Document:

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                                                                   EXHIBIT 10.15
                        AMENDMENT TO EMPLOYMENT AGREEMENT

      This Amendment to that certain Employment Agreement (the "Amendment") by
and between PROXYMED, INC., a Florida corporation (the "Company"), and TIMOTHY
J. TOLAN (the "Executive") dated January 23, 2001, is entered into as of JANUARY
1, 2004 (the "Amendment Date"). In consideration of the mutual covenants and
agreements hereinafter set forth, the parties agree as follows:

      WHEREAS, the Company and the Executive have agreed to amend that certain
Employment Agreement;

      NOW, THEREFORE, the parties agree as follows:

      1. The Employment Agreement of the Executive shall automatically renewed
for a period of one (1) year from January 29, 2004 to January 28, 2005, and
shall be automatically extended from year to year thereafter unless otherwise
terminated in accordance with the terms of the Employment Agreement.

      2. Commencing on the Amendment Date, the Executive's position shall be
Executive Vice President-Sales and Account Management, reporting to the Chief
Operating Officer.

      3. Commencing on the Amendment Date, the Executive's annual salary shall
be $175,000.00 payable in accordance with the Company's then-current payroll
practices and subject to any subsequent increases recommended by the Company's
Compensation Committee and approved by the Company's Board of Directors in
writing. Any such subsequent written document is hereby incorporated by
reference and made a part of and shall amend the relevant terms of the
Employment Agreement automatically.

      4. Except as otherwise modified herein, all terms and conditions of the
Executive's Employment Agreement shall remain in full force and effect. To the
extent that a conflict shall exist as between the terms or conditions of the
Employment Agreement and this Amendment, those of this Amendment shall prevail.

      5. This Amendment may be executed in one or more counterparts, all of
which shall be considered one and the same agreement and shall become effective
when one or more counterparts have been signed by each of the parties and
delivered to the other parties.

      6. This Amendment constitutes the entire agreement, and supersede all
prior agreements and understandings, both written and oral, among the parties
with respect to the transactions contemplated hereby, and (b) is not intended to
confer upon any person other than the parties hereto any rights or remedies.

      IN WITNESS WHEREOF, each of the parties has executed this Amendment, in
the case of the Company by its duly authorized officer, as of the day and year
first above written.

PROXYMED, INC.                         EXECUTIVE:

By:  /s/ NANCY J. HAM                  By: /s/ TIMOTHY J. TOLAN
     -----------------------------         -----------------------------------
     SIGNATURE                                           SIGNATURE

Print Name:  NANCY J. HAM              Print Name:  TIMOTHY J. TOLAN
           -----------------------                 ---------------------------

Title: PRESIDENT
       ---------------------------<PAGE>
                                                                   EXHIBIT 10.17
                        AMENDMENT TO EMPLOYMENT AGREEMENT

      This Amendment to that certain Employment Agreement (the "Amendment") by
and between ProxyMed, Inc. (the "Company") and Michael K. Hoover (the
"Executive") dated July 28, 2000 is entered into as of October 9, 2003 (the
"Amendment Date"). In consideration of the mutual covenants and agreements
hereinafter set forth, the parties agree as follows:

      WHEREAS, the Employment Agreement had an initial term of three (3) years;

      WHEREAS, the Company's Compensation Committee of the Board of Directors
has reviewed the 2003 performance goals applicable to Executive and has
determined that it is in the best interest of the Company and its shareholders
to allow the Employment Agreement to automatically renew for one (1) year; and

      WHEREAS, the Company and the Executive have agreed to amend that certain
Employment Agreement.

      NOW, THEREFORE, the parties agree as follows:

      1.    The Employment Agreement of the Executive was automatically renewed
            for a period of one (1) year from July 29, 2003 to July 28, 2004 and
            shall be automatically extended from year to year thereafter unless
            otherwise terminated in accordance with the terms of the Employment
            Agreement.

      2.    The Executive's annual salary for the period commencing January 1,
            2004 and expiring on July 28, 2004 shall be $275,000.00, subject to
            any subsequent increases recommended by the Company's Compensation
            Committee and approved by the Company's Board of Directors in
            writing. Any such subsequent written document is hereby incorporated
            by reference and made a part of and shall amend the relevant terms
            of the Employment Agreement automatically.

