance with GAAP)
of the Company and each Subsidiary, individually and collectively, on a
consolidated and consolidating basis with respect to all outstanding
Indebtedness, including, without limitation, (i) the Interest Expense on the
aggregate outstanding amount of the Term Loan on such date, (ii) the Interest
Expense on the aggregate amount of all Advances outstanding under the Revolving
Facility on such date, (iii) the Interest Expense on the aggregate amount of all
Capitalized Lease Obligations on such date, (iv) the Interest Expense on the
aggregate outstanding amount of all Indebtedness to the Purchaser under this
Agreement on such date, (v) the Interest Expense on the aggregate outstanding
amount of all Seller Notes, excluding all non-cash interest expenses related to
such Seller Notes, (vi) the Interest Expense on any other Indebtedness on such
date, (vii) the Interest Expense on the aggregate outstanding amount of any HUD
Financing and (viii) capitalized interest, but excluding commissions, discounts
and other fees owed with respect to letters of credit and bankers' acceptance
financing and net costs under Interest Rate Agreements.

        "Interest Rate Agreements" shall mean any interest rate swap, cap or
collar agreement or other similar agreement or arrangement designed to hedge the
position with respect to interest rates.

        "Interim Financials" has the meaning assigned to that term in Section
5.11(a).

        "Inventory" means all inventory of whatever name, nature, kind or
description, all goods held for sale or lease or to be furnished under contracts
of service, finished goods, work in process, raw materials, materials used or
consumed, parts, supplies, all wrapping, packaging, advertising, labeling, and
shipping materials, devices, names and marks, all contracts rights and documents
relating to any of the foregoing, whether any of the foregoing be now existing
or hereafter arising, wherever located, now owned or hereafter acquired.

        "Investment" means (i) the ownership or acquisition (whether for cash,
property, services, securities or otherwise) of stock, bonds, notes, debentures,
partnership or other ownership interests or other securities of any other Person
and (ii) the making of any advance, loan, other extension of credit or capital
contribution to any Person.

                                       9
<PAGE>

        "Investor Rights Agreement" means the Second Amended and Restated
Investor Rights Agreement, substantially in the form attached hereto as Exhibit
D, as the same may be amended, amended and restated, or modified from time to
time in accordance with its terms.

        "Junior Subordination Agreements" means the Subordination Agreements,
substantially in the forms attached hereto as Exhibit K, as the same may be
amended, amended and restated, or modified from time to time in accordance with
their terms.

        "Leverage Test Period" shall mean a period ending on the last calendar
day of each month and including the twelve most recent calendar months then
ended (taken as one accounting period), or such other period as specified in
this Agreement.

        "Liability Event" means any event, fact, condition or circumstance or
series thereof (a) in or for which the Company or any Subsidiary becomes liable
or otherwise responsible for any amount owed or owing to any Medicare or
Medicaid program by a provider under common ownership with the Company or such
Subsidiary or any provider owned by the Company or such Subsidiary pursuant to
any applicable law, ordinance, rule, decree, order or regulation of any
Governmental Authority after the failure of any such provider to pay any such
amount when owed or owing, (b) in which Medicaid or Medicare payments to the
Company or any Subsidiary are lawfully set-off against payments to the Company
or any Subsidiary to satisfy any liability of or for any amounts owed or owing
to any Medicare or Medicaid program by a provider under common ownership with
the Company or such Subsidiary or any provider owned by the Company or such
Subsidiary pursuant to any applicable law, ordinance, rule, decree, order or
regulation of any Governmental Authority, excluding any cost report liability
which has been appropriately recorded in the Company's or such Subsidiary's
financial statements in accordance with GAAP and appropriately reserved with
respect to any Borrowing Base (as defined in the Credit Agreement) calculation,
or (c) any of the foregoing under clauses (a) or (b) in each case pursuant to
statutory or regulatory provisions that are similar to any applicable law,
ordinance, rule, decree, order or regulation of any Governmental Authority
referenced in clauses (a) and (b) above or successor provisions thereto.

        "Lien" means any mortgage, pledge, hypothecation, assignment, deposit
arrangement, encumbrances, lien (statutory or other), charge or other security
interest of any preference, priority or other security agreement or preferential
arrangement of any kind or nature whatsoever (including, without limitation, any
conditional sale or other title retention agreement and any Capitalized Lease
having substantially the same economic effect as any of the foregoing).

        "Losses" has the meaning assigned to that term in Section 7.1.

        "Medical Waste Laws" has the meaning assigned to that term in Section
5.34(b).

                                       10
<PAGE>

        "Medicare and Medicaid programs" has the meaning assigned to that term
in Section 5.34(a).

        "Monthly Test Period" shall mean a period ending on the last calendar
day of each month and including the three most recent calendar months then ended
(taken as one accounting period), or such other period as specified in this
Agreement.

        "Nasdaq" means the National Market System of The Nasdaq Stock Market,
Inc.

        "Net Income" shall mean, for any Test Period, the net income (or loss)
of the Company and each Subsidiary, individually and collectively, on a
consolidated and consolidating basis for such period taken as a single
accounting period determined in conformity with GAAP; provided, that there shall
be excluded (i) the income (or loss) of any Person in which any other Person
(other than the Company or any Subsidiary) has a joint interest, except to the
extent of the amount of dividends or other distributions actually paid to the
Company or any Subsidiary by such Person during such period, (ii) the income (or
loss) of any Person accrued prior to the date it becomes a borrower under the
Notes or a Subsidiary or is merged into or consolidated with the Company or any
Subsidiary or that Person's assets are acquired by the Company or any
Subsidiary, (iii) the income of the Company or any Subsidiary to the extent that
the declaration or payment of dividends or similar distributions of that income
by that Subsidiary is not at the time permitted by operation of the terms of the
charter or any agreement, instrument, judgment, decree, order, statute, rule or
governmental regulation applicable to that Subsidiary, (iv) compensation expense
resulting from the issuance of capital stock, stock options or stock
appreciation rights issued to former or current employees, including officers,
of the Company or any Subsidiary, or the exercise of such options or rights, in
each case to the extent the obligation (if any) associated therewith is not
expected to be settled by the payment of cash by the Company or any Subsidiary
or any affiliate thereof, and (v) compensation expense resulting from the
repurchase of capital stock, options and rights described in clause (iv) of this
definition of Net Income.

        "Nonparticipating Holders" has the meaning assigned to that term in
Section 13.1(a).

        "Note" has the meaning assigned to that term in the recitals of this
Agreement.

        "NYSE" means the New York Stock Exchange, Inc.

        "Obligations" means the obligation of the Company to the Purchaser for
the prompt payment when due (whether by scheduled maturity, required prepayment,
acceleration, demand or otherwise) and performance of (a) the Note and any
premium and all interest and other sums in respect thereof, and (b) all other
liabilities, obligations and indebtedness, direct or indirect, matured or
unmatured, primary or secondary, absolute or contingent, due or to become due,
secured or unsecured of the Company to

                                       11
<PAGE>

the Purchaser, now or hereafter owing or incurred, accrued in each case to the
date of payment thereof.

        "Pension Plan" means an employee benefit plan or other plan maintained
for the employees of the Company or any Subsidiary as described in Section
4021(a) of ERISA.

        "Permits" has the meaning assigned to that term in Section 5.34(a).

        "Person" means an individual, corporation, partnership, joint venture,
association, estate, joint stock company, trust, organization, business, or a
government or agency or political subdivision thereof.

        "Plan" has the meaning assigned to that term in Section 5.13(c).

        "PMR Common Stock" has the meaning assigned to that term in Section
5.13(f)

        "PMR Companies" has the meaning assigned to that term in Section
5.34(a).

        "PMR Corporation" means PMR Corporation, a Delaware corporation.

        "PMR Guarantee" has the meaning assigned to that term in Section 9.12.

        "PMR Letter Agreement" means the letter agreement, substantially in the
form attached hereto as Exhibit J, as the same may be amended, amended and
restated or modified from time to time in accordance with its terms.

        "PMR Merger" means the merger contemplated by the PMR Merger Agreement.

        "PMR Merger Agreement" means the Agreement and Plan of Merger, dated as
of May 6, 2002, by and between PMR Corporation, PMR Acquisition Corporation, a
Delaware corporation, and the Company, as amended by Amendment No. 1 to
Agreement and Plan of Merger, dated as of June 10, 2002, and as further amended
or modified in accordance with its terms.

        "Prepayment Event" has the meaning assigned to that term in the Note.

        "Private Programs" has the meaning assigned to that term in Section
5.34(a).

        "Projections" has the meaning assigned to that term in Section 5.20.

        "PSI Companies" has the meaning assigned to that term in Section
5.34(a).

                                       12
<PAGE>

        "Purchaser" has the meaning assigned to that term in the recitals of
this Agreement and shall include its successors and assigns.

        "Put Price" has the meaning assigned to that term in Section 13.1(a).

        "Put Price Notes" has the meaning assigned to that term in Section
13.1(b).

        "PWRW&G" has the meaning assigned to that term in Section 2.4.

        "Redemption Date" has the meaning assigned to that term in Section
13.1(a).

        "Register" has the meaning assigned to that term in Section 9.17.

        "Regulated Company" and "Regulated Companies" have the meanings assigned
to those terms in Section 5.34(a).

        "Regulations" has the meaning assigned to that term in Section 5.34(a).

        "release" has the meaning assigned to that term in Section 5.23(b).

        "Required Redemption Notice" has the meaning assigned to that term in
Section 13.1(a).

        "Requirements of Law" means, as to any Person, any law, treaty, rule or
regulation or determination of an arbitrator or a court or other Governmental
Authority, or any guidance or manual of any Governmental Authority, in each case
applicable or binding upon such Person or any of its property or to which such
Person or any of its property is subject.

        "Revolving Facility" shall mean a revolving credit facility provided by
the lenders under the Credit Agreement pursuant to the Credit Agreement.

        "Safety and Environmental Laws" means all Requirements of Law relating
to pollution, protection of the Environment, protection of worker health and
safety, or the emission, discharge, release or threatened release of Hazardous
Substances into the Environment or otherwise relating to the manufacture,
processing, distribution, use, treatment, storage, disposal, transport or
handling of Hazardous Substances including the Comprehensive Environmental
Response, Compensation and Liability Act, 42 U.S.C. ss. 9601 et seq., the
Resource Conservation and Recovery Act, 42 U.S.C. ss. 6901 et seq., the toxic
Substances Control Act, 15 U.S.C. ss. 2601 et seq., the Federal Water Pollution
Control Act, 33 U.S.C. ss. 1251 et seq., the Clean Air Act, 42 U.S.C. ss. 7401
et seq., the Federal Insecticide, Fungicide and Rodenticide Act, 7 U.S.C. ss.
121 et seq., the Occupational Safety and Health Act, 29 U.S.C. ss. 651 et seq.,
the Asbestos Hazard Emergency Response Act, 15 U.S.C. ss. 2601 et seq., the Safe
Drinking Water Act, 42 U.S.C. ss. 300f et seq., the Oil Pollution Act of 1990,
33 U.S.C. ss. 2701 et seq., and analogous state acts.

                                       13
<PAGE>

        "Securities Act" means the Securities Act of 1933, as amended, and the
rules and regulations of the Commission promulgated thereunder.

        "Seller Notes" shall mean the Indebtedness owing to the shareholders of
Aeries Healthcare pursuant to the Aeries Purchase Agreement and the Indebtedness
under the Junior Subordination Agreements.

        "Senior Debt Documents" has the meaning assigned to that term in the
Subordination Agreement.

        "Senior Leverage Ratio" shall mean, at any date of determination, for
the Company and each Subsidiary, individually and collectively, on a
consolidated and consolidating basis, the ratio of (i) the aggregate outstanding
amount of (A) the aggregate outstanding amount of the Term Loan on such date,
(B) the aggregate amount of all Advances outstanding under the Revolving
Facility on such date, (C) the aggregate amount of all Capitalized Lease
Obligations on such date, and (D) the aggregate outstanding amount of all HUD
Financings to (ii) EBITDA (including overhead without duplication to overhead
allocated to the Unit Management Division).

        "Series A Stock" has the meaning assigned to that term in Section
5.13(a).

        "Series B Stock" has the meaning assigned to that term in Section
5.13(a).

        "Solvent" means, as to any Person, that the fair salable value on a
going concern basis of the assets and property of such Person is, on the date of
determination, greater than the total amount of liabilities (including
contingent and unliquidated liabilities) of such Person as of such date and
that, as of such date, such Person is able to pay all liabilities of such Person
as such liabilities mature. In computing the amount of contingent or
unliquidated liabilities at any time, such liabilities will be computed as the
amount which, in light of all the facts and circumstances existing at such time,
represents the amount that is probable to become an actual or matured liability.

        "Subordinated Debt" means any Indebtedness of the Company that is
expressly subordinated to the Obligations, in form and substance satisfactory to
the Purchaser.

        "Subordination Agreement" means the Subordination and Intercreditor
Agreement, substantially in the form attached hereto as Exhibit I, as the same
may be amended or modified from time to time in accordance with its terms.

        "Subsidiaries' Guarantee" means that guaranty agreement, substantially
in the form attached hereto as Exhibit G, as the same may be amended or modified
from time to time in accordance with its terms.

        "Subsidiary" means any Person in which more than 50% of all equity,
membership, partnership or other ownership interests is owned directly or
indirectly by the Company or one or more of the Company's Subsidiaries.

                                       14
<PAGE>

        "Tax" or "Taxes" means all federal, state, county, local, foreign and
other taxes (including, without limitation, income, profits, premium, estimated,
excise, sales, use, occupancy, gross receipts, franchise, ad valorem, severance,
capital levy, production, transfer, withholding, employment, unemployment
compensation, payroll-related and property taxes, import duties and other
governmental charges and assessments), whether or not measured in whole or in
part by net income, and including deficiencies, interest, additions to tax or
interest, and penalties with respect thereto, and including expenses associated
with any proposed adjustment relating to any of the foregoing (including advice
in connection with contesting such adjustment).

        "Term Loan" shall mean a term loan facility provided by the lenders
under the Credit Agreement pursuant to the Credit Agreement.

        "Test Period" means, individually and/or collectively, the Monthly Test
Period and the Leverage Test Period.

        "Total Debt" shall mean, at any date of determination, for the Company
and the Subsidiaries, individually and collectively, on a consolidated and
consolidating basis, the sum of (without duplication) (i) the aggregate
outstanding amount of the Term Loan on such date, (ii) the aggregate amount of
all Advances outstanding under the Revolving Facility on such date, (iii) the
aggregate amount of all Capitalized Lease Obligations on such date, (iv) the
aggregate outstanding amount of all Indebtedness to the Purchaser under this
Agreement on such date, (v) the aggregate amount of all Indebtedness under the
Junior Subordination Agreements, (vi) the aggregate amount of all Indebtedness
pursuant to the Seller Notes, (vii) the aggregate outstanding amount of all HUD
Financings, and (viii) any other Indebtedness on such date, less (ix) cash held
on such date and (ix) Cash Equivalents held on such date.

        "Total Debt Service" shall mean for any period, for the Company and the
Subsidiaries, individually and collectively, on a consolidated and consolidating
basis, the sum of (i) scheduled or other required payments of principal on
Indebtedness, and (ii) Interest Expense, in each case for such period.

        "Total Leverage Ratio" shall mean, at any date of determination, for the
Company and each Subsidiary, individually and collectively, on a consolidated
and consolidating basis, the ratio of (i) Total Debt on such date, to (ii)
EBITDA (including overhead without duplication to overhead allocated to the Unit
Management Division).

        "Transaction Documents" means, collectively, this Agreement, the Note,
the Warrant Certificates, the Investor Rights Agreement, the Co-Sale Agreement,
the Voting Agreement, the Amending Agreement, the Subsidiaries' Guarantee, the
PMR Guarantee (if any), the PMR Letter Agreement, the PMR Merger Agreement, the
Drawdown Acquisition Documents (if any), the Subordination Agreement, the Junior
Subordination Agreements and the Credit Agreement.

        "Unit Management Division" shall mean the Company's business unit (which
operates under Sunstone Behavioral Health, Inc. and Persons in which more than

                                       15
<PAGE>

50% of all equity, membership, partnership and other ownership interests is
owned directly or indirectly by Sunstone Behavioral Health, Inc.) which provides
management services to the psychiatric units of medical/surgical hospitals
pursuant to management contracts.

        "Voting Agreement" means the Second Amended and Restated Voting
Agreement, substantially in the form attached hereto as Exhibit F, as the same
may be amended, amended and restated or modified from time to time in accordance
with its terms.

        "Warrant Certificate" means the Warrant Certificate representing the
Warrants, substantially in the form attached hereto as Exhibit B.

        "Warrants" has the meaning assigned to that term in the recitals of this
Agreement.

        1.2 Accounting Terms; Financial Covenants. All accounting terms used
herein not expressly defined in this Agreement shall have the respective
meanings given to them in accordance with sound accounting practice. The term
"sound accounting practice" means such accounting practice as, in the opinion of
the independent accountants regularly retained by the Company, conforms at the
time to GAAP applied on a consistent basis. If any changes in accounting
principles are hereafter occasioned by promulgation of rules, regulations,
pronouncements or opinions by or are otherwise required by the Financial
Accounting Standards Board or the American Institute of Certified Public
Accountants (or successors thereto or agencies with similar functions), and any
of such changes results in a change in the method of calculation of, or affects
the results of such calculation of, any of the financial covenants, standards or
terms found herein, then the parties hereto agree to enter into and diligently
pursue negotiations in order to amend such financial covenants, standards or
terms so as to reflect fairly and equitably such changes, with the desired
result that the criteria for evaluating the Company's financial condition and
results of operations shall be the same after such changes as if such changes
had not been made.

                                   ARTICLE II

                                PURCHASE AND SALE

        2.1 Purchase and Sale of Note and Initial Warrants. Upon the terms and
subject to the conditions set forth herein, the Company agrees that it will
issue to the Purchaser, and the Purchaser agrees that it will acquire from the
Company on the Initial Closing Date, (a) a Note in the aggregate principal
amount of up to $20,000,000 with $10,000,000 advanced thereunder, with such Note
being substantially in the form attached hereto as Exhibit A, appropriately
completed in conformity herewith and (b) a Warrant Certificate representing
Warrants to purchase initially 1,502,140 shares of Common Stock (subject to
adjustment as set forth in the Warrant Certificate) (the "Initial Warrants"),
all for an aggregate purchase price of $10,000,000 (the "Initial Purchase
Price") in cash, by wire transfer of immediately available funds to an account
designated

                                       16
<PAGE>

by the Company in a written notice delivered to the Purchaser not later than two
Business Days prior to the Initial Closing Date.

        2.2 Additional Loans. Upon the terms and subject to the conditions set
forth herein, the Company has the option of requiring the Purchaser, from time
to time on or before December 29, 2003, to advance additional loans to the
Company pursuant to the Note (each, an "Additional Loan" and, collectively, the
"Additional Loans") to be used to pay the purchase price of any Drawdown
Acquisition; provided, that, in no event shall the Purchaser have any obligation
to advance more than an aggregate principal amount of $20,000,000 under the Note
and this Agreement. The Company shall give the Purchaser written notice of its
election to borrow Additional Loans under the Note on a date specified in such
notice (which date shall be a Business Day occurring at least 15 Business Days
after the date of such notice and prior to December 29, 2003, and such notice
shall specify the amount of the Additional Loans to be made under the Note
(which must be at least $5,000,000 and, if greater, in $1,000,000 multiples
thereof).

        2.3 Fees. The Company hereby agrees that it will pay to the Purchaser at
the Initial Closing a facility fee equal to $400,000. The Purchaser shall deduct
such amount from the Initial Purchase Price for the payment of such facility
fee.

        2.4 Initial Closing. The closing (the "Initial Closing") of the purchase
and sale of the Note and the Initial Warrants shall take place at the offices of
Paul, Weiss, Rifkind, Wharton & Garrison ("PWRW&G"), 1285 Avenue of the
Americas, New York, New York 10019-6064, at 10:00 a.m., New York City time, on
the date hereof or on such other date and at such other time as the Purchaser
and the Company may mutually agree (the "Initial Closing Date"). At the Initial
Closing, upon the terms and subject to the conditions set forth herein, the
Company shall sell the Note and the Initial Warrants to the Purchaser by
delivering to the Purchaser the Note and the Warrant Certificate representing
the Initial Warrants, registered in the name of the Purchaser, with appropriate
issue stamps, if any, affixed at the expense of the Company, free and clear of
any Lien, and the Purchaser shall purchase the Note and the Initial Warrants for
the Initial Purchase Price.

        2.5 Additional Closings.

        (a) The closing (each, an "Additional Closing") of each Additional Loan
and the purchase of Additional Warrants shall occur on the date and at the
location and time specified in the written notice delivered by the Company to
the Purchaser pursuant to the last sentence of Section 2.2 (each, an "Additional
Closing Date"). At each Additional Closing, upon the terms and subject to the
conditions set forth herein, the Company shall borrow the Additional Loans on
such date pursuant to the Note and issue to the Purchaser a Warrant Certificate
representing Warrants to purchase 150,214 shares of Common Stock (subject to
adjustment as set forth in the Warrant Certificate) for each $1,000,000 of
Additional Loans being advanced by the Purchaser on such date (each, an
"Additional Warrant" and, collectively, the "Additional Warrants"), registered
in the name of the Purchaser, with appropriate issue stamps, if any, affixed at
the expense of the Company, free and clear of any Lien, and the Purchaser shall
deliver an amount equal to

                                       17
<PAGE>

the Additional Loans advanced by the Purchaser on such date (the "Additional
Purchase Price").

        (b) The obligation of the Purchaser at each Additional Closing to make
Additional Loans and purchase Additional Warrants, to pay the Additional
Purchase Price and to perform any of its obligations hereunder shall be subject
to the satisfaction or waiver of the following conditions on or before such
Additional Closing Date:

                (i) A Drawdown Acquisition (meeting all the requirements of such
set forth in the definition of such term in Section 1.1) is simultaneously being
consummated on such Additional Closing Date;

                (ii) The proceeds of the Additional Loans to be advanced on such
Additional Closing Date shall be used to pay part or all of the purchase price
of such Drawdown Acquisition;

                (iii) The representations and warranties of the seller or
sellers in the Drawdown Acquisition Documents (relating to such Drawdown
Acquisition) shall be true and correct in all respects at and as of such
Additional Closing Date as if made as of such Additional Closing Date (unless
such representations and warranties relate to matters only as of a particular
date, in which case such representations and warranties shall be true and
correct in all respects as of such date);

                (iv) The Company and each other Person shall have performed and
complied with all of its agreements and conditions set forth or contemplated in
such Drawdown Acquisition Documents that are required to be performed or
complied with by it on or before the closing of the transactions contemplated by
such Drawdown Acquisition Documents;

                (v) The Purchaser shall have received true, complete and correct
copies of such Drawdown Acquisition Documents and any other documents it may
reasonably request in connection with the transactions contemplated by such
Drawdown Acquisition Documents;

                (vi) The transactions contemplated by such Drawdown Acquisition
Documents are simultaneously being consummated in accordance with the terms of
such Drawdown Acquisition Documents, and all conditions to the Company's
obligations to consummate the transactions contemplated by such Drawdown
Acquisition Documents shall have been satisfied or waived with the prior consent
of the Purchaser;

                (vii) Any Person acquired by the Company in connection with such
Drawdown Acquisition shall execute and deliver to the Purchaser the
Subsidiaries' Guarantee;

                (viii) The representations and warranties of (A) each Subsidiary
in the Subsidiaries' Guarantee and (B) PMR Corporation in the PMR Guarantee (if
any), shall be true and correct in all respects at and as of such Additional
Closing Date as if made as of such Additional Closing Date and after giving
effect to the

                                       18
<PAGE>

transactions contemplated by Section 2.2 and such Drawdown Acquisition Documents
(unless such representations and warranties relate to matters only as of a
particular date, in which case such representations and warranties shall be true
and correct in all respects as of such date); and

                (ix) The terms and conditions of such Drawdown Acquisition are
acceptable to the Purchaser.

