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                                                                    EXHIBIT 10.1

                              EMPLOYMENT AGREEMENT

        This Agreement made effective as of January 1, 2000 by and between
ADVOCAT INC., a Delaware corporation (the "Company"), and James F. Mills, Jr.
(the "Employee").

        In consideration of the mutual covenants contained in this Agreement,
the parties hereby agree as follows:

                                    SECTION I
                                   EMPLOYMENT

        The Company agrees to employ the Employee and the Employee agrees to be
employed by the Company for the Period of Employment as provided in Section
III.A. below and upon the terms and conditions provided in the Agreement.

                                   SECTION II
                          POSITION AND RESPONSIBILITIES

        During the Period of Employment, the Employee agrees to serve as
Corporate Comptroller of the Company and to be responsible for the typical
management responsibilities related to such a position and such other
responsibilities as may be assigned to Employee from time to time by the Chief
Executive Officer, Chief Financial Officer or the Board of Directors of the
Company.

                                   SECTION III
                                TERMS AND DUTIES

        A.     Period of Employment

               The period of Employee's employment under this Agreement will
commence as of the date hereof and shall continue through December 31, 2000,
subject to extension or termination as provided in this Agreement ("Period of
Employment"). On each anniversary of the commencement of the Period of
Employment, the period of Employee's employment shall be extended for additional
one (1) year periods, unless either party gives notice thirty (30) days in
advance of the expiration of the then current period of employment of such
party's intent not to extend the Period of Employment.

        B.     Duties

               During the Period of Employment, the Employee shall devote all of
his business time, attention and skill to the business and affairs of the
Company and its subsidiaries. The

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Employee will perform faithfully the duties which may be assigned to him from
time to time by the Chief Executive Officer, the Chief Financial Officer or the
Board of Directors.

                                   SECTION IV
                            COMPENSATION AND BENEFITS

        A.     Compensation

               For all services rendered by the Employee in any capacity during
the Period of Employment, the Employee shall be compensated as follows:

               1.      Base Salary

                       The Company shall pay the Employee a base salary ("Base
Salary") as follows: One Hundred Thousand Dollars ($100,000) per annum.

                       Base Salary shall be payable according to the customary
payroll practices of the Company but in no event less frequently than twice each
month. The base salary shall be reviewed annually and shall be subject to
increase according to Employee's individual performance, the Company's financial
results, prevailing market conditions and other policies and practices adopted
by the Company from time to time.

        B.     Annual Incentive Awards

               The Company will, in its discretion, pay the Employee annual
incentive compensation awards as may be granted by the Board or a Compensation
Committee to the Employee up to 25% of Base Salary, conditional upon achievement
of pre-agreed performance goals and objectives.

        C.     Additional Benefits

               The Employee will be entitled to participate in all compensation
or employee benefit plans or programs and receive all benefits and perquisites
for which any salaried employees of the Company at an equivalent level to
Employee are eligible under any existing or future plan or program established
by the Company for such employees. The Employee will participate to the extent
permissible under the terms and provisions of such plans or programs in
accordance with program provisions. These may include group hospitalization,
health, dental care, life or other insurance, tax qualified pension, car
allowance, savings, thrift and profit sharing plans, termination pay programs,
sick leave plans, travel or accident insurance, disability insurance, and
contingent compensation plans including capital accumulation programs, stock
purchase programs and stock option plans. Nothing in this Agreement will
preclude the Company from amending or terminating any such plans or programs.
The Employee will be entitled to an annual three-week paid vacation.

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                                    SECTION V
                                BUSINESS EXPENSES

        The Company will reimburse the Employee for all reasonable travel and
other expenses incurred by the Employee in connection with the performance of
his duties and obligations under this Agreement.

                                   SECTION VI
                                   DISABILITY

        A. In the event of disability of the Employee during the Period of
Employment, the Company will continue to pay the Employee according to the
compensation provisions of this Agreement during the period of his disability,
until such time as Employee's long term disability insurance benefits are
available. However, in the event the Employee is disabled for a continuous
period of six (6) months after the Employee first becomes disabled, the Company
may terminate the employment of the Employee. In this case, normal compensation
will cease except for earned but unpaid Base Salary and Incentive Compensation
Awards which would be payable on a pro-rated basis for the year in which the
disability occurred. In the event of such termination, all unvested stock
options held by Employee shall be deemed fully vested on the date of such
termination.

        B. During the period the Employee is receiving payments of either
regular compensation or disability insurance described in this Agreement and as
long as he is physically and mentally able to do so, the Employee will furnish
information and assistance to the Company and from time to time will make
herself available to the Company to undertake assignments consistent with his
prior position with the Company and his physical and mental health. If the
Company fails to make a payment or provide a benefit required as part of the
Agreement, the Employee's obligation to fulfill information and assistance will
end.

