Document:

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                                                                     Exhibit 4.4

                             SUPPLEMENTAL INDENTURE

     THIS SUPPLEMENTAL INDENTURE (the "Supplemental Indenture") dated as of May
31, 2002, among AFTER HOURS PEDIATRIC PRACTICES, INC., a Florida corporation,
SPECTRUM CRUISE CARE, INC., a Delaware corporation, SPECTRUM HEALTHCARE, INC.,
a Delaware corporation, SPECTRUM HEALTHCARE NATIONWIDE, INC., a Delaware
corporation, SPECTRUM HEALTHCARE RESOURCES, INC., a Delaware corporation,
SPECTRUM HEALTHCARE RESOURCES OF DELAWARE, INC., a Delaware corporation,
SPECTRUM HEALTHCARE SERVICES, INC., a Delaware corporation, SPECTRUM PRIMARY
CARE OF DELAWARE, INC., a Delaware corporation, and SPECTRUM PRIMARY CARE,
INC., a Delaware corporation (the "Guaranteeing Subsidiaries"), all subsidiary
corporations of Team Health, Inc., a Tennessee corporation (the "Company"),
the other Guarantors (as defined in the Indenture, the First Supplemental
Indenture and the Second Supplemental Indenture referred to herein) and The
Bank of New York as successor in interest to United States Trust Company of New
York, as trustee under the Indenture, the First Supplemental Indenture and the
Second Supplemental Indenture referred to below (the "Trustee").

                                   WITNESSETH

     WHEREAS, the Company has heretofore executed and delivered to the Trustee
an indenture (the "Indenture") dated as of March 12, 1999, providing for the
issuance of an aggregate principal amount of up to $100.0 million of 12% Senior
Subordinated Notes due 2009 (the "Notes"); and

     WHEREAS, the Indenture provides that under certain circumstances the
Guaranteeing Subsidiaries shall execute and deliver to the Trustee a
supplemental indenture pursuant to which the Guaranteeing Subsidiaries shall
unconditionally guarantee all of the Company's Obligations under the Notes and
the Indenture on the terms and conditions set forth herein (the "Subsidiary
Guarantees"); and

     WHEREAS, the Company has heretofore executed and delivered to the Trustee
a supplemental indenture dated as of March 28, 2001 (the "First Supplemental
Indenture"); and

     WHEREAS, the Company has heretofore executed and delivered to the Trustee
a supplemental indenture dated as of September 3, 2001 (the "Second
Supplemental Indenture"); and

     WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee is
authorized to execute and deliver this Supplemental Indenture.

     NOW, THEREFORE, in consideration of the foregoing and for other good and
valuable consideration, the receipt of which is hereby acknowledged, the
Guaranteeing Subsidiaries and the Trustee mutually covenant and agree for the
equal and ratable benefit of the Holders of the Notes as follows:

     1.   CAPITALIZED TERMS. Capitalized terms used herein without definition
shall have the meanings assigned to them in the Indenture.

     2.   AGREEMENT TO GUARANTEE. The Guaranteeing Subsidiaries hereby agree as
follows:

          (a)  Along with all other Guarantors, to jointly and severally
     Guarantee to each Holder of a Note authenticated and delivered by the
     Trustee and to the Trustee and its successors

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and assigns, irrespective of the validity and enforceability of the Indenture,
the Notes or the obligations of the Company hereunder or thereunder, that:

          (i)  the principal of and interest on the Notes will be promptly paid
     in full when due, whether at maturity, by acceleration, redemption or
     otherwise, and interest on the overdue principal of and interest on the
     Notes, if any, if lawful, and all other obligations of the Company to the
     Holders or the Trustee hereunder or thereunder will be promptly paid in
     full or performed, all in accordance with the terms hereof and thereof; and

          (ii) in case of any extension of time of payment or renewal of any
     Notes or any of such other obligations, that same will be promptly paid in
     full when due or performed in accordance with the terms of the extension or
     renewal, whether at stated maturity, by acceleration or otherwise. Failing
     payment when due of any amount so guaranteed or any performance so
     guaranteed for whatever reason, the Guarantors shall be jointly and
     severally obligated to pay the same immediately.

     (b)  The obligations hereunder shall be unconditional, irrespective of the
validity, regularity or enforceability of the Notes or the Indenture, the
absence of any action to enforce the same, any waiver or consent by any Holder
of the Notes with respect to any provisions hereof or thereof, the recovery of
any judgment against the Company, any action to enforce the same or any other
circumstance which might otherwise constitute a legal or equitable discharge or
defense of a guarantor.