        (c) In addition to the conditions to each Additional Closing set forth
in Section 2.5(b), on each Additional Closing Date, (i) the Purchaser shall
deliver to the Company a certificate signed by a General Partner of the
Purchaser stating that the representations and warranties of the Purchaser
contained in Article VI are true and correct in all respects at and as of such
Additional Closing Date as if made as of such Additional Closing Date (unless
such representations and warranties relate to matters only as of a particular
date, in which case such representations and warranties shall be true and
correct in all respects as of such date) and (ii) the Chairman, President, Chief
Financial Officer, Chief Development Officer or Controller of the Company shall
deliver to the Purchaser a certificate stating that (A) the representations and
warranties of the Company contained in Article V are true and correct in all
respects at and as of such Additional Closing Date as if made as of such
Additional Closing Date and after giving effect to the transactions contemplated
by Section 2.2 and the applicable Drawdown Acquisition Documents (unless such
representations and warranties relate to matters only as of a particular date in
which case such representations and warranties shall be true and correct in all
respects as of such date) and (B) the Company is, and after giving effect to the
transactions contemplated by Section 2.2 and the applicable Drawdown Acquisition
Documents will be, in compliance in all respects with its obligations in
Articles VIII, IX and X (such financial covenants to be calculated on a pro
forma basis in a manner to be agreed upon by the Company and the Purchaser);
provided, that, (x) the reference in Section 5.11 to "the audited consolidated
financial statements of the Company and the Subsidiaries for the fiscal year
ended December 31, 2001" shall instead be to "the audited consolidated financial
statements of the Company and the Subsidiaries for the most recently completed
fiscal year," (y) the reference in Section 5.11 to "the unaudited consolidated
balance sheet of the Company and the Subsidiaries as of March 31, 2002 and the
related consolidated statements of operations and accumulated deficit and cash
flows, together with the notes thereto, for the three-month period then ended"
shall instead be to "the unaudited consolidated financial statements of the
Company and the Subsidiaries for each completed fiscal quarter ending March 31,
June 30 and September 30 since the most recently completed fiscal year," and (z)
the Company shall deliver a supplemental schedule to the Purchaser updating the
capitalization and material contracts representations and warranties contained
in Sections 5.13 and 5.29, respectively; provided, further, that the Company
shall also satisfy and certify that the conditions contained in Sections 3.6,
3.7, 3.9, 3.10, 3.17, 3.18 and 3.20 shall be satisfied as of the Additional
Closing Date and after giving effect to the transactions contemplated by Section
2.2 and the applicable Drawdown Acquisition Documents, and the Company shall
reimburse the Purchaser on such Additional Closing Date for all fees and
expenses set forth in Section 15.17(c)(i).

                                       19
<PAGE>

                                  ARTICLE III

                          CONDITIONS TO THE OBLIGATION
                            OF THE PURCHASER TO CLOSE

        The obligation of the Purchaser to purchase the Note and the Initial
Warrants, to pay the Initial Purchase Price and to perform any of its
obligations hereunder shall be subject to the satisfaction or waiver of the
following conditions on or before the Initial Closing Date:

        3.1 Representations and Warranties True. The representations and
warranties of the Company contained in Article V hereof shall be true and
correct in all respects (a) at and as of the Closing Date as if made as of the
Closing Date and (b) after giving effect to the transactions contemplated by the
Transaction Documents (unless, in either case, such representations and
warranties relate to matters only as of a particular date, in which case such
representations and warranties shall be true and correct in all respects as of
such date).

        3.2 Compliance with this Agreement. The Company shall have performed and
complied with all of its agreements and conditions set forth or contemplated
herein that are required to be performed or complied with by it on or before the
Closing Date.

        3.3 Officers' Certificate. The Purchaser shall have received a
certificate, dated the Closing Date and signed by the Chairman, President, Chief
Financial Officer, Chief Development Officer or Controller of the Company,
certifying that the conditions set forth in Sections 3.1 and 3.2 hereof have
been satisfied on and as of such date.

        3.4 Secretary's Certificates. The Purchaser shall have received a
certificate, dated the Closing Date and (a) signed by the Secretary or an
Assistant Secretary of the Company, attaching a good standing certificate from
the Secretary of State of the State of Delaware with respect to the Company and
certifying the truth and correctness of attached copies of the Certificate of
Incorporation and By-laws of the Company and resolutions of the Board of
Directors of the Company approving this Agreement, the other Transaction
Documents and the transactions contemplated hereby and thereby and (b) signed by
the Secretary or an Assistant Secretary of each Subsidiary, attaching a good
standing certificate from the Secretary of State of the jurisdiction of
organization of such Subsidiary with respect to such Subsidiary and certifying
the truth and correctness of attached copies of the organizational or governing
documents of such Subsidiary and resolutions of the Board of Directors of such
Subsidiary approving the Subsidiaries' Guarantee and the transactions
contemplated thereby.

        3.5 Documents. The Purchaser or its counsel shall have received copies
of such documents as it reasonably may request in connection with the sale of
the Note and the Warrants and the transactions contemplated hereby, all in form
and substance reasonably satisfactory to the Purchaser.

                                       20
<PAGE>

        3.6 Purchase Permitted by Applicable Laws; Legal Investment. The
acquisition of and payment for the Note and the Warrants and the consummation of
the transactions contemplated by the Transaction Documents (a) shall not be
prohibited by any applicable law or governmental regulation, (b) shall not
subject the Purchaser to any penalty or, in its reasonable judgment, other
onerous condition under or pursuant to any applicable law or governmental
regulation and (c) shall be permitted by the laws and regulations of the
jurisdictions to which it is subject.

        3.7 Opinion of Counsel. The Purchaser shall have received the opinion of
Harwell Howard Hyne Gabbert & Manner, P.C., counsel to the Company, dated the
Closing Date, substantially in the form attached hereto as Exhibit C.

        3.8 Approval of Counsel to the Purchaser. All actions and proceedings
hereunder and all documents required to be delivered by the Company hereunder or
in connection with the consummation of the transactions contemplated by the
Transaction Documents, and all other related matters, shall have been reasonably
acceptable to PWRW&G, counsel to the Purchaser, as to their form and substance.

        3.9 Consents and Approvals. All consents, waivers, exemptions,
authorizations, or other actions by, or notices to, or filings with,
Governmental Authorities and other Persons (including, without limitation,
CapitalSource) necessary or required in connection with the execution, delivery
or performance by the Company or enforcement against the Company of this
Agreement or any other Transaction Document shall have been obtained and be in
full force and effect, and the Purchaser shall have been furnished with
satisfactory evidence thereof.

        3.10 No Material Adverse Change. Since December 31, 2001, there shall
have been no material adverse change, nor shall any such change be threatened,
in the assets, business, properties, prospects, operations or financial or other
condition of the Company and the Subsidiaries, taken as a whole.

        3.11 Investor Rights Agreement. The Company and each other party thereto
(other than the Purchaser) shall have duly executed and delivered to the
Purchaser the Investor Rights Agreement.

        3.12 Co-Sale Agreement. The Company and each other party thereto (other
than the Purchaser) shall have duly executed and delivered to the Purchaser the
Co-Sale Agreement.

        3.13 Voting Agreement. The Company and each other party thereto (other
than the Purchaser) shall have duly executed and delivered the Voting Agreement.

        3.14 Subsidiaries' Guarantee. Each of the Subsidiaries set forth on
Schedule 3.14 shall have duly executed and delivered to the Purchaser the
Subsidiaries' Guarantee.

        3.15 Subordination Agreement. The Company and CapitalSource shall have
duly executed and delivered to the Purchaser the Subordination Agreement.

                                       21
<PAGE>

        3.16 Market Conditions. At any time after the date hereof and prior to
the Initial Closing Date, (a) trading in securities generally on the NYSE shall
not have been suspended or limited or minimum or maximum prices shall not have
been generally established on such exchange, or additional material governmental
restrictions, not in force on the date of this Agreement, shall not have been
imposed upon trading in securities generally by such exchange or by order of the
Commission or any court or other Governmental Authority, (b) a general banking
moratorium shall not have been declared by United States Federal or New York
State authorities or (c) any material adverse change in the financial or
securities markets in the United States or in political, financial or economic
conditions in the United States or any outbreak or material escalation of
hostilities or declaration by the United States of a national emergency or war
or other calamity or crisis shall not have occurred.

        3.17 No Litigation. No action, suit, proceeding, claim or dispute shall
have been brought or otherwise arisen at law, in equity, in arbitration or
before any Governmental Authority against the Company or any Subsidiary which
would, if adversely determined, in the reasonable judgment of the Purchaser, (a)
after giving effect to the transactions contemplated hereby, have a material
adverse effect on the assets, business, properties, prospects, operations or
financial or other condition of the Company and the Subsidiaries, taken as a
whole, or (b) have a material adverse effect on the ability of the Company or
any Subsidiary to perform its respective obligations under any Transaction
Document.

        3.18 No Default or Breach. The Company shall not have been in default
under or with respect to this Agreement or any other Transaction Document and,
after giving effect to the transactions contemplated hereby and thereby, the
Company will not be in default under any of the Transaction Documents. Neither
the Company nor the Subsidiaries shall be in default and, after giving effect to
the transactions contemplated by the Transaction Documents, the Company and the
Subsidiaries will not be in default, under or with respect to any of its
Contractual Obligations in any respect, which, individually or together with all
such defaults, would have a material adverse effect on the assets, business,
properties, prospects, operations or financial or other condition of the Company
and the Subsidiaries, taken as a whole, or which could materially adversely
affect the ability of the Company or any Subsidiary to perform its respective
obligations under any Transaction Document.

        3.19 Repayment of Promissory Notes. Simultaneously with the Initial
Closing, the aggregate principal amount and all accrued interest on the
promissory notes listed on Schedule 3.19 and all other amounts due thereunder
shall be paid in full, and satisfactory evidence thereof shall have been
delivered to the Purchaser.

        3.20 Credit Agreement. No Default or Event of Default (each as defined
in the Credit Agreement) shall have occurred and be continuing at and as of the
Closing Date and after giving effect to the transactions contemplated by the
Transaction Documents.

                                       22
<PAGE>

        3.21 Amendment to Credit Agreement. The parties to the Credit Agreement
shall have duly executed and delivered an amendment thereto in respect of, among
other things, the issuance of the Note, the Put Price Notes and the Warrants,
the payment of interest on the Note and certain other payments in respect of the
Note, the Warrants and this Agreement, in form and substance satisfactory to the
Purchaser.

        3.22 PMR Letter Agreement. The Company and PMR Corporation shall have
duly executed and delivered to the Purchaser the PMR Letter Agreement.

        3.23 Aeries Healthcare. Aeries Healthcare shall have duly executed and
delivered to the Purchaser the Subsidiaries' Guarantee.

        3.24 Junior Subordination Agreements. The Company, CapitalSource and
each of the Persons listed on Schedule 3.24 shall have duly executed and
delivered to the Purchaser the Junior Subordination Agreements.

        3.25 Amending Agreement. The Company, PMR Corporation and each other
party to those certain Voting Agreements, dated on or about April 30, 2002, by
and between PMR Corporation, the Company and the other parties thereto shall
have duly executed and delivered to the Purchaser the Amending Agreement.

        3.26 PMR Consent. PMR Corporation shall have duly executed and delivered
a consent to any actions taken by the Company or any Subsidiary prior to the
consummation of the PMR Merger necessitating or requiring the consent of PMR
Corporation under the PMR Merger Agreement, and such consent shall be in full
force and effect, and the Purchaser shall have been furnished with satisfactory
evidence thereof.

        3.27 Amendment to By-laws. The Company shall have amended its By-laws to
remove the right of first refusal or any other similar restrictions on the
ability of the Purchaser to transfer securities of the Company, and the
Purchaser shall have been furnished with satisfactory evidence thereof.

        3.28 Waiver of Rights. All anti-dilution, preemptive and first offer
rights and other similar rights, if any, to which any Person is entitled in
connection with the transactions contemplated by the Transaction Documents,
including, without limitation, the issuance of the Note and Warrants (including,
without limitation, any adjustment in the number of shares of Common Stock
issued or issuable upon exercise thereof), shall be waived in writing, and the
terms of the Series A Stock and Series B Stock shall be amended to delete the
rights of any holders thereof to receive upon the events described in Section 3
of the Company's Certificate of Incorporation, as amended, any amounts in excess
of the liquidation preference plus all declared and unpaid dividends on the
Series A Stock or Series B Stock, and satisfactory evidence of the foregoing
shall have been delivered to the Purchaser.

        3.29 Fees and Expenses. The Company shall have paid to the Purchaser the
fees provided for in Section 2.3 and the expenses provided for in Section 15.17.

                                       23
<PAGE>

                                   ARTICLE IV

                          CONDITIONS TO THE OBLIGATION
                             OF THE COMPANY TO CLOSE

        The obligation of the Company to issue and sell the Note and the Initial
Warrants and to perform any of its other obligations hereunder shall be subject
to the satisfaction or waiver of the following conditions on or before the
Closing Date:

        4.1 Representations and Warranties True. The representations and
warranties of the Purchaser contained in Article VI hereof shall be true and
correct in all material respects at and as of the Closing Date as if made as of
the Closing Date (unless such representations and warranties relate to matters
only as of a particular date, in which case such representations and warranties
shall be true and correct as of such date).

        4.2 Compliance with this Agreement. The Purchaser shall have performed
and complied with all of its agreements and conditions set forth or contemplated
herein that are required to be performed or complied with by the Purchaser on or
before the Closing Date.

        4.3 Consents and Approvals. All consents, waivers, exemptions,
authorizations or other actions by, or notices to, or filings with, Governmental
Authorities and other Persons necessary or required in connection with the
execution, delivery or performance by the Purchaser or enforcement against the
Purchaser of this Agreement shall have been obtained and be in full force and
effect, and the Company shall have been furnished with satisfactory evidence
thereof.

                                   ARTICLE V

                         REPRESENTATIONS AND WARRANTIES
                                 OF THE COMPANY

        The Company hereby represents and warrants to the Purchaser as follows:

        5.1 Corporate Existence and Power. The Company and each of the
Subsidiaries:

        (a) is, and after giving effect to the transactions contemplated by the
Transaction Documents will be, duly organized, validly existing and in good
standing under the laws of the jurisdiction of its organization;

        (b) has, and after giving effect to the transactions contemplated by the
Transactions Documents will have, (i) full corporate power and authority and
(ii) all governmental licenses, authorizations, consents and approvals to own
and operate its property, to lease the property it operates as lessee and to
conduct the business in which it is currently, or is currently proposed to be,
engaged;

                                       24
<PAGE>

        (c) is, and after giving effect to the transactions contemplated by the
Transactions Documents will be, duly qualified as a foreign corporation,
licensed and in good standing under the laws of each jurisdiction where its
ownership, lease or operation of property or the conduct of its business
requires such qualification; and

        (d) is, and after giving effect to the transactions contemplated by the
Transactions Documents will be, in compliance with (i) its organizational or
governing documents and (ii) all Requirements of Law;

except, in the case of (b)(ii), (c) or (d)(ii) of this Section 5.1, to the
extent that the failure to do so would not have a material adverse effect on the
assets, business, properties, prospects, operations or financial or other
condition of the Company and the Subsidiaries, taken as a whole.

        5.2 Corporate Authorization; No Contravention. The execution, delivery
and performance by the Company of this Agreement and each other Transaction
Document to which it is a party, and the transactions contemplated hereby and
thereby, including, without limitation, the issuance of the Note and the
Warrants:

        (a) is within the Company's corporate power and authority and has been
duly authorized by all necessary corporate action;

        (b) does not, and will not after giving effect to the transactions
contemplated by the Transaction Documents, contravene the terms of the
certificate of incorporation, by-laws or organizational or governing documents
or any amendment thereof of the Company or any Subsidiary; and

        (c) does not, and will not after giving effect to the transactions
contemplated by the Transactions Documents, violate, conflict with or result in
any breach of, contravention of or the creation of any Lien under, any
Contractual Obligation of the Company or any Subsidiary or any order or decree
directly relating to the Company or any Subsidiary.

        5.3 Governmental Authorization; Third Party Consents. No approval,
consent, exemption, authorization, or other action by, or notice to, or filing
with, any Governmental Authority or any other Person, is necessary or required
in connection with the execution, delivery or performance by the Company or
enforcement against the Company of this Agreement or any other Transaction
Document to which the Company is a party or the transactions contemplated hereby
or thereby. As of the Closing Date, the issuance of the Note, the Put Price
Notes and the Warrants, the payment of interest on the Note and all other
payments permitted by the Subordination Agreement, will not be prohibited by the
terms of the Credit Agreement.

        5.4 Binding Effect. This Agreement, the Note, the Warrant Certificates,
the Investor Rights Agreement, the Co-Sale Agreement, the Voting Agreement and
each other Transaction Document to which the Company is a party have been duly
executed and delivered by the Company, and this Agreement and the other
Transaction Documents to which the Company is a party constitute, and after
giving

                                       25
<PAGE>

effect to the transactions contemplated by the Transaction Documents will
constitute, the legal, valid and binding obligations of the Company enforceable
against the Company in accordance with their respective terms, subject to
bankruptcy, insolvency, fraudulent transfer, reorganization, moratorium and
other laws of general applicability relating to or affecting creditors' rights
and to general equity principles.

        5.5 No Legal Bar. The execution, delivery and performance by the Company
of this Agreement and the other Transaction Documents to which the Company is a
party will not violate any Requirements of Law.

        5.6 Litigation. Except as set forth on Schedule 5.6, there are no, and
after giving effect to the transactions contemplated by the Transaction
Documents there will not be any, actions, suits, proceedings, claims or disputes
pending, or to the knowledge of the Company, threatened, at law, in equity, in
arbitration or before any Governmental Authority against the Company or any
Subsidiary (or any of their respective officers or directors), that if
determined adversely, would be reasonably expected to have a material adverse
effect on the assets, business, properties, prospects, operations or financial
or other condition of the Company and the Subsidiaries, taken as a whole, or
could have a material adverse effect on the ability of the Company or any
Subsidiary to perform its respective obligations under any Transaction Document
to which it is a party. No injunction, writ, temporary restraining order, decree
or any order of any nature has been issued by any court or other Governmental
Authority purporting to enjoin or restrain the execution, delivery and
performance by the Company of this Agreement or any other Transaction Document.

        5.7 No Default or Breach. No event has occurred and is continuing or
would result from the incurring of obligations by the Company under this
Agreement or any other Transaction Document to which it is a party which
constitutes a Default or Event of Default under or breach of any of the
provisions hereof or of the Note or the Warrant Certificates, and no such event
will occur or will be continuing after giving effect to the transactions
contemplated by the Transaction Documents. Neither the Company nor any
Subsidiary is, and after giving effect to the transactions contemplated by the
Transaction Documents will not be, in default under or with respect to any
Contractual Obligation in any material respect.

        5.8 Title to Properties. The Company and each of the Subsidiaries has,
and after giving effect to the transactions contemplated by the Transaction
Documents will have, good record and marketable title to, or hold leases in full
force and effect in all their real property, except for Liens in favor of
CapitalSource in connection with the Credit Agreement and such defects in title
as could not reasonably, individually or in the aggregate, have a materially
adverse effect on the assets, business, properties, prospects, operations or
financial or other condition of the Company and the Subsidiaries, taken as a
whole, or the ability of the Company or any Subsidiary to perform its respective
obligations under any Transaction Document to which it is a party.

        5.9 Investment Company. Neither the Company nor any Person controlling
the Company is, and no such Person after giving effect to the transactions

                                       26
<PAGE>

contemplated by the Transaction Documents will be, an "investment company"
within the meaning of the Investment Company Act of 1940, as amended.

        5.10 Subsidiaries. The Company has no Subsidiaries except for those
listed on Schedule 5.10. All of the issued and outstanding capital stock of each
Subsidiary listed (or required to be listed) on Schedule 5.10 is owned of record
and beneficially as set forth in Schedule 5.10, free and clear of any Liens,
except for Liens in favor of CapitalSource in connection with the Credit
Agreement. There are no outstanding options, warrants, subscriptions, calls,
rights, convertible securities or other agreements or commitments obligating any
Subsidiary to issue, transfer or sell any of its securities.

        5.11 Financial Condition; No Undisclosed Liabilities.

        (a) The Company heretofore has delivered to the Purchaser true and
correct copies of (i) the audited consolidated financial statements of the
Company and the Subsidiaries for the fiscal year ended December 31, 2001 (the
"Financials") and (ii) the unaudited consolidated balance sheet of the Company
and the Subsidiaries as of March 31, 2002 and the related consolidated
statements of operations and accumulated deficit and cash flows, together with
notes thereto, for the three-month period then ended (the "Interim Financials"),
certified by the President, Chief Financial Officer, Chief Development Officer
or Controller of the Company. The Financials and the Interim Financials have
been prepared in accordance with GAAP applied consistently throughout the
periods covered thereby, present fairly the consolidated financial condition of
the Company and the Subsidiaries as of the dates thereof and the consolidated
results of operations and cash flows of the Company and the Subsidiaries for the
periods then ended, and are true, correct and complete as of the date thereof.

        (b) The pro forma consolidated balance sheet of the Company and the
Subsidiaries attached hereto as Schedule 5.11(b) fairly presents in all material
respects the assets and liabilities of the Company and the Subsidiaries on a pro
forma basis as of May 31, 2002, after taking into account the consummation of
the transactions contemplated by the Transaction Documents, including, without
limitation the issuance of the Note, the repayment of the promissory notes
listed on Schedule 3.19 and the payment of all material fees and expenses in
connection with the Transaction Documents, subject to ordinary course audit
adjustments.

        (c) The Company and the Subsidiaries do not have, and after giving
effect to the transactions contemplated by the Transaction Documents will not
have, any direct or indirect Indebtedness, liability (including, without
limitation, product liability or warranty claim), obligation, fixed or unfixed,
contingent or otherwise, other than (i) as fully and adequately reflected on the
Financials or the Interim Financials, (ii) those incurred since December 31,
2001 in the ordinary course of business or pursuant to the Credit Agreement,
(iii) those incurred pursuant to this Agreement and (iv) other liabilities
incurred in the ordinary course of business which, individually or in the
aggregate, are not material to the assets, business, properties, prospects,
operations or financial or other condition of the Company and the Subsidiaries,
taken as a whole.

                                       27
<PAGE>

        5.12 No Material Adverse Change. Since December 31, 2001, there has not
been, and after giving effect to the transactions contemplated by the
Transaction Documents there will not be, any material adverse change, nor to the
knowledge of the Company, is any such change threatened, in the assets,
business, properties, prospects, operations or financial or other condition of
the Company and the Subsidiaries, taken as a whole.

        5.13 Capitalization.

        (a) As of the Closing Date, after giving effect to the transactions
contemplated by the Transaction Documents (other than the PMR Merger): (i) the
authorized capital of the Company will consist of 35,000,000 shares of Common
Stock, 10,500,000 shares of Series A preferred stock, par value $0.01 per share
(the "Series A Stock"), and 8,000,000 shares of Series B preferred stock, par
value $0.01 per share (the "Series B Stock"); (ii) 7,327,627 shares of Common
Stock will be issued and outstanding, 10,497,000 shares of Series A Stock will
be issued and outstanding and 4,975,736 shares of Series B Stock will be issued
and outstanding, all of which will be owned of record by the Persons listed on
Schedule 5.13(a) in the amounts listed next to the name of each such Person; and
(iii) except as listed on Schedule 5.13(a), no shares of Common Stock will be
held in the Company's treasury.

        (b) Except for the Series A Stock, the Series B Stock, the warrants
listed on Schedule 5.13(b), the convertible notes listed on Schedule 5.13(b),
the Warrants and the options issued under the Plan listed on Schedule 5.13(b),
or as otherwise set forth on Schedule 5.13(b), there are no outstanding options,
warrants, conversion privileges, subscription or purchase rights or other rights
to purchase or otherwise acquire shares of Capital Stock or other securities of
the Company, and the Company is not obligated in any manner to issue shares of
Capital Stock or other securities. Except as contemplated hereby or by the
Investor Rights Agreement, or pursuant to relevant state and federal securities
laws, there are no restrictions on the Company's ability to transfer shares of
Capital Stock.

        (c) Except for (i) 10,497,000 shares of Common Stock issuable upon
conversion of the Series A Stock, (ii) 4,975,736 shares of Common Stock issuable
upon conversion of the Series B Stock, (iii) 1,341,028 shares of Series B Stock
issuable upon exercise of warrants listed on Schedule 5.13(b) and the 1,341,028
shares of Common Stock issuable upon conversion of such shares of Series B
Stock, (iv) 1,348,315 shares of Series B Stock issuable upon conversion of the
convertible notes listed on Schedule 5.13(b) and the 1,348,315 shares of Common
Stock issuable upon conversion of such shares of Series B Stock, (v) 1,502,140
shares of Common Stock issuable upon exercise of the Initial Warrants, and (vi)
3,373,313 shares of Common Stock reserved for issuance under the Company's 1997
Incentive and Nonqualified Stock Option Plan for Key Personnel (the "Plan"),
there are no shares of Capital Stock of the Company reserved for issuance. The
shares of Capital Stock of the Company to be issued upon exercise or conversion
of any of the foregoing (including, without limitation, all shares of Common
Stock to be issued upon exercise of the Warrants) have been duly authorized (or,
with respect to the shares of Common Stock to be issued upon exercise of the
Warrants, will,

                                       28
<PAGE>

at the Closing, be authorized) and, when issued and paid for in accordance with
the provisions of the applicable governing documents, will be validly issued,
fully paid and non-assessable, will be free and clear of any Liens, will not be
subject to any preemptive or similar rights that have not been waived and will
be issued in compliance with the registration and qualification requirements of
all applicable securities laws.