        C. The term "disability" will have the same meaning as under any
disability insurance provided pursuant to this Agreement or otherwise.

                                   SECTION VII
                                      DEATH

        In the event of the death of the Employee during the Period of
Employment, the Company's obligation to make payments under this Agreement shall
cease as of the date of death, except for earned but unpaid Base Salary and
Incentive Compensation Awards which will be paid on a prorated basis for that
year. The Employee's designated beneficiary will be entitled to receive the
proceeds of any life or other insurance or other death benefit programs provided
in this Agreement.

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                                  SECTION VIII
                       EFFECT OF TERMINATION OF EMPLOYMENT

        A. If the Employee's employment terminates due to either a Without Cause
Termination or a Constructive Discharge, as defined later in this Agreement, the
Company will continue to pay the Employee his Base Salary in effect at such time
for a six month period following such Termination or Constructive Discharge.
Earned but unpaid Base Salary and Incentive Compensation Awards will be paid in
a lump sum at such time. The benefits and perquisites described in this
Agreement as in effect at the date of termination of employment will be
continued for six (6) months. If the Employee's employment terminates due to
either a Without Cause Termination or a Constructive Discharge, or pursuant to
Section XI, all stock options ("Options"), if any, granted to the Employee under
the Company's 1991 Non-Qualified Stock Option Plan or other stock option program
or plan (the "Plan") shall be deemed vested, and the Company shall cause the
Options, if any, to remain exercisable for six (6) months from the date of
termination.

        B. If the Employee's employment terminates due to a Termination for
Cause, earned but unpaid Base Salary will be paid on a pro-rated basis for the
year in which the termination occurs. No other payments will be made or benefits
provided by the Company.

        C. Upon termination of the Employee's employment other than for reasons
due to death, disability, or pursuant to Paragraph A of this Section or Section
XI, the Period of Employment and the Company's obligation to make payments under
this Agreement will cease as of the date of the termination except as expressly
defined in this Agreement. In the event that the Employee desires to terminate
this Agreement, except as otherwise expressly stated herein, the Employee shall
be required to give the Company at least thirty (30) days' prior written notice
prior to the effective date of such termination.

        D. For this Agreement, the following terms have the following meanings:

           1. "Termination for Cause" means termination of the Employee's
employment by the Company's Board of Directors acting in good faith by the
Company by written notice to the Employee specifying the event relied upon for
such termination, due to the Employee's serious, willful misconduct with respect
to his duties under this Agreement, including but not limited to conviction for
a felony or perpetration of a common law fraud, which has resulted or is likely
to result in material economic damage to the Company.

           2. "Constructive Discharge" means termination of the Employee's
employment by the Employee due to a failure of the Company to fulfill its
obligations under this Agreement in any material respect including any reduction
of the Employee's Base Salary or other compensation other than reductions
applicable to all employees of the Company or failure to appoint or reappoint
the Employee to the position specified in Section II hereof, or other material
change by the Company in the functions, duties or responsibilities of the
position which would reduce the ranking or level, responsibility, importance or
scope of the position. The Employee will provide the Company a

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written notice which describes the circumstances being relied on for the
termination with respect to the Agreement within ninety (90) days after the
event giving rise to the notice. The Company will have thirty (30) days to
remedy the situation prior to the Termination for Constructive Dismissal.

           3. "Without Cause Termination" means termination of the
Employee's employment by the Company (a) other than due to death, disability,
Termination for Cause or pursuant to Section XI; or (b) upon expiration of the
Period of Employment as a result of the giving of notice by the Company the of
its intent not to extend the Period of Employment as provided in Section III.A.
In the event of a Without Cause Termination, the shall be required to give the
Employee at least thirty (30) days' notice prior to the effective date of such
termination.

                                   SECTION IX
                       OTHER DUTIES OF THE EMPLOYEE DURING
                       AND AFTER THE PERIOD OF EMPLOYMENT

        A. The Employee will, with reasonable notice during or after the Period
of Employment, furnish information as may be in his possession and cooperate
with the Company as may reasonably be requested in connection with any claims or
legal actions in which the Company is or may become a party.

        B. The Employee recognizes and acknowledges that all information
pertaining to the affairs, business, clients, customers or other relationships
of the Company, as hereinafter defined, is confidential and is a unique and
valuable asset of the Company. Access to and knowledge of this information are
essential to the performance of the Employee's duties under this Agreement. The
Employee will not during the Period of Employment or after except to the extent
reasonably necessary in performance of the duties under this Agreement, give to
any person, firm, association, corporation or governmental agency any
information concerning the affairs, business, clients, customers or other
relationships of the Company except as required by law. The Employee will not
make use of this type of information for his own purposes or for the benefit of
any person or organization other than the Company. The Employee will also use
his best efforts to prevent the disclosure of this information by others. All
records, memoranda, etc. relating to the business of the Company whether made by
the Employee or otherwise coming into his possession are confidential and will
remain the property of the Company.