     (c)  The following are hereby waived: diligence, presentment, demand of
payment, filing of claims with a court in the event of insolvency or bankruptcy
of the Company, any right to require a proceeding first against the Company,
protest, notice and all demands whatsoever.

     (d)  These Subsidiary Guarantees shall not be discharged except by complete
performance of the obligations contained in the Notes and the Indenture.

     (e)  If any Holder or the Trustee is required by any court or otherwise to
return to the Company, the Guarantors, or any Custodian, Trustee, liquidator or
other similar official acting in relation to either the Company or the
Guarantors, any amount paid by either to the Trustee or such Holder, these
Subsidiary Guarantees, to the extent theretofore discharged, shall be reinstated
in full force and effect.

     (f)  The Guaranteeing Subsidiaries shall not be entitled to any right of
subrogation in relation to the Holders in respect of any obligations guaranteed
hereby until payment in full of all obligations guaranteed hereby.

     (g)  As between the Guarantors, on the one hand, and the Holders and the
Trustee, on the other hand, (x) the maturity of the obligations guaranteed
hereby may be accelerated as provided in Article 6 of the Indenture for the
purposes of these Subsidiary Guarantees, notwithstanding any stay, injunction or
other prohibition preventing such acceleration in respect of the obligations
guaranteed hereby, and (y) in the event of any declaration of acceleration of
such obligations as provided in Article 6 of the Indenture, such obligations
(whether or not due and payable) shall forthwith become due and payable by the
Guarantors for the purpose of these Subsidiary Guarantees.

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          (h)  The Guarantors shall have the right to seek contribution from any
     non-paying Guarantor so long as the exercise of such right does not impair
     the rights of the Holders under the Guarantees.

          (i)  Pursuant to Section 10.02 of the Indenture, after giving effect
     to any maximum amount and any other contingent and fixed liabilities that
     are relevant under any applicable Bankruptcy or fraudulent conveyance laws,
     and after giving effect to any collections from, rights to receive
     contribution from or payments made by or on behalf of any other Guarantor
     in respect of the obligations of such other Guarantor under Article 10 of
     the Indenture shall result in the obligations of such Guarantor under its
     Subsidiary Guarantee not constituting a fraudulent transfer or conveyance.

     3.   EXECUTION AND DELIVERY. The Guaranteeing Subsidiaries agree that the
Subsidiary Guarantees shall remain in full force and effect notwithstanding any
failure to endorse on each Note a notation of such Subsidiary Guarantees.

     4.   GUARANTEEING SUBSIDIARIES MAY CONSOLIDATE, ETC. ON CERTAIN TERMS.

          (a)  No Guarantor may consolidate with or merge with or into (whether
     or not such Guarantor is the surviving Person) or sell, assign, transfer
     convey or otherwise dispose of all or substantially all of its properties
     or assets in one or more related transactions, to another Person unless:

               (i)   the Company or a Guarantor is the surviving corporation or
          the entity or the Person formed by or surviving any such consolidation
          or merger (if other than a Guarantor or the Company) or to which such
          sale, assignment, transfer, lease, conveyance or other disposition
          shall have been made is a corporation organized or existing under the
          laws of the United States, any state thereof or the District of
          Columbia;

               (ii)  the entity or Person formed by or surviving any such
          consolidation or merger (if other than a Guarantor or the Company) or
          the entity or Person to which such sale, transfer, conveyance or other
          disposition is made assumes all the obligations of such Guarantor
          under the Notes, the Indenture and the Subsidiary Guarantees, pursuant
          to a supplemental indenture in the form of Exhibit F to the Indenture;

               (iii) immediately after giving effect to such transaction, no
          Default or Event of Default exists; and

               (iv)  the Company (i) will have Consolidated Net Worth
          immediately after the transaction equal to or greater than the
          Consolidated Net Worth of the Company immediately preceding the
          transaction and (ii) will, at the time of such transaction and after
          giving pro forma effect thereto as if such transaction had occurred at
          the beginning of the applicable four-quarter period, be permitted to
          incur at least $1.00 of additional Indebtedness pursuant to the Fixed
          Charge Coverage Ratio test set forth in the first paragraph of Section
          4.09 of the Indenture;

          (b)  In case of any such consolidation, merger, sale, or conveyance
     and upon the assumption by the successor corporation, by supplemental
     indenture, executed and delivered to the Trustee and satisfactory in form
     to the Trustee, of the Subsidiary Guarantees endorsed upon the Notes and
     the due and punctual performance of all of the covenants and conditions of
     the