        (d) The Note and the Warrants are duly authorized, and when issued and
sold to the Purchaser after the payment therefor, will be validly issued, free
and clear of any Liens, not subject to any preemptive or similar rights that
have not been waived, and will be issued in compliance with the qualification
and registration requirements of all applicable securities laws. All shares of
Capital Stock of the Company have been duly authorized and all of the issued and
outstanding shares of Capital Stock of the Company are validly issued, fully
paid and non-assessable, are free and clear of any Liens, are not subject to any
preemptive or similar rights that have not been waived and have been issued in
compliance with the registration and qualification requirements of all
applicable securities laws.

        (e) Assuming all Warrants that may be issued to the Purchaser hereunder
are issued on the Initial Closing Date, the Warrants may be exercisable
initially into not less than 10.0% of the outstanding shares of Common Stock on
a fully diluted basis as of the Initial Closing Date and after giving effect to
the transactions contemplated by the Transaction Documents (other than the PMR
Merger) and assuming, for purposes of this calculation, (i) the exercise of all
options under the Plan, (ii) the grant and exercise of options to purchase up to
550,000 shares of Common Stock to be granted to existing senior management of
the Company, and (iii) the conversion, exercise or exchange of all outstanding
securities and securities that have been approved for issuance into shares of
Common Stock, including, without limitation, the Series A Stock, the Series B
Stock, the warrants listed on Schedule 5.13(b), the convertible notes listed on
Schedule 5.13(b) and the Warrants.

        (f) Assuming all Warrants that may be issued to the Purchaser hereunder
are issued on or prior to consummation of the PMR Merger, the Warrants may be
exercisable initially into not less than 8.0% of the outstanding shares, par
value $0.01 per share, of common stock of PMR Corporation (the "PMR Common
Stock") on a fully diluted basis as of the consummation of the PMR Merger and
after giving effect to the transactions contemplated by the Transaction
Documents (including, without limitation, the PMR Merger) and assuming, without
duplication, for purposes of this calculation, (i) the exercise, immediately
prior to the consummation of the PMR Merger, of all options under the Plan, (ii)
the grant and exercise, immediately prior to the consummation of the PMR Merger,
of the options to be granted to existing senior management of the Company to
purchase up to 550,000 shares of Common Stock, (iii) the exercise of all options
granted under PMR Corporation's 1997 Equity Incentive Plan and PMR Corporation's
Outside Directors' Non-Qualified Stock Option Plan of 1992 as of the
consummation of the PMR Merger (but excluding 979,788 options (such number being
determined without giving effect to the reverse stock split contemplated to be
undertaken by PMR Corporation prior to the PMR Merger), all of which have an
exercise price per share of PMR Common Stock in excess of $4.00 (such number
being determined without

                                       29
<PAGE>

giving effect to the reverse stock split contemplated to be undertaken by PMR
Corporation prior to the PMR Merger)) and (iv) the conversion, exercise or
exchange of all outstanding securities and securities that have been approved
for issuance into shares of PMR Common Stock as of the consummation of the PMR
Merger, including, without limitation, the Warrants.

        5.14 Solvency. After giving effect to the transactions contemplated by
the Transaction Documents, the Company will be Solvent.

        5.15 Private Offering. No form of general solicitation or general
advertising was used by the Company or, to the knowledge of the Company, any of
the Company's representatives in connection with the offer or sale of the Note
or the Warrants. Subject to the accuracy of the representations of the Purchaser
set forth in Article VI below, no registration of the Note or the Warrants
pursuant to the provisions of the Securities Act or any state securities or
"blue sky" laws will be required by the offer, sale or issuance of any such
securities pursuant to the transactions contemplated by the Transaction
Documents. The Company agrees that neither the Company, nor anyone acting on the
Company's behalf, will offer or sell the Note, the Warrants or any other
security so as to require the registration of the Note or the Warrants or any
other security pursuant to the provisions of the Securities Act or any state
securities or "blue sky" laws, unless such securities are so registered.

        5.16 Broker's, Finder's or Similar Fees. Except as disclosed on Schedule
5.16 and for the facility fee payable to the Purchaser pursuant to Section 2.3,
there are no brokerage commissions, finder's fees or similar fees or commissions
payable in connection with the offer or sale of the Note or the Warrants based
on any agreement, arrangement or understanding with the Company or any action
taken by the Company.

        5.17 Full Disclosure. No statement by the Company contained in any
Transaction Document or any other document, certificate, notice or consent
related to any of the foregoing delivered to the Purchaser in connection with
the purchase and sale of the Note and the Warrants at or prior to the Closing
contains or will contain an untrue statement of a material fact or omits or will
omit to state a material fact required to be stated therein or necessary to make
the statements made, in light of the circumstances in which made, not materially
false or misleading.

        5.18 Anti-Dilution Protection; Preemptive Rights. Except as set forth on
Schedule 5.18, no Person has any rights to purchase or receive additional shares
of Capital Stock or other securities of the Company as a result of or relating
to the transactions contemplated by this Agreement, the Note, the Warrant
Certificates (including, without limitation, as a result of or relating to any
adjustment in the number of shares of Common Stock issued or issuable upon
exercise of any Warrants) or the other Transaction Documents. Except for the
Investor Rights Agreement, the Co-Sale Agreement and the Voting Agreement, as of
the Closing Date, the Company is not a party to or bound by, and no holder of
any Capital Stock of the Company is a party to or bound by, any agreement
relating to shareholder actions or the voting or transfer of Capital Stock of
the Company, and except for the Purchaser and as set forth on

                                       30
<PAGE>

Schedule 5.18, no Person is entitled to participate in any anti-dilution rights
or preemptive rights with respect to the Capital Stock of the Company.

        5.19 Investor Rights Agreements. As of the Closing Date, the Company
will not be a party to or bound by any agreement, other than the Investor Rights
Agreement, granting any registration rights to any Person or any other rights
which conflict with the rights of the Purchaser under the Investor Rights
Agreement.

        5.20 Projections. Prior to the date hereof, the Company delivered to the
Purchaser financial projections attached as Schedule 5.20 (the "Projections").
The assumptions used in preparation of the Projections were reasonable when made
and continue to be reasonable as of the Closing Date. The Projections have been
prepared in good faith and the Projections give effect to the transactions
contemplated by the Transaction Documents. The Purchaser acknowledges that the
Projections contain assumptions about future events and that actual results
during the period or periods covered may differ materially from the data and
results contained in such Projections.

        5.21 Labor Relations. Neither the Company nor any Subsidiary is engaged
in any unfair labor practice. There is (a) no unfair labor practice complaint
pending or, to the knowledge of the Company, threatened against the Company or
any Subsidiary before the National Labor Relations Board, and no grievance or
arbitration proceeding arising out of or under any collective bargaining
agreement is so pending or, to the knowledge of the Company, threatened, (b) no
strike, labor dispute, slowdown or stoppage pending or, to the knowledge of the
Company, threatened against the Company or any Subsidiary, and (c) no union
representation question existing with respect to the employees of the Company or
any Subsidiary and, to the knowledge of the Company, no union organizing
activities are taking place.

        5.22 ERISA and Employee Benefit Plans.

        (a) There are no employee benefit plans, as defined in Section 3(2) of
ERISA, maintained by the Company or any Subsidiary, or with respect to which the
Company or any Subsidiary has or could have any direct or indirect material
liability, other than those described in Schedule 5.22 ("Benefit Plans").

        (b) Accurate and complete copies of all Benefit Plan text and
agreements, the most recent annual report, the most recent annual and periodic
accounting of Benefit Plan assets, and the most recent actuarial valuation with
respect to each Benefit Plan have been delivered or made available to the
Purchaser.

        (c) No Benefit Plan is subject to Title IV of ERISA or section 412 of
the Code. Except as set forth on Schedule 5.22, no Benefit Plan is a "multiple
employer plan" within the meaning of the Code or ERISA. With respect to any
Benefit Plan that is a "multi-employer plan," as such term is defined in Section
3(37) of ERISA, (i) neither the Company nor any Subsidiary, nor any entity which
is treated as a single employer with any of them pursuant to Section 414(b),
(c), (m) or (o) of the Code (an "ERISA Affiliate") has, since the date on which
the Company or any Subsidiary first began

                                       31
<PAGE>

contributing to any multi-employer plan, made or suffered a "complete
withdrawal" or a "partial withdrawal," as such terms are respectively defined in
Sections 4203 and 4205 of ERISA, (ii) no event has occurred that presents a
material risk of a partial withdrawal, (iii) neither the Company, nor any
Subsidiary, nor any ERISA Affiliate has any contingent liability under Section
4204 of ERISA, and (iv) there would be no withdrawal liability of the Company,
any Subsidiary and any ERISA Affiliates, computed as if a complete withdrawal by
each such entity had occurred under each such Benefit Plan on the date hereof if
each such entity ceased contributions thereto.

        (d) With respect to each Benefit Plan: (i) if it is intended to qualify
under section 401(a) of 403(a) of the Code, the Company has no knowledge of any
circumstance that could be reasonably expected to result in such Benefit Plan's
failure to be so qualified; (ii) such Benefit Plan has been maintained and
administered at all times in substantial compliance with its terms and
applicable laws and regulations; (iii) no event has occurred and there exists no
circumstances under which the Company or any Subsidiary could be reasonably
expected to incur material liability under ERISA, the Code or otherwise (other
than routine claims for benefits) with respect to such Benefit Plan or with
respect to any other entity's employee benefit plan; and (iv) all contributions
and premiums due with respect to such Benefit Plan have been made on a timely
basis.

        (e) With respect to each "welfare plan" (as defined in ERISA section
3(1)) which is maintained or contributed to by the Company or any Subsidiary or
with respect to which the Company or any Subsidiary has or could have any direct
or indirect liability as of the Closing Date: (i) no such plan provides medical
or death benefits with respect to current or former employees of the Company or
any Subsidiary beyond their termination of employment (other than as required to
avoid an excise tax under Code section 4980B); and (ii) the Company and each
Subsidiary has substantially complied with the requirements of Code section
4980B.

        (f) The consummation of the transactions contemplated by this Agreement
and the other Transaction Documents will not: (i) entitle any individual to
severance or termination pay; (ii) accelerate the time of payment or vesting, or
increase the amount of compensation due to any individual; or (iii) result in
the payment that will be taken into account in determining whether there is an
"excess parachute payment" under Code section 280G(b)(1).

        5.23 Environmental Matters. Except as set forth in Schedule 5.23:

        (a) To the knowledge of the Company, none of the Company, any Subsidiary
or any operator of any of their respective properties is in violation, or to the
knowledge of the Company, is in alleged violation, of any Safety and
Environmental Law.

        (b) None of the Company, any Subsidiary or any operator of any of their
respective properties has received written notice from any third party,
including, without limitation, any federal, state, county, or local governmental
authority, (i) that it has been identified as a potentially responsible party
under the Comprehensive

                                       32
<PAGE>

Environmental Response, Compensation and Liability Act of 1980 as amended
("CERCLA") or any equivalent state law, with respect to any site or location,
(ii) that any hazardous waste, as defined in 42 U.S.C. ss. 6903(5), any
hazardous substances, as defined in 42 U.S.C. ss. 9601(14), any pollutant or
contaminant, as defined in 42 U.S.C. ss. 9601(33), or any toxic substance, oil
or hazardous materials or other chemicals or substances regulated by any Safety
and Environmental Laws ("Hazardous Substances") which it has generated,
transported or disposed of, has been found at any site at which a federal,
state, county, or local agency or other third party has conducted or has ordered
the Company, any Subsidiary or another third party or parties (e.g., a committee
of potentially responsible parties) to conduct a remedial investigation, removal
or other response action pursuant to any Safety and Environmental Law, or (iii)
that it is or shall be a named party to any claim, action, cause of action,
complaint (contingent or otherwise) or legal or administrative proceeding
arising out of any actual or alleged release or threatened release of Hazardous
Substances. For purposes of this Section 5.23 and the definition of "Safety and
Environmental Laws," "release" means any past or present releasing, spilling,
leaking, pumping, pouring, emitting, emptying, discharging, injecting, escaping,
disposing or dumping of Hazardous Substances into the environment.

        (c) (i) To the knowledge of the Company, the Company, each Subsidiary
and each operator of any real property owned or operated by the Company and any
Subsidiary is in compliance in all material respects with all provisions of the
Safety and Environmental Laws relating to the handling, manufacturing,
processing, generation, storage or disposal of any Hazardous Substances; (ii) to
the knowledge of the Company, no portion of property owned, operated or
controlled by the Company or any Subsidiary has been used for the handling,
manufacturing, processing, generation, storage or disposal of Hazardous
Substances except in accordance with applicable Safety and Environmental Laws;
(iii) to the knowledge of the Company, there have been no releases or threatened
releases of Hazardous Substances on, upon, into or from any property owned,
operated or controlled by the Company or any Subsidiary, which releases could
have a material adverse effect on the value of such properties or adjacent
properties or the environment; (iv) to the knowledge of the Company, there have
been no releases of Hazardous Substances on, upon, from or into any real
property in the vicinity of the real properties owned, operated or controlled by
the Company or any Subsidiary which, through soil or groundwater contamination,
may have come to be located on the properties of the Company or any Subsidiary;
and (v) to the knowledge of the Company, there have been no releases of
Hazardous Substances on, upon, from or into any real property formerly but no
longer owned, operated or controlled by the Company or any Subsidiary.

        (d) To the knowledge of the Company, none of the properties of the
Company or any Subsidiary is subject to any applicable environmental cleanup
responsibility law or environmental restrictive transfer law or regulation by
virtue of the transactions set forth herein and contemplated hereby.

                                       33
<PAGE>

        5.24 Taxes.

        (a) The Company and the Subsidiaries have timely filed (or obtained
appropriate extensions for filing) all material returns with respect to Taxes
required to be filed through the date hereof in a manner consistent with prior
years and applicable laws and regulations and all such Tax returns are true and
complete in all material respects. The Company and the Subsidiaries have timely
paid all material Taxes that are due through the date thereof, or that are
claimed or asserted by any taxing authority to be due through the date hereof,
except for those Taxes that are being contested in good faith by appropriate
proceedings and with respect to which adequate reserves have been set aside.
With respect to any period for which Tax returns have not yet been filed, or for
which Taxes are not yet due or owing, the Company and the Subsidiaries have no
material liability for Taxes in each case other than Taxes incurred in the
ordinary course of business or for which accruals are reflected in the Financial
and Interim Financials.

        (b) No audit or other proceeding by any court, taxing authority, or
similar person is pending or, to the knowledge of the Company, threatened with
respect to any Taxes due from or with respect to the operations of the Company
or any Subsidiary, or any Tax return filed by or with respect to the operations
of the Company or any Subsidiary. No assessment of Taxes is proposed in writing
against the Company, any Subsidiary or their respective assets.

        5.25 Intellectual Property.

        (a) Schedule 5.25(a) sets forth all United States and foreign patents
and patent applications, registered trademarks and service marks and
applications therefor, Internet domain name registrations and applications, and
registered copyrights and applications therefor owned or licensed by the Company
or any Subsidiary, specifying as to each item, as applicable: the nature of the
item, including the title; the owner of the item; the jurisdictions in which the
item is issued or registered or in which an application for issuance or
registration has been filed; and the issuance, registration, or application
numbers and dates.

        (b) The Company and each Subsidiary owns, free and clear of all Liens
(other than permitted Liens pursuant to Section 10.2), or has the right to use,
pursuant to a valid license or permission, all Intellectual Property that is
material to and used in the conduct of the business of the Company and such
Subsidiary.

        (c) Neither the Company nor any Subsidiary has been a party to any claim
or action and, to the knowledge of the Company, there is no claim or action
threatened, that challenges the validity, enforceability, ownership, or right to
use, sell, or license any Intellectual Property. To the knowledge of the
Company, no third party is infringing upon any Intellectual Property.

        (d) All material software used or licensed by the Company or any
Subsidiary, other than off-the-shelf software which is commercially available on
a retail basis and used solely on the computers of the Company and the
Subsidiaries, is described in Schedule 5.25(d). Such software is held by the
Company and the Subsidiaries legitimately, and to the knowledge of the Company,
(i) is free from any significant

                                       34
<PAGE>

software defect, (ii) performs in conformance with its documentation, and (iii)
does not contain any bugs or viruses or any code or mechanism that could be used
to interfere with the operation of the software. The Company has made available
to the Purchaser all documentation requested by the Purchaser relating to the
use, maintenance, and operation of such software, all of which, to the knowledge
of the Company, is true and accurate.

        (e) The Company and each Subsidiary has taken all commercially
reasonable steps to maintain and protect each item of Intellectual Property
owned by them.

        (f) The Company and the Subsidiaries are not, and after giving effect to
the transactions contemplated by the Transaction Documents will not be, in
violation of any agreement relating to any Intellectual Property, and the
Company and the Subsidiaries will own all right, title, and interest in and to
or have a license to use all Intellectual Property on identical terms and
conditions as they enjoyed immediately prior to such transactions except to the
extent that such violation or lack would not have a material adverse effect on
the assets, business, properties, prospects, operations or financial or other
condition of the Company and the Subsidiaries, taken as a whole.

        5.26 Potential Conflicts of Interest. Except as set forth on Schedule
5.26, no officer, member, manager or Affiliate of the Company or any Subsidiary,
and to the knowledge of the Company, no parent, child, sibling or spouse of any
such officer, member, manager or Affiliate: (a) owns, directly or indirectly,
any interest in (excepting less than 2% stock holdings for investment purposes
in securities of publicly held and traded companies), or is an officer, member,
director, employee or consultant of, any Person which is or is engaged in
business as, a competitor, lessor, lessee, supplier, distributor, sales agent or
customer of, or lender to or borrower from, the Company or any Subsidiary; (b)
owns, directly or indirectly, in whole or in part, any tangible or intangible
property that the Company or any Subsidiary uses in the conduct of its business;
or (c) has any cause of action or other claim whatsoever against, or owes any
amount to, the Company or any Subsidiary, except for claims in the ordinary
course of business such as for accrued vacation pay, accrued benefits under
employee benefit plans, and similar matters and agreements arising in the
ordinary course of business.

        5.27 Trade Relations. There exists no actual, or to the knowledge of the
Company threatened, termination, cancellation or limitation of, or any adverse
modification or change in, the business relationship or business of the Company
and the Subsidiaries, taken as a whole, or their business with any customer or
any group of customers whose use of their services are individually or in the
aggregate material to the business of the Company and the Subsidiaries, taken as
a whole, or with any material supplier, and, to the knowledge of the Company,
there exists no condition or state of facts or circumstances that would
materially adversely affect the assets, business, properties, prospects,
operations or financial or other condition of the Company and the Subsidiaries,
taken as a whole, or would prevent the Company or any Subsidiary from conducting
its business after the consummation of the transactions contemplated by the
Transaction Documents in substantially the same manner in which it heretofore
has been conducted.

                                       35
<PAGE>

        5.28 Outstanding Borrowing. Schedule 5.28 sets forth (a) the amount of
all Indebtedness of the Company and the Subsidiaries for money borrowed (other
than the Note), (b) the Liens that relate to such Indebtedness and that encumber
the assets of the Company or any Subsidiary and (c) the name of each lender
thereof.

        5.29 Material Contracts. Neither the Company nor any Subsidiary is a
party to any Contractual Obligation or is subject to any charge, corporate
restriction, judgment, injunction, decree or Requirement of Law materially
adversely affecting, or which may adversely affect, the assets, business,
properties, prospects, operations or financial or other condition of the Company
and the Subsidiaries, taken as a whole. Except for the contracts, agreements and
commitments, whether written or oral, described on Schedule 5.29, neither the
Company nor any Subsidiary is a party to or bound by any material contract,
agreement or commitment, whether written or oral, including, without limitation,
(a) any distributor, sales, advertising, agency or manufacturer's representative
contract, (b) any continuing contract for the purchase of materials, supplies,
equipment or services involving in the case of any such contract more than
$50,000 annually, (c) any trust indenture, mortgage, promissory note, loan
agreement or other contract for the borrowing of money, any currency exchange,
commodities or other hedging arrangement or any leasing transaction of the type
required to be capitalized in accordance with GAAP, (d) any contract for capital
expenditures in excess of $50,000 in the aggregate, (e) any contract limiting
the freedom of the Company or any Subsidiary to engage in any line of business
or to compete with any other Person or any confidentiality, secrecy or
non-disclosure contract, (f) any contract with any Person with whom the Company
or any Subsidiary does not deal at arm's length, (g) any agreement of guarantee,
support, indemnification, assumption or endorsement of, or any similar
commitment with respect to, the obligations, liabilities (whether accrued,
absolute, contingent or otherwise) or Indebtedness of any other Person, or (h)
any contracts or commitments providing for payments based in any manner on the
revenues or profits of the business of the Company or any Subsidiary; provided,
however, that managed care contracts and Medical Director Agreements are not
required to be disclosed on Schedule 5.29. All of the contracts, agreements and
commitments of the Company and the Subsidiaries are in full force and effect and
binding upon the parties thereto in accordance with their terms. Neither the
Company nor any Subsidiary, nor, to the knowledge of the Company, any other
party to such contracts, agreements or commitments, is in default thereunder,
nor does any condition exist that with notice or lapse of time or both would
constitute a default thereunder. The Company has no knowledge of any proposed,
pending, or likely cancellation or termination of any such contract, agreement
or commitment.

        5.30 Insurance. Schedule 5.30 sets forth a description of all policies
or binders of fire, liability, workman's compensation, keyman, vehicular, life
or other insurance held by or on behalf of the Company and the Subsidiaries,
specifying the insurer, the policy number of covering note numbers with respect
to binders and describing each pending claim thereunder of more than $50,000.
Such insurance is in full force and effect. Neither the Company nor any
Subsidiary is in default in any material respect with respect to any provision
contained in any such policy or binder and has not failed to give any notice or
present any claim under such policy or binder in due and timely fashion.

                                       36
<PAGE>

        5.31 Compliance with Laws. The Company and each Subsidiary has the
lawful authority and all material state, federal, special or local governmental
authorizations, licenses or permits required to conduct their respective
businesses as such businesses are presently being conducted. There are no
pending, or to the knowledge of the Company threatened, actions, notices, or
proceedings by any state, federal, special or local government or any
subdivision thereof or any public or private group against the Company or any
Subsidiary. The Purchaser has been provided with a list and brief description of
all licenses, including those granted or derived from governmental sources,
issued or granted to the Company or any Subsidiary which are material to its
business.

        5.32 Assets, Licenses, Etc. The Company and each Subsidiary has good and
marketable title to, or valid leasehold interests in, all of its assets, real
and personal, including the assets carried on its books and reflected in the
Financials and the Interim Financials, subject to no Liens, except for (i) Liens
described in Schedule 5.32 or permitted by Section 10.2, and (ii) assets sold,
abandoned or otherwise disposed of in the ordinary course of business.

        5.33 Aeries Healthcare Acquisition. The Company heretofore has delivered
to the Purchaser true, correct and complete copies of the Aeries Purchase
Agreement and all documents and certificates related thereto. To the knowledge
of the Company, the representations and warranties made by the sellers in the
Aeries Purchase Agreement and the related documents and certificates are true
and correct in all respects at and as of the date hereof and after giving effect
to the transactions contemplated by the Transaction Documents as if such
representations and warranties were made at and as of such dates (unless such
representations and warranties relate to matters only as of a particular date,
in which case such representations and warranties shall be true and correct in
all respects as of such date).

        5.34 Regulatory Matters. Except as set forth in Schedule 5.34, the
Company represents and warrants to the Purchaser as follows:

        (a) Licenses, Permits, Authorizations and Payor Programs.