      3.    Except as otherwise modified herein, all terms and conditions of the
            Executive's Employment Agreement shall remain in full force and
            effect. To the extent that a conflict shall exist as between the
            terms or conditions of the Employment Agreement and this Amendment,
            those of this Amendment shall prevail.

      4.    This Amendment may be executed in one or more counterparts, all of
            which shall be considered one and the same agreement and shall
            become effective when one or more counterparts have been signed by
            each of the parties and delivered to the other parties.

                                       1
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      5.    This Amendment constitutes the entire agreement, and supersede all
            prior agreements and understandings, both written and oral, among
            the parties with respect to the transactions contemplated hereby,
            and (b) is not intended to confer upon any person other than the
            parties hereto any rights or remedies.

         IN WITNESS WHEREOF, each of the parties has executed this Amendment, in
the case of the Company by its duly authorized officer, as of the day and year
first above written.

PROXYMED, INC.                         EXECUTIVE:

By: /s/ NANCY J. HAM                   By: /s/ MICHAEL K. HOOVER
    ------------------------------         -----------------------------------
    SIGNATURE                              SIGNATURE

Print Name: NANCY J. HAM                Print Name: MICHAEL K. HOOVER
            ----------------------                  --------------------------

                                       2<PAGE>
                                                                   Exhibit 10.20

                        AMENDMENT TO EMPLOYMENT AGREEMENT

      This Amendment to that certain Employment Agreement (the "Amendment") by
and between ProxyMed, Inc. (the "Company") and Nancy J. Ham (the "Executive")
dated October 16, 2000 is entered into as of October 9, 2003 (the "Amendment
Date"). In consideration of the mutual covenants and agreements hereinafter set
forth, the parties agree as follows:

      WHEREAS, the Employment Agreement had an initial term of three (3) years;

      WHEREAS, the Company's Compensation Committee of the Board of Directors
has reviewed the 2003 performance goals applicable to Executive and has
determined that it is in the best interest of the Company and its shareholders
to allow the Employment Agreement to automatically renew for one (1) year; and

      WHEREAS, the Company and the Executive have agreed to amend that certain
Employment Agreement.

      NOW, THEREFORE, the parties agree as follows:

      1.    The Employment Agreement of the Executive was automatically renewed
            for a period of one (1) year from October 16, 2003 to October 15,
            2004 and shall be automatically extended from year to year
            thereafter unless otherwise terminated in accordance with the terms
            of the Employment Agreement.

      2.    The Executive's annual salary for the period commencing January 1,
            2004 to October 15, 2004 shall be $225,000.00, subject to any
            subsequent increases recommended by the Company's Compensation
            Committee and approved by the Company's Board of Directors in
            writing. Any such subsequent written document is hereby incorporated
            by reference and made a part of and shall amend the relevant terms
            of the Employment Agreement automatically.

      3.    Except as otherwise modified herein, all terms and conditions of the
            Executive's Employment Agreement shall remain in full force and
            effect. To the extent that a conflict shall exist as between the
            terms or conditions of the Employment Agreement and this Amendment,
            those of this Amendment shall prevail.

      4.    This Amendment may be executed in one or more counterparts, all of
            which shall be considered one and the same agreement and shall
            become effective when one or more counterparts have been signed by
            each of the parties and delivered to the other parties.

                                       1
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      5.    This Amendment constitutes the entire agreement, and supersede all
            prior agreements and understandings, both written and oral, among
            the parties with respect to the transactions contemplated hereby,
            and (b) is not intended to confer upon any person other than the
            parties hereto any rights or remedies.

      IN WITNESS WHEREOF, each of the parties has executed this Amendment, in
the case of the Company by its duly authorized officer, as of the day and year
first above written.

PROXYMED, INC.                           EXECUTIVE:

By:  /s/ MICHAEL K. HOOVER               By: /s/ NANCY J. HAM
    ---------------------------------        ---------------------------------
    SIGNATURE                                SIGNATURE

Print Name: MICHAEL K. HOOVER            Print Name: NANCY J. HAM
            -----------------------                  -------------------------

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