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     indenture to be performed by the Guarantor, such successor corporation
     shall succeed to and be substituted for the Guarantor with the same effect
     as if it had been named herein as a Guarantor. Such successor corporation
     thereupon may cause to be signed any or all of the Subsidiary Guarantees to
     be endorsed upon all of the Notes issuable hereunder which theretofore
     shall not have been signed by the Company and delivered to the Trustee. All
     of the Subsidiary Guarantees so issued shall in all respects have the same
     legal rank and benefit under the Indenture as the Subsidiary guarantees
     theretofore and thereafter issued in accordance with the terms of the
     indenture as though all of such Subsidiary Guarantees had been issued at
     the date of the execution hereof.

          (c)  Except as set forth in Articles 4 and 5 of the Indenture, and
     notwithstanding clauses (a) and (b) above, nothing contained in the
     Indenture or in any of the Notes shall prevent any consolidation or merger
     of a Guarantor with or into the Company or another Guarantor, or shall
     prevent any sale or conveyance of the property of a Guarantor as an
     entirety or substantially as an entirety to the Company or another
     Guarantor.

     5.  RELEASES.

          (a)  In the event of a sale or other disposition of all of the assets
     of any Guarantor, by way of merger, consolidation or otherwise, or a sale
     or other disposition of all to the capital stock of any Guarantor, then
     such Guarantor (in the event of a sale or other disposition, by way of
     merger, consolidation or otherwise, of all of the capital stock of such
     Guarantor) or the corporation acquiring the property (in the event of a
     sale or other disposition of all or substantially all of the assets of such
     Guarantor) will be released and relieved of any obligations under the
     Subsidiary Guarantees; provided that the Net Proceeds of such sale or other
     disposition are applied in accordance with the applicable provisions of the
     Indenture, including without limitation Section 4.10 of the Indenture. Upon
     delivery by the Company to the Trustee of an Officers' Certificate and an
     Opinion of Counsel to the effect that such sale or other disposition was
     made by the Company in accordance with the provisions of the Indenture,
     including without limitation Section 4.10 of the Indenture, the Trustee
     shall execute any documents reasonably required in order to evidence the
     release of any Guarantor from its obligations under its Subsidiary
     Guarantee.

          (b)  Any Guarantor not released from its obligations under its
     Subsidiary Guarantee shall remain liable for the full amount of principal
     of and interest on the Notes and for the other obligations of any
     Guarantor under the Indenture as provided in Article 10 of the Indenture.

     6.  NO RECOURSE AGAINST OTHERS. No past, present, or future director,
officer, employee, incorporator, stockholder, or agent of the Guaranteeing
Subsidiaries, as such, shall have any liability for any obligations of the
Company or any Guaranteeing Subsidiaries under the Notes, any Subsidiary
Guarantees, the Indenture or this Supplemental Indenture or for any claim based
on, in respect of, or by reason of, such obligations or their creation. Each
Holder of the Notes by accepting a Note waives and releases all such liability.
The waiver and release are part of the consideration for issuance of the Notes.
Such waiver may not be effective to waive liabilities under the federal
securities laws and it is the view of the Commission that such a waiver is
against public policy.

     7.  NEW YORK LAW TO GOVERN. THE INTERNAL LAW OF THE STATE OF NEW YORK
SHALL GOVERN AND BE USED TO CONSTRUE THIS SUPPLEMENTAL INDENTURE BUT WITHOUT
GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT
THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY.

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      8.  COUNTERPARTS.  The parties may sign any number of copies of this
Supplemental Indenture. Each signed copy shall be an original, but all of them
together represent the same agreement.

      9.  EFFECT OF HEADINGS.  The Section headings herein are for convenience
only and shall not affect the construction hereof.

      10. THE TRUSTEE.  The Trustee shall not be responsible in any manner
whatsoever for or in respect of the validity or sufficiency of this Supplemental
Indenture or for or in respect of the recitals contained herein, all of which
recitals are made solely by the Guaranteeing Subsidiaries and the Company.

      IN WITNESS WHEREOF, the undersigned, through their duly-authorized
representatives, have executed this Supplemental Indenture effective as of the
date first set forth above.