                (i) (A) The Company and each entity directly or indirectly
controlled by it (the "PSI Companies"), (B) if the PMR Merger is consummated,
PMR Corporation and each entity directly or indirectly controlled by it (the
"PMR Companies") and (C) if the acquisition contemplated by the Aeries Purchase
Agreement (as in effect on the date hereof) is consummated, Aeries Healthcare
and each entity directly or indirectly controlled by it (the "Aeries Companies,"
and together with the PSI Companies and the PMR Companies, the "Regulated
Companies," and each, a "Regulated Company") each hold all licenses and other
rights, accreditations, permits, approvals and authorizations ("Permits")
required by law, ordinance, regulation or ruling guidance or manual of any
governmental regulatory authority necessary to operate each line of business or
facility presently conducted and presently proposed to be conducted by each of
the Regulated Companies (each such line or facility, a "Business" and
collectively, the "Businesses"), except for Permits, the absence of which would
not reasonably be expected to have a material adverse effect on the assets,
business,

                                       37
<PAGE>

properties, prospects, operations or financial or other condition of any
Business. Each Regulated Company that directly receives reimbursement or
payments under Titles XVIII and XIX of the Social Security Act (the "Medicare
and Medicaid programs") is certified for participation and reimbursement under
the Medicare and Medicaid programs. Each Regulated Company that directly or
indirectly receives reimbursement or payments under the Medicare and Medicaid
programs, the CHAMPUS and TriCare programs and such other similar federal, state
or local reimbursement or governmental programs (collectively the "Government
Programs") has current provider numbers and provider agreements required for
each of such Government Programs. Each Regulated Company that directly or
indirectly receives payments under any non-governmental program, including
without limitation any private insurance program (collectively, the "Private
Programs") has all provider agreements and provider numbers that are required
under such Private Programs.

                (ii) True, correct and complete copies or descriptive listing of
the aforementioned Permits (including the name of the issuing agency and the
expiration date) and provider numbers and provider agreements under all
Government Programs and Private Programs, have been provided to the Purchaser.
True, complete and correct copies or descriptive listing of all surveys, reviews
and/or audits of any Regulated Company or any Business or its predecessors in
interest conducted during the past two years in connection with any Government
Program, Private Program or licensing or accrediting body have been provided to
the Purchaser.

                (iii) No violation, default, order or legal or administrative
proceeding exists with respect to any of the aforementioned Permits, Medicare or
Medicaid certifications, provider agreements or provider numbers, except for any
of the foregoing that would not reasonably be expected to have a material
adverse effect on the assets, business, properties, prospects, operations or
financial or other condition of any Business. Except as disclosed on Schedule
5.34, none of the Regulated Companies has received any notice of any action
pending or recommended by any state or federal agency having jurisdiction with
respect to any of the aforementioned Permits, Medicare or Medicaid
certifications, provider agreements, or provider numbers, either to revoke,
withdraw or suspend any such Permit, certification, provider agreements or
provider number, or to terminate the participation of any Business in any
Government Program or Private Program. Except as disclosed on Schedule 5.34, no
event has occurred that, with the giving of notice, the passage of time, or
both, would constitute grounds for a material violation, order or deficiency
with respect to any such Permit, certification, provider agreement or provider
number, or to revoke, withdraw or suspend any such Permit, certification,
provider agreements or provider number, or to terminate or modify the
participation of any Business in any Government Program or Private Program.
There has been no decision not to renew any provider number or provider
agreement or third-party payor agreement of any Regulated Company or Business.
No consent or approval of, prior filing with or notice to, or any action by, any
governmental body or agency or any other third party is required in connection
with any such Permit, or Government Program or Private Program, by reason of the
transactions contemplated hereby, and the continued operation of any Business
thereafter on a basis consistent with past practices (other than the renewal of
current approvals, licenses and Permits).

                                       38
<PAGE>

                (iv) Each Regulated Company and/or Business has timely filed all
reports and billings required to be filed by it prior to the date hereof with
respect to the Government Programs and Private Programs, all fiscal
intermediaries and other insurance carriers and all such reports and billings
are complete and accurate in all material respects and have been prepared in
compliance with all applicable laws, regulations, rules, manuals and guidance
governing reimbursement and claims. True, correct and complete copies of such
reports and billings for the most recent year have previously been made
available to the Purchaser. Each Regulated Company has paid or caused to be paid
all known and undisputed refunds, overpayments, discounts or adjustments which
have become due pursuant to such reports and billings, has not claimed or
received reimbursements from Government Programs or Private Programs in excess
of amounts permitted by law, and has no liability under any Government Program
or Private Program (known or unknown, contingent or otherwise) for any refund,
overpayment, discount or adjustment. With respect to such prior reports or
billings, there are no pending appeals, adjustments, challenges, audits,
inquiries, litigation or notices of intent to audit, and, other than the routine
review of cost reports, during the last two years none of the Business has been
audited, or otherwise examined by any Government Program or Private Program.
There are no other reports required to be filed by any Business in order to be
paid under any Government Program or Private Program for services rendered,
except for reports not yet due.

                (v) All activities of each Business of the PSI Companies, and,
to the knowledge of the PSI Companies after due and reasonable inquiry, of each
Business of each other Regulated Company and of any officers, directors, agents
and employees of any of the Regulated Companies undertaken on behalf of any
Business, have been, and are currently being, conducted in compliance in all
respects with all applicable Requirements of Law, permits, licenses,
certificates, governmental requirements, Government Program manuals and
guidance, orders and other similar items of any Governmental Entity including,
without limitation, all Requirements of Law pertaining to confidentiality of
patient information, occupational safety and health, workers' compensation,
unemployment, building and zoning codes (collectively, "Regulations"), other
than any non-compliance that does not or would not have a material adverse
effect on the assets, business, properties, prospects, operations or financial
or other condition of any Business. Neither the Business of any PSI Company nor,
to the knowledge of the PSI Companies after due and reasonable inquiry, of any
other Regulated Company, has violated or become liable for, or received a notice
or charge asserting any such violation or liability with respect to, any
Regulation, nor are there any facts or circumstances that are known or that
reasonably should be known to the Regulated Companies that could form the basis
for any such violation or liability. None of the Regulated Companies or
Businesses is relying on any exemption from or deferral of any Regulation that
would not be available to such Regulated Company or Business after the Closing.

                (vi) There are no pending changes in applicable law or
regulations that would prevent any of the Businesses from conducting its
business in substantially the same manner as the business is currently
conducted.

                                       39
<PAGE>

        Notwithstanding anything to the contrary, statements in subsections
(iii), (iv) and (v) of this Section 5.34(a) as to any of the PMR Companies,
Aeries Companies or their respective Businesses are made to the knowledge of the
Company after due and reasonable inquiry.

        (b) Medical Waste Laws. None of the Regulated Companies and none of the
Businesses is in violation of, or the subject of, any enforcement action by any
Governmental Authority under the Medical Waste Tracking Act, 42 U.S.C. ss. 6992
et seq., or any other applicable federal, state or local governmental law
dealing with the disposal of medical wastes (the "Medical Waste Laws"). None of
the Regulated Companies has, within the last two years, received any written or
oral notice of any investigation or inquiry by any Governmental Authority under
the Medical Waste Laws. The Regulated Companies and the Businesses have obtained
and are in compliance with any permits related to medical waste disposal
required by the Medical Waste Laws, other than any non-compliance that does not
or would not have a material adverse effect on the assets, business, properties,
prospects, operations or financial or other condition of any Business, and have
taken reasonable steps to determine, and have determined, that all disposal of
medical waste by them has been in compliance with the Medical Waste Laws.

        (c) No Changes in Suppliers and Third-Party Payors. None of the
suppliers supplying products, materials or drugs to any Business of the PSI
Companies or, to the knowledge of the PSI Companies after due and reasonable
inquiry, any other Regulated Company, has provided any notice (written or oral)
to any Regulated Company that it intends to cease selling such products,
materials or drugs to such Regulated Company or Business or to limit or reduce
such sales of the products to any such Regulated Company or Business or increase
prices and there is no fact that indicates that any third-party payor of any
Regulated Company or any Business intends to terminate, limit or reduce its
business relations with such Regulated Company or Business in the event of a
sale of any Regulated Company or Business, or otherwise, other than any of the
foregoing acts that do not or would not have a material adverse effect on the
assets, business, properties, prospects, operations or financial or other
condition of any Business.

        (d) Inspections and Investigations. No Regulated Company or Business, no
licensed professional or other individual affiliated with the PSI Companies or
any Business of the PSI Companies, and, to the knowledge of the PSI Companies
after due and reasonable inquiry, no licensed professional or other individual
affiliated with the other Regulated Companies or any Business of such Regulated
Companies, has had its, his or her right to receive reimbursements pursuant to
any Government Program or Private Program terminated or otherwise adversely
affected as a result of any investigation or action whether by any federal or
state governmental regulatory authority or other third party. Except as
described on Schedule 5.34, no Regulated Company or Business, and, to the
knowledge of the PSI Companies after due and reasonable inquiry, no licensed
professional or other individual who is a party to a contract with any Regulated
Company, has, during the past three years, been the subject of any inspection,
investigation, survey, audit, monitoring or other form of review by any
governmental regulatory entity, trade association, professional review
organization, accrediting

                                       40
<PAGE>

organization or certifying agency based upon any alleged improper activity on
the part of such Regulated Company, Business or individual, and no Regulated
Company has received any notice of deficiency during the past three years in
connection with the operation of the Business. Except as described on Schedule
5.34, there are no presently, and at the Closing there will not be, any
outstanding deficiencies or work orders of any Governmental Authority having
jurisdiction over any Business, or requiring conformity to any applicable
agreement, statute, regulation, ordinance bylaw, including but not limited to,
the Government Programs and Private Programs. Except as described on Schedule
5.34, there is not any notice of any claim, requirement or demand of any
licensing or certifying agency or other third party supervising or having
authority over any Business to rework or redesign any part thereof or to provide
additional furniture, fixtures, equipment, appliances or inventory so as to
conform to or comply with any existing law, code, rule, regulation or standard.

        (e) Fraud and Abuse; Stark Act; False Claims. Neither the PSI Companies,
nor, to the knowledge of the PSI Companies after due and reasonable inquiry, any
other Regulated Company, nor any officer, director or managing employee of the
PSI Companies or, to the knowledge of the PSI Companies after due and reasonable
inquiry, of any other Regulated Company, and, to the knowledge of the PSI
Companies after due and reasonable inquiry, no person or entity providing
professional services in connection with any Business, has engaged in any
activities that are prohibited, or cause for the imposition of penalties or
mandatory or permissive exclusion, under 42 U.S.C. s. 1320a-7, 1320a-7a,
1320a-7b, 1395nn, or 1396b, 31 U.S.C. s. 3729-3733, or the federal
CHAMPUS/TRICARE statute (or other federal or state statutes related to false or
fraudulent claims) or the regulations promulgated thereunder pursuant to such
statutes, or related state or local statutes or regulations, or under any
criminal laws, statutes, ordinances, regulations or rulings or manuals of any
governmental regulatory authority relating to health care services or payments,
or that are prohibited by rules of professional conduct, including but not
limited to the following: (i) knowingly and willfully making or causing to be
made a false statement or representation of a fact in any application for any
benefit or payment; (ii) knowingly and willfully making or causing to be made
any false statement or representation of a fact for use in determining rights to
any benefit or payment; (iii) failing to disclose knowledge by a claimant of the
occurrence of any event affecting the initial or continued right to any benefit
or payment on its own behalf or on behalf of another, with intent to
fraudulently secure such benefit or payment; and (iv) knowingly and willfully
soliciting or receiving any remuneration (including any kickback, bribe or
rebate), directly or indirectly, overtly or covertly, in cash or in kind or
offering to pay or receive such remuneration (A) in return for referring an
individual to a person for the furnishing or arranging for the furnishing of any
item or service for which payment may be made in whole or in part by Medicare or
Medicaid, or (B) in return for purchasing, leasing, or ordering or arranging for
or recommending purchasing, leasing, or ordering any good, facility, service or
item for which payment may be made in whole or in part by Medicare or Medicaid,
or under any Private Program.

        (f) Rates and Reimbursement Policies. Except as described on Schedule
5.34, no Regulated Company has any reimbursement or payment rate appeals,

                                       41
<PAGE>

disputes or contested positions currently pending before any Governmental
Authority or any administrator of any Private Programs with respect to any
Business.

        (g) Controlled Substances. Each Regulated Company and its officers,
directors and employees and, to the knowledge of the PSI Companies after due and
reasonable inquiry, persons who provide professional services under agreements
(whether oral or written) with such Regulated Company in connection with any
Business has not, in connection with its, his or her activities directly or
indirectly related to any Business, engaged in any activities which are
prohibited under the Federal Controlled Substances Act, 21 U.S.C. ss. 801 et
seq. or the regulations promulgated pursuant to such statute or any related
state or local statutes or regulations concerning the dispensing and sale of
controlled substances.

        (h) Intermediate Sanctions. No PSI Company or Business of any PSI
Company and, to the knowledge of the PSI Companies after due and reasonable
inquiry, no other Regulated Company or Business of any other Regulated Company
has (i) engaged in any transaction with any entity that is tax-exempt under
Section 501(c)(3) or (4) of the Code that has resulted in the imposition on such
Regulated Company or Business of any tax under Section 4958 of the Code or (ii)
engaged in an "excess benefit transaction" (as defined in such Section 4958 of
the Code) with any such tax-exempt entity.

        (i) Due Diligence Disclosures. Each of the PSI Companies has truly,
correctly and completely answered all questions in the initial due diligence
request submitted to it on behalf of the Purchaser, dated May 7, 2002, and all
supplements thereto, including those dated May 17, 2002, May 23, 2002, June 5,
2002 and June 10, 2002 (collectively, the "Due Diligence Requests") and has
provided the Purchaser true, correct and complete copies of all existing
documents that were requested in the Due Diligence Requests.

                                   ARTICLE VI

                         REPRESENTATIONS AND WARRANTIES
                                OF THE PURCHASER

        The Purchaser represents and warrants to the Company as follows:

        6.1 Existence and Power. The Purchaser:

        (a) is duly organized and validly existing under the laws of the
jurisdiction of its organization; and

        (b) has the power and authority to own and operate its property, to
lease the property it operates as lessee and to conduct the business in which it
is currently, or is currently proposed to be, engaged.

                                       42
<PAGE>

        6.2 Authorization; No Contravention. The execution, delivery and
performance by the Purchaser of this Agreement and each other Transaction
Document to which it is a party:

        (a) is within the Purchaser's power and authority and has been duly
authorized by all necessary action;

        (b) does not contravene the terms of the Purchaser's organizational or
governing documents or any amendment thereof;

        (c) will not violate, conflict with or result in any breach or
contravention of or the creation of any Lien under, any Contractual Obligation
of the Purchaser, or any order or decree directly relating to the Purchaser; and

        (d) does not require approval, consent, exemption, authorization or
other action by, or notice to, or filing with, any Governmental Authority or any
other Person, other than those that have been obtained or made on or prior to
the Closing.

        6.3 Binding Effect. This Agreement and each other Transaction Document
to which the Purchaser is a party has been duly executed and delivered by the
Purchaser, and constitutes the legal, valid and binding obligation of the
Purchaser enforceable against it in accordance with its terms, subject to
bankruptcy, insolvency, fraudulent transfer, reorganization, moratorium and
other laws of general applicability relating to or affecting creditors' rights
and to general equity principles.

        6.4 No Legal Bar. The execution, delivery and performance by the
Purchaser of this Agreement or any other Transaction Document to which the
Purchaser is a party will not violate any Requirements of Law.

        6.5 Purchase for Own Account. The Note and the Warrants (including, for
purposes of this Section 6.5, the shares of Common Stock issuable upon exercise
of the Warrants) to be acquired by the Purchaser pursuant to this Agreement are
being acquired for its own account and with no intention of distributing or
reselling such securities or any part thereof in any transaction that would be
in violation of the securities laws of the United States of America, or any
state, without prejudice, however, to the rights of such Purchaser at all times
to sell or otherwise dispose of all or any part of the Note and the Warrants and
any shares of Common Stock issuable upon exercise of the Warrants. If the
Purchaser should in the future decide to dispose of the Note or the Warrants,
the Purchaser understands and agrees that it may do so only in compliance with
the Securities Act and applicable state securities laws, as then in effect, and
that stop-transfer instructions to that effect, where applicable, will be in
effect with respect to such securities. The Purchaser agrees to the imprinting,
so long as required by law, of a legend on certificates representing all of the
Warrants to the following effect:

        THIS WARRANT AND THE SECURITIES ISSUABLE UPON EXERCISE HEREOF HAVE BEEN
        TAKEN FOR INVESTMENT AND HAVE NOT BEEN REGISTERED

                                       43
<PAGE>

        UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"), OR
        ANY APPLICABLE STATE SECURITIES LAWS AND MAY NOT BE SOLD OR OTHERWISE
        TRANSFERRED BY ANY PERSON, EXCEPT PURSUANT TO AN EFFECTIVE REGISTRATION
        STATEMENT UNDER THE SECURITIES ACT AND APPLICABLE STATE SECURITIES LAWS
        OR AN APPLICABLE EXEMPTION TO THE REGISTRATION REQUIREMENTS OF THE
        SECURITIES ACT OR SUCH STATE SECURITIES LAWS.

        6.6 Accredited Investor. The Purchaser is an "accredited investor" as
such term is defined under Rule 501 under the Securities Act.

        6.7 Broker's, Finder's or Similar Fees. Except for the facility fee
payable to the Purchaser pursuant to Section 2.3, there are no brokerage
commissions, finder's fees or similar fees or commissions payable in connection
with the offer or sale of the Note or the Warrants based on any agreement,
arrangement or understanding with the Purchaser or any action taken by the
Purchaser.

                                  ARTICLE VII

                                 INDEMNIFICATION

        7.1 Indemnification by the Company. In addition to all other sums due
hereunder or provided for in this Agreement and each other Transaction Document,
the Company agrees to indemnify and hold harmless the Purchaser and its
Affiliates (including, without limitation, BBH & Co.) and their respective
officers, directors, agents, employees, partners and controlling persons (each,
an "indemnified party") to the fullest extent permitted by law from and against
any and all losses, claims, damages, expenses (including reasonable fees,
disbursements and other charges of counsel) or other liabilities ("Losses")
resulting from any breach of any representation or warranty, covenant or
agreement of the Company contained in this Agreement or any other Transaction
Document or any legal, administrative or other actions (including actions
brought by the Company or any equity holders of the Company or derivative
actions brought by any Person claiming through the Company or in the Company's
name), proceedings or investigations (whether formal or informal), or written
threats thereof, based upon, relating to or arising out of this Agreement or any
other Transaction Document, the transactions contemplated hereby or thereby, or
any indemnified person's role herein or therein; provided, however, that the
Company shall not be liable under this Section 7.1: (a) for any amount paid in
settlement of claims without the Company's consent (which consent shall not be
unreasonably withheld), or (b) to the extent that it is finally judicially
determined that such Losses resulted primarily from the willful misconduct, bad
faith or gross negligence of such indemnified party; provided, further, that if
and to the extent that such indemnification is unenforceable for any reason, the

                                       44
<PAGE>

Company shall make the maximum contribution to the payment and satisfaction of
such indemnified liability which shall be permissible under applicable laws. In
connection with the obligation of the Company to indemnify for expenses as set
forth above, the Company further agrees to reimburse each indemnified party for
all such expenses (including reasonable fees, disbursements and other charges of
counsel) as they are incurred by such indemnified party; provided, however, that
if an indemnified party is reimbursed hereunder for any expenses, such
reimbursement of expenses shall be refunded to the extent it is finally
judicially determined that the Losses in question resulted primarily from the
willful misconduct, bad faith or gross negligence of such indemnified party.

        7.2 Notification. Each indemnified party under this Article VII will,
promptly after the receipt of notice of the commencement of any action or other
proceeding against such indemnified party in respect of which indemnity may be
sought from the Company under this Article VII, notify the Company in writing of
the commencement thereof. The omission of any indemnified party so to notify the
Company of any such action shall not relieve the Company from any liability
which it may have to such indemnified party other than pursuant to this Article
VII or, unless, and only to the extent that, such omission results in the
Company's forfeiture of substantive rights or defenses. In case any such action
or other proceeding shall be brought against any indemnified party and it shall
notify the Company of the commencement thereof, the Company shall be entitled to
participate therein and, to the extent that it may wish, to assume the defense
thereof, with counsel reasonably satisfactory to such indemnified party;
provided, however, that any indemnified party may, at its own expense, retain
separate counsel to participate in such defense. Notwithstanding the foregoing,
in any action or proceeding in which each of the Company and an indemnified
party is, or is reasonably likely to become, a party, such indemnified party
shall have the right to employ separate counsel at the Company's expense and to
control its own defense of such action or proceeding if, in the reasonable
opinion of counsel to such indemnified party, (a) there are or may be legal
defenses available to such indemnified party or to other indemnified parties
that are different from or additional to those available to the Company or (b)
any conflict or potential conflict exists between the Company and such
indemnified party that would make such separate representation advisable;
provided, however, that in no event shall the Company be required to pay fees
and expenses under this Article VII for more than one firm of attorneys in any
jurisdiction in any one legal action or group of related legal actions. The
Company shall not, without the consent of the indemnified party (which consent
shall not be unreasonably withheld), consent to the entry of any judgment or
enter into any settlement which does not include as an unconditional term
thereof the giving by the claimant or plaintiff to such indemnified party of a
release from all liability in respect to such claim or litigation or which
requires action other than the payment of money by the Company. The rights
accorded to indemnified parties hereunder shall be in addition to any rights
that any indemnified party may have at common law, by separate agreement or
otherwise.

        7.3 Investor Rights Agreement. Notwithstanding anything to the contrary
in this Article VII, the indemnification and contribution provisions of the

                                       45
<PAGE>

Investor Rights Agreement shall govern any claim made with respect to
registration statements filed pursuant thereto or sales made thereunder.

                                  ARTICLE VIII

                               FINANCIAL COVENANTS

        On and after the date hereof, until all of the Obligations of the
Company to the Purchaser have been satisfied, the Company shall, and shall cause
the Subsidiaries to, observe the following covenants:

        8.1 Minimum Census. As of the last day of each Monthly Test Period, (a)
the aggregate combined census levels at the facilities owned, operated or leased
by the Company and the Subsidiaries and (b) the census level at each facility,
shall be not less than 72.5% of the census levels for such applicable calendar
months for the facilities listed on Schedule 8.1.

        8.2 Total Consolidated Leverage Ratio. As of the last day of each
Leverage Test Period beginning on June 30, 2002 through and including December
31, 2002, the Total Leverage Ratio shall not exceed 4.50:1.00. As of the last
day of each Leverage Test Period beginning on January 1, 2003 through and
including March 31, 2003, the Total Leverage Ratio shall not exceed 4.25:1.00.
As of the last day of each Leverage Test Period beginning on April 1, 2003
through and including December 31, 2003, the Total Leverage Ratio shall not
exceed 4.00:1.00. As of the last day of each Leverage Test Period beginning on
January 1, 2004 through and including December 31, 2004, the Total Leverage
Ratio shall not exceed 3.75:1.00. As of the last day of each Leverage Test
Period beginning on January 1, 2005 through and including December 31, 2005, the
Total Leverage Ratio shall not exceed 3.50:1.00. As of the last day of each
Leverage Test Period after January 1, 2006, the Total Leverage Ratio shall not
exceed 3.25:1.00.

        8.3 Senior Consolidated Leverage Ratio. As of the last day of each
Leverage Test Period beginning on June 30, 2002 through and including March 31,
2003, the Senior Leverage Ratio shall not exceed 3.50:1.00. As of the last day
of each Leverage Test Period beginning on April 1, 2003 through and including
December 31, 2003, the Senior Leverage Ratio shall not exceed 3.25:1.00. As of
the last day of each Leverage Test Period beginning on January 1, 2004 through
and including December 31, 2004, the Senior Leverage Ratio shall not exceed
3.00:1.00. As of the last day of each Leverage Test Period after January 1,
2005, the Senior Leverage Ratio shall not exceed 2.75:1.00.

        8.4 Consolidated Interest Coverage Ratio. As of the last day of each
Monthly Test Period beginning on June 30, 2002 through and including March 31,
2003, the Interest Coverage Ratio shall not be less than 2.00:1.00. As of the
last day of each Monthly Test Period beginning on April 1, 2003 through and
including March 31, 2004, the Interest Coverage Ratio shall not be less than
2.25:1.00. As of the last day of each

                                       46
<PAGE>

Monthly Test Period after April 1, 2004, the Interest Coverage Ratio shall not
be less than 2.50:1.00.

        8.5 Consolidated Fixed Charge Ratio. As of the last day of each Monthly
Test Period beginning June 30, 2002 through and including March 31, 2003, the
Fixed Charge Ratio shall be a minimum of 1.20:1.00. As of the last day of each
Monthly Test Period after April 1, 2003, the Fixed Charge Ratio shall not be
less than 1.33:1.00. For purposes of this financial covenant only, the following
shall be excluded from calculation of the Fixed Charge Ratio: (a) the aggregate
amount of all principal payments made in an aggregate amount not to exceed
$2,500,000 by the Company and the Subsidiaries to The Brown Schools, Inc. in
accordance with the provisions of the note evidencing such Indebtedness, (b) all
non-cash interest expenses related to such Seller Notes and (c) such other
non-occurring charges as the Purchaser may consent to in its sole discretion
(e.g., computer conversions).