        C. During the Period of Employment and for a twelve (12) month period
thereafter, the Employee will not use his status with the Company to obtain
loans, goods or services from another organization on terms that would not be
available to him in the absence of his relationship to the Company. During the
Period of Employment and for a twelve (12) month period following termination of
the Period of Employment, other than termination due to a Without Cause
Termination, a Constructive Discharge or termination pursuant to Section XI: the
Employee will not make any statements or perform any acts intended to advance
the interest of any existing or prospective competitors of the Company in any
way that will injure the interest of the Company; the

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Employee without prior express written approval by the Board of Directors of the
Company will not directly or indirectly own or hold any proprietary interest in
or be employed by or receive compensation from any party engaged in the same or
any similar business in the same geographic areas the Company does business; and
the Employee without express prior written approval from the Board of Directors,
will not solicit any members of the then current clients of the Company or
discuss with any employee of the Company information or operation of any
business intended to compete with the Company. For the purposes of the
Agreement, proprietary interest means legal or equitable ownership, whether
through stock holdings or otherwise, of a debt or equity interest (including
options, warrants, rights and convertible interests) in a business firm or
entity, or ownership of more than 5% of any class of equity interest in a
publicly-held company. The Employee acknowledges that the covenants contained
herein are reasonable as to geographic and temporal scope. For a twelve (12)
month period after termination of the Period of Employment for any reason, the
Employee will not directly or indirectly hire any employee of the Company or
solicit or encourage any such employee to leave the employ of the Company.

        D. The Employee acknowledges that his breach or threatened or attempted
breach of any provision of Section IX would cause irreparable harm to the
Company not compensable in monetary damages and that the Company shall be
entitled, in addition to all other applicable remedies, to a temporary and
permanent injunction and a decree for specific performance of the terms of
Section IX without being required to prove damages or furnish any bond or other
security.

        E. The Employee shall not be bound by the provisions of Section IX in
the event of the default by the Company in its obligations under this Agreement
which are to be performed upon or after termination of this Agreement.

                                    SECTION X
                           INDEMNIFICATION, LITIGATION

        The Company will indemnify the Employee to the fullest extent permitted
by the laws of the state of incorporation in effect at that time, or certificate
of incorporation and by-laws of the Company whichever affords the greater
protection to the Employee. The Employee will be entitled to any insurance
proceeds related to any award, or any fees or expenses incurred in connection
with any action, suit or proceeding to which he may be made a party by reason of
being an officer of the Company.

                                   SECTION XI
                                CHANGE IN CONTROL

        In the event there is a Change in Control of the ownership of the
Company, the Employee may at any time immediately resign upon written notice to
the Company. In this event, the Company shall continue to pay the Employee his
Base Salary as in effect at the time of such

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resignation for a six month period following such resignation. In addition,
earned but unpaid Base Salary and Incentive Compensation Awards will be paid on
a pro-rated basis for the year in which resignation occurs. Any Options granted
to the Employee prior to termination pursuant to the Plan, but subject to
vesting restrictions, will be fully vested upon a Change in Control whether or
not the Employee resigns. The benefits and perquisites described in this
Agreement as in effect at the date of termination of employment will also be
continued for six (6) months from the effective date of termination pursuant to
Change of Control.

        A "Change in Control" shall be deemed to have occurred if (i) a tender
offer shall be made and consummated for the ownership of more than 50% of the
outstanding voting securities of the Company, (ii) the Company shall be merged
or consolidated with another corporation and as a result of such merger or
consolidation less than 75% of the outstanding voting securities of the
surviving or resulting corporation shall be owned in the aggregate by the former
shareholders of the Company, as the same shall have existed immediately prior to
such merger or consolidation, (iii) the Company shall sell all or substantially
all of its assets to another corporation which is not a wholly-owned subsidiary,
or (iv) a person, within the meaning of Section 3(a)(9) or of Section 13(d)(3)
(as in effect on the date hereof) of the Securities and Exchange Act of 1934
("Exchange "Act")), shall acquire more than 50% of the outstanding voting
securities of the Company (whether directly, indirectly, beneficially or of
record). For purposes hereof, ownership of voting securities shall take into
account and shall include ownership as determined by applying the provisions of
Rule 13d-3(d)(1)(i) (as in effect on the date hereof) pursuant to the Exchange
Act.

                                   SECTION XII
                                WITHHOLDING TAXES

        The Company may directly or indirectly withhold from any payments under
this Agreement all federal, state, city or other taxes that shall be required
pursuant to any law or governmental regulation.