                                    GUARANTEEING SUBSIDIARIES:

                                    AFTER HOURS PEDIATRIC PRACTICES, INC.
                                    SPECTRUM CRUISE CARE, INC.
                                    SPECTRUM HEALTHCARE, INC.
                                    SPECTRUM HEALTHCARE NATIONWIDE, INC.
                                    SPECTRUM HEALTHCARE RESOURCES, INC.
                                    SPECTRUM HEALTHCARE
                                         RESOURCES OF DELAWARE, INC.
                                    SPECTRUM HEALTHCARE SERVICES, INC.
                                    SPECTRUM PRIMARY CARE
                                         OF DELAWARE, INC.
                                    SPECTRUM PRIMARY CARE, INC.

                                    By:  /s/  David P. Jones
                                         --------------------------
                                         Name:
                                         Title:

                                    COMPANY:

                                    TEAM HEALTH, INC.

                                    By:  /s/  David P. Jones
                                         --------------------------
                                    Name:
                                    Title:

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                                         GUARANTORS:

                                         ALLIANCE CORPORATION
                                         HERSCHEL FISCHER, INC.
                                         INPHYNET HOSPITAL SERVICES, INC.
                                         INPHYNET MEDICAL MANAGEMENT
                                            INSTITUTE, INC.
                                         KARL G. MANGOLD, INC.
                                         CHARLES L. SPRINGFIELD, INC.
                                         CLINIC MANAGEMENT SERVICES, INC.
                                         DANIEL & YEAGER, INC.
                                         EMERGENCY COVERAGE CORPORATION
                                         INPHYNET CONTRACTING SERVICES, INC.
                                         INPHYNET LOUISIANA, INC.
                                         HOSPITAL BASED PHYSICIAN SERVICES, INC.
                                         INPHYNET ANESTHESIA OF WEST
                                             VIRGINIA, INC.
                                         MED ASSURE SYSTEMS, INC.
                                         METROAMERICAN RADIOLOGY, INC.
                                         NEO-MED, INC.
                                         PARAGON ANESTHESIA, INC.
                                         PARAGON CONTRACTING SERVICES, INC.
                                         PARAGON IMAGING CONSULTANTS, INC.
                                         QUANTUM PLUS, INC.
                                         REICH, SEIDLEMANN & JANICKI CO.
                                         ROSENDORF, MARGULIES, BORUSHOK &
                                            SCHOENBAUM RADIOLOGY ASSOCIATES
                                            OF HOLLYWOOD, INC.
                                         SARASOTA EMERGENCY MEDICAL
                                            CONSULTANTS, INC.
                                         SOUTHEASTERN EMERGENCY
                                            PHYSICIANS, INC.
                                         SOUTHEASTERN EMERGENCY PHYSICIANS
                                            OF MEMPHIS, INC.
                                         TEAM HEALTH FINANCIAL SERVICES, INC.
                                         TEAM RADIOLOGY, INC.
                                         THBS, INC.
                                         VIRGINIA EMERGENCY PHYSICIANS, INC.
                                         DRS. SHEER, AHEARN & ASSOCIATES, INC.
                                         EMERGENCY PHYSICIAN ASSOCIATES, INC.
                                         EMERGENCY PROFESSIONAL SERVICES, INC.
                                         THE EMERGENCY ASSOCIATES FOR
                                            MEDICINE, INC.
                                         EMERGENCY PHYSICIANS OF MANATEE, INC.
                                         EMERGENCY MANAGEMENT SPECIALISTS, INC.
                                         INPHYNET SOUTH BROWARD, INC.
                                         NORTHWEST EMERGENCY PHYSICIANS,
                                            INCORPORATED
                                         INPHYNET JOLIET, INC.
                                         ACCESS NURSE PM, INC.
                                         ACUTE CARE SPECIALISTS CO.

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                                     MEDICAL MANAGEMENT RESOURCES, INC.
                                     PARK MED OF FLORIDA, INC.
                                     SENTINEL MEDICAL SERVICES, INC.
                                     TEAM ANESTHESIA, INC.
                                     INTEGRATED SPECIALISTS MANAGEMENT
                                          SERVICES, INC.
                                     PHYSICIAN INTEGRATION CONSULTING
                                          SERVICES, INC.

                                     By: /s/ David P. Jones
                                        -------------------------------------
                                     Name:
                                     Title:

                                     IMBS, INC.