                                   ARTICLE IX

                              AFFIRMATIVE COVENANTS

        On and after the date hereof, until all of the Obligations of the
Company to the Purchaser have been satisfied, the Company shall, and shall cause
the Subsidiaries to, observe the following covenants:

        9.1 Financial Statements. The Company shall deliver to the Purchaser and
any other Holder:

        (a) (i) as soon as available and in any event within 90 days after the
end of each fiscal year of the Company, audited annual consolidated and
consolidating financial statements of the Company and the Subsidiaries,
including the notes thereto, consisting of a consolidated and consolidating
balance sheet at the end of such completed fiscal year and the related
consolidated and consolidating statements of income, retained earnings, cash
flows and owners' equity for such completed fiscal year, which financial
statements shall be prepared and certified without qualification by an
independent certified public accounting firm satisfactory to the Purchaser and
accompanied by related management letters, if available, and (ii) as soon as
available and in any event within 30 days after the end of each calendar month,
unaudited consolidated and consolidating financial statements of the Company and
the Subsidiaries consisting of a balance sheet and statements of income,
retained earnings, cash flows and owners' equity as of the end of the
immediately preceding calendar month. All such financial statements shall be
prepared in accordance with GAAP consistently applied with prior periods. With
each such financial statement, the Company shall also deliver a certificate of
its Chief Financial Officer, stating that (A) such Person has reviewed the
relevant terms of this Agreement and the Note and the condition of the Company
and the Subsidiaries, (B) no Default or Event of Default has occurred or is
continuing, or, if any of the foregoing has occurred or is continuing,
specifying the nature and status and period of existence thereof and the steps
taken or proposed to be taken with respect thereto, and (C) the Company and the
Subsidiaries are in compliance with all financial covenants set forth in Article

                                       47
<PAGE>

VIII. Such certificate shall be accompanied by the calculations necessary to
show compliance with the financial covenants in a form satisfactory to the
Purchaser.

        (b) as soon as available, and in any event within 10 days after the
preparation or issuance thereof or at such other time as set forth below: (i)
copies of such financial statements (other than those required to be delivered
pursuant to Section 9.1(a)) prepared by, for or on behalf of the Company and the
Subsidiaries, and any other notes, reports and other materials related thereto,
including, without limitation, any pro forma financial statements; (ii) any
reports, returns, information, notices and other materials that the Company or
any Subsidiary shall send to its stockholders, members, partners or other equity
owners at any time; (iii) all Medicare and Medicaid cost reports and other
document and materials filed by the Company or any Subsidiary and any other
reports, materials or other information regarding or otherwise relating to
Medicaid or Medicare prepared by, for or on behalf of the Company or any
Subsidiary; (iv) any other reports, materials or other information regarding or
otherwise relating to Medicaid or Medicare prepared by, for, or on behalf of,
the Company or any Subsidiary, including, without limitation, (A) copies of
licenses and permits required by any applicable federal, state, foreign or local
law, statute ordinance or regulation or Governmental Authority for the operation
of its business, (B) Medicare and Medicaid provider numbers and agreements, (C)
state surveys pertaining to any healthcare facility operated or owned or leased
by the Company or any Subsidiary or any of their respective Affiliates, and (D)
participating agreements relating to medical plans; (v) within 15 days after the
end of each calendar month for such month, (A) a report of the status of all
payments, denials and appeals of all Medicare and/or Medicaid Accounts, (B) a
sales and collection report and accounts receivable and accounts payable aging
schedule, including a report of sales, credits issued and collections received,
all such reports showing a reconciliation to the amounts reported in the monthly
financial statements, and (C) a report of census and occupancy percentage by
payor type; (vi) promptly upon receipt thereof, copies of any reports submitted
to the Company or any Subsidiary by its independent accountants in connection
with any interim audit of the books of such Person or any of its Affiliates and
copies of each management control letter provided by such independent
accountants; and (vii) such additional information, documents, statements,
reports and other materials as the Purchaser may reasonably request from a
credit or security perspective or otherwise from time to time.

        (c) for each fiscal year of the Company thereafter not less than 30 days
prior to the commencement of such fiscal year, consolidated and consolidating
month by month projected operating budgets, annual projections, profit and loss
statements, balance sheets and cash flow reports of and for the Company and the
Subsidiaries for such upcoming fiscal year (including an income statement for
each month and a balance sheet as at the end of the last month in each fiscal
quarter), in each case prepared in accordance with GAAP consistently applied
with prior periods; and

        (d) management reports, documentation of material financial
transactions, projections, operating reports, acquisition analyses,
presentations to banks, financial institutions or potential investors,
consultants' reports and such other financial

                                       48
<PAGE>

and operating data of the Company and the Subsidiaries as the Purchaser
reasonably may request.

        9.2 Certificates; Other Information. The Company shall furnish to the
Purchaser and any other Holder:

        (a) any notice of default in respect of any Indebtedness of the Company
or any Subsidiary for borrowed money promptly upon receipt thereof; and

        (b) any material amendment, supplement, modification or waiver of the
agreements or arrangements of the Company or any Subsidiary for Indebtedness
promptly upon execution thereof.

        9.3 Preservation of Corporate Existence. The Company shall, and shall
cause each Subsidiary to:

        (a) preserve and maintain in full force and effect its corporate
existence and good standing under the laws of its jurisdiction of incorporation
or organization;

        (b) preserve and maintain in full force and effect all material rights,
privileges, qualifications, licenses and franchises necessary in the normal
conduct of its business; and

        (c) use its reasonable efforts to preserve its business organization.

        9.4 Payment of Obligations. The Company shall, and shall cause the
Subsidiaries to, pay and discharge as the same shall become due and payable, all
their respective obligations and liabilities, including without limitation:

        (a) all Tax liabilities, assessments and governmental charges or levies
upon it or its properties or assets, unless the same are being contested in good
faith by appropriate proceedings and adequate reserves in accordance with GAAP
are being maintained by the Company or any Subsidiary;

        (b) all lawful claims which the Company or any Subsidiary is obligated
to pay, which are due and which, if unpaid, might by law become a Lien (to the
extent not permitted under Section 10.2 of this Agreement) upon its property;
and

        (c) all payments of principal and interest when due (giving effect to
any grace periods relating thereto) on Indebtedness of the Company or any
Subsidiary.

        9.5 Compliance with Laws. The Company shall comply, and shall cause each
Subsidiary to comply, with its certificate of incorporation and by-laws or other
organizational or governing documents and all Requirements of Law and with the
directions of any Governmental Authority having jurisdiction over it or its
business, except to the extent such failure to comply would not have a material
adverse effect on the assets, business, operations, properties, prospects or
financial or other condition the

                                       49
<PAGE>

Company and the Subsidiaries, taken as a whole. The Company hereby covenants and
agrees that all offerings of securities of the Company or any Subsidiary shall
be either (a) registered pursuant to the provisions of the Securities Act and
any applicable state securities or "blue sky" laws or (b) exempt from
registration under the Securities Act and any applicable state securities or
"blue sky" laws.

        9.6 Notices. Upon knowledge of the Chief Executive Officer, the
President, the Chief Financial Officer, the Chief Development Officer or the
Controller of the Company of any of the events described below, the Company
shall give prompt written notice (but in any event within 10 days) to the
Purchaser and any other Holder:

        (a) of the occurrence of any default under, or breach of, any of the
provisions of Articles VIII, IX or X accompanied by a certificate specifying the
nature of such default or breach, the period of existence thereof and the action
that the Company has taken or proposes to take with respect thereto;

        (b) of any (i) default or event of default under any material
Contractual Obligation of the Company or any Subsidiary, including, without
limitation, the Credit Agreement and the Senior Debt Documents, or (ii) dispute,
litigation, investigation, proceeding or suspension which may exist at any time
between the Company or any Subsidiary and any Governmental Authority; and

        (c) each notice pursuant to this Section 9.6 shall be accompanied by a
statement by the Chief Executive Officer, President, Chief Financial Officer,
Chief Development Officer or the Controller of the Company, setting forth
details of the occurrence referred to therein and stating what action the
Company proposes to take with respect thereto.

        9.7 Issue Taxes. The Company shall pay, or cause to be paid, all
documentary and similar Taxes levied under the laws of any applicable
jurisdiction in connection with the issuance of the Note (including all loans
made thereunder) and the Warrants and the execution and delivery of the other
agreements and documents contemplated hereby and any modification of the Note
and the Warrants and such other agreements and documents, and will hold the
Holder harmless, without limitation as to time, against any and all liabilities
with respect to all such Taxes.

        9.8 Inspection; Confidentiality.

        (a) The Company shall permit, and shall cause each Subsidiary to permit,
representatives of the Purchaser to visit and inspect any of its properties, to
examine its corporate, financial and operating records and make copies thereof
or abstracts therefrom, and to discuss its affairs, finances and accounts with
their respective managers, officers and independent public accountants, all at
such reasonable times during normal business hours and as often as may be
reasonably requested, upon reasonable advance notice to the Company.

        (b) The Purchaser will utilize reasonable good faith efforts to maintain
as confidential any confidential information obtained from the Company and the

                                       50
<PAGE>

Subsidiaries pursuant to Section 9.8(a) (other than information which (i) at the
time of disclosure or thereafter is generally available to and known by the
public (other than as a result of a disclosure directly or indirectly by the
Purchaser or any of its representatives), (ii) is available to the Purchaser on
a non-confidential basis from a source other than the Company or the
Subsidiaries, provided that such source was not known by the Purchaser to be
bound by a confidentiality agreement with the Company or any Subsidiary, (iii)
has been independently developed by the Purchaser or (iv) was obtained more than
one year prior to such disclosure), and shall not disclose any such information
required to be maintained as confidential pursuant hereto, except (A) to BBH &
Co. and its advisors, representatives, agents, partners and employees, (B) to
its advisors, representatives, agents, partners (and their representatives and
advisors) and employees, (C) to any prospective transferee of the Note, the
Warrants or shares of Common Stock issued upon the exercise of the Warrants or
of an interest in the Purchaser or in a successor fund sponsored by BBH & Co.,
provided such prospective transferee agrees to maintain such information in
confidence, (D) as may be required by law (including a court order, subpoena or
other administrative order or process) or applicable regulations to which the
Purchaser is or becomes subject, (E) in connection with any litigation arising
out of or related to this Agreement, (F) to the executive officers of the
Company or any Subsidiary, or (G) with the consent of the Company.

        9.9 Use of Proceeds. The Company shall use the proceeds of the loan made
at the Initial Closing and the sale of the Initial Warrants (a) to repay at the
Initial Closing the aggregate principal amount and all accrued interest on the
promissory notes listed on Schedule 3.19 and all other amounts due thereunder,
(b) to finance at the Initial Closing the acquisition of the outstanding Capital
Stock of Aeries Healthcare pursuant to the terms of the Aeries Purchase
Agreement and (c) for working capital purposes. The Company shall use the
proceeds of any Additional Loans and the sale of any Additional Warrants to
finance at the Additional Closing at which such Additional Loans are made and
Additional Warrants are sold a Drawdown Acquisition.

        9.10 Payment of the Note. The Company shall pay the principal of,
interest on and all other amounts due in respect of, the Note on the dates and
in the manner provided herein and in the Note.

        9.11 Subsidiaries' Guarantee. The Company shall cause each Subsidiary
(whether newly formed, presently in existence, subsequently acquired, including,
without limitation, in connection with a Drawdown Acquisition, or otherwise), to
execute and deliver to the Purchaser the Subsidiaries' Guarantee.

        9.12 PMR Guarantee. Simultaneously with the consummation of the
transactions contemplated under the PMR Merger Agreement, the Company shall
require PMR to execute and deliver to the Purchaser a guarantee (the "PMR
Guarantee") of the obligations of the Company to the Purchaser under this
Agreement and the Note, in substantially the form attached hereto as Exhibit H.

        9.13 No Inconsistent Agreements. Neither the Company nor any Subsidiary
shall (a) enter into any loan or other agreement after the date hereof or

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<PAGE>

(b) amend or modify any currently existing loan or other agreement, including,
without limitation, the Credit Agreement and the Senior Debt Documents, which by
its terms restricts or prohibits the ability of the Company to pay the principal
of or interest on the Note or restricts or prohibits the ability of the Company
to issue Common Stock upon exercise of the Warrants or to issue Put Price Notes,
except to the extent contemplated by the Subordination Agreement as in effect on
the date hereof.

        9.14 Reservations of Shares. The Company shall reserve and keep
available out of its authorized Common Stock, solely for the purpose of issue
and delivery upon exercise of the Warrants, such number of shares of Common
Stock as shall then be issuable or deliverable upon exercise of the Warrants
(assuming, for these purposes, that the maximum number of Warrants issuable
under this Agreement are issued and outstanding). Such shares of Common Stock
shall, when issued or delivered, be duly and validly issued, fully paid and
non-assessable, shall be free and clear of any Liens and shall not be subject to
any preemptive or similar rights that have not been waived.

        9.15 Registration and Listing. If any shares of Common Stock required to
be reserved for purposes of exercise of the Warrants as provided in the
Warrants, require registration with or approval of any Governmental Authority
under any federal or state or other applicable law before such shares of Common
Stock may be issued or delivered upon exercise of the Warrants, the Company will
in good faith and as expeditiously as possible endeavor to cause such shares of
Common Stock to be duly registered or approved. In the event that, and so long
as, the shares of Common Stock (or any series or class of Capital Stock into
which the shares of Common Stock are reorganized, reclassified, reconstituted or
otherwise changed) are listed on the NYSE or quoted or listed on any other
national securities exchange or Nasdaq, the Company will, if permitted by the
rules of such system or exchange, quote or list and keep quoted or listed on
such exchange or Nasdaq, upon official notice of issuance, all shares of Common
Stock issuable or deliverable upon exercise of the Warrants. In addition, the
Company will in good faith and as expeditiously as possible endeavor to obtain
private placement numbers for the Note, the Warrants and the shares of Common
Stock issued pursuant to the exercise thereof, assigned by the CUSIP Service
Bureau of Standard & Poor's Corporation.

        9.16 Allocation for Tax Purposes. The Company hereby covenants and
agrees that it shall allocate $1,502,140 of the Initial Purchase Price to the
purchase by the Purchaser of the Initial Warrants, and, with respect to each
Additional Closing, the Company covenants and agrees to allocate a percentage of
the Additional Purchase Price to the Additional Warrants sold at such Additional
Closing, as agreed to by the Company and the Purchaser at or prior to such
Additional Closing.

        9.17 Register of the Note. The Company will maintain at its principal
office a register (the "Register") for the purpose of registering the beneficial
owner of the Note and registering transfers and exchanges of the Note. The
entries in the Register shall be conclusive, in the absence of manifest error,
and the Company may treat each Person whose name is recorded in the Register as
the owner of the Note recorded therein.

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<PAGE>

No transfer or exchange of the Note by the Holder of the Note shall be effective
unless it has been recorded in the Register as provided in this Section 9.17.
Upon notice from the registered owner of the Note of any sale or transfer
thereof, the Company shall register such sale or transfer in the Register. The
Register shall be available for inspection by the Holder of the Note and its
successors and assigns at any reasonable time and from time to time upon
reasonable prior notice.

        9.18 Payment Upon Liquidation. In the event that, at anytime on or prior
to the consummation of the PMR Merger, there is a liquidation, dissolution or
winding up of the Company or any other event that is considered a "liquidation"
under the Company's Certificate of Incorporation, including, without limitation,
an Acquisition (as defined in the Certificate of Incorporation) or an Asset
Transfer (as defined in the Certificate of Incorporation), but specifically
excluding the PMR Merger, the Company agrees to make a payment to the Purchaser
upon the occurrence of any such event, in addition to any other payments the
Company is required to make to the Purchaser, in an aggregate amount of $99,860
for each $1,000,000 of loans advanced by the Purchaser as of such date pursuant
to this Agreement.

        9.19 Right of First Refusal.

        (a) In the event the Company or any Subsidiary (a "ROFR Borrower")
receives an offer, term sheet or commitment or makes a proposal (including,
without limitation, any application filed in connection with a HUD Financing
accepted by any Person (each, an "Offer") which provides for any type of
Qualified Debt Financing (as defined below) to or for any ROFR Borrower, the
Company shall, or shall cause such ROFR Borrower, to notify the Purchaser of the
Offer in writing (including all material terms of the Offer), and the Purchaser
shall have 30 calendar days after receipt of such notice (the "Option Period")
to agree to provide similar debt financing in the place of such Person upon
substantially the same terms and conditions (or terms more favorable to such
ROFR Borrower) as set forth in the Offer. For purposes of this Agreement, a
"Qualified Debt Financing" means any debt financing which is subordinated to the
Credit Agreement. This Section 9.19 shall expire once the ROFR Borrowers have
made Offers to the Purchaser in respect of $20 million principal amount of
Qualified Debt Financing.

        (b) The Fund shall notify the Company in writing of its acceptance of
the Offer pursuant hereto (the "Acceptance Notice"), in which case the Company
shall cause the ROFR Borrower to obtain such debt financing, subject to the
terms herein, from the Fund and not accept such Offer from such other Person. If
no Acceptance Notice has been received by the ROFR Borrower within the Option
Period, the ROFR Borrower may consummate the Offer with the other Person on the
terms and conditions set forth in the Offer (the "Transaction"); provided,
however, that none of the foregoing or any failure by the Fund to issue an
Acceptance Notice shall be construed as a waiver of any of the terms, covenants
or conditions of the Securities Purchase Agreement or any other Transaction
Document. If any transaction described in an Offer is not consummated on the
terms set forth in the Offer or with the Person providing the Offer or during
the 90 calendar day period following the expiration of the Option Period, the
Company shall not

                                       53
<PAGE>

permit the ROFR Borrower to consummate the transaction without again complying
with this Section 9.19.

                                   ARTICLE X

                               NEGATIVE COVENANTS

        On the date hereof, until all of the Obligations of the Company to the
Purchaser have been satisfied, the Company covenants and agrees that neither it
nor any Subsidiary will:

        10.1 Restrictions on Indebtedness. Create, incur, suffer or permit to
exist, or assume or guarantee, either directly or indirectly, or otherwise
become or remain liable with respect to, any Indebtedness, except the following:

        (a) Indebtedness outstanding at the date of this Agreement as set forth
on Schedule 5.28 but no amendments or refinancings thereof; provided that all
Indebtedness set forth on Schedule 5.28 owing to any seller in connection with
the acquisition by the Company or any Subsidiary of any business (whether by
asset purchase, stock purchase or otherwise) shall be Subordinated Debt, except
as specifically indicated otherwise on Schedule 5.28.

        (b) Indebtedness to the United States Department of Housing and Urban
Development ("HUD") in connection with the refinancing of a portion of the
Indebtedness under the Credit Agreement in an aggregate amount not to exceed
$35,000,000 (including, for purposes of this cap, any Indebtedness to HUD set
forth on Schedule 5.28), but no amendments or refinancings thereof.

        (c) Indebtedness owing by any wholly-owned Subsidiary to the Company or
to another wholly-owned Subsidiary; provided, that such Indebtedness shall be
evidenced by a note and shall be Subordinated Debt.

        (d) Borrowings incurred in the ordinary course of business and not
exceeding $100,000 individually or in the aggregate outstanding at any one time;
provided, however, that such Indebtedness shall be Subordinated Debt.

        (e) Indebtedness in an amount not to exceed $100,000 in respect of
purchase money security interests permitted under Section 10.2(c), including,
for purposes of this cap, any Indebtedness in respect of purchase money security
interests set forth on Schedule 5.28.

        (f) Indebtedness to the Purchaser incurred in connection with a Drawdown
Acquisition as set forth in paragraph (iii) of the definition of "Drawdown
Acquisition."

        (g) Indebtedness to the Purchaser.

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<PAGE>

        (h) Capitalized Lease Obligations of the Company in an amount not to
exceed $100,000 including, for purposes of this cap, any Capitalized Lease
Obligations set forth on Schedule 5.28.

        (i) Indebtedness under the Credit Agreement (including letters of credit
issued under the Credit Agreement) in an aggregate principal amount outstanding
not in excess of the current maximum commitment under the Credit Agreement and
any additional advances or increases thereunder, so long as, after giving effect
to such advances or increases, the Company does not exceed the Total Leverage
Ratio; provided, however, that the Company agrees that it shall not permit any
amendment, supplement, modification or waiver or refinancing of the Credit
Agreement, except as provided in the Subordination Agreement.

        (j) Indebtedness in connection with advances made by a stockholder in
order to cure any default of the financial covenants set forth in Article VIII;
provided, however, that such Indebtedness shall be Subordinated Debt.

        (k) Indebtedness to any seller of any business incurred in connection
with the acquisition by the Company or any wholly-owned Subsidiary of such
business (whether by asset purchase, stock purchase or otherwise), but no
amendments or refinancings thereof; provided, that such Indebtedness shall be
Subordinated Debt;

provided, however, that no Indebtedness shall be permitted under this Section
10.1 unless at the time such Indebtedness is created, incurred, suffered or
permitted to exist, or assumed or guaranteed, either directly or indirectly, and
after giving effect to such Indebtedness, no Default or Event of Default shall
have occurred and be continuing.

Neither the Company nor any Subsidiary shall make prepayments on any existing or
future Indebtedness to any Person other than under the Credit Agreement or to
the Purchaser or to the extent specifically permitted by this Agreement.

        10.2 Restrictions on Liens. Create or incur or suffer to be created or
incurred or to exist any encumbrance, mortgage, pledge, Lien, charge or other
security interest of any kind upon any of its property or assets of any
character, whether now owned or hereafter acquired, or transfer any of such
property or assets for the purposes of subjecting the same to the payment of
Indebtedness or performance of any other obligation in priority to payment of
its general creditors, or grant any person (other than CapitalSource under the
Credit Agreement) a negative pledge or other similar restriction with respect to
any of its property or assets, or acquire or agree or have an option to acquire
any property or assets upon conditional sale or other title retention agreement,
device or arrangement (including, without limitation, Capitalized Leases) or
suffer to exist for a period of more than 30 days after the same shall have been
incurred any Indebtedness against it which if unpaid might by law or upon
bankruptcy or insolvency, or otherwise, be given any priority whatsoever over
its general creditors, or sell, assign, pledge or otherwise transfer for
security any of its accounts, contract rights, general intangibles, or chattel
paper (as those terms are defined in the New York Uniform

                                       55
<PAGE>

Commercial Code) with or without recourse; provided, however, that the Company
or any Subsidiary may create or incur or suffer to be created or incurred or to
exist:

        (a) Liens in favor of CapitalSource pursuant to the terms of the Senior
Debt Documents;

        (b) Existing Liens and security interests described in Schedule 5.32
securing presently outstanding Indebtedness permitted by Section 10.1.

        (c) Purchase money security interests (which term shall include
mortgages, conditional sale contracts, Capitalized Leases and all other title
retention or deferred purchase devices) to secure the purchase price of property
acquired hereafter by the Company or any Subsidiary, or to secure Indebtedness
incurred solely for the purpose of financing such acquisitions, in each case to
the extent permitted by Section 10.1; provided, however, that no such purchase
money security interests shall extend to or cover any property other than the
property the purchase price of which is secured by it, and that the principal
amount of Indebtedness (whether or not assumed) with respect to each item of
property subject to such a security interest shall not exceed the fair value of
such item on the date of its acquisition.

        (d) (i) Deposits or pledges made in connection with, or to secure
payment of, workmen's compensation, professional liability insurance,
unemployment insurance, old age pensions or other social security or to secure
the performance of tenders, bids, leases, contracts (other than for the
repayment of Indebtedness), statutory obligations and other similar obligations;
(ii) arising as a result of progress payments under government contracts; and
(iii) Liens for Taxes, assessments or governmental charges or levies and Liens
to secure claims for labor, material or supplies to the extent that payment
thereof shall not at the time be required to be made in accordance with Section
9.4(a).

        (e) Encumbrances in the nature of zoning restrictions, easements, and
rights or restrictions of record on the use of real property which do not
materially detract from the value of such property or impair its use in the
business of the owner or lessee.

        (f) Liens (other than judgments and awards) created by or resulting from
any litigation or legal proceeding, provided the execution or other enforcement
thereof is effectively stayed and the claims secured thereby are being actively
contested in good faith by appropriate proceedings reasonably satisfactory to
the Purchaser.

        (g) Liens arising by operation of law to secure landlords, lessors or
renters under leases or rental agreements made in the ordinary course of
business and confined to the premises or property rented.

        (h) Judgment Liens in an aggregate amount not to exceed (i) $250,000, if
such amount is covered by insurance or (ii) $50,000, if such amount is not
covered by insurance.