                                  SECTION XIII
                           EFFECTIVE PRIOR AGREEMENTS

        This Agreement contains the entire understanding between the Company and
the Employee with respect to the subject matter and supersedes any prior
employment or severance agreements between the Company and its affiliates, and
the Employee.

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                                   SECTION XIV
                     CONSOLIDATION, MERGER OR SALE OF ASSETS

        Nothing in this Agreement shall preclude the Company from consolidating
or merging into or with, or transferring all or substantially all of its assets
to, another corporation which assumes this Agreement and all obligations and
undertakings of the Company hereunder. Upon such a Consolidation, Merger or Sale
of Assets, the term "the Company" as used will mean the other corporation and
this Agreement shall continue in full force and effect. This Section XIV is not
intended to modify or limit the rights of the Employee hereunder, including
without limitation, the rights of Employee under Section XI.

                                   SECTION XV
                                  MODIFICATION

        This Agreement may not be modified or amended except in writing signed
by the parties. No term or condition of this Agreement will be deemed to have
been waived except in writing by the party charged with waiver. A waiver shall
operate only as to the specific term or condition waived and will not constitute
a waiver for the future or act on anything other than that which is specifically
waived.

                                   SECTION XVI
                           GOVERNING LAW; ARBITRATION

        This Agreement has been executed and delivered in the State of Tennessee
and its validity, interpretation, performance and enforcement shall be governed
by the laws of that state.

        Any dispute among the parties hereto shall be settled by arbitration in
Nashville, Tennessee, in accordance with the rules then obtaining of the
American Arbitration Association and judgment upon the award rendered may be
entered in any court having jurisdiction thereof.

                                  SECTION XVII
                                     NOTICES

        All notices, requests, consents and other communications hereunder shall
be in writing and shall be deemed to have been made when delivered or mailed
first-class postage prepaid by registered mail, return receipt requested, or if
delivered by hand, overnight delivery service or confirmed facsimile
transmission, to the following:

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               (a) If to the Company, at 277 Mallory Station Road, Suite 130,
Franklin, Tennessee 37067, Attention: President or Chief Executive Officer, or
at such other address as may have been furnished to the Employee by the Company
in writing; or

               (b) If to the Employee, at 210 Deer Park Lane, Franklin,
Tennessee 37069, or such other address as may have been furnished to the Company
by the Employee in writing.

                                  SECTION XVIII
                                BINDING AGREEMENT

        This Agreement shall be binding on the parties' successors, heirs and
assigns.

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

                                         ADVOCAT INC.

                                         By:_________________________________

                                         Title: _____________________________

                                         EMPLOYEE:

                                         _____________________________________
                                         James F. Mills, Jr.

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                                                                    EXHIBIT 10.1

                                 DAVID McINTOSH
                            7932 FLAGER COURT SOUTH
                           WEST PALM BEACH, FL 33405
                       (561) 650-0659; FAX (561) 655-5677

                                                                  April 27, 2000

Mr. Joseph A. Paul, CEO
US Diagnostic, Inc.
777 South Flagler Drive
Suite 1200
West Palm Beach, FL 33401

Dear Joe:

In order to confirm the understanding we've reached orally, I restate below the
agreement under which I'll render consulting services to USD.

I've agreed to commit a minimum of 300 hours over the next 4 months or so, in
order to examine the feasibility of USD complementing its current endeavors
through an internet-based Application Service Provider (ASP) enterprise.

My time investment began Monday, April 24, in preparation for Tuesday's
meeting in your offices. I would hope to complete the task before the end of
August and will target completion by mid-August. I've committed to be
out-of-state for the last two weeks of July and the first week of August. While
I approach this engagement with a true sense of urgency (for all the reasons we
both understand about the need to launch such strategies as quickly as
possible), there can be no assurance that events beyond my control might not
delay the final written product.

My ability to complete the project in a timely manner is also dependent on the
availability of Stan Repetta to work with me. Stan has indicated that he
believes a substantial part of his time can be, and should be, devoted to this
effort. I'm pleased with his level of excitement about the project.

My work product will constitute a comprehensive report to the Board of
Directors, along with a suggested plan of action for the Company.

The Company has agreed to compensate me, as an independent contractor, at the
fixed rate of $15,000 per month for 4 months. The payments will be due on the
5th day of May, June, July and August of this year. In addition, the Company
will bear the cost of reasonable expenses incurred by me which have a direct
relationship to the engagement. If I advance money for such expenses, the
Company will reimburse me for directly-related expenses when I submit full
documentation of them.

Please signify your concurrence with this agreement at the bottom of this
letter.

My best to you,

/s/ DAVID McINTOSH
-------------------
David McIntosh                             ACCEPTED:

                                           /s/ JOSEPH A. PAUL, CEO  4/22/00
                                           --------------------------------
                                           Joseph A. Paul, CEO       Date

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