                                     By: /s/ Robert Joyner
                                        -------------------------------------
                                     Name:
                                     Title:

                                     FISCHER MANGOLD PARTNERSHIP

                                     By: Herschel Fischer, Inc., General Partner

                                     By: /s/ David P. Jones
                                        -------------------------------------
                                     Name:
                                     Title:

                                     By: Karl G. Mangold, Inc., General Partner

                                     By: /s/ David P. Jones
                                        -------------------------------------
                                     Name:
                                     Title:

                                     MT. DIABLO EMERGENCY PHYSICIANS,
                                          A CALIFORNIA GENERAL PARTNERSHIP

                                     By: Herschel Fischer, Inc., General Partner

                                     By: /s/ David P. Jones
                                        -------------------------------------
                                     Name:
                                     Title:

                                     By: Karl G. Mangold, Inc., General Partner

                                     By: /s/ David P. Jones
                                        -------------------------------------
                                     Name:
                                     Title:

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<PAGE>
                                        PARAGON HEALTHCARE LIMITED
                                        PARTNERSHIP

                                        BY: Inphynet Hospital Services, Inc.,
                                            General Partner

                                        By: /s/ David P. Jones
                                        --------------------------------
                                        Name:
                                        Title:

                                        TEAM HEALTH SOUTHWEST, L.P.

                                        By: Team Radiology, Inc., General
                                            Partner

                                        By: /s/ David P. Jones
                                        --------------------------------
                                        Name:
                                        Title:

                                        TEAM HEALTH BILLING SERVICES, L.P.

                                        By: T.H.B.S., INC., General Partner

                                        By: /s/ David P. Jones
                                        --------------------------------
                                        Name:
                                        Title:

                                        TRUSTEE:

                                        THE BANK OF NEW YORK as Trustee

                                        By: /s/ Patricia Gallagher
                                        --------------------------------
                                        Name: Patricia Gallagher
                                        Title: Authorized Signer

                                       8<PAGE>
                                                                     EXHIBIT 4.1

<TABLE>
<S><C>
COMMON STOCK                                                              COMMON STOCK

FBC-

                             FRANKLIN BANCORP, INC.

              INCORPORATED UNDER THE LAWS OF THE STATE OF MICHIGAN

                                                                          SEE REVERSE FOR
                                                                          CERTAIN DEFINITIONS

                                                                          CUSIP 35242V 10 5

THIS CERTIFIES THAT

IS THE OWNER OF

   FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, NO PAR VALUE, OF
                             FRANKLIN BANCORP, INC.
transferable only on the books of the Corporation by the holder hereof in person
or by duly authorized Attorney, upon surrender of this Certificate properly
endorsed.
This Certificate is not valid unless countersigned by the Transfer
Agent and registered by the Registrar.
WITNESS a facsimile seal of the Corporation and the facsimile signatures of its
duly authorized officers.

DATED:
COUNTERSIGNED AND REGISTERED:                                   PRESIDENT
       EquiServe Trust Company, N.A.
              TRANSFER AGENT AND REGISTRAR
BY
                           AUTHORIZED SIGNATURE
                                                                SECRETARY

</TABLE>

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<PAGE>
                             FRANKLIN BANCORP, INC.

         The following abbreviations, when used in the inscription on the face
of this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations.

<TABLE>
<S><C>
TEN COM - as tenants in common                                UNIF GIFT MIN ACT -____________Custodian_____________
TEN ENT - as tenants by the entireties                                              (Cust)              (Minor)
JT TEN - as joint tenants with right of                                          under Uniform Gifts to Minors
         survivorship and not as
         tenants in common
                                                                                 Act_______________________________
                                                                                                 (State)

                                                              UNIF TRF MIN ACT - __________Custodian (until age_______)
                                                                                    (Cust)

                                                                                 _____________under Uniform Transfers

                                                                                to Minors Act________________________
                                                                                                     (State)

</TABLE>

     Additional abbreviations may also be used though not in the above list.

 For value received, ____________________ hereby sell, assign and transfer unto

PLEASE INSERT SOCIAL SECURITY OR OTHER
TAXPAYER IDENTIFYING NUMBER OF ASSIGNEE

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

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

--------------------------------------------------------------------------------
    PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING ZIP CODE OF ASSIGNEE

_____________________________________________________________________ shares of
the common stock represented by the within Certificate, and do hereby
irrevocably constitute and appoint

_____________________________________________________________________Attorney,
to transfer the said stock on the books of the within named Corporation with
full power of substitutions in the premises.

Dated______________________             X_____________________________________

                                        X_____________________________________

Notice: The signature(s) to this assignment must correspond with the name(s)
written upon the face of this Certificate in every particular, without
alteration or enlargement or any change whatsoever.

Signature(s) Guaranteed

By_________________________________________________________
THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS,
STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN
AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE
17Ad-15.

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