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<PAGE>

        (i) Liens necessary and desirable for the operation of such Person's
business; provided, that the Purchaser has consented to such Liens in writing
before their creation and existence and the debt secured thereby is both subject
and subordinate in all respects to the Obligations and all of the rights and
remedies of the Purchaser, all in form and substance satisfactory to the
Purchaser in its sole discretion.

        (j) Liens in favor of HUD to secure Indebtedness to HUD permitted by
Section 10.1(b);

        Nothing contained in this Section 10.2 shall permit the Company or any
Subsidiary to incur any Indebtedness or take any other action or permit to exist
any other condition which would be in contravention of any other provision of
this Agreement.

        10.3 Investments. Have outstanding or hold or acquire or make or commit
itself to acquire or make any Investment, or acquire any interest in, or all or
substantially all of the assets of, any Person or joint venture, except the
following:

        (a) Investments having a maturity of less than one year from the date
thereof by the Company in: (i) obligations of the United States of America or
any agency or instrumentality thereof; or (ii) repurchase agreements involving
securities described in clause (i) with the Purchaser; and (iii) commercial
paper which is rated not less than prime-one or A-1 or their equivalents by
Moody's Investor Service, Inc. or Standard & Poor's Corporation, respectively,
or their successors.

        (b) Existing Investments of the Company in any Subsidiary, as described
on Schedule 10.3.

        (c) Investments consisting of reasonable and customary travel and
similar advances to employees of the Company and the Subsidiaries.

        (d) Investments or acquisitions by the Company or any wholly-owned
Subsidiary constituting a Drawdown Acquisition.

        10.4 Disposition of Assets. Sell, lease or otherwise dispose of any
assets except for the sale, lease or other disposition of Inventory or other
property in the ordinary course of business.

        10.5 Mergers, Etc. Without the prior written consent of the Purchaser,
enter into any merger or consolidation with or acquire all or substantially all
of the assets of any Person, or sell, assign, lease or otherwise dispose of
(whether in one transaction or in a series of transactions) all or substantially
all of its assets (whether now owned or hereafter acquired) to any Person,
except that (a) any wholly-owned Subsidiary may merge into the Company or any
other wholly-owned Subsidiary and (b) the Company may merge with PMR Acquisition
Corporation, a Delaware corporation, pursuant to the PMR Merger Agreement as in
effect on the date hereof.

        10.6 Assumptions, Guaranties, Etc. of Indebtedness of Other Persons.
Except as permitted by the Credit Agreement or the Transaction Documents,
assume,

                                       57
<PAGE>

guarantee, endorse or otherwise be or become directly or contingently liable
(including, without limitation, by way of agreement, contingent or otherwise, to
purchase, provide funds for payment, supply funds to or otherwise invest in any
Person or otherwise assure the creditors of any such Person against loss) in
connection with any Indebtedness of any other Person, except for (i) trade
credit extended in the ordinary course of business, (ii) advances for business
travel and similar temporary advances made in the ordinary course of business to
officers, directors and employees and (iii) guaranties by endorsement of
negotiable instruments for deposit or collection, or similar transactions in the
ordinary course of business.

        10.7 ERISA. At any time while the Company or any Subsidiary has a
Pension Plan, permit any accumulated funding deficiency to occur with respect to
any Pension Plan or other employee benefit plans established or maintained by
the Company or any Subsidiary or to which contributions are made by the Company
or any Subsidiary, and which are subject to the "Pension Reform Act" and the
rules and regulations thereunder or to Section 412 of the Code, and at all times
comply in all material respects with the provisions of the Pension Reform Act
and Code which are applicable to such plans. The Company will not, and will
cause the Subsidiaries not to, permit the Pension Benefit Guaranty Corporation
to cause the termination of any Pension Plan under circumstances which would
cause the lien provided for in Section 4068 of the Pension Reform Act to attach
to the assets of the Company or any Subsidiary.

        10.8 Distributions. Make (i) any Distributions or make any other payment
on account of the purchase, acquisition, redemption, or other retirement of any
shares of stock, whether now or hereafter outstanding, (ii) any payments or
Distributions to any stockholder, member, partner or other equity owner in such
Person's capacity as such, or (iii) any payment of any management, service or
related or similar fee to any Person or with respect to any facility owned,
operated or leased by the Company or any Subsidiary, except (A) any Subsidiary
may make a Distribution to the Company, (B) the Company or any wholly-owned
Subsidiary may enter into a Drawdown Acquisition in accordance with the terms
and conditions set forth herein, (C) the Company may make a payment in
connection with the redemption of the Warrants pursuant to Article XIII, and (D)
the Company may make any payment to the Purchaser permitted under this
Agreement, the Note or the Warrants.

        10.9 Sale and Leaseback. Sell or transfer any of its properties with the
intention of taking back a lease of the same property or leasing other property
for substantially the same use as the property being sold or transferred.

        10.10 Transactions with Affiliates. Enter into or amend, modify or renew
any transaction, including, without limitation, the purchase, sale or exchange
of property or the rendering of any service, with any Affiliate, except (i) as
disclosed on Schedule 10.10, and (ii) that the Company and the Subsidiaries may
pay salaries and bonuses to its directors and officers as are usual and
customary in the Company's or the Subsidiaries' business; provided, that no
payment of any bonus shall be permitted if a Default or Event of Default has
occurred and remains in effect or would be caused by or result from such
payment.

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<PAGE>

        10.11 Change in Business. Engage in any business, or permit any
Subsidiary thereof so to do, other than the business of owning and operating
freestanding specialty psychiatric hospitals and managing psychiatric units
owned by third parties and any other business reasonably related to the
foregoing business.

        10.12 PMR Merger Agreement. Amend, supplement, modify or waive any
provision of the PMR Merger Agreement or the documents related thereto without
the prior written consent of the Purchaser; provided, however, that prior to the
consummation of the PMR Merger, the Company shall cause PMR Corporation to amend
the PMR Merger Agreement in order to provide that, upon consummation of the PMR
Merger, PMR Corporation shall assume the Company's obligations relating to the
Warrants (whether then or thereafter issued and including, without limitation,
the obligation to issue Additional Warrants on the terms set forth in this
Agreement) such that each holder of a Warrant shall thereafter have the right to
exercise such Warrant for the number of shares of PMR Common Stock that would
have been received by a holder of the number of shares of Common Stock into
which such Warrant could have been exercised immediately prior to the PMR Merger
(subject to further adjustment as set forth in the Warrants).

        10.13 Drawdown Acquisition Documents. Amend, supplement, modify or waive
any provision of any Drawdown Acquisition Documents or the Aeries Purchase
Agreement and the documents related thereto, without the prior written consent
of the Purchaser.

        10.14 Stock Option Plan. Issue, without the consent of the Purchaser,
any equity securities, options, warrants or other rights to purchase shares of
Capital Stock of the Company or stock appreciation rights, to any director,
officer, employee or consultant of the Company or any Subsidiary, other than
pursuant to (i) the Plan, without regard to any amendment or modification
thereof, other than any amendment or modification thereof approved by the Board
of Directors of the Company, (ii) an amendment of the Plan approved by the
Purchaser or (iii) a plan adopted with the consent of the Purchaser.

        10.15 Organizational Documents; Etc. (i) Amend its Certificate of
Incorporation or By-laws or equivalent organizational or governing documents
without the prior written consent of the Purchaser; (ii) change its fiscal year
unless the Company demonstrates to the Purchaser's satisfaction compliance with
the covenants contained herein for both the fiscal year in effect prior to any
change and the new fiscal year period by delivery to the Purchaser of
appropriate interim and annual pro forma, historical and current compliance
certificates for such periods and such other information as the Purchaser may
reasonably request; (iii) amend, alter or suspend or terminate or make
provisional in any material way, any license, lease, power, permit, franchise,
certificate, authorization, approval, certificate of need, provider number or
other rights without the prior written consent of the Purchaser, which consent
shall not be unreasonably withheld; (iv) wind up, liquidate or dissolve
(voluntarily or involuntarily) or commence or suffer any proceedings seeking or
that would result in any of the foregoing; or (v) use any proceeds of any loans
hereunder for "purchasing" or "carrying" "margin stock" as

                                       59
<PAGE>

defined in Regulations U, T or X of the Board of Governors of the Federal
Reserve System.

        10.16 Payment on Subordinated Debt. Neither the Company nor any
Subsidiary shall (a) make any prepayment of any part or all of any Subordinated
Debt, (b) repurchase, redeem or retire any instrument evidencing any such
Subordinated Debt prior to maturity, or (c) enter into any agreement (oral or
written) which could in any way be construed to amend, modify, alter or
terminate any one or more instruments or agreements evidencing or relating to
any Subordinated Debt.

                                   ARTICLE XI

                              DEFAULTS AND REMEDIES

        11.1 Events of Default. The occurrence of any one or more of the
following shall constitute an "Event of Default" hereunder:

        (a) The Company shall fail to pay any amount on the Obligations or
provided for in this Agreement or the Note when due (whether on any payment
date, at maturity, by reason of acceleration, by notice of intention to prepay,
by required prepayment or otherwise); provided, that, if the Company shall fail
to pay any amount on the Obligations when due, there shall be a one-day grace
period after receipt by the Company of written notice from the Purchaser or any
Holder of the Note of such nonpayment;

        (b) Any representation, statement or warranty made or deemed made by (i)
the Company in this Agreement (including the representations and warranties made
pursuant to Section 2.5) or the Note or in any other certificate, document,
report or opinion delivered in conjunction therewith, (ii) any Subsidiary in the
Subsidiaries' Guarantee or in any certificate, document, report or opinion
delivered in conjunction therewith, or (iii) PMR Corporation in the PMR
Guarantee (if any) or in any other certificate, document, report or opinion
delivered in conjunction therewith, shall not be true and correct in all
material respects or shall have been false or misleading in any material respect
on the date when made or deemed to have been made (except to the extent already
qualified by materiality, in which case it shall be true and correct in all
respects and shall not be false or misleading in any respect);

        (c) The Company, any Subsidiary or PMR Corporation or other party
thereto, other than the Purchaser or any Holder of any Warrant or the Note,
shall be in violation, breach or default of, or shall fail to perform, observe
or comply with any covenant, obligation or agreement set forth in, this
Agreement, the Note, the Subsidiaries' Guarantee or the PMR Guarantee (if any),
and such violation, breach, default or failure shall not be cured within the
applicable period set forth in the applicable document; provided that, with
respect to the affirmative covenants set forth in Article IX (other than
Sections 9.3, 9.4, 9.9, 9.10, 9.11, 9.12 and 9.17 for which there shall be no
cure period), there shall be a 30 day cure period commencing from the earlier of
(i) receipt by such Person of written notice of such breach, default, violation
or failure, and (ii) the time at

                                       60
<PAGE>

which such Person or any authorized officer thereof knew or became aware, or
should have known or been aware, of such failure, violation, breach or default;

        (d) This Agreement, the Note, the Subsidiaries' Guarantee or the PMR
Guarantee (if any) ceases to be in full force and effect;

        (e) One or more judgments or decrees is rendered against the Company or
any Subsidiary in an amount in excess of (i) $300,000, if such amount is covered
by insurance or (ii) $100,000, if such amount is not covered by insurance, which
is/are not satisfied, stayed, vacated or discharged of record within 30 calendar
days of being rendered;

        (f) (i) Any default occurs, which is not cured or waived, in the payment
of any amount with respect to any Indebtedness (other than the Obligations) of
the Company or any Subsidiary in excess of $100,000, and such default continues
for more than any applicable grace period, or (ii) any Indebtedness of the
Company or any Subsidiary in excess of $100,000 is declared to be due and
payable or is required to be prepaid (other than by a regularly scheduled
payment) prior to the stated maturity thereof, or any obligation of such Person
for the payment of Indebtedness (other than the Obligations) is not paid when
due or within any applicable grace period, or any such obligation becomes or is
declared to be due and payable before the expressed maturity thereof;

        (g) The Company or any Subsidiary shall (i) be unable to pay its debts
generally as they become due, (ii) file a petition under any insolvency statute,
(iii) make a general assignment for the benefit of its creditors, (iv) commence
a proceeding for the appointment of a receiver, trustee, liquidator or
conservator of itself or of the whole or any substantial part of its property,
or (v) file a petition seeking reorganization or liquidation or similar relief
under any Debtor Relief Law or any other applicable law or statute;

        (h) (i) A court of competent jurisdiction shall (A) enter an order,
judgment or decree appointing a custodian, receiver, trustee, liquidator or
conservator of the Company or any Subsidiary or the whole or any substantial
part of any such Person's properties, which shall continue unstayed and in
effect for a period of 60 days, (B) approve a petition filed against the Company
or any Subsidiary seeking reorganization, liquidation or similar relief under
the any Debtor Relief Law or any applicable law or statute, which is not
dismissed within 60 days or, (C) under the provisions of any Debtor Relief Law
or other applicable law or statute, assume custody or control of the Company or
any Subsidiary or of the whole or any substantial part of any such Person's
properties, which is not irrevocably relinquished within 60 days, or (ii) there
is commenced against the Company or any Subsidiary any proceeding or petition
seeking reorganization, liquidation or similar relief under any Debtor Relief
Law or any other applicable law or statute, which (A) is not unconditionally
dismissed within 60 days after the date of commencement, or (B) is with respect
to which the Company or such Subsidiary takes any action to indicate its
approval of or consent to;

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<PAGE>

        (i) (i) Any event, condition or circumstance or set of events,
conditions or circumstances or any change has occurred or is reasonably expected
to occur which (A) has or could reasonably be expected to have a material
adverse effect upon or change in the validity or enforceability of this
Agreement, the Note, the Subsidiaries' Guarantee or the PMR Guarantee (if any),
(B) has been or could reasonably be expected to be material and adverse to the
business, operations, prospects, properties, assets, liabilities or condition of
the Company and/or any Subsidiary, either individually or taken as a whole, or
(C) has materially impaired or could reasonably be expected to materially impair
the ability of the Company, any Subsidiary or PMR Corporation, as the case may
be, to perform the Obligations or to consummate the transactions under this
Agreement, the Note, the Subsidiary and the PMR Guarantee (if any), as the case
may be, (ii) any Liability Event occurs or is reasonably expected to occur,
which results or is reasonably expected to result in a liability of the Company
or any Subsidiary in excess of $100,000, or (iii) the Company or any Subsidiary
ceases any portion of its business operations as currently conducted;

        (j) The Purchaser or any Holder receives any indication or evidence that
the Company or any Subsidiary may have directly or indirectly been engaged in
any type of activity which, in the Purchaser's judgment, might result in
forfeiture of any property to any Governmental Authority which shall have
continued unremedied for a period of 10 days after written notice from the
Purchaser;

        (k) The issuance of any process for levy, attachment or garnishment or
execution in an aggregate amount in excess of $100,000 upon or prior to any
judgment against the Company or any Subsidiary or any of their property or
assets; or

        (l) The Company or any Subsidiary does, or enters into or becomes a
party to any agreement or commitment to do, or cause to be done, any of the
things described in this Article XI or otherwise prohibited by this Agreement,
the Note, the Subsidiaries' Guarantee or the PMR Guarantee (if any) (subject to
any cure periods set forth therein);

then, and in any such event, notwithstanding any other provision of this
Agreement, the Note, the Subsidiaries' Guarantee and the PMR Guarantee (if any),
the Purchaser and any Holder of the Note may, by notice to the Company (i)
terminate their obligations to make Additional Loans hereunder, whereupon the
same shall immediately terminate, (ii) declare all or any of the loans made
under the Note, all interest thereon and all other Obligations to be due and
payable immediately (except in the case of an Event of Default under Section
11.1(d), (g), (h) or (i)(ii), in which event all of the foregoing shall
automatically and without further act by the Purchaser be due and payable), in
each case without presentment, demand, protest or further notice of any kind,
all of which are hereby expressly waived by the Company, and (iii) prohibit any
action permitted to be taken under Article X.

        11.2 Rights and Remedies. In addition to the acceleration provisions set
forth in Section 11.1, upon the occurrence and continuation of an Event of
Default, the Purchaser and any Holder of the Note shall have the right to
exercise any and all rights,

                                       62
<PAGE>

options and remedies provided for in this Agreement, the Note, the Subsidiaries'
Guarantee and the PMR Guarantee (if any) at law or in equity and/or in any other
appropriate proceeding either for specific performance or in aid of the exercise
of any power granted in this Agreement, the Note, the Subsidiaries' Guarantee or
the PMR Guarantee (if any), including, without limitation, the right to (i)
apply any property of the Company held by the Purchaser, for the benefit of any
Holder of the Note, to reduce the Obligations, and (ii) reduce or otherwise
change the maximum aggregate principal amount of Additional Loans under the Note
which have not yet been made hereunder. Notwithstanding any provision of this
Agreement, the Note, the Subsidiaries' Guarantee or the PMR Guarantee (if any),
the Purchaser and any Holder of the Note, in their sole discretion, shall have
the right, at any time that the Company fails to do so, and from time to time,
without prior notice, to pay for the performance of any of the Obligations. Such
expenses and advances shall be added to the Obligations until reimbursed to the
Purchaser and any Holder of the Note, and such payments by the Purchaser and any
Holder of the Note shall not be construed as a waiver by the Purchaser and any
Holder of the Note of any Event of Default or any other rights or remedies of
the Purchaser and any Holder of the Note.

        11.3 Rights and Remedies not Exclusive. The Purchaser and any Holder of
the Note shall have the right in their sole discretion to determine which rights
and/or remedies they may at any time pursue, relinquish, subordinate or modify,
and such determination will not in any way modify or affect any of the
Purchaser's or any other Holder's rights or remedies under this Agreement, the
Note, the Subsidiaries' Guarantee or the PMR Guarantee (if any), applicable law
or equity. The enumeration of any rights and remedies in this Agreement, the
Note, the Subsidiaries' Guarantee and the PMR Guarantee (if any) is not intended
to be exhaustive, and all rights and remedies of the Purchaser and the Holder of
the Note described in this Agreement, the Note, the Subsidiaries' Guarantee and
the PMR Guarantee (if any) are cumulative and are not alternative to or
exclusive of any other rights or remedies which the Purchaser and any Holder of
the Note otherwise may have. The partial or complete exercise of any right or
remedy shall not preclude any other further exercise of such or any other right
or remedy.

                                  ARTICLE XII

                             REDEMPTION OF THE NOTES

        The Company shall redeem the entire outstanding principal (together with
accrued interest and premium), if any, on the Note in accordance with the
"Mandatory Redemption at the Option of the Holder" and "Mandatory Redemption at
Maturity" provisions set forth in Sections 3 and 5 of the Note. The Company may
prepay outstanding principal (together with accrued interest) on the Note only
if the Note is prepaid in accordance with the "Optional Redemption" provisions
set forth in Section 4 of the Note.

                                       63
<PAGE>

                                  ARTICLE XIII

                             REDEMPTION OF WARRANTS

        13.1 Holder's Right to Require Redemption. The Company hereby covenants
and agrees with the Purchaser and each Holder of Warrants or the shares of
Common Stock issued upon the exercise of the Warrants that:

        (a) Upon the earliest to occur of (i) a Prepayment Event, (ii) all or
any portion of the Obligations becoming due and payable pursuant to Section 11.2
and (iii) the sixth anniversary of the Initial Closing Date, the Purchaser, on
behalf of the Holders of Warrants, may at any time by notice to the Company (a
"Demand Notice") require the Company to redeem (unless otherwise prevented by
law) all of the outstanding Warrants, and the shares of Common Stock issued upon
exercise of the Warrants, held by the Holders at a purchase price equal to the
Fair Market Value per share of Common Stock (less, in the case of the Warrants,
the Exercise Price (as defined in the Warrants) for each such share) at the time
multiplied by the number of such shares of Common Stock issuable or issued upon
the exercise of the Warrants (the "Put Price") in cash, in immediately available
funds payable upon actual delivery to the Company or the Company's transfer
agent of the Warrants and the share certificates representing the shares of
Common Stock issued upon exercise of the Warrants, as the case may be; provided,
however, that the Company's payment of the Put Price in cash is approved by
CapitalSource under the Credit Agreement. The Company shall promptly notify all
Holders as to whether such approval of CapitalSource under the Credit Agreement
has been obtained. Within 20 days following receipt of a Demand Notice, the
Company shall give notice (a "Required Redemption Notice") to all registered
holders of Warrants and shares of Common Stock issued upon the exercise of the
Warrants who did not participate in the Demand Notice (the "Nonparticipating
Holders") that the Company has received a Demand Notice and shall inform each
such Nonparticipating Holder that it has the right under this Section 13.1(a) to
include in the redemption any or all of its Warrants and shares of Common Stock
issued upon exercise of the Warrants held by such holder by giving the Company
written notice of its desire to participate within 15 days following receipt of
the Company's Required Redemption Notice. Notice of a request for redemption
pursuant to this Section 13.1 shall be sent in accordance with Section 15.2. If
the Company is obligated pursuant to this Section 13.1 to redeem Warrants and/or
shares of Common Stock issued upon exercise of the Warrants, the Company shall
redeem the Warrants and/or shares of Common Stock issued upon exercise of the
Warrants participating in such demand no later than 10 Business Days after
completion of the valuation procedure described in Section 13.1(c) (the
"Redemption Date"). At any time on or after the Redemption Date, the
participating holders of Warrants and shares of Common Stock issued upon
exercise of the Warrants shall be entitled to receive payment of the Put Price
in cash in immediately available funds upon the actual delivery to the Company
or its transfer agent of their Warrants or share certificates representing the
shares of Common Stock issued upon exercise of the Warrants. Notice of a
Prepayment Event shall be mailed no more than 20 Business Days prior to the
occurrence of a Prepayment Event to each Holder of Warrants and shares of Common
Stock issued upon exercise of the Warrants, at such Holder's address as it
appears on the transfer books of

                                       64
<PAGE>

the Company. The Redemption Date shall be fixed by the Company in the notice and
shall be on or prior to the consummation of the Prepayment Event; provided,
however, that the Company shall not be required to redeem the Warrants and the
shares of Common Stock issued upon exercise of the Warrants, unless such
Prepayment Event shall be consummated, in which case the Company shall be
required to redeem the Warrants and shares of Common Stock issued upon exercise
of the Warrants immediately prior to or simultaneously with the consummation of
such transaction.

        (b) If the Company fails to pay the Put Price in cash because under
applicable law it is prevented from making such payment or because it does not
obtain the requisite approval of CapitalSource under the Credit Agreement to
make such payment, the Company's obligation to pay the Put Price shall remain in
full force and effect as a senior subordinated obligation of the Company payable
on the earlier of (i) the first anniversary of the Demand Notice or (ii) the
Maturity Date (as defined in the Note purchased pursuant hereto), accruing
interest at the rate of 18% per annum, compounded quarterly, calculated using
twelve thirty day months and a 360 day year, payable-in-kind quarterly in
arrears, prepayable at any time without premium, and otherwise on terms
substantially similar to the terms of the Note (the "Put Price Notes"). The Put
Price Notes shall be unconditionally guaranteed by PMR Corporation if the PMR
Merger has been consummated; provided, however, that the Put Price Notes and the
guarantee thereof by PMR Corporation shall be subordinated to the Indebtedness
under the Credit Agreement on the terms set forth in the Subordination
Agreement. The form and substance of the Put Price Notes and the guarantee
thereof by the Company shall be reasonably acceptable to the Purchaser. The
Company shall use reasonable best efforts (i) to obtain the approval of
CapitalSource under the Credit Agreement to payment of the Put Price in cash and
(ii) to overcome any legal obstacle to making payment of the Put Price. Neither
the Company nor any Subsidiary shall enter into any loan or other agreement
which contains provisions that, or amend or modify any loan or other agreement
to include provisions that restrict or prohibit the ability of the Company to
issue the Put Price Notes.

        (c) As used in this Section 13.1, "Fair Market Value" shall mean the
amount which a willing buyer, under no compulsion to buy, would pay a willing
seller, under no compulsion to sell, in an arm's-length transaction to a third
party which is not an Affiliate of the Company treating the Company and the
Subsidiaries as a going concern and without regard to (i) the lack of liquidity
of Common Stock due to any restrictions or other limitations contained in this
Agreement, the Investor Rights Agreement, the Co-Sale Agreement, the Voting
Agreement, the Warrants or otherwise, (ii) any discount for minority interests,
(iii) the fact that some of the issued and outstanding shares of Common Stock
may not have any voting rights or may not have full voting rights, (iv) the fact
that one or more of the holders of Common Stock may be unable to exercise in
full any of its voting rights due to regulatory, contractual or other
restrictions, or (v) the fact that contractual or regulatory approvals,
consents, waivers, licenses, permits or notifications may need to be obtained in
connection with such sale and the time required to obtain the same and without
any reduction to such price attributable to management fees, option costs and
other similar fees and expenses. The Fair Market Value shall be determined, in
the first instance, by a negotiation between the

                                       65
<PAGE>

Company and the Holders affected by such determination, and if such negotiation
has not reached a determination acceptable to all negotiating parties within 10
Business Days after commencing such negotiation (or such other period as all the
negotiating parties agree), then the Fair Market Value shall be determined by an
independent, national recognized valuation expert selected by the Holders of a
majority of the shares of Common Stock issued or issuable that are being put to
the Company under this Section 13.1 (and reasonably acceptable to the Company),
acting in a diligent and prompt manner and at the Company's expense. Upon the
determination of Fair Market Value by a valuation expert, the Company shall
promptly give notice thereof to all Holders of Warrants and Common Stock issued
upon exercise of the Warrants, setting forth in reasonable detail the method and
basis of determination of such Fair Market Value. Such determination shall be
binding on the Company and the Holders. The Company shall provide the valuation
expert with all information about the Company and the Subsidiaries which such
valuation expert reasonably deems necessary for determining the Fair Market
Value.

                                  ARTICLE XIV

                                  SUBORDINATION

        The payment obligations under this Agreement and the Note shall at all
times be wholly subordinate and junior in right of payment to the Indebtedness
under the Senior Debt Documents to the extent and in the manner provided in the
Subordination Agreement.

                                   ARTICLE XV

                                  MISCELLANEOUS

        15.1 Survival of Provisions. All of the representations and warranties
made herein shall survive the execution and delivery of this Agreement, any
investigation by or on behalf of the Purchaser or any Affiliate, acceptance of
the Note, the Warrants and shares of Common Stock issued pursuant to the
exercise of the Warrants and payment therefor, payment of the Note upon
redemption, prepayment or otherwise, exercise of the Warrants and the
termination of this Agreement.

        15.2 Notices. All notices, demands and other communications provided for
or permitted hereunder shall be made in writing and shall be by registered or
certified first-class mail, return receipt requested, telecopier, courier
services or personal delivery to the following addresses, or to such other
addresses as shall be designated from time to time by a party in accordance with
this Section 15.2:

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<PAGE>

        (a) if to the Purchaser:

                        The 1818 Mezzanine Fund II, L.P.
                        c/o Brown Brothers Harriman & Co.
                        59 Wall Street
                        New York, New York 10005
                        Attention: Joseph P. Donlan
                        Telecopier No.: (212) 493-8429

                        with a copy to:

                        Paul, Weiss, Rifkind, Wharton & Garrison
                        1285 Avenue of the Americas
                        New York, New York 10019-6064
                        Attention: Marilyn Sobel, Esq.
                        Telecopier No.: (212) 757-3990

        (b) if to the Company:

                        Psychiatric Solutions, Inc.
                        113 Seaboard Lane, Suite C-100
                        Franklin, TN 37067
                        Attention: Chief Executive Officer
                        Telecopier No.: (615) 312-5711

                        with a copy to:

                        Harwell Howard Hyne Gabbert & Manner, P.C.
                        315 Deaderick Street, Suite 1800
                        Nashville, TN 37238
                        Attention: Lee C. Dilworth, Esq.
                        Telecopier No.: (615) 251-1059

        All such notices and communications shall be deemed to have been duly
given: when delivered by hand, if personally delivered; when delivered to a
courier, if delivered by commercial overnight courier service; five Business
Days after being deposited in the mail, postage prepaid, if mailed; and when
receipt is acknowledged, if telecopied.

        15.3 Successors and Assigns. This Agreement shall inure to the benefit
of and be binding upon the successors and permitted assigns and permitted
transferees of the parties hereto. Except as provided in Article VII, no Person
other than the parties hereto and their successors and permitted assigns is
intended to be a beneficiary of this Agreement, the Note and the Warrants.

                                       67
<PAGE>

        15.4 Assignments.

        (a) The Company may not assign any of its rights or obligations under
this Agreement without the written consent of the Purchaser.

        (b) The Purchaser and any subsequent Holder of the Note or any Warrants
may, at any time or from time to time, sell, agree to sell or assign to one or
more other Persons who agree to be bound by all of the terms of this Agreement
and the terms of the Note or Warrant Certificates, as the case may be, all or
any portion of the Note or any Warrant Certificate. In the event of any such
sale or assignment of the Note, upon surrender for exchange of the Note at the
office of the Company designated for notices in accordance with Section 15.2,
the Company shall execute and deliver in exchange therefor, without expense to
the holder, one or more new Notes in the same aggregate principal amount as the
then unpaid principal amount of the Note so surrendered as such holder shall
specify, dated as of the date to which interest has been paid on the Note so
surrendered (or, if no interest has been paid, the date of such surrendered
Note), in the name of such Person or Persons as may be designated by such holder
in writing, and otherwise of the same form and tenor as the Note so surrendered
for exchange. Every Note surrendered for transfer shall be duly endorsed, or
accompanied by a written instrument of transfer duly executed by the holder of
such Note or its attorney duly authorized in writing. Any sale or assignment of
a Warrant Certificate shall be in accordance with the provisions of Section 7 of
the Warrant Certificate.

        15.5 Amendment and Waiver.

        (a) No failure or delay on the part of any Holder, in exercising any
right, power or remedy hereunder shall operate as a waiver thereof, nor shall
any single or partial exercise of any such right, power or remedy preclude any
other or further exercise thereof or the exercise of any other right, power or
remedy. The remedies provided for herein are cumulative and are not exclusive of
any remedies that may be available to any Holder of the Note or any Warrant at
law, in equity or otherwise.

        (b) Any amendment, supplement or modification of or to any provision of
this Agreement, any waiver of any provision of this Agreement and any consent to
any departure by the Company from the terms of any provision of this Agreement,
shall be effective (i) only if it is made or given in writing and signed by the
Company and (x) holders of a majority of the aggregate principal amount of the
loans made under the Note and (y) holders of a majority of the shares of Common
Stock issued or issuable upon the exercise of the Warrants, and (ii) only in the
specific instance and for the specific purpose for which made or given.

        (c) Any amendment, supplement or modification of or to any provision of
the Note, any waiver of any provision of the Note, and any consent to any
departure by the Company from the terms of any provision of the Note, shall be
effective (i) only if it is made or given in writing and signed by the Company
and the holders of a majority of the aggregate principal amount of the loans
made under the Note, and

                                       68
<PAGE>

(ii) only in the specific instance and for the specific purpose for which made
or given; provided, however, that without the consent of each holder of the Note
affected, an amendment may not: (A) reduce the rate of or extend the time for
payment of interest on the Note; (B) reduce the principal of or extend the
maturity of the Note; (C) change the time at which the Note shall or may be
prepaid in accordance with the terms of the Note; (D) make the Note payable in
money other than that stated in the Note; or (E) make any change to this Section
15.5(c).

        Except where notice is specifically required by this Agreement, no
notice to or demand on the Company in any case shall entitle the Company to any
other or further notice or demand in similar or other circumstances.

        15.6 Counterparts. This Agreement may be executed in any number of
counterparts and by the parties hereto in separate counterparts, each of which
when so executed shall be deemed to be an original and all of which taken
together shall constitute one and the same agreement.

        15.7 Headings. The headings in this Agreement are for convenience of
reference only and shall not limit or otherwise affect the meaning hereof.

        15.8 Determinations. Except to the extent that any provision herein
expressly requires that a determination be reasonable or a consent not be
unreasonably withheld, or be subject to qualifications to a similar effect, all
determinations to be made by the Company, the Purchaser or any Holder hereunder
in its opinion or judgment or with its approval or otherwise shall be made by it
in its sole discretion.

        15.9 Governing Law. This Agreement has been negotiated, executed and
delivered in the State of New York, and shall be governed by and construed in
accordance with the law of the State of New York, without regard to principles
of conflicts of law thereof.

        15.10 Jurisdiction. Each party to this Agreement hereby irrevocably
agrees that any legal action or proceeding arising out of or relating to this
Agreement or any agreements or transactions contemplated hereby may be brought
in the courts of the State of New York located in New York City or of the United
States of America for the Southern District of New York and hereby expressly
submits to the personal jurisdiction and venue of such courts for the purposes
thereof and expressly waives any claim of improper venue and any claim that such
courts are an inconvenient forum. Each party hereby irrevocably consents to the
service of process of any of the aforementioned courts pursuant to a contractual
provision in any such suit, action or proceeding by the mailing of copies
thereof by registered or certified mail, postage prepaid, to the address set
forth in Section 15.2, such service to become effective 10 days after such
mailing. TO THE EXTENT NOT PROHIBITED BY APPLICABLE LAW WHICH CANNOT BE WAIVED,
EACH PARTY HEREBY WAIVES, AND COVENANTS THAT IT WILL NOT ASSERT (WHETHER AS
PLAINTIFF, DEFENDANT OR OTHERWISE), ANY RIGHT TO TRIAL BY JURY IN ANY FORUM IN
RESPECT OF ANY ISSUE, CLAIM, DEMAND, ACTION, OR CAUSE OF ACTION ARISING OUT OF
OR

                                       69
<PAGE>

BASED UPON THIS AGREEMENT OR THE SUBJECT MATTER HEREOF OR ANY FUNDAMENTAL
DOCUMENT, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING OR WHETHER IN
CONTRACT OR TORT OR OTHERWISE.

        15.11 Severability. In the event that any one or more of the provisions
contained herein, or the application thereof in any circumstance, is held
invalid, illegal or unenforceable in any respect for any reason, the validity,
legality and enforceability of any such provision in every other respect and of
the remaining provisions hereof shall not be in any way impaired, unless the
provisions held invalid, illegal or unenforceable shall substantially impair the
benefits of the remaining provisions hereof.

        15.12 Rules of Construction. Unless the context otherwise requires, "or"
is not exclusive, and references to sections or subsections refer to sections or
subsections of this Agreement.

        15.13 Remedies. If a breach of this Agreement, the Note or the Warrant
Certificates by the Company occurs and is continuing, the Purchaser or any
Holder of the Note or any Warrant Certificate may pursue any available remedy by
proceeding at law or in equity to enforce the performance (including, without
limitation, the specific performance) of any provision of this Agreement or the
Note or Warrant Certificate. The Purchaser or any Holder of the Note or Warrant
Certificate may maintain a proceeding even if it does not possess the Note or
Warrant Certificate or does not produce any of them in the proceeding. Except as
otherwise provided by law, a delay or omission by the Purchaser or any Holder of
the Note or any Warrant Certificate in exercising any right or remedy accruing
upon any such breach shall not impair the right or remedy or constitute a waiver
of or acquiescence in any such breach. No remedy is exclusive of any other
remedy. All available remedies are cumulative.

        15.14 Entire Agreement. This Agreement, together with the exhibits and
schedules hereto, and the other Transaction Documents are intended by the
parties as a final expression of their agreement and intended to be a complete
and exclusive statement of the agreement and understanding of the parties hereto
and thereto in respect of the subject matter contained herein and therein. There
are no restrictions, promises, warranties or undertakings, other than those set
forth or referred to herein or therein. This Agreement, together with the
exhibits and schedules hereto, and the other Transaction Documents supersede all
prior agreements and understandings among the parties with respect to such
subject matter.

        15.15 Attorneys' Fees. In any action or proceeding brought to enforce
any provision of this Agreement or any other of the Transaction Documents or any
other document or instrument contemplated hereby or thereby, or where any
provision hereof or thereof is validly asserted as a defense, the successful
party shall be entitled to recover reasonable attorneys' fees, charges and
disbursements in addition to any other available remedy.

                                       70
<PAGE>

        15.16 Publicity. Except as may be required by applicable law, no party
hereto shall issue a publicity release or announcement or otherwise make any
public disclosure concerning this Agreement or the transactions contemplated
hereby, without prior approval by the other parties hereto. If any announcement
is required by law to be made by a party hereto, prior to making such
announcement such party will deliver a draft of such announcement to the other
parties and shall give the other parties an opportunity to comment thereon.

        15.17 Expenses. The Company acknowledges and agrees that whether or not
the transactions contemplated by the Transaction Documents are consummated, it
shall reimburse (a) the Purchaser for (i) all reasonable legal fees, expenses
and disbursements of PWRW&G and Benesch, Friedlander, Coplan & Aronoff LLP, (ii)
all of its reasonable out-of-pocket expenses and (iii) all reasonable expenses
of accounting and/or other advisors to the Purchaser relating to its review of
the Company's accounting and management information systems, incurred in
connection with the due diligence process and the negotiation, execution and
delivery of this Agreement and the other Transaction Documents, (b) the
Purchaser for all reasonable out-of-pocket expenses of the Purchaser in
connection with monitoring the transactions contemplated by the Transaction
Documents following the Initial Closing and (c) the Purchaser for all reasonable
out-of-pocket expenses and the reasonable legal fees and expenses of legal
counsel in connection with any (i) Additional Closing and (ii) amendment,
supplement, modification or waiver of or to any provision of this Agreement and
the other Transaction Documents following the Initial Closing. The fees and
expenses set forth in Sections 15.17(a) and 15.7(c)(i) shall be paid by the
Company at the Initial Closing or Additional Closing, as applicable, and the
fees and expenses set forth in Sections 15.17(b) and 15.17(c)(ii) shall be paid
by the Company as incurred by the Purchaser.

        15.18 Further Assurances. Each of the parties hereto agrees that, except
as otherwise provided in this Agreement and subject to its legal obligations, it
will use its reasonable best efforts to fulfill all conditions precedent
specified herein, and to do all things reasonably necessary to consummate the
transactions contemplated hereby.

                  [Remainder of page intentionally left blank.]

                                       71
<PAGE>

        IN WITNESS WHEREOF, the parties hereto have caused this Securities
Purchase Agreement to be executed and delivered as an instrument under seal by
their respective officers or partners hereunto duly authorized as of the date
first above written.

                                       PSYCHIATRIC SOLUTIONS, INC.

                                       By: /s/ Steven T. Davidson
                                           -----------------------------------
                                            Name: Steven T. Davidson
                                            Title: Chief Development Officer

                                       THE 1818 MEZZANINE FUND II, L.P.

                                       By:  Brown Brothers Harriman & Co.,
                                            General Partner

                                       By: /s/ Joseph P. Donlan
                                           -----------------------------------
                                            Name: Joseph P. Donlan
                                            Title: Managing Director

                                       72<PAGE>
                                                                   EXHIBIT 10.19

THIS WARRANT AND THE SECURITIES ISSUABLE UPON EXERCISE HEREOF HAVE BEEN TAKEN
FOR INVESTMENT AND HAVE NOT BEEN REGISTERED, UNDER THE SECURITIES ACT OF 1933,
AS AMENDED (THE "SECURITIES ACT"), OR ANY APPLICABLE STATE SECURITIES LAWS AND
MAY NOT BE SOLD OR OTHERWISE TRANSFERRED BY ANY PERSON, INCLUDING A PLEDGEE,
UNLESS (1) EITHER (A) A REGISTRATION STATEMENT WITH RESPECT THERETO SHALL BE
EFFECTIVE UNDER THE SECURITIES ACT, OR (B) AN EXEMPTION FROM REGISTRATION UNDER
THE SECURITIES ACT IS THEN AVAILABLE AND (2) THERE SHALL HAVE BEEN COMPLIANCE
WITH ALL APPLICABLE STATE SECURITIES OR "BLUE SKY" LAWS.

WARRANT NO. 1                                                      June 28, 2002

                                     WARRANT

                       TO PURCHASE SHARES OF COMMON STOCK,

                            PAR VALUE $.01 PER SHARE,

                                       OF

                           PSYCHIATRIC SOLUTIONS, INC.

        THIS IS TO CERTIFY THAT THE 1818 MEZZANINE FUND II, L.P., a Delaware
limited partnership, or its permitted registered assigns (the "Holder"), is the
owner of One Million Five Hundred Two Thousand One Hundred Forty (1,502,140)
Warrants (the "Warrants"), each of which entitles the registered holder thereof
to purchase from Psychiatric Solutions, Inc., a Delaware corporation (the
"Company"), one fully paid, duly authorized and nonassessable share of Common
Stock (as defined in Section 13 hereof) of the Company, at any time or from time
to time on or before 5:00 p.m., New York City time, on the tenth anniversary of
the Issue Date (the "Warrant Expiration Date"), at an exercise price of $.01 per
share (the "Exercise Price"), all on the terms and subject to the conditions
hereinafter set forth.

        The number of shares of Common Stock issuable upon exercise of each such
Warrant (the "Number Issuable"), which is initially one (1) share, is subject to
adjustment from time to time pursuant to the provisions of Section 2 of this
Warrant Certificate.

        Capitalized terms used herein but not otherwise defined shall have the
meanings given to such terms in Section 13 hereof.

        Section 1. Exercise of Warrant. The Warrants evidenced hereby may be
exercised, in whole or in part, by the Holder hereof at any time or from time to
time on or before 5:00 p.m., New York City time, on the Warrant Expiration Date,
upon delivery to

<PAGE>

the Company at the principal executive office of the Company in the United
States of America, of (a) this Warrant Certificate, (b) a written notice stating
that such Holder elects to exercise the Warrants evidenced hereby in accordance
with the provisions of this Section 1 and specifying the number of Warrants
being exercised and the name or names in which such Holder wishes the
certificate or certificates for shares of Common Stock to be issued and (c)
payment of the Exercise Price for the shares of Common Stock issuable upon such
exercise of such Warrants, which shall be payable by any one or any combination
of (i) cash, (ii) certified or official bank check payable to the order of the
Company, (iii) the surrender (which surrender shall be evidenced by cancellation
of the number of Warrants represented by any Warrant Certificate presented in
connection with a Cashless Exercise (as defined below)) of Warrants (represented
by one or more relevant Warrant Certificates), without the payment of the
Exercise Price in cash, in return for the delivery to the surrendering holder of
such number of shares of Common Stock equal to the number of shares of Common
Stock for which such Warrant is requested to be exercised (if the Exercise Price
were being paid in cash or certified or official bank check) reduced by that
number of shares of Common Stock equal to the quotient obtained by dividing (x)
the aggregate Exercise Price to be paid by (y) the Market Price of one share of
Common Stock on the Business Day which next precedes the day of exercise of the
Warrants, or (iv) by the delivery of shares of Common Stock having a value (as
defined by the next sentence) equal to the aggregate Exercise Price to be paid
that are either held by the Holder or are acquired in connection with such
exercise, and without payment of the Exercise Price in cash. Any share of Common
Stock delivered as payment of the Exercise Price in connection with an In-Kind
Exercise (as defined below) shall be deemed to have a value equal to the Market
Price of one share of Common Stock on the Business Day which next precedes the
day of exercise of the Warrants. An exercise of the Warrants in accordance with
clause (iii) above is herein referred to as a "Cashless Exercise" and an
exercise of the Warrants in accordance with clause (iv) is herein referred to as
an "In Kind Exercise." The documentation and consideration, if any, delivered in
accordance with subsections (a), (b) and (c) above are collectively referred to
herein as the "Warrant Exercise Documentation."

        As promptly as practicable, and in any event within five Business Days
after receipt of the Warrant Exercise Documentation, the Company shall deliver
or cause to be delivered (a) certificates representing the number of validly
issued, fully paid and nonassessable shares of Common Stock specified in the
Warrant Exercise Documentation, (b) if applicable, cash in lieu of any fraction
of a share, as hereinafter provided, and (c) if less than the full number of
Warrants evidenced hereby are being exercised or used in a Cashless Exercise, a
new Warrant Certificate or Certificates, of like tenor, for the number of
Warrants evidenced by this Warrant Certificate, less the number of Warrants then
being exercised or used in a Cashless Exercise. Such exercise shall be deemed to
have been made at the close of business on the date of delivery of the Warrant
Exercise Documentation so that the Person entitled to receive shares of Common
Stock upon such exercise shall be treated for all purposes as having become the
record holder of such shares of Common Stock at such time. No such surrender
shall be effective to constitute the person entitled to receive such shares as
the record holder thereof while the transfer books of the Company for the Common
Stock are closed for any purpose (but not

                                       2
<PAGE>

for any period in excess of five days); but any such surrender of this Warrant
Certificate for exercise during any period while such books are so closed shall
become effective for exercise immediately upon the reopening of such books, as
if the exercise had been made on the date this Warrant Certificate was
surrendered and for the Number Issuable of Common Stock specified in the Warrant
Exercise Documentation and at the Exercise Price.

        The Company shall pay all expenses in connection with, and all taxes and
other governmental charges (other than income taxes of the holder) that may be
imposed in respect of, the issue or delivery of any shares of Common Stock
issuable upon the exercise of the Warrants evidenced hereby. The Company shall
not be required, however, to pay any tax or other charge imposed in connection
with any transfer involved in the issue of any certificate for shares of Common
Stock in any name other than that of the registered holder of the Warrants
evidenced hereby.

        In connection with the exercise of any Warrants evidenced hereby, no
fractions of shares of Common Stock shall be issued, but in lieu thereof the
Company shall pay a cash adjustment in respect of such fractional interest in an
amount equal to such fractional interest multiplied by the Current Market Price
per share of Common Stock on the Business Day which next precedes the day of
exercise. If more than one such Warrant shall be exercised by the Holder thereof
at the same time, the number of full shares of Common Stock issuable on such
exercise shall be computed on the basis of the total number of Warrants so
exercised.

        All certificates representing the shares of Common Stock issued upon
exercise of the Warrants shall bear legends substantially as follows:

THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE BEEN TAKEN FOR INVESTMENT
AND HAVE NOT BEEN REGISTERED, UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE
"SECURITIES ACT"), OR ANY APPLICABLE STATE SECURITIES LAWS AND MAY NOT BE SOLD
OR OTHERWISE TRANSFERRED BY ANY PERSON, INCLUDING A PLEDGEE, UNLESS (1) EITHER
(A) A REGISTRATION STATEMENT WITH RESPECT THERETO SHALL BE EFFECTIVE UNDER THE
SECURITIES ACT, OR (B) AN EXEMPTION FROM REGISTRATION UNDER THE SECURITIES ACT
IS THEN AVAILABLE AND (2) THERE SHALL HAVE BEEN COMPLIANCE WITH ALL APPLICABLE
STATE SECURITIES OR "BLUE SKY" LAWS.

        Section 2. Adjustments.

        (a) Adjustment of Number Issuable. The Number Issuable shall be subject
to adjustment from time to time as follows:

                                       3
<PAGE>

        (i) In case the Company shall at any time or from time to time after the
Issue Date:

                (A) issue shares of the Capital Stock of the Company as a
        dividend or other distribution on the outstanding shares of Common
        Stock;

                (B) subdivide the outstanding shares of Common Stock into a
        larger number of shares;

                (C) combine the outstanding shares of Common Stock into a
        smaller number of shares; or

                (D) issue any shares of its Capital Stock in a reclassification
        of the Common Stock;

then, and in each such case, the Number Issuable in effect immediately prior to
such event shall be adjusted (and any other appropriate actions shall be taken
by the Company) so that the holder of any Warrants evidenced hereby thereafter
exercised shall be entitled to receive the number of shares of Common Stock or
other securities of the Company which such holder would have owned or had been
entitled to receive upon or by reason of any of the events described above, had
such Warrants been exercised immediately prior to the happening of such event.
An adjustment made pursuant to this clause (i) shall be effective (x) in the
case of any such dividend or distribution, on the date immediately following the
close of business on the record date for the determination of holders of shares
of Common Stock entitled to receive such dividend or distribution, or (y) in the
case of any such subdivision, combination or reclassification, at the close of
business on the date upon which such corporate action becomes effective.

        (ii) If after the Issue Date, the Company shall at any time or from time
to time issue or sell (x) shares of Common Stock or (y) securities convertible
into or exchangeable for shares of Common Stock, or any options, warrants or
other rights to acquire shares of Common Stock (excluding any additional
warrants issued in connection with any Additional Closing (as defined in the
Securities Purchase Agreement) pursuant to the terms of the Securities Purchase
Agreement), at a price per share that is less than the Current Market Price per
share of Common Stock then in effect as of the record date or issue date, as the
case may be, referred to in the following sentence (the "Relevant Date")
(treating the price per share of Common Stock, in the case of the issuance of
any security convertible into, or exchangeable or exercisable for, shares of
Common Stock as equal to (x) the sum of the price for such security convertible
into, or, exchangeable or exercisable for, shares of Common Stock plus any
additional consideration payable (without regard to any anti-dilution
adjustments) upon the conversion, exchange or exercise of such security into
shares of Common Stock divided by (y) the number of shares of Common Stock
initially underlying such convertible, exchangeable or exercisable security), in
each case, other than issuances or sales for which an adjustment is made
pursuant to another paragraph of this Section 2, then, and in each such case,
the Number Issuable then in effect shall be adjusted by multiplying the

                                       4
<PAGE>

Number Issuable in effect on the day immediately prior to the Relevant Date by a
fraction, (1) the numerator of which shall be the sum of the number of shares of
Common Stock outstanding on the Relevant Date, plus the number of additional
shares of Common Stock issued or to be issued (or the maximum number into which
such convertible or exchangeable securities initially may convert or exchange or
for which such options, warrants or other rights initially may be exercised),
and (2) the denominator of which shall be the sum of the number of shares of
Common Stock outstanding on the Relevant Date, plus the number of shares of
Common Stock which the aggregate consideration (plus the aggregate amount of any
additional consideration initially payable upon conversion, exchange or exercise
of such security) for the total number of such additional shares of Common Stock
so issued (or into which such convertible or exchangeable securities may convert
or exchange or for which such options, warrants or other rights may be
exercised) would purchase at the Current Market Price per share of Common Stock
on the Relevant Date. Such adjustment shall be made whenever such shares,
securities, options, warrants or other rights are issued, and shall become
effective retroactively to a date immediately following the close of business
(x) in the case of an issuance to the stockholders of the Company, as such, on
the record date for the determination of stockholders entitled to receive such
shares, securities, options, warrants or other rights and (y) in all other
cases, on the date (the "issue date") of such issuance. Solely for purposes of
this clause (ii), (I) Common Stock shall include the Common Stock, par value
$.01 per share, of the Company and each other class of Capital Stock of the
Company that does not have a preference over any other class of Capital Stock of
the Company as to dividends or upon liquidation, dissolution or winding up of
the Company and, in each case, shall include any other class of Capital Stock of
the Company into which such stock is reclassified or reconstituted and (II) if
the provisions of any securities convertible into or exchangeable for shares of
Common Stock or options, warrants or other rights to acquire shares of Common
Stock are amended after the date of issuance so as to (directly or indirectly)
reduce the applicable conversion price, exchange price or exercise price such
amendment shall be deemed to be a new issuance of such securities as of the date
of such amendment.

        (iii) In case the Company shall at any time or from time to time after
the Issue Date distribute to any holder of shares of its Common Stock in respect
of such shares (including any such distribution made in connection with a
consolidation or merger in which the Company is the resulting or surviving
corporation and the Common Stock is not changed or exchanged) cash, evidences of
indebtedness of the Company or another issuer, securities of the Company or
another issuer or other assets (excluding dividends or other distributions of
shares of Common Stock or other Capital Stock for which adjustment is made under
Section 2(a)(i) or dividends or other distributions received by or set aside for
the benefit of the holders of Common Stock pursuant to Section 2(c) below) or
rights or warrants to subscribe for or purchase securities of the Company
(excluding those in respect of which adjustments in the Number Issuable is made
pursuant to Section 2(a)(i) or Section 2(a)(ii)), then, and in each such case,
the Number Issuable then in effect shall be adjusted by multiplying the Number
Issuable in effect immediately prior to the date of such distribution by a
fraction (x) the numerator of which shall be the Current Market Price per share
of Common Stock on the record date referred to below and (y) the denominator of
which shall be such Current Market Price

                                       5
<PAGE>

per share of Common Stock less the then Fair Market Value (as determined in good
faith by the Board of Directors of the Company, a certified resolution with
respect to which shall be mailed to the holder of the Warrants evidenced hereby)
of the portion of the cash, evidences of indebtedness, securities or other
assets so distributed or of such subscription rights or warrants applicable to
one share of Common Stock (but such denominator shall in no event be zero). Such
adjustment shall be made whenever any such distribution is made and shall become
effective retroactively to a date immediately following the close of business on
the record date for the determination of stockholders entitled to receive such
distribution.

        (iv) In case the Company at any time or from time to time shall take any
action which could have a dilutive effect on the number of shares of Common
Stock that may be issued upon exercise of the Warrants, other than an action
described in any of Section 2(a)(i) through 2(a)(iii), inclusive, or Section
2(b) or 2(c), then, the Number Issuable shall be adjusted in such manner and at
such time as the Board of Directors of the Company reasonably determines to be
equitable under the circumstances (such determination to be evidenced in a
resolution, a certified copy of which shall be mailed to the holder of the
Warrants evidenced hereby).

        (v) Notwithstanding anything herein to the contrary, no adjustment under
this Section 2(a) need be made to the Number Issuable unless such adjustment
would require an increase or decrease of at least 1% of the Number Issuable then
in effect. Any lesser adjustment shall be carried forward and shall be made at
the time of and together with the next subsequent adjustment, which, together
with any adjustment or adjustments so carried forward, shall amount to an
increase or decrease of at least 1% of such Number Issuable. Any adjustment to
the Number Issuable carried forward and not theretofore made shall be made
immediately prior to the exercise of any Warrants pursuant hereto.

        (vi) The Company promptly shall deliver to each registered holder of
Warrants at least five Business Days prior to effecting any transaction which
would result in an increase or decrease in the Number Issuable pursuant to this
Section 2 a notice thereof, together with a certificate, signed by the President
or the Chief Executive Officer and by the Treasurer or an Assistant Treasurer or
the Secretary or an Assistant Secretary of the Company, setting forth in
reasonable detail the event requiring the adjustment and the method by which
such adjustment was calculated and specifying the increased or decreased Number
Issuable then in effect following such adjustment.

        (vii) Notwithstanding anything contrary contained in this Section 2(a),
the Company shall be entitled to make such upward adjustments in the Number
Issuable, in addition to those otherwise required by this Section 2(a), as the
Board of Directors of the Company in their discretion shall determine to be
advisable in order that any stock dividend, subdivision or combination of
shares, distribution of rights or warrants to purchase stock or securities, or
distribution of securities convertible into or exchangeable for Common Stock,
hereafter made by the Company to its shareholders shall not be taxable;
provided, however, that any such adjustment shall be made, as

                                       6
<PAGE>

nearly as practicable, in a manner which treats all holders of Warrants with
similar protections on an equal basis.

        (b) Reorganization, Reclassification, Consolidation, Merger or Sale of
Assets. In case of any capital reorganization or reclassification or other
change of outstanding shares of Common Stock (other than a change in par value,
or from par value to no par value, or from no par value to par value, or as a
result of a subdivision or combination), or in case of any consolidation or
merger of the Company with or into another Person (including without limitation,
the PMR Merger), or in case of any sale or other disposition to another Person
of all or substantially all of the assets of the Company (any of the foregoing,
a "Transaction"), the Company, or such successor or purchasing Person
(including, in the case of the PMR Merger, PMR), as the case may be, shall
execute and deliver to each holder of the Warrants evidenced hereby,
simultaneously with effecting any of the foregoing Transactions, a certificate
that such holder of Warrants then outstanding shall have the right thereafter to
exercise such Warrants into the kind and amount of shares of stock or other
securities (of the Company or another issuer and, in the case of the PMR Merger,
of PMR) or property or cash receivable upon such Transaction by a holder of the
number of shares of Common Stock into which such Warrants could have been
exercised immediately prior to such Transaction. Such certificate shall provide
for adjustments which shall be as nearly equivalent as may be practicable to the
adjustments provided for in this Section 2 and shall contain other terms
substantially identical to the terms hereof. If, in the case of any such
Transaction, the stock, other securities, cash or property receivable thereupon
by a holder of Common Stock includes shares of stock or other securities of a
Person other than the successor or purchasing Persons and other than the
Company, which controls or is controlled by the successor or purchasing Person
or which, in connection with such Transaction, issues stock, securities, other
property or cash to holders of Common Stock, then such certificate also shall be
executed by such Person, and such Person shall, in such certificate,
specifically assume the obligations of such successor or purchasing Person and
acknowledge its obligations to issue such stock, securities, other property or
cash to holders of the Warrants upon exercise thereof as provided above.
Simultaneously with the consummation of the PMR Merger, the Company shall cause
PMR to deliver the certificate referred to in the immediately preceding sentence
to each holder of the Warrants evidenced hereby. The provisions of this Section
2(b) similarly shall apply to successive Transactions.

        (c) PMR Merger. In the event that after the Issue Date the PMR Merger
shall occur, the Number Issuable in effect immediately prior to the PMR Merger
shall be adjusted so that the holder of any Warrants evidenced hereby thereafter
exercised shall be entitled to receive a number of shares, par value $0.01 per
share, of common stock of PMR (the "PMR Common Stock") (subject to further
adjustment pursuant to the terms of this Warrant Certificate) equal to (x) such
holder's Proportionate Percentage (as defined below) multiplied by (y) the
number of shares of PMR Common Stock, representing 8.0% of the outstanding
shares of PMR Common Stock on a fully diluted basis after giving effect to the
transactions contemplated by the Transaction Documents (as defined in the
Securities Purchase Agreement), including, without limitation, the PMR Merger,
and assuming, without duplication, for purposes of this calculation, (i) the

                                       7
<PAGE>

exercise, immediately prior to the consummation of the PMR Merger, of all
options under the Company's 1997 Incentive and Nonqualified Stock Option Plan
for Key Personnel, (ii) the grant and exercise, immediately prior to the
consummation of the PMR Merger, of the options to be granted to existing senior
management of the Company to purchase up to 550,000 shares of Common Stock,
(iii) the exercise of all options granted under PMR's 1997 Equity Incentive Plan
and PMR's Outside Directors' Non-Qualified Stock Option Plan of 1992 as of the
consummation of the PMR Merger (but excluding 979,788 options (such number being
determined without giving effect to the reverse stock split contemplated to be
undertaken by PMR prior to the PMR Merger), all of which have an exercise price
per share of PMR Common Stock in excess of $4.00 (such number being determined
without giving effect to the reverse stock split contemplated to be undertaken
by PMR prior to the PMR Merger) and (iv) the conversion, exercise or exchange of
all outstanding securities and securities that have been approved for issuance
into shares of PMR Common Stock as of the consummation of the PMR Merger,
including, without limitation, all warrants that may be issued under the
Securities Purchase Agreement. The "Proportionate Percentage" means, with
respect to the holder of any Warrants evidenced hereby, a fraction, the
numerator of which equals the number of shares of Common Stock issuable upon
exercise of such Warrants immediately prior to the PMR Merger and the
denominator of which equals the number of shares of Common Stock issuable upon
exercise immediately prior to the PMR Merger of all warrants issuable under the
Securities Purchase Agreement (assuming that all such warrants are issued
immediately prior to the PMR Merger).

        (d) Special Distributions. In the event that after the Issue Date the
Company shall declare a dividend or make any other distribution (including,
without limitation, in cash, in Capital Stock (which shall include, without
limitation, any options, warrants or other rights to acquire Capital Stock) of
the Company, whether or not pursuant to a shareholder rights plan, "poison pill"
or similar arrangement) in other property or assets, to holders of Common Stock
(a "Special Distribution"), then the Board of Directors shall, if the holder so
elects by sending a Special Notice to the Company, set aside the amount of such
dividend or distribution that any holder of Warrants would have been entitled to
receive had it exercised such Warrants prior to the record date for such
dividend or distribution. Upon the exercise of Warrants evidenced hereby, such
electing holder or such holder's subsequent permitted transferee shall be
entitled to receive, such dividend or distribution that such holder would have
received had such Warrants been exercised immediately prior to the record date
for such dividend or distribution. Prior to any Special Distribution described
in this Section 2(c), the Company shall as provided in Section 4 hereof notify
each holder (not less than ten Business Days prior to the occurrence of such
Special Distribution) of its intent to make such Special Distribution and such
holder, if it elects to have such distribution set aside the amount thereof
rather than have an adjustment to the Number Issuable as provided in Section
2(a)(i) or (iii), shall notify the Company by sending to the Company a Special
Notice not less than three (3) Business Days prior to the date of any such
Special Distribution.

                                       8
<PAGE>

        Section 3. Redemption. The Warrants and the shares of Common Stock for
which the Warrants are exercisable are subject to the Holder's put right set
forth in Article XIII of the Securities Purchase Agreement.

        Section 4. Notice of Certain Events. In case at any time or from time to
time after the Issue Date the Company shall declare any dividend or any other
distribution to the holders of its Common Stock, or shall authorize the granting
to the holders of its Common Stock of rights or warrants to subscribe for or
purchase any additional shares of stock of any class or any other right, or
shall authorize the issuance or sale of any other shares or rights which would
result in an adjustment to the Number Issuable pursuant to Section 2(a)(i), (ii)
or (iii) or would result in a Special Distribution pursuant to Section 2(c)
hereof, or there shall be any capital reorganization or reclassification of the
Common Stock of the Company or consolidation or merger of the Company with or
into another Person, or any sale or other disposition of all or substantially
all the assets of the Company, or there shall be a voluntary or involuntary
dissolution, liquidation or winding up of the Company, then, in any one or more
of such cases the Company shall mail to each holder of the Warrants evidenced
hereby at such holder's address as it appears on the transfer books of the
Company, as promptly as practicable but in any event at least 15 days prior to
the applicable date hereinafter specified, a notice stating (a) the date on
which a record is to be taken for the purpose of such dividend, distribution,
rights or warrants or, if a record is not to be taken, the date as of which the
holders of Common Stock of record to be entitled to such dividend, distribution,
rights or warrants are to be determined, (b) the issue date (as defined in
Section 2(a)(ii) hereof) or (c) the date on which such reclassification,
consolidation, merger, sale, conveyance, dissolution, liquidation or winding up
is expected to become effective; provided that in the case of any event to which
Section 2(b) applies, the Company shall give at least ten Business Days' prior
written notice as aforesaid. Such notice also shall specify the date as of which
it is expected that the holders of Common Stock of record shall be entitled to
exchange their Common Stock for shares of stock or other securities or property
or cash deliverable upon such reorganization, reclassification, consolidation,
merger, sale, conveyance, dissolution, liquidation or winding up.

        Section 5. Certain Covenants.

        (a) The Company covenants and agrees that all shares of Capital Stock of
the Company which may be issued upon the exercise of the Warrants evidenced
hereby will be duly authorized, validly issued and fully paid and nonassessable,
will be free and clear of any Liens (as defined in the Securities Purchase
Agreement) and will not be subject to any preemptive or similar rights that have
not been waived.

        (b) The Company shall at all times reserve and keep available for
issuance upon the exercise of the Warrants, such number of its authorized but
unissued shares of Common Stock as will from time to time be sufficient to
permit the exercise of all outstanding Warrants, and shall take all action
required to increase the authorized number of shares of Common Stock if at any
time there shall be insufficient authorized but unissued shares of Common Stock
to permit such reservation or to permit the exercise of all outstanding
Warrants.

                                       9
<PAGE>

        (c) In the event of a contemplated sale of all or substantially all of
the assets or of the Capital Stock of the Company (by way of sale, merger or
otherwise, specifically excluding the PMR Merger), the Company, if requested in
writing by holders of outstanding Warrants representing a majority of the shares
of Common Stock issuable upon the exercise of all outstanding Warrants, shall
use its reasonable efforts to cause such transaction to be structured in a
manner that requires the purchaser(s) to purchase the outstanding Warrants from
such holders at a price equal to the consideration such holders would have
received had they had exercised their Warrants immediately prior to the
consummation of such sale transaction less the exercise price of such Warrants.

        Section 6. Registered Holder. The person in whose name this Warrant
Certificate is registered shall be deemed the owner hereof and of the Warrants
evidenced hereby for all purposes. The registered holder of this Warrant
Certificate, in its capacity as such, shall not be entitled to any rights
whatsoever as a stockholder of the Company, except as herein provided.

        Section 7. Transfer of Warrants. Any transfer of the rights represented
by this Warrant Certificate shall be effected by the surrender of this Warrant
Certificate, along with the form of assignment attached hereto, properly
completed and executed by the registered holder hereof, at the principal
executive office of the Company in the United States of America, together with
an appropriate investment letter, if deemed reasonably necessary by counsel to
the Company to assure compliance with applicable securities laws. Thereupon, the
Company shall issue in the name or names specified by the registered holder
hereof and, in the event of a partial transfer, in the name of the registered
holder hereof, a new Warrant Certificate or Certificates evidencing the right to
purchase such number of shares of Common Stock as shall be equal to the number
of shares of Common Stock then purchasable hereunder.

        Section 8. Denominations. The Company covenants that it will, at its
expense, promptly upon surrender of this Warrant Certificate at the principal
executive office of the Company in the United States of America, execute and
deliver to the registered holder hereof a new Warrant Certificate or
Certificates in denominations specified by such holder for an aggregate number
of Warrants equal to the number of Warrants evidenced by this Warrant
Certificate.

        Section 9. Amendments. Any amendment, supplement or modification of or
to any provision of the Warrant Certificates, any waiver of any provision of the
Warrant Certificates, and any consent to any departure by the Company from the
terms of any provision of the Warrant Certificates, shall be effective (i) only
if it is made or given in writing and signed by the Company and holders of at
least a majority of the shares of Common Stock issuable upon the exercise of all
of the Warrants issued pursuant to the Securities Purchase Agreement, and (ii)
only in the specific instance and for the specific purpose for which made or
given. Any such amendment, supplement or modification made in accordance with
the previous sentence of this Section 9, shall be deemed effective for all
Warrants issued pursuant to the Securities Purchase Agreement. However, without
the consent of each holder of a Warrant Certificate affected, an

                                       10
<PAGE>

amendment may not: (1) reduce the number of shares of Common Stock issuable
pursuant to such Warrant Certificate; or (2) make any change to this Section 9.

        Section 10. Replacement of Warrants. Upon receipt of evidence
satisfactory to the Company of the loss, theft, destruction or mutilation of
this Warrant Certificate and, in the case of loss, theft or destruction, upon
delivery of an indemnity reasonably satisfactory to the Company (in the case of
an insurance company or other institutional investor, its own unsecured
indemnity agreement shall be deemed to be reasonably satisfactory), or, in the
case of mutilation, upon surrender and cancellation thereof, the Company will
issue a new Warrant Certificate of like tenor for a number of Warrants equal to
the number of Warrants evidenced by this Warrant Certificate.

        Section 11. Governing Law. THIS WARRANT CERTIFICATE SHALL BE CONSTRUED
AND ENFORCED IN ACCORDANCE WITH, AND THE RIGHTS OF THE PARTIES SHALL BE GOVERNED
BY, THE LAW OF THE STATE OF NEW YORK APPLICABLE TO AGREEMENTS MADE AND TO BE
PERFORMED ENTIRELY WITHIN SUCH STATE.

        Section 12. Rights Inure to Registered Holder. The Warrants evidenced by
this Warrant Certificate will inure to the benefit of and be binding upon the
registered holder thereof and the Company and their respective successors and
permitted assigns. Nothing in this Warrant Certificate shall be construed to
give to any Person other than the Company and the registered holder thereof any
legal or equitable right, remedy or claim under this Warrant Certificate, and
this Warrant Certificate shall be for the sole and exclusive benefit of the
Company and such registered holder. Nothing in this Warrant Certificate shall be
construed to give the registered holder hereof any rights as a holder of shares
of Common Stock until such time, if any, as the Warrants evidenced by this
Warrant Certificate are exercised in accordance with the provisions hereof.

        Section 13. Definitions. For the purposes of this Warrant Certificate,
the following terms shall have the meanings indicated below:

        "Business Day" means any day other than a Saturday, Sunday or other
legal holiday on which commercial banks in the City of New York are authorized
or required by law or executive order to close.

        "Capital Stock" of any Person means any and all shares, interests,
participation or other equivalents (however designated) of such Person's capital
stock (or equivalent ownership interests in a Person not a corporation) whether
now outstanding or hereafter issued, including, without limitation, all common
stock and preferred stock and any rights, warrants or options to purchase such
Person's capital stock.

        "Commission" means the Securities and Exchange Commission.

        "Common Stock" shall mean the Common Stock, par value $.01 per share, of
the Company.

                                       11
<PAGE>

        "Current Market Price" per share shall mean, on any date specified
herein for the determination thereof, (a) the average daily Market Price of the
Common Stock for those days during the period of 30 days, ending on such date,
on which the national securities exchanges were open for trading, and (b) if the
Common Stock is not then listed or admitted to trading on any national
securities exchange or quoted in the over-the-counter market, the Market Price
on such date.

        "Exercise Price" shall have the meaning given it in the first paragraph
hereof.

        "Fair Market Value" shall mean the amount which a willing buyer, under
no compulsion to buy, would pay a willing seller, under no compulsion to sell,
in an arm's-length transaction assuming (i) that the Company's Common Stock is
valued "as if fully distributed" and (ii) no consideration is given for minority
interest discounts, or discounts related to illiquidity or restrictions on
transferability.

        "Issue Date" shall mean the Initial Closing Date (as defined in the
Securities Purchase Agreement).

        "Market Price" shall mean, per share of Common Stock on any date
specified herein: (a) the closing price per share of the Common Stock on such
date published in The Wall Street Journal or, if no such closing price on such
date is published in The Wall Street Journal, the average of the closing bid and
asked prices on such date, as officially reported on the principal national
securities exchange on which the Common Stock is then listed or admitted to
trading; (b) if the Common Stock is not then listed or admitted to trading on
any national securities exchange but is designated as a national market system
security, the last trading price of the Common Stock on such date; or (c) if
there shall have been no trading on such date or if the Common Stock is not so
designated, the average of the reported closing bid and asked prices of the
Common Stock on such date as shown by NASDAQ and reported by any member firm of
the NYSE, selected by the Company. If neither (a), (b) or (c) is applicable,
Market Price shall mean the Fair Market Value per share determined in good faith
by the Board of Directors of the Company which shall be deemed to be Fair Market
Value unless holders of at least 15% of Common Stock issued or issuable upon
exercise of the Warrants request that the Company obtain an opinion of a
nationally recognized investment banking firm chosen by the Company (who shall
bear the expense) and reasonably acceptable to such requesting holders of the
Warrants, in which event Fair Market Value shall be as determined by such
investment banking firm.

        "NASDAQ" shall mean the National Market System of the Nasdaq Stock
Market.

        "Number Issuable" shall have the meaning given it in the second
paragraph hereof.

        "NYSE" shall mean the New York Stock Exchange, Inc.

                                       12
<PAGE>

        "Person" shall mean any individual, corporation, partnership, joint
venture, association, estate, joint stock company, trust, organization,
business, or a government or an agency or political subdivision thereof.

        "PMR" shall mean PMR Corporation, a Delaware corporation, and its
successors.

        "PMR Merger" shall mean the merger of Psychiatric Solutions, Inc. with
PMR Acquisition Corporation, a subsidiary of PMR, with Psychiatric Solutions,
Inc. being the surviving corporation, pursuant to the Agreement and Plan of
Merger, dated as of May 6, 2002, as amended, by and between PMR, PMR Acquisition
Corporation and the Company.

        "Securities Act" shall mean the Securities Act of 1933, as amended, and
the rules and regulations of the Commission promulgated thereunder.

        "Securities Purchase Agreement" shall mean that certain Securities
Purchase Agreement, dated as of the Issue Date, between the Company and The 1818
Mezzanine Fund II, L.P., as the same may be amended or modified from time to
time in accordance with its terms.

        "Special Notice" shall mean the notice sent by a holder to the Company
indicating its preference to have any special distribution set aside for its
benefit upon exercise of the Warrant.

        "Warrant Exercise Documentation" shall have the meaning given it in
Section 1 hereof.

        Section 14. Notices. All notices, demands and other communications
provided for or permitted hereunder shall be made in writing and shall be by
registered or certified first-class mail, return receipt requested, courier
services or personal delivery, (a) if to the holder of a Warrant, at such
holder's last known address appearing on the books of the Company; and (b) if to
the Company, at its principal executive office in the United States located at
the address designated for notices in the Securities Purchase Agreement, or such
other address as shall have been furnished to the party given or making such
notice, demand or other communication. All such notices and communications shall
be deemed to have been duly given: when delivered by hand, if personally
delivered; one Business Day after delivered to a courier if delivered by
commercial overnight courier service; and five Business Days after being
deposited in the mail, postage prepaid, if mailed.

                  [Remainder of page intentionally left blank.]

                                       13
<PAGE>

        IN WITNESS WHEREOF, the Company has caused this Warrant Certificate to
be duly executed as of the Issue Date.

                                       PSYCHIATRIC SOLUTIONS, INC.

                                       By: /s/ Steven T. Davidson
                                           ----------------------
                                           Name: Steven T. Davidson
                                           Title: Vice President

                                       14
<PAGE>

                            [Form of Assignment Form]

                  [To be executed upon assignment of Warrants]

        The undersigned hereby assigns and transfers this Warrant Certificate
to ____________________ whose Social Security Number or Tax ID Number is
_________________ and whose record address is _________________________________,
and irrevocably appoints ________________ as agent to transfer this security on
the books of the Company. Such agent may substitute another to act for such
agent.

                                           Signature:

                                           -------------------------------

                                           Signature Guarantee:

                                           --------------------------------

Date: ___________________________

                                       